Concussion Care: Signs & Symptoms to Watch
October 27, 2020
Henry Ford Health System
When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.
Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.
"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."
Signs of Concussion
The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.
"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."
Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:
Physical Concussion Symptoms
- Changes in sleep patterns
- Difficulty with balance
- Dizziness or lightheadedness
- Fatigue
- Headache
- Light sensitivity
- Nausea
- Numbness or tingling
- Sensitivity to sound
- Visual problems
- Vomiting
Emotional Concussion Symptoms
- Anxiety
- Depression
- Irritability
- Mood swings
Cognitive Concussion Symptoms
- Confusion
- Difficulty concentrating
- Feeling "slow" or "foggy"
- Memory problems
Diagnosing Concussion: Getting It Right
One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.
"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.
People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:
- Difficulty walking
- Weakness on one or both sides
- Not waking up
- Repeated vomiting
- Persistent confusion
- Seizures
- Unconsciousness
No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.
"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.
Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
Novak Mourned, Missed After 42 Years of Telling Southwest Michigan's Stories
By
Scott Hassinger
Special for MHSAA.com
November 5, 2024
DOWAGIAC - One seat at the media table at five schools in Cass and Berrien counties will remain vacant when the 2024-25 high school basketball season tips off in a few weeks.
Scott Novak, legendary sports editor for Leader Publications for the past 42 years, won't be there to occupy his.
Novak, 63, passed away Oct. 23 following an extended illness.
Throughout his storied career, Novak earned several awards from the Michigan Press Association, The Associated Press and the Basketball Coaches Association of Michigan.
Personal recognition wasn't anything Novak sought out. In fact, the Decatur native made it his crusade to see that he got the name of every athlete he covered each sports season into the newspaper at least once.
Novak formed long-lasting relationships with coaches, athletes, parents, officials and athletic directors in the communities of Cassopolis, Edwardsburg, Buchanan, Niles Brandywine and Niles High School, along with Southwestern Michigan College.
Not only did Novak cover local high school sports, but Little League and many other youth and adult recreational sports, along with professional motocross racing at the RedBud Motocross Park in Buchanan.
Novak devoted countless hours during the week and on weekends bringing thorough coverage to Southwestern Michigan. The sports pages Novak designed for the Niles Daily Star, Dowagiac Daily News, Edwardsburg Argus and Cassopolis Vigilant contained more than just stories and photos. The weekly sections Novak produced also contained an entire page or two devoted to statistics and box scores. He took great pride in including those as part of the sports section. Leader Publications is one of very few community newspapers that still does so.
Novak was passionate about his sports coverage in every community, especially Dowagiac where he resided.
Dowagiac High School's 1990 Class BB championship football team was one of the most notable stories Novak covered, along with the Chieftains' 2011 Class B semifinalist boys basketball team. Edwardsburg's 2018 Division 4 championship football run, along with a Final Four run by Niles in softball, were other big events he covered.
Ken Fox, sports editor at the Elkhart Truth, remembers a comment Novak made in the media room following Dowagiac's 35-14 win over Oxford in that 1990 Football Final at the Pontiac Silverdome.
"I'm not sure anyone could have been happier than Scott covering that Chieftains team. We both covered Dowagiac games in the tournament, and each win made Scott's smile grow bigger," Fox recalled. "Somehow we timed it right the day of the game and ended up walking into the Pontiac Silverdome together. When he was ushered right onto the field for the game, that smile was as wide as it had ever been. His first words to the rest of the media when he came into the interview room after the win over Oxford was vintage Scott."
"I told you all back in August that Dowagiac would win it," Novak said.
Robert Oppenheim, a sportswriter at the Elkhart Truth, remembers Novak for being upbeat and positive.
"Scott certainly enjoyed his high school sports and was very knowledgeable about the area,” Oppenheim said. “Personally, he was great to me. He was one of the first people to reach out to me about a job when I was looking for one after my past job experience as a sportswriter ended. I remember having a meeting with him at a Subway in Niles talking about what the job would involve. Each week we would discuss my assignment, and he was great to work with. He understood and wasn't upset when I got a full-time sports writing opportunity at the Elkhart Truth. That's the type of person Scott was. He cared about others. Heaven got a great sportswriter and an even better person."
Brent Nate, a 1997 Dowagiac graduate now in his 14th year as the school's athletic director, grew up knowing Novak.
"I've known Scott my entire life. Looking back, I now realize how special it was to have the local sports editor there covering our middle school football games. You always knew there would be an article on the game in Saturday's newspaper," Nate said.
Nate remembers fondly the night Novak visited his home to interview his older brother after Scott Nate was selected by the Milwaukee Brewers in the 1994 Major League Baseball Amateur Draft.
"I just remember the great interest he took in getting to know our family that night. Later when I returned to Dowagiac as athletic director, we rode together to several games,” Brent Nate said. “Scott was a great advocate for high school sports, and what he did for Dowagiac athletics will never be duplicated."
The Dowagiac athletic department will have Novak's empty seat on display this winter in the exact spot where he regularly sat during home basketball games.
Edwardsburg football coach Dan Purlee remembers Novak riding the bus with the team to playoff games when Purlee coached at Cassopolis.
"I always thought very highly of Scott and got to know him really well. He just really loved the Cass and Berrien County area in terms of covering high school sports and did a tremendous job," Purlee said.
Josh Hood, Niles Brandywine's assistant principal and varsity girls basketball coach, first met Novak when Hood was a student-athlete at the school.
"Scott just loved sports, and it was more than just a job to him,” Hood said. “He was very passionate about what he did. I'll remember all the laughs we had in the Bobcat Den and just sitting around talking to him before games and all the friendly banter."
Novak was nominated by Hood as a media member to BCAM's Hall of Honor in 2022.
"It was an easy decision to nominate Scott. I was so excited that he was selected in his first time on the ballot. The articles he wrote were unbelievable," Hood said.
On the day of Novak's passing, Niles Brandywine athletic director David Sidenbender left the school's football stadium lights on overnight in his memory.
"I got to know Scott pretty well when I attended and played baseball at Southwestern Michigan College. He was always fair in his writing and always showed interest in other people's opinions about what he put in the paper," Sidenbender said.
"We will always feel Scott's presence. He always made our kids feel special by interviewing them after covering our games. He will be greatly missed."
Matt Brawley knew Novak both as an athlete and more recently as Niles’ athletic director.
"Scott was a staple in Southwestern Michigan sports. He was very accessible and he knew his stuff,” Brawley said. “He really enjoyed the area and covered me as a player during our District championship and Final Four runs. I also was privileged to work with him during my time at Cassopolis and Niles as AD. He was just an amazing human being, a good friend and was there for everything. You could trust him if you told him stuff off the record as well.”
Brawley set up a table in Novak's memory at last Friday's home football playoff game with Paw Paw. The table contained candles, Novak's photo and a Niles Vikings hat as a memorial to him.
"Scott was the ultimate writer who was an even better human being,” Niles varsity boys basketball coach Myles Busby said. “I can see him, even now, sitting in his chair in the corner of our gym. He had an incredibly warm and welcoming presence about him that made it easy to talk to him. I always enjoyed talking to him as a student-athlete, but I found great appreciation learning more about him during my time as head coach.”
Niles senior tailback Sam Rucker stated that Novak's presence at the games never went unnoticed.
"It means a lot to us to see the media at our games. Just having him at the games inspired us and made everyone feel good," Rucker said.
Sports weren't the only thing Novak covered for Leader Publications. He also enjoyed country and classic rock music and covered many popular artists when they appeared at area venues. He conducted interviews with Tommy James and Kenny Loggins, along with several other stars.
Outside of work, Novak enjoyed being a father to his daughter Kirsten, who survives him.
Scott Hassinger is a contributing sportswriter for Leader Publications and previously served as the sports editor for the Three Rivers Commercial-News from 1994-2022. He can be reached at [email protected] with story ideas for Berrien, Cass, St. Joseph and Branch counties.
PHOTOS (Top) Niles High School set up a memorial table in honor of Scott Novak at Friday's home Division 4 playoff game against Paw Paw. (Middle) Novak, right, conducts a postrace interview with former professional motocross and supercross racer Mike LaRocco at the RedBud MX track in Buchanan during the Red Bud Trail Nationals several years ago. (Below) The Dowagiac High School athletic department will honor Novak by keeping his vacant chair present in the school gymnasium throughout the upcoming 2024-25 basketball season. (Top photo courtesy of the Niles athletic department. Middle photo by Amelio Rodriguez. Dowagiac photo courtesy of the school’s athletic department.)