 I'm Kenan Robinson. I'm the director of sports medicine and science for USA swimming and obviously our partnership is a national governing body USA swimming with the USOC. We work very very closely with USOC sports medicine staff and when Dr. Moreau had passed along the information that this clinic was going to be going on it was it was a slam dunk when I looked at the speaker list and the depth and breadth of topics being covered here it's it's it was a no-brainer to come just come up the hill for this and when you think of the presenters Dr. Moreau and Dr. Philippon just to hear those two speak on things that they're experts in the field and it's just you can't put a price on that and then you look at you know the fact that Dr. Chad Prusmak was going to be talking about the neurological aspect and the neurological rehabilitation aspect of concussions and to me in a sport like swimming you don't think that that concussions occur but they do in fact do they do occur and I think one of the things that we take away is that it's no longer an injury that we just sit in and let it heal we actually can rehabilitate and I think to be able to get some that information out is going to be very very beneficial to our practitioners and most importantly our athletes and our coaches I think I think the big things are when we talked about we'll kind of talk about the sections yesterday when we talk about the concussion I think it's like I mentioned the the importance that we have to do a better job of identifying what is our baseline neurocognitive status of our of our swimmers and the message I want to get out to primarily to our universities or secondary schools would be great but to our university start start with the low hanging fruit first is be conscientious and aware of doing great baseline testing because you don't know when that injury is going to occur and we don't want to get into a situation we have what the NHL has gone through or the NFL has gone through we have an epidemic of former athletes coming back and saying you guys did nothing for us and so number one identifying with a with our neurocognitive baseline statuses of swimmers and for swimmers in particular I think that was coming becoming very very prominent and more and more the speakers that went through the concussion section is that there's differences between men and women there's differences between high school athletes collegiate athletes and professional athletes there's difference between contact combat athletes and and non-contact combat athletes and so I would I was quickly doing a PubMed search and there's nothing on the aquatic athlete and so I think number one let's let's let's start that so we so we have the the benefit of it and when you think of again then when you think of the hips it's it's let's let's think about the ability to identify them at a younger age you know looked at like with many of the football or soccer I guess as we call in this country in the in the Pee Wee hockey identifying them at an earlier age will help identify those risk factors and then potentially we can we can make an impact with them and I think the last presenter was great wasn't it common sense medicine how many of these things could have been prevented with just a Band-Aid and some Neosporin and and obviously sports analytics and medical informatics all these things are great and important and they need to be done but let's not lose like let's not lose sight of what's what's important and it's common sense and things that are easily preventable now it's it's funny go to any any swim meet that involves more than two teams and you'll see why there's probably 30 swimmers to a lane swimming up and down if you go international it's just like driving they don't circle swim the way we do in the United States so you have the swimmers from the Asian countries pushing off into the Americans and the Europeans in the same lane and so that's usually when it happens or kids just not paying attention when they're doing the backstroke and counting their strokes from the flags into the wall and colliding or in the butterfly stroke because there's too many the lanes are too narrow and that one swimming butterfly so they come across and it's that hand-to-head combat so on one end we have an orthopedic fifth fracture we have to replace and the other one we have a neurocognitive issue we have to treat yeah and that was that was probably one of the the the great things is when they asked me to present on on hips because since September we've seen four hip issues and some of our top swimmers and so to be able to come up here and present in front of Dr. Philippon and all of his colleagues it was more for me to say this is what we're dealing with what are some ideas you guys think what are we missing and so when you look at the the clinical exam it replicates what the frog kick is but none of the swimmers we've seen have been breaststrokers or IMRs which involves the breaststroke so I think what we're seeing is like you can't replace how God made you or all or whoever you believe in right like so if they if they have these deformities or these abnormal hips then then no matter what you do they just won't be able to get into that position you're just putting them at a risk and to get hurt and then when you look at the presentation of how some of these younger hockey coaches are trying to still do the quick speed and I think that's some of the things that we're doing in the sports swimming too is we just pushing the envelope too quickly it's these kids age without any sort of adaptation or tissue healing so those two ones right and they're funny so we have a pretty large concussion task force now we started about two years ago and we're thankful that one of our former sports medicine chair was Scott rodeo the team physician for the New York Giants and so he had gone through all he'd sat in so many court and he said it's great that you guys are starting this initiative and when we started to look into just report of occurrence and insurance claims they were happy more frequently than we than we thought and then we we had to start survey first and so we we surveyed coaches all 18,000 registered club coaches it's just like what is their knowledge base to it and we found out that they don't they're still calling it a bell rung and they're still just saying well I mean we had more responses that that well because we're not a contact I understand they hit their head on the wall and they were having some dizziness but we felt like it wasn't going to happen again so the second impact because that's what they hear on ESPN or the news and so they're putting them back in so we've done a really good job of creating a coach education curriculum and then we surveyed all NC2A swimming institutions if they do they have a do they have a concussion protocol and do they have a return to swim concussion protocol and so it's really helped us map out a kind of a program for that