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Channeling Change

May 7, 2014

In the ubiquitous discourse about global warming and rising seas, one school of thought follows this thread: (1) global warming’s fundamental cause is beyond human behavior; but (2) changing human behaviors could slow the rate of warming; and (3) these changed behaviors would improve the environment and the quality of existence for all the globe’s life forms and therefore should be promoted even if they cannot affect the ultimate warming of the planet. 

Among those who admit to the inevitability that the planet will continue to warm regardless of humans’ best efforts are those who believe we should be planning for elevated sea levels now, not by working on ways to keep the rising waters out, but on innovative means of letting the water in.

With the Dutch, for example, among models, it is suggested that coastal communities begin today to build networks of canals that allow water to flow inland along planned routes that people can use and enjoy, and that the seawater be directed to places desperate for hydropower or where this seawater can be made free of unwanted species and fresh for human use and agriculture. 

Rather than building walls to keep the water out, build canals to let water in to be cleansed and used for our betterment.

This caused me to wonder if this kind of thinking would help us in school sports to reframe discussion on problems that seem too large for us to solve. Like the negative influence of non-school sports on interscholastic athletics and rules that limit out-of-season coaching of students by school coaches.

Out-of-season coaching is one of the focus topics for the MHSAA during the second half of 2014, and this image in response to global warming is one of several we may use to reframe discussion before we attempt to rewrite the rules. Are there ways to channel negative situations toward positive results . . . without the threat of introducing invasive species?

Medical Mystery

September 4, 2015

Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.

That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.

During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.

  • Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?

  • Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?

  • Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?

I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports. 

While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.