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.

NFL Misdirection

September 26, 2014

NFL Commissioner Roger Goodell did something I really respect; and then he didn’t.

On Aug. 28, the commissioner sent a letter to the NFL’s 32 owners in which he admitted that he “didn’t get it right” when he assessed a mere two-game suspension for a player who was seen on videotape to be involved in domestic abuse. I admire his admission. (The player later would be suspended indefinitely from the league following additional evidence in the incident)

Unfortunately, the commissioner accompanied his mea culpa by describing a series of initiatives the league will undertake, one of which – once again – attempts to deflect a public relations disaster upon high schools.

When the NFL was under attack for the head trauma its players were experiencing, the league responded with a state-by-state campaign to impose youth concussion laws which, in most places, were mostly unfunded mandates that are more about symbolism than substance.

Now, again under attack for malfeasance by a workforce with more money than maturity, the league’s leadership is deflecting the blame to college, high school and youth football programs by planning educational efforts aimed at those levels.

Commissioner! Clean up your mess, but leave us alone. You are gutting public support of school sports with one televised game Thursday, three on Sunday and another on Monday, and adding Saturday games in December. Don’t have this out-of-control league lecture our level about restraint and responsibility.

Ours is the level that prohibits sack dances and end zone prances. We insist that our interscholastic players demonstrate maturity that the NFL’s players do not.