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Another HCM related death: swimmer with HCM drowned

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Tim Stewart Find out more about Tim Stewart
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  • Lisa Salberg
    replied
    God Bless Mike. I do hope his family was advised to be screened.
    Our hearts break for their loss.
    Best wishes to his family and friends,
    Lisa Salberg
    President

    Leave a comment:


  • Tim Stewart
    replied
    [code] Copyright 2003 The Honolulu Advertiser (Honolulu, HI)
    All Rights Reserved
    The Honolulu Advertiser (Honolulu, HI)

    March 8, 2003 Saturday

    SECTION: SPORTS; Pg. 1D

    LENGTH: 1132 words

    HEADLINE: Swimmer's parents appreciate support

    BYLINE: Masuoka Brandon, Staff

    BODY:
    UH swim team honors late Sheldt during meet

    By Brandon Masuoka, ADVERTISER STAFF WRITER

    In the first swimming event since the drowning of 18-year-old University of
    Hawai'i swimmer Mike Sheldt, his parents yesterday thanked everyone for the
    outpouring of support for their son.

    Sheldt, of Charlotte, N.C., had an undetected heart problem that likely
    caused him to lose consciousness and drown at the start of practice on Tuesday
    at Duke Kahanamoku Aquatic Complex pool, according to the medical examiner.

    It was the first death of a UH athlete in practice or in competition in at
    least 30 years, school officials said.

    Yesterday, Sheldt's parents, Mike and Shawnee, hugged each other as the
    Hawai'i swim team honored their son at a qualifying meet with a moment of
    silence, a convocation by the Rev. Sherman Thompson, a Hawaiian chant and the
    release of colored doves that represented Sheldt's free spirit.

    The swim team also left a swimming lane vacant during the events Sheldt would
    have competed in.

    "We have been amazed by the outpouring of the aloha spirit," said Shawnee
    Sheldt. "I'm not just talking about the swim team, or just from the university
    community. This hospitality and the warmth has meant so much and has been so
    helpful. It just makes us smile."

    Dozens of well-wishers have posted messages on a website organized by
    Sheldt's former swim club, the Mecklenburg Aquatic Club (N.C.). The majority of
    the messages - some from lovestruck girls - talked about Sheldt's good looks,
    his athletic talents and his character.

    "He was always happy with a smile on his face," said Hawai'i sophomore
    teammate Nick Cabebe. "Whenever somebody was down, he would just crack a joke
    and make everybody smile. He always led the team in cheers."

    Hawai'i swim coach Mike Anderson called Sheldt an intense competitor, a
    friend and a true waterman who swam and surfed. In his tribute to Sheldt,
    Anderson urged the more than 100 people at the pool to honor Sheldt and "swim
    hard, compete well, and to yourself be true." He ended his speech with, "Let's
    roll."

    Sheldt drowned after he fainted from an undetected heart problem, said Dr.
    William Goodhue, the first deputy medical examiner who performed the autopsy on
    Sheldt.

    University of Hawai'i Athletic Director Herman Frazier said he was told
    Sheldt was underwater for "15 seconds or so" before being pulled from the pool.

    Gone too early in life

    Goodhue said Sheldt suffered from hypertrophic cardiomyopathy, a primary
    disease of the heart muscle, and one of the most common causes of sudden
    unexplained death in young athletes during or after physical exertion.

    Goodhue said people with hypertrophic cardiomyopathy are susceptible to
    cardiac arrhythmias, or irregular heartbeats, which can cause brief loss of
    consciousness. He said Sheldt likely sustained an irregular heartbeat while in
    the water, lost consciousness, and drowned.

    "If he had this fainting episode outside of the water, it is possible that
    the irregularity might have been severe enough that he would have died
    nonetheless," Goodhue said. "On the other hand, if the irregularity only
    resulted in transient fainting it is possible he may not have died because he
    would have been breathing air."

    Goodhue, who classified Sheldt's death as accidental, said sudden death may
    be the first sign of hypertrophic cardiomyopathy. Goodhue said the final autopsy
    report is pending additional laboratory and tissue studies and should be
    completed within several weeks.

    Dr. Robert Hong, a cardiologist at The Queen's Medical Center, said anyone
    who is going into competitive athletics, who has a history of passing out, chest
    pain and progressive shortness of breath, should be seen by a doctor.

    Preventing similar cases

    He said usually the evaluation would include doing a electrocardiogram, or an
    electrical monitor, and may include a soundwave study of the heart, called an
    echocardiogram, to figure out where the heart has thickened.

    When asked if additional medical screening should be done for athletes, Hong
    said there are differing opinions that take into consideration costs and other
    concerns.

    Sheldt passed his physical examination and pre-participation physical before
    the season, he did not exhibit any signs of a heart problem, and appeared to be
    in top shape, UH officials said.

    "There's four million high school athletes and 500,000 college athletes,"
    Hong said. "If you do an echo study on all of them that could potentially be a
    problem; in terms of cost factors, somebody would have to end up paying for it."

    Another problem is, according to Hong, if you subject everyone through
    overkill screening measures, "you may land up doing invasive procedures or
    potentially dangerous things for people who don't have any underlying heart
    conditions."

    Hong said new technology is being investigated with handheld echo cardio
    devices capable of performing mass screenings on athletes, but that's far from
    being a standard.

    "Even among the experts with the most experience in sports medicine, there's
    disagreement on how much routine screening should be done on athletes," Hong
    said.

    Frazier said the school does not plan on changing the current physical
    examination policy that adheres to national standards.

    "As far as we're concerned, our physicals are done similar to every other
    institution like ours throughout the country, and we will continue to do that,"
    Frazier said. "It is very, very sad for us to have to go through this. But I
    think in light of everything we've seen, in any kind of physical, (Sheldt's
    condition) would not have been detected unless you knew there was a history of
    heart problems."

    Satisfied with current policy

    Some of the Hawai'i athletes and former athletes yesterday said they were
    satisfied with the current physical examinations and trusted the UH medical
    staff to detect problems.

    "I would think (the examinations) are adequate," former University of Hawai'i
    football player Vince Manuwai said. "It's going to come down to the players to
    tell the doctors (their ailments)."

    Added Cabebe: "They're pretty much doing a good job. They check every little
    thing. They check your pulse, your heart rate, everything. It's pretty much an
    all-day physical."

    Rainbow basketball player Michael Kuebler said he hoped the physical
    examinations would detect problems, but he said he couldn't know for certain.

    "I don't really know what to say about the tests, because the same situation
    has happened in professional sports," Kuebler said. "It happened to (Reggie
    Lewis) from the Celtics. And I'm sure they do testing three times as much.

    "I really don't know what's adequate to be honest with you," Kuebler added.
    "I really don't know what is a thorough examination. You just do what
    (physicians) tell you to do."

    GRAPHIC: UH swim coach Mike Anderson, left, and athletic director Herman Frazier
    discuss Mike Sheldt's untimely death. ADVERTISER LIBRARY PHOTO * March 5, 2003

    LOAD-DATE: March 10, 2003
    [/code]

    Leave a comment:


  • Tim Stewart
    replied
    More ...

    [code] 1 of 3 DOCUMENTS

    Copyright 2003 The Honolulu Advertiser (Honolulu, HI)
    All Rights Reserved
    The Honolulu Advertiser (Honolulu, HI)

    March 8, 2003 Saturday

    SECTION: SPORTS; Pg. 1D

    LENGTH: 1132 words

    HEADLINE: Swimmer's parents appreciate support

    BYLINE: Masuoka Brandon, Staff

    BODY:
    UH swim team honors late Sheldt during meet

    By Brandon Masuoka, ADVERTISER STAFF WRITER

    In the first swimming event since the drowning of 18-year-old University of
    Hawai'i swimmer Mike Sheldt, his parents yesterday thanked everyone for the
    outpouring of support for their son.

    Sheldt, of Charlotte, N.C., had an undetected heart problem that likely
    caused him to lose consciousness and drown at the start of practice on Tuesday
    at Duke Kahanamoku Aquatic Complex pool, according to the medical examiner.

    It was the first death of a UH athlete in practice or in competition in at
    least 30 years, school officials said.

    Yesterday, Sheldt's parents, Mike and Shawnee, hugged each other as the
    Hawai'i swim team honored their son at a qualifying meet with a moment of
    silence, a convocation by the Rev. Sherman Thompson, a Hawaiian chant and the
    release of colored doves that represented Sheldt's free spirit.

    The swim team also left a swimming lane vacant during the events Sheldt would
    have competed in.

    "We have been amazed by the outpouring of the aloha spirit," said Shawnee
    Sheldt. "I'm not just talking about the swim team, or just from the university
    community. This hospitality and the warmth has meant so much and has been so
    helpful. It just makes us smile."

    Dozens of well-wishers have posted messages on a website organized by
    Sheldt's former swim club, the Mecklenburg Aquatic Club (N.C.). The majority of
    the messages - some from lovestruck girls - talked about Sheldt's good looks,
    his athletic talents and his character.

    "He was always happy with a smile on his face," said Hawai'i sophomore
    teammate Nick Cabebe. "Whenever somebody was down, he would just crack a joke
    and make everybody smile. He always led the team in cheers."

    Hawai'i swim coach Mike Anderson called Sheldt an intense competitor, a
    friend and a true waterman who swam and surfed. In his tribute to Sheldt,
    Anderson urged the more than 100 people at the pool to honor Sheldt and "swim
    hard, compete well, and to yourself be true." He ended his speech with, "Let's
    roll."

    Sheldt drowned after he fainted from an undetected heart problem, said Dr.
    William Goodhue, the first deputy medical examiner who performed the autopsy on
    Sheldt.

    University of Hawai'i Athletic Director Herman Frazier said he was told
    Sheldt was underwater for "15 seconds or so" before being pulled from the pool.

    Gone too early in life

    Goodhue said Sheldt suffered from hypertrophic cardiomyopathy, a primary
    disease of the heart muscle, and one of the most common causes of sudden
    unexplained death in young athletes during or after physical exertion.

    Goodhue said people with hypertrophic cardiomyopathy are susceptible to
    cardiac arrhythmias, or irregular heartbeats, which can cause brief loss of
    consciousness. He said Sheldt likely sustained an irregular heartbeat while in
    the water, lost consciousness, and drowned.

    "If he had this fainting episode outside of the water, it is possible that
    the irregularity might have been severe enough that he would have died
    nonetheless," Goodhue said. "On the other hand, if the irregularity only
    resulted in transient fainting it is possible he may not have died because he
    would have been breathing air."

    Goodhue, who classified Sheldt's death as accidental, said sudden death may
    be the first sign of hypertrophic cardiomyopathy. Goodhue said the final autopsy
    report is pending additional laboratory and tissue studies and should be
    completed within several weeks.

    Dr. Robert Hong, a cardiologist at The Queen's Medical Center, said anyone
    who is going into competitive athletics, who has a history of passing out, chest
    pain and progressive shortness of breath, should be seen by a doctor.

    Preventing similar cases

    He said usually the evaluation would include doing a electrocardiogram, or an
    electrical monitor, and may include a soundwave study of the heart, called an
    echocardiogram, to figure out where the heart has thickened.

    When asked if additional medical screening should be done for athletes, Hong
    said there are differing opinions that take into consideration costs and other
    concerns.

    Sheldt passed his physical examination and pre-participation physical before
    the season, he did not exhibit any signs of a heart problem, and appeared to be
    in top shape, UH officials said.

    "There's four million high school athletes and 500,000 college athletes,"
    Hong said. "If you do an echo study on all of them that could potentially be a
    problem; in terms of cost factors, somebody would have to end up paying for it."

    Another problem is, according to Hong, if you subject everyone through
    overkill screening measures, "you may land up doing invasive procedures or
    potentially dangerous things for people who don't have any underlying heart
    conditions."

    Hong said new technology is being investigated with handheld echo cardio
    devices capable of performing mass screenings on athletes, but that's far from
    being a standard.

    "Even among the experts with the most experience in sports medicine, there's
    disagreement on how much routine screening should be done on athletes," Hong
    said.

    Frazier said the school does not plan on changing the current physical
    examination policy that adheres to national standards.

    "As far as we're concerned, our physicals are done similar to every other
    institution like ours throughout the country, and we will continue to do that,"
    Frazier said. "It is very, very sad for us to have to go through this. But I
    think in light of everything we've seen, in any kind of physical, (Sheldt's
    condition) would not have been detected unless you knew there was a history of
    heart problems."

    Satisfied with current policy

    Some of the Hawai'i athletes and former athletes yesterday said they were
    satisfied with the current physical examinations and trusted the UH medical
    staff to detect problems.

    "I would think (the examinations) are adequate," former University of Hawai'i
    football player Vince Manuwai said. "It's going to come down to the players to
    tell the doctors (their ailments)."

    Added Cabebe: "They're pretty much doing a good job. They check every little
    thing. They check your pulse, your heart rate, everything. It's pretty much an
    all-day physical."

    Rainbow basketball player Michael Kuebler said he hoped the physical
    examinations would detect problems, but he said he couldn't know for certain.

    "I don't really know what to say about the tests, because the same situation
    has happened in professional sports," Kuebler said. "It happened to (Reggie
    Lewis) from the Celtics. And I'm sure they do testing three times as much.

    "I really don't know what's adequate to be honest with you," Kuebler added.
    "I really don't know what is a thorough examination. You just do what
    (physicians) tell you to do."

    GRAPHIC: UH swim coach Mike Anderson, left, and athletic director Herman Frazier
    discuss Mike Sheldt's untimely death. ADVERTISER LIBRARY PHOTO * March 5, 2003

    LOAD-DATE: March 9, 2003

    2 of 3 DOCUMENTS

    Copyright 2003 The Honolulu Advertiser (Honolulu, HI)
    All Rights Reserved
    The Honolulu Advertiser (Honolulu, HI)

    March 6, 2003 Thursday

    SECTION: SPORTS; Pg. 1D

    LENGTH: 545 words

    HEADLINE: Swimmer's death linked to heart

    BYLINE: Masuoka Brandon, Staff

    BODY:
    UH says Sheldt passed physicals, was in 'top' shape

    By Brandon Masuoka, ADVERTISER STAFF WRITER

    An undetected heart problem led to the drowning of an 18-year-old University
    of Hawai'i swimmer Tuesday afternoon at Duke Kahanamoku Aquatic Complex pool,
    the chief medical examiner said yesterday.

    Freshman Mike Sheldt, of Charlotte, N.C., was rushed to Straub Hospital after
    he was found by a teammate submerged in 5 feet of water at the start of practice
    on Tuesday. Sheldt was pronounced dead at Straub.

    An autopsy yesterday revealed that Sheldt drowned and that the contributing
    cause was hypertrophic cardiomyopathy, or an enlarged heart, Honolulu chief
    medical examiner Dr. Kanthi Von Guenthner said.

    "While he was in the water, he may have had an irregular heart rhythm," Von
    Guenthner said. "An enlarged heart can lead to sudden death, but it's not
    something that's very common."

    Dr. Andrew Nichols, the UH athletic department's physician, yesterday said
    Sheldt had passed a battery of physical exams, had not reported any adverse
    medical history to the school and appeared to be in top shape.

    Sheldt passed his physical examination and pre-participation physical before
    the season and did not exhibit any signs of a heart problem, Nichols said.

    "Had there been findings in a physical examination that are suggestive of a
    congenital heart condition that is known to cause sudden cardiac death, we
    wouldn't clear him to play," Nichols said.

    In the physical exams, student athletes are asked about potential symptoms of
    heart conditions that are known to cause sudden death in young people, Nichols
    said. The medical screening also focuses on identifying physical traits that
    could lead to problems in the future, Nichols said.

    Sheldt's death was the first of a UH athlete during a practice or competition
    in at least 30 years, UH officials said.

    At a press conference yesterday, Nichols and swim coach Mike Anderson said
    Sheldt appeared to be in good health.

    "He was in top physical condition," Anderson said. "He competed in the 400
    individual medley, which is one of the most brutal events in swimming."

    Anderson said Sheldt has been training hard for about 10 years.

    "He passed our physical examination to participate, and he's obviously passed
    previous physical examinations to participate in sports at the high school
    level," Nichols said. "Certainly we had no indication that he had any type of
    serious ongoing problem."

    UH athletic director Herman Frazier said he was told that Sheldt was
    underwater for "15 seconds or so" before being spotted by a teammate and pulled
    from the water.

    "We reacted and responded as quickly as possible," Frazier said.

    Anderson said about 27 people were in the pool Tuesday, watched by four
    assistant coaches and a pool manager.

    "We try to lower our coach-to-athlete ratio to as low as we can possibly get
    it. The coverage was superb," said Anderson, who was on the Mainland at the time
    of the tragedy.

    Patients with hypertrophic cardiomyopathy are at higher risk for sudden death
    than the normal population, and can be affected at a young age, according to the
    National Institutes of Health Web site.

    Hypertrophic cardiomyopathy is a well-publicized cause of sudden death in
    athletes, the site said.

    GRAPHIC: Mike Sheldt, upper left, enjoys a happy moment with teammates from
    Myers Park High in North Carolina. A former coach said Sheldt longed to go to
    Hawai'i "where he could combine his passion for competitive swimming and his
    love for surfing."courtesy Mimi Goudes; UH swim coach Mike Anderson, left, and
    athletic director Herman Frazier answer questions surrounding the death of Mike
    Sheldt. GREGORY YAMAMOTO * The Honolulu Advertiser

    LOAD-DATE: March 7, 2003

    3 of 3 DOCUMENTS

    Copyright 2003 The Honolulu Advertiser (Honolulu, HI)
    All Rights Reserved
    The Honolulu Advertiser (Honolulu, HI)

    March 6, 2003 Thursday

    SECTION: SPORTS; Pg. 1D

    LENGTH: 647 words

    HEADLINE: Hawai'i a paradise for N. Carolina surfer

    BYLINE: Masuoka Brandon, Staff

    BODY:
    By Brandon Masuoka, ADVERTISER STAFF WRITER

    As a competitive swimmer for more than 10 years, Mike Sheldt drove himself to
    succeed with the same heart that would eventually take his life.

    Sheldt, an 18-year-old University of Hawai'i freshman, died after he was
    found submerged at the bottom of Duke Kahanamoku Aquatic Complex pool at the
    start of practice on Tuesday. An autopsy revealed that Sheldt drowned and that
    the contributing cause was hypertrophic cardiomyopathy, or an enlarged heart.

    Yesterday, coaches remembered the wavy-haired surfer as someone who never
    gave less than 100 percent effort and never met a teammate or person he didn't
    like.

    "He was a very positive young man who worked super hard," UH swimming coach
    Mike Anderson said. "He was always smiling and trying to get his teammates up.
    He was a very good student as well."

    This week, Sheldt, was preparing to post a qualifying time at the Last Chance
    meet at UH tomorrow through Sunday. The team will compete at the meet.

    "He competed in the 400 individual medley, which is one of the most brutal
    events in swimming," Anderson said.

    Sheldt was in the team's top five for the 200 fly (2:09.34, 5th), 100
    individual medley (55.81, 2nd), 200 individual medley (1:56.92, 5th), 400
    individual medley (4:12.59, 3rd), 1650 free (17:18.80, 3rd), 50 breaststroke
    (1:00.42, 4th), 200 breaststroke (2:14.31, 4th) and 50 fly (24.48, 4th).

    Mimi Goudes, who coached Sheldt for his final three seasons at Myers Park
    High School in North Carolina, called him a people magnet.

    "He had a smile that could light up a room," Goudes said. "He was a beautiful
    person and not just simply good looking. He had such a good heart and good soul.
    He made friends pretty easily."

    As a team captain of Myers Park, Sheldt led by example and never exhibited
    any health problems during swimming, Goudes said.

    "To be real honest, I don't remember the kid getting the sniffles," Goudes
    said of the state champion. "He was almost always healthy. I don't remember him
    ever getting sick.

    "He was such a leader, he would make people want to follow him," Goudes
    continued. "Teammates always seemed to do very well around him because he gave
    110 percent. You had to swim your best to keep up with him."

    The only thing Sheldt loved more than swimming was surfing, coaches said.

    That was one of the reasons why Sheldt fell in love with Hawai'i, said
    Mecklenburg Aquatic Club (N.C.) coach Patty Waldron, who coached Sheldt when he
    was 14.

    "Two words: surf's up," said Waldron when asked why Sheldt came to Hawai'i.
    "It was some place where he could combine his passion for competitive swimming
    and his love for surfing. He wanted to go there more than anything in the
    world."

    Sheldt rarely missed practice, but when he did, Waldron knew where to find
    him.

    "He would go to Wilmington, N.C., to try a little bit of surfing," Waldron
    said. "That was his real passion."

    UH president Evan Dobelle said: "I knew Mike well and he was a promising
    young athlete and scholar. His loss is personally devastating to me and I am
    struggling to make sense of a situation that has no explanation. I would like to
    extend my deepest condolences to his family, friends, fellow students and
    teammates."

    A moment of silence was held before last night's UH volleyball match and the
    same will be done at the basketball game today, UH athletic director Herman
    Frazier said. The swimming team will also honor Sheldt by dedicating the rest of
    the season to him, Anderson said.

    "This has been a very difficult time for the institution, specifically for
    our student-athletes on the swim team," Frazier said. "I told the team earlier
    today that in 25 years of being involved in athletic administration, there's
    really no manual on how to deal with this type of tragedy."

    Sheldt is survived by a younger sister, Mikaela, and parents, Mike and
    Shawnee.

    LOAD-DATE: March 7, 2003
    [/code]

    Leave a comment:


  • SharonBates
    replied
    Thank you for posting this Tim.

    My prayers are with Mike Sheldt and his family. May God Bless Mike and be with his family and the University of Hawaii and his swim team as they greave his loss.

    Love and Light,
    Sharon

    Leave a comment:


  • Another HCM related death: swimmer with HCM drowned

    [code] The Associated Press State & Local Wire

    The materials in the AP file were compiled by The Associated Press. These
    materials may not be republished without the express written consent of The
    Associated Press.

    March 6, 2003, Thursday, BC cycle

    12:19 AM Eastern Time

    SECTION: Sports News

    LENGTH: 486 words

    HEADLINE: Autopsy: swimmer with heart condition drowned

    BYLINE: By JAYMES SONG, AP Sports Writer

    DATELINE: HONOLULU

    BODY:
    A University of Hawaii freshman swimmer who drowned during practice suffered
    from a heart condition, an autopsy revealed Wednesday.

    Mike Sheldt, 18, had hypertrophic cardiomyopathy, a disorder of the heart
    muscle that generally includes enlargement of the heart and a thickening of the
    walls of the left ventricle, the city medical examiner's office said.

    The disorder was a "contributing factor" in his drowning Tuesday, the office
    said.

    Coach Mike Anderson and team physician Dr. Andrew Nichols said they had not
    been aware Sheldt had any medical problems. They were also unaware of any drugs
    or supplements he might have been taking, noting that there are rigorous NCAA
    guidelines.

    "All the kids are required to undergo a thorough screening with our medical
    staff before the season starts," Anderson said. "Both a long, involved
    questionnaire and a regular physical with a doctor. And there was nothing that
    indicated, at that time, any preexisting conditions."

    Sheldt is the first Hawaii athlete to die during practice or an event in at
    least 30 years.

    Teammates pulled Sheldt, of Charlotte, N.C., from the bottom of the pool at
    the school's Duke Kahanamoku Aquatics Complex and attempted to resuscitate him.
    He was taken to Straub Clinic & Hospital, where he was pronounced dead.

    "The training partner noticed he'd gone down," athletic director Herman
    Frazier said. "I had heard perhaps 15 seconds or so and we reacted and responded
    as quickly as possible."

    Nichols said a portable defibrillator was also used in the attempt to revive
    Sheldt. Nichols would not comment on Sheldt's vital signs.

    "Certainly we had no indication that he had any type of serious ongoing
    problem that predisposed him to these tragic conditions," he said.

    There were more than 20 people in or around the pool during the incident.
    Frazier said safety precautions were followed "by the book."

    School officials have counseled Sheldt's grieving teammates, who practiced
    Wednesday.

    "This is what Mike would've wanted - is his teammates to go on without him,"
    Anderson said. "It's with a broken heart and a lot of sadness. Our kids and our
    coaches, we're showing some cracks, but we're not broken and we're going to go
    on."

    Sheldt swam in the 200 and 400 individual medleys and was one of Hawaii's
    rising stars.

    "I knew Mike well and he was a promising young athlete and scholar,"
    university President Evan Dobelle said. "His loss is personally devastating to
    me, and I am struggling to make sense of a situation that has no explanation."

    In high school, Sheldt was a state champion swimmer in North Carolina and a
    member of the National Honor Society.

    "We are all shocked. We are all numb from the loss of Mike Sheldt," Anderson
    said. "He loved Hawaii and loved being with our team. Loved to surf. Loved to
    swim. And loved his teammates."

    Sheldt's parents arrived in Honolulu on Wednesday evening.

    LOAD-DATE: March 6, 2003[/code]

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