Cavaliers, NBA blew handling of Kevin Love’s potential concussion

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Kevin Love got elbowed in the head. The Cavaliers say that didn’t cause them to suspect he suffered a concussion.

Love immediately grabbed his head in pain. The Cavaliers say that didn’t cause them to suspect he suffered a concussion.

Love fell to the floor and lay there for an extended period while still clutching his head. The Cavaliers say that didn’t cause them to suspect he suffered a concussion.

Love, according to Cleveland coach Tyronn Lue, “looked kind of woozy” in a later timeout. The Cavaliers say that didn’t cause them to suspect he suffered a concussion.

Take it in aggregate: Love got elbowed in the head, immediately grabbed his head in pain, fell to the floor, lay there for an extended period while still clutching his head and then, according to his own coach, “looked kind of woozy” in a later timeout.

No suspicion.

It’s unbelievably negligent or plain unbelievable.

Maybe Love was concussed. Maybe he wasn’t. That determination needn’t be made immediately after Harrison Barnes‘ elbow floored the Cleveland forward in the second quarter of Game 2 last night.

The first step is determining whether a player is suspected of having a concussion or shows any signs or symptoms of having one. Per the NBA’s concussion protocol:

If a player is suspected of having a concussion, or exhibits the signs or symptoms of concussion, he will be removed from participation and undergo evaluation by the medical staff in a quiet, distraction-free environment conducive to conducting a neurological evaluation.

Love remained in the court area, on the floor and on the bench, during the timeout followed his injury. That is not a “quiet, distraction-free environment conducive to conducting a neurological evaluation.”

Of course, the Cavs are incentivized not to suspect Love suffered a concussion. Even the suspicion would pull him from a crucial game for at least a few minutes.

This is a problem with sports culture and the NBA’s guidelines can’t magically fix it.

In fact, I don’t believe the guidelines go far enough to protect players. Anyone who requires testing for a concussion shouldn’t be permitted to return to play that day. Delayed symptoms are just too common. (The current rule bans only players diagnosed with a concussion from returning that day or the next.)

Unfortunately, that’d only further incentivize teams to ignore potential concussions. Players who should be at least tested could be ignored so as not to automatically end their game.

Yet, as lenient as the rules are now, Cleveland didn’t even follow them.

Lue said Love showed no symptoms at halftime – as if that’s highly meaningful. Love experiencing delayed symptoms is quite normal for a concussed person. That’s why continued monitoring is necessary after dangerous-looking hits to the head.

And Lue did continue to monitor.

Love started the second half, playing 1:55 until a timeout brought him back to Cleveland’s bench.

“I could see in a timeout he looked kind of woozy,” Lue said.

Lue left Love in the game, and Love played 11 more seconds before exiting for good. Thankfully, 11 seconds are a short window, and nothing catastrophic happened. But if he thought Love looked woozy, Lue should have immediately pulled Love from the game.

Why does all this matter? Dr. Ben Wedro of the DocTalk blog on MDDirect.org, addressed it last year when discussing a similar situation involving Klay Thompson:

“The concern is something called second-impact syndrome,” Wedro said. “And that says that, if you have a brain that is concussed and has not healed, it may not be able to protect itself against a second injury as well, and you can get swelling of the brain that spins out of control and people die. This is a rare situation. Some people believe it does not exist. Other people do. But that’s the concern – that if you stack concussions, that disaster can happen.”

There is no perfect method for preventing players from playing through concussions. Players can suffer concussions without getting hit in the head. If that happens, and he shows no immediate symptoms, how can you suspect to pull him from the game?

But removing someone who got elbowed in the head, immediately grabbed his head in pain, fell to the floor, lay there for an extended period while still clutching his head and then, according to his own coach, “looked kind of woozy” in a later timeout? That’s the bare minimum.

Love’s dizziness in the early third quarter sent him to the locker room, where he was finally given a proper assessment for a concussion. The Cavs then put him in the concussion protocol.

The Cavaliers say they handled this correctly. The NBA concurs.

I’m just curious what a player must do to arouse suspicion of a concussion if someone who got elbowed in the head, immediately grabbed his head in pain, fell to the floor, lay there for an extended period while still clutching his head and then, according to his own coach, “looked kind of woozy” in a later timeout doesn’t qualify.

Khris Middleton drops career-best 51 on Wizards, Bucks win without Antetokounmpo

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MILWAUKEE (AP) — Khris Middleton scored a career-high 51 points in the absence of injured teammate Giannis Antetokounmpo, leading the Milwaukee Bucks to a 151-131 victory over the Washington Wizards on Tuesday night.

Middleton, hoping to be chosen an All-Star reserve for the second straight year on Thursday, helped the Bucks hold off a second-half Wizards rally. Middleton also had 10 rebounds and six assists while hitting 16 of 26 shots and 7 of 10 3-pointers.

Milwaukee (41-6) scored a franchise-record 88 points in the first half, finished with its highest total of the season and won its ninth straight game despite the absence of Antetokounmpo, who sat out with a right shoulder injury.

Bradley Beal led the Wizards (15-31) with 47 points, his second straight 40-point game and sixth of the season.

Milwaukee led by as many as 32 points but the Wizards rallied in the third quarter, putting up 41 points to cut their deficit to 117-104 entering the fourth. Washington got within seven points in the final period but could not get closer.

Eric Bledsoe had 34 points, 10 assists and six rebounds for the Bucks. Donte DiVincenzo added 16 points.

Middleton responded with 13 points in the fourth quarter as he scored the most points by a Bucks player this season. He pounded home a dunk to go over 50 points and give the Bucks a 13-point lead late in the final quarter.

Antetokounmpo had 50 points on Nov. 25 against Utah.

The Bucks came out firing from deep, hitting eight of their first nine attempts from 3-point range. Milwaukee converted 14 of 22 shots in the first quarter on the way to a 42-28 lead.

And they kept going in the second quarter. Middleton hit his fourth 3-pointer of the half to give the Bucks a 69-43 lead with 5:46 left. Middleton nailed two more 3s to finish the half 6 for 6 from 3-point range and with 28 points.

The Bucks sank 14 of 24 3-pointers in the half and established a franchise best for points in a half as they grabbed an 88-63 lead at intermission.

The previous mark for points in a half was 87 set against New Orleans on March 14, 1979.

Joel Embiid’s Kobe tribute: 24 points while wearing uniform No. 24; 76ers’ win

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PHILADELPHIA (AP) — Wearing No. 24 in honor of Kobe Bryant, Joel Embiid scored 24 points in his first game in three weeks, leading the Philadelphia 76ers to a 115-104 win over the Golden State Warriors on Tuesday night.

Embiid and the rest of the Sixers wore No. 24 and No. 8 Bryant jerseys in warmups in honor of the Los Angeles Lakers star, who was killed Sunday in a helicopter crash. Embiid was granted permission from Hall of Famer Bobby Jones to wear the retired No. 24 instead of his usual 21 for his first game since he tore a ligament in a finger in his left hand.

The Sixers went 6-3 without Embiid, the first Sixer to be voted to three straight All-Star Games since Allen Iverson.

Embiid had averaged 23.4 points and 12.3 rebounds in 31 games this season. Against the Warriors, Embiid played with a splint on his hand that didn’t affect him when he buried a 3 that sent the Sixers into halftime with a 59-54 lead.

Philadelphia’s Ben Simmons had “Mamba Forever” and “RIP Gigi” (for Bryant’s daughter, among the nine killed in the crash) on each sneaker and scored 17 points.

The Sixers were the latest team to honor Bryant in a pregame ceremony. Bryant led suburban Lower Merion High School to the Class AAAA state title at Hersheypark Arena in 1996, the school’s first since 1943. His framed No. 33 Aces jersey was displayed at midcourt and the Sixers held a 33-second moment of silence of Bryant and the other eight victims in Sunday’s crash. The Sixers rang a bell nine times and shone nine lights on the court during the solemn remembrance. The Sixers skipped pregame introductions for both teams and instead played a video of Bryant’s last introduction in Philadelphia in a December 2015 game and images of him with Allen Iverson and Julius Erving.

Yes, all teams have been affected by Bryant’s death, but it struck particularly hard in Philly, where the former NBA star had a turbulent relationship with Philadelphia. His high school coach Gregg Downer spoke to the media for the first time earlier in the day, and wore Bryant’s No. 33 Lower Merion warmup jacket.

The mood in the building also was tempered, in part, because the 10-win Warriors gave the Sixers a serious challenge. The Sixers were 12-point favorites but D'Angelo Russell, who scored a team-high 28 points, kept the Warriors within single digits for most of the fourth quarter.

Al Horford buried a 3 and Shake Milton followed with another to push it to a 16-point lead and send the Sixers on their way to a whopping 22-2 record at home.

 

A tearful Shaquille O’Neal talks about his time, relationship with Kobe Bryant

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Shaquille O’Neal told Justin Tasch of New York Post: “I’m not doing well. I’m sick” about the death of his former teammate Kobe Bryant (along with eight others, including his daughter Gianna).

A lot of people can relate to that, but Shaq pulled it together enough to talk about his former championship teammate.

When it came to what he could no longer tell Kobe, Shaq teared up.

Shaq and Kobe had legendary feuds back in the day, but in later years made up and were friends.

Like many people, Shaq is still trying to process all of it. That’s going to take a long time.

Chris Paul posts emotional tribute to Kobe Bryant

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Chris Paul and Kobe Bryant were tight.

The shocking death of Kobe Bryant — along with his daughter Gianna and seven others in a helicopter crash — hit CP3 hard and the point guard missed his first game of the year Monday, sitting out as he tried to come to grips with it all. Kobe and Paul won Gold Medals together, their kids were friends, and they competed fiercely against each other on the court. 

Tuesday night, Paul posted this personal tribute to Kobe.

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I don't know if I'll ever be able to fully process it. My parents have always said everything happens for a reason and its in God’s plan. But this one is different. Broken fingers, torn Achilles, it didn’t matter. You overcame it all!! You were DIFFERENT! Sometimes we competed so hard against each other that you could never tell how I was always watching YOU!! I needed to see how much better I needed to get and how much harder I needed to work! The love you had for the game was nowhere near the love you had for YOUR girls!! All 5 of them!! And Gigi, who we had already prearranged her marriage with lil Chris, is as beautiful and feisty as she could ever be!!! As I’ve watched you in retirement, as happy as you’ve ever been, I’ve sat back and prayed and hoped that my baby girl will look at me the way Gigi looks at you!!! I Love You and will miss you with all my heart my brother!!! All my love to Vanessa and all the families during this time 🙏🏾 #Mamba4Life #Mambacita

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Like Paul, a lot of us are struggling to process it all.