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.

No Guns in Schools

April 29, 2015

It seemed crazy to me when I first learned that “gun-free zones” really were not free of guns.

Apparently, while many school sports administrators and officials hustled to replace blank-shooting starter pistols with different kinds of devices for signaling the start of races at cross country, swimming and track events, state laws were carving out exceptions to allow other people to carry guns into those very same events.

Now there’s an effort by some to trade a ban on “open carry” in exchange for permission to carry concealed weapons onto school grounds.

We’re proud to know our colleagues at the Michigan Association of School Boards and the Michigan Association of School Administrators and the Michigan Association of Secondary School Principals are all saying “No” to any such deal.

I suspect that many of those very same school board members, superintendents and principals are gun owners. But they also seem to appreciate that “gun-free” should mean what it says; that except for law enforcement personnel in the exercise of their official duties, guns have no place in our schools or at school events.