Josh Allen in concussion protocol: Update cleared 10/5

[DC Tom]

1 hour ago, OldTimeAFLGuy said:

....why not Knox AND Sweeney?.....how did Belichick with Gronk and Hernandez work out?......not too bad if I remember correctly......

 

That was a killer combination.

[YoloinOhio]

8 minutes ago, TheyCallMeAndy said:

Webb has NOT  been activated from the practice squad. If they suspected Allen wouldn't be available, I assume they would have brought him up already. 

 

Not sure if Allen starts, but safe to speculate McD and friends are expecting him to suit up.

He technically would just need to be activated by 4pm Saturday. Of course, they will probably fly out earlier that day for Nashville so it would need to be sooner.

[Buffaloflash]

If a Positive can be garnished from this concussion protocol for Josh,it would be,to avoid somebody from trying to take your head off...Slide Feet First! Please!

[Kelly the Dog]

16 minutes ago, DC Tom said:

 

That was a killer combination.

Perfect execution. 

[Chicken Boo]

On 9/29/2019 at 4:27 PM, MDH said:

He looked like he was knocked unconscious. I would be shocked if he wasn’t out until after the bye.

 

My opinion, if he plays Sunday, then they're rushing him back. 

 

Josh is a young man.  Maybe that helps him see the field sooner, but that was a nasty hit he took.

2 hours ago, Motor26 said:

 

Daboll needs to make Knox a bigger part of the game plan. Every game.

 

Yes!

[london_bills]

2 hours ago, Augie said:

 

With the bye coming the following week, I can see the appeal of playing it very safe, but if he’s cleared I’m sure he’ll go.

 

These things are hard to gauge, and I obviously have no idea what will happen. I know a lot of players are not 100% truthful so they can “help the team”. I’d suggest Josh sliding a little more would really “help the team” long term more than getting decapitated trying to get that last yard. I’d rather he slide after 6 on 3rd and 8 than take those hits. There’s always 4th and 2 (and we were in that territory), PLUS the rest of the season! 

I agree. He needs to slide 

[DisplacedBillsFan]

32 minutes ago, YoloinOhio said:

He technically would just need to be activated by 4pm Saturday. Of course, they will probably fly out earlier that day for Nashville so it would need to be sooner.

No wi-fi on the plane?

[YoloinOhio]

13 minutes ago, DisplacedBillsFan said:

No wi-fi on the plane?

I think he would need to be on the 53 to travel - could be wrong 

[VW82]

3 hours ago, transplantbillsfan said:

 

We all know you'd love for Allen to sit for another week so you can push your "Allen sucks, Barkley should start!" narrative all the way through the bye week.

 

But sorry, if he's cleared, he starts.  Honestly if he wasn't involved with meetings or anything today, I would have been more inclined to want Barkley to start just because of the missed practices for a young, still raw QB like Allen.

 

But looks like he's back, so let him start.

 

The Patriots are the #1 D in the NFL right now.  The Bills are close behind.  Yes, the Patriots made Allen look awful.  But don't forget that the Bills D made Brady look pretty bad, too.

 

Moving on...

 

Huh?? I don’t want Barkley to be the long-term starter. He’s a career back up at best. Like I said, there are multiple benefits to giving Josh the week off considering both his performance to start the year and the brutal shot to the head. There are also  drawbacks to throwing him back out there too soon.

 

Seriously what is with you guys and putting words in other people’s mouths!? Maybe stick to worrying about your own opinions because you obviously have no ability to decipher anyone else’s.

[The Wiz]

1 minute ago, VW82 said:

 

Huh?? I don’t want Barkley to be the long-term starter. He’s a career back up at best. Like I said, there are multiple benefits to giving Josh the week off considering both his performance to start the year and the brutal shot to the head. There are also  drawbacks to throwing him back out there too soon.

 

Seriously what is with you guys and putting words in other people’s mouths!? Maybe stick to worrying about your own opinions because you obviously have no ability to decipher anyone else’s.

So you're saying everyone else is wrong and you are right.  Got it.

[DisplacedBillsFan]

25 minutes ago, YoloinOhio said:

I think he would need to be on the 53 to travel - could be wrong 

Ah. Yeah I'm not sure of the actual rules. We're not doing a great job playing 4D chess if we only put active players on the plane though.

[TheyCallMeAndy]

1 hour ago, Kelly the Dog said:

The PS guys practice with the team. They are not restricted in running plays or whatever. They don't need to activate him until later in the week if they don't want to and it would make no difference. I think Allen is playing, and they won't activate Webb, although it's surely possible. 

...Good point...

 

I'll hang up and listen ??

[3rdand12]

2 hours ago, OldTimeAFLGuy said:

....why not Knox AND Sweeney?.....how did Belichick with Gronk and Hernandez work out?......not too bad if I remember correctly......

my thoughts as well.

 chip and get open for one of them and the other justrunlikehell up a seam.

[VW82]

5 minutes ago, The Wiz said:

So you're saying everyone else is wrong and you are right.  Got it.

 

When the topic of conversation is my personal thoughts about something then yes. Are you or transplant or Joe seriously trying to tell me you know more about what I think than I do?

 

As far as whether I’m right about whether Josh should play right away after being concussed or any other issue, I’m not pretending to know anything for certain. It’s just my opinion. 

[folz]

I know every game is important and if we didn't have a decent backup, I could see them maybe needing to rush him back. But with Barkley and the bye the following week, I'd rather Josh sit this week and get three full weeks to recoup.

 

I recently suffered a mild concussion. I didn't show any symptoms until maybe 40 minutes after it happened (for those who might think that Josh jogging off the field on Sunday meant he was ok or it wasn't too bad), but then I had a mild but persistent headache for about 10 days and weird vision issues for the first few days right after it happened. I could function, but definitely wasn't at my best. Not fully present. And I certainly wasn't playing any contact sports through it. Of course every person is different (and Josh is way younger than I am), and every concussion is different. But I'd rather they be safe than sorry with Josh's health. I want to see him playing for this franchise for the next 10-15 years. Let Barkley and the defense hold down the fort for a week.

 

At most, maybe start Barkley and have Josh as the emergency backup. I have a feeling that they don't feel comfortable with Webb having to see the field yet (if something were to happen to Barkley). Maybe that could be a good plan, if Josh clears protocol. And then if Josh had to go in, you just call a safe game for him. Keep him out of harm's way as much as you can.

 

But I assume if he clears protocol, they will start him.

 

[3rdand12]

1 minute ago, VW82 said:

 

When the topic of conversation is my personal thoughts about something then yes. Are you or transplant or Joe seriously trying to tell me you know more about what I think than I do?

 

As far as whether I’m right about whether Josh should play right away after being concussed or any other issue, I’m not pretending to know anything for certain. It’s just my opinion. 

I will validate your opinion.
it is just that.

 i would not freak out if they sat him as an active player. get a different viewpoint and support Barkley.
But i suppose no forward thinking NFL team would do that to be honest with you.
if he is good to go? They play him. He is the Bills Franchise QB and gives them the best chance to win. But anyone that trusts the NFL to look out for the player's long term health is placing trust in the wrong place. as far as concussion protocol and anything else really

 I will Trust McBeanes. they are solid.
 

5 minutes ago, folz said:

I know every game is important and if we didn't have a decent backup, I could see them maybe needing to rush him back. But with Barkley and the bye the following week, I'd rather Josh sit this week and get three full weeks to recoup.

 

I recently suffered a mild concussion. I didn't show any symptoms until maybe 40 minutes after it happened (for those who might think that Josh jogging off the field on Sunday meant he was ok or it wasn't too bad), but then I had a mild but persistent headache for about 10 days and weird vision issues for the first few days right after it happened. I could function, but definitely wasn't at my best. Not fully present. And I certainly wasn't playing any contact sports through it. Of course every person is different (and Josh is way younger than I am), and every concussion is different. But I'd rather they be safe than sorry with Josh's health. I want to see him playing for this franchise for the next 10-15 years. Let Barkley and the defense hold down the fort for a week.

 

At most, maybe start Barkley and have Josh as the emergency backup. I have a feeling that they don't feel comfortable with Webb having to see the field yet (if something were to happen to Barkley). Maybe that could be a good plan, if Josh clears protocol. And then if Josh had to go in, you just call a safe game for him. Keep him out of harm's way as much as you can.

 

But I assume if he clears protocol, they will start him.

 

good post all around.

 I may not even notice a mild concussion at my age and condition.

 lol

[YoloinOhio]

31 minutes ago, DisplacedBillsFan said:

Ah. Yeah I'm not sure of the actual rules. We're not doing a great job playing 4D chess if we only put active players on the plane though.

Well by activate I thought you meant signed to the 53... which he isn’t. He’s only on the PS, essentially a FA. That’s why i would think he would need to be signed to the actual roster to travel with the team. The inactive list is different - they are on the 53 but not active to play in the game (there can only be 46)

Edited October 3, 2019 by YoloinOhio

[Augie]

24 minutes ago, 3rdand12 said:

 

 I may not even notice a mild concussion at my age and condition.

 lol

 

I think most people just assume that is my natural state. 

[3rdand12]

1 minute ago, Augie said:

 

I think most people just assume that is my natural state. 

we are like minded in being

[NoSaint]

5 hours ago, jkeerie said:

At the very least...assuming Allen is cleared to play late in the week, I would expect Barkley to start and Josh to be the backup.

 

If he’s clear he’s in 

2 hours ago, TheyCallMeAndy said:

Webb has NOT  been activated from the practice squad. If they suspected Allen wouldn't be available, I assume they would have brought him up already. 

 

Not sure if Allen starts, but safe to speculate McD and friends are expecting him to suit up.

 

Why would they rush that decision and cut a player when Webb can practice as is 

1 hour ago, YoloinOhio said:

I think he would need to be on the 53 to travel - could be wrong 

 

Nope - turns out even fans can fly to Nashville for the game 

[The Dean]

3 minutes ago, NoSaint said:

 

Nope - turns out even fans can fly to Nashville for the game 

 

 

[Augie]

On 9/29/2019 at 4:28 PM, clayboy54 said:

Let me check my Magic 8-ball.

 

I’m starting to wonder if you can trust those things! 

[Augie]

13 minutes ago, NoSaint said:

 

 

Nope - turns out even fans can fly to Nashville for the game 

 

I’ll take it a step further! Even @plenzmd1 was allowed to fly in. Of course, if he misses his his return cheapo flight he has to wait a week for the next one. Bargains can come at a price....and teach promptness! 

[VW82]

1 hour ago, 3rdand12 said:

I will validate your opinion.
it is just that.

 i would not freak out if they sat him as an active player. get a different viewpoint and support Barkley.
But i suppose no forward thinking NFL team would do that to be honest with you.
if he is good to go? They play him. He is the Bills Franchise QB and gives them the best chance to win. But anyone that trusts the NFL to look out for the player's long term health is placing trust in the wrong place. as far as concussion protocol and anything else really

 I will Trust McBeanes. they are solid.

 

I trust them too which given the history with Bills coaches and GMs since Levy/Polian is a strange feeling. Have to give the Pegulas props on both those hires.

 

I also agree with the bolded for most players/positions but I think even the poorly run franchises treat franchise QBs differently.

 

There are two issues at play here: the concussion and Josh's confidence. If he's completely free of concussion symptoms already and participates in all the meetings and practices leading up to the game then great. If he'd performed admirably prior to the hit on Sunday then there'd be no question about him starting, but that performance raised questions IMO. Not everyone learns the same way. Maybe what's best for Josh's development is to get right back in the ring, so to speak. Maybe he'd be better off watching Barkley and regrouping over the bye. Miami is a much easier opponent to come back against and should help restore that confidence of his which is arguably his best quality. The worst outcome is he comes back, performs poorly again vs. a tough Titans defense -- Baker is still having nightmares over that pass rush -- or gets concussed again, and actually starts to doubt his abilities. 

 

Maybe I'm overthinking it but we have too much invested in this kid to be putting him in positions to fail. This might be the last time we get to use an injury as an excuse for a teaching moment. All I'm saying is that McD might be wise to use it or at least consider it. If he doesn't I'm sure he'll have good reasons. Like I said, I actually trust those guys.    

Edited October 3, 2019 by VW82

[reddogblitz]

If he's 100%, he plays. Anything less than 80-85% he sits.  We're trying win more than any thing else  .he's not to the point where him at 70% is better than the back up ... Yet.

[Ol Dirty B]

2 hours ago, YoloinOhio said:

I think he would need to be on the 53 to travel - could be wrong 

 

I don't believe this is the case in the nfl. I believe often times it seems like a waste to bring PS, or players out with an injury on a trip.

 

I'm pretty sure it's just what the organization wants to pay for.

 

Melvin Gordon played, but I believe Anthony Lynn first said he'd make be the trip but not suit up. I don't believe their is any nfl or cba rule that prevents teams from brining inactives on a trip. It's just a waste to some if a guy is definitely not playing.

 

At least that's my understanding.

[GaryPinC]

Wow, so glad to hear Allen is practicing.  Given the two headshots he took, he must not be too susceptible to concussion/post concussion syndrome.

[YoloinOhio]

20 minutes ago, Ol Dirty B said:

 

I don't believe this is the case in the nfl. I believe often times it seems like a waste to bring PS, or players out with an injury on a trip.

 

I'm pretty sure it's just what the organization wants to pay for.

 

Melvin Gordon played, but I believe Anthony Lynn first said he'd make be the trip but not suit up. I don't believe their is any nfl or cba rule that prevents teams from brining inactives on a trip. It's just a waste to some if a guy is definitely not playing.

 

At least that's my understanding.

Right but Gordon was on the 53. I’m not saying I know that guys who aren’t signed to the  roster can’t travel with the team, maybe they can, just figured they would sign him before they left since normally the PS QB isn’t traveling  to away games. Either way he needs to be signed by 4pm Sat to be eligible to play. 

Edited October 3, 2019 by YoloinOhio

[DefenseWins]

If Allen clears the concussion protocols and is ready to play then he starts. As others have said, he is the starter and the "franchise QB" and gives this team the best chance to win. But if he is less than 100% he sits and Barkley starts/plays.

Edited October 3, 2019 by DefenseWins

[Ol Dirty B]

3 minutes ago, YoloinOhio said:

Right but Gordon was on the 53. I’m not saying I know that guys who aren’t signed to the  roster can’t travel with the team, maybe they can, just figured they would sign him before they left since normally the PS QB isn’t traveling  to away games. Either way he needs to be signed by 4pm Sat to be eligible to play. 

 

I'm sorry I misunderstood you, my bad. I thought you were referring to Allen not Webb.

 

I'd assume you're right.

[Paulus]

https://www.wbur.org/news/2018/01/30/nfl-concussion-protocol-gronkowski

 

5 stages... I'd say stage 4. Josh is too smart to be stuck in concussion protocol for long. I sincerely hope he never has to see it again. 

[Hapless Bills Fan]

55 minutes ago, reddogblitz said:

If he's 100%, he plays. Anything less than 80-85% he sits.  We're trying win more than any thing else  .he's not to the point where him at 70% is better than the back up ... Yet.

 

Unstated and unmentioned in the 5-stages of concussion protocol is the role played by baseline mental testing.

 

As I understand it, the NFL (like all the high school and college sports I know of) makes all their athletes take a reasonably lengthy test that includes math and logic problems.  The point is to see where the unconcussed athlete's personal baseline is.

 

Then, along with the progression of physical activity, the concussed athlete has to repeat the test and return to baseline before playing again.

 

John Urshel, the Ravens guard turned MIT PhD candidate, said "I must have been having a good day when I did the initial test because it took me a long time to return to baseline".   This may have been what kept Mitch Morse out so long, as well - good NFL centers are noted for being among the smartest guys on the team.

 

Point being, it's not just can Allen run around and throw the ball.  He has to be able to understand and retain the game plan at a very high level and process what he sees quickly.  When I had my concussion it took me 2 months to return to being able to drive because I wasn't processing quickly enough.  I also had memory deficits and struggled with logic puzzles. 

9 minutes ago, Paulus said:

https://www.wbur.org/news/2018/01/30/nfl-concussion-protocol-gronkowski

 

5 stages... I'd say stage 4. Josh is too smart to be stuck in concussion protocol for long. I sincerely hope he never has to see it again. 

 

Being "stuck in concussion protocol for a long time" has nothing to do with being smart and everything to do with documentable changes in mental abilities and processing.  If your brain is damaged and won't let you remember 10 numbers and recall them accurately 10 minutes later, it won't.  You can work back to it, but it takes time.

 

[Stank_Nasty]

3 minutes ago, Hapless Bills Fan said:

 

Unstated and unmentioned in the 5-stages of concussion protocol is the role played by baseline mental testing.

 

As I understand it, the NFL (like all the high school and college sports I know of) makes all their athletes take a reasonably lengthy test that includes math and logic problems.  The point is to see where the unconcussed athlete's personal baseline is.

 

Then, along with the progression of physical activity, the concussed athlete has to repeat the test and return to baseline before playing again.

 

John Urshel, the Ravens guard turned MIT PhD candidate, said "I must have been having a good day when I did the initial test because it took me a long time to return to baseline".   This may have been what kept Mitch Morse out so long, as well - good NFL centers are noted for being among the smartest guys on the team.

 

Point being, it's not just can Allen run around and throw the ball.  He has to be able to understand and retain the game plan at a very high level and process what he sees quickly.  When I had my concussion it took me 2 months to return to being able to drive because I wasn't processing quickly enough.  I also had memory deficits and struggled with logic puzzles. 

Am I the only one thinking there may be athletes that have some faked stupidity on these initial tests? 

 

I’ve had one concussion in my life from a massive car accident and I honestly can’t say that I noticed any difference at all.... scary right? Lol. 

Edited October 3, 2019 by Stank_Nasty

[Hapless Bills Fan]

1 minute ago, Stank_Nasty said:

Am I the only one thinking there may be athletes that have some faked stupidity on these initial tests? 

 

I thought that myself - that there might be some locker room talk floating about "don't try too hard on the baseline".  The thing is, at least the one my daughter took as a varsity HS player is a long damn test - 1 or 2 hrs, done at a computer - and it's actually harder than people think to fake dumb consistently.

 

1 minute ago, Stank_Nasty said:

I’ve had one concussion in my life from a massive car accident and I honestly can’t say that I noticed any difference at all.... scary right? Lol. 

 

Well, that's why they say all concussions are different.  It probably also matters what you do for a living and for hobbies.

[Gugny]

6 minutes ago, Stank_Nasty said:

I’ve had one concussion in my life from a massive car accident and I honestly can’t say that I noticed any difference at all.... scary right? Lol. 

 

1 minute ago, Hapless Bills Fan said:

 

Well, that's why they say all concussions are different.  It probably also matters what you do for a living and for hobbies.

 

Hey, this isn't match.com over here!

[Paulus]

10 minutes ago, Hapless Bills Fan said:

 

Unstated and unmentioned in the 5-stages of concussion protocol is the role played by baseline mental testing.

 

As I understand it, the NFL (like all the high school and college sports I know of) makes all their athletes take a reasonably lengthy test that includes math and logic problems.  The point is to see where the unconcussed athlete's personal baseline is.

 

Then, along with the progression of physical activity, the concussed athlete has to repeat the test and return to baseline before playing again.

 

John Urshel, the Ravens guard turned MIT PhD candidate, said "I must have been having a good day when I did the initial test because it took me a long time to return to baseline".   This may have been what kept Mitch Morse out so long, as well - good NFL centers are noted for being among the smartest guys on the team.

 

Point being, it's not just can Allen run around and throw the ball.  He has to be able to understand and retain the game plan at a very high level and process what he sees quickly.  When I had my concussion it took me 2 months to return to being able to drive because I wasn't processing quickly enough.  I also had memory deficits and struggled with logic puzzles. 

 

Being "stuck in concussion protocol for a long time" has nothing to do with being smart and everything to do with documentable changes in mental abilities and processing.  If your brain is damaged and won't let you remember 10 numbers and recall them accurately 10 minutes later, it won't.  You can work back to it, but it takes time.

 

Do you really think smarter people are less capable of gaming the protocol? I disagree.

[Stank_Nasty]

14 minutes ago, Hapless Bills Fan said:

 

 

 

Well, that's why they say all concussions are different.  It probably also matters what you do for a living and for hobbies.

Right. Attention to detail or thinking, in general, wasn’t real high on the list in my mid 20’s! 

[Hapless Bills Fan]

9 hours ago, badassgixxer05 said:

Agreed. If he was throwing to Mike Evans on all those throws there probably isn't an interception. Hes either catching it or making sure the db doesn't catch it. Worst case hes drawing a flag cuz the db is scared shitless and hanging on him like big brother..

 

I had similar thoughts about throwing to someone like Diggs or Theilen

 

[transplantbillsfan]

2 hours ago, VW82 said:

 

I trust them too which given the history with Bills coaches and GMs since Levy/Polian is a strange feeling. Have to give the Pegulas props on both those hires.

 

I also agree with the bolded for most players/positions but I think even the poorly run franchises treat franchise QBs differently.

 

There are two issues at play here: the concussion and Josh's confidence. If he's completely free of concussion symptoms already and participates in all the meetings and practices leading up to the game then great. If he'd performed admirably prior to the hit on Sunday then there'd be no question about him starting, but that performance raised questions IMO. Not everyone learns the same way. Maybe what's best for Josh's development is to get right back in the ring, so to speak. Maybe he'd be better off watching Barkley and regrouping over the bye. Miami is a much easier opponent to come back against and should help restore that confidence of his which is arguably his best quality. The worst outcome is he comes back, performs poorly again vs. a tough Titans defense -- Baker is still having nightmares over that pass rush -- or gets concussed again, and actually starts to doubt his abilities. 

 

Maybe I'm overthinking it but we have too much invested in this kid to be putting him in positions to fail. This might be the last time we get to use an injury as an excuse for a teaching moment. All I'm saying is that McD might be wise to use it or at least consider it. If he doesn't I'm sure he'll have good reasons. Like I said, I actually trust those guys.    

 

Josh's ability to play will hinge purely on whether he clears protocol or not.

 

If you try playing that game you're talking about because of his confidence and poor play last week, I would argue it has the opposite effect.

 

He's a competitor. If he's healthy and kept off the field, that's more of a shot to his confidence FOR SURE than him MAAAAAAAYBE playing poorly.

[DrPJax]

https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf

 

Public service post.  Hey guys with all the concern over Josh, I thought it might be a good opportunity to post a couple of links to help us all be in the same page with concussions.  The link above is to the SCAT5 ( sport concussion assessment tool 5) and I like it because while it is for a clinician  to use on field / immediately  post injury, it’s pretty basic and has good info on what symptoms are looked for , what are worrisome or red flag things or observations, and it talks about the things for clearing ( the protocol for increasing activity ) for sports and even for returning to school and studying. It has a good explanation on its last two pages. This information is collected prior to injury and then after for comparison. This is used quickly to determine need for transport to hospital, need for cat scans etc. I am sure Josh was examined by trainers or docs quickly after the injury. Note in red print about player not returning to action on day or injury and this is mandated in all 50 states for high schools. Just wanted you to see the various symptoms and also the protocol for returning defined. Josh is in stage 4 on wed which is good but all that means is he is progressing. So if he is symptom free after practicing Thursday, he MIGHT progress thru stage 5 which means he is ok after full practice (I doubt they allow anyone to have “ contact “ with their qb). That still doesn’t mean he will play. There is a known buffer zone where clinical symptoms ( patient feels better ) improve before physiological complete healing. A big study of around 3000 college athletes with concussion showed the biggest risk for further injury or second impact syndrome was within the first 7-10 days of the initial injury. About 1 in 15 had another concussion within the same year, most within that 7-10 day period.  If someone had 3 concussions their risk for more was 3x that of someone with no concussions, so you can see the associate worry surrounding CTE. 

https://scipol.duke.edu/track/immediate-post-concussion-assessment-and-cognitive-testing-impact
 The second link is about “ impact”., immediate post-concussion assessment and cognitive testing.  This is the computer testing that is the only FDA approve program I know of for managing concussion and returning to participation and one that the NFL , Olympics, FIFA and others use. Also your your high school students do this. It is done prior to injury for baseline and then post injury for management. After a concussion the test would be done 24 hours later by using a computer online portal with a certified trainer present. So I would think Josh is doing this daily. This test has to do with memory, impulse control , reaction time, processing etc.   This is important as these things are objectively measured so a competitor athlete can’t underreport symptoms just to be able to play. Also , as some of you have addressed, this is hard to fudge initially by underperforming because if an athlete attempts that, red flags stand out showing statistical things that trained observers catch and make the person perform the test again. This does happen about 10% as self reported on the website, and apparently they have a good success rate catching this. So to be clearer to play the athlete has to return to baseline at a minimum to be cleared. Even doing that tho does not guarantee they will be cleared to play. These tests are all still just clinical “ guides” and it still comes down to the clinical judgment of the independent neurologist to give the full go ahead. That is just a legal way to protect the testing comapny and it does out the onus on a seasoned real life dr and I think that’ s good as these computerized tests are still building data and there is much ongoing research about brain injury. 
 https://impactconcussion.com.     BTW, this is the link to the actual company website where the computer testing was developed and marketed. You can actually even purchase a baseline test for your son/ daughter if you wish to have that data.  I think the cost was around 20$ or so. Most high schools should be doing this already but I put the link there just for you to see the actual site and place the NFL does use. ( guys I couldn’t test the links prior to posting ,,just a doc and not an IT guy .  All the links are public tho so I am sure you can google the info if links don’t work for some reason. ). 
 

So , it looks good that Josh is progressing and I expected that for a young healthy guy. He looked good in the video I saw of practice. Will probably know more on Friday if he fully practices Thursday and has no recurrence of symptoms. The one thing I am a little concerned about regarding him playing ( from my fanboy standpoint) is that Mcd is very conservative ( this is obviously a good thing ).  He doesn’t even commit to Knox getting more plays when listening to him At the presser almost saying they won’t overload expectations on young guys. Mcd still emphasizes Josh being young and inexperienced. So that makes me LEAN, imho, to a position where I am thinking regardless of protocol, Josh may be sitting until after the bye. I just think Mcd errs on being conservative and just passing a protocol , while that would justify Mcd allowing josh to start, won’t be the only factor in his decision. I know it’s a huge game, yet I am ok with Barkley (sp) with a week of full reps.  I would love watching Josh get a chance to “ redeem” himself, but maybe it’s best to believe you have Barkley on the roster just for this purpose and better to give Josh no pressure to recover so quickly. Don’t shoot me, it’s just an opinion and I have no idea what actually will happen. Hope the links provide some basic info so we don’t have to rely on opinion regarding how a concussion is evaluated and followed. ?

 

Edited October 3, 2019 by DrPJax