Wanna take a -- -- just a brief break you from Packers chatter and talk a little bit more about the NFL. And about additional concussion studies that are coming out I mean it seems like there's a new one coming out every day. And whether it's -- children and parents listen up if it's adults if it's -- kids playing football soccer hockey whatever. Concussions have become -- that the forefront. Doctor Greg my area he's -- director of research sports medicine and he's based at the Cincinnati Children's Hospital. And we bring him in now is they have -- produce yet another study. About rug concussions in the brain injuries in doctor Meyer first of all thanks for taken a couple minutes -- -- I guess my next question is. With the study what exactly did you conclude -- when you started studying concussions. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Because say it's one of the first to get that the other side of the band and get -- on the prevention side. As you know a lot of research -- out there looking at. You know potential. Ways to manage a concussion and the detrimental affects that occur following a concussion. And we call that day -- secondary or church very. Prevention and -- looking at some of the com you know the -- phase of a concussion and you know us in the long term effects but what we're looking at what this study kind of brought it to -- is. Maybe there's a potential way we can prevent. Concussion and so. We had a group that. A large data set. Injuries that have been tracked throughout the United States and we worked with actually a group that's a database it's been a Denver Colorado and epidemiology -- a group that stuff tracks. Injuries. And we just broke concussions down and look at split them by -- opportunity and lower altitude and found that there's a -- reduced. Incidents that that higher altitude. But that kind of let us down a pathway is you know maybe there is. A the physiological mechanism that we can now. Prevent concussions on the inside and that's kind where our research is going at this point. Well I guess when you didn't the prevention of concussions if you know obviously -- higher altitudes it's difficult to. I guess you know simulate that so soul in essence -- what does it say is forced prevention goes whether it be you know in the NFL or kids in general. Well that's a great point it would be a little or impractical first bothered to go to Denver to play -- football game. That so that you it's an important point it's an area that it's opening a door for her new research and -- A research has focused again of that matchup from protecting the brain from the inside out and what we're looking at his potential ways to prevent slot since. But slots mean there's it's -- term of basically. When you have liquid inside and other objects are brain. It's kind of a mix of fluids and solid but -- inside of the Cranium. And what happens is whenever we especially when we stand up we have -- reduced volume because of that. The things that happened when we stand up with the is that that bottom and it creates the potential for -- sloshing inside the -- it's basically. -- you know collisions and whenever we have the brain moving at different rates and and back and forth. It can create and an elastic collision in late December that the damage and injury received whenever we have large. What we -- could potentially be an option what happened at altitude. As we see that there's there's some physiology is that that happened with atmospheric pressures that the lesson against the body pressure in the -- up -- little wooden blood. And what that does that -- they -- tighter fit. Of the brain inside the Cranium and what's really exciting about that is that there may be. Potential ways that week we can -- and study that's approach maybe there are potential ways we can and so on these these sociology is that. Are known to -- an opportunity create -- -- there and reduce loss. Reduce injury. Is there or something as simple as just simply more padding and helmets. More -- and a helmet did you know because we all talk about what the affects -- Nobody really talks about the improved equipment or what really needs to be done is force improved equipment. That is actually a great question and that's they. Actually the first thing that everyone thinks about and helmets are great for what they were develop for how much were built to prevent school -- They do a very good job at that. The problem has. They can't prevent this this lost at least he is inside the brains of the the movement. -- the brain inside the train him. A helmet can never prevent that. And actually. They can potentially traded that the -- helmet creates more leverage on the head so as you make that they had bigger -- -- a longer lever arm. Trading you know that's faster -- brackets say that the potential. With being a -- create a longer -- Back to be a problem. Also the home at. -- to the head which also can intern and -- acceleration or deceleration on the brain. So what we now is that the helmets. Don't seem provide any ability to do that as fact that study out of your states they came out that. I'm from Wisconsin put -- a couple weeks ago from that. AP. National conference itself and Brooks present that she's a position and -- And so on and studies and public health and she -- studied pink helmets type. And how under the helmets -- type of patting. And basically found that there was no affect on how knew that comment was or whether it was a specific type. So that was a very interesting study and as we know all the research and focus on concussion prevention. Everyone thanks for the comment yet we haven't been able to reduce concussion incident -- 1% but these different technologies so. The point being as we have to start moving away from these technologies that. Really outside the brain and maybe it's not start looking at this this pathway which -- also lost. Maybe we could start protect the -- from the inside and we think there might be ways that we can actually help optimize some of these physiology and can create air bags for the brain on the inside. I think that might be the way that we get that starter on the -- primary prevention which is most important. The one thing that way I did wanna touch on I don't know what that the simple base wasn't much to find -- was it strictly football players or was it football was it skateboarding wasn't hockey was a lacrosse was at soccer where it was every one included in this because right. I know football is the one that everybody targets is the biggest sport it makes the most money it's the most glamorous is what the nation pays attention to. But you know from people that I talk to gain in the yards. They say look we we get them from soccer we give them from across we -- -- from hockey we get in as many kids that committee come in with injuries. Head injuries and it's not all just football even though footballs -- everybody talks about. -- they you -- and make another great point and but this study why it's so powerful as we had nearly 6000 reported. Concussions and it was over twenty million athletic exposures to me included all sports so it included this soccer. On the volleyball basketball and softball. And again. As you know football does trade that the lion's share of -- concussions so we did break out football. And that shows the effectiveness -- was by far the strongest since -- ball players. But it actually had a protective effect and when we had all athletes together and and look at all sports -- included so we actually had the cross and in other sports as well so. It's a great point then and I don't think that. The -- -- where we need to start and and I think we need to be studying all sports and has. Exciting part is. The technologies were exploring. May even benefit not -- athletes. It's intriguing and then I certainly appreciate you given us kind of an update did because these come out all the time this one was rather interesting in affected -- altitude in pressure in such. Actually can create or deter. You know some -- the concussions as some people are suffering a -- Myron thanks so much for coming on the program I appreciate it. All right thank you -- your time and -- they haven't. Absolutely tortilla -- their ego he is the -- I director of resurgence sports medicine Cincinnati Children's Hospital Medical Center.