Dr. Mandy Huggins Armitage

Thoughts, musings, and a little bit of education from a female physician in the Sports Medicine world.

Colt McCoy’s concussion

On December 8, Colt McCoy took a pretty big hit by James Harrison (who was later suspended one game for the hit). Unfortunately, McCoy was evaluated on the sidelines for a possible hand injury and was never given a full concussion evaluation. He only missed two plays and returned to the game. He later complained of sensitivity to light and nausea; apparently his post-game interviews had to be limited for this reason. He has since been held out of practices and games secondary to concussion. He has yet to play.

There’s been a lot of talk in the sports media lately about who was to blame for McCoy not being evaluated that day for a concussion. Apparently the medical staff didn’t see the hit. The supposed “injury reviewer” in the box (who is an official, btw, not a medical professional), assumed the medical staff saw the hit and didn’t say anything. What about the coaching staff? I’m pretty sure they outnumber the medical staff, so what prevented one of them from saying, “Let’s evaluate him real quick because he just got rocked.”  But that’s beside the point, and what’s done is done. Now the league is looking into it. ATCs are replacing officials in the booth to look out for injuries. We can assume the medical team was reprimanded. McCoy’s father has been pretty vocal about the situation as well. But where is Colt McCoy? What is his opinion? We haven’t heard from him. Did he have symptoms? Did he experience headache or a feeling of fogginess while his hand was being evaluated? If he did have symptoms, it was his responsibility to report them. I can’t speak for him. No one can. But can you really tell me that he felt comfortable going back into the game? I’ve never sustained a concussion, so I can’t put myself in his shoes.  Don’t get me wrong, I know there’s a lot at stake when it comes to professional sports. But I also know that in 2011 a professional football player has been educated about the signs and symptoms of concussion, as well as the consequences he faces if he doesn’t report his symptoms.  We know from surveys given to high school football players that they still don’t report symptoms for fear of being taken out of the game or upsetting the coach. When there are millions of dollars possibly at stake, does that change things?

Like I said, I can’t speak for the guy. I’m sure there’s more to the story; there always is. Maybe he really didn’t have symptoms. But there’s a lot of blame flying around, and yet nobody wants to hold the athlete accountable. Concussions are no laughing matter, and fortunately awareness has increased dramatically over the last few years. But we can’t always point the finger at one person or another. We need to remember that everyone plays a part: physicians, ATCs, coaches, and athletes.

Weight Loss Basics

After a recent conversation with my sister, I thought it would be a good idea to post some basic tips on weight loss. It’s not rocket science, but I realize some people might need to know a few basics to get going. Please keep in mind that I do not and will not advocate for any particular diet. If you know me, you know that trying to deprive me of any particular food for a period of time would NOT have a good outcome. First, here is the jist of the conversation.

Sister: “I’m really going to try to lose weight for your wedding. I’m going to be a new person when you see me next time.”

Me: “Really? That’s great. What’s your plan?”

Sister: “Well…I’m going to start working out again. And improve my diet.” (As we’re eating pizza at 10 pm)

Me: “So… pizza at 10 pm is probably not the best start.” I then suggest various products and foods.

The next day around 3 pm…

Me: “I see you bought protein bars. Are they good?”

Sister: “Yeah, pretty good. I had one earlier.”

Me: “What else have you eaten today?”

Sister: “Just the protein bar.”

Me: “Did you eat breakfast?”

Sister: “No.”

Me: “Well, there’s your problem.”

Sister: “Really?”

My sister’s lack of knowledge on effective weight loss (albeit with good intentions) made me realize that maybe what I consider to be common knowledge on this stuff really isn’t. So I’ve made a quick list of easy tips. Feel free to research more on your own; as I said, these are just the basics.

Eat breakfast

Most would recommend that you eat something within an hour of waking. No time? Protein shakes are super easy. But please, don’t let a donut or bagel be your breakfast. You need something with fiber and protein.

Eat often

I aim to eat a snack between meals, so I eat at least every 3 hours (some may say eat more frequently than that, but this is what my schedule allows). The idea is to keep your metabolism going.

Count your calories

First, make sure you’re getting enough. Ladies, you need to eat at least 1200 calories per day, to prevent your metabolism from slowing down. Secondly, to limit excess calorie intake, pay attention to labels. You’ll find plenty of calories that you consume here and there without even realizing it – salad dressings, lattes and mochas, condiments on sandwiches, etc. (more on this later). There are great phone apps with calorie info also.

Exercise!

You don’t really expect to lose weight just by diet alone, do you? Plus, it’s good for your mental health. Trust me. It’s hard to get going if you have been sedentary for a while, but once you make it a routine, you’ll wonder how you got along without your regular work out. TIP: get a heart rate monitor. They’re cheap and will help you stay in your target heart rate range, which makes for more effective workouts.

Weight train

Many reasons for this. Muscle burns more fat.  It’s good for your bone health. Your jeans will look better on you. Plus, as if I really have to state this, nobody likes jiggly arms.

Beware of alcohol calories

This is a tough one. I love beer. And I don’t mean domestic light beer. I’m talking 300 calories a pop, amber ale or brown ale or Oktoberfest or… you get the picture. But it all adds up. If you like margaritas, try the skinny margarita (lots of calories in the sweet and sour mix). If you like dark rum, try switching to a clear alcohol. There’s plenty of caloric info online if you want more ideas.

Drink water

I’m not encouraging you to indulge in those crazy “drink 100 gallons of water each hour” diets, but staying hydrated will keep you feeling fuller and will also benefit your workouts. Plus, your skin will thank you.

Mix it up

If you feel as though you’ve reached a plateau, try something new. For example, every now and again I’ll go “low carb” for about 5 days. It’s not “no carb” as I still eat fruits and vegetables and the occasional handful of crackers, but I’ll take a break from bread, pizza, pasta, etc. It’s not fun, but it works.

If you’re trying to slim down, and it seems that many of us are these days, good luck! Be patient but persistent.