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Messages - Heathen

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31
Wasps Rugby Discussion / Premiership/Top 14 tables at the end of 2023
« on: December 30, 2023, 10:38:25 PM »
Intersting similarities in the tables of both leagues at the end of 2023.

Clearly RWC has impacted on both and not many points separate the top 7 or 8 in either competition.

2024 could be fascinating watching in both leagues.

32
Wasps Rugby Discussion / Re: Ex Wasps signing for new clubs
« on: December 25, 2023, 12:19:21 PM »
Ex Wasps doing well in the Top 14.

I see that Wadey was on the scoresheet in Racing's 66-10 thumping of Oyonnax.

34
Wasps Rugby Discussion / Re: Possible news?
« on: December 20, 2023, 05:41:42 PM »
I would still like to know who vetoed the deal (and why) that would have kept the club in existence.

35
Wasps Rugby Discussion / Re: Ex Wasps signing for new clubs
« on: December 20, 2023, 05:39:15 PM »
Whilst not necessarily disagreeing WWW, I will give him the benefit of the doubt. He did after all pension Ben Youngs off earlier than I expected.
TBH, its not his selection which worries me, he selects a team based on how he wants to play. He needs to change his game plan to a more expansive, risky & entertaining style then pick a team accordingly. If he doesn't he may as well keep picking Sale/Tigers/Sarries players.

He will need to bin Farrell completly before he gets my support. We should be building now for RWC 2027. It would not concern me if we lost all our 6N games for the next two years, if the outcome delivers a squad that has a convincing chance of winning it. He has a lot to learn from SCW.

36
Wasps Rugby Discussion / Re: Ex Wasps signing for new clubs
« on: December 17, 2023, 07:22:44 PM »
MotM.


37
Wasps Rugby Discussion / Black Lion
« on: December 16, 2023, 07:57:07 PM »
Did not know who they were until last night. Awesome scrummaging - destroyed the Scarlets. Georgian rugby at it's best.

38
Wasps Rugby Discussion / Re: Ex Wasps signing for new clubs
« on: December 16, 2023, 07:54:54 PM »
Shame that Joe will not come face to face with Thibaut or Jack tomorrow. Thibaut recently injured and Jack has just returned to training.

39
Wasps Rugby Discussion / Re: Interesting Article on Kent Site.
« on: December 12, 2023, 11:16:38 PM »
Interesting (and very sensible) location. Adjacent to the M20/M25 interchange.Not a bad run from HW IF the traffic flows are good!

40
Wasps Rugby Discussion / Re: Ex Wasps signing for new clubs
« on: November 26, 2023, 05:51:04 PM »
How did the ref do?

41
Wasps Rugby Discussion / Re: Ex Wasps signing for new clubs
« on: November 22, 2023, 10:52:24 PM »
Elliott Stooke back to Bath from Montpellier.

42
Second part of the article :

Michael Lipman
Flanker, 43

In their co-authored book, Concussion: A Family?s Story of How the Long-Term Impact of Sport-Related Concussion Changed Their Lives Forever, the former England international Michael Lipman and his wife Frankie write about Michael?s career and how it was catastrophically changed by brain injury.

There is a section about an injury he received while playing for Bristol. ?I recall getting one severe concussion. It was a home game against London Irish, or maybe Gloucester. Or was it Wasps? I got knocked out cold ? senseless. When I came to, I found myself crawling on my knees, trying to chase the direction of play, but collapsing. I staggered back to my feet, tried to run, and fell over again.
?How do I remember this? Only because a few days later, in a review session, the footage of me stumbling about was shown to the entire squad. It was a big joke in the room. Everyone was laughing about how I was getting up, falling over again, crawling on my knees, getting up, falling over.

?I guess it was funny, but I wasn?t laughing. I was one of the youngest people in that room, and I didn?t know what to say or do. The laughter was hard to take, and yet my craziness in wanting to keep playing became a running gag that I felt compelled to live up to. I was that maniac who couldn?t be stopped, not even by an obviously serious head knock.?
Lipman said his concussion was joked about at Bristol
Lipman said his concussion was joked about at Bristol

That was 20 years ago. Now, after a diagnosis of early onset dementia and probably CTE, no one laughs. I spoke with the Lipmans last week. During the conversation they spoke about the problem of sleep disturbance, a common symptom for those with neurological issues and a particular problem for Michael. Frankie wants to talk about a recent trip to Maryland in the US to visit her cousins. ?Do you mind if I speak about this Michael??

?No, I don?t mind.?

?Are you sure??

?Yeah.?

?We were staying at my cousin?s house, it was a new room for Michael and there wasn?t an en suite. I was in a separate room because we can?t sleep in the same bed because of the sleep disturbance. Around about four o?clock in the morning, Michael came to find me and he?s pulled all the sheets off and he?s said, ?I?ve wet the bed,? and I?m like, ?It?s OK, we can wash the sheets.?

?This is the first time he?s met my American family. So I went into the room. He had opened every drawer, pulled the lamp on to the floor, he was in such a state trying to find the door to the bathroom. It was like a Tasmanian devil had been in his room. I thought, the poor man, he is trying so hard to find a bathroom he?s thinking that a drawer is a door. He?s thinking the artwork, the lampshade is a door.

?So we need sensor lighting, something as simple as having a light go on to help him to find the bathroom. You can only imagine his embarrassment, meeting my cousins for the first time and he?s pretty much trashed their bedroom and wet the bed. They are very decent people so they understood but, for him, it was mortifying. Soul destroying.

?That feeling of waking up in a strange bed is 100 times harder for him. The urinary incontinence, that?s been happening since 2017. That?s because of the damage to the brain, it is not sending the right signal to the bladder.?
Tim Cowley
Backrower, 45

For Tim Cowley, the situation is complicated. He, his wife Mari? and their three boys live in Romagne, a pretty village not far from Bordeaux. Cowley has a wine-tours business, Mari? is a doctor and their boys love rugby. The eight-year-old twins, L?o and Rapha?l, play on a team coached by their dad.

Through a long and honourable career, the New Zealand born Cowley was a star for the Cornish Pirates and then Bourgoin in France?s Top 14. On a bright and warm November morning two years ago, he told an extraordinary story from his last of his four seasons with the Pirates.

Early in a local derby against Exeter he smashed their centre Junior Fatiolofa and then before half-time, Fatiolofa got his own back. Cowley was knocked out. ?When captaining the Pirates, I wanted to lead by example,? he recalled. ?To say to my team-mates this is where I?m willing to go. I remember the video review two days later. ?Can you see what your captain?s done?? our coach said.

??Got knocked out and look at the next ball, kick-off, and he?s running it full bore back at them. See how much commitment he?s showing.? I was sitting there feeling good because that was the kind of leader I wanted to be.?

That was 2008. He retired five years later.

I called him last Monday. ?I?m having a pretty tough day today,? he said. ?Mari? wanted me to send a letter and I couldn?t focus on the piece of paper, so I was sending her a message saying, ?I can?t read? because with my headaches I?m having so much trouble focusing on the words. And this is happening more and more. I have been lying at home all day.?

Migraines mean he cannot see what is on the computer screen and it frustrates him when he can?t do something as simple as the letter Mari? wants sent. As for the morning school run, it had been hugely upsetting.

?This morning I lost my temper with one of the boys and that hadn?t happened for a while. I have been sitting here in guilt for most of the day. It?s just that going out of control, yelling at an eight-year-old. It worries me every time it happens. What the hell, I think. I just don?t know where it ends. For me it?s the way I can snap. Afterwards I feel so depressed and fatigued. When it happens, it?s a reminder, ?shit, it?s still there.? I?ve still got this demon. It?s something I?d love to shake.?

He reads the stories of damaged rugby players telling of the chaos in their lives. ?I?m thinking I?ve had a lot more bangs than him. How bad am I going to be? I don?t want my kids to have a father who doesn?t even remember them. I?ve told Marie you?ve got to help me die if it gets to that.?

On bad days he wonders how it ever got this crazy. Back in the rugby days, he was laidback, fun to be around, though aggressive and competitive on the pitch. Rugby offered an outlet for aggressive behaviour and he wonders if part of the problem is that he no longer has that outlet. Then he thinks of the headaches and the neurologist?s conclusion.

?Mr Cowley?s clinical account is consistent with multiple episodes of brain injury in the form of at least one mTBI [mild traumatic brain injury] and multiple concussive episodes, each leading to short term, time limited sequelae and medium-term sequelae. In my opinion, on balance, Mr Cowley has also developed long term brain injury complication from rugby. This is, on the balance of probabilities, a form of early onset neurodegeneration, and is most likely to be CTE.?

As the boys? rugby coach, he leans towards keeping them in the game. ?It?s hard. Of course I?ve got my doubts and if they said they didn?t want to continue, I?d be relieved, happy for them to stop. But they love it and they really want to keep going. The game is also changing, being made safer and I don?t believe it is for me to stop them doing what they love.


43
Ex-stars suing rugby for damage it did to their brains
Former players involved in legal action against the sport?s authorities tell David Walsh about their experiences of concussion in rugby ? and its devastating effects post-retirement

Litigants include three World Cup winners, 14 England internationals, 47 from Wales, four from Ireland and six from Scotland. Thirteen represented the British & Irish Lions.
Players say blows to the head caused dementia, depression and other illnesses.
If successful they would be in line for significant damages with serious financial consequences for the sport.
Many are from the 20-year period after the game turned professional when there was a huge increase in physicality and size.
Litigants include three World Cup winners, 14 England internationals, 47 from Wales, four from Ireland and

Right now Kieran Low is in a forest at Broughton Hall, near Skipton in North Yorkshire. Seven years ago, he left rugby, although it is more accurate to say the game abandoned him. Twenty-five years old, five caps for Scotland, and on the scrapheap because his brain was broken. Two years ago we spoke while he was waiting on results of neurological tests. ?I know what the scans will show,? he said at the time.

Among the things that struck me that afternoon at his flat in Bristol was what he said about his first cap. A second-half replacement in a Friday night game against Australia at Murrayfield ten years ago, he got whacked soon after coming on. Dazed and disorientated he felt he couldn?t go off, then he suffered another concussion near the end. After the game he had a panic attack by the side of the pitch.

?I got to the mountain top and I didn?t want to be there,? he says now. ?It was too harsh. It hurt. What came after was an unravelling into addiction, opioids and alcohol, and me ignoring my mental health. I just kept playing. I kept drinking, abusing pills, partying. I kept getting concussions. Until I didn?t get re-signed.?

? Ex-rugby stars among 294 launching class action over brain injuries
? Rugby head injuries: Ex-players detail trauma and alleged neglect

At seven o?clock in the morning at Broughton Hall last week, he left the Volkswagen Crafter campervan he shares with his girlfriend, Kate. In sandals, swimming trunks and a jacket, he ran two miles to a small lake on the estate. He is here because being outdoors, in a still and beautiful place, he can better deal with the mood swings of a damaged brain.
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At one point near the end of his time in rugby, only the thought of Bridget, his mum, stopped him ending his life. He needed to get away from people and cities and situations his brain couldn?t handle. The journey has been torturous but progressive. Now he eats sensibly, hardly drinks and is finished with opioids. He gives to his brain the love a mother gives to a sick child. In the trees at Broughton Hall, he learns to make platforms using ropes and nets, refuges for those wanting to clear their heads.

?I?m at a point where I?m glad it [brain damage] happened to me,? he says. ?My life now, I love it. I live how I want. I live quite free. I don?t know, I guess some people would think I do weird things but I am building resilience to what happened in the past so that I can have a life I enjoy. For a number of years after rugby I retreated to the cave and learnt some shit. I had to, and that, now, is part of my story.?

He was right about the neurological tests. Low had persistent post-concussion syndrome (PPCS) diagnosed, a condition that occurs when brain injury symptoms persist for a long time. PPCS symptoms include headaches and dizziness, anxiety and depression as well as cognitive impairment that results in forgetfulness and taking longer to work things out. ?On the balance of probabilities,? the report read, ?Mr Low has suffered brain injury from his rugby career.?

He watched little of this autumn?s World Cup in France, no longer having time for the game. His connection to rugby is now told in documents lodged before the High Court. Case No 12, pages 306 to 331. Although he is officially a litigant, he tries not to think about the case.

?I guess it comes down to a simple choice,? Andy Dufresne says to his best friend, Red, in The Shawshank Redemption, ?get busy living or get busy dying?. Low has made his choice. He and Kate will soon be on the road again, pointing their Volkswagen Crafter in goodness knows what direction.
Neil Spence
Flanker, 47

Scanning the 294 players suing the game?s governing bodies, it is natural to pause at the well known. Some like Steve Thompson and Alix Popham have told their stories and spoken of their involvement in the legal action. For multiple reasons many prefer to remain anonymous. For some, it is fear of how rugby friends might react, others are in jobs that could be compromised by an admission of brain damage.

The list is packed with familiar names. Two Welsh forwards with more than 130 caps between them, a former England international with more than 65, and Carl Hayman who wore the All Blacks shirt 46 times. If you look through the list of Welsh players from a not-too-distant era, all you can do is shake your head.

Yet the majority were amateurs, semi-professionals and club professionals. Many played for modest wages while incurring the same damage as their high-profile colleagues.
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Had you been in Cullingworth, a village close to Bradford, last week, you might have seen a fit-looking man in his late forties walking to Parkside secondary school, where he teaches. It is hard to tell from how he looks that Neil Spence was once a rugby player. Impossible to know as he walks along that what happened on the pitch changed his life.

After learning the game at Hymers College in Hull, he started his professional career with the Leicester Tigers academy. An open-side flanker, he had played for England Under-18, Colts and Under-21. The memory of his first training session at Leicester would stay with him.

?The first team would actually play the second team on the Thursday night, this was just before rugby went professional,? he says. ?Because I?m competitive I wanted to prove myself, so I was jackling over a ball, someone didn?t like it, tried clearing me but I was competitive. Then an older player said, ?What are you doing, you don?t do that, you?re a new kid, you shouldn?t do that.?

?I said, ?No, I want to show myself. I want to be playing first team.?

?He said, ?Well, do it again, you?re going to get smacked.?

?I did it again and I got smacked. They had to send me inside for stitches. It shows how brutal and how competitive it was. I had probably just turned 18. I?m not going to name the guy because I now know him well.?

After two years he moved to Gloucester and then went wherever he could to get a contract. Rotherham Titans, Saint-Nazaire in France, Bradford Bingley, Harrogate, Hull, Otley before washing up at what would be his last club, Ilkley. He was the journeyman?s journeyman.
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In a consultation with neurologists, Spence recalled eight separate concussions, three of which involved loss of consciousness. The third concussion he lists happened during an England Colts match against Italy and he recalled being in a bar afterwards and trying to listen to what his mother was saying but was dazed and confused. He picked up what his mum said to his father, ?Look Mike, he?s got brain damage already. He can?t understand what we?re saying.?

Sometimes he was taken off after a concussion, mostly he played on. No one talked about the potential for long-term damage and he never saw the danger. ?No, not really, because I didn?t get knocked out cold all the time,? he says. ?It was more the sub-concussions where I struggled. You get a bang to the head, you feel dizzy, you sort of dip out of the game or the training session for a bit, compose yourself, go quiet for five or ten minutes, don?t carry the ball, don?t get involved in that much, just recover as much as you possibly can and then go back into the game. ?For me it?s the silent head impacts that are the killer. If you are knocked out cold, people can see it, ?Right, OK, he?s concussed, he?s knocked out, shouldn?t be on the pitch,? but the amount of times you?ve made a tackle or been tackled, and you think, ?Blooming heck, where am I?? You?re seeing stars, your head?s fuzzy, you?re very disorientated. It got to the point that if at the end of the game I didn?t have a ?fuzzy? head, I thought I hadn?t done enough.?

He and his partner Sarah married in 2005. As the years progressed she saw changes. Neil would occasionally be short-tempered and impatient with their kids. Other times he just ?disappeared to the bedroom or went for a drive without saying where he was going. Once, when employed as an RFU development officer, he went to collect their kids, Zac and Millie, from the nursery but instead went to a different school and began to set up for a coaching session that had not been scheduled.

Then, there was the constant need to sleep. After the RFU, he got a teaching job at Parkside school. Each evening he got home a little after 4pm and slept for two hours on the couch. The kids wondered why dad was always sleeping. A neurologist explained that because some parts of his brain were damaged, other parts were being overstretched. Hence the tiredness.

?I?ve split from Sarah now,? he says. ?We?d been together for 19 years. She believes we would still be together if it weren?t for the problems with my head. She thinks it?s changed me completely. Which is hard, because I don?t necessarily see that. She didn?t want me to move out. Whatever is going in my head, I was thinking, ?This is the thing I need to do?. I felt I?d become a bit of a burden on Sarah, my stepson Jake, and our two younger ones.?

?I still love the game, for what it has given me. Rugby has values and I hold those values dear ? but if I knew that it was going to turn out the way it has, would I have still played? Sadly, the answer is no.?

He knows the bottom line. It was written in the neurologist?s report. ?In my opinion, on balance, Mr Spence has developed long-term brain injury complication from rugby. This is, on the balance of probabilities, a form of early onset neurodegeneration, and is most likely to be CTE [chronic traumatic encephalopathy].?
Ben Pegna
Flanker, 47


Two hundred and ninety-four rugby union players? Can it be so many? Especially as this number is drawn mostly from two countries, England and Wales? It is even possible that this group does not accurately reflect the true extent of the problem. There are high-profile former players known to be suffering from symptoms associated with brain injury (forgetfulness, increased irritability, noise intolerance, migraines, confusion) who cannot bring themselves to accuse the game they love. There are others who just slipped through the net.

Ben Pegna played for 20 years, from age 11 to 31. When he could no longer play, he coached. He remembers a talented young prop at Wasps who had played for England at different age levels. What he really recalls though were the effects of the head impacts suffered by the prop.

After a bang to the head he would disappear for a week, the migraine compelling him to lie in a quiet and darkened room. He would eventually return to training and be fine until the next collision and then he was gone again to tend to his injured brain. Eventually the young prop just gave the game away. Someone told Pegna that he had gone to live in the countryside, far from noise and rugby, and was now in the Cotswolds.

Pegna?s own career lasted ten years. The game had just turned professional, he was a not very big flanker and to survive in the professional game he had to be strong at the breakdown. That meant positioning his body over the ball, taking the hits of opponents determined to remove him and, basically, suffering the consequences. There were lots of concussions. When first asked he couldn?t remember, but looking in the mirror seeing the old scars, he could trace each one back to the day it happened. His case lists nine separate concussions. He had early onset dementia and probable CTE diagnosed.

He tells a story about playing for Caerphilly during his time at Cardiff University. A midweek game at either Abertillery or Ebbw Vale in which he suffered a bad blow to his cheekbone and nose. He recalls being encouraged to play on and thinks that may have been because Caerphilly were low on numbers. After the match his eye, nose and cheekbone were swollen and sore. In the shower, he tried to blow his nose and air whistled through a wound near his eye socket.

Feeling dizzy, he collapsed. He spoke to the club medic and that night his team-mate Dai Duly drove him to the Cardiff Royal Infirmary. From there he went home, took painkillers and returned to training two days later. When he told the coach that his head still ached, he was advised to do an indoor fitness session.

Back then no one spoke of concussion or post-concussion symptoms. No one asked if the headaches had stopped. And if a player was stood down for the then mandatory 21 days after a concussion, he returned to play without much consideration of whether he had actually made a full recovery. Pegna says he suffered from headaches all through his career and was told they were probably caused by dehydration.

After his career ended, the symptoms worsened. ?There have been times in the car with the kids where, if I?m honest, I?ve exploded,? he says. ?All it needs is for one of the kids to ask a question while the other is turning up the radio and I just can?t cope with that. I?m trying to control this as best I can, and have had to have chats with the kids about it. Even now I get emotional talking about it, but this is also part of it, getting emotional to the point of being in tears. What I feel after an explosion is guilt, because I?m taking stuff out on the kids and that?s not right. What makes it hard for me is that I?m immediately aware of what I?ve done and it?s like, ?Where did that come from?? Then it?s just shame.?

Daniel, his nine-year-old, plays rugby. Recently he was due to start contact. Pegna went to the club in west London, spoke to the coaches who tried to reassure him but the stuff that has been happening inside his head for more than 20 years offered conflicting advice. The old flanker ?listened to the inner voice. Daniel has given up rugby.
Tom Rock
Full back, 39

Since getting his diagnosis of early onset dementia and probable CTE, Tom Rock and his wife Joni have had conversations about the future. The science says his neurodegenerative condition is progressive and irreversible. The detail of the neurological report related to him makes a point that is true for all rugby players with his diagnosis: life expectancy is reduced. If he hadn?t incurred brain damage, Rock?s life expectancy would be 80 years. Damaged, his life is now predicted to be 13 years shorter. Anyone finding this detail on their medical report will quickly figure that it?s not just the lessening of their years but also the potential for catastrophic loss in their quality of life. Hence the conversations in the Rock home at Bangor in Northern Ireland.

?It involves every element of your life,? Tom says. ?Do I save and invest in a pension, because obviously you want to look after your kids? Or do I want to maximise my time with them because who knows what I?m going to be like in five or ten years? We?re probably looking to holiday more now, I am certainly of a mind that we have to enjoy our time together now. If this didn?t exist, I?d be thinking how do I make sure the kids are going to be financially sound when I?m not around in 50 years or whatever. This is what I mean when saying it affects every facet of your life.?

Rock had one of those careers, not quite top level but enough to satisfy his thirst for serious rugby ? he played for England Under-19 and for Leeds in the Premiership, before going on to play for English clubs in the lower leagues ? and to allow him to earn some kind of living from the game. It is noted in his medical report that he played ?28 years of organised rugby?.

In the development of neurological conditions, load is a key factor. Rock worries about this while remembering how much he loved the game, still loves it. ?I?m not averse to the litigation that is going on. I am part of it, but I am still passionate about the game, still feel conflicted. But at the time when I didn?t know what was going on, when I was paying to see a counsellor privately on a weekly basis, I began speaking to Richard [Boardman, lawyer for the injured players] because it was the only way I could actually find what was going on with my health.?

His experiences during his career were typical. He recalls a Leeds Carnegie team run before the first game of the 2007-2008 season in which he suffered a concussion and laceration to an eye. As happened in situations around this time, the external wound was stitched and the internal one ignored. Another that has stayed in his mind was a concussion he received playing for Durham in the County Championship. He fell into a ruck, staggered about for a few minutes, then regained his equilibrium and never left the field. A week later he was back on the pitch, getting hit in an early tackle and losing consciousness. He came round and carried on. His recollection is that on both occasions he received no medical attention. It was a dangerous game of play now and pay later.

?I wouldn?t say I?m as bad as some of the guys. I?m 39, I was 37 when I got my diagnosis, so I am probably at the younger end of the spectrum. It impacts me in my work, both in terms of recollection of information and the emotional and mental health side of it. I try to be a prolific reader but during the bad times I struggle to go from the top of the page to the bottom.

?I often lose track of my train of thought in conversations and am terrible with names. People say, this happens to everyone. Not at 39. During the last three years, I was having difficulties with my mood and anxiety, and as much as this is difficult to say, there was a lot of suicidal thinking. I never acted on that but it was fairly ever-present over that period. I think this is quite present with a lot of lads.?

Rock is conflicted about the litigation because rugby gave him so much. His dad played, he had 28 years of participation, he met his wife at the Stockholm Sevens, most of his friendships were born in rugby and most of the positive things in his life came from the game. Still he was relieved when his daughter Ella tried and then said she didn?t like rugby. ?I?ve got a seven-year-old lad, Matthew, who is due to start contact next year, and he is keen. What do you do? It is a real concern.?

The greater worry, though, is clear to him. ?I can cope with not remembering stuff, I look at the family business, my close family are aware of where I?m at. If I am shit at work, I?m shit at work. But if I ruin my relationship with my kids because I?m flying off the handle, that would be so hard.?

44
Ex-rugby stars among 294 applying for class action over brain injuries

Major legal case will see players sue officials over blows to the head that they say caused dementia, depression and other illnesses

David Walsh
Saturday November 18 2023, 6.00pm, The Sunday Times


Almost 300 former rugby union professionals and top amateurs who blame the sport for life-changing brain injuries will formally apply for a class action against its governing bodies next month.

Players including the England World Cup winner Steve Thompson are currently among 268 who say they have been left with illnesses, including dementia and depression, because of repeated blows to the head on the field and in training. A further 26 are expected to put forward similar claims this week.

They are bringing a case against World Rugby, the Rugby Football Union (RFU) in England and the Welsh Rugby Union (WRU).

In claims seen by The Sunday Times they detail how their lives have been affected by injuries sustained on the pitch. On December 1 in the High Court in London their solicitor will apply for a group litigation order on their behalf.

One of the claimants is Michael Lipman, 42, who won ten caps for England between 2004 and 2008. A neurologist?s report states he ?suffered at least five episodes of loss of consciousness during a game, which would be sufficient for a classification of mild traumatic brain injury to be made?.
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It says he ?now suffers from headache; vertigo; fatigue; sleep disturbance; intolerance to noise; alcohol intolerance; change in personality; difficulties with short-term memory; problems with new learning; anxiety; depression; and emotional lability in the form of increased tearfulness and increased irritability?.

The report on Neil Spence, 47, who played at Leicester Tigers, Gloucester and in clubs across Yorkshire, states: ?In my opinion, on balance, Mr Spence has developed long-term brain injury complication from rugby. This is, on the balance of probabilities, a form of early onset neurodegeneration, and is most likely to be CTE.? Chronic traumatic encephalopathy is a progressive brain disease caused by repeated head injuries, which leads to conditions such as dementia and, eventually, death.

Spence is now a teacher but has to sleep for two hours after the school day and has split with his partner of 19 years, which she blames on his ?problems with [his] head?. He said: ?I still love the game, for what it has given me and the person it has made me. Rugby has values and I hold those values dear. The places I?ve been, the friends I?ve made, the memories, but if I knew that it was going to turn out the way it has, with the issues I have and problems that are only going to get worse, would I have still played? Sadly, the answer is no.?

Ben Pegna, also 47, played for 20 years, from age 11 to 31. He suffered multiple concussions and says he had headaches throughout his career but was told they were probably caused by dehydration. Since his retirement, his symptoms have worsened.
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?There have been times in the car with the kids where, if I?m honest, I?ve exploded. All it needs is for one of the kids to ask a question while the other is turning up the radio and I just can?t cope with that,? Pegna said. ?I?m trying to control this as best I can, and have had to have chats with the kids about it. Even now I get emotional talking about it, but this is also part of it, getting emotional to the point of being in tears.

? Leinster lead way in reducing risk of brain injuries

?What I feel after an explosion is guilt, because I?m taking stuff out on the kids and that?s not right.?

If ultimately successful, the claimants would be in line for significant damages, which would have serious financial consequences for the sport.
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The cases date from the mid-1970s until last season. There has been a dramatic escalation in the number of head blows sustained during matches and training at all levels of the sport in the past 20 years. A lowering of the legal tackle height to the waist is being tested in the community game in England and Wales as a way to reduce head-on-head collisions.

The claimants include three members of World Cup-winning teams, 14 England internationals, 47 from Wales, four from Ireland and six from Scotland. A total of 13 represented the British and Irish Lions. There are also internationals from New Zealand, Samoa, Tonga, Romania and Canada, as well as some who played for their country in the shorter sevens format of the game. Six of the litigants are women.

Their lawyers maintain that the three governing bodies failed in their duty of care to the players. Most of the claims relate to them not getting the right medical attention when they were injured during a game, or being rushed back into training or playing without being given enough recovery time or the rigorous medical checks which are now compulsory.

?There was a culture across the sport of playing through brain injuries,? said Spence.

? ?I forgot who everyone was? ? rugby player?s life with early-onset dementia

The conditions many of the players have been diagnosed with include chronic traumatic encephalopathy (CTE), persistent post-concussion syndrome (PPCS), post-traumatic epilepsy, early onset dementia, Parkinson?s disease and motor neurone disease.

The more common diagnoses are of early onset dementia, CTE and PPCS, which causes headaches, dizziness, anxiety or congnitive difficulties.

The claimants were examined either in person or via video link. Dr Steven Allder, the neurologist who diagnosed many of them, writes in court papers that some could have their life expectancy reduced by about 13 years.

Lipman, who played in the Premiership in the 2000s, says: ?I recall getting one severe concussion [during] a home game. During the play, I got knocked out cold ? completely senseless. When I came to, I found myself crawling on my knees, trying to chase the direction of play, and then collapsing. I staggered back to my feet, tried to run, and fell over again.

?How do I remember this? Only because a few days later, in a team video-review session, the footage of me stumbling about was shown to the entire squad. It was a big joke in the review room. Everyone was laughing about how I was getting up, falling over again, crawling on my knees, getting up, falling over.

?The frightening and reprehensible thing was that I was allowed to play on. I didn?t want to go off the field, even though it was obvious to everyone that I was cooked. A few minutes later, I had my balance and awareness back, and I finished the match.?

Many of the litigants are players from the 20-year period immediately after the game turned professional in 1995 and the sport changed dramatically. With players committed full time to the game, there was a new emphasis on strength and conditioning, which prompted a huge increase in physicality and size.

When England met Australia in the 1991 World Cup final, none of the backs weighed more than 14st, and none of the forwards more than 18st. In the same match 12 years later, England had five backs above 14st and three forwards above 18st, while the team?s average weight was up from 14st 10lb to 16st 2lb. By the time of the 2019 final against South Africa, the average of the England XV had risen again, to 16st 6lb.

They were engaged in full contact training as often as four times a week. One former England player said in court papers: ?When the game went professional, the coaches and other staff at the time had to justify their/our time during the day, so we just bashed the daylights out of each other to cover the time. Every day, they really didn?t know what to do with us all, it was a new experience for all.?
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In 2012, as head injuries grew in number and concern about their long-term effects deepened World Rugby introduced a new pitch-side process for assessment of head injuries, called the head injury assessment.

Any player who had sustained a blow to the head was meant to be removed from the field of play immediately. If he or she failed the assessment, they would take no further part in the game. However, they could return to compete the following weekend, if they passed the return-to-play protocols. A decade later, World Rugby changed the minimum stand-down period to 12 days.

The legal defences to the claims have yet to be filed but in a joint statement World Rugby, RFU and WRU said: ?We remain saddened to hear the stories of former players who are struggling. Despite court orders to do so, the players? lawyers have yet to provide full details of the claims being made against us and therefore we cannot comment on the ongoing legal action, nor reach out to the players directly. We would want players involved to know that we listen, we care and continue to champion player welfare as the sport?s number one priority.

?Players and parents can have confidence that rugby is as safe as a contact sport can be. Rugby will always be led by the latest science when taking any action on player welfare.

?The vast majority of community rugby players around the world, including in England and Wales, are taking part in trials of a lower tackle height this season which we believe will make the game even safer and more enjoyable to play. World Rugby is also investing ?2 million over the next 12 months to further advance the head injury assessment in elite rugby. This upgraded assessment will include new smart mouthguard technology, providing doctors with an immediate alert if a player experiences any high-force event. A world first for any sport, this development will significantly accelerate our understanding of head impacts and how to reduce them.

?The whole of rugby cares deeply about all of our current and former players. We will never stand still when it comes to player welfare.?

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There two articles in the ST on the issue.

I will C&Pboth later.

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