During a 1972 pre-season practice match against Brunswick, Cook suffered a heart attack between the first and second quarters, but he managed to play the game out and still take 17 marks. He spent the next three weeks in hospital and was advised to retire from football. But, Cook was determined to play again, and made a return later that year. In his first reserves game after the heart attack, he was played at full-forward to keep him out of the heavier action, and he kicked sixteen goals. He made his return to senior football in the last game of the year, less than six months after his heart attack.
His highest VFA season tally was in 1982, when he kicked 140 goals. He played in all six of Port Melbourne's premierships and the Centenary Cup victory during the 1974–1982 period, and was a noted performer in Grand Finals, kicking 10 goals in the 1974 Grand Final, 12 goals in the Centenary Cup Grand Final, 9 goals in the 1977 Grand Final, and five goals in the infamous 1976 Grand Final, despite having been king-hit in the second quarter. He represented the VFA in interleague competition on nine occasions, including several times as captain.
He announced his retirement from Port Melbourne at the age of 36, shortly before the end of the 1984 season, having played 253 games and kicked 1210 goals for the club over 14 years; although he had little say in the matter, as club officials indicated that he would no longer be selected in the team due to diminishing returns over his final two seasons.
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