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Alex Smith getting second opinion on his head injury

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49ers Alex Smith suffered a concussion on Sunday.  And while it’s unclear whether he’ll be cleared by an independent neurologist to return to action on Monday night against the Bears, a league source tells PFT that Smith is seeking a second opinion.

It’s unclear what impact, if any, a second opinion would have on the assessment of an independent neurologist.  Given the somewhat subjective nature of the ultimate assessment of a guy’s symptoms, however, a second opinion that points toward a mild concussion or no concussion at all could influence the independent neurologist’s assessments.

Smith has every reason to try to get back on the field.  If Smith doesn’t play and if Colin Kaepernick plays well on a national stage, Alex Smith could be the sports world’s next Wally Pipp.

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37 Responses to “Alex Smith getting second opinion on his head injury”
  1. thestrategyexpert says: Nov 13, 2012 5:54 PM

    If he wants to still play then he should get an opinion from Jay Cutler who will tell him as long as your head is still attached to your body, then get out there!

  2. cakemixa says: Nov 13, 2012 5:55 PM

    Smith is about to get McNabbed.

  3. mjbulls45 says: Nov 13, 2012 5:56 PM

    he needs to get a 2nd opinion on his arm injury

  4. drcap says: Nov 13, 2012 6:05 PM

    Alex is a smart man. He is probably getting a second opinion because he wants to have a better understanding of his health. And he realizes that teams have a conflict of interest with respect to medical evaluations. So, chalk this up to a smart man gathering the facts of the situation.

  5. leroysbutler says: Nov 13, 2012 6:08 PM

    Wally Pipp? Now that’s a stretch.

  6. losangelesfan says: Nov 13, 2012 6:16 PM

    The x-rays showed nothing.

  7. thegreatgabbert says: Nov 13, 2012 6:18 PM

    One of these years Wally Pipp is going to make a comeback. Just to shut you up.

  8. packownsu says: Nov 13, 2012 6:19 PM

    This guy should have been drafted in the 6th or 7th round instead of #1 overall.

  9. mashoaf says: Nov 13, 2012 6:20 PM

    So you’re trying to say that Colin Kaepernick could be the next Lou Gehrig?

  10. mgdsquiggy17 says: Nov 13, 2012 6:54 PM

    “This guy should have been drafted in the 6th or 7th round instead of #1 overall.”

    and this comment should have never been made but unfortunately we have to deal with clowns like you.

  11. joejoe81 says: Nov 13, 2012 6:58 PM

    All I know is that I Jim when he says that they are only evaluating their QB options.

  12. larryboodry says: Nov 13, 2012 6:59 PM

    If Cutler and Smith both start, or neither does, the game should be evenly matched…If one starts and the other doesn’t, then that takes away the parity.

    In case that wasn’t obvious.

  13. richiesaurus310 says: Nov 13, 2012 7:09 PM

    Kap isnt ready, and probably wont be until 2014, but I wouldnt mind seeing him as the starter against Chicago just to see what we have. I want Alex at the helm the rest of the way this season and next though.

  14. brasho says: Nov 13, 2012 7:09 PM

    I had Kaepernick rated higher than Andy Dalton, Jake Locker, Christian Ponder, and Blaine Gabbert. I had him a notch below Cam Newton… looks like if he can be a good QB AND not be a head case, he’ll surpass Newton.

    I don’t have Kaepernick down as the next Gehrig, I have always compared him to a Randall Cunningham.

  15. ninersfan82 says: Nov 13, 2012 7:23 PM

    Smith is doing the smart thing. Anyone with common sense always gets a second opinion when it comes to head injuries.
    CK7 has potential and could be the future of the Niner offense but this offense isn’t designed for his style of play. The offense is designed for Alex and works much better with him behind center.

  16. thefreeslave says: Nov 13, 2012 7:50 PM

    Any mention of the helmet-to-helmet hit…anywhere?!

  17. oaktown49er says: Nov 13, 2012 8:04 PM

    thefreeslave says:
    Nov 13, 2012 7:50 PM
    Any mention of the helmet-to-helmet hit…anywhere?!
    I’m a Niner fan but he was a runner, so it is a legal hit.
    I’m not sure how I feel about Kaep against the Bears who force a lot of turnovers. Alex doesn’t turn the ball over much and the Bears are all about forcing TO’s, they are the best at it this year and it is how they win.

  18. realfann says: Nov 13, 2012 8:10 PM

    “It’s unclear”

    So you haven’t a clue – right?

  19. Japsican says: Nov 13, 2012 8:20 PM

    “The x-rays showed nothing.”

    Yes, the x-rays showed nothing, because the imaging studies needed for the brain are MRI and CT scan.

  20. kingpel says: Nov 13, 2012 8:27 PM

    Learn how to slide, dude.

  21. goldrush36 says: Nov 13, 2012 8:40 PM

    packownsu says: Nov 13, 2012 6:19 PM

    This guy should have been drafted in the 6th or 7th round instead of #1 overall.
    Ironic since your magnificent coach chose him and wanted nothing to do with the guy he’s got now..

  22. goldrush36 says: Nov 13, 2012 8:43 PM

    I’m with Oaktown, except I do know how to feel about it. CK dodged 2 bullets on fumbles and he probably dodged a couple off terrible passes that could’ve been picked.. I don’t see those bounces going his way if it happened against the Bears.. Hope Alex can go

  23. sixjak says: Nov 13, 2012 9:13 PM

    Hey what do you guys think about big gulps?

  24. twinfan1 says: Nov 13, 2012 9:30 PM

    If there’s any question at all, Alex should sit this out. Colin played well in relief, but he needs to look to throw first. This isn’t the WAC. If he plays it should be wild. Not a win, but wild. It’s a .500 team with Kappy.

  25. lionsdraftguy says: Nov 13, 2012 9:38 PM

    Brasho – You arent a scout, quit talking like you are.

    With that said, regardless if Alex Smith recovers or now, he still has the biggest tool for a coach.

  26. 49erick says: Nov 13, 2012 10:08 PM

    Alex isn’t worried about Kap taking his job. He is a smart man and wants an educated opinion before he goes out and gets killed by the Bears defense. What us fans should be worried about is how this team isn’t showing up every week like last year. Harbaugh…”we practiced all week for the fake punt”. Are you kidding? Where was the defense against the Ram’s…save Justin, Ahmad and Aldon?

  27. urlacher2000 says: Nov 13, 2012 10:39 PM

    This is a unique opportunity for both teams to sit their starting QBs out against each other. Chicago should agree to sit Cutler if San Fran agrees to sit Smith. And hopefully both teams can meet again in the playoffs with both QBs healthy!

  28. rainponcho87 says: Nov 13, 2012 11:39 PM

    CK has barely touched the field in his NFL career and people are already drawing firm conclusions about him. In the background of Alex being given chance after chance, the team sticking with him over and over, long after almost every other team would have moved on, this makes no sense to me.

  29. ppc50 says: Nov 13, 2012 11:56 PM

    Kaepernick has barely thrown the ball. He may turn out well, but Alex Smith, aside from one game, has played very well. He is the starter. Overall, with the weapons they have, even guys who haven’t played – Jenkins, Jacobs, LaMichael James, I’m surprised they haven’t opened it up a little bit. Manningham and Moss are due for big games.

  30. bossplayer213 says: Nov 14, 2012 2:52 AM

    Colin isn’t ready to face a defense like the Bears. If he starts Harbaugh won’t even think about letting him throw. It’s going to be a run the ball defensive game.

  31. surferbum01 says: Nov 14, 2012 10:03 AM

    “Colin isn’t ready to face a defense like the Bears….”

    Yeah because practicing against Patrick Willis, Justin Smith, Aldon Smith, Ahmad Brooks and Dashon Goldston and the #1 defense in the world is just schmuck ball.

  32. realdealsteel says: Nov 14, 2012 10:06 AM

    When you get a concussion, it should be mandatory that you miss the next game. Then you don’t have these issues. We are talking cracks in the skull people. You should take a week off to study that new crack in the brain. Gzzzz.

  33. moseszd says: Nov 14, 2012 10:29 AM

    So far, in limited action, Kaepernick has narrowly avoided 3 INTs. Not ‘great defensive play’ INTs, but bone-headed, can’t read defenses INTs. He’s also shown us his dubious accuracy and that he can really run.

    Which is exactly like he was in college. He’ll tear it up against poorer opponents, but he’ll also kill you because he’s got no feel for the passing game. Take the Rams, barely avoided two picks against one of the worst secondaries in the NFL.

    The Bears have one of the best. Those ‘near misses’ would have likely been INTs and possibly TDs.

    And I’m not saying he’s stupid, he’s actually quite smart. But it’s the kind of smarts that doesn’t translate to the field, so he’s a lot like Rex Grossman. Has all the tools, will show some big plays, but then just kills you with the turnovers because he has no damn sense or ability to read defenses.

  34. twelsh36446 says: Nov 14, 2012 12:04 PM

    I hope he comes back soon so the 49ers can lose some more games.

  35. comeonnowguys says: Nov 14, 2012 1:37 PM

    Would rather see both QBs take a week off. If they’re unofficially targeting your head before the concussion (see: Cutler) you can bet they’ll be doing it even more in the weeks after.

    Both teams will be in the playoffs, barring a collapse. One game isn’t worth your franchise QB’s future.

  36. robertnaipo says: Nov 14, 2012 3:20 PM

    If the 49ers play defense like they did against the Rams then it doesn’t matter who starts for them. The Bears will eat them alive…

  37. larryboodry says: Nov 14, 2012 4:26 PM

    Saw a poll on CSN-Chicago where 75% of Bears fans who responded said Jay Cutler should definitely play Monday night if he is cleared by doctors, and 25% said he should sit out regardless to be on the safe side.

    I agree with the cautious ones, and would hate to see Jay have a bad game due to still being concussed, or take another hit that ends his season ’cause he came back too soon. The same folks clamoring for him to play right away would be all over him for being ‘fragile’ or ‘not tough enough.’

    Better Cutler and Smith sit this next one out, and live to face each other another day…Like maybe in the NFC
    Championship game.

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