UDSKRIFT 🔗
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You went to UCLA for a diagnosis of your condition
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that would normally be identified via autopsy. This is freaky.
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That's a freaky fact. Was there some new way to
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make the measurement? Or did you just sort of force
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it in on people and say, look, something's going on.
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Invent some new test. Because otherwise, I don't want you
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to do this after I'm dead. This is StarTalk Sports Edition.
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I've got Chuck Nice, one of my co-hosts, Chuck. What's up, Neil?
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All right, all right. Every time I'm here, I have
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to list you as comedian and actor, and I haven't
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seen you act in anything, just between you and me.
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See, that's how great of an actor I am. No,
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because you just.
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Bled it in. I don't even know it's you. You
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don't even know it's me.
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You're like, I thought that was Michael B.
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Jordan.
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What?
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That was Chuck Nice.
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Okay. All right.
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Maybe that's it. And of course, Gary O'Reilly. Gary, former
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soccer pro in the UK. So Gary, you felt compelled.
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We could not keep doing StarTalk Sports Edition without hitting
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this topic. So why don't you give us the full
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intro that this needs and requires? So what's going on today? Right.
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CTE, or chronic traumatic encephalopathy, is a degenerative brain disease
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caused mainly by repeated traumas to the head. Now, concussions
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are the most dramatic of those, but it could be
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from years of heading a football. It could be from
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smaller contacts. It could be from contact sports like boxing
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or maybe American football.
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When you said heading a football, you mean heading a
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soccer ball?
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Yes.
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Because this is America, Jack.
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Right.
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Our footballs aren't round.
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Yes, they are. We don't have round footballs here.
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Look.
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If a ball hits a football player in the head,
Load full transcript
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something wrong happened in that play.
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All right.
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So if I say soccer, I get pushed back. If
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I say football, I get pushed back. I don't win.
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That's true. That's true. It's a square ball.
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Look, the thing is, CTE is not particularly well understood.
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And up until recently, diagnosis took place, sadly, through autopsy.
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Imagine. Symptoms, right?
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Symptoms can appear years or even decades after the last
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head trauma occurred and can present, and this is spooky, really,
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memory loss, severe headaches, erratic behavior, and tragically, suicidal tendencies. Now, Neil...
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This literally hits home for me. I had 14 years
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as a pro. I didn't just head a soccer ball.
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I practiced heading a soccer ball.
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Oh, you did it even when you, oh.
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Right?
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Because there's a technique.
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There's a way to do certain things in a certain way.
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So this is interesting deeply for me. Now, our clinical
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expertise will come from our good friend and neuroscientist, Dr.
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Heather Berlin, who will join us later in the show.
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But Let's meet somebody. Nine years ago this person was
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diagnosed with CTE and I want us to listen to
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their story and hopefully walk away from this podcast having
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learned something and having become enlightened on a subject that
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is only in the last few years receiving the attention
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it deserves. So I would like to introduce our guest
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Leonard Marshall. Now if that name sounds familiar This is
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a two-time Super Bowl champion. This is a two-time pro bowler,
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two-time NFL defensive lineman of the year. That's not where
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it ends. He's also been a professor of sports management
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at Seton Hall Stillman School of Business. He's an advocate
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for athletes who are suffering from CTE, and he went
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toe-to-toe with the NFL to win a class action case
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to get money for other players who aren't as affluent players.
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but are suffering all the same. He's also an entrepreneur,
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he's also a philanthropist, as well as a CBD advocate. Neil, please,
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go and have a chat with Leonard.
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Leonard, welcome to StarTalk.
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Hey, thank you very much for having me. Gary, what
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a great introduction and I sincerely appreciate that and some
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of the touching points that you eloquently talked about.
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If it wasn't true, I wouldn't say it.
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Nope, that's true.
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I would. Let me just catch some people up on
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your resume here. So if I understand correctly, if you're
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in the Super Bowl, you can't also play in the
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Pro Bowl. Is that correct?
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Well, that was before today's football. Yesterday's football, you finish
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the season. And then two weeks after the season was
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the Pro Bowl. So you would play the Super Bowl.
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and then you would fly to Hawaii. And it was
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kind of a gift.
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And still do that, okay.
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Yeah, it was kind of a gift and a curse
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at the same time because your body was so beat
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up in the Super Bowl. So you were ready for
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the season to be over if you played in the
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Super Bowl anyway. But most guys went to the Pro
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Bowl just to kind of have fun. drink Mai Tais,
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and lay on the beach.
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I mean, yeah, if I won a Super Bowl, I'd
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still go to Hawaii, and I'd just lay on the beach, right?
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I'd go to Hawaii with a very sudden ankle injury
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right before the game.
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Worst case, a broken eyelash ever.
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So, Leonard, you've got here a book titled When the
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Cheering Stops.
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Yes.
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And, oh my gosh, I mean, that's a, What a
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title of a book that is. I mean, you know,
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it's almost as though whatever are my worst thoughts, that's
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what's going to be in that book. And so at
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what point were you motivated to say more people have
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to know about what has happened to me?
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2007, 2009, Neil, I began having issues I felt with
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traumatic brain injury. I started receiving phone calls from friends
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of mine around the league. guys that I played with
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and against. And several of those guys were, they were
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kind of stuck. They felt like they didn't have an outlet.
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They were having some real problems at home. They weren't
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able to articulate what was going on because they really
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didn't know what was going on. All they knew is,
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you know, when they played the game and they were
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concussed in the game, they were told just what every
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other tough guy is told, Rub a little dirt on it,
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you know, rest a little bit, and go on back
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in there and do what you do. Well, that just
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doesn't work well with 310, 20-pound linemen in the National
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Football League when men are playing for months. It just
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doesn't work that way. So I didn't find out until,
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I'm going to say, a cool 10, 12, 14 years
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after the game was over for me because my career
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ended in 1996. And I became a dad in 1995.
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So the entire time that I'm going through this process,
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I'm a hundred percent concerned about what's going to happen
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to my little girl if I'm unable to be her father.
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What is my wife going to do when she has
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to take care of not only my child, but me too.
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And then what is the league going to do to
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make sure that the quality of my life does not
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diminish because The one thing you don't get when you
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leave pro football is health insurance benefits. You get 18
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months of COBRA, and if you don't go into private
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business or you're not smart enough to connect yourself with
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a company to gainfully become employed, you will have the
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biggest problem in the world in trying to find an
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insurance carrier that will underwrite you after a career in
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the National Football League because you're bringing baggage.
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Is it still that way?
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It's still that way.
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It's still that way. It's still that way.
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I remember some time ago during a player negotiation with
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the owners that that was on the table, some form
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of health care. And they quashed it. The owners, they
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just quashed it right away. This is something that they
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really are adamantly against.
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Yeah, Chuck, you're not getting that 40 acres and a
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mule when you retire and you walk away. It's not
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going to happen. And I don't know why. I don't
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know why that the predecessors that continue to be involved
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in professional football, they haven't taken a stronger stance on that,
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especially for the guys that built the game like myself.
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Right.
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Like the household names of guys that you knew and
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know of doing your genre of work and everything else.
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So it just it just doesn't make any sense, guys.
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Well, by the way, you were a household name in
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my house because you played for the Giants, and I'm
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an Eagles fan, so we just hated you.
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Right, right.
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As long as you weren't with my friends, Chuck. No,
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because he ate quarterbacks, you know what I mean? Leonard
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was like third time in the Giants history or something
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like that.
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Yes.
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The third of all time.
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And most of those sacks were against the Philadelphia Eagles.
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So thanks a lot.
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So the thing here, Neil, is... What Leonard said reminds
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me of a wonderful phrase, and I can't remember who
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is the author of this, but standing on the shoulders
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of giants.
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Of course, that's Isaac Newton. Thank you. There you go.
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If I can see farther than others, it's because I've
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stood on the shoulders of giants who have come before me.
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And giants like Leonard and and he he's respectful of
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those that came before him and it's a it's a
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it's a heritage and a lineage that should be carried
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forward and people need to learn to look backwards sometimes
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and not just forwards.
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But but also i just want to add if correct
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me if i'm wrong leonard football careers relative to tennis, soccer,
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baseball are notoriously short because you can't do that, you know,
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late into your life as in thirties and early forties,
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the way many baseball players do. So the many football players, again,
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correct me if I'm wrong, this is just my understanding,
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are not the, the, the marquee players that make the
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zillion dollars that are household names. Most of them are, are, are,
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are service players filling out the team. And so they
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don't then have these huge financial reserves to then carry
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them out for the rest of their lives. Is that
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an accurate characterization?
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Yeah, accurate characterization when I played the game from 1983
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to 96, because keep in mind, I went through two
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strikes in the NFL. I went through a strike in 87.
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I went through a strike in 92, which granted us
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free agency. So I'm one of the pillars of what
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you see now in terms of compensation players are being paid.
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Let's just put it like this. For the Giants to
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put my team on the field that won the Super
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Bowl in 1986, they would have to borrow money from
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the Jets to do it. Because there's no way you're
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going to have two defensive players side by side, like
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Chuck talked about, Lawrence Taylor and Leonard Marshall, with over
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200 quarterback sacks between them, and a middle linebacker in
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Harry Carson, who's also a Hall of Fame linebacker, on
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the same defense along with George Martin and Carl Banks
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and Jim Burke. Those seven guys, they will never beat
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seven players on the field at the same time on
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a team like that ever again. They just don't have
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the money to do it. They don't have the competition.
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Leonard,
let me ask you a question because you had
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714 tackles during your NFL career.
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Correct.
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Right? How many times did you get tackled? How many
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times did you get hit? And should that actually go
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down now? as a stat that people recognize?
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Well, I could tell you this. If you want to
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talk about getting dinged in a football game, I could
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tell you how many times I got dinged. Now, dinged
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to me is when you get hit or you have
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a head-to-head collision and you get up and you don't
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know where you're at.
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Oh.
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I could tell you how many times that happens. Okay?
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Wait, wait, wait, Leonard, Leonard, and you calling that just
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a ding?
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Yeah.
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There's gotta be a worse word for that.
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Come on, Leonard.
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It's called life-changing event in my life. It got banged
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upside the head. Come on, Leonard. Give me a word
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for that.
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Yeah, these are proud, tough guys who were playing a
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game for money. And the thing is, if you show softness,
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guys will come after you. Yeah.
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They said, getting your bell rung.
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You got your bell rung. And I'm like, what is it?
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The Liberty Bell? Because God.
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Yes.
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See, the thing is, if you show the weakness, not
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only are you lit up for your opponents, but your
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coach is looking and all the.
255
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Coaches around him is looking. And you don't get to
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play in the next game. It's survival.
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I had a nut job of a coach by the
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name of Lamar Leachman from Cartersville, Georgia. Let me tell
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you something. This guy, he looked like Herky Rock from
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the Flintstones. He had a curly afro. He talked like
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he was black. He was a five foot eight, five
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foot nine white guy from Cartersville, Georgia. It just looked
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like Herky Rock, man. He had these big arms, little
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bitty legs. He was knock knee. It was just the funniest.
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I don't want to swear on you, but it was
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the funniest thing you had to see, man. And he'd
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walk around and he'd tease guys. He'd go, oh, what
268
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happened to you there, pretty? You were too soft on
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that play.
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Oh, man, there it is.
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And knocked the living, I don't know what, out of him.
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There it is.
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You know, you had guys like that.
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Wow.
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So let me, I can quantify this because I did
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a calculation, all right? So you were 6'4. And how
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fast did you run a 40?
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4.7 seconds.
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Damn, okay. And you came in at what?
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I came in the NFL, I weighed 290 pounds. I
281
00:14:36.200 --> 00:14:38.080
slimmed down, I was at 18% body fat. I went
282
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down to almost 9% body fat, 282 pounds, and I
283
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could bench press 500 pounds and squat almost 800 pounds. Okay.
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And I'm telling you, When my coach had a motto,
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when hit, the body will bend or break. His deal
286
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was he wanted to see if somebody could knock a player,
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hit a player so hard that he could knock him
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into the middle of a lefty.
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Next Tuesday.
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Yes.
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All right, so here's the thing. I did a calculation,
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all right? So there's the energy of a bullet fired
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from a rifle. So the AK-47, which is a high
294
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muzzle velocity rifle, we've all heard of it, used to
295
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most of the rest of the world. and you can
296
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ask how much energy is in that bullet. And it
297
00:15:23.009 --> 00:15:30.070
turns out, you running into a quarterback, okay, at 15
298
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miles an hour, okay, not even as fast as you
299
00:15:33.070 --> 00:15:36.590
can run, just as fast as might be common, and
300
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you hit a quarterback, it is the same amount of
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kinetic energy as a bullet fired from an AK-47 weapon.
302
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The difference is, of course, All the energy of the
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bullet is entering just a single
hole that it puts
304
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in your body and it rips out your organs and
305
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it can kill you. Your energy is now spread. It's
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the same energy, but it's spread over the entire body
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of the person. So just to think about this, that
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energy would normally kill someone in one spot. but now
309
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it's spread over. So the whole body is participating in
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absorbing the energy and that can't be good is what
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I'm saying.
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No.
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So you just touched on something. You just touched on
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the reason why I could hate Mel from San Francisco today.
315
00:16:24.379 --> 00:16:28.279
Oh, because of Joe. See, the thing is, what Joe
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00:16:28.330 --> 00:16:30.710
should realize is it's a good thing that Leonard is
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00:16:30.769 --> 00:16:34.539
as big as he is. No, so why don't you
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speak to Jeff?
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Oh, if he were little or he'd be dead. If
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he was the size of a bullet. Oh, I see
321
00:16:40.539 --> 00:16:42.950
what you did there.
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00:16:42.970 --> 00:16:43.889
Nice job.
323
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That's a good one, Gary. That's a good one.
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I know, don't worry.
325
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I'll spin him.
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00:16:49.450 --> 00:16:51.330
Okay, so we gotta take a- How do we get
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somebody very little to hit Tom Brady?
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00:16:55.009 --> 00:16:59.009
I gotta take a, my boy hates Tom Brady. Just
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00:16:59.029 --> 00:17:01.649
because everybody's whooping the Phillies ass all the time.
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I mean, not the.
331
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Phillies, what are they called? The Eagles.
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The Eagles.
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Okay, all right.
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I just will never forgive him. He took our first
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Super Bowl in my life.
336
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All right, yeah, yeah. Okay, took it from you. It
337
00:17:12.599 --> 00:17:13.769
was yours, right? He took it from you.
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In my life, yeah.
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We got to take a break. Leonard, when we come back,
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more on this subject. And we're going to set up
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the whole table so that when Heather comes in, our neuroscientist,
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in the third segment, she'll put a bow on all
343
00:17:28.539 --> 00:17:30.900
of this. And I just want to tell everyone that
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Heather brought you to us. You already know Heather. And
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this is, just spend it like 30 seconds how you
346
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found her and how you know each other.
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00:17:39.680 --> 00:17:43.400
I got introduced to Heather by an organization called Caring Kind,
348
00:17:44.039 --> 00:17:45.779
which is in New York City, which I'm being honored
349
00:17:45.819 --> 00:17:49.180
for my work in ALS and traumatic brain injury. And
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a young lady by the name of Courtney Dawson thought
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00:17:52.000 --> 00:17:53.500
it would be good for me to talk to Heather
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Because of my life, the traumatic brain injury I'm dealing with,
353
00:17:56.599 --> 00:18:00.109
and the fact that CTE dominates my life now. And
354
00:18:00.170 --> 00:18:05.049
I combat it and fight it with marijuana and CBD. And,
355
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you know, that's.
356
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How I feel.
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By the way, that's the same reason I combat my problem.
358
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Well, that's what you're marijuana. Okay, Chuck.
359
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That's what I tell everybody. I'm like, I'm fighting, man.
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I'm fighting problems.
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You got your own things. All right. I'm just trying
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to help Leonard Marshall out. I need it.
363
00:18:28.039 --> 00:18:28.380
All right.
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00:18:28.420 --> 00:18:32.089
When we come back more with our Super Bowl NFL
365
00:18:32.109 --> 00:18:36.369
great Leonard Marshall, we're talking about concussions on StarTalk Sports Edition.
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We're back.
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StarTalk Sports Edition. And we've got somebody who is an
368
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NFL great by any metric who had sustained and persistent dings,
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00:18:50.619 --> 00:18:55.079
as he called them. This is a head hit in
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the NFL where you don't quite know where you are
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when you get up. Yeah. And our man is here
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with us today, and it's Leonard Marshall, again, for our
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second segment here. Leonard, thanks for joining us. giving us
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this piece of your life and telling us what happened
375
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to you and how and why.
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00:19:13.609 --> 00:19:16.450
And by the way, Leonard, just to let you know,
377
00:19:16.539 --> 00:19:21.799
the insurance companies actually used to allow you to determine
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00:19:21.859 --> 00:19:25.910
how bad an accident was. they would say, describe, and
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00:19:26.130 --> 00:19:28.150
anybody who caused the accident would be like.
380
00:19:28.450 --> 00:19:29.230
Oh, it's a ding.
381
00:19:29.250 --> 00:19:32.839
It's just a ding, right? And the person who received
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00:19:32.930 --> 00:19:36.740
the accident was like, no, my car is total. My
383
00:19:36.779 --> 00:19:40.359
car is total. And now they say, do the airbags deploy?
384
00:19:40.380 --> 00:19:41.500
That's how they determine.
385
00:19:41.539 --> 00:19:41.980
There it is.
386
00:19:42.019 --> 00:19:46.130
There it is. So, Leonard, you finished your career at
387
00:19:46.150 --> 00:19:46.750
what year was that?
388
00:19:46.750 --> 00:19:53.440
1996? 94 was my last active season. My child was
389
00:19:53.480 --> 00:19:56.460
born in 1995. In 96, I decided to hang it up.
390
00:19:57.009 --> 00:20:00.509
There it is. And so years later, five, six years later,
391
00:20:00.569 --> 00:20:05.609
you went to UCLA for a diagnosis of your condition
392
00:20:06.490 --> 00:20:12.740
that would normally be identified via autopsy. This is freaky.
393
00:20:12.960 --> 00:20:16.980
That's a freaky fact. Was there some new way to
394
00:20:17.720 --> 00:20:20.279
make the measurement or did you just sort of force
395
00:20:21.220 --> 00:20:23.160
it in on people and say, look, something's going on,
396
00:20:23.819 --> 00:20:26.519
invent some new test because otherwise I don't want you
397
00:20:26.539 --> 00:20:27.539
to do this after I'm dead.
398
00:20:27.920 --> 00:20:30.259
This is great how this happened. So I got a
399
00:20:30.279 --> 00:20:32.519
phone call from my little brother who happened to be
400
00:20:32.559 --> 00:20:36.019
teammates with Ronnie Hampton and Otis Anderson. And those two
401
00:20:36.039 --> 00:20:41.559
guys were like, Very close to me. One was with
402
00:20:41.599 --> 00:20:45.920
me in Super Bowl XXI, and one was with me
403
00:20:46.000 --> 00:20:48.529
in Super Bowl XXV, and then the other was just
404
00:20:48.549 --> 00:20:50.890
with me in Super Bowl XXV. So one, I played
405
00:20:50.930 --> 00:20:54.069
two championships. One, I played one championship. They told me
406
00:20:54.130 --> 00:20:56.150
about a program that was going on in an attorney
407
00:20:56.690 --> 00:20:58.950
out of Pittsburgh that I needed to speak to. My
408
00:20:59.019 --> 00:21:02.400
name is Jason Lukasevic. I'm a law firm Goldberg Perskin White.
409
00:21:03.059 --> 00:21:05.819
He said there's a program that's being implemented by Dr.
410
00:21:05.900 --> 00:21:11.259
Bennett Amalu. Dr. Amalu happened to be a neuropathologist from
411
00:21:11.279 --> 00:21:15.859
Allegheny County in Pennsylvania and working alongside of Jason Lukasevic's
412
00:21:15.980 --> 00:21:19.859
brother in that department, studying brains and autopsies of brains.
413
00:21:20.700 --> 00:21:24.509
Long story short, Jason said, hey, Leonard, ESPN is partnering
414
00:21:24.529 --> 00:21:28.529
with Tarmark to do this brain scan at UCLA at
415
00:21:28.549 --> 00:21:31.150
the Nancy Regan Center. Are you interested? I said, well,
416
00:21:31.170 --> 00:21:34.470
who else was involved? He said, well, Joe DeLamallure, Hall
417
00:21:34.509 --> 00:21:38.390
of Famer, Mark Duper, a general Hall of Famer, and
418
00:21:39.049 --> 00:21:41.970
Tony Dorsett, Hall of Famer. Would you be interested in going?
419
00:21:42.009 --> 00:21:45.450
I said, count me in. We take the trip to LA,
420
00:21:45.809 --> 00:21:49.750
we go through the tar mark process. The process was
421
00:21:49.809 --> 00:21:53.470
put in place to determine CTE in the living. Everyone
422
00:21:53.509 --> 00:21:57.549
kept saying, there's no way you could do and perform
423
00:21:57.569 --> 00:22:03.150
CTE in the living or obtain the information to collectively
424
00:22:03.630 --> 00:22:07.869
convey CTE in the living without having these scans. and
425
00:22:07.890 --> 00:22:10.890
without having an autopsy of the brain. These guys proved
426
00:22:10.950 --> 00:22:13.450
it wrong, had to be wrong. And this group was
427
00:22:13.490 --> 00:22:18.019
based in Chicago, Illinois. So I took the trip, I
428
00:22:18.059 --> 00:22:21.920
kicked the tires, ESPN recorded the whole process, and at
429
00:22:22.059 --> 00:22:26.099
the end of the day, I came back, I had CTE. See, Dr.
430
00:22:26.299 --> 00:22:31.299
Amalo is the centrum of the film Concussion.
431
00:22:31.819 --> 00:22:32.059
Correct.
432
00:22:32.079 --> 00:22:33.839
I was gonna say, yeah. Right, that's why you.
433
00:22:33.779 --> 00:22:34.279
Know the name.
434
00:22:34.799 --> 00:22:35.599
Oh, yeah, yeah, yeah.
435
00:22:35.619 --> 00:22:35.740
Right?
436
00:22:36.940 --> 00:22:41.039
Please describe to us what the doctors were looking for
437
00:22:42.240 --> 00:22:44.619
and how they went about testing. We said about an
438
00:22:44.779 --> 00:22:47.960
MRI brain scan, but what else did they piece together?
439
00:22:48.819 --> 00:22:51.819
Otherwise, in an autopsy, they open your skull, pull out
440
00:22:51.859 --> 00:22:54.170
your brain. and put it through a meat slicer. They
441
00:22:54.190 --> 00:22:56.009
had a nice thin slice, and they look at it
442
00:22:56.089 --> 00:22:58.289
under the microscope, and they say.
443
00:22:58.329 --> 00:22:59.089
Yep, he had.
444
00:22:59.930 --> 00:23:02.390
So I'm just glad they had another way.
445
00:23:03.890 --> 00:23:06.009
Me too, Neil. I mean, here's what was funny, Neil.
446
00:23:06.430 --> 00:23:10.059
They had a PET scan. They had a CAT scan.
447
00:23:10.980 --> 00:23:15.880
They injected me with dye. I also did a neuropsych examination,
448
00:23:16.259 --> 00:23:19.880
an opportune test. And from that, they had to determine
449
00:23:20.920 --> 00:23:24.630
that You know, his skill set is not where it
450
00:23:24.670 --> 00:23:28.059
should be, given his age, the number of years he
451
00:23:28.079 --> 00:23:32.140
played football, and what he's going through now. So I said, well, fellas,
452
00:23:32.180 --> 00:23:36.980
what do we do with this? We came back in 2011.
453
00:23:36.980 --> 00:23:40.700
Jason said, Leonard, I just got through talking to Vernon Maxwell.
454
00:23:41.380 --> 00:23:45.940
Vernon Maxwell is down to file this lawsuit regarding a
455
00:23:45.980 --> 00:23:48.789
concussion claim. Are you interested in doing it? I said,
456
00:23:48.950 --> 00:23:52.150
I'm interested in doing it under one synopsis. that we
457
00:23:52.190 --> 00:23:55.730
do it on my daughter's birthday so that if I
458
00:23:56.089 --> 00:24:00.289
forget because of the debilitation of my brain due to
459
00:24:00.450 --> 00:24:03.630
tall protein on my brain and the tall protein dominate
460
00:24:03.650 --> 00:24:06.730
my brain that my daughter can remember it, I want
461
00:24:06.750 --> 00:24:11.430
it on her birthday. That she'll know every year what
462
00:24:11.490 --> 00:24:15.650
her father stood for. That's what I did.
463
00:24:16.609 --> 00:24:18.990
Leonard, let me just say on behalf of your daughter,
464
00:24:19.529 --> 00:24:20.769
it's a hell of a lot of pressure to put
465
00:24:20.809 --> 00:24:21.210
on me, man.
466
00:24:22.019 --> 00:24:27.779
Stop joking. No, I'm joking. Daddy doesn't make it for
467
00:24:27.819 --> 00:24:30.619
another seven, eight, nine, 10 years. Baby, at least you
468
00:24:30.640 --> 00:24:32.519
know there'll be something there for you at the end.
469
00:24:32.859 --> 00:24:36.319
No, no, I'm 100%. I think it's a great thing.
470
00:24:36.819 --> 00:24:39.339
It makes your daughter a part of your legacy, which
471
00:24:39.420 --> 00:24:42.380
is exactly what you were doing. And I think that's fantastic.
472
00:24:42.799 --> 00:24:43.119
Yeah.
473
00:24:43.579 --> 00:24:46.240
I mean, yeah, I lost Reggie Roby. I lost Reggie
474
00:24:46.289 --> 00:24:49.960
Roby to this. I lost your ego, my brother, Andre Waters,
475
00:24:50.000 --> 00:24:55.539
to this. Yes. Okay? Yes. You know, there's a couple
476
00:24:55.559 --> 00:24:58.420
other guys. I won't mention names because they're dealing with
477
00:24:58.460 --> 00:25:01.619
it now. But I can tell you that my friend,
478
00:25:02.410 --> 00:25:08.650
who you know very well, your middle linebacker, Mr. Seth Joyner,
479
00:25:09.990 --> 00:25:11.970
was one of the guys that made me step out
480
00:25:11.990 --> 00:25:15.690
for Andre. Right. Because I had a conversation with him,
481
00:25:15.750 --> 00:25:18.730
and I told him, I said, Seth, I'm in New York.
482
00:25:19.509 --> 00:25:22.420
My voice will carry some, it'll carry some weight, man.
483
00:25:22.859 --> 00:25:25.380
If I get behind this with my teammate, Harry Carson,
484
00:25:25.900 --> 00:25:28.960
we'll make enough noise that they'll listen. I said, you're
485
00:25:28.980 --> 00:25:31.779
in a little bit of a smaller market down in Philly.
486
00:25:32.420 --> 00:25:35.039
You know, they might not take it as serious, but
487
00:25:35.099 --> 00:25:38.309
go ahead, man. Make noise. That's your teammate. You know,
488
00:25:38.619 --> 00:25:39.940
that's your teammate, so.
489
00:25:40.349 --> 00:25:43.640
When we think of a concussion, typically, we think of
490
00:25:43.680 --> 00:25:46.440
a brain injury and the person doesn't know where they
491
00:25:46.579 --> 00:25:49.240
are and you gotta put them under observation for 12 hours.
492
00:25:49.619 --> 00:25:53.240
We're actually talking about something different here where it is
493
00:25:53.319 --> 00:25:58.549
the accumulation of smaller brain trauma.
494
00:25:58.829 --> 00:25:59.220
Correct.
495
00:25:59.930 --> 00:26:04.329
And so it, and what makes it particularly pernicious is
496
00:26:05.049 --> 00:26:08.400
You just pop back from that not thinking you really
497
00:26:08.440 --> 00:26:10.779
should have sat out the rest of the game. Thank you, Jeff.
498
00:26:11.380 --> 00:26:14.400
And you just keep going, and this accumulates, and then
499
00:26:14.420 --> 00:26:17.460
you get this condition. We're on the same page here.
500
00:26:17.480 --> 00:26:19.440
We're on the same page. I mean, think of it
501
00:26:19.480 --> 00:26:22.329
this way, Neil. Now, Chuck, you're a big football fan,
502
00:26:22.569 --> 00:26:25.609
and I'm quite sure everybody else on here is. My teammate,
503
00:26:25.650 --> 00:26:28.390
Lawrence Taylor, was known for using his health and his
504
00:26:28.410 --> 00:26:29.309
head here as a weapon.
505
00:26:29.690 --> 00:26:30.349
Leading with your head.
506
00:26:30.880 --> 00:26:32.579
Leading with your head. So if you led as a
507
00:26:32.599 --> 00:26:34.900
defensive player with your head, you make contact. That's why
508
00:26:34.920 --> 00:26:37.299
if you look at football today, they teach you not
509
00:26:37.339 --> 00:26:41.599
to lead with your head. That's because the word concussion
510
00:26:41.640 --> 00:26:44.839
has been taken out of football. We want CTE to
511
00:26:44.880 --> 00:26:47.769
be the word associated with football. Because we want people
512
00:26:47.789 --> 00:26:51.009
to know that accumulation of hits cause problems down the road.
513
00:26:52.369 --> 00:26:55.789
It's one thing to get concussed. It's something else to
514
00:26:56.130 --> 00:26:59.250
have the shakes and triggers and everything else associated with
515
00:26:59.509 --> 00:27:01.359
head trauma. Right, right.
516
00:27:02.380 --> 00:27:05.460
Did putting a name to your condition help? And secondly,
517
00:27:06.119 --> 00:27:09.359
when you spoke about the buildup of the tar protein
518
00:27:09.440 --> 00:27:13.700
in your brain, how did the doctors bring that forward
519
00:27:13.759 --> 00:27:16.789
for you to explain exactly what the process was, how
520
00:27:16.849 --> 00:27:20.369
it goes from you being hit to this development? Because
521
00:27:21.609 --> 00:27:24.829
it seems funny that this can take so long to present.
522
00:27:25.349 --> 00:27:29.589
Well, when it was examined, and I left two people
523
00:27:29.670 --> 00:27:31.519
out of this, that need to be in this, Dr.
524
00:27:31.559 --> 00:27:35.980
Paul Nussbaum, my friend in Pittsburgh, and the team doctor
525
00:27:36.019 --> 00:27:40.299
for the Pittsburgh
Steelers, who was my classmate at LSU, Dr.
526
00:27:40.339 --> 00:27:43.819
Julian Bales, okay? And Julian Bales is in the film.
527
00:27:44.299 --> 00:27:48.539
He's portrayed by Alec Baldwin in the film, Concussions. And
528
00:27:49.220 --> 00:27:52.220
the relationship that he had with Cyril Weck, who was
529
00:27:52.269 --> 00:27:56.369
portrayed by, God, I can't think of his name off
530
00:27:56.390 --> 00:28:03.039
the top of my head. Cyril Weck and Julian Bales
531
00:28:03.099 --> 00:28:09.049
determined that this is what destroyed Mike Webster. It destroyed
532
00:28:09.069 --> 00:28:13.309
a number of Pittsburgh Steelers. You got to remember, that
533
00:28:13.369 --> 00:28:16.509
was a team that was known for bruising people, putting
534
00:28:16.529 --> 00:28:19.130
people in the hospital, leading with their headgear. They were
535
00:28:19.170 --> 00:28:21.490
taught and trained, and they played the game at a
536
00:28:21.529 --> 00:28:27.829
high level like that. That's, they were football and they
537
00:28:27.869 --> 00:28:30.880
were the godfathers of football. And if you were going
538
00:28:30.910 --> 00:28:34.500
to be a dominant football team, you had to play
539
00:28:34.539 --> 00:28:38.660
their style of football in order to be respected. And
540
00:28:38.940 --> 00:28:41.839
that's who we were as the New York Giants. That's
541
00:28:41.859 --> 00:28:45.059
who we were during the era of my career. The
542
00:28:45.079 --> 00:28:48.420
game was a lot different, Dr. Neal, than it is today.
543
00:28:49.640 --> 00:28:52.559
I hear guys tell me they should call it something
544
00:28:52.619 --> 00:28:57.000
else ball. It's too soft of a game now. It's
545
00:28:57.039 --> 00:29:00.279
not men playing a game for money now. It's little
546
00:29:00.339 --> 00:29:03.079
boys playing a game with quarterbacks with skirts on them
547
00:29:03.119 --> 00:29:03.839
and such and such.
548
00:29:04.180 --> 00:29:07.140
Oh, interesting. Just to be clear, because I like getting
549
00:29:07.160 --> 00:29:11.450
the long view on these things, what would the Leatherheads
550
00:29:11.470 --> 00:29:14.190
have said about the modern football where you have all
551
00:29:14.210 --> 00:29:18.759
of this equipment? Before football even had leather helmets, Right.
552
00:29:18.779 --> 00:29:22.099
You go back 120 years, whatever, whenever that was. So
553
00:29:22.519 --> 00:29:26.210
I don't think it's something if you the arc of
554
00:29:26.250 --> 00:29:29.769
the game has been to protect your life. Right.
555
00:29:30.109 --> 00:29:32.309
So, however, I'm going to push back on that just
556
00:29:32.369 --> 00:29:33.089
a little bit.
557
00:29:33.289 --> 00:29:34.069
Yeah.
558
00:29:34.250 --> 00:29:38.809
The number of injuries in the leatherhead era of football
559
00:29:39.089 --> 00:29:42.420
was actually large. less because the pads and the helmets
560
00:29:42.920 --> 00:29:48.430
actually became a weapon. So it gave players the
ability
561
00:29:48.609 --> 00:29:53.150
to run faster, hit harder, and make higher impacts, but
562
00:29:53.349 --> 00:29:57.299
also because of the equipment they were wearing to also
563
00:29:57.380 --> 00:29:58.579
do more damage.
564
00:29:58.900 --> 00:30:02.480
Okay, but also they weighed 170 pounds, you know. Well,
565
00:30:02.500 --> 00:30:03.140
that's it.
566
00:30:03.319 --> 00:30:03.619
All right.
567
00:30:07.880 --> 00:30:10.259
You had a bunch of tough nicest running around the floor.
568
00:30:10.279 --> 00:30:11.119
Right, right, right.
569
00:30:11.299 --> 00:30:14.299
Okay, Gary, keep going because I know you've got more.
570
00:30:14.779 --> 00:30:18.960
How many players currently with us, NFL players, have been
571
00:30:19.000 --> 00:30:23.220
diagnosed with CTE? And I'll go back to two moments
572
00:30:23.779 --> 00:30:29.769
in history. 2011, David Dawson. 2012, Junior Sal. Both, tragically,
573
00:30:30.450 --> 00:30:31.309
took their own lives.
574
00:30:31.829 --> 00:30:32.650
Both friends of mine.
575
00:30:33.650 --> 00:30:34.549
I'm sorry, fella, then.
576
00:30:34.869 --> 00:30:35.369
Yeah, man.
577
00:30:35.390 --> 00:30:39.720
Did that, resonate for you? And were those two points
578
00:30:39.819 --> 00:30:43.359
in time something that brought the football community to a
579
00:30:43.400 --> 00:30:46.460
better understanding? Or did it just say, oh, well, that's
580
00:30:46.480 --> 00:30:47.200
sad and move on?
581
00:30:47.680 --> 00:30:51.289
I'll tell you why. Well, what I think, okay? David
582
00:30:51.309 --> 00:30:53.390
and I were, David Durison and I were really close
583
00:30:53.430 --> 00:30:56.329
because he was a former Bear player. He joined my
584
00:30:56.349 --> 00:30:58.849
team in 1990. We won the Super Bowl with him
585
00:31:00.170 --> 00:31:03.730
as a backup safety player. And he played a pivotal
586
00:31:03.769 --> 00:31:06.750
role in the progression of our team the whole entire season.
587
00:31:07.619 --> 00:31:10.950
His wife was from Baton Rouge. I knew his family
588
00:31:10.970 --> 00:31:16.410
because of that. He pledged Omega Psi Phi in my fraternity.
589
00:31:17.630 --> 00:31:19.789
I wrote an intake letter for him. I became a
590
00:31:19.809 --> 00:31:22.970
real brother to him. And I introduced him into the
591
00:31:22.990 --> 00:31:26.049
fraternity through Chicago and a bunch of friends in Chicago.
592
00:31:28.579 --> 00:31:30.579
David had a great business. He had a great mind.
593
00:31:30.619 --> 00:31:33.140
He was on the board of Notre Dame. He was
594
00:31:34.779 --> 00:31:38.440
the number two supplier of breakfast meat. to McDonald's and
595
00:31:38.480 --> 00:31:39.900
Burger King worldwide.
596
00:31:40.470 --> 00:31:40.789
Wow.
597
00:31:41.529 --> 00:31:44.630
He had a real strong head for business and, uh,
598
00:31:45.089 --> 00:31:47.930
you know, just a really good guy. The same applied
599
00:31:47.950 --> 00:31:51.430
for Junior Seau. Uh, and,
and, and what was, what
600
00:31:51.490 --> 00:31:56.509
was striking for me was when we introduced the movie concussions, uh,
601
00:31:56.670 --> 00:31:59.910
out in LA to the world. Um, I got a
602
00:31:59.930 --> 00:32:02.789
chance to sit with, uh, Junior Seau and his, Junior
603
00:32:02.809 --> 00:32:07.079
Seau's family and his daughter, um, at the, uh, the
604
00:32:07.140 --> 00:32:10.799
premiere of the film, and just listen to his daughter
605
00:32:10.839 --> 00:32:13.480
talk about her dad and talk about what it meant
606
00:32:14.000 --> 00:32:16.349
growing up with him in the household and everything else.
607
00:32:16.920 --> 00:32:21.109
And it was just sad how she talked that, you know,
608
00:32:21.829 --> 00:32:24.529
I will never have those moments in time again with him.
609
00:32:24.549 --> 00:32:29.190
I will never understand who my father really was outside
610
00:32:29.230 --> 00:32:34.990
of football. It will always reflect on me that his
611
00:32:35.049 --> 00:32:38.089
life was football. He played in the league, what, 17,
612
00:32:38.089 --> 00:32:42.559
18 years. It just, it just, it was, it really
613
00:32:42.599 --> 00:32:44.960
hit me, hit home for me, man. That's why I
614
00:32:45.019 --> 00:32:48.380
say what I say, you know. I have a daughter
615
00:32:49.480 --> 00:32:53.009
and someday she's going to reflect upon what my body
616
00:32:53.029 --> 00:32:56.089
of work was. And I just wanted to have the
617
00:32:56.170 --> 00:32:59.710
fondest memories of that. You know, my father stood for something.
618
00:32:59.730 --> 00:33:02.539
He was a principal kind of dude and he didn't
619
00:33:02.579 --> 00:33:04.339
let his brothers down. That's it.
620
00:33:05.049 --> 00:33:08.430
You know, I keep thinking, I keep thinking, why is
621
00:33:08.529 --> 00:33:12.559
any of this even a lawsuit? It should just be, yeah, okay,
622
00:33:12.779 --> 00:33:15.180
this is, you know, NFL is not short of money.
623
00:33:16.039 --> 00:33:19.059
And of course, this affliction is many people, but it's
624
00:33:19.099 --> 00:33:22.700
not everyone in the NFL, right? It's probably not happening
625
00:33:22.759 --> 00:33:29.130
to the place kickers, right? So it would be a
626
00:33:29.369 --> 00:33:34.109
sad indictment of the NFL, right? if the only resolution
627
00:33:34.130 --> 00:33:36.799
to come of this is only after they are sued,
628
00:33:37.839 --> 00:33:42.140
I mean, that just looks bad. It means they're reluctant, resistant.
629
00:33:42.420 --> 00:33:45.339
I'll do it if court makes us do it, but otherwise, no.
630
00:33:45.359 --> 00:33:49.200
I mean, what industry are we all supporting out here?
631
00:33:49.539 --> 00:33:51.799
Look at it this way, Dr. Clayson. 70% of the
632
00:33:51.839 --> 00:33:56.230
National Football League is black. The players are African-American, okay?
633
00:33:56.430 --> 00:34:00.970
We sued, okay? There was an award of a settlement.
634
00:34:00.970 --> 00:34:04.980
90%
of players that retire from the NFL are going
635
00:34:05.039 --> 00:34:08.119
to end up with CTE. That's a fact. That came
636
00:34:08.159 --> 00:34:13.650
from Dr. Ann McKee at Boston University. And also Dr.
637
00:34:13.690 --> 00:34:18.829
Robert McCann. So these are things that we know. Now
638
00:34:18.869 --> 00:34:23.400
there's racial norming in this case, where the neuropsychs have
639
00:34:23.539 --> 00:34:27.670
taken race and used race against people. the 70% black
640
00:34:27.750 --> 00:34:31.809
players to say, well, you had a learning disability to
641
00:34:31.849 --> 00:34:36.449
begin with. So you're probably dumb now because you had
642
00:34:36.489 --> 00:34:37.250
that issue.
643
00:34:37.030 --> 00:34:38.829
When you were a kid.
644
00:34:39.210 --> 00:34:43.280
And it's just an articulation of you growing your life,
645
00:34:43.610 --> 00:34:47.800
but yet you're not getting any smarter. Well, that's much
646
00:34:47.840 --> 00:34:48.760
worse yet.
647
00:34:48.820 --> 00:34:51.900
For what people don't realize what Leonard's talking about is
648
00:34:52.400 --> 00:34:54.420
if we go back to the aptitude test that he
649
00:34:54.460 --> 00:34:56.949
talked about, that he had to take. So what happens
650
00:34:57.010 --> 00:35:00.340
is all the players have to take these neuropsych aptitude
651
00:35:00.380 --> 00:35:04.099
tests where they have to answer a certain amount of
652
00:35:04.179 --> 00:35:07.579
questions to see how proficient they are mentally. And so
653
00:35:07.619 --> 00:35:12.239
the NFL is saying, basically, you guys are at a
654
00:35:12.400 --> 00:35:17.000
lower rate coming in because you're not that smart coming in.
655
00:35:17.800 --> 00:35:21.860
So you didn't lose any real brain function because your
656
00:35:21.909 --> 00:35:26.010
brain function was already low. And as a result, these
657
00:35:26.110 --> 00:35:31.110
players are now not... The funds to protect these players
658
00:35:31.550 --> 00:35:35.269
after they played are no longer available to these players that...
659
00:35:35.510 --> 00:35:36.630
do not do as well on the test.
660
00:35:36.670 --> 00:35:38.449
So that's the Wunderlich test, isn't it?
661
00:35:39.110 --> 00:35:41.639
No, the Wunderlich is what you use when you come
662
00:35:41.679 --> 00:35:44.380
into the game. But in the 16 PF, it used
663
00:35:44.420 --> 00:35:46.980
to be in the performance. Those three other pictures used
664
00:35:47.000 --> 00:35:48.519
to be used when you were coming into the league.
665
00:35:49.000 --> 00:35:51.019
Those declared whether you were going to be a first, second,
666
00:35:51.039 --> 00:35:53.280
or third round grab pick, or if you're going to
667
00:35:53.300 --> 00:35:56.530
be selected at all. Because you can't read that playbook
668
00:35:56.570 --> 00:35:58.849
and learn it. It's one thing to read it. It's
669
00:35:58.869 --> 00:36:02.489
another thing to comprehend it. So you have players that
670
00:36:02.530
--> 00:36:05.409
are like that. I mean, you know, I've seen some guys,
671
00:36:05.789 --> 00:36:10.050
their talent outweighs their smarts on the field. And that's
672
00:36:10.090 --> 00:36:11.250
the kind of play you just kind of let them
673
00:36:11.289 --> 00:36:14.050
go and do what he's got to do. But got
674
00:36:14.070 --> 00:36:16.780
the other situation that's going on with the racial norming that,
675
00:36:17.360 --> 00:36:19.480
you know, that they're saying that, well, you weren't that
676
00:36:19.519 --> 00:36:22.119
smart to begin with. You barely had a C average
677
00:36:22.159 --> 00:36:25.179
in college. And now we're giving you this test. You're
678
00:36:25.219 --> 00:36:28.440
testing at a D grade level. So we don't think
679
00:36:28.500 --> 00:36:31.900
that you were injured or anything happened to your brain.
680
00:36:32.340 --> 00:36:36.929
We just take you down. That's not cool. That's not cool.
681
00:36:37.010 --> 00:36:40.369
All right, Leonard, you mentioned two doctors, Dr. McKee, Dr.
682
00:36:40.429 --> 00:36:43.090
Ann McKee, and Dr. Robert Cantu. They're part of the
683
00:36:43.150 --> 00:36:44.920
Concussion Legacy Foundation?
684
00:36:45.260 --> 00:36:46.179
That's correct. Right.
685
00:36:46.539 --> 00:36:51.320
So someone out there is fighting the good fight. How
686
00:36:51.440 --> 00:36:55.880
far are they getting with this? Are they progressing at all?
687
00:36:56.219 --> 00:36:58.590
Is there some kind of way that they are making progress?
688
00:37:00.599 --> 00:37:03.210
Well, I'm on the board of CLF. And CLF is
689
00:37:03.250 --> 00:37:07.110
doing everything they can. Chris Lewinsky does a fantastic job
690
00:37:07.590 --> 00:37:10.949
fighting for players and their families and their kids' kids.
691
00:37:12.230 --> 00:37:15.159
So I can't say enough good things about CLF.
692
00:37:15.840 --> 00:37:16.119
Dr.
693
00:37:16.159 --> 00:37:20.599
McKee and Dr. Cantu have always been the brain trust
694
00:37:20.639 --> 00:37:24.460
behind what's going on with the science of the brain
695
00:37:25.139 --> 00:37:27.760
and how it affects former players in both the NHL
696
00:37:29.099 --> 00:37:32.019
the NFL, and some that have been injured in the
697
00:37:32.119 --> 00:37:36.239
NBA and Major League Baseball. So, you know, the work
698
00:37:36.280 --> 00:37:44.869
that they do is consequential to a high level of
699
00:37:47.230 --> 00:37:51.139
transparency to players in that family. And we respect and
700
00:37:51.159 --> 00:37:56.760
appreciate that. I think that some people don't. Like Dr.
701
00:37:56.800 --> 00:37:59.679
Tyson was talking about, they don't respect the science and
702
00:37:59.719 --> 00:38:05.110
the science doesn't lie. The science is the science. Bottom line,
703
00:38:05.469 --> 00:38:06.610
the science is the science.
704
00:38:07.070 --> 00:38:10.130
You're in the right place for that, Leonard. You are
705
00:38:10.170 --> 00:38:11.289
definitely in the right place.
706
00:38:11.730 --> 00:38:15.380
So we got to bring this segment to a close.
707
00:38:15.420 --> 00:38:19.840
Just before we do, you've been very active just as
708
00:38:20.199 --> 00:38:23.380
a proponent and as a supporter of all these causes
709
00:38:23.500 --> 00:38:27.349
related to just People's Health after, you know, just is
710
00:38:27.369 --> 00:38:29.070
the title of your book all over again, When the
711
00:38:29.110 --> 00:38:32.530
Cheering Stops. Are you up for an award coming up?
712
00:38:32.630 --> 00:38:35.329
I'm up for an award. You bring it up, Dr.
713
00:38:35.369 --> 00:38:39.909
Tyson. I'm up for an award from Caring Kind. The
714
00:38:39.929 --> 00:38:42.760
dinner is at the Pierre Hotel in New York, St.
715
00:38:42.980 --> 00:38:47.360
Pierre Hotel in New York. It happens on June the 6th, 2022.
716
00:38:47.360 --> 00:38:51.420
And it's the ALS Society that's honoring me for my work.
717
00:38:51.869 --> 00:38:52.550
in this space.
718
00:38:52.690 --> 00:38:53.130
Oh, man.
719
00:38:53.190 --> 00:38:55.369
In fact, I've been a real proponent and advocate.
720
00:38:55.389 --> 00:38:55.469
Good.
721
00:38:55.630 --> 00:38:56.690
Congratulations, Leonard.
722
00:38:56.710 --> 00:38:57.389
Thank you very much.
723
00:38:57.409 --> 00:38:59.170
Well, I'll tell you this. If we gave awards, we'd
724
00:38:59.190 --> 00:39:01.650
give you an award right now. That's right.
725
00:39:01.889 --> 00:39:03.449
But it wouldn't be at the Pierre Hotel.
726
00:39:03.550 --> 00:39:04.170
No.
727
00:39:04.739 --> 00:39:06.300
That place is expensive.
728
00:39:06.340 --> 00:39:09.000
Chuck, Chuck, you can be calm.
729
00:39:09.300 --> 00:39:10.340
No, we'll do drive-thru.
730
00:39:10.699 --> 00:39:11.800
That's Park Avenue.
731
00:39:11.619 --> 00:39:12.159
East, baby.
732
00:39:12.179 --> 00:39:13.300
It is.
733
00:39:13.480 --> 00:39:13.699
It is.
734
00:39:13.719 --> 00:39:18.840
He's right. So, Leonard, it's been a delight. to have you,
735
00:39:18.860 --> 00:39:21.269
a kind of sad delight. I mean, I'm glad somebody's
736
00:39:21.309 --> 00:39:25.969
paying attention to this. And that it's, um, and it
737
00:39:26.150 --> 00:39:32.329
sounds like all, all forces are aligned to resolve this
738
00:39:32.389 --> 00:39:35.650
in some way to redress the problems that have happened
739
00:39:35.670 --> 00:39:38.260
before and to prevent them from ever happening again. And
740
00:39:38.320 --> 00:39:41.510
we got to shed a little bit of that testosterone
741
00:39:41.550 --> 00:39:44.960
macho on the field. It's still an entertaining game, you know,
742
00:39:44.980 --> 00:39:51.429
it's still drawn the crowds. And I, you know, to
743
00:39:51.449 --> 00:39:53.369
be tackled doesn't mean you have to not get up
744
00:39:53.510 --> 00:39:55.630
after it, okay? I'm just saying.
745
00:39:55.670 --> 00:39:58.210
You can't take contact out of this sport, because if
746
00:39:58.250 --> 00:40:01.030
you do, this is no
longer NFL football.
747
00:40:01.070 --> 00:40:03.030
I get it, but there are ways to make contact
748
00:40:03.050 --> 00:40:05.090
where you're not a bullet passing through somebody's.
749
00:40:05.730 --> 00:40:07.550
Yeah, yeah. The only way to take it out is
750
00:40:07.570 --> 00:40:09.579
to take the head out, and you can't take the
751
00:40:09.599 --> 00:40:10.280
head out of football.
752
00:40:11.440 --> 00:40:13.920
That would be weird if you just had bodies running
753
00:40:13.960 --> 00:40:16.579
up and down, headless bodies.
754
00:40:18.340 --> 00:40:18.800
Can't do it.
755
00:40:19.840 --> 00:40:22.059
All right, Leonard, it's been a delight. Thank you for
756
00:40:22.099 --> 00:40:26.800
being on StarTalk. We're going to pivot now to Heather
757
00:40:26.820 --> 00:40:30.269
Berlin in our third segment, and we'll tell her you
758
00:40:30.289 --> 00:40:33.190
said hi, Leonard, and we're delighted that she brought you
759
00:40:33.530 --> 00:40:40.250
to us. Godspeed, stay healthy, and give us a holler
760
00:40:40.269 --> 00:40:41.949
again if you've got more to tell about this story.
761
00:40:41.989 --> 00:40:46.059
I certainly will, guys. All right, dude. When we come back,
762
00:40:46.280 --> 00:40:50.480
our third segment will be with our Our neuroscientist at large,
763
00:40:50.659 --> 00:40:55.309
Heather Berlin, will sort of figure out what's going on
764
00:40:55.349 --> 00:40:58.789
here and why and where it's going to head in
765
00:40:58.829 --> 00:41:01.570
the future of the sport. This is StarTalk. See you
766
00:41:01.590 --> 00:41:05.909
in a moment. We're back. StarTalk Sports Edition. We're talking
767
00:41:05.929 --> 00:41:12.409
about concussions and many concussions, actually. The kind that accumulate
768
00:41:12.900 --> 00:41:16.679
and turn into something really bad later in life. Something that,
769
00:41:16.760 --> 00:41:22.179
of course... football players suffer from. Many didn't even know
770
00:41:22.199 --> 00:41:26.280
that this was going on. And in particular, we went
771
00:41:26.300 --> 00:41:29.860
through two segments with our special guest, Leonard Marshall, former
772
00:41:30.050 --> 00:41:34.730
football player with the New York Giants, two-time Super Bowler.
773
00:41:35.469 --> 00:41:37.869
And Chuck, was he an offensive tackle? Is that what
774
00:41:37.949 --> 00:41:41.070
his title was? Defensive. No, he was defensive. Defensive tackle,
775
00:41:41.090 --> 00:41:41.630
protecting the.
776
00:41:42.530 --> 00:41:44.130
Coming after guys.
777
00:41:44.610 --> 00:41:45.530
Mm-hmm.
778
00:41:45.869 --> 00:41:48.409
So he's coming after the other team's quarterback. He's a
779
00:41:48.429 --> 00:41:49.920
hit man. That's what he is.
780
00:41:50.110 --> 00:41:50.940
He was very good at it.
781
00:41:51.820 --> 00:41:52.099
Yes.
782
00:41:52.320 --> 00:41:53.780
He was more than very good at it. Him and
783
00:41:53.800 --> 00:41:57.760
Lawrence Taylor together. They were.
784
00:41:59.199 --> 00:42:00.119
I hate them so much.
785
00:42:00.139 --> 00:42:01.099
They were a wrecking crew.
786
00:42:01.699 --> 00:42:02.739
They were so awful.
787
00:42:04.239 --> 00:42:07.780
Against your team. Yes, exactly. They made it so hard
788
00:42:07.820 --> 00:42:09.739
for me. For you and your Eagles.
789
00:42:10.139 --> 00:42:10.480
So.
790
00:42:11.289 --> 00:42:14.449
They plucked the eagle's bald. Ooh, that was a good one.
791
00:42:14.570 --> 00:42:18.289
That was a good one. So we don't have particular
792
00:42:18.369 --> 00:42:20.269
expertise in the neurology of this, but of course we
793
00:42:20.289 --> 00:42:25.090
have a friend of StarTalk, our go-to person, our neuroscientist
794
00:42:25.210 --> 00:42:27.590
at large, Heather Berlin. Heather, welcome back to StarTalk.
795
00:42:27.659 --> 00:42:29.340
Always a pleasure. Thanks for having me.
796
00:42:30.260 --> 00:42:32.440
Yeah, so he mentioned that he had a battery of
797
00:42:32.500 --> 00:42:37.880
tests that in recent years enabled medical professionals to diagnose
798
00:42:37.980 --> 00:42:42.900
this accumulation of small bits of brain damage known as CTE.
799
00:42:42.940 --> 00:42:44.360
And I always forget what that stands for.
800
00:42:44.469 --> 00:42:47.849
It's chronic traumatic encephalopathy.
801
00:42:49.210 --> 00:42:54.570
Hence the abbreviation CTE. And so, so my head hurts
802
00:42:54.590 --> 00:42:56.150
just saying that. Yeah, I know.
803
00:42:56.170 --> 00:42:56.329
Right.
804
00:42:56.630 --> 00:43:00.050
Right. So what we had learned was in the day,
805
00:43:00.530 --> 00:43:02.760
you would never know this until the patient was dead.
806
00:43:03.179 --> 00:43:07.179
And then you do your normal brain slicing on the autopsy.
807
00:43:07.510 --> 00:43:10.449
But apparently there's some progress where you can do this
808
00:43:10.530 --> 00:43:16.110
in the living patient. But how definitive can that be
809
00:43:16.190 --> 00:43:18.789
relative to just say, look, give me your brain, I'll
810
00:43:18.809 --> 00:43:20.250
slice it open and then I'll let you know.
811
00:43:21.630 --> 00:43:24.309
I mean, still the gold standard, if you want to
812
00:43:24.369 --> 00:43:29.780
know with 100%, you know, definitive is to look postpartum.
813
00:43:29.820 --> 00:43:31.960
It's the same thing with Alzheimer's as well. You really
814
00:43:32.000 --> 00:43:37.090
have to see these... particular pattern of these plaques, these
815
00:43:37.130 --> 00:43:40.909
tau proteins, and these tangles. But if you kind of
816
00:43:40.989 --> 00:43:44.449
piece together a bunch of different tests, some MRI, and
817
00:43:44.469 --> 00:43:48.760
there's particular patterns looking at PET and tau buildup in
818
00:43:48.820 --> 00:43:52.079
particular parts of the brain, along with these clinical tests
819
00:43:52.139 --> 00:43:55.460
like neurocognitive testing, you can start to get a full
820
00:43:55.599 --> 00:44:00.820
picture where you can
give a pretty accurate diagnosis of CTE,
821
00:44:00.860 --> 00:44:04.059
but it's still not 100% until you actually see the
822
00:44:04.099 --> 00:44:06.239
neuropathology in the brain itself.
823
00:44:07.519 --> 00:44:10.739
I know Chuck and Gary are busting with questions. Gary,
824
00:44:10.760 --> 00:44:12.000
what do you have for her right now?
825
00:44:13.079 --> 00:44:17.699
The tau protein, it just changes and develops in a
826
00:44:17.739 --> 00:44:21.679
certain way, doctor. So how is it changing? Why is
827
00:44:21.760 --> 00:44:24.630
it changing from an impact? But it doesn't change. Normally,
828
00:44:24.750 --> 00:44:27.869
if you have impact on the body, a bruise appears.
829
00:44:29.039 --> 00:44:34.179
But this protein change happens years... And the bruise heals, right?
830
00:44:34.460 --> 00:44:38.820
And then the change happens maybe decades later. So what
831
00:44:38.960 --> 00:44:40.800
is the process that's going on in there?
832
00:44:42.199 --> 00:44:43.300
So, okay.
833
00:44:43.519 --> 00:44:46.739
Part of it is right when you get the impact,
834
00:44:46.800 --> 00:44:51.840
you have this kind of neurochemical cascade that occurs. You
835
00:44:51.860 --> 00:44:56.239
have the release of certain... you have basically what's called
836
00:44:56.320 --> 00:45:02.130
neural depolarization, which releases these excitatory neurotransmitters. And it kind
837
00:45:02.170 --> 00:45:04.969
of shifts the balance in the brain. It changes the
838
00:45:05.010 --> 00:45:09.449
glucose metabolism and the blood flow. And then that in
839
00:45:09.510 --> 00:45:13.980
turn can impair the axonal function. So basically, a lot
840
00:45:14.019 --> 00:45:16.699
of these tau proteins are in the white matter. They're
841
00:45:16.739 --> 00:45:19.880
in the sort of microtubules of the brain. And when
842
00:45:19.900 --> 00:45:23.650
you have this complex neurochemical system, cascade that occurs when
843
00:45:23.670 --> 00:45:27.030
there's been a traumatic injury, it sets off this process,
844
00:45:27.489 --> 00:45:30.369
which has a distinct, you know, in the course of
845
00:45:30.409 --> 00:45:32.730
a couple of days, you can see it a distinct
846
00:45:32.789 --> 00:45:36.639
sort of process, but then it can take years for
847
00:45:36.679 --> 00:45:38.900
the sort of full damage for the death of the
848
00:45:38.960 --> 00:45:41.460
neurons to occur. Cause there's sort of a buildup. If
849
00:45:41.500 --> 00:45:44.360
you think of it like, um, you know, in the arteries,
850
00:45:44.579 --> 00:45:48.019
when you're having a kind of buildup of plaque over time,
851
00:45:48.420 --> 00:45:50.030
but it doesn't, it takes a while until you actually
852
00:45:50.070 --> 00:45:53.050
have like a heart attack, right? So if you think of,
853
00:45:53.449 --> 00:45:56.119
in the most simplest terms, like a buildup of sort
854
00:45:56.139 --> 00:45:59.699
of gunk that was set off by this initial neurochemical process,
855
00:45:59.739 --> 00:46:03.860
and over time it can lead to neuronal death. And
856
00:46:03.940 --> 00:46:05.840
I think that's the easiest way to explain it without
857
00:46:05.880 --> 00:46:06.659
getting too into it.
858
00:46:06.679 --> 00:46:09.530
And the neuronal death, when you're talking about the death
859
00:46:09.570 --> 00:46:17.010
of these neurons, so basically that's the transmission of information
860
00:46:17.050 --> 00:46:19.760
in the brain. That's how the brain talks to the brain. Right.
861
00:46:19.920 --> 00:46:21.880
Well, I mean, it's mostly, you know, these, it's the
862
00:46:22.019 --> 00:46:24.610
white matter. So, so think about this. You have the brain,
863
00:46:24.650 --> 00:46:26.969
this very soft piece of matter inside a very rough
864
00:46:27.110 --> 00:46:31.150
bony skull that has all these little ridges. And when
865
00:46:31.190 --> 00:46:35.230
you get this acceleration deceleration event, the brain kind of
866
00:46:35.389 --> 00:46:36.449
shakes within this.
867
00:46:36.469 --> 00:46:38.110
That's the polite way to say you got hit in
868
00:46:38.130 --> 00:46:38.409
the head.
869
00:46:38.610 --> 00:46:38.809
Right.
870
00:46:38.909 --> 00:46:40.369
Exactly.
871
00:46:41.050 --> 00:46:42.289
You get banged in the head.
872
00:46:43.449 --> 00:46:46.289
You get banged, the acceleration deceleration, you get banged in
873
00:46:46.309 --> 00:46:46.469
the head.
874
00:46:46.570 --> 00:46:47.110
Exactly.
875
00:46:47.190 --> 00:46:49.630
And sometimes they technically, we call it a coup counter
876
00:46:49.670 --> 00:46:52.170
coup event, but there's rocking sort of back and forth.
877
00:46:52.949 --> 00:46:55.880
Now there's different density between the gray matter and the
878
00:46:55.909 --> 00:46:58.500
white matter in the brain. So they kind of stretch
879
00:46:58.559 --> 00:47:01.300
and they move at different rates. So that causes a
880
00:47:01.539 --> 00:47:05.139
stretching or tearing or shearing in the white matter. Um,
881
00:47:05.219 --> 00:47:07.219
when you have the kind of shaking of the, of
882
00:47:07.280 --> 00:47:10.909
the brain within the skull, this tearing causes this neurochemical
883
00:47:10.949 --> 00:47:13.710
cascade that I, that I spoke about, but that's how
884
00:47:13.750 --> 00:47:16.889
they communicate the white matter where this shearing effect occurs,
885
00:47:17.150 --> 00:47:21.110
this tearing, this pulling, it affects the communication between different
886
00:47:21.150 --> 00:47:24.820
brain areas. Um, and ultimately, so that's one aspect that
887
00:47:24.840 --> 00:47:27.280
can cause some of the symptoms. Um, and the other
888
00:47:27.300 --> 00:47:31.489
is that you have a, eventually this, um, this neurodegeneration
889
00:47:31.760 --> 00:47:34.440
where you start to have brain death, which is akin
890
00:47:34.460 --> 00:47:37.019
to kind of what happens in an Alzheimer's process or
891
00:47:37.119 --> 00:47:39.199
other neurodegenerative
disorders.
892
00:47:40.300 --> 00:47:44.139
On a personal level, Heather, I headed a football or
893
00:47:44.199 --> 00:47:47.139
a soccer ball, if you prefer, for many years and
894
00:47:47.360 --> 00:47:50.480
quite some time ago. And I would have last played
895
00:47:50.500 --> 00:47:53.900
a competitive game in the mid-90s.
896
00:47:55.769 --> 00:47:58.699
So the question is how long will it be before
897
00:47:58.719 --> 00:48:01.559
Gary can no longer have this conversation?
898
00:48:03.980 --> 00:48:08.460
Well, so, you know, it, it kind of, it, it,
899
00:48:08.500 --> 00:48:10.940
there's a couple of things. It could set off a process.
900
00:48:11.000 --> 00:48:13.639
If you already have a kind of vulnerability toward a
901
00:48:13.679 --> 00:48:16.659
neurodegenerative disorder, it could make you more vulnerable. So there's
902
00:48:16.679 --> 00:48:20.469
something we call cognitive reserve, which is basically kind of
903
00:48:20.550 --> 00:48:22.570
what is your baseline? If you have a lot of
904
00:48:22.630 --> 00:48:25.980
different connections in the brain, you know, that you can
905
00:48:26.119 --> 00:48:29.199
afford to lose a little bit of cognitive function or
906
00:48:29.219 --> 00:48:32.619
a little bit of structural stability or integrity and still
907
00:48:32.659 --> 00:48:34.559
kind of be okay and get.
908
00:48:34.119 --> 00:48:34.840
By, right?
909
00:48:35.280 --> 00:48:38.860
So- So Heather, we have no idea how smart Gary
910
00:48:38.900 --> 00:48:40.780
was before the show.
911
00:48:41.159 --> 00:48:46.550
We only know him- in his current state.
912
00:48:47.210 --> 00:48:49.170
We only know him in his current state. But Gary,
913
00:48:49.190 --> 00:48:51.269
you said it's not only did you use your head
914
00:48:51.329 --> 00:48:53.409
during the game, you practiced.
915
00:48:54.480 --> 00:48:56.840
And you have to learn a technique to head a
916
00:48:57.039 --> 00:48:59.719
football in the most efficient way.
917
00:49:00.340 --> 00:49:02.219
Which is how? Your forehead?
918
00:49:02.239 --> 00:49:03.239
You made it on the forehead, yeah.
919
00:49:03.460 --> 00:49:05.239
Made it right on the forehead.
920
00:49:05.300 --> 00:49:09.949
Worst case. And you develop muscular density here to strengthen
921
00:49:10.329 --> 00:49:12.750
so you don't get the whiplash if the ball hits
922
00:49:12.750 --> 00:49:14.940
you in the head when you connect with it. So
923
00:49:14.940 --> 00:49:18.090
you develop things like you would with muscles for running.
924
00:49:18.090 --> 00:49:19.570
So you develop neck muscles.
925
00:49:19.570 --> 00:49:19.690
I see.
926
00:49:19.710 --> 00:49:23.260
So you've protected your neck vertebrae, but your brain is mush.
927
00:49:23.699 --> 00:49:23.880
Probably.
928
00:49:23.889 --> 00:49:24.539
That's what you're saying.
929
00:49:24.860 --> 00:49:25.420
More or less.
930
00:49:25.619 --> 00:49:28.400
Listen, it's not a good thing to be bunting balls
931
00:49:28.420
--> 00:49:33.659
with your head. But the thing is, not everybody develops CTE, right?
932
00:49:33.820 --> 00:49:34.949
It's a percentage.
933
00:49:35.550 --> 00:49:36.550
Keep cheering me up, doctor.
934
00:49:37.690 --> 00:49:38.710
Oh, good.
935
00:49:38.829 --> 00:49:39.190
Okay.
936
00:49:39.210 --> 00:49:43.289
So maybe 30%, I think, is the statistic of the
937
00:49:43.329 --> 00:49:46.489
people who are, let's say, playing in sports that are
938
00:49:46.570 --> 00:49:49.889
bunting their head or taking a lot of hits. And
939
00:49:49.949 --> 00:49:53.989
so I think we still don't fully understand why certain
940
00:49:54.030 --> 00:49:56.489
people develop it and others don't. Certain people have multiple
941
00:49:56.590 --> 00:49:59.500
concussions over time. It could have to do with certain vulnerabilities.
942
00:49:59.539 --> 00:50:01.400
It could have to do with the age at which
943
00:50:01.440 --> 00:50:04.719
you started having these small head injuries.
944
00:50:04.739 --> 00:50:05.519
Wow.
945
00:50:06.159 --> 00:50:08.320
And it's kind of like COVID right now. Some people
946
00:50:08.360 --> 00:50:11.219
get it and it's devastating and horrible and others are
947
00:50:11.440 --> 00:50:13.980
asymptomatic and perfectly fine. And I think that there is
948
00:50:14.000 --> 00:50:16.820
an underlying mechanism. It could be related to genetics. We
949
00:50:16.860 --> 00:50:19.949
don't know yet. But so there's some hope for you.
950
00:50:20.929 --> 00:50:23.369
Gary, were you wearing a mask while you were heading
951
00:50:23.409 --> 00:50:25.489
the ball?
952
00:50:25.710 --> 00:50:27.570
That's the most important thing.
953
00:50:28.010 --> 00:50:29.969
Were you socially distanced?
954
00:50:30.570 --> 00:50:36.570
Heather, I've read that there are no pain... neurons in
955
00:50:36.590 --> 00:50:39.190
the brain, is that right? So you would have no
956
00:50:39.289 --> 00:50:44.010
idea that you were undergoing this slow damage. Whereas a
957
00:50:44.110 --> 00:50:47.489
tiny little pinprick anywhere on your skin, you would know,
958
00:50:48.139 --> 00:50:49.610
even in the most obscure places.
959
00:50:50.010 --> 00:50:52.800
Yeah, I mean, do you think- Especially in the most
960
00:50:52.900 --> 00:50:53.679
obscure places.
961
00:50:53.820 --> 00:50:57.360
Chuck.
962
00:50:58.280 --> 00:51:00.679
That is one of the most fascinating things about the
963
00:51:00.699 --> 00:51:02.860
brain is, so I'm fortunate enough to be involved in
964
00:51:02.900 --> 00:51:07.039
some- neurosurgery when we're doing brain mapping. So for example,
965
00:51:07.260 --> 00:51:09.119
we want to map out a person's getting a lesion
966
00:51:09.139 --> 00:51:10.820
removed and we want to make sure we don't take
967
00:51:10.860 --> 00:51:14.010
out their language area. So we, while they're in surgery,
968
00:51:14.119 --> 00:51:16.389
we can wake them up. We can be inside.
969
00:51:16.530 --> 00:51:18.630
That's nice of you. That's nice of you to just
970
00:51:18.670 --> 00:51:22.489
not want to take out. You sound like a military operation.
971
00:51:22.510 --> 00:51:28.389
So how are you feeling? They're fine.
972
00:51:28.409 --> 00:51:30.329
They're fine.
973
00:51:30.409 --> 00:51:32.530
It's like young Frank, young Frankenstein.
974
00:51:32.829 --> 00:51:36.559
All right. But no, so piece by piece, we use
975
00:51:36.599 --> 00:51:39.440
electrical stimulation and stimulate each piece and have a person talk.
976
00:51:39.480 --> 00:51:41.639
And eventually we hit an area where they literally just
977
00:51:41.719 --> 00:51:43.550
can't talk anymore. And we know not to take out
978
00:51:43.570 --> 00:51:46.909
that area. But the point is that we're not to
979
00:51:46.929 --> 00:51:48.489
remove the area in a very delicate way.
980
00:51:48.969 --> 00:51:49.289
Right.
981
00:51:52.199 --> 00:51:52.829
Oh my God.
982
00:51:53.150 --> 00:51:58.190
So you're telling me that something as sophisticated as neurosurgery.
983
00:51:58.889 --> 00:51:59.869
Y'all just poking around.
984
00:51:59.909 --> 00:52:00.469
It's really, right.
985
00:52:00.590 --> 00:52:06.750
So you're telling me electricians, electricians are better at.
986
00:52:06.789 --> 00:52:09.239
Finding the electrical connection.
987
00:52:10.139 --> 00:52:14.360
Like no electrician would start poking your walls to figure
988
00:52:14.519 --> 00:52:16.199
out where the wires are.
989
00:52:16.219 --> 00:52:21.909
Pretty much where we're at. But the amazing thing. is
990
00:52:21.929 --> 00:52:24.590
that the person is awake, their skull is open. We're literally,
991
00:52:24.869 --> 00:52:27.150
you know, inside their brain and they don't feel any
992
00:52:27.210 --> 00:52:27.449
of it.
993
00:52:27.650 --> 00:52:27.909
Right.
994
00:52:28.070 --> 00:52:31.039
The thing that creates all of our pain sensations doesn't
995
00:52:31.059 --> 00:52:34.139
feel anything itself when it's being touched or stimulated or
996
00:52:34.219 --> 00:52:34.840
cut into.
997
00:52:34.980 --> 00:52:35.400
That's deep.
998
00:52:35.880 --> 00:52:36.119
Right.
999
00:52:36.199 --> 00:52:37.920
And it can bleed and be cut into, but you don't,
1000
00:52:37.940 --> 00:52:39.519
you don't feel it, but it, but it's the seat
1001
00:52:39.559 --> 00:52:43.039
of pain itself. So the thing about it with CTE
1002
00:52:43.179 --> 00:52:46.320
and another, you know, symptoms from traumatic brain injury is
1003
00:52:46.389 --> 00:52:49.570
that it's, it's a silent, people are suffering with it
1004
00:52:49.590 --> 00:52:51.840
in silence because you can't see it, right? You can
1005
00:52:51.880 --> 00:52:55.039
see it a little bit with these hyperintensities, we call
1006
00:52:55.059 --> 00:52:58.300
it on MRI, the little white spots that show up
1007
00:52:58.719 --> 00:53:02.039
over time. But really it's subjective. The person is saying,
1008
00:53:02.099 --> 00:53:04.840
I have a brain fog. I can't concentrate. I can't read.
1009
00:53:04.900 --> 00:53:08.650
Or they start acting impulsively. But you don't feel pain
1010
00:53:08.670 --> 00:53:12.190
itself other than headaches is often people complain of having
1011
00:53:12.210 --> 00:53:15.269
a headache. But that's really the meninges. Like a headache
1012
00:53:15.309 --> 00:53:18.239
is not the brain itself hurting. it's actually like a
1013
00:53:18.300 --> 00:53:22.579
migraine is the surrounding membrane that does have pain sensors
1014
00:53:22.639 --> 00:53:24.780
in it. And that's where you actually feel the headache.
1015
00:53:25.530 --> 00:53:27.949
Like when you get a hangover, that's my migraine.
1016
00:53:28.010 --> 00:53:28.809
I mean, I wouldn't know.
1017
00:53:31.230 --> 00:53:34.250
Heather, does the brain not have a capacity for regeneration
1018
00:53:34.289 --> 00:53:36.300
in certain places or in all of it?
1019
00:53:37.159 --> 00:53:40.769
It does. I mean, it's amazingly, I mean, it's, It's
1020
00:53:40.809 --> 00:53:43.750
very susceptible to damage, but it is amazingly able to
1021
00:53:44.230 --> 00:53:46.969
kind of heal to an extent. So a lot of
1022
00:53:47.010 --> 00:53:51.250
it is compensatory, right? As long as certain structures are
1023
00:53:51.269 --> 00:53:53.260
in place, if you have damage, you can maybe build
1024
00:53:53.320 --> 00:53:54.260
alternative routes.
1025
00:53:54.519 --> 00:53:54.960
Rewire.
1026
00:53:55.139 --> 00:53:56.900
Rewire. Your brain rewires.
1027
00:53:56.960 --> 00:53:57.500
Rewire.
1028
00:53:57.780 --> 00:54:02.539
But when you start to have these neurodegenerative processes, so
1029
00:54:02.619 --> 00:54:05.300
much of the brain is affected across the board. It
1030
00:54:05.340 --> 00:54:09.039
starts to atrophy. you're losing gray matter. So like I said,
1031
00:54:09.079 --> 00:54:11.340
first you get these white matter tears, but eventually that
1032
00:54:11.400 --> 00:54:14.260
leads to death of the cell body, the gray matter.
1033
00:54:15.280 --> 00:54:17.940
And then you don't have the actual structure to support
1034
00:54:18.079 --> 00:54:21.360
the brain function, the cognitive function anymore. So you can
1035
00:54:21.460 --> 00:54:23.460
compensate to an extent. So if you have one area
1036
00:54:23.480 --> 00:54:25.940
of a brain lesion that doesn't spread, right? It's not
1037
00:54:25.980 --> 00:54:30.199
a neurodegenerative disorder. You can create these alternative pathways to
1038
00:54:30.219 --> 00:54:33.300
sort of circumvent that damaged area. But when you start
1039
00:54:33.360 --> 00:54:36.989
having globally damage, there's only so much the brain can
1040
00:54:37.030 --> 00:54:40.289
do to compensate.
1041
00:54:40.389 --> 00:54:42.389
So Heather, I just want to, just to, just to
1042
00:54:43.010 --> 00:54:49.409
establish a baseline here of all sciences, yours is the
1043
00:54:49.650 --> 00:54:54.650
most constricted by what kind of experiments you can do, right?
1044
00:54:54.710 --> 00:54:57.530
I mean, a chemist can just re mix the Petri
1045
00:54:57.570 --> 00:55:00.929
dish or the biologist and then do it at a
1046
00:55:00.969 --> 00:55:05.940
different temperature under different acidity, a different lighting condition, whatever,
1047
00:55:06.539 --> 00:55:08.340
you can't just walk up to people in the street,
1048
00:55:08.539 --> 00:55:12.059
can I play with your brain? You can't do that.
1049
00:55:12.880 --> 00:55:18.679
So how far behind are you? Rather than boast how
1050
00:55:18.739 --> 00:55:23.530
far we've come, how much more remains to be discovered?
1051
00:55:23.889 --> 00:55:26.309
Okay, so I mean, look, there's a lot of work
1052
00:55:26.349 --> 00:55:28.809
we can do. I don't do this research, but there
1053
00:55:28.829 --> 00:55:31.309
are people in the field who are doing animal research, right?
1054
00:55:31.449 --> 00:55:36.610
And there you can do much more controlled experiments in
1055
00:55:36.760 --> 00:55:39.960
animals that you can't do in humans. Part of what
1056
00:55:40.199 --> 00:55:44.099
I have always done is I try to create experiments
1057
00:55:44.159 --> 00:55:47.139
that would be in humans that are analogous to what
1058
00:55:47.159 --> 00:55:49.820
we're able to do in animals, but we have to
1059
00:55:49.860 --> 00:55:53.159
kind of wait for the right subjects to emerge. So
1060
00:55:53.260 --> 00:55:55.260
let me give you an example. Like one is, for example,
1061
00:55:55.460 --> 00:55:57.219
part of my PhD work was I looked at what,
1062
00:55:57.570 --> 00:55:59.929
what is the part of the brain, the orbital prefrontal cortex,
1063
00:55:59.949 --> 00:56:02.329
what does it do? And so in animal models and
1064
00:56:02.389 --> 00:56:05.679
mice and monkeys, you can lesion that part of the
1065
00:56:05.699 --> 00:56:08.579
brain specifically and then do experiments. You can't go in
1066
00:56:08.619 --> 00:56:11.099
and lesion a human. So what I had to do
1067
00:56:11.139 --> 00:56:15.010
is sort through, this was in London at King's College London,
1068
00:56:15.050 --> 00:56:18.989
the neurosurgery department, sort through patient files of patients who
1069
00:56:19.010 --> 00:56:21.469
have come in who are still alive who have had
1070
00:56:21.489 --> 00:56:23.849
the particular type of brain surgery because it was removal
1071
00:56:23.869 --> 00:56:26.269
of a tumor or because they had damage to that
1072
00:56:26.309 --> 00:56:28.650
part of the brain because of a stroke or an aneurysm,
1073
00:56:28.989 --> 00:56:31.389
where I would find those specific patients that happen to
1074
00:56:31.429 --> 00:56:33.230
have damage to that part of the brain and then
1075
00:56:33.329 --> 00:56:35.909
bring them in for a study. But that takes longer.
1076
00:56:36.289 --> 00:56:38.789
So the thing is we can do these studies, but
1077
00:56:39.110 --> 00:56:41.099
the length of time it takes to gather the patients
1078
00:56:41.119 --> 00:56:43.280
who have naturally gotten damaged to
these parts of the brain,
1079
00:56:43.300 --> 00:56:47.480
let's say, can increase the length of time it takes
1080
00:56:47.539 --> 00:56:49.199
us to make these discoveries. So if I was to
1081
00:56:49.239 --> 00:56:50.980
give you a number, I mean, like, it's very hard
1082
00:56:51.019 --> 00:56:54.679
to say how much longer, you know, it's taking us
1083
00:56:54.860 --> 00:56:57.679
because we don't have control in human studies, but we
1084
00:56:57.860 --> 00:57:01.679
are developing techniques where we can do non-invasive stimulation to
1085
00:57:01.719 --> 00:57:04.909
brain parts, which in effect knock them out temporarily. And
1086
00:57:04.969 --> 00:57:07.889
that's helping us make some advances. So we're getting more
1087
00:57:07.929 --> 00:57:10.309
creative with the kinds of experiments we do in humans.
1088
00:57:10.630 --> 00:57:12.329
So Heather, we got to bring this to a close,
1089
00:57:12.349 --> 00:57:15.050
but before we do, could you tell us how you
1090
00:57:15.110 --> 00:57:18.039
came to know about Leonard Marshall's case because you brought
1091
00:57:18.079 --> 00:57:20.059
him to us for us to create this show.
1092
00:57:20.239 --> 00:57:20.920
Yeah. Yeah.
1093
00:57:21.519 --> 00:57:23.400
Um, I was, I was, I do a lot of
1094
00:57:23.519 --> 00:57:27.880
work with, um, Alzheimer's patients and people with neurodegenerative disorders
1095
00:57:27.980 --> 00:57:32.059
and as well as with CTE. And, um, I was
1096
00:57:32.119 --> 00:57:36.619
connected with him basically to talk, uh, to him about his,
1097
00:57:37.219 --> 00:57:40.880
the cognitive functioning problems that he's having and see if
1098
00:57:40.940 --> 00:57:46.590
there's any, um, treatments and also to help, you know,
1099
00:57:46.630 --> 00:57:50.530
spread the word about this because it's a major problem
1100
00:57:51.090 --> 00:57:54.829
that I think needs to, that in some ways, you know,
1101
00:57:54.869 --> 00:57:56.449
is not getting the kind of coverage that I think
1102
00:57:56.489 --> 00:57:58.679
it needs. There's a lot of people suffering with this
1103
00:57:59.519 --> 00:58:02.099
and they're doing it behind the scenes.
1104
00:58:02.559 --> 00:58:04.900
So he was- And I think we learned offline. What
1105
00:58:04.920 --> 00:58:06.719
was it? Was it offline, Chuck, where we were talking
1106
00:58:06.739 --> 00:58:10.190
about helmet brain or something or head brain? What's that
1107
00:58:10.289 --> 00:58:14.349
with sled, sled head? Yeah, sled head. A bobsledder is
1108
00:58:14.369 --> 00:58:16.469
where they're, you know, you see the camera. Because they're
1109
00:58:16.989 --> 00:58:20.980
just constantly vibrating. It's constantly vibrating on the ice. So
1110
00:58:21.239 --> 00:58:25.159
this sounds like a broader issue with regard to sports
1111
00:58:25.699 --> 00:58:28.679
where your head gets dinged, right? I mean, obviously it's
1112
00:58:28.699 --> 00:58:29.340
not just football.
1113
00:58:29.739 --> 00:58:32.039
I think, you know, 100 years from now, we're going
1114
00:58:32.059 --> 00:58:34.280
to look back on the way we've played sports and
1115
00:58:34.389 --> 00:58:39.090
how much we disregarded sports. the damage that was tapping
1116
00:58:39.130 --> 00:58:40.489
to the brain. And we're going to think, you know,
1117
00:58:41.070 --> 00:58:42.420
just the way we look back to the 19, I
1118
00:58:42.460 --> 00:58:45.880
don't know, fifties and everybody was smoking, including doctors and,
1119
00:58:45.940 --> 00:58:47.659
you know, saying it was good for you. Like, I
1120
00:58:47.699 --> 00:58:49.920
think we're going to look back on this and look
1121
00:58:49.940 --> 00:58:53.219
at it with similar disdain. Um, there's a lot of
1122
00:58:53.280 --> 00:58:55.260
money involved in sports and a lot of people say, well,
1123
00:58:55.280 --> 00:58:57.010
they get paid millions of dollars, so I guess they're
1124
00:58:57.050 --> 00:59:02.230
sacrificing their brain as a consequence. But yeah, anyway, I
1125
00:59:02.269 --> 00:59:02.969
think that people should know.
1126
00:59:02.969 --> 00:59:05.889
By that time, all sports will be played by robots
1127
00:59:05.889 --> 00:59:08.809
and all the kids playing video games now will be
1128
00:59:08.809 --> 00:59:13.039
the real athletes who are controlling those robots. And, you know,
1129
00:59:13.239 --> 00:59:15.920
and then there will be a big movement of people
1130
00:59:15.960 --> 00:59:18.800
who are like saying, well, you know, we have to
1131
00:59:18.900 --> 00:59:22.760
care about the robots and their brains, you know, because
1132
00:59:22.780 --> 00:59:26.039
their central processing units are getting damaged in this sport. And,
1133
00:59:26.449 --> 00:59:27.929
Why should they give their life?
1134
00:59:27.969 --> 00:59:34.489
This is Chuck's sci-fi apocalyptic thriller. Yeah, man.
1135
00:59:34.849 --> 00:59:37.030
I do think that the way that we care very
1136
00:59:37.070 --> 00:59:40.090
much about athletes' physical bodies and they have trainers and
1137
00:59:40.110 --> 00:59:42.050
they take care of them and they get massages and whatever,
1138
00:59:42.070 --> 00:59:44.449
we should think about also taking care of the brain
1139
00:59:44.550 --> 00:59:46.670
as well and brain health in the process.
1140
00:59:47.269 --> 00:59:49.510
That's a place we haven't arrived at yet, but it
1141
00:59:49.570 --> 00:59:51.510
is completely where we should be headed.
1142
00:59:51.530 --> 00:59:54.940
In the future, we probably will have way less more
1143
00:59:54.980 --> 00:59:56.380
contact in our sports.
1144
00:59:56.820 --> 00:59:57.159
Mm-hmm.
1145
00:59:57.760 --> 01:00:01.480
And the sort of extreme sports, and you might then
1146
01:00:01.559 --> 01:00:05.760
push what we consider mainline sports like sledding and push
1147
01:00:05.780 --> 01:00:08.500
them into the extreme category and then reduce that because
1148
01:00:08.519 --> 01:00:10.380
of the damage that's potentially taking place.
1149
01:00:10.800 --> 01:00:11.059
Mm-hmm.
1150
01:00:11.510 --> 01:00:14.070
Or maybe just take heading out of soccer as well, right?
1151
01:00:14.269 --> 01:00:17.639
That's on its way. I can tell you maybe in
1152
01:00:17.639 --> 01:00:19.920
30 years' time there will not be heading of a
1153
01:00:19.960 --> 01:00:20.510
football team.
1154
01:00:20.840 --> 01:00:24.699
And maybe in 30 years time in soccer, they'll just
1155
01:00:24.900 --> 01:00:25.699
use their hands.
1156
01:00:25.800 --> 01:00:29.969
Cause what the hell, man? That's what you got them for.
1157
01:00:30.429 --> 01:00:32.510
They're dangling there doing nothing.
1158
01:00:33.280 --> 01:00:37.750
Two perfectly good utensils with opposable thumbs.
1159
01:00:38.010 --> 01:00:40.869
And you're like, nah, we can't use those. What would
1160
01:00:40.889 --> 01:00:42.190
we ever use those for?
1161
01:00:42.730 --> 01:00:42.969
Okay.
1162
01:00:43.010 --> 01:00:44.969
Chuck just blew a gasket, which means it's time to
1163
01:00:45.030 --> 01:00:50.889
close this out. Gary, Chuck, good to have you. And Heather,
1164
01:00:50.949 --> 01:00:53.630
it is a delight always to have you enlighten us
1165
01:00:53.829 --> 01:00:55.489
in all of your neurological ways.
1166
01:00:55.510 --> 01:00:56.309
All right.
1167
01:00:56.449 --> 01:00:59.289
This has been StarTalk Sports Edition. As always, I bid
1168
01:00:59.510 --> 01:01:01.010
you to keep looking up.