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Minn. lawmakers want Lou Gehrig's medical records

Minn. lawmakers want Lou Gehrig's medical records

MINNEAPOLIS (AP) Some Minnesota lawmakers hope to force the release of Lou Gehrig's medical records, saying they might provide insight into whether the Yankees star died of the disease that came to take his name or whether repetitive head trauma played some kind of role.

Their effort comes despite opposition from Mayo Clinic, which holds the records, and skepticism from experts that the records alone would prove anything.

Rep. Phyllis Kahn, a Minneapolis Democrat and self-described baseball fanatic, conceded that the records ``probably won't show anything.''

``But just in case they might it's ridiculous not to look at them,'' she said Thursday.

Gehrig's death is attributed to amyotrophic lateral sclerosis, or ALS, a debilitating neurological disease that after his death in 1941 became commonly known by his name.

Kahn said she became intrigued after reading about a widely publicized study in 2010 that suggested a potential link between repetitive brain trauma in athletes and ALS. She noted that Gehrig suffered several concussions during his career, in which he set a record for the most consecutive games played, and that he played football at Columbia University. Given all the information that's emerged in recent years about the long-term effects of head trauma in athletes, she said, it would be useful to know what Gehrig's records say.

Kahn said she and some other lawmakers hope to change state law to allow release of health records of patients who have been dead more than 50 years, unless descendants object or the patient signed a will or health care directive to the contrary.

Gehrig has no living relatives to give consent. Mayo Clinic spokesman Nick Hanson said the clinic can't discuss a patient without their consent or permission from a legally authorized decision-maker such as family or an estate administrator.

``Mayo Clinic values the privacy of our patients,'' Hanson said in an email. ``Patient medical records should remain private even after the patient is deceased.''

Several medical experts say they strongly doubt the records would shed any new light on the theory that Gehrig might have died from something other than ALS. That includes the author of the study that caught Kahn's eye, Dr. Ann McKee.

``I don't think the medical records would be helpful,'' said McKee, chief neuropathologist for the National VA Brain Bank and co-director of Boston University's Center for the Study of Traumatic Encephalopathy. ``It really requires looking at the tissue and he was cremated, so it's not possible.''

The president of the foundation that holds the intellectual property rights to Gehrig's legacy agreed.

``I fail to see what virtue this would have,'' said Dr. Rodney Howell, president of the Rip Van Winkel Foundation, which was founded by his father-in-law, Dr. Caldwell Esselstyn Sr., who was Gehrig's personal physician. Howell is also chairman of board of the Muscular Dystrophy Association, which funds ALS research.

Even today, Howell said, ALS is diagnosed primarily by its symptoms and by signs of deterioration in the nerves that control voluntary movement. He said his views are guided heavily by the work of Dr. Stanley Appel of the Methodist Neurological Institute in Houston, one of the world's leading ALS researchers, who was dismayed to hear that the lawmakers are questioning whether Gehrig died of Lou Gehrig's disease.

``Whether head trauma may have played a role in Gehrig's development of ALS can never be verified, but it is a complete disservice to his place in history as an icon for ALS to suggest that his disease was not ALS,'' Appel wrote in 2010 editorial for the journal Muscle & Nerve that took issue with McKee.

McKee's study didn't mention Gehrig but she raised his case in subsequent media interviews that left ALS patients ``distraught'' over the implication they might have been misdiagnosed, Appel recalled Thursday.

Appel said he agreed with Mayo that Gehrig's records should remain private. He said there's no way the limited data in records that old could yield any new scientific knowledge about whether his condition was linked to his concussions because the consequences of repeated head trauma in athletes have become understood only recently.

Kahn, a state lawmaker for 40 years, has a background in biophysics and a reputation for longshot legislation. Some of her past proposals have included a push to lower the voting age to 12 and to make the Minnesota Twins publicly owned. Given that Gehrig attended Columbia University, Kahn said, he clearly had a good education and a lot of intellectual curiosity.

``It seems to me that if he were alive he would be authorizing it,'' Kahn said.

Gehrig biographer Jonathan Eig thinks so, too.

Eig said he tried unsuccessfully to get Gehrig's medical records while researching his 2005 book ``Luckiest Man,'' but said he was able to interview Mayo Clinic doctors who saw the records, including one who knew a doctor who treated Gehrig. He said they confirmed that the ballplayer had the classic symptoms of ALS.

Gehrig was a strong supporter of ALS research, Eig said, and submitted himself to all kinds of experiments. And since Gehrig is still the ultimate symbol of ALS, he said, opening up the files would help the public learn more about the disease, even if they don't prove anything about his potential head injuries.

``My hunch is that he would be all in favor of public disclosure,'' Eig said.

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Tom Wilson does the little things in Capitals’ 3-2 overtime win at Colorado

Tom Wilson does the little things in Capitals’ 3-2 overtime win at Colorado

To call it a hit is generous. To call it a huge play is accurate. 

Capitals forward Tom Wilson backed into a loose puck along the boards in the defensive zone of Friday’s game against the Colorado Avalanche. He waited for a hit sure to come from behind. 

Colin Wilson, the Avalanche center, moved in to dislodge the puck. Instead he got dislodged from gravity. The 6-foot-4, 220-pound Tom Wilson, barely moving and braced for contact, used his own leverage to launch Colin Wilson into the air, arms and legs akimbo. 

By the time Colin Wilson crashed to the ice, Tom Wilson had chipped a blind backhand pass to center ice, where Alex Ovechkin stopped it with his skate, dropped it to teammate Nicklas Backstrom, who gave it back as they entered the offensive zone. Ovechkin crossed from left to right and ripped a shot past former teammate Philipp Grubauer in goal for Colorado. 

It was a wonderful pass from Backstrom, who put the Avalanche on their heels. Ovechkin’s shot was a bullet that left little chance for Grubauer. But make no mistake – it all started with Wilson, who was prepared to take a hit to make a play. It is those little things that the Capitals missed during Wilson’s 16-game suspension by the NHL. It was the little things that helped them to a 3-2 overtime victory.  

“[Wilson] brings so much energy to this group,” Backstrom said. “He’s everywhere out there. That’s what we need. He’s playing PK, he’s playing power plays, he’s doing everything. He’s a valuable guy in this group so we’re happy to have him back.”

The game-winning goal in overtime by Backstrom was a perfect example. Wilson took a drop pass from defenseman John Carlson 12 seconds into overtime with Washington on a 4-on-3 power play. That’s when he went to work. 

For six seconds Wilson and Avalanche center Carl Soderberg did battle along the right boards high in the offensive zone. Just as Wilson was knocked to the ice, he slipped a pass back to Backstrom alone at the point. 

With Soderberg on top of him and both out of the play, Wilson watched Backstrom take advantage of the extra space in what effectively became a 3-on-2. He passed to Carlson in the right faceoff circle and then got the puck back in the high slot and beat Grubauer blocker side for the win. That doesn’t happen without Wilson. 

“When you’re playing with good players, you just try and keep it simple, win your battles and they’ll do the rest,” Wilson said. “And that’s exactly what happened on both those plays. At the end there, I thought about throwing it across the ice a couple times, but I’m not that comfortable out there yet so just kind of ragged on the wall and waited. Nicky got open for me and made it easy, I just threw it over to him and it was in the back of the net.”  

The Ovechkin goal put Washington ahead 2-1 at 18:29 of the second period. The Backstrom winner came 22 seconds into overtime. Wilson, in his third game back after his original 20-game suspension was reduced by a neutral arbitrator, played a career-high 24 minutes, 24 seconds. He moved to the power play for 4:19 with T.J. Oshie out with an upper-body injury and contributed 1:35 on the penalty kill – a little less than usual. 

Wilson played on the PK for 5:23 in his first game back Tuesday against the Minnesota Wild. He scored a goal in that game, too, by driving the net hard and has been a jolt of energy for a team that was scuffling coming into a difficult four-game road trip. The Capitals are 2-1-0 with one game left Monday at the Montreal Canadiens. 
 
“Tom is one of those guys that was vocal in our room, vocal on the bench that we’re fully in control of that game still even though we gave up the late goal,” Washington coach Todd Reirden said. “But that’s a tough start [after the suspension], three in four, and then add in the altitude and the minutes that we’re counting on him playing because they aren’t easy minutes. And then obviously having to chase around that top line tonight from Colorado is no easy task. Just really happy with the fact that we got him back a little earlier than was originally set up for us. It’s been a good bounce for our team.” 

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5 reasons the Caps beat the Avalanche

5 reasons the Caps beat the Avalanche

A shorthanded Capitals team marched into Colorado and took a 3-2 overtime win over the Avalanche on Friday.

Here are five reasons the Caps won.

A big glove save

With no T.J. Oshie, Evgeny Kuznetsov or Braden Holtby, the Caps were a bit shorthanded heading into the game. After the Avalanche took a 1-0 lead just 68 seconds in, it felt like it could be a very long night for Washington.

It could have been if not for an early breakaway save by Pheonix Copley.

Soon after the goal, Nathan MacKinnon grabbed the puck on a breakaway. MacKinnon is one of the best offensive players in the league and not the guy you want to see going in alone on Copley on a breakaway.

Copley, however, flashed the glove and made the save to keep the game at 1-0.

One year ago to the day, the Caps lost 6-2 in Colorado. With the injuries Washington was dealing with, it’s not a stretch to think this game could have gone off the rails quickly had the Avalanche jumped out to a 2-0 lead.

Tic-Tac-Toe

The Caps struggled through the first period to get any real penetration on Colorado’s defense and were kept largely on the perimeter with very few high-danger opportunities. The Avalanche defense got a bit more porous in the second and Washington took advantage.

Travis Boyd collected the puck in the offensive zone below the goal line. As he skated along the wall, he found himself face-to-face with four Colorado players who were all just following the puck. As far as defense goes, that’s not an ideal situation. Boyd found a wide-open Chandler Stephenson on the cross-ice pass, Stephenson goes back left to Devante Smith-Pelly who had an empty net to shoot on to get the Caps on the board and tie the game at one.


Game speed

After six seasons in Washington, Philipp Grubauer has faced literally thousands of shots from Alex Ovechkin in practice. But he never faced one of those shots in a game until Friday. Those shots come off the stick a bit faster when it counts as Grubauer learned.

Nicklas Backstrom entered the offensive zone with the puck and backhanded it to Ovechkin. Backstrom kept driving to the net drawing the defense with him except for Tyson Barrie. Backstrom’s passed to the left, but Ovechkin collected it going right which caught Barrie flatfooted. Ovehckin easily skated around Barrie to find an open shooting lane, then snapped a shot past Grubauer to put the Caps up 2-1. Ovechkin’s celebration was almost instantaneous, he knew he had Grubauer beat.


A late penalty

The referees really put away the whistles in the third period. They even missed a clear high-stick to Dmitry Orlov that drew blood and should have been a double-minor. Colorado came back to tie the game, but Smith-Pelly finally drew a blatant holding penalty from Ian Cole with just over a minute left to go in regulation.

The Avalanche survived to force overtime, but Nicklas Backstrom scored the game-winner on the power play just 22 seconds in for the win.

Tom Wilson making a Tom Wilson play

Space is important in hockey. That’s what makes a four-on-three power play harder to cover than a five-on-four power play. You know what’s even better? A three-on-two.

The Caps entered overtime on a power play which gave them a four-on-three to start. Tom Wilson had the puck on the wall and took a hit from Carl Soderberg. He saw the hit coming and took it so he could make the pass to Backstrom. He won the board battle and the hit took Soderberg out of the play, giving the Caps a three-on-two in the offensive zone to work with. Backstrom passed to John Carlson who passed back to Backstrom. He had all day to fire the game-winner and it was all thanks to a tremendous play from Wilson that most people would not have noticed.

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