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The Dreaded Subdural Hematoma

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The Dreaded Subdural Hematoma

In 2016, I wrote an article for TSS titled, “Concussion: Now It’s Boxing’s Turn.” In the article, published on Aug. 16, I described the work of Dr. Bennet Ifeakandu Omalu who became famous for his work on Chronic Traumatic Encephalopathy (CTE) on football players using former Pittsburgh Steeler “Iron Mike” Webster as a key part of his study.

Six years later, Tris Dixon’s timely book, “Damage: The Untold Story of Brain Trauma in Boxing,” was published. In the book, Dixon wrote:

‘
This is boxing.’ CTE is actually punch-drunk syndrome. It was a big epiphany for me: ‘Hang on, the NFL are addressing this but we do nothing in boxing.’ I’d been in boxing 25 years and I didn’t know about CTE, tau protein and things that should be a staple. Fireworks went off in my head: ‘Wow, these guys worrying about the NFL could be worrying about boxing, which is far more dangerous.’ The NFL concussion debate started with The Mike Webster case in 2000. Boxing turned its back for nine decades and we haven’t had our Webster moment yet.” (emphasis mine)

To my delight, Tris affirmed what I had concluded in my 2016 article; to wit, a connection between Dementia Pugilistica and CTE existed. In fact, they might be the same.

January 2010

Before I wrote the 2016 article, I had a somewhat traumatic if not unique experience for a boxing writer—and this brings me to January 9, 2010.

While dining out out with my wife, I became incredibly thirsty. The following day I began to get disoriented with a splitting headache and short-term memory loss. I recall I could not put my watch on, type, or connect the buttons on my shirt. Something was wrong. After experiencing some confusion, I drove to my ophthalmologist’s nearby office at Memorial Hospital in North Conway, New Hampshire, thinking something was going on with my eye pressure. He took one look and immediately had me wheeled to emergency. He thought I was having a stroke and he was not far off.

 I was then given an MRI after which I was Informed that the results showed I had a brain bleed and that I would be taken to the excellent Maine Medical Complex in Portland, Maine, where they were equipped to attend to the matter.

The 65-minute ambulance ride over icy roads (I chose ambulance over helicopter) was harrowing. The attendant asked my name and date of birth every five minutes. He also gave me a shot of something that relaxed me. His intent was to keep me conscious.

We finally reached the hospital (a large complex) and I was rolled to ICU on a stretcher and then, after a short while, assigned to a room where I met the operating surgeon, Dr. Joseph Alexander. I asked how serious a matter this was and he assured me that things would come out “just fine.” I also asked if this is what happens to boxers who suffer a subdural hematoma, and he replied, “if they are lucky” inferring that if they lose consciousness and/or a blood clot is present, things can get very tricky. Thankfully, neither one was involved in my case.

 I was then prepared for the operation. My wife was with me the entire time staying in the nearby Regency Hotel.

I was quickly rolled into the operating room and commenced talking with the  anesthesiologists. Suddenly, I went out like a light and the operation began to resolve the dangerously increasing pressure caused by the brain bleed.

ted

I woke up in a bed with high rails and a tube in my head (see photo above) but I WOKE UP. The doctor said that when they opened up my skull, the blood gushed out like a geyser. They also had to remove part of my skull (see photo) to help ease the pressure of the swelling.

In retrospect, I had taken a bad fall a few months back. I had gotten out of bed too fast and fainted, landing hard on my head. Whether this was the cause could not be determined because there was some “old blood” in my skull, but I believe that it was. At any rate, I was confined to a nice private room for four days and subsisted on horrific hospital cuisine. I recall that a terrible earthquake had struck Haiti so I can accurately pinpoint the dates of these events.

 The only discomfort I experienced was a headache and a bad reaction to OxyContin in which I became a jumping jack. It was horrible, but it was soon replaced by something that worked, Finally, on the fourth day, they removed the draining tube from my head and stitched the hole.

Research

During my time at the hospital, I made it a point to learn as much as I could about subdural hematomas. In particular, I was interested to see where my situation ranked in the scheme of things.

I found that speed is essential and that after a short time without blood flowing to the brain, unconsciousness takes place. Apparently, after a few short minutes without the oxygen that the fresh blood supplies, the brain begins to shut down. And then after about five-six minutes, the result can be irreversible brain damage or death. This was not my case, thank God, as the swelling of the brain did not cut off access to blood by squeezing shut the arteries and blood vessels that supply it.

Apparently, If the brain swells larger than the skull, bad things can happen. For example, the sign of blood coming out of the ears should be a warning sign whether in boxing or otherwise.

I had become an amateur expert on brain injuries thanks to reading and discussing the topic. I learned that my situation was on the lower end of the severity index, but I also learned that the critical variable of speed translates in boxing to an absolute need for competent medical assistance at ringside — oxygen, stretchers, and a waiting ambulance.

In this connection, the death of Willie Classen in 1979 begs to be reexamined. So does Greg Page’s case in 2002 where there was no ambulance, no team of paramedics, nor oxygen, all of which were required by law. The ringside doctor, Manuel Mediodia, wasn’t licensed in Kentucky and was under suspension in Ohio.

Their stories cannot be forgotten, nor should the 2013 case of Magomed Abdusalamov or the bizarre ring fatality of South African Simiso Buthelezi, a more recent example.

My hospital stay then ended, my son arrived and took me back home to New Hampshire where I started the rehab process and, sooner rather than later, fully recovered.

 I had used up one of my nine.

October 2017

Unfortunately, the issue popped up again in 2017 when one of my sisters suffered a traumatic brain injury as a result of being struck by a truck in Las Vegas. After emergency surgery could not bring her back, she was put on life support machines. I knew more than most what was going on and I knew what needed to be done.

Upon arriving to Las Vegas I immediately went to the hospital and conversed with the neurologist. After staying at her side for two days to give her many friends and relatives a chance to say goodbye and/or to pray, I had the life support machines disconnected and remained alone with her until she passed about an hour later. It was another horrific incident that added to my body of knowledge on brain injuries. I think of her every day.

As far as boxing is concerned, the danger of a subdural hematoma is omnipresent, and it doesn’t discriminate: “

 Ted Sares enjoys writing about boxing and can be reached at tedsares@roadrunner.com

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Avila Perspective, Chap. 278: Clashes of Spring in Phoenix, Las Vegas, and LA

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PHOENIX-It happens every Spring.

Promoters worldwide gather their forces and produce their best fight cards from Europe to the Americas and in Asia.

Beginning Friday, it starts with Top Rank staging a heavy-duty fight card featuring Arizona’s Oscar Valdez and Australia’s Liam Wilson along with a female battle for the undisputed minimumweight championship. ESPN+ will stream the card.

Valdez (31-2, 23 KOs) meets Wilson (13-2, 7 KOs) at the Desert Diamond Arena in Glendale, Arizona on Friday, March 29. Both have a common foe and lost to champion Emanuel Navarrete. Both want a rematch or world title fight.

“I know Liam Wilson. He’s a tough fighter,” said Valdez. I was there when he fought Emanuel Navarrete and he sent him to the canvas.”

Wilson almost defeated the champion and now must face two-division world titlist Valdez in his Arizona backyard.

“The whole world saw what happened. I should have already become world champion,” said Wilson of his fight with Navarrete. “I won the belt that night.”

It’s not to be missed.

In the co-main WBA and WBC titlist Seniesa Estrada (25-0, 9 KOs) and WBO and IBF titlist Yokasta Valle (30-2, 9 KOs) battle for the undisputed minimumweight world championship.

Costa Rica’s Valle has super speed and the ability to change tactics if things don’t go her way as she showed against Argentina’s Evelin Bermudez. She is also one of the most athletically gifted fighters in female boxing with incredible stamina.

“This isn’t personal. I respect her as the champion that she is,” Valle said. “And in the ring, we will see who is the real champion.”

East L.A’s Estrada is perhaps one of the most skilled fighters in the world. She also packs power in her small frame. So far, no one has been able to figure out her fighting style or overcome her quickness. The left hook is her best weapon but she has floored opponents with her right cross as well.

“The talk is over. Its time for us to get in there,” said Estrada. “It’s about showing the world that women’s boxing is here, it’s on the rise, and we are great.”

Las Vegas

Aussie slugger Tim Tszyu (24-0, 17 KOs) can add the WBC to his WBO super welterweight title but must pass through giant Sebastian Fundora (20-1-1, 13 KOs) to accomplish unification. Tszyu was supposed to fight Keith Thurman but injury forced him out of Saturday’s TGB Promotions fight card at T-Mobile Arena in Las Vegas.

Last-minute replacements can be a problem.

Fundora is already a problem with his six-inch height advantage. Plus, he’s a southpaw with pop. It’s like pouring sugar into a gas tank for Tszyu.

But he’s a very confident fellow.

“He’s got height but we all bleed the same blood,” Tszyu said at the press conference.

Another world title fight pits WBA super lightweight titlist Rolly Romero (15-1) versus Isaac Cruz (25-2-1) in the semi-main event.

A third world title matches WBA middleweight titlist Erislandy Lara (29-3-3) against Michael Zerafa (31-4).

A fourth world title fight consists of WBC flyweight titlist Julio Cesar Martinez (20-3) fighting Angelino Cordova (18-0-1).

In an eliminator for the WBC super welterweight belt, Serhii Bohachuk (23-1) is now matched against Brian Mendoza (22-3) who replaces Fundora.

It’s a solid fight card that will be shown on PPV.COM with Jim Lampley broadcasting and assisted by Lance Pugmire. They will also be texting the results and interacting with fans. It’s their third boxing show.

Inglewood

Former super middleweight world titlist Gilberto “Zurdo” Ramirez (45-1) is moving up two weight divisions to challenge WBA cruiserweight champion Arsen Goulamirian (27-0, 19 Kos) on Saturday March 30, at the YouTube Theater in Inglewood, Calif. DAZN will stream the Golden Boy Promotions card.

Goulamirian will be making the fifth defense of his title and recently added famed trainer Abel Sanchez to his corner. The former trainer of Gennady Golovkin and Serhii Bohachuk had retired for a few years but returned for the champ.

It’s an interesting match.

Even more interesting was the announcement that Hollywood Park and Golden Boy Promotions signed an agreement beginning this Saturday to work together in bringing boxing events.

“We were the first to host an inaugural combat sports event at YouTube Theater in January 2023, and we couldn’t be more pleased to make history again by being the first to solidify a partnership deal of this magnitude with Hollywood Park,” said Oscar De La Hoya the CEO for Golden Boy Promotions.

It’s an interesting partnership.

One thing the promotion company needs is to add more female fighters to their company to break up the monotony of slow fight cards. It makes sense to add women to the boxing cards. They fight harder and I’ve never seen women fights fail to excite the crowd, whereas I’ve seen plenty of boring men fights on many a promotion.

Bring in female fighters.

When Zurdo fought at the Banc of California two years he brought very few fans compared to the two female fights that same night. The women draw a different crowd and surprise most fans with their energy.

Fights to Watch (all times Pacific Time)

Fri. ESPN+ 3:10 p.m. Oscar Valdez (31-2) vs Liam Wilson (13-2); Seniesa Estrada (25-0) vs Yokasta Valle (30-2).

Sat. DAZN 5 p.m. Gilberto Ramirez (45-1) vs Arsen Goulamirian (27-0).

Sat. PPV.COM 5 p.m. Tim Tszyu (24-0) vs Sebastian Fundora (20-1-1); Rolly Romero (15-1) vs Isaac Cruz (25-2-1); Erislandy Lara (29-3-3) vs Michael Zerafa (31-4); Serhii Bohachuk (23-1) vs Brian Mendoza (22-3).

Photo credit: Mikey Williams / Top Rank via Getty Images

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Results from Detroit where Carrillo, Ergashev and Shishkin Scored KOs

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Results from Detroit where Carrillo, Ergashev and Shishkin Scored KOs

Dmitriy Salita, who began promoting small club fights In Brooklyn at the former U.S. Navy airfield where he had his final pro fight, has found a welcome home in Detroit where he is working hard to resurrect the Motor City as an important fight destination. Although his shows are still low-budget (save for the money he spends on marketing; he uses heavyweight PR firm Swanson Communications), his new arrangement with DAZN can only move him another step up the pecking order.

Tonight, two of the most valuable pieces in his stable – junior lightweight Shohjahon Ergashev and super middleweight Vladimir Shishkin — were in action on Salita’s second show at Detroit’s Watne State University Fieldhouse. However, Salita reserved the main event for one of his newest signees, Juan Carrillo, a light heavyweight who represented Colombia in the 2016 Rio Olympics.

In a battle of southpaws, Carrillo (12-0, 9 KOs) had no difficulty putting away Quinton Randall (21-9-2), a 37-year-old North Carolinian who had scored only five of his 21 wins against opponents with winning records. In the third frame, a big left uppercut put Randall on the canvas. He managed to get to his feet at the count of nine, but was on queer street and the fight was waived off. The official time was 0.27 of round three.

Ergashev

Shohjahon Ergashev, a southpaw from Uzbekistan who purportedly has 2.7 million Instagram followers in his home country, was making his first start since a failed bid to win the IBF 140-pound world title. Ergashev was stopped in the fifth round by Subriel Matias, his first defeat as a pro after opening his career 23-0 with 20 KOs.

Tonight, he got back on the winning track without breaking a sweat. A left hook to the body ended the fight in the opening round. His victim, Juan Antonio Huertas, a 31-year-old Panamanian, entered the fight with a 17-4 record, but was 0-2 on American soil and had been stopped both times.

Shishkin

A 32-year-old Russian who trains at the new Kronk Gym where SugarHill Steward holds forth when he is in town, Vladimir Shishkin entered the contest undefeated (15-0, 9 KOs) and ranked #2 by the IBF. How odd that his fight opened the telecast. Perhaps promoter Salita thought that the fight would be too one-sided and wanted to get it out of the way in a hurry. His opponent Mike Guy, 12-7-1 (5) heading in, had been in with some rough customers but was 43 years old, was inactive in all of 2022 and 2023, and had fought most of his career as a super middleweight.

The fight was one-sided in favor of Shishkin and rather dull until the Russian cracked up the juice in round seven and forced the stoppage.

In the future, we would encourage Dmitriy Salita to take some of that money he has been spending on marketing to find a higher caliber of “B-Side” opponents. The best thing about this show was that it was over in a hurry.

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R.I.P. IBF founder Bob Lee who was Banished from Boxing by the FBI

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“The image some people have of me is disappointing,” said Bob Lee in a 2006 interview, “but I also feel I had a positive impact on the sport
”

Lee, the founder of the International Boxing Federation who died yesterday (Sunday, March 24) at age 91, spoke those words to Philadelphia Daily News boxing writer Bernard Fernandez who was the first person to interview him when he emerged from a federal prison in 2006. Lee served 22 months on charges that included racketeering, money laundering, and tax evasion.

Born and raised in northern New Jersey and a lifelong resident of the Garden State, Lee, a former police detective, founded the International Boxing Federation (henceforth IBF) in 1983 after a failed bid to win the presidency of the World Boxing Association. At the time, there were only two relevant sanctioning bodies, the WBA, then headquartered in Venezuela, and the WBC, headquartered in Mexico. Both organizations were charged with favoring boxers from Spanish-speaking countries in their ratings at the expense of boxers from the United States.

Bob Lee’s brainchild, whose stated mission was to rectify that injustice, achieved instant credibility when Marvin Hagler and Larry Holmes turned their back on the established organizations. Hagler’s 1983 bout with Wilford Scypion and Holmes’ 1984 match with Bonecrusher Smith were world title fights sanctioned exclusively by the IBF, the last of the three extant organizations to do away with 15-round title fights.

Lee’s world was rocked in November of 1999 when a federal grand jury handed down an indictment that accused him and three IBF officials, including his son Robert W. “Robby” Lee Jr., of taking bribes from promoters and managers in return for higher rankings. The FBI, after a two-year investigation, concluded that $338,000 was paid over a 13-year period by individuals representing 23 boxers.

The government’s key witness was C. Douglas Beavers, the longtime chairman of the IBF ratings committee who wore a wire as a government informant in return for immunity and provided video-tape evidence of a $5000 payout in a seedy Virginia motel room. Promoters Bob Arum and Cedric Kushner both testified that they gave the IBF $100,000 to get the organization’s seal of approval for a match between heavyweight champion George Foreman and Axel Schulz (Arum asserted that he paid the money through a middleman, Stan Hoffman). In return, the IBF gave Schulz a “special exemption” to its rules, allowing the German to bypass Michael Moorer who had a rematch clause that would never be honored. (In a sworn deposition, Big George testified that he had no knowledge of any kickback).

After a long-drawn-out trial that consumed four months including 15 days of jury deliberations, Bob Lee was acquitted on all but six of 32 counts. His son, charged with nine counts, was acquitted on all nine. The jury simply did not trust the veracity of many that testified for the prosecution. (No surprise there; after all, they were boxing people.) But neither did the jury buy into the argument that whatever money Lee received was in the form of gifts and gratuities, a common business practice.

The IBF was run by a court-appointed overseer from January of 2000 until the fall of 2003. Under its current head, Daryl Peoples, who came up from the ranks, assuming the presidency in 2010, the IBF has stayed out of the crosshairs of federal prosecutors.

As part of his sentence, Bob Lee was prohibited from having any further dealings with boxing and that would have included buying a ticket to sit in the cheap seats at a boxing card. This was adding insult to injury as Lee’s passion for boxing ran deep. As a boy working as a caddy at a New Jersey golf course, he had met Joe Louis and Sugar Ray Robinson, two of the proudest moments of his life.

As for his contributions to the sport, Lee had this to say in his post-prison talk with Bernard Fernandez: “We instituted the 168-pound [super middleweight] weight class. We took measures to reduce the incidence of eye injuries in boxing. We changed the weigh-in from the day of the fight to the day before, which prevented fighters from entering the ring so dehydrated that they were putting themselves at risk. All these things, and more, were tremendously beneficial to boxing. I’m very proud of all that we accomplished.”

Bob Lee was a tough old bird. Diagnosed with Type 2 diabetes in 1986, he was insulin-dependent for much of his adult life and yet he lived into his nineties. Although his coloration as a shakedown artist is a stain that will never go away, many people will tell you that, on balance, he was a good man whose lapses ought not define him.

That’s not for us to judge. We send our condolences to his loved ones. May he rest in peace.

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