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.

Fundamentals vs. Fads

July 9, 2013

During the summer weeks, "From the Director" will bring to you some of our favorite entries from previous years. Today's blog first appeared Aug. 9, 2011.

While examining some ancient fabrics at the Viking Ship Museum in Oslo, Norway, my wife explained to me the “warp and weft” of weaving – how the vertical fibers are the warp and the horizontal fibers are the weft.

What intrigued me about the ancient remnants was that the vertical fibers of wool had survived the centuries so much better than the left-to-right-fibers of linen and silk. I was informed that the vertical fibers (the warp) gave the fabric its durability, while the horizontal fibers (the weft) provided the design. And the strength lasted long after the color had faded.

My vacationing mind then jumped quickly across the ocean and centuries to my working preoccupation with the essentials of school-based sports. I reflected on how certain principles on which educational athletics are based have withstood challenge after challenge over time, even as some of the earlier features of school sports have faded.

This travel memory will serve as a reminder to me to focus on the fundamentals – on those core values of school sports that are essential and allow us to claim that the programs are educational – and to worry less about the superficial features that will inevitably change with the trends and fads over the years. Determining which is which – distinguishing fundamentals from fads – is one of the challenges the leaders of school sports must face.