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.

Soccer Head Games

September 1, 2015

I have been trying to get our soccer purists in Michigan to consider – to at least talk about – less head-to-ball contact – at least at the junior high/middle school level. I’ve had very little success. Apparently I lack credentials to offer suggestions about the “beautiful game.”

Recently, people who do have the credentials that I apparently lack have given credibility to my concerns, including a host of former World Cup champions led by Brandi Chastain, who are supporting Safer Soccer which says banning heading for participants under 14 years old (especially females) is a “no brainer.”

Launched in 2014 by Sports Legacy Institute and the Santa Clara University Institute of Sports Law and Ethics, the goal of Safer Soccer is to educate the soccer community that delaying heading until age 14 or high school “would eliminate the No. 1 cause of concussions in middle school soccer and is in the best interest of youth soccer players.”

The danger is both in the head-to-ball contact and the head-to-head contact by two players competing to head the ball.

There are legitimate differences of opinion on this topic, as well as absurd claims of some that this campaign is intended to give back the hard-fought gains of women in sports, and equally bizarre blather of others that this is intended to keep the sport of soccer in a place of secondary profile in the U.S. If we can get past that nonsense, perhaps then we can have an adult debate about children’s health.