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.

Bubble Wrap

October 28, 2014

We must do everything we can do to minimize serious injuries in school sports; but because the benefits of school sports participation are so universal and serious injuries so unusual, we should accompany our continuing campaigns for safety with constant appeals for common sense.

It is a compliment to school sports that each and every one of the very rare number of school sports-related deaths carries with it great sorrow and scrutiny. Nationwide there are so few tragedies that schools treat all of them with tenderness; and we try to learn from each of them how to have fewer of them.

But the attention we give to increased safety should not outshout the safety record we already have in school sports, especially compared to activities that lead to far more deaths with far less attention. For example, each year . . .

  • 20 skateboarding deaths;
  • 40 skiing deaths;
  • 400 youth drownings; and
  • 700 bicycling deaths.

Compared to school sports, these numbers are epidemics; and compared to school sports, these epidemics are ignored.

Our world is not bubble wrapped, nor should it be. School sports is not 100 percent injury-free, nor can it be. We should work to make school sports still safer, and work almost as hard to explain how safe school sports already is.