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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.

Ali

July 8, 2016

My wife has never held famous athletes and coaches in very high regard. Much of this has to do with her disdain for misplaced priorities – so much attention and extravagant spending devoted to entertainment and sports when so much of the world’s population is without most basic essentials of life.

Because of my work, my wife occasionally has been in the company of some of the biggest names in American sports; but only one clenched her in rapt attention. It was Muhammad Ali.

We were attending a banquet at which Ali was honored. We sat at adjacent tables, with the back of my wife’s chair almost touching the back of the chair to which Ali was being ushered, slowly because of his disease.

We all stood as Ali entered. My wife’s eyes were on Ali; my eyes were on my wife, for I had never seen her give respect to a sports personality in this manner.

After the banquet, and at times since then, and certainly again after his death June 3, my wife and I have talked about what it is in Ali that she hasn’t seen in other prominent sports figures.

We noted that he brought elegance to a brutal sport, and charm to boastfulness. We cited the twinkle in his eye that outlasted his diseased body.

We recalled the tolerance and dignity he brought to his faith, and how he demonstrated his faith commitment at the most inconvenient time in his career.

We recalled his poetry when he was young and talked too much, and his use of magic to communicate after disease stole his words, as he did that night we were with him.

Years after that banquet, when Ali lit the Olympic flame at the 1996 Olympics, my wife cried. She had tears in her eyes again when that moment was replayed on the day after Ali’s death.

Ali ascended to worldwide fame in a different era – when professional media tended to be enablers more than investigative journalists, and before social media pushed every personal weakness around the planet overnight. It’s possible Ali would not have been as loved if he had emerged in public life today. It’s also possible he would have been even more beloved.