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Heartfelt Thanks for a Life Saved
November 13, 2012
By Geoff Kimmerly
Second Half editor
ELSIE – Like many who have played high school football, the practice field will always be more than just another piece of lawn to Ovid-Elsie’s Chris Fowler.
Over his right shoulder, beyond a few of the fields that surround his high school, sits his family’s house. To his left is the finish to the school’s cross country course his younger sister was preparing to run the day his heart stopped beating.
In this spot, on Oct. 9, the 16-year-old Fowler collapsed while he and his teammates ran 40-yard sprints. His heart, for reasons doctors could not explain, went into an irregular rhythm that caused him to go into cardiac arrest.
“It still doesn’t (make sense),” Fowler said two weeks later. “I try to forget it as much as I can. It’s not worth remembering. I don’t want to think about it.”
But the Marauders sophomore will always remember those who brought him back to life that day.
Thanks to the quick, calm response of Ovid-Elsie football coach Travis Long and his staff, and the speedy work of athletic director Sonya Latz to retrieve the school’s AED device, Fowler’s heart was shocked back to life.
Unlike too many national news stories lately of athletes who died far too soon of similar circumstances, this story ends well.
Fowler’s father Dave knows it is because every detail was carried out to perfection. Standing near the cross country finish line, he was there to watch it all.
“Truthfully,” Dave said, “I thought it was the end of my world.”
Trying to remember, trying to forget
Both father and son knew the story of Fennville’s Wes Leonard, who died from sudden cardiac arrest after making the game-winning shot in a basketball game March 3, 2011.
They hadn’t heard of the all-state football and basketball player before that day, but Dave began following the story as it became national news and spurred an effort to have AEDs in every school.
AED stands for automated external defibrillator. The device combats sudden cardiac arrest by detecting an irregular heart beat and delivering a shock that can put the heart back into correct rhythm. Ovid-Elsie High School has two. The first was purchased through the Kimberly Anne Gillary Foundation, which was started after Gillary, a student at Troy Athens, died of sudden cardiac arrest during a water polo game in 2000. The second was donated by alum and former basketball player Daryl Melvin, now a cardiologist in Lansing.
Chris remembers reading about Leonard’s death the day after and thinking there was no way it could happen again to someone like him.
Dave Fowler recounts in his head daily how it nearly did.
The image he can’t get out of his mind is that of Chris’ coaches flipping him over and starting chest compressions.
“It’s just like it was unreal. It was like a bad dream I was waiting to wake up from,” Dave said.
Chris remembers none of it.
He’s a strong student who even before this was considering becoming a doctor. He’s the middle child of three – sister Maria graduated in the spring, and Morgan is in eighth grade. Basketball is Chris’ favorite sport, and he also played soccer growing up – but frequently was carded for running over opponents.
So logically, in eighth grade, he gave football a try. Two years later, at 6-foot-3 and 265 pounds, Fowler was a starting offensive tackle on the varsity.
The Marauders’ Oct. 9 practice was dedicated to defense. Fowler took a shot to the ankle and rolled it, and remembers mentioning it to quarterback Jake Helms. That was probably about 25 minutes before the team began its daily conditioning, a set of 20 short sprints run at half to three-quarters speed.
Dave watched his son run while waiting for Morgan’s race to begin. Her mom Amy was at the starting line, and their grandparents also were in attendance, part of a larger crowd because the cross country jamboree included multiple teams from all eight schools in Ovid-Elsie’s league.
And then shock. “I knew what was going on,” Dave said. “But it was denial that I was really seeing what I was seeing.”
Call to quick action
Suddenly, Chris was face down on the ground.
Only moments later, Long and assistant Brad Sutliff were flipping him over. Long, a physical education teacher at the school, began the chest compressions. Another coach blew breaths into Fowler’s lungs.
Dave, perhaps acting on instinct as much as anything, yelled for anyone to find his wife. He took off toward Latz, who also had made her way to the cross country finish area, yelling for her to get the AED.
Word of Fowler's dire situation quickly made its way through the crowd. The Bullock Creek cross country team, surely among many others, began to pray. And Dave will never forget watching Chris’ teammates, standing a short way off, yell at him, “Don’t give up! Keep fighting!”
Latz, in the school’s Mule utility vehicle, raced to the trainer’s room, grabbed the AED and raced back. A parent from another school who is a nurse asked if she could help and took the AED to the coaches, who connected it to Fowler.
The AED gives the user explicit instructions on how to operate it, including where to attach connections and when to step away as to avoid also receiving a shock.
Sutliff was holding Fowler’s head and didn't want to set it down. But he had to – the shock was so strong it lifted Fowler’s body off the ground.
The jolt also reset his heart.
The next thing Fowler remembers, he was in the ambulance on the way to Sparrow Hospital in Lansing, vomiting. And he couldn't see. He flashed his hand in front of his face, trying to find it. It was then that he found out his heart had stopped.
After a night at Sparrow, Fowler was taken to the University of Michigan’s C.S. Mott Hospital, where he spent five days. Fowler went through the battery of tests. No problems were found. The family doesn't have a history of heart trouble. Doctors said there were no blockages.
“They said basically that it’s a miracle. There are no side effects, none whatsoever,” Dave Fowler said. “No heart damage, no organ damage. The neurologist said his brain function is perfect; there’s nothing wrong with it. And they all say that stems from the quick reaction from the coaches. … The doctor said he’s never seen chest compressions done that well.”
Ovid-Elsie has a disaster plan in place for situations like these, but had never had to put it into play for a life-threatening situation as long as Latz has been part of the athletic staff – dating back to her first year coaching in 1989.
It went off without a hitch. The whole process of starting compressions, retrieving and hooking up the AED and restarting Fowler’s heart took maybe a bit more than five minutes.
“The coaching staff is amazing, how smooth and calm everybody kept just to do their jobs. I’m just amazed,” Latz added. “I shouldn't say ‘amazed.’ Because I trust that they are very good. I’m just proud of the way they handled everything.”
She added that Ovid-Elsie’s National Honors Society has asked about raising funds to purchase an AED for a school that doesn't have one.
Many thanks to give
Fowler wears two bracelets he received while at U-M. One reads “Hearts working together,” and the other “And the beat goes on.” He was considering becoming a neurologist some day, but now cardiology seems pretty cool.
Fowler’s friends don’t ask much about that day. They know he’s trying to block it out of his memory. But others do ask the “ridiculous questions. Like, you know, what did it feel like to be dead?”
His response: “I just say I wasn't getting oxygen to my brain, so I don’t remember anything.”
The questions don’t make him angry. It’s easy to figure out quickly that Fowler is the type to let such things just roll off.
When Fowler does hear his story re-told, he feels like it’s about someone else.
But he’s a smart guy, and he’s heard enough doctor talk to understand what’s going on.
The biggest bummer is he can’t play basketball. His career in contact spots is over. That leaves golf, and he might take it up eventually. This winter, he’s going to be on the bench with his varsity teammates and he’ll help with the freshmen team and perhaps Morgan’s eighth-grade team too.
He still sounds like a football player. “It’s a lame scar,” he said of the small cut under the front of his left shoulder. Embedded in a “pocket” under his skin on the left side of his chest is an implantable cardioverter defibrillator – or ICD – meant to automatically shock his heart back into rhythm if it falls out of beat again.
Fowler came back for a football practice before the Marauders season ended, and also for the parents’ night game. He’ll still be part of that program next year too. “The joke around town is I’ll be the offensive coordinator,” Fowler said.
Dave still asks himself the what-ifs of that day. He looks at his family differently. Too many times during the day he pictures those chest compressions. It’s hard for him to leave home, and he doesn't sleep well. And he’s pretty sure Chris is getting tired of his parents peeking into his room at night to make sure all is well.
Perhaps. But Fowler also has never been one to take anything for granted – although that’s another part of what makes this situation tough. He’s always one to show gratitude, but he can’t remember right now all the people he’d like to thank. He’s just doing his best.
“I can’t remember. There are so many people. I saw some people at the football game, and I just walked up and said thank you,” Fowler said. “Because they were there, praying for me or whatever.
“I’m very fortunate. It’s unbelievable.”
Click to see more from the Wes Leonard Heart Team or the Kimberly Anne Gillary Foundation.
NOTE: Chris Fowler's parents Dave and Amy would like to give special thanks to those pictured with their son (in suit and orange shoes) above: athletic director Soni Latz and football coaches Brad Sutliff, Eric Jones, Jeremy Palus, Cody Staley, Travis Long and Dustin Thiel.
PHOTOS: (Top) Chris Fowler stands in the place on Ovid-Elsie's practice field where coaches worked to restart his heart on Oct. 9. (Middle) Fowler, in his game jersey, stands on Ovid-Elsie's football field. (Bottom two photos courtesy of the Fowler family.)
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CPR Training, CAP Add to Preparedness
By
Geoff Kimmerly
MHSAA.com senior editor
October 12, 2015
A recent graduate from Ovid-Elsie High School named Chris Fowler started classes this fall at Michigan State University, his days representing the Marauders on the basketball court, football field and golf course now memories as he starts the next chapter of his young adult life.
But his story also will remain a reminder as his high school’s athletic department prepares each year to keep its athletes as safe as possible.
Three years ago next month, Fowler collapsed on the football practice field in cardiac arrest. The then-sophomore was brought back to life by two of his coaches, who revived him with CPR and an AED machine.
There’s no need for athletic director Soni Latz to recount the events of that day when explaining the importance of being ready to respond to a medical crisis – her coaches are well aware of why Fowler survived and understand completely why they too must be prepared.
“Everyone is very aware of what happened and the importance of being trained and knowing what to do, and actually feeling comfortable to step in and administer CPR when needed,” Latz said. “You can feel it’s never going to happen to you, but once it has, it makes you more aware and conscientious to be prepared.”
But Fowler’s story is worth noting on a larger level as varsity coaches at all MHSAA member schools are required this year for the first time to become certified in CPR, and as the largest classes in Coaches Advancement Program history begin course work that includes up to four modules designed to make them aware of health and safety situations that may arise at their schools as well.
The CPR requirement is the most recent addition to an MHSAA thrust toward raising expectations for coaches’ preparedness. The first action of this effort required all assistant and subvarsity coaches at the high school level to complete the same rules and risk minimization meeting requirement as high school varsity head coaches beginning with the 2014-15 school year.
The next action, following the CPR mandate, will require all persons hired as a high school varsity head coach for the first time at an MHSAA member school after July 31, 2016, to have completed the MHSAA’s Coaches Advancement Program Level 1 or Level 2.
In addition, MHSAA member schools this summer received the “Anyone can Save a Life” program, an emergency action plan curriculum designed by the Minnesota State High School League to help teams – guided by their coaches – create procedures for working together during medical emergencies.
“Coaches get asked to do a lot, and even if a school has an athletic trainer or some other health care professional, that person can’t be everywhere all the time. Coaches often are called upon to be prepared for (medical) situations,” said Gayle Thompson, an adjunct assistant professor at Albion College who formerly directed the athletic training program at Western Michigan University and continues to teach CAP sports medicine modules.
“The more (coaches) can learn to handle the situations that can inevitably arise, the better off they’re going to feel in those situations and the better care they’ll be able to offer their athletes. It’s proven that the faster athletes are able to get care, the quicker they’re able to come back to play.”
Pontiac Notre Dame Prep – which has sent a number of coaches through the CAP program – began a focus on heart safety about five years ago after a student-athlete was diagnosed with a heart issue that allowed her to continue to play volleyball and softball, but not basketball. Athletic director Betty Wroubel said that prior to the student’s diagnosis, the school did provide training in CPR, AED use and artificial respiration; however, that situation put coaches and administrators further on the alert.
Her school offers CPR training also to subvarsity and middle school coaches, using a combination of video instruction from the American Red Cross and in-person guidance by members of the school community who are certified to teach those skills. Students at the school also have received training – and it paid off a few years ago when one of them gave CPR to a baby who had stopped breathing at a local shopping mall.
Portage Central scheduled two sessions this fall for its coaches to receive not only CPR certification, but AED training as well. Central was fortunate to have an American Red Cross first-aid trainer in house, teacher Rachel Flachs, who also is close to the athletic side as the girls swimming and diving coach at Mattawan High School.
Central athletic director Joe Wallace said the training was offered not just to varsity head coaches, but every head coach on every level of the program so that “at least we know that at every given practice, every game, we’d have someone recently trained,” he said.
And he was proud of how his coaches immersed themselves in the subject matter.
“They were putting themselves in scenarios to see how it related to their own sports and asking really great questions,” Wallace said. “It was thought provoking.”
The CAP sports medicine modules are designed to do the same as coaches consider the medical situations they could face. They aren’t designed as “medical training,” said Tony Moreno, a professor of kinesiology at Eastern Michigan University and teacher of all four CAP sports medicine modules. Rather, attendees receive an awareness and basic education on common injuries, injury mechanisms and prevention, and how to create an action plan in the event of an injury incident.
The CAP program touches on a variety of safety topics in several of the available seven levels of coach education.
CAP 1 – which is part of the mandate for new coaches beginning next school year – includes “Sports Medicine and First Aid.” Cap 4 has modules titled “Understanding Athlete Development” and “Strength and Conditioning: Designing Your Program.” CAP 5 includes the session, “Peak Health and Performance.” Attendees also have the option of receiving CPR and AED training as an addition to some courses.
With a quick Internet search, coaches have no trouble finding a variety of resources on sports medicine, performance enhancement, nutrition and healthy living regarding young athletes. “However, some of these sources are more credible and scientifically-based in comparison to others,” Moreno said. “CAP strives on an annual basis to continue to update and improve the quality and credibility of this information and in a face-to-face manner where coaches have the opportunity to ask questions about their experiences and specific programs.”
“Having the CAP requirement will only make them better informed. Many have had this kind of information before, but there’s always something new coming,” Thompson added. “I think we do a good job, not of trying to tell them they were wrong, but maybe taking what they’ve known a step further and making them better prepared – empowering them to do their best.”
Wroubel may understand more than most athletic directors the growing list of tasks coaches are asked to accomplish; she’s also one of the winningest volleyball and softball coaches in MHSAA history and continues to guide both Fighting Irish programs.
But she and Wallace both said the CPR mandate isn’t considered another box to check on a to-do list; there’s enthusiasm because of its importance and the opportunity to carry those skills into other areas of community life as well.
Wroubel has served as a coach since 1975 and said this renewed emphasis on coaches having knowledge of sports medicine actually is a return to how things were when she started. Back then, coaches were responsible for being that first line of medical know-how, from taping ankles to providing ice and evaluating when their athletes should make a trip to the doctor’s office.
“When I first started coaching, we didn’t have sports medicine people, trainers, or team doctors other than for football. You did everything yourself,” Wroubel said. “I think everybody got away from that, but I think it’s coming back because a trainer can’t be everywhere.
“It’s healthy and it’s good for kids. … The more of us with emergency skills, the better we’re able to serve our community.”
PHOTOS: (Top) Portage Central coaches receive CPR training earlier this fall. (Middle) Pontiac Notre Dame Prep coaches practice during AED training. (Photos courtesy of school athletic departments.)