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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.

Wrestling’s Next Big Thing

August 13, 2013

“The next big thing” is what marketers often seek.  But it’s what school sports administrators usually dread because the “next big thing” is routinely a problem.

And so it is with the sport of wrestling which, at the high school level, has had an admirable record of solving the big issues that have threatened the sport’s existence.
 
School-based wrestling addressed unhealthy practices for weight loss, first with rules about what could not be done – e.g., rubber suits were banned from practices – and then with rules about what must be done, including a weight management program.

Twenty years ago, MHSAA member schools became one of the early adopters of policies and procedures that include the training of skinfold assessors who are employed to do measurements of all wrestlers, from which each wrestler learns his/her lowest allowed weight and the rate at which he/she may descend to that weight and still remain eligible to compete. These rules, and a nutrition education program, saved interscholastic wrestling from much public criticism and, possibly, from continuing drops in participation.

In addition, the Wrestling Committee has been unique among MHSAA sport committees in recognizing that a season that is too long is neither healthy for nor desired by student-athletes; and the committee has reduced the length of season and number of matches. All of this, combined with the MHSAA team tournament, have greatly increased the sport’s popularity among both participants and spectators.

But in spite of all this, the sport of wrestling is “one communicable skin disease outbreak from extinction,” according to those discussing the state of high school wrestling at a national meeting in June. We’ve already seen an outbreak lead to the suspension of all interscholastic wrestling for two weeks in Minnesota during the 2006-07 school year.

To avoid this next big thing, the rule makers have banned taped headgear, because tape can’t be properly cleaned. The NFHS Sports Medicine Advisory Committee, which is the MHSAA’s advisory body as well, is urging schools to mandate that all participants shower or perform an antiseptic wipe-down after every match.

The MHSAA will make this issue a point of special emphasis in its online, print and face-to-face communications this fall. In addition, an excellent free webinar is provided by the National Wrestling Coaches Association. Click here for the webinar.