What were Gregs signs and symptoms before the game and during the warm up?
Part II – The High School Football Game
It was a beautiful Saturday morning in October 1999. Th e weather in Tulsa, Oklahoma, was a balmy 92°F with 71%
humidity. Greg woke up and went downstairs. He felt a little dizzy. “Whoever heard of having a team party the night
before the State Championship,” he mumbled to himself as he staggered into the kitchen.
“Your breakfast is ready; better hurry and eat or you’ll be late!” Mrs. Myron put the plate of waffl es on the table with a
smile. “I’m not hungry Mom,” Greg said as he pushed the plate to the center of the table. “Is coff ee ready?”
“Oh Gregory, it’s probably just nerves for the game tonight. You really should try to eat something or you’re going to
fade by the third quarter. Here’s some coff ee and take this bagel and banana with you and eat them on the way.”
Greg took the bagel and coff ee and steadied himself against the table as he stood up.
“Are you okay, Greg?” his mother asked him.
“Sure, just a little dizzy; probably got up too fast.”
Arriving in the parking lot he polished off the last of the coff ee and left the bagel in the car – there was no time to eat,
and he still wasn’t feeling hungry anyway.
“Myron!” yelled the coach. “Had a little too much fun last night? I know this is only the pre-game warm up, but you
look like you’re dragging! Hope you’re ready for tonight. We’re counting on the school’s star running back to lead us to
victory!”
Greg removed his helmet “Yes, sir!” he yelled enthusiastically, but he felt anything but.
“Good, grab some water; you’re fl ushed and sweating like a pig. Or did you forget to wash off your date’s makeup?”
mocked the coach.
“It’s 4th and 26 from their own 10. Th e Bulldogs have to go for it if they want to win this game,” boomed the
loudspeaker. Greg, after a lackluster game so far, set up for what could be the last play of the season. It was a pitch
back and Greg was off , running down the sideline. He sprinted down to the opposition’s 20-yard line before taking a
crunching hit from the free safety, which knocked him out of bounds in front of a stand full of screaming spectators.
“No time for another play; fi eld goal!” yelled the coach, eyeing the game clock, which had stopped with less than a
second to go.
Everyone stopped and there was silence on the fi eld; Greg was lying motionless on the ground. His parents came out
of the stands and rushed to the side line as the trainer ran across the fi eld. Th e coach made a call and an ambulance
drove out onto the fi eld to take the seemingly unconscious player to the hospital. Greg came to as he felt the vehicle
move under him. He could see his parents and heard the public address system over the ambulance’s siren: “It’s up and
it’s good. Th e Bulldogs win the 1999 state championship!”
Greg smiled and closed his eyes.
Questions
1. What were Gregs signs and symptoms before the game and during the warm up?
2. Can you think of any reasons why Greg exhibited these signs and symptoms?
3. Greg is taken to the hospital after being injured during the game. What problems do you think the physicians
will fi nd with Greg when they examine him, or do you think he is only suff ering from dehydration?
4. If you were a doctor in the Emergency Room, describe two tests you would run to determine Greg’s problems.
For each test, predict the results you would expect.
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