Learning from Experience

November 5, 2013

Readers who frequent this space might assume (correctly) that I enjoy travel, especially so to places where I don’t speak the language, don’t know what’s in the food and can’t drink the water.

Back in the days when it was possible to travel in Europe on $5 a day, my wife and I honeymooned across that continent for a summer on slightly more than $6 daily, combined. Today we spend more than that for our morning coffee; but we enjoy the adventures no less or no more.

I suppose on some level we have been making up for the lack of diversity of our childhood homes in the Midwest and our nose-to-the-grindstone approach to high school. Neither one of us ever thought of study abroad, or had time for it, as we pursued good grades and gratified ourselves and others in school-related activities.

This is in sharp contrast to the foreign exchange student from Germany who spoke last month at the annual meeting of the Council on Standards for International Educational Travel. His family has hosted two students from China and he is now being hosted by a family in the USA. The point he made was this:  He prefers to learn about life from experiences, not stereotypes.

And so do I. I just got to this realization later than this fine young man from a small town in Germany.

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.