2/17/2017

Part I: LOVING and Bioethics The Right to Marry

LOVING - Official Trailer from Mill Valley Film Festival on Vimeo.

Courtesy Focus Films

LOVING was the closing night film of the 39th Mill Valley Film Festival. Jeff Nichols is its writer/director. At 38 years old, born in Little Rock, Arkansas, Nichols is a master at breaking stereotypes about cultures, especially those below the Mason Dixon Line.  

LOVING is based on the lives of Mildred  and Richard Loving. The portrayals by Ruth Negga and Joel Edgerton in the title roles is an exquisitely intimate, internal portrait. The main characters met young, fell in love in a poor rural neighbor of Virginia where races interacted socially. The love aspect of the story is prominent but the underclass nature of interracial life in the region is equally as strong. In 1958, the couple were forbidden to marry because their state was among many with anti-miscegenation laws.  

Nichols’ LOVING is as much about class— working poor—as it is about race. As long as Mildred and Richard kept within the constraints of the geo-social ‘Bottoms’ the state powers would not care. They weren’t so much jailed because Mildred was Black while Richard White but because they dared want their love and children legitimated. Anti-miscegenation laws stemmed, above all else not from morality but economics—controlling who could own property, historically determined by parentage. The law they violated was a vestige of slavery in their state.

LOVING, the feature length fictional film, evolved from director Nichols’ admiration for a documentary made years before. Nichols LOVING defies the Hollywood Film industries tendency to make heroism only a characteristic of overtly  “charismatic people.” LOVING is a work that celebrates that every day, ordinary people do the impossible. 

The Lovings were interested in living their lives. Referred by Attorney General Robert Kennedy’s office to the American Civil Liberties Union(ACLU) at Mrs. Loving’s initiation, the couple left the lawyers to the legal job. While the Loving’s tended their own work, raising a family.


The ACLU fought and won Loving V Virginia in the supreme court in 1967 — near ten years after the birth of the couple’s first child. The case was won based  on Virginia’s anti-miscegenation law  being in violation of the  Fourteenth Amendment to the United States Constitution which, provides equal protection under the law — including the right to marry. 

The Fourteenth Amendment was one of the Restoration amendments after the US Civil war. The Restoration Amendments among other things legally dismantled the economic system of slavery. The Loving case was fought  nearly 100 years after the slavery emancipation proclamation.

Loving v Virginia was proceeded and followed by many other legal presidencies adjudicated by the supreme court and supported by The Fourteenth Amendment including, Brown v. Board of Education (1954) regarding racial school segregation, Roe v. Wade (1973) about abortion, Bush v. Gore (2000) regarding the 2000 presidential election, and Obergefell v. Hodges (2015) regarding same-sex marriage.The foot prints of the Fourteen Amendment are also solidly ensconced in the Universal Declaration of Human Rights in its 16th Article —The right to marriage and Family.

Why is this film important to Bioethics?  The Lovings predicament is a cautionary tell about historical abuse of scientific process in supporting anti-miscegenation practices. LOVING also identifies a victory for the strength of persistent struggle — particularly one having an influence on the understanding not only of humanity but the moral obligations of scientist to do good work, and to monitor its moral implications. 

LOVING is a gentle film—not designed to be a blockbuster but one which will stand the test of time.  


Loving (2016) Trailer:  https://youtu.be/9QYEwlzpa9A

Loving V. Virgina  Interacial and Mixed  documentary HBO Trailer  https://youtu.be/h62ZBiHNJoM trailer

The Constitution of the United States http://constitutionus.com


The Universal Declaration of Human Rights http://www.un.org/en/universal-declaration-human-rights/declaration-human-rights/ 

Part II: LOVING, Bioethics and How Miscegenation became a ‘thing’

Photo Courtesy of Mill Valley Film Festival

Long Before Jeff Nichols, writer/director, chose to make the film LOVING (2016),  about a heroic couple of modest means striking a blow for the maintenance of humanity—by ending anti-miscegenation laws in the USA—The field of Eugenics had to be born and the term  ‘miscegenation’ coined. Miscegenation laws were present in many states  of the USA into the 1960s, in defiance of the 14th amendment to the United States Constitution and  the Declaration of Human Rights. 
Modern “bioethics” emerged from the documentation of the atrocities associated with both WWI and WWII, and the manipulation of science and technology to serve ‘evil’ rather than beneficence, autonomy and justice. The film Loving speaks to the need to carefully consider the obligations of science. There is no evil science, just bad science and immoral applications. In particular, scientist, and physicians (who are all ultimately researchers) should at least read the Nuremberg Code. The document is a page long with only ten points. 

How did Anti- miscegenation laws come about? Let’s be clear, they were an economic mechanism to oppress slaves and other underclass people and prevent their owning property. This begs the question of how miscegenation became ‘a thing.’

Philosophy and the applied sciences used to be one school—and still were in the 1800s. Philosophy, was not separated from maths, astronomy, medicine and engineering. The footsteps of philosophy still drive scientific method —theory, hypothesis, proof and argument. Francis Galton was born into that time of interface and development of knowledge. Oddly Galton,  a  latter day Renaissance thinker in the  model of Da’Vinci, is attributed with coining the words miscegenation and eugenics. And yes, Galton started out in Medicine, circa 1838. 

In agriculture miscegenation was defined as the “interbreeding of two different species.” Galton’s Cousin Charles Darwin had published the Origin of the Species in the 1850s. Gregor Mendel an Austrian monk had observed variation in pea plants during the same period. Most biology students learned that Mendel is considered the father of genetics. From those works came Galton’s leap implying that human beings’ external appearance could make them different species. 

Galton was a Sociologist, Psychologist, Scientist, Geographer, and Statistician. He looked for proof of the patterns of his cousin and the monk in other aspects of the world — looking for a primary pattern in nature which was repeated. That is what good science does. When you think of Galton, think—regression from the mean — that was among his many contributions or to some of us—tortures. The mathematical models of Mendel for peas and other plants were being extrapolated and converted into statistics applied to human beings.

What came first, racism or the science?  The essence of scientific integrity is not only honesty in hypothesizing, recording and reporting but coming to unbiased conclusions. Galton began considering ‘lessor social' attributes to be apparent in people who looked one way and not another. The espousing that conclusion, for a statistician, had to be an unfounded extrapolation. But he likely knew that even then. 

In 1863, the science of separation, and its conclusions espoused by Galton, was rejected by some as a political tool deciding who should receive the benefits of a society. The difference between animals and people was thought to be decided by humanist to be  “the soul.”  Perhaps the soul is a more nebulous concept than that ‘a scientific certainty’—but also one less likely to bastardize the scientific process. Nonetheless, it was the soul which  ended slavery in the USA and many other parts of the world.  

The post civil war Reconstruction Amendments to the United States Constitution, codified the belief that all “men” were created equal. That was adjusted in the 1900's to include women. The devil remains in the detail. However, it was the 14th amendment, which  applied to the winning of Loving v. the State of Virginia, and the drafting of the Universal Declaration of Human Rights. This was generations after Galton, Mendel and Darwin.

What is the lesson? Bioethical conflicts often coincide with historically poor scientific understanding, or abuses. However, they coexist with equal and opposite reactions — leaps of moral and scientific process.  Thinking  about how the film LOVING,  based on the lives of Mildred and Richard Loving,end of Anti-miscegenation laws in the United States. Remember, LOVING is a film  not only about law, but about the debunking of archaic, if ever valid, science.




Galton Memories of My Life, https://www.google.com/search?client=safari&rls=en&q=Galton+Memories+of+My+Life+(London:+Methuen,+1908),+pp.+22+-+47.&ie=UTF-8&oe=UTF-8

12/03/2016

DAUGHTERS OF THE DUST, STANDING @ THE SCRATCH LINE: Bioethics meets real Cross Cultural Competency


Director July Dash (Daughters of the Dust and Scratch Line)
at the MVFF 39 October 14, 2016


As a member of  the National Writers Union and affiliate of  the International Federation of Journalists, it is my profound honor to represent the California Film Institute in presenting  director Julie Dash the Mill Valley Film Festival Award. This award honors the excellence of  her lifetime body of work.” —None of  these words could I have imagined coming from my mouth. But, on October 12, 2016, that is what I said at the 39th Mill Valley film festival. MVFF is one of the longest running Film Festival’s in North America with an audience this year of more than 65,000. 

Recently digitally remastered by the Coleman Library, director Dash’s DAUGHTERS OF THE DUST aesthetic remains incomparable with a message persistently timely. An African American family prepares to leave their Gullah Island home. They and their descendants have lived on that land since long before the Emancipation Proclamation. Tensions between the power of the familiar and perils of a new existence are made abundantly clear by a matriarch. She is a first degree relative to those brought as slaves from Africa. 

The re-released version of DAUGHTERS OF THE DUST, screened at the MVFF39, was preceded by the premiere of Dash’s provocative new short film, STANDING @ THE SCRATCH LINE. This new work is a part of the Great Migration Project. It lyrically traces the arrival of the first Africans on the Gullah Island shore their generations of migration from the Gullah Geechee Lowcountry to Philadelphia, PA. The film links the survival of a people to the strengths of the sacred architecture of African American Churches.

Filmmaker Julie Dash’s screen voice is an offspring of the “LA Rebellion”. The LA Rebellion creative movement emerged from the UCLA School of Theater, Film and Television  during the late 1960s and 1970s. The Rebellion was, and is, the bard of  complex justice issues, while also an anti-venom for racism and classism.

Twenty years after the LA Rebellion, in 1991,  internationally recognized, Julie Dash’s DAUGHTERS OF THE DUST, was the first feature-length film by an African American woman with United States theatrical release. The film coincided with a period when we, in clinical medical ethics, were defining the importance of cross-cultural communication in medicine — particularly at the edges of life — birth and death. 

The battle was to get an understanding of race class and culture into the medical curriculum. 
In a real way Ms. Dashs work help to combat health disparity across race, class and culture. Her's is an anthropological short hand bundling the reality of what had before been like talking only about the reflection of stars — Now, one can actually show the celestial body of cultural complexity to colleagues and say,  This is part of what you are working with when you diagnose a person with a life threatening illness, with its fears, attendant loss of family and culture. Director Julie Dash manages to demonstrate that a culture can be simultaneously different from others, while expressing universal concerns.

Other works by Ms. Dash are THE ROSA PARKS STORY,  INCOGNITO, FUNNY VALENTINES, LOVE SONG and SUBWAY STORIES. Coming soon is her film  TRAVEL NOTES OF A GEECHEE GIRL, about writer- actor-griot-culinary anthropologist Vertamae Smart-Grosvenor.

References:



Standing@the Scratch Line https://vimeo.com/180110116

Julie Dash official website: http://juliedash.tv


11/29/2016

LA LA LAND and BIOETHICS: Aspiration, Casuistry and Musical Mimetics

La La Land Opening Night Mill Valley Film Festival 2016
Mark Fiskin(CFI/MVFF), Damien Chazelle (director), 
Justin Hurwitz (composer), Emma Stone (actor) 
The opening and closing films of the 39th Mill Valley Film Festival were both romances, different from one another as night and day. The starting film was about elusive love. Written and directed by Damien Chazelle, LA LA LAND is a romantic musical whose comedic elements facilitate the dramatic. It feels like a cross between Preston Sturges' Sullivan’s Travels and Singing in the Rain. LA LA LAND’s enduring impression is a sensibility for people defined by creative aspirations.

The title, LA LA LAND, is a double entendre. The more concrete allusion calls up the musical note ‘La,’ as in the Rogers and Hammerstein’s Sound of Music, “La is just to follow so.” What marks the feature as a high concept film is the other meaning— the rarely attainable, though ubiquitous, high hopes for creative success in the unreal Los Angeles — while moving into the developmental stage of adult intimacy.

Ryan Gosling and Emma Stone act (and dance) in subtle ways. Their performances are beyond being the coat hangers for music, choreography, and the exquisite mostly on location scenery. Complexity of the main characters is clarified by the arrival of the co-star, John Legend, at the mid-point of the film. He draws the arrow telling Gosling’s character, a musician, that there is only one path to follow. That way pushes him away from his lover, Stone, a writer.


The opening scene of La La Land is set squarely in one of the plagues of Los Angeles life. The setting, time, and characters shout that you are entering a cross cultural zone, where fantasy is allowed. Replete with classic musical film homages, Justin Hurwitz’s score shares the passion of Leonard Bernstein’s West Side Story, rather than the showmanship of an Arthur Freed musical. We quickly learn the rival gangs are the tensions between the creative aspirations in the heads of each star, fighting for attention and love.


Hurwitz’s uses the advantage of Jazz, Blues and Rock & Roll, having been racially integrated after the glory days of the classic 1940s and 50s musicals, to broaden the range of emotions. The love theme of La La Land represents the magical inner voice of the protagonist’s relationship. When you hear this film’s music forty years from now, be forewarned, if it made you cry this year, it will then. 
How does a Romantic Musical help Bioethics?


LA LA LAND shows tension between the ‘competing goods’ of the noble aspirations of intimacy and creativity. The film is a captivating metaphor, showing a version of goal attainment reached through an unexpected narrative path. Other creative intents are not unlike those of a surgeon in training, or a doctoral student dreaming to cure global warming, in conflict with raising their families. The shared challenge is not aiming for competence but greatness.


Casuistry can exist beyond ‘the word.’ When visuals are added to written narratives additional neuropsychological features join ‘the case’ presented. Even a single photograph is a visual narrative. Music, as in LA LA Land, is interpreted even more subjectively than visual cues. “Research into the bodily basis of musical meaning has focused on conceptual metaphor and image theory but the processes whereby embodied experience becomes relevant to music conceptualization remains largely unexplained.” 


We do not know exactly why the blues is cathartic, for some and not others though we know it is so. Related are examples where sound, say of a bottle of soap falling, has been known to result in smelling soap for some people sans attendant visual stimulus. It is clear that the sound of music has a narrative language specific to its own form. 


The core of the “musical mimetic hypothesis” suggests we understand sounds in comparison to sounds we have made ourselves, and this process of comparison involves tacit imitation, or mimetic participation, which in turn draws on the prior embodied experience of sound production.  That is second hearing draws a reaction to the first hearing of the primary sound and stimulates a similar feeling and physical response. Each note delves into the influence that note has had in one’s life. If this is true, clearly the Casuistic case for LA LA LAND is maximized by the music itself.


LA LA LAND is a choreography of the mind, expressed by over a hundred dancers, actors and musicians along with nearly as many crew. It takes a lot of nerve and talent to wield  such a team. Luckily for the audience composer Hurwitz choreographer Mandy Moore (Silver Lining's Playbook), cinematographer Linus Sandgren (American Hustle), and writer-director Damien Chazelle are chutzpah endowed. LA LA LAND is a film to watch and hear. It opens in theaters December 16, 2016.

Casuistry uses cases or narratives to illustrate ethical conflicts and their resolutions. Despite the potential abuse of Casuistry, Medicine and Law are both fields where cases are applied to ethical decision making. Religious books, literature, drama and film can also be used in Casuistic analysis of moral dilemmas. At its core, Casuistry requires solving a second unrelated case by using the logic of the original narrative — so stories need not be medical or science based to argue Bioethics. 






Albert Jonsen and Stephen Toulmin, The Abuse of Casuistry: A History of Moral Reasoning, Berkeley, U California Press (1990)

Underriner IV, Charles Francis THE SOUND-POETRY OF THE INSTABILITY OF REALITY: MIMESIS AND THE REALITY EFFECT IN MUSIC, LITERATURE, AND VISUAL ARTdigital.library.unt.edu/ark:/67531/.../UNDERRINER-DISSERTATION-2016.p Accessed  October 31, 2016

Cox, Arnie, The mimetic Hypothesis and Embodied Musical Meaning, Musicae Scientiae Fall 2001 5: 195-212,http://msx.sagepub.com/content/5/2/195.abstract  Accessed November 3, 2016

10/14/2016

Part I: Bioethics meets Hidden Figures at Mind the Gap “When you strike woman you strike rock”

Elizabeth Gabler (President, Fox 2000)

Mind the Gap HIDDEN FIGURES Panel

Hidden Figures is a fiction film adapted from Margo Lee Shetterly’s nonfiction book by the same  name. It is about a group of African American women who are mathematicians. As if that were not exceptional enough, they work for the National Aeronautics and Space Administration (NASA) at Langley, Virginia. But— wait for it— in the early 1960s. A true story— 

This movie is an homage to women taking their rightful place in the history of science, technology, engineering and maths (STEM). However, now understanding ‘art’ unleashes scientific capacity — this film about Sci-tech is also about STEAM. It is no accident most of the women depicted in the book and film were educated at Historically Black Colleges and Universities known then, and now, for pushing students to excellence in all fields. 

Hidden Figures focuses on a small pertinent aspect of the source book— how a cadre of Black women helped launch the Mercury 7 astronauts. Set in 1961, the back drop is a pivotal period in the United States civil rights struggle, the imbalances of the Cold War, and the peri-WWII legacy pushing women into the previously male dominated work force. The collaboration between the characters in the film mirrors that of the production team which developed the project. 

The California Film Institute, parent of the Mill Valley Film Festival (MVFF), has an ongoing initiative to improve the status of women behind the camera in the film industry. The initiative is called Mind the Gap. At MVFF39, October 8, 2016, Mind the Gap programing provided a sneak preview and panel dialog about Hidden Figures. Film professionals working on the project were present for a chat hosted by Variety’s Melina Saval. Participants included Elizabeth Gabler (president, Fox 2000), Mimi Valdez (Executive Producer), Mandy Walker (director of photography), and Marissa Paiva (Vice President, Fox 2000). These production partners and crew are deeply committed to providing a platform for the best films about and by women in a racially, culturally and gender expansive context. They are being the change they want to see.

The phrase that comes to mind about Hidden Figures is “When you Strike Woman you strike rock.” That’s a calculated intertextual reference to women’s struggle inserted by the filmmakers. The screenwriter, Allison Schroeder, and director of photography Mandy Walker along with Melfi, made fine compositional and emotional choices. Among those choosing a well informed visual aesthetic. DP Walker explained, during the Mind the Gap session, research included exploring the documentary series Eyes on the Prize; works of Concerned Photographer Gordon Parks; and those of Student Nonviolent Coordinating Committee photographer Danny Lyons

Hidden Figures. http://www.imdb.com/title/tt4846340/ accessed October 11, 2016

The Congressional STEAM Caucus. http://stemtosteam.org/events/congressional-steam-caucus/ accessed October 9, 2016.

Shetterly, Margo Lee.  https://www.harpercollins.com/9780062363596/hidden-figures accessed October 8, 2016


Mind the Gap http://www.mvff.com/mind-the-gap/ accessed October 2, 2016



Part II: Bioethics meets HIDDEN FIGURES - A Peace Genre Film

Hidden Figures Panel Mind the Gap: (In no order)  Melina Saval (Variety), Elizabeth Gabler (president, Fox 2000), Mimi Valdez (Executive Producer), Mandy Walker (DP), Marissa Paiva (Vice President, Fox 2000), Zoë Elton (Director of Programming), Mark Fiskin ( CFI Executive Director)
HIDDEN FIGURES is a high concept film, but not unbearably weighted. Instead, writer Director Theodore Melfi’s exquisite ensemble animates this inspirational focused story with humor as well as purpose. These are after all the things daily helping people survive oppression. Among the actors are Taraji P. Henson, Octavia Spencer, Janelle Monáe, Kevin Costner, Kirsten Dunst, and Jim Parsons. For my money — it is a Peace Genre film.

HIDDEN FIGURES is important because it speaks to the lives of ordinary working people. In this case in a Black American community. They are not the most deprived, not the wealthiest. Depicting social and environmental justice only in the context of brutality desensitizes viewers to the subtle degradation which wears away at a persons potential. Violence brings in the box office, but where are the rest of the stories? Is the only drive for a better life defense of ones lowest level of the Maslow Scale — food and shelter? Evidence suggest otherwise and so does HIDDEN FIGURES. 

There is an on going dialog between film and social responsibility. Part of this dialog is stimulated by the technology of the art of film and the function of the brain. Our movie memory seems to go where our actual memory is stored. Over time our life understanding seems blurred with the stories and films we have seen mixed with those we have lived. That’s how film works at its best. We know what resonates consciously but we are less sure of the unconscious.

How is Hidden Figures good for understanding Bioethics? The tendency is to focus on the justice or injustice issues raised by the film and its times. The more bioethics relevant dialog occurs around beneficence — in the use of science and technology and film. Beneficence is, for simplicity sake — doing good with what we know, knowing what we do not know, and expanding knowledge through research. More concisely, beneficence is equivalent to scientific integrity. The film’s plot quickly ranks scientific beneficence concerns over autonomy or justice. 

The main character runs the risk of loosing her job and castigating other sisters in the workplace, by expressing her considerable mathematical capacity. The choices she makes are moral choices driven by good science. Just as in all applied bioethics, like clinical medicine, understanding the obligation to do good with science, including the science of film, yields decisions which also come closer to achieving autonomy and justice. 

Hidden Figures adds grist to US Congressional Caucus on STEAM ( Science, Technology, Engineering, Arts and Math.) The hop is this initiative will create the next generation of brilliance in pure and applied scientist — one with consciousness at the forefront, and improved representation across race, class, gender and culture. Most importantly, Hidden Figures supports scientific exploration in service of honesty. Enough well developed minds may eventually help us understand — the full potential of the art and science of film. 

Support Hidden Figures and other films in the peace genre by seeing it in the theater rated PG, Christmas Day 2016, in 13 cities. The full roll out will be in January 2017.

Hidden Figures. http://www.imdb.com/title/tt4846340/ accessed October 11, 2016


The Congressional STEAM Caucus. http://stemtosteam.org/events/congressional-steam-caucus/ accessed October 9, 2016.

Shetterly, Margo Lee. https://www.harpercollins.com/9780062363596/hidden-figures accessed October 8, 2016

Mind the Gap http://www.mvff.com/mind-the-gap/ accessed October 2, 2016

Williams, S. Justice, Autonomy, and Transhumanism: Yesterday. In: Colt H., Quadrilli S., Friedman L., Editors. The Picture of Health. New York: Oxford University Press. 2011. p. 84-89

Williams, September. “Bioethics at the Movies.” Review of Bioethics at the Movies. ed. Sandra Shapshay. The Journal of Bioethical Inquiry. vol 7 Issue 3, pp 329-331. 




5/11/2016

CONCUSSION: Bioethics, Foot Ball and Post Traumatic Lies.

Concussion is a documentary biography about medical science’s triumph over a social and corporate conspiracy to suppress evidence of a serious preventable disease. Forensic pathologist, Bennett Omalu, MD, discovered a pathognomonic sign confirming chronic traumatic encephalopathy (CTE). He happened to find it in a cluster of professional football players during autopsies. Concussion was written and directed by Peter Landesman, who managed a riveting story pace, despite most of the visuals occurring in the inglorious world of microscopes and morgues —done to death on television. 

Will Smith’s Dr. Omalu in the lead role is a flawless interpretation of African born Omalu. The supporting cast includes Alec Baldwin, Gugu Mbatha-Raw, Luke Wilson, Albert Brooks, Adewale Akinnuoye-Agbaje and others. Ridley Scott is the principle producer. This is a heavy hitter production. Though several Black film awards recognized the work, few others have. Perhaps this is because the lead character is a Black man who is not blowing up anything, except the gladiator culture we like to call Football.

Concussion is a gentle story where a brilliant man driven by unflappable moral instinct does the right thing. Others join him, many kicking and screaming, eventually recognizing the effects of repetitive concussions in football and so elsewhere. The fact that this bold faced David and Goliath story, taking on the industry of Football, has had such a poor reception is a shocking, though not a surprising, eyebrow raising event. As the old word play goes, “Denial is more than a river in Africa.” 

Traumatic Brain Injuries from bomb blast during war, car crashes, playing football and other sports, share similar features.(See Going the Distance on this blog.) Exploring Concussion makes viewers understand the randomness of traumatic brain injury (TBI) especially with all those shots of players on the film colliding, pulled from game stock footage. It is similar to watching car accidents from a helicopter.

The effects of CTE develop progressively over a long latent period, often 1-1.5 decades into a football career. TBI goes to dementia more often than not if, a person lives long enough. Dementia is certainly the insidious boogyman many adults in the wealthiest nations most fear. 
If syphilis was considered the great masquerader during the first half of the twentieth century, and AIDS that of the latter half, TBI is vying for the role in this millennium. 

The emergency room is often where patients with traumatic injuries are first seen. How fast was the vehicle moving? What did it hit? These are among the first questions asked by ER clinicians. They are quickly estimating the amount of G-Force the person has been subjected to upon encountering an immovable object, like another car, or another players football helmet. 

When patients leave the ER, they often are relieved by the proclamation that a “brain scan” showed no bleeding. They do not understand the comment does not mean brain injury is absent. It only means one kind of brain injury has not been seen, bleeding. Bleeding is an acute brain injury which is treatable if recognized. CTE so far is not treatable, only preventable. 

When the injured ER patient is they told to come back if they vomit, have unequal pupils, and to have someone around to do “neuro checks,” they do not understand, these are signs of  brain swelling from edema or bleeding. The complications of repetitive, or single concussions do not usually manifest immediately and tend to be very subtle initially. People need to be told watch for those signs down the line and seek clinical assistance even if distant for the incident of injury. 

G-Forces of 50G or greater against a head causes a concussion. The outcome of that concussion only becomes clear overtime. Football players routinely suffer greater than 90G hits repetitively. The luke warm public response to the film Concussion reflects the reality that this “message film” convey’s at least one notion so terrifying that most parents and football fans, do not want to hear. The most poignant scene of the film is the final one, when you see it, you will understand why. 



Recent science and trauma protocols suggest neurological logical rest following brain injury improves late outcomes. Rest is a more appropriate instruction than, ”you are fine.” In bioethics, beneficence or doing good with the knowledge of science, out ranks both autonomy 

References

See:
Concussion directed by Peter Landesman (2015) Star Capital
Village Roadshow Pictures,Scott Free Productions,The Shuman Company
Cara Films, The Cantillon, Company Star Capital (USA)122 min.


Read:


 "Concussion by Jeanne Marie Laskas | PenguinRandomHouse.com". PenguinRandomhouse.com. Retrieved 2016-01-11.

The Concussion foundation http://concussionfoundation.org/

Boston University Brain Research Bank http://www.bu.edu/cte/our-research/brain-bank/

Center for Disease Control Brain Injury Recovery http://www.cdc.gov/traumaticbraininjury/recovery.html