Tuesday, August 30, 2016

Shining a light

Media attention to the ongoing brain-trauma struggle in football has come from various sources. In terms of media presentations, the movie Concussion and the PBS Frontline documentary League of Denial (based on the book of the same name) are probably the most high-profile projects, although others have been produced on the subject. A number of books and articles have also been produced, although these are often more general treatments of the violence and physical toll of football.

A couple of new productions are making their way into the public consciousness this month. A documentary with the heart-tugging title Requiem for a Running Back appeared at the Carter Center in Atlanta a couple of weeks ago (see no. 5); in it the director Rebecca Carpenter chronicles the decline of her father Lew, a former back for the Detroit Lions, Green Bay Packers, and Cleveland Browns and also a coach in the NFL, in his later years. Unbeknownst to Carpenter, in those years her father was likely suffering the effects of chronic traumatic encephalopathy (CTE), which was found in his brain after his death. (The Carter Center screening was arranged in part by an intern at the Center, by the name of Chris Borland; you might remember him...)

Carpenter's reflection on her father's life and decline contains some familiar elements from the stories of others; sudden mood swings, forgetfulness, becoming withdrawn and distant, and more. Lew Carpenter died at a relatively early phase of CTE research, though well after the early names like Mike Webster or Andre Waters. He became the 18th former NFL player to be diagnosed with CTE after his death in 2010 (keep in mind that number is pushing close to 100 now).

Rebecca Carpenter's experience is refreshingly informed by what might be called NFL privilege. As a result of her father's career, she was able to access an education and social status she would never have been able to access otherwise, and that such status allows her the privilege to make sure her son never gets near a football field "unless he's dating a cheerleader." It is a complicated situation, and at times her words carry the weight of survivor's guilt.

A different take on the subject of football airs tonight on something called truTV, a channel I know of only because it carries some early-round games in the NCAA basketball tournament. A comedic/informational show called "Adam Ruins Everything" promises to perform its title act on football in an episode airing tonight at 10:00 p.m.

Adam Conover is a stand-up comedian who developed the original version of the show for the website College Humor. Like the annoying friend who won't let you off the hook for believing those commonplace things that turn out to be untrue, Conniver takes a topic per show and takes down two or three myths associated with that subject. Tonight's subject is football, and Conover will sound the alarm about the health problems and myths associated with sports drinks as a principal means of hydration for young athletes; the degree to which the playoffs are thoroughly unsuited for determining the best player in the league; and ... the degree to which head injuries are far less avoidable than people think, it sounds like. (Oh, and the guy sources his information online.)

I don't know that you'll necessarily learn anything from Conover that you haven't already seen in this blog, but I have no doubt that Conover will have more eyeballs on his show tonight than this blog ever gets. So I won't complain if somebody else is out there banging the drum on how concussions are not the only culprit in football brain trauma.

So you have former players, and their family members, out there trying to make an impact; researchers like Dr. Ann McKee and Dr. Bennet Omalu; occasional journalists like Alan Schwartz of the New York Times; the Fainaru brothers, authors of League of Denial and occasoinal ESPN contributors, and a smattering of other journalists and authors.

From the precincts of the church, you get a few articles in Sojourners; a downloadable study from The Thoughtful Christian, which aims more generally at football than strictly brain trauma (and that seems to be the extent of my denomination's efforts in the area); a little bit of content from the Christian Century; and a few scattered efforts elsewhere. Not much, for a people whose ethic claims (often very loudly and rudely) to be about the preservation of life.

I don't know what will happen to Rebecca Carpenter's documentary; maybe it will get to HBO (although as invested in football as they are, probably not) or some other distribution. And a few people will see "Adam Ruins Everything" tonight as well.

That's something, I guess.


Airing in a little less than an hour...



Tuesday, August 23, 2016

Maybe it *is* a religion...

This one was too much to pass up...

You may have noticed in different news outlets (or on my social media feeds if you follow those) an amusing-looking story about a course offering at Presbyterian College, a small (yes, Presbyterian) school in a small South Carolina town, on a timely subject: The Religion of SEC Football.

It's an elective course, team-taught by professors in history and English who both identify as intense fans of schools in the Southeastern Conference. The course description is fairly descriptive:

Woo Pig Sooie!? Roll Tide!? Go Cocks!? What is it about college football that turns otherwise sane people into raving lunatics? Why is it that each fall millions of people schedule their lives around SEC football, spending hundreds of thousands of dollars for RV’s and tailgating for days prior to a game? Why do fans often hate another school — such as the ‘Bama fan who poisoned 130-year old trees at Auburn? This class will attempt to answer these sorts of questions by exploring the ‘religion’ of Southeastern Conference football and how each of us fit into that faith.
Sounds like fun, I guess.

In truth, the course is not new. It was first offered back in 2003, and has been offered "periodically" ever since. For whatever reason, this was the year that nationwide publicity came upon the class. It's a fairly interesting coincidence of timing, as Presbyterian's football team is making its biannual pilgrimage to serve as a sacrificial lamb for an SEC school, in this case the University of Florida, later this season. (Tickets are available.)

Of course, PC (as it's sometimes called) has a bit of experience as a sacrificial lamb. The school's athletic programs moved into NCAA Division I in 2007. The football team plays in the Football Championship Subdivision (what used to be called I-AA), in the Big South conference, but like many schools on that level it sells itself out to big-time programs as, in essence, cannon fodder. The gain in such a sacrifice, of course, is a paycheck, one that provides a substantial chunk of the athletic budget for a school of PC's size. (Please divest yourself of any fantasy you might hold about athletic revenue having any beneficial impact on the school's academic programs. Boosters essentially have to be bribed into supporting anything academic.)

I can only wonder what the benefit is beyond the paycheck. Partly as a result of their paycheck pursuits (they also travel to play Central Michigan of the Mid-American Conference), PC only has four home football games this year. If the point of such a move in the athletic department has anything to do with the enhancement of campus life, four home games seems a pretty meager return. For what it's worth, the Blue Hose (yep, that's the nickname) basketball program has known some bumps along the way in its Division I journey (with no subdivision to cover itself in that sport) but at least they got to play half their regular-season games at home last season.

In short, it might be worth some professor's time to develop a course on PC's own athletic journey and what, if any, benefit it has brought to the university as a whole. But for now, back to the class subject at hand, the "religion" of SEC football.

You might be expecting this blog to jump in feet-first. And yes, this blog would normally not pass up a chance to do so. But honestly, I can't quite get that excited by it.

Yes, there's a ton of excess in SEC fanship. The anecdotes related in the larger article above are all sufficient evidence of that -- the parents who blew off their daughter's wedding because it conflicted with a 'Bama game, the 'Bama guy who poisoned the Auburn trees, the PC professor who floated to his wife the idea of naming their child Zorback (as in Ra-Zorback) (I'm guessing he was at least joking somewhat, but it really did happen to someone...). It's comical, or it would be if it weren't so sad.

But such idolatry (and that's what is, well beyond mere "zealotry" as called in one of the articles) is hardly restricted to the SEC, is it?

The conference has its own network, sure, but in this they followed the lead of the Big Ten Eleven Fourteen Whatever.

Despite the antics of certain church-attendance-enforcing head coaches/violators of the Constitution, the SEC doesn't actually engage in the direct mixing of their athletic programs with religious missions (looking at you, Notre Dame, BYU; please sit down, Baylor).

Is the SEC egregiously bad about worshiping its teams, or even its own conference reputation? Yes. But you don't have to be in the SEC to have a cultish following.

Are they that much worse than, say, the Big Whatever, the Other Big Twelve Ten Whatever, the ACC, or the Pac-10 Whatever? I don't know that they are. And does it even compare to the idolatry of the NFL, the league which (as one of the better lines from Concussion puts it) now owns the day of the week that used to belong to the church?

And that probably isn't the worst part. The worst part, beyond the idolatry of any individual team or conference, is the inherent, but much less questioned, idolatry of the sport itself -- an idolatry that, as regular readers of this blog will guess I believe, claims its own physical sacrifices regularly.

When somebody develops an academic course that tackles that particular worship, then I'll pay more attention.


Circle Nov. 19 on your calendar...


Tuesday, August 16, 2016

Waiting on Science our Savior: How cells die from concussions

As has been insisted before on this blog, long and loud, the damage done to football players' brains -- what we call chronic traumatic encephalopathy, or CTE -- is not -- I repeat, not -- strictly a matter of repeated concussions. Concussions still matter, though, and new research that hit print a couple of weeks ago offers a fairly chilling assessment of just how concussions do their dark anti-magic on the brain.

The research appeared in the journal Scientific Reports on August 2. It contains at least two striking and somewhat worrying findings in relation to the kinds of brain blows football players and other athletes receive, findings that can be informally correlated to the experiences of some such athletes with concussions.

Finding 1, demonstrated with a nifty time-lapse video in the CNN report linked above, suggests that how the individual cells that are damaged by concussive blows might be different than one might expect. As shown in the video, the damaged cell doesn't necessarily show a lot of damage on the outside, for as much as six hours. From that point forward, though, the damage becomes clearer, and as soon as another six hours the cell is dead.

What this seems to indicate, chillingly, is that the damage doesn't show up at first because it happening within the cell, an internal chemical process that only begins to show up in external observation once the affected neuron is mostly deteriorated inside. As a result, once the damage begins to show up on the cell's exterior, it's probably too late for that cell; the damage is irreparable.

I should hope it doesn't require explanation to consider this happening to multiple cells, neuron upon neuron, in the course of one concussion, a horrifying thought. So much brain damage -- what else is there to call it? -- in one moment.

It also makes some intuitive sense when one considers how many concussions reported among NFL players weren't immediately detected or the degree to which concussion symptoms don't always show up immediately. If the deterioration of a single cell can take up to twelve hours, it "sounds right" that it might take that long (or sometimes longer?) for a victim of a concussion to feel its effects.

On the flip side of that chilling thought, comes a thought about chilling. This bit of information offers some hope for researchers, who hope to build upon previous research suggesting a kind of hypothermia -- a "brain freeze," or at least a brain cooling, if you will -- may offer hope for heading off the damage before it becomes irreversible. Those studies aren't conclusive yet, though more are on the way. The researcher presenting the current research, Christian Frank of Brown University, is working with the concept of an inhaler-type device that would deliver a shot of cold air through the blood vessels to the brain and arrest the deterioration at the cellular level.

So in the future, if your favorite quarterback or safety comes off the field looking concussed, you might just see the medical staff hitting him with what looks like an asthma inhaler, but the medic might just be applying a brain freeze.

But back to the downsides. The research also suggested more strongly than before that there might be more than one type of brain injury going on in cells when concussive blows are received. Beyond the obvious blows (leaving the signs you might have seen if you saw the movie Concussion), researchers also found a second, less obvious type of damage, in which cells essentially "pull back" their connections from the surrounding neural networks and, in essence, quit.

This isn't a kind of injury that shows up readily in any kind of examination, pre- or post-mortem. So in other words, all those horrible stories of brains that were examined by the likes of Dr. Bennet Omalu or Dr. Ann McKee, reported to be so grisly and horrible ... might just have been understated.

At the risk of overusing a word, there is something particularly chilling in seeing such neuron deterioration playing out. Then doing the math; how many cells affected by a given blow? how many such blows a game? do all the blows really have to be concussion force to affect some of this kind of damage?, and the heart sinks, or hopefully it does, if you have one.

Concussions happen outside the NFL, of course. One might see the military, in the age of roadside bombs, standing to gain greatly from such research as this and any possible treatments that derive from it. Depending on the level of your pacifism one might see such injuries among soldiers as sad but inevitable or just sad and criminal, but at minimum one would hope no one would begrudge any such affected veteran whatever hope this research might produce.

One hopefully would not begrudge such hope to football players or other athletes, either, but to concede that point should not forestall the question of whether we have any business indulging in the behavior that produces such damage. Does our need for entertainment or our thirst for cathartic violence really justify this?

Concussions happen in other sports besides football, of course. So far, though (aside from certain elements in the NHL), no other sport seems inclined to treat such damage as necessary and inevitable.  Other sports don't talk about the violence that produces these injuries as intrinsic or necessary to the game, or have fans who make asinine sexist remarks about putting skirts on the players when any mitigation of such blows is suggested.

So even as a study like this one offers some beacon of hope, it points ever more deeply to the troubling and powerfully problematic nature of the whole enterprise, one that has been going on for decades. No person should feel even the tiniest compunction against deciding that she or he can't or won't watch it happen anymore.


Watch a neuron die. Now imagine a whole bunch at one blow. 
(As seen in Scientific Reports)



Tuesday, August 9, 2016

Weekly Reader: Another page from the tobacco playbook

Q: Which sports organization spent $1.2M on lobbyists and congressional lobbying in 2014, and has a political action committee that raised $900,000 in the last election cycle?

A: (Say it in Chris Berman's voice) The NAtional. FOOTball. League.

This one slipped by me. The NFL is becoming a fairly serious player in DC.

One might suspect the ongoing storm over brain trauma and chronic traumatic encephalopathy as the principal motivator for this increasing flexing of political mu$scle, and you'd be right to a large degree. Roger Goodell's halting and embarrassing turn on Capitol Hill in 2009 (seven years ago, if you can believe that) prompted the league to pour increased effort into, er, persuading members of Congress (the House Judiciary Committee in particular) to look more kindly on the NFL where concussions and trauma were concerned. You'll notice said committee has said bupkis on the subject since. (The bombshell admission of a link between football and such head trauma earlier this year happened before the House's Energy and Commerce Committee.)

But the final straw, so to speak, was actually Ray Rice's assault on his wife. As members of Congress got agitated and began to poke around the league's exposed nerves, the league finally concluded it needed a full-time point person on The Hill, and appointed a former Joe Biden aide to the task (some critics, you'll read in the link above, likened her move to that of a former lobbyist for MADD taking up a new job lobbying for the spirits industry, and they're probably not wrong). The most recent issue to come under NFL influence-spreading is the lucrative gambling rings-in-all-but-name known as daily fantasy sports, which has required a particularly blatant form of double-talk.

So what's the complaint? Corporations (which are people, my friend) have the legal right to lobby politicians. And if you want to assert that such lobbying takes place in every and all circumstances in a completely ethically pure and above-board manner, you have the right to do so.

I'll laugh in your face, but you do have the right to do so.

For comparison, the NFL's political spending noted above is about double that of MLB, NHL, and NBA combined, and the NHL and NBA don't even have PACs (the NFL's PAC about doubles MLB's in funds raised as well, even collecting almost exclusively from NFL owners and their family members).

Of course, those with a nose for history will remember that lobbying is reminiscent of how other ethically challenged businesses have preserved themselves over the years. One such industry that might come to mind? Oh, I don't know, maybe...the tobacco industry, already known to be tied to the NFL in spirit?

Is it legal? Yup. Does it smell? Oh, Hell, yes. (And I do use that word theologically.)


More stuff worth reading about that game:

*Ken Stabler was inducted into the Pro Football Hall of Fame. Of course, he wasn't around to enjoy it, sadly.

*Speaking of the HoF induction, the game that typically goes with it had to be canceled, apparently because the paint used for the on-field logos turned hard and impenetrable. Wait, since when have rock-hard surfaces been a problem for football?

*The Tampa Bay Buccaneers franchise is trying a different kind of deep-freeze to rehabilitate its players.

*Sort-of football story: Um...o.k. 


From the Lords of the (Olympic) Rings:

*Is it bad sportsmanship to be vocal about cheating (which would seemingly be a pretty serious offense against sportsmanship)?

*When you've committed so many failures in preparing for the events of the Olympics, a pool that is suddenly and unexpectedly green is going to raise questions.


Other sporting realms:

*The NBA's Adam Silver has sounded almost progressive at times, and MLB's Rob Manfred has brought a degree of transparency to his office. MLS's Don Garber can be a little opaque at times but that league isn't quite there yet enough to cause great concern. So, if any commissioner was going to make the NFL's Goodell look like a morally upright and forward-thinking person, it had to be the NHL's Gary Bettman. And on cue... .

*Sometimes it's good to tip the hat to achievements without getting ethically worried, and so here's to Ichiro... .

*But then, some folks make that impossible.


Ichiro!