"MEDICAL ADVISORY COMMITTEE MEETING"
MEDICAL ADVISORY COMMITTEE MEETING Meeting of June 26, 2009 North Campus Building, 1st Floor Public Meeting Room 1106 Clayton Lane, Austin, Texas Summary of Minutes Presiding Officer, Mickey Christakos called the meeting to order at 10:13 a.m. Presiding Officer, Mickey Christakos moved to roll call and Certification of Quorum. Committee Members present were Mickey Christakos, Dr. Michael Haas, Dr. Wayne Lee, Blane Sibille, and Ramiro Moreno. Committee members Dr. Raul Pena and Dr. Ivan Melendez were absent. Presiding Officer, Mickey Christakos moved to agenda item C., Approval of the minutes - Meeting of May 30, 2008. Committee member, Blane Sibille made a motion to approve the minutes with corrected language suggested by Presiding Officer, Mickey Christakos. Committee member, Ramiro Moreno seconded the motion. The motion passed with a unanimous vote in favor. Presiding Officer, Mickey Christakos moved to agenda item D., Public Comment. The Committee heard public comment from Chip Thornsburg regarding junior’s participating in mixed martial arts. Presiding Officer, Mickey Christakos moved to agenda item E.1., Staff Reports, Executive Office. Assistant Deputy Director, Dianne Casey welcomed the board to the new meeting facility and reported on the legislative implementation however, there was no direct legislative impact on this Board. Presiding Officer, Mickey Christakos moved to agenda item E.2., Staff Reports, Compliance Division. Lee Parham, Business and Occupations Manager reported that the Boxing program celebrated its 75th anniversary in 2008 and the staff traveled throughout the state honoring past and present champions and significant persons in the combative sports industry. Program Specialist, Jerri Dix provided in house training for customer service staff on handling combative sports related calls, Staff was interviewed by Undefeated magazine to highlight the 75 year anniversary of combative sports in Texas, and Staff has met with various mixed martial arts associates to clarify the roles of organizations to stay in compliance. Staff is issuing national I.D. cards for professional mixed martial arts contestants, there have been an increase in events from last year. Presiding Officer, Mickey Christakos moved to agenda item E.4., Staff Reports, Licensing Division. Chloe Whalon, Licensing Supervisor, provided the Committee with statistics on the number of Combative Sports licenses issued and renewed. Dr. Wanye Lee joined the meeting at 10:44 a.m. 1 Presiding Officer, Mickey Christakos moved to agenda item F., Discussion and review of the report on Benjamin Flores. Lee Parham, Business and Occupations Manager, offered condolences from the Department to family of Benjamin Flores’ and the boxing community for their tragic loss. Mr. Parham identified the referee, ringside physicians and the report based on the review of the fight. The fight progressed in a typical fashion. The referee stopped the fight when Flores went down on the ropes. The two ringside physicians evaluated both fighters and sent Flores to the nearest hospital where he was evaluated and sent to the emergency room. The hospital staff ran a CT scan and sent Mr. Flores for emergency surgery. After surgery Mr. Flores died while still in the hospital. The medical examiner ruled the death of Mr. Flores an accident. The board engaged in discussions regarding the events surrounding a downed fighter and staff protocol. Presiding Officer, Mickey Christakos moved to agenda item G., Discussion and review of the report on Oscar Diaz. Lee Parham, Business and Occupations Manager offers the Department’s well wishes for Mr. Diaz’ speedy recovery . Mr. Parham identified the referee and ringside physicians on duty. Mr. Parham reported that the fight progressed until the referee determined that Mr. Diaz was not responsive to verbal questions and the ringside physicians were called in and Diaz was evaluated. The doctors determined that Diaz should be transferred to the nearest medical facility and prepared him for transfer and accompanied Mr. Diaz to the hospital. Hospital staff performed a CT and sent Mr. Diaz to emergency surgery. Mr. Diaz was later transferred to a skilled nursing center where he currently is undergoing rehabilitation. Dr. Lee recommended requiring medical release for information after injury in order to conduct a complete investigation. Presiding Officer, Mickey Christakos moved to agenda item H., Discussion and possible recommendations concerning the process of reviewing medical test results on combative sport contestant applications including abnormal test results, tests submitted from other states and age of test results. Lee Parham, Business and Occupations Manager outlined the staff concerns on the review process of contestant test results. The Committee discussed possible solutions and necessary requirements for review of test results and follow up review. Jerri Dix, Program Specialist and Lee Parham answered questions from the Committee regarding the current department process. The Committee suggested having a Neurologist on the Committee or having an expert on retainer for review of medical test with a specialty required. Mr. Parham requested clarification from the Board regarding the time frame for review of test results being increased from 30 days to 90 days. Staff will compile data from other states on the 30 day requirements and present this information to the board at a future meeting. Presiding Officer, Mickey Christakos moved to agenda item I., Discussion and possible recommendation on the development of a ringside physician seminar including topic areas. Lee Parham, Business and Occupations Manager reported on the funding and development of the seminar. Dianne Casey presented funding possibilities for the seminar, however, the Committee has to provide input on the curriculum. Dr. Lee requested a proposed budget before developing a curriculum. Dr. Haas agreed to put together a draft curriculum for Dr. Lee’s review prior to the next meeting. Presiding Officer, Mickey Christakos moved to agenda item J., Discussion and possible recommendation regarding uniform medical rules for amateur fighters in Texas. General 2 Counsel, Brad Bowman reported that the staff is working on developing some requirements from amateur events and developing possible proposed rules. Staff may make some recommendations in future agenda meeting. Presiding Officer, Mickey Christakos passed this item to the next agenda. Presiding Officer, Mickey Christakos moved to agenda item K., Recommendation for agenda items for the next meeting. The Committee decided to place the following items on the next agenda: development of a ringside physician’s seminar, uniform medical rules for amateur fighters and TAMMA’s recommendation on junior’s in mixed martial arts. Presiding Officer, Mickey Christakos moved to agenda item L., Discussion of date, time and location of next meeting. The Committee decided to meet some time in October 23, 2009 10:00 a.m. Presiding Officer, Mickey Christakos moved to agenda item M., Adjournment. Committee member Wayne Lee made a motion to adjourn. Committee Member Blane Sibile seconded the motion. The motion passed with a unanimous vote in favor. Presiding Officer, Mickey Christakos adjourned the meeting. Mickey Christakos, Presiding Officer Medical Advisory Committee 3