Family Practice
September 21, 2011
During my first winter on the job with the MHSAA I took my 4th-grade son to his first basketball practice, and I watched uncomfortably when his coach directed him to set a pick. My son didn’t have a clue what that meant, and was embarrassed; and I felt like a complete and utter failure as a sports dad.
During the drive home, my son asked me what the coach meant when he said “set a pick and then roll to the basket.”
So when we arrived home, I recruited his mom to guard my son as he dribbled the basketball in the living room, pretending the basket was over the fireplace hearth. I came up behind her and blocked her path as my son dribbled by, opening his path to the “basket.”
We repeated the drill, but this time his mom was wiser and scooted by me to guard my son; and when she did so, I rolled toward the “basket” and called for the ball. My son offered a perfect pass as I moved unguarded toward the goal.
We repeated the plays with me dribbling and my son setting the pick on his mom, and then rolling toward the goal.
Pick and roll, family style.
And my son couldn’t wait for the next practice.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”