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.
The Golden Rule
October 24, 2014
Competitive athletics are filled with rules. They include contest limitations and eligibility, conduct and playing rules. But apparently the “Golden Rule” is not one of those rules.
In competitive athletics, teams look for competitive advantage, which is often at odds with the spirit of “Do unto others as you would want them to do unto you.” Seeking competitive advantage sometimes devolves from a legitimate attempt to exploit an opponent’s weakness to rule-shading gamesmanship and, in its worst form, to blatant cheating. Do unto others what you can get away with.
Furthermore, in competitive athletics, emotions often run high – both among participants and spectators – and this leads easily to overheated partisan perspective, lack of good reason and loss of behavior that is respectful of others’ beliefs and feelings.
It’s hard to treat nicely people who act nasty. It requires, in fact, a supercharged Golden Rule that says “Do unto others better than they may do unto you.”
It’s hard to treat people better than they treat you; but if there were ever a place where there is more opportunity to do so, it’s in competitive sports where people are blinded by partisanship for their team or their child. Perhaps it’s only a political election campaign that presents as tough an environment for the Golden Rule.
Years ago in a radio commentary, Character Counts’ Michael Josephson said: “People of character treat others respectfully whether they deserve it or not. I’m reminded of the politician who refused to get in a name-calling match with an opponent, saying, ‘Sir, I will treat you like a gentleman, not because you are one, but because I am one.’ Sure, it’s hard to treat people better than they treat us; but it’s important to realize what’s at stake. If we allow nasty, crude and selfish people to drag us down to their level, they set the tone of our lives and shape us in their image.”