NFHS Voice: Lessons Learned in Loss

January 31, 2020

By Karissa Niehoff
NFHS Executive Director

Sometimes in life things simply do not happen as planned. The unexpected is always right around the corner. When these situations occur, we must adapt to change and determine the best steps in moving forward.

Such was the case in selecting the subject for this week’s “Voice.” We were set on addressing the ugly spotlight on professional baseball with the recent sign-stealing incidents and that high school sports is not and must not be about “winning at any cost.”

This is certainly a worthy subject. High school sports is about competing fairly and doing things the right way. The wrong in the baseball scandal was not getting caught; it was players and managers believing that cheating was an acceptable means to winning. These are not the kind of heroes we want to follow.

And then came the events of Sunday morning in California. It was hard to fathom. Kobe Bryant and his 13-year-old daughter, Gianna, were no longer with us. Along with seven others on the helicopter that crashed that morning, Kobe and “Gigi” were on their way to what else – a basketball game.

As people from all over the world – both those who knew Kobe on a personal basis as well as casual fans – expressed their shock and sadness about this tragedy, there were consistent messages about the value of sports and family that were ever present.

While Kobe Bryant was one of the best basketball players ever to play the game, it was apparent that more so than all the all-star appearances and scoring titles and NBA championships, his impact came from the relationships formed through participating in sports – from Lower Merion High School in the Philadelphia suburb of Ardmore, Pennsylvania, to his 20 years with the Los Angeles Lakers.

And then it was about family as he supported his daughters, Natalia, who plays volleyball, and Gigi, a basketball player who was determined someday to play at the University of Connecticut, in their participation in sports. In an interview with PEOPLE Magazine in 2018, Bryant shared how he used his opportunity to coach his daughters in basketball as an opportunity to teach them valuable life lessons.

“A valuable life lesson that I can teach them is what it means to pursue excellence and the commitment level that comes with that,” Bryant said in the PEOPLE interview.

There are many lessons to be learned from this tragedy and the nine lives that were cut short. Our original plan of re-emphasizing that high school sports must not be about “winning at any cost” is certainly among those lessons. Success at the high school level has more to do with preparing students for their lives after high school than winning games or state championships.

Doing things the right way, playing the game the way it is supposed to be played, developing relationships and having fun along the way – that’s the message of high school sports.

As we listened to hundreds of people share their remembrances of Kobe Bryant the past few days, a few things were evident. Like all of us, he was not perfect; however, he showed us the power and influence of sports in our country. He played the game the right way, giving 100-percent effort every night. He regularly praised and supported others, always smiling. And he was passing on his love of sports to his daughters.

And the last lesson – be sure you tell those closest to you every day that you love them.

Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.

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.