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Richard Abraham of The Cycling Podcast interviewed the Red Bull-Bora-Hansgrohe team doctor before yesterday’s stage. He said the race doctor did a concussion check and deemed him fit to continue. The team doctor himself did four concussion checks, three on Sunday evening and another on Monday morning, and he was clear every time.
I definitely think there needs to be a better protocol, but as a layperson, it’s hard to see what that looks like which a) is medically robust enough and b) has a minimal impact on the sporting outcome of a stage race.
Could well be concussion. Could also be the adrenalin wearing off and realising you've been riding on a busted ankle for 40k or whatever. I know when I hit the deck I'm usually up instantly and it's not until a bit later when I'm thinking "shit, maybe I should have a sit down.. ahh maybe later"