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.

Fixing Schools

August 16, 2013

Our fall sports have begun and, as usual, our good coaches are focusing on fundamentals during these early weeks of practice and play, especially if they are trying to bounce back from some losing seasons. Meanwhile, I’ve been thinking about the fundamentals for fixing schools themselves.

If we really would get serious about a comeback season, we would . . .

  1. Equip the best teachers to work in the worst places.
  2. Provide the highest pay to the teachers working in the lowest grades.
  3. Emphasize   teachers more than technology,
                          pre-Kindergarten more than college prep, and
                          smaller more than larger.
  4. Encourage   fight over flight,
                          tutors over transfers,
                          school improvement over school choice, and
                          investment over vouchers.
  5. And, for Pete’s sake, we would allow public schools to start classes as early as they see fit, even next Monday, not two weeks and a day later as state law mandates. Longer is better than shorter.

And sooner is better than later for putting these fundamentals into our game plan for education.