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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.

Words from Down Under

February 1, 2013

In the County Hotel, one of the few buildings in Napier, New Zealand, that survived the 1931 earthquake in that region, there is a library of books that have been left by previous travelers and may be exchanged for books of current travelers.  Among the books I found was Lord Cobham’s Speeches.  Lord Cobham was the Governor General of New Zealand from 1957 to 1962.

From his speech at the “Sportsmen Luncheon” in Wellington, NZ, 52 years ago today, I found these pearls:

  • “. . . sport is a great character-former; it teaches that self-control which must always precede self-expression, and that gracious acceptance of defeat is the gold to victory’s silver.”
  • “Sport is harmony, balance and rhythm, the triple heritage handed down from ancient Greece, without which art is barren and civilization itself out of joint.  Above all, the acquiring of a technique is increasingly important in an age when automation and the machine have robbed human beings of that sense of fulfillment that comes of fine craftsmanship.”
  • “Today we see the result of trying to hustle youth through childhood and adolescence into manhood and womanhood.  Education is one of the few things that cannot be hurried, although modern techniques may facilitate instruction, for which education is often mistaken . . .  In these instances, sport and games can and must play an increasingly important part in producing well-balanced citizens.  But before we do this, we must see to it that the games themselves don’t fall victims to the prevalent evils of selfishness, sharp practice and greed.”
  • “It is when the player of the game thinks himself greater than the game that both get into trouble.”