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- Jul 31, 2014
How much gray area is between yes he had a concussion to no he did not? It is possible it is more of a 10 days of observation/monitoring is needed?
Han Yan & Yuzuru Hanyu health updates
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How much gray area is between yes he had a concussion to no he did not? It is possible it is more of a 10 days of observation/monitoring is needed?
Actually, I think its possible that the article just means that the results will be released on the 10th... as in, tomorrow (today in Japan?). Maybe.
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- Mar 31, 2014
You are right. it said the 10th not 10 days.
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- Apr 11, 2014
I'm praying for their speed recovery. By the way, I cannot watch Yuzu's FS after seeing him laying down in the ice with blood flowing from his forehead. 
I'm really sad of what happened on them. I cannot even praise Yuzu's eagerness to compete after that accident. I just don't know what to say....
I'm really sad of what happened on them. I cannot even praise Yuzu's eagerness to compete after that accident. I just don't know what to say....
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- Dec 25, 2012
http://www.dailymotion.com/video/x29qy79_141110選手からのコメント-バードより_sport
This shows clips of some of the other skater's reactions to Hanyu's skate.
Elizaveta was so sweet. She said she wanted to run over and hug Hanyu and say 'it's going to be ok'.
This shows clips of some of the other skater's reactions to Hanyu's skate.
Elizaveta was so sweet. She said she wanted to run over and hug Hanyu and say 'it's going to be ok'.
Health Inspection Results for Hanyu
http://headlines.yahoo.co.jp/hl?a=20141110-00000103-spnannex-spo
Sorry my Japanese is not very good, especially medical terms, but this article has just come out maybe 5min ago, looks like no concussion but he does have a cranium contusion (among other things), and he will require 2~3 weeks to fully recover.
EDIT: 「頭部挫創、下顎挫創、腹部挫傷、左大腿挫傷、右足関節捻挫」 are the listed diagnosis, so cranium + lower jaw bruising, abdominal + left thigh (internal?) bruising, right leg joint sprain
I'm sorry, I don't know what internal bruising really entails, I had to use a dictionary for a lot of these terms.
Also he's still listed for NHK, although the article highlights that appearing at NHK would be difficult with how things are right now.
http://headlines.yahoo.co.jp/hl?a=20141110-00000103-spnannex-spo
Sorry my Japanese is not very good, especially medical terms, but this article has just come out maybe 5min ago, looks like no concussion but he does have a cranium contusion (among other things), and he will require 2~3 weeks to fully recover.
EDIT: 「頭部挫創、下顎挫創、腹部挫傷、左大腿挫傷、右足関節捻挫」 are the listed diagnosis, so cranium + lower jaw bruising, abdominal + left thigh (internal?) bruising, right leg joint sprain
I'm sorry, I don't know what internal bruising really entails, I had to use a dictionary for a lot of these terms.
Also he's still listed for NHK, although the article highlights that appearing at NHK would be difficult with how things are right now.
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- Feb 13, 2014
Thank you SOOOO much. I have been waiting for this all this morning.
Cranium contusion?? Omg!!
And NOOOOOO NHK please!!- Joined
- Dec 25, 2012
Contusion is another word for bruise... but of course he would have a bruise. At least it isn't worse.
The degree of injury must be considered first, because one might not see it at the onset unless it's a severe case in which one could actually immediately tell. the body has a very generalized response to shock and actual trauma is very difficult to separate and that is why history, physical examination and diagnostic examinations are analyzed as a whole before one could give an actual diagnosis.
I've re-watched the videos of the aftermath several times as painful as it is to see just to get a clearer idea of how they were after. Honestly, I'm swaying with the concussion side but I don't think I'm the right person to ask because I'm emotionally involved at the moment. As a disclosure, I am a pediatrician which by definition covers both Han & Yuzu's age. I am not a neurologist nor a neurosurgeon though, who I think has the best idea whether Yuzu had a concussion or not.
From the videos, after the impact both was still conscious as I could see movements. Temporary disorientation from the shock of the injury is expected whatever kind of injury it is. Let me give an example, a couple of days before my 15th birthday, I crossed a street and was almost hit by a vehicle who did not saw me because there was a vehicle ahead of them. I lost my balanced, fell and kinda hit their side mirror on the process. I can remember to this day that even if i wasn't actually hit, I was just in shock. I totally understand Yuzu's state of mind, because I refused to be brought to a hospital and kept on saying I'm totally fine.
Basing on the video, I first thought Yuzu was nauseous after he fell on the ice so that was actually my first red flag. Turns out he swallowed some blood and just coughed it out. The dizziness and disorientation could have been signs but it could have been due to the shock. However that both of their coaches said they went "unconscious" was my neon light sign that they were concussed. In my experienced and from what I recall from my ER days, once someone becomes unconscious then you label presume they are concussed until ruled out. That is why I still disagree with the ISU's decision to let him skate. I don't know the doctors who examined him and i don't know the extent of their training so I'm not going to delved into that.
I'm just going to leave out some words here so you would understand it from my medical point of view.
Usually a person with a "possible head injury" must be brought to the ER to rule out that possibility. In our Forensic/Legal Medicine class the rule is DO NOT UNDERESTIMATE a head injury. Let's say I was the doctor at the scene, I will label them first with the working impression of Cerebral concussion versus Cerebral Contusion until all means of determining it is not has been exhausted. Determining their vital signs, Glasgow Coma Score (GCS), their alertness/sensorium, orientation and coherence, a complete Neuro Exam will probably the first thing I will do & believed what the doctors actually did. I think they passed this stage thus they were allowed to compete.
However, as a doctor our brain has been impressed with the principle of Non-maleficence or DO NO HARM, which is mentioned several times in the Hippocratic Oath. That is why I tend to be on the side of caution, meaning passing the preliminary exam is not enough to allow them to step back on the ice. However, in Bioethics, there's a principle involving voluntary consent and assent in Pediatrics. In short we only don't need a consent but also an assent. Meaning, Yuzu or Han needs to agree.
As with the information I could gather from the news, here are some facts I could wean from it. Their GCS score falls into the minor head injury category, the risk classification of their minor head injury is low. However, even if the scan is clear, head injury precautions should be monitored for at least 24-72 hours (critical period) and if nothing happens then it's safe to say that they are clear of the immediate effects which are the primary concerns of physicians. Countries adhere to different protocols so this is not really a rigid checklist.
Cerebral Concussion - is an abrupt, brief loss of consciousness immediately after head injury and it's symptoms varies according to the degree of injury. It is often wide spread and the effects could be microscopic/not apparent.
Cerebral Contusion - are more localized and effects are more macroscopic.
It is possible to have both of them.
GCS score - is the most commonly use scale to immediately assess one's consciousness. It ranges from 15 (normal) to 3 (deep coma/brain dead/dead). It is however not enough to determine extent of injury.
I hope that is the case although I highly doubt it is.
For some reason, these skaters' reactions just make me so sad... Heartwarming, but sad... I can't imagine how many injuries they've all had to endure over their careers.http://www.dailymotion.com/video/x29qy79_141110選手からのコメント-バードより_sport
This shows clips of some of the other skater's reactions to Hanyu's skate.
Elizaveta was so sweet. She said she wanted to run over and hug Hanyu and say 'it's going to be ok'.
Yeah, I'm really relieved that they've ruled out a concussion. Sorry if I scared with you with the word contusion Meoima, it is just another word for bruise.
I should have also specified that the recommended recovery time (2~3 weeks) is inclusive for all his afflictions, not just the cranium contusion.
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- Nov 24, 2006
What is interesting is that Lou Gehrig most likely did not die from Lou Gehrig's Disease. It was chronic brain concussive injury. Amyotrophic Lateral Sclerosis aka Lou Gehrig's Disease are likely two completely different things. A friend/acquaintance died from ALS, and it's awful. She never took a hit to her head in her life. Chronic brain concussive injuries are worrisome. I would not expect that in figure skating, and I hope that Hanyu recovers, well, I hope he rests for a week or two. How can you be more careful when you are alone on the ice? You don't expect brain injury when you are in an individual sport.
Best to Yuzuru. It's not good, but not the end of the world.
Best to Yuzuru. It's not good, but not the end of the world.
Hope he takes the time to fully heal before he jumps back into practice and competition. One GP season is not worth getting seriously injured for.
Edit: The cranial contusion sounds scary. Hope there won't be any lasting effects.
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- Feb 16, 2014
I saw an interview with Lysacek once where he estimated he probably had 15-20 concussions in the course of his career...I have no clue if that is in any way normal for a singles skater, but he said he had seen a lot of pairs accidents with concussions at the rink as well. Elladj Balde just had to drop out of Skate Canada due to a concussion. I wouldn't be surprised if these things happen in training much more often than we hear about.
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- Nov 24, 2006
Indeed it should. I don't know when NHK is, next week? He really needs to be off for a week, or just no jumps and spins. How unfortunate, I really like his skating, but no, I won't support his skating if it could potentially affect his future, not just as a skater but as a person. Look at Ali, he's toast. We don't need more role models like that who are practically dementia in their 60s. REST. Recover. Don't be a hero. It's the first year out of Olys, don't risk it. IMHO
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- Dec 25, 2012
This was translated on another forum...thanks to the original poster.
Now Hanyu's medical report is out. It's much better than I expected. Thank God both boys are not suffering worse. It's a miracle both of them are walking away from the horrifying collision with minimum injuries and side effects. It could be so much worse that I dare not to think about it! Wish the quickest recoveries to both!
I suspect you're right that it happens far more than we hear about. You actually don't even need to hit your head in order to get a concussion. A couple of years ago, my sister fell cross-country skiing in the mountains. I was behind her and the fall didn't look any different from past falls I've seen, but she ended up with a concussion. It took her months to get her full concentration back and really affected her work (she was writing a textbook, and got really far behind schedule).
I'm relieved that neither of the guys has a concussion. I hope Hanyu actually listens to the doctor and takes the time he needs to recover. We know how he tends to push himself.
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- Jan 10, 2014
@ayarose, can you please explain to us cranial contusion as that is the diagnosis on Yuzuru's condition? Is it the same as cerebral contusion?
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