Lee Takes Key Steps in Heart Safety with AED Purchase, CPR Training for All Athletes

By Steve Vedder
Special for MHSAA.com

December 30, 2025

WYOMING – Tom DeGennaro never felt the typical dizziness, lightheadedness or nausea associated with the attack before he simply fell over in his Wyoming Lee classroom seven years ago.

His students moved quickly to help him, but within minutes, DeGennaro, one day past his 53rd birthday, was dead.

"Literally dead on the floor," DeGennaro said. "Just nothing there."

DeGennaro suffered an aneurysm, a bleeding of the brain which caused a subarachnoid hemorrhage or ventricular fibrillation which led to cardiac arrest. Fortunately, paramedics swiftly arrived at the school and with the help of an automated external defibrillator (AED), shocked DeGennaro back to life. Six months later DeGennaro, a former football and track coach at four West Michigan high schools, awoke from a coma.

"I was talking to the kids, then I just flopped over and started convulsing," DeGennaro said of his only recollection of the event.

It was an incident which stuck with Wyoming Lee cross country and track coach Greg Popma, who had coached under DeGennaro at Lee for many years. The more Popma saw overweight and obviously out-of-shape spectators huffing and puffing to make it to different points of a three-mile cross country course, the more it bothered him that real tragedy at a meet was only a heartbeat away.

So Popma did something about it.

With the help of a grant from the American Heart Association, Popma organized the purchase of an AED to be kept at all Legends sporting events. Sure, all Wyoming Lee school buildings already had an AED, but Popma worried that in a medical emergency such as a heart attack, minutes counted. Popma wasn't completely sold on the idea that an AED could be rushed to a nearby cross country course, softball field or tennis court in time to fend off disaster. Now an AED is kept at the ready disposal of a Wyoming Lee trainer.

Popma admits the odds of ever needing an AED at a cross country meet or any other sporting event are low. But he isn't willing to just accept low odds.

Instead of letting a near-tragedy to his coaching partner and friend just slide into memory, Popma chose to act.

"It made me think a little that something like that could happen at any time," Popma said of DeGennaro's experience. "It's not only about the kids, but about parents and others who probably shouldn't be running or going from place to place at a cross country meet. We needed to have something there."

While MHSAA guidelines require all head coaches at member high schools and middle schools to be CPR certified (with that certification usually including AED training), Popma took the training a step farther. With the help of Wyoming Lee teacher Mike Donovan, all athletes from 15 Lee teams have been trained and certified in the usage of CPR. 

Popma said he's seen AEDs at countless cross country and track meets over 25 years of coaching. Most are easily within reach at the organizational tent at meets. And while he's never witnessed a heart attack at an event, Popma knows of a father dying at a Legends baseball game, and he's also old enough to remember 28-year-old Detroit Lions receiver Chuck Hughes dying on the field at Tiger Stadium in 1971 due to a heart attack.

To do nothing and hope for the best is not a plan, Popma said.

"I hope people understand, what good is it if you don't have an AED?" he said. "Obviously you can't have 100 percent certainty if you don't make the attempt. The response has been positive. Coaches think it's a good idea. It's like, 'Oh, I never thought of that.'"

DeGennaro is recovered from his heart attack, but in the last seven years figures he's been shocked over 90 times by the implantable cardioverter defibrillator (ICD) in his chest. DeGennaro is honored that his experience sparked safety improvements at Wyoming Lee.

"Love it," he said. "Even at professional events these things can happen. AEDs need to be at every place, every sporting event and not just for the kids. For the adults, too.

"Nothing is 100 percent. You bring band-aids to games and never get cut, right? There needs to be preparation for something like a heart attack. I have two goals in life now. Spreading the word of Christ and getting people to learn about CPR."

PHOTO Wyoming Lee cross country/track coach Greg Popma carries his school’s portable AED that is brought to school sporting events. (Photo by Steve Vedder.)

Symptoms of a Meniscus Tear — and When to Seek Treatment

April 2, 2024

Meniscus tears are not one size fits all: Sometimes they cause no pain, other times they’re excruciating.

Henry Ford HealthOnce in a while they heal or adapt on their own, but more often than not they require physical therapy or surgery.    

“Your meniscus is a fiber elastic cartilage that acts as a shock absorber for the knee,” says Ahmad Bazzi, M.D., a sports medicine physician at Henry Ford Health. “It also helps stabilize the knee joint. But when it tears — which can occur in young athletes after a pivot injury or in older people who have arthritis — it can be painful.”

Here, Dr. Bazzi shares symptoms of a meniscus tear and when to see a doctor. 

What Does A Meniscus Tear Feel Like?

Depending upon the level of injury and type of tear, meniscus tears can either be asymptomatic or cause symptoms like:

  • Locking. When the meniscus tears, a piece of it might move into the knee joint, causing mechanical issues like stiffness and locking of the knee joint.
  • Catching or clicking. This often feels like a sudden ‘click’ in the knee joint, where it suddenly gives out while you’re walking or doing certain movements. 
  • Localized pain on the inner or outer part of the knee. In young athletes, a meniscus tear often causes an impaired range of motion and localized pain on the inner or outer part of the knee. 
  • Pain and swelling. In older people, a meniscus tear often causes swelling and an overall aching pain in the knee.  

Treatment Options For Meniscus Tears

A meniscus tear can only heal on its own if the tear is on the outer part of the knee where it has better access to blood supply. If you’re experiencing pain a few days after injury and you have limited range of motion, instability and/or swelling in the knee, Dr. Bazzi recommends seeing a doctor to get an examination and, if needed, an MRI for diagnosis. 

“It’s hard to tell what type of meniscus tear you have if you haven’t seen a doctor,” says Dr. Bazzi. “If you have a mechanically unstable tear and it goes untreated, it could lead to worsening range of motion and stiffness, or worsening arthritis. It’s important to get seen by a doctor to get an accurate diagnosis and the proper treatment. It may take one to three months for a full recovery.”     

Here, Dr. Bazzi shares treatment options:

Surgery

If someone is having mechanical symptoms like locking or catching, surgery may be considered right away, especially if it’s an athlete younger than 40 years old. “Meniscus tear surgery has a shorter recovery compared to other knee surgeries,” says Dr. Bazzi. “Surgery could either consist of a meniscectomy, which is partial or complete removal of the meniscus, or sometimes just a meniscus repair.”  

Hyaluronic acid or cortisone injections

Non-operative treatments are often recommended for older people who have degenerative tears due to arthritis. “This is because meniscus surgery doesn’t often relieve their pain since they have underlying arthritis, meaning they have cartilage loss in the meniscus,” says Dr. Bazzi. 

Instead, a cortisone injection, which is an anti-inflammatory medication that can be injected into the knee, can reduce inflammation, swelling and pain caused by arthritis.

A hyaluronic acid injection may also be considered, which adds cushioning in the knee. “Hyaluronic acid is one of the substances that make up our cartilage, so this injection helps us mimic the lost cartilage,” says Dr. Bazzi. “It also has anti-inflammatory properties.” 

Physical therapy

Physical therapy is another great option, especially for older people who need non-operative treatment options. It can help the knee adapt to the tear, reduce pain and encourage full range of motion. “Physical therapy for meniscus tears focuses on balance exercises and exercises to strengthen the muscles around the knee,” says Dr. Bazzi. “This helps to uphold the knee joint to achieve full range of motion and strength while being pain-free.” 

To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.

Reviewed by Ahmad Bazzi, M.D., a sports medicine physician who sees patients at Henry Ford Medical Center – Fairlane.