June 1, 2006 Dear SB Student-Athlete and Parent/Guardian: Greetings from Stony Brook! We would like to take this opportunity to remind you that the Sports Medicine Staff is accessible and responsible for the prevention, diagnosis, treatment, referral, and rehabilitation of athletic related injuries as well as education and counseling of the student-athlete. A Certified Athletic Trainer will address these topics at each team orientation meeting conducted before practices commence. In addition, there are five issues which you need to be aware of in preparation for participation in Stony Brook Athletics. Please read the following material very carefully. 1) Heat Illness is Preventable - University coaches, administrators and medical personnel all play a significant role in preventing heat illness by following the NCAA Guidelines regarding the Prevention of Heat Illness. However, you, the student athlete, play the largest role! See page 3-4 for heat illness prevention strategies to follow as you prepare for the season 2) Do Not Use NCAA Banned Substances - Effective fall 2005, the Stony Brook University Department of Athletics implemented Institutional Drug Testing in addition to the NCAA Year-Round Drug Testing program. Stony Brook University (SBU) supports the NCAA s policy prohibiting student-athletes from using performance enhancing drugs and/or illegal substances. SBU and the Department of Athletics are committed to maintaining a safe and healthy environment where student-athletes can develop socially, academically and athletically to their fullest potential. Part of maintaining such an environment is ensuring the studentathletes physical and mental well-being. The NCAA regularly updates material on their web site. It is the student-athletes responsibility to review the information provided by the NCAA and SB Athletic Department with regard to banned substances. The guidelines of the National Center for Drug Free Sport, Inc (pg 4) List of the more common drug names which are banned (pg 4) NCAA Banned-Drug Classes 2005-06 (pg 5) NCAA Drug Testing Program www.ncaa.org SB Student-Athlete Drug Testing Program www.goseawolves.org Use of nutritional supplements containing caffeine is discouraged due to the increased risk of a positive drug test and health consequences. 3) Do Not Use Dietary Supplements (including Herbal) - Many nutritional/dietary supplements contain NCAA banned substances. In addition, the US Food and Drug Administration (FDA) does not strictly regulate the supplement industry; therefore, the purity and safety of nutritional/dietary supplements cannot be guaranteed. Impure supplements may result in a positive NCAA drug test. The use of supplements is at the student-athlete s own risk. Student-athletes should contact their institution s certified athletic trainers for further information. What s in the bottle is not always on the label! If you don t know what you are taking, you are risking both your health and your eligibility. Ignorance is no excuse for a positive drug test! See Sports Supplement Health Warning attached (pg 6)
The NCAA or the SBU Department of Athletics, do not approve or endorse any nutritional/dietary supplement product despite the fact that some manufacturers make that claim. 4) Use of Prescription Medications Even though a medication is prescribed does not imply that it is allowed. The NCAA recognizes that some banned substances are used for legitimate medical purposes. Accordingly, the NCAA allows exceptions to be made for those studentathletes with a documented medical history demonstrating the need for regular use of such a drug. Exceptions may be granted for substances included in the following classes of banned drugs: stimulants, beta blockers, diuretics and peptide hormones. See 2005-06 Drug-Testing Exceptions Procedure www.ncaa.org 5) SB Athletic Insurance Policy - You are responsible for obtaining insurance or purchasing Student Health Insurance. SBU Department of Athletics provides a secondary/excess policy for injuries sustained during a coach-supervised sport related activity. The following must be completed and procedures must be followed: The attached Athletic Insurance Questionnaire 2006-07, also available on the web site at http://goseawolves.collegesports.com/school-bio/ston-athletic-training.html (page 8), must be completed and returned to the Sports Medicine Department. If procedures identified in the attached letter (page 7) are not followed, the SBU Department of Athletics will not be responsible for any bill payment. To insure that you have read this material and acknowledge that you have been informed, page 9 of this mailing must be completed, signed by student-athlete and parent, returned, and on file in the Sports Medicine Department prior to participation in your sport. In addition, the Insurance Questionnaire (page 8) and the Assumption of Risk form (page 10 - front & back) must be returned. Should you have any questions regarding these issues, please do not hesitate to speak to a Stony Brook Certified Athletic Trainer. Have a safe and enjoyable summer! Go Seawolves! Sincerely, Kathryn A. Koshansky, MS, ATC Assistant Athletic Director for Sports Medicine Stuart B. Cherney, MD Head Team Physician For more information regarding these issues, you can go to the following web sites: National Collegiate Athletic Association: www.ncaa.org NCAA list of banned-drug classes: http://www1.ncaa.org/membership/ed_outreach/health-safety/drug_testing/index.html National Center for Drug-Free Sport: www.drugfreesport.com National Center for Drug-Free Sport Resource Exchange Center: www.drugfreesport.com/rec; Division 1 institutions use the password ncaa1 National Athletic Trainers Association: www.nata.org Healthy Competition Foundation: www.healthycompetition.org Stony Brook University Athletics: www.goseawolves.org Stony Brook University Sports Medicine: www.goseawolves.collegesports.com/school-bio/ston-athletic-training.html 2
HEAT ILLNESS RISK FACTORS (excerpts taken from the web sites identified on pg 2): Air temperature, humidity, and dehydration are common risk factors associated with heat illness. In addition, the following factors also put student-athletes at increased risk: 1. Nutrition Supplements. Nutritional supplements may contain stimulants, such as ephedrine, ma huang or caffeine. These substances can dehydrate the body and/or increase metabolism and heat production. 2. Medication/Drugs. Certain over the counter and prescription medications may make an athlete more susceptible to heat-related problems. These include antihistamines, decongestants, certain asthma medications, medications for attention deficit disorder (ADD), diuretics, and alcohol. For example, aspirin and antihistamines can change sweat patterns. Aspirin causes an increase in sweat loss, and when taken in large doses may cause an increase in body temperature above that resulting from physical activity alone. Antihistamines, on the other hand, decrease the athlete s rate of sweating. The use of stimulants while exercising can increase the risk of heat illness. 3. Susceptible Student Athletes. Those with inadequate acclimatization or aerobic fitness, excess body fat, history of heat illness, inadequate hydration, using substances with diuretic or stimulant effects and those who push themselves to capacity are very susceptible. In addition, those with medical conditions such as fever, gastro-intestinal illness or sickle cell trait are vulnerable to heat illness. 4. Acclimatization/fitness level. Prevention of heat illness begins with aerobic conditioning which provides partial acclimatization to the heat. Student-athletes should gradually increase exposure to hot and/or humid environmental conditions over a period of seven to 10 days to achieve heat acclimatization. Each exposure should involve a gradual increase in the intensity and duration of exercise until the exercise is comparable to that likely to occur in competition. When conditions are extreme, training or competition should be held during a cooler time of day. 5. Hydration. Dehydration (hypo-hydration) must be avoided not only because it hinders performance, but also because it can result in profound heat illness. If you are thirsty, you are already dehydrated! Student-athletes should be encouraged to drink as much and as frequently as comfort allows. They should drink 1-2 cups of water the hour preceding workouts, and continue drinking during the activity (every 15-20 minutes). For activity up to 2 hours in duration, most weight loss represents water loss, and that fluid loss should be replaced as soon as possible. Following activity, the athlete should re-hydrate with a volume that exceeds the amount lost during the activity. A 2 pound weight loss corresponds to approximately 1 quart of fluid loss. Urine color can be used to assess hydration. Dark colored urine = Dehydrated. If urine output is plentiful and the color is pale yellow or straw colored the athlete is probably not dehydrated. Carbohydrate/electrolyte drinks should only be used 1-2 hours prior and during recovery (after) activity; not during! Avoid use of salt tablets inhibits physiological heat loss! Dangerous hyper-hydration is also a risk if athletes drink based on published recommendations and not according to individual needs. 6. Clothing. Clothing and protective equipment increase heat stress by interfering with the evaporation of sweat as well as inhibiting other pathways for heat loss. Dark colored clothing increases the body s absorption of solar radiation. Rubberized suits should never be used! 3
HEAT ILLNESS WARNING SIGNS Dehydration can seriously compromise athletic performance and increase the risk of exertion heat injury. It is important to recognize the following signs and symptoms: Thirst Cramping Irritability Nausea Headache Rapid and weak pulse Weakness Pale or flushed skin Dizziness Visual disturbance Excessive fatigue Decreased performance If heat illness is suspected, prompt emergency treatment is recommended. For more information, contact your team physician or certified athletic trainer. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Student-athletes will be tested for the following banned drugs categories, based on the guidelines of the National Center for Drug Free Sport, Inc: 1. Amphetamines 2. Cocaine 3. Tetrahydrocannabinol (THC or marijuana) 4. Drug analogs (designer drugs) 5. Barbiturates and Benzodiazepine 6. Opiates (Morphine, Codeine, Demerol, Heroin, etc) 7. Natural and Manufactured hallucinogens 8. Anabolic Steroids Common Names of NCAA Banned Substances STIMULANTS Caffeine Ephedrine Ma Huang Strychnine Cocaine Amphetamines Ecstasy ANABOLIC AGENTS Anabolic Steroids Androstendione Norandrosteindione DHEA Methyl testosterone Testosterone Nandrolone DIURETICS Acetazonlamide Flumethiazide Metolazone Triamterebe PEPTIDE HORMONES HCG ACTH HGH EPO STREET DRUGS Heroin Marijuana-THC Cocaine Ecstasy Please be aware, this list is not all-inclusive! There are many common preparations used for colds and allergies, asthma, etc found in these categories. Obviously, medicinal use of these products is usually OK, but the metabolism of the substance depends on dosage and body metabolism. Therefore, it is best to stay away from or have products checked against the very lengthy Banned-Drug Classes located on the next page and in the SBU Athletic Training Room. 4
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SPORTS SUPPLEMENT HEALTH WARNING Many dietary supplement products available over the counter or on the Internet contain androstenedione (andro), creatine or ephedra. These products are not regulated or tested by the FDA and some have been reported to cause negative health consequences ranging from cramps or headaches to kidney problems and acne. To help you identify these substances listed below are the names of some of the widely marketed products in each category. ANDROSTENEDIONE* 3-Andro Xtreme Andro-Gen Andro-Stack Androstat Animal Stak Nor Andro Ripped Fuel Stack Nor-Stak Nor-Tek *Related compounds include 19-norandrostenedione, androstenediol, and dehydroepiandrosterone (DHEA). CREATINE Animal Max ATP Advantage Cell-Tech Creaject Crea-Tek Creatigen Creatine Booster Creatine Fizz Fuel CreaVate Effervescent Creatine Elite EPHEDRA (MA HUANG) 3-Andro Xtreme Adipokinetix Amphetra-Lean Animal Cuts BetaLean Clenbutrx Diet Boost Diet Fuel Dyma-Burn Xtreme Dymetadrine Xtreme Energel Herbal Phen-Fen Herbalife Hydroxycut LifeSmart's Creatine Chews Mass Action Micronized Creatine Perfect Creatine Phosphagen Power Creatine SyntheVol Teen Advantage Creatine Serum Xtra Advantage Creatine Serum Metabolife 356 Metab-O-Lite Metacuts Ripped Force Ripped Fuel Thermadrene ThermaPro Thermo Speed Trim Fast Ultimate Energizer Ultimate Orange Ultra Chromaslim Xenadrine RFA-1 Yellow Jacket For more information about the potential health risks of performance-enhancing drugs and supplements, visit the Healthy Competition Foundation online at www.healthycompetition.org. 6
June 1, 2006 Dear Student-Athlete & Parent/Guardian, On behalf of the Stony Brook University Department of Athletics I would like to inform you of the athletic insurance provided for all participants on SBU intercollegiate athletic teams. It is essential that all policies and procedures are followed in order for any claims to be processed. Delay in payment and/or loss of coverage may result if these guidelines are not followed. Please review this document carefully. Type of coverage The Stony Brook University Department of Athletics provides an Excess (Secondary) Policy for its student-athletes. This requires that all bills must first be submitted to the student-athletes primary insurance. The student-athletes personal medical policy will be the primary coverage and must always be exhausted first. About the Athletic Accident Insurance Policy 1. The policy only covers intercollegiate athletic injuries, which occur during participation in coach supervised intercollegiate activities (i.e. practice, games, and travel); 2. The policy DOES NOT cover general illnesses; 3. The policy DOES NOT cover physical therapy. All therapy and treatments must be done in the Intercollegiate Athletic Training Room as prescribed by the physician in charge and as scheduled by the sports medicine staff; 4. Dental injuries ARE NOT covered if the sport requires that a mouth guard be worn and the student-athlete was not wearing one properly at the time of the injury. Procedures to Follow When an Injury Occurs If any of the following procedures are not followed, the SBU Department of Athletics will not be responsible for any charges incurred due to examination and/or treatment: 1. All athletic injuries must be reported to the sports medicine staff within one day of occurrence; 2. The sports medicine staff will coordinate all medical referrals; 3. All claims are made through the athletic training room; 4. All bills must first be submitted to the student-athletes primary carrier; 5. Once the primary carrier has been exhausted, any outstanding itemized bills, Explanation of Benefits (EOB s), and/or letter of denial, MUST be submitted to Eric Lehnert (see below); **Important Notes: 1. Inform me if change insurance carriers; 2. Notify your insurance carrier once you/your child becomes age 19 as a full time student status; this issue has presented obstacles for student-athletes in the past. All questions or correspondence should be addressed to: Eric Lehnert Phone #: (631) 632-4720 Stony Brook University Fax #: (631) 632-3231 Indoor Sports Complex email: Eric.Lehnert@StonyBrook.edu 100 Nicolls Rd. Stony Brook, NY 11794-3500 Thank you for your cooperation. Go Seawolves! Sincerely, Eric Lehnert, MS, ATC, EMT-CC Assistant Athletic Trainer 7
ATHLETIC INSURANCE QUESTIONNAIRE 2006-2007 Practice and competition will not be permitted until an athletic insurance questionnaire is completed in its entirety. Please Print no pencil, pen only. All blanks must be completed, including signatures. SECTION 2 SECTION 1 Athletes name: Sport: Home address: SS#: - - City: State: Zip: ID#: - - Cell #: - - School #: - - College Year: FR SO JR SR SR+ Birthdate: / / Age: House #: - - Father s name: Phone #: - - Mother s name: Phone #: - - Emergency Contact: Phone #: - - Are you currently covered by health / medical insurance from your parents/guardian? yes no Is the policy an HMO/PPO/ or POS policy? Is this the university insurance? yes no **You MUST attach a copy of the front/back of your insurance card.** SECTION 3 My insurance is through my Father Mother Spouse Self Mr. / Mrs. / Ms. S.S.# - - Birthdate / / Home phone # - - Employer Work phone # - - Insurance Company Address Policy # Group # Insurance company phone number Member # - - ID # Do you have any other insurance? NO YES If yes, please attach another completed form with the same information as in section 2. Please attach any information, which will need to be followed in regards to your primary carrier in case any medical treatment or procedures are needed. A letter detailing the Stony Brook University s policy will be sent to each parent or guardian and is available on the Sports Medicine page at www.goseawolves.org. I,, hereby authorize Stony Brook University and their insurance carrier/claims administrator to inspect or secure copies of case history records, laboratory reports, diagnosis, x-rays, and any other data covering this and/or previous confinements and/or disabilities. I authorize Stony Brook University and their insurance carrier/claims administrator to pay the medical vendors directly for any bills incurred from accidents that are covered under the coverage purchased by the Stony Brook University. Should the coverage have a deductible, my insurance payments will be credited towards the deductible. The information I have provided is correct to the best of my knowledge. And I understand the information provided to me. Athletes Signature: Parents Signature: 8 Date: / / Date: / /
STONY BROOK UNIVERSITY - DEPARTMENT OF ATHLETICS - SPORTS MEDICINE **Failure to complete and return this document to the SBU Athletic Training Room will result in inability to participate in team practice. Student Athlete Name Student ID# - - (please print!) Sport HEAT, BANNED SUBSTANCES, SUPPLEMENTS, PRESCRIPTION & INSURANCE (HBSPI) 2006 ACKNOWLEDGEMENT OF RECEIPT, REVIEW & UNDERSTANDING OF THE FOLLOWING: 1. Heat Illness (initial) > Risk Factors& Warning Signs 2. Banned Substances (initial) > Institutional and Year- Round NCAA Drug Testing 3. Supplements (initial) > Sports Supplements Health Warning 4. Prescription Medication (initial) > Documentation required 5. Insurance (initial) >Return Questionnaire and copy of insurance card >Procedural letter from Assistant Athletic Trainer 6. Returned Assumption of Risk (front and back) (initial) I certify that I have received, read and understand the documents listed above. I am well aware of the information presented and the risks involved during participation in Stony Brook Intercollegiate Athletics. Signature of Student-Athlete Signature of Parent/Guardian (MANDATORY!) Date Date Please return (hand deliver, fax or mail) as soon as possible to: Kathryn A. Koshansky Assistant Athletic Director for Sports Medicine Athletic Department Stony Brook University Stony Brook, NY 11794-3500 Phone 631-632-7217 Fax 631-632-3231 HBSI: 06-01-06 9