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.
My Best Man
January 15, 2013
Upon the death of my father last month, a sports writer from the Milwaukee Journal Sentinel, who was preparing a story on my father’s career as athlete, coach and Wisconsin Interscholastic Athletic Association executive director, asked for my insights about Dad and his impact on me. I could have written a book, but here’s what I had space to say . . . just the right length for a blog:
“Dad served at a time before electronic media and online meetings when state high school association executive directors traveled their states doing rules meetings, thus building stronger relationships with coaches and officials than is common in our work today. And in Dad's case, because he was THE expert in high school wrestling rules in the United States, Dad traveled the country presenting wrestling rules meetings in states where wrestling was an emerging high school sport. It is not an exaggeration to say Dad was the ‘father of high school wrestling in America.’
“Dad and I worked together when he headed the WIAA and I was an assistant director at the National Federation of State High School Associations in the 1970s, allowing us to form an even closer bond in both our personal and professional lives than most fathers and sons enjoy. In those days, when there was a particularly difficult speaking assignment at a national meeting on school sports, Dad would be one of the first people whose name came to mind to address that topic. He was a forceful speaker; and I expect that my nationwide speaking trail owes a great debt to the many times as a youngster that I traveled with Dad when he gave sports banquet speeches.
“I'm told I idolized Dad when he coached, and know I admired him as a state association executive, and he was my closest male friend ever -- even ‘Best Man’ at my wedding. He was a great model as a father, husband and leader.
“At his retirement dinner in December of 1985, a spokesperson on behalf of the state's coaches said: ‘John, we didn't always agree with your decisions, but we never once doubted your motives.’ I can't think of a greater compliment for any man who worked so long in such a controversial line of work, which Dad loved so much.”