Tuesday, November 15, 2016

Book Commentary: Unintended Impact

Prebstle, Jim. Unintended Impact: One Athlete's Journey from Concussions in Amateur Football to CTE Dementia. Edina: Beaver's Pond Press, 2015. 265pp. ISBN 978-1-59298-883-9.

I have previously in this blog raised the unsettling spectre that, aside from those former NFL players, known and yet to be known, suffering the lingering effects of chronic traumatic encephalopathy (CTE), there might well be numerous players (thousands? tens of thousands?) whose career arc never approached the NFL but yet suffer from the same debilitating effects of their shorter football careers.

This book tells one such story.

Dick Prebstle grew up in the football-crazed precincts of Canton and Massilon, Ohio. Born in 1942, he progressed through what was already a familiar path for a young athlete; beginning to play tackle football at age ten, getting onto the high school team (in his case skipping the "freshman team" that was more common in the 1950s), and as a successful high-school star (and also an excellent student), being recruited to a successful collegiate program, in his case at Michigan State. Prebstle was mostly a backup quarterback at MSU, and a succession of severe injuries, including a now-shocking number of concussions, ultimately ended his career prematurely. (His younger brother, the author of this book, would last longer in football, and was a member of MSU's 1965 national championship team, but neither brother would play in the NFL.)

Dick Prebstle's post-football life seemed destined for success, despite an unsuccessful attempt at law school. He ultimately made his way into business; getting a foothold in the insurance business before  maneuvering his way to the acquisition of a construction equipment company.

Jim Prebstle's story of his big brother's rise and decline has been dropping hints along the way -- frequent migraines, unexpected illnesses suggested as stress-related at the time -- that all was not to be well, but the decline is marked sharply at this point. Without giving away too many details (you are supposed to read the book after all), Jim Prebstle reads Dick's decline in retrospect, armed (as he and Dick's other family members were not at the time) with the understanding of CTE's effect on the afflicted brain. While a CTE diagnosis, which can only be confirmed posthumously, cannot change the suffering its victim and family go through, it can be a means to understand how a seemingly healthy and successful man like Dick Prebstle could be laid low so suddenly. The most marked changes in behavior and cognitive function began to manifest themselves in Dick Prebstle in the early 1980s, according to Jim Prebstle's account.

Dick Prebstle lived until 2012, aged 69.

Think of thirty years in fearsome mental decline, kicking in before age 40.

Jim Prebstle's account is straightforwardly retrospective, reading Dick's life in light of his posthumous diagnosis. Having learned how CTE works, through their experience with the Boston University study that has announced so many such diagnoses, Jim and other relatives of Dick, including wife and children, are calling up painful and baffling memories, and beginning to re-interpret those memories through new information and understanding that was simply not out there in the 1980s. (The book's Forward is by Dr. Robert A. Stern, a member of the BU study group, and is particularly useful to read and digest.)

As Jim Prebstle's account unfolds, a plethora of related issues float, sometimes unintentionally, to the surface -- the relationship between brothers, particularly the overachieving older brother and the younger brother constantly judged by his elder's accomplishments; the "warrior codes" and implicit assumptions about manhood attached to football; the sheer lack of understanding of brain injury and the harrowingly outdated and ultimately deadly way young football players were taught to hit head-first; the sheer idolatry (my word, not Prebstle's) of football in certain parts of American culture; the "steel mill mentality" of the upper Midwest; the bitterness and rancor that result from disputes over care of dementia patients; the staggering physical deterioration of a CTE-afflicted brain; and many more.

The one significant disappointment of the book is the Epilogue, in which football idolatry still demands an Affirmation of Faith in the sport despite its destruction of some percentage of those who play it. The insistence that there has to be a way to make the sport safer still rings out, despite the lack of any evidence that this is so. Preserving football still comes first.

Nonetheless, read the book as a kind of personal counterbalance to a more broad-based account such as that in League of Denial. I suspect more such stories are going to begin to appear, as more former players or their family members try to understand what they or their loved ones have suffered, and how it could all be a result of the game they loved.








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