#(he is not just mild mannered and all 'oh no that is a health hazard')

[fishymedic]

I know he won't ever address it but- he is definitely reckless (very many valid reasons he can rush level headed into trouble but it still counts especially if you're an outside party going 'what the fuck steb') and that is why he hung around+attracted those sorts so much in zaun.

Like he's got awareness/an stupid amount of added luck from extra sensory input etc which is somehow worst.

[ficsandcatsandficsandcats]

Okay so I know you've done a similar fic with reader defending Jaskier in a bar, however I'm still a sucker for overly protective babies. I've always loved the idea of the smaller person picking a fight and quickly being overtaken by the stronger, and just when the stronger person tries to gloat... tiny one HEADBUTTS THEM IN THE JAW AND KEEPS GOING. You think you wouldnt mind doing another "reader defends Jask's honor" where the reader is 90 lbs of unbridled rage, like an infuriated kitten? 😂

Fandom: The WitcherPairing: Jaskier x ReaderWord Count: 1,461Rating: T for swearing and some mild violenceTaglist: @heroics-and-heartbreak a/n: I will never tire of defending our boy pls/thx.

As days went, this one was about par for the course. You’d been working at the tavern for a couple of months now and it wasn’t unusual for a travelling bard to pop by in the hopes of earning some coin. Some of them were received very well, others not so much. The first time the crowd had turned especially ugly on a performer you’d been horrified and complained to the owner that something had to be done to make sure that at the very least they weren’t pelted with food. The owner had dismissed you, stating they all knew how this worked, bards and patrons alike, and to keep passing out ale and keeping your nose down. You’d done just that but it was wearing on you quickly and you knew you were just one more rude patron from snapping.

You were immediately worried when the bard came through the door. First of all, his clothes made him stand out like a sore thumb. Then there was his somewhat foppish posturing and way of talking that amused and, if you were totally honest, somewhat charmed you but put the rest of the people off. When he performed you could tell he had great talent and hoped that may keep people calm and for the most part it did. Until it didn’t.

“Fuck off!” a voice cried from the crowd. You knew the it well. He was one of the regulars, always an ass to you and the other staff and the first to try and start a fight.

“Oy!” you snapped, “Listen quietly or feel free to leave.”

You couldn’t tell who was more surprised, the bard or the man. It bought you some quiet though and the bard quickly continued performing his song, a bawdy number about a fishmonger’s daughter that you knew you’d have stuck in your head for ages.

“You can pull on this horn!” the same man yelled, gesturing crudely.

“One more outburst and you’re out of here,” you warned. You could feel your face growing hot with ill-concealed rage at his rudeness and at the way the man smirked as though you were a gnat he could just swipe away or ignore. The bard played through your yelling and you prayed his song would end soon. His voice rose in the final notes and a chunk of bread sailed through the air and thwapped him right in the nose.

“Right that’s it,” you heard yourself say as you hurled yourself over the bar and stormed over to the man who’d thrown it. He hardly registered you until you punched his shoulder to get his attention.

“Get out and don’t come back,” you demanded. You knew he was taller than you even sitting but when he stood and hovered a good foot above you, some part of you, some much more logical part knew you should be scared. But that part wasn’t in control right now.

“You need to mind your manners,” he said.

“Hey now you really don’t,” you hear the bard saying but you grip the man’s collar and surprise both of you again when you’re able to wrench him towards the door before he gets his bearings and halts your progress.

“Alright I was trying to be a gentleman but I guess there’s only one way to teach you respect,” the man says and swings a heavy palm towards your face. You dodge it but the attempt cuts through that final strand tethering you to your sanity and you leap at him, fists colliding with nose and chin and chest. He swears and you feel two strong arms capture your shoulders, lifting you off the ground and shaking you like a ragdoll.

“Now,” he says, pausing when you stop swinging at him, “You know bet-”

His words are cut off as you headbutt him in the jaw and he drops you. You fall to the ground in a heap, not sure if the blood running down your forehead is from you or him. He roars and stumbles a bit, disoriented by the attack, and you rise back up and shove him towards the doors. He tries to right himself and swipe for you again but you parry his arm and land a punch in his gut so quickly and so hard you knock the air out of him for a moment.

“Have. Some. Manners. You. Horse’s. Arse,” your words are punctuated by your fists but he finally seizes one of your hands, capturing your tiny fist in his very large one that he begins to twist, sending shooting pain up your arm. It’s reaching the point where you know if he keeps twisting it’s going to break when there is a loud crack and the fist loosens. You pull back and then look up just in time for the man to fall to the ground unconscious. Standing behind him is the bard, his beautiful lute broken in half and dangling from his hands. He looks at you with wide eyes full of surprise and concern and you wipe at your face, blood rubbing off on your hand as you do.

“You’re fired,” you hear the owner call.

“I quit,” you yell back, not sure what you would do but knowing anything would be better than working for someone who stood idly by in the face of bastardry. You nod at the bard and wince when you try to move your wrenched arm. You head out the door, stepping over the felled man as you do. You’ve only just crossed the threshold of the tavern when the bard stops you.

“Are you alright?” he asks, eyeing your forehead and face and glancing down at your already purpling wrist.

“Oh yeah, occupational hazard and all that,” you answer glibly.

“It was very noble of you to defend me but I fear it’s come at a great cost to your health as well as your livelihood,” he says, gesturing to the tavern.

“It wasn’t right for him to yell those things. You’re a beautiful performer you know. I mean, your music is beautiful,” you say and you hope he doesn’t notice the blush that comes over your face at the slip.

“I’m Jaskier,” he says, extending a hand and then awkwardly retracting it as he realizes your arm is too hurt to shake.

“Y/N,” you say with a little nod, “It’s nice to meet you.”

“Is there a healer nearby? Somewhere I can take you?” he asks, walking by your side as you begin to set off down the road.

“I’ll deal with it,” you say bravely though you’re trying very hard not to cry from the stinging.

“I have a better idea. I have a companion, he’s currently away but he should be returning by nightfall. He could heal you and then you could travel with us until we find you a new place of employ, one more deserving of you,” Jaskier suggests. From anyone else you would immediately dismiss the offer, believing they were only making it out of obligation, but there is genuine eagerness in Jaskier’s eyes and you can tell that he means it.

“Ok,” you relent. You tell yourself that you’re excited at the prospect of a qualified healer helping you instead of your own fumbling attempts and the opportunity to travel and find better work than you’ve been left with in this tiny shithole town. You tell yourself that it has nothing to do with getting to spend more time with the handsome bard who would break his instrument to help protect you and thought you were deserving of better things. Who even in this brief time you’d known him, made you feel like you should want more for yourself.

“Excellent! Now, first things first,” he says and pulls off his doublet revealing a very fine undershirt below, allowing you to see the shape of his surprisingly muscular frame as he twists the garment in his hands into something more like a rope.

“Now hold still, I will be gentle but it may hurt a little,” he says as he gingerly lifts the arm with the injured wrist and wraps the doublet around it, tying it around your neck.

“What is this then?” you ask, distracted by the sudden closeness of him and the way his arms wrapped around you as he adjusted the makeshift sling.

“That will keep it steady so it doesn’t swing around as we walk. And I think we may want to do that soon because that man won’t be asleep forever and I only had the one lute,” Jaskier explains. You walk together towards the edge of the village and an unknown future that you can already tell will be filled with plenty more excitement.

[adambstingus]

Whats Worse For Your BrainDrinking or Playing Football?

Our correspondent drinks for a living. Is he putting his brain at more risk of damage than a football player?

I woke up Sunday morning with a throbbing headache. Id spent the previous night heavily sampling a selection of rare whiskeys with some friends.

That may have been fun, but now here I was, still in bed at 11 a.m., barely able to keep my eyes open, hardly able to think, certainly not wanting to turn on the days NFL games.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

And I thought this cannot be good for my brain.

The effect of NFL action on the brain is one of the hottest topics of the moment, with the movie Concussion opening this Christmas weekend.

In that film Will Smith portrays Bennet Omalu, the forensic pathologist who first brought to light the appearance of CTE (chronic traumatic encephalopathy) in American football players.

Thanks partially to Omalus work, nowadays when we watch the constant brutality on the football field, when we see players crashing their heads into each other down after down, when we notice aging players getting dementia (and worse) once retired, many of us have even started to wonder, Can I ethically enjoy football any more? Myself included.

At the same time, though, I often put my own brain in serious jeopardy too.

Yes, I am a professional drinks writer. Mid-day cocktail tastings. Evening scotch samplings. Beer festivals on the weekends. Trips to breweries, distilleries, and wineries. You should see how much free liquor gets delivered to my house on a daily basis!

People often tell me I must have one of the best jobs around. But they arent the ones that have had to drink literally every single day for hell, who knows how many days in a row it has been now. They arent the ones that wake up many mornings with a hangoverjust another occupational hazard.

So, with all this in mind, I decided to ask some football concussion doctors about the effects of my equally dangerous profession on my own precious brain. I wondered, how bad is my drinking compared to playing football?

Was a single whiskey shot equal to a QB sack?

A night of heavy beer drinking equal to a half of football?

Did my brutal Sunday morning hangover feel worse than it did on a Monday morning for a running back?

Neither Dr. Omalunor Will Smithreturned any of my calls, but luckily I had other accomplished doctors willing to answer my questions.

Dr. William Barr is the Director of Neuropsychology at NYU Langone Medical Center.

He is a clinical expert on epilepsy, forensic neuropsychology, and sports concussions. He has testified in numerous cases involving forensics and in civil cases involving MTBI (mild traumatic brain injury). More importantly, from the mid-1990s until 2004, Barr was a neuropsychological medical consultant for the NFLs New York Jets.

He quickly understood the somewhat silly concept behind this piece, and even why a professional drinks writer had reason to be concerned.

I used to think about boxers, he told me, noting that this was before all this concussion talk was in the mainstream. People used to say boxing was the only way for a kid to get out of the ghettobut he had to put his brain at risk. How terrible it was that society forced them to do this! But I also thought about the typical Mad Men-era businessmen. They had to do the three-martini lunches for their workthey too were pickling their brains just to get ahead!

Barr is a bit of a firebrand when it comes to talk about concussions. In fact, he believes concussionswhether from football or otherwiseactually have a fairly minimal impact on future cognitive functioning.

When you look at the studies and what happens three months after a concussiondo you know what meta-analysis is? he asks. I dont. He explains that, In science, rather than making conclusions based on a single study, you look at all the literature. Put it into a similar metric. Whats the overall effect based on many, many studies? So now, maybe, youre looking at 300 people over 10 studies. What it shows is the overall effect (on your brain) of a concussion after 30 days is lower than the effects of intoxication.

The study Barr is citing is Grant L. Iversons 2005 paper Outcome from Mild Traumatic Brain Injury.

Iverson didnt study alcohols traumatic effect on the brain per se, but he did find chronic cannabis use to be worse on overall neuropsychological functioning than an MTBI (mild traumatic brain injury) was on a person just one to three months after the injury had occurred. Likewise, he found chronic cannabis use to be slightly worse on future memory functioning than an MTBI.

For Barr, that was enough for him to deduce for me that alcohol abuse would be probably likewise worse on the brain than head injuries from playing football. Uh oh.

Barr isnt completely speculating, as he has co-authored his own significant studies. With a team of other doctors and PhDs he helped pen Cumulative Effects Associated with Recurrent Concussion in Collegiate Football Players and Acute Effects and Recovery Time Following Concussion in Collegiate Football Players.

Ive studied athletes more than the general population. With them we can get information before their injury and then after, he tells me. And what that shows is that 95 percent (of athletes who have a concussion) recover back to normal in 7 days or less.

He tests alcoholics brains in a similar manner to how he tests concussed athletes. He interviews them and then gives them a series of tests, ones mainly based on memory functioning (they have to remember a certain story).

So I might notice, this person has problems with attention and remembering things. In the past theyve been a 10-drinks-a-day alcoholic and now it looks like theyve pickled brain.

Though well-honored and quite thorough, you can probably see how Barr is considered a bit of a contrarian for his thinking on concussions.

Barr was even dismissed from the NFLs MTBI committee in 2004 by then-chairman Elliot Pellman, another former New York Jets team physician who is not without his own controversy.

I wanted another doctors opinion on my potentially pickling brain. Dr. James Paci, a professor and orthopedic surgeon, specializes in sports medicine at Stony Brook University Medicine. Hes also the football teams doctor.

First, he clarified that he was neither a neurologist nor brain physician. Despite that, he was trained to deal with concussions on a day-in, day-out basis in his own role as team doctor.

My expertise is how do we treat these athletes, Paci told me. What do we look out for? How do we prevent long term consequences?

However, unlike Barr, Paci somewhat struggled with the comparisons I was hoping he would draw for me.

Certainly there is some connection between alcoholism and Alzheimers, brain diseases. Drawing a parallel between drinking and football though? I dont think anyone has made that correlation. Though he does note, The rock n roll lifestyle and athlete lifestyle certainly do have some comparisons.

A man like Paci believes that both football and drinking are inherently dangerous, but thats OK, so long as we acknowledge the risk involved in both activities and, thus, let potential participants make informed decisions.

Ive had concussions before, Paci tells me. Anyone who plays sports has had one before.

Paci is about my age, having played football at Yale University in the late-1990s, while the slightly-older Barr played during a time head injuries werent treated all that seriously.

Back in the day when I played high school football, Barr tells me, you pretty much had to be in a coma before they did anything about it.

So both men had played football at a fairly high level, had head injuries on the field, and were still able to become prestigious doctors. But did they drink?

Not routinely, but I do, Paci tells me. Most doctors do. There are certainly benefits to some alcohol.

(Ive been saying that for years.)

I do, Barr also tells me. Everything in moderation. A little bit of alcohol can be good for the heart. Theres good data for the red wines. Some scotch in moderation, a finger a day maybe.

So you guys drink, but now knowing what you know, would you let your own children play football?

On that point Paci is fairly strict, believing young children simply dont have the body control and should stick to flag football or two-hand touch.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

Barr has a six-month grandson he absolutely wants to play football some day.

Should that boy play football or not? My take, from what we know right now: the chance of getting dementia, the prospect of a 13-year-old boy who starts football getting dementia one day is, lets say, 1 to 2 percent. Im being liberal, Barr tells me. But lets say that boy is not allowed to play football. Instead junior becomes fat and gets diabetes and high blood pressure. Now he has a 30 percent chance of dying of dementia.

So to Barr inactivity in this country is a much bigger problem than helmet-to-helmet contactinteresting, because drinkers on the whole are statistically much more active than non-drinkers according to the Center for Advancing Health.

That papers lead author, Michael French, a professor of health economics at the University of Miami, found that alcohol users not only exercised more than teetotalers, but the differential actually increased with more drinking.

I dont fully understand the relationship, Barr admits, though he has a speculation. Maybe people feel like after visiting the gym, they deserve to do something bad.

Its true enough anecdotally for myself, though Im a bit more of the reverse. I do something bad the night before, then feel the need to go jog five miles the next day.

I ask Barr point-blank, It seems like you ultimately think its safer to play in the NFL than to drink heavily?

Yeah, you could say that, he confirms.

This did not sound good for me. But what exactly did heavily mean? This week alone I sampled new whiskeys on Monday, drank wine with dinner on Tuesday, visited a hot new cocktail bar on Wednesday, went to a brewery opening on Thursday, and hit happy hour with friends on Friday.

Luckily, Barr relieved some of my concerns about any sort of future with dementia, simply telling me, You would not be on the phone with me, or even able to write this story, if you were drinking too much.

Regardless, I think Ill start trying to be more cognizant of my intake. As Paci ultimately summed up for me: The brain is an amazing thing. Your head hurts when you bang it. So you try not to bang your head again. With a hangover, theres obviously something similar going on there.

from All Of Beer http://allofbeer.com/2017/09/28/whats-worse-for-your-braindrinking-or-playing-football/ from All of Beer https://allofbeercom.tumblr.com/post/165813833432

[samanthasroberts]

Whats Worse For Your BrainDrinking or Playing Football?

Our correspondent drinks for a living. Is he putting his brain at more risk of damage than a football player?

I woke up Sunday morning with a throbbing headache. Id spent the previous night heavily sampling a selection of rare whiskeys with some friends.

That may have been fun, but now here I was, still in bed at 11 a.m., barely able to keep my eyes open, hardly able to think, certainly not wanting to turn on the days NFL games.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

And I thought this cannot be good for my brain.

The effect of NFL action on the brain is one of the hottest topics of the moment, with the movie Concussion opening this Christmas weekend.

In that film Will Smith portrays Bennet Omalu, the forensic pathologist who first brought to light the appearance of CTE (chronic traumatic encephalopathy) in American football players.

Thanks partially to Omalus work, nowadays when we watch the constant brutality on the football field, when we see players crashing their heads into each other down after down, when we notice aging players getting dementia (and worse) once retired, many of us have even started to wonder, Can I ethically enjoy football any more? Myself included.

At the same time, though, I often put my own brain in serious jeopardy too.

Yes, I am a professional drinks writer. Mid-day cocktail tastings. Evening scotch samplings. Beer festivals on the weekends. Trips to breweries, distilleries, and wineries. You should see how much free liquor gets delivered to my house on a daily basis!

People often tell me I must have one of the best jobs around. But they arent the ones that have had to drink literally every single day for hell, who knows how many days in a row it has been now. They arent the ones that wake up many mornings with a hangoverjust another occupational hazard.

So, with all this in mind, I decided to ask some football concussion doctors about the effects of my equally dangerous profession on my own precious brain. I wondered, how bad is my drinking compared to playing football?

Was a single whiskey shot equal to a QB sack?

A night of heavy beer drinking equal to a half of football?

Did my brutal Sunday morning hangover feel worse than it did on a Monday morning for a running back?

Neither Dr. Omalunor Will Smithreturned any of my calls, but luckily I had other accomplished doctors willing to answer my questions.

Dr. William Barr is the Director of Neuropsychology at NYU Langone Medical Center.

He is a clinical expert on epilepsy, forensic neuropsychology, and sports concussions. He has testified in numerous cases involving forensics and in civil cases involving MTBI (mild traumatic brain injury). More importantly, from the mid-1990s until 2004, Barr was a neuropsychological medical consultant for the NFLs New York Jets.

He quickly understood the somewhat silly concept behind this piece, and even why a professional drinks writer had reason to be concerned.

I used to think about boxers, he told me, noting that this was before all this concussion talk was in the mainstream. People used to say boxing was the only way for a kid to get out of the ghettobut he had to put his brain at risk. How terrible it was that society forced them to do this! But I also thought about the typical Mad Men-era businessmen. They had to do the three-martini lunches for their workthey too were pickling their brains just to get ahead!

Barr is a bit of a firebrand when it comes to talk about concussions. In fact, he believes concussionswhether from football or otherwiseactually have a fairly minimal impact on future cognitive functioning.

When you look at the studies and what happens three months after a concussiondo you know what meta-analysis is? he asks. I dont. He explains that, In science, rather than making conclusions based on a single study, you look at all the literature. Put it into a similar metric. Whats the overall effect based on many, many studies? So now, maybe, youre looking at 300 people over 10 studies. What it shows is the overall effect (on your brain) of a concussion after 30 days is lower than the effects of intoxication.

The study Barr is citing is Grant L. Iversons 2005 paper Outcome from Mild Traumatic Brain Injury.

Iverson didnt study alcohols traumatic effect on the brain per se, but he did find chronic cannabis use to be worse on overall neuropsychological functioning than an MTBI (mild traumatic brain injury) was on a person just one to three months after the injury had occurred. Likewise, he found chronic cannabis use to be slightly worse on future memory functioning than an MTBI.

For Barr, that was enough for him to deduce for me that alcohol abuse would be probably likewise worse on the brain than head injuries from playing football. Uh oh.

Barr isnt completely speculating, as he has co-authored his own significant studies. With a team of other doctors and PhDs he helped pen Cumulative Effects Associated with Recurrent Concussion in Collegiate Football Players and Acute Effects and Recovery Time Following Concussion in Collegiate Football Players.

Ive studied athletes more than the general population. With them we can get information before their injury and then after, he tells me. And what that shows is that 95 percent (of athletes who have a concussion) recover back to normal in 7 days or less.

He tests alcoholics brains in a similar manner to how he tests concussed athletes. He interviews them and then gives them a series of tests, ones mainly based on memory functioning (they have to remember a certain story).

So I might notice, this person has problems with attention and remembering things. In the past theyve been a 10-drinks-a-day alcoholic and now it looks like theyve pickled brain.

Though well-honored and quite thorough, you can probably see how Barr is considered a bit of a contrarian for his thinking on concussions.

Barr was even dismissed from the NFLs MTBI committee in 2004 by then-chairman Elliot Pellman, another former New York Jets team physician who is not without his own controversy.

I wanted another doctors opinion on my potentially pickling brain. Dr. James Paci, a professor and orthopedic surgeon, specializes in sports medicine at Stony Brook University Medicine. Hes also the football teams doctor.

First, he clarified that he was neither a neurologist nor brain physician. Despite that, he was trained to deal with concussions on a day-in, day-out basis in his own role as team doctor.

My expertise is how do we treat these athletes, Paci told me. What do we look out for? How do we prevent long term consequences?

However, unlike Barr, Paci somewhat struggled with the comparisons I was hoping he would draw for me.

Certainly there is some connection between alcoholism and Alzheimers, brain diseases. Drawing a parallel between drinking and football though? I dont think anyone has made that correlation. Though he does note, The rock n roll lifestyle and athlete lifestyle certainly do have some comparisons.

A man like Paci believes that both football and drinking are inherently dangerous, but thats OK, so long as we acknowledge the risk involved in both activities and, thus, let potential participants make informed decisions.

Ive had concussions before, Paci tells me. Anyone who plays sports has had one before.

Paci is about my age, having played football at Yale University in the late-1990s, while the slightly-older Barr played during a time head injuries werent treated all that seriously.

Back in the day when I played high school football, Barr tells me, you pretty much had to be in a coma before they did anything about it.

So both men had played football at a fairly high level, had head injuries on the field, and were still able to become prestigious doctors. But did they drink?

Not routinely, but I do, Paci tells me. Most doctors do. There are certainly benefits to some alcohol.

(Ive been saying that for years.)

I do, Barr also tells me. Everything in moderation. A little bit of alcohol can be good for the heart. Theres good data for the red wines. Some scotch in moderation, a finger a day maybe.

So you guys drink, but now knowing what you know, would you let your own children play football?

On that point Paci is fairly strict, believing young children simply dont have the body control and should stick to flag football or two-hand touch.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

Barr has a six-month grandson he absolutely wants to play football some day.

Should that boy play football or not? My take, from what we know right now: the chance of getting dementia, the prospect of a 13-year-old boy who starts football getting dementia one day is, lets say, 1 to 2 percent. Im being liberal, Barr tells me. But lets say that boy is not allowed to play football. Instead junior becomes fat and gets diabetes and high blood pressure. Now he has a 30 percent chance of dying of dementia.

So to Barr inactivity in this country is a much bigger problem than helmet-to-helmet contactinteresting, because drinkers on the whole are statistically much more active than non-drinkers according to the Center for Advancing Health.

That papers lead author, Michael French, a professor of health economics at the University of Miami, found that alcohol users not only exercised more than teetotalers, but the differential actually increased with more drinking.

I dont fully understand the relationship, Barr admits, though he has a speculation. Maybe people feel like after visiting the gym, they deserve to do something bad.

Its true enough anecdotally for myself, though Im a bit more of the reverse. I do something bad the night before, then feel the need to go jog five miles the next day.

I ask Barr point-blank, It seems like you ultimately think its safer to play in the NFL than to drink heavily?

Yeah, you could say that, he confirms.

This did not sound good for me. But what exactly did heavily mean? This week alone I sampled new whiskeys on Monday, drank wine with dinner on Tuesday, visited a hot new cocktail bar on Wednesday, went to a brewery opening on Thursday, and hit happy hour with friends on Friday.

Luckily, Barr relieved some of my concerns about any sort of future with dementia, simply telling me, You would not be on the phone with me, or even able to write this story, if you were drinking too much.

Regardless, I think Ill start trying to be more cognizant of my intake. As Paci ultimately summed up for me: The brain is an amazing thing. Your head hurts when you bang it. So you try not to bang your head again. With a hangover, theres obviously something similar going on there.

Source: http://allofbeer.com/2017/09/28/whats-worse-for-your-braindrinking-or-playing-football/

from All of Beer https://allofbeer.wordpress.com/2017/09/28/whats-worse-for-your-braindrinking-or-playing-football/

[jimdsmith34]

Whats Worse For Your BrainDrinking or Playing Football?

Our correspondent drinks for a living. Is he putting his brain at more risk of damage than a football player?

I woke up Sunday morning with a throbbing headache. Id spent the previous night heavily sampling a selection of rare whiskeys with some friends.

That may have been fun, but now here I was, still in bed at 11 a.m., barely able to keep my eyes open, hardly able to think, certainly not wanting to turn on the days NFL games.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

And I thought this cannot be good for my brain.

The effect of NFL action on the brain is one of the hottest topics of the moment, with the movie Concussion opening this Christmas weekend.

In that film Will Smith portrays Bennet Omalu, the forensic pathologist who first brought to light the appearance of CTE (chronic traumatic encephalopathy) in American football players.

Thanks partially to Omalus work, nowadays when we watch the constant brutality on the football field, when we see players crashing their heads into each other down after down, when we notice aging players getting dementia (and worse) once retired, many of us have even started to wonder, Can I ethically enjoy football any more? Myself included.

At the same time, though, I often put my own brain in serious jeopardy too.

Yes, I am a professional drinks writer. Mid-day cocktail tastings. Evening scotch samplings. Beer festivals on the weekends. Trips to breweries, distilleries, and wineries. You should see how much free liquor gets delivered to my house on a daily basis!

People often tell me I must have one of the best jobs around. But they arent the ones that have had to drink literally every single day for hell, who knows how many days in a row it has been now. They arent the ones that wake up many mornings with a hangoverjust another occupational hazard.

So, with all this in mind, I decided to ask some football concussion doctors about the effects of my equally dangerous profession on my own precious brain. I wondered, how bad is my drinking compared to playing football?

Was a single whiskey shot equal to a QB sack?

A night of heavy beer drinking equal to a half of football?

Did my brutal Sunday morning hangover feel worse than it did on a Monday morning for a running back?

Neither Dr. Omalunor Will Smithreturned any of my calls, but luckily I had other accomplished doctors willing to answer my questions.

Dr. William Barr is the Director of Neuropsychology at NYU Langone Medical Center.

He is a clinical expert on epilepsy, forensic neuropsychology, and sports concussions. He has testified in numerous cases involving forensics and in civil cases involving MTBI (mild traumatic brain injury). More importantly, from the mid-1990s until 2004, Barr was a neuropsychological medical consultant for the NFLs New York Jets.

He quickly understood the somewhat silly concept behind this piece, and even why a professional drinks writer had reason to be concerned.

I used to think about boxers, he told me, noting that this was before all this concussion talk was in the mainstream. People used to say boxing was the only way for a kid to get out of the ghettobut he had to put his brain at risk. How terrible it was that society forced them to do this! But I also thought about the typical Mad Men-era businessmen. They had to do the three-martini lunches for their workthey too were pickling their brains just to get ahead!

Barr is a bit of a firebrand when it comes to talk about concussions. In fact, he believes concussionswhether from football or otherwiseactually have a fairly minimal impact on future cognitive functioning.

When you look at the studies and what happens three months after a concussiondo you know what meta-analysis is? he asks. I dont. He explains that, In science, rather than making conclusions based on a single study, you look at all the literature. Put it into a similar metric. Whats the overall effect based on many, many studies? So now, maybe, youre looking at 300 people over 10 studies. What it shows is the overall effect (on your brain) of a concussion after 30 days is lower than the effects of intoxication.

The study Barr is citing is Grant L. Iversons 2005 paper Outcome from Mild Traumatic Brain Injury.

Iverson didnt study alcohols traumatic effect on the brain per se, but he did find chronic cannabis use to be worse on overall neuropsychological functioning than an MTBI (mild traumatic brain injury) was on a person just one to three months after the injury had occurred. Likewise, he found chronic cannabis use to be slightly worse on future memory functioning than an MTBI.

For Barr, that was enough for him to deduce for me that alcohol abuse would be probably likewise worse on the brain than head injuries from playing football. Uh oh.

Barr isnt completely speculating, as he has co-authored his own significant studies. With a team of other doctors and PhDs he helped pen Cumulative Effects Associated with Recurrent Concussion in Collegiate Football Players and Acute Effects and Recovery Time Following Concussion in Collegiate Football Players.

Ive studied athletes more than the general population. With them we can get information before their injury and then after, he tells me. And what that shows is that 95 percent (of athletes who have a concussion) recover back to normal in 7 days or less.

He tests alcoholics brains in a similar manner to how he tests concussed athletes. He interviews them and then gives them a series of tests, ones mainly based on memory functioning (they have to remember a certain story).

So I might notice, this person has problems with attention and remembering things. In the past theyve been a 10-drinks-a-day alcoholic and now it looks like theyve pickled brain.

Though well-honored and quite thorough, you can probably see how Barr is considered a bit of a contrarian for his thinking on concussions.

Barr was even dismissed from the NFLs MTBI committee in 2004 by then-chairman Elliot Pellman, another former New York Jets team physician who is not without his own controversy.

I wanted another doctors opinion on my potentially pickling brain. Dr. James Paci, a professor and orthopedic surgeon, specializes in sports medicine at Stony Brook University Medicine. Hes also the football teams doctor.

First, he clarified that he was neither a neurologist nor brain physician. Despite that, he was trained to deal with concussions on a day-in, day-out basis in his own role as team doctor.

My expertise is how do we treat these athletes, Paci told me. What do we look out for? How do we prevent long term consequences?

However, unlike Barr, Paci somewhat struggled with the comparisons I was hoping he would draw for me.

Certainly there is some connection between alcoholism and Alzheimers, brain diseases. Drawing a parallel between drinking and football though? I dont think anyone has made that correlation. Though he does note, The rock n roll lifestyle and athlete lifestyle certainly do have some comparisons.

A man like Paci believes that both football and drinking are inherently dangerous, but thats OK, so long as we acknowledge the risk involved in both activities and, thus, let potential participants make informed decisions.

Ive had concussions before, Paci tells me. Anyone who plays sports has had one before.

Paci is about my age, having played football at Yale University in the late-1990s, while the slightly-older Barr played during a time head injuries werent treated all that seriously.

Back in the day when I played high school football, Barr tells me, you pretty much had to be in a coma before they did anything about it.

So both men had played football at a fairly high level, had head injuries on the field, and were still able to become prestigious doctors. But did they drink?

Not routinely, but I do, Paci tells me. Most doctors do. There are certainly benefits to some alcohol.

(Ive been saying that for years.)

I do, Barr also tells me. Everything in moderation. A little bit of alcohol can be good for the heart. Theres good data for the red wines. Some scotch in moderation, a finger a day maybe.

So you guys drink, but now knowing what you know, would you let your own children play football?

On that point Paci is fairly strict, believing young children simply dont have the body control and should stick to flag football or two-hand touch.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

Barr has a six-month grandson he absolutely wants to play football some day.

Should that boy play football or not? My take, from what we know right now: the chance of getting dementia, the prospect of a 13-year-old boy who starts football getting dementia one day is, lets say, 1 to 2 percent. Im being liberal, Barr tells me. But lets say that boy is not allowed to play football. Instead junior becomes fat and gets diabetes and high blood pressure. Now he has a 30 percent chance of dying of dementia.

So to Barr inactivity in this country is a much bigger problem than helmet-to-helmet contactinteresting, because drinkers on the whole are statistically much more active than non-drinkers according to the Center for Advancing Health.

That papers lead author, Michael French, a professor of health economics at the University of Miami, found that alcohol users not only exercised more than teetotalers, but the differential actually increased with more drinking.

I dont fully understand the relationship, Barr admits, though he has a speculation. Maybe people feel like after visiting the gym, they deserve to do something bad.

Its true enough anecdotally for myself, though Im a bit more of the reverse. I do something bad the night before, then feel the need to go jog five miles the next day.

I ask Barr point-blank, It seems like you ultimately think its safer to play in the NFL than to drink heavily?

Yeah, you could say that, he confirms.

This did not sound good for me. But what exactly did heavily mean? This week alone I sampled new whiskeys on Monday, drank wine with dinner on Tuesday, visited a hot new cocktail bar on Wednesday, went to a brewery opening on Thursday, and hit happy hour with friends on Friday.

Luckily, Barr relieved some of my concerns about any sort of future with dementia, simply telling me, You would not be on the phone with me, or even able to write this story, if you were drinking too much.

Regardless, I think Ill start trying to be more cognizant of my intake. As Paci ultimately summed up for me: The brain is an amazing thing. Your head hurts when you bang it. So you try not to bang your head again. With a hangover, theres obviously something similar going on there.

source http://allofbeer.com/2017/09/28/whats-worse-for-your-braindrinking-or-playing-football/ from All of Beer http://allofbeer.blogspot.com/2017/09/whats-worse-for-your-braindrinking-or.html

[allofbeercom]

Whats Worse For Your BrainDrinking or Playing Football?

Our correspondent drinks for a living. Is he putting his brain at more risk of damage than a football player?

I woke up Sunday morning with a throbbing headache. Id spent the previous night heavily sampling a selection of rare whiskeys with some friends.

That may have been fun, but now here I was, still in bed at 11 a.m., barely able to keep my eyes open, hardly able to think, certainly not wanting to turn on the days NFL games.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

And I thought this cannot be good for my brain.

The effect of NFL action on the brain is one of the hottest topics of the moment, with the movie Concussion opening this Christmas weekend.

In that film Will Smith portrays Bennet Omalu, the forensic pathologist who first brought to light the appearance of CTE (chronic traumatic encephalopathy) in American football players.

Thanks partially to Omalus work, nowadays when we watch the constant brutality on the football field, when we see players crashing their heads into each other down after down, when we notice aging players getting dementia (and worse) once retired, many of us have even started to wonder, Can I ethically enjoy football any more? Myself included.

At the same time, though, I often put my own brain in serious jeopardy too.

Yes, I am a professional drinks writer. Mid-day cocktail tastings. Evening scotch samplings. Beer festivals on the weekends. Trips to breweries, distilleries, and wineries. You should see how much free liquor gets delivered to my house on a daily basis!

People often tell me I must have one of the best jobs around. But they arent the ones that have had to drink literally every single day for hell, who knows how many days in a row it has been now. They arent the ones that wake up many mornings with a hangoverjust another occupational hazard.

So, with all this in mind, I decided to ask some football concussion doctors about the effects of my equally dangerous profession on my own precious brain. I wondered, how bad is my drinking compared to playing football?

Was a single whiskey shot equal to a QB sack?

A night of heavy beer drinking equal to a half of football?

Did my brutal Sunday morning hangover feel worse than it did on a Monday morning for a running back?

Neither Dr. Omalunor Will Smithreturned any of my calls, but luckily I had other accomplished doctors willing to answer my questions.

Dr. William Barr is the Director of Neuropsychology at NYU Langone Medical Center.

He is a clinical expert on epilepsy, forensic neuropsychology, and sports concussions. He has testified in numerous cases involving forensics and in civil cases involving MTBI (mild traumatic brain injury). More importantly, from the mid-1990s until 2004, Barr was a neuropsychological medical consultant for the NFLs New York Jets.

He quickly understood the somewhat silly concept behind this piece, and even why a professional drinks writer had reason to be concerned.

I used to think about boxers, he told me, noting that this was before all this concussion talk was in the mainstream. People used to say boxing was the only way for a kid to get out of the ghettobut he had to put his brain at risk. How terrible it was that society forced them to do this! But I also thought about the typical Mad Men-era businessmen. They had to do the three-martini lunches for their workthey too were pickling their brains just to get ahead!

Barr is a bit of a firebrand when it comes to talk about concussions. In fact, he believes concussionswhether from football or otherwiseactually have a fairly minimal impact on future cognitive functioning.

When you look at the studies and what happens three months after a concussiondo you know what meta-analysis is? he asks. I dont. He explains that, In science, rather than making conclusions based on a single study, you look at all the literature. Put it into a similar metric. Whats the overall effect based on many, many studies? So now, maybe, youre looking at 300 people over 10 studies. What it shows is the overall effect (on your brain) of a concussion after 30 days is lower than the effects of intoxication.

The study Barr is citing is Grant L. Iversons 2005 paper Outcome from Mild Traumatic Brain Injury.

Iverson didnt study alcohols traumatic effect on the brain per se, but he did find chronic cannabis use to be worse on overall neuropsychological functioning than an MTBI (mild traumatic brain injury) was on a person just one to three months after the injury had occurred. Likewise, he found chronic cannabis use to be slightly worse on future memory functioning than an MTBI.

For Barr, that was enough for him to deduce for me that alcohol abuse would be probably likewise worse on the brain than head injuries from playing football. Uh oh.

Barr isnt completely speculating, as he has co-authored his own significant studies. With a team of other doctors and PhDs he helped pen Cumulative Effects Associated with Recurrent Concussion in Collegiate Football Players and Acute Effects and Recovery Time Following Concussion in Collegiate Football Players.

Ive studied athletes more than the general population. With them we can get information before their injury and then after, he tells me. And what that shows is that 95 percent (of athletes who have a concussion) recover back to normal in 7 days or less.

He tests alcoholics brains in a similar manner to how he tests concussed athletes. He interviews them and then gives them a series of tests, ones mainly based on memory functioning (they have to remember a certain story).

So I might notice, this person has problems with attention and remembering things. In the past theyve been a 10-drinks-a-day alcoholic and now it looks like theyve pickled brain.

Though well-honored and quite thorough, you can probably see how Barr is considered a bit of a contrarian for his thinking on concussions.

Barr was even dismissed from the NFLs MTBI committee in 2004 by then-chairman Elliot Pellman, another former New York Jets team physician who is not without his own controversy.

I wanted another doctors opinion on my potentially pickling brain. Dr. James Paci, a professor and orthopedic surgeon, specializes in sports medicine at Stony Brook University Medicine. Hes also the football teams doctor.

First, he clarified that he was neither a neurologist nor brain physician. Despite that, he was trained to deal with concussions on a day-in, day-out basis in his own role as team doctor.

My expertise is how do we treat these athletes, Paci told me. What do we look out for? How do we prevent long term consequences?

However, unlike Barr, Paci somewhat struggled with the comparisons I was hoping he would draw for me.

Certainly there is some connection between alcoholism and Alzheimers, brain diseases. Drawing a parallel between drinking and football though? I dont think anyone has made that correlation. Though he does note, The rock n roll lifestyle and athlete lifestyle certainly do have some comparisons.

A man like Paci believes that both football and drinking are inherently dangerous, but thats OK, so long as we acknowledge the risk involved in both activities and, thus, let potential participants make informed decisions.

Ive had concussions before, Paci tells me. Anyone who plays sports has had one before.

Paci is about my age, having played football at Yale University in the late-1990s, while the slightly-older Barr played during a time head injuries werent treated all that seriously.

Back in the day when I played high school football, Barr tells me, you pretty much had to be in a coma before they did anything about it.

So both men had played football at a fairly high level, had head injuries on the field, and were still able to become prestigious doctors. But did they drink?

Not routinely, but I do, Paci tells me. Most doctors do. There are certainly benefits to some alcohol.

(Ive been saying that for years.)

I do, Barr also tells me. Everything in moderation. A little bit of alcohol can be good for the heart. Theres good data for the red wines. Some scotch in moderation, a finger a day maybe.

So you guys drink, but now knowing what you know, would you let your own children play football?

On that point Paci is fairly strict, believing young children simply dont have the body control and should stick to flag football or two-hand touch.

A parent cant consent to giving their kids a cigarette or a beerwhy can they consent to him playing tackle football?

Barr has a six-month grandson he absolutely wants to play football some day.

Should that boy play football or not? My take, from what we know right now: the chance of getting dementia, the prospect of a 13-year-old boy who starts football getting dementia one day is, lets say, 1 to 2 percent. Im being liberal, Barr tells me. But lets say that boy is not allowed to play football. Instead junior becomes fat and gets diabetes and high blood pressure. Now he has a 30 percent chance of dying of dementia.

So to Barr inactivity in this country is a much bigger problem than helmet-to-helmet contactinteresting, because drinkers on the whole are statistically much more active than non-drinkers according to the Center for Advancing Health.

That papers lead author, Michael French, a professor of health economics at the University of Miami, found that alcohol users not only exercised more than teetotalers, but the differential actually increased with more drinking.

I dont fully understand the relationship, Barr admits, though he has a speculation. Maybe people feel like after visiting the gym, they deserve to do something bad.

Its true enough anecdotally for myself, though Im a bit more of the reverse. I do something bad the night before, then feel the need to go jog five miles the next day.

I ask Barr point-blank, It seems like you ultimately think its safer to play in the NFL than to drink heavily?

Yeah, you could say that, he confirms.

This did not sound good for me. But what exactly did heavily mean? This week alone I sampled new whiskeys on Monday, drank wine with dinner on Tuesday, visited a hot new cocktail bar on Wednesday, went to a brewery opening on Thursday, and hit happy hour with friends on Friday.

Luckily, Barr relieved some of my concerns about any sort of future with dementia, simply telling me, You would not be on the phone with me, or even able to write this story, if you were drinking too much.

Regardless, I think Ill start trying to be more cognizant of my intake. As Paci ultimately summed up for me: The brain is an amazing thing. Your head hurts when you bang it. So you try not to bang your head again. With a hangover, theres obviously something similar going on there.

from All Of Beer http://allofbeer.com/2017/09/28/whats-worse-for-your-braindrinking-or-playing-football/