Another Way to Learn
October 30, 2012
In 2000, I had the pleasure of listening to a speech by Ken Dryden, who had been goalkeeper for Cornell University when it was the NCAA Ice Hockey Champion in the 1960s. Ken Dryden then was a goalkeeper in the National Hockey League for eight years. Then president of the Toronto Maple Leafs, and he’s a lawyer.
Ken Dryden said that the greatest lesson of sport is that most things go wrong; in fact, that they almost always go wrong. He said he’s seen dozens of coaches on hundreds of occasions diagram plays in the locker room where every defender is blocked just so and every pattern is executed perfectly.
But what you learn in competition, said Dryden, is that the plans almost always go awry, that the patterns almost always break down. What you learn in competition is to not get upset, but to improvise and find another way to get the puck in the goal or the ball in the net.
What happens to the high school student, asked Dryden, who doesn’t play sports in high school and who gets all A’s, a 4.3 grade point average on a 4 point scale, 100 percent on test scores all the time, who never has anything go wrong? What happens to that student in college when he or she gets 90 percent, or 80 percent, or worse. What happens to that student when something goes wrong in life?
Dryden concluded that sport is not frivolous, it’s another way to learn.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”