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Allowing Tony Martin to race
Last Post 07/12/2013 11:12 AM by Justin jmdirt. 25 Replies.
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jmdirt

Posts:708

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06/30/2013 09:40 PM
Oldfart, that's really all I was trying to say before I got all wound up: does he even have a concussion?
Cosmic Kid

Posts:1137

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06/30/2013 10:14 PM
All anyone knows was that he lost consciousness, was taken to the hospital (out cold) on a stretcher and was reportedly diagnosed with a concussion.

Based on the available knowledge, and taking it at face value, why would anyone let him race today? Horrific decision by the team management, doctors and even race officials.
Just say "NO!" to WCP!!!!
madvax

Posts:50

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06/30/2013 11:07 PM
According to the Omega Pharma - Quick-Step website, A CT scan was done. Here is the quote from the website:
Omega Pharma - Quick-Step Cycling Team rider Tony Martin crashed during the final kilometers of Tour de France Stage 1 on Saturday. He finished the race, but after the finish he was transported to the General Hospital of Bastia, where he passed a few examinations. The CT scan excluded fractures.
Yo Mike

Posts:269

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07/01/2013 09:39 AM
Hopefully T Martin is and will be OK. Treatment immediately post-concussion is apparently VERY important.

/The CT scan excluded fractures/

Great, but a concussion is a soft-tissue injury.

Tony Martin is no Chris Horner.
Dale

Posts:495

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07/01/2013 09:52 AM
"Tony Martin is no Chris Horner" bwahahaha.... paging the ghost of Lloyd Bentsen


"Treatment immediately post-concussion is apparently VERY important." What is the post-concussion treatment? I thought it was rest and don't go to sleep for the first 12 hours.
longslowdistance

Posts:696

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07/01/2013 06:39 PM
To clarify for those who might be interested, a head CT is obtained after head trauma NOT to make or exclude the dx of concussion. It is to search for and hopefully rule out blood in the head, which is a whole different kettle of fish and, potentially, much, much more serious. (Sometimes a lumbar puncture may be done too, it can be more sensitive for blood, but usually not done in trauma evaluation.) Presence or absence of skull fracture is important to know - certainly would prevent a rider from continuing in the Tour, but it's first and foremost about looking for intracranial hemorrhage.
jmdirt

Posts:708

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07/02/2013 04:02 PM
I saw an old friend on the trail today who now works in the outpatient brain injury program at the (EDIT OUT NAME). She is a PT/OT not a nero doc. I told her about this discussion and she said that with the exception of a few neuro specialist (Cleveland/Mayo clinic and university research hospital) no one is looking at the brain to determine/assess concussions. She said the standard initial exam is questionable because of most of the things we discussed here (shock, stress, fear, exhaustion, dehydration, pain...) but also because some people will have no problem with the exam and end up with issues/symptoms for months. However, it IS the standard (just like anything else some docs are better at it than others). She said that they look at symptoms two to four weeks out to make dx.

She agreed with those who said that TM should not have continued. She feels that even if he doesn't have a concussion, if you lose consciousness, for whatever reason, you should rest not race.

I'm still waiting to hear back from the neuro doc who spoke at the clinic I attended.
longslowdistance

Posts:696

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07/03/2013 12:25 AM
I wasn't aware that he lost consciousness. That is a big red flag.
jmdirt

Posts:708

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07/03/2013 12:31 AM
He could have passed out from the pain of his hip and lung though.
jmdirt

Posts:708

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07/06/2013 04:50 PM
So the guy from the conference is in a stage of peer review and hopes to publish in January. He wants me to wait until then. I'm thinking the same thing you are, why did he say so much at the conference. He said that he wold put me on his mailing list for updates so we'll see what happens. I'll share here as I get it. Anyway, he did say: "Not apples would you diagnose frac (sic) pelvis by asking questions? Your buddy could have uc (sic) from his lung and dehydration." As you can see above I already posed that idea. Me and my buddy Tony Martin! ;}
jmdirt

Posts:708

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07/12/2013 11:12 AM
From the Cleveland Clinic: "Determination of traumatic brain injury relies on clinical history, the constellation of symptoms, physical examination, and appropriate diagnostic testing. The diagnosis of traumatic brain injury should not be based upon a single emergency room test or imaging study alone, but rather combining all available clinical information to assist with diagnosis and management. " That's a pretty general answer but TM obviously didn't receive this type of dx.
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