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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.

Making a Statement

June 17, 2015

Amid the horrific destruction of Baghdad, the conductor of the Iraqi National Symphony Orchestra, Karim Wasfi, is making a statement. Mr. Wasfi has been carrying a chair and his beloved cello to the exact locations where violence occurs, very shortly after it occurs, and he plays.

With the roar of car bombs still ringing in ears and rubble still smoking, Wasfi plays. He told National Public Radio: “The other side chose to turn every element, every aspect of life in Iraq into a battle zone. I chose to turn every corner of Iraq into a spot for civility, beauty and compassion.”

The response of this single citizen to the catastrophic chaos in his city and country is especially powerful because of the beauty of his music amidst the brutality of civil war; but neither his gift nor the jolting juxtaposition should cause us to miss the message that our response to overwhelming problems could be and should be like his, even if less newsworthy from the perspective of a national radio broadcast. For example ...

  • We can wring our hands in despair that the Earth’s increasingly polluted air, land and waters are so far gone and the problem is of such great scale that nothing we could ever do will change things; or, we can choose to turn every corner of our little slice of the physical world into a less polluted place. We can make a statement.


  • We can weep over the slaughter of elephants, the leveling of mountains or the razing of forests or jungles by crooks or corporations that cannot see the consequences of their reckless avarice; or, we can choose to make our neighborhoods spots of beauty, conservation and sustainability. A statement.


  • We can cry ourselves to sleep over humanity’s inhumanity to those who look, dress or worship differently; or, we can choose to make our little community a welcoming place for refugees where long-suffering and persecuted people can feel safe and hopeful. A statement.


  • And we can become frustrated that the values of school sports are so regularly undermined by the excesses of youth, college, professional and international sports that it feels hopeless to hang onto what we believe; or, we can choose to devote ourselves to maintaining our little niche of the sports world as a more principled place ... where scholarship, sportsmanship, safety and a sensible scope are recognizable and reliable core values. A statement.


The great conductor carrying his chair and cello to the rubble is real. It’s also a metaphor which reminds the rest of us of other daunting problems and the opportunity each individual person has to make a meaningful response – a clear statement – where we live, work and play.