Shane Bannon: My Concussion Tribute™

Why am I making Concussion TributeTM donations?

I struggle when it comes to my relationship with football. I love it so much because of what it instills, and what it gave me – it provided me the pathway to meet my wife and provided professional opportunities I wouldn’t have had otherwise. At the same time, there are systemic problems around the sport in terms of head injuries and long-term impact to players’ brains.

That’s not to say I want football to disappear. The game is ingrained into American culture. I want to love the sport – I love the violence. I was the violence. I learned to stick my head down and not use my hands. I had to switch helmets out halfway into a season because the paint was peeling off. One training camp I had to replace my face mask several times.

But I want a way to make the sport safer, to spread awareness and education, and to find treatments for those struggling with injuries and their effects. I want young athletes to know what they are getting into. I certainly didn’t at the high school or even college level. I didn’t pay attention to head trauma until I was done playing and looking back on it, I definitely had teammates who had issues.

By taking part in Concussion Tribute™ donations, I want to offset some of the burden of guilt and enjoy football in a way that ensures I’m doing good for it in the long run. Ultimately, I hope scientific research helps advance football and I can still see a safe, responsible version of the sport I love 50 years from now.

Amount: $250

Frequency: Weekly

Duration: Through the Super Bowl


What are Concussion TributeTM donations?

Concussion Tribute™ donations are made to the Concussion Legacy Foundation to support the welfare of football players. Concussion Tribute™ donations are intended to show gratitude, respect, or admiration for the players who risk their brain health every game for our entertainment. Many donors are serious football fans who take immense pride in giving weekly or monthly Concussion Tribute™ donations during the football season. The funds raised from Concussion Tribute™ donations will go to research and programs designed to prevent and treat concussions and CTE.

Throughout the football season, CLF donors will be sharing why they have signed up for a Concussion Tribute™ donations. Learn more and make your Concussion Tribute™ donation this season at ConcussionTributedonations.com.

Tom Gardner: My Concussion Tribute™

Why am I making Concussion TributeTM donations?

I am making Concussion Tribute™ donations to ensure we continue the race to understand the risks of, and cure, CTE.

I grew up playing and loving the sports that we now know create a prevailing risk of permanent, progressive brain damage. This includes contact sports like football, hockey, and rugby. It extends to sports like soccer and baseball with headers, collisions and foul balls.

Because of how these sports were designed, subconcussive and concussive hits to the brain are unavoidable. My Concussion Tribute™ donations are to speed the research, protect our athletes, and help families be fully informed about the risks to their child athletes.

Amount: $1,000

Frequency: Weekly

Duration: Through the Super Bowl


What are Concussion TributeTM donations?

Concussion Tribute™ donations are made to the Concussion Legacy Foundation to support the welfare of football players. Concussion Tribute™ donations are intended to show gratitude, respect, or admiration for the players who risk their brain health every game for our entertainment. Many donors are serious football fans who take immense pride in giving weekly or monthly Concussion Tribute™ donations during the football season. The funds raised from Concussion Tribute™ donations will go to research and programs designed to prevent and treat concussions and CTE.

Throughout the football season, CLF donors will be sharing why they have signed up for Concussion Tribute™ donations. Learn more and make your  Concussion Tribute™ donations this season at ConcussionTributedonations.com.

Army Captain Pledges Brain to CTE Research

Posted: August 30, 2021

Retired U.S. Army Captain William Reynolds III has many titles: veteran, 2016 Invictus Games Captain, father and husband. He’s a survivor, who was gravely injured by a detonation device while in the line of duty. He’s also a Project Enlist brain pledge devoted to improving outcomes for his fellow veterans.

Reynolds’ military career began when he was a young cadet at the U.S. Military Academy in West Point. He was a Division I gymnast for four years before being commissioned in 2002 into the U.S. Army infantry. Eventually, he was deployed overseas and commanded small platoon units in Iraq and Korea.

His passion for service started when he was a young child.

“As a first-generation American, I was quick to recognize the opportunities I was afforded in this country,” said Reynolds. “I had so much gratitude and wanted to find a way to give back, so I became involved in a lot of civic and community engagements, either through scouting or church involvement. And that fueled the desire to go into service.”

Reynolds served in the U.S. Army for seven years. He can’t recall exactly how many blast explosions he’s been exposed to but estimates the number to be around two dozen. The most significant one occurred when his troop was ambushed in Baghdad and he stepped on a remote detonated IED. One of his legs was nearly blown off as he fought not to lose consciousness.

As it happened, Reynolds says he didn’t have time to consider the physical nature of his injuries or the possibility of brain trauma.

“The sensation from a blast is much different in a combat scenario, because your first feeling is the rush of adrenaline,” he said. “Making sure you’re all together, checking on your unit, doing the initial battle damage assessment. There’s really no time to think about, are my ears ringing? How does my head feel?”

Through the flurry of activity, the first two thoughts running through Reynolds’ mind were: I’ve failed my unit, and I don’t think I’m going to survive.

A team of combat medics who were tending to other casualties nearby happened on Reynolds and were able to give him proper care before medically evacuating him to a nearby treatment facility. There, he required intensive surgery and blood transfusions due to multiple severed arteries and musculoskeletal injuries. But that was only the beginning – over the next six months, Reynolds would go under the knife 12 additional times as doctors tried to salvage his limbs and get his leg back to a functioning state. In the end, they decided to amputate it to give him the best quality of life going forward. Altogether, his full course of treatment required an astounding 26 surgeries.

Although Reynolds was eager to get back to his responsibilities and his platoon, he quickly realized the physical and mental recovery would take much longer than he may have hoped.

“At first, I had lofty goals of returning to duty, but reality set in and I knew that would not be happening any time soon, and definitely not in the same capacity,” said Reynolds. “So I really set my sights at what was possible, such as being able to take more steps daily and seeing if I could stand for the whole day. Then it became trying to walk around the mall or not having to use a cane or assisted device – basically inching forward little by little.”

In the military, a convalescent leave is a free period of time after a major trauma an active member of duty can use to focus solely on treatment. For Reynolds, this was a godsend and something he is grateful for. He used the time to work with a physical therapist on basic movement and stay in touch with his troop.

From there, Reynolds continued his rehab through recreation, even picking up skiing. The liberation of picking up new, fun activities was thrilling – he started in a seated ski before eventually skiing upright with one leg and then finally with the use of a prosthetic. He credits his athletic background from college as key, as it instilled in him a training mindset and the desire to keep getting better.

While the visible injuries were healing, Reynolds also had to deal with the invisible ones – the persistent brain injury symptoms he noticed with activity. Reynolds has found any rapid or strenuous movements immediately lead to headaches. He realized how easy it can be to hide brain injury symptoms and suffer in silence.

“With any brain injuries, if you’re talking well and answering questions adequately, and it doesn’t seem like there’s any mental deficit – you pass the ‘screening test’, if you will,” he said. “People won’t necessarily know an event can cause headaches or there are scenarios where you can lose your balance at any time.”

Also essential to Reynolds’ recovery was the patience and support of his family. They stayed by his side during his treatments and made important medical decisions on his behalf. When he was out of the hospital, they made sure he had time to take care of himself and gave him the inspiration to realize his full potential both as a person and as a professional. His advice to caregivers? Find a way to give your loved one space and support throughout recovery.

 

“I really appreciated how my wife ensured that I had the right time to take care of myself,” said Reynolds. “Whether it was emotionally, through recreational things that I pursued personally, through athletic endeavors that I did with my friends, making sure I had that time to kind of have the emotional wellbeing side of the house. Then also pushing me to do the more mundane kind of treatment medical checkups that you need to do that we all tend to put by the wayside.”

Reynolds continues to embody the value emblematic of all Veterans: to serve others. One of the commitments he made is pledging to donate his brain to the Concussion Legacy Foundation and joining the organization’s Veteran Advisory Board as a way of giving back and ensuring future generations have research to help them. Reynolds became the first military veteran to pledge his brain to CLF 12 years ago, and he was honored at CLF’s annual gala in 2009. He says he’s impressed with the research progress made since his groundbreaking pledge.

Reynolds sees his involvement in Project Enlist as another level of service in retirement. He calls it a simple yet meaningful way to support research and improve care for those who need it most. He encourages fellow veterans to get involved.

“I would absolutely encourage all veterans to pledge their brain to Project Enlist,” said Reynolds. “This is just another way to honor that longitudinal research that can be done on any effects that we’ve suffered throughout our service so that we can not only improve VA care, but improve all care, for any veteran.”

 

Reynolds knows there are still many service members and veterans who are unaware of the research being done in this area. Some have experienced countless blast injuries and don’t realize the far reaching and lasting effects that can appear later in life. He sees the effects of PTSD and TBI in fellow veterans. But he is hopeful we are moving in the right direction to provide better diagnoses and care.

And to those veterans suffering from continued effects of a brain injury, Reynolds emphasizes the importance of hope.

“The body is great at adapting,” said Reynolds. “And at some point you’ll learn how to cope with those effects and overcome them.”


Servicemembers and veterans interested in pledging to donate their brain to Project Enlist can click here to get started.

If a veteran you know has passed way and the family is interested in brain donation, please instruct them to call the 24-hour UNITE Brain Bank emergency brain donation pager at 617.992.0165.

With Brain Pledge, Navy Veteran Rewrites Her Story

Posted: June 28, 2021 

Navy veteran Christine Conley has quite a story, but to her, being a part of the Concussion Legacy Foundation’s Project Enlist is the “and’ to it.

For 10 years she had a successful music career in concert and event production as a lighting technician and designer. For a long time, her travels throughout North America satisfied her inquisitive nature and desire to learn more, and she was happy. But then the 9/11 attack on the World Trade Center and the Pentagon happened. It was at that moment she decided she wanted to do something more, to find a way to give back.

So, at age 27, Conley joined the Navy and was assigned to be part of the military’s law enforcement arm. She spent most of her military career as a criminal investigator and as an instructor in weapons, security, and anti-terrorism.

While deployed to Iraq and Afghanistan she experienced significant injuries, including two events that were later identified as causes of major brain trauma. In one instance, she was inside a building that was hit by explosives and large pieces of rubble hit her on the back of her neck. Another time she was too close to an RPG blast and was thrown up against a door jamb, causing her head to snap back and hit hard. Both times, she did not give the collisions much thought and continued in the action.

Conley was involved in other firefights, too, and her injuries required numerous surgeries.

“I was a hot mess,” she said.

Conley was put on limited duty several times. After those assignments, she was told, “You’re not getting any younger,” and she decided to take a medical retirement; serving 12 years had taken enough of a toll on her body and brain.

It was while she was having some imaging done on her spine in preparation for her retirement that a physician asked if she had had experienced any traumatic brain injuries (TBIs). It was the first time she had ever considered that her earlier head injuries might be the cause of the cognitive and emotional difficulties she was experiencing. And she discovered she was not alone; the Defense and Veterans Brain Injury Center reports more than 410,000 service members have been diagnosed with TBI since 2000.

For a long time, Conley had been finding it was especially hard finishing sentences and coming up with the right words.

“It was like my brain was on pause. It was a great day if I could make it through getting the words out of my head to my mouth,” said Conley.

She was challenged in completing tasks and started feeling totally undone by bright lights and loud noises. Conley remembers a time when she was grocery shopping and she suddenly felt so completely overwhelmed by the people, the sounds, and the glare of the neon lights that she had to escape the store.

“I didn’t understand what was going on with me, so I had a tendency to push people away or hold them at arm’s length,” said Conley. “I wasn’t getting much sleep and was constantly on edge.  My hypervigilance and anxiety were exhausting. I was also grappling with some survivor’s guilt, which- coupled with the guilt I felt seeing my daughter struggle with the impacts of being shuffled around to different friends and family members during my deployments, led to deep depression.”

What Conley was coming up against was what some have called a “perfect storm.” She had been diagnosed with post-traumatic stress disorder (PTSD) and her symptoms certainly were indicative of that, but she later found out she was also experiencing similar symptoms from her traumatic brain injuries. While PTSD and TBI are separate conditions, this “perfect storm” of both PTSD and TBI can be overpowering and destructive.

“There’s an incredible overlap in terms of symptoms between TBI and PTSD,” said Dr. Rebecca Van Horn, a psychiatrist and U.S. Army Reservist. “The overlap makes it really challenging to determine whether it’s TBI or PTSD causing a particular symptom or maybe it’s both. An individual not only has developed PTSD which is a reaction that occurs after an individual has experienced a trauma, but they also have a physical injury to their brain that has affected the intrinsic functioning of the brain. You have this sort of layering effect of potential structural abnormality in the brain as a result of the direct trauma and you have a behavioral reaction to that trauma in terms of someone’s emotional state and how they interact and function in the world.”

For Conley, life’s simplest responsibilities were more taxing. Her then 10-year-old daughter, Keegan, had to take on many of the adult chores her mother could no longer handle.  The toll her problems were having on her daughter were enormous. Reflecting back, Conley says, “Keegan told me, ‘My mom didn’t come back’ [from her deployment]. Keegan had to grow up fast, too fast, out of necessity because I depended on her to step in and help.”

According to the National Center for PSTD and the American Psychological Association, both PTSD and TBI can make a person more difficult to live with, and the recovery can be long and hard on a child or partner. Dr. Van Horn advises any veteran who believes they may have a history of brain trauma to seek medical care. The CLF HelpLine is also available to caregivers and patients suffering with brain injury symptoms, offering personalized recommendations for support and care.

“An important place to start would be seeing a doctor, having an evaluation of an individual’s history, doing imaging, doing studies to try to understand the nature of the TBI, and then also seeking care for the PTSD,” said Dr. Van Horn. “Several of the treatments for PTSD are also effective at addressing symptoms of depression and anxiety that may be related to TBI.”

Conley tried to seek help but had a very difficult time for many years because, despite medications and treatments, she was not finding the relief she had hoped for. She found some success with other, complementary medicine treatments and today says she feels better than she has in a long time.

“I’ll never be back to who I was, but I’ve finally been able to learn ways to help compensate for the effects from TBI and new ways to function,” said Conley.

The knowledge she gained about the major trauma to her brain which caused her cognitive and emotional difficulties, and the challenges of her search for help, have led her to work with other veterans. Conley says her path has deepened her passion for helping the military community. The same desire to make a difference that led her to enlist in the Navy is now fueling her work for the Boulder Crest Foundation, an organization working to ensure that combat veterans, first responders, and their families can live great lives in the midst of trauma.

She sees the toll PTSD and TBI take on the lives of active military and veterans through her work, and through her friendships. In 2013 she met Ron Condrey and soon after, his wife, Nicole, and they became fast friends. Like Christine, they were committed to giving back to the military community, though in a different manner; both were master skydivers and volunteered at events all over the country. Ron and Nicole’s story, and later Ron’s death by suicide, had a tremendous impact on Conley.

Ron joined the Navy at 17 and was an EOD (explosive ordinances disposal) Tech, as well as a highly trained paratrooper and well-respected leader. He suffered repeated brain injuries from his time around explosives and in combat.  By 2015 Ron showed numerous symptoms of TBI, though because his condition was not well understood, he was only diagnosed with PTSD. Nicole told The American Legion Magazine Ron’s condition was plummeting.

“It was like a roller coaster,” said Nicole Condrey. “One day he could be really great and the next day in the dumps. One hour doing great, the next hour not.”

At the time, common knowledge about TBI was just growing. Very often treatments such as the ones Ron received were geared to PTSD, not a dual diagnosis of PTSD and TBI. Ron went down numerous avenues, but none were highly effective. Ron’s condition continued to worsen after retirement, leading him to isolate himself, and even stop skydiving which he loved so much. In September 2018, Ron took his own life at the age of 45.

Conley had numerous discussions with Ron and Nicole before Ron’s death about what he was dealing with. Because she was having her own struggles with TBI, she could relate.  Once when she asked him how he was doing, he replied, “I’m not doing good.” His honesty got her attention, and though she knew something was not right, she did not fully realize the depth of his pain.  His death woke her up to how brain trauma was affecting so many of the people she had deployed with, and she became interested in the research being done to help solve the invisible wounds of war.

“Ron’s death hit so close to home,” said Conley. “It was a sobering reminder that it could happen to anyone of us because of our head injuries.”

She was aware of Nicole’s decision to donate Ron’s brain to the VA-BU-CLF Brain Bank, and she began thinking about it for herself. She read up on Project Enlist, CLF’s program which aims to serve as a catalyst for critical research on TBI, CTE, and PTSD in military veterans by encouraging brain donation. She learned that studying donated brains will help researchers better understand how military brain trauma uniquely leads to brain disease and how to diagnose and treat it.

Nearly 8,000 people have pledged to donate their brain to the VA-BU-CLF Brain Bank, including more than 1,600 military servicemembers and veterans. Project Enlist is actively recruiting military veterans who are willing to pledge to donate their brain, whether or not they have a history of brain trauma, to support the ongoing research. By signing up, participants can also learn about clinical studies they may be eligible for during life.

“There is exploration and discovery in neuropathology that is not possible with neuroimaging,” Dr. Ann McKee, Director of the VA-BU-CLF Brain Bank, told The American Legion Magazine. Dr. McKee is also the director of the National PTSD Brain Bank and published the first ever case series on CTE in the military.

Once Conley understood the impact of TBI and CTE on her beloved military community, and how she and other veterans could accelerate research, she stepped up and pledged to donate her brain to Project Enlist.

“If this is the only way to get answers, I’ll do it,” said Conley. “The truth is you can’t take [your brain] with you. I figure no matter what else you’ve done in your life – whatever selfish deed – this is an opportunity to do what’s good at the end.  This is my living legacy because I know it’s going to make a difference and help others as they live.  I have a story as we all do, but this is my AND.  This is what comes after my story and it’s a good and.”


Servicemembers and veterans interested in pledging to donate their brain to Project Enlist can click here to get started.

If a veteran you know has passed way and the family is interested in brain donation, please instruct them to call the 24-hour UNITE Brain Bank emergency brain donation pager at 617.992.0165.

Lost Inside Myself: My Battle with PCS

Warning: This story contains mention of suicide and may be triggering to some readers. 

Posted: May 24, 2021

Lost Inside Myself

My current symptoms are a result of not just one concussion, but a cluster of three head hits sustained over a three-day period. These most recent concussions occurred in early September 2018 – the first when I was hit in the back of my head with a car door. A day later I had gotten water in my eye in the shower and whipped my head back. Then later that night I ran into a metal bedpost in our bedroom. Clearly, I’m a walking disaster so there is no telling which hit specifically caused the concussion(s).

My first diagnosed concussion happened in 2016 after a volleyball accident at work when I was an athletic trainer. After that diagnosis, I slowly returned to normal activities as my symptoms subsided. I attempted to manage this last cluster of concussions the same way. I continued to have vision and noise sensitivity issues but assumed they would improve with time if I was careful. By November 2018, I was still struggling with daily living, so I went to see my primary care physician. She diagnosed me with Post-Concussion Syndrome (PCS) and referred me to their concussion management team. I received therapy for visual processing issues, vertigo, headaches, anxiety, depression, and post-traumatic stress disorder (PTSD).

My vision issues, vertigo, and headaches were incredibly intense and forced me to isolate in our home for multiple months. My husband and I sat in almost complete darkness and silence, with only side lamps for light and speaking in hushed tones. Unable to watch television, I sat alone in the dark for most of this time, only listening to podcasts and reruns of shows I’d seen enough times to replay the images in my head.
I couldn’t tolerate any part of the outside world for a very long time. I went six months without going to the grocery store. When I was forced to go out, I looked like Carmen Sandiego with a wide-brimmed hat, sunglasses, and earplugs or noise-canceling headphones. I looked like I didn’t belong. I felt like I didn’t belong. When I stepped outside of the house, my skin crawled from sensory overload.

I looked like I didn’t belong. I felt like I didn’t belong. When I stepped outside of the house, my skin crawled from sensory overload.

As time dragged on, my physical symptoms slowly improved. I was able to manage my mental health well in the beginning with the help of my neuropsychologist and counselor. I felt like I had a good-sized toolbox of resources to manage my anxiety and depression, which I had experienced and taken medication for when I was a teenager. I soon realized that the changes that were occurring in my brain were unlike anything I had experienced before and they were going to turn my life and sense of self upside down.

To me, it wasn’t a rollercoaster of highs and lows, or two steps forward one step back, until after I hit the one-year mark. Up until that point if I wasn’t battling one symptom, I was battling another, and the causes seemed unpredictable. My vision and headaches finally started to improve around February and March of 2019 after stabilizing on all the medications. As those physical symptoms got better, my mental health took a drastic turn for the worst. The mental health challenges I endured over the next few months were excruciating and the physical symptoms I still paled in comparison to the soul-torturing nightmare that was going on inside of my head.

I felt lost inside myself – like someone I didn’t know was behind the wheel. She was a person who did not feel at home in my life, who did not feel like she connected to and loved the people whom I loved, who was easily triggered, and who felt impulsive and dangerous. It felt as though she was going to hijack my life and burn everything I loved and worked so hard for to the ground. For a few weeks I talked to my therapist and neuropsychologist about whether I could be dealing with something in addition to anxiety, depression, and PTSD. I was concerned I was manic depressive or developing a personality disorder.

After my breakdown in the summer of 2017, nine months after my volleyball concussion, I stopped drinking alcohol and drastically limited my caffeine intake. Had I not quit those things that could eventually develop into an addiction or that I could self-medicate with, I think my story could have ended very differently.

I also struggle with perfectionism, so the confusion around what I was experiencing was especially brutal. I was a people-pleasing perfectionist who tried to always think of others, do nice things, be a good person, and analyze my words and actions for how they might affect others. It ate me alive to feel like I was someone who represents all the worst things I ever feared I could be. My anxiety was in overdrive and my depression about the horrible human being I was becoming was causing me to completely withdraw from every relationship in my life. I was dissociating and self-isolating in order to protect myself and the people that I loved. I believed I had to turn off my heart and my spirit to keep them from infecting this beautiful, tender, vulnerable, precious life of mine.

My anxiety was in overdrive and my depression about the horrible human being I was becoming was causing me to completely withdraw from every relationship in my life.

One day, I hit a breaking point. I had gone to an appointment with my primary care physician and I lied to her about how I was doing mentally. I had suicidal thoughts a few times in the weeks before the appointment and was starting to feel like the people in my life would be better off without me. I shared none of that information with her. I drove to work after my appointment and broke down sobbing in my car in the parking lot. I called my husband and told him I no longer trusted myself to keep myself alive any longer. It was a giant red flag to know I was dangerously close to the point of no return, yet I still felt like withholding information from my physician. I needed a safety net because I wasn’t able to keep myself afloat anymore. Despite wanting to be off medication so my husband and I could start a family, I made the difficult decision to go back on medications. That day in the car, I realized I needed to stay alive before thinking about the future.

I met with my neuropsychologist the next day and she said I had a survivor’s instinct. That was something I didn’t expect – wasn’t I thinking about suicide? She explained how even at what felt like rock bottom, there was a part of me, the fighter in me, that understood how withholding information from a medical professional was deceptive. The fighter in me overrode whatever else I was feeling. We also talked about whether I thought I needed to go inpatient for suicide watch. It was scary to have to self-assess your ability to keep yourself alive. Until now, I don’t think I really appreciated the amount of integrity and grit it takes to evaluate your own mental stability and know you are the only person who knows if you are being truthful. I decided that I did feel “stable,” for lack of a better word, enough to start meds and not go into inpatient care. I bumped up my therapy to twice a week and was barely making it from day to day. I was practicing mindfulness like it was my religion to keep me afloat until the meds kicked in. I was in a kind of vast and unending darkness that I feared would swallow me whole. But I began to see a light in the corner. I had to keep it in my vision for fear that if I blinked it would go out, like a candle in the wind. Each day, the light grew slightly bigger, stronger, and warmer. I was starting to find some space and some room to breathe.

I was in a kind of vast and unending darkness that I feared would swallow me whole. But I began to see a light in the corner.

As the meds kicked in and the depression slowly started to lift, I was now regularly filled with grief. I cried. A lot. I was so overcome with grief for the life and future I felt like I had lost. My heart was filled with such brokenness, this is not how it was meant to be. I slowly realized that this grief was my heart unfreezing and although I was still very disconnected from the people and the things in my life that I loved, my heart missed them. That was important. That was a cause for hope.

 

Finding My Way Home

By the end of April 2019 and after two months of medication, I decided to transition back to work full-time as a P.E. and Health teacher. I was constantly exhausted, falling asleep by 6:30 p.m. and sleeping 11-12 hours on workdays. At this time I had also finally conquered the feat of everyday necessities like going to the grocery store. I could slowly start to do small things to lift my spirits like going for a walk or seeing family, but I could only do it on days I didn’t work.  I felt like I was running my life on a cost-benefit Excel sheet. Before doing any activity or leaving the house, I’d have to ask myself “what is this going to cost me?” and “what am I going to gain?” Life was not enjoyable, but I wasn’t constantly suffering anymore.

During the summer I got to really work on self-care. I walked on the greenbelt, swam in the pool 4-5 days a week, and spent time journaling. I was also able to focus on my relationships by taking love from just a feeling and making it into an action. I had come to realize I wasn’t feeling the same emotions I used to feel when I thought of someone or was with someone I cared about. I needed to work on flexing my love muscle and I diligently tried to cultivate this feeling in myself for the people in my life. This helped for a while but slowly morphed into me analyzing encounters I was having with those close to me. I started to question my decisions and picked apart my interactions with others. My dissociation only compounded as I continued to assess the damage PCS took on my life. Getting out of my head was so important and through mindfulness, I slowly got there. It took a ton of work. It still takes a ton of work. But each day, week, and month, the work slowly gets easier.

My PCS eventually crossed from the months and into the years category. The idea of having PCS for years seemed unbearable and I really started to wrestle with how long I thought I could go through life like this. Could I care for others or children? Did I think I could be a worthy wife for my partner? Was it fair to my husband to ask him to stay married to me if I am like this forever? I tried to spend some time, but not too much time, mulling over these questions and their possible answers. A wise friend of mine named Ellen, who also had PCS (if you don’t already have a friend who has it, go find one) once said, “Sometimes it’s hard to know if there is an answer. You can drive yourself crazy looking for answers. Eventually, you just have to be OK with not having answers to some of your questions.” She could not have been more right. The conversations I had with her and another friend, Tessie, who serendipitously also had PCS at the same time as me, changed my perspective and my life. I don’t think I would be here today if it wasn’t for them. Find a PCS partner in crime, it will be one of the most important things you do on your journey.

Find a PCS partner in crime, it will be one of the most important things you do on your journey.

I had to come to terms with some hard truths and the quicker I did that, the quicker my heart softened, and I started to see a road home – a road back to myself. Unfortunately, or fortunately, depending on how you look at it, that road started with trust. Trust is about the hardest thing to lean into when you have PCS. For me, I didn’t feel I could trust anyone, and I didn’t feel like I or anyone could trust my brain. After suffering from PCS for so long, I felt my brain and body were always in danger. But I had to learn to trust. I had to trust that it would be OK. I had to trust this was happening for a reason. I slowly realized that home isn’t a place you find – it is a place you make. By making a home within myself, I created a place I’d always feel safe. I transitioned from feeling like a broken monster who could never belong anywhere to a healing person.

 

I have done immense amounts of work to help destigmatize mental health challenges at my job and in my community because I never want anyone else to feel as alienated as I did. I remember in the darkest hours of the darkest days believing there isn’t a place for people like me in this world. I thought I’d never again fit in and never again be made whole. Every time I write or read these two sentences, a weight fills my heart and tears fill my eyes. I feel those words perfectly encapsulate my PCS experience. It makes me so grateful I made it out alive and it fills me with so much empathy for those that did not.

I work very hard to focus on being present and what is in front of me instead of what happened or what the future will look like. It took a lot of deconditioning and reconditioning for me to learn that self-care isn’t selfish – it’s self-preserving and self-sustaining. I need self-care to function to the best of my abilities with these new parameters in this time that I prefer to see as “the weirds” instead of my “new normal.” “The weirds” is a phrase I’ve adopted from my favorite podcast, Staying In with Emily & Kumail. They use it to describe the time of COVID, but I think it also eloquently describes PCS recovery. “The weirds” seemed more palatable than a “new normal” and a much better description as this experience is weird and nothing about it is normal!

In November 2019, at the end of a long break from work and a year after being diagnosed with PCS, I had two days where I was symptom-free enough to forget I had PCS. Feeling that well for just two days changed everything. It gave me hope and changed what I believed was possible for me. Then I returned to work and all my symptoms came back. It was the same routine and my mind and body just felt like they had had enough. My symptoms continued to increase over the winter. Having the stark contrast of feeling healed against a flood of symptoms upon returning to work really proved how significantly and negatively my job was impacting my recovery. If being symptom-free was possible even for moments in time, that needed to be the goal. I wanted quality of life. I was sick of surviving. I had been surviving for too long. I decided to leave my job.

 

A Place to Belong

In the most unfortunate of circumstances, God and Mother Earth brought the world to meet me where I was at. The cost the coronavirus took and continues to take on the world is astronomical. I see the hardship, sacrifice, anxiety, and turmoil not only on the news but in my own home. It feels unfair and selfish to revel in the peace I have found during this time. The world has come to a grinding halt. It is slower, quieter, and everything my brain yearns for my environment to be. I am outside for hours most days gardening, hiking, walking, or riding my bike around the neighborhood. I can do activities all day long with a small break or two, instead of only tolerating a few hours of activity. It is amazing what my brain could do when I am not with middle school students for 40 hours a week. My headaches are almost gone and I am completely off of my nausea meds. Most importantly, I feel more and more like myself. My sense of humor and wit, my kindness in acts and words, my thoughtfulness in the way I deeply think about others and their situations, my compassion and empathy for people, and my personality are returning. I can look around and feel like this is my life, these are my people, I belong here.

 

It has been over five years since my very first diagnosed concussion and I have been experiencing symptoms off and on from multiple concussions ever since. I deserve better and so do the people I care about. Things are definitely improving, but there are still hard moments. I have started to taper off my antidepressants and that feels scary. I think I am ready but the little doubters in my head make me question if I can do it or if I’ll fall apart. But I’ve found things that help me focus on the positives and I am sticking to them. I am doing my best to give myself the grace I deserve and proud of what I survived. I am proud to have survived. I am so grateful for the people who kept showing up for me every day even when I couldn’t show up for them or myself. I say to myself, “How lucky am I that I get to fall in love with my life all over again?” I feel even luckier that through this journey I’ve also fallen even more in love with my husband. I feel so blessed for my life and the growth I’ve had- the closure and resolution I’ve found where there was brokenness, the relationships that grew boundaries and connections in ways I never thought possible, and the light that found its way to me through what felt like impenetrable darkness. For all PCS took away from me, I have gained so much through it all.

For all PCS took away from me, I have gained so much through it all.

I hope part of my reason for having PCS is helping you. You are not alone. You will make it out the other side. As much as I disdain the term, you will find your “new normal.” You will create a worthwhile place where you can feel at home in “the weirds,” in your “weirds.” It may take endless therapy sessions talking about how afraid you are that things won’t feel or be the same but you will slowly start to evolve. You will see a shift towards a wholehearted you. Self-compassion, boundaries, strength, intuition, giving grace and leaning into the unknown will slowly and surely start to come easier. And it’s in part because over time, you changed your mindset. You have to believe you can rediscover the good in you.

I’ll leave you with one last story, a Cherokee parable titled “A Tale of Two Wolves”:

An old Cherokee told his grandson,
“My son, there is a battle between two wolves inside us all.
One is Evil. It is anger, jealousy, greed, resentment, inferiority, lies and ego.
The other is Good. It is joy, peace, love, hope, humility, kindness, empathy and truth.”
The boy thought about it, and asked, “Grandfather, which wolf wins?”
The old man quietly replied,
“The one you feed.”

May feeding your “Good Wolf” get easier. May you find the presence necessary to experience the beauty that is around you. May your head be full of peace and your soul be full of hope. May you find companionship in your journey and grace in your heart. May you practice self-compassion and learn to love the parts you once believed to be unlovable. May you never ever feel alone.


If you or someone you know is struggling with concussion or suspected CTE symptoms, reach out to us through the CLF HelpLine. We support patients and families by providing personalized help to those struggling with the outcomes of brain injury. Submit your request today and a dedicated member of the Concussion Legacy Foundation team will be happy to assist you.

Suicide is preventable and help is available. If you are concerned that someone in your life may be suicidal, the five #BeThe1To steps are simple actions anyone can take to help someone in crisis. If you are struggling to cope and would like emotional support, call the 988 Lifeline at 988 to connect with a trained counselor. It’s free, confidential, and available to everyone in the United States. You do not have to be suicidal to call.

How I Got Support for Possible CTE

Warning: this story contains mentions of suicide and may be triggering to some readers. 

Posted: May 10, 2021

How I Got Here

My symptoms started in June 2012. At first the changes were subtle and hard to notice. It began with occasional suicidal ideation then progressed to a deep depression. Those were my first signs that something was wrong.

I saw a psychologist and psychiatrist and started taking medication in 2013 to manage anxiety and depression. I suspected, based on research that I had done on other former football players and fighters, that I might be dealing with the long-term complications of brain trauma.

Looking back on my athletic career I remember at least 12 concussions, plus tens of thousands of sub-concussive hits to the head. I played football growing up in Illinois and went on to play semi-professionally for the Lake County Knights from 1992-1996. I was also an amateur boxer. I had 10 amateur bouts and landed four professional fights. In hindsight I wish I stuck to body building and Brazilian Jiu Jitsu to avoid head trauma, but I didn’t know any better back then.

When I started getting treatment in 2013, I tried numerous antidepressants and anxiety medications. Unfortunately, one of the side effects of one of the medications I tried was suicidal ideation, which I was already battling.

 

It’s difficult to share this now but in 2014 I tried to take my own life. It really changed how I looked at what was happening to me. I knew I seriously needed help and kept trying to find the right care. I went to more doctors, psychologists, neuropsychologists, and neurologists trying to understand what was going on. With support from family and friends, and regular medical care, I made some strides and maintained focus on my career.

Then, in 2017, I started noticing cognitive issues and short-term memory loss. I took several memory tests with doctors showing a significant decline in my short-term memory and cognitive function. Eventually, after years of tests and treatments, I was diagnosed with early onset dementia and possible CTE.

 

For a time, I was somewhat stable. I had a name for what was happening to me. It wasn’t good news, but at least I could make sense of it. Then I hit a wall that led to a six-day stay in the geriatric mental ward at Alexian Brother’s Hospital Hoffman Estates. I went there because I felt like I was dying. I couldn’t explain it then, but I know now I will never forget that day. October 5, 2020. I wasn’t sure if I would ever leave the hospital. But looking back now, I am so glad I went.

 

The doctors listened when I told them how I felt, and they adjusted my medications and treatments. For the last five months or so I have felt constant improvement. I do as much research as possible trying to slow the progress of the illness. If it is CTE, I’m going to fight it and I’m going to help as many people as I can along the way by sharing my story.

Living with Possible CTE

The biggest challenge is just dealing with things on a daily basis. Whether it’s going to the doctor, or having a tele-med appointment, or suffering from physical or mental symptoms; it’s a constant reminder that you’re sick. I’ve found though, that it is possible to take control of your symptoms, and mindset is key. You have to accept that you must keep managing symptoms and moving forward, because if you stop, the symptoms can take over.

It’s hard to manage everything that is going on in life knowing you’re battling something that hasn’t been beaten before. And I say it’s a challenge because I do want to beat it. There could be thousands of guys that are in a similar situation that are battling this without knowing what is going on. I feel for them. They may not know why what’s happening to them is happening.

Whether it’s Veterans, ex-football players, domestic abuse survivors, people with a TBI or PTSD, they all have similar situations with their own individual challenges. They handle them differently and cope differently. Unfortunately, there’s no single blueprint or game plan for how to get treatment or gain resources. It took me 10 years and going to the hospital to put together a game plan, execute the game plan, and take control of my health.

Coping with Symptoms and Staying Hopeful

I am grateful for my wife Dawn and the support of my family. One of the best tips I can share for someone who thinks they might be in a similar situation is to learn how to utilize your smartphone. It is a really useful way to cope with my decline in memory and cognitive function. My phone is essentially my super-computer. It’s my notebook, my journal, my appointment setter, my way to connect with doctors and people trying to help me. It helps others help me.

 

My phone lets me help others as well. I can’t help somebody every single day, but I can help others when I’m in a good place. My phone allows me to communicate with other people as quickly as possible when I’m feeling OK.

I’m holding onto hope that in the next few years there will be better diagnosis and treatment options for people with early onset dementia, and especially probable CTE. I’m doing everything I can to slow the progression of dementia, and the rapid pace of research coming out keeps me hopeful. The options for people like myself are improving, and strategies to improve quality of life by addressing CTE symptoms do help.

If somebody reading this thinks they could be dealing with CTE symptoms, please reach out to get help immediately. Nobody is going to do it for you. Unfortunately, some people are inherently afraid of the stigma surrounding mental health. It’s different when somebody breaks their leg – people jump up to help immediately. When someone is dealing with a head injury, a TBI, PTSD, depression, anxiety, or any other mental illness, there is not as much proactive help.

Anybody who suspects they have CTE, whether you are struggling with depression, thoughts of suicide, mood issues, compulsivity, anything you’ve seen as far as a change negatively in your cognitive or behavior and you have a history of head trauma, you need to reach out to somebody right away. A great place to start is with the Concussion Legacy Foundation Helpline. I encourage anyone to reach out to the CLF HelpLine where they will get you personalized support and connect you with doctors and clinics in your area to develop a treatment plan.

 

As far as being able to get help, whether it’s physical, mental, or cognitive, there are doctors who can treat your symptoms. If sharing my story means just one more person gets the help they need I’ll know I’m making a difference.


If you are struggling to cope and would like emotional support, call the 988 Lifeline at 988 to connect with a trained counselor. It’s free, confidential, and available to everyone in the United States. You do not have to be suicidal to call. Suicide is preventable and help is available. If you are concerned that someone in your life may be suicidal, the five #BeThe1To steps are simple actions anyone can take to help someone in crisis.

Are you or someone you know struggling with lingering concussion symptoms or suspected CTE? We support patients and families through the CLF HelpLine, providing personalized help to those struggling with the outcomes of brain injury. Submit your request today and a dedicated member of the Concussion Legacy Foundation team will be happy to assist you.

College Teammates Launch Concussion Awareness 5K

Posted: March 16, 2021 

Courtney Spitzer’s story

Gymnastics became increasingly more difficult on my body as I grew older. By my 20s, many skills felt different, including my Jaeger—a skill on the uneven bars in which a gymnast starts in a handstand, swings forward, releases the bar, flips, and catches it again. If she misses, it’s a 10-foot fall to her stomach. By my senior year of college, I repeatedly fell off the bar multiple times a day, whiplashing my neck with each impact.

By November 2017, I was not feeling right. I had sustained two fairly serious concussions the previous year, so I was familiar with the symptoms. This experience was similar, but I remembered no specific impact, and neither I, nor my doctor, attributed this to a brain injury. For the next five months, I was sent from one physician to another as my extreme fatigue, headache, and nausea persisted, interspersed with confusing symptoms like low blood pressure and GI issues. No one could pinpoint the problem, until one day, my doctor, fresh from new training on concussion treatment, walked me through a series of tests which I failed miserably. I was diagnosed with Post-Concussion Syndrome (PCS) and referred to vision and vestibular therapy. At this point, there were only two months left in the school year, and I had missed the entirety of my 20th, and final, year of gymnastics.

Because of the understanding and flexibility of my professors, I successfully graduated from Cornell University in May and moved back to San Diego, having improved significantly, but without fully completing my treatment. Two weeks later, I was rear-ended. I reverted to my disoriented, nauseous and emotionally volatile state. Worst of all, I felt like my personality was gone. After weeks of little progress but plenty of fear, a cancellation gave me an appointment at UCSD’s concussion clinic. In addition to vestibular and vision therapy, I began a regimented return to physical activity and slowly took-up running. My balance and normal vision returned; my nausea, fatigue, and headaches decreased; and I finally felt more like myself.

When I was given an opportunity to work under a researcher at Harvard Medical School a few months later, I moved to Boston. My proximity to medicine and history of concussions influenced my decision to pursue a medical degree, so I enrolled in night classes and began studying for the MCAT. This overexerted my brain, and my fatigue returned, my headaches increased, and I felt my functioning slipping. I was referred to the concussion clinic at BU, and again, started vestibular therapy, a regimented exercise routine, osteopathic manipulation to help with neck pain, and acupuncture to relieve sharp pains emanating into the base of my skull.

Since this final visit to BU in 2019, I now feel like my normal self. I usually live symptom-free, but some days still experience headaches and brain fog. I’ve learned how to manage, when to take it easy, and when a run will likely relieve persistent fogginess. I understand how daunting the PCS healing process can be and the intense frustration of setbacks, but I take solace in knowing that my experiences have directed my goals. For anyone struggling with PCS, I hope you can find peace in your resilience and feel confident that one day you’ll feel like yourself again.

Lauren Wong’s story

As a senior in high school, college gymnastics seemed like an exciting next step in my athletic career. I was ready to take on the NCAA and planned to compete all four years as a consistent member in the Cornell University lineup. However, that all changed in January 2015 during my freshman year. I was at practice when I was on the floor performing a round-off back handspring double pike when I over-rotated the landing and smacked the back of my head on the floor as I rolled backwards. Initially, I felt fine and was adamant that I could continue with practice despite our trainer’s concerns. As the day progressed, I started to feel more and more out of it. My balance felt off, I was seeing double, and I was having major difficulty concentrating. After another hour or so, I was crying for no reason and complaining of head pain and the bright lights aggravating me. Another few hours passed and I wasn’t able to walk without assistance. My memory is still extremely fuzzy on the rest of the day’s events. I was out for the rest of the season and had to drop all but one of my classes. Recovery was extremely slow, and I didn’t start to feel like myself again until the summer.

By fall of sophomore year, I was feeling back to my old self after months of rest and recovery. Unfortunately, I suffered three more concussions throughout my collegiate career; one each academic year. Although each concussion decreased in severity, my Post-Concussion Syndrome (PCS) worsened, and after my third concussion, I began having visual problems and could not see properly. I started vision therapy and received special glasses to wear while studying. However, I wasn’t able to continue treatment due to travel difficulties and balancing therapy while still taking a full course of classes and gymnastics practice.

In 2018, I graduated from Cornell University and returned home to Los Angeles, California. I was still suffering from constant headaches, fatigue, and adverse reactions to blinking lights so I sought out treatment again. I figured being in LA with so many great universities and sports teams in the area it would be easy to find a doctor who understood my symptoms and could provide me with the appropriate treatment. Unfortunately, I was wrong. I went to my primary care physician and even a concussion clinic from a well-renowned university hospital. Both doctors told me that it was impossible for me to still have symptoms from my concussions and that I simply suffered from migraines. They gave me various medications and sent me home. These medications obviously were ineffective, and I was feeling utterly defeated; crazy that I was still having symptoms, frustrated that no one believed what I was saying, and hopeless that I would ever feel relief from my symptoms.

Fortunately, I have a great support system of friends and family that believe my symptoms and that I can get better. Because of their support and by hearing other’s concussion stories, I am motivated again to start finding treatment for my PCS. I currently still suffer from many symptoms but am searching for new treatments available near me and am hopeful that I will return to my normal self! I have learned it’s never too late to start looking for treatment and you are not alone. There is an amazing community here that believes in you and supports you so don’t give up and keep on moving forward one day at a time!

Why we created the Resilient Minds 5K

Our concussion histories led us to create the Resilient Minds 5K for the Concussion Legacy Foundation, as we believe in their mission to support vital research, connect patients with necessary care, and highlight individuals’ stories to provide hope for those currently experiencing this debilitating injury.

Please join us for the Resilient Minds 5K or support us by donating to CLF!

Phil Green’s Fearless Fight Against ALS

Posted: November 25, 2020

As a kicker on the University of Washington football team, Phil Green was 6-foot-3 and 225 pounds. He was bench pressing 360 pounds, squatting 500, and could jump with the guys on the basketball team.

In his late 40s, Phil Green suddenly could no longer clip his own fingernails. The strength in his hands was nearly gone.

“That was the first thing that told me something is definitely not right here,” Green said.


With his dad in the Air Force, Phil Green moved around a lot as a kid. At each new stop, Green’s athleticism made him new friends and carried him through unfamiliar circumstances. It didn’t matter if the field was in Washington, California, Alaska, or elsewhere, Phil Green turned heads wherever – and in whatever – sport he played.

Green chose to attend the University of Washington. In his first term at UW, Green played intramural sports and dominated flag football and soccer games.

When he arrived on campus, Green says he was around 165 pounds. But he hit the gym. And he ate. A lot. Green’s parents reloaded his meal card three times in his first three months in Seattle. He beat the usual freshman 15 by 25 pounds.

Green met fellow UW student Jarrett Mentink through his fraternity. The two played intramural sports together and Mentink saw potential for Green to do more than just embarrass the recreational competition. He encouraged Green to try out for the UW football team as a kicker ahead of his sophomore year. Green worked some connections and landed a tryout. Before he knew it, he was standing on the sideline as a walk-on for the Huskies as they won the 1992 Rose Bowl and shared the National Championship.

Green continued eating and lifting to the point where his size and athleticism were wasted at kicker. He moved positions and became the backup safety on UW’s 1993 Rose Bowl team.

Green was firmly entrenched behind star players and rarely saw live game action. But there was still enough practice time to take plenty of wallops.

“Every day in practice you’d try and knock each other silly,” Green said. “Today, you’d sit out. Back then, you’d rub dirt on it and get back in there.”

 

Green graduated from UW in 1993, but his late bloom made him dream of the possibility of playing professional sports. He moved to Massachusetts and tried out for the upstart New England Revolution MLS team. Despite not having played a game of college soccer, Green made the final round of cuts before being sent home.

After a few years playing in a Portuguese American soccer league on the south coast of Massachusetts, Green decided to enter the ranks in the business sector. He joined a small startup company in Arizona before a former boss recruited Green to work with her at Sony. Just as Green ascended from intramural leagues to the Pac-10, he went from a tiny company to interacting with Sony’s top executives in a sales role.

“I took a fearless approach,” Green said. “If you don’t know something, just fake it till you make it.”

Green made it. He thrived with Sony and moved back to the Seattle area around 2005 so he and his first wife could take their kids to Husky games.

In early 2018, Green’s second wife Jennifer noticed Green’s triceps were twitching. Green was totally unaware anything was wrong. The twitching soon spread to other parts of his body, causing concern.

Cutting out coffee didn’t help Green’s twitching. Neither did cutting alcohol.

The twitching intensified and spread further. When Green lost the pinch strength to clip his fingernails, he began to resign himself to the direst cause left on the table.

On August 29, 2018, Green’s suspicions were confirmed. He was diagnosed with ALS, a relentless neurodegenerative disease that attacks nerve cells in the brain and spinal cord.

Facing ALS with anything but fearlessness would betray who Green had been his whole life. Once he was diagnosed, he couldn’t feel sorry for himself. It was time to get to work.

“The official diagnosis gives you the ability to move on,” Green said. “It enabled me to make a difference and see what I could do while I still could.”

Green’s first step was to connect with someone else with ALS. His old friend Jarrett Mentink had a younger brother who played for the Washington State University baseball team alongside Steve Gleason. Gleason, the famed former New Orleans Saints safety, was diagnosed with ALS in 2011 and has since founded Team Gleason, an organization that improves the lives of people with ALS. Green messaged Gleason and was soon catapulted into the world of ALS advocacy.

In addition to Gleason, Green was connected to Brian Wallach, founder of I AM ALS. He became close friends with Nancy and John Frates, parents of the late Pete Frates. Frates played college baseball and was diagnosed with ALS in 2011 and died in 2019 at age 34. He created the Ice Bucket Challenge to raise money for ALS research. In a twist of fate, Green participated in the Ice Bucket Challenge in 2014, four years before his own diagnosis with ALS.

“I don’t know how I would have been able to get through this without having those connections,” Green said.

Among his extensive list of ALS advocacy efforts, Green is the co-chair for the clinical trials committee for I AM ALS and works tirelessly to reform clinical ALS trials to be more patient-friendly and increase funding so those with ALS can access them. Green says that 30,000 people live with ALS and less than 1,000 qualify for clinical trials each year. He was in a trial last year that seems to have slowed the progression of his ALS.

“The experimental therapies that are in clinical trials are really our only shot at hope,” Green said.

ALS strikes fast and hard. He and Jennifer enjoyed their belated honeymoon in Jamaica in April 2019. At that time, Green could still walk on his own, snorkel, and get in a boat. Now, 18 months later, Green is in a wheelchair most of the day, save for maybe five feet of walking in a walker.

But Phil Green is restricted only in mobility. The same fearlessness that got him onto the UW football team, on the brink of an MLS roster, and into board rooms with global executives stays with him now.

“I have no problem asking for things,” Green said.

Green’s days are filled with phone calls. He recently had a call with Apple’s director of accessibility to encourage the company to create products that work for the ALS community so those with ALS can choose between Windows and Mac. He learned early on that the top ALS doctors in the world were receptive to what he had to say as an ALS patient.

In his hunt for information from the medical community, he connected with Dr. Ann McKee, Director of the VA-BU-CLF Brain Bank. After former NFL fullback Kevin Turner died in 2016 at age 46 with symptoms of ALS, Dr. McKee found Turner’s brain had Chronic Traumatic Encephalopathy (CTE). She became the first researcher to report on the association between ALS and CTE.

“This is the best circumstantial evidence we will ever get that (Turner’s) ALS type of motor neuron disease is caused by CTE,” Dr. McKee said after Turner’s diagnosis.

Green never had a diagnosed concussion but remembers having his “bell rung” many times playing at UW and throughout his soccer career. In 2010, Green stopped heading the ball in pickup soccer games because he’d get blurred vision, headaches, and nausea after games.

Dr. McKee connected Green with her collaborator Dr. Gil Rabinovici, the Edward Fein and Pearl Landrith Endowed Professor in Memory & Aging at UCSF. Dr. Rabinovici has studied Green since his diagnosis. Green will be donating his brain to Dr. Rabinovici and UCSF after death to close the loop on the research process.

“I’m committed to helping answer those questions,” Green said. “Anything that I can do to help the science and understanding of both ALS and TBI from soccer and football.”

Green’s ALS is known as “sporadic ALS,” meaning he has no family history of the disease. This sporadic ALS could be caused by CTE, but there are many other potential sources. Green’s history of intense physical activity is also a risk factor. So is a lack of sleep.

Green’s family won’t know if he has CTE until after his death, but he has clarity now that the sports he played need to reform to protect the next generation.

He is a proponent of Flag Football Under 14 and knows many of his former UW teammates share the same opinion. He held his oldest son out of youth tackle football.

“It was important for my kid to understand the game and not how hard to hit people,” Green said. “Tackling is just one small piece of the game.”

As a kid, Green would toss a soccer ball onto his roof practice heading the ball as it fell over and over again. Now he’s glad heading is banned for his youngest daughter’s soccer league.

“It’s like sending your ten-year-old into a boxing ring,” Green said. “That’s probably not the best thing for the developing brain.”

Green knows what he’s up against in his fight with ALS. He has lost many friends to the disease and knows the odds that he beats ALS are extremely slim. But Green, who has never cared about odds, has two sets of goals. One for the rest of his lifetime and another for the future of ALS medicine.

In the short-term, he continues fighting for expanded access trials and patient-centered reforms to ALS care. Both, he thinks, are imminent.

Down the road, Green and the rest of the ALS community hope researchers discover the mechanisms and gene mutations that cause sporadic ALS. With a better understanding of why someone has ALS, researchers can develop more targeted therapies to slow the progression of the disease.

Green will continue fighting with as much as he can give for as long as he can give. Telling his story is another way to fight.


If you’d like to support Phil Green and his family’s fight against ALS, you can support him at PhilYourHeart.org. Green also partnered with Wilson Creek Winery in Temecula, California to release three special Philanthropic wines. Proceeds from the sale of either his cabernet sauvignonsparkling brut, or the cab/brut bundle go directly to the Phil Your Heart trust.

Spreading Inspiration through #ConcussionHope

Posted: August 6, 2020 

Hope helps us keep going through our toughest challenges. Hope is the belief that there can be a better future, and it inspires us to take action. Hope helps reduce depression and improve mental health.

Hope is a crucial component of recovery for people struggling with symptoms of concussion and Post-Concussion Syndrome (PCS). Hope can also be contagious. Our #ConcussionHope campaign provides members of the brain injury community with messages of hope, inspiration, support, and helpful tips from people who have recovered or are currently recovering from a concussion. Each Monday, we post a new Hope video to our Instagram (@concussionfoundation) and Twitter (@ConcussionLF) pages. Follow us there to never miss a new video!

If you’re struggling with the effects of concussion and need connections to resources, treatment options, or support, please submit a request to the CLF HelpLine.

Below, you’ll find some of the examples of Hope videos posted to our Instagram:

 

Noelle Foley’s PCS Roller Coaster Ride

Posted: August 5, 2020

Concussion. A word I don’t want to say for the rest of my life. But that’s just not the case, because I’m about to say “concussion” a whole lot in this story. I wouldn’t wish a concussion on my worst enemy… well maybe my WORST, worst enemy…

So how did I get my concussion? It was September 2019. Yes, September, as in nine months ago! I went to a theme park I’ve never been to with the intent of having a jolly ole time, but unfortunately it didn’t end up that way. After having a few snacks and riding some rides, my boyfriend Frank and I decided to go on this interesting looking roller coaster. It looked different, but I didn’t think much of it. I looked at the safety warnings, and they were no different than any other roller coaster I’ve been on.

We got on the roller coaster, strapped in, got the over the shoulders seat secured, and the ride began. The coaster started out normally and went up for the drop. It dropped, and immediately went directly back up and BOOM my head and neck thrash back causing my head to hit VERY hard against the headrest. I felt an immediate blow to my skull, with an intense sense of pain right away. I wanted to get off the ride immediately, but unfortunately this was only the beginning. The whiplash motion happened a few more times, each time my head slamming against the headrest. After the last drop, which was the highest drop of all, the roller coaster took a few rough upside-down turns, slamming my head even more, and at the last loop, we remained upside down for a few seconds. Fun, right?

So, the ride finally came to an end, and I got off and immediately felt like a huge bag of sh%t! I was nauseous, dizzy, and obviously in a ton of pain. I took a seat to rest for a while. I put ice cubes on my head, neck, and body to kind of wake myself up (I didn’t pass out, I just felt extreme fatigue like I wanted to go to sleep). It never occurred to me this could possibly be a concussion. I had never had a concussion before so it didn’t cross my mind that a roller coaster could cause a brain injury.

Frank took this picture moments after I hit my head:

This picture where I look sad, angry, and in pain is exactly how I was feeling. And yes, those are tears forming in my eyes. To be honest, I don’t remember much of the day after this. The next day, Frank and I had plans to fly out to LA to film a quick project. I woke up that morning feeling like absolute crap, but we stuck with our plans because I thought the pain would pass. On our ride to the airport, I felt extremely nauseous, like I was about to throw up. I honestly thought I was feeling this way because I ate junk food the day before, but looking back, I was clearly feeling nauseous because I had a brain injury.

Days went by, and I still had a horrible headache. Weeks passed, I still had a horrible headache. A month went by, and surprise, I still had a horrible headache. It wasn’t until my older brother, Dewey, told me I could possibly have a concussion. At this point, about a month after my head injury, it still never crossed my mind that I could even possibly have a concussion. When I think of suffering a concussion, I think of being in a car accident or being punched in the face or getting knocked out or being thrown off a Hell in a Cell… not riding a roller coaster. I’ve been riding the biggest, tallest, most intense roller coasters across the country since I was in first grade (yes, I was tall enough even at 6 years old). Over the past 20 years I’ve ridden hundreds, if not thousands, of roller coasters and I have never had any type of issue or injury.

Right after Dewey told me about the possibility of a concussion, I did a simple Google search and it turned out I had almost every single symptom of a concussion. I finally got an appointment to get my head checked out. Right away, the doctor confirmed it was a concussion and ordered physical therapy sessions and also ordered an X-ray of my neck because the doctor could feel my neck was very stiff. The X-ray came back that the cervical spine in my neck was curved backwards, most likely as a result of the whiplash of the roller coaster.

I can count on one hand how many times I’ve driven at night in the past nine months. And when I’m in the car at night, with someone else driving, I have to wear sunglasses and completely cover my face with a jacket, blanket, or hat. As far as sounds, it feels like I have the hearing of an owl (fun fact- owls can hear the heartbeat of the mouse 400m away). Well maybe my hearing isn’t that intense, but it is still super-dee-duper sensitive. From the vacuum, to the TV, to my little brother talking too loudly, to my dogs barking, sometimes it feels impossible to escape the sounds. So that’s why I have earplugs next to me at all times so I can just pop them in if the noises are too overwhelming.

The back of my head is still extremely sensitive to touch. Even when I’m trying to go to sleep, it hurts to put my head on the pillow, so I have to readjust a lot to find a way for my head to be comfortable. Also, every time I’ve been in the car, I have not let my head even touch the headrest, just in case we hit a bump or hit the brakes a little too hard. I just cannot risk my head even being slightly hit. I’m scarred from headrests, literally.

Aside from the obvious pain that comes with concussions, I’ve also been suffering mentally and emotionally. In simple terms, I’ve been a mess. Not a hot mess, not a cute mess, just a straight up MESS. Basically, every single one of my emotions has been heightened and amplified. I’ve been through periods of depression throughout this whole concussion journey. I’ve had mental breakdowns, meltdowns and panic attacks; some of which happened in public.

One of the very last times I was in public, before the pandemic, Frank and I went out to this nice restaurant for dinner. They sat us at a really nice table, but it was right under a bright light, so we had to move tables. We sat down again at a dimmer lit table and as we were looking at our menus, a big party sat down next to us. Right away they started taking pictures with flash! My mortal enemy! And by the fourth flash I internally started to freak out. I grabbed my stuff, told the waiter I have to leave (he was very confused) and I essentially ran out of the restaurant leaving Frank behind. And then I let it all out in the stairway (my tears). It really sucks because everywhere I go, I have to be on alert of bright lights and loud sounds, even at places like restaurants. This certainly wasn’t the first time I had to leave something because of lights, cameras, or loud noises. Do you know where it happened a lot? The Disney Cruise I just went on a few months ago.

I booked a Disney cruise back in October, one month after my concussion. After a little research, I found that most concussions last one to two months, tops! On average, concussion symptoms typically last only a few weeks. The cruise was booked for the end of February and I thought “There is NO way I could possibly still have concussion symptoms by then.” Boy was I wrong!

I was looking forward to this cruise so much! I’m a huge Disney fan, and I haven’t been on a Disney cruise since I was in middle school, so I was just really excited to feel happy for once… but it did not turn out that way. The morning of the cruise, I was feeling horrific; even worse than normal. Most likely due to a few restless nights before. Basically, sleep is the only thing that helps me, and if I don’t get enough sleep, it’s going to be a very, very bad day.

We get on the cruise, walk around for a little, eat some lunch, and all I want to do is lay down, even on this gorgeous cruise ship. I felt so horrible that I missed dinners, shows, and even the Pirates of the Caribbean dance party. I basically missed every fun activity on the cruise ship because my head could not tolerate the pain and I was internally miserable (despite what my Instagram looked like). Most of my Instagram pictures in the past nine months have either been throwback pictures or me just putting on a fake smile.

Here is what I actually looked like on the cruise:

It is a very scary thing how much pain a smile can hide. Not just in pictures, but in real life too. I put on a smile for other people when the last thing I wanted to do was smile. I just don’t like to be a downer or bring down the mood of others, especially while on vacation. I do feel bad for Frank because he missed out on all the fun activities of the cruise because he mostly stayed with me.

In the beginning of my concussion journey, I could barely talk or smile because I was in so much pain and it was honestly exhausting to put much energy into something as simple as grinning and speaking. Over time, I got better at talking and smiling, not because I was feeling better, but because I got better at hiding it. The average person would never suspect I was in so much pain underneath my smile.

So that’s how my concussion has been going. I’ve been trying several different treatments for my head, but nothing seems to actually help. I’ve tried physical therapy, acupuncture, electrotherapy, cupping, breathing exercises, extremely deep neck massages to help break up the pressure in my neck, flotation tanks, SOS manual therapy, herbal medicines, eating healthy, and taking supplements.

I’ve also been resting a ton; I was self-quarantining even before this pandemic, despite it looking like I’m living my best life on Instagram. I didn’t leave my house or wash my face for three weeks in January. That was where I was at, just no motivation for anything. I’ve cut down screen time on my phone and computer, I stopped emailing companies, which has made me lose a lot of work. I’ve cancelled fun plans and trips. I haven’t been able to work out in nine months because it makes me feel even worse. I’ve basically stopped life. And I’m sure a lot of you are feeling the same way right about now because of the current situation of our world. I want to continue to try out other treatments, even the most outlandish ones, but it’s been hard the last few months with places being shut down, and I don’t want to put myself (or my family) at risk if I were to go to clinics that are open. I’ve recently been trying to manage the pain with monthly migraine prevention injections. They hurt way worse than any other shot I’ve had, and I have to do the shot myself. Some days it helps, other days it doesn’t… at all.

There are a few reasons why my concussion symptoms are lasting so long. One doctor told me that I could have sustained multiple concussions, a cluster of concussions, while riding the roller coaster. Each time my head slammed on the headrest could’ve been a new concussion. Another reason could be because of the curve in my cervical spine being backwards, therefore putting extra pressure on my neck, not allowing enough circulation and blood flow to go to my brain. I have been trying out different ways and supplements to increase blood flow to see if anything helps.

I recently spoke on the phone with Olympic Speed Skater, Carlijn Schoutens, who also suffered from Post-Concussion Syndrome for nearly a year. It was really nice to talk to someone who shared some of my exact struggles and knew exactly what I was going through. It definitely helps to speak to someone who has been in a similar position. I know what you’re probably thinking right now… “what about your dad?” While my dad has suffered many concussions throughout his wrestling career, he said none of his concussions ever lasted this long. It’s hard for him to give it advice other than just rest and take it easy, but he did connect me with Chris Nowinski, Ph.D. who is the CEO of Concussion Legacy Foundation, and he helped me find the correct clinics and doctors to go to.

Not only has this concussion affected my life, it’s affected my family and loved ones’ lives too. I can tell my family is super annoyed by me and my concussion. They say they have to live their life under Noelle’s rules… which is kind of true! Noelle’s rules include: no bright lights! If they turn on any lights, they have to let me know before so I can take cover and close my eyes, and same goes with turning off lights. No loud noises, so they need to keep their voices low, keep the TV low, and prevent my dogs from barking at all costs. Sometimes they have to help me take food out from the fridge because the fridge lights are way too bright for me.

I cannot wait until the day where I can be headache free and not force a smile and drive at night, and take pictures with the flash on, and just be happy. All these things I’ve taken for granted my whole life. I really cannot wait until all the pain is gone, because this is truly ruining my life.

Every day is different for me. Some days I’m OK, and some days I feel like I got hit by a train. Some days I feel completely defeated by my concussion, but I still have hope that there are better days ahead. And if you’re reading this and you are also suffering from a concussion or anything else going on in your life, just know that things will eventually get better, even if it takes a long time. You just have to stick with it and think positive thoughts, and not give up!


If you’re interested in being connected with a mentor like Noelle was with Carlijin, if you need help finding a doctor, or if you want to learn about evidence-based treatment options for your symptoms you can submit a request to the CLF HelpLine. A dedicated staff member will point you toward resources to help in your recovery.