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.
Lost in Time
August 25, 2015
So, North Korea is establishing its own unique time zone – “Pyongyang time” – named after the nation’s capital city. North Korea will fall 30 minutes behind Japan whose time zone was imposed on the entire Korean peninsula more than 100 years ago.
Actually, North Korea is more than 30 years behind Japan in almost every aspect of civilized life.
This time zone adjustment gesture is of little practical significance because North Koreans have been closed off from global interaction by the impositions of their brutal dictators since the end of World War II. It’s symbolism befitting the backward nation’s isolationism.
The negative effects of this isolationism upon the nation are visible across the Demilitarized Zone from South Korea. Behind visitors to the DMZ is the vibrant mega-city of Seoul, South Korea. Across the river is a bleak, barren landscape with no sign of life. No people, no agriculture. Just a few buildings, without inhabitants. Built only for show.
There are many lessons to be learned from this contrast, on many levels. Of course, we see how people thrive more in an atmosphere of freedom than totalitarianism. We see the benefits of engagement over isolationism. We see that symbols without substance are meaningless.
Lessons for nations, to be sure. But reminders for enterprises of all kinds, including ours.
And a note to North Korea ... Newfoundland Island has had its own time zone for many years. It’s 30 minutes ahead of the rest of North America, and a century ahead of North Korea.