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.
Skepticism
October 4, 2011
One of the greatest catalysts of the environmental movement in Michigan was the rise of the middle class working family as our state industrialized in the early 1900s. Forty-hour-a-week workers with good pay and benefits sought out clean rivers, streams, lakes and parks for recreation and relaxation during their weekends and vacations. Many industries that created the jobs soon realized they had to provide their employees a clean environment as well.
Now as we struggle through a prolonged period of economic malaise in America, economists and politicians focus on what is needed to stimulate growth in the U.S. and world economies. They appear to worship at the altar of economic expansion, few seeming to question if our planet can sustain the growth rates they pursue. What price to our environment does a robust economy extract?
Of course, it is easier for a person with a job, insured benefits and a retirement program to question the obsession with economic growth; but a job without clean air to breathe and water to drink will not be satisfying for long. So a healthy dose of skepticism about economic growth is needed.
As I read the scathing indictment of corruption in college sports in the October issue of The Atlantic Magazine, I kept thinking that a healthier dose of skepticism about ever-increasing hype might have avoided the crass commercialism and exploitation of what once was but may no longer be justifiably connected to institutions of higher learning.
And of course, a healthy dose of skepticism must be maintained by those in charge of school sports as we trend during difficult economic times in directions more commercial than our founding principles may have envisioned.