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It was May 4, 2016, and one of the most beloved, brilliant, and exasperating antiheroes in the history of long-distance walking was gone.

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The Legend of Baltimore Jack

Baltimore Jack was dead. In a place where even the speediest travel slowly, the word spread up and down the length of the Appalachian Trail from Georgia to Maine in a matter of hours. It was May 4, 2016, and one of the most beloved, brilliant, and exasperating antiheroes in the history of long-distance walking was gone.

He was 57, and it was the beginning of his 21st year on the trail. Over that time, he had become a sort of everywhere-at-once presence, bandages wrapped around his battered knees, relying on snack cakes, lasagna, Jim Beam, cigarettes, and the kindness of others to survive. It was a kindness he usually returned.

His first year on the trail was in 1995. He would eventually thru-hike the AT seven times. In 2003, after eight years of walking with what was鈥攁ccording to nearly everyone who encountered him鈥攁 heavy pack, Jack鈥檚 knees gave out. But even without being able to travel great distances on foot, he stayed on the trail. For the next 13聽years, Jack flowed northward, catching rides or sometimes walking for a few miles with other hikers, following them from hostel to hostel, town to town, cooking them meals鈥攈is Thanksgiving feasts were legendary鈥攔escuing them, and becoming the trail鈥檚 most comprehensive repository of wild yarns and unyielding opinion.

Everybody on the trail knew of him, yet very few people truly knew him. He authored on the influential White Blaze forum, an online clearinghouse for AT information named after the color of the symbols that mark the trail, and published an indispensable 聽on how to resupply en route. But his real name, his past? The tales of his exploits sometimes seemed to stretch as tall as the trees in the eastern forests he鈥檇 made his home.

The best folks could do was piece his story together via his trail name. Baltimore Jack took his handle from the first line of 鈥淗ungry Heart,鈥 Bruce Springsteen鈥檚 1980 hit song: Got a wife and kids in Baltimore, Jack / I went out for a ride, and I never went back.

The legend was that Jack had done the same, leaving a family for a life on foot that rejected convention, while seeking a higher truth along a dirt ribbon that winds through thousands of miles of forests,聽hills, meadows, and mountains.


I didn鈥檛 know him as聽Baltimore Jack. I was at Hampshire College in Amherst, Massachusetts, with him from 1979 to 1983, where I called him by his given name, Adam Tarlin. We worked on the school newspaper together, me as the editor, Adam as a writer. He was four years older than me鈥攁t Hampshire, an experimental institution founded in the 1960s, it wasn鈥檛 unusual for a student to stay for years鈥攁nd one of the most interesting people at school. I would go so far as to call him a genius, but we clashed a lot, mostly over my edits of his contributions to the paper. Adam鈥檚 writing style was eviscerating聽but in a special way: you could see his passion and you liked him, even as he cut you down.

When I graduated in 1983, it was a rainy day, and I remember seeing Adam outside the auditorium in his usual dark trench coat. He shook my hand, and I never encountered him again. I never learned that in a year, he鈥檇 be married. That he鈥檇 have a daughter. That he鈥檇 leave soon after that. That he鈥檇 struggle for a decade, only to resurface one day at a trailhead in Springer Mountain, Georgia鈥攖he AT鈥檚 southern terminus鈥攁nd sign 鈥淏altimore Jack鈥 to the register.

I鈥檇 heard about Baltimore Jack from a close friend who had walked the AT a number of times. It was only after Jack鈥檚 death, in a strange聽coincidence, that I learned through my college alumni magazine that Baltimore Jack and Adam Tarlin were the same person. The information came in the form of an obituary.

Some pre-Jack friends saw Adam as irresponsible, a person who鈥檇 abandoned his family to indulge himself. But many of the friends who only knew him as Baltimore Jack viewed him as noble, somebody who鈥檇 done what he had to do to save his own life, whose philosophy could be summed up with a story he told a television-news interviewer in 1998, just as he was about to reach the 5,269-foot summit of Mount Katahdin, the AT鈥檚 end point in Maine. Jack was talking about an encounter he鈥檇 had with a gentleman who鈥檇 never heard of thru-hiking. The man had peppered Jack with questions about logistics, mileage, and bear attacks, then finished up with a more basic query: 鈥淲hat do you do in the real world?鈥 Jack鈥檚 reply: 鈥淚n the real world, I hike.鈥

Baltimore Jack on the summit of Maine鈥檚 Mount Katahdin in 1996
Baltimore Jack on the summit of Maine鈥檚 Mount Katahdin in 1996 (Erika Tarlin)

Jack would stay on the trail all season, working odd jobs, sleeping where he could. In winter聽he鈥檇 return to a small shack in New Hampshire鈥攈e liked the state鈥檚 independence and proximity to the woods鈥攚here he鈥檇 brave the cold and save the little money he earned as a convenience-store cashier for next year鈥檚 walk. After retiring as a thru-hiker, Jack鈥檚 physique changed from the can鈥檛-get-enough-calories frame of a long-distance athlete to, by the end, somebody who looked tired and overserved. By 2015, his trail friends, as well as a few who鈥檇 resurfaced from his previous life, were urging him to seek medical help. He never did.

One of those friends, Bob Peoples, who owns the Kincora聽Hiking Hostel in Hampton, Tennessee, says,聽鈥淚 asked him to slow down, to get help.鈥 Peoples is a former Air Force officer, and when we spoke, his tone was reserved and factual. But as he reminisced about Jack and his declining health鈥攖he drinking, the weight gain, and an obvious sense that he was unwell鈥攈is voice softened. 鈥淚 said, 鈥楯ack, this is going to kill you.鈥 And he looked up.鈥

Peoples paused. 鈥淒o you want to know what he said? His answer was: 鈥楽o?鈥欌

It was a grim hint at what would happen two years later, when Baltimore Jack collapsed at a thru-hiker hostel in Frankin, North Carolina. (The hostel has since聽been renamed in Jack鈥檚 memory.) He was rushed to the nearest hospital. The cause of death was suspected to be a pulmonary embolism.


鈥淥ne fine day in my thirties,鈥 Baltimore Jack told the 聽thru-hiking podcast in 2013, 鈥淚 decided I wanted to hike.鈥

Jack didn鈥檛 mind letting people assume he came from the Maryland city. Had he been in the military, as evidenced by the dog tags he wore? 鈥淗e never claimed to be, but if it added to his mystery, people could think what they wanted to,鈥 says Michael Sisemore, a former Army Ranger who walked with Jack on his 1999 hike and lived with him the following three off-seasons. Had he held a high-powered job as a media executive or newspaper reporter聽before dropping out and onto the trail? No, but he did work the counter at a video store in Boston, where he was well loved by customers for his obsessively deep knowledge of film, the same way he鈥檇 ultimately be regarded for his trail expertise. Did he really discover a dead body in a flophouse turned hostel in Pennsylvania? Yes, but the story has been repeated so often by other hikers that it鈥檚 hard to know which version is accurate.

In college, we called him Adam. His full name was Leonard Adam Tarlin. The name Leonard came from his father, who Adam often described as Harvard faculty. (He wasn鈥檛; he worked as a department-store buyer most of his life聽but by all accounts possessed a formidable intellect.) In the years between college and hiking, almost as if he was working toward abandonment of his birth persona, it appears that Adam began referring to himself as聽L.A. Tarlin, then Baltimore Jack Tarlin, and finally, to most, just Baltimore Jack.

One of the stories repeated in college was that Adam鈥檚 volatility, and possibly his drinking, was the result of losing both parents in a car accident when he was very young. It wasn鈥檛 true. The reality, though, was painful enough. His mother, Jeanne, died of cancer when Adam was nine. Adam had three sisters. Erika was two years older than聽him, and the other two were in their late teens when their聽mother was stricken. That left his father to raise the children alone, as an overwhelming sadness settled over their Brookline, Massachusetts, home. 鈥淥ur childhood was smashed,鈥 Erika told me when I met her last year in Boston. 鈥淲e didn鈥檛 have anything to look back at with nostalgia even, because it all just felt sad.鈥

Adam transformed from a cheerful student to a teen who didn鈥檛 mind receiving poor grades in classes that didn鈥檛 interest him. Happy moments with family felt rare, Erika says, but what existed often centered around hiking. The Tarlins explored the forests of New England. Those explorations led his father to promise his son that one day the two of them would walk the Appalachian Trail. It didn鈥檛 happen. Just before Adam鈥檚 high school graduation, his father died of a heart attack.


The Appalachian Trail was a very different place in 1995, the year Baltimore Jack first set out.聽The route was more sparsely used, a rugged thoroughfare stretching an intimidating distance.

For the first four decades of the AT鈥檚 existence, the idea of traveling it all in one season remained obscure. Up until the 1980s, about 20 people did it each year. Those numbers rose significantly during the 1990s, but the trail鈥檚 emergence as a pop-culture bucket-list item became a thing聽in 1998. That was the year Bill Bryson鈥檚 A Walk in the Woods appeared. Though Bryson and his hapless buddy never completed their hike, the idea of an end-to-end epic gained public traction, and the number of annual completions has grown steadily ever since, reaching beyond 1,000 (out of more than 3,000 attempts each year). Three million people walk some portion of the route each year, according to the Appalachian Trail Conservancy.

Bryson鈥檚 take on thru-hiking made it seem like a jaunt. A more relevant reference for Jack is Cheryl Strayed鈥檚 2012 memoir Wild, which chronicles her 1995 attempt on the Pacific Crest Trail. Wild represents what has always been a powerful motivation for on-foot completionists: redemption. In the tradition of Earl Shaffer鈥攚ho in 1948 was the first person to complete the AT, walking聽it to escape memories of World War II鈥擲trayed tackled the PCT after the death of her mother, a divorce, and a descent toward drug addiction. 鈥淭he hike,鈥 , 鈥渨as a really great chance for me to think through every aspect of my life.鈥

On some level, the tediousness of walking from dawn to dusk makes the crucible of self-reflection inevitable, even as the AT and other long-distance trails attract idealists, drifters, and the occasional unstable or homeless person with no other place to go鈥攐r at least no seemingly better place to go.聽On a do-it-yourself, 200-mile foot journey across Australia鈥檚 Nullarbor Plain聽in 2010, I couldn鈥檛 avoid exploring my own dark places. One of the first people I met said to me, 鈥淵ou must have something to atone for.鈥 He was right; I鈥檇 hurt somebody badly, destroying something important to them.

鈥淢ost people show up on the trail when they鈥檙e in transition,鈥 says Lawton Grinter, one of Jack鈥檚 friends and a three-time AT finisher. 鈥淵ou鈥檙e trying to become the person you always wanted to be.鈥


After his father鈥檚 death, Adam often landed at the doorstep of a classmate, Elaine Kaplan. She lived in a house on the other side of town from the Tarlins鈥 apartment. 鈥淲ith his parents gone, he spent a lot of time with us,鈥 says Kaplan, now an educational administrator in Cincinnati. And there was something special about Adam.聽鈥淲e wanted to take care of him,鈥 she recalls.

Adam soon confessed his life鈥檚 dream to Elaine. It had nothing to do with the outdoors. 鈥淗e was going to live in England,鈥 she says. Adam had a passion for British history. But there was also something troubling: how the most fun and lighthearted conversations and moments Elaine had with Adam, who would become her boyfriend by their聽senior year of high school, occurred聽when Adam was drinking. 鈥淗e was the only teenager I ever knew who carried a flask,鈥 Elaine says. 鈥淚 think drinking was his way of coping.鈥

When Elaine was accepted to Amherst College, Adam chose to attend Hampshire College, just a few miles down the road. The educational institutions couldn鈥檛 be more different. Amherst is steeped in tradition. Hampshire is an educational experiment鈥攊ndependent study and no grades鈥攚here students are sometimes described as underachievers. (I had that box checked by high school guidance counselors.)

As the school newspaper鈥檚 editor, I remember often being fed up by Adam鈥檚 argumentative nature, his cruel barbs, and his gleeful willingness to play the villain. I also remember that it was hard to stay mad at Adam. His intelligence and charisma always lured you back.

Those qualities were especially on display with women. At a college where tie-dye was considered couture, Adam set himself apart in dark glasses, a leather jacket, and black leather gloves. He stood almost six feet tall, with strong features and a mane of tight聽brown curls. 鈥淗e was good-looking and charming,鈥 Elaine says. 鈥淭here was a lot to like.鈥

By their sophomore year, Adam and Elaine had broken up. Adam stayed platonically close to Elaine鈥檚 roommate, Sharon Miller. Adam鈥檚 friendship with Miller became one of the few that threaded into the Baltimore Jack era, and she was one of the people to whom Adam could expose his deep sense of loss. 鈥淗e never really got over it鈥攈is parents, Elaine,鈥 says Sharon, who now lives near Albany, New York, and works as a psychotherapist.

鈥淢ost people show up on the trail when they鈥檙e in transition,鈥 says Lawton Grinter, one of Jack鈥檚 friends and a three-time AT finisher. 鈥淵ou鈥檙e trying to become the person you always wanted to be.鈥

As college ended, Adam and I had a falling out over the school paper.聽In 1982, he dropped out of school, just as I was entering my senior year. I was living off campus in Northampton, and I鈥檇 often see Adam at Packard鈥檚, the town鈥檚 primary watering hole.

One of that year鈥檚 biggest media events was a made-for-TV special called The Day After, a docudrama about the horrors that would befall America after a Soviet nuclear strike. There were viewing parties everywhere, and Adam showed up to one on the Smith College campus, at the west end of town.

A graduate student named Allegra Brelsford noticed him, and after the movie ended, the two went for a walk. 鈥淲e hit it off,鈥 says Allegra, now a well-regarded artist based in New York City who specializes in making quilts. 鈥淗e was smart and good-looking, and he did The New York Times crossword puzzle in pen.鈥

The couple married in June 1984聽and had a daughter, Jillian, in January 1985. Allegra was finishing graduate school. Adam wasn鈥檛 working聽and was still drinking. Though he clearly loved his daughter鈥擜llegra told me how tenderly Adam held his infant child鈥攖he family split up within a year. 鈥淎fter that,鈥 Allegra says, 鈥渉e lost touch very quickly.鈥 In the coming years, Adam would make occasional attempts to contact his daughter for key life events. He hitchhiked off the trail to attend Jillian鈥檚 high school graduation party. In late 1989, Allegra remarried, and for all practical purposes, her current husband鈥攖hey have a son聽as well鈥攈as acted as Jillian鈥檚 father.

Allegra says that she has no ill will toward Adam: 鈥淗e had all these things he did in order to have an identity, but no matter what, there was that vulnerability, his heart. It was hard to be angry.鈥

As for Baltimore Jack, he didn鈥檛 see his exit as an exact analog for the lyric that inspired it. 鈥淸The song] would lead people to think that I walked out on my wife and kid, which I can assure you is not the case,鈥 Adam said in the 聽podcast. 鈥淣o,鈥 Adam continued. 鈥淪he walked out on me for ten thousand excellent reasons.鈥


鈥淚鈥檝e led the type of life that does not discourage outrageous storytelling,鈥 Baltimore Jack told Pox and聽Puss. That鈥檚 basically true, but there鈥檚 a huge gap鈥攂etween the end of his marriage and his appearance on the Appalachian Trail a decade later鈥攚here it is hard to determine what Adam was doing. One of our mutual classmates is a woman named Leslie Magson. She grew up with Adam, attending the same high school, and聽postcollege聽she rented Adam a room in her Beacon Hill apartment. Adam was working as a clerk at the gigantic Tower Records store in Boston, where he became well-known for his spot-on movie recommendations. Despite being employed, he fell behind in the rent.

Several months in arrears, Leslie and Adam had a confrontation in the lobby of the music shop. A few hours later, Adam showed up with money and Leslie evicted him. What did Adam take away from the incident?聽Based on his actions and the nomadic lifestyle he began adopting after that, one thing seems likely: Adam decided he鈥檇 never pay rent again.

By the 1990s, Adam was living in Hanover, New Hampshire. The town is significant for being the home of Dartmouth College,聽for having a major nearby medical center,聽and for the Appalachian Trail, which hits Hanover at mile 1,748. Adam鈥檚 reason for living there, he told one friend, was that it had the best聽library on the trail.

There鈥檚 no specific incident that documents why Adam decided to go walking. But there鈥檚 no doubt he encountered thru-hikers in Hanover. He worked at Stinson鈥檚, a small convenience store in town. The job provided just enough to live on, so Adam found a bed in a ramshackle cabin on a wooded, 38-acre property owned by a carpenter named David Vincelette. It was a short walk from town, and if you鈥檙e going from Stinson鈥檚 to Vincelette鈥檚, just after you pass the local food co-op, you鈥檙e actually hiking a section of the AT.

Did seeing the trail give Adam a daily reminder of his father鈥檚 promise? I like to believe that it did, but I鈥檓 not so certain that Adam鈥檚 initial attempt to walk the route falls neatly into the self-transformative Cheryl Strayed model. I think his foray into thru-hiking may have been a result of need. After a year, Vincelette didn鈥檛 charge Adam rent; instead, payment came in the form of chopping wood. 鈥淚 didn鈥檛 see him as a worker,鈥 Vincelette, who still lives in Hanover, told me. 鈥淚 saw him as a talker. But he ended up being both. He鈥檇 educate me on European history, and I鈥檇 educate him on how to cut a board.鈥

With his limited funds, Adam must have realized he鈥檇 be better off saving paid-for lodging until winter, when it would really be necessary. In the summer, he didn鈥檛 need a roof over his head.聽In April 1995, Adam thumbed a series of rides along Interstate 95, finally arriving in Georgia, where he made his way to the southern end of the Appalachian Trail. With his father鈥檚 dog tags around his neck, carrying a 60-pound backpack, Adam Tarlin stepped onto the footpath鈥攁nd into a new self.


The basic outlines of Baltimore Jack emerged very quickly that year. His pack became notorious, the heaviest items in it books鈥攈e鈥檇 never lighten them by tearing pages out鈥攁long with liquids: 鈥淗e鈥檇 always send himself several bottles of Jim Beam so they鈥檇 be waiting for him at resupplies,鈥澛爏ays Wayne Lummis, who walked part of the trail with Jack in 1995.

Lummis describes Jack as admirably true to the spirit of thru-hiking: 鈥淪ometimes I鈥檇 see him, and he鈥檇 be covered in bruises, because he insisted on rigorously following the white blazes. If that meant crawling under a fallen tree, he鈥檇 do it.鈥

All that determination, though, didn鈥檛 lead to a complete thru-hike in 1995. As Jack approached the trail鈥檚 homestretch鈥擬aine鈥檚 Hundred Mile Wilderness, which leads to the summit of Mount Katahdin鈥攈e was injured in a fall. He limped back to Hanover, healed up, and spent the winter bagging groceries.


Adam Tarlin always found聽a way to fascinate women聽and evoke a genuine protective instinct in them. It made sense. He鈥檇 lost his mother early, so figuring out how to receive the nurturing he鈥檇 missed was an essential skill. I鈥檇 see it when Adam met girls at college parties: he鈥檇 listen intensely, fixing his gaze to theirs, instead of just trying to hook up. The women who loved Jack, platonically or romantically, truly loved him. There鈥檚 nobody who represents that friendship better than Jen Whitcomb.

It was late fall of 1996. Jack, who was 38 years old at the time, had spent the summer working at Bascom Lodge, off the AT near Williamstown, Massachusetts. It was an early preview of his post-hiking life鈥攈e loved to help, according to his friend Andy Somers, who had hiked in 1995 with him鈥攁nd as the season ended, Jack completed the Maine section he鈥檇 missed the previous year, getting credit for a section hike. Back in Hanover, he was living with other tenants at Vincelette鈥檚 place, and the weather was getting cold. Whitcomb was 18 years old, 20 years younger than Jack, and had just entered Dartmouth.

It was a great school, but at first it didn鈥檛 feel like a good fit for her. Whitcomb had just graduated from a pressure-cooker high school in Virginia聽and was struggling to balance a heavy class load and a part-time job during her first term. 鈥淚 realized I needed to hit the brakes on academics and take a different challenge,鈥 she tells me. The AT鈥檚 white blazes were a block from her dorm.

As she spoke to her friends about a hike, one piece of advice kept coming up: talk to Baltimore Jack. 鈥淓verybody said he knew everything about the trail,鈥 Whitcomb recalls, 鈥渟o I approached him at a coffee shop and said,聽鈥業 want to go hiking.鈥欌

Baltimore Jack with Jen Whitcomb and her baby at Harpers Ferry, West Virginia, in July 2015
Baltimore Jack with Jen Whitcomb and her baby at Harpers Ferry, West Virginia, in July 2015 (Jen Whitcomb)

鈥淚 can help you,鈥 he told Whitcomb, sweeping aside a pile of library books and offering her a seat. Over the next two months, the two planned their separate 1997 hikes. Whitcomb set out on the trail that March, a couple of weeks before Jack. He caught up with her in Hot Springs, North Carolina, as she rested there with a sprained foot. They spent the next 1,000 miles trekking within a day of each other. 鈥淗e had a very detailed knowledge of the trail, told great stories, and threw insults better than anyone I鈥檇 ever heard,鈥 Whitcomb recalls.

On August 20 of that year, signing off with the transitional moniker L.A. 鈥淛ack鈥 Tarlin, he reached Katahdin. Whitcomb had finished her walk just before reenrolling at Dartmouth. Jack, without a place to stay, and Whitcomb, by now used to a lifestyle of crowded shelters and dirtbagging, had no hesitation about inviting her friend to live in her dorm room. 鈥淚 put my bed up on cinder blocks, and he slept underneath,鈥 Whitcomb says. 鈥淚 know it was weird to have an almost 40-year-old man bunking below me, but he was never inappropriate. He looked out for me,聽and occasionally bought booze for the other kids on my floor, and helped them with their history papers.鈥

Over and over again, I heard how kind and caring Jack was, especially toward young women. I asked Whitcomb if she thought Jack was trying to compensate for not being present to raise his biological daughter. 鈥淗e was always showing me pictures of Jillian,鈥 Whitcomb says. 鈥淎nd then he鈥檇 say, 鈥業鈥檝e got a perfect daughter in Vermont who I鈥檓 not fit to raise. She has a better father now.鈥欌


Whitcomb graduated from Dartmouth, joined the Coast Guard, and moved to the West Coast, where she鈥檇 eventually start a family. Jack returned to the trail. As the new millennium dawned, he settled into a persona that he鈥檇 more or less hold to for the rest of his life. Baltimore Jack was a happier, more purposeful version of Adam, but he was still capable of making friends and enemies.

On the White Blaze forums, posting under the username Jack Tarlin, he recommended , Earl Shaffer鈥檚 account of his pioneering 1948 thru-hike. Shaffer, like Jack, was a romantic.

When he was actually walking, Baltimore Jack鈥檚 stories seemed to swing from the outrageous鈥攍ike the dead body he found at the Doyle Hotel in Pennsylvania, whose cheap rooms and beer made it a thru-hiking landmark鈥攖o genuine heroics, like the time he gently carried a hiker with a broken leg a mile and a half to safety, waiting for an ambulance when they finally reached the road, then quickly disappearing back into the woods.

Part of Jack鈥檚 mission, it seems, was to deflate those who wanted to make the trail so sacred鈥攐r worse, so athletic鈥攖hat ordinary folks would feel excluded. To a White Blaze commenter who questioned the nutritional value of Pop-Tarts as trail food, Jack countered: 鈥淧op Tarts are a perfectly sensible thing for folks to eat at breakfast time.鈥 Jack recommended at least four per meal. He began keeping what was, for almost a decade, an essential trail reference. Posted annually on White Blaze, 鈥淛ack鈥檚 Resupply Guide鈥 was, in the days before smartphones, a voluminous survival handbook, listing everything from guesthouses to post offices to taverns. It was written in Jack鈥檚 particular prose style, with a clear nod to his 鈥渒eep it fun鈥 outlook: 鈥淭his is NOT intended to be a blue-print, framework, or manual for anyone to plan their hike by,鈥 says the guide鈥檚 introduction. 鈥淭here is no one 鈥榬ight鈥 way to hike the A.T鈥.no one 鈥榬ight鈥 way to re-supply yourself. Something like 9,500 men and women have hiked the A.T. in its entirety, and no two have done it the same way. It鈥檇 be presumptuous in the extreme for anyone to claim that there鈥檚 only one way to plan or execute your hike. There isn鈥檛.鈥 Jack鈥檚 downloadable guide was free. His only attempt to profit from the trail was to sell T-shirts emblazoned with the phrase 鈥淏ill Bryson Is a Candy Ass.鈥 Those who鈥檝e seen his annotated version of A Walk in the Woods鈥攊t went missing after Jack鈥檚 death鈥攕ay that it鈥檚 a hilariously devastating companion to the book.


As common sense as his聽outlook seems, it contained a hidden subtext鈥攊t was an attack on those who took the trail too seriously, who appointed themselves gatekeepers. Among these, in Jack鈥檚 view, was another trail legend, Warren Doyle.

Doyle, 69, has walked the entire trail 18 times, nine of them as a thru-hiker. He currently runs what amounts to a long-distance-walking training facility in Mountain City, Tennessee. Study with the Appalachian Trail Institute, Doyle says, and your chances of completing a thru-hike increase from under聽25 percent to over 75 percent.

Doyle鈥檚 disciplined approach rankled Jack, and Jack鈥檚 party-on-foot demeanor sat poorly with Doyle. Such philosophical conflicts aren鈥檛 unusual. But the fight between Jack and Doyle got personal. 鈥淭hey were bitter enemies,鈥 says Bill O鈥橞rien, former president of the , a group Doyle founded.

When I spoke to Doyle, he lumped Baltimore Jack with several others, including Cheryl Strayed, who seek the trail as a means of healing. 鈥淚t鈥檚 something I wish wouldn鈥檛 happen,鈥 Doyle told me, 鈥淧eople love train wrecks.鈥澛(Doyle鈥檚 objection, he says, is that such people get 鈥渁n inappropriate amount of publicity.鈥)

Doyle also holds Jack responsible for the emergence of a sort of clannishness on the trail鈥擩ack鈥檚 tribe was a loose group of a few dozen buddies called Billville, after a name embroidered on a thrift-shop shirt that one of the hikers wore鈥攖hat he says is the real source of exclusionary attitudes and division on today鈥檚 AT聽and far from being an advocate of 鈥渉ike your own hike.鈥 Despite that mutual enmity, it seems to me that Doyle and Jack, who met a few times over the years, agreed on more than they thought. Both are literary minded. Both saw the trail as something more than just a walking route. Both viewed it with a respect and an intensity so extensive that, in full circle, the two end up occupying the same role: defenders of hiking鈥檚 most celestial institution.


One of the most repeated depictions of Jack involves his knees. He鈥檇 appear on the trail wrapped in filthy bandages, as if he were emerging from an accursed sarcophagus. Early on, Jack was a strong hiker, capable of 20聽miles a day with his massive pack, but by 2003, after his final thru-hike, his knees were bad enough that he could no longer walk great distances. He still looked physically healthy鈥攈e was trim and muscular, with his body showing no outward effects of drinking and smoking鈥攂ut he was ready to abandon the idea of fully completing the trail every time. In February 2003, Jack announced on the White Blaze forum that for the upcoming season, he鈥檇 be on the trail in a different capacity: 鈥淗ope to get some trail work done,鈥 he wrote. There鈥檇 be a little walking: Jack would go 鈥渁s far as I feel like.鈥 How far? 鈥淚t鈥檚 anyone鈥檚 guess,鈥 he concluded.

You鈥檝e probably heard the term trail angel. That鈥檚 a person who isn鈥檛 hiking themselves聽but who provides a service, usually as a volunteer and sometimes for a donation. That might mean somebody who gives a hiker a lift to a hostel down the road, or cooks up a trailside meal, or routinely offers a reliable source of water or a place to retrieve packages. In recent years, some trail angels have formalized their roles; among the most famous is Janet 鈥淢iss Janet鈥 Hensley, who offers hiker shuttles up and down the AT. (Hensley and Jack were close, according to nearly everyone I spoke to; I reached out to her for comment on this story聽but was聽never able to connect.)

Baltimore Jack鈥檚 stories seemed to swing from the outrageous鈥攍ike the dead body he found at the Doyle Hotel in Pennsylvania鈥攖o genuine heroics, like the time he gently carried a hiker with a broken leg a mile and a half to safety.

Jack鈥檚 support as a trail angel quickly became as notable as his hiking. Following the wave of hikers heading north, Jack would plant himself for a bit at one hostel, then the next. He gained fame for his lasagna suppers, which he鈥檇 cook for dozens at a time. Ironically, for somebody known as a heavy-pack enthusiast, he was also in demand for shakedowns, an aggressive culling of newcomers鈥 overly laden loads. More than that, by actually living on the trail, Jack became, arguably, something unique: a hobo ambassador who was the AT鈥檚 living, breathing, ambulating encyclopedia.

One of the places where Jack spent the most time was the Kincora聽Hiking Hostel, near Hampton, Tennessee. Owner Bob Peoples had completed聽a section of the trail once and found the experience so meaningful that he devoted his retirement to serving hikers. The latter-day Jack became a Kincora fixture. 鈥淗e鈥檇 clean, he鈥檇 cook, he鈥檇 entertain a mob,鈥 Peoples says.

Peoples has a different聽insight into Jack鈥檚 world, because he also acted as his financial adviser. Occasionally, there鈥檇 be a tax refund or paycheck for Leonard Adam Tarlin. The problem was that Jack was no longer L.A. Tarlin. 鈥淗e had no bank account and no ID,鈥 says Peoples. So聽Jack signed over his checks to Peoples, who deposited them and then doled out the money to him over the winter: 鈥淚t was a budgeting thing, too. He鈥檇 have spent it all,聽otherwise.鈥

鈥淥n what?鈥澛營 asked.

鈥淗e鈥檇 have given it to other hikers,鈥 Peoples says.

Such saintly behavior aside, one part of Jack that was becoming less sanctified was his body. Thru-hiking had masked how unhealthy he actually was. Now聽Jack began to put on weight, a process that accelerated after he quit smoking.

Photos of Baltimore Jack starting in the late 2000s show a person who is unrecognizable from the handsome, slick Adam I knew. But Jack made the change part of his legend; strangers began to offer tributes of whiskey and Little Debbie snack cakes, bringing them directly to Jack or leaving them on the trail with notes. There was a cultish aspect to the hero worship. Suddenly, Jack was infallible. True friends saw Jack as he was and tried to help him. But they were in the minority.


At the start of this decade, the worlds of Adam Tarlin and Baltimore Jack suddenly collided. That鈥檚 because old friends began finding him, as old friends do, on the internet. What they saw was astonishing. 鈥淚鈥檇 lost touch with Adam over the years,鈥 says college friend T.J. Mertz. But a search of Appalachian Trail message boards led Mertz to Adam, who by then had become Baltimore Jack.

鈥淚 can see that he was able to find a place where he was free, where he was able to rely on his wits and his intelligence. But he also didn鈥檛 take responsibility, and I鈥檓 not trying to be judgmental鈥攑art of me, sitting here with a mortgage and two kids, admires what he did鈥攂ut I want to ask: Was what he did incredibly selfish?鈥

Those who only knew Baltimore Jack were also asking questions. Jen Whitcomb, stationed in Seattle with the Coast Guard, was trying to get Jack to admit he needed help. At one point, she even offered to marry him, on paper, so he could get health insurance. Jack鈥檚 reply: 鈥淚 can鈥檛 do that to you.鈥 When Whitcomb got married herself in 2012, she called up and down the trail to locate Jack and invite him. She offered to buy him an airline ticket. But Jack had no identification, so he couldn鈥檛 travel. Instead, Jack posted a picture from Whitcomb鈥檚 wedding on Facebook; in it,聽the bride and groom are ecstatic. Jack鈥檚 caption: 鈥淛ust wanted to share a photo from a recently married friend. Some of you may remember Jen Whitcomb, Yahoola, A.T. 1997, the greatest woman hiker of all time!鈥

But Whitcomb didn鈥檛 want praise from Jack. She wanted him to get better.

鈥淚t was hard to see him wasting away,鈥 she says. 鈥淗e was visibly declining.鈥

Whitcomb found herself thinking the unthinkable. 鈥淚 remember telling a friend,鈥 she recalls, 鈥渢hat if he dies, I hope he drops on the trail. Wasting away in the hospital would kill him twice.鈥

There was one final, near miss effort to help Jack clean up. It came through his old friend Sharon Miller. Her view of Adam was probably more realistic than what others saw.

鈥淗e was, essentially, homeless,鈥 Miller says. 鈥淎nd he owned that. He told me that he didn鈥檛 stay on the trail for some noble reason, but because people took care of him. 鈥楾hey feed me,鈥欌 she recalled him saying. 鈥溾業 don鈥檛 have money for food.鈥欌

Miller says she wanted Jack to sober up. She bought him a T-shirt that not-so-subtly encouraged him to embrace who he really was; it was emblazoned with a palindrome: 鈥淢ADAM, I鈥橫 ADAM.鈥

In 2009, Miller tried to get Adam enrolled in聽health insurance under New Hampshire Medicaid. The plan was to get Adam sober, likely in an inpatient program, and to get his knees fixed. But Adam was unable to sign up for the insurance, and when the 2010 hiking season began, he headed south. It was the last time Miller would see him. For the next six seasons, Baltimore Jack held court on the trail.聽He told stories. He gave advice. He drank.

And then he died.

On the morning of May 4, 2016, Jack was volunteering at a thru-hiker hostel in Franklin, North Carolina. He鈥檇 complained to staff that he felt out of sorts, and finally agreed to go to the hospital. He was immediately sent to the ICU, where he died the next day.

Soon, the White Blaze forum and social media were overflowing with messages of condolence, grief, and disbelief.

Erika Tarlin, who hadn鈥檛 seen her brother in a few years, learned of Adam鈥檚 passing via her niece, who鈥檇 seen the news on Facebook: 鈥淚 got a frantic call from my sister鈥檚 daughter, who鈥檇 seen the post. She said to me, 鈥楿ncle Adam is dead.鈥欌

The same scenario repeated for dozens of others. Sisemore, Vincelette, Mertz, and Whitcomb all learned that their friend was dead via social media. 鈥淚 was scrolling one morning,鈥 Whitcomb says.聽鈥淚t had happened just a few hours earlier. I couldn鈥檛 believe it.鈥

By then, Whitcomb had two small children. She says,聽鈥淭hat was the first time they saw me cry.鈥


Erika Tarlin has a question. 鈥淚 understand that he became Baltimore Jack,鈥 she said. 鈥淏ut what I can鈥檛 understand is why that meant making Adam disappear.鈥

The closest anyone has gotten to that answer came聽in 2016, when the annual Appalachian Long Distance Hikers Association gathering was held in Williamstown, Massachusetts. It turned into聽a large celebration and remembrance of Baltimore Jack.

A controversy arose聽amid聽the online eulogies. Adam鈥檚 friends and Jack鈥檚 friends saw things in fundamentally different ways. Some of the former viewed Adam mostly as somebody who鈥檇 hurt others and squandered his potential. The latter held Jack up as somebody who鈥檇 broken the shackles of convention and found transcendence in nature, helping thousands of others in the process.

One post on AppalachianTrail.com encapsulated the conflict. Objecting to the idealization of Adam鈥檚 life, it read: 鈥淎dam Tarlin was from Brookline, Massachusetts. He was a person whose actual existence seems to be forgotten, somehow willfully overshadowed by a mythologized legend. I guess it鈥檚 easier to see him as some kind of folk hero, because it enabled people to ignore the fact that Adam was in incredible pain and far too lonely than anyone should ever be…to those of you who 鈥榢new鈥 Adam, I implore you to please think about the people you meet, whether hiking, or wherever you might meet someone, and think about why they might be there. Please don鈥檛 mythologize the lifestyle of someone who is lost and in pain. Please don鈥檛 glorify a homeless vagrant who has nowhere to go. Please let someone you know who has an alcohol or drug addiction know that you acknowledge their problem and their pain. Let them know that you are there to help them if they are willing to seek help. Help them get therapy, detox, rehab, find an AA meeting, whatever they are willing to do. Don鈥檛 ply them with alcohol for the purpose of YOU having a good time with them when they are totally lost to the world.鈥

The poster was Sharon Miller.

Many of the responses to the post were hostile, but Whitcomb reached out to Miller, and Miller said she was relieved to know that there were people who saw the real Adam, loved him, and would have done anything to help him survive.

At the Williamstown gathering, the two worlds came together. Erika was there.聽So was Adam鈥檚聽daughter, Jillian, who is now 35 years old. According to some who attended, after many stories were shared, the service ended with an ovation. 鈥淚t was such a tribute,鈥 recalls Peoples. 鈥淎ll of a sudden, his real family knew. He wasn鈥檛 a black sheep. He was Baltimore Jack.鈥

As I mourned my friend and researched this story, I kept finding myself crying for somebody I hadn鈥檛 seen for decades, somebody I鈥檇 fought with during our time as classmates. It was, as everybody says, about Adam鈥檚 good heart. You could feel it. You pulled for Adam. That Adam鈥檚 truer, kinder self came out in Baltimore Jack is beyond question. The issue聽is whether it was ultimately, for a man who died young, a good thing. We all dream of living on the trail, out in the wild, with no responsibilities. Adam Tarlin showed that that was possible. Baltimore Jack showed that the reality isn鈥檛 as magical as it might seem. Those of us who鈥檝e struggled, or seen a loved one struggle, with mental illness or substance abuse might see it another way. Over his life, Adam Tarlin lost his past鈥攈is parents鈥攁nd his future, his daughter. One wasn鈥檛 his fault, one probably was.

We all dream of living on the trail, out in the wild, with no responsibilities. Adam Tarlin showed that that was possible. Baltimore Jack showed that the reality isn鈥檛 as magical as it might seem.

As I worked on this story, I realized that one of the reasons Adam鈥檚 choices felt so personal to me wasn鈥檛 just because I鈥檇 known him in college, but because I鈥檇 experienced a version of the narrative myself: my own father left when I was seven years old, deciding to travel the world in search of rare birds. I remember wondering, as I grew up, where he was聽and why he wasn鈥檛 with us. It鈥檚 something many of us rooted in the outdoor world encounter: a parent who seems lost to their own passions. I reconciled with my father when I was in my thirties, writing a book about the experience, but such reconciliations are never perfect.聽I had to understand that no matter how badly I wanted him to, he鈥檇 never be the father I聽wished he had been. I had to love and forgive him as he was.

In the days after his death, Adam鈥檚 daughter聽posted twice on his Facebook page. The first post expressed anger and grief over the father who鈥檇 left鈥攂oth his family and this life鈥攖oo soon. The second was forgiving. When I started working on this story, Jillian, who is married and works as a medical-surgical nurse in Boston, was hesitant to talk. But I reached out again, and we had a moving conversation. She refused to see herself as somehow wronged by the life her father had led.

She told me that Adam had made attempts to contact聽her over the years. 鈥淗e鈥檇 send me a box of books聽every Christmas and birthday,鈥 she said. 鈥淭hey were mostly books I wasn鈥檛 interested in鈥攍ots of medieval history.鈥

But she appreciated the effort. These gifts, she continued, indicated that Adam was trying. She had a memory of riding the swan boats with him in the Boston Public Garden,聽of him visiting her in Burlington, Vermont, and鈥攁s Jack always did when he had an audience鈥攈olding court with her friends and telling stories of life on the trail. She had visited him and spent a few nights on Vincellete鈥檚 property while she was in her early twenties.

She wanted to be closer. 鈥淚 had this expectation that he needed to work harder, that he needed to invest more in terms of time and travel to forge this connection,鈥 she says.

But in the end, Jillian says she realized she had to let that expectation聽go. 鈥淭he truth is that I love my dad, and I don鈥檛 have any need to take him to task for anything. He did the things he needed to do. And I know he loved me.鈥

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Impact Zone /health/training-performance/impact-zone/ Mon, 29 Aug 2016 00:00:00 +0000 /uncategorized/impact-zone/ Impact Zone

When the news broke in May that BMX legend Dave Mirra, who committed suicide in February, had the degenerative brain disease CTE, everything changed in the world of action sports. Cyclists, skiers, and 鈥╫ther athletes began asking: are we subject to the same concussion and CTE risks that have been so widely reported in the NFL?

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Impact Zone

The video鈥攊t has now been viewed tens of thousands of times鈥攊s just 16 seconds long, but the brevity聽. Catherine Harnden, a Canadian downhill mountain biker, is competing in the 2012 O-Cup, a race series held every summer throughout Ontario. The clip, shot by a spectator, starts with a view of the lodge at Sir Sam鈥檚 ski area in Eagle Lake, about 100 miles north of New York state. The onlookers are chatting, then there鈥檚 the stutter and bump of tires on dirt. Harnden, dressed in white and green racing skins with spiderweb graphics, hurtles into the frame from the lower left. She hits a tabletop jump, but her weight is in the wrong position, and in a flash she launches over her bars. She lands on the ground headfirst, with a chilling thud. There鈥檚 a groan from the crowd. 鈥淩ider down! Rider down!鈥 a voice announces over the PA.

Harnden, 23, doesn鈥檛 remember much about the crash. Her recollection is pieced together from photos, witnesses, and friends who were at her bedside when she woke up in the hospital. Now she and I are sitting at the counter of the crowded Coffee Pot caf茅 in Littleton, New Hampshire, near her home. This is one of those lucky former northeastern mill towns that has figured out how to thrive in a postindustrial age, its Main Street a mix of craft stores, booksellers, and a half-dozen coffee shops. Harnden has just gotten off work; she cohosts a morning talk show on WLTN radio, whose offices are across the street. She has long blond hair, and she鈥檚 muscular and smiling. She鈥檚 also amped, energized after a few hours on-air. She insists she doesn鈥檛 mind if I replay her wipeout on my phone so she can walk me through the details.聽

鈥淎re you sure?鈥 I ask.

鈥淒efinitely,鈥 she says. 鈥淏ut you鈥檙e gonna mute it. I can watch, but I can鈥檛 stand to hear that crunch.鈥澛

Harnden鈥檚 accident video is still featured on several major bike sites that promote click-generating reels of wrecks like hers. Describing the crash as we watch, she agrees with some of the online commentary about what went wrong. 鈥淚t was a basic, easy table,鈥 she says, 鈥渂ut I came into it with too much speed, and somehow I found myself on the lip of the jump grabbing a whole handful of brake and getting my weight too far back.鈥澛

Will parents come to think of skateboarding and mountain biking the same way some now think of football鈥攖oo risky for a child?

In the emergency room, Harnden looked across the hall and saw another competitor鈥攁 close friend鈥攚ailing in pain after shattering his collarbone. Harnden鈥檚 elbow was dislocated, but she was stoic. She wasn鈥檛 aware of her severe concussion. She doesn鈥檛 remember yelling at the ER doctor not to cut off her prized team jersey.聽

In retrospect, Harnden says, it was a practice run before the crash that threw her off her game, rattling her ability to concentrate. There鈥檚 no video of it, but Harnden doesn鈥檛 need footage to reconstruct what happened. 鈥淚 was coming down to a hip jump,鈥 she says, referring to a feature in which the launch slope points in a different direction than the landing. 鈥淚t was in the trees, and I didn鈥檛 clear it. I bounced off the landing and ate it. I hit my head hard, but I didn鈥檛 lose consciousness, and I rode myself down to the pits.鈥

There, sitting dazed and cross-legged on the grass, Harnden knew she needed to remain still. 鈥淏ut everyone was telling me I should take another run, that I needed more practice. And I was like, they鈥檙e right. That can鈥檛 be my last run before the race. So I went back to the top.鈥

Her next time down, Harnden cleared the hip jump. 鈥淭hat鈥檚 awesome,鈥 she remembers saying to herself just before arriving at the next obstacle, the tabletop. Then everything went dark.

Harnden still races and is now sponsored by Mongoose bikes. She鈥檚 a ski coach at the nearby Bretton Woods resort. She鈥檚 out almost every day, running and hiking the trails of the rugged Presidential Range. You鈥檇 never guess that, four years later, she still struggles with basic memory, not just of the crash but also of the name of a man she once dated or a flight she booked for the holidays. She can鈥檛 go to loud parties, stare at bright lights, or watch point-of-view action-cam footage. 鈥淚t makes me hurl,鈥 she says.

Harnden says she鈥檚 a different person now than she was before her head injury. Pre-crash, she was 鈥渃ocky and extroverted.鈥 Now she experiences mood shifts, depression, and fears that come and go, and migraines sometimes force her to retreat for two days into a dark room. Most of the time鈥攚hen Harnden鈥檚 out on her bike, competing, or helping to launch a clothing company鈥攖hings are 鈥渧ery good, great, in fact.鈥 But the bad periods still come.

One thing she鈥檚 certain of: 鈥淚 shouldn鈥檛 have gone back up that day.鈥


When the news聽broke in May that Dave Mirra鈥攁 BMX superstar who won 24 X Games medals and countless other competitions during his career鈥攈ad chronic traumatic encephalopathy, it鈥檚 no exaggeration to say that everything changed in the world of action sports. CTE, a degenerative brain disease that can occur after repeated head trauma, is most often associated with NFL players and combat veterans. Classic symptoms include mood swings, severe headaches, confusion, and dementia, and the condition can lead to depression, erratic behavior, dependence on drugs and alcohol, and suicide. Several high-profile NFL players who took their own lives were shown after autopsy to have had CTE, including Hall of Fame linebacker Junior Seau, who died in 2012 at age 43, and former Chicago Bears safety Dave Duerson, who shot himself in the chest at age 50 in 2011, leaving a note requesting that his brain be examined.聽

How to Treat a Concussion

Hit your head? The first step is to determine whether you have any concussion symptoms. There鈥檚 no universal blueprint for treating a concussion. The protocol depends on the individual鈥檚 symptoms and medical history, and recovery times vary.

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Mirra, 41, committed suicide in February, and many speculated that a series of concussions and head injuries he experienced during years of competing, in addition to cracking his skull at 19 when he was hit by a car, might have contributed to his death. When the stunt rider鈥檚 wife, Lauren, confirmed to ESPN The Magazine that Dave had CTE, questions that previously had been whispered became headlines. Do sports like road and mountain biking, BMX, skiing, snowboarding, surfing, and skateboarding鈥攁ll of which can result in repeated knocks to the head鈥攑ose a risk of concussion and CTE similar to what we鈥檝e seen in the NFL?聽

While head trauma is common in action sports, it doesn鈥檛 occur as frequently as it can in football. But with ever advancing gear that makes huge jumps鈥攁nd huge impacts鈥攑ossible, and an audience that thrives on risks and wrecks, action-sports athletes are going bigger, higher, and faster than ever before. Head injuries and their outcomes range widely鈥攆rom concussions that fully heal, to a condition called post-concussion syndrome that can take months or years to resolve, to more serious traumatic brain injuries and CTE. Meanwhile, research shows that it doesn鈥檛 take a large number of concussions to cause adverse consequences and that concussion rates are increasing among action-sports athletes. A study that analyzed more than four million emergency-room visits in the U.S. from 2000 to 2011, conducted by researchers at Western Michigan University and in the Orthopaedic Journal of Sports Medicine, reported a steadily rising number of concussion injuries in seven sports: surfing, mountain biking, motocross, skateboarding, snowboarding, snowmobiling, and skiing. Snowboarding was the most concussive activity, with 42,811 concussions over that ten-year period.

When the news broke that BMX legend Dave Mirra had the degenerative brain disease CTE, everything changed in the world of action sports.
When the news broke that BMX legend Dave Mirra had the degenerative brain disease CTE, everything changed in the world of action sports. (Josh Maready)

Of the summer sports, the researchers counted 28,328 skateboarding-related concussions, 3,242 in surfing, and 4,530 in mountain biking. The latter number doesn鈥檛 include statistics from BMX, which hasn鈥檛 been widely studied yet and would likely make the figure much higher.

Sadly, Mirra isn鈥檛 the first action-sports athlete to have taken his own life after a series of head injuries. Several competitors in BMX and skateboarding have also committed suicide. Whether their deaths were related to head trauma is impossible to confirm, but the families of the deceased often describe symptoms that fit.

Biker Sherlock, whose first name was Michael, gained fame as a downhill skateboarder and street luger, winning multiple medals at the X Games and Gravity Games between 1996 and 2002. On the morning of December 3, 2015, two months before Mirra鈥檚 suicide, a surfer checking the waves at San Diego鈥檚 Pacific Beach found a body at the bottom of a stairway leading down from a parking lot. The victim, later identified as Sherlock, had shot himself in the head. He was 47, and he left behind a wife and two young boys.聽

Biker Sherlock

The name Biker Sherlock is synonymous with speed, adrenaline, and risk-taking. The downhill skateboarder's family says brain injuries took him away from them.

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Sherlock鈥檚 family has never spoken publicly about the cause of his death, but in response to my request for an interview, his sisters Margaret and Marjorie provided a statement that read, in part: 鈥淢ichael had his first brain injury at the age of 7. He rode his bicycle down a hill with no hands, the bike stammered over rocks and Michael went down鈥攔esulting in a fractured skull. In his professional action sports life he sustained many concussions鈥攁ll the while wearing the best in protection in helmets. The world is coming to know more every day of the life-altering and sometimes tragic loss of life due to the effects of brain injury. While Michael was not officially diagnosed with CTE, no other conclusion can be drawn鈥攈is last act demonstrated this.鈥

A year and a half earlier, less than ten miles away, a white Pontiac minivan was found idling and abandoned on the Coronado Bridge, the sweeping 2.1-mile span over San Diego Bay that connects San Diego and Coronado Island. The van belonged to professional in-line skater Bryan Bell, 36, who appeared in the X Games and many other competitions during the 1990s. Bell had taken countless hits to his head. 鈥淪mashing your helmet or face planting was a constant thing,鈥 Bell鈥檚 older sister, , told me. She said that Bryan experienced frequent migraines 鈥渢o the point of tears鈥 and depression that he 鈥渟elf-medicated with alcohol.鈥

When McLaughlin was called to the bridge by police, she told me, she looked down and thought, 鈥淚f anybody could have survived this jump, it would be Bryan. He was that much of a daredevil.鈥 On September 1, 2014, Bell鈥檚 body was recovered from the bay.聽

Presence of CTE can be confirmed only by a brain autopsy, and neither man鈥檚 brain was examined. It鈥檚 important to note that not all head trauma leads to the disease. But Mirra鈥檚 diagnosis, along with mounting scientific and anecdotal evidence, has many pros wondering if we鈥檙e on the verge of a CTE epidemic among action-sports athletes. More shocking are the signs of widespread health consequences from concussions in the amateur ranks鈥攑eople like you and me.


鈥淭his is a very聽messy case,鈥 says neuropathologist Thor Stein as he delicately slices a human brain into thin strips. The tissue is discolored, he says鈥攑ale gray when it should be pinkish鈥攁nd seems, even to an untrained observer, almost ragged. 鈥淭his is a person who would have had major cognitive issues.鈥 Stein hands a slice to a colleague to mark for further study.聽

This narrow room at Edith Nourse Rogers Memorial Veterans Hospital, in Bedford, Massachusetts, is dominated by sharp tools, a stainless-steel table, and refrigerators. In the latter, behind glass doors, I see buckets about the same size as jumbo ice-cream tubs, each marked with a number. Inside are human brains. This facility holds the world鈥檚 largest collection of cerebral matter donated by professional and amateur athletes who wanted to further the cause of CTE research. To date there are some 320 athletes鈥 brains here, and more are on the way. Among others, soccer star Brandi Chastain and Nascar driver Dale Earnhardt Jr. have agreed to donate their brains after death.

Stein tells me that only one athlete from the action-sports world鈥攁n 18-year-old snowboarder who committed suicide six months after he鈥檇 suffered a concussion鈥攈as supplied brain tissue to the Rogers facility. It showed signs of CTE, he says. (Mirra鈥檚 family had his autopsy performed at the University of Toronto.)聽

Stein, who is part of Boston University鈥檚 Alzheimer鈥檚 Disease and CTE Center, performs cerebral autopsies here every Thursday. (The CTE Center鈥檚 labs and Brain Bank are housed at Rogers.) The veterans hospital opened in the late 1920s to help soldiers returning from World War I cope with an unexpected array of symptoms, including mood swings, depression, headaches, and suicide. As the U.S. population began living longer, the facility鈥檚 mission expanded to include diseases, like Alzheimer鈥檚 and Parkinson鈥檚, that afflict older patients.

The CTE Center鈥檚 director, neuropathologist Ann McKee, became interested in CTE after finding a buildup of tau protein, now known to be a clear indicator of the disease, in the brain of a boxer in 2003. In 2008, Chris Nowinski, a former professional wrestler who cofounded the Concussion Legacy Foundation with Robert Cantu, a Boston University clinical professor of neurology and neurosurgery, asked McKee if she鈥檇 look at an NFL player鈥檚 brain to see if it showed signs of CTE. (It did.) Later that year, McKee teamed up with Nowinski and Cantu to form the CTE Center, which works with the Concussion Legacy Foundation to acquire athletes鈥 brains.聽

Since 2008, McKee, Stein, and their CTE Center colleagues have examined the brains of 94 former professional football players. Ninety of them have shown markers for CTE. (Bennet Omalu, a Pittsburgh-based neuropathologist, was the first to discover the disease in an NFL player鈥攊n the brain of legendary Steelers center Mike Webster鈥攊n 2002. Omalu鈥檚 push to change the concussion policy in the NFL was dramatized in the 2015 movie .)

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CTE occurs, Stein explained, from an accumulation of impacts, both concussive and subconcussive. (The latter is a milder hit that does not lead to obvious symptoms.) Scientists don鈥檛 yet understand why some people develop the disease and others don鈥檛. Stein says the best indicator of future problems isn鈥檛 necessarily the number of concussions but how long an athlete plays a sport that includes regular impact.聽

The physiology of a hit is pretty simple. It begins, for example, with you falling off your bike, snowboard, or skateboard. As you鈥檙e flying toward the ground, your brain is floating inside your skull, suspended in a layer of clear, colorless fluid, like a bowl of Jell-O that hasn鈥檛 quite set around the edges. When impact occurs, it鈥檚 the shaking of the brain inside your skull that causes the concussion. 鈥淭hat force鈥攖he banging, the twisting, the rotation, the acceleration and deceleration鈥攄eforms the brain and causes damage to the neurons and other cells that help the brain function,鈥 Stein says. Initially, you may or may not lose consciousness. Later you might experience memory loss, nausea, equilibrium problems, or headaches鈥攕ometimes for weeks, sometimes for months.

The damage you sustained鈥攁nd any further injury after that, especially before the brain has fully healed鈥攃an lead to problems with the transport of proteins in the brain, the same way potholes might impede the smooth flow of traffic on a city street. In fact, this metaphor is nearly literal. As Stein slices the brain he is working on, he shows me spots where trauma created visible gaps in the tissue.聽

Stein also says that an athlete doesn鈥檛 need to take a direct hit to the head to incur damage. 鈥淪ports where riders make these big landings could cause problems,鈥 he says. 鈥淭hey鈥檙e 20 feet in the air, and their brain is falling at high velocity, just like their body. When they stop, the brain keeps moving inside the skull. They don鈥檛 have to have pain. They don鈥檛 have to say ouch.鈥

Stein, McKee, and their colleagues have identified four stages of CTE. In the first, tau protein builds up, mostly in the brain鈥檚 frontal lobe. As levels of tau increase in stage two, pathways in the brain called microtubules become twisted. Then they collapse, degenerating into neurofibulary tangles, effectively acting as roadblocks to normal function. It鈥檚 in stage two that symptoms like aggression, depression, and impulsiveness begin to appear. In stage three, as the tau spreads, the most essential parts of the brain鈥攖he mood, memory, and learning聽controlling amygdala and hippocampus鈥攍ose function. By stage four, the brain is overloaded with tau deposits, sometimes shrinking to half its original size. Ultimately, it can no longer perform the basic functions required for life.聽

Before Mirra鈥檚 family had confirmed the BMX rider鈥檚 CTE diagnosis, I spoke to McKee. She said that permanent brain trauma 鈥渋s something athletes in those kinds of sports should be very concerned about.鈥 I told her about other concussed athletes I鈥檇 interviewed, and she became distressed. 鈥淲e need to figure out a way to help these people,鈥 she said. By their nature, action sports are often individualized and not always overseen by a governing body. 鈥淲e don鈥檛 have a great way to find out what鈥檚 going on out there,鈥 McKee said.聽

Preventing and healing CTE is McKee鈥檚 ultimate goal, but she鈥檚 equally concerned about weekend warriors who鈥檝e had a few serious knocks to the head. What should an athlete who has a concussion do? McKee paused. 鈥淩ight now we鈥檝e got no effective treatment besides rest,鈥 she said. 鈥淲e need to be sure we can figure out when somebody has recovered.鈥 She paused again. 鈥淏ut we don鈥檛 really have a way to do that, either.鈥

鈥淚鈥檓 sorry I鈥檓 not giving you firm answers,鈥 she said. 鈥淭hat鈥檚 because there aren鈥檛 any.鈥


Even if you don't follow mountain-bike racing, you may have heard of Missy Giove. Through much of the 1990s, she was one of the most outrageous and exciting athletes in the sport. When Giove won the 1994 downhill World Championship in Vail, Colorado, she had wild dreadlocks, wore a dried piranha she called Gonzo around her neck, and rode faster and crashed harder than anyone else, regardless of gender.聽

Giove kept racing for another decade, winning 11 more World Cup events and appearing in the X Games, where she took the women鈥檚 downhill gold medal in 1997. But by 2003, she was suffering from multiple injuries to her brain and body. She began to have seizures and severe migraines. In 2009, she was arrested for transporting 400 pounds of marijuana in upstate New York. She avoided jail time and is in the last year of a five-year probation.聽

Giove is now 45, married, and living in Virginia Beach, where she works at local marinas, maintaining private boats. She knows that her many crashes made her 鈥渄ifferent mentally and physically.鈥 She says her worst symptoms are migraines. She gets 鈥渢unnel vision and pretty much can鈥檛 move. Everything鈥檚 dark, you鈥檙e throwing up.鈥 What helps, she says, is rest, a vegan diet, and 鈥渁 skill that I鈥檝e developed, or acquired, through experience.鈥 She turns off the lights, submerges herself in a warm bath, and makes sounds, which she describes as 鈥渙scillating singing,鈥 underwater.聽

There are signs of widespread health consequences from concussions in the amateur ranks鈥攑eople like you and me.

As Giove sees it, the consequences of her crashes are part of a life she still loves. 鈥淭here are things about my mind and body that have changed. I deal with it, but I have to not be hung up on how I used to be,鈥 she says.

In 2015, Giove entered a World Cup race in Windham, New York, her first competitive event in more than a decade. She came in a respectable 17th in the qualifier, making it to the finals, where she crashed on a jump over a section of the course called a road gap. Giove recorded the event鈥檚 third-fastest top speed, but one of her longtime friends and sponsors, John Parker鈥攖he founder of Yeti Cycles, who鈥檚 launching a new mountain-bike brand called 鈥攅xpressed concern about her continuing to race. 鈥淚 don鈥檛 know that I could in good conscience put her on a bike again,鈥 he says. 鈥淚 worry about her crashing.鈥

Many other young athletes I spoke to, all of whom have experienced multiple concussions, wonder about their futures. Robin Carpenter, a 24-year-old road cyclist on the Holowesko-Citadel Racing Team, has competed on bikes since he was 16 years old. He told me he鈥檚 had four concussions鈥攐ne as a child, while skiing, and three as a cyclist, including one on February 7, 2016, during the CBR Dash 4 Cash near Los Angeles. A rider made bike-to-bike contact and Carpenter went down, landing on his side, hitting his head, and cracking his helmet.聽

As Carpenter recovered, he felt depressed. He rested a month and started riding again, but he was uncertain if his return to the sport would have repercussions and whether his team would see him as a liability. He no longer has those concerns, but he is worried about the long term if he sustains more concussions. 鈥淚 picture myself 20 years from now, and I see myself just sitting, not reading, not able to watch television, not do anything,鈥 he says. 鈥淎nd I wonder whether this is all worth it.鈥澛

Another road biker, 21-year-old amateur Cameron Rex, decided to stop racing in 2014 due to burnout. He sustained three concussions while cycling and two more during other activities. 鈥淭he trouble with this kind of injury is that it gets worse,鈥 he says. 鈥淔our or five big hits start to compound.鈥 Though Rex can鈥檛 definitively attribute any cognitive issues to head injuries, he told me that he noticed changes in his handwriting when he went back to college in 2015. 鈥淲hen I got to school, my handwriting was terrible,鈥 he says. 鈥淚 had to learn cursive so I could write neatly.鈥澛

USA Cycling, the governing body for professional and amateur road and mountain biking, has a post-crash protocol for riders who may have sustained a concussion, but the young riders I interviewed said that the information they鈥檇 received about it varied widely. It depended on the team and the event. 鈥淵ou look at other sports, they seem to tell you what to do,鈥 Rex says. 鈥淵ou don鈥檛 see a lot of that in the cycling world.鈥澛

The at the USA Cycling website, titled Concussions in Cyclists for Team Managers and Coaches, links to some important resources, including several concussion and cognitive-baseline-assessment tests, the Centers for Disease Control and Prevention鈥檚 concussion pages, and the Zurich Concussion Consensus page, which has information on the first attempt to create a worldwide policy aimed specifically at athletes. USA Cycling is affiliated with the Union Cycliste Internationale (UCI), the sport鈥檚 global body, and both have policies recommending that riders be withdrawn from competition and taken to a medical facility if they experience symptoms that include disorientation. But the ethos of the sport means that many keep going. On day three of the 2015 Tour de France, in a clattering pileup. Though several withdrew, Swiss rider Fabian Cancellara, who鈥檇 been leading until then, continued, despite a team manager telling journalists that Cancellara felt 鈥済roggy.鈥 Cancellara withdrew from the race later that day with two broken vertebrae.

鈥淎 lot of it goes to the athlete鈥檚 mentality,鈥 says Davis Phinney, a former professional cyclist who partially attributes his early-onset Parkinson鈥檚 to crashes he鈥檇 suffered while racing in the eighties. 鈥淲e get into these sports because we want to do something different. We see the sports as counterculture, even if it鈥檚 a huge commercial enterprise. When you get injured, that mindset doesn鈥檛 help you.鈥澛

According to some neurologists, in the heat of an event, the best practice is to give athletes who鈥檝e hit their head, yet appear to be OK, at least 15 minutes of evaluation before letting them return to competition. This isn鈥檛 possible in the context of bike racing. A racer shaking off a crash while lying on the side of the road has a split-second choice: either get up fast, because the peloton is speeding away, or quit. While event rules and protocols vary, the decision to start pedaling again is sometimes made by the athlete or the team manager, who is trailing behind in a support vehicle, and not always by a medical professional.

Concussion policies at many sports organizations are undergoing rapid change as more and more information comes to light. USA Cycling is no exception. According to technical director Chuck Hodge, the organization is aware that its head-injury policy needs to evolve, and it鈥檚 in the process of putting together a medical consulting team that will recommend more stringent rider-safety protocols. Hodge says USA Cycling is seriously considering a 鈥渕andatory withdrawal policy鈥 for athletes who鈥檝e had head injuries. 鈥淭he challenge is in the implementation,鈥 he says. 鈥淗ow do we make this happen at all levels of racing? It opens up some very broad questions for our sport.鈥

The U.S. Ski and Snowboard Association鈥檚 on its website includes language that says athletes who have sustained concussions or brain injuries must immediately be removed from any USSA event and cannot return until they鈥檝e been cleared by a qualified health-care provider.

Jeffrey Kutcher, a neurologist in Ann Arbor, Michigan, who specializes in athletic brain trauma, works as a team doctor and consultant to the U.S. Ski and Snowboard Team. Medically, Kutcher says, it isn鈥檛 a good idea to let athletes make the decision about whether to continue after banging their head. 鈥淚t鈥檚 like asking the patron who comes wobbling out of the bar whether they鈥檙e good to drive,鈥 he says. 鈥淚t doesn鈥檛 make sense if somebody鈥檚 impaired.鈥 Kutcher also believes that coaches shouldn鈥檛 be making that decision. 鈥淵ou don鈥檛 want a situation where somebody is automatically removed if they take a fall, but it鈥檚 a very defendable position to give the medical staff absolute control,鈥 he says. 鈥淒on鈥檛 let coaches make the determination. Medical staff makes that decision.鈥澛


The situation is more complicated in sports like BMX and skateboarding, which have loosely arrayed governing bodies and a variety of disciplines. Most athletes compete as independent contractors, and there鈥檚 often a void as to who鈥檚 responsible for setting concussion and injury policies鈥攁nd lots of questions about how, and by whom, it should be filled.

The larger action-sports competitions are controlled by media organizations like ESPN, which runs the X Games, or consumer brands like Red Bull, which has multiple events and also sponsors many athletes. These entities don鈥檛 act as leagues or governing bodies. What鈥檚 more, athletes might enter a variety of competitions throughout the year, many of them operating independently of one another. While most have extensive safety protocols and on-site medical and evacuation resources, providing things like concussion policies and coverage for injuries hasn鈥檛 typically been the job of event producers or sponsors, and athletes are required to carry their own health insurance in order to compete.

While there are hundreds of competitions each year, Red Bull鈥檚 Rampage free-ride mountain-bike contest may be the most thrilling. It also illustrates some of the knottier issues in action sports. Rampage is a work of aerial art, in which a by-invitation-only group of riders compete in the cliffs and canyons of Virgin, Utah, doing things on a bike that should be impossible鈥攁nd sometimes are.

At the 2015 Rampage, 19-year-old freeride phenomenon Nicholi Rogatkin, currently ranked first in the world and sponsored by a host of gear manufacturers, missed a drop and rode off a cliff. His shows him tumbling and twisting, and you can hear him groaning, but you really have to see the to appreciate how far Rogatkin fell. After he gets up, he鈥檚 back on his bike within moments, despite apparent damage to the front of his helmet.

In an interview conducted just after his run and aired during the December 27, 2015, edition of Red Bull Signature Series, on NBC, Rogatkin said, 鈥淚 was just waiting to go unconscious, but I stopped, finally, got up, checked that my bike was OK, put my helmet back on, got the OK from the judges to drop, not really the OK from the medics, but went anyway and finished my run.鈥 (Rogatkin walked away with only minor injuries.)

Cameron Zink goes big during the 2015 Red Bull Rampage in Virgin, Utah.
Cameron Zink goes big during the 2015 Red Bull Rampage in Virgin, Utah. (Ezra Shaw/Getty)

Red Bull doesn鈥檛 list an athlete concussion policy on its website and declined requests to comment on whether it has a head-injury protocol for its events. When asked about athlete injuries, communications director Patrice Radden offered a written statement. 鈥淩ed Bull provides platforms for world-class athletes to realize their dreams,鈥 it read, in part. 鈥淭he safety of spectators and participants is always our primary concern.鈥

Some Rampage riders didn鈥檛 respond to interview requests, but Logan Binggeli, who took home the bronze medal in 2012 and placed 15th in 2015, and Cameron Zink, the 2010 champion, said they weren鈥檛 aware of a concussion policy at the event. Zink, the current world-record holder for the longest horizontal distance covered in a backflip鈥攎ore than 100 feet, performed at the 2014 X Games鈥攈as been trying to get better compensation and safety protocols for Rampage athletes. After the 2015 competition, he and a group of riders met with Red Bull to ask for some changes to the event, including an updated policy for injuries, a rest day, a larger purse (in 2015, it was $100,000), and for the company to pay gap insurance, so that athletes鈥 deductibles would be covered. (Action-sports riders are able to get health insurance through the Affordable Care Act, but many have only the most basic policies, which often come with high deductibles.)

鈥淭he Rampage is incredible,鈥 Zink says. 鈥淚 love it. Some of the best times I鈥檝e ever had have been there. We all feel that way, and Red Bull knows it. We get taken advantage of because we鈥檙e going to do it regardless. We鈥檒l do it for no money, so they can shove us in a corner and we have no rights.鈥

On June 23 of this year, the company announced changes to the 2016 Rampage format. The biggest was that a new venue, not far from the old one, would be used, and that the rider-built obstacles would be limited to those constructed by hand or with hand tools, potentially resulting in smaller鈥 and less risky鈥攕tunts. The number of riders invited was reduced to 21, and the rest day that Zink and his colleagues had asked for was added. The purse was increased to $150,000, and riders will receive $4,000 each for expenses. But there was no word about gap insurance or injury policies. In her statement to 国产吃瓜黑料, Red Bull鈥檚 Radden said: 鈥淭he industry practice for almost all events is that individual health care coverage is the responsibility of the participating athletes. Any incidental costs are expected to be covered by such individual鈥檚 health insurance provider.鈥

Other Rampage riders I spoke to think the system is working, citing expert on-site medics and the opportunity to compete in carefully planned venues broadcast to large audiences, and adding that it鈥檚 up to riders to know their limits and not push past them.

But given the nature of many action sports, there鈥檚 an acute likelihood of sustaining head and other injuries, even for the best in the field. One of Dave Mirra鈥檚 signature moves was a , which he first executed off a BMX ramp built on San Francisco鈥檚 Pier 30 for the 2000 X Games. It was one of the most astounding feats ever accomplished on two wheels. But he also crashed, badly, at other events. So have dozens of other riders鈥攁t competitions, on the trail, and in practice at backyard tracks.聽

When asked if Mirra鈥檚 death has prompted a rethinking of medical protocols, Danny Chi, director of communications for the X Games, offered a written statement. 鈥淎thletes who are determined by the X Games medical staff to have sustained a concussion will not be allowed to continue to participate in practice or competition for the duration of those Games,鈥 it read. 鈥淲e have made a commitment to provide top quality medical care for athletes at X Games events. We constantly examine and evaluate our processes and policies, always with one goal in mind: athlete safety. This is a topic we take very seriously.鈥

Meanwhile, the financial and emotional costs of head injuries can take a large toll on athletes and their families. In August 2011, 16-year-old Harley Taich was the top-ranked female surfer in California and was about to compete at a contest in Point Mugu, just north of Malibu, when she flew off her board and landed headfirst in the sand. She was diagnosed with a concussion but says she received conflicting medical advice.

Harley Taich received conflicting advice after her concussion at a surf contest near Malibu.
Harley Taich received conflicting advice after her concussion at a surf contest near Malibu. (Chris Gant/Jettygirl Online)

鈥淪ome doctors told me to keep surfing, some told me to stay home and do nothing,鈥 she says. Taich continued surfing and says she reconcussed鈥斺渄ozens and dozens of times.鈥 She reached a point where she could no longer balance properly and suffered near constant migraines and mood swings ranging from anger to 鈥渉ysterical tears.鈥 In 2013, she attempted suicide. 鈥淚 did everything wrong in my recovery,鈥 she says, 鈥渂ecause I didn鈥檛 know what to do.鈥澛

When asked how she paid all the medical bills, Taich says, 鈥淚 have grandparents. They鈥檇 been saving for my college all my life, and it was pretty clear I wouldn鈥檛 be going. So they paid for my treatments instead.鈥 She estimates the total cost at almost $200,000.聽

After three years, Taich decided she鈥檇 take the rest that one of her doctors had recommended. After eight months of no surfing, no school, no electronics, no stimulation of any kind, and an improved diet, she began to feel better. Taich, now 21, says that most of her symptoms have diminished. She recently wrote a children鈥檚 book about her experiences, called , to 鈥済et the correct information out there in a way that people can understand.鈥 But her career as a professional surfer is done. 鈥淚t was everything I wanted to be since I was four years old,鈥 she says.


Professional athletes聽put themselves at risk far more often than most of us, but the new science of concussions is disturbing for amateurs, too. As an avid mountain biker who competed in both downhill and cross-country events throughout the 1990s and 2000s, I鈥檝e had at least four concussions from crashes, including two in which I was knocked unconscious. In the most serious incident, nearly 20 years ago, I hit a tree on a downhill course in France. I was out for ten minutes and woke up with a broken eye socket and gashes on my face that required multiple stitches. Other than being told not to sleep for 24 hours鈥攁 myth that may actually make things worse鈥擨 didn鈥檛 receive a word of advice about brain injury.

In the years that followed, I married and had two kids. I haven鈥檛 had much time to ride the way I used to, and I haven鈥檛 taken a hard blow to the head in a decade. But I have found myself struggling with depression, attention, and organization. Some of my friends and loved ones would describe me as impulsive, at least some of the time. I can鈥檛 say that my concussions contributed to that; I can鈥檛 say they haven鈥檛. I鈥檓 not sure I really want to know. I recently bought a new mountain bike, my first in over a decade, and was reminded as I sped down a Los Angeles fire road at 30 miles per hour how much I love the sport. But I鈥檓 worried about my slower reflexes and what might happen if I hit my head again.

The scariest part of all this are the cognitive consequences of a concussion that weekend warriors may face. A in the Canadian Medical Association Journal looked at more than 235,000 men in Ontario who鈥檇 had concussions between 1992 to 2012. Among those who鈥檇 suffered a single concussion, researchers found that suicide rates were three times higher than those who鈥檇 never had a head injury. That rate increased to four times when the concussion occurred on a weekend, leading to a suicide frequency, the authors wrote, that 鈥渆xceeded the risk among military personnel.鈥

The authors of the study say they don鈥檛 have a clear understanding of why the men who concussed during a weekend faced higher risks for suicide after a single concussion. But they noted that on weekends, people may not seek medical care as quickly as they might on a weekday.

鈥淭here aren鈥檛 great protocols for weekend warriors,鈥 Jeffrey Kutcher says. 鈥淎nd we need to keep the general population in mind.鈥

One of my former riding buddies, Warren Shumway, remembers falling off his bike a lot. 鈥淚 never thought about it much,鈥 says Shumway, who is 55 and works as a textile-industry sales rep in New Hampshire. 鈥淚 felt invincible.鈥 But two years ago he was knocked out during a race. 鈥淭hat scared me. My son was less than a year old, and I sat in a fog for a couple of days,鈥 he says. Since then he鈥檚 stopped racing and now has two boys, who he says 鈥渨on鈥檛 be allowed to do extreme sports until they鈥檙e 16.鈥

I鈥檓 not sure if I鈥檒l be that conservative with my boys. I want them to be fit and to learn that there鈥檚 reward in risk. How much risk? Hard to say.聽

Though there鈥檚 debate about what parents need to do when their kids sustain head injuries鈥攔est is called for, but what kind and how much is something the medical community is still sorting out鈥擪utcher says that the most important thing is for parents to make smart decisions. 鈥淵ou have to ask, what鈥檚 your child鈥檚 plan for playing sports, and what are the risks?鈥 he says. At U.S. 聽Ski and Snowboard, Kutcher calls for pre-participation neurological exams for all student and youth athletes, and follow-up exams at least once a year to determine whether a child鈥檚 brain is tracking the right way. 鈥淎re there issues starting to come up,鈥 he says. 鈥淚f there are, why are they there?鈥澛

Kids are becoming more aware themselves. During an Amtrak trip down the Pacific coast recently, I overheard a group of teenage boys talking about concussions. They were all 17 and heading back to San Diego after a week at summer camp. One of them, a burly redhead named Remington Naves, had concussed three times, once surfing, once playing lacrosse, and once skateboarding. 鈥淚 had a huge impact at the skate park in Carlsbad,鈥 he said, 鈥渁nd I felt groggy for a week.鈥

Naves was so confused by the conflicting information he received afterward that he ended up doing a lot of research on head injuries. While looking into it, he learned that his father had suffered four concussions as a high school and college football player. 鈥淲e鈥檙e concerned for each other,鈥 he says. That concern was heightened when he heard about Dave Mirra鈥檚 suicide.聽

Naves had taken an Impact test, a cognitive measurement that helps provide a baseline for future results. Nearly all youth and college athletes in organized sports are now required to take the test, a 25-minute online series of questions and exercises designed to measure cognitive skills, reaction time, attention span, and memory. Naves said that, after a concussion he suffered while playing football last spring, he scored 鈥17 percent lower鈥 than he had on his initial test.聽

Will parents come to think of skateboarding, mountain biking, and other action sports the same way some now think of football鈥攖oo risky for a child? Kutcher says there鈥檚 no reason for excessive restrictions. 鈥淲e need to be vigilant about it,鈥 he says, 鈥渂ut you can have concussions and have a healthy life after sports.鈥 There鈥檚 variance, he explains, 鈥渋n how much force it takes to cause an injury to any particular person鈥檚 brain, based on genetic factors and maybe some physiological factors. And there鈥檚 also a threshold that鈥檚 very individual in terms of how much injury it takes to produce a clinical effect.鈥

Kutcher鈥檚 point is that it鈥檚 an oversimplification to say that concussions invariably lead to cognitive problems. 鈥淚鈥檝e seen athletes who鈥檝e had many concussions and their overall brain health is fine,鈥 he says. 鈥淲e monitor them, but we let them continue to play. And I鈥檝e had athletes who had just one or two concussions, and it seemed like the best thing for them to do was retire.鈥澛

Many athletes I spoke with pointed to helmet usage as a protective measure against concussions. Several new designs are available, and the technology continues to evolve. But the neurologists I interviewed said that at this time, helmets can鈥檛 prevent concussions.

鈥淐oncussion occurs when the brain moves,鈥 says Kutcher. 鈥淲hatever you have outside your skull might absorb some force, but if you get hit on the helmet by something, your brain is still going to move.鈥 Neurosurgeon Robert Cantu says that athletes need to continue to wear helmets to 鈥渞educe the risk of skull fracture, not concussion.鈥澛

For now the best protection may come from talking about CTE more, an idea expressed by Lauren Mirra, Dave鈥檚 wife, when she broke her silence about her husband鈥檚 death. 鈥淭his is the beginning of bringing awareness of talks of better equipment,鈥 she told ESPN The Magazine. 鈥淚t would be amazing if this is something we can detect in life one day. If we can detect it, prevent it, stop it, let鈥檚 do all of the above.鈥

Biker Sherlock鈥檚 family offered a more sobering outlook. 鈥淚t鈥檚 easy to feel like superman,鈥 Sherlock鈥檚 sisters wrote in their statement, 鈥渨hen the adrenaline is rushing and you are part of something bigger than yourself, especially when surrounded by like-minded individuals who love their sport. From our perspective, at the end of the day, the medical, physical, and psychological consequences of the fleeting moments of elation will outweigh it all. Michael鈥檚 passion for sports was eclipsed exponentially by his love for his family and friends. The consequences of brain injuries took him away from us.鈥


What will it take to create change for athletes? Zink is considering forming a union to band riders together. Tim McFerran, president and founder of the World Skateboarding Federation, a two-year-old group that鈥檚 hoping to create a global body for skateboarders, is working on getting secondary insurance for skaters. The federation has 5,000 members and is one of the groups consulting with the Olympics as the sport is considered for 2020. 鈥淵ou have to create a co-op, or something like it, where everybody signs up together to create a big enough group that an insurance company would want to do business with,鈥 McFerran says.

That鈥檚 a start, but obtaining NFL levels of recognition will require more. 鈥淣obody has put together a cogent plan to get these athletes safe,鈥 says Jay Fraga, a 44-year-old former BMX racer who retired in 2010 after suffering multiple concussions during his career. 鈥淭hat鈥檚 how the NFL got sued, that鈥檚 how there was so much human carnage in football. History is going to repeat itself.鈥澛

In 2012, Fraga started a website called the to provide an outlet for athletes who鈥檝e suffered concussions to share stories and receive consistent, up-to-date information.

At this time, with most action sports existing as loose confederations, there鈥檚 often no single entity to bring to court, as NFL and NHL players have done. And for many athletes鈥 injuries, the statute of limitations on damages has passed, according to Michael Kaplen, an attorney who teaches brain-injury law at George Washington University Law School.聽

But, Kaplen says, 鈥淚f somebody takes a fall and they鈥檙e allowed to continue, you鈥檇 have to ask: Did the organization have a rule? If they did, did they follow it? Should they have? Today everybody has knowledge of repetitive head trauma. Everybody has knowledge of keeping participants out of the game until they鈥檝e recovered. If the organizations don鈥檛 do that, they could be liable.鈥

In the meantime, the race is on to figure out a way to test for CTE in living athletes. One possible method is being studied by Dara Dickstein, an adjunct assistant professor of neuroscience at New York鈥檚 Icahn School of Medicine at Mount Sinai. Building on work that has successfully detected markers for tau buildup in Alzheimer鈥檚 patients, Dickstein and her colleagues are investigating whether those methods can be transferred to subjects suspected to have CTE. The technique involves injecting a radioactive tracer into the bloodstream; the tracer binds to any tau proteins in the brain, which can then be detected via PET scan. Dickstein says she can鈥檛 discuss the study鈥檚 findings before they are published, but the initial results are promising, showing retention of the radioactive tau in the brain of a living 39-year-old former NFL player. She also mentions a difficulty she鈥檚 facing: finding control subjects whose brains are unscathed. 鈥淵ou look at the general population of men over 35, and it gets really hard to find anybody with no history of being bumped hard on the head or knocked out,鈥 she says.聽

Meanwhile, Catherine Harnden had a full racing schedule this summer and had no plans to quit. 鈥淚 love this sport,鈥 she says. She鈥檚 moving from downhill to the enduro division. She鈥檚 feeling a lot better, and she says that prioritizing exercise, sleep, and a good diet has led to fewer occurrences of her symptoms. She鈥檚 also discovered that doing crossword puzzles and word games helps her to manage them.

We鈥檝e made plans to meet later this year at the Highland Mountain Bike Park, in Northfield, New Hampshire, to launch ourselves off jumps of varying heights and onto a 50-by-50-foot airbag with massive Red Bull logos silk-screened onto it. It鈥檒l be fun. In the end, I love my sport as much as any athlete, and as conflicted as I am about how and when to participate, I鈥檓 not going to stop. I can鈥檛 wait to fly through the air and land on that cushy bag.

One thing Harnden says she needs to do is get over hiding her injuries from her friends and loved ones. Doing so takes a lot of energy. 聽She wrote in an e-mail that, throughout her life, she鈥檚 worked hard to 鈥渘urture a love of speed, adrenaline, endorphins. Because of that risk-reward ratio, I also became accustomed to injuries. It鈥檚 easy to pretend to be fine. As an athlete, it鈥檚 far easier to say 鈥業鈥檓 OK鈥 than it is to say 鈥楳y season is over.鈥 鈥

Harnden concluded her note with this: 鈥淐oncussions sit in a gray area where the athlete decides when to return to play.鈥

It鈥檚 a decision that can cost far too much. 聽

顿补苍听碍辞别辫辫别濒听()聽is a former editor at聽Mountain Bike Magazine. This is his first story for聽国产吃瓜黑料.

The post Impact Zone appeared first on 国产吃瓜黑料 Online.

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