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Neurosurgeon discusses brain injuries such as Michael Schumacher’s

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PARIS (AP) — More than four years after a ski accident caused him a near-fatal brain injury, little is known about Michael Schumacher’s current condition. Updates on his health have been extremely scarce ever since he left hospital in September 2014 to be cared for privately at his Swiss home on the shores of Lake Geneva. Details of his specific condition and the treatment he received have been kept strictly private. The last public statement 16 months ago clarified nothing further would be said.

Colin Shieff is a retired neurosurgeon from Britain’s National Health Service and a trustee of Headway, the national brain injury charity. Although he has never treated Schumacher, or spoken with doctors who’ve treated Schumacher over the years, he has dealt with similar cases both at immediate critical-care level and further down the line in terms of long-term treatment.

Shieff spent many years working with people with brain injuries and trauma, including at NATO field hospitals in Afghanistan an Iraq. He answered questions for The Associated Press related to the nature of Schumacher’s brain injury, pertaining to how his condition may have evolved in the time since his accident.

MORE: As F1 season begins, Michael Schumacher still fighting, far from forgotten

Q. In your opinion, what’s the likely prognosis at this stage?

A. “The nature of his injury and those bits of information that are available, and have been available, suggest that he has sustained permanent and very major damage to his brain. As a consequence his brain does not function in a fashion similar to yours or mine. The longer one goes on after an injury the more remote it is that any improvement becomes. He is almost certainly not going to change from the situation he is now.”

Q. What ongoing treatments would he be having?

A. “He will have the kind of treatment, which is care: giving him nourishment, giving him fluid. The probability is that this is given in the main – or at least as supplements – through some tube passed into his intestinal system, either through his nose or mouth, or more likely a tube in the front wall of the tummy. He will have therapy to sit him, because he won’t be able to get himself out of a bed and into a chair. He will be treated in a way that will ensure his limbs move and don’t remain rigid.”

Q. Would someone in his position receive around-the-clock treatment?

A. “He will be allowed a period of rest and sleep and relaxation, and he will be given an environment. I’m positive as I can be without knowing the facts (that) he will be living in an environment that – although it’s got artificial bits of medical kit and care and people – will mimic a caring, warm, pleasant, socially stimulating environment.”

Q. Would he be able to sense he’s in such an environment?

A. “I don’t know. There is always a technical, medical and neurological issue with defining a coma. Almost certainly he cannot express himself (in a conversation). He may well be able to indicate, or it may be apparent to those around him, that he is uncomfortable or unhappy. Or (he) is perhaps getting pleasure from seeing his children or hearing music he’s always liked, or having his hand stroked.”

Q. Are patients in his situation aware of touch and voice from family members?

A. “Absolutely. Even in the early stages, even in a critical care unit, when medicines are being given, for one individual at one time there may be an ability to discern and show response to someone they are familiar with. Respond to familiar, respond to family you’re triggered to. You hear them all your life so that’s the very, very familiar (aspect) the person is going to respond to.”

Q. Is there a chance he can make A) a full recovery? B) A partial recovery?

A. “First one, absolutely, totally no. Number one statistically, number two neurologically, and number three he’s been ill for so long. He’s lost muscle bulk, even if he opened his eyes and started talking there will have been loss of memory, there will be impact on behavior, on cognitive functions. He would not be the same person. (As for a) partial recovery, even the smallest thing that gets better is some kind of recovery. But (it depends) whether that recovery contributes to a functional improvement for him to be able to express himself – other than an evidence of saying `Yes’ or an evidence of saying `No.’ (Therefore) if he could use words of two syllables, if he could turn on the remote control for the tele. One can do, professionally, all sorts of wonderful things with electronic devices and couple them up to eye and mouth movements. Sometimes with a person in a situation called `Locked In’ or `Profoundly neurologically comprised’ – which is essentially paralysis but with continuing intellectual function – ways can be found to communicate with those people. If that had been so with Michael Schumacher I am positive we would have known that is the case, so I don’t believe it’s so for him.”

Q. This is a deeply personal decision for the family. But how long can treatment last for?

A. “In, for example, our health system we don’t have the luxury to keep maximal intervention going in a high-tech hospital environment. For Michael Schumacher’s family, I suspect they have the financial support to be able to provide those things. Therefore, for him, the future is longer but it doesn’t imply any change in the quality of it.”

Q. Some reports have estimated the cost of treatment at anything up to 200,000 euros ($245,000) per week. Is that realistic?

A. “I would personally think that’s over the top, in terms of what I reckon that might buy him. He’ll have a nurse, a therapist, a visiting doctor. There’ll be an extra pair of hands when something physical is being done, when he’s being moved to somewhere. That doesn’t add up to 150,000 euros or 200,000 euros. He needs essentially, somebody with nursing or therapeutic qualifications with him at all times. So that’s however many people you need to run a 24/7 roster. You’re talking probably eight people to provide that level of care constantly over a year’s period. That’s the number of nurses required for instance, to nurse or to staff, one critical care bed in an intensive care unit.”

More AP auto racing: https://racing.ap.org

 

For further details on Headway: https://www.headway.org.uk

NHRA shocker in Houston: John Force fails to qualify for first time since 2008, snaps 221-race streak

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Sunday’s eliminations in the 31st annual NHRA SpringNationals at Royal Purple Raceway in suburban Houston  just won’t be the same without John Force.

In one of the most stunning turn of events seen in the last decade-plus in NHRA drag racing, the legendary 16-time Funny Car champion and the sport’s all-time winningest driver on Saturday failed to qualify for Sunday’s main event of the race weekend.

It marks the first time Force, who turns 69 on May 4, failed to qualify for a race since Sept. 13, 2008 in Charlotte race, snapping a string of having made the eliminations in each of the subsequent 221 races until failing to do so Saturday.

“That is hard for me,” Force said after failing to go any faster than 222.29 mph in the four qualifying rounds for the race, two on Friday and the other two on Saturday. “You earn what you get. We didn’t put it in the show. We couldn’t get to half-track.

“We have had a lot of problems all year. At least I got my final shot to get in and I didn’t make it. I will be here tomorrow rooting on Robert, Courtney and Brittany (teammates Robert Hight and daughters Courtney and Brittany Force). I’ll be signing autographs for all the fans. I am sorry to all of you fans that I didn’t make it.”

Saturday’s failure to qualify marked only the 22nd time he’s DNQ’d in his 40-year professional drag racing career. He set a drag racing record by qualifying for 395 consecutive events from 1988 until April 2007.

“I am bummed that the boss didn’t get in. That was quite a streak he had going,” Hight said of hoss and father-in-law. “There is nobody better at rallying a team and leading a comeback than John Force.

“He loves the fight and he will do whatever it takes to get his team back on top. It really isn’t something to worry about because two of our Chevys are No.1 and No. 2 right now.

“We have good combinations and we just have to duplicate one of those set ups for John’s PEAK Funny car. He’ll be back next week in Charlotte.”

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As for the other classes (information courtesy NHRA Media Relations):Leah Pritchett set a new Top Fuel track record during the final qualifying session on Saturday to secure the top spot in Top Fuel heading into Sunday.Hight (Funny Car) and Greg Anderson (Pro Stock) are also No. 1 qualifiers in their respective categories at the fifth of 24 events on the 2018 NHRA Mello Yello Drag Racing Series schedule.

Defending event champion Pritchett raced her Mopar Dodge dragster to a pass of 3.680-seconds at 326.00 mph. This is her first No. 1 qualifier of the season and eighth of her career.

“We’ve been developing our confidence the last couple of races,” Pritchett stated. “To be able to put it on the track is phenomenal. We know we need to be exceptional because our competition is exceptional.”

Pritchett will line up against Terry Brian in round one of eliminations on Sunday. Defending world champion Brittany Force locked-in the No. 2 spot after a 3.701 at 313.80 in her Monster Energy dragster. Tony Schumacher is seeded third and will face William Litton.

Hight’s final qualifying pass of 3.894 at 317.27 in his Auto Club of Southern California Chevrolet Camaro took him to the top of the Funny Car category. This is his first No. 1 qualifier of the season, second at Houston and 58th of his career.

“This is going to be a new ball game tomorrow,” Hight said. “With fresh asphalt and the sun being out; these cars are going to spin. It’s definitely going to be fun. Two of our Chevy’s are one and two (in Funny Car) which shows we have good combinations.”

Hight will face-off against Todd Simpson Sunday morning in the first round. Teammate Courtney Force sits in the No. 2 position with a pass of 3.911 at 295.14 in her Advance Auto Parts Chevrolet Camaro and two-time world champion Matt Hagan rounds out the top three.

Anderson, four-time Pro Stock world champion, remained atop the field Saturday with his pass of 6.492 at 213.00 in his Summit Racing Equipment Chevrolet Camaro from the first qualifying session on Friday. He notched his third consecutive No. 1 qualifier of the season and is seeking his first victory of the year.

“I haven’t had great Sunday’s yet,” Anderson stated. “I know I’m going to break through one of these days though. The weather is going to be great again tomorrow. I feel good about it, I’m excited and so far it’s just been a great weekend.”

Anderson will race Steve Graham in the first round of eliminations. Jeg Coughlin Jr. qualified in the No. 2 position with a pass of 6.504 at 212.36 in his JEGS.com/Elite Performance Chevrolet Camaro and Tanner Gray is third.

Eliminations at the NHRA SpringNationals begin at 11 a.m. on Sunday at Royal Purple Raceway.

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SUNDAY’S FIRST-ROUND PAIRINGS FOR ELIMINATIONS:

TOP FUEL: 1. Leah Pritchett, 3.680 seconds, 326.00 mph vs. 16. Terry Brian, 4.275, 284.62; 2. Brittany Force, 3.701, 320.20 vs. 15. Terry Haddock, 4.081, 287.17; 3. Tony Schumacher, 3.703, 322.73 vs. 14. Bill Litton, 3.927, 306.60; 4. Billy Torrence, 3.737, 317.87 vs. 13. Kebin Kinsley, 3.819, 313.51; 5. Antron Brown, 3.740, 324.98 vs. 12. Terry McMillen, 3.783, 314.31; 6. Clay Millican, 3.746, 315.78 vs. 11. Mike Salinas, 3.766, 313.73; 7. Doug Kalitta, 3.748, 320.05 vs. 10. Richie Crampton, 3.766, 316.23; 8. Scott Palmer, 3.754, 318.17 vs. 9. Steve Torrence, 3.759, 313.88. Did Not Qualify: 17. Terry Totten, 4.636, 216.34.

FUNNY CAR: 1. Robert Hight, Chevy Camaro, 3.894, 317.27 vs. 16. Todd Simpson, Dodge Charger, 4.318, 288.33; 2. Courtney Force, Camaro, 3.911, 313.58 vs. 15. Jeff Diehl, Toyota Camry, 4.151, 283.49; 3. Matt Hagan, Charger, 3.913, 311.85 vs. 14. Ron Capps, Charger, 4.077, 305.77; 4. Jack Beckman, Charger, 3.918, 317.42 vs. 13. Richard Townsend, Camry, 4.026, 308.99; 5. Cruz Pedregon, Camry, 3.918, 301.94 vs. 12. Del Worsham, Camry, 4.017, 307.51; 6. Tim Wilkerson, Ford Mustang, 3.925, 311.41 vs. 11. Shawn Langdon, Camry, 3.994, 311.34; 7. Tommy Johnson Jr., Charger, 3.926, 313.00 vs. 10. J.R. Todd, Camry, 3.989, 313.37; 8. Jonnie Lindberg, Camry, 3.927, 316.52 vs. 9. Bob Tasca III, Mustang, 3.938, 314.09. Did Not Qualify: 17. Jim Campbell, 4.341, 273.05; 18. John Force, 4.625, 222.29.

PRO STOCK: 1. Greg Anderson, Chevy Camaro, 6.492, 213.00 vs. 16. Steve Graham, Camaro, 6.775, 205.60; 2. Jeg Coughlin, Camaro, 6.504, 212.36 vs. 15. Alan Prusiensky, Dodge Dart, 6.621, 208.65; 3. Tanner Gray, Camaro, 6.507, 211.99 vs. 14. John Gaydosh Jr, Chevrolet Camaro, 6.592, 210.93; 4. Vincent Nobile, Camaro, 6.513, 212.29 vs. 13. Erica Enders, Camaro, 6.548, 210.67; 5. Jason Line, Camaro, 6.518, 211.99 vs. 12. Rodger Brogdon, Camaro, 6.545, 210.50; 6. Chris McGaha, Camaro, 6.525, 212.79 vs. 11. Matt Hartford, Camaro, 6.532, 212.73; 7. Drew Skillman, Camaro, 6.527, 212.29 vs. 10. Bo Butner, Camaro, 6.532, 211.79; 8. Deric Kramer, Camaro, 6.528, 211.93 vs. 9. Alex Laughlin, Camaro, 6.530, 211.33.