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The 1890s: Brain Risks Confirmed in American Football

Brain Injury in American Football: 130 Years of Knowledge and Denial

The 1890s: Cerebral Risks Confirmed on Gridiron

Part One in A Series

By Matt Chaney

Posted Tuesday, July 28, 2015

Copyright ©2015 by Matthew L. Chaney

As American football officials tell the story today, brain injury among players is a fledgling issue, identified only in recent years, the 2000s.

Administrators, coaches, trainers, doctors, and researchers of contemporary football say they have only begun to grasp brain risk for players, while otherwise declaring no need for alarm. Officials say parents and children must not worry because dangers are exaggerated and countermeasures are in place.

The game embraces “concussion awareness” as never before, committing unprecedented dollars to research and prevention. “Heads Up Football,” for example, the program said to teach headless hitting to youths, is a household term for its $45 million in development and publicity funded by the NFL and players union.

But are traumatic brain injuries [TBI] and policy-making actually newfound for the collision sport?

Is the football institution—generations of administrators, coaches, trainers, doctors—really just comprehending TBI among players and what might be done? That’s the official claim, anyway, especially for legal defense against lawsuits filed by former players and families.

Historical events tell a different football story, meanwhile, in an extensive review of news databases by this investigator. Generally, the factual past conflicts with official versions proffered today.

Because the dilemma of head injuries inherent for tackle football—brain “concussion” foremost, broadly defined for varying states of severity—has reared regularly in public since the Victorian Era. Periodic controversies have spanned three centuries and affected most decades of the game, including the 1890s, 1900s, 1920s, 1930s, 1950s, 1960s, 1970s, and 2010s.

Along the way, football has seen every type of brain trauma in players, consistently, predictably. Countless cases publicized since the 1800s have ranged from debilitating headaches to fatal hemorrhaging, and officials have tried much for preventing casualties while managing “return to play” of injured athletes, if never realizing success.

Several outright failed initiatives have been recycled, repackaged and promoted anew in periods over the continuum—like old “head up” theory, publicized in 1899 but presently sold as cutting-edge, Heads Up “technique.”

ChaneysBlog presents a series on the history of football collision, brain injury, and policy, with this first article examining football in its formative phase, the latter 1800s—when officials made promises of safety reform that echo yet.

So-called protective helmets, rule changes, medical supervision, proper coaching, and safer colliding have been promoted for a century and longer in American football.

1892: Gridiron Violence, ‘Flying Wedge’ Ignite Public Furor

As American football’s first injury crisis festered in 1892, the Harvard University team stoked controversy, unveiling its “flying wedge” blocking formation against rival Yale during the most publicized game of the year.

Returning a kickoff, two wings of Harvard players sprinted downfield on the attack, leading the ball carrier. At last instant 10 Harvard men converged in a V-wedge, “flying into Yale’s right wing like a crimson simoon,” a writer recounted. Twenty yards were gained on the return, a substantial run for grinding “mass” football of the time.

“What a grand play!” proclaimed The New York Times, for “a half ton of bone and muscle coming into collision with a man weighing 160 or 170 pounds.”

“The trick was so pretty that even the Yale men were disposed to applaud,” reported The New York Evening World. Yale “coachers” pronounced the latest wedge scheme “as one of the finest plays ever seen.”

Critics of football, in turn, deplored the flying wedge as epitome of gratuitous violence in sport, and on behalf of higher education no less.

“The fatal twisting of the neck of a football player and several other horrifying details in the football news… add to the growing demand that unless the leaders of the game themselves will ‘regulate’ the playing as they promise and profess to do, the police shall,” The Boston Advertiser editorialized. “The public cannot stand these harrowing casualties.”

“That the rules governing intercollegiate football must be changed seems to be the general opinion of the sporting public and those college graduates who are making a constant study of the great game,” asserted a national commentary. “The increased opportunities for accidents and the brutality which has marked many of the recent big games have made radical changes necessary.”

Football supporters laughed, contending dangers were exaggerated, led by Harvard dean of engineering Nathaniel S. Shaler, a former player. “I have never known a single man, personally, to be killed or permanently hurt in the game,” Shaler said. “The death rate in football is way down.” By comparison, Shaler noted that horse transportation and boating had killed nine of his friends.

The Charlotte Observer editorialized “that there is a good deal of humbuggery in all the recent clamor about the dangers of football,” continuing that boys “are liable to get hurt at almost any game in which they engage—unless it be croquet.”

“This question of football is a matter of family government rather then the public’s business,” the newspaper continued. “If the parents are willing for the son to play football and take chances, it is none of the public’s affair. After the player passes 21, it is nobody’s business but his own.”

Football advocacy did not impress many Americans. Some wanted “foot-ball” banned from college campuses that hosted it in pursuit of financial gain and prestige, a quarter-century after students organized the game at eastern universities.

Opposition flourished in higher education and the popular press, pressuring game policy-makers to act, particularly Walter Camp of Yale University, the coach, referee and rule-maker who would be known as the Father of American Football.

Camp headed the Yale coaching staff enamored with mass plays like the flying wedge, but he knew football suffered for its image as a sanctioned brawl. “The protest… by the faculties of a large number of colleges is having its effect,” he acknowledged.

The game was dangerous and barbaric at eyesight, and no one could calculate the casualty numbers, undoubtedly high, as football expanded west through schools, colleges, and athletic clubs.

The sport had begun as an “open” game of rugby sprints and passes, but rule changes led by Camp in the 1880s established a line of scrimmage between opposing teams of 11 men each, and ball possession for one side at a time. Possession was retained for gaining five yards in three “downs.”

Rules legitimized “interference,” or blocking for a ball carrier, then “low” tackling. Offensive planning evolved to emphasize brutish players for “momentum” starts, clustered in walls and wedges, to make running strikes at a defense.

Analyst Michael Oriard observed that the rule allowing tackling below the waist “virtually eliminated open-field running, led to increasingly brutal (and boring) mass play, altered the very shape of football players by tilting the advantage overwhelmingly toward sheer bulk, and necessitated the development of padded armor to protect the newly vulnerable players.”

A news writer panned the Harvard-Yale game in 1893, complaining that “the great battle did not bristle with interesting plays. There was a constant pile in the middle of the field, from which it was half the time impossible to pick the man with the ball.”

Hazardous tactics created repulsive scenes. Players pushed and pulled their ball carriers for yardage, inflicting injury. Elbowing abounded, along with grabbing, tossing, trampling, and punching. A New York reporter noted a “rule disqualifying a man who uses his clenched fist is strongly advocated.”

“The players on the line often sparred with one another, shoved, or even slugged one another before the snap of the ball,” wrote historian John Sayle Watterson. “Guards and tackles could take up positions in the backfield because the rules did not specify the linemen had to be at the scrimmage line.”

“Once a player left the game, he could not return. Hence, injured players often staggered around the field until they collapsed or asked to be taken out of the game.”

At end of the 1893 football season, officials could dally no longer on reform. “There is quite a popular demand for the abolition of the flying wedge and other dangerous mass plays in football,” stated a Kansas writer.

The New York Times editorialized: “A game in which some of the players are almost certain to be knocked senseless is a game in which some of them are very liable to be maimed for life or even to be killed outright.” The Times pegged injuries as mere elemental byproducts, proclaiming “no game so extremely perilous should be permitted to be played.”

Camp weighed in, as supreme powerbroker of football’s maturing enterprise at American universities. Camp said daily practice sessions posed higher risk than games, but he voiced support for new rules to “remove the so-called brutalizing character” of competition.

“There is no doubt that the game as played the last year or two has been attended with a great deal of danger to the players,” Camp stated. “In improving from the old [Rugby Union] game we have admitted the interference [blocking], which is the element of danger in the game. The Englishmen look upon our style of playing with a great deal of abhorrence. Yet it is just that style that has commended the game to the American people and aroused such a great interest in it.”

Camp suggested a “convention” of football representatives from colleges could address the questions, and thus it materialized.

Newspapers soon announced “five football experts” would gather to discuss, draft, and ratify new rules. The 34-year-old Camp was named to the committee, obviously, while the others were likewise young “football men” and former players of the universities represented, Yale, Harvard, Princeton, Pennsylvania, and Wesleyan.

“The football reform movement at last begins to assume a tangible shape,” noted The Evening World, optimistically.

The anointed experts released their new rules in spring 1894, football’s first in the mission of safety for players. Among changes, a kick receiver could signal “fair catch” for avoiding contact; there would be “less use of hands and arms obstructively”; piling on a man when down would be penalized; and a “linesman” was added to field officials.

The focus of attention was Rule 30 (c.), reading as follows: “No momentum mass plays shall be allowed.” An enthusiastic news commentator said “anxious parents, friends and companions” of players could now rest easy, as if football’s dreadful “wedge” action were eliminated.

But that depended on definition and interpretation. “A momentum mass play is where more than three men start before the ball is put into play,” stated a news report. “Nor shall more than three men group for that purpose more than five yards back from the point where the ball is put in play.”

The public expected much from anti-wedge policy, yet football’s safety code produced negligible results during the 1894 season, with collisions still violent and injurious throughout. Critics howled in derision of officials.

New York Evening Post editorial ripped the incorrigible violence of college football, chiding the hypocrisy—or calculated rhetoric—of organizers and supporters who tried to label boxing the only barbaric pastime. The Post opined:

There is one characteristic of the new football which all those who promise us its reform seem to overlook, and that is that it is the only athletic sport which brings the whole bodies of the players into violent collision.

In short, is not the distinction between the ring and college football as played Saturday a distinction without a difference? Is not the attempt to make a [perceived] difference a bit of sophistry of which the champions of the game ought to be ashamed? It is true [the boxer] plays a game which consists in wasting his adversary’s strength so that he can no longer resist.

But how does this differ from college football? Is not the slugging of the enemy’s best men so as to close their eyes, strain their hips, break their noses, and concuss their brains, and thus compel them to withdraw from the field, exactly the pugilist’s policy?

Chicago Tribune editors denounced alleged gridiron reform. “The Football Slugging Match,” the newspaper headlined after Harvard versus Yale. Brutality was “the conspicuous feature of the game,” the report began.

“It was played under new rules, but the new rules were formulated not so much to make the game a test of skill, agility, and endurance as to invite personal encounters and increase the opportunities for slugging. That they worked well is shown by the list of maimed victims. Seven men were more or less severely injured.”

North of the U.S. border, The Winnipeg Tribune followed American debate over tackle football as the sport was introduced in Canada. “And the game is seriously threatened,” the newspaper editorialized, “for it is impossible to ascribe the violence of the contest to any special kind of tactics.”

“Last year the flying wedge and momentum players were made the scapegoat for all the accidents of football. The public was easily deceived… The papers are asking the university authorities what they propose to do about the matter.”

A Chicago preacher wanted impact changes, Rev. J.J. Tobias, who denounced amoral football and collegiate administrations before his Episcopal congregation. “Is football essential to manly sports? Certainly not for physical culture…,” Tobias scoffed, “for our gymnasiums and athletic clubs afford every facility.”

“[Football] is called a science…,” he continued from pulpit, mocking Walter Camp’s frequent claim, “yes, the science of disabling, wearing out, or killing by violent personal concussion of the antagonist. It is the science of brute force.”

Rev. Tobias doubted the courage of universities for standing up to the “football associations” so affluent and omnipotent on campuses nationwide, backed by exploding fan base.

“It is a lack of real moral manliness on the part of the governing powers,” he decried. “There is a mania and rivalry for large numbers on the campus rolls which makes presidents timid and under a compromising policy. It is a betrayal of a holy trust.”

“Will they be brave enough to face the howling mob, or do they shift responsibility?”

1894: Talking Points in Official Denial of Football Injuries

If health reform fell short of protecting football players, the official talk and committee meetings proved to protect the game itself. Policy-making could hardly alleviate risk and casualty for individuals, but rhetorical spin, committee posturing, and suspect cures would ensure survival of the football system.

Cultural historian Michael Oriard analyzed the politics and communication in play, a century after Walter Camp seated himself to direct young coaches and rule-makers he anointed as “experts” for reversing the bloodshed.

“Fewer than a dozen young men, all representing elite universities and relatively privileged classes, controlled the game during those crucial early years of its development,” wrote Oriard, an English professor and former player in college and the NFL, for his book analysis titled Reading Football [1994]. “The creators of American football seem to have had power but little control, as they revised the rules again and again.”

Unavoidable injuries stalked officials who were hapless to find legitimate solution.

“The chronicle of rules made, broken, amended, circumvented, amended again, abused again, in endless cycle, seems to reveal a game that developed without intention, by simple necessity after an initial accident,” Oriard concluded of the football’s first half-century, after his research of Golden Press newspapers and magazines.

“Once the scrimmage line and the five-yard rule were instituted (by young men unable to anticipate the consequences), subsequent revisions were required to guarantee them, then to modify them as they became unworkable.”

Officials’ revision of injury information also occurred, involving early incidents of brain trauma.

A rash of athlete calamities befell Yale football in 1885. Aspiring player John Arnot Palmer collapsed and died of a brain aneurysm, one day removed from football practice. Most doctors at autopsy believed “violent exercise” of the sport led to the blood vessel’s bursting, according to first news. Yale physician William O. Ayres contested their conclusion, however, dismissing football as a factor; the pathology findings instead indicated kidney disease spurred Palmer’s cerebral bleed, Ayres announced to press.

Following the death, two Yale players collided with “fearful force” at practice, injuring one. Halfback W.R. Crawford was “knocked off his feet, landing heavily on his back and head,” reported The Chicago Inter Ocean. “He was removed to his room and medical aid summoned.” Crawford lay “unconscious for about two hours,” the newspaper continued. “He is reported… as being all right.”

Yale football officials, headed by Camp, were described as “reticent about the affair.”

Camp, if never experiencing brain trauma himself in football, evidently saw the condition as a player, coach, and referee. Writing of his freshman year as Yale player, 1876, Camp recalled “stunning” an opponent with his tackle, causing momentarily unconsciousness. Thirteen years later, Camp refereed a college game in New York when a Wesleyan player was “knocked insensible” and continued competing. And numerous Yale players and opponents were publicly identified as concussion casualties during Camp’s decades at the university.

Evidence suggests Camp understood both danger of brain injury and potential ramifications for tackle football. A recorded game incident of TBI ended up omitted from his 1894 book, Football Facts and Figures, which Watterson [2002] ripped as “a resoundingly pro-football polemic” containing “a barrage of football propaganda.”

“Anyone who read Camp’s book, especially the introductory excerpts, might come away wondering what all the critical full was about. According to the ‘facts and figures’ so authoritatively interpreted, no one suffered permanent injuries, and all but a cranky handful agreed that football’s virtues outweighed its shortcomings.”

Camp had solicited input from players, and one recalled suffering brain trauma. Former Penn captain William Harvey wrote to Camp that he suffered “serious injury” during a game in 1883, when “I was knocked insensible but recovered in about fifteen minutes.”

But Harvey’s record of brain concussion was ignored for publication of the book, which would be “cited for decades as reliable evidence supporting continuation of the game through controversy and reform,” observed modern researcher Emily A. Harrison.

“Harvey’s response was included in Football Facts and Figures, but only in part,” Harrison revealed of her investigation. “On his original letter, preserved in Camp’s papers at Yale University, Harvey’s description of his head injury has been blatantly crossed out in crayon.”

No one could control football violence, but public perspective could be shaped, and a template of official rhetoric was printed in concert with Camp’s book.

Eugene Lamb Richards, Yale math professor whose sons starred in football for the university, writing for Popular Mechanics in 1894, outlined the talking points of safer football that endure today, including the following assurances:

Qualified trainers and doctors will patrol sidelines.

State-of-art medical care will treat the rare grave casualties.

Injury tracking will cut rates already in decline.

Coaches will properly train players.

Medical prescreening for every player.

Experts will research and ratify rules.

Referees will enforce rules of the experts.

Players will follow rules of the experts.

Richards’ timeless essay of football advocacy channeled further assertions of Camp:

News media exaggerate gridiron injuries.

Football teaches teamwork and courage, builds mind and body.

Football is part-and-parcel of a complete education.

Football saves urban or underprivileged boys from the streets.

Football teaches manhood to boys everywhere.

Football provides healthy catharsis for male aggression.

Serious casualties are genetically predisposed to injury, too weak in their resistance.

Not surprisingly, Richards also penned the introduction to Camp’s book.

“Walter Camp worked with fellow supporters of football to stave off critics and to create a climate of opinion favorable to the college game,” Watterson wrote.

Harrison noted: “Camp and the [rules] committee set to work saving the game through persuasive selection of evidence, technical reform, and pressure on college administrators and faculty.”

Yale football men apparently exerted campus clout at New Haven in 1894, for a football revolt over the notorious game with Harvard. The Associated Press reported anonymous members of the Yale faculty said “pugilistic brutality of the game must be stopped” and they would ensure cancellation of the university’s pending game with Princeton.

Campus football leaders immediately refuted the story, announcing Princeton remained on schedule. “Captain Hickey of Yale and his football [teammates] are back to hard practice again,” newspapers stated. “The report that was circulated, saying the Yale faculty would forbid the game with the Tigers… is denied.”

1890s: Football Brain Risks Documented in News

Camp’s description of TBI symptoms in an opponent he tackled in 1876 stands among earliest reported incidents of American football, according to texts available in electronic search. Newspapers publicized “concussion of the brain” in football stories by 1885, such as the year’s aforementioned incident at Yale, the practice collision that concussed a player.

In period lexicon, the term concussion could mean anything from cerebral dysfunction to lethal hemorrhaging. Journalists routinely attributed concussion to players who were rendered comatose or killed, but many doctors knew the condition typically presented with symptoms such as headaches, confusion, memory loss, “delirium,” and temporary unconsciousness, if any.

And medicine of the late 19th century encountered concussed football players galore. The gory spectacle achieved wide appeal for its colliding combatants, fighting headlong over a ball—“contact ballet… annihilation hanging in the balance,” Oriard wrote—constituting a fertile culture for brain impacts that likely topped horseback riding, among riskiest endeavors.

“For the idea of the modern football captain…,” intoned The San Francisco Morning Call, praising the game, “is to fling such a force upon the holder of the ball that [the ball carrier] shall be knocked down, and probably knocked senseless.”

“EIGHT PLAYERS KNOCKED SENSELESS,” blared a newspaper headline in 1891, after Purdue University defeated Wabash College, 44 to 0. During another game in Indiana, a football-playing college professor “fell on his head and was knocked senseless.”

Men and boys were “knocked senseless” in football from Manhattan Island to the Hawaiian Islands, newspapers revealed, and many more were medically diagnosed with “mild” or “slight concussion,” such as Harvard captain Bert Waters in 1893. The star guard was injured against Yale and removed from the game, then sidelined for his team’s season finale versus Pennsylvania.

A Minneapolis football crowd of 1894 witnessed a “peculiar feature” when University of Wisconsin quarterback Theron Lyman bumbled around behind center, forgetting signals and directions, beset with his repetitive brain injuries. “He did the same thing at Chicago, and it is due to a concussion of the brain some time ago,” reported The St. Paul Globe.

That season’s infamous Harvard-Yale game—with Camp serving as umpire—produced a “slight concussion” for Fred Murphy, a Yale tackle rendered unconscious for hours. Murphy returned to football practice within days and played in the next game.

Many if not most head injuries in football’s plodding scrums occurred of rips, falls, kicks, and crushes. In 1895, Central University halfback Will Lyon took a foe’s foot to his head and was transported by coach ambulance to the team hotel. “There he lost consciousness and did not regain sensibility until about 7:30 o’clock last evening,” reported the Sunday morning Louisville Courier-Journal. “It is thought he suffered slight concussion of the brain, but will be able to leave for Richmond today.”

Many doctors loved football and medical schools fielded teams nationwide. In 1896, the “football eleven” of the Chicago College of Physicians and Surgeons met Beloit College for a brawling contest in Wisconsin. The Daily Tribune described the game as “one of the wickedest in the matter of slugging that was ever played anywhere,” continuing:

The doctors outweighed Beloit and seemed to want to kill someone and do it quickly and so began slugging from the start and it was not long before the rough work was not confined to one side by any means. …

As the [scoreless] game was drawing to a close Hansell, one of the doctors, who had put up a fine game as left half-back, began to act queer and was taken off the field, when he became unconscious and lay in that condition for several hours, but is recovering now. Some think he suffered from concussion of the brain.

The Yale team doctor diagnosed at least one concussion casualty that season, halfback Hamilton F. Benjamin, who was flattened against Princeton and “kicked in the forehead,” stated a news report. Benjamin “received a contused scalp and slight concussion of the brain, injuries not necessarily serious.”

A headshot rocked a Chicago schoolboy quarterback in 1899, causing “temporary insanity,” per a report. “He raved several hours before he could be calmed. It is feared he suffered concussion of the brain.”

Medical authorities referred to a “second consciousness” for victims of brain concussion. Doctors said the injury was “frequent in football, when a player is sometimes knocked out, apparently recovers, plays out the game, and comes to himself only after a considerable period, remembering nothing in the interval,” reported The New York Times.

1900: Do Football Helmets Cause or Prevent Trauma?

By 1893 in New York City, capital of football universe, “an epidemic” of long-haired men struck a fashion statement. “On the streets, in the theatres, in cafes, and everywhere where people gather together, may be seen flowing locks adorning the heads of men of all kinds,” The Boston Post relayed. “This capillary profusion is particularly noticeable in the case of young men.”

Football players with press popularity had started the trend, although initially not for looks; they simply believed that growing hair long protected them from head injuries on the gridiron. “From the time he begins practice early in the fall until the last goal has been kicked in November, the collegiate player does not indulge in the luxury of a hair cut,” stated The New Orleans Times-Picayune. ”This hirsute matting does not add to his personal attractiveness, but it protects the player’s head from cold and injury.”

Princeton All-American quarterback Phil King drew media attention for his blonde curls’ covering ears and eyes like “a huge chrysanthemum.” King bragged to writers he could “butt a stone wall” without concern of skull fracture or brain concussion.

Hair padding aside, football already favored firmer countermeasures for protection above neckline. Harvard players wore the patented Cumnock nose mask, designed of rubber by a former team captain, and the material had been taken further by a contemporary player, Charles Mackenzie at Princeton, a talented, injured backfield mate of King.

The speedy Mackenzie was attempting a football comeback from brain trauma, after a physician sidelined him a year for “a severe blow on the head… which if repeated the doctor fears might result seriously,” newspapers reported. Mackenzie now donned “a head protector made of hard rubber and can go into the thickest of the fight without fear of any serious result.”

Other types of football “headgear” or helmets were developing too, but protection for ramming athletes remained elusive.

In 1896, for example, the University of Kansas football team added William Baine, a Sioux Indian recruited away from Haskell Institute. Baine was stocky, fast, intelligent, but at KU he suffered multiple brain injuries.

On Oct. 31, Baine was “laid out by a fierce tackle” against the Kansas City Medics, stated a news report. “After that he did not know what he was doing. The doctors said he was in a bad way and feared concussion of the brain.”

Baine’s symptoms of “slight concussion” persisted the next week, recalled the Kansas quarterback decades later, Dr. Bert Kennedy, a dentist. The KU coaches were former players at Princeton, where padded “harness” to cover head, ears, and nose had been constructed for years. Kennedy said “we fashioned a padded canvas headpiece to protect [Baine].”

“It was the first football helmet I ever saw.”

That Saturday Kansas met rival Nebraska and Baine scored his team’s first touchdown. Then KU played to hold the lead: “We were trying to stall and I called a right end run merely to get the ball in the middle of the field,” Kennedy said. “The Indian protested that his head ached and he couldn’t run. But he traveled 60 yards to a touchdown so fast the Nebraskans never laid a hand on him.”

The Kansas squad beat Nebraska but unfortunately would experience a worst-case scenario of repeated brain injuries in football—victimizing an opposing player, Bert Serf of Doane College.

Serf was trampled by a Kansas “rush line” on Nov. 14, attempting a goal-line tackle. He did not regain consciousness and died that night. “The injury was to the back of his head, and concussion of the brain doubtless caused his death,” reported The Lawrence Weekly World.

“The attending physicians are confident that [Serf] died largely from the effects of a previous injury. It is known that in a game at Tarkio, Mo., he was seriously hurt, and from that time he should have been taken off the gridiron.”

Serf apparently played without headgear despite his “similar concussions,” but Baine’s helmet could not have shielded his repetitive trauma, either.

Baine played college football almost a decade for various institutions, often as a mercenary athlete—and with a progressively “primitive temper,” observed historian Tom Benjey. Once Baine was ejected from a game for raging and throwing the football at a referee’s face.

Baine died at 29, while firing a pistol during a drunken binge in his native Fort Sisseton, S.D.; a night watchman shot him to death. “William Baine’s short, but eventful, life ended violently,” wrote Benjey [2008]. “One cannot wonder if his ‘mild concussion of the brain’ had anything to do with his end.”

A football death in 1897 refueled debate over brutality. University of Georgia player Von Gammon died of brain injury sustained in a game, incurring outrage of football critics. The Pittsburgh Daily Post opined:

A conservative medical journal, the Philadelphia “Medical Record,” makes a weighty deliverance against football. The “Record” holds that the game as now played ought not to be allowed, on the grounds that it can no longer be viewed in the light of innocent recreative amusement, with harmless and healthful athletics as its object; but that, even with “slugging” ruled out, it is “productive of the greatest variety of surgical injuries to every part of the body,” and that the effect of such injuries is life-long in a large proportion of cases.

The Georgia legislature hastily passed a bill to ban football, which the governor considered for a month before declining to sign it. The governor said his decision finalized on letter from the dead player’s mother, imploring him to keep football alive for the state.

The next year, a helmet manufacturer released a model that “completely protects the head and ears,” announced a news item. “The crown of it is made of tough sole leather, filled with air holes and lined with soft felt. It is believed that the helmet will be generally worn by members of all the big teams this year.”

But TBI continued on football fields, and coaches and doctors clearly understood the gravity of such injury, if not the biological mechanisms. And “protective” equipment only exacerbated health risks, with adoption of stiff leather helmets and metallic masks, along with hard pads for shoulders, elbows, hips and knees

“It has been charged that these things have been brought into use not so much to provide protection for the wearers as to inflict injury upon opponents, and there is a general cry that there have been more injuries and bruises this fall because of this armor than ever before,” The Fort Wayne Daily News reported in 1900, continuing:

Cameron Forbes and Ben Dibblee, Harvard’s leading coaches, say that a good headpiece gives to a man increased confidence and tends to make him strike an opponent with his head instead of his shoulder in bucking the line.

The Princeton coaches, on the other hand, favor all kinds of helmets and harness. They argue that headpieces are necessary because the injuries to the head are generally of a far more lasting and serious nature than those received in other parts of the body.

As the 1890s brought American football’s first crisis over brutality, the turn of the century would mark “The First Concussion Crisis,” which is title of Emily A. Harrison’s ground-breaking review for American Journal of Public Health in 2014. Harrison researched the article while completing her doctorate degree in science history at Harvard.

“Contrary to popular opinion, concussions are not a recent discovery in football, and this recent upwelling is not the first coming of the concussion crisis in American sports,” Harrison cautioned. “It emerged more than a century ago, in the very first decades of football.”

Matt Chaney is an author, editor, and consultant on public issues in sport, specializing in American football. Chaney, MA in media studies, is a former college football player and coach whose books include Spiral of Denial: Muscle Doping in American Football, self-published in 2009. Chaney’s study for graduate thesis, co-published with the University of Central Missouri in 2001, analyzed print sport-media coverage of anabolic substances in football from 1983-1999. Email him at mattchaney@fourwallspublishing.com or visit the website for more information.

NFL Deaths Reflect Inept Care and Record-Keeping

Since 1960 at least 16 NFL players have died of injury, a game-related condition or a possible link to football, impacted by inadequate medical management. Meanwhile, “public football” stokes a hot Q&A with Irv Muchnick, the iconoclastic sports journalist whose new book chronicles fall of the game as we know it.

By Matt Chaney

Posted Saturday, February 28, 2015

Copyright ©2015 by Matthew L. Chaney

In 1960 America, a football player was not only exposed to lethal injury and illness of the extreme sport. Once a casualty, he was vulnerable to shoddy medical response as well, beginning in professional football.

A worst-case scenario unfolded October 9th in the new American Football League, amid a sweltering Sunday on the Texas seaboard, where the Houston Oilers hosted the New York Titans—the NFL’s Tennessee Titans and New York Jets franchises today, respectively.

Air temperature topped 90 degrees with dense humidity for the 1 p.m. kickoff at Jeppesen Stadium, and early in the game Howard Glenn, an offensive guard for New York, was struggling to stay on his feet.

Teammates thought heat was affecting Glenn in the first quarter, when he complained repeatedly in huddles. Titans offensive tackle Ernie Barnes urged Glenn to stay in the game since coaches wouldn’t allow him to stop and sit. Team trainers would support the coaches, Barnes reminded his buddy, and no doctor made the road trip from New York.

Collisions on the field were viscous, meanwhile. Football’s head-on contact had steadily increased since advent of hard plastic helmets during World War II. Face bars became standard by the mid-1950s, when physics, technology and human will converged to make head bashing commonplace in the game.

In 1960, Howard Glenn donned a double-barred face mask on his helmet. The muscular 6-foot-2, 245-pounder fired low into foes at scrimmage, neck forward and face-first—in the law of modern football—and sometime around halftime at Houston, two opposing linemen smashed Glenn between them.

Clearly injured, Glenn rose unsteadily. No stretcher was available on the Titans sideline so a teammate helped him off the field, but head coach Sammy Baugh ordered Glenn back to the huddle, witnesses later told The Houston Chronicle.

Accounts vary whether Glenn played in the second half, which he basically spent on the sideline. A spectator recalled seeing Glenn wandering near the Titans bench in a daze, unattended.

No one realized Glenn’s neck was broken, with a fractured cervical vertebra just below his brain.

Trainers helped Glenn to the locker room after the game. He undressed and sat nude on a metal folding chair, clutching a towel and quivering in labored breaths. A teammate, Art Powell, yelled at the trainers: “Why in hell don’t you get a doctor to him?”

Glenn deteriorated rapidly. The Associated Press would report he became “belligerent in the clubhouse then hysterical” as he fell from the chair, convulsing.

Two Houston doctors were summoned and Glenn was finally taken to a local hospital at 5:30 p.m., while rest of the New York team headed for the airport.

Within an hour Titans players learned Glenn had died, as their plane sat on a runway, and tackle Ernie Barnes wept in his seat. The two young black men had bonded as friends in Glenn’s short time with the team, especially for art, a mutual love. Now Barnes remembered their final scene together: Glenn stricken on the locker room floor as teammates rushed out from showers, dripping wet.

“The news shook my heart,” Barnes later wrote. “The hurt deepened and all I could see in my mind was Glenn’s body lying in the water on the cement floor. He died a lonely death. It took time and reasoning for me to get over Howard’s death… it enters my mind often.”

Authorities were perplexed for Howard Glenn’s case, initially. According to a Houston team doctor “Glenn wasn’t hurt in the game or… his injuries were not serious enough to be noticed,” reported The AP.

Some Titans officials readily discounted football as a factor, speaking with media that first night, and many observers believed heatstroke caused the fatality, Barnes among them.

But the next day an autopsy revealed Glenn’s neck had crumbled apart in the hours after injury, primarily because Titans staff failed to recognize or diagnose. Harris County medical examiner Dr. Joseph Jachimczyk said “the fracture was very near Glenn’s brain and did happen during Sunday’s game,” reported The AP. “He said death was not instantaneous because the edges of the fractured bone had to cut the spinal cord before death occurred.”

Jachimczyk remarked, “The unusual thing about these cases is not the quickness of death but that the victims even live at all.”

Glenn was buried at Louisville Cemetery in Mississippi, his native Winton County. Besides AFL experience, Glenn played for the New York Giants of the NFL and the Hamilton Tiger Cats in the CFL. Earlier, at Linfield College in Oregon, Glenn starred in football and track and field.

Following the tragedy, Barnes requested his release from Titans brass. “I told them I didn’t want to play on a team like this,” he said. Barnes retired from professional football in 1965 and his career as an artist blossomed; he died in 2009.

Contemporary blogger Bill McCurdy concluded that Glenn in 1960 was “a victim of the times and what can happen to those who play football under the worst of circumstances—or even the best of conditions.”

*******

In American football today, detection and treatment of heartbeat arrhythmias and more cardiac malfunctions in young players remain inadequate, most experts agree. But football was primitive about managing cardiac risk during the Vietnam War era.

The NFL was no exception for lax action despite exploding revenues and expanding resources over TV rights and its merger with the former AFL. No uniform policy for cardiac management existed, basically.

League and franchise officials certainly knew young athletes suffered “heart attack,” in the catch-all term. Medical literature was plentiful by 1970 while sports pages and television reported cardiac incidents from multiple activities, regularly, led by basketball and football. Historically, two NFL players had died after games, Stan Mauldin and Dave Sparks, in the decade following World War II.

Moreover, the Detroit Lions had experienced recent cardiac fatalities off the field. Promising Lions tackle Lucien Reeberg, 21, died in the 1964 offseason [see below] while free-agent line prospect Ed Schreck, 23, was briefly under contract before he succumbed during heart surgery in 1968.

Yet the Detroit franchise stood unprepared for a third event, in 1971, and this time on national television. Chuck Hughes, 28, a 6-foot, 180-pound wide receiver for the Lions, was naturally gifted to catch a football. But a genetic heart defect stopped the blonde Texan on Oct. 24, apparently triggered by physical exertion.

Nearing end of the Sunday NFL telecast, Chicago at Detroit, Hughes dropped face-down after a pass pattern, “twitching uncontrollably,” a witness said, as a crowed of 54,419 “silently watched.”

Television viewers were horrified. “They turned the TV cameras on him [Hughes] for us until the spirit left him,” Barnard Collier would write for Esquire magazine, “and then they turned away.”

Time was precious for Hughes but Lions doctors had to be waved onto the field, by Bears linebacker Dick Butkus, because of a silly league rule. Then they could only roll Hughes over, pound his chest and deliver mouth-to-mouth resuscitation, unsure about his distress. An off-duty anesthesiologist charged out of the stands, like he could help.

While the Lions had prepared meticulously for playing the Bears, down to practicing Sudden change! for a turnover, no medical procedure was in place for sudden cardiac collapse of a player.

The impromptu treatment of Hughes was crude, futile, pathetic. Apparently there was no electronic defibrillator machine, state-of-art treatment for cardiac victims, on the premises at Tiger Stadium.

The football player was dying, his wife Sharon realized from the stands, and she began screaming. “After what seemed forever, Hughes was placed on a stretcher,” spectator Richard Bak later recalled.

An ambulance came onto the field and Sharon Hughes was summoned from the stands for ride to the hospital. But with everyone loaded, ambulance drivers groped for the misplaced ignition key. At this point Sharon figured it was too late for her husband.

“She stared at what the doctors were doing and she watched as Chuck’s ear turned slowly black and blue,” Collier recounted for Esquire. “Now she knew that Chuck was beyond reviving. After that, time slowed so much that hurrying did not matter. She kept thinking about their marriage and how much Chuck was in love with football.”

At the hospital, defibrillator shocks were administered but no heartbeat restored. Machines kept Hughes alive until he was pronounced dead at 4:41 p.m., an hour after the Lions game ended.

Team doctors still couldn’t pinpoint cause of death, whether it occurred at the heart or brain. “I’ve never seen anything like it in professional football,” said Dr. Edwin Guise, Lions physician.

Franchise owner William Clay Ford expressed bafflement. “I’m horrified and shocked. He [Hughes] was a great player and a great person,” Ford said.

An autopsy confirmed hardened arteries caused the coronary malfunction in Hughes, who had family history of heart disease.

In fact, Hughes had been tested for heart trouble months before his death, by cardio specialists at Henry Ford Hospital. Hughes was hospitalized again for chest pains in the preseason, after being crushed by tacklers in an exhibition game, but tests were negative and he returned to the football field.

Sharon Hughes, widowed with a toddler son, ultimately won a settlement of undisclosed amount from Ford Hospital. Her lawsuit against the facility and unnamed doctors alleged a heart problem had been detected but “they willfully and wantonly” failed to inform Chuck.

“The defendants well knew that Hughes was a professional athlete and as such was required to engage in strenuous physical activity not advisable for one who had suffered heart damage,” the complaint stated.

Sharon Hughes also won a $43,250 claim for workman’s compensation. Insurance representatives of the Lions, bound to indemnify the franchise for court losses and costs, had argued the death of her husband was unrelated to football.

*******

From 1960 to 2010, at least 16 active or contracted NFL players died of a) football injuries, b) game-related conditions or c) possible link to the sport.

The annotated cases below are deaths of those players in the NFL and former AFL, collected in my ongoing review of news reports on casualties in football history. The incidents are harvested largely through electronic search of news databases.

I make no medical claim of the information and little for its scientific value. This qualifies as raw data, news content, comprising case leads in need of expert follow-up by multi-disciplinary specialists of medicine and science, particularly for establishing or dismissing a football link in the majority of incidents.

No qualified epidemiological team has ever been assembled and funded to reliably assess fatality rates of vast American football—none—despite a purported entity at the University of North Carolina, the so-called National Center for Catastrophic Sports Injury Research,  funded by the American Football Coaches Association, the National Collegiate Athletic Association, the National Federation of State High School Associations, and the National Athletic Trainers’ Association.

The NCCSIR has no facility of street address on campus. Officials have declined to answer my email queries since 2011.

Presently, 8 of 16 NFL cases below are omitted from “total” football statistics self-published by the sports academics representing UNC in Chapel Hill. None of the cases involves cancer, drug overdose or suicide. Likely some omitted cases can be verified as game-related, still, by credible researchers. Others probably cannot be accurately assessed for a football link, either way.

Deaths of NFL and AFL players in the last 55 years include the following cases available in news reports:

1960: Howard Glenn, 26, a 6-foot-2, 245-pound offensive guard for the New York Titans, of the AFL, died on Oct. 9 of a broken neck sustained in a game with the Houston Oilers. [See story above.]

1960: Ralph Anderson, 24, a 6-4, 225-pound wide receiver for the San Diego Chargers, was a rising star in pro football and subject of a “tampering” lawsuit against his AFL team by the Chicago franchise of the NFL. But the talented athlete was diabetic, challenged to stay in the lineup, and in early November he missed a Chargers game. Anderson came back with big performances but was stricken again as he lay down on Friday night, Nov. 25. Anderson was found dead the next morning, and an autopsy ruled diabetic seizure as the cause. The athlete was survived by a 3-year-old daughter, and when the Chargers later played in the AFL championship game, the team voted that Anderson’s share of player proceeds be presented to his girl. Head coach Sid Gillman also gave his share to the child. Sources: Associated Press and United Press International.

*The death of Ralph Anderson was either missed or deemed unrelated to football by game-funded reviewers. His case is not included in 1960 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

1961: John Sherer, 20, a 6-3, 240-pound defensive tackle on the inactive list of the New York Titans, had foregone college football at the University of Miami after being drafted by the AFL. Sherer was a schoolboy legend in his native Pennsylvania, where he led a team of prep all-stars to victory over a squad of standouts from other states. Sherer barely missed making 1961 Titans roster, cut on the last day in training camp, so he played semipro football in hopes of getting a call from New York during the season. But on Sept. 26 Sherer collapsed and died following a gym workout in Philadelphia, of a reported heart malfunction. Sources: New Castle News and Associated Press.

1963: Stone Johnson, 23, a 6-1, 180-pound running back for the Kansas City Chiefs, AFL, was touted as one of the fastest men in pro football. Johnson had been a sprinter for the U.S. Olympic team in Rome and a football player for Grambling College. He left college football after being drafted by the AFL, but he suffered a broken neck as a Chiefs rookie, trying to tackle in an exhibition game against the Houston Oilers on Aug. 31. Emergency surgery stabilized fracture of the C5 vertebra and Johnson was placed in traction, but the spinal-cord nerve bundle was damaged and he died on Sept. 8. Some in football alluded to individual fault for the tragedy. Game officials were touting “head up technique,” their new theory for headless hitting, and the Football Coaches Association’s anointed death researcher chimed in, Floyd R. Eastwood. As a PE professor who went by “Dr. Eastwood” with the press, this college teacher held only a PhD in education, far short of a medical or science doctorate and follow-up certifications. Nevertheless, Eastwood routinely promoted untested concepts for casualty prevention in football—parroted widely by sportswriters—that placed responsibility primarily on individuals, not the system. Following Johnson’s death in 1963, Eastwood said “degree of skill” could dictate mortality of a football player, without mentioning the field physics of forward colliding in shatterproof headgear and pads. “Most injuries are sustained while blocking or tackling and if more players were trained properly in these respects, fatalities would take a sharp decline,” Eastwood declared. Sources: Associated Press and United Press International.

1964: Lucien Reeberg Jr., 21, a 6-4, 300-plus offensive tackle for the Detroit Lions, NFL, was a rising star publicized as the “baby-faced giant” of pro football. But Reeberg was unhealthy, ballooning as high as 317 pounds. Hospitalized in Detroit, Reeberg died of cardiac arrest caused by chronic kidney disease on Jan. 31, 1964. Reportedly the Lions had wanted Reeberg evaluated for weight loss when he mentioned blood in his urine to a nurse. Team physician Dr. Richard Thompson said, “The disease [uremia] will crop up one day and not the next, and as a result of this, the young people tend to ignore the disease.” Reeberg, a native of Bronx, N.Y., had played college football for Hampton Institute, which he left after being drafted by the NFL. In 2011, blogger Bill Dow interviewed Reeberg’s old roommate, former Lions linebacker Ernie Clark. “Lucien was Christmas morning,” said Clark. “I think about him all the time, and after he passed away my heart really wasn’t into football and I’ve never been the same.” Sources: Jet magazine, Blog.DetroitAthletic.com, Newspaper Enterprise Association, Associated Press and United Press International.

*The death of Lucien Reeberg was either missed or deemed unrelated to football by game-funded academics. His case is not included in 1964 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

1965: Mack Lee Hill, 25, a 5-11, 235-pound running back for the Kansas City Chiefs, averaged 5.2 yards a carry over two seasons in the AFL. Nicknamed “The Truck,” Hill suffered torn knee ligaments in a game and underwent surgery on Dec. 14. Complications developed, spiking Hill’s temperature to 108 degrees and causing respiratory distress and convulsions. Hill died on the operating table of a pulmonary embolism, blood clotting blocking lung circulation, attending doctors told the AP. But differing expert opinion followed, regarding a football link or none, as in hundreds of player deaths since the 1960s. The Kansas City Star reported that an autopsy by hospital pathologist Dr. O. Dale Smith involved “interesting speculation” to blame a rare form of heatstroke unrelated to football. Smith noted further research was needed, but he concluded “that the very strength of young Hill, especially his powerful musculature, contributed to his vulnerability to a temperature crisis in his body” during anesthetic and surgical stress, The Star reported. Football-funded analysts like Eastwood, however, apparently classified the Hill case as game-related of “indirect” cause.

1969: Frank Buncom Jr., 29, a 6-2, 235-pound linebacker for the Cincinnati Bengals, was a three-time all-star in the AFL and looking forward to the new season. Then blood clotting lodged in his lung arteries early on Sept. 14, Sunday morning of the opening game. Buncom’s gasping rousted his roommate in the team hotel, but the athlete died before medical help arrived. The linebacker and his wife Sarah had an infant son, Frank Buncom III, and an education trust fund for the child was established by players of the Bengals and the San Diego Chargers, Buncom’s former team. Decades later, 2015, the late AFL star’s grandson, Frank Buncom IV, committed to play college football for Stanford University. Sources: UTSanDiego.com, Associated Press and United Press International.

1971: Charles “Chuck” Hughes, 28, a 6-foot, 180-pound wide receiver for the Detroit Lions, died of a coronary attack suffered during a game against the Chicago Bears on Oct. 24. [See account above.]

1979: James Victor “J.V.” Cain, 28, a 6-4, 225-pound tight end for the St. Louis Cardinals, was “a perfect physical specimen” who passed a preseason physical “in great shape,” reported The Associated Press. But Cain collapsed in humid 85-degree weather the night of July 22, after running a pass pattern without contact at training camp in St. Charles, Mo. Team doctors and trainers administered cardiopulmonary resuscitation to Cain, working without a defibrillator machine. “When [75 players] saw that CPR was started, it just got dead silent,” said Cards spokesman Steve Curran. “At one point, Coach [Bud] Wilkinson had the players on a line in prayer. They kept yelling, ‘Come on, J.V., come on, J.V.’ There were tears. It was very emotional.” Cain, a 6-year team veteran, was pronounced dead at a local hospital 90 minutes after he was stricken on the football field. A pathologist concluded the cause of death was cardiac arrest from an “extremely rare congenital condition” known as myocardial fibrosis. Sources: Associated Press, United Press International and Washington Post.

*The death of J.V. Cain was either missed or deemed unrelated to football by game-funded academics. His case is not included in 1979 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

1980: Melvin Johnson Jr., 25, a 6-foot, 175-pound running back for the Kansas City Chiefs was an undrafted prospect the team had a penchant for signing and developing, like Mack Lee Hill before. Unfortunately, Johnson ended up mindful of the Hill tragedy [above] when he too died during routine surgery in Kansas City, in his case for a wrist fracture of football. Surgeon Dr. James Whitaker said cardiac arrest caused the death. Johnson had ranked among the nation’s fastest teenagers during high school in Louisiana, and he played college football for the University of Colorado. The Chiefs signed Johnson as a free agent in 1979 but he spent the season on the disabled list, never appearing in an NFL game. “We had very high hopes for him,” said Chiefs spokesman Doug Kelly. “He had good ability and a great deal of speed. We thought his chances of making the team [in 1980] were very good.” The deceased athlete’s younger brother, Troy Johnson, later played four seasons in the NFL. Sources: United Press International, Salina Journal, Thibodaux Daily Comet and HoumaToday.com.

*The death of Melvin Johnson Jr. was either missed or deemed unrelated to football by game-funded academics. His case is not included in 1980 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

1983: Larry Gordon, 28, a 6-4, 230-pound linebacker for the Miami Dolphins, was a highly regarded player who helped lead his teams to playoff victories and a Super Bowl, flashing brilliance throughout his seven-year career. Dolphins coach Don Shula still expected greatness from Gordon, his former No.1 draft pick from Arizona State gifted in athleticism and physique. On June 25, amid desert heat at 6 p.m., Gordon was jogging in preparation for upcoming NFL training camp when he collapsed near a relative’s home in Arizona, said police. Gordon, a Florida resident married with two children, was pronounced dead at a Phoenix hospital. An autopsy by medical examiner Dr. Heinz Karnitschnig identified the cause as congenital heart disease, idiopathic cardiomyopathy. “His coronary artery was in perfect shape. He didn’t have a heart attack,” said Bob Edwards, of the Maricopa County morgue. Toxicology exams found no drugs in the body; specifically, no cocaine was detected in a gall bladder sample. In 1986, as cocaine toxicity killed athletes in the NCAA and NFL, the question arose publicly regarding Gordon’s case. His brother Ira Gordon, a Phoenix drug counselor and former NFL player, told The Arizona Republic that evidence of cocaine use was found in a bedroom that Larry occupied at time of his death. Ira said he had personally requested the autopsy and toxicology assays that tested negative for narcotics. Sources: Arizona Republic, Miami Herald, Associated Press and United Press International.

*The death of Larry Gordon was either missed or deemed unrelated to football by game-funded reviewers. His case is not included in 1983 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

1998: Leon Bender, 22, a 6-5, 300-pound draft pick at defensive tackle for the Oakland Raiders, suffered fatal mishap at his agent’s home in Atlanta on May 30, following team mini camp. An epileptic, Bender died on a bathroom floor at some point before a scheduled workout. Autopsy results were inconclusive while toxicology results were negative for drugs and alcohol. Bender had talked on the phone to family members until 3 a.m., including his wife Liza, before being discovered dead about noon. Bender’s epilepsy wasn’t lethal in itself, and a single episode couldn’t be detected postmortem—neither could some forms of cardiac malfunction. What was known, a grand mal epileptic had no body control in a seizure, which Bender’s family members believed he experienced in the bathroom then suffocated for his landing position and obstructions. Leon and Liza Bender had a 2-year-old daughter at time of his passing. Source: Associated Press.

*The death of Leon Bender was either missed or deemed unrelated to football by game-funded academics. His case is not included in 1998 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

2001: Korey Stringer, 27, a 6-4, 335-pound offensive tackle for the Minnesota Vikings, reported to training camp as an All-Pro from the previous season. Oppressive heat enveloped most of the country as the Vikings opened workouts on Aug. 1 in Mankato, Minn. Several players struggled through drills and Stringer faltered and vomited, having to sit out. Next morning, Stringer was back on the field in full pads until collapsing amid 98-degree temperature and stifling humidity. By the time Stringer was transported to a hospital he was comatose with a body temperature of 108 degrees. Organs began failing, including both kidneys, until finally the heartbeat stopped, unable to be revived. Stringer was pronounced dead about 2 a.m. on Aug. 3, and public debate erupted. Vikings coaches met with media while Stringer’s teammates were kept off-limits for interviews. Head coach Dennis Green suggested the players preferred public silence. “It’s a private thing and they deserve their privacy,” said Green, who snapped at a reporter for questioning whether team medical personnel should be available. “We chose not to,” Green replied. “I’m not going to discuss that… so you can step back.” Offensive line coach Mike Tice said a newspaper photo spurred the tragedy, not decisions of the coaching staff, by shaming Stringer when camp opened, picturing him doubled over at the sideline, looking weak. So the prideful Stringer came back the next day “out to prove to people that he was a leader and that he wasn’t going to let anybody embarrass him like that,” Tice said. “It’s very unfortunate that he worked himself to death.” Elsewhere, football’s anointed death researcher, exercise professor Fred Mueller at UNC, withheld blame of Vikings staff when pressed on CNN by news anchor Carol Lin. “I just heard about this… I don’t really know any of the details,” said Mueller, demurring as the so-called expert who’d agreed to discuss the case on international television. Despite heavy evidence of heatstroke and negligence on part of the football system, “Dr. Mueller”—funded by football organs, with his PhD in education—speculated about the individual, Stringer, saying “there’s a possibility it could be attributed to some other health problems.” But Mueller would have to include this highly publicized death in his next “study” from Chapel Hill. Postmortem investigation including autopsy left no question that heatstroke killed Stringer, driven by lack of policy and prevention on part of the Vikings and NFL. Heat illness plagued every football level, contributing to deaths of an arena player, college player and a high-school player the same week as Stringer, and critics assailed the sport. Football officials had promised since 1960 to eliminate heat illness that experts declared was completely preventable—but practices and games had only come to start earlier in hot weather, over decades, and necessary measures weren’t standardized such as sideline ice bath in a kiddie pool. In August 2011, Kelci Stringer settled her final lawsuit against parties found culpable of her husband’s death, including the NFL and helmet maker Riddell. That same summer at least seven high-school football players and one coach collapsed and died from July 22nd to September 1st.  Lawsuits followed, targeting schools and personnel for wrongful death of football heatstroke—a decade after Korey Stringer in the NFL. Sources: St. Paul Pioneer Press, New York Post, Associated Press, CNN, CBS News, ESPN.Go.com., Carlisle Sentinel, Reading Eagle, South Florida Sun-Sentinel, WSVN-TV, Miami Herald, Florence Morning News, Rivals.Yahoo.com, KDAF-TV, WTEV-TV, Atlanta Journal-Constitution, WSB-TV, WXIA-TV, Arkansas Democrat-Gazette, KLRT-TV, KRIV-TV, ABC News and Dallas Morning News.

2005: Thomas Herrion, 23, a 6-3, 315-pound offensive lineman for the San Francisco 49ers, collapsed and died on Aug. 20 following a night exhibition game amid cool weather at Denver. An autopsy determined ischemic heart disease caused the death, blockage of a coronary artery. Greg Aiello, NFL spokesman, said Herrion “may be a case of an unfortunate hereditary condition that is not easily detected, even by the regular and thorough cardiac screening used by NFL clubs.” Herrion was clinically obese by criteria of the Body Mass Index, like a horde of NFL athletes, and controversy flared again over his death. So league officials changed their story regarding the plethora of 300-pound players, upwards of 500 behemoths in training camps every year, compared to less than 10 on record prior to 1970.  Earlier in 2005, year of PED hearings in Washington, NFL commissioner Paul Tagliabue and cohorts told Congress the herd of mammoths wasn’t because of widespread doping, drugs like anabolic steroids and synthetic growth hormone, but for a modern wave of “fat” athletes. They told politicians like senators John McCain and Henry Waxman that drug abuse producing artificial specimens in the NFL was an epidemic of the past resolved by “steroid testing.” Pot-bellied players had taken over, said league and union officials. But their excuse flip-flopped months later, when media criticized obesity in the league that impacted health of Herrion, as chronicled in my book, Spiral of Denial: Muscle Doping in American Football: “Now officials contended the NFL primarily featured muscled specimens with low body fat, so the league could argue BMI standards were an invalid application for its athletes. League medical liaison Dr. Elliot Pellman said the question of obesity among players still had to be answered by research. The league was commissioning its own studies. ‘There’s a 1-in-200,000 chance that an individual the age of Mr. Herrion will suffer a sudden death,’ Pellman said. ‘It happens, and no one knows why it happens.’ Pellman said obesity was a cultural problem, not football’s. Officials dismissed a study, based on the BMI, that concluded virtually all NFL players were overweight or obese. Bears nutritionist Julie Burns said NFL players were abnormally muscular humans. Taglibue said, ‘We have athletes that are fitter than most people in society, bigger than most people in society, and doing things that are different and more demanding than many people in society.’ PEDs, meanwhile, did not apply. ‘Huh?’ remarked Sam Donnellon, the Philadelphia Daily News, on mixed messages from the league.” Additional sources: Contra Costa Times, Associated Press, NBC News and CBS News.

2007: Damien Nash, 24, a 5-10, 220-pound running back for the Denver Broncos, knew well about cardiac disease. Nash’s close older brother, Darris, 25, had a heart transplant for dilated cardiomyopathy, discovered for his cardiac episode while playing basketball. So Damien, training during the offseason at home in St. Louis, hosted a local fundraiser for the Darris Nash Find A Heart Foundation. Damien played a portion of the charity basketball game featuring his NFL and college friends then greeted people in the crowd. Festivities moved to Nash’s home in Ferguson, Mo., but he suddenly collapsed. Damien Nash was pronounced dead at a hospital, and initial autopsy results were inconclusive. Family members suspected a cardiac problem, but cardiomyopathy like his brother’s normally wasn’t genetic, said doctors. Such damage likely would have emerged already in Damien, for his life and job in elite athletics. And he passed several heart screens by NFL teams that his agent trusted as thorough. Damien did not drink nor use drugs, said family members, and toxicology results came back negative. Cause of death remained “undetermined” in the final report, issued by the St. Louis County Medical Examiner’s Office. “It was a natural death of cardiac origin,” said a spokesman, “but we were unable to determine an exact origin.” Nash and his wife, Judy, had a 7-month-old daughter at time of his death. Sources: Associated Press, Denver Post and NPR.org.

*The death of Damien Nash was either missed or deemed unrelated to football by game-funded academics. His case is not included in 2007 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

2010: Gaines Adams, 26, a 6-5, 258-pound defensive end for the Chicago Bears, was an athletic specimen who had been drafted No.1, fourth overall in his college class, by Tampa Bay. Traded to Chicago midway through the 2009 season with 13.5 career sacks, Adams wore the label of “bust” but kept potential intact, like a 4.55-second speed in the 40, with no serious injuries or apparent heath issues. But weeks following season’s end, on Sunday morning, Jan. 17, 2010, Adams collapsed at home in Greenwood, S.C., and was pronounced dead at a local hospital. Autopsy found that cardiac arrest of an enlarged heart killed the athlete, who had no such family history. Relatives and friends were shocked. “I am honored to have been able to know [Gaines Adams] and to have been his teammate,” said Bucs center Jeff Faine. “A truly bright soul.” Sources: Sarasota Herald Tribune, St. Petersburg Times, Associated Press and ESPN.com.

*The death of Gaines Adams was either missed or deemed unrelated to football by game-funded academics. His case is not included in 2010 football fatality data posted without scientific vetting on a website from UNC-Chapel Hill.

*******

Football’s on-field tragedies of Howard Glenn, in 1960 at Houston, and Chuck Hughes, 1971 at Detroit, framed the period’s dangerously inferior medical planning and response for players of all ages.

During the Vietnam War era, America’s sparse emergency-care system led to more football deaths than any other factor, according to my review of severe casualties appearing in news. I’ve collected thousands of fatality and survivor cases, including about 350 player deaths from the 1960s and about 275 from the 1970s.

The subsequent reduction of football fatalities isn’t measurable in close terms, much less absolute numbers, say independent experts. Undoubtedly, however, the trend is due primarily to society’s widespread establishment of EMT crews, modular ambulances, life flights, emergency rooms and trauma surgery.

Within the game, the NFL has improved its own medical management—but not to the point of effecting “safer football” like officials claim today.

“Anyone with two eyes on a Sunday afternoon [in season] can see that’s not so,” said Irv Muchnick, the investigative journalist and independent blogger with cunning for exposing dark underbellies of sport-entertainment conglomerates.

Muchnick thoroughly dissects football ugliness, amid contemporary crisis for the game over brain injuries. He focuses on ill-resourced outback levels below the NFL, particularly the public schools and municipal “youth” leagues with millions of juveniles colliding in helmets and pads. Many American kids play tackle football on public property before they enter first grade, while they cannot legally drive a car until age 16 nor buy cigarettes until an adult.

Change looms, as Irv Muchnick chronicles in his new book, Concussion Inc.: The End of Football As We Know It, published by ECW Press of Canada. In an email Q&A for ChaneysBlog, Muchnick addresses football problems and more, notably his current co-investigation, with independent journalist Tim Joyce, of sexual assault in U.S. Swimming:

Q1. Discuss your new book, the circumstances drawing you into the football issues by 2010.

Basically, it went like this: In late 2009 my book on the Chris Benoit murder-suicide came out. The book immediately got inserted into the 2010 U.S. Senate race in Connecticut between Democrat Richard Blumental and Republican Linda McMahon. Blumenthal is a liar who claimed military service “in Vietnam,” when in fact he had a cushy stateside Reserves stint during Vietnam. McMahon is the wife of Vince McMahon and the former CEO of WWE. She poured $50 million of their wealth from this publicly traded company into the failed race against Blumental, and $50 million more into another failed Senate race two years later, against Chris Murphy. Such sterling choices in our democracy!

Alerted by the fine early work on football by Alan Schwarz in The New York Times, and aware that I had a unique perspective on and reportorial resources for the concussion crisis story, I waded in, and by late 2010 I had “rebranded” my blog, naming it Concussion Inc. I answered only to a crazy boss: me.

Benoit had been the first CTE study announced in 2007 by Chris Nowinski’s Sports Legacy Institute and Center for the Study of CTE in Boston. (The Benoit study was done by Bennet Omalu — now coming to the silver screen, but back then being written out of the story not just by the NFL but also by Schwarz, Nowinski, and Cantu, the Northeast Gold Dust Trio.) Chris Benoit’s father and now my good friend, Mike Benoit, had insisted throughout my research for Chris & Nancy that I was underplaying brain disease and overplaying drugs and other generic explanations for his family’s tragedy, and I came to see how right he was.

From there, all the connections flowed—principally Dr. Joe Maroon of UPMC … and WWE, and the NFL, and anti-aging huckerism, and the goofy hype for resveratrol supplements, and his proximity (at minimum) to the steroid/HGH abuse on the multiple-champion Steelers.

There was no major publisher market for the book I was writing, so like the late Red Smith, I undertook my “daily spelling lesson” at what I jokingly call ConcussionInc.net LLP. The topics and the obsessions were spontaneous responses to the news of 2010-11-12. My main narrative interest was in exposing the interlocking ecosystem of problems and commercial “solutions.” I hope that readers come away convinced that safe tackling, better helmets, better mousetraps are the filtered cigarettes of the 21st century. I credit a little-known fellow native Missouri writer by the name of Chaney with a game-changing insight on how state “concussion awareness” laws are not just bullshit, but jiu-jitsu bullshit— magically creating new private profit centers from the public trough, principally our public high schools.

Along the way, I jousted a couple of times with Bob Costas, an acquaintance-friend from the St. Louis sports mafia. The book collects and reorganizes all this material the way books are supposed to do: to put the author over.

In all seriousness, there’s some stuff there that I’m very proud of. No other journalist has gone deep with the story of Dave Duerson’s role on NFL-NFLPA disability benefits board. No one else has called out the Congress of Neurological Surgeons for giving Roger Goodell a standing ovation before his lame speech at their convention. No one else documented how the Centers for Disease Control accepted unprecedented private funding from the NFL for the federal government’s “concussion education campaign,” or how the National Institutes of Health helped Maroon and his cronies develop their phony, for-profit ImPACT program to the tune of millions in research subsidies.

Q2. What is “public football”?

There is an answer, perhaps not as flip as it sounds, that all of football is truly “public” football—up through and including the NFL, a phony nonprofit that gets municipal subsidies for stadiums (plus other things). Since this situation will probably get worse before it gets better, as the industry has both the federal National Institutes of Health and the Centers for Disease Control in its pocket, I expect that within a few years the Super Bowl will be coordinated with the Presidents’ Weekend national holiday: the regular season and playoff schedule will have expanded yet again, so that fans don’t have to go to work the Monday after the game.

The thrust of what we mean by public football, however, is taxpayer-funded programs at the professional sport’s feeder levels. I say go ahead and allow all the fools who want their sons to play club and private school football. But let’s get our public school systems out of it. “Death of football” ideology is wishful thinking, but with new levels of “awareness” of traumatic brain injury—and with the failed prevention costs and litigation flowing from that awareness—the goal of stamping out public football in this targeted way is achievable.

Q3. Furthering this point, you’ve been characterized as bent on banning football. But isn’t that a simplistic view of, or strategic response to, your argument in the debate?

I’m not out to ban football. Prohibition of just about anything is too blunt an instrument. It’s not fair to the zealous and it doesn’t work.

But adult statecraft involves more than simply rambling about personal choice. I find it amusing that many of those who accuse people with my viewpoint of “having an agenda” are blind to their own as they grasp at commercial rearguard initiatives, such as helmet technology, more “professional” coaching of kids, or tail-chasing Zackery Lystedt state laws. We don’t ban boxing, but it has a somewhat saner footprint on our culture than it used to have. We don’t ban tobacco, but cigarette marketing is curtailed and kids are protected.

Last rejoinder to this straw-man argument: I refuse to play the game of having to prove my bona fides before I can join the football debate. Put your guns down and let’s talk about football as an activity, not as a religion. I’m not an expert—thank God. But it’s better to have common sense than no sense at all.

Q4. Compare the “blogosphere” with traditional daily news media, when it comes to reporting and analyzing public issues in sport.

Let’s stipulate that new media and mainstream media types are simply blaring their bugles from different formations of the same march against human folly. I know that, minus the filter of an editor, I’ve shown my own ass plenty of times. It doesn’t matter if the public learns the truth about football from me or The New York Times or Professor Hieronymus Buttocks. And if Schwarz hadn’t started doing what he was doing in 2007, you and I are not even having this conversation today.

But did Schwarz and The Times take anything close to the number of shots downfield they should have? Give me a break. When Schwarz wrote about his buddy Chris Nowinski getting a $1 million NFL grant, the story all but giggled like a schoolgirl. After Bennet Omalu fell out with Bob Cantu, Schwarz basically blacked the former out of coverage, while quoting the latter in the venture-capital hype for Xenith, a space-age helmet company. In his account of the fed investigation of Riddell’s promotional claims, Schwarz treated the lying Joe Maroon with kid gloves. Schwarz’s takeout disclaimer on the death of the Cincinnati Bengals’ Chris Henry was cringeworthy; The Times quoted NFL’s latest consulting face, Dr. Richard Ellenbogen, to the effect that sometimes bad behavior is just bad behavior, and Schwarz reminded readers that nice white quarterbacks, like Steve Young and Troy Aikman, who also had sustained concussions, were not “on C block.”

Eventually Schwarz became associate producer of a documentary funded by the billionaire developer of the King-Devick Concussion Test.

I don’t want anyone to think I’m picking on Schwarz. Jim Litke, the national sports columnist for the Associated Press, has done some great stuff on how Roger Goodell co-opted Mommy sports bloggers with cornball clinics on “safe tackling.” But AP analysis of how state Lystedt Laws “lack bite”—thank you very much—are just playing “gotcha.” Nowhere do I see a single passage about how these laws were designed, in the first place, to offload football industry liability onto the public sector.

In an age of rampant advertorial, you’re daft if you don’t acknowledge that bloggers, social media, what have you, can be a useful check and balance.

Q5. Discuss your co-investigative series with Tim Joyce on sexual predator coaches and athletes in U.S. Swimming.

Swimming is the right next book in several respects. Because it’s a niche sport, Tim and I have more of the field to ourselves (though outlets like ESPN, of course, which for the most part ignore the story, do manage to “big foot” us from time to time).

Just as a large segment of our boy population is getting systematically brained in football, disturbing numbers of girls are getting raped at all rungs of our Olympic sports system. As with concussions, we are less interested in being designated cops than in following the money. The profiteers of so-called amateur sports and the nonprofits of “Child Abuse Inc.” play defense much faster than the public realizes or perhaps cares.

But to get down to business: 400,000 kids, 12,000 coaches — you don’t need an advanced degree in statistical analysis in order to extrapolate from the scores of known and under-reported cases; to factor in the forms of denial and cover-up; and to conclude that this is, bar none, the largest-scale molestation narrative outside the Catholic Church. It makes Penn State look like a garden party by comparison.

The hardest part to explain is that every institution has its own sick dynamic. In swimming, it’s not willy-nilly opportunistic pedophiles. Rather, there is a unique power imbalance. Most often it’s a 30-something male coach and an early or mid-teens star girl swimmer, who is emerging from the physical and emotional changes of puberty, and is desperate for adult approval, college scholarship, Olympic glory. Parents are asleep at the switch; they are totally invested until something bad happens to their own kid.

The rippling societal costs, in terms of life-long cases of eating disorders, substance abuse, and broken relationships and families, are incalculable. Yet all we see above ground is NBC’s feel-good patriotic package for a fortnight every leap year summer.

With the Rio Games upcoming, Tim and I are going deep with the story of Brazilian national Alex Pussieldi, who is the Rowdy Gaines of swimming coverage on the country’s SporTV network. Two years ago Pussieldi fled South Florida, where he had gotten his start in American coaching under the recently deceased Hall of Famer Jack Nelson, whom Diana Nyad credibly accuses of molesting her for years at the Pine Crest School in Fort Lauderdale. In the course of reviewing thousands upon thousands of pages of discovery documents USA Swimming tried to suppress, Tim and I told the full story of the cover-up by that organization as well as local police, city government, and the Ft. Lauderdale Sun-Sentinel, of Pussieldi’s 2004 physical assault and Peeping Tom practices against a Mexican boy who was swimming and being boarded by him. Pussieldi was a major creep and international human trafficker, and his rise to prominence was aided by former USA Swimming president and conflicts-crazed consultant Dale Neuburger, who steers contracts with foreign national teams to coaches like Michael Phelps’ guy, Bob Bowman. Neuburger also was an architect of swimming’s scam offshore insurance subsidiary, the “United States Sports Insurance Co.” in Barbados. ESPN’s Outside the Lines still won’t tell its viewers, but all this is under investigation by the FBI and the Government Accountability Office.

Q6. The U.S. Swimming scandal is monumental with much yet to uncover and untold victims in need of light. So it doesn’t sound like you’re returning to football analysis anytime soon, not in your former diligence that produced the new book.

That is correct. The football follies are now out there for all to see and interpret. Geez, our friend Bennet Omalu is about to be portrayed by Will Smith. I’ll continue to comment on a connection or two as we move along–and of course I reserve the right to change my mind–but the focus of my energy is swimming and Rio ’16.

Q7. For what may be called the “genuine iconoclast” writer in sports issues, it appears there’s often little competition on reporting a problem, however terrible, because few media are willing to probe and pay the price to do so. Correct?

Yeah, no doubt I’m a little bit nuts, and I don’t have the excuse of having played football. Maybe I should have gone straight and gotten a real job, but it’s way too late for that. My name is on a Supreme Court case involving writers’ rights in new media, and Concussion Inc. is my third book, and I’m proud of those things. They’re not rewarding financially, but they’re rewarding.

Matt Chaney is a writer, editor, teacher and restaurant cook in Missouri, USA. Chaney’s 2001 MA thesis at the University of Central Missouri involved electronic search for thousands of news reports on performance-enhancing drugs in American football, a project inspired by his experience of injecting testosterone as a college player in 1982 (Southeast Missouri State). Email him at mattchaney@fourwallspublishing.com. For more information, including about Chaney’s 2009 book Spiral of Denial: Muscle Doping in American Football, visit the homepage at www.fourwallspublishing.com.

Experts: Football Death Reports Aren’t Valid Epidemiology

The University of North Carolina’s self-published football casualty statistics are deemed ‘unverified’ and ‘unreliable’ while its claim of zero deaths in 1990 is debunked by two case finds

By Matt Chaney

Posted Monday, January 12, 2015

Copyright ©2015 by Matthew L. Chaney

When sportswriters report 17 football players died in America during 2013, and medical writers and researchers cite the same figure, everyone’s common information source is the National Center for Catastrophic Sports Injury Research (NCCSIR) at the University of North Carolina in Chapel Hill.

The annual UNC numbers on football fatalities have been quoted worldwide since the 1970s and include statistical framework back to 1931, the year football organizations assumed control of annual recording. Reports are posted at the NCCSIR website and everyone presumes the data meet epidemiological standards for charting mortality risk in American football.

But the numbers do not qualify as epidemiological research, not remotely, say two experts who have monitored faults and recurring issues in UNC postings for three years.

“There is no independent verification of the data,” said Don Comrie, the CEO of PanMedix, a New York company that designs statistical analysis protocols for medical and pharmaceutical research. “When we look at the UNC data, there is no reliability.”

Epidemiologist Charles E. Yesalis says NCCSIR reports fail to pass muster for his discipline. Yesalis, author of epidemiological studies, journal articles and books on sports, identifies an historical misstep by UNC workers who lack medical and scientific credentials—their reliance on limited news content for casualty assessment of millions of football players, the vast majority being juveniles.

“When you’re dealing with (information) as what might get reported in the news, versus trying to identify accurately what’s reported in emergency rooms, or hospital records, that’s problematic,” said Yesalis, professor emeritus of public health for Penn State University, with his doctorate of science from Johns Hopkins University in 1975.

“It’s tough, it really is,” Yesalis said, empathizing with the football academics at UNC. “You’re trying to glue this all together, which is what it appears they’re doing. And they’re not the first people to do this on a variety of disease states, ER conditions, injuries and all that.”

Yesalis and Comrie have followed my email updates and blog critiques of UNC football publications since 2011, when I began collecting news reports of catastrophic player casualties found online.

For fatalities, I’ve located more than 1,400 deaths among active football players from 1960 to 2014, cases both confirmed and still suspect for links to the sport. And when comparing to the approximate 1,050 deaths UNC logs in the timeframe, methodological holes emerge for the NCCSIR.

Center officials refuse to answer my inquiries but an overriding fact is clear: more people die from football than the game-funded “studies” convey to the public.

Faults beset six decades of UNC football data, with inconsistent classifications and case omissions exposed by contemporary electronic search. Missing are deaths caused by football collision, defined as “direct” fatalities of the sport, along with likely hundreds of “indirect” or game-related fatalities—particularly for cardiac arrest, its various mechanisms that can include delayed attack from previous chest blows, according to a recent study.

Casualties omitted from 2011 UNC statistics, for example, include 13-year-old Kansas school player Alec Mounkes, who died of blood clots following an ankle injury. Kishon Cooper, 8, collapsed and died in Florida while training at home for “youth league” football. Two young men succumbed, Marcellis Williamson and Andy Collins, of blood clots and cardiac arrest, respectively, as free-agent hopefuls for professional football.

During 2012, Pennsylvania semipro player Willie Mims collapsed at football practice and later died, as did prep player Temoc Castellanos, 15, stricken during off-season conditioning for his school team.

An aspiring player in Texas, 15-year-old Jacob Gatlin, collided heads with another on a football field at school. The boys were participating in a “7-on-7” passing drill without helmets during “athletics class” directed by coaches, school officials told media, and Gatlin suffered a skull fracture and fatal brain hemorrhaging.

None of these deaths is recorded by UNC.

Several high-school players died of cardiac arrest in 2012, during exercise and restive state like sleep, including: Anthony Vaeao, California; Austin Lempera, Illinois; Cody Stephens, Texas, David Widzinski, Michigan; and Tyler Miller, New York. Such cases require specialized postmortem applications for diagnosis and determining a possible link to sport, according to a host of experts worldwide.

None of these deaths is included in UNC “research.” Many more of possible football ties since 1960, found online, require proper scientific evaluation.

Errors likewise dog UNC’s recorded cases, such as the 2010 death logged in the wrong year. Youth player Quadaar White, 15, died of a broken neck in Philadelphia on Aug. 31, 2010, but the NCCSIR recorded his case for 2011.

I repeatedly emailed then-center director Frederick Mueller. Instead of correcting his mistake, Mueller—a lifelong football man with a PhD in education who goes by “Dr. Mueller”—demanded that I cease contacting him. Mueller has since retired as an exercise professor, after co-authoring football surveys at UNC from the 1970s to 2012.

The error on Quadaar White remains standing in NCCSIR reports at the website.

1990 Collision Deaths, Retrieved Online, Nullify Old UNC Claim

Now a substantial mistake has emerged involving Mueller, his inaccurate declaration publicized for three decades from Chapel Hill, such as it reads here, typos intact, on Page 1 of the UNC report for 2013 football deaths:

The 1990 report was historic in that it was the first year since the beginning of the research, 1931, that there was not a direct fatality in football at any level of play.(Mueller & Schindler 1991)  This clearly illustrates that data collection and analysis is important and plays a major role in prevention.

Wrong, at least on the first point.

Minimally two direct football deaths occurred during 1990, both of violent “sandlot” incidents, according to reports I recently retrieved from NewsBank database.

One case occurred merely 80 miles from Chapel Hill: Jamarl Gentry, 17, died on Nov. 7, 1990, of a broken neck suffered in a pickup tackle game at Winston-Salem, reported The Greensboro News & Record.

The second 1990 football death retrieved from NewsBank is Christopher Mock, 19, a college student from Bluffton, Ind. Mock died on Dec. 1 of a brain injury suffered in sandlot tackle football, reported The Fort Wayne News-Sentinel.

During December I forwarded these cases to Mueller, NCCSIR medical director Dr. Robert Cantu in Boston, and other officials like Kristen Krucera, PhD, the athletic trainer who’s replaced Mueller as center director. I requested their comments, repeatedly.

Only one person replied, Mueller, by email: “I told you to take me off of your mailing list,” he griped.

Modern Emergency Care Dramatically Cuts Football Deaths Since 1960s

NCCSIR officials argue that their dubious football statistics and recommendations like Heads Up “safe contact,” the latest version of stale “head up” theory, have reduced player deaths by as much as two-thirds since the 1960s.

Historical news shows no such evidence. Rather, the major reason for fewer reported football fatalities was faster, better medical care that kept seriously injured players alive, with an assist from modern helmets.

Most football fatalities in the 1960s were connected to inadequate medical care, based on news reports. Players died of brain bleeding, spinal fracture, chest impact, ruptured spleen, lacerated kidney, blood clotting, heat stroke, cardiac arrest and more maladies that became better managed in America by end of the Vietnam War.

“By the early 1970s, many influential members of medical society (in the United States) believed that lessons learned on the battlefields in Korea and Vietnam in terms of triage, rapid transport of trauma patients to definitive care centers, and standardization of pre-hospital and in-hospital care could be applied effectively to civilian patients,” recounts a Canadian medical review.

The 1970s advancement of emergency medicine in America—led by widespread establishment of EMTs, modular ambulances, life flights, emergency rooms and trauma surgery—saved countless athletes who would have died previously without it.

The steel head-and-neck brace or “halo cast,” breakthrough technology available nationwide by 1973, stabilized vertebral fractures that previously killed people. Numerous tragedies were averted in football and all walks of life, with immobilization techniques for spinal casualties and treatment like the halo brace.

Even Mueller admits emergency response has cut football deaths from brain injuries, compared to a half-century ago. “The line is going down with fatalities. I think that’s related to kids getting better medical care on the field,” Mueller told HealthDay.com, after reviewing news reports of two-dozen players who survived catastrophic brain bleeds in 2011. “They’re not dying, but they’re having permanent brain damage.”

Left unsaid? I had forwarded Mueller those cases, or he probably would’ve missed most.

UNC Changes in Death Definitions Trim Football Numbers Since 1960s

Factors beyond emergency care and improved helmets also have reduced football deaths in UNC records since 1960. Based on available information, numbers have been shaved as much as one-fifth since 1960 just by altering definitions to qualify game fatalities.

Background begins in 1931, when the American Football Coaches Association hired Floyd R. Eastwood, a college professor with a PhD in education, to record yearly football casualties—formerly the task of media entities like The Associated Press. News accounts describe Eastwood’s method for collecting cases and defining types of football death.

“Dr. Eastwood” analyzed news reports of deaths among football players for 35 years, working for both the coaches association and the NCAA, groups which continue to fund the NCCSIR today. Relying heavily on the NCAA’s “clipping service” of major newspaper and wire-service articles, Eastwood gathered stories of casualties and looked for football causes or possible links, sometimes basing a case decision on news content alone.

Eastwood had to track national football casualties while grounded on campuses where he taught PE pedagogy and gym classes. Limited in information access and funding, he tried to assimilate medical protocol despite a personal résumé far short in education and training for the mission.

Eastwood followed up many football incidents he learned of, making phone calls and mailing information forms to witnesses and authorities. But their responses likely varied in substance and it was difficult and costly to obtain medical files and death certificates from across the country. Moreover, Eastwood surely understood that official information was frequently tainted by simple incompetence and/or football allegiance among local authorities.

“Keep in mind…,” intoned Comrie, who has compiled football casualty data, “many doctors in many parts of the country don’t want to blame football. So on those death certificates, is that information reliable? I don’t know. We don’t have a clue.”

Most significantly, Eastwood defined and qualified several types of football death differently than his present-day successors at UNC.

For example, Eastwood believed that football exertion and impacts could trigger congenital brain bleeds in players, caused by “AVM” and Chiari arterial malformations since birth. Medical opinion was divided, but many doctors determined that football spurred these cerebral vessel ruptures of natural origin, and Eastwood embraced the stance.

UNC researchers dismiss these incidents today, meanwhile, like the 2010 death of college player Ben Bundy, killed by his genetic brain-artery malformation that launched a blood clot during a team workout. Bundy wasn’t counted in the annual NCCSIR report.

Eastwood included meningitis fatalities among players and field deaths of referees for his 1960s football statistics. Neither type of incident figures into current UNC data.

Eastwood counted players dead of blood clots originating from leg injuries, classifying them as indirect fatalities of the game. In recent decades, however, UNC publications include only an occasional death via non-cerebral blood clots; many additional cases are omitted without explanation, like Mounkes, the aforementioned schoolboy, and Ben Jordan, 16, a South Carolina prep player dead of a pulmonary embolism in 2012 after he was hospitalized for blood clots during successive football seasons.

Altogether, the types of deaths counted by Eastwood but not counted by UNC comprise as much as 20 percent of the 350 football fatalities from the 1960s that I’ve collected.

And the “sandlot” classification has become the biggest area of NCCSIR shell games that produce smaller numbers, over time, and inspire the rhetorical mirage of “safer” football today.

UNC Qualifies Few ‘Sandlot’ Fatalities for Football Statistics Since 1980s

Erstwhile PE professor Floyd Eastwood held a broad view of what constituted a “sandlot” death, qualifying any person who died from injuries suffered while playing any type of football: organized or informal; tackle or “touch”; games in vacant lots, flag leagues and PE classes; and even passing and catching during school recess. In 1962, for example, Eastwood counted a young father who died of striking a telephone pole during a backyard touch game with family as one of the professor’s 19 direct football fatalities that year.

Eastwood also logged indirect or game-related sandlot deaths, numerous cases in his 1960s data, for causes such as cardiac arrest and heat stroke.

Thus far, NCCSIR officials decline to provide me with the names and locations for football deaths in their multi-decade collections. They decline to address inconsistencies in data classifications back to Eastwood’s tenure. They do not offer, or possess, a single peer-validated document incorporating detailed cases, formal literature review and a complete research method that identifies limitations.

UNC transparency isn’t needed, however, to deduce that Mueller et al. have basically counted only “youth league” players for sandlot fatalities since 1986, based on NCCSIR postings, cases found online, and public statements of Mueller and colleagues.

UNC no longer counts fatalities of flag football, “touch” games, PE classes, “athletics classes,” recess periods, and intramural competition at colleges; deaths from tackle sandlot games are no longer included—yet all types still load those numbers from the 1960s and ’70s.

It would seem “sandlot” deaths were disappearing by the 1980s, according to football-funded researchers. Indeed, UNC statistics from 1986 to 1998 do not list any direct fatalities in the category.

On the contrary, numerous deaths of impacts occurred in the period that Eastwood would’ve counted for sandlot classification, including the following cases I’ve located:

1986: Ervin Kolk, 27, died of “being kicked in the head during a touch football game” at Tukwila, Wash., reported The Seattle Times.

1987: Joshua Arruda, 12, died of “injuries he received when he fell and hit his head on a rock during a tag football game at school,” reported The Daily News of Los Angeles.

1988: An adult male, unidentified, died of “a severed aorta after taking a blow to the chest” in touch football at North Conway, N.H., reported The Sporting News.

1989: Walter Jackson, 27, died “as a result of the head injury he suffered” in touch football, reported The Buffalo News.

1990: Jamarl Gentry, 17 (aforementioned case), died of a broken neck sustained in pickup tackle football at Winston-Salem, N.C., reported The Greensboro News & Record.

1990: Christopher Mock, 19, (aforementioned case), died of head injuries sustained in pickup tackle football in Indiana, reported The Fort Wayne News-Sentinel.

1991: Timmy Hysinger, 29, died “of a head injury he suffered… playing touch football in the street” at Mauldin, S.C., reported The State newspaper.

1994: Chris Hart, 18, dead “from head injuries suffered in a flag football game” at Texas A&M University, reported The Houston Chronicle.

1996: Terry Crayton, 16, died after “being knocked unconscious in a gym-class collision… playing a game called ‘speedball,’ a combination of soccer and football” at a Milwaukee school, reported The La Crosse Tribune.

1996: Jason Boone, 19, died of “receiving a severe head injury… in a touch football game” at Maryville, Tenn., reported The Knoxville News-Sentinel.

1996: Derek McMillen-Morgan, 16, died of “massive spinal injuries (sustained) when tackled” during a pickup game at Canton, Ohio, reported The Akron Beacon Journal.

The following deaths also are omitted from UNC statistics that log zero “sandlot” collision fatalities in said years:

2000: Maurice Doty, 16, “died of cardiac arrhythmia due to blunt force impact of the chest” in a pickup tackle game at Dayton, Ohio, reported The Daily News.

2005: Kenny Luong, 19, “died from (head) injuries received during a UC Irvine fraternity football game,” reported The Orange County Register.

2005: Steve Lynes, 19, “died of (head) injuries suffered during a pickup football game” at Brigham Young University, reported The Associated Press.

2005: Robert Meza, 24, died of a brain injury sustained in flag football at Taylor, Mich., reported The Detroit News.

2006: Logan Honsinger, 10, “died after his diaphragm was ruptured, an injury authorities… suspect he received during practice” for his youth-league team at Hemlock, Mich., reported The Associated Press.

2006: Andre Thibault, 12, “died from injuries suffered… when he tripped and fell into a pole while playing football” at Halstead, Kan., reported The Kansas City Star.

2008: John Buzzard, 15, “died of heart and brain-related conditions” sustained “during a touch-tackle football game” at Brooklyn, N.Y., reported The Staten Island Advance.

2008: Coty Bluford, 14, died of injury sustained when he knocked “heads with another boy” in football play during PE class at school in Lenoir City, Tenn., reported The Associated Press.

2008: Dominique Edwards, 19, died of a ruptured kidney sustained “when he dove for a football… and struck his left side” in a pickup game at Macon, Ga., reported The Telegraph.

2008: A boy, unidentified, 11, died “after being struck in the throat during a recess game” at school in Lake Oswego, Ore., reported The Oregonian.

2012: Jacob Gatlin, 15 (aforementioned case), died of skull fracture and brain hemorrhaging after a collision during a 7-on-7 passing session in school “athletics class” at Hawkins, Texas, reported The Longview News-Herald.

2012: Alex Lott, 17, died of a neck fracture “received playing touch football” at Richton, Miss., reported The Jackson Clarion-Ledger.

Again, these cases require examination by accredited authorities for qualification in valid football research, but this news batch demonstrates the stark, unannounced change between 1960s record-keeping and modern death data from UNC.

“We hear, ‘Oh, football’s become safer,’ ” Comrie said. “I don’t know if it’s become safer. I’m hearing this but I don’t know. Because no one’s willing to sift through the (UNC) data, we don’t know how many kids died or what they died of. We don’t know how many football deaths were purely preventable.”

Comrie, who has consulted for the U.S. Air Force and NFLPA regarding brain injuries and assessment, sees professional incompetence for NCCSIR publications that claim to reduce football mortality rates.

“It’s certainly uninformed,” he said. “Science is about asking questions. If you have incomplete or inaccurate data, you’re probably asking the wrong questions. The lack of information is bad for everybody, including the NFL, the NCAA and the national high schools.

“Reliable data is the key to making strong recommendations about what to do, but decisions are being made in football based on nothing,” Comrie said. “Everyone should know the data is just crap, period.”

Like Eastwood in the past, UNC researchers erroneously announce football deaths in absolute numbers, never mind that their primary means of incident details–news content–remains inadequate. Any accuracy would be a lucky guess and unverifiable anyway.

The total for a given year “could be stone-cold accurate or it could be off by a million miles,” said Yesalis, the epidemiologist. “It’s all based on how you count the population at risk, football players. It’s how you count the death events, how you acquire information, with bias for relying on news reports. Even of a death, there could be an injury where the kid is taken from the field and dies maybe three weeks later. Well, how confident can you be that will be reported (in news)?

“Basically going by news media alone? No epidemiologist would say that’s ideal.”

Comrie believes enough information exists empirically to resolve deficiencies through collaborations among investigators like me, the UNC academics, and appropriate authorities from medicine and science. Amassing death certificates would be a scientific start.

Vital data on football mortality risk “probably exist somewhere, in some form,” Comrie said, but politics stymie progress. “They (game officials) have just made it as difficult to get and to analyze as they possibly can because they want no change in the status quo. I have my beef in all this, because I can’t make reasoned decisions because the data’s unreliable. And the scientific community just goes along.

“We’ve been operating in a world where no one’s ever checked to see if the (football) data are real or not,” Comrie said. “They publicize it, of course, under UNC, but what was their research method? How did they do it? But since the method, regardless, produced exactly what the media wanted to hear and the parents wanted to hear, no one’s ever questioned it.”

Modern Myth of Safer Football, Research Heroes and Saving Lives

In 1998, the United States Sports Academy gave Fred Mueller an award for “lasting contributions to the growth and development of sports medicine through practice or scholarship.”

A UNC-Chapel Hill press release heralded the university’s “Life-Saving Dr. Mueller,” stating:

Statistics he compiled, first with Dr. Carl Blyth, also of UNC-CH, on football injuries and deaths helped lead to rule changes and improved coaching credited with saving dozens of lives a year in the United States.

Comrie scoffs in New York, pondering what’s really happened around the so-called National Center for Catastrophic Sports Injury Research—which has no street address in Chapel Hill, no facility on campus, nothing of validated research.

It’s all a façade fronted by Mueller types and feel-good statistics, Comrie alleges, designed to lead naïve kids and parents along the Yellow Brick Road to Safer Football.

“It’s the mythology being confused for reality,” he surmised. “And the way to promote mythology is to make sure there are no hard facts or evidence.

“So we go through the curtains and we find out the great, mysterious Oz is not who he appears to be.”

Matt Chaney is a writer, editor, teacher and restaurant cook in Missouri, USA. Chaney’s 2001 MA thesis at the University of Central Missouri involved electronic search for thousands of news reports on performance-enhancing drugs in American football, a project inspired by his experience of injecting testosterone as a college player in 1982 (Southeast Missouri State). Email him at mattchaney@fourwallspublishing.com. For more information, including about Chaney’s 2009 book Spiral of Denial: Muscle Doping in American Football, visit the homepage at www.fourwallspublishing.com.

King Football Infests Institutions, Misleads Public

Medical Associations Avoid Confronting Injurious Sport

Dissident Doctors Threaten Medicine’s Football Bonanza

Incalculable Debilitating Injuries Annually in Football

By Matt Chaney

Posted Friday, October 3, 2014

No American of driving age and eyesight should feel revulsion over tackle football anymore, the widely corrupt, incessantly violent, powder-keg culture for players and people around them.

There shouldn’t be shock when cavalier football officials, led by NFL commissioner Roger Goodell, mislead individuals, families, and the entire public.

Yeah, the football suits lie, obviously, and when this week already.

So while King Football may be shorter on time to heed criticism and reform fundamentally, it isn’t facing apocalypse. The game hasn’t reached the cliff’s edge yet in America, forced to choose between falling or turning complete about.

Football remains our premier entertainment, the shark among shows, playing perpetually in-season from local fields to palatial stadiums and throughout millions of video screens,  audio feeds, and print pages.

It is our nationalized religion, the Church of Football, with media, municipalities, schools and colleges readily hosting worship, indoctrinating players and consumers, young and old. “We couldn’t live without the NFL,” gushes Leslie Moonves, CEO of CBS Corporation, paying billions for broadcast rights, operating within his situational ethic for our free press.

And nothing will change fundamentally in near future, regardless whether Goodell goes down (he won’t leave willingly, hauling $37 million annually in his job for the non-profit NFL). The frontman is interchangeable for this model. If Goodell cannot outlast political storm, league owners will substitute “another boilerplate-spewing lawyer… tobacco executive avatar for their bloodsport,” observes Bruce Arthur for The Toronto Star.

Football cult will carry on, and not only for its conniving leaders but because society is thoroughly vested too—or caught—virtually every institution and individual is beholden, some way or another, to the gridiron.

Our football universe thrives on cultural Spiral of Denial, as a costly, dangerous, and revered social setting marked by recurring crisis since the 1880s. Revelations emerge periodically against the blood sport, along with recriminations, debates, promises—and, ultimately, no legitimate reform undertaken, ever.

Foremost because tackle football is incorrigible for deadly violence.

Then, crucially, King Football has pimped vital American institutions over some 135 years, namely through mutual marketing, a profit-sharing synergy. No partner institution can react forcefully on football issues.

Historically and shrewdly, the good ol’ gridiron officials and advocates have infested government entities such as the CDC and Public Health, schools, colleges, municipalities, police and courts, and legislatures and Congress, along with the private domains of news, medicine and religion.

“And that is just it,” surmises essayist John Branch for The New York Times.  “The N.F.L. is buttressed by so many parties with a stake in its continued success… that no amount of exasperation will topple it.”

“The N.F.L. put itself in this position. But the tougher spot may belong to all the rest of us, bound to the N.F.L. with the nastiest of knots, looking for ways to be outraged in practical and meaningful ways.”

Officials of our institutions certainly bumble because of their toxic allegiance to brutal football, financially and politically. The NFL  wields more power in this country than government, staining if not benefiting all it touches, as we heard three decades ago from Howard Cosell, late iconoclast of TV sports. Cosell was the famed boxing announcer who moonlighted for Monday Night Football, in the booth with Frank Gifford and “Dandy” Don Meredith on early collaborations between the NFL and ABC.

Cosell would appreciate the pathetic comedy these days, as officials of institutions try camouflaging their conflicting interests over football, or just ignore that they’re gripping a wolf by the ears—collision DumbBall, imperiling millions of young minds and bodies.

Military boldly calls out NFL for mutual problem

Pentagon brass vow to reexamine relationships with the NFL on a moral basis, and they cite, of all things,  domestic abuse among football players.

Nervy move by military officials, projecting blame for predatory assaults on females, given their deplorable record for the same violence in the Armed Forces.

Rather, an independent party should probe the “partnership” between the NFL and Pentagon that is publicized as “a long-term program to care for and prevent concussions… as well as other health issues.” Hear Goodell spin dramatically, conjuring heroism for the collaboration, proclaiming the NFL-Military mission is to help the world:

“We’ve had an impact on the military,” bleats the highly paid yak. “Traumatic brain injury is a big issue for our [football] veterans and our military personnel. The information we have and we’ve learned, the research we have, we have shared with the defense department.”

“Those changes are going to make not just football, not just sports, but I think our world safer,” Goodell says.

But the military doesn’t want to know about casualties or pay for them, beginning with soldiers who suffer brain damage and mental disorder, just like the NFL.

And we know the qualification of NFL “research” sometimes means, according to this League of Denial, in-house data specially cooked, CYA against lawsuits and more damage claims.

That’s what common interest of the NFL-Military partnership smells like, nothing about “making a difference” or an altruistic “sharing” of reliable study and valid conclusions, as Goodell bluffs.

Dissident doctors defy Medicine’s gridiron allegiance

No American institution should precede Big Medicine in dissolving its current relationship with football, for industry ethics and substantive empirical evidence that qualify the game as a public health menace, especially for children.

Yet medicine has been twisted by football money and politics to becoming largely an endorser of the beloved carnage since the 1950s. “Sports medicine” has gerrymandered the industry to generate growth and profit—while eschewing traditional health values and standards.

Recently in California, two sports-med specialists entered public debate with a former NFL lineman on the following question:

Would you let your 8-year-old son play Pop Warner football?

The physicians, with commercial interest in the game, notably steady patients, agreed they would allow sons to play. One doctor offered a familiar tinny explanation.

“If someone [or small boy, per the question] really wanted to play a sport [of collision], I wouldn’t stop him from playing,” said Dr. Ty Affleck, physician of athletics for two colleges. “There are so many benefits derived from playing.”

Ben Lynch took exception, the well-compensated NFL player.

Lynch is among former athletes who scoff at this talking point, the abstraction of Football benefits outweigh risks for kids!—stock answer today of medical professionals with no tangible reason but personal income, which they won’t mention.

Football-boosting doctorate-holders are hard-pressed to prove their positives cited, those so-called doses of discipline, teamwork and courage when a young person straps it on to collide beneficially with others.

Heck, for my college football experience, I just say we were student-athletes roaming the field in educational manner, knocking the shit out of each other.

Because a football player should “target” every incoming opponent, or think “bounty,” whatever it takes to get vicious. The game’s covering law is primitive: Be predator or prey; avoid becoming the “cart-off” carcass.

Bad intent on a football field is survival, not “dirty” play. Head-ramming is a player’s “proper technique” to merely compete, period.

Every person inside the sport gets this reality, too, starting with medical professionals in denial.

So man bites dog anytime medicine’s football parrots—the accredited flock of MDs, ScDs and PhDs—come up against honest, informed challenge from a layman.

That was the hulking Lynch and sports docs, a most curious exchange.

The football gladiator, ex-NFL center of a dozen diagnosed concussions and eight surgeries, schooled the MDs on simple health and ethic. They would’ve had to pass-block him to match it.

“I think it’s safe to say it’s not a good idea to hit your head on something,” Lynch had to remind the doctors. “I think most people would agree with that.”

“I don’t have a son,” Lynch continued. “But if I did, I wouldn’t let him play football—at any level. There’s still so much we don’t know about concussions. There’s so much unknown. This is just my opinion.”

Study findings, critics threaten Medicine’s football bonanza 

Football-friendly specialists and researchers cannot deny mystery persists of brain trauma and recovery, especially for children.

But they slyly flip Hippocratic ethos, the keystone Do no harm—or When in doubt, protect the patient—to follow medical-biz credo of Protect football until no doubt, cha-ching.

They cluster together in public events and news stories to play word games, claiming lack of “evidence” exists to denounce the blood sport, even for small children who can include girls.

A favorite PhD guy for King Football is neuropsychologist Gerald Gioia, who forbids cheerleading for his daughter because “risks exceed safety” in the activity.

But football is fine for kids, says Giola. He recommends boys and and presumably girls to play because, of course, science hasn’t proven the gridiron dangers.

Gioia repeats the hysteria claim for football brain injury, children in the maw notwithstanding, saying fear-mongering pushes “people over the edge.”

“Importantly, science and reason must drive our action-oriented approach to safety in youth sports, maximizing participation and safety efforts together,” Gioia testified before Congress last spring. “We must avoid responding to opinion and anxiety in setting the proper course.”

Gioia operates looser for his tangled business and politics regarding athletics, which provide him income streams from the public and private sectors.

Among connections, Gioia works with teams of the NFL, NHL, public schools, private academies, “and numerous youth sports organizations in the Baltimore-Washington region,” boasts his bio-page for Children’s National Medical Center, where he heads pediatric neuropsychology.

Gioia is one of those usual sports “experts” at hearings and conferences in the United States and abroad, including the wacky 2012 Zurich confab that declared no research yet links football to brain damage—while panelists like him espoused quackery “technique,” Heads Up, as valid prevention of concussion.

A pleasant professor, the audacious Gioia co-authored Heads Up policy for the government CDC while also advising for the NFL’s front organ in “youth” athletics, USA Football.

The non-profit USA Football generates and promotes the 47-year-old false hope behind Heads Up, known by various refresher names over decades, like “proper technique,” “form tackling” and “head up” contact. Allegedly, it’s headless hitting for football.

The NFL is pouring $45 million into retreading and reselling this time-proven invalidity, and millions of children and adults buy the lie, Heads Up, believing in “safe” tackling.

Plaintiff attorneys now target coaches, officials, schools and local governments for lawsuits, alleging negligence for failure to instill headless hitting. A court test is bound to  materialize and finally blow apart the fallacy.

Modern football yaks think they aren’t liable. The NFL disavows legal responsibility for Heads Up, along with USA Football, with officials’ acknowledging there’s no proof the theory is sound—after nearly a half-century of folly, and their constant claiming it does work.

Back to Giola, what’s credibility to really matter for a guy like him, embodying conflict of interest wrapped within conflict of interest? Many prestigious citizens are bound to football samely, and the opinion-leading breed anoints the game as vital public entity, as it’s already financed.

“You don’t know what the world would be like if we cut out these activities!” Giola says on website of the American Psychological Association.

Actually, many medical professionals envision a better America without dangerous sports in schools and parks, especially DumbBall.

This side believes a wealth of empirical evidence supports placing unprecedented restrictions on football, perhaps banning it, at least for prepubescent kids.

“The literature is clear. This is a dangerous game for children to be playing,” Dr. Paul Butler, retired physician and former college player, said two years ago at forefront in the neo-wave of medical outcry against tackle football.

Retired internist Dr. James Harris took up the cause last year in Texas, urging his local school board to consider dropping football, as had Butler in New Hampshire.

“It is my medical opinion that there is already sufficient medical evidence available to warrant cessation of tackle football, period,” Harris says. “In all age groups, especially for goodness sake in children.”

“I would not let my grandsons play football. … I feel guilty because I love football and I encouraged one of my boys to play. Shoot, I played; thank goodness I wasn’t any good and I’m still okay. Or am I? Are you? Your kids? How about your dad?”

Dr. Harris is convinced microscopic examination has established evidential connection between brain damage and football impacts. He cites research of teams led by sport-neuropathologist Drs. Bennet Omalu and Ann McKee.

“Chronic traumatic encephalopathy, or CTE, is a degenerative disease caused in large part by repetitive head trauma, like you get butting heads in football,” Harris says. “I’m talking about routine hitting that is part of football, sub-concussive, any position.”

Valid and reliable pathology links trauma harm to athletes, by McKee, Omalu and Dr. Harrison Martland, dating to the latter’s postmortem cases of boxers with “dementia pugilistica” in the 1920s.

Further literature piles on, for brain mayhem of collision football, and doctors who dissent from sports-med group-think contend that anti-football findings now constitute a neural research trend moving steadily toward consensus: Collision football is too dangerous for the human brain, particularly in developing children, and has no remedy for the impacts.

But many football-friendly professionals blather on, claiming need of more evidence for brain risk and outcome. One of those is Dr. Gillian Hotz, a specialist of pediatric sports neuro-trauma at the University of Miami.

“We don’t know enough to say kids shouldn’t play football,” Hotz says. “Everyone around the athlete needs to be educated on this subject.”

Especially doctors like Hotz and her colleagues. So here’s a primer lit review, study findings that include some research funded by football organs like the NFL since December 2012:

Football leads school sports in diagnosed concussions with prep players nearly twice as likely to suffer cerebral injury than college players… concussed children may need break from schoolworksingle concussion may result in long-term disease…  youth athletes may suffer emotional and behavioral dysfunction in months following concussion… physical fighting can lead adolescents to IQ loss equivalent to missing a year of school… football impacts to the head measure same G-forces for children as adults… depression may beset children with brain trauma… no evidence football helmets reduce concussion risk… brain injury often causes vision problems.

An onslaught of football-adverse findings have emerged the past nine months, studies in journals of 2014 to-date, with some replicating previous results, such as… deceased college football player diagnosed with severe CTE…  18 college football players and 4 prep players diagnosed with CTE postmortem… concussed teens sensitive to light or noise more prone to anxiety or depression… brain changes can persist two years beyond sport participation… teens with history of concussion more likely to suffer depression… concussed hockey players exhibit micro-structural brain change in advanced MRI… brain injury may be present even without clinical symptoms… concussion during school year means much longer recovery… brain injury may stunt childhood social skills… football players may not recover from brain trauma over the offseason… concussed teens more likely to commit suicide… football may shrink the hippocampus brain region, affecting memory and emotion… chemical response to brain impact can worsen injury or disorder… brain injury common among female criminals… college football players sustain six undiagnosed concussions for every concussion diagnosed… and concussed children should rest and avoid schoolwork post-injury.

Perhaps the biggest bomb was recently unleashed in documents of the pending NFL concussion settlement–the league’s historic acknowledgement that about 30 percent of former players suffer brain disease at earlier age and nearly double the rate of the general population.

“I think we have underestimated the link between traumatic brain injuries and degenerative diseases,” says NFL researcher Dr. Bruce L. Miller, neurologist and director of the Memory and Aging Center at the University of California-San Francisco. “There is a huge, important link related to brain trauma even early in life and degenerative diseases later in life.”

Acute traumatic brain injury and chronic disease kill 50,000 Americans every year, with 235,000 hospitalizations and 80,000 disabled. Total cost for care hits $76 billion, according to Miller.

Many of the injured dwell outside diagnosis and treatment, including football players and combat veterans . “A lot of people who suffer from TBI go under the radar,” says Miller, a candid NFL researcher.

“Ten to 23 percent of the troops returning from Iraq and Afghanistan have TBI. That is a huge number of people. We have 1.8 million troops serving in these conflicts.”

“I would argue that head trauma is one major risk factor for dementia in our society,” says Miller. “We have reached only the tip of the iceberg when it comes to understanding what the dementia is following a TBI.”

Another earnest researcher funded by the NFL is Dr. McKee, famed pathologist who has confirmed the most cases of brain damage in deceased football players.

McKee disturbs the NFL with her frank comments on football dangers, and league officials no longer steer brain donations her way. McKee’s accumulating evidence is startling, especially of pro football.

New data were released Tuesday from the Massachusetts brain bank McKee directs, revealing almost 80 percent of football cases she’s examined have tested positive for CTE, or 101 of 128.

McKee has found brain damage in 76 of the 79 NFL-player cases she’s investigated postmortem. The sampling isn’t random but biased, since most the men and families suspected brain damage and wanted to confirm.

McKee, however, believes she’s helped establish irrefutable link of football battering to brain damage, or exactly what game-sycophant researchers keep harping about. She says that “playing football, and the higher level you play football and the longer you play football, [means] the higher your risk.”

The football-funded researchers McKee and Miller are echoed by an independent medical dissident on the game.

Dr. Jeff Ritterman also contends war and contact sports “are leading to significant number of serious brain injuries” among Americans. “We are literally knocking ourselves senseless,” Ritterman states, disgusted with the military and violent athletics.

“Take a moment to reflect on your own store of cherished memories,” the doctor writes for HuffingtonPost.com. “Imagine not being able to retrieve them, or not being able to lay down new ones. In addition to memory loss we are causing violent outbursts, depression, aggressive tendencies and even death. Is this the legacy we want to impart to our boys and young men?”

Incalculable numbers suffer debilitating football injuries annually

Contemporary tackle football physically maims thousands every year, from head to toe, possibly reaching a six-figure number in fractures and tears that require surgery. Most cases are juvenile players in school and youth leagues.

Football-pandering experts who cry for evidence of public health menace can simply delve into the deep store of player casualties found online. Brain injury constitutes but a segment.

Even I, humble ex-sports reporter with MA degree and operating on my dime, have collected more than 1,000 cases of critical football casualties since 2009.

Minimally hundreds suffer severe to catastrophic injuries annually, per online reports and other data, and likely most would die if not for high-tech helmets and emergency response.

An overlooked category is players with internal injuries that years ago would have killed routinely, for lack of modern treatment that include powerful antibiotics. Indeed, organ ruptures, non-cerebral blood clots and infection combined to kill most a century ago, when football action moved in masses of clawing players who ripped and crushed each other, in contrast to the high-speed, head-on collisions in open space today.

Today more than a hundred football survivors of lethal injuries surface online, every year, quite predictably. The cases involve impacts to torso, extremities, head and neck, absorbed from other players and ground contact, and most patients require emergency surgery. The hits inflict damage to brain, spine, eyes, heart, lungs, liver, spleen, kidneys, pancreas, and circulatory system.

Countless additional cases occur without reaching an internet posting.

Limitations on information include privacy law, with some families quashing or controlling public mention. Independent analysts like myself, along with football-funded researchers and news media, are hopeless for documenting all severe injuries in football. A likely majority of cases are missed.

The problem is illuminated by gaping holes in annual case collections of the so-called National Center for Catastrophic Sports Injury Research at the University of North Carolina. The entity, funded by football organs, isn’t a facility on campus and manifests primarily as a website full of erroneous data, trend claim and projection. The staff is unqualified for compiling epidemiological study, the complex discipline no one is capable of achieving for football in near future.

The annual UNC reports miss numerous catastrophic football injuries publicized in Google banks, including severe brain bleeds, spinal fractures, and cardiac collapses. Another problem is many cases aren’t publicized within the calendar year and only surface in subsequent periods, including reports of permanent brain impairment and quadriplegia. I’m still finding cases of 2011, for example, previously unreported.

Moreover, the UNC material doesn’t cover many classes of grid catastrophe found online, including: internal bleeding of the torso led by spleen-rupture cases galore; blood clotting launched from wounded extremities; “compartment syndrome” or rhabdomyolysis; artery rupture; peripheral paralysis of shoulder, arm and leg; and infection like deadly MRSA.

And while tackle football kills fewer players in collisions anymore, the differences are modern skull-preserving helmets and trauma-care infrastructureand not, as UNC literature purports, the musty concepts of “head up” contact and unenforceable “anti-butting” rules.

Besides, football’s contemporary death tolls should be unconscionable for the medical industry to support, given its professed values. Instead, officials characterize annual collision deaths in single digits as somehow acceptable, indicative of “safer” play.

Eight teen boys are known to have died of football contact last year at public schools and stadiums, and despite high-tech armor and modern medicine.

For 2014, at least two teens are dead of football contact thus far, Navy walk-on running back Will McKamey and New York prep Tom Cutinella.

Further, for reports that show in Google, dozens of active football players die of causes with potential indirect links to the game, although challenging to determine either way.

Some 30 cases have emerged publicly during 2014 through this week. These players die suddenly, unexpectedly, on fields, in workouts, at home and elsewhere.

Cardiac arrest kills most, apparently, followed by causes that include heart attack, heatstroke, congenital arterial malformation such as “AVM,” cerebral stroke, and blood clots in lung and heart.

Victims are largely teenagers and America’s common death-investigation offices cannot reliably verify a football link in most cases, if not the vast majority.

Finally, suicides and overdoses of active football players also occur regularly, screaming for attention and resources hardly forthcoming. Football officials zealously distance the game from these incidents, in their news quotes and court defenses.

But many experts strongly associate brain trauma to violence such as domestic attack and self-harm, and suicide often ends the lives of boxers and football players later found with cognitive disease.

Painkiller abuse is traditionally rampant in the NFL, while college and schoolboy football players are increasingly associated through arrests and tragedies.

Football players at high schools and colleges die for overdoses of pills and heroin. Others are busted for use and distribution.

Some families publicly declare that football injury led their troubled athletes to opiate addiction. Coaches, trainers and doctors have been accused of involvement, from prep ranks to pros.

Medical associations traditionally avoid confronting football

The bedding of medical authorities with tackle football is a tawdry affair of overt, historic proportion, a conflict of interest longstanding.

American medicine’s ethical infidelity was obvious 30 years ago, for its illogical stance of condemning boxing because of brain injuries while simultaneously defending football, the golden cow, according to news reports available in the subscription database Lexis-Nexis.

By 1984, the American Medical Association led groups in Britain and Canada in calls to ban boxing for amateurs and to tightly regulate professional ranks. The AMA wanted boxing barred from public funding and facilities in the United States.

American medical professionals chided counterparts who defended boxing and talked of reform for “safer” pugilism.

“A doctor at ringside is like a priest at a hanging,” joked Dr. Robert Cantu, Boston sports neurosurgeon, speaking to The Toronto Star. “Neither improves the safety of the event.”

But Dr. Cantu heartily endorsed collision football at the time, including the struggling “safety” initiative billed as “form tacking,” or impossible “head up” hitting without helmet strike.

Today the table has turned. Cantu’s altered his gridiron opinion and come under fire himself, from game advocates led by doctors, for his contemporary recommendation that parents forbid tackle football for children before high school.

Cantu contends many doctors support him but are paralyzed to act because of their business ties to football. “Although doctors generally approve, they’ve had to tiptoe around the issue with young patients and their parents,” Cantu writes for Time Magazine.

Cantu recounts his conversation on the ethical dilemma with a pediatrician, who said, “You want to do what’s best for your patients. You also want to have patients.”

A recent survey by The Aspen Institute finds many doctors share Cantu’s concern for millions of kids in tackle football. Seventy-seven percent of medical professionals polled said they were “uncomfortable” with the activity for ages under 14.

The AMA and other associations, for their part, say nothing substantial yet. It’s status quo for Big Medicine’s political and business chicanery with DumbBall in America.

In October 2011, Roger Goodell was keynote speaker at convention for the Congress of Neurological Surgeons in Washington.

The NFL commissioner received a standing ovation from the 3,000 CNS members in assembly, and independent journalist Irv Muchnick wanted to know why.

Muchnick emailed 24 officials of the CNS, copying his query to president Dr. Christopher C. Getch, professor of neurosurgery at Northwestern University.

“The Congress of Neurological Surgeons is not supposed to be a cheerleader wing of the National Football League,” Muchnick reminded Dr. Getch. “I challenge the CNS to release the [Goodell] video and take public account of this incident for your group’s independence and credibility. I look forward to hearing back from you.”

Silence. None among the CNS officials responded to Muchnick.

Matt Chaney is an independent writer, editor, teacher, and restaurant cook in Missouri, USA. For more information, including about his book Spiral of Denial: Muscle Doping in American Football, visit the homepage at www.fourwallspublishing.com. Email him at mattchaney@fourwallspublishing.com.