Concussions? I have your answer

Hank_Thrill
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2/18/2013 10:29pm Edited Date/Time 2/18/2013 10:52pm
I just listened to Doc Bodnar on the PulpMX show, which was really outstanding. On the bright side of the 6D helmet keeping Bell out of a coma (figuratively speaking), it seems to have also caused the crew of the AMMU to be in the spotlight of the sport in an undesirable fashion. I could feel Bodnar's frustration behind his words, especially considering how much of his life he has sacrificed on the weekends for the sport (same goes for the rest of the crew). I think one reason this has been such a hot topic is because the inferences made about posters who have opposing viewpoints. Posters who have the belief he was catching his breath assume anybody who believes Bell was unconscious is insulting the hard work and dedication of the AMMC, or implying incompetence.

For myself, my mind has many conflicting viewpoints on the situation and I assume such is the same for many others who witnessed the crash and read through the ensuing debates. When I see footage of the wreck, I think there is no way he was conscious by the way dead soldiered to a stop. When I hear Bodnar talk about a hundred other riders who do not move from an array of wrecks, that thought is contradicted. There is also no doubt in my mind Bodnar can spot a concussion with the amount he has experienced at the tracks (think he said 700-1,000). I also believe the AMMC, and have from the very beginning, when they said Bell showed no signs of a concussion, recalled the incident, no balance problems, physical symptoms, etc. I also believe he passed the SCAT2 test. It was really cool to hear that you guys raised the passing score over what imPACT recommends. However, it is still hard for me to think he was not out for at least a little bit, but like I said, this crash is full of conflicting thoughts for me.

I have read from some college professors of exercise and sports science who state some people who get knocked out can suffer less trauma than those who remain conscious. I have not been around 500+ concussed individuals so I do not know. Maybe it was possible that he was momentarily "out" but experienced such mild trauma he showed no noticeable symptoms or impairments. Each concussion is unique like Eddie said, so that theory somewhat makes sense in my mind, considering facts and what I witnessed on a couch.

Regardless of what anyone believes, the AMMC guys do an outstanding job and I admire the dedication and sacrifices you guys make. It would be nice if one event a year was dedicated to you guys, kind of like the breast cancer A2 event. I hope all the thanks you get from riders make up for a situations like this. I also hope the AMMC can empathize with what people experienced from the stands and televisions without being in the boots of the AMMC. Don't blame us for being idiots, blame 6D for making an incredible helmet and Speed for catching the wreck on film.
CamP
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2/18/2013 10:29pm
mooch wrote:
And from that boxing site article... "Most boxers are required to abstain from boxing for a minimum of 30 days after suffering a knockout. But since...
And from that boxing site article...

"Most boxers are required to abstain from boxing for a minimum of 30 days after suffering a knockout. But since concussion doesn’t always involve loss of consciousness, boxers might not adhere to this mandatory recovery period. Many of the deaths associated with brain concussions happen after second concussions suffered by someone who is still not fully recovered from a previous concussion. In recent years, professional sports teams have focused on the concussion recovery process. Sometimes, pro players can miss an entire season because of concussion-like symptoms. But because second concussions are so dangerous, this is a prudent, if frustrating, approach to long-term health."
I know a guy that's been in a nursing home for 25 years in a near vegetative state and another that operates like a five year old because of the effects of a second concussion from motocross. That kind of experience changes your views. Head injuries are not something to mess around with, and it's always better to err on the side of caution. If it was my call, I would have benched Bell, no matter how well he answered my questions.
MDMCG
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2/19/2013 2:27am
mooch wrote:
And from that boxing site article... "Most boxers are required to abstain from boxing for a minimum of 30 days after suffering a knockout. But since...
And from that boxing site article...

"Most boxers are required to abstain from boxing for a minimum of 30 days after suffering a knockout. But since concussion doesn’t always involve loss of consciousness, boxers might not adhere to this mandatory recovery period. Many of the deaths associated with brain concussions happen after second concussions suffered by someone who is still not fully recovered from a previous concussion. In recent years, professional sports teams have focused on the concussion recovery process. Sometimes, pro players can miss an entire season because of concussion-like symptoms. But because second concussions are so dangerous, this is a prudent, if frustrating, approach to long-term health."
CamP wrote:
I know a guy that's been in a nursing home for 25 years in a near vegetative state and another that operates like a five year...
I know a guy that's been in a nursing home for 25 years in a near vegetative state and another that operates like a five year old because of the effects of a second concussion from motocross. That kind of experience changes your views. Head injuries are not something to mess around with, and it's always better to err on the side of caution. If it was my call, I would have benched Bell, no matter how well he answered my questions.
Have you seen his MRI? Significant encephalomalacia? Bilateral subdural hematomas or contusions? What's he deal, doc?
WhKnuckle
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2/19/2013 4:47am
mooch wrote:
And from that boxing site article... "Most boxers are required to abstain from boxing for a minimum of 30 days after suffering a knockout. But since...
And from that boxing site article...

"Most boxers are required to abstain from boxing for a minimum of 30 days after suffering a knockout. But since concussion doesn’t always involve loss of consciousness, boxers might not adhere to this mandatory recovery period. Many of the deaths associated with brain concussions happen after second concussions suffered by someone who is still not fully recovered from a previous concussion. In recent years, professional sports teams have focused on the concussion recovery process. Sometimes, pro players can miss an entire season because of concussion-like symptoms. But because second concussions are so dangerous, this is a prudent, if frustrating, approach to long-term health."
CamP wrote:
I know a guy that's been in a nursing home for 25 years in a near vegetative state and another that operates like a five year...
I know a guy that's been in a nursing home for 25 years in a near vegetative state and another that operates like a five year old because of the effects of a second concussion from motocross. That kind of experience changes your views. Head injuries are not something to mess around with, and it's always better to err on the side of caution. If it was my call, I would have benched Bell, no matter how well he answered my questions.
In my old-school years as a serious racer in the 70s, the only good friend of mine who actually died from a motocross accident was a guy who crashed, had a serious head injury, stayed in the hospital for about a month, was released and went home. He was very erratic, did really strange stuff, and then one day he got a gun and shot himself. As you say, head injuries are nothing to fool around with.

But racers are accepting risk willfully. A trackside doctor has to assess a riders condition on the basis of his symptoms, not on the basis of how spectacular his crash looked. That doctor can't, in good conscience, sit a professional racer against his will if his symptoms and tests don't warrant that. And in this case, Bell was conscious, was responding lucidly to verbal commands, was able to talk and behave normally, and had no signs of concussion. No matter how bad it looked on TV, there was no medical reason to force him to sit out. By the same standard that some would apply to Bells case, they should have black flagged Reed at Millville, and there would be hundreds of other examples where riders have apparently smacked their heads on something and should have been forced to sit out.

I don't object to arguments over the crash - I think those are well intentioned concern about the rider. But after the doctor examines Bell and finds that he shows no signs of concussion, the argument should be whether he should have CHOSEN to ride or not. I think it was certainly heroic; I'm not sure if it was wise or not.

The Shop

CamP
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2/19/2013 7:35am
The crash happened right in front of where we were sitting and I was keeping track of the time that it "looked" like he was out. What you didn't see if you weren't actually at the race is that Bell laid "motionless" in that awkward and twisted face down position for almost 3 minutes before he moved at all. He didn't so much as lift a finger or shuffle a foot. Nothing. He was down 30 seconds before the track was clear enough for the the asterisk crew could attend to him.
mooch
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Fantasy
2/19/2013 8:23am
3 minutes... Wow... I had no idea it was THAT long!
CamP
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2/19/2013 8:43am
mooch wrote:
3 minutes... Wow... I had no idea it was THAT long!
If you were watching the race on TV, you would never know.
dehner47
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2/19/2013 9:24am
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows..

who made the decision for Zach to change helmets after the first moto crash?? cause after the crash, he no longer has the silver and orange helmet on his head the rest of night. and we all know you change your helmet after a huge crash with a possible "rung Bell." IT'S PROTOCOL ISNT IT DR'S??

whether it was the helmet company, team manager, DR, parents, or Zach himself that made the decision for him use a new helmet. if crash was bad enough he could no longer could use his "crash helmet' then he should be forced to sit out rest of weekend do to "possible" head trama. and dont wanna hear they changed helmets for the main cause of style points. Geico has not used another color scheme on their helmets all season.
Beer
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2/19/2013 9:28am
dehner47 wrote:
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows.. who made the decision for Zach...
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows..

who made the decision for Zach to change helmets after the first moto crash?? cause after the crash, he no longer has the silver and orange helmet on his head the rest of night. and we all know you change your helmet after a huge crash with a possible "rung Bell." IT'S PROTOCOL ISNT IT DR'S??

whether it was the helmet company, team manager, DR, parents, or Zach himself that made the decision for him use a new helmet. if crash was bad enough he could no longer could use his "crash helmet' then he should be forced to sit out rest of weekend do to "possible" head trama. and dont wanna hear they changed helmets for the main cause of style points. Geico has not used another color scheme on their helmets all season.
Although I completely agree with you, I am going to play devils advocate:

1. The visor was broken and perhaps they didn't have a replacement visor that matched the helmet

2. The helmet was clearly scratched up, and that is bad sponsor representation. I'll bet they changed the radiator shrouds on that bike too, as they were scratched up, assuredly.
Eric927
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2/19/2013 9:37am Edited Date/Time 2/19/2013 9:51am
I've been following this topic since Saturday and have one question. What has doc bodner done in the past to make all you guys think he's being dishonest about what happened to bell?
Beer
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2/19/2013 9:44am
Maybe people have him confused with the MotoGP doc who will staple people together and send them out. The Italian guy. What's his name? His methods have always been questionable.
CamP
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2/19/2013 10:05am
Eric927 wrote:
I've been following this topic since Saturday and have one question. What has doc bodner done in the past to make all you guys think he's...
I've been following this topic since Saturday and have one question. What has doc bodner done in the past to make all you guys think he's being dishonest about what happened to bell?
I don't think anyone is questioning Doc Bodner's integrity. It's quite possible that he didn't actually see the crash, or how hard Bell's head hit the ground, so all he had to go on was his questioning, Bell's responses to them and eye tests. Apparently Bell appeared to be lucid enough to continue racing, but the subject of whether, or not, he should have been benched is debatable.

I saw the crash happen live, I saw it replayed on the Cowboy Stadium big screen, and I paid attention to how long he laid in the track motionless. If he was my kid, he would have been benched, no matter how lucid he may have appeared in the pits afterwards.
Eric927
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2/19/2013 10:10am
Eric927 wrote:
I've been following this topic since Saturday and have one question. What has doc bodner done in the past to make all you guys think he's...
I've been following this topic since Saturday and have one question. What has doc bodner done in the past to make all you guys think he's being dishonest about what happened to bell?
CamP wrote:
I don't think anyone is questioning Doc Bodner's integrity. It's quite possible that he didn't actually see the crash, or how hard Bell's head hit the...
I don't think anyone is questioning Doc Bodner's integrity. It's quite possible that he didn't actually see the crash, or how hard Bell's head hit the ground, so all he had to go on was his questioning, Bell's responses to them and eye tests. Apparently Bell appeared to be lucid enough to continue racing, but the subject of whether, or not, he should have been benched is debatable.

I saw the crash happen live, I saw it replayed on the Cowboy Stadium big screen, and I paid attention to how long he laid in the track motionless. If he was my kid, he would have been benched, no matter how lucid he may have appeared in the pits afterwards.
If you listened to the pulp show Doc said you can't go off video or how bad the crash looked you have to go off the questions and tests. So you guys are saying Bodner is wrong? Wouldn't that be questioning his integrity?
Torco1
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2/19/2013 10:11am
I mentioned this in another one of these Bell threads.....I had a crash where I came down hard from being high up in the air. I landed on my stomach and chest which collapsed both of my lungs. The force of that blow caused me to lose consciousness.....most likely passed out right on impact. I didn't move or breath for minutes. I didn't have a head injury whatsoever. Like lostboy also said in another thread, you can lose consciousness from a blow to the neck. There are other ways to be unconscious, it doesn't have to be a head injury or a concussion.

This is why they have come up with a way to assess athletes after a possible concussion or head injury. Nobody knows if he was unconscious (although he said so himself that he wasn't) so after seeing what happened to him, he is taken back and is looked over and given a series of test to determine if they believe he has a concussion. If he passes all of the test and based on what Zach said himself there would not be a reason to believe he has a concussion......even though it looked like he might. There are people saying "we don't know what happened in those 20 seconds before medical go to him". Well, that is why they administer the tests and if there was any doubt that he may have a significant head injury they wont let him ride. I've had many concussions and have been given the "concussion test" many times.....it's pretty hard to fake your way through it. I just don't understand why the medical crew is being questioned in regards to this, they know what they are doing and they have absolutely nothing to gain and everything to lose by allowing someone to continue riding if they felt he had a concussion. If he was administered the tests and passed, they did their job.
CamP
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2/19/2013 10:20am Edited Date/Time 2/19/2013 10:23am
Eric927 wrote:
If you listened to the pulp show Doc said you can't go off video or how bad the crash looked you have to go off the...
If you listened to the pulp show Doc said you can't go off video or how bad the crash looked you have to go off the questions and tests. So you guys are saying Bodner is wrong? Wouldn't that be questioning his integrity?
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call.

Doctors study anatomy and biology. They don't study physics. The video allows you to see how fast, how high Bell was, and ultimately how hard Bell's head impacted the ground. It allows you to analyze the physics involved in the crash to determine what type of force his head may have seen when it hit the ground.
GuyB
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2/19/2013 10:22am
dehner47 wrote:
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows.. who made the decision for Zach...
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows..

who made the decision for Zach to change helmets after the first moto crash?? cause after the crash, he no longer has the silver and orange helmet on his head the rest of night. and we all know you change your helmet after a huge crash with a possible "rung Bell." IT'S PROTOCOL ISNT IT DR'S??

whether it was the helmet company, team manager, DR, parents, or Zach himself that made the decision for him use a new helmet. if crash was bad enough he could no longer could use his "crash helmet' then he should be forced to sit out rest of weekend do to "possible" head trama. and dont wanna hear they changed helmets for the main cause of style points. Geico has not used another color scheme on their helmets all season.
If I worked 6D, I'd have pulled it just to take it home and see how it performed. They have lots of data from test labs, but real world data is precious...and there was a boatload of it in that crash.

As far as not using a different color scheme all season? I'll leave you with this...

A1 practice



A1 racing



Phoenix practice



Phoenix racing



A2 practice



A2 racing (note Zach's helmet, too).



Oakland practice



Oakland racing



A3 practice



A3 racing



San Diego practice



San Diego racing

GuyB
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2/19/2013 10:24am
CamP wrote:
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call...
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call.

Doctors study anatomy and biology. They don't study physics. The video allows you to see how fast, how high Bell was, and ultimately how hard Bell's head impacted the ground. It allows you to analyze the physics involved in the crash to determine what type of force his head may have seen when it hit the ground.
I've checked. Doc doesn't carry a slide rule in his pocket.
2/19/2013 10:33am
CamP wrote:
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call...
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call.

Doctors study anatomy and biology. They don't study physics. The video allows you to see how fast, how high Bell was, and ultimately how hard Bell's head impacted the ground. It allows you to analyze the physics involved in the crash to determine what type of force his head may have seen when it hit the ground.
I know someone who just got into med school with a bachelor's in physics.....Do we need to draw a force diagram to determine how hard he hit? That last paragraph is insulting his integrity. You are saying he doesn't have the knowledge to do his job.
Eric927
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2/19/2013 10:40am
Eric927 wrote:
If you listened to the pulp show Doc said you can't go off video or how bad the crash looked you have to go off the...
If you listened to the pulp show Doc said you can't go off video or how bad the crash looked you have to go off the questions and tests. So you guys are saying Bodner is wrong? Wouldn't that be questioning his integrity?
CamP wrote:
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call...
That's not questioning his integrity. It's questioning his judgement. Just because he is a doctor, doesn't mean he is impervious to making a bad judgement call.

Doctors study anatomy and biology. They don't study physics. The video allows you to see how fast, how high Bell was, and ultimately how hard Bell's head impacted the ground. It allows you to analyze the physics involved in the crash to determine what type of force his head may have seen when it hit the ground.
Yes I know Dr's screw up. I have a uncle that had a elbow surgery that ended in a malpractice suit because a Dr screwed up. But I think it's unfair ti try and blame Bodner who performed his job to the fullest. The only person in this that should be questioned is Bell who made the final call on racing after the crash. He is 18 and in the eyes of the court is an adult. So I think it's time to stop going after Bodner he did his job.
CamP
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2/19/2013 10:41am
I know someone who just got into med school with a bachelor's in physics.....Do we need to draw a force diagram to determine how hard he...
I know someone who just got into med school with a bachelor's in physics.....Do we need to draw a force diagram to determine how hard he hit? That last paragraph is insulting his integrity. You are saying he doesn't have the knowledge to do his job.
Most pre-med students major in biology, chemistry, organic chemistry. Your acquaintance is the exception.

Medicine isn't an exact science, and Doctors' frequently make bad judgement calls. That's why their malpractice insurance is so expensive.
CamP
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2/19/2013 10:45am Edited Date/Time 2/19/2013 10:47am
Eric927 wrote:
Yes I know Dr's screw up. I have a uncle that had a elbow surgery that ended in a malpractice suit because a Dr screwed up...
Yes I know Dr's screw up. I have a uncle that had a elbow surgery that ended in a malpractice suit because a Dr screwed up. But I think it's unfair ti try and blame Bodner who performed his job to the fullest. The only person in this that should be questioned is Bell who made the final call on racing after the crash. He is 18 and in the eyes of the court is an adult. So I think it's time to stop going after Bodner he did his job.
I'm not blaming Bodner for anything. He made a judgement call and I think it was questionable. That's all.

I can assure you that had he benched Bell Saturday night, there would be very little debate about it here in the peanut gallery.
2/19/2013 10:50am
Again, listen to the pulp show. Ping covers most of the details at the beginning and then Bodnar sheds a lot of light on it at the end. He continued to be motionless after they made contact with him. Nothing can be done to determine what was going on in those first 30 seconds. It is the only leg you have to stand on so you keep repeating it.


You even said it yourself, "IMO a knocked out cold ZB laying on the deck." In YOUR opinion. Not the opinions of the people who were down on the ground and had direct contact with Zach.
Eric927
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2/19/2013 10:51am
Eric927 wrote:
Yes I know Dr's screw up. I have a uncle that had a elbow surgery that ended in a malpractice suit because a Dr screwed up...
Yes I know Dr's screw up. I have a uncle that had a elbow surgery that ended in a malpractice suit because a Dr screwed up. But I think it's unfair ti try and blame Bodner who performed his job to the fullest. The only person in this that should be questioned is Bell who made the final call on racing after the crash. He is 18 and in the eyes of the court is an adult. So I think it's time to stop going after Bodner he did his job.
CamP wrote:
I'm not blaming Bodner for anything. He made a judgement call and I think it was questionable. That's all. I can assure you that had he...
I'm not blaming Bodner for anything. He made a judgement call and I think it was questionable. That's all.

I can assure you that had he benched Bell Saturday night, there would be very little debate about it here in the peanut gallery.
It ended up being Bell who made the call to race not Bodner. I'm sure he told Bell what he thought about continuing on but only Bodner and Bell what was said.
brocster
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2/19/2013 10:51am
dehner47 wrote:
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows.. who made the decision for Zach...
ive followed these "Bell" threads and have question to ask that hopefully gets a legit answer from someone who knows..

who made the decision for Zach to change helmets after the first moto crash?? cause after the crash, he no longer has the silver and orange helmet on his head the rest of night. and we all know you change your helmet after a huge crash with a possible "rung Bell." IT'S PROTOCOL ISNT IT DR'S??

whether it was the helmet company, team manager, DR, parents, or Zach himself that made the decision for him use a new helmet. if crash was bad enough he could no longer could use his "crash helmet' then he should be forced to sit out rest of weekend do to "possible" head trama. and dont wanna hear they changed helmets for the main cause of style points. Geico has not used another color scheme on their helmets all season.
next time you get a new helmet you may want to read the paperwork that is attached to it....from the sounds of it you may want to start shopping for a new helmet.

i still can't believe what I am reading and yes I was there. it made my stomach hurt and I must have taken a 3 minute nap as well cause I put my head back on the seat because I couldn't stand the look of it...wasn't 3 minutes

wtf do you do when you go to the doctor thinking you broke anything???? doc - after test and xrays "nothings broken" vitard-yes it had to be you should have seen how hard I hit the ground, let me draw you a picture.

un friggin belieavable!
2/19/2013 10:53am
CamP wrote:
Most pre-med students major in biology, chemistry, organic chemistry. Your acquaintance is the exception. Medicine isn't an exact science, and Doctors' frequently make bad judgement calls...
Most pre-med students major in biology, chemistry, organic chemistry. Your acquaintance is the exception.

Medicine isn't an exact science, and Doctors' frequently make bad judgement calls. That's why their malpractice insurance is so expensive.
How do you know Bodnar or any of the other 4-5 doctors on the asterisk team didn't study physics. You are grasping at straws.
2/19/2013 10:55am
brocster wrote:
next time you get a new helmet you may want to read the paperwork that is attached to it....from the sounds of it you may want...
next time you get a new helmet you may want to read the paperwork that is attached to it....from the sounds of it you may want to start shopping for a new helmet.

i still can't believe what I am reading and yes I was there. it made my stomach hurt and I must have taken a 3 minute nap as well cause I put my head back on the seat because I couldn't stand the look of it...wasn't 3 minutes

wtf do you do when you go to the doctor thinking you broke anything???? doc - after test and xrays "nothings broken" vitard-yes it had to be you should have seen how hard I hit the ground, let me draw you a picture.

un friggin belieavable!
LOL! I would hate to be Diesel's doctor!
Torco1
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2/19/2013 10:58am
Torco1
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2/19/2013 10:59am
carson510
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2/19/2013 11:37am
Wow, after reading i feel dumber. I wonder how much the AMA and Feld pay the vitards to question their highly trained medical staff. But I give in....CONCUSSION! HE NEVER SHOULD HAVE GOT BACK ON THE BIKE! btw...these arent the droids you're looking for...


Evil

this should help it get a couple more pages...

PS my doctor left his rolex in my spleen. I cut it out with a spork and sold it on ebay for 350 bucks. Who knew you could sell a spleen on ebay? damn rolex was fake.
jasonv43
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2/19/2013 11:42am
I blacked out half way through this thread. Wondering if I should get tested for a concussion?

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