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.
Hit Again
April 1, 2013
Education reform needs a Mulligan. A do-over. The opportunity to go back to “Go” and start over. For example . . .
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Back to a time before the attack on neighborhood schools closed those schools and contributed to neighborhood collapse and community disconnect.
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Before suburban schools were allowed to prey on and profit from an urban school’s misfortunes.
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Before large buses lumbered down narrow residential lanes to transport our littlest learners from the shadow of their local school to another across town, where all the other littlest students were gathered for more “cost-effective” education.
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Before schools shuffled off low-achieving students to alternative schools in order to elevate their ranking on standardized test scores.
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Before teachers based their lessons more on test preparation than learning.
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Before education re-segregated through specialized charter schools with non-inclusive curricula.
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Before public schools were barred from beginning their instructional days before Labor Day, or whenever their community thought it best for the education of its students.
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Back to a time when pedagogy more than politics planned and delivered education.
Let’s tee it up and hit again.