Bob said “anytime.”

My dad has a friend who’s been in his life for many decades.   Let’s call him Bob, to maintain some anonymity; Bob is a bachelor, never been married, no kids.  I’ve known him for more than 25 years.  And now Bob has Alzheimer’s disease.  

I struggled about whether or not I should write this post, about whether or not I’d be violating Bob’s privacy, about whether or not he would approve or disapprove, should he be able to make that decision.  And as my thoughts rolled around and around, I thought I’d ask his sister, who is handling his affairs these days.  She said yes.  And so I wrote.  And as the words came, so did the the memories.

Bob was diagnosed a couple of years ago, and just this past Spring, his sisters helped him to relocate to a Retirement Home in Toronto.  His deterioration was progressing, so within months, his house in Calgary was cleaned out and sold, and Bob was back East, closer to his sisters and extended family, and also to me.

For much of his life, Bob lived in Calgary, just over an hour from the small town of Sundre, Alberta, where I grew up.  He worked downtown, in the oil business, and had a mind for math and numbers and a personality for order and specificity.  He was a perfectionist through and through, and gave of his talents generously to many people in his life, myself included.  When I was a new University student applying for a waitressing job, Bob helped me get my resume in order; he made my experiences of babysitting and lifeguarding sound like formidable accomplishments and he went over my revisions again and again with a fine-toothed comb.  Every sentence perfect, every statement clear and concise, every opportunity explored.  He must’ve spent hours behind the scenes, thinking about how to best present my 18-year-old self to restaurant managers, while I rolled my eyes on the other end of the phone line as he got me to rewrite even the smallest details.  I got the job, I said thank you, Bob said “anytime.”

I moved to Toronto to attend the Canadian Memorial Chiropractic College in 2002, Bob’s hometown.  Way before the Facetime era, Bob arranged for his nephew to scout my potential apartment for me.  Moving solo across the country to The Big Smoke was a daunting endeavour for my 22-year-old self, but his nephew gave me a full report via Bob.  I remember that he commented on the water pressure being strong; attention to detail must be genetic.  I got the apartment, I said thank you, Bob said “anytime.”

School took over my life and I immersed myself in my studies and my friends, my running and my new city.  I was working occasional hours as a personal trainer when tax time rolled around.  I called Bob and asked for help with my personal taxes.  He filed them via paper and pencil, long before QuickTax, with me on the other end of a long-distance phone call, answering endless questions, sorting through paperwork, being as thorough as Bob demanded.  I got the taxes done, I said thank you, Bob said “anytime.”

I was a newlywed in 2006, back in Calgary with my husband for a Summertime visit, and needed a place to spend a night in between dinner parties and brunch plans.  He toured us around his neighbourhood, took us for a walk, made us feel welcome.  We had great conversation, marvelled at his tidiness, commented on his home’s precision.  He gave us a place to stay, I said thank you, Bob said “anytime.”

My family went to visit him last Sunday.  We told the kids that his brain was sick.  That he’s a smart man with a big heart and a big, awful disease.  He was having a good day and he was the Bob I remembered in many respects; the Bob who likes to talk, except this Bob had trouble finding words.  The Bob who loves children, except this Bob couldn’t interact with them the way he used to.  The Bob who loves showing people around, except this Bob got disoriented in the middle of his tour.

But this Bob still remembered me.  This Bob was still happy to see me, my husband, my kids.  This Bob still smiled, still laughed, still has a positive outlook, a generous spirit, a fierce loyalty, a kind soul.

I gave him a long hug, he said thank you, I said “anytime.”

 

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Concussion in Sport

I recently attended a conference on concussion management and I learned a lot.  No, make that a LOT lot.  Concussion research has progressed dramatically since I graduated eight years ago, and there’s a void in proper concussion management amongst the sports medicine community.  The conference I attended is hoping to change that.

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Let me change your thinking for a minute.  You’ve likely been told that a concussion is a coup/contracoup injury, meaning the brain bounces against the front of the skull, then the back of the skull, creating an injury.  Research shows that is not the case.  In fact, a concussion is actually a stretch/sheer injury of the brain’s white matter (the neuron’s axons), causing biochemical changes within the brain cell.  That’s why most concussions show no brain damage on CT or MRI.  Concussions are a temporary, recoverable injury.  Hmmmm…..

Here’s the thing with concussions.  They’re under-reported because players do not want to be taken out of the game.

Here’s the other thing:  the brain’s most vulnerable period is in the time period immediately following a concussion, so not pulling a player from the game and subsequently providing a thorough return-to-play protocol is dangerous.   In fact, the research suggests that there is no cumulative effect of concussions, so long as the player has completely recovered from the initial concussion (Eckner et al., 2011).

So how do we safely manage concussion in sport?  

Well, pre-injury baseline testing can certainly help.  Since symptoms alone are a poor indicator of an athlete’s concussion healing, baseline testing allows us to measure many things (balance, reaction time, cognitive ability, memory, visual processing, capacity, etc) and compare the results post-concussion to a pre-injury ‘normal’ state.

Imagine this common scenario:  a 13-year old gets concussed in a hockey game.  Seven days later, they are feeling good and feel ready to return to the ice.  The child is adamant- no headaches, no dizziness, no concentration problems.  So how do we know they’re safe to return?  Well, let’s see how their balance compares to their ‘normal’…. their reaction time…. their memory.  Let’s make sure that we test several areas of brain function to be sure we’ve passed that dangerous vulnerable period (Lazzarino et al., 2012).  Let’s be as sure as the latest research allows us to be.

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In fact, it’s my hope that standardized baseline testing becomes mandatory for all children in all sport.  It’s time.

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Burlington Sports & Spine Clinic is a part of the Complete Concussion Management network of clinics across Canada.
Give us a call to schedule your organization for baseline testing.