ptatc

QUOTE (Tex @ Dec 21, 2013 -> 08:47 AM) I have the chef of a local restaurant coming over to teach tamale making to my wife and I. It should be fun. That is great. My wife and her sister spend Christmas day making 200 tamales and we eat them over the next few months.

QUOTE (Big Hurtin @ Dec 21, 2013 -> 12:03 AM) Alcohol can impair cognitive function, but even fully sober, I don't think I would know what he's talking about. Basically, it's when the tail bone has grown too long, gets in the way and needs to be removed

QUOTE (LittleHurt05 @ Dec 20, 2013 -> 09:09 PM) What the heck is that? Xcising an xtended coccyx. A rudimentary tail. For the record I've had to mobilize fractured one but PT/ATs cannot do surgery (legally anyway)

QUOTE (Balta1701 @ Dec 20, 2013 -> 07:28 PM) Still, not bad. True Dat.

QUOTE (Iwritecode @ Dec 20, 2013 -> 04:47 PM) I know most of the stuff I’m getting because I was there when it was purchased. Same with my kids because they are getting more and more difficult to buy for the older they get. There are a few things they are getting that they don’t know about and probably the same for me. I came home the other day and noticed that there was a stack of wrapped presents with my name of them. Then I noticed that my kids had wrapped them with duct tape. The tradition in our family is that it should take a minimum of 5 minutes to get through the multiple layers of tape, paper and boxes. That's a present itself. My kids are the same way. A new carbon fiber tank for his paintball gun. Mostly Von Maur clothes for the girl. Can't be much of a surprise otherwise they don't work. There are a few they don't know about but they are small ones.

QUOTE (Balta1701 @ Dec 20, 2013 -> 08:56 AM) I've done plenty of quantitative research and I think part of our difference here is the requirements for giving medical advice being different. I'm not trying to base a conclusion on anything. All I've said is you can't prove there isn't a problem and I think your language is too strong when you focus solely on the "there's no correlation" part. Ok. I disagree because the data is still minimal on concussions and the link to CTE let alone the cumulative trauma without symptoms. But that's life.

QUOTE (Balta1701 @ Dec 20, 2013 -> 04:55 PM) Quick improvement. Remember, I'm old and slow.

QUOTE (Tex @ Dec 20, 2013 -> 03:21 PM) I guess part of this though is predicting where the research will lead. Take someone making a decision about smoking in the 1950s. There wasn't enough data. I believe we are at the same point with concussions and football. I don't see it leading to a conclusion that getting hit repeatedly in the head is a good thing. Not necessarily. Repeated micro trauma to muscles make the muscles stronger. We don't know that micro trauma to the brain causes problems.

QUOTE (RockRaines @ Dec 20, 2013 -> 08:58 AM) I consider junior high past the "kid age." I was playing year round sports starting at age 7. It was too early. Most defintely.

QUOTE (Alpha Dog @ Dec 20, 2013 -> 04:36 PM) No, you may not. OK, I apologized and didn't screw it up this time.

QUOTE (KyYlE23 @ Dec 20, 2013 -> 04:38 PM) I heard he is a pretty good guy outside of the ring when you get to know him An outstanding individual. We had alot of fun in the clinic. He actually bought lunch for the entire clinic (pizzas) after his discharge.

QUOTE (Brian @ Dec 20, 2013 -> 09:53 AM) He's come and gone more times than the Undertaker. After awhile, I just stopped caring. I helped him with one of his "comebacks". I helped him after a knee surgery.

QUOTE (Jake @ Dec 19, 2013 -> 08:00 PM) Peavy was much more of a groundball pitcher pre-White Sox. His sinker really quit sinking post-surgery. I hadn't noticed this. Was it this or did he stop throwing it?

QUOTE (Balta1701 @ Dec 20, 2013 -> 08:00 AM) It's completely fine that you prefer proof beforehand...all I'm harping on is that it's exactly as valid to say you prefer proof that it's safe beforehand. The same way you say there's no reason to think that an appropriate technology will find a difference in CTE cases between football players and non-football-players, I get to say there's no reason to think that we won't find a difference. All I've seen right now is autopsy reports saying that the brains of these guys are mush...and some counterproposals saying that brains of non-athletes have done the same thing. To me, those push both ways. I understand what you are saying I just disagree with the application of the research. Its not the same as proof to say its safe before hand. Because there could be anything waitng there that we can't detect yet. If anyone wrote a an article and tried to get something published with this concept, it would get laughed at. You can't base a conclusion on the this. Again, you can interpret an opinion and base your decision on it but to say it is a valid conclusion based on the research isn't correct. It's sound like to me you;ve done quite a bit of qualitative research. Mine has revolved around quantitative. I have this same discussion with some of my co-workers.I can't support a conclusion unless there is evidence to support it. Working with the human body I cannot justify doing something to a patient unless there is evidence for it. Sometimes we find a better way later but I use the best evidence I have at the time.

QUOTE (StrangeSox @ Dec 20, 2013 -> 06:22 AM) assuming there is a link between white matter and CTE, an increase from 7% in the general population to 11% in the sports population is a huge increase. There isnt a link. It just shows changes in the brain. Its different area of the brain.

QUOTE (Balta1701 @ Dec 19, 2013 -> 05:00 PM) You really ought to learn the rules of the game before playin'. I know, I'm sorry. I just love that movie and had to throw that in there. Yes, I am a geek.

QUOTE (Balta1701 @ Dec 19, 2013 -> 08:11 PM) The only way that this makes sense to me is if you believe there is an accurate rests for CTE that has been performed on living people. That's the only way you could say there is "no lack of data." Am I wrong in that? Because it seems to disagree with what you said about diagnosing the problem earlier in this thread. It doesn't disagree with it. It just says that there is no reason as of now to think that once the technology is available that they will find CTE in cumulative head trauma. Some researchers are guessing that it might but that is based on an opinion but not any hard evidence. They currently can't look for it but that doesn't mean it's there. It might be but them again it might not. We don't know. In theory it's possible that repeated mild blows might cause this but so far all we know is that blows hard enough to cause concussive symptoms do in post mortem brains. First they will need to find that mild blows cause CTE then they will need to find it in living subjects in a significant amount. There was one study done at Purdue that looked at around 100 athletes in football and hockey. None of them had concussion symptoms. They looked at changes in the white matter of the brain. This isn't CTE but it shows some possible changes. They found that 11% had changes. The rate for the normal population not involved in sports was 7%. So I guess my thought process is that we can't look for CTE yet but just because we can't look doesn't mean it's there. Again it's somewhat semantics because it could be there. I just wouldn't deny my kid something he really wanted to do based on really no evidence, only guesses. That may change soon, then again it may not. edit: this is the Schroedinger's cat in the box paradox. The cat is both dead and alive until the box is opened. I just prerfer proof before I make a decision.

QUOTE (RockRaines @ Dec 19, 2013 -> 05:48 PM) Eh. Freshman ball is the perfect time to learn those techniques. I believe the body starts becoming injury prone at a very young age and its a huge benefit to limit the early mileage. Depends on the point of view. Something like running is highly mechanically oriented and the younger you teach them good "form" the better. Junior high is a good time for this.

QUOTE (dasox24 @ Dec 19, 2013 -> 06:02 PM) This I agree with. research shows that weight lifting is fine for kids once the growth plates close. This is usually somewhere between 7 grade and junior year of high school. Highly individualized.

QUOTE (Balta1701 @ Dec 19, 2013 -> 05:14 PM) Coming at that from a research perspective though...you also can't oppose a conclusion unless there is evidence to oppose it. We're in a case of "lack of applicable data", not one where there is strong counter evidence. There are a number of ways I feel you could say it accurately without giving the connotation I'm coming down on you for. "Some researchers believe there is an increased risk associated with repeated head trauma, while others disagree, and current studies are insufficient to determine either way." or "The current science cannot offer an answer to the question as to whether you're putting your kid at risk". I would still disagree but it's somewhat semantics. The hypothesis or research question here is cumulative head trauma will cause CTE and in turn cause degenerative brain issues later in life. I can conclusively say there is no data to support this hypothesis. I would not say there is a lack of data. There is plenty of data that says there is no causal relationship between cumulative head trauma and CTE in living subjects. Now, you could put a caveat on there research, which is what some researchers have done. They say they believe they will find a relationship once the current technology is upgraded. However, that is pure speculation without any data. It makes logical sense but is not supported with data. So right now with current technology and information it can be said that there is no causal relationship between the two. Some speculate there could be but until new data is found (and they are working on it, the first person to find it will get their weight in gold in research dollars) there is no relationship.

QUOTE (Balta1701 @ Dec 19, 2013 -> 04:55 PM) But it also does not oppose it. The right way to say it would be "The current information neither supports nor opposes it" or "it is currently inconclusive/statistically insignificant". Saying "It does not support it" is technically accurate but somewhat misleading when stated on its own. I guess it's the researcher in me. I cannot support a conclusion unless there is evidence to support it. So saying I don't want my kid to play football based on this evidence to me is wrong, because there is no evidence. Right now I would say it opposes it because no research has found a causal relationship or even a correlation. However, as stated people can make and should make their own decisions about their own children.

QUOTE (Alpha Dog @ Dec 19, 2013 -> 04:26 PM) Very possible that that word does not mean what you think it means. Never go against a Sicilian when death is involved.

QUOTE (IlliniKrush @ Dec 19, 2013 -> 04:24 PM) Hockey is certainly dangerous, too. It has the potential for bigger hits, but not as many are head shots, and there aren't the number of sub-concussive blows like there is in football on every play, especially for lineman. You'd be kidding yourself if you don't think I'm hoping a lot more information comes out for hockey. The one thing I found in that article which was odd was that there's a high concussion rate in women's hockey, since it's no-check. That obviously doesn't mean no contact, but no checking takes big hits out of the equation. That's pretty interesting. Disagree with that. There's plenty of information out there, even if it's not a complete black and white picture at this point. There's enough out there for me, and plenty of others. I don't need to be convinced to 100% certainty that I shouldn't let my kid play football. That's just where I draw my line, though. No it's not there. There is no evidence. There are hypotheses and guesses but it's not there. Some of the researchers think that in time they'll find it but it's not there. You can make the decision, that's fine but the evidence is not there. edit: I you want to say you are going with the opinion of some of the researchers that this will eventually come out, that is one thing. However, as stated there isn't evidence yet, to support it.

QUOTE (Balta1701 @ Dec 19, 2013 -> 04:22 PM) Again though..."no research showing a strong correlation" doesn't translate to "there is no strong correlation". There could be an immensely strong correlation and it would be nearly impossible to see with current studies and technology. Ok. if you want to put it that way. However, the current research as is allowed does not show it. By your definition the rate of concussion and CTE in murder/death ball is higher but we can't study it because the league isn't invented yet. It could be there but we can't study it. We can only make conclusions based on current information. The current information does not support it.

QUOTE (Harry Chappas @ Dec 19, 2013 -> 04:10 PM) Youth hockey and cheer-leading are just as dangerous as youth football if not more dangerous. Hockey players are moving faster than football player and rapid deceleration is greater in hockey than in football at a younger age which along with ice makes for a harder impact when you fall. One of the best wrestlers in high school had to quite the sport because of concussions. Here is one of the more recent reports I read on this matter and it again basically says, nobody has a degree of certainty about what is going on or if any of this is even new. http://www.washingtonpost.com/national/hea...a4dd_story.html While it is true that no sport is immune, let's not kid ourselves, football has the highest rate of concussions per athlete. It doesn't have the highest rate of overall injuries but the rate of significant injuries (missing practice and game time) is highest in football.