 However, Dr. Ann McKee did note that stage 1 typically does not result in the types of neurological disturbances and behaviors experienced by Kosta Karageorge.Questions remain as to the health care of collegiate athletes and how athletes are often restricted to using college health care facilities, which due to large patient loads and high physician turnover, may miss crucial developments in their patients' care, even at highly regarded institutions.There have been documented conflicts of interest by training and coaching staff, and suggestions of such conflicts even with the NCAA, when deciding to pull an athlete from practice or games, and pressures to maintain one's position have also affected athletes' decisions to disclose injury.