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.

Simons Says

December 12, 2014

As an almost inveterate traveler – one who begins planning his next adventure to sweeten the sadness during the return trip of the current adventure – I took special note of and pleasure in this statement of Eric Simons in his book Darwin Slept Here:

“Optimism may be one of the biggest benefits of travel. When you spend all your time in a small area, trekking back and forth to work, getting all your news on the Internet, it’s easy to think the world is a lot worse off than it is. Then you get out in it, even for a short bit, and you get a summit view or find a friendly person who cares about nature just like you do, and then even when you go home, you remember: Hey, it’s not all bad. We’re really doing ok.”

When I see advertisements that promote travel as an escape, I cannot agree. For me, travel is a change from the daily routine, but it’s hardly an escape. In fact, I see more sights, hear more sounds, smell more scents and taste more flavors when I travel. I interact with countless more people – in airports, markets, parks, museums. But even moments of isolation – perhaps on a remote beach or trail – are somehow richer, more contemplative, when traveling.

It is not escape but engagement with new cultures and customs that travel causes; and it creates opportunities for personal reflection that routine obscures.

As Simons says, “Traveling connects us to the world and renews our capacity to wonder.”