Episode Transcript
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Speaker 1 (00:00):
Three sixty is back on ESPN fifteen thirty Cincinnati Sports Station.
Speaker 2 (00:08):
Wow Wow, welcome back sincey thirty sixty. It's our number
three roll along on ESPN fifteen thirty Cincinnati Sports Station.
Thanks to Penn Station. Also thanks to our friends at
AE Door and Window allowing us to be here at
Bengals training camp. Thanks to the Bengals as well for
rolling out the red carpet. It's time and it's appropriate
with how hot it's been today to talk to our guy,
(00:28):
Bob man Jean from the University of Cincinnati and Novacare
who joins us right now. Bob, what's going on? How
are you?
Speaker 1 (00:35):
Yeah, I'm tuning just like everybody else, trying to survive
the heat. And luckily I'm an indoor trainer now so
I don't have to worry about it. Tea too much
compared to the poor guys outside trying to practice football
right now.
Speaker 2 (00:48):
It is. It is listed right around like ninety two
degrees right now. We all know that the temperature on
the football field is much hotter while the team is
not practicing. Now they're done practicing, it was still really
hot when they were out there, and we saw this
yesterday as well, Bob, when you start to think about
heat and you start to think about exhaustion when it
comes to the football field. Already, we've seen Bengals players
(01:11):
that have thrown up. We've seen Bengals players that have
to leave. They're putting the cold packs on their necks,
and I'm sure getting ivs as well. When it gets
to the point where the cramping has already started, is
it then at the point where it's too late really
to get much more out of that athlete that day?
Speaker 1 (01:29):
Oh yeah, I mean, especially this time of year, Tony,
you're going through a climborization.
Speaker 3 (01:33):
You know what that is.
Speaker 1 (01:35):
You got to get your bodies used to being in
a uniform, being out on the field, on the turf,
getting used to the humidity. I mean, you know, that's
why we call it the heat indecks in terms of
looking at dryball verse with coming up with the heat indecks.
Speaker 3 (01:50):
And that takes a while.
Speaker 1 (01:51):
I mean that could take ten to fourteen days for
some of these guys. And again, once you start cramping,
literally we would shut you down, we get you inside,
we get you cooling, we would get an IV and
you try to break those cramps and even in basketball
sometimes this time of year in some of these facilities.
(02:13):
You know, I had, I had some guys went in
the cramps the other night because you know, even indoors, uh,
you've got some heat, excessive heat. Even with the air
conditioner going and everything, it's hard to cool everything down.
So cramps are your body's warning side. Hey you're done,
Hey get cold, Make sure you're drinking, make sure you're
(02:34):
getting the electrolytes back in you. And then of course,
depending on the cramps, we will we will go right
into the IV world so that we can get you,
you know, your fluids back in faster. As you well know,
if you're just drinking, it takes a while for that
water and electrote to get absorbed through the gastric system
into your blood system and build yourself back up. So again,
(02:59):
probably the easier ways to get an IV. If you
look at the data, ninety seven percent of heat illness
occurs to offense and defensive linemen. They have extra weight,
they have harder time dissipating the heat. They you know,
and again the NFL, God bless them, they've listened. They've
(03:20):
really changed their strategies ever since the Cory Stringer incident.
Speaker 3 (03:26):
College football has.
Speaker 1 (03:28):
Changed quite a bit, although we will still have occasionally,
you know, a heat illness related deaths within college football
as well, and a lot of times their offense and
defensive linemen because it's much easier to do the warning
to high school coaches, high school parents conditioning if position specific,
(03:51):
you don't run your offense and defensive linemen the same distances,
the same intensity issues in your wide receivers, you're running backs.
These guys have got to learn to adapt to the
new world of science, and that is that position specific
conditioning is required of these guys. And too many coaches
(04:13):
just light everybody up and let's start running. And you've
played for coaches like that, and nowadays we're smarter, hopefully
we're smarter and understand.
Speaker 3 (04:22):
That we need more breaks out of daylight today.
Speaker 1 (04:25):
You remember the year a football camp at higher Ground.
One year the actual turf temperature at the artificial turf
level was one hundred and forty sixth race and your
everyday's seats were burning. And I'll walk over to Brian County.
I said, b if you want to practice today, no problem,
but we're taking a break and giving water. Formally every
(04:47):
fifteen to twenty minutes, and if I think it's getting worse,
then we're you know, we may have to set it down.
And you know, we made it through the whole practice
with that very much incident. But you know the reason
I don't have a problem practicing, you know at one
o'clock or twelve o'clock or whatever is at the college level,
(05:08):
what am I going to do go up to ESPN
and say, hey, we're moving the game back to ten
o'clock in the morning. So the kids have to learn,
But the trainers are the critical key to this. Coaches
have to listen to their athletic trainers. They have to
listen to their athletes. If they don't, they're going to
get in trouble.
Speaker 2 (05:28):
We talked about some of the ways you're preemptively trying
to cool a body down cold tubs, ice packs on
their shoulders, obviously pumping Gatorade ivs. But everyone's doing that.
Everyone knows the weather's going to be hot, so everyone
is trying to drink more fluids. Everyone is trying to
get out ahead of this. Is there just a case
in some athletes where they are more prone to be cramping,
(05:49):
to be struggling with the heat, because, like I said,
it's not like these players in today's sport don't know
the weather's going to be hot. They don't know that
they're getting their body ready for that. But a are
there just some athletes that are more prone to cramping
than what others would be.
Speaker 1 (06:04):
Oh, absolutely, we have sweaters.
Speaker 3 (06:07):
You know when you were here, you know.
Speaker 1 (06:09):
We started back in probably six seven, maybe even a
little bit earlier in that where we actually did pregame
ivs in which you know, during Campley, we kind of
researched each athlete. We saw the response to the heat,
we saw their response to water consumption, and some guys
still went and cramped. And so we learned in those
(06:32):
days that we had to pre hydrate and probably six
seven guys per game would have to get pregame ivs.
Speaker 3 (06:40):
And most of it.
Speaker 1 (06:40):
Were like the offensive defensive lineman and maybe some of
the wide receivers because you know, they're going forty to
fifty sixty yards almost every play. Can't do that in
high school per se. Yeah, in the NFL, that's a
piece of cake. You know, you hear about all the time.
College now it's really easy. But in high school, you know,
(07:01):
these athletic trainers aren't going to sit there and be
able to get pre practice and pregame ivs. So you
got to remember a camp. If you didn't have a
gallon jug of water in your hand, I'd start screaming. Actually,
because if you're not pre hydrating, hydrating going practice, you're
not going to give yourself a chance to hydrate. And
(07:22):
coaches have to understand this weather. You can't go two
straight hours. You're giving them breaks every fifteen to twenty minutes.
You're making sure the training staff he is able to
evaluate their kids. And god forbid, if one of the
kids goes down, it's right in the cold tub. Get
rectal temperatures. You know it's getting preventative. Don't even start
(07:47):
practice into your cold tubs are set up and ready
to go. The other group that and again parents can
find this out really easy. Is kids with sickle cell
traits and every baby boy in today's world is sickle
cell tested at the United States. I'm sorry, in the
United States a sickle cell trade tested at the time
(08:09):
of birth, and parents need to go and get that
information because sickle cell trade. Athletes have a harder time
with the climatization because as you may.
Speaker 3 (08:21):
Or may not know, it's sickle cell trade.
Speaker 1 (08:23):
Your red blood cells can start to collapse a little bit,
and this makes it harder to deliver water, it makes
it harder to deliver energy. It's making it harder to breathe.
And in college, we have a special rule for sickle.
Speaker 3 (08:37):
Cell our sickle cell athletes.
Speaker 1 (08:39):
And so I sit with my head coach. I sit
with Mike ray Fells, who is an outstanding strength and
conditioning coach, and basically say, hey, look, guys, you know
we've got so and so they have sickle cell trade.
We have to be careful when we're timing them. When
we're working at all, I'll probably be keeping a real
careful eye. I say, hey, we got to stop him.
(09:02):
He's got to recover a little more. I need to
give him some oxygen. Now. I you get those red
blood cells back up and running, then the bottom line
is I'm going.
Speaker 3 (09:10):
To shut them down.
Speaker 1 (09:11):
So little things like knowing your offensive defensive linemen are
going to struggle a little more trying to find out
who the sickle cell trade kids on your team, trying
to make sure that that you're doing everything you can
to prevent. And then in this weather. You still at
ten o'clock in the morning, you still have to adjust
(09:34):
your time, your breaks, You're making sure you have your
ice baths ready.
Speaker 3 (09:40):
It's all about prevention.
Speaker 1 (09:42):
Hate illness is one hundred percent a preventable problem in athletics.
The ones that don't don't pay attention are the ones
that are having the problem.
Speaker 2 (09:55):
What are you looking at? Lastly, here, what are you
looking at? Let's say a player does come off with
cry So let's say a player comes off the field
and he's he's vomiting, he's getting sick, or just doesn't
look like himself. Obviously we've talked about the cold top,
Obviously we've talked about ivs. But from a trainer standpoint,
what are some things that you're carefully monitoring to make
sure that that athlete is good to go the next
(10:16):
day or the next practice before you say, hey, all clear,
what are those things that you want to watch out
for from those athletes?
Speaker 1 (10:24):
Well, obviously, the simplest thing is like we used to
do with you guys and still do to this day,
and that is you weigh in and weigh out. So
on your way into the training room in the morning,
you know you weight in, you know, let's say you're
two twenty and then after practice, we're going to weigh
you out. If you add typical weight losses about three
percent maybe two three percent weight loss if you're hydrating
(10:47):
during practice, if you get above six.
Speaker 3 (10:50):
Percent and you don't recover that because it's mostly water
and you don't recover it.
Speaker 1 (10:55):
Then we will either slow you down the next day
or completely hold you out the next time. Thing. You know,
we've had kids at camp that you know, we've had
to hold out for two days even after giving them
you know, you know, ivs and whatever because their blood
pressure hasn't recovered. And remember you probably don't remember, but
we used to do a lot of blood work on
(11:17):
kids up at camp. I'm a big believer and keep
an eye on your kidneys because when you go into
hema ilness if you read some of these cases. You
know the Jordan McNair case, classic case college athlete at
Maryland who passed away from heatstroke, and he the reason
that he ended up passing away was you know, A,
(11:38):
they didn't immediately call him. And then two, when you
don't immediately call, your kidneys start to fail. Then your
liver starts to fail, and then you start having irreversible
damage to your brain. And if you can't hydrate your
your kinneys don't function well, and if you go into
kidney failure, that will be a leading cause of death
(12:01):
to these kids. So that you know what we did
in a camp is all of our cycle cell kids
would have to get blood work on what we call
day zero, day five, day ten, day fifteen, and we
constantly kept an eye on their what we call gf
R their kidney function. And you know, again, we've had
(12:21):
a couple of kids who were sickle cell trade who
were not able to practice for a couple of days
until we were sure that their kidneys were in better shape.
Too many times we don't hydrate enough after practices. You've
got to check your weights, even the little kids, you know,
the grade school kids.
Speaker 3 (12:40):
You're playing football and you know.
Speaker 1 (12:43):
They're offensive defensive alignment. Parents are going to warn you
right now, don't be one of those psycho parents. Is
you got to practice through it. You got to do this.
You've got to do that. Track their weight, tractor hydration.
If they're losing too much weight, you've got to cut
them down until they've recovered because that's water weight. That's
(13:03):
not them burning fat or it's not them burning you know,
excessive carriage. It's water weight and if you don't get
that back on and then you got problems. Some of
the things you can do, you know, in the evening
after practice is hydrate with Gator lights or news Pedia
like we love Pedia light. And then people talk about
(13:24):
pickles or the sodium whatever it takes. You know, you
remember when we were at higher grind all the time,
we would have pretzels and chips. You know, it sounds goofy,
but that extra salt is what most of these kids need.
But they've got to drink, They've got to get water
back in their system.
Speaker 2 (13:43):
That is a Bob man Jean from the University of
Cincinnati and Novacare. Bob, thank you for your time as always,
and do your best to stay cool. We'll talk again
next week.
Speaker 1 (13:52):
Thanks Tony, have fun at camp. I know you wish
he was throwing the ball there.
Speaker 2 (13:56):
That's right, that's right. That is a Bob man Jean
from Novacare. Look, whether you're dealing with an injury, you're
just making your health a priority. Novacare Real Rehabilitations here
for you. There's no better time to make Novacare's movement
experts part of your healthcare team than now. Starting care
is easy and for some may not even require a
prescription for physical therapy from your doctor. To learn more,
go to novacare dot com Today. Plenty more still to
(14:17):
go when we come back. Our three since E three
sixty live from Bengals training camp thanks to a Door
and Window on ESPN fifteen thirty Cincinnati Sports Station. Lowegar
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Speaker 3 (14:31):
They're not consistent enough.
Speaker 2 (14:32):
The way up. Fourth grader dissects across not reliable. Loweger
Today at three on ESPN fifteen thirty Ice Cubes Big
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