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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.

Pitch Perfect

August 5, 2016

The national rules of high school baseball for the 2017 season will require for the first time that state high school associations adopt policies and procedures that limit the number of pitches that an individual player may make over a specified number of days.

Presently, Michigan High School Athletic Association rules state that a student may not pitch more than three consecutive days regardless of the outs pitched, and shall not pitch for two calendar days following that in which the player pitched his 30th out.

In the past, there has not been consensus among Michigan high school baseball coaches or support by the MHSAA Baseball/Softball Committee to impose a specific pitch count; and the new national rule does not prescribe what the maximum count should be or how it should be applied.

The MHSAA will convene a group of coaches and administrators this month to discuss the many questions created by the nebulous national mandate. The group’s challenge is to craft a rule that will not result in students pitching more than they do under the current rule, especially at earlier grade levels, and a rule that is as simple to monitor and manage as the current rule.

The proposal of this study group will be reviewed by baseball coaches and school administrators throughout Michigan before submission for action by the Representative Council in December.

Michigan’s climate and culture within high school baseball probably makes a change in the MHSAA pitching rule unnecessary for the high school season. And sadly, any change made for high school play is likely to have little or no effect on the summer and fall ball that may be much more damaging to young arms than the high school season which often is much more restrained in the number of games per day and per season than non-school baseball.

We can hope, of course, that the additional focus on pitching risks at the high school level will be seen and taken seriously outside the high school season.