All Things COVID-19 College Football Impact

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Plato said:
Pompous lives up to his nom de plume and has an instant ODD response to anyone in authority.
If he had some scientific or medical knowledge he could have said:
Were the radiologists blinded when they read the images?
That is they did not know what group they came from.
Was there a control group of athletes that did not have the virus?
Was there a control group that had the virus but are not athletes?
Was there a control group that are not athletes and did not have the virus?
What tests of cardiac function were done in all of the groups?
Hopefully this data will be available when they are published in respectable scientific journal.
Until then they are merely observations but still must be taken into account in making decisions about the health of athletes playing a game.
And it just a game-not world peace and the sun will come up tomorrow even if the BIG does not play.
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I did say that, without being a douc**. You really need to read more carefully. Shouldn’t you be studying?

Relevant

 
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Block M said:
Absence of evidence is not evidence of absence. Unless they performed cardiac MRI not sure it has any bearing on the current study.
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tweet cut off but if you click and read full tweet it says that every NFL player who had Covid was tested for myocarditis and zero had it
 
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MplsGopher said:
Massive fan base all over the country!!! BAHAHAHAHA!!

Please. No one outside the cow dung smelling state of Nebraska, gives a cow pie about the mediocre at best Huskers football team.
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that must be why for multiple years now MLB teams like the Colorado Rockies and Kansas City Royals have a Nebraska fan night each season. They do it because both those markets in particular have a huge amount of Nebraska alumni. You don’t have to like them but you can’t deny they have a huge following.
 

GopherGod said:
that must be why for multiple years now MLB teams like the Colorado Rockies and Kansas City Royals have a Nebraska fan night each season. They do it because both those markets in particular have a huge amount of Nebraska alumni. You don’t have to like them but you can’t deny they have a huge following.
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Your right, they actually still have a national fan base. Top 10.
 







Wow this has been a wild ride. The spread of misinformation is rampant and people cling on to whatever reports reinforce their bias.

I'm still skeptical a season happens at all even if the presidents pass a vote.

I dislike the Big Red Nebraska fan base and thoroughly enjoyed watching them leave our stadium depressed last year. That was fun!
 




GopherGod said:
that must be why for multiple years now MLB teams like the Colorado Rockies and Kansas City Royals have a Nebraska fan night each season. They do it because both those markets in particular have a huge amount of Nebraska alumni. You don’t have to like them but you can’t deny they have a huge following.
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:rolleyes: Denver and KC are immediately adjacent to Nebraska, and of course are where a lot of Lincoln alumni go to find jobs.

That does not mean in any way that they have a large national (as Ogee falsely said) fanbase.
 

Block M said:
Absence of evidence is not evidence of absence. Unless they performed cardiac MRI not sure it has any bearing on the current study.
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Exactly.

Wonder if even Ackerman bothers to prescribe MRI to check for myocarditis in his own patients. Whoops!
 



markiemark09 said:
Relevant:
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What is the "clinical threshold" and why is it at that level? What is the history for how that was established?

My wild guess is it has more to do with how much money they can bill the patient for. More tests = more $$$.


The heart is a large organ, with lots of different locations and lots of tissue.

If a particular genetic disease often causes inflammation in the left atrium, but covid19 induced myocarditis often causes inflammation in the right ventricle ... then these may be entirely different diseases.
 

GopherGod said:
tweet cut off but if you click and read full tweet it says that every NFL player who had Covid was tested for myocarditis and zero had it
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You didn't understand what he said, at all.

What is "tested for"? What was the procedure for "testing for" it?
 

PoockItInfor6 said:
Thank you for sharing! Yesterday should have been the home opener. These kids are losing on something they work so hard for. For what? Because some PSU doctor fabricated or GROSSLY MISINTERPRETED this myocarditis story?
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No. You're making things up out of thin air, because you're going to believe what you want to believe is true, no matter what the actual evidence says.

Pathetic.
 


MplsGopher said:
No. You're making things up out of thin air, because you're going to believe what you want to believe is true, no matter what the actual evidence says.

Pathetic.
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Says the guy talking about “if” it’s the right vs. the left ventricle than it “May” be a completely different disease. Your “guess” is that it’s related to money as to whythe clinics threshold is what it is.

Do you often question the clinical threshold for other diseases?

If one person on this forum is guilty of “making things up out of thin air, because you're going to believe what you want to believe is true, no matter what the actual evidence says”... look in the mirror and you will see that person.
 

PoockItInfor6 said:
Says the guy talking about “if” it’s the right vs. the left ventricle than it “May” be a completely different disease. Your “guess” is that it’s related to money as to whythe clinics threshold is what it is.

Do you often question the clinical threshold for other diseases?

If one person on this forum is guilty of “making things up out of thin air, because you're going to believe what you want to believe is true, no matter what the actual evidence says”... look in the mirror and you will see that person.
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6 B1G schools and the NFL have all confirmed no cases of myocarditis. That is data.
 

PoockItInfor6 said:
Says the guy talking about “if” it’s the right vs. the left ventricle than it “May” be a completely different disease. Your “guess” is that it’s related to money as to whythe clinics threshold is what it is.

Do you often question the clinical threshold for other diseases?

If one person on this forum is guilty of “making things up out of thin air, because you're going to believe what you want to believe is true, no matter what the actual evidence says”... look in the mirror and you will see that person.
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I question everything about the perverse American healthcare system.

The pricing for every possible medical code is set by a mysterious "board" of physicians, arbitrarily and without any oversight.
 



Pompous Elitist said:
What would we find if we imaged your brain? Ceti eel?
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Classic non-response.

Hit a nerve there, didn't I!

How much you wanna bet that the historical/typical method for diagnosing myocarditis in patients is EKG, and not MRI? Which of course makes sense ... EKG is a much cheaper, simpler test, that can be performed in-house at most cardiology clinics, rather than sending those dollars out to an MRI house.
 

That said ... if cardiologists don't usually use MRI to diagnose myocarditis ... then there needs to be a discussion about: what does it mean if a covid+ patient has X% of their heart tissue inflamed?

Going to take a wild guess that this is largely an open area of research, like almost everything with this disease.
 

markiemark09 said:
Relevant:
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Dr Chao on uncertainty around clinical relevance:


A splash was made this morning as the Penn State director of athletic medicine was reported to say 30-35% of COVID-19 positive Big Ten athletes had myocarditis. The headline is certainly alarming and got a lot of clicks, but the reality is this is not news and is not accurate. And sure enough, as I penned this article, came the clarification/recant.

No Penn State athletes have myocarditis.

The high numbers of myocarditis quoted were “initial preliminary data verbally shared by a colleague” and “published at a lower rate”. The doctor added “many cardiologists feel this is a finding that is incidental and may not warrant any further investigation or concern. And they’ll let somebody compete again”.

The doctor also clarified that the Big Ten has not even performed cardiac MRI on every athlete who tested positive, which further indicates that myocarditis is something to watch for but the need to dive deeper is not always warranted.

The NFL has had 171 cases of COVID and studied them all and have found no cases of myocarditis.

The devil is in the details. Sometimes research studies will cite myocarditis if there is any sign of inflammation of or around the heart. Whereas, the criteria may be more stringent to make the myocarditis diagnosis clinically on a patient.

We discussed the worries about myocarditis three weeks ago when the Big Ten postponed fall sports as we presented a hypothetical debate between a Big Ten doctor in favor of canceling and a SEC doctor comfortable with students playing. I agree, the worry is still there but the info reported today is not new and not factual. Yes, COVID-19 used to be considered primarily a respiratory virus but clearly it can affect the heart as well but to raise this alarm was not warranted.

I know the Penn State doctor and respect him. Like me, he is an orthopedic surgeon and in his role as team physician is qualified to opine, even if he is not a cardiologist. It surprised me that he would come out so strongly but now I see how his comments seem to have been taken out of context.

The word myocarditis tends to strike fear, but let’s simplify. Myo (muscle) card (heart) itis (inflamation) means any sort of inflammation of the heart muscle no matter how severe or how mild. Myocarditis is a known complication of the influenza virus as well and that is why doctors tell patients to not exercise when they have the flu and are febrile. There indeed is a small but unacceptable risk of sudden death due to arrythmia with severe myocarditis cases.

The doctor did point out that myocarditis “can be fatal if unchecked”. I agree. The point is that if you want football, colleges need to be willing/required to check their students for heart issues after a positive test. To ignore the issue would be malpractice.

No question any athlete with COVID should be evaluated for myocarditis. And any athlete with myocarditis should be excluded from practice or play until normal. Over 1,000 students have reported tested positive at the University of Alabama. How many of these students (presumably many average college kids exercise or play recreational sports) get cardiac MRIs? Certainly it is not the medical standard to do that but it should be for scholarship athletes. Fortunately, we have not seen a case of sudden death from COVID myocarditis yet and we don’t want to.

Although the attention-grabbing headline was taken out of context, the Big Ten doctor does put the cancellation of fall sports into perspective saying “we really just don’t know what to do with it right now”. This is the fear of the unknown. He is being honest in his assessment and I can respect the opinion. On the other hand, if we are following athletes with cardiac MRI before positives are cleared to return, that seems a responsible medical decision-making process. In the end, it is up to each player, parent, coach, AD, President and league to weigh the risks and decide.

David Chao, MD: Today's Myocarditis Panic Was Unfounded, Unfortunate, Unneeded

A splash was made this morning as the Penn State director of athletic medicine was reported to say 30-35% of COVID-19 positive Big Ten athletes had myocarditis. The headline is ce
www.outkick.com www.outkick.com
 

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