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Concussion doctor says he found CTE in living NFL player

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Re: Concussion doctor says he found CTE in living NFL player

#41
post #6

I didn't grow up playing or really understanding sports. I was one of those guys who joked about "sportsball" and stuff like that. When I started really taking weight training seriously I started having a frame of reference for understanding sports and started really appreciating them. Football is a sport that is designed to really allow people to showcase the limits of the human body. The most impressive athletes in…

The most impressive athletes in any sport in the world are in the NFL

Call me when one of them free-climbs El Capitan.

Re: Concussion doctor says he found CTE in living NFL player

#42

Does the difficulty in diagnosis stem from the fact that it is hard to differentiate CTE from other degenerative brain diseases, or is it just hard to diagnose in the living altogether? I mean, is the presence of Alzheimer's-like symptoms a necessary but not sufficient condition? Being able to rule out the condition would be very valuable to former contact sport athletes worrying about the disease.

All brain diseases are really difficult to diagnose - almost all of them remain pathological diagnoses - that is, even if we say ‘alzheimers’ we mean ‘likely Alzheimer’s until we can biopsy or autopsy to determine completely’.

Also, just diagnosing (at present, and aside from the aims of the article) doesn’t help as we can’t really treat. We know that, for example, being knocked out more than twice in your life doubles your risk of ‘brain disease’, and having a second concussion within a week or so of the first also is a massive risk multiplier. So we need to have appropriate management and identification strategies in place to ensure we don’t allow that to happen, restrict play after concussive injuries etc

Re: Concussion doctor says he found CTE in living NFL player

#43
post #24

Does the difficulty in diagnosis stem from the fact that it is hard to differentiate CTE from other degenerative brain diseases, or is it just hard to diagnose in the living altogether? I mean, is the presence of Alzheimer's-like symptoms a necessary but not sufficient condition? Being able to rule out the condition would be very valuable to former contact sport athletes worrying about the disease.

from what I understand, it is currently a chemical test that requires a biopsy or tissue sample, which is difficult to get from the brain because well, you remove part of the brain, which is bad.

Right, that is to diagnose CTE post-mortem. But does CTE also cause other phyiscal symptoms which are just indistinguishable from regular Alzheimer's? For instance, would a person with CTE also have visible plaques on an MRI, or is the disease really invisible in the living?

The fact that they found CTE in 110 out of 111 NFL players post-mortem should indicate that they had a pretty good idea about which players to pick for autopsy. Was those picks based on their history of psychological issues alone, or were there other indicators such as definite signs of Alzheimer's?

Re: Concussion doctor says he found CTE in living NFL player

#44
post #11
post #6

I didn't grow up playing or really understanding sports. I was one of those guys who joked about "sportsball" and stuff like that. When I started really taking weight training seriously I started having a frame of reference for understanding sports and started really appreciating them. Football is a sport that is designed to really allow people to showcase the limits of the human body. The most impressive athletes in…

That’s a highly cultural-specific viewpoint. For example Rugby union, league, AFL etc are all contact sports with huge followings - I can’t understand let alone (and probably because of my lack of understanding) stand NFL which I personally think culturally encapsulates an American approach to the world - this is the offence team, this is defence, let’s pad up and beat the shit out of the opposing side. Compared to t…

> I can’t understand let alone (and probably because of my lack of understanding) stand NFL which I personally think culturally encapsulates an American approach to the world - this is the offence team, this is defence, let’s pad up and beat the shit out of the opposing side.

Out of curiosity have you ever watched the NFL? Like, given it a good chance for at least a few games? Because in pop culture that's how the NFL is portrayed and marketed, but it's not really like that and honestly I'd venture to say that's not why most people like watching it - because there's not really much literal "beating the shit" out of the opposing side anyway, and to give an example: if you listen to the live crowds, you rarely, if ever, hear them lose their shit when the occasional gruesome helmet-to-helmet play or injury occurs, as someone on the outside looking in might expect. On the flipside, any time contact is avoided by the home team to make a good play, the crowd collectively loses their shit, because really what football is about is using physical strength as well as skill - mental and physical - to outsmart and outmaneuver your opponent and "beat the shit out of them" that way.

I've been watching football for years and I still barely understand how, at its core, the game works. Nevermind how physically skilled they are, which is a given - there is so much that goes into the game mentally it's mindboggling. Don't even get me started on the quarterback position which is arguably the most mentally-intensive position in any of the major sports, not just because it requires intelligence but it requires intelligence, FAST, while a bunch of guys are clawing at your offensive line trying to run into you and bring you down for the sack.

Re: Concussion doctor says he found CTE in living NFL player

#46
The article contradicts the title. The tau protein test using markers is unable to diffentiate between CTE and Alzheimer. And by the way there are already FDA approved Tau protein tests on the market so from the article it is not clear what is the new discovery about.

Re: Concussion doctor says he found CTE in living NFL player

#47
post #6

I didn't grow up playing or really understanding sports. I was one of those guys who joked about "sportsball" and stuff like that. When I started really taking weight training seriously I started having a frame of reference for understanding sports and started really appreciating them. Football is a sport that is designed to really allow people to showcase the limits of the human body. The most impressive athletes in…

I will see your 50 MPH catch and raise you 100: https://www.youtube.com/watch?v=JX8EQXMtX8w

While OBJ's was impressive, I have seen even more crazy catches in Cricket and Baseball!

Re: Concussion doctor says he found CTE in living NFL player

#49
post #24

Does the difficulty in diagnosis stem from the fact that it is hard to differentiate CTE from other degenerative brain diseases, or is it just hard to diagnose in the living altogether? I mean, is the presence of Alzheimer's-like symptoms a necessary but not sufficient condition? Being able to rule out the condition would be very valuable to former contact sport athletes worrying about the disease.

from what I understand, it is currently a chemical test that requires a biopsy or tissue sample, which is difficult to get from the brain because well, you remove part of the brain, which is bad.

brain biopsies are routinely performed for brain tumors so its not that uncommon.

Re: Concussion doctor says he found CTE in living NFL player

#50
post #44
post #11

Earlier quoted context omitted.

That’s a highly cultural-specific viewpoint. For example Rugby union, league, AFL etc are all contact sports with huge followings - I can’t understand let alone (and probably because of my lack of understanding) stand NFL which I personally think culturally encapsulates an American approach to the world - this is the offence team, this is defence, let’s pad up and beat the shit out of the opposing side. Compared to t…

> I can’t understand let alone (and probably because of my lack of understanding) stand NFL which I personally think culturally encapsulates an American approach to the world - this is the offence team, this is defence, let’s pad up and beat the shit out of the opposing side. Out of curiosity have you ever watched the NFL? Like, given it a good chance for at least a few games? Because in pop culture that's how the NF…

I’ve watched a handful, particularly when I was living (studying) in the states, and no doubt it is a game of strategy, and no doubt I don’t understand it well (as I mentioned). I hesitate with your strong endorsement of the intensive mental stress of it however, particularly when compared to the sports I mentioned, particularly Union, which lacks the long pauses and set pieces of NFL and requires more dynamic and on-the-fly thinking without coach or other input. I’m not saying it’s less than, but to use an analogy, I think for example Union is like the US Marine Corps (browsing their wiki article last night) where the outcome is the goal with the methods to be determined by the players, whereas NFL seems to be a continual discussion of strategy and set plays with sideline input, something not overly possible in union
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