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.
Going on Offense
March 3, 2015
I was a defensive back on my college football team, but I refuse to be put on the defensive about the game of football.
The game is good for students, their schools and our communities. High school football is character-building for students, spirit-building for schools and community-building for cities and towns. Local school football programs ought to be part of the development plans and place-making strategies of all communities of Michigan.
The school-sponsored game has never been safer to play. The equipment has never been more protective, coaches have never had more safety training, the rules have never been more safety-oriented, and game officials have never had more encouragement to enforce those rules. The result is fewer injuries of all kinds – from nicks and bruises to ankles, knees and necks.
When the game of football has faults, we find and fix them. To continue doing so requires that we be honest with ourselves about where the game has weaknesses and be constantly alert to effective ways to improve the game.
Defensiveness gets in the way of discovering ways to go on offense. It blocks innovation and sacks aspirations before they can be launched.
I want our public to know that school-sponsored football is a great game. I also want the public to know that we aspire to keep improving the game and to exceed legal mandates. We will continue to do more than what is required and, in fact, we intend to do what’s unexpected to assure football remains a positive influence on students, schools and communities.