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Appreciating Assistant Athletic Trainers

Article reposted from Mike Ryan Sports Medicine
Author: Mike Ryan

John Norwig has the right to be proud.

Playoff football’s in the air. I’m here in Kansas City with NBC Sports’ Sunday Night Football crew to cover this weekend’s AFC divisional playoff game between the Kansas City Chiefs and the Pittsburgh Steelers.

Here’s one story line which probably won’t make the headlines: During Sunday’s clash at Arrowhead Stadium, Steelers’ long-time Head Athletic Trainer John Norwig will be working across the field from one of his former assistants Rick Burkholder, now the Chiefs’ Head Athletic Trainer.

Wait, it gets better.

Last weekend during Pittsburgh’s 30 – 12 Wildcard playoff win over Miami, John watched another one of his former assistants Ryan Grove at work on the opposing sideline. Grove is in his 3rd season as the Head Athletic Trainer for the Miami Dolphins.

By all accounts, this is the first time in NFL history two head athletic trainers (AT) faced their professional mentor in back to back games. Seeing it happen in playoff games makes it that much cooler.

Some may read this and say; “So what!”

I’m willing to bet those same individuals have never spent any time in an Athletic Training Room or had an injury requiring the care of a certified athletic trainer. If he/she had, they would have a greater appreciation for the skills needed to keep elite athletes healthy.

Being Grateful

I could not have done my job as the head athletic trainer/physical therapist for the Jacksonville Jaguars for 20 years without the efforts of my loyal and hard-working assistant athletic trainers. I owe much of my success and blessings to my talented assistants and interns who, from July to January, literally spent more time with me than we did with our own wives and children.

My assistants and interns were part of my family.

Every “head guy” in a professional or college settings will tell you the same thing: Assistant athletic trainers are the backbone of the day-to-day work needed to keep athletes safe.

My Reward

I was thrilled to see two of my assistants – John Burrell (Washington) and Joe Sheehan (Cleveland) – move on to become head athletic trainers in the NFL. They worked hard for the Jaguars and me and I owed them my very best efforts to help them succeed in reaching their professional goal of becoming an NFL head athletic trainer.

I firmly believe this responsibility also applied to interns who have proven themselves worthy of becoming full-time AT’s in the NFL.  An NFL internship is not an easy job. The low-paying position is filled with long thankless days and endless To Do lists.

I’m proud of my two former interns – Marco Zucconi (San Diego….I mean the Los Angeles Chargers) and Doug Quon (Washington) – who are employed as assistant AT’s in the league. A 2009 Professional Football Athletic Trainers Society (PFATS) survey of its members found 88% of head athletic trainers served as interns in the NFL and 86% of assistants were previously NFL interns.  Needless to say, an internship is a proven path into an NFL athletic training room.

Time For Athletic Trainers to Move On

A common goal for most head athletic trainers who truly appreciate and respect their assistants is to help their loyal protégés to move up the food chain.  That means helping their assistants to become a head athletic trainer in the NFL or the college ranks. It’s only fair.

Most of us who were fortunate enough to lead our departments previously worked as interns and assistants doing the same crappy jobs no one else wanted to do. Who do you think is cleaning the storage rooms late at night, packing the travel trunks, taping a majority of the ankles, bringing the injured rookie ice bags at 3 AM and setting up the road game athletic rooms at 5 AM? It’s the assistant athletic trainers!

When I asked John Norwig to describe his feelings when he looks across the field to see his former assistants in the role of head AT in the NFL, his reply was filled with passion and admiration. It’s a common trait of John, which makes him so genuine and likeable. “Proud,” Norwig replied, “I’m so proud to have helped them become successful.”

I think Rick Burkholder, Chiefs’ Head Athletic Trainer and current President of the Professional Athletic Trainers Society (PFATS) says it best; “Assistant athletic trainers are the life blood of the sports medicine teams in the NFL.

Like Rick, I was an assistant in the NFL before I headed south to join the expansion Jaguars in 1994. I was so fortunate to learn and grow under the guidance of my mentor and friend Ronnie Barnes with the New York Giants for 6 amazing years.  It was a wonderful opportunity for me and I’m forever grateful to Ronnie for his trust and guidance.

Stay the Course

I applaud assistant athletic trainers at all levels of sports medicine. You work extremely hard for others. It may not seem like it at times but everyone from the head AT’s, players, coaches, families and co-workers see your tremendous efforts and appreciate the positive impact you have on your athletes.

Assistant athletic trainers Note-to-Self:  WHEN you become a head athletic trainer, take care of your assistants and help prepare them to someday move up the food chain as you have done.

 

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Providing eye care for professional sports

Sports have become a huge part of our country’s entertainment culture. This is especially true in Pittsburgh, which likes to bill itself the “City of Champions.” In many areas of the country, there is fanatical support for professional and college sports teams. Getting into a playoff, bowl game or March Madness can not only invigorate a city’s collective psyche, but also provide significant revenue to the local economy. In recent years, many teams and colleges have boosted the level of medical care to their athletes. This is a win-win situation for both the individual athletes and the team.

UPMC Eye Center provides eye care, both on and off the playing surface, to the Pittsburgh Steelers football team, Pittsburgh Penguins hockey team and University of Pittsburgh athletic teams. Providing care to the players, coaches and administrators for a sports team can be an exciting venture. But like any aspect of one’s practice, it requires planning and commitment. Many more hours go into the process than just the time spent at the field or arena.

Providing eye care to the Steelers requires coordination with other medical professionals. The on-field medical team consists of two orthopedic surgeons, two neurosurgeons, two internists, one emergency medicine specialist (for intubation), one dentist and an ophthalmologist. The coordination of physicians is provided by the head athletic trainer of the Steelers, John Norwig, MEd, ATC. John has been with the Steelers for 25 years and received an award this past year from the NFL Physicians Society as the most outstanding athletic trainer. Like a practice, surgery center or academic department, there needs to be a dedicated leader at the helm.

The NFL requires an ophthalmologist to be at every game. Most team ophthalmologists do not travel to away games, so one is expected to provide care, if needed, to the visiting team as well. Serious injury, such as an orbital fracture, can occur during a game. One needs to be prepared to quickly evaluate players to see if they can continue in the game or if playing could result in further injury. An on-field emergency kit including proparacaine, near card, penlight, bandage contact lens, clear protective shield and antibiotic ointment is kept on hand. Players are encouraged to wear clear eye shields, but this is not required. Players are only allowed to wear tinted shields if approved by the NFL due to a documented eye condition that would cause glare.

Much more time is required managing eye conditions off the field. Most of this is pre- and postseason screening and refractive care. Before the season, undrafted players participating in the NFL Combine are given eye exams. Results of the exams are reviewed to see if a player should be brought in for further examination. Recently drafted players and rookies are all screened before preseason. This is done at the training facility because bringing 50 players into an office in 1 day is difficult. In a period of one half day, the players are given not only eye exams, but complete physicals, bloodwork and EKGs. Players who require refraction, contact lens fitting or complete dilated examination are brought to the office at a later date. Any players considering refractive surgery are operated on after the end of the season.

ORIGINAL ARTICLE:

http://www.healio.com/ophthalmology/retina-vitreous/news/print/ocular-surgery-news/%7B2f4bcf9a-7083-4882-bc77-647ab38ab37b%7D/providing-eye-care-for-professional-sports-teams-involves-commitment-beyond-game-day