Outside the Lines: Mind Control

BySTEVE FAINARU AND MARK FAINARU-WADA
December 22, 2015, 9:18 AM

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Mind Control

How multiple research groups and the NFL battled over Junior Seau's brain to lead the science of concussions.

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SAN DIEGO -- Inside the autopsy room of the San Diego County medical examiner's office, Bennet Omalu, a forensic pathologist, carefully sliced Junior Seau's brain with a long knife. It was late morning on May 3, 2012; Seau's autopsy, which began just after 9, was nearly over. Omalu wore dark blue scrubs, rubber gloves and a clear plastic face mask as he went about his work in the cool, windowless room, picking up half of Seau's brain and placing it in a small tub filled with formaldehyde and water.

Omalu, 44, was the first researcher to identify brain damage in a former NFL player. When he published his results, in July 2005, the NFL attacked him and insisted he was wrong. His research has since been vindicated many times over, with each new discovery of the crippling neurodegenerative disease in a dead football player. Omalu arrived at Seau's autopsy with a special \"brain briefcase\" he carries on such occasions. His intention was to fly Seau's brain back to San Francisco that night and share it with a Nobel Prize-winning researcher who also coveted the valuable specimen.

Just then, the medical examiner's chaplain, Joe Davis, walked into the room.

\"Houston, we have a problem,\" Davis said.

Seau's son Tyler had just called, Davis told Omalu and Craig Nelson, the deputy medical examiner.

REPORTING PARTNERSHIP

ESPN reporters Mark Fainaru-Wada and Steve Fainaru are writing a book about football and brain injuries, scheduled to be published in 2013 by Crown Archetype, a division of Random House. PBS' \" Frontline,\" in partnership with ESPN's \"Outside the Lines,\" is producing a documentary based on the reporters' research. This article is a product of these partnerships.

STORIES

  • BU researchers consulted with law firms »
  • CTE found in living players »
  • NFL reports remain inconsistent »
  • New cases of CTE in football players »
  • Mixed messages on brain injuries »
  • The Mike Webster disability case »
  • \"I talked to the NFL,\" Tyler Seau, then 22, told the chaplain. The league, he said, informed him that Omalu's \"research is bad and his ethics are bad.\" Tyler was in a rage. Omalu \"is not to be in the same f---ing room as my dad!\" he screamed. \"He's not to f---ing touch my dad! He's not to have anything to do with my dad!\"

    Omalu left and returned home, his brain briefcase empty.

    From that point on, the NFL played a powerful role in determining what happened to Junior Seau's brain -- who studied it and where. In the hours, days and weeks after Seau shot himself in the chest with a .357 Magnum revolver -- the shocking end to the life of one of the most admired players in history -- the league muscled aside independent researchers, ignored a previous commitment to Boston University and directed Seau's brain to the National Institutes of Health -- four months before the NFL donated $30 million to that institution for concussion and other research.

    The NFL's intervention in the fate of Seau's brain -- the most prized specimen yet in the race to document the relationship between football and brain damage -- was part of an aggressive strategy to dictate who leads the science of concussions. By shunting aside Omalu, whose discovery sparked the concussion crisis; Boston University researchers, the leading experts on football and brain damage; a Nobel laureate; and other suitors, the league directed Seau's brain away from scientists who have driven the national debate about the risks of playing football -- the central issue to the NFL's future.

    ENLARGE
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    Still stunned about his father's death, Tyler Seau almost immediately began fielding a barrage of requests from researchers interested in studying his father's brain.

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    \"Outside the Lines\" and \"Frontline\" pieced together the odyssey of Seau's brain from interviews, documents and private emails.

    What emerges is essentially a scientific backroom brawl in which the NFL prevailed over a half-dozen researchers vying for Seau's brain. To the league and the Seau family -- and even some of the losers -- this was the best possible outcome. The NFL ended an ugly free-for-all that brought added pain to Seau's relatives, who received unsolicited calls from brain researchers, including Omalu, within hours of his death. With researchers unwilling to share tissue and bad-mouthing one another to Seau's family, the intervention by league representatives led to a blind study by one of the most respected research institutions in the country. Five specialists consulted by the NIH found what Omalu himself suspected: Seau suffered from chronic traumatic encephalopathy, or CTE, the disease found in dozens of former players.

    \"Obviously, the NFL wants to be real careful as to not look as though they were inserting themselves in the middle of this, where they're trying to cover something up,\" said Kevin Guskiewicz, one of three members of the NFL's Head, Neck and Spine Committee who helped steer Seau's brain to the NIH. \"I can assure you that is not the case right now.\"

    MIND CONTROL

    VIDEOS

    • Outside The Lines \"Video\"
    • Jeremy Schaap on Seau's life \"Video\"

    • DOCUMENTS

      • NIH statement on Seau's CTE
      • The NIH pathology report

      • ESPN THE MAGAZINE

        But there's a déjà vu quality to the NFL's recent strategy. A federal lawsuit filed against the league by more than 4,000 retired players and their families (including Seau's) revolves around the NFL's previous scientific exploration. The players charge that the league's original concussion committee, which was disbanded in 2009, conducted fraudulent research to hide the connection between football and brain damage. That 15 years of research has been largely discarded, even by the league. When Mitchel Berger, chairman of the department of neurological surgery at the University of California San Francisco, joined the NFL's new concussion committee in 2010, he and his colleagues \"essentially started from zero,\" Berger said.

        Faced with the threat of the lawsuit and mounting concerns about the long-term health effects of the sport, the NFL is again using its vast resources to insert itself in the science of head trauma.

        \"I guess the National Institute of Health is now involved; I guess they somehow got drafted by the NFL,\" said Bob Fitzsimmons, a Wheeling, W.Va., lawyer who represented Mike Webster, the first NFL player diagnosed with CTE, and co-founded the nonprofit Brain Injury Research Institute with Omalu and Dr. Julian Bailes, a prominent neurosurgeon. \"They had an early draft, I think, and they drafted the NIH and paid them pretty good salary, too, from what I hear.\"

        The NFL also recently announced a $60 million research partnership with General Electric and Under Armour, and is working with the U.S. Army on concussion initiatives.

        An NFL spokesman, Greg Aiello, said members of the Head, Neck and Spine Committee work independently and the league played no role in directing Seau's brain to the NIH. Guskiewicz said he acted on his own as a research scientist and not under the direction of the league. The NFL Head, Neck and Spine Committee is funded by the NFL, reports to the commissioner and filters communication through the NFL's media office, which sometimes monitors interviews and correspondence with committee members. None of the committee members is paid by the league, but they submit expenses through the league office.

        According to Dr. Rich Ellenbogen, the committee's co-chairman, NFL Commissioner Roger Goodell sought guidance from the committee as far back as 2010 about where to direct the league's resources. The NIH was recommended. At the same time, Ellenbogen and other committee members discussed employing the NIH as a scientific clearinghouse for research into football and brain damage.

        Seau's death became a catalyst for turning the NFL's vision into reality.