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.
MVPs
November 10, 2015
This is the time of year when postseason banquets are occurring at many schools to mark the end of the fall season. In many cases, a “Most Valuable Player” will be announced and honored.
The qualities of the MVP are usually apparent ... often the player who scored the most points, gained the most yards, or won the most races or matches. But that’s not always the case; and it shouldn’t be.
Sometimes the MVP is the playmaker, the blocker for the scorer, or the team’s most inspiring player who energizes others or improves a team’s chemistry or performance in ways that statistics can’t measure.
I think about Major League Baseball’s American League MVP in 1942. It was Joe Gordon. That season, he led the major leagues in errors, strikeouts and most times hitting in double plays. But still he was the league’s MVP.
Sometimes referred to as “Flash Gordon,” this second baseman, who played for the Cleveland Indians and New York Yankees, was renowned for his defense. And he should serve as a reminder that sometimes the MVP is not such an obvious choice.