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.
Rethinking Spring
May 5, 2014
Those states that conduct high school softball in the fall of the year or conduct high school baseball during the summer months may be laughing at our attempts to force these summer games into the least hospitable season of all for school sports: spring.
After an extra-long winter, there has needed to be extra attention during early season baseball practices and games to assure that throwing arms have been brought gradually into condition for the rigors of a year that is likely to compress a full schedule of games into a shortened playing season.
While baseball pitchers continue to be protected during games by a rule that does not allow a student to pitch for two calendar days that follow the day when he pitched his 30th out, no other players are similarly restricted, nor are there any rules that apply to any players during practices, or to softball.
Meanwhile, Major League Baseball recently reported an increase in elbow injuries among its players. Some commentators, both inside MLB and out, were quick to suggest that at least part of the blame is that pitchers are throwing harder than ever, doing so on a year-round basis, and starting at an earlier age.
It could be, then, that long winters are not such a bad thing, provided we’re patient when spring finally arrives, and use common sense for all players all season long, in both practices and games.
We look forward to the culmination of this year’s reluctant spring when the MHSAA hosts the Semifinals and Finals of both baseball and softball at a new venue, Michigan State University. Hope you’ll join us June 12-14.