There's a lot of debate in the medical community about cardiac testing prior to high school sports. No countries that I know of do exercise ECG - it may help identify a few exercise induced arrhythmias but otherwise probably isn't practical and might miss a lot of other things. Italy has for years been doing standard resting ECG's. It's pretty good at identifying hypertrophic cardiomyopathy (probably the number one reason athletes die during competition) and can identify prolonged QT. Downside on ECG screening is false positives requiring additional potentially unnecessary testing. A couple years go a large hospital in the detroit area (not UM) offered free 5 minute echo screening to look for hypertrophic cardiomyopathy - our feeling was that this could provide a false sense of security because it could miss other potential causes. I do that we should be doing better at identifying at risk athletes before these tragic events occur.
There must not be any mgopediatricians out there to call you out on this.
Pediatric sub specialists at Mott are as we speak taking care of some of the sickest patients in the state.
Yes - general pediatricians see a lot of healthy patients but correctly diagnosing the rare pt who has something bad presenting like a common problem is very difficult (and I'm glad I don't have to do it).
This event was very popular with mutiple parts of the University (ie hospital/medical school). I could see this some how resurrected in a somewhat different form independent of CHD.
One of the primary attractions of this race is to finish in the big house that it just wouldn't be the same if it finished on the streets of town or on campus. It would take a big hit in numbers if it didn't finish there.
Many different charities used this as a fund raising vehicle, although the actual proceeds from entry fees when to I think 3 different major charities (Mott Hospital, Cardiovascular Center etc) so I think it's tough to say that it was one or two bad players from a charity standpoint.
Sounds like it was a financial/logistical issue with use of the stadium.
This is unfortunate - it was a great community builder. I was in charge of the pediatrics team for a couple years and got over 200 participants. Would love to know the full story of this.
I sat next to Chris at a fundraiser a couple months ago and he discussed the job op.
I asked him how firm the agreement was, and he said something to the effect of "we've done everything but sign the contract" (put it in quotes but that's a paraphrise.
I was in Hoke's office a couple weeks ago on a tour of the facilities (long story but trust me on this one) and Hoke has a roll-around poster board that has photos of 5 very large guys wearing red shirts - the Alabama O-line. - so you can see what the focus will be..
don't think I revealed any important secrets there. Trying to win on the line is a strategy which has occasionally been attempted.
His stock really rose after the UnderArmour week game. Before that I think a lot of readers here seemed a little skeptical. Hopefully he'll become a signature Big Ten linebacker - that chip on his shoulder towards ND and Ohio for ne early love may come back to haunt them.
I was at this event and this was a really nice moment when he did this. Historically this has mostly involved athletes with a direct U of M connection so that it was great both that he was there and that he did this for this family.
Coach Hoke was present and actually returned for this event even when he was coach at San Diego State.
Gorgeous Al was there but I did not get a chance to ask him about the bubble screen.
2) Hoke's response. He is really all business and rarely shows emotion (including UTL), but you coulld tell he was so damn happy to win that game. The celebration between Fred Jackson and Hoke is priceless.
Rabbit 21 - I have heard that at the other academies, the players have to drop their weight to "make weight" for military standards, and then put it back on right before the season. Found that difficult to believe. Is it true? thanks
I guess the other possibilities woud be non-severe valve abnormalities - pulmonary stenosis or aortic stenosis. Those would both in the amorphous category where physicians may vary in their recommendations. The other possiblities would be really rare things - Ebstein anomaly of the tricuspid valve, congenitally corrected transpostion (although I would be suprpised if somebody could be an elite athlete with a systemic right ventricle). I suppose he could have a congenital coronary anomaly, although that isn't consistent with the story that he knew about it a while ago.
From a teach the medical student standpoint, the most common congenital heart disease which present in adulthood are atrial septal defect and congenitally corrected transposition. VSD's usually present younger because they have a promiment murmur.
Hard to tell from the story. One could speculate that he was told he had a heart murmur but that it was innocent and didn't need anything else done. If he had structural heart disease, would consider atrial septal defect or ventricular septal defect. ASD probably a little more likely as the murmur would be less specific and more likely sound like an innocent murmur. A small VSD would not require any further evaluation or treatment (but would cause a prominent murmur that any rheumatologist could hear). An ASD could get closed (likely in the cath lab) and then likely return without restriction. Because they're keeping this kind of quiet, that makes me wonder if they're worried he has hypertrophic cardiomyopathy. All baseless speculation on my part.
U of M med peds residency 1998-2002, peds card 2003-2006.
As a congenital cardiologist, I'm kind of curious as to what he has... I agree with RakeFight above. Playing the odds it's probably hypertrophic cardiomyopathy, in which case no one will every sign off on him playing football. One of the other sites suggested that the family felt he might be cleared again over the summer to play again, I can't get through the paywall, but it doesn't sounds like the actual diagnosis has been made public. Hope it's not something bad and that he gets good advice.
Hagerup's botched snap is a reminder for the potential for disaster with punts, and makes me appreciate that Wile, as a true Freshman made it through his time during Hagerup's suspension without any major fiascos. This included some high pressure punts in enemy territory during UTL.
not advocating a punter war, just giving complements to Wile...
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There's a lot of debate in the medical community about cardiac testing prior to high school sports. No countries that I know of do exercise ECG - it may help identify a few exercise induced arrhythmias but otherwise probably isn't practical and might miss a lot of other things. Italy has for years been doing standard resting ECG's. It's pretty good at identifying hypertrophic cardiomyopathy (probably the number one reason athletes die during competition) and can identify prolonged QT. Downside on ECG screening is false positives requiring additional potentially unnecessary testing. A couple years go a large hospital in the detroit area (not UM) offered free 5 minute echo screening to look for hypertrophic cardiomyopathy - our feeling was that this could provide a false sense of security because it could miss other potential causes. I do that we should be doing better at identifying at risk athletes before these tragic events occur.
As a pediatric subspecialist I would add the following:
I agree with the above - a prenatal interview is the most important.
You should also be comfortable with the whole practice, as if your kid gets sick, they' may not see their regular doctor as an add-on
I would not use internet reviews - those things could be done by anybody, the doctor themselves, their mother, or roll damn tide
CHC is kind of a funny operation.
This event was very popular with mutiple parts of the University (ie hospital/medical school). I could see this some how resurrected in a somewhat different form independent of CHD.
One of the primary attractions of this race is to finish in the big house that it just wouldn't be the same if it finished on the streets of town or on campus. It would take a big hit in numbers if it didn't finish there.
Many different charities used this as a fund raising vehicle, although the actual proceeds from entry fees when to I think 3 different major charities (Mott Hospital, Cardiovascular Center etc) so I think it's tough to say that it was one or two bad players from a charity standpoint.
Sounds like it was a financial/logistical issue with use of the stadium.
This is unfortunate - it was a great community builder. I was in charge of the pediatrics team for a couple years and got over 200 participants. Would love to know the full story of this.
I sat next to Chris at a fundraiser a couple months ago and he discussed the job op.
I asked him how firm the agreement was, and he said something to the effect of "we've done everything but sign the contract" (put it in quotes but that's a paraphrise.
Obviously...the contract's the key...
I was in Hoke's office a couple weeks ago on a tour of the facilities (long story but trust me on this one) and Hoke has a roll-around poster board that has photos of 5 very large guys wearing red shirts - the Alabama O-line. - so you can see what the focus will be..
don't think I revealed any important secrets there. Trying to win on the line is a strategy which has occasionally been attempted.
His stock really rose after the UnderArmour week game. Before that I think a lot of readers here seemed a little skeptical. Hopefully he'll become a signature Big Ten linebacker - that chip on his shoulder towards ND and Ohio for ne early love may come back to haunt them.
Great analysis, but I thought the recycling bin was going to redshirt this year.
I was at this event and this was a really nice moment when he did this. Historically this has mostly involved athletes with a direct U of M connection so that it was great both that he was there and that he did this for this family.
Coach Hoke was present and actually returned for this event even when he was coach at San Diego State.
Gorgeous Al was there but I did not get a chance to ask him about the bubble screen.
My favorite parts of the 2011 game:
1) Crowd response with Avery's pick
2) Hoke's response. He is really all business and rarely shows emotion (including UTL), but you coulld tell he was so damn happy to win that game. The celebration between Fred Jackson and Hoke is priceless.
A "Hello Stephon Diggs" post might have been a good one...
Rabbit 21 - I have heard that at the other academies, the players have to drop their weight to "make weight" for military standards, and then put it back on right before the season. Found that difficult to believe. Is it true? thanks
I guess the other possibilities woud be non-severe valve abnormalities - pulmonary stenosis or aortic stenosis. Those would both in the amorphous category where physicians may vary in their recommendations. The other possiblities would be really rare things - Ebstein anomaly of the tricuspid valve, congenitally corrected transpostion (although I would be suprpised if somebody could be an elite athlete with a systemic right ventricle). I suppose he could have a congenital coronary anomaly, although that isn't consistent with the story that he knew about it a while ago.
From a teach the medical student standpoint, the most common congenital heart disease which present in adulthood are atrial septal defect and congenitally corrected transposition. VSD's usually present younger because they have a promiment murmur.
Hard to tell from the story. One could speculate that he was told he had a heart murmur but that it was innocent and didn't need anything else done. If he had structural heart disease, would consider atrial septal defect or ventricular septal defect. ASD probably a little more likely as the murmur would be less specific and more likely sound like an innocent murmur. A small VSD would not require any further evaluation or treatment (but would cause a prominent murmur that any rheumatologist could hear). An ASD could get closed (likely in the cath lab) and then likely return without restriction. Because they're keeping this kind of quiet, that makes me wonder if they're worried he has hypertrophic cardiomyopathy. All baseless speculation on my part.
U of M med peds residency 1998-2002, peds card 2003-2006.
As a congenital cardiologist, I'm kind of curious as to what he has... I agree with RakeFight above. Playing the odds it's probably hypertrophic cardiomyopathy, in which case no one will every sign off on him playing football. One of the other sites suggested that the family felt he might be cleared again over the summer to play again, I can't get through the paywall, but it doesn't sounds like the actual diagnosis has been made public. Hope it's not something bad and that he gets good advice.
For Blueinsouthbend...Maybe we should have Magnus review the medical school/residency applicants and give us some TTB rankings....
As a member of the med school faculty, I wish you guys luck. If you had 20,000mgopoints, I might worry that you had not been studious enough....
I still must watch this every time it's on...
Hagerup's botched snap is a reminder for the potential for disaster with punts, and makes me appreciate that Wile, as a true Freshman made it through his time during Hagerup's suspension without any major fiascos. This included some high pressure punts in enemy territory during UTL.
not advocating a punter war, just giving complements to Wile...