Two words you rarely see in the same sentence.
You hear about concussions all the time in more contact sports than baseball, such as football and hockey. In football, defensive backs putting big hits on receivers, or defensive linebackers doing the same to quarterbacks are the most common causes of players suffering concussions. In hockey, it's generally any one player putting a hit or a hard check on another player either into the boards or the player taking a spill to the ice. But in baseball, where major contact with another player isn't as common as in other sports, unless perhaps a runner is barreling towards home plate to try and score, and the catcher is waiting for the runner and anticipating a hard collision, you rarely hear about concussions.
The Mets' Ryan Church, a victim of two collisions of different sorts on the playing field, knows all too well about the dangers of suffering a concussion, feeling the effects of post-concussion syndrome (PSC), which has ended a number of hockey, football and baseball players careers too early, and attempting to beat PCS too soon.
Church has been feeling those effects since the day he first collided with teammate Marlon Anderson in spring training. Both players had CT Scans which came back negative, and the Mets held Church out of baseball activities until his symtoms disappeared.
He was in the Mets Opening Day starting lineup. But less than two months later, Church suffered a second concussion when he was accidently kneed in the head by Atlanta's Yunel Escobar while trying to break up a double play at second base. Church was in and out of the lineup for three weeks after the second concussion before the Mets finally put him on the disabled list. He missed most of June with PCS. The Mets felt he had recovered enough to re-activate him three weeks later, but just as soon as he came off the disabled list, he was removed from a game against Philadelphia with dizziness, and placed back on the disabled list.
Church was told by doctors then that the episode of dizziness in Philadelphia could be related to the migraine headaches he's had since he was a teenager. Tests on his brain then were negative, but he still didn't feel 100%. He hasn't played since, and the Mets finally acknowledged today that he could be done for the season. Could his career be over, too? Only time will tell.
The Mets had been questioned recently by outsiders about the way they handled Church's second concussion. General Manager Omar Minaya insists they handled Church properly, but others, most notably, neurologists who specialize in PCS, aren't so sure.
The Mets went on Chruch's word that he felt symptom-free, rather than a doctor who specializes in these types of injuries to the head. Team doctors also cleared him to play each time he returned from PCS. But while Church may have felt symptom-free, his brain had not fully recovered from the two concussions he suffered earlier this year. And he may never fully recover.
When you take a blow to the head, your brain moves around in different directions inside your head. The direction of movement of your brain from the blow determines the severity of the concussion. The lingering effects such as headaches, dizziness, fatigue, memory and attention problems, sleep problems and irritability are commonly known as post-concussion syndrome, or PCS. These lingering effects can last for weeks, months or even years after the initial injury. Sometimes, rest alone has limited effectiveness. Generally, however, symptoms go away on their own within months.
Concussions aren't anything to mess around with. Major League Baseball is just now finding out that you simply can not use subjective reports on a player with a concussion as you would with an arm or leg injury. In the NFL or NHL, players are not allowed to even return to play until they've been tested thoroughly and are free of symptoms after rest and exertion. Major League Baseball doesn't have such testing in place.
Former Major Leaguers Mike Matheny and Corey Koskie retired early in recent years because of PCS. Like a lot of players in the NFL and NHL (the L.A. Kings' Adam Deadmarsh is a name that comes to mind) who have had to retire early because of PSC, Matheny and Koskie never fully recovered. To this day, Deadmarsh, who retired three years ago after suffering two concussions from 2002 to 2004, and missing most of the 2002-2003 season, and all of the 2003-2004 season due to lingering affects from PCS, is still feeling the symptoms of PSC.
The Ryan Church situation should be an eye-opener for Major League Baseball to look into mandating the same type of testing the NFL and NHL have in place. The players union has already begun plans to approach the league about developing formal league-wide guidlines for managing concussions. The union does not intend to use the Mets handling of Church's injury as a centerpiece of conversation with the league, but rather to use Church's injury as an awareness of the dangers of PCS, and to bring more attention to concussions and PCS.