{"id":292777,"date":"2023-09-17T00:34:23","date_gmt":"2023-09-17T00:34:23","guid":{"rendered":"https:\/\/sportstons.com\/?p=292777"},"modified":"2023-09-17T00:34:23","modified_gmt":"2023-09-17T00:34:23","slug":"dylan-hartley-on-his-brain-injury-and-the-looming-crisis-for-rugby","status":"publish","type":"post","link":"https:\/\/sportstons.com\/rugby-union\/dylan-hartley-on-his-brain-injury-and-the-looming-crisis-for-rugby\/","title":{"rendered":"Dylan Hartley on his brain injury and the looming crisis for rugby"},"content":{"rendered":"<h1>DYLAN HARTLEY INTERVIEW: After learning he has a traumatic brain injury from playing, the former England captain is battling to solve a looming crisis in rugby<\/h1>\n<ul>\n<li><strong>Hartley was diagnosed with a traumatic brain injury over 11 months ago\u00a0<\/strong><\/li>\n<li><strong>The player&#8217;s doctor shared that parts of his brain had &#8216;gone to sleep&#8217; with injury\u00a0<\/strong><\/li>\n<li><strong>His former coach Eddie Jones warned that rugby is becoming a &#8216;power contest&#8217;<\/strong><\/li>\n<li><strong>Latest Rugby World Cup 2023 news, including fixtures, live scores and results<\/strong><\/li>\n<\/ul>\n<p>It is early morning in Marseille\u2019s old port where the trawlermen are unloading their catch for the day. The smell of red mullet, bream and grouper fills the air as restaurateurs buzz around the harbour, picking out the best fish for the weekend\u2019s bouillabaisse.<\/p>\n<p>Dylan Hartley is the last person you would expect to bump into but there he is, standing in front of the boats, taking a selfie with a couple of kilted Scotland fans. \u2018Not a bad spot, is it?\u2019 he shouts out, catching eyes across the market stalls.<\/p>\n<p>The last time we met was in October, out in Dubai. He had just been for a brain scan &#8211; the first of his life &#8211; and was nervously waiting for the results. We agreed to do a follow-up article in the coming weeks but there was radio silence. I feared the worst.<\/p>\n<p>\u2018Let\u2019s talk,\u2019 he says, 11 months on, agreeing to meet a couple of days later. We reconvene at a hotel in the old town and find a quiet table in the shade. It is the morning after England\u2019s victory over Argentina.<\/p>\n<p>\u2018I got my results and I didn\u2019t really want to talk about it,\u2019 he explains, gulping a large bottle of water in the 30C heat. \u2018I was coming to terms with my brain not being as healthy as I wanted it to be. Sorry, I didn\u2019t mean to blank you, it\u2019s just the more you talk about it the more real it is. Talking about it was quite hard but it was all part of the process of dealing with it.\u2019<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/09\/17\/00\/75513017-12526813-Former_England_captain_Dylan_Hartley_was_diagnosed_with_a_trauma-a-4_1694907881665.jpg\" height=\"421\" width=\"634\"><\/p>\n<p>Former England captain Dylan Hartley was diagnosed with a traumatic brain injury in 2022<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/09\/17\/00\/75512623-12526813-The_ex_player_decided_to_undergo_a_brain_scan_after_noticing_a_n-a-6_1694907881672.jpg\" height=\"448\" width=\"634\"><\/p>\n<p>The ex-player decided to undergo a brain scan after noticing a number of changes to his behaviour and responses<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/09\/16\/23\/75513015-12526813-A_scan_of_Hartley_s_brain_pictured_revealed_that_parts_of_his_br-a-177_1694904829006.jpg\" height=\"518\" width=\"634\"><\/p>\n<p>A scan of Hartley&#8217;s brain (pictured) revealed that parts of his brain had &#8216;gone to sleep&#8217; with repetitive blows to the head<\/p>\n<p>Taking his phone out from his pocket, he shows a series of scans of his brain. Perfusion scans cutting through the cranium, 3D models and cross sections of white matter. All weird and wonderful colours that tell the story of a rugby player whose head was thrown around like a crash-test dummy.<\/p>\n<p>\u2018I never wanted to get a scan because I didn\u2019t want to know the truth. I\u2019d started to stutter and mix my words, dropping things and struggling when my kids made certain noises. I was confronting the monster under the bed, in a way. I did an MRI scan and a SPECT scan. The SPECT scan is where they inject low-level radiation into your body and see how your brain is firing.<\/p>\n<p>&#8216;There were signs that my head had been through a pretty tough time. I was basically diagnosed with post-concussion syndrome. It was a big moment. The term \u201cconcussion\u201d almost lessens the blow and I think people should probably change the language. It\u2019s traumatic brain injury.<\/p>\n<p>\u2018I don\u2019t want to say I had areas of brain that were dead, but they were asleep. They were dormant. The hardest thing in life is usually the right thing to do. The easy thing is to ignore things. I took the hard path, went and got the scan and I\u2019m so happy I did.\u2019<\/p>\n<p>The past caught up with him, although the fans who stop by to ask his opinions on England\u2019s victory over Argentina would have no idea that he is living with brain damage. He remains sharp and quick-witted, a master at working the room as he dashes across the terrace to introduce himself to Roc Nation boss Michael Yormark.<\/p>\n<p>As a player, Hartley\u2019s tongue often got him in trouble yet every coach selected him as captain. He was a solutions guy, a problem solver. So it is little surprise that he immediately embarked upon a mission to find a fix, signing up to a three-month course of hyperbaric oxygen therapy.<\/p>\n<p>\u2018You see the stories of guys seven or eight years older than me; your Carl Haymans and Steve Thompsons. Seeing them come out with their stories instils a deep-rooted fear that it\u2019s going to happen to me. Going in and accepting to get your brain scanned, seeing the reality of 20 years of professional rugby, that\u2019s quite scary.<\/p>\n<p>\u2018It was a pretty down-in-the-dumps conversation with the professor but he told me we can fix it. Put me back together like Humpty Dumpty. Obviously you\u2019re a bit sceptical because it\u2019s not like putting a cast on a broken arm but the confidence and conviction he gave me was great. He told me the realities of my situation but provided the tools to get better. It\u2019s a bit like Eddie Jones telling me I was fat but then providing a solution.<\/p>\n<p>\u2018Once I\u2019d had that day of realisation that my brain wasn\u2019t functioning perfectly, coming to terms with that, it was like any kind of ban or injury when you wake up the next day with some goals and crack on with life. I\u2019m doing everything I can to make sure I\u2019m around and present to be the best possible me for my kids in five to 10 years\u2019 time. I got into this programme, stopped drinking completely and attended the Aviv Clinics in Dubai two hours a day for three months straight.\u2019<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/09\/17\/00\/75512663-12526813-Hartley_heard_from_his_former_England_team_mate_Ellis_Genge_who_-a-7_1694907881675.jpg\" height=\"424\" width=\"634\"><\/p>\n<p>Hartley heard from his former England team-mate Ellis Genge, who has friends struggling<\/p>\n<p>Pointing out the areas on his brain scans that turned from blue to red after treatment, he continues: \u2018You go into a chamber which is eight metres long and a couple of metres wide. There are stroke patients and kids with autism in there. You put on a mask, your ears pop and you breathe 100 per cent oxygen that gets to places it can\u2019t normally get to. You can see the areas of my brain that are getting more blood flow which means I\u2019m sharper.<\/p>\n<p>\u2018You do a series of brain training exercises and my scores in these weird and wonderful tests went through the roof. Memory, coordination, articulation, cognitive endurance\u2026 all those things improved significantly. I had the same scans post treatment and the data shows increased blood flow to parts of my brain. It might not work for everyone but it worked for me. Ellis Genge messaged me about it because he\u2019s got a couple of mates who are struggling. The only reason I\u2019m talking about it now is because I want people to see it and use it.\u2019<\/p>\n<p>Now Hartley lives a different life, but he still loves the game deeply &#8211; regularly glancing over to the TV to see the score of Japan versus Chile. For the second-half, when the microphone is off, he orders a steak tartare &#8211; leaving the chips &#8211; and lives out every moment of the match. \u2018The game\u2019s brutal, which is part of what makes it entertaining. You can\u2019t change the nature of the game and they\u2019re clamping down on head contact, which is the appropriate thing to do. You saw what happened with Tom Curry against Argentina. I wouldn\u2019t say there was intent, it\u2019s just rugby, that happens &#8211; and by the law it was a red card. All I go off is any head contact is a straight red. Whether it\u2019s reckless, malicious, intent.<\/p>\n<p>\u2018Are teams preparing for it now? Joe Marchant and Manu (Tuilagi) had a go at flanker. Teams have got to adapt. They had pretty good preparation with 14 men over, didn\u2019t they? That intensity was almost a learned intensity. It\u2019s a great squad. You watch England now, you watch &#8217;em\u2026\u2019<\/p>\n<p>Hartley will be here for the next few weeks. All of rugby\u2019s powerbrokers have descended on France and Hartley has already approached one governing body &#8211; refusing to name which one &#8211; but his words fell on deaf ears. \u2018I\u2019ve shared it with a couple of governing bodies. There\u2019s big legal action that\u2019s going on against the game. There are two parties &#8211; the rugby people over there and the people suing the game. I\u2019m in the middle thinking, \u201cHang on, let\u2019s seek solutions rather than financial remuneration\u201d. I\u2019m in the middle saying let\u2019s use things like hyperbaric therapy. Even if we can help one per cent of the people struggling, that\u2019s a life improved.<\/p>\n<p>\u2018I won\u2019t mention which governing bodies but there\u2019s only really one\u2026 they were quite cagey, quite defensive. They were quite guarded, asking for scientific papers to prove that this cure things. It was, \u201cWe\u2019re very happy for you Dylan\u201d.<\/p>\n<p>\u2018There are 400 people suing one union at the moment. Why don\u2019t you provide a solution and find a way to fund it?\u2019<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/09\/17\/00\/75512639-12526813-Tom_Curry_picked_up_a_head_injury_in_England_s_tie_against_Argen-a-5_1694907881665.jpg\" height=\"412\" width=\"634\"><\/p>\n<p>Tom Curry picked up a head injury in England&#8217;s tie against Argentina before receiving a yellow card &#8211; that was later upgraded to a red<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/09\/17\/00\/75512655-12526813-Hartley_s_former_coach_Eddie_Jones_warned_that_the_sport_was_bec-a-8_1694907881686.jpg\" height=\"432\" width=\"634\"><\/p>\n<p>Hartley&#8217;s former coach Eddie Jones warned that the sport was becoming a &#8216;power contest&#8217;<\/p>\n<p>As things stand, Hartley is on a one-man crusade. As I head off to report on the South Africa versus Scotland game, Hartley has no intentions to move for the evening, content watching it by himself.<\/p>\n<p>\u2018People ask, \u201cWhy aren\u2019t you at the game doing TV?\u201d You\u2019ve got your iconic guys like Jonny Wilkinson and Sir Clive Woodward doing TV. My legacy in rugby wasn\u2019t that impressive. I was fortunate to play for England and captain the side but I don\u2019t sit at that level of iconic rugby players. I\u2019m just out here hustling, doing my work.<\/p>\n<p>\u2018Everyone goes to the game, has a great time, gets boozed up on holiday and leaves. If you go into a changing room after a match you see a guy with his hands round his knee thinking he\u2019s got a nine-month knee reconstruction.<\/p>\n<p>\u2018You see Tom Curry smiling after the Argentina game but he\u2019s got 16 stitches. If that\u2019s a normal civilian they\u2019d be in hospital. If I can create any kind of legacy where I can help guys with concussion, that\u2019s far more important to me.\u2019<\/p>\n<h3>&#8216;Parts of his brain that were asleep are now waking up&#8217;\u00a0<\/h3>\n<p><span><span>By James Sharpe<\/span><\/span>\u00a0<\/p>\n<p>A doctor who helped treat former England captain Dylan Hartley said parts of his brain had \u2018gone to sleep\u2019 due to repetitive blows to the head during his rugby career.\u00a0<\/p>\n<p>\u2018Think of the head like a hot water bottle,\u2019 says Dr Umair Qureshi, consultant at Aviv Clinics Dubai, where Hartley has undergone treatment.\u00a0<\/p>\n<p>\u2018The water can move around inside but the rubber bottle goes nowhere. That\u2019s the same as the brain inside the skull. When you bang your head, the brain moves around. Keep knocking it and it will continually move back and forth and get damaged by the structure that\u2019s meant to hold it in place.\u00a0<\/p>\n<p>\u2018When you damage brain tissue, it\u2019s not as active as it was. It\u2019s almost like that part of the brain has gone to sleep. If it goes to sleep, it doesn\u2019t require as much \u201cfuel\u201d to function, hence, the body sends less blood to that area and ultimately, less oxygen. The more blood it sends, the more oxygen it sends.\u2019<\/p>\n<p>\u00a0This, says Qureshi, is what happened to parts of Hartley\u2019s brain during his rugby career.\u00a0<\/p>\n<p>\u2018Certain areas of his brain have not being getting enough blood and oxygen. When that happens, the brain does not work as well as it should.\u00a0<\/p>\n<p>\u2018We can see that on his brain scans. You want to see more white and red areas, which show good blood flow, and less blue and black. You also want to see symmetry between the left and right sides of the brain.\u00a0<\/p>\n<p>\u2018If you look at Dylan\u2019s brain before treatment, you can see there\u2019s more blue on the left side and more white and red on the right. The lack of symmetry also suggests abnormality.\u2019\u00a0<\/p>\n<p>Dr Qureshi claims you can see improvements in his scans after his hyperbaric oxygen therapy treatment.\u00a0<\/p>\n<p>\u2018There\u2019s more white and red areas and the two sides look more symmetrical. His memory has improved, so too his ability to multitask and his attention span. Those parts of his brain that were asleep have started to wake up.&#8217;<\/p>\n<p>Source: <a href=\"https:\/\/www.dailymail.co.uk\/sport\/rugbyunion\/article-12526813\/DYLAN-HARTLEY-INTERVIEW-learning-traumatic-brain-injury-playing-former-England-captain-battling-solve-looming-crisis-rugby.html\" target=\"_blank\" rel=\"noopener\">Read Full Article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>DYLAN HARTLEY INTERVIEW: After learning he has a traumatic brain injury from playing, the former England captain is battling to <span class=\"more-text\">&hellip;<\/span><\/p>\n","protected":false},"author":2,"featured_media":292776,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dylan Hartley on his brain injury and the looming crisis for rugby - Sportstons<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sportstons.com\/rugby-union\/dylan-hartley-on-his-brain-injury-and-the-looming-crisis-for-rugby\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dylan Hartley on his brain injury and the looming crisis for rugby - 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