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.

Big Ten TV

November 11, 2016

The Big Ten Conference likes to say it "appreciates" high school football within its footprint; but the evidence is otherwise.

First, in 2010 the Big Ten adopted a "bye week" to stretch its scheduling that pushed the final game of the Big Ten regular season – with its great rivalries, including Michigan v. Ohio State – to the day on which the high school Football Finals have been scheduled in Michigan for more than three decades. A periodic problem became an every-year plague.

Now the Big Ten has announced it will play and televise games on Friday nights; and in its first year of this new deal, Michigan State will play at Northwestern in a televised game on Friday night, Oct. 27 – the first night of the MHSAA Football Playoffs all across our state. 

So, in 2017 we can thank the Big Ten for damaging the first as well as the last weekend of our high school Football Playoffs.  

The Big Ten's reaction? "We are only playing six games on Friday nights. It could have been much worse."

I expect it will get worse. The greed of college sports knows no limits.