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.
Weaving Policy
February 10, 2017
My wife weaves. She weaves scarves and placemats and napkins and table runners and rugs. And while she weaves, I watch, looking for the metaphors.
One of the most obvious comes from looking at both sides of her work. In its simplest form, one side of the woven project is the result of careful planning and preparation; the other side just sort of happens. In weaving, except for the "plain weave" where the bottom of the item mirrors the top, the underside of a weaving project is usually unimportant.
In leadership, however, that's rarely the case. Leaders have to be concerned with two or more sides to most issues. They have to consider in advance both the seen and unseen aspects of the project.
So when people advocate for expansion or contraction of cooperative programs or football playoffs, or for tougher or more liberal transfer rules, or for more or different tournament classifications, or for seeding of tournaments, leaders of the Michigan High School Athletic Association need to look at both sides of any plan and the multiple angles of the issues raised.
This leadership will try to explain to proponents what opponents see in a proposal, and vice versa. This leadership will try to speak for and report to those who are underrepresented in the discussion.
This leadership is entitled to its own opinion but responsible for seeing that sincere and studied opinions of others are both well heard and thoroughly vetted.