Albany Times Union (Sunday)

Mahomes cleared, so why be worried?

Urge to play can cloud player’s judgment when it comes to returning

- By Jim Litke Jim Litke is a columnist for The Associated Press

Never mind that Patrick Mahomes got knocked silly and out of a game barely a week ago. He was always going to play Sunday against Buffalo, and because it’s the AFC Championsh­ip — instead of, say, Week 3 of the regular season — the only way the Chiefs’ star wouldn’t have cleared the NFL’S concussion protocol is if he had a visible dent in the side of his head.

That’s the danger of concussion­s. Despite all the advances in science, you can’t see a concussion in real time, the way an X-ray or ultrasound might be used to confirm a torn biceps or a knee injury. We know the damage repeated hits to the head cause over the long term, but only by studying autopsied brains. So even the best doctors today can only note the symptoms when they occur (confusion, headaches and nausea, among others) and take the player’s word on when they stopped, then guess when it’s safe to resume normal activity — let alone an activity as abnormal as pro football.

That was good enough for Mahomes.

“I actually just got out of the protocol,” he announced after practice Friday. Mahomes grinned and looked like the happiest, healthiest 25-year-old alive.

“The week has just been a bunch of testing, a bunch of different things just to make sure that I’m good to go and there’s no lingering effects or anything like that, but everything’s been good,” he added. “I’ve went through what all the three, four different doctors have said, everything’s looked well, and I’m out of it now.”

Every time a franchise quarterbac­k rushes back onto the field after a very public brain-rattling, their fans, agents, team owners and commission­er Roger Goodell all keep their fingers crossed until they cramp. Troy Aikman and Steve Young did so more than once during long playing careers and both, fortunatel­y, showed no lasting damage and carved out lively second acts in television.

But things were different when they left the game some 20 years ago. Concussion­s were considered little more than an occasional occupation­al hazard, laughed off as “a visit from the Sandman.” Ballplayer­s worried about losing a place in the team long ago learned the trick of grabbing a knee or some other body part to buy time while they struggled to clear their vision or simply stand squarely on two feet.

“There was a chance back in the day that Patrick comes back in the game,” Kansas City coach Andy Reid told reporters the day after Mahomes was laid low in a game against the Browns. “You saw him run up the tunnel. By the time he got to that point, he was feeling pretty good.”

Thankfully, those days are mostly behind us. The NFL, chastened in part by a $1-billionplu­s settlement with retired players found to have suffered neurologic­al problems, no longer tries to ignore the dangers of concussion­s. Every team boasts a top-shelf medical staff, and the monitoring begins the moment players get hauled into those pop-up blue medical tents on the sideline. The league’s five-phase protocol to clear players to return to practice and games, first put in place in 2009, is based on the latest medical advice and signed off by a neurologis­t who works for the NFL but not the team.

For someone like Mahomes, already the best young player in the game and another big stage already set, the temptation to return is great.

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