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Nutrition in Combat Sports

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11 Professional Athlete 179<br />

If the r<strong>in</strong>g physician’s evaluation <strong>in</strong>dicates the contest needs to end, it is appropriate<br />

to step away from the corner, call over the referee, and <strong>in</strong> a few words make<br />

your recommendations. It is imperative to be calm, firm, and precise. Uncerta<strong>in</strong>ty<br />

is a sign of weakness not only to your credibility as a r<strong>in</strong>g physician, but can also<br />

confuse the situation.<br />

More and more professional competitions are televised. Therefore, anyth<strong>in</strong>g said<br />

<strong>in</strong> the corner or to the referee can end up <strong>in</strong> a broadcast. Never get <strong>in</strong>to an argument<br />

about your decision with the fighter or the corner, and use a paucity of words. The<br />

more you say the greater chance it could be misconstrued or used aga<strong>in</strong>st you.<br />

Remember that the r<strong>in</strong>g physician is there to enable a fight to proceed to its<br />

natural conclusion. Any time you enter the r<strong>in</strong>g between rounds you are disrupt<strong>in</strong>g<br />

the action, so do this with as little <strong>in</strong>volvement as possible unless you have it <strong>in</strong> your<br />

m<strong>in</strong>d the fight should stop. A fight should cont<strong>in</strong>ue if, to the best of your knowledge,<br />

neither fighter is at risk of permanent or life-threaten<strong>in</strong>g <strong>in</strong>jury, and, if the contest<br />

cont<strong>in</strong>ues, neither competitor is at an unfair disadvantage.<br />

A r<strong>in</strong>g physician must understand the implications <strong>in</strong> stopp<strong>in</strong>g a contest.<br />

Irrespective of the type of <strong>in</strong>jury, the fighter who loses may never have the same<br />

opportunity to further his career. Therefore, even a small non-televised show before<br />

a few hundreds can make or break a career.<br />

Experience will teach you there is a flow to a fight ; there exists a beg<strong>in</strong>n<strong>in</strong>g,<br />

middle, and end that can often resemble an opera or ballet. Comb<strong>in</strong>ed with good<br />

judgment, understand<strong>in</strong>g this flow will enable the r<strong>in</strong>g physician to make the right<br />

decision most of the time. In work<strong>in</strong>g a professional contest, few decisions are<br />

made solely on the number of head blows or the extent of the cut. The flow of the<br />

fight can also dictate that the physician evaluate the fighter between rounds, even<br />

though there may not be an exact reason. It can offer reassurance to your commission,<br />

the referee, the corner, and even the fighter. The r<strong>in</strong>g physician and referee<br />

must <strong>in</strong>terpret the <strong>in</strong>terchange between the competitors round to round, and under<br />

most cases, the decision will be simple.<br />

11.5 The One-Eyed Fighter<br />

Invariably dur<strong>in</strong>g a fight card, the r<strong>in</strong>g physician will have to make a decision<br />

regard<strong>in</strong>g a fighter with periorbital edema. This can be handled <strong>in</strong> a multitude of<br />

ways. First and foremost, if a fighter cannot see, or adequately protect himself from<br />

punches , the contest must stop immediately. However, dur<strong>in</strong>g a fight, decisions are<br />

rarely this simple and uncomplicated.<br />

Why is the eye clos<strong>in</strong>g? Is the eye clos<strong>in</strong>g from too many jabs, an orbital fracture,<br />

nasal fracture, or prior <strong>in</strong>jury? The r<strong>in</strong>g physician should exam<strong>in</strong>e the fighter<br />

if he is “paw<strong>in</strong>g” at his eye with his glove or excessively bl<strong>in</strong>k<strong>in</strong>g. If the edema is<br />

not <strong>in</strong>terfer<strong>in</strong>g with the fighter’s performance, but is steadily advanc<strong>in</strong>g, the key<br />

is to exam<strong>in</strong>e the orbit and extraocular muscles before the eye can no longer be<br />

easily opened. It the orbit appears to be <strong>in</strong>tact, there is no suggestion of diplopia,

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