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.
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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?
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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?
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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.
Rare Occasions
February 28, 2017
On the rare occasions when a high school athletic event in Michigan is interrupted or ended prematurely because of a breakdown in proper sportsmanship, I remind myself that there were hundreds of other high school athletic contests that same day that were conducted with good sportsmanship and without problems. It is because bad incidents are so very rare that they make news.
The Michigan High School Athletic Association doesn't assign officials to administer any regular-season contests; but we do receive reports from officials, school administrators and many others when problems occur, some offering opinions that go viral with incomplete information and snap judgments.
In a recent case, three veteran and respected officials were assigned to a league crossover game between two talented basketball teams. The atmosphere was poisoned by a public address announcer who was subsequently removed from that role by the school district after he not only performed those duties in an inflammatory and biased way, but also pursued and provoked one of the officials who had halted the game after an object was hurled from the crowd. That official worsened the situation when he pushed this individual; and the subsequent behavior of host team members and spectators was deplorable and dangerous.
The official is not the villain here, but an individual human being who has enjoyed the avocation of sports officiating for many years with good success and support. I'm sure he wishes he could take back the split second of his fear or anger that has been shown on video worldwide.
The host school has not been blind to several things it could do, in addition to appointing a different PA announcer, to improve the atmosphere of its athletic events; and it has already demonstrated its intent to provide a better experience for all involved in the future. It is contributing to the many thousands of athletic contests that build character in school sports for every one contest that lets us down.