High school athlete turns injury into crusade for better treatment of concussion injuries around state

High school athlete turns injury into crusade for better treatment of concussion injuries around state

Sunday, August 05, 2012
by Hal Habib

David Goldstein, shown speaking in Tallahassee, has fought to make it illegal for virtually any high school or youth league in Florida to allow a child to return to practice or play if he’s suspected of suffering a traumatic brain injury without first receiving written medical clearance. (Photo courtesy Countywide Concussion Care)

 

NOTE: This is the second in a two-part series.

Part 1: After son’s tragedy, S. Fla. mother strives to reduce football concussions in youths

 

The story of David Goldstein begins like many — make that too many — young athletes.

One concussion was followed by another, then a third. If they were scary, the way he handled them, in retrospect, was more frightening. He played two full soccer matches immediately following the second concussion because it was State Cup weekend in Wellington. He didn’t come out of the match following his third concussion because it was a high school district title match. He figured his team needed him.

Disconcerting as that is with what we know about concussions today, David Goldstein, 17, would be the first to say none of that makes his story unique. Kids suffer concussions every day, he points out.

No, what happened next does make Goldstein’s story unique.

First, he got better under the guidance of two University of Miami physicians who have become leading experts on such injuries.

Then, he got going. Convinced by doctors Gillian Hotz and Kester Nedd that baseline testing is an important tool in protecting athletes, he worked to make the test available at his school, Miami-Ransom Everglades. Next, recognizing that public schools in Miami-Dade County aren’t afforded the benefits that private schools enjoy, Goldstein decided to raise $20,000 to introduce the cognitive test to all public schools in Dade.

Still not enough.

Zeroing in on state laws, he fought to make it illegal for virtually any high school or youth league in Florida to allow a child to return to practice or play if he’s suspected of suffering a traumatic brain injury without first receiving written medical clearance. It also requires informed consent to play.

He’s also determined to make baseline testing standard throughout Florida even if it means working county by county, a push that likely helped inspire Palm Beach County schools this year to follow Dade and Broward’s lead.

To say Goldstein’s efforts went just as planned isn’t quite accurate. The bill he championed initially was defeated in the state legislature but his persistence was rewarded when Gov. Rick Scott signed it into law in April. David monitored passage of the bill via computer at school, success etched so clearly across his face that students he didn’t even know were high-fiving, hugging and applauding him. The vote was unanimous.

Oh, and he did not raise $20,000. He raised close to double that.

“My doctors’ motivation to help other people through their research kind of made me realize that I have an opportunity,” Goldstein says. “That I can be the face of local efforts and try to expand them because I’ve gone through it. I was willing to put my face out there. I was willing to go out and raise the money that no one else had time to raise.”

Marc Buoniconti, president of The Miami Project to Cure Paralysis, describes Goldstein as remarkable and selfless.

“David has just been a great ally in this initiative,” Buoniconti says. He works with Goldstein through The Miami Project’s KiDZ Neuroscience Center, which researches traumatic brain injuries because they’re closely associated to spinal cord injuries. “He’s so well-spoken and his story is so dramatic and so spot-on, that it just goes to show you a kid like David, a young kid, is just a great role model.”

Goldstein, whose family lives in Buoniconti’s former Coral Gables home, left an impression on Sen. Anitere Flores, R-Miami, who sponsored Goldstein’s bill. David sought to shed light on a dark, often confounding condition. He didn’t want other kids to experience the partial diagnoses, of being told to never play sports again, of needing to nap in the school nurse’s office because of headaches, fatigue and nausea — what he endured before meeting Hotz and Nedd.

“He recognizes that he is incredibly blessed with family support, and rather than sit back and say ‘good for me,’ he’s gone into communities locally and across the state advocating for what he knows will save lives,” Flores said via e-mail. “I can go on and on because David is that special. I’ll just end by saying that the world needs to keep an eye on David Goldstein because his talent and commitment is far from being exhausted!”

It hasn’t been without a price. Goldstein, a senior who is expected to be Ransom’s captain, is easily distinguishable on the field.

“I actually wear a rugby helmet when I play soccer now, which may not be the greatest fashion statement in the world, but it allows me to play the sport that I love,” he says.

Opposing fans, who have no idea what’s behind the helmet, make him a target.

“Some of the abuse I’ve heard would not be approved by the FCC — not even close,” he says. “I’ve heard some of the meanest things that I’ve ever heard in my life directed at me just for wearing a helmet. … Parents yelling ‘special ed’ at me. And you’ve just got to have the mental and emotional fortitude to realize that those people just don’t matter in your life.”

Cheryl Goldstein, his mother, admits it can be tough to hear.

“You look at this world and you look at how cruel people can be and I’m glad that David is tough enough, at least on the outside, to take it,” she says. “But it impacts him on the inside, as he’s human. I just hope that there’s a lesson in tolerance.”

Like Cheryl, David has testified before the state legislature.

“He felt comfortable to talk about it publicly, which is not something that a lot of children would be willing to do, because obviously he’s talking about problems that he had in his head,” says his father, Adam.

Flores says David not only caught on to the political process quickly, “he dominated it.” She adds, “He wouldn’t take no for an answer. He would fight half truths and misstatements from the other side with facts and figures in a methodical way.”

Adam Goldstein is president and CEO of Royal Caribbean International, but even though a cruise was the grand prize in a drawing that raised the initial $8,000 at Ransom-Everglades, Adam and Cheryl had David go through standard channels to obtain that donation.

“I admit that we are fortunate to know people who have the means to make contributions and who certainly are charitable in other areas of life, but he needed to sit down with every person who contributed to him and explain in person — without us there — what he was doing, why he was doing it and to ask them for money,” Adam says.

David: “It’s definitely a welcome-to-the-real world experience. Usually when I’m talking to adults, in a sense, I’m asking them for help on my homework. I’m not asking them for as much money as they’re willing to give me.”

Nervous? Not really. His cause “almost gave the people I was asking for money no choice” but to help, he says. “When you have passion about anything, it’s an invaluable tool.”

Goldstein, an A student in honors classes, hopes to attend Princeton, his father’s alma mater, and perhaps someday coach. He says until he meets with those who have backed him, he’s unsure of his next steps in the concussion fight … yet in the next breath, he rattles off that he must make sure Dade’s baseline program is self-sufficient for when he leaves for college. He’s got to continue educating coaches, parents and athletes. He has youth organizations to get onboard. Work on his site, countywideconcussioncare.com. Et cetera.

“Kids are getting concussions today,” he says. “They’ll be getting concussions tomorrow. They’ve gotten concussions yesterday. In Florida. All over the country. All over the world. And they don’t know who to turn to.

“They’re going back into the game too early. Second-impact syndrome is happening. People are researching more about CTE — these tragedies keep occurring in NFL players. There’s still more work to be done.

“I’m very happy with what I’ve been able to do but I’m not done and don’t intend to be for a while.”

Says Buoniconti: “I would watch that kid in the future.”

Medical Reports: Concussion Concern | WSVN

Medical Reports: Concussion Concern | WSVN

 

 

 

 

 

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Just this week the NFL is starting to suspend players for vicious head hits. It’s a problem that starts in high school. The number of student athletes suffering head injuries is on the rise. 7s Richard Lemus has more about this Concussion Concern.

WSVN — It’s these violent helmet to helmet hits which prompted the NFL to punish players with hefty fines. From pro football to high school soccer, there are 100s of Youtube videos showing bone crunching hits on the field.

15-year-old David Goldstein knows firsthand how that feels.

David Goldstein: “A ball was rocketed at my head. I was dizzy and in a lot of pain.”

He got his first concussion playing soccer at age 12. His second came after a head to head collision with another player.

David Goldstein: “I was in a lot of pain, seeing stars.”

Both times David went right back in the game. Then in January during the district final against rival Gulliver Prep…

David Goldstein: “I’m thrown into the game and it’s the most important game I’ve ever played in my life.”

Another head to head collision video shows David stumbling across the field holding his head again. He continued playing, but after the game he collapsed.

David Goldstein: “Just thinking about how much it hurt was unbelievable. I couldn’t move I was in so much pain.”

Dr. Gillian Hotz: “We’re really worried now about the young and developing brains, so multiple hits of this type on the brain will really play havoc later on in life.”

Dr. Gillian Hotz of the concussion program at UM says, scientists are starting to realize even one hit can cause brain damage later in life.

Coach Mo Blake deals with injured student athletes at Ransom Everglades. He knows the tremendous pressure they’re under to perform.

Mo Blake: “If they are trying to mask the injury or say ‘I’m OK just give me a couple minutes,’ that’s where we as the coaches, adults and trainers have to really look out what’s best for the kid.”

That’s why school adminstrators at Ransom have implemented the Impact Test for all student athletes.

Claude Grubair: “You take it to get a baseline of where you are under your normal condition, and then you take the post-injury test.”

The Impact Test uses words and shapes to test a student’s memory, mental speed and reflexes. Following a head injury, the student repeats the test if there are any changes in thought pattern any red flags at, all the child is sent for medical treatment right away.

Dr. Gillian Hotz: “We’re able to take a look at the baseline testing and the repeated testing and take a look at the differences and make the proper recommendations.”

Coach Blake says the impact test leaves nothing to chance if a student tries to cover up an injury. The test tells the truth something coaches are glad to have.

Mo Blake: “To not use this tool I think would be detrimental to the student athletes.”

David wishes he had the impact test after his first concussion.

David Goldstein: “If I had that support and that knowledge before my situation would have been a lot better.”

That’s why he is now behind a massive effort to get the impact test into more schools.

David Goldstein: “The initiative now is to raise enough money to provide impact testing for all the public schools in Miami-Dade County with athletic programs.”

Months later David has been cleared to go back to the game he loves.

David Goldstein: “Having all of this behind me gives me the confidence to go back on the soccer field.”

Knowing the impact test and his doctor’s support lowers his concussion concern.

Richard Lemus: “Congress is considering a bill that would establish standards for student athletes who get concussions.”

FOR MORE INFORMATION:

Dr. Gillian Hotz
UHealth Sports Medicine
Tel: (305) 243-3000
http://uhealthsportsmedicine.com/conditions-and-treatment/concussion