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Class of '66 Old Fart

Coronavirus and Sports Only - PLEASE and THANK YOU

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Co-author of Ohio State myocarditis study says it’s no reason to cancel sports

Ohio State cardiologist Dr. Curt Daniels told The Dispatch that he believes interpretations of the results and the risk of myocarditis in relation to COVID-19 have been widely misconstrued.

This past weekend, Ohio State athletic department head physician Dr. James Borchers was among those who spoke virtually to a Big Ten committee considering a return to fall sports, which were put on hold on Aug. 11 in the conference’s response to the coronavirus pandemic.

What Borchers said is not known, but it is not a stretch to believe that myocarditis, a rare inflammation of the heart that can result in death, was part of the discussion.

Borchers is co-author of an OSU study from this spring that found four of 26 college athletes who had tested positive for COVID-19 also showed signs of myocarditis, two of whom displayed mild symptoms and two of whom were asymptomatic. A concern about myocarditis reportedly was an issue that helped tipped the scales when the Big Ten decided in August not to proceed with fall sports.

Borchers couldn’t be reached for comment, but another co-author of the study, Ohio State cardiologist Dr. Curt Daniels, told The Dispatch that he believes interpretations of the results and the risk of myocarditis have been widely misconstrued.

Daniels said he believes the study should be used as evidence for a responsible return to athletic competition, not as a reason to pull the plug on the season. The Big Ten had not announced a decision Monday night.

“I think we have a safe way to return to play,” Daniels said. “I hope that we will find a way to do so.”

The OSU study used cardiac magnetic resonance imaging (CMR), which is a much more sensitive test than the echocardiogram and EKG typically used to test for myocarditis. Daniels was dismayed that the four positive cases dominated the headlines and the discussion instead of the findings that 22 showed no signs of the disease – and perhaps more important, a way to identify who may be susceptible to myocarditis.

″‘My gosh, they found myocarditis, there’s no way we can play,’ ” Daniels said of the general reaction. “They’re putting it out there saying it’s not safe to play. They’re not reading the article. Or if they’re reading it, they’re just putting their own spin on it, like, ‘It’s not safe.’

“It’s actually the opposite. We’re saying we actually found this, but we know a path now to say it’s safe to go back as opposed to having this uncomfortable feeling of not knowing anything” about the actual risk.

The New York Times reported last month on the study, before it was published (it was released on Friday). The Times’ story characterized Daniels describing the positivity rate as “alarmingly” high, and the article reflected that tone. Daniels told The Dispatch that his views were misinterpreted.

“There’s obviously an angle that somebody’s trying to take, not just based on the data, but trying to infer different pieces of information from what’s out there,” Daniels said. “And clearly, people have very strong opinions. I mean, this is a very important topic. It’s a big topic, and there’s very strong opinions, but they’re all opinions.”

He said a more accurate summation is that no evidence of myocarditis could be found in 85% of COVID cases using the most sensitive testing available, with the caveat that 26 cases is an extremely small sample size. Daniels added that the study is ongoing but he’s not permitted to share its updated findings.

For those who test positive for myocarditis, he said, the standard protocol of rest for three months from rigorous physical activity applies. But those who test negative can resume after the COVID protocols are followed.

It is believed that Borchers’ ability to allay fears about myocarditis is a major factor in the conference’s possible change of heart in playing fall sports, including football.

“League sources tell me they’re very impressed with Borchers,” ESPN.com college football reporter Adam Rittenberg tweeted Saturday.

Daniels hopes that OSU’s study is the first of many on the possible link between COVID-19 and myocarditis. One goal of the OSU study is to begin the process of risk stratification so that a more detailed protocol of testing and treatment for those who might have myocarditis can be established.

Daniels said he didn’t know exactly what Borchers told Big Ten administators about the wisdom of attempting to restart sports. But he believes the myocarditis study provides evidence that it can.

“I know there’s other factors involved beyond just the heart -- concern about testing and how often you can test, the spread of (COVID) disease,” Daniels said. “There’s sort of two components. There’s an infectious disease component, and now there’s the heart component, which has obviously taken center stage recently.

“Those are the two factors that most people, not specifically the Big Ten, talk about. But I think from what we’ve gathered that we have a safe path to return to play.”

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It’s crazy to me that any decision is based on a sample size that small both good and bad.  In my naivety I am hopeful that the B1G isn’t that stupid to take a random sampling of 26 athletes.  I guarantee if everyone had the luxury of the level of testing they had coming off of most any virus this would occur.  It’s your body’s response to fighting off a virus.  It isn’t a coronavirus thing.  Why would we not compare all data across the board?  Work together with the various conferences to gather more complete data?  This a complete **** show.

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45 minutes ago, mdn82 said:

It’s crazy to me that any decision is based on a sample size that small both good and bad.  In my naivety I am hopeful that the B1G isn’t that stupid to take a random sampling of 26 athletes.  I guarantee if everyone had the luxury of the level of testing they had coming off of most any virus this would occur.  It’s your body’s response to fighting off a virus.  It isn’t a coronavirus thing.  Why would we not compare all data across the board?  Work together with the various conferences to gather more complete data?  This a complete **** show.

Has been from day 1, and that is across the board, not just sports.   Everyone seems to have an agenda and fit everything else to work within that agenda on whichever side they believe.  

I've always been a skeptic.  Cheating in college sports.  Cheating by politicians.  etc, etc, etc.  but generally i'm not directly impacted and for the most part the better decisions have been made as the two parties sort of split the difference.  Things have a way of working out....

However, this pandemic has opened my mind to a whole new level of skepticism.   Seeing the way BigTech and Big Pharma operates.  Seeing "trusted" government and world organizations lose my trust.  

Anyway........... Here's to BIG football and basketball!

 

Edited by WayneFleekHoosier

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6 hours ago, Magnanimous said:

Nebraska president caught on a hot mic that the announcement to play is coming this evening. Link

Twitter world going back and forth right now on the “Oct 17 is a confirmed date” to “nothing confirmed yet”.

Seriously wish that the media would stop trying to be first instead of trying to be right.  It seems obvious that it will be starting up.....we’ve waited this long, so I wish that some of the “journalists” would sit back and wait to report instead of throwing darts on a start date.

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The high school I teach at and keep stats for had our game cancelled this week due to 20 players on the opposing team being quarantined -- 15 starting today, 5 already under quarantine.

We are ranked #3 i the 4A coach's poll and they are tenth......the truth is that we would likely beaten them pretty badly.  Sagarin has us rated as 16 points better than them and last year we beat them 37-7 in the regular season and then 20-0 in the sectional (where they basically conceded in the second half and ran the ball every down just to keep the clock moving).

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Houston-Baylor cancelled after Baylor fails to meet the Big 12 minimum number of eligible players at a position to compete.  The teams had scheduled each other for this weekend just a weekend ago after last weekend's openers against other teams were postponed.

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