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Love of Sport Led New Mexico Athletic Trainer to Career

March is National Athletic Training Month, so if you didn’t get a chance to take a trainer out to lunch, here’s some food for thought.

Unlike chances and opportunities, which one gets quite a few of in life, you only get one brain.

So it’s of the utmost importance to take care of it.

For most of us, that’s easy: Don’t run into walls, don’t hit yourself in the head with a hammer, and a number of other no-brainers.

If you participate in athletics, especially boxing and martial arts, soccer and football, for example, you have a greater risk of absorbing hits to the head.

And that means the possibility of a concussion or, worse yet, more than one.

The New Mexico Legislature recognized the importance of protecting student-athletes as much as possible and had no trouble passing Senate Bill 137 in February.

It provides for “enhanced safety protocols to protect student athletes and young people who participate in non-scholastic youth athletic activities from brain injury. … establishes procedures, parallel to those for brain injuries related to school athletics, for determining whether an athlete has been injured, and for allowing the injured youth athlete to return to participation. … (and directs the Department of Health to promulgate rules to establish safety protocols, as well as the nature and content of educational materials to be supplied to coaches, youth athletes, and their parents or guardians.”

SB-137 also “extends the period during which a student athlete is barred from participating in athletic activity following a head injury from one week to 240 hours from the hour when the student received the injury.”

Naturally, football, being the favorite sport of most Americans, is the focus. The recent movie “Concussion,” along with the 2012 suicide of former NFL great Junior Seau, is always in the discussion.

“CTE” is the new buzz-abbreviation, more important than DVR and DVD, coming several years after VCR and STD and five decades after LSD was big.

OMG, this is nothing to LOL about, either.

CTE stands for chronic traumatic encephalopathy, which, unfortunately, cannot be diagnosed while its victim is alive, but only through postmortem analysis. (See “Concussion” and you’ll understand a lot more.)

Cleveland High School athletic trainer Jeff Archuleta — he’s in his third year at CHS, after spending the first 11 years of his career as the trainer at La Cueva High School — sees injuries to student-athletes on almost a daily basis.

And although he took a lot of heat for declaring that a Storm football player had incurred a concussion in a state semifinal game last year, which resulted in that player initially being ruled ineligible to play the following week in the state championship game, he stands by that decision.

And, Archuleta, 37, said, the new 10-day period is better, but not the be-all, end-all to concussions.

“Twelve to 14 days is your average recovery time,” he said. “The only thing I don’t like is if we get somebody misdiagnosed, we can get into some problems.”

Football, of course, isn’t the only sport where concussions are possibilities: “any game which you can get knocked to the ground by” has the potential for concussions.

Still, he said, “My goal is to get your butt out there as fast as we can.”

But he’s always going to err on the side of caution when it involves a head injury.

“The hardest part about this is we’re going to take the most conservative route,” he said. “And that’s the reason why. I know it’s not what people want to hear — as far as the team, the coaches, even the parents or the fans always want — but you’re always going to go the most-conservative route with it, to make sure that ultimately the player’s safety is No. 1. Not playing, not winning, not anything else like that. … We have to take that outlook on it.”

Archuleta said something important for people to know about his role is that “they don’t fully understand the resources that they have.” He estimated he recently saved thousands of dollars for the parents of an injured Storm player during his recent rehabilitation.

“Fifty dollars in co-pay for a physical therapy session; a treatment session, an evaluation, things like that,” he said. “The resource of it is phenomenal: Say if you sprained your ankle, you go into the doctor, even if you have insurance you’re still going to spend $50 to $75 for a co-pay … whereas, with us, we can, one, get you a good, solid medical look at it and, two, if we think you need something from there, we can facilitate the care of that to get you in sooner.

“So I think it’s basically benefiting on so many levels,”

It’s a job he loves, and the reason he entered the field is another story all in itself.

“It’s not rare for me to put in a 70- to 80-hour work week,” Archuleta said. But, he added, “I chase balls and kids around, so I have fun all the time.

“If I didn’t have a passion for the sport and a buy-in to the teams, I couldn’t do the hours I work,” he said.

When he thought about working at a college or a high school, he chose the high school setting because he knew he’d always have Sundays off — and a friend of his who chose the college route once worked 94 days in a row, “making less than $20,000 a year.”

“Jeff is one of the best trainers in the state,” CHS Athletic Coordinator Larry Chavez said, “Ultimately, Jeff is here for our student-athletes and he looks out for what’s best for them.”

And if that means sitting out an important game or match, so be it.

“The focus is always on winning, but the important thing is your health,” Archuleta said, enjoying the return of student-athletes to the playing field even more than seeing trophies hoisted.

“We had a young man this year who had knee surgery at the beginning of football season. Had he gone a more-aggressive way about (rehabbing), he probably could have been back two months sooner,” Archuleta said, “but probably would have had long-term problems. … The health of the person long-term is always going to be more important.”

CLICK HERE FOR ORIGINAL ARTICLE

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New Mexico Concussion Confusion Continues

The doctor whose opinion a district court judge cited as a key basis for his decision to allow Cleveland running back Shawn Nieto to play in the Class 6A state championship football game, despite suffering a blow to the head a week earlier, rescinded her initial recommendation on the morning of the game, the Journal has learned.

Dr. Karen Ortiz said in a letter sent to Rio Rancho Public Schools and the New Mexico Activities Association – dated Dec. 5 – that she would never have cleared the first-team tailback to play had she known he had lost consciousness a week earlier after suffering a blow to the head.

That letter was dated one day after Judge Alan Malott ruled that Nieto could participate in the Storm’s title game against Eldorado.

Cleveland’s team physician, Dr. Laurence Laudicina, also wrote a letter to school officials, dated the day of the game, setting out the possibility of dire consequences should Nieto be allowed to play.

“Allowing Mr. Shawn Nieto to return to play at this time may result in a wide range of long-term neuropsychologic disorders as well as possible catastrophic brain injury, unfortunately,” the letter concludes.

Nieto was allowed to suit up and was inserted for one play, despite the new letters concerning medical risk.

RRPS Athletic Director Bruce Carver said district officials were concerned about the conflict posed by Malott’s order and the doctors’ opinions.

“My superintendent (Dr. V. Sue Cleveland) and I felt like a court order supersedes everything,” Carver said. “We’re in a real tough pickle here.”

Ortiz evaluated Nieto, Cleveland’s starting junior tailback, on Tuesday, Dec. 1. This was three days after Nieto suffered a severe hit to the head during the Storm’s semifinal win at Mayfield on Nov. 28.

Cleveland’s veteran trainer, Jeff Archuleta, said Nieto was knocked unconscious and had suffered a concussion.

Ortiz did not come to the same conclusion in her evaluation three days later, based on an examination and discussions with Nieto and his father.

Laudicina spoke with Ortiz on Friday, Dec. 4, and that conversation apparently convinced Ortiz to change course.

Ortiz in her Dec. 5 letter said Nieto and his father, Peter, insisted the player had not lost consciousness.

“Had I understood that there was a loss of consciousness, I would have never provided medical clearance,” Ortiz wrote to RRPS and the NMAA.

That letter was received in the NMAA office, at Rio Rancho Public Schools, and at Cleveland, at 9 a.m. Saturday. NMAA executive director Sally Marquez and Cleveland athletic director Larry Chavez both confirmed this.

Carver said he became aware of the letter soon thereafter.

In the letter, Ortiz writes that she was told by Laudicina – via Archuleta, who was on site for the Mayfield game and rendered medical aid to Nieto – that Nieto had a “significant loss of consciousness.”

“Shawn is 100 percent adamant that he never lost consciousness,” countered Nieto family attorney Jake Vallejos on Friday. “He (said he) lost his air, couldn’t breathe – but he certainly was stunned by the hit. He was aware of what was going on.”

AD Chavez said he informed Cleveland head coach Heath Ridenour of Ortiz’s Dec. 5 letter as soon as it was discovered. This was about four hours before kickoff on that Saturday. Ridenour last week told the Journal that he had made the decision to keep Nieto on the sideline and not have him run the ball for safety reasons.

The Storm did insert Nieto into the game for one play, a kickoff late in the fourth quarter. It is unknown if Nieto had any major contact on that play.

Ortiz’s initial recommendation from Dec. 1, which said she found no proof of concussion, was cited specifically by Malott, who in essence said he accepted her opinion over Archuleta’s, despite the trainer’s being the one who attended to Nieto in the stadium.

The Journal left a phone message on Friday with Malott, who earlier defended his decision in a letter he submitted last week to the Journal for publication. The call was not returned.

In his letter to RRPS and the NMAA on Dec. 5, Laudicina said Ortiz’s initial decision on Dec. 1 to clear Nieto “reflects inaccurate history and evaluation.”

There is a third letter the Journal has obtained, dated Dec. 4 from Archuleta and addressed to officials at Cleveland High, RRPS and the NMAA.

“While attending to (Nieto on Nov. 28),” Archuleta wrote, “I observed him displaying numerous signs and symptoms of a concussion including an extended period of unconsciousness. Due to this, he was removed from participation, his helmet was taken to prevent him from playing, and he was evaluated numerous times.”

Waiting period

Cleveland, following Archuleta’s and Laudicina’s lead, told Nieto he would not be allowed to play against Eldorado, as he would have to sit out a week per the state’s concussion law, which was created in 2010 to protect athletes from competing again too soon, and also before they have cleared protocols.

As she rescinded her first opinion, and in what seems to be a nod to Archuleta’s first-hand observation, Ortiz said the athlete should “follow the policies and protocols set by the Sports Medicine Team.”

Archuleta’s letter said both he and Laudicina felt it was “highly ill advised” that Nieto play in the game.

The Journal also gained a copy of the concussion evaluation form from this injury, filled out by Archuleta. Contained within that document is mention that Nieto already had a concussion history (one occurrence) even before this episode.

Vallejos said Nieto did not learn that he would be unable to play against Eldorado until Monday, Nov. 30. Vallejos further said that no one from the family was told anything about an evaluation that the player was unconscious before they went to see Ortiz.

“Nobody told the family anything,” Vallejos said. “Prior to seeing the doctor (Ortiz), the family was not informed by anyone at Cleveland.”

Vallejos said the family did not have an issue with Nieto getting into the game for only one play. “They were fine with it,” Vallejos said. Their larger concern, he said, was “making sure there was adequate process.”

As Cleveland said it would keep Nieto out of action, the player and his family went to court to get a temporary restraining order, saying the junior would be irreparably harmed and his college scholarship chances diminished if he wasn’t allowed to compete in the state final.

Nieto, a 5-foot-4, 135-pound running back, ran for 931 yards and 18 touchdowns during the season, which culminated in a 48-35 victory over visiting Eldorado in the 6A final. Cleveland senior running back Landry Hayes ran for 203 yards and four touchdowns in that contest.

The NMAA, Marquez has said, intends to appeal Malott’s ruling, using the aforementioned three letters to help present their case. The NMAA wants the temporary restraining order overturned to dissuade others from taking the same recourse as did the Nietos.

ORIGINAL ARTICLE:
http://www.abqjournal.com/693937/news/warning-came-after-judge-ruled-back-could-play.html