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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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4 Thrusts: In Motion, On Track in 2013-14
December 20, 2013
By Jack Roberts
MHSAA Executive Director
During the fall of 2012 at Update meetings across Michigan, we described “Four Thrusts for Four Years” – four health and safety emphases that would help us keep student-athletes healthier and also get a seat for Michigan’s policies and procedures for school sports on the train of best practices – an express train that is moving faster than we've ever seen it toward more cautious practice and play policies and more educational requirements for coaches.
At this December’s meeting, the MHSAA Representative Council examined a first quarter report card – what’s been accomplished during the first year.
It has been a remarkably strong start, but it’s only a start.
The first thrust, improving management of heat and humidity, received a boost last March when the Representative Council adopted a “Model Policy for Managing Heat and Humidity.” It has been promoted in print, online and at face-to-face meetings; and the response of schools has been nothing short of outstanding.
This rapid acceptance by school administrators and coaches reflects their appreciation for a clear policy that identifies the precise conditions that call for adjustments in activities, and lists specific actions to be taken when temperature and humidity combine to reach un-safe levels. Gut and guesswork are gone.
The second thrust, raising expectations for coaches’ preparedness, is being advanced in three ways.
In May, the Representative Council adopted the requirement that by the 2014-15 school year, schools must attest that, prior to established deadlines, all assistant and subvarsity coaches at the high school level have completed annually the same MHSAA rules meeting required by all varsity head coaches or, in the alternative, one of the free online sports safety courses posted on or linked to MHSAA.com and designated to fulfill this requirement. This popular change is only the first component of this critically important second thrust.
The second component is this. The Representative Council voted in December to require by 2015-16 that MHSAA member high schools certify that all of their varsity head coaches of high school teams have a valid (current) CPR certification, with AED training as a recommended component.
As this requirement was discussed at constituent meetings, the question was frequently raised: “Why just head coaches?”
“Why indeed,” is our response. If a school has the will and resources, it most certainly should make CPR a requirement of all its coaches, as some school districts have required for many years.
CPR training is conveniently available near almost every MHSAA member school in Michigan. Still, the MHSAA will begin offering CPR certification (with AED training) on an optional basis as an extension of Level 1 of the Coaches Advancement Program (CAP) during 2014-15.
The third component of this thrust is scheduled to go before the Representative Council in March. The proposal is that all individuals hired for the first time as a varsity head coach of a high school team, to begin those coaching duties after July 31, 2016, must have completed the Coaches Advancement Program (CAP) Level 1 or 2.
The MHSAA will track compliance and prohibit varsity head coaches from attending their teams’ MHSAA tournament contests if they fail to complete this requirement, beginning in the 2016-17 school year.
In cases of very late hiring, schools may substitute two online courses of the National Federation of State High School Associations – “Fundamentals of Coaching” and “First Aid, Health and Safety.” However, that coach must complete CAP Level 1 or 2 within six months of the hiring date.
These feel like big steps to some people in MHSAA member schools – “too expensive” or “another obstacle to finding qualified coaches,” some say; but these are baby steps.
This barely keeps pace with national trends. Michigan’s tradition of local control and its distaste for unfunded mandates has kept Michigan schools in neutral while schools in most other states have made multiple levels of coaching education, and even licensing or certification, standard operating procedure.
The three initiatives to upgrade coaches education in this critical area of health and safety over the next three years only nudges Michigan to a passing grade for what most parents and the public expect of our programs. We will still trail most other states, which continue to advance the grading curve.
And for a state association that is among the national leaders by almost every other measure, it is unacceptable to be below average in what is arguably the most important of all: promoting athlete health and safety by improving the preparation of coaches.
The third health and safety thrust is a focus on practice policies to improve acclimatization and to reduce head trauma; and the fourth thrust is a focus on game rules to reduce head trauma and to identify each sport’s most injurious situations and reduce their frequency.
Because of the critical attention to football on all levels, peewee to pros, our first focus has been to football with the appointment of a football task force which has effectively combined promotion of the sport’s safety record at the school level and its value to students, schools and communities with probing for ways to make the sport still safer.
The task force proposals for practice policies are receiving most attention and will receive Council action in March (and will be published on Second Half over the next few weeks). But the task force also has assisted MHSAA staff in developing promotional materials that are already in use, and the task force pointed MHSAA staff to playing rules that need emphasis or revision to keep school-based football as safe as possible.
During 2013-14, all MHSAA sport committees will be giving unprecedented time to the topics of the third and fourth thrusts and, when necessary, a task force will be appointed to supplement those sport committee efforts.
Frequently Asked Questions About CPR Certification
Q. Who is authorized to provide CPR certification?
A. The MHSAA does not dictate which organization must provide the CPR education and certification. However, the Michigan Department of Human Services lists the following organizations that are approved to provide CPR training:
- American CPR Training: www.americancpr.com
- American Heart Association: www.americanheart.org
- American Red Cross: www.redcross.org
- American Safety and Health Institute: www.hsi.com/ashi/about
- American Trauma Event Management: www.atem.us
- Cardio Pulmonary Resource Center: 517-543-9180
- Emergency Care and Safety Institute: www.ecsinstitute.org
- EMS Safety Services: www.emssafety.com
- Medic First Aid: www.medicfirstaid.com
- National Safety Council: www.nsc.org
- Pro CPR: www.procpr.org
Q.
A. $0 to $75.
Q. How long does certification take?
A. Two to five hours.
Q. How long does the certification last?
A. Generally, two years.
Q. Does the MHSAA specify the age level for the CPR training?
A. No. Generally, the course for adults alerts candidates of the necessary modifications for children and infants, and vice versa.