Category: Podcast

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Deanna, Kelsey and Jennifer, all Adopted ATs, share their stories to encourage others to compassion and action.

Deanna, what is your Adopted AT story?

Has a positive story

Relationships with both of her biological parents

Knew from birth that she was adopted but did not realize it until age 7

Searched for her Bio parents because of concerns with her health.

Maternal Grandparents connected with her first

Birth dad began connecting

Since 2011 Deanna has been connected to all her bio and adopted family.

Kelsey tell us about being adopted.

“I am still related to my birth family”

Born to a single mom and taken into foster care at the age of 4.  The CPS workers came to daycare and picked her up that day.

Placed with aunts and uncles and began playing sports right away.

Kelsey wanted to be a doctor and then got hurt as a freshman in high school and went to get treated by her Athletic Trainer.

College would not have been an option if she had not been adopted.

Jennifer share your Adopted AT story

Adopted at birth in 1967 from a single mother

Born Christmas day and was moved through foster homes to help hide the paper trail.

Jennifer’s mom was a nurse and her dad was a teacher

Mom took her to medical workshops once she showed an interest in the medical field.

Her mom passed away in 2008 and her dad began searching for info on her bio mom.

Has not connected with her bio parents.

“Mamma Rheeling” has taken children into her home to unofficially foster and give them a safe place to stay.

Her goddaughter lives with her now

Adoption opens her up to compassion

She has always known she was adopted.

Speak to prospective adoptive parents.

Jennifer – Being a parent is something that comes from your heart.  It is hard either biological or adoptive.

If you want to make it work then you will find a way to.

Deanna – I love God and in turn I love people.

Kelsey – Fostering can be hard.  There will be trauma

We would not be who we are today without someone stepping in.

Watch Adopted ATs on Facebook

https://www.facebook.com/980579115403772/videos/381220533183664

Contact us:

Deanna – dmelancon@brortho.com

Kelsey – grahamke@pryorschools.org

Jennifer – jennifer.rheeling@gmail.com

Jeremy – info@sportsmedicinebraodcast.com

Sponsors

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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When I stepped into the “Head” Athletic Trainer role after 12 years here I thought I had earned leadership credibility. I had, it just did not go as smoothly as I assumed.

Kevin Parker and John Ciecko discuss the book About Face by General Hackworth

“Personal gifts like intellect or charisma help. But neither are required enough to be a leader. Physical appearance, poise, and outward self-confidence can be confused with leadership – for a time. I saw many new lieutenants arrive to battalions and fail to live up to the expectations their handsome, broad-shouldered look generated. Leaders walk a fine line between self-confidence and humility. People are born; leaders are made.” 

– McChrystal

“You can read all kinds of books you want and you can make all kinds of plans you want, but when you get out in the field, those books and those plans might not meet the eye of the situation you find there. So you just have to roll with it.”

– Hackworth

Kevin Parker joins again after last seasons Heroes as Leaders – https://sportsmedicinebroadcast.com/heroes-as-leaders/

1. In discussing earned leadership, what is your favorite part of About Face?

Kevin – when he took over the battalion in Vietnam and transformed them into a well-oiled fighting machine.

Everyone wants to be the transformational leader that people write stories about…but this is where you miss the whole point of the book.

Why a book about war to teach lessons in AT?

• You take care of your people
• ID problems and the people to handle those problems…then give them resources to deal with them.

2. Learning leadership – the wrong way

“Grab at the coattails.” – p. 60

The Army was no more warriors than it was clerks trying to get the army out there.

Rather than earned leadership people surrounded themselves with people that were going to agree and help support your decision.

There was no one there to help prevent them from not making critical decisions.

Hackworth’s willingness to accept clear honest feedback is ultimately the best for the organization.

Be wary of an echo chamber

“Figures don’t lie.” – p. 601

300% input of Ranger School…but that was because we went from 0 to 3…

If you want to lie to get ahead you lose your leadership capital in the end.

Hackworth was all about not sugarcoating things.  He wanted to clearly disseminate info up and down the chain in the same manner.

You have to tailor your message to each person, but it’s the same message.

To the athlete: the outside of your ankle hurts

To the Doctor: his lateral malleolus is the affected area

Rehab – do they know what they are doing and why…so you could walk away and they can continue.

Don’t be that person “he is great at rehab but has terrible bedside manner…”

DO YOUR ACTIONS MATCH WHAT YOU ARE SAYING?

“Measuring up” p. 778

3. Learning leadership – Honesty and morality

“Study of Vietnam” p. 614

The tactical know-how of senior officers has ended in a condition of not knowing how to fight but a bunch of corporate office managers.

The soldiers are focused on advancing to the next level rather than leading the people below them.

“Never ask a subordinate to do a task you are not willing to do”

Maybe you show up at 6 am to help with COVID screening a few times

Does the AD need to be at every practice every day??? Nobody wants that.

In every organization, there is someone who is promoted one level beyond their competence

From Facebook: Richard Cox It reminds me of when Jocko would scramble guys' radios to make sure that they all knew how to fix them because he wanted everyone in the platoon to be able to do everyone else's job.

“Westmorelands understanding from Napoleon.” p. 737

“The interview – forest from the trees” p. 777

“Issues and Answers” with Howard Tucker from ABC

Did the upper echelon of the army ever become changed on the war…did they learn from their mistakes?

“No” they became paper pusher and analytics and could not see the forest from the trees.

We were measuring using the death ratio for success.

You have to have strong moral courage to step up and say “maybe we are not winning”

LOOK AT THE BIG PICTURE and see there is more going on outside of the immediate.

One of the lasting lessons Kevin has learned: 

Kids’ parents like to watch their kids play games…if we can change the game time so their parents can watch them we need to do that.

“Learn from the past.” p. 831

4. What have we seen during this time and how can this book (or ones like it) shape our learning curve of leadership?

Anytime you can go back and have an understanding of how and why a decision was made you can see how changing just one step could have changed the course of action.

It is easy to make decisions when there is an unlimited amount of time and resources…but that never happens.

“Can you make a decision without having all the variables and info you need?”

https://www.facebook.com/sportsmedicinebroadcast/videos/1513778832163017/

Contact Us

Kevin Parker – @kparker9200

John Ciecko – @JohnCiecko

Jeremy – @MrJeremyJackson

Keep the “lights” on:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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Data collection is pretty easy now a days with all of the EMR options. We have plenty of data, but making it tell a story is different.

Scott Mullett founder of AT Efficiency has crunched our numbers so we can show you what you can do with them.

Daria Oller has researched epidemiology and wants to help turn those numbers into actionable items so that we can change the patterns of injury.

How our Data Collection is answering Admin Questions.

Dollar Value saved the district:

1. Ask your stakeholders what numbers they want to see.
   1. The cost of injury for athletes that have gone to the hospital to receive some treatment is $709
   2. Direct cost $168,000
   3. Indirect cost $527,000
      1. There is not a value or cost for them not participating as they are not getting paid to play
      2. These costs are associated with parents' missed work and transporting kids to doctors.
      3. Who are you saving money for?
         1. In high school, it is parents, not the district.
   4. Only 9.9% of injuries at the Penn state campers were sent to the hospital
   5. Healthy Camp studies show 60% of injuries go to the doctor
   6. ADD a “requires doctor visit” button
   7. Document people who went to the ER and the outcomes.
      1. This could be used to help establish a chain of care to get the kids the appropriate care they need.
   8. They increased salary due to the research from the Penn State camps

Treatments per week or day or month:

1. Average of 300 interactions per month

Does your Data Collection show preventative practices?

1. Add an indicator saying “prevention” to improve data collection
2. This may take a few years of data to see if the numbers are going up and down.
3. You can also compare to national research
4. WE NEED an incoming freshman onboarding program to prevent injuries.
   1. Educate the coaches
   2. 7/12 football concussions were freshman
      1. Maybe head impact monitoring could help

How debilitating are the injuries

The way our data collection was set up is hard to tell.
– We do have a “Requires Surgery” button but do not always click it.
– We do not have a graded severity scale
– We will add the “Time Loss” button to our daily treatment logs

A few questions we could not answer with our Data Collection

• Costs of supplies per kid for strength and conditioning versus rehab
• Other services provided
• Athletic Training Facility hours/visits per week in healthy versus non-healthy athletes

Tips and improvements from Scott and Daria

Tips from Scott: 

• Some of the gaps: narrow it down with preventative programs
• Start small
• Get little victories
• Demonstrate the importance of staying healthy

Tips from Daria:

• Establish your goal(s).
• Have clear operational definitions.
• Have objective measures to quantify prevention strategies.
• Look to the epidemiology literature.
• Go beyond large numbers. 
• Consider if your documentation system is helping you capture the needed or desired variables.

Watch instead on Facebook.com/SportsMedicineBroadcast

https://www.facebook.com/sportsmedicinebroadcast/videos/407100297119732/

Contact Us

Daria Oller

Scott Mullett

Jeremy Jackson

Resources

“The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School. . .” J Ath Train. 2018 53(8) – 53(12), 2019 54(1) – 54(2). 

Non-Time-Loss and Time-Loss Softball Injuries in Secondary School Athletes: A Report From the National Athletic Treatment, Injury and Outcomes Network (NATION). J Athl Train. 2020;55(2)

Injury Incidence in Youth, High School, and NCAA Men's Lacrosse. Pediatrics. 2019;143(6).

Trends in Emergency Department Visits for Contact Sports-Related Traumatic Brain Injuries Among Children – United States, 2001-2018. MMWR Morb Mortal Wkly Rep. 2020 Jul 10;69(27)

Work-Related Injury and Management Strategies Among Certified Athletic Trainers. J Athl Train. 2018;53(6)
Catastrophic High School and Collegiate Cheerleading Injuries in the United States: An Examination of the 2006-2007 Basket Toss Rule Change. Sports Health. 2019;11(1)

Share your gratitude with the Sponsors for the SMB

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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Conflict Resolution is a learned skill. John Ciecko was scared of conflict. By leading the leadership series here on the SMB we have walked through a lot and conflict resolution is a big part of leadership.

Patrick Ohaver was a supervisor for an AT outreach program and had a fair share of conflict to resolve.

This discussion is based off an article by Dr. Jordan B Peterson about becoming a peacemaker

Facts are facts. Opinions about the facts differ. It is therefore the job of the peacemaker to bridge the gap between opinions, and in that manner, bring about reconciliation. The job of the peacemaker is to establish an accord that allows the facts themselves to become a matter of agreement. To do that, however, the peacemaker has to be able to see the facts that lead to peace. The peacemaker threatens, with the threat of peace, because peace means change.”

– Jordan Peterson

How can the peacemaker bridge sides of an argument?

How can the facts themselves differ? And if they do differ, how can the gap between men who have adopted antagonistic stances towards one another be bridged? They must want peace, more than security, more than charisma. That means that the peacemaker must be able to sell them something more valuable than victory, more valuable than success. That means the peacemaker must know what it is, that is more valuable than victory. It is for this reason that the peacemaker must be a man of the uncharted seas.”

When we find ourselves in conflict how can we sift through the facts?

John’s situation: Coach was asking questions and seemed to be questioning him and how the situation was handled.

John allowed his opinion of the facts to be more important.

“Relax” usually amplifies the conflict

Amygdala hijacking – emotions get the thought process all jacked up

Is it better to rush or be patient with an opinion or judgement?

“Everyone must therefore have a voice.  The peacemaker, however, must even listen to the damned. He does not know what the facts are, and even the damned might therefore have something valuable to say.  When the facts themselves are in dispute, however, there is nothing left but patience. The invisible becomes visible of its own accord, in accordance with its own frame of time, and there is no pushing when the direction to push cannot be established.” 

Everything in athletics has to be done right now…so we are in conflict with peacemaking situations as we have no patience to work with.

We do not have to fix it now, we can wait for a day.

The more you are able to pull the facts out the more you can heal.

The facts give it a direction

When it comes to resolution is speed over vision, or vision over speed more important?  

“Peace must therefore be a journey – and a journey to an unspecified destination. The peacemaker is a guide, in a country whose topography remains uncertain. As a guide, he has to be going somewhere – but where? Speed is a virtue in the local environment. If the direction is uncertain, however, then speed may be a vice.”

Most of the time it is vision over the speed

Clifton’s strength finder – https://www.gallup.com/cliftonstrengths/en/252137/home.aspx

If you are pretty certain route “A” is better than route “B” than use facts and allow hem to make the decision

If you continue to go back and use the vision over speed you build capital with the people you work with.

This allows you to use the get this done now statements.

What does it take to become a true person of conflict resolution?

“The man with a disharmonious household cannot serve as a peacemaker… The man who is afraid of war cannot serve as a peacemaker. Peacemaking must be a vocation, and not an occupation.” 

Peacemaking can not be your job title, but it needs to be part of your life.

Vocation – a strong feeling of suitability for a particular career or occupation

Occupation – a job or profession

What is the importance of both empathy and sympathy? 

Empathy – the ability to understand and share the feelings of another

Sympathy – feelings of pity and sorrow for someone else's misfortune or understanding between people; common feeling

Closing Thought:

“‘I fear not the man who has practiced ten thousand kicks once, but I fear the man who has practiced one kick, ten thousand times.’ Conflict resolution must be a skill that is practiced over and over knowing that it will never be perfected.” 

Facts lead to peace

https://www.facebook.com/sportsmedicinebroadcast/videos/1234729040219399/

Contact Us:

John Ciecko – @JohnCiecko

Patrick Ohaver – @patc1996

Jeremy Jackson – @MrJeremyJackson

2020 Leadership Series Lineup

Leading Up the Chain

Conflict Resolution

Earned Ledership

The Path of Leadership

Support those who love ATs

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

Muriel, Wyatt, Marisha, Jasmine and Alyssa are Native American Athletic Trainers. They join John Ciecko and Jeremy Jackson to teach about their background, stories, and experiences.

Muriel's Native American Background:

I attended several undergraduate programs in my journey. I was a non-traditional student who returned to pursue my undergraduate in 2009 at the University of New Mexico-Gallup branch campus. After I completed my AA-Assoc. of Business Administration, I transferred to the main campus in Albuquerque, NM in 2013. There I completed my BS in Athletic Training in May of 2018 with a minor in Business Administration.

During my undergraduate journey, I managed to work a full-time job, have my two boys who are now 9 and 15 years old, and take care of my family of four. It was certainly difficult trying to juggle being “Mom, Wife, Student AT” all at the same time and commuting weekly back and forth to home, but I knew ever since I was about six or seven years old Athletic Training was what I wanted to do, although at the time I had no idea the profession existed

Alyssa's background and schooling

My last two years of high school introduced me to my first Athletic Trainer (JD Burgess). A late tour senior year to Fort Lewis College introduced me to Athletic Training/Sports Medicine as a major so I immediately applied and began my education at Fort Lewis College in Durango, CO. I graduated in 2007 and was able to pursue my Masters at A.T. Still University in Mesa, AZ. I graduated in 2009 and went back to Durango to work at the Head AT at Durango High School as a part of Mercy Regional Medical Center. I stayed there until 2015 when my husband and I took a year off to travel and move back to Hopi. After that I set up an AT program at the local high school.  There have been a lot of road blocks

Marisha's Life as a Native American

Marisha Little, LAT, ATC currently works as the graduate assistant to the University of West Florida Athletic Training Program and as a PRN athletic trainer in the Sports Medicine Outreach department of Andrews Institute. She graduated with her Bachelor of Science in Athletic Training from the University of West Florida and is currently working on her Master of Science in Health Promotion. She is the recipient of the Bobby Gunn Award from the Southeast Athletic Training Association, the Legacy Scholarship of the Athletic Trainers Association of Florida, and the Memorial Scholarship of the Southeast Athletic Training Association. Marisha served on the National Athletic Trainers Association Student Leadership Committee from 2018-2019 and currently serves on the Public Relations and Marketing Committee of the Athletic Trainers Association of Florida.

A little about Wyatt

Wyatt's first exposure to AT was in undergrad as a potential PT student.  Changed paths when he was applying for PT school.

Masters of public health from GWU

He left the tribe to get the experience off the reservation to be able to get more perspective.

Currently back on the reservation as a wellness program specialist for Native Americans.

Jasmine's Story:

Descendent of trail of tears

I come from a long line of strong, resilient, compassionate, indigenous women, so it was only natural that I want to help others.  When I was in high school, at Culver City High School, we had a sports medicine program and I was introduced to the field. I went on to get my AA in Kinesiology at El Camino College and then graduated in 2016 from Azusa Pacific University with my BA in Athletic Training. My career started with working for West Coast Sports Medicine and Team to Win, which is a non-profit sports medicine clinic for the local high schools, that are typically in under-served and systematically oppressed communities. I then started my life at Lawndale High School as the ATC.

After my first year there, with the help of my Principal Dr. Rodas, Athletic Director Demetre Howard, and Football Coach Travis Clark, established a sports medicine pathway and program and offer a sports medicine curriculum for the biomedical careers academy and have over 250 students enrolled. We currently have one of the best Sports Medicine programs in the South Bay.

Being the ATC at Lawndale changed my life, it made me want to be a better person for my athletes and students because they deserve greatness from the people around them, they became my motivation. Our football program won a CIF state championship in 2018, I was awarded CIF Athletic Trainer; Champion of Character for 2018/19, and I received the Far West Athletic Trainers’ Association Excellences in Athletic Training award in 2020. I am now the coordinator and program director for the sports medicine education pathway and sports medicine apprenticeship/team we have

Cultural experiences with medicine

• Other Cultural Experiences
  • Navajo
    • Largest landmass reservation
      • About the size of West Virginia
    • Honor and value kinship
    • Always at the forefront of what we do
    • Known for basketball
    • 40% have no running water, less with electricity and internet
    • We live by a concept of balance 
      • When this gets out of balance we see much more illness
      • Restore balance by getting up early, running to the east, ceremonies, running to the east
    • Over half of the Navajo tribe does not speak the native language because of assimilation.
    • Living in two different worlds is difficult as some of the older people do not feel she is “Navajo enough”
    • Ingenious framework
    • Maternal lineage society
      • Clan type society that essentially makes your extended family your family and builds a close-knit group
  • Hopi
  • Muscogee
• My experience with medicine and culture started before I started my education in AT and my career. My family has influenced a lot of my “whys”, I have two examples. 
  • Respect to Quality of Life
  • Assuring Pt comprehension and understanding
• Traditional Ceremonies/Beliefs
  • Kinnalda, Solar Eclipse 
• (Alyssa) As Hopi, we have our traditional medicine men/women that help with a variety of mental, spiritual, and physical maladies. It is not customary to pay them money, but rather with food (nova) and cornmeal (homa).
• (Alyssa) Personally, I didn’t have much experience until my freshman year of high school when I broke my ankle. Along with a visit to IHS which wasn’t a great experience, my mother arranged for me to see a medicine man to “reset” my ankle. Very painful and then I received a cast and had no other medical help with rehab/return to sport. 
• (Alyssa) Our families continue to use Medicine Men/Women for treatment, I don’t know much about Navajo but rely on the athlete/family to keep me updated about what they can/can’t do. The same goes for Hopi, but the very good ones know when to send them to me or IHS for more orthopedic. 
• (Jasmine) works with many Polynesians at work as well. Tongan doctors and medicine is important for her population
  • Her tribal understanding has made the inclusion and relatability much easier
  • “For your body and practice, what do you need to do?”
  • Prays for her students and asks her ancestors to guide her to best care for her students
• (Wyatt) – uses a holistic approach and connects the mind and body.
• (Muriel) – with head injuries, the Navajo will pour water on the ground to shift the energy and try to reset the balance.
  • Teams will go together before a season and have ceremonies together
• (Marisha) – you may speak to an older person in the third person…instead of “you have this injury…” one might say “if a person has this injury…”
  • In Navajo culture, if you say Grandma when addressing a patient you are showing respect
  • In western medicine that is possibly offensive

College experiences with western medicine

• Anatomy Lab
  • (Alyssa) College/Grad School was my first experience with cadaver lab anatomy and physiology. We have some taboos about dead bodies so I went to my grandma (So’oh) to ask about what I should do. She explained that since I was doing this as learning to help others, it was ok to do, but try not to touch. Luckily, both my teachers were very understanding and allowed me to observe and let my classmates do movements for me. I had to cleanse myself, spouse, and the apartment every time I got home with cedar smoke (momahpi) and cedar wash (boiled cedar water). 
• (Alyssa) When I was in Durango, I experienced what it was like for families that had good insurance. We were spoiled as we had two Orthopedic Surgeons that did visits to our school and when they needed to get seen quickly, all I had to do was call. We also had access to a school health center with an NP on-site as well as several Family Physicians. This was something I never saw at home on the reservation.
• (Jasmine) We learn the routine basics, core classes, AT classes, etc. I think one in order for us to be good at our jobs we need to be understanding of western medicine. But we also have to be willing to learn about other cultural medicine. When it comes to my practice we focus on a lot of mind and body experience; refocus before treatment, we do breathing exercises and have a conversation focus on what the patient's body is telling them and then reinforce the idea that whatever we are doing will improve their well being. My AT education incorporated a lot of other styles of medicine; eastern medicine for example. I had a professor Bill Ido tell us all the time; “treat locally, but look globally” What is really wrong with the patient. We incorporated a lot of cupping, essential oils, incorporating anti-inflammatory foods into the athletes' diet. We have to embrace our cultures and other cultures and accept the fact that sometimes western medicine isn't always the correct method, it's subjective (Jasmine)

Current job and AT experience

• Alyssa
  • Part-time AT at Hopi Jr/Sr High School (2016-current) l and created a Sports Medicine Club (2019) at my hometown high school on the Hopi reservation.  I have another full-time job as a Parent Educator.
  • Arizona Athletic Trainers Association Secondary Schools Committee Member (2019-current)
  • Native ATs Discussion Group (2020)
  • Head AT Durango High School (2009-2015)- responsible for over 23 sports and three different venue sites. Proctor for Fort Lewis College student ATs. 
  • AT Still University (2007-2009)- Various GA Assistantships at a city public high school, private high school, and sports performance clinics. Was able to cover the NABI basketball tournament and be a speaker for youth (2008).
  • Fort Lewis College (2003-2007)- Women’s basketball student Athletic Trainer senior year
• Jasmine: Athletic trainer for TTW and Children's Hospital of Los Angeles; CTE Sports Medicine Program Director

Things I should know when working with a Native American

• Family Oriented- Strong family ties
• Athletes sometimes work with Traditional Medicine People, or Shalman’s and so we have to be mindful that they can’t do certain things or ask about treatments they may have received? For example: 
  • Navajo way – they remain revenant sometimes for four days, so this may mean they can’t be at practice, or they can attend but not allowed to participate. Just varies from each athlete. 
• When working with anyone from a different culture or race we first need to check our own implicit biases we may have about that culture or identity, and then be culturally sensitive, ask lots of questions beforehand and understand that you may need to incorporate traditional medicine people or medicines into your practice. Be open to learning about other medical practices
• (Alyssa) Many students are shy and need to take some time to talk to you
• (Alyssa) Hopi still practice our cultural traditions and our ceremonial calendar runs from Jan-Nov as a part of the solstices. It is very common for athletes, coaches, and staff to miss school/practices when we have many of our dances/ceremonies. In February, we have our Purification time (Powamuwa) where all the villages are busy so the schools offer Cultural Days every Friday to accommodate all the students/staff not being at the school.
• (Alyssa) Working with Navajo and other tribes students are affiliated with is asking what they are comfortable with and making efforts to be respectful of different beliefs.

How has COVID affected your nations and how have you been able to help?

• Alyssa – there are alot of considerations
  • It takes us an hour to fill our tanks and 3 tanks to fill our cistern…we have to haul water in and 20 seconds of handwashing might not be feasible
  • Maybe have kids shower at school to improve water usage
  • They do not have any full functioning grocery stores without driving to a city
• Jasmine – took it as a call to action to bring awareness to the situation with her people.
  • She was told “if it does not meet a social media agenda then it wont pick up steam”
  • She decided to teach her students about it and that has brought about change inside her school
• Marisha – You can still make a difference wherever you are
  • Stand in solidarity with her tribe.
  • Multi-generational housing
• Muriel – experienced a lot through COVID
  • Became a pharmacist delivery agent
  • Used her AT connections to help guide her community in education and contact tracing
  • “57 – hour lockdown” have prevented some people from being able to get the supplies they need

How can we help advocate for Native Americans?

• Wyatt – educate yourself and advocate for equal rights
• Muriel – reach out to someone in a similar situation
  • I want to be a mentor to our upcoming youth
• Marisha – being aware and education; collaboration
  • Navajo water project
  • National missing and murdered women and children https://www.csvanw.org/mmiw/ 
  • Bi-culturalism is a real gift
  • We are looking for people to connect with
  • Education is not solely our responsibility, it has to come from the top and the bottom
• Jasmine – Educate and advocate
  • I do not want our culture to be unheard
• Alyssa
  • We have learned how to balance living in both worlds.
  • I had to learn how to look people in the eye
  • There is an assumption that all native tribes are the same…

Call to action:

• (Alyssa) All Native American ATs need to come together to show our youth, especially on the reservations, the wide world of Sports Medicine. There are so many professions to pursue that our tribes need and we have to not be scared to be the “first” or “only” in those professions. I am unfortunately used to being the only Native in a lot of AT and Sports Medicine circles. I want that to change, I want to see more faces like mine, not only in the AT profession but in leadership roles as well.
• Join the Native American Athletic Trainers Instagram group
• Or the Native American ATs Facebook Group
• Or the Native American Athletic Trainers video chats

https://www.facebook.com/sportsmedicinebroadcast/videos/376973596775441/

Contact the Native American ATs

Muriel – mktsosie06@gmail.com, FB:Muriel Tapaha-Tsosie, IG: @runsmallsrun

Alyssa – tuwawisnom85@gmail.com

Wyatt – wwhitegoat12@gmail.com

Jasmine –  jasmine_velasquez90@yahoo.com @jasvelasquezatc 

Marisha – MRL41@students.uwf.edu

John Ciecko – @JohnCiecko on Twitter

Sponsors

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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Shauna Ericksen is doing her Ph.D. work on the Psychological Risk factors that contribute to injury.

Eli Kassab joins the Sports Medicine Broadcast again as we discus mental health.

Shauna, you are quite active and adventurous, what are some of the ways you stay active?

I was moving from Oregon to Montreal and decided to make a mountain biking trip out of the journey.

Moab is legendary and so we decided to do it. Coming down off a boulder I got off balance and landed on a tree hanging over the cliff. Sprained my knee in the process.

Did a self-evaluation and realized I needed to ride down the mountain.  I had to cut the trip short, luckily I was headed to work an AT event where my colleagues evaluate the injured knee.

What got you into the Psychological Risk Factors of injury prevention?

Shauna joined a free course online to grow her mindfulness and improve happiness.

Shauna had been asked to deliver a mindfulness talk to her colleagues.

It is all about the history of our stressors (upbringing, previous injuries, health, nutrition)

Has the mindfulness translated to your practice?

It helps in her coaching and one on one strength training.

It allows her to pick up on emotion and open up the dialogue.

Allows them to critically think about and process the stresses

“How is work going at home”

“Are your parents able to help?” 

“I traveled around with a hypnotist for a summer”

Halloween at the theme park -> went to a hypnotist show

Shauna was the volunteer

Mom ordered some hypnotist CDs

Mom offered Shauna’s assistance

Then traveled with her for a summer.

She may have been one of the biggest influences in the career choice and style of treating athletes with a mental IQ.

Making it commonplace to talk about emotions was huge for me as a practitioner

“Why can you not just tell me something is wrong” – coaches treat them differently when they are injured or hurt physically or emotionally.

I have seen athletes go from 0-100 in their head really quick…oh no, I’ll never play again…

Let’s not skip straight to the end of the book and read chapters 1, 2, 3.

We need to use our tools to help them focus on the here and now.

We have to be cautious with our playful banter and acknowledge their perceptions.

Encourage them to be open and honest with their emotions about the injury.

How are you using that in your practice as an Athletic Trainer?

It is extremely important for us as ATs to look at mindfulness.

It is not everyone’s strong suit but we can learn to be emotionally mindful

Teach them to express their factors without being judgemental.

We need to practice mindfulness and good mental health practices.

Discuss some of the more interesting/shocking finds 

Last year I wrote a critically appraised paper and submitted it about the psychological risk factors.

4 constructs and how they correlate to injury outcomes.

Some research has ID’ed at-risk athletes but are geared towards all athletes not just the ones at risk.

The realm of intervening to reduce injury risk is all new.

video, cognitive awareness, imagery are tools used to help reduce injury.

Overuse injuries are the most common associated with Psychological Risk Factors.

How long was the research for that paper?

Started in January and submitted in July

Have you seen anything with COVID and Psychological risk factors?

It has changed a lot, data is not as accurate since people are not playing sports, not exposed to the AT staff, practicing on their own

The initial thought would be reduced injury risk due to lower volume.

Instead, we shifted to treat this as an official offseason to train them to use mindfulness, sleep, eat, and hydrate properly.

There is a catastrophe mindset and we do need to implement the mindfulness.

My biggest goal is going to be how can I help other AT to incorporate these into their injury practices.

Data shows this works if you do the work, in the beginning, the athlete will be healthier longer.

https://www.facebook.com/sportsmedicinebroadcast/videos/2460339824267080/

Contact Us

Shauna – IG: mvmt.matters

Eli Kassab –  IG: elikassab 

Jeremy – IG: Sports Medicine Broadcast

Financial Partners

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

If John Ciecko was not leading up the chain when COVID hit Bloomfield Hills High School would likely not be back to sports as safely or quickly as they were.

Patrick Ohaver joins John in discussing how we can lead up the chain even when it is not easy.

Due to COVID a lot of things have changed.  What is the current state of Sports where you are?

Off-season conditioning in May / June

Onsite training forced the Sports Med Staff to shift to screening protocols.  Some days were long but we screened over 3,000 athletes.

John reached out to his contacts, Kurt Andrews at KC Sporting, and found what they were doing that worked really well.

August 12 was the start date for football

The state decided to start in phase 2 of the NFHS modified plan

Pretty much everyone was practicing outside.

They were able to block off parts of campus and then adjust as needed to create a more secure setting for them.

The state continues to change the requirements.

Lots of long days re-evaluating

Math is confusing: 10% capacity up to a cap, then you divide that by 6 feet

Swim team practiced outdoors.

They decided to cancel football for the fall and allowed some spring sports…but Spring sports in March in Michigan are a nightmare

HOW CAN WE PROVIDE AN EQUITABLE EXPERIENCE FOR ALL SPORTS?

Governor issued another executive order.

Patrick Ohaver:

July they were in stage 4 of 5

Indiana never planned to postpone football

His school decided to be more conservative and practiced outside.

Soccer played two games then started playoffs.

Individual school boards were left to plan.

Discuss the conversations you were involved in once the talks started happening.

Jamie Woodall’s document for the UIL set the standard for a lot of places

Relationship building is key – John has been building them for years

He has a group text with the principal, school board president and superintendent…that is a position of influence.

The school shifted to two cohorts:

Monday/Tuesday is group 1

Thursday/Friday was group 2

Cleaning was Wednesday Saturday

Where have you been able to lead up the chain?

Patrick – I will work by the hour and we can compact all of the practices into a 4-hour window each day.

School covered his liability insurance

Then he switched hospital systems to keep care flowing without interruption.

Pre-planning and “medical timeout” helped prevent a catastrophe

John – consider your team in the building…

Your custodial staff needs to have a seat at the table too. Involve the leaders of every group that is affected.

Get the team doctor involved in how care will change.

What does an event venue change look like?

My first internship in college taught me about making friends with secretaries and our custodial staff.

How do you see this impacting sports long term?

We are seeing a philosophical change in ideas…how important is this game when it comes to community health???

We are looking more at a big picture now rather than minute details.

We need to look and consider how this affects the mental health of students and athletes.

High school sports are important to emotional health, but is this game this week worth the risk???

Athletic Trainers are Health Care Providers

COVID highlighted the superstars on social media

What do I do if I do not have that seat at the table?

Start from here and build community

You can force your way into the door or build relationships.

There is a time and place to be abrasive and a time and a place to cultivate.

John had to learn how to ask to be at the table.

The more trust you earn the more respect you will get and the closer to the head of the table you will sit.

“How dare they not have me, John Ciecko, the medical expert here at the board meeting!!!”

– John Ciecko

What are we looking forward to in the 2020 Leadership series?

Conflict Resolution with Patrick Ohaver

Earned Leadership with Kevin Parker

Path to Leadership with Rick Cox

Documents created at BHS:

Modified step 2 protocol:

COVID Guidance for return to sports

https://www.facebook.com/sportsmedicinebroadcast/videos/2948565888704384/

Contact Us

John Ciecko

Patrick Ohaver

Jeremy Jackson

Keep the podcast alive…because it is not free

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

The AT Wolfpack was born out of a need to communicate and commiserate.

The founding members join the SMB to discuss the origin, what is has become, and where they think it might grow into.

What’s the deal with these late-night Wolfpack zoom calls?

With fewer people we get a little deeper in our feelings…or maybe just discussing the state of AT

Someone joins today, what can they expect to cover tonight?

In the word of Josh Dawsey – “Zooms are like a box of chocolates, you never know what you are gonna get”

Paul – we may start talking about ankle sprains, jump to Bar-B-Que then to concussions on to whiskey, then back to ankle sprains.  And they are all related somehow.

How did this start?

Thomas and Ed were meeting with people on ATTalks and then COVID sent Tom home without the internet.

They needed something to get them together and then… Ed sent out a tweet to see who would be interested and 40+ people responded.

What have been the benefits?

Connection – lots of people have connected as they have traveled with teams, for personal reasons or related to moves.

We are building a network of ATs whose main connection is friendship.

It is a safe space.  Some ATs have jumped in, taken the mic for a rant for 10 minutes, ended up in tears, received some connection and virtual hugs, and then been able to move on.

Jumping into a group of 100+ ATs can be intimidating.  Speak to that person

Sit back and watch, or just jump right in.

Plenty of people sit and listen and watch until they have something to say or add.

Nobody is looking for perfection or a professional presentation.

Jeremy is an example:

• Jumped on a call after a run and left the camera on…shirtless
• Used thy massage gun on one of the kids with only the mic on and said “you can use this on my feet next” then you hear the massage gun.
• Laying on the couch with the baby shirtless for the skin to skin contact.

I set the bar pretty low…of course so that others will feel welcome..”At least I wasn’t shirtless like Jeremy…”

What have you struggled with in growing or maintaining it?

Getting back to work has made it slightly more difficult as Tuesday and Thursday nights tend to be game nights for ATs.

There is not a structure or leader, just the more active members help to keep it regulated.

Where is it headed?

To Orlando for NATA 2021 then who knows.

https://www.facebook.com/sportsmedicinebroadcast/videos/2704865483068065/

Contact Us

AshTapesAnkles

Paul Rupp – https://twitter.com/OaktonHSATP

Thomas – https://twitter.com/thomasjbarkoski

Ed – https://twitter.com/EdWozATC

Jeremy – MrJeremyJackson on FB and Twitter

SMB Supporters

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Podcast: Play in new window | Download

Subscribe: Spotify | RSS

For Dr. Natalie, Running Medicine came from a passion for running, experience as a Physical Therapist, and a furlough during COVID.

Dr. Natalie Niemczyk is an accomplished runner: finishing race distances in running and triathlon events including 5ks, 10ks, Half Marathons, Marathons, Sprint Triathlons, Olympic-Distance Triathlons, and Half and Full Ironmans over the past 11 years!

Additionally, she is a Certified Strength and Conditioning Specialist, Certified Running Technique Specialist, as well as a Certified Canine Rehab Practitioner and RRCA Run Coach.

What made you decide to get into running medicine?

• Passion of mine
• Experience within the field as a runner
• Wanted to channel my focus on one specialty
• Value in finding specialists
• Building knowledge in one topic vs. generalized practitioner

How much does being a practitioner of running help your ability to treat patients?

It lays the whole foundation

“Running a marathon, I know that pain at mile 24”

“I had a tonsillectomy at age 8, then a c-section…I have been healthy.

It has taken over a year for me to get back to normal after that surgery.

“It’s weird, but I kinda like getting hurt so I can relate to what they are feeling”

– Todd Sabol

Todd's coupon code for the WHOOP band

What courses do you recommend to healthcare professionals looking to enhance their ability to treat runners?

• The Science of Running Medicine: University of Michigan
• Harvard Sports Medicine: Running Medicine
• CSM: Physical Therapists Expo
• POSE Method Course: RTS Certification
• Medbridge Courses
• Bryan Heiderscheit, Irene Davis, Richard Willy, Chris Powers
• Mountain Land Running Summit
• Strength and Conditioning Specialty

Common misconceptions and technique mistakes in runners.

• There’s one form out there that is universal and works for everyone! Everyone is different!!!
• Forefoot vs. Heel Strikers 
• 180 cadence myth

What are your goals for Revolution Running Physical Therapy in five years?

So excited to have a one-stop-shop for runners where they can receive physical therapy, injury prevention education, gait analysis and movement assessments and coaching all for runners, all under one roof! I also want to welcome runners at any level, including recreational runners, beginners, pregnant runners and elite. 

5 years: Have another therapist on board with the same passion, a rev running sponsored team, become better known and trusted within the community and be runners go to, get my hand into some running research!

Embrace Race: elaborate on this event and who benefits from it

EmbraceRace is an organization that was created by parents of all different backgrounds and nationalities, and they provide webinars, articles, and resources for parents to help raise children that are inclusive, understanding, and brave about race. My buddy Jen from EliteFeats and I created this Virtual 5k & 10k to raise money for EmbraceRace– you can complete the race between October 24th-November 1st!

Sign up at elitefeats.com!

https://www.facebook.com/sportsmedicinebroadcast/videos/775224103263082/

Contact Us

Instagram: @natalie.dpt & @revrunningpt

Todd Sabol – @ToddSportsMed

Jeremy

Let's continue to grow together

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.