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.

Perspectives on Popularity

January 13, 2015

With the National Football League about to take center stage in this country’s sporting drama this month, some “Down Under” comparisons provide perspective to moderate how popular and venerable the NFL is.

The NFL’s longest waiting list to become a season ticket holder is found in the NFL’s smallest market, Green Bay, where the waiting list to become a Packer season ticket holder is now 30 years. It’s so crazy that my sister, who splits her time between Vermont and Florida, still controls the two season tickets her father first obtained 55 years ago; and the tickets never go unused. The Packers season ticket waiting list is more than 80,000 names long.

However, the waiting list to join the Melbourne Cricket Club in Australia is even more imposing. Currently, more than 236,000 people are waiting to join the more than 100,000 active members, 40 percent of whom have only “restricted” privileges. An average of 10,000 fans join the waiting list each year, and their projected waiting time has now reached more than 40 years.

The Melbourne Cricket Club is the oldest sporting club in Australia, founded in 1838; while the Green Bay Packers is a relative upstart, founded in 1919. Still, it is the oldest NFL franchise in continuous operation with the same name and city ... since 1921 ... 83 years after the Melbourne Cricket Club.

By the way, the Michigan High School Athletic Association has operated under that name since 1920 ... one year longer than the Packers.