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.)
Women & ACL Injuries: Know Risks, Steps for Prevention
August 10, 2021
Whether you’re a casual jogger or elite athlete, you’re at risk for an injury to your anterior cruciate ligament (ACL). If you’re a woman, you are at even greater risk for these injuries.
But there are steps you can take to prevent them.
“Among athletes, women are more than twice as likely to have an ACL injury than men,” says Nithin Natwa, M.D., a sports medicine specialist and primary care physician at Henry Ford Health System. “Once you have an ACL injury, you are at greater risk for having further soft tissue injuries in the future. That’s why it is important to prevent these injuries and follow your treatment plan if injured.”
What Is An ACL Injury?
An ACL injury is a strain or tear in the ACL, one of the four major ligaments that support the knee so it can flex and bend. The ACL is a strong band of tissue that helps connect your thigh bone (femur) to your shin bone (tibia). “An ACL injury usually occurs without contact when you turn suddenly while running or land off-balance on one leg. These actions overload the knee joint and cause the ACL to be torn,” says Dr. Natwa.
In the United States, 100,000 people have ACL injuries each year. Anyone can experience an ACL injury, though athletes participating in sports like football, basketball, soccer and gymnastics are at highest risk. And summer is a peak time for outdoor sports injuries.
Seek immediate care if you have any of these signs of an ACL injury:
• An audible “pop” in the knee
• Intense knee pain and rapid-onset swelling (within hours)
• Loss of range of motion
• An unstable feeling or locking of your knee
The most common treatment for ACL injuries is surgery followed by physical therapy. After treatment, you can expect to return to normal activities in 6 to 9 months. However, peak athletic performance can take up to two years.
Why Are Women At Higher Risk For ACL Injuries?
According to Dr. Natwa, the differences in athletic training techniques for males versus females have left women at greater risk for ACL injuries. “There has been more emphasis on overall conditioning and mechanics for boys participating in sports compared to girls,” he says.
As a result, women are at greater risk for ACL tears and sprains due to:
• Differences in neuromuscular control: Without conditioning from an early age, women may not have the same ability to land and perform athletic motions that men do. For example, women are at higher risk for an ACL injury after landing from a jump.
• Strength imbalance for muscles that support the knee: Female athletes tend to have more defined quadriceps muscles but weaker hamstrings than men, putting them at greater risk for injury.
According to Dr. Natwa, there are many theories about women’s risk for ACL injury that lack scientific evidence, including:
• Width of the pelvis: Some people have suggested that the wider width of a woman’s pelvis puts more pressure on the knee joint and increases the risk for injury. However, this difference has not been shown to impact a women’s risk for ACL tears or sprains.
• Knee anatomy: The ACL runs through a section of the femur called the intercondylar notch. Women tend to have a narrower notch than men. Regardless of gender, individuals who possess smaller notch dimensions appear to be at greater risk for injury than individuals with larger notches.
• Hormones: Men and women have different hormone levels. But there is currently no concrete evidence that female hormones place women at higher risk for ACL injures.
Steps To Prevent ACL Injuries – Conditioning Early, Often
“The best way to prevent ACL injuries is to begin and maintain regular conditioning exercises at an early age,” Dr. Natwa says. “The more frequently you engage in proper exercises, the lower your risk for injury.”
Consult with a sports medicine specialist, physical therapist or athletic trainer to develop a training routine to prevent ACL and other injuries. Your training program should include exercises that:
• Strengthen the muscles that support your knee: Add strength training to build up your calves, hamstrings and quadriceps muscles. These muscles help stabilize your knee as you move. By strengthening these muscle groups evenly, you can lower your risk for injury.
• Improve overall neuromuscular control: Focus on adding neuromuscular exercises that train your nerves and muscles to react and communicate. For example, you may work on your balance by standing on one leg or sit upright on an exercise ball for short periods of time. And core exercises can strengthen the muscles that support your abdomen and back and help improve your posture as you move. These moves can strengthen your joints and help you learn appropriate balance and technique.
“Exercise really is the best medicine. It can improve your balance and agility as you participate in a sport or prevent injury as you move through your daily activities,” says Dr. Natwa. “Consider adding these exercises to your wellness program.”
Dr. Nithin Natwa is a sports medicine doctor who sees patients at Henry Ford Macomb Health Center in Chesterfield and Henry Ford Macomb Orthopedics and Wound Care in Clinton Township.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan. To find a sports medicine physician at Henry Ford, visit henryford.com or call 1-800-436-7936.