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.
Better Business
June 10, 2016
Maybe someday corporations that are generating increasing revenue by wringing money out of a decreasingly active population will realize that it would be a better business plan to promote more physical activity among what has now become the majority of young people – those who are not frequently active.
I am encouraged that “someday” may be coming soon when the symbol of business – The Wall Street Journal – features an article on the dangers of sport specialization that is too early and intense. The article promotes the benefits of balanced participation among youth.
In the May 17 issue, author Ben Cohen wrote this about NBA MVP Stephen Curry:
“Curry is already the most popular NBA player among kids. His approval ratings these days are close to ice cream’s. There was once a time when children wanted to be like Michael Jordan. Now they want to be Curry. But following his example doesn’t mean they have to grow up as the best shooter who ever lived. It may be as simple as dabbling in other sports when they’re still young.
“That’s because Curry is also the poster child for a saner approach to youth athletics. In an age of hyper-specialization, Curry has reached the pinnacle of his sport by doing the exact opposite. He played basketball, but he also played some baseball, football, soccer and basically everything else in a sport buffet. What worked for Curry, experts say, could work for everyone.
“As sports scientists continue to study how elite athletes develop, many of them have come to the conclusion that early specialization is the wrong approach. In the last five years, the American Medical Society for Sports Medicine, the American Academy of Pediatrics and the International Olympic Committee have published research supporting the position that children should sample different sports, rather than picking one too early.
“They have found that specializing in one sport at a young age is unnecessary and may even be unhelpful. Early focus on one sport – and only one sport – can increase the risk of overuse injuries and raise the potential for burnout. It also robs impressionable athletes of a diversity of experiences that can benefit them as they develop both as athletes and adults. The final argument against specialization may be the most obvious of them all: It’s not as fun.”
There’s much more to what Cohen writes, and we have posted on our Health & Safety page. Here is the link.