Latest / NFL Now / Tua Tagovailoa Injury details, An Interview with Dr. Allen Sills, Vikings-Saints preview in London

Transcript

Tua Tagovailoa Injury details, An Interview with Dr. Allen Sills, Vikings-Saints preview in London · NFL Now

• 0:05
  Speaker 1: NFL Now is a production of the NFL in partnership
• 0:08
  Speaker 1: with I Heart Radio. Hello and welcome into the NFL
• 0:19
  Speaker 1: Network newsroom. Alongside Steve White, Chaim Moll, My Race and
• 0:22
  Speaker 1: this is NFL Now. We'll be getting to all of
• 0:25
  Speaker 1: your week four look aheads coming up in just a
• 0:27
  Speaker 1: little bit. But Steve, Thursday Night Football certainly taking a
• 0:30
  Speaker 1: backseat to the health and well being of to a
• 0:32
  Speaker 1: tongue of violoa. Yeah, I mean that was very, you know,
• 0:34
  Speaker 1: horrifying to see. Um. You know, I've got a relationship
• 0:38
  Speaker 1: with two in the family, so it's personally tough. But
• 0:40
  Speaker 1: for every player and any person who saw that, I mean,
• 0:43
  Speaker 1: you understand the dangers of the sport and a lot
• 0:46
  Speaker 1: of other issues that come with it. Yeah, let's get
• 0:48
  Speaker 1: to some new right now information Onto a tongue of
• 0:50
  Speaker 1: viola low of the latest on his health. This is
• 0:54
  Speaker 1: what happened last night, Thursday Night Football, Cincinnati. The scene
• 0:57
  Speaker 1: to a tongue of violoa rolling to his left. Josh
• 1:00
  Speaker 1: Tupo comes down, yanks him down to a lands on
• 1:04
  Speaker 1: the back of his helmet. He would have to be
• 1:06
  Speaker 1: carted off taken to the hospital for examination. There lots
• 1:11
  Speaker 1: of reaction coming in from the Dolphins locker room. Let's
• 1:13
  Speaker 1: listening to Mike McDaniel last night. That was an emotional moment. Um.
• 1:20
  Speaker 1: That is not part of the deal that anyone signs
• 1:24
  Speaker 1: up for, even though you you know, it's a possibility
• 1:27
  Speaker 1: in football to have something that you have to get
• 1:30
  Speaker 1: taken off on a stretchers. You know, all of his teammates, myself,
• 1:37
  Speaker 1: we were all, um, very very concerned. So the best
• 1:42
  Speaker 1: news that we could get is that everything is checked out, UM,
• 1:46
  Speaker 1: that he didn't have any anything more serious than um,
• 1:52
  Speaker 1: a concussion. For me personally, man, it was there was
• 1:56
  Speaker 1: a lot going through my mind, honestly, and just giving that, um,
• 2:01
  Speaker 1: you know, I guess the same team. Um, I was
• 2:04
  Speaker 1: carted off the field, and so a lot just going
• 2:09
  Speaker 1: through my mind. But I knew that I had to
• 2:10
  Speaker 1: just snap and um try to lead this team to
• 2:13
  Speaker 1: the victory. Eddy Bridgewater of course referring to last December
• 2:17
  Speaker 1: as Broncos quarterback carted off against the Bengals in Denver
• 2:21
  Speaker 1: last year. From more perspective on this story, we welcome
• 2:24
  Speaker 1: in our NFL Network inside Ian Rappaport as well as
• 2:26
  Speaker 1: Cameron Wolf, who was at the game last night and
• 2:29
  Speaker 1: is back at the Dolphins facility. Cam will start with you,
• 2:32
  Speaker 1: what is the latest on two A tongue of ioloa. Yeah,
• 2:36
  Speaker 1: omarrow is a very scary moment for two of last night,
• 2:40
  Speaker 1: but as of this morning, the updates have been as
• 2:42
  Speaker 1: positive as possible. I'm told that Toa was able to
• 2:46
  Speaker 1: fly back on the team with the team last night.
• 2:49
  Speaker 1: He returned to the stadium with a precautionary neck brace,
• 2:52
  Speaker 1: something they have when you have these sort of neck
• 2:54
  Speaker 1: injuries and head injuries, and so he returned on the
• 2:58
  Speaker 1: flight back with the team. He's back at the South
• 2:59
  Speaker 1: Florida home and for I'm told they did X rays
• 3:03
  Speaker 1: last night. Those x rays came back negative, which is
• 3:05
  Speaker 1: good news. They will still have an m r I
• 3:08
  Speaker 1: pending or right now he is in the concussion protocol
• 3:11
  Speaker 1: and he'll go through that process. But look, this is
• 3:13
  Speaker 1: something where teammates we're thinking about him all through the night,
• 3:17
  Speaker 1: so there was a worry of what he was gonna
• 3:20
  Speaker 1: what the result was, and ultimately when Mike me Daniel
• 3:22
  Speaker 1: delivered the news to the team that he's gonna be
• 3:25
  Speaker 1: able to fly back, their spirits were literally uplifted. So
• 3:28
  Speaker 1: we'll keep an eye on two A status is going forward,
• 3:30
  Speaker 1: but this is something that is bigger than football. It's
• 3:32
  Speaker 1: a human element and for Toua right now there's positive
• 3:36
  Speaker 1: signs going into the weekend, and positive signs are good. Obviously,
• 3:41
  Speaker 1: hope this keeps up for two It sounds like a
• 3:44
  Speaker 1: lot of the tests, including those on his neck, have
• 3:46
  Speaker 1: come out relatively clean. This morning. We will be obviously
• 3:50
  Speaker 1: updating that as we know camp. So that is what
• 3:52
  Speaker 1: happened last night. Of course, we know there's the ongoing
• 3:55
  Speaker 1: investigation by the NFL and the NFLPA regarding the concussion
• 3:59
  Speaker 1: protocol and how that was followed. On Sunday, you see,
• 4:03
  Speaker 1: the NFL p A has come out with some statements,
• 4:05
  Speaker 1: including this one saying essentially, our investigation to the potential
• 4:09
  Speaker 1: protocol violation is ongoing, along with the hope for a
• 4:13
  Speaker 1: full and speedy recovery for TWAH. So that is what's
• 4:16
  Speaker 1: going on now, the NFL and the nfl P looking
• 4:19
  Speaker 1: into how well the protocol was followed. Specifically, there was
• 4:23
  Speaker 1: a shot on the field of two A looking wobbly
• 4:27
  Speaker 1: and exhibiting what appeared to be at the time to
• 4:29
  Speaker 1: be some sort of neurological issue. The Independent neurologist and
• 4:33
  Speaker 1: the Miami Dolphins team doctors believed that it was related
• 4:37
  Speaker 1: to his back, not his head. That is why, to
• 4:39
  Speaker 1: a last Sunday was not in the concussion protocol. That
• 4:42
  Speaker 1: is why he was cleared. But to be sure, all
• 4:45
  Speaker 1: parties are going through that making sure that everything was
• 4:48
  Speaker 1: done as it should and there should be some sort
• 4:50
  Speaker 1: of resolution on how well the protocol was followed, probably
• 4:54
  Speaker 1: within the next weeks. Yeah. Can we saw those images Sunday?
• 4:58
  Speaker 1: You were at that game as well, with to his
• 5:00
  Speaker 1: knees buckling, his teammates having to hold them up. Those
• 5:03
  Speaker 1: images fresh on the forefront of everyone's mind, certainly adding
• 5:07
  Speaker 1: to the frightening, frightening nature of last night's events. What
• 5:11
  Speaker 1: were his teammates saying there in Cincinnati camp, Yeah, Omar,
• 5:15
  Speaker 1: just like we saw the images, they saw it up close.
• 5:17
  Speaker 1: And I went into that locker room and was silent
• 5:20
  Speaker 1: when you walked in at first. People were clearly still
• 5:24
  Speaker 1: impacted by the two injury. One of the first people
• 5:26
  Speaker 1: I walked to was one of his former teammates at
• 5:28
  Speaker 1: Alabama and one of his best friends on the team,
• 5:30
  Speaker 1: Jalen Waddle, and he was very emotional discussing how he
• 5:34
  Speaker 1: was wrestling with his own emotions seeing his quote brother
• 5:37
  Speaker 1: on the field hurt and he knows how much he's
• 5:40
  Speaker 1: had to come through through rehab of his own injuries
• 5:42
  Speaker 1: and seeing him down in that respect, His center Connor
• 5:46
  Speaker 1: Williams described him as the heart of the team, and
• 5:49
  Speaker 1: his receiver Tyreek Hill said they were checking in throughout
• 5:52
  Speaker 1: the second half of that game while I was ongoing
• 5:54
  Speaker 1: for updates on to us. So obviously their focused in
• 5:57
  Speaker 1: the midst of a game is on their quarterback. And
• 5:59
  Speaker 1: I want to discuss the support that we saw that
• 6:02
  Speaker 1: game for two, the whole team in the middle of
• 6:04
  Speaker 1: the field, players, coaches, trainers. As he was loaded on
• 6:08
  Speaker 1: that stretching board, the stadium, the Bengal stadium was chanting
• 6:12
  Speaker 1: to A, to A, to A. And then even after
• 6:15
  Speaker 1: the game, you mentioned Teddy Bridgewater earlier, he talked about
• 6:17
  Speaker 1: just the human element of this. He said, obviously we're
• 6:20
  Speaker 1: football players, but this is a moment that reminds you
• 6:23
  Speaker 1: that you are humans. So their spirits were uplifted when
• 6:26
  Speaker 1: they got news that Toa was gonna be flying home
• 6:28
  Speaker 1: with him. I can be I can report that he
• 6:30
  Speaker 1: has been walking, he's been talking, he's been smiling and
• 6:33
  Speaker 1: so that was all positive for them and what was
• 6:36
  Speaker 1: a very scary and really a shifting moment. Hard to
• 6:39
  Speaker 1: come back and play football after that, but they did
• 6:42
  Speaker 1: their best for their team. Difficult for most of us
• 6:45
  Speaker 1: to watch after that moment in the game, much more
• 6:49
  Speaker 1: difficult obviously for the players to play can Ian thank
• 6:51
  Speaker 1: you both very much, much more from you throughout the show.
• 6:54
  Speaker 1: This was the outpouring of love, support prayers for to
• 6:58
  Speaker 1: a Tongue of Ioloa by his fellow players in the
• 7:01
  Speaker 1: National Football League obviously very tight knit community, and for
• 7:04
  Speaker 1: to Ny in the NFL. For much more on this story,
• 7:08
  Speaker 1: we welcome in our Judy Batista, who's with the NFL's
• 7:11
  Speaker 1: chief medical Officer, Dr Alan Sills. Dr Sills, thanks for
• 7:16
  Speaker 1: joining us. First, let's get to the most important thing,
• 7:18
  Speaker 1: which is how is to a tug of Violo of
• 7:20
  Speaker 1: feeling this morning and what kind of injuries did he
• 7:23
  Speaker 1: suffer last night? Well, Judy, you know, we don't ever
• 7:25
  Speaker 1: want to get into specifics about injury invading anyone's privacy,
• 7:29
  Speaker 1: but I think I can tell you that he was
• 7:31
  Speaker 1: evaluated the hospital and released last night and was able
• 7:34
  Speaker 1: to travel back home with the team. Which is all
• 7:36
  Speaker 1: a great sign. So he'll continue to be monitored very carefully.
• 7:39
  Speaker 1: But he was released from the hospital and we're all
• 7:42
  Speaker 1: certainly grateful for that. Why was he cleared to fly
• 7:45
  Speaker 1: home last night? We saw the injury and it looked
• 7:47
  Speaker 1: bad taken off on a stretcher, So why was he cleared? Well,
• 7:51
  Speaker 1: there are a couple of things to realize, Judy. First
• 7:53
  Speaker 1: of all, the fencing posture or impact seizure typically only
• 7:56
  Speaker 1: last for a few seconds up to two maybe a minute,
• 8:00
  Speaker 1: and then patients are often back to normal very quickly
• 8:03
  Speaker 1: after that. So it's a it's a very scary looking
• 8:05
  Speaker 1: set of signs, but but patients can clear quickly. And
• 8:08
  Speaker 1: again I'm speaking generally. I'm not speaking about his case
• 8:10
  Speaker 1: because I wasn't there to examine him. Um. The other
• 8:13
  Speaker 1: thing is that patients go to hospital and they're they're
• 8:16
  Speaker 1: carried on a spine board because if there's a loss
• 8:19
  Speaker 1: of consciousness and they fall, you always want to protect
• 8:21
  Speaker 1: or prevent against any further spine injury. So when you
• 8:24
  Speaker 1: have a patient who's on a spine board and you
• 8:26
  Speaker 1: take them to the hospital, then they're going to be
• 8:28
  Speaker 1: tested and and checked for both spine injury and brain injury,
• 8:32
  Speaker 1: and typically that involves imaging or X rays or m
• 8:35
  Speaker 1: r I scans of both of those areas, and and
• 8:37
  Speaker 1: those will be then evaluated and the patient will be
• 8:40
  Speaker 1: evaluated and the hospital medical staff will make a decision
• 8:42
  Speaker 1: obviously about whether the patient needs to be kept for
• 8:44
  Speaker 1: observation or not. So you know, that's the protocol we
• 8:47
  Speaker 1: always follow anytime any player is transported to the hospital.
• 8:51
  Speaker 1: Each stadium has what's called an emergency action plan just
• 8:54
  Speaker 1: to be prepared for these type of situations. And so, um,
• 8:57
  Speaker 1: that was what was followed last night and what we
• 8:59
  Speaker 1: always follow in these type of cases. Let's go back
• 9:02
  Speaker 1: to less Sunday. Um, when t was brought down, he
• 9:06
  Speaker 1: hit the back of his head hard. When he tried
• 9:08
  Speaker 1: to stand up, he stumbled. He he struggled, his knees
• 9:11
  Speaker 1: buckled under him, and his teammates for a while had
• 9:14
  Speaker 1: to support him. He looked like he was shaking his
• 9:16
  Speaker 1: head to sort of clear the cobwebs. Um, those are
• 9:19
  Speaker 1: all things as we've learned more about concussions over the
• 9:22
  Speaker 1: last few years, that we've been told our symptoms of
• 9:25
  Speaker 1: head injury and the kinds of things that automatically keep
• 9:29
  Speaker 1: players off the field. We were told he was checked
• 9:32
  Speaker 1: for a concussion, it was determined that it was a
• 9:35
  Speaker 1: back injury, and he was allowed to return to this game.
• 9:37
  Speaker 1: Can you tell us what went into clearing him from
• 9:41
  Speaker 1: a concussion? Who made that decision? Well, I can provide
• 9:46
  Speaker 1: this information to you, Judy. First of all, all of
• 9:49
  Speaker 1: our concussion evaluations on game day are done by both
• 9:52
  Speaker 1: a team physician and an independent neuro consultant. That means
• 9:56
  Speaker 1: someone who's expert in brain and spine trauma, who's very
• 10:00
  Speaker 1: familiar with and trained in our concussion protocol, has no
• 10:03
  Speaker 1: relationship to the team the player. They're brought in on
• 10:06
  Speaker 1: game day, And as you know, we have one of
• 10:07
  Speaker 1: those doctors on each sideline. We also have one up
• 10:09
  Speaker 1: in the booth with our spotters to help recognize injury.
• 10:12
  Speaker 1: So what I can tell you in this situation, Judy,
• 10:15
  Speaker 1: is we're still doing a very active review of the
• 10:17
  Speaker 1: entire situation. We do that in conjunction with the Players Association,
• 10:21
  Speaker 1: and that review process will entail both groups speaking with
• 10:26
  Speaker 1: everyone involved, the the athletic trainer, the physician, the unaffiliated neurospecialist,
• 10:31
  Speaker 1: the spotters in the booth, the neuro specialists in the booth,
• 10:34
  Speaker 1: and and and ultimately the player themselves. And so we'll
• 10:37
  Speaker 1: have all of those interviews. We review all of the video,
• 10:39
  Speaker 1: we review all of the data, and the purpose of
• 10:41
  Speaker 1: that review is to make sure that the concussion protocol
• 10:44
  Speaker 1: was followed. And as you are aware, Judy, they're very
• 10:47
  Speaker 1: serious consequences if the protocol was determined not to have
• 10:50
  Speaker 1: been followed. But we don't make that determination from video,
• 10:53
  Speaker 1: We don't make that determination from any other accounts. We
• 10:56
  Speaker 1: make that determination, meaning the league and the Players Association
• 10:59
  Speaker 1: medical staff together once we review all that data. What
• 11:02
  Speaker 1: I can tell you, Judy, So so I can't comment
• 11:04
  Speaker 1: speci cyphically on that because that investigation is still very
• 11:07
  Speaker 1: actively ongoing and it's something that we're reviewing together. What
• 11:11
  Speaker 1: I can tell you those again to reiterate that in
• 11:13
  Speaker 1: real time these evaluations, when a player is evaluated, they
• 11:18
  Speaker 1: are examined and interviewed by both the team physician and
• 11:21
  Speaker 1: this independent neurospecialist, and those two confer and they must
• 11:25
  Speaker 1: both agreed together in real time that a player is
• 11:28
  Speaker 1: cleared in order for them to return to the game.
• 11:31
  Speaker 1: You mentioned the fact that our concussion protocol has a
• 11:34
  Speaker 1: few specific no go criteria, meaning there are a couple
• 11:37
  Speaker 1: of things that if a player just has those situations
• 11:40
  Speaker 1: then they are immediately diagnosed. We saw one of those
• 11:43
  Speaker 1: last night, which is this fencing posture, impact seizure. Amnesia
• 11:47
  Speaker 1: and confusion are the other two, but those are the
• 11:49
  Speaker 1: only immediate no goes criteria. Everything else that that suggested
• 11:53
  Speaker 1: concussion diagnosis comes after a detailed examination, and and that
• 11:57
  Speaker 1: examination can either be done in the blue tent or
• 11:59
  Speaker 1: it can be done in the locker room. Uh. The
• 12:01
  Speaker 1: one that's done in the locker room is a long
• 12:03
  Speaker 1: form exam. It's called the Sport concus us An Assessment
• 12:05
  Speaker 1: Tool or SCAT, and I can tell you that that's
• 12:08
  Speaker 1: what was done in this case. So a very active
• 12:10
  Speaker 1: review that will continue. But important to recognize that these
• 12:12
  Speaker 1: are not decisions made by one person. Um, they're made
• 12:15
  Speaker 1: jointly by team staff. And also this independent neuroexpert in hindsight,
• 12:20
  Speaker 1: should he have been kept off the field last Sunday Again, Judy,
• 12:25
  Speaker 1: I think we have to go through and review all
• 12:27
  Speaker 1: of the data. We have to speak with everyone involved
• 12:30
  Speaker 1: and understand exactly what they saw and what they heard
• 12:33
  Speaker 1: and what data was available to them, and did they
• 12:36
  Speaker 1: correctly apply the concussion protocol. That's what we always ask
• 12:39
  Speaker 1: our personnel to do is correct is apply the protocol.
• 12:42
  Speaker 1: And again, we can't make that decision. We I'm saying
• 12:45
  Speaker 1: me as a physician, I can't make that this decision
• 12:47
  Speaker 1: watching on television at all, Um, I have to understand
• 12:50
  Speaker 1: and know exactly what data was made to them. What
• 12:53
  Speaker 1: I can tell you, Judy, is this, as soon as
• 12:54
  Speaker 1: we finished that review, will release the results of that
• 12:57
  Speaker 1: to everyone. We want to be as transparent and open
• 13:00
  Speaker 1: about this as possible. We certainly want to learn to improve,
• 13:04
  Speaker 1: to get better, and we want to be the best
• 13:05
  Speaker 1: in the world at diagnosing and managing these injuries. And
• 13:08
  Speaker 1: so if we find that we fell short, or if
• 13:11
  Speaker 1: we find that there are things that we need to change,
• 13:13
  Speaker 1: we will certainly be upfront about doing that. We've done
• 13:15
  Speaker 1: that before and we will certainly do that again if
• 13:17
  Speaker 1: that's what's indicated was to us subsequently checked for concussion
• 13:21
  Speaker 1: symptoms Monday, Tuesday, Wednesday leading up to the game last night. Absolutely,
• 13:27
  Speaker 1: I know that he was checked after the game. I
• 13:28
  Speaker 1: know that he was checked the following day. In fact,
• 13:30
  Speaker 1: every player who gets an examination on game day gets
• 13:33
  Speaker 1: a follow up exam the following day. Even if that
• 13:36
  Speaker 1: exam was negative, that's part of our concussion protocol. And
• 13:39
  Speaker 1: then I know that this player was checked every day
• 13:41
  Speaker 1: leading up to the game. So again, very comprehensive and
• 13:44
  Speaker 1: thorough evaluation that consists of a prescribed set of test
• 13:48
  Speaker 1: outlined by our concussion protocol. Given the severity of the
• 13:52
  Speaker 1: injury last night, is it possible that that was exacerbated
• 13:56
  Speaker 1: by the injury he suffered on Sunday, the fact that
• 13:58
  Speaker 1: he hit his head last Sunday, Yeah, I think, Judy,
• 14:01
  Speaker 1: it's it's impossible to know that, but certainly that's one
• 14:04
  Speaker 1: of the factors that we want to look at. And
• 14:06
  Speaker 1: and again, every injury to us is an important injury.
• 14:09
  Speaker 1: Every injury is one we want to prevent. And we're
• 14:11
  Speaker 1: about reducing concussions across the board, and not only that,
• 14:15
  Speaker 1: as you know, uh I personally and and our league
• 14:18
  Speaker 1: has gotten out front and said we want to reduce
• 14:20
  Speaker 1: head contact overall as well. We think that's a very
• 14:22
  Speaker 1: important safety goal. So again, these are all things that
• 14:26
  Speaker 1: we will review in the course of our review of
• 14:28
  Speaker 1: that situation. When we reach the conclusions, together with the
• 14:31
  Speaker 1: Players Association, will be very transparent about that. We'll we'll
• 14:34
  Speaker 1: share that with you, with everybody that that has an interest,
• 14:37
  Speaker 1: and we'll also look to take away from this how
• 14:39
  Speaker 1: we can improve and prevent this and other similar injuries.
• 14:43
  Speaker 1: Given what we've seen into a situation and even in
• 14:47
  Speaker 1: other injuries situations, how might the protocol have to be
• 14:50
  Speaker 1: adjusted going forward to prevent what we've seen transpired just
• 14:55
  Speaker 1: this last week. Well, I think, Judy, that's an important question.
• 14:59
  Speaker 1: It's one that we will certainly ask and and it
• 15:02
  Speaker 1: will be informed by the results of the view process
• 15:05
  Speaker 1: that we have on hand. We've we've been through this
• 15:08
  Speaker 1: before if you think back to, for example, the Tom
• 15:10
  Speaker 1: Savage situation in Houston a couple of seasons ago, and
• 15:12
  Speaker 1: in that situation, while we ended up finding the protocol
• 15:16
  Speaker 1: had been followed, we recognized that there were some loopholes
• 15:18
  Speaker 1: in the protocol that that we might have wanted to adjust,
• 15:20
  Speaker 1: and we did adjust those. So again, I don't want
• 15:23
  Speaker 1: to pre judge the outcome of the review. I think
• 15:25
  Speaker 1: it's important that we complete that review before we make
• 15:27
  Speaker 1: any determination. But part of our commitment duty is we
• 15:31
  Speaker 1: are constantly trying to improve what we're doing, whether it's
• 15:33
  Speaker 1: our protocol itself, how we apply it, how we communicate.
• 15:37
  Speaker 1: We want to get better at these things. I think
• 15:39
  Speaker 1: we have gotten better. We've seen our care improved drastically,
• 15:42
  Speaker 1: but that doesn't mean that we're done. We can always
• 15:44
  Speaker 1: look to improve to do a better job. And that's
• 15:47
  Speaker 1: what we'll try to take away and learn from this situation.
• 15:49
  Speaker 1: And whatever our review leads us towards that, that's the
• 15:52
  Speaker 1: direction will move in. If we feel we need to
• 15:54
  Speaker 1: make adjustments collectively with the players union, were absolutely committed
• 15:57
  Speaker 1: to that and we will share, as I've said, what
• 16:00
  Speaker 1: we find and and see how we can all learn
• 16:02
  Speaker 1: and better adapt from those learnings. Thanks Dr Sills, thanks
• 16:08
  Speaker 1: for having all right, Thank you Judy, Thank you Dr
• 16:11
  Speaker 1: Sills asking all the appropriate questions. Maybe the team physician
• 16:15
  Speaker 1: and the independent neurologists, once we find out the answers
• 16:17
  Speaker 1: from them on those particular questions after the review, will
• 16:21
  Speaker 1: have a lot more answers at this point, Steve, what
• 16:22
  Speaker 1: stood out to you about Dr sills interview there? Well, first,
• 16:25
  Speaker 1: have you talked about the review? I mean, I think
• 16:26
  Speaker 1: a lot of people are wondering how come it took
• 16:28
  Speaker 1: so long between Sunday and Thursday to determine if that
• 16:31
  Speaker 1: was quickly enough to find that, if all the protocols
• 16:34
  Speaker 1: were followed. But the thing that really stood out to
• 16:37
  Speaker 1: me is when Dr sills Omar says that to a
• 16:39
  Speaker 1: tongue of VLOA was examined Monday, Tuesday, and Wednesday leading
• 16:46
  Speaker 1: into Thursday's game, Yet he was not in the concussion protocol.
• 16:49
  Speaker 1: The only thing that concussion protocol details is the day
• 16:53
  Speaker 1: after an endgame, you know, examination for a concussion, is
• 16:56
  Speaker 1: that he'd be followed up the Monday. So I called
• 16:58
  Speaker 1: the league office and was told that the Dolphins went
• 17:02
  Speaker 1: above and beyond to make sure to check him out
• 17:05
  Speaker 1: on Tuesday and Wednesday. Now my follow up question was
• 17:09
  Speaker 1: was the independent neurologists also involved? Still waiting to get
• 17:12
  Speaker 1: an answer on that, because again too, was not in
• 17:15
  Speaker 1: the concussion protocol that he was just listed on the
• 17:18
  Speaker 1: injury report with head and neck injuries. Here's some other
• 17:21
  Speaker 1: things to also think about, because too, it was not
• 17:25
  Speaker 1: in the concussion protocol, he did not have to go
• 17:28
  Speaker 1: through some of the normal activities that are required to play.
• 17:32
  Speaker 1: There are two physical types of examinations, you know, athletic examinations,
• 17:37
  Speaker 1: football related skill examinations. We don't know if he went
• 17:40
  Speaker 1: through those on either days and then there's a follow
• 17:43
  Speaker 1: up clearance by the team doctor and the independent doctor.
• 17:46
  Speaker 1: That's if you are in the concussion protocol. Also, mind you,
• 17:50
  Speaker 1: leading up to the game on the Dolphins injury report
• 17:53
  Speaker 1: or two only had neck and ankle injuries listed. The
• 17:56
  Speaker 1: team did not practice all last week. They just went
• 17:59
  Speaker 1: through walk throughs, so again it is hard to judge
• 18:03
  Speaker 1: exactly if he had balanced is things like that, but
• 18:06
  Speaker 1: everything leading up to it is conversations, things like that.
• 18:09
  Speaker 1: Apparently he was okay. Here's the big question. What is
• 18:15
  Speaker 1: a coach to do if the if the player is
• 18:18
  Speaker 1: medically cleared, he was cleared by the doctors. Was Mike
• 18:21
  Speaker 1: McDaniel supposed to say, well, he did go through the Sunday,
• 18:24
  Speaker 1: I can't play him, but the doctors are telling me
• 18:26
  Speaker 1: he's cleared. Because the coach has no involvement in the examination,
• 18:31
  Speaker 1: when it comes to the medical decisions, he has to
• 18:33
  Speaker 1: take the advice of the doctors. And the reason why
• 18:36
  Speaker 1: this is a big question is we could be looking
• 18:39
  Speaker 1: at the same situation next week. If Tua is medically cleared,
• 18:44
  Speaker 1: does the coaching staff and other decision makers put him
• 18:47
  Speaker 1: in the game. Week five against the Jets, or do
• 18:49
  Speaker 1: they hold him out just because of the optics. This
• 18:53
  Speaker 1: is going to be an ongoing discussion because we can
• 18:57
  Speaker 1: sit here right now not knowing everything and make judgments.
• 19:00
  Speaker 1: But again, the Dolphins have a lot of things to
• 19:03
  Speaker 1: figure out if they put him back on the field
• 19:04
  Speaker 1: for a week, A lot of questions without answers at
• 19:07
  Speaker 1: this point. Will continue to follow this story as it
• 19:09
  Speaker 1: warrants all the way leading up to the New York
• 19:12
  Speaker 1: Jets game next weekend and beyond. Thank you, Steve. Still
• 19:15
  Speaker 1: much more to come here on NFL Now, including a
• 19:18
  Speaker 1: trip to London. Stacy Dale's has been there all week long.
• 19:22
  Speaker 1: We continue to dissect Vikings and Saints next when NFL
• 19:25
  Speaker 1: Now continues. London is the place to be this weekend
• 19:35
  Speaker 1: as the International Series begins anew the Vikings and the Saints,
• 19:40
  Speaker 1: and the Vikings have arrived. They didn't come over until
• 19:44
  Speaker 1: late Thursday night, arriving early Friday morning there in London,
• 19:48
  Speaker 1: Kirk Cousins Kevin O'Connell getting set for New Orleans on
• 19:52
  Speaker 1: Sunday at nine thirty Eastern, a game you can watch
• 19:55
  Speaker 1: right here on NFL Network. And that's where our Stacy
• 19:58
  Speaker 1: Dale's will be and that's where our Stacy Dale's has
• 20:01
  Speaker 1: been all week long, the adopted sit Sin of the UK. Now, Stacy,
• 20:07
  Speaker 1: how are the Vikings adjusting now having gotten in so
• 20:10
  Speaker 1: late compared to when the Saints got in? Yeah? I
• 20:13
  Speaker 1: love it over here. It's been really awesome to be
• 20:16
  Speaker 1: with the Londoners. I will tell you that Omar for
• 20:18
  Speaker 1: these Minnesota Vikings. They landed here at eight o'clock. It
• 20:21
  Speaker 1: was a seamless transition late eight o'clock local time when
• 20:26
  Speaker 1: they walked in. I guess I could just tell you caffeine.
• 20:28
  Speaker 1: I just interviewed wide receiver Justin Jefferson and I asked
• 20:32
  Speaker 1: him how he's been adjusting. He said, I'm drinking coffee.
• 20:34
  Speaker 1: I said, but do you ever drink coffee? And he's like, no,
• 20:39
  Speaker 1: not a fan of coffee. There were actually espresso shots
• 20:41
  Speaker 1: waiting in the hotel for these players to help keep
• 20:44
  Speaker 1: them up, and that's the objective as they roll into
• 20:46
  Speaker 1: the evening. It's been a packed day. But on the
• 20:49
  Speaker 1: practice field, guess what. Running back Dalvin Cook is not
• 20:53
  Speaker 1: on the injury report with that shoulder that left shoulder
• 20:56
  Speaker 1: sub luxation. I talked to him just a few moments ago,
• 20:59
  Speaker 1: he told me he's feeling great. He's been rehabbing this week,
• 21:03
  Speaker 1: working on range of motion, shin, working on the strength. Uh.
• 21:07
  Speaker 1: He's good to go heading into the weekend. The one
• 21:09
  Speaker 1: we're watching, though, is that Darius Smith. He's questionable, actually,
• 21:12
  Speaker 1: Kevin O'Connell telling us he has a game time decision
• 21:14
  Speaker 1: with that knee injury. Limited at practice omar, but he
• 21:17
  Speaker 1: was able to do a whole bunch of things just
• 21:19
  Speaker 1: in limited capacity. They like the direction he is trending,
• 21:23
  Speaker 1: but he'll be a game time decision again on Sunday.
• 21:25
  Speaker 1: As for the st Stacy, they've been there all week
• 21:27
  Speaker 1: getting their bodies acclimated in a different way. Uh. Meanwhile,
• 21:31
  Speaker 1: they have their own injury issues to deal with. What's
• 21:34
  Speaker 1: the latest on the Saints? Okay, let me rip through this.
• 21:38
  Speaker 1: The quarterback Jamis Winston is doubtful obviously, the back and
• 21:42
  Speaker 1: the ankle. Michael Thomas is out. The wide receiver Andrew's
• 21:46
  Speaker 1: Pete starting left guard, he is out with the concussion.
• 21:49
  Speaker 1: Marcus May starting safety he is out with the rib injury.
• 21:55
  Speaker 1: And Elvin Kamara questionable. Uh in this game. I don't
• 22:00
  Speaker 1: think that's anything to be too concerned. About Jarvis Landry
• 22:02
  Speaker 1: is questionable with that a goal, so a ton of
• 22:06
  Speaker 1: injuries there, but really the reason that Jamis Winston is
• 22:09
  Speaker 1: doubtful he hasn't practiced all week is purely medical. That
• 22:12
  Speaker 1: is important. Head coach Dennis Allen talking today after practice
• 22:16
  Speaker 1: and saying essentially that really an accumulation of wear and
• 22:20
  Speaker 1: tear and his body just didn't respond typically set at
• 22:23
  Speaker 1: the start of every week dealing with these fractures in
• 22:26
  Speaker 1: his back and the ankle injury. He hasn't felt great,
• 22:29
  Speaker 1: but later on the week he has essentially bounced back
• 22:33
  Speaker 1: and so it just didn't happen this week. He's been
• 22:35
  Speaker 1: rehabbing all week. Andy Dalton, they're highly confident in Omar
• 22:39
  Speaker 1: to take over Alan saying we love uh the experience
• 22:44
  Speaker 1: that he brings to the table and uh if he
• 22:47
  Speaker 1: has called upon they haven't declared it yet. They think
• 22:49
  Speaker 1: he can get the job done. Well. If it's Andy
• 22:51
  Speaker 1: Dalton versus Kirk Cousins, we've seen that showdown before in
• 22:55
  Speaker 1: the UK seven tie when Kirk Cousins Washington. Dalton was
• 23:00
  Speaker 1: with Bengals and Kirk Cousins in that game set a
• 23:03
  Speaker 1: record for UK game four hundred fifty eight passing yards.
• 23:06
  Speaker 1: If we see some fireworks like that, I think we'd
• 23:08
  Speaker 1: all be interested in that. Stacy Dale's thank you very much.
• 23:11
  Speaker 1: We'll see you a little bit later in the show.
• 23:14
  Speaker 1: Speaking of that game, the Vikings, they are facing off
• 23:17
  Speaker 1: against the Saints this Sunday in London nine thirty a m. Eastern.
• 23:20
  Speaker 1: But before the game, be sure to tune in to
• 23:23
  Speaker 1: NFL Game Day Kickoff and catch Colleen Wolf, Willie McGinnis,
• 23:26
  Speaker 1: Kurt Warner, and Cynthia Freelance Sunday morning starting at seven Eastern.
• 23:30
  Speaker 1: That's four year so watch for their sacrifice on both
• 23:34
  Speaker 1: NFL Network and NFL Plus. We can't wait for that. Meanwhile,
• 23:37
  Speaker 1: let's get you Are Insider Report with Ian Rappaport, Mike Garifolo,
• 23:41
  Speaker 1: and Tom Pella. There a lot of injuries were keeping
• 23:44
  Speaker 1: track of right now, including the Patriots quarterback Mac Jones
• 23:48
  Speaker 1: getting set for that game in Green Bay. What's the
• 23:51
  Speaker 1: latest on Max health? Ian and Mac Jones dealing with
• 23:55
  Speaker 1: a pretty serious and painful high ankle sprain and not
• 23:58
  Speaker 1: practice Wednesday or Thursday, but did make a surprise appearance
• 24:02
  Speaker 1: a Patriots practice today. Now judging by the the shots
• 24:06
  Speaker 1: of him, what he was doing in practice. He didn't
• 24:08
  Speaker 1: move at all. I don't think he took a step
• 24:10
  Speaker 1: on reporters. For president, he was throwing all those arms
• 24:12
  Speaker 1: should be fine anyway. I would still expect, based on
• 24:15
  Speaker 1: what I know, for Matt Jones to not play this
• 24:18
  Speaker 1: Sunday for the New England Patriots. We'll see what he
• 24:20
  Speaker 1: ends up being classified as that. I would expect Brian
• 24:23
  Speaker 1: Hoyer to be their starter. Meanwhile, much different report for
• 24:26
  Speaker 1: Zach Wilson, the Jets starter. He is off the injury
• 24:29
  Speaker 1: report after missing the first several games with a bone
• 24:31
  Speaker 1: bruise and having surgery to trim his meniscus. He was
• 24:35
  Speaker 1: a fogo this week, no setback at all. He is
• 24:38
  Speaker 1: now back healthy and off the injury report. Good news
• 24:43
  Speaker 1: there for the Jets. And then there's Christian McCaffrey, who
• 24:45
  Speaker 1: didn't practice Wednesday or Thursday deal with a thigh issue.
• 24:49
  Speaker 1: Did practice today, just told reporters a couple of seconds ago,
• 24:52
  Speaker 1: I feel great. Coach Matt Rules said he also expects
• 24:56
  Speaker 1: Christian McCaffrey to play, which I think you're someone who
• 25:00
  Speaker 1: maybe has him in fantasy or something like that. That's
• 25:02
  Speaker 1: probably some good news. Meanwhile, for the Detroit Lions. They're
• 25:05
  Speaker 1: getting ready for a showdown with the Seattle Seahawks. Tom
• 25:08
  Speaker 1: a couple of big names on their injury report. What's
• 25:11
  Speaker 1: the latest on DeAndre Swift? DeAndre Swift not expected to
• 25:14
  Speaker 1: play in this game, Omar Dan Campbell, the head coach,
• 25:16
  Speaker 1: said he is probably out for this week. Not a surprise.
• 25:19
  Speaker 1: Had been going this direction. Swift suffered a shoulder injury
• 25:23
  Speaker 1: last week at Minnesota. He had already been dealing with
• 25:25
  Speaker 1: an ankle injury. Lions of their by coming up in
• 25:28
  Speaker 1: a couple of weeks, so the thinking is just give
• 25:30
  Speaker 1: Swift a little bit of time here, heal up and
• 25:33
  Speaker 1: hope he is rolling when they get back on the
• 25:35
  Speaker 1: field after the by. Meanwhile, their wide receiver i'm On
• 25:38
  Speaker 1: Ross st Brown also out. According to Dan Campbell, st
• 25:42
  Speaker 1: Brown turned an ankle in the game against Minnesota, went over,
• 25:45
  Speaker 1: got retaped, came back into the game, didn't entirely look
• 25:48
  Speaker 1: at like himself. So on Monday he wonder went a
• 25:50
  Speaker 1: battery of tests. I was told that mostly the results
• 25:53
  Speaker 1: of those were encouraging. There's not some major structural issue,
• 25:56
  Speaker 1: nothing that should be long term. So this absence for
• 25:59
  Speaker 1: arm On Ross st Brown should not be something that
• 26:01
  Speaker 1: extends a long time into the season. Me out for
• 26:04
  Speaker 1: the Atlanta Elkins Cordarrell Patterson. They're running back the offensive
• 26:08
  Speaker 1: player of the Week in the NFC this week, was
• 26:10
  Speaker 1: listed as rest the past couple of days. Got back
• 26:13
  Speaker 1: on the field today, limited in practice because of what
• 26:16
  Speaker 1: the Falcons say is a knee issue. He is officially
• 26:19
  Speaker 1: listed as questionable for Sunday against the Browns. Somar we
• 26:22
  Speaker 1: have Brown's defense that may or may not have Myles
• 26:25
  Speaker 1: Garrett after that car accident earlier this week, Mike, what's
• 26:28
  Speaker 1: the latest on the brown star pass rusher. Well, let's
• 26:32
  Speaker 1: start with the non football stuff, because that's the more
• 26:34
  Speaker 1: heavy stuff and the stuff that needs to be addressed.
• 26:36
  Speaker 1: Myles Garrett, speaking to the media for the first time
• 26:38
  Speaker 1: since that car accident, said it was a wake up
• 26:40
  Speaker 1: call for him regarding his driving habits and will be
• 26:44
  Speaker 1: a safer driver moving forward. He also said he had
• 26:46
  Speaker 1: a gardening angel on his side to make sure that
• 26:49
  Speaker 1: he was not injured. Remember, he was wearing his seatbelt,
• 26:52
  Speaker 1: so that was a good thing and a good decision
• 26:55
  Speaker 1: for him and certainly contributed to his safety. As for
• 26:59
  Speaker 1: his football status, like I said, he is questionable. He
• 27:01
  Speaker 1: said it's gonna be up to the medical staff whether
• 27:03
  Speaker 1: he goes. He's got arm issues, he had a laceration.
• 27:07
  Speaker 1: He said he popped bud blood vessel in his eye.
• 27:11
  Speaker 1: He's got some blood still in his eye, but he
• 27:13
  Speaker 1: says no problem with his vision. So we will see
• 27:15
  Speaker 1: about his status for Sunday. But Garrett saying that he
• 27:18
  Speaker 1: feels very fortunate to be a live and he should
• 27:22
  Speaker 1: so let that be a wake up call for everyone,
• 27:24
  Speaker 1: not just Miles Garrett. Elsewhere, on the injury front, the
• 27:28
  Speaker 1: Buffalo Bills have had a series of injuries in their
• 27:31
  Speaker 1: secondary and you can add one more. It's the guy
• 27:33
  Speaker 1: that just arrived, veteran cornerback Xavier Rhodes. Sorry, Tom, x
• 27:38
  Speaker 1: Xavier Rhodes. Tom told me you have to pronounce the
• 27:40
  Speaker 1: x x Xavier Rhodes. Uh. He has a hamstring issue.
• 27:44
  Speaker 1: He will not play. He was supposed to be part
• 27:48
  Speaker 1: of the active roster this coming Sunday, because the Bills
• 27:51
  Speaker 1: are so banged up back there. They've lost Micah Hide
• 27:54
  Speaker 1: and a bunch of other cornerbacks. However, a bit of
• 27:56
  Speaker 1: good news, and this is great considering the scene on
• 27:59
  Speaker 1: that Monday night game recently Dane Jackson said that the
• 28:02
  Speaker 1: plan is for him to play. Remember, he was taken
• 28:04
  Speaker 1: off in an ambulance, had full movement of his extremities
• 28:09
  Speaker 1: and everything, despite the fact that he went to the
• 28:11
  Speaker 1: hospital that night. In that game against the Titans. Uh so,
• 28:14
  Speaker 1: Dane Jackson expected to be back on the field. That's
• 28:16
  Speaker 1: good news for the Bills as far as secondary because
• 28:19
  Speaker 1: they need all the help that they can get. And
• 28:20
  Speaker 1: also great news for Jackson. He's gonna be back on
• 28:22
  Speaker 1: the field, ready to go. Time now for one more thing,
• 28:29
  Speaker 1: and backed by popular demand, it is the insiders, he
• 28:33
  Speaker 1: and Mike and Tom, and we have learned our lesson.
• 28:36
  Speaker 1: Tom is going last in this segment, so Ian, we'll
• 28:39
  Speaker 1: start with you. What's your one more thing? I'll be fast.
• 28:43
  Speaker 1: Unlike those two idiots. Kadarius Tony, the giant receiver they're
• 28:47
  Speaker 1: expecting so much from the finally get on the field
• 28:50
  Speaker 1: this season. Already ruled out another week without Kadarius Tony. Meanwhile,
• 28:54
  Speaker 1: Keenan Allen still doing with the hamstring injury. Not spotted
• 28:57
  Speaker 1: a Chargers practice. Not a good sign. Not good for
• 29:00
  Speaker 1: a couple of those receivers. Mike, what's your one more thing?
• 29:03
  Speaker 1: The Ravens have some bad injury news. How about some
• 29:06
  Speaker 1: good news on that front. Jason Pierre Paul, he will play.
• 29:10
  Speaker 1: If you thought he was washed up because of how
• 29:11
  Speaker 1: he played last year, he told reporters that he had
• 29:13
  Speaker 1: a torn rotator cup and biceps damage, basically playing with
• 29:16
  Speaker 1: just one arm last year. Well, JPP. If he can
• 29:20
  Speaker 1: get to the playing the way he did in that
• 29:22
  Speaker 1: Super Bowl run for Tampa, obviously a good sign for Baltimore. Tom,
• 29:25
  Speaker 1: what's your one more thing? I'm a happy birthday David
• 29:30
  Speaker 1: back tr the Packers left tackle, is thirty one years
• 29:33
  Speaker 1: old today and his buddy Aaron Rodgers had a little
• 29:36
  Speaker 1: surprise for him at lambeau Field. That's a stadium tour.
• 30:00
  Speaker 1: That's just some people who paid to come walk around
• 30:02
  Speaker 1: the stadium and Aaron Rodgers wants you to sing Happy birthday,
• 30:05
  Speaker 1: left tackle. Let's cool. Imagine those people on that tour
• 30:07
  Speaker 1: getting to experience that. That's pretty remarkable lambeau Field. Any
• 30:11
  Speaker 1: times they just see Tom, David box pr have a
• 30:14
  Speaker 1: great day. Everybody enjoyed the game. NFL Now is a
• 30:18
  Speaker 1: production of the NFL in partnership with my Heart Radio.
• 30:22
  Speaker 1: For more podcasts from my Heart Radio, visit the I
• 30:24
  Speaker 1: Heart Radio app, Apple Podcasts, or wherever you get your podcasts.