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Thứ Năm, 24 tháng 12, 2015

Women Are Kept On The Sideline In “Concussion”


Columbia Pictures / Via youtube.com

In Concussion, Dr. Joe Maroon — the NFL’s Head, Neck, and Spine Committee concussion expert — says: “If only 10% of mothers in America begin to conceive of football as dangerous, that is the end of football.”

Women — who are mothers and wives of football players as well as dedicated fans — are at the center of the sport’s concussion crisis. Yet in Sony’s Concussion, released Friday, the stories of female characters are used mostly as tools to support the film’s David vs. Goliath narrative.

Will Smith as Dr. Bennet Omalu in Concussion.

Columbia Pictures / Everett Collection

Based on a true story, Concussion stars Will Smith as Dr. Bennet Omalu, the neuropathologist who forced the NFL to confront the link between football and Chronic Traumatic Encephalopathy (CTE), a neurodegenerative brain disease believed to be caused by repetitive sub-concussive hits to the head. Symptoms “include memory loss, confusion, impaired judgment, impulse control problems, aggression, depression, anxiety, suicidality, parkinsonism, and, eventually, progressive dementia,” according to lead researchers at Boston University.

The film is powerful, and is likely to change the way many Americans engage with football. But wives and mothers of players suffering from CTE are shown only in passing or as a contrast to the NFL’s attempts to keep the link under wraps.

An hour into the film, former Steelers lineman Justin Strzelczyk is shown worked up in a rage at his home, the only player whose home life viewers see in Concussion. He smashes a framed Strzelczyk jersey and gets physically violent with his wife, Keana McMahon, in front of their children.

Justin Strzelczyk, no. 73 of the Pittsburgh Steelers, on the sideline during a game against the New York Giants at Three Rivers Stadium on Oct. 14, 1991, in Pittsburgh, Pennsylvania.

George Gojkovich / Getty Images

In the film, McMahon screams at him to get out — and is next shown hysterical in their driveway as Strzelczyk drives away in his truck to his eventual doom in a highway accident. (In real life, Strzelczyk died in 2004 while recklessly driving his car at 90 miles per hour the wrong way in traffic, though not right after an argument with his wife.)

McMahon told BuzzFeed News that Concussion’s director, Peter Landesman, consulted with her on her character and her husband’s life. “I think the only thing I changed in the script was Justin’s nickname,” McMahon said.

Courtesy Keana McMahon

In reality, Strzelczyk was physically abusive with McMahon once, when he ripped an item of clothing off her in front of company. Knowing that her children would see the film — and Landesman’s depiction of their father hurting her — McMahon knew she would have to explain it to them. “What the director had to do was show the personality of five different men in one character,” she told BuzzFeed News she told her children. “I was lucky with your father, but there are other women that aren’t.”

“The biggest thing that stuck in my mind is that Sony can get this information out there on a level that I never could by myself,” McMahon told BuzzFeed News. “I’m coming at this issue as a mother. When I say mothers, I mean all mothers: If you’re a 55-year-old woman and your son plays professional football, you need to know this. I now get emails and text messages from women I knew 15 years ago that are going through what I went through with Justin. They tell me, ‘He’s abusive, he has a drug problem, we can’t pay the mortgage.’”

Her husband, she said, “was never diagnosed with one single concussion.” But she noticed a change in his personality when their daughter was born in 1997.

Courtesy Keana McMahon

“The first thing I thought after he was diagnosed with CTE was: I have a why,” McMahon said. “I knew that even though my kids were small, they were gonna grow up, and I had an explanation for them. If we had just thought he had bipolar, my kids would have worried, and now they know they’re not at risk. So for me, the biggest relief was that I had a reason to sit down with the kids and tell them why this happened.”

McMahon offers this advice to the women who reach out to her: ““When you’re married to someone 6’6,’’ 300 pounds, you have no choice but to protect yourself.” She added, “Protect your children. God forbid if he would have picked up my children in that truck, they wouldn’t be here. It’s really about making people aware that something’s not right.”

“My biggest concern,” she said, “is the safety of the women and children.”

Prema Mutiso (Gugu Mbatha-Raw), the eventual wife of Dr. Omalu, speaks only about her husband’s life — her personal suffering is used as plot points to emphasize the NFL’s scare tactics. While she has the most prominent female role in the film, it’s largely flat. References to personal trauma — a vague “assault” and a miscarriage — are used as conflicts to heighten drama and progress the film plot.

In Concussion, Mutiso and Omalu begin as roommates — she is new to America and their pastor has asked Omalu to help her get on her feet. She serves largely as a sounding board for him to discuss, and therefore display, his research into the prevalence of CTE in football players. She watches football on his small living room television, which he admits he does not watch, but owns because “that’s what you do in this country.” Eventually, a romantic relationship between Mutiso and Omalu becomes a subplot.

Prema Mutiso as Gugu Mbatha-Raw in Concussion.

Columbia Pictures / Everett Collection

After Omalu has discovered CTE in another player’s brain and published his findings in a scientific journal, he sits down with Mutiso along the Monongahela River in Pittsburgh. Omalu’s experience with the NFL’s intimidation tactics have soured his views of the dream of American prosperity. “I am the wrong person to have discovered this,” Omalu said.

Mbatha-Raw gets her largest speaking role in this scene — speaking vaguely of an “attack” that occurred shortly after she arrived in America, but quickly saying the details are “better left unsaid.” It was an opportunity to add complexity to her character that was portrayed instead as a hurdle she overcame — suggesting Omalu should overcome the NFL’s scare tactics.

As Mutiso and Omalu begin to build a life together, the intimidation from the NFL intensifies. Omalu receives hostile phone calls from NFL-affiliated doctors and fans. The culmination of this stress on the family is depicted as Mutiso suffering a miscarriage after being followed by an indistinct car. The pair weep in the hospital; in the scenes following the miscarriage, only Omalu’s emotions are given screen time. (A request to speak with Landesman about the use of a miscarriage in Concussion went unanswered.)

Concerned mothers are the concussion issue’s biggest watchdogs — women who have lost a partner or son to CTE-related deaths have formed highly active support groups that exist in email threads and on Twitter. These dedicated mothers keep some of the most comprehensive records of football and concussion–related deaths. (A spreadsheet called “Suicides and Football” was started this year to track football-related deaths of high school players.)

The film, though, uses women’s stories only for narrative convenience — instead of showing the damage CTE can wreak on a player’s home life. In doing so, Concussion misses engaging with a segment of the audience that could have the biggest impact on the NFL.


Thứ Tư, 23 tháng 12, 2015

The Data Whiz From "Moneyball" Is Getting Into Medicine

Jonah Hill in Moneyball as Peter Brand, a character inspired by Paul DePodesta, former assistant general manager of the Oakland Athletics.

Columbia Pictures

The statistics whiz who helped change the way baseball does business, as chronicled in Moneyball, now wants to do the same for medicine.

As assistant general manager for the Oakland Athletics from 1998 to 2004, Paul DePodesta approached the game with a data-crunching mindset that helped lead the cash-strapped team to the playoffs four times. Today, he’s vice president of player development and amateur scouting for the New York Mets — and soon, he announced Monday, he’ll be assistant professor of bioinformatics at Scripps Translation Science Institute.

It’s an unlikely pairing, and DePodesta, who inspired Jonah Hill’s character in the 2011 Oscar-nominated film, doesn’t have any formal scientific training. But he says he sees a lot of parallels between the baseball diamond and the prestigious biomedical research institution, which is known for trying to tailor medicine to individuals by studying genetic causes and potential treatments for various diseases, as well as using wireless technology to monitor patients’ health.

The traditional research paradigm worked like this: Scientists start with a hypothesis and conceive of an experiment to determine whether or not it holds true. These days, researchers have access to huge digital data sets — from smartphones, medical records, genetic tests, wearable devices, social media, clinical trials, and other sources — that can be crunched computationally to reveal patterns and trends. This practice of mining so-called “big data” for health insights has captured the attention of investors like Andreessen Horowitz (a BuzzFeed investor), and falls in DePodesta’s wheelhouse.

“One of the things I’ve had to do in my career is use all this past data to predict what’s going to happen in the future,” DePodesta told BuzzFeed News. “It’s certainly far from perfect; there’s a lot of gray areas. I’m really interested in that predictive quality of the data — whether that be in genomics or wearables, or whether it comes from some mix of the two or even other areas.”

Dr. Eric Topol (left) and Paul DePodesta.

Scripps Translational Science Institute

DePodesta became fascinated with the medical world last year after reading The Patient Will See You Now: The Future of Medicine Is in Your Hands by Dr. Eric Topol, the institute’s director, about how smartphones, social media, and other new technologies are digitizing medicine. The two had lunch in La Jolla, California, where DePodesta lives and where the institute is located, and found that they were interested in tackling the same kinds of issues. So far, Topol said, DePodesta has helped the Scripps team rethink a study that involves sequencing and analyzing the DNA of adults, children, and infants who die suddenly, after seeming healthy, and whose deaths cannot be explained by medical examiners. The hope is to find a common underlying cause between them. A lot of the victims happened to be young athletes, and DePodesta was the one who suggested collecting data about what kinds of sports they had participated in, as well as other parameters that Topol said the team hadn’t previously considered.

“There’s no question we can capture ginormous amounts of data,” Topol told BuzzFeed News. “But we’re horrible at analyzing it. All we do is hoard it. Any ideas about analyzing data better are going to be more than welcome. That’s really what his real gift is.” Other Scripps researchers are trying to identify genetic mutations associated with atrial fibrillation (a type of irregular heartbeat) and a variety of serious, rare diseases.

Topol isn’t fazed by DePodesta’s lack of a medical background. After all, he didn’t play professional baseball before joining the A’s — he’d just studied economics at Harvard and worked for the Cleveland Indians for a few years. Then, at the A’s, he led the charge in figuring out that on-base percentage and slugging percentage were better metrics of success than traditional metrics like batting average, and picked players accordingly.

DePodesta, who officially starts his side gig on Jan. 1, likens the current role of big data in science to “late 1990s internet, in terms of, ‘Boy, people really see the potential.’”

“I think there’s a common belief we’re going to look back in 10 years and the world’s going to be fundamentally different in this space,” DePodesta said. “How we’re going to get there is what’s definitely unclear. But I think the direction is very clear, if that makes sense.”


Health Charity Disputes ESPN Report That NFL Pulled Funding For Concussion Study

ESPN said the NFL had directed money from a $30 million gift to Foundation for the National Institutes of Health away from a particular researcher.

NFL commissioner Roger Goodell

Jonathan Daniel / Getty Images

The Foundation for the National Institutes of Health released a statement Tuesday disputing an ESPN report Tuesday morning that the NFL revoked funding for a study on "the relationship between football and brain disease."

"The study seeks to capture what has been described as the holy grail of concussion research: the ability to diagnose chronic traumatic encephalopathy, or CTE, in living patients," ESPN reported.

The ESPN report said the NFL vetoed the use of funds from a $30 million gift to the foundation — a charity created by Congress to raise funds for the National Institutes of Health — in 2012 for a particular study to be conducted by Boston University researcher Robert Stern.

ESPN's sources said the NFL "raised concerns about Stern's objectivity, despite an exhaustive vetting process that included a 'scientific merit review' and a separate evaluation by a dozen high-level experts assembled by the NIH."

NFL spokesman Brian McCarthy told ESPN the unnamed sources were wrong, stating: "The NIH makes its own funding decisions."

On Tuesday, McCarthy tweeted that the "ESPN story is not accurate. NFL did not pull any funding. NIH makes its own decisions."

McCarthy later told BuzzFeed News the league "has no 'veto power' as part of its unrestricted $30 million grant to NIH."

A few hours after the ESPN report was published, the foundation released a statement saying the "NFL was willing to contribute to the Boston University CTE study headed by Dr. Stern. NIH made the decision to fund this study in its entirety."

The NIH's statement appears to dispute the basis of the ESPN report.

ESPN's report was written by Steve Fainaru and Mark Fainaru-Wada, whose book and corresponding PBS documentary "League of Denial" presented some of the earliest comprehensive reporting on the NFL's handling of concussions and brain injuries.

The report was published three days before the release date of Sony's feature film Concussion, starring Will Smith. The film depicts how a Nigerian-born neuropathologist discovered CTE, a neurodegenerative brain disease with symptoms similar to dementia, in the brains of deceased NFL players, and the NFL's attempts to stifle his research. The film draws heavily on reporting done by Fainaru and Fainaru-Wada, though that is not explicitly mentioned. If the NFL revoked funding for the CTE study, it would have appeared consistent with the NFL's previous attempts to deny the correlation between football and long-term brain injury.

A statement was not immediately available from ESPN.

The full FNIH statement is below:

Through the Sports and Health Research Program (SHRP) —a partnership among the National Institutes of Health (NIH), the National Football League (NFL), and the Foundation for the National Institutes of Health (FNIH)—multiple studies have been and will continue to be funded to examine traumatic brain injury in athletes. The NFL funding commitment to SHRP remains intact. NFL was willing to contribute to the Boston University CTE study headed by Dr. Stern. NIH made the decision to fund this study in its entirety and to issue a Request for Applications (RFA) early next year to support an additional study on CTE using funds from SHRP, which will double the support for research in this area.


Thứ Ba, 22 tháng 12, 2015

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youtube.com

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El Rey Network/ youtube.com

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