Health Histories

September 4, 2012

Eighteen months ago we completed two new preparticipation physical examination forms:  (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.

Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation.  Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.

At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use.  But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.

The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.

Long-Term Investment

January 25, 2012

Many homes have just removed the decorations from their holiday trees and removed the bare, brittle tree from their house. This has caused me to reflect on a drive last fall through many miles of tree farms, observing some trees ready for harvest but many more trees that were many years away from cutting.

During that drive I thought about the character of those who had planted the trees.  This is not like many crops which are planted in spring and provide a return on the investment by fall.  One who plants trees knows the harvest is many years of growth and pruning away. That return on investment could be a decade or two of toil down the road.

As I questioned how these farmers could wait so long, I began to marvel at the optimistic, patient spirit they must have.  Their hope and persistence.  Their assurance that the time and money invested now will be rewarded later.

This humbling internal dialogue caused me to think of dedicated teachers, coaches and administrators who, metaphorically, are planting some trees and pruning others each and every school year, knowing they may never personally see the results.  But having confidence that, in time, there will be a return on the investment they and their communities have made in our young people.