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.

Not In School Sports

June 5, 2015

When those involved in high-profile major college sports offer advice to us in lower profile but perhaps higher principled school sports, we can quickly lose our patience.

Why, for example, would we ever listen to scheduling suggestions for high school basketball from the higher level that schedules games every day of the week, at any time of the week, anywhere on this continent or another?

These behaviors in major college basketball describe an athletic program that is orphaned from the academic mission of the colleges and universities to which they increasingly have become disconnected. We can’t let that happen to school sports.

Major college athletics is in an “arms war” of escalating costs for extravagant facilities and exorbitant coaches’ salaries. Blinded by their own ballooning budgets, college folks’ foolish suggestions for more frequent and distant high school games would increase the operational costs in the athletic departments of struggling and sometimes bankrupt school districts. We can’t let that happen in school sports.

Only when major college sports gets its house in much better order will any of its people earn the slightest right to suggest new policies and procedures for school sports. For now, much of what we see in high-profile college sports shows us what we should not do, not what we should do, in high school sports.