What does it say about our sport ( Stew, Concussions. )

1/15/2016 11:07am
swtwtwtw wrote:
" If James returns this week that is on nobody but James."
I am pretty sure a personal injury attorney would disagree. :-(
cslacker wrote:
That's because the American legal system these days doesn't seem to believe in personal accountability. I still feel that it says "nothing about our sport" if...
That's because the American legal system these days doesn't seem to believe in personal accountability. I still feel that it says "nothing about our sport" if he is allowed to race this weekend as the OP stated. Just because the rules might "allow" him to race if he passes the IMPACT testing doesn't mean the Dr's will be telling him it is a good idea...

Not to mention, this is all hypothetical until we know if A) He tries to race... and Cool If he passes the test...
Bingo. If all 3 posts Ive quoted dont answer the OPs original question, nothing will.
1/15/2016 11:10am
EddieC wrote:
I think the OP is painting with a broad brush here. Of course ask when you ask any Physician or Athletic Trainer about concussions they will...
I think the OP is painting with a broad brush here. Of course ask when you ask any Physician or Athletic Trainer about concussions they will tell you sit them out for as long as it takes for symptoms to subside, Taking into consideration age, maturity level, level of athleticism and level of sport (rec league, H.S., College, Pro) and type of sport (contact vs. non-contact).

The tests that are administered are not to determine if the brain is healed. There are no tests that I am aware of that can determine this. What the tests are designed to do is let us know if the brain is capable of functioning at the level needed to be competitive. If an athlete is having symptoms while riding they are more likely to make a poor decisions, possibly putting them at risk to crash.

A physician might say to a younger athlete yes you are symptom free at this time and have passed all the tests but given that your brain is still developing, your skill level is low and its a H.S. freshman football championship I feel its not worth the risk to put you back in knowing there is going to be helmet to helmet contact, helmet to ground contact, twisting and bending of neck during tackling etc.
Given the same scenario but instead make the sport TENNIS and the decision COULD be different.

At pro level the decision making process is the same and the doctor will go over the possible long term issues and the PROFESSIONAL athlete will make the decision to go or not go.

Look competing in professional sports is not healthy. We as health care providers try an minimize some of the long term complications but at the end of the day these athletes know what the future holds for them. My only hope is that they the riders have a good long term insurance plan to take care of them when these issues start popping up.
Well put Eddie.

Once again, if this post doesnt answer the OP's questions, nothing will.
1/15/2016 11:30am Edited Date/Time 1/15/2016 11:32am
if james is allowed to race this weekend after being unconscious for nearly 3 minutes and pretty disoriented in the medical truck? what does that say...
if james is allowed to race this weekend after being unconscious for nearly 3 minutes and pretty disoriented in the medical truck?

what does that say about our safety and concussion protocol regarding the safety of our riders and analysis of trauma sustained?

Any medical doctor in the world would oppose the opportunity to sustain a secondary trauma within 10 days but the medical staff in place in our sport would allow it?



It says that you are too lazy to read Eddie Casillias' earlier post regarding concussions. It says that you are too lazy to look up the PulpMX interview with Doc Bodner a few years a back (after Zach Bell's crash), where he talks about concussions and the evaluation and treatment protocols in place.

Here is the link for you:

http://www.pulpmx.com/pulpmx-show/2013/02/pulpmx-show-feb-18-andrew-sho…

Dr. Bodnar, who was key in formulating the AMA head injury treatment and evaluation protocols, is an ER doc who has been at SX and MX races for decades in a medical capacity and has seen more concussions withing minutes of them happening THAN ANY PERSON ON THE PLANET.

The amount of time a person is unconscious is not a valid indicator of brain damage. A person who suffers no loss of consciousness can suffer a more severe injury than someone who is out for minutes. It is true that we still don't know a lot about brain injuries, but Dr. Bodnar knows more than you knuckle heads, and there are many riders who he has kept from racing due to practice crashes over the years.
1/16/2016 1:36am
EddieC wrote:
I think the OP is painting with a broad brush here. Of course ask when you ask any Physician or Athletic Trainer about concussions they will...
I think the OP is painting with a broad brush here. Of course ask when you ask any Physician or Athletic Trainer about concussions they will tell you sit them out for as long as it takes for symptoms to subside, Taking into consideration age, maturity level, level of athleticism and level of sport (rec league, H.S., College, Pro) and type of sport (contact vs. non-contact).

The tests that are administered are not to determine if the brain is healed. There are no tests that I am aware of that can determine this. What the tests are designed to do is let us know if the brain is capable of functioning at the level needed to be competitive. If an athlete is having symptoms while riding they are more likely to make a poor decisions, possibly putting them at risk to crash.

A physician might say to a younger athlete yes you are symptom free at this time and have passed all the tests but given that your brain is still developing, your skill level is low and its a H.S. freshman football championship I feel its not worth the risk to put you back in knowing there is going to be helmet to helmet contact, helmet to ground contact, twisting and bending of neck during tackling etc.
Given the same scenario but instead make the sport TENNIS and the decision COULD be different.

At pro level the decision making process is the same and the doctor will go over the possible long term issues and the PROFESSIONAL athlete will make the decision to go or not go.

Look competing in professional sports is not healthy. We as health care providers try an minimize some of the long term complications but at the end of the day these athletes know what the future holds for them. My only hope is that they the riders have a good long term insurance plan to take care of them when these issues start popping up.
Eddie, is it true that the post injury test results are compared to a pre injury "baseline" test result (for TBI events)?

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BobbyM
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1/16/2016 4:50am
put_chug wrote:
It says our sport is heading in the right direction when it comes to concussions. If this was 1985 he would have lined back up after...
It says our sport is heading in the right direction when it comes to concussions. If this was 1985 he would have lined back up after the red flag.
Smartest thing ever said on Motodrive.
Gringoe
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1/16/2016 5:05am
This is the same group of people that let Zach Bell line up after doing a 30 foot high swan dive to his face, take a 10 second nap and then line up 30 min later.

While I love asterisks and everything they do for the riders, the concussion testing/protocol/rules are freaking stupid. Incredibly stupid.
Datdude22
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1/16/2016 5:48am
Gringoe wrote:
This is the same group of people that let Zach Bell line up after doing a 30 foot high swan dive to his face, take a...
This is the same group of people that let Zach Bell line up after doing a 30 foot high swan dive to his face, take a 10 second nap and then line up 30 min later.

While I love asterisks and everything they do for the riders, the concussion testing/protocol/rules are freaking stupid. Incredibly stupid.
Do you know how concussion protocols work? Do you think that a medical staff just looks in his eyes and if they look okay send the rider back out?

Testing is done to give a baseline, when a rider is concussed, the medical staff will look for signs of a concussion, if they do believe he is, they will keep an eye on his symptoms, headaches, vomiting, confusion, etc. If the rider does not have the symptoms they will begin the new test, which he/she will have to pass in order to get cleared.

Again, this isn't just a physician looking at them, they take a computer test that has been found to help determine if he/she is still concussed by questions from a baseline. Now I know this isn't just the only way to do things, but it's a step in the right direction.

Someone mentioned before that there are not grades of concussions. Although this is true, only because it's difficult to grade a concussion, symptoms and their lengths are the true "grade" You only know the severity based on the length of symptoms.

But I will say this, just because he was knocked out, does not mean he even sustained a concussion at all. Now some will refute this, but when I asked my family member who is a physician, they stated that it is possible and could have not suffered as much trauma if he were not knocked out.
Crash82
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1/16/2016 6:05am
" the guys that know whats going on " are going to decide what's going to happen. and that decision making process has been allowing riders...
" the guys that know whats going on " are going to decide what's going to happen. and that decision making process has been allowing riders with tbi's back in to competition too early allowing the potential for injuries before these riders have had the proper time to heal.

my experience with concussions, recovery and long term effects don't come from personal injuries, I work in the field.
GuyB wrote:
This one? [img]http://cdn.superbwallpapers.com/wallpapers/nature/yellow-rapeseed-field-24532-400x250.jpg[/img]
This one?

RonSkj wrote:
That looks like the place,where Andy left the box for Red. just sayin
Here's the actual box!
This photo of Ohio State Reformatory is courtesy of TripAdvisor
1/16/2016 6:17am Edited Date/Time 1/16/2016 6:18am
if james is allowed to race this weekend after being unconscious for nearly 3 minutes and pretty disoriented in the medical truck? what does that say...
if james is allowed to race this weekend after being unconscious for nearly 3 minutes and pretty disoriented in the medical truck?

what does that say about our safety and concussion protocol regarding the safety of our riders and analysis of trauma sustained?

Any medical doctor in the world would oppose the opportunity to sustain a secondary trauma within 10 days but the medical staff in place in our sport would allow it?



Wow your dumb!!! You clearly know zero facts!
500guy
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1/16/2016 6:31am
Gringoe wrote:
This is the same group of people that let Zach Bell line up after doing a 30 foot high swan dive to his face, take a...
This is the same group of people that let Zach Bell line up after doing a 30 foot high swan dive to his face, take a 10 second nap and then line up 30 min later.

While I love asterisks and everything they do for the riders, the concussion testing/protocol/rules are freaking stupid. Incredibly stupid.
I think you are confusing The protocol with the decision of the riders or their handlers to race.

One of the biggest issues the medical crew has is riders avoiding them after a get off in fear they might be asked to sit out.

There is only so much the doctors and crew can do.
Crush
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1/16/2016 6:45am
Dude, what is your obsession with Stewart? Every rider has a crash compilation.
I bet every rider doesn't. And is anyone obsessed if they post about the rider in the thread? Did you see the thread I started about Barcia? Or Dunge? Or the Bikini coffee joint in RV's hometown? Or any one of the literal thousands i've contributed to the board?

It's a thread about Stewart's head bumps and these two youtube vids played in succession after the Dungey/Stewart A1 vid... I counted maybe 10-15 good head smacks.
1/16/2016 8:12am
How many concussions can somebody get in a lifetime before it's too many?

Did mohammad Ali ever get knocked out? Look at him now
jeffro503
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1/16/2016 8:25am Edited Date/Time 1/16/2016 8:26am
EddieC wrote:
I think the OP is painting with a broad brush here. Of course ask when you ask any Physician or Athletic Trainer about concussions they will...
I think the OP is painting with a broad brush here. Of course ask when you ask any Physician or Athletic Trainer about concussions they will tell you sit them out for as long as it takes for symptoms to subside, Taking into consideration age, maturity level, level of athleticism and level of sport (rec league, H.S., College, Pro) and type of sport (contact vs. non-contact).

The tests that are administered are not to determine if the brain is healed. There are no tests that I am aware of that can determine this. What the tests are designed to do is let us know if the brain is capable of functioning at the level needed to be competitive. If an athlete is having symptoms while riding they are more likely to make a poor decisions, possibly putting them at risk to crash.

A physician might say to a younger athlete yes you are symptom free at this time and have passed all the tests but given that your brain is still developing, your skill level is low and its a H.S. freshman football championship I feel its not worth the risk to put you back in knowing there is going to be helmet to helmet contact, helmet to ground contact, twisting and bending of neck during tackling etc.
Given the same scenario but instead make the sport TENNIS and the decision COULD be different.

At pro level the decision making process is the same and the doctor will go over the possible long term issues and the PROFESSIONAL athlete will make the decision to go or not go.

Look competing in professional sports is not healthy. We as health care providers try an minimize some of the long term complications but at the end of the day these athletes know what the future holds for them. My only hope is that they the riders have a good long term insurance plan to take care of them when these issues start popping up.
Well put Eddie.

Once again, if this post doesnt answer the OP's questions, nothing will.
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted in here ( Including Eddie himself ) calling complete bullshit on what the OP put up. Everyone is different when it comes to concussions. Some people can take more than other's. The residual effects are different for everyone as well.

James has had a few , and I'll be damned if he aint one tough sum bitch! If he passed his tests and is willing to race , then that's all that matters. I wish him the best tonight and hope he comes out swinging.
mark_swart
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1/16/2016 8:41am
The OP doesnt trust the concussion protocol. If Bubba races this weekend, it'd be hard to argue with the OP's lack of trust. What the OP...
The OP doesnt trust the concussion protocol. If Bubba races this weekend, it'd be hard to argue with the OP's lack of trust.

What the OP is not getting is that if Bubba's own family or team wont step in to do what is best for his long term health, who cares if the concussion protocol isnt thorough enough.

You can only try so hard to protect people from themselves and 99% of one's efforts to do so are a waste of time. If we or anyone really cared about a riders health, we wouldnt let them race at all.
kiwifan wrote:
I do agree with your second paragraph that IF the concussion was very serious (there are 3 different levels/grades of concussion), AND the concussion protocol isnt...

I do agree with your second paragraph that IF the concussion was very serious (there are 3 different levels/grades of concussion), AND the concussion protocol isnt enough then yes his family should step in, if they dont then there is nothing anyone can do about it.

Stewart could of got a grade 3 concussion but thats only IF he was knocked out and lying on the track, he could of been just resting or not moving as they are coached to do in the event of hitting their head.

We can guess all we like we dont know the true facts, so therefore cant really criticise when we dont know 100% for sure.
EddieC wrote:
There is no longer a grading system for concussions.
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related TBI during the deployment, another test is administered and there is something to compare. I think it would be pretty much impossible to fake these tests, unless you intentionally bombed the baseline test.

Do our pros do a similar test prior to the season?
jeffro503
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1/16/2016 8:47am
kiwifan wrote:
I do agree with your second paragraph that IF the concussion was very serious (there are 3 different levels/grades of concussion), AND the concussion protocol isnt...

I do agree with your second paragraph that IF the concussion was very serious (there are 3 different levels/grades of concussion), AND the concussion protocol isnt enough then yes his family should step in, if they dont then there is nothing anyone can do about it.

Stewart could of got a grade 3 concussion but thats only IF he was knocked out and lying on the track, he could of been just resting or not moving as they are coached to do in the event of hitting their head.

We can guess all we like we dont know the true facts, so therefore cant really criticise when we dont know 100% for sure.
EddieC wrote:
There is no longer a grading system for concussions.
mark_swart wrote:
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related...
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related TBI during the deployment, another test is administered and there is something to compare. I think it would be pretty much impossible to fake these tests, unless you intentionally bombed the baseline test.

Do our pros do a similar test prior to the season?
They could take a test on Vince Freise today....he could get knocked out tonight and come across even smarter than his baseline before the concussion. It's physically impossible to ride "more" like an asshole than he already does. There must be a loop hole in the test?
seph
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1/16/2016 9:16am
I am curious about the effects of Adderall on the concussed brain.

Anyone that knows anything about Adderall is aware that allows you to focus very well. I'm curious if someone got a concussion and three days later they took the concussion test and could not pass it if then they took an Adderall in an hour later it would allow them to pass that test.

No! I am not saying that this is what happened in this case. I'm not saying Stewart took an Adderall just to pass the concussion test. Knowing that Stewart takes Adderall it just got me thinking about what possible effects you would have in a situation like this.
OldYZRider1
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1/16/2016 9:20am
mark_swart wrote:
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related...
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related TBI during the deployment, another test is administered and there is something to compare. I think it would be pretty much impossible to fake these tests, unless you intentionally bombed the baseline test.

Do our pros do a similar test prior to the season?
I think they do but someone more knowledgeable than me should answer that question conclusively.

But I think even that system could be gamed by the riders/teams. If I were a team owner and a baseline test is required, I could have my riders spend a couple of hours online at Vital prior to taking the test. That way I'd have some assurance that they'd be dumbed down sufficiently prior to taking their baseline. Then if they have an incident they'll appear to recover quickly Smile
mark_swart
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1/16/2016 9:25am
mark_swart wrote:
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related...
I'm curious about the protocols. In the Army, we do a baseline test on a computer prior to deployments. That way if we suspect a combat-related TBI during the deployment, another test is administered and there is something to compare. I think it would be pretty much impossible to fake these tests, unless you intentionally bombed the baseline test.

Do our pros do a similar test prior to the season?
I think they do but someone more knowledgeable than me should answer that question conclusively. But I think even that system could be gamed by the...
I think they do but someone more knowledgeable than me should answer that question conclusively.

But I think even that system could be gamed by the riders/teams. If I were a team owner and a baseline test is required, I could have my riders spend a couple of hours online at Vital prior to taking the test. That way I'd have some assurance that they'd be dumbed down sufficiently prior to taking their baseline. Then if they have an incident they'll appear to recover quickly Smile
Hehe, yes that would do it, especially in the pre-season! I definitely feel a bit dazed and disoriented after reading some of this stuff....
1/16/2016 9:26am
seph wrote:
I am curious about the effects of Adderall on the concussed brain. Anyone that knows anything about Adderall is aware that allows you to focus very...
I am curious about the effects of Adderall on the concussed brain.

Anyone that knows anything about Adderall is aware that allows you to focus very well. I'm curious if someone got a concussion and three days later they took the concussion test and could not pass it if then they took an Adderall in an hour later it would allow them to pass that test.

No! I am not saying that this is what happened in this case. I'm not saying Stewart took an Adderall just to pass the concussion test. Knowing that Stewart takes Adderall it just got me thinking about what possible effects you would have in a situation like this.
We should definitely explore all of the angles.
1/16/2016 10:12am Edited Date/Time 1/16/2016 10:13am
How many concussions can somebody get in a lifetime before it's too many?

Did mohammad Ali ever get knocked out? Look at him now
I don't think the Cassius Clay comparison is informative. The information I've read suggests that repeated sub-concussive hits (e.g., NFL linemen, boxers) can be more dangerous than occasional traumatic impacts that are much more violent. That being said, we've been watching James torpedo his head into the ground for years now.


How many concussions is too many? We're talking about brain damage -- if you don't want your brain to be harmed then just one is too many.


1/16/2016 3:48pm
jeffro503 wrote:
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted...
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted in here ( Including Eddie himself ) calling complete bullshit on what the OP put up. Everyone is different when it comes to concussions. Some people can take more than other's. The residual effects are different for everyone as well.

James has had a few , and I'll be damned if he aint one tough sum bitch! If he passed his tests and is willing to race , then that's all that matters. I wish him the best tonight and hope he comes out swinging.
Careful Jeff. Concussions are not something you just "tough it out" on. One day we will look back at that attitude towards brain trauma and cringe.
jeffro503
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1/16/2016 4:12pm
jeffro503 wrote:
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted...
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted in here ( Including Eddie himself ) calling complete bullshit on what the OP put up. Everyone is different when it comes to concussions. Some people can take more than other's. The residual effects are different for everyone as well.

James has had a few , and I'll be damned if he aint one tough sum bitch! If he passed his tests and is willing to race , then that's all that matters. I wish him the best tonight and hope he comes out swinging.
Careful Jeff. Concussions are not something you just "tough it out" on. One day we will look back at that attitude towards brain trauma and cringe.
Believe me i take it very seriously. I do however have faith in James' doctors and the Asterick medical crew. Not only do they know more than us on the subject , but they also have first hand experience with James himself. All that ( and maybe this doesn't matter much ) but James himself says he's ready to race.

With all that being said....we can give all the opinions we want to but we don't have any of the information that the people i listed above. " Do " have.
Mit12
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1/16/2016 4:23pm
Eddie C explained it perfect. Now we can understand why Stewart is constantly making bad decisions.

Get well soon Mr. Stewart.
1/16/2016 4:32pm Edited Date/Time 1/16/2016 4:34pm
jeffro503 wrote:
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted...
I just love these " I know more then the Asterick's medical crew " type threads. I saw a couple " real " doctors also posted in here ( Including Eddie himself ) calling complete bullshit on what the OP put up. Everyone is different when it comes to concussions. Some people can take more than other's. The residual effects are different for everyone as well.

James has had a few , and I'll be damned if he aint one tough sum bitch! If he passed his tests and is willing to race , then that's all that matters. I wish him the best tonight and hope he comes out swinging.
Careful Jeff. Concussions are not something you just "tough it out" on. One day we will look back at that attitude towards brain trauma and cringe.
jeffro503 wrote:
Believe me i take it very seriously. I do however have faith in James' doctors and the Asterick medical crew. Not only do they know more...
Believe me i take it very seriously. I do however have faith in James' doctors and the Asterick medical crew. Not only do they know more than us on the subject , but they also have first hand experience with James himself. All that ( and maybe this doesn't matter much ) but James himself says he's ready to race.

With all that being said....we can give all the opinions we want to but we don't have any of the information that the people i listed above. " Do " have.
It's not that I dont respect the doctors, it's that I know they are handcuffed. Any faith you have in the "protocol" is also faith that we have a full understanding of brain trauma, and even the doctors are the first to tell you they dont understand enough about this subject. They know we should be erring on the side of extreme caution. They also know it's a fruitless battle to fight when the athlete & athlete's own family have their own agenda that is the opposite of the doctors. There is no winner in this situation, only losers.

All the doctors can do is make recommendations. It's the sanctioning body that determines how to juggle what is best for the sport versus what is best for the long term health of it's athletes. All while weighing out the possibility of future liability.

Let me ask you this, how relieved do you think the doctors are that are involved in UFC that they have a mandatory 60 day cooling off period after head trauma?

And one other question, u dont see the irony here in a sport that suspended Bubba for PED usage is now allowing him to race just a week after a pretty serious crash? Any athlete will tell you that PED's help a athlete stay healthier throughout the season and if taken responsibly, wont hurt you long term. Find me a doctor that honestly thinks concussions are something u recover from in under a week and there isnt major risks here of long term permanent damage. You have to admit, there are some major inconsistencies here. If we are going to let guys ride with concussions this soon, all bets are off in my opinion. Let PEDs go as well.

This reminds me of the NFL fining/suspending guys for hitting a WR too hard for going over the middle. Claiming they care about "player safety" but then at the same time asking the players to play on Thursday nite games and pushing for a 18 game regular season. Total contradictions.
IceMan446
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1/16/2016 4:36pm
Mit12 wrote:
Eddie C explained it perfect. Now we can understand why Stewart is constantly making bad decisions.

Get well soon Mr. Stewart.
Doesn't explain the bad decision Dungey made last weekend, does it???
Mit12
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1/16/2016 6:23pm
Mit12 wrote:
Eddie C explained it perfect. Now we can understand why Stewart is constantly making bad decisions.

Get well soon Mr. Stewart.
IceMan446 wrote:
Doesn't explain the bad decision Dungey made last weekend, does it???
It's contagious. LOL
1/22/2016 10:26pm
GrapeApe wrote:
If he doesn't race this weekend will you delete this thread? And promise to never start a thread again?
would you like to never post or make a thread again?
Celine
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1/22/2016 10:50pm
GrapeApe wrote:
If he doesn't race this weekend will you delete this thread? And promise to never start a thread again?
would you like to never post or make a thread again?
Ha, aha!!

4thGearPinned, often you are dealing with the dumbest of the dumb on this forum. People who are so dumb that they do not realize how dumb they are.

Like Bobbym has said in the past, motocrossers aren't the brightest people in the world.
1/22/2016 11:54pm Edited Date/Time 1/22/2016 11:54pm
If James has passed the protocol to race but has now deemed himself "unfit" to compete more than a week later, what can we deduce:

( A ) James is looking for an excuse not to race;
( B ) The concussion protocol isn't strict enough;
( C ) All of the above; or
( D ) None of the above
kiwifan
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1/23/2016 12:03am
GrapeApe wrote:
If he doesn't race this weekend will you delete this thread? And promise to never start a thread again?
would you like to never post or make a thread again?
Celine wrote:
Ha, aha!! 4thGearPinned, often you are dealing with the dumbest of the dumb on this forum. People who are so dumb that they do not realize...
Ha, aha!!

4thGearPinned, often you are dealing with the dumbest of the dumb on this forum. People who are so dumb that they do not realize how dumb they are.

Like Bobbym has said in the past, motocrossers aren't the brightest people in the world.


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