Posted: November 19, 2019

By, Darren Leins

I grew up around the game of football. I was born on Super Bowl Sunday in 1973.  My father was a high school football coach in Michigan and the game was a major component of my life from an early age; it was a part of my identity. There are pictures of me as a baby with a football helmet on my head and a football in my lap.  As I grew up, I played pickup games of “touch” football in the streets with friends and tackle football in the parks (no pads). Starting in 6th grade through 8th grade we were able to sign up and play organized flag football. At that time, there was not a tackle football program in my hometown for kids younger than high school age. I was a locker room rat and a fixture at high school football practices and games from the second grade on. My story is a bit different from most of those you will find if you do an internet search on football and CTE. I did not play tackle football until freshman year of high school. I was not involved in any organized tackle football program in my early youth, as so many former players were. In retrospect, I feel fortunate to have been limited in my exposure to tackle football in my youth.

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I was afforded the insider view of high school football in southwestern Michigan because of my dad’s position as a coach. All I ever wanted to do was play football no matter the weather conditions or time of year. Growing up I felt football was my destiny, what I was meant to do, who I was meant to be. To say I loved the game of football would be an understatement. I dreamed of the day I would play high school football for my dad’s team, of the day I would sign a letter of intent to play in college, of the day I would play football in college and of the days I would be drafted and start my career in the NFL. That is a dream many young men have. As we all come to understand, dreams like that don’t always come to pass for a variety of reasons.

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The majority of the head trauma I experienced came from playing football during high school and college. I was a starter on both offense and defense throughout high school. Most of the colleges who showed interest in me were Division II schools. It had been my dream to play Division I college football. I was honored the coaching staff at Central Michigan University saw enough in me that they believed I may be able to play at the Division I level. I went to Central Michigan in 1991 as a preferred walk-on, meaning I was not given an athletic scholarship to play football. I would be paying for tuition, room/board and books like any other student on campus, but I saw this as opportunity to achieve one of my life’s dreams and hoped I could earn a scholarship. 

I played safety and spent my first year as a redshirt on the defensive scout team. My goal was to play as much in practice as possible. While I was not as fast as many of my teammates in the defensive secondary I was—to paraphrase several of my former coaches—a “hitter.” Hitting in football always came easy for me.  I was taught from an early age to see what you hit, to put your nose on what you hit. If you do that, the risk of neck injuries by compression is lessened. That was always my thought process, see what you hit and go and hit that person as hard as you possibly can. This mentality served me well throughout college and in my development as a player. I started to get playing time in games during my redshirt sophomore year which continued during my redshirt junior year.

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I became a special-teams player and saw some game action in the secondary, but it was typically end of game play. My special-teams play included kick off, punt and punt return teams. I’m outlining this because I believe there may be someone out there who can relate to my story. I may not have started for my college team, but my passion in college was the game.  I was involved in every practice in the fall and spring with that team. I hit every day we practiced with helmets and shells, with some exceptions due to regulations.

Throughout my high school and college playing careers I had my “bell rung” on multiple occasions. I know now these were likely concussions of varying degrees. This never stopped me from continuing to practice and/or play the game I loved. Toughness and determination were attributes which allowed me to push through. The way I tackled, essentially leading with my face (not the crown of my head) resulted in multiple sub-concussive impacts each practice. This lasted from August until November for 8 years. This also included practices in the months of March and April for three years while I was in college.  My football career ended in 1994. I did not play professionally, nor was I involved in any semi-pro or amateur leagues. I have had no trauma to my head in the years since I finished playing.

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Unsettling changes

After college, my life seemed to move along well. I met and married my former wife while at CMU. The best men in my wedding were my fellow teammates, my best friends. The university welcomed me back in 1997 as a graduate assistant coach working with the football team. I was engaged to be married on the campus of CMU. You see, many milestone events and lifelong relationships are the result of making the decision to play football at CMU. This is part of the complicated relationship I have with the game. Afterwards, life moved along like it does for the majority of former college football players—without football.

As is the case with many things, I was not the person who first noticed changes to my personality. It was my wife at the time who saw subtle changes in me become more noticeable and not so subtle.

These included the following:

• irritability/low frustration tolerance
• aggressive behavior
• anxiety (which I never had prior)
• involuntary tics
• tremors in my left hand
• difficulty understanding conversation
• cognitive changes
• difficulty integrating information
• difficulty paying attention
• sound sensitivity
• language difficulties
• mood swings

These symptoms slowly became part of my personality. My wife at the time raised her concerns to me in the fall of 2016. This was shortly after our second separation. Some of the reasons for the separation were my aggressive, angry, erratic behavior, irritability and mood swings. She told me she was afraid I was showing signs of CTE. I will admit that at first, I didn’t buy into what she was telling me.

I balked at her suggestion for a couple of months and thought the symptom patterns she pointed to were coincidental. But something happened as I sat alone at night with my thoughts. I noticed some things I had attributed to coincidence may not be at all. I was not able to always understand people when they were talking to me—I could hear their voice but not understand any of their words. At times, when speaking, I was unable to find the words I wanted to use. I was angry more often about insignificant things and I noticed big mood swings. There were times I had to leave and try and get in a quiet environment because any sounds, even a whisper, felt like a pick into my brain. I remembered I had been having problems with dropping items out of my left hand, and my left hand would show signs of tremors at various times. These symptoms became a part of who I was so gradually that it was hard for me to notice. I had been coping with them and living with them, but in retrospect these symptoms became my new normal over the previous 4-5 years.

At first, I didn’t believe my wife. Then, I didn’t believe myself. I thought it was all in my head. But educating myself on CTE, current research, and stories from others experiencing similar symptoms has helped me understand that what I am experiencing may not be coincidence. CTE is real, there is ample evidence to back it up, and it may be the cause of my symptoms. I am constantly looking at the research and my symptoms to remind myself that what I am going through is legitimate and what other people are going through is legitimate and there is support out there. 

As I stated earlier, many of the best things in my life were the result of making the decision to play football at CMU. The game of football has always been a part of who I am. That is why I now have such a complicated relationship with the game I grew up loving. I don’t know how prevalent CTE is among former players, that is not my role in this story. I simply know these symptoms, which are consistent with those of CTE, are my reality.
 

What my symptoms are like

Imagine blinding pain and the feeling that an ice pick is being driven into your brain, and the cause is your friend at the front of the church speaking in a “normal” tone. The pain in your head is so bad you can’t understand the words and must excuse yourself and leave the service. You become aware of intermittent tremors in your left hand; a type of feedback you’d never experienced before. You observe difficulty with fine motor skills, such as picking things up with that hand, and create rationalizations as you drop things out of the same hand (something you have never done) while not truly understanding the underlying reason.

Now imagine irritability. Not just normal grumpiness, but explosive anger at people you love, strangers, and situations in general. It doesn’t occur in dramatic situations where a lot of emotion may reasonably be expected, they are normal, everyday life situations.

Imagine stuttering and stammering, being unable to find the appropriate words when speaking. You feel frustrated by speech and communication, once a cornerstone of your personality, and watch it erode to something that is no longer a strength. Add forgetfulness—not being able to recall what you were speaking about and details about recent interactions. Wondering whether you performed a task you were going to do or if you still need to do it.

Any one of these symptoms may not mean a lot standing on their own. They are symptoms millions of people encounter as they move through the various phases of life. When these symptoms are experienced together or with a multitude of other symptoms, as happened to me, it may be evidence of a bigger issue. I was left angry, confused and numb. I couldn’t comprehend what was happening to me, I wasn’t able to put the pieces together. I needed help and after that I needed hope, which is why I am sharing my experiences. If I can be that hope for someone else, it is worth being vulnerable.
 

Managing my symptoms

Once I accepted what I was experiencing was tangible and real, the next task was finding treatment. This task loomed large and initially seemed quite daunting.  I was fortunate that I was referred to a doctor by my wife at the time who wanted to treat me and help. Currently there is no cure for CTE. It is classified as a neurodegenerative disease. Physicians are able to treat various symptoms to slow their progression, but not the underlying disease. I have searched and tried various treatments that have provided various levels of relief from the symptoms.

These include meditation, physical activity, a diet high in plant-based nutrition (my diet does include some meat), neurofeedback, infrared laser treatments and putting a safety net in place. The treatments seem to vary in their efficacy. I have not been able to figure out the reason for this, but I will continue to study, track, and educate myself on what works for me.

The point I want to make is that there is help out there. Even if it is just treating your symptoms. There is help available from caring physicians and support groups who want to help you manage your condition. Keep looking for those special folks who embrace this challenge and are not cowed by it.
 

The importance of a support network

This path seemed solitary for much of the first year. I felt it was a journey I would need to take alone. I could not have been more wrong. When I was a player I thrived in the atmosphere of the team, the comradery of the team. This fight for myself and the thousands out there like me has to be done the same way. We have to be there for each other, even if that is all we have.  I have embraced this attitude and feel fortunate to have people in my life who want to understand and are willing to travel this journey to provide support.

The week my then wife approached me with her concerns regarding my symptoms, Rashaan Salaam, former Heisman Trophy winner from the University of Colorado, died by suicide on a park bench in Boulder, Colorado. The news affected me deeply. It happened approximately 40 miles from where I was living at the time. I did not know Rashaan, though we were playing college football in the same era and living in the Denver, CO area. I do not know what was going on in his life or what events led him to make the choice he made. We do not know if he had CTE (Rashaan’s brain was not studied because of religious reasons) but it was reported family and friends said he displayed symptoms of CTE. I am not able to speak to his experience firsthand, but I do know that when what you are experiencing is validated by people in your life there is a peace in feeling like someone understands what you are going through. I hope that whatever else was happening in his life, he found that peace.

That thought continued to play in my mind as I decided whether to write this story down. I was initially reluctant to tell it. There are only a very small number of people who know what I am experiencing. I have been very private about it for many reasons, including not wanting to worry family members or think of what the future may look like with them. One of my biggest fears was that I was somehow letting down my former teammates and coaches, including my late father. I was afraid they may see me sharing my story as an attack on them, our team, our family and the game we all loved so much. This is in no way an attack, but rather a call for us to support each other.

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My life has changed over the last several years since I started to recognize the symptoms that have become a part of my life. I am no longer married and there are times when things are a struggle, when treatments don’t seem to be working and I just want my old self back. These are the times that I have to force myself to lean on those close to me. It is in those times that I make sure I fall back on my faith in God, my beliefs, and the support and safety net of loved ones I have put in place. I will tell you that my life is better than it has been in recent years because I have made the decision to live mindfully, daily. I am blessed that I am able to fight. I am blessed because there are people in my life who try to understand what is going on and are there for me.
 

Embracing hope

The growing knowledge about CTE and the experience of others gives me a sense of peace. I don’t have to question whether what I am experiencing is quantifiable to fight it. I will tell you these symptoms, be they CTE or something else, will be battled until the very end, whenever that may be.  I am not defeated but instead facing this challenge head on. A wise man once told me that you shouldn’t be afraid of a diagnosis, what a diagnosis allows you to do is to make a plan to effectively treat and fight the cause of that diagnosis.

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There are times of loneliness and that is when we need our family, friends and brothers. Though we may not have played for the same team in the past, we are on the same team now. We need to be there for each other, to support each other and to help each other in these battles. The fight against TBI, CTE and those symptoms consistent with CTE has gotten much larger than my privacy and any fear I may have had of being negatively labeled.

Maybe you love someone who is going through similar experiences. My hope is that my story provides some level of insight. Maybe you are the one experiencing similar symptoms, that you are feeling lost, confused, angry and defeated. If so, please know that you are not alone and there is help. These symptoms do not define you. They are not the end of your story. They are simply one more part of your journey, a journey that does not have to be taken alone. If there is one person out there in this world who sees and relates to my experience it has been a worthy cause.

Are you or someone you know struggling with lingering concussion symptoms or what you believe may be CTE? We support patients and families through the CLF HelpLine, which provides personalized help to those struggling with the outcomes of brain injury. If you are seeking guidance on how to choose the right doctor, find educational resources, or have any other specific questions, we want to hear from you. Submit your request to the CLF HelpLine and a dedicated member of the Concussion Legacy Foundation team will be happy to assist you.