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.)
Using Heads in the Heat of Competition
December 20, 2013
By Rob Kaminski
MHSAA benchmarks editor
With so much recent attention to the risks and recognition of concussions in collision sports, athletic leaders have put their heads together to address far more common – but often overlooked – threats to the health of our student-athletes: heat and sudden cardiac arrest.
The No. 1 killer of young athletes is sudden cardiac arrest, while heat stroke victims can surpass that during the year’s hottest months. While the moment of impact leading to a concussion is totally unpredictable, athletic trainers, coaches and administrators have the ability to diminish the occurrences of cardiac arrest and heatstroke. Typically, there is a pre-existing condition, or family history suggesting probabilities for sudden cardiac arrest, which can be treated when detected. And, the perils associated with hot weather – heat stroke, prostration – are almost always completely preventable.
The MHSAA has addressed both issues recently. With assistance from numerous medical governing bodies, the annual pre-participation physical form was revamped and expanded prior to the 2011-12 school year to include comprehensive information regarding participants’ medical history.
In May, the Representative Council adopted a Model Policy for Managing Heat & Humidity (see below), a plan many schools have since adopted at the local level. The plan directs schools to monitor the heat index at an activity site once the air temperature reaches 80 degrees and provides recommendations when the heat index reaches certain levels, including ceasing activities when it rises above 104 degrees.
The topic of heat-related illnesses receives a lot of attention at the start of fall when deaths at the professional, collegiate and interscholastic levels of sport occur, especially since they are preventable in most cases with the proper precautions. In football, data from the National Federation of State High School Associations shows 41 high school players died from heat stroke between 1995 and 2012.
“We know now more than we ever have about when the risk is high and who is most at risk, and we’re now able to communicate that information better than ever before to administrators, coaches, athletes and parents," said Jack Roberts, executive director of the MHSAA. “Heat stroke is almost always preventable, and we encourage everyone to avail themselves of the information on our website.
“Schools need to be vigilant about providing water during practices, making sure that students are partaking of water and educating their teams about the need for good hydration practices.”
All of which is not to say concussions aren’t a serious matter; they are. In fact, leaders in sport safety can take advantage of the concussion spotlight to illuminate these additional health threats.
A recent New York Times story (May 2013) by Bill Pennington featured a February 2013 gathering in Washington organized by the National Athletic Trainers Association. In the article, Dr. Douglas J. Casa, professor of kinesiology at the University of Connecticut and Chief Operating Officer of the Korey Stringer Institute (founded in the late NFL offensive lineman’s name to promote prevention of sudden death in sport), suggests just that.
“All the talk about head injuries can be a gateway for telling people about the other things they need to know about, like cardiac events and heat illness,” said Casa in the article. “It doesn’t really matter how we get through to people as long as we continue to make sports safer.”
Education and prevention methods need to find a permanent place in school programs if those programs are to thrive and avoid becoming targets at which special interest groups can aim budgetary arrows.
Dr. Jonathan Drezner, the president of the American Medical Society for Sports Medicine, said in the New York Times piece that sudden cardiac arrest is “so incredibly tragic and stunning that people aren’t comfortable putting it into the everyday conversation. I do wish, to some extent, it was something people talked more about because we are getting to a place where we could prevent many of these deaths.”
When it comes to heat-related deaths or illnesses, the prevention efforts can be even more successful by educating the masses. And, these efforts can be done at minimal cost to schools.
“That’s the thing about curtailing exertional heat illness: it’s 100 percent preventable, and unlike other health threats to athletes, the solutions can be very low-tech and inexpensive,” said Dr. Michael F. Bergeron, the director of the National Institute for Athletic Health & Performance at the University of South Dakota’s Sanford Medical Center, in the New York Times story.
To assist with cost and data maintenance, the MHSAA has teamed with Sports Health to provide schools with psychrometers (heat measurement instruments) at a discounted rate, and has built online tools to track heat and humidity conditions.
Managing heat and humidity policy
- Thirty minutes prior to the start of an activity, and again 60 minutes after the start of that activity, take temperature and humidity readings at the site of the activity. Using a digital sling psychrometer is recommended. Record the readings in writing and maintain the information in files of school administration. Each school is to designate whose duties these are: generally the athletic director, head coach or certified athletic trainer.
- Factor the temperature and humidity into a Heat Index Calculator and Chart to determine the Heat Index. If a digital sling psychrometer is being used, the calculation is automatic.
If the Heat Index is below 95 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Optional water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
If the Heat Index is 95 degrees to 99 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Optional water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
Contact sports and activities with additional equipment:
- Helmets and other possible equipment removed while not involved in contact.
- Reduce time of outside activity. Consider postponing practice to later in the day.
- Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.
If the Heat Index is above 99 degrees to 104 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Mandatory water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
- Alter uniform by removing items if possible.
- Allow for changes to dry T-shirts and shorts.
- Reduce time of outside activity as well as indoor activity if air conditioning is unavailable.
- Postpone practice to later in the day.
Contact sports and activities with additional equipment
- Helmets and other possible equipment removed if not involved in contact or necessary for safety.
- If necessary for safety, suspend activity.
Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.
If the Heat Index is above 104 degrees:
All sports
- Stop all outside activity in practice and/or play, and stop all inside activity if air conditioning is unavailable.
Note: When the temperature is below 80 degrees there is no combination of heat and humidity that will result in need to curtail activity.
PHOTO: The Shepherd volleyball team includes hydration during a timeout in a match this fall.