1 00:00:01,000 --> 00:00:02,976 So, a funny thing happened 2 00:00:03,000 --> 00:00:07,476 on my way to becoming a brilliant, world-class neuropsychologist: 3 00:00:08,079 --> 00:00:09,251 I had a baby. 4 00:00:10,005 --> 00:00:11,260 And that's not to say 5 00:00:11,284 --> 00:00:15,222 I ever went on to become a brilliant, world-class neuropsychologist. 6 00:00:15,246 --> 00:00:16,721 Sorry, TED. 7 00:00:17,715 --> 00:00:21,374 But I did go on to be a reasonably astute, 8 00:00:21,398 --> 00:00:23,276 arguably world-class worrier. 9 00:00:24,532 --> 00:00:27,076 One of my girlfriends in graduate school, Marie, 10 00:00:27,100 --> 00:00:29,845 said, "Kim, I figured it out. 11 00:00:29,869 --> 00:00:32,676 It's not that you're more neurotic than everyone else; 12 00:00:32,700 --> 00:00:36,197 it's just that you're more honest about how neurotic you are." 13 00:00:36,221 --> 00:00:39,235 So in the spirit of full disclosure, 14 00:00:39,259 --> 00:00:40,844 I brought some pictures to share. 15 00:00:41,892 --> 00:00:43,100 Awwww. 16 00:00:43,124 --> 00:00:44,125 (Laughter) 17 00:00:44,149 --> 00:00:46,396 I'll just say: July. 18 00:00:46,700 --> 00:00:51,210 (Laughter) 19 00:00:51,700 --> 00:00:53,115 Zip! 20 00:00:53,139 --> 00:00:54,140 (Laughter) 21 00:00:54,164 --> 00:00:55,465 For safety. 22 00:00:55,489 --> 00:00:57,152 (Laughter) 23 00:00:57,176 --> 00:00:59,068 Water wings -- 24 00:00:59,092 --> 00:01:01,318 an inch of water. 25 00:01:02,469 --> 00:01:04,463 And then, finally, all suited up 26 00:01:04,487 --> 00:01:06,835 for the 90-minute drive to Copper Mountain. 27 00:01:07,279 --> 00:01:10,820 So you can get kind of a feel for this. 28 00:01:11,255 --> 00:01:14,699 So my baby, Vander, is eight years old now. 29 00:01:14,723 --> 00:01:19,340 And, despite being cursed with my athletic inability, 30 00:01:19,364 --> 00:01:20,937 he plays soccer. 31 00:01:20,961 --> 00:01:22,938 He's interested in playing football. 32 00:01:22,962 --> 00:01:25,223 He wants to learn how to ride a unicycle. 33 00:01:25,247 --> 00:01:27,446 So why would I worry? 34 00:01:27,470 --> 00:01:30,447 Because this is what I do. This is what I teach. 35 00:01:30,471 --> 00:01:32,543 It's what I study. It's what I treat. 36 00:01:32,567 --> 00:01:35,567 And I know that kids get concussed every year. 37 00:01:36,683 --> 00:01:40,081 In fact, more than four million people sustain a concussion every year, 38 00:01:40,105 --> 00:01:42,676 and these data are just among kids under 14 39 00:01:42,700 --> 00:01:44,962 who were seen in emergency rooms. 40 00:01:44,986 --> 00:01:47,676 And so when kids sustain a concussion, 41 00:01:47,700 --> 00:01:50,676 we talk about them getting dinged or getting their bell rung, 42 00:01:50,700 --> 00:01:53,376 but what is it that we're really talking about? 43 00:01:53,400 --> 00:01:54,986 Let's take a look. 44 00:01:55,854 --> 00:01:57,979 [Concussive Force] 45 00:01:59,053 --> 00:02:02,598 "Starsky and Hutch"? Arguably, yes. 46 00:02:02,622 --> 00:02:03,882 So, a car accident. 47 00:02:03,906 --> 00:02:06,184 Forty miles an hour into a fixed barrier: 48 00:02:06,208 --> 00:02:07,522 35 Gs. 49 00:02:11,368 --> 00:02:14,393 A heavyweight boxer punches you straight in the face: 50 00:02:14,417 --> 00:02:15,871 58 Gs. 51 00:02:17,535 --> 00:02:22,443 (Music) 52 00:02:22,467 --> 00:02:24,863 In case you missed it, we'll look again. 53 00:02:24,887 --> 00:02:27,075 So look to the right-hand side of the screen. 54 00:02:28,751 --> 00:02:33,373 (Music) 55 00:02:33,397 --> 00:02:34,806 What would you say? 56 00:02:35,604 --> 00:02:36,983 How many Gs? 57 00:02:39,081 --> 00:02:40,363 Close. 58 00:02:40,891 --> 00:02:42,212 Seventy-two? 59 00:02:42,700 --> 00:02:44,902 Would it be crazy to know: 60 00:02:44,926 --> 00:02:47,220 103 Gs? 61 00:02:47,628 --> 00:02:49,370 The average concussive impact 62 00:02:49,394 --> 00:02:51,360 is 95 Gs. 63 00:02:52,700 --> 00:02:56,043 Now, when the kid on the right doesn't get up, 64 00:02:56,067 --> 00:02:57,676 we know they've had a concussion. 65 00:02:57,700 --> 00:02:59,325 But how about the kid on the left, 66 00:02:59,349 --> 00:03:01,843 or the athlete that leaves the field of play? 67 00:03:01,867 --> 00:03:05,499 How do we know if he or she has sustained a concussion? 68 00:03:06,342 --> 00:03:07,671 How do we know 69 00:03:07,695 --> 00:03:11,255 that legislation that would require they be pulled from play, 70 00:03:11,279 --> 00:03:13,358 cleared for return to play, 71 00:03:13,382 --> 00:03:14,556 applies to them? 72 00:03:15,485 --> 00:03:17,027 The definition of concussion 73 00:03:17,051 --> 00:03:19,684 doesn't actually require a loss of consciousness. 74 00:03:19,708 --> 00:03:22,461 It requires only a change in consciousness, 75 00:03:22,485 --> 00:03:25,097 and that can be any one or a number of symptoms, 76 00:03:25,121 --> 00:03:28,279 including feeling foggy, feeling dizzy, 77 00:03:28,303 --> 00:03:29,978 hearing a ringing in your ear, 78 00:03:30,002 --> 00:03:32,660 being more impulsive or hostile than usual. 79 00:03:33,509 --> 00:03:36,787 So given all of that and given how darn neurotic I am, 80 00:03:36,811 --> 00:03:39,368 how do I get any sleep at all? 81 00:03:39,392 --> 00:03:43,705 Because I know our brains are resilient. 82 00:03:44,069 --> 00:03:48,064 They're designed to recover from an injury. 83 00:03:48,450 --> 00:03:50,676 If -- God forbid -- 84 00:03:50,700 --> 00:03:53,896 any of us left here tonight and sustained a concussion, 85 00:03:53,920 --> 00:03:57,396 most of us would go on to fully recover inside of a couple hours 86 00:03:57,420 --> 00:03:58,866 to a couple of weeks. 87 00:03:58,890 --> 00:04:01,211 But kids are more vulnerable to brain injury. 88 00:04:01,235 --> 00:04:04,520 In fact, high-school athletes are three times more likely 89 00:04:04,544 --> 00:04:06,892 to sustain catastrophic injuries 90 00:04:06,916 --> 00:04:09,417 relative even to their college-age peers, 91 00:04:09,441 --> 00:04:13,106 and it takes them longer to return to a symptom-free baseline. 92 00:04:14,748 --> 00:04:16,978 After that first injury, 93 00:04:17,002 --> 00:04:20,808 their risk for second injury is exponentially greater. 94 00:04:20,832 --> 00:04:25,745 From there, their risk for a third injury, greater still, and so on. 95 00:04:26,752 --> 00:04:29,590 And here's the really alarming part: 96 00:04:30,143 --> 00:04:34,907 We don't fully understand the long-term impact of multiple injuries. 97 00:04:35,899 --> 00:04:38,023 You guys may be familiar with this research 98 00:04:38,047 --> 00:04:39,625 that's coming out of the NFL. 99 00:04:40,490 --> 00:04:43,207 In a nutshell, this research suggests that, 100 00:04:43,231 --> 00:04:48,474 among retired NFL players with three or more career concussions, 101 00:04:48,498 --> 00:04:51,474 the incidence of early-onset dementing disease 102 00:04:51,498 --> 00:04:54,263 is much greater than it is for the general population. 103 00:04:54,826 --> 00:04:57,676 So you've all seen that -- New York Times, you've seen it. 104 00:04:57,700 --> 00:04:59,302 What you may not be familiar with 105 00:04:59,326 --> 00:05:04,445 is that this research was spearheaded by NFL wives who said, 106 00:05:04,469 --> 00:05:07,446 "Isn't it weird that my 46-year-old husband 107 00:05:07,470 --> 00:05:09,133 is forever losing his keys?" 108 00:05:09,533 --> 00:05:12,304 "Isn't it weird that my 47-year-old husband 109 00:05:12,328 --> 00:05:14,208 is forever losing the car?" 110 00:05:14,835 --> 00:05:17,700 "Isn't it weird that my 48-year-old husband 111 00:05:17,724 --> 00:05:19,745 is forever losing his way home 112 00:05:19,769 --> 00:05:22,720 in the car, from the driveway?" 113 00:05:23,038 --> 00:05:27,631 I may have forgotten to mention that my son is an only child. 114 00:05:28,860 --> 00:05:31,640 So it's going to be really important 115 00:05:31,664 --> 00:05:35,664 that he be able to drive me around someday. 116 00:05:36,016 --> 00:05:37,166 (Laughter) 117 00:05:37,190 --> 00:05:42,022 So, how do we guarantee the safety of our kids? 118 00:05:42,549 --> 00:05:47,382 How can we 100 percent guarantee the safety of our kids? 119 00:05:47,406 --> 00:05:49,312 Let me tell you what I've come up with. 120 00:05:50,883 --> 00:05:55,676 (Laughter) 121 00:05:55,700 --> 00:05:57,008 If only. 122 00:05:57,032 --> 00:06:00,021 My little boy's right there, and he's like, "She's not kidding. 123 00:06:00,045 --> 00:06:01,448 She's totally not kidding." 124 00:06:02,214 --> 00:06:04,782 So in all seriousness: 125 00:06:04,806 --> 00:06:06,453 Should my kid play football? 126 00:06:06,477 --> 00:06:08,264 Should your kid play football? 127 00:06:08,288 --> 00:06:09,454 I don't know. 128 00:06:09,478 --> 00:06:12,985 But I do know there are three things you can do. 129 00:06:13,009 --> 00:06:15,851 The first: study up. 130 00:06:15,875 --> 00:06:19,604 You have to be familiar with the issues we're talking about today. 131 00:06:19,628 --> 00:06:22,194 There are some great resources out there. 132 00:06:22,218 --> 00:06:24,512 The CDC has a program, HEADS UP. 133 00:06:24,536 --> 00:06:26,170 It's at CDC.gov. 134 00:06:26,194 --> 00:06:29,582 HEADS UP is specific to concussion in kids. 135 00:06:29,606 --> 00:06:32,856 The second is a resource I'm personally really proud of. 136 00:06:32,880 --> 00:06:35,522 We've just rolled this out in the last couple months -- 137 00:06:35,546 --> 00:06:36,918 CO Kids With Brain Injury. 138 00:06:37,239 --> 00:06:39,891 This is a great resource for student athletes, 139 00:06:39,915 --> 00:06:44,304 teachers, parents, professionals, athletic and coaching staff. 140 00:06:44,328 --> 00:06:48,081 It's a great place to start if you have questions. 141 00:06:48,883 --> 00:06:51,024 The second thing is: speak up. 142 00:06:52,205 --> 00:06:53,414 Just two weeks ago, 143 00:06:53,438 --> 00:06:55,415 a bill introduced by Senator Kefalas 144 00:06:55,439 --> 00:06:59,349 that would have required athletes, kids under 18, 145 00:06:59,373 --> 00:07:01,687 to wear a helmet when they're riding their bike, 146 00:07:01,711 --> 00:07:02,975 died in committee. 147 00:07:04,422 --> 00:07:06,179 It died, in large part, 148 00:07:06,203 --> 00:07:09,133 because it lacked constituent buy-in; 149 00:07:09,157 --> 00:07:11,270 it lacked stakeholder traction. 150 00:07:11,660 --> 00:07:13,076 Now, I'm not here to tell you 151 00:07:13,100 --> 00:07:16,001 what kind of legislation you should or shouldn't support, 152 00:07:16,025 --> 00:07:19,099 but I am going to tell you that, if it matters to you, 153 00:07:19,123 --> 00:07:22,037 your legislators need to know that. 154 00:07:22,644 --> 00:07:24,467 Speak up also with coaching staff. 155 00:07:24,491 --> 00:07:27,468 Ask about what kind of protective equipment is available. 156 00:07:27,492 --> 00:07:29,541 What's the budget for protective equipment? 157 00:07:29,565 --> 00:07:31,115 How old it is? 158 00:07:31,139 --> 00:07:34,845 Maybe offer to spearhead a fundraiser to buy new gear. 159 00:07:34,869 --> 00:07:37,866 Which brings us to: suit up. 160 00:07:37,890 --> 00:07:39,357 Wear a helmet. 161 00:07:40,422 --> 00:07:43,676 The only way to prevent a bad outcome 162 00:07:43,700 --> 00:07:46,700 is to prevent that first injury from happening. 163 00:07:47,700 --> 00:07:52,259 Recently, one of my graduate students, Tom, said, 164 00:07:52,283 --> 00:07:55,852 "Kim, I've decided to wear a bike helmet on the way to class." 165 00:07:56,684 --> 00:08:00,580 And Tom knows that that little bit of foam in a bike helmet 166 00:08:00,604 --> 00:08:03,896 can reduce the g-force of impact by half. 167 00:08:04,658 --> 00:08:09,619 Now, I thought it was because I have this totally compelling helmet crusade, 168 00:08:09,643 --> 00:08:11,351 this epiphany of Tom's. 169 00:08:11,786 --> 00:08:15,453 As it turns out, it occurred to Tom that a $20 helmet 170 00:08:15,477 --> 00:08:19,676 is a good way to protect a $100,000 graduate education. 171 00:08:19,700 --> 00:08:21,724 (Laughter) 172 00:08:21,748 --> 00:08:23,271 So ... 173 00:08:25,079 --> 00:08:26,746 Should Vander play football? 174 00:08:28,111 --> 00:08:29,414 I can't say no, 175 00:08:29,438 --> 00:08:33,676 but I can guarantee that every time he leaves the house, 176 00:08:33,700 --> 00:08:35,309 that kid's wearing a helmet -- 177 00:08:36,422 --> 00:08:38,399 like, to the car, 178 00:08:38,423 --> 00:08:40,137 or at school. 179 00:08:41,088 --> 00:08:43,769 So whether athlete, scholar, 180 00:08:43,793 --> 00:08:46,468 overprotected kid, neurotic mom, 181 00:08:46,492 --> 00:08:48,278 or otherwise, 182 00:08:48,302 --> 00:08:50,190 here's my baby, Vander, 183 00:08:50,214 --> 00:08:51,595 reminding you 184 00:08:51,619 --> 00:08:54,134 to mind your matter. 185 00:08:54,700 --> 00:08:55,868 Thank you. 186 00:08:55,892 --> 00:09:01,150 (Applause)