When she went to the nurse with a headache the next day, the nurse gave her aspirin. When her headache persisted, a doctor administered a run-of-the-mill CAT scan, which does not detect concussions. Nothing looked amiss, so she was cleared to return to the ice.
"I've been skating since I was four, at the pond near my house," explains Kayla. "It would've just felt weird not to play hockey."
Mark Graham
Natasha Helmick's athletic career effectively ended in the Lake Highlands Girls Classic League.
Chuck Kajer
Head injuries derailed Kayla Meyer's hockey career -- and her health.
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Ten months later, at a high school team practice, Kayla was doing a drill she calls "mountain climbers," a sort of butt-in-the-air pushup on skates. Exhausted, her arms slipped, and her forehead smacked the ice. The rest of the team skated to the locker room, unaware that she lay crumpled in pain. It wasn't until the next team found her in the rink that Kayla's mom, Mandy Meyer, received a frantic call to come to the arena.
Kayla's head hurt so badly in the next couple of weeks that her bewildered parents called a plumber to check for carbon monoxide leaks in their house. Her coach's solution, according to Mom: "Put a helmet on her. Let her skate through it."
Meyer's head was too sensitive for her to even bear wearing a helmet. She hasn't played hockey since. A year and a half since that second concussion, she remains hobbled by excruciating headaches and a crippling intolerance to noise.
Kayla's ordeal illustrates a debate that's currently occurring in the medical community: How long should a concussed youth sit out before returning to athletic activities?
"Some people said ten days, others said three months," says Dr. William Jones, a staff physician at the Memorial Hermann Sports Medicine Institute in Houston, Texas, about a medical conference that he recently attended. Meanwhile, Ashley sits somewhere in the middle. "We really need to be thinking seriously about waiting at least 30 days until a person with a concussion returns to play."
It's all leading toward games that may be significantly altered in the future. Arizona has considered eliminating kickoffs from high-school football because of the dangers inherent when players collide with each other at top speeds. And while it's impossible to completely prevent head trauma in football, helmet manufacturer Riddell has, in the past 20 years, redesigned and released several types of helmets. This season, each varsity player for Houston-area football powerhouse Katy High School will don the pricey and brand-new Riddell Revolution Speed helmet, which costs anywhere from $236 to $1,030. The previous version, the Riddell Revolution, helped decrease concussions by more than 300 percent, according to Katy head athletic trainer Justin Landers.
Katy's football staff has the money to use ImPACT testing and state-of-the-art helmets. However, one thing Landers and his coaching staff can't control is the win-hungry culture of Texas high school football.
From early June to mid-July, with the hot Texas sun overhead, Katy players run sprints on an outdoor practice field and hit the weight room during a five-week summer fitness program. Around this time every year, several parents — who are desperate for their freshman enrollees to gain a competitive advantage — will call Landers to ask his advice on what type of helmet they should buy for their sons. Landers, the son of a helmet salesman, is freaked that these kids will go out on some random field with ill-fitting equipment and hurt themselves.
Landers is another athletic trainer who believes that the state's recently passed concussion legislation has its shortcomings and that "the judgment call on whether to pull a kid from play won't make the decision any easier," he says. "We would look foolish if we were to send a kid to the doctor and he didn't end up having a concussion. That would be a waste of time and money."
Four years ago, Landers told a varsity football player who had suffered a staggering three concussions in five months to go to the doctor toward the end of the regular season. The athlete, a key contributor to the Tigers' playoff push, was deemed unfit to continue playing football.
Though Landers realizes that the doctor's decision was probably the right call, he still feels like he screwed up.
"I still feel badly," says Landers through teary eyes, as if the incident had just happened yesterday, "because he'll never get to experience what it's like to play in a Texas [high school football] playoff game."
As parents, coaches and athletes try to find the proper balance between athletic participation and long-term health, Natasha Helmick, who's studying at Texas State University to be an athletic trainer, is still experiencing depression and focus issues.
Natasha says she still hasn't moved past the disappointment of that day when Texas State decided to pull her athletic scholarship. "My doctor told me that I should never play a contact sport again in my life. He said, 'Don't even go out and shoot with friends. That's how endangered your head is.'"
Natasha's brother Zachary plays club select soccer and has "moved up the soccer ladder faster than Natasha did," says their mother, Micky. This summer, Zachary participated in the U.S. Youth Soccer Olympic Development Program. If he keeps performing well, he could be handpicked from a pool of athletes to represent the country in national and international competition.