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.

Glue and Grace

October 9, 2012

Recent events, obvious to you, caused me to return to an article the MHSAA published in August of 1999.  Here it is again:

Three days after the tragedy at Columbine High School in Littleton, Colorado, a retired athletic administrator whom I respect greatly and listened to intently, called me to say this: 

“You have an opportunity to speak to student-athletes in this state and across the country.  Talk to them about Littleton.”

This administrator wanted me to convey to athletes that they were not a part of the many and complex causes of the Columbine carnage, but they play a small part of the solution to help assure such craziness doesn’t occur closer to home.

The administrator was referencing some of the media reports that suggested the youthful killers took offense to the “jocks.”  Valid or not, these suggestions provide another wake-up call for those who claim that school-sponsored sports are healthy for the participants, school and community.

As a result, part of my conversations with student-athletes this year and the heart of my message to team captains in 1999-00, will be this:

    • Break down the walls, real or perceived, between the athletes of your schools and other students.  Avoid cliques limited to team members or even athletes in general.
    • When you walk the school halls and shopping malls, greet fellow students warmly, regardless of their involvement in school sports or other activities.  Let them know that you know they exist.
    • Become more sensitive to the needs of others, especially those who are different than you.  Appreciate that while you may be more gifted in some things, other students are more gifted in other things.  Show a genuine interest in those things. 
    • Understand that you are not the center of the universe.  Accept that it is your role to serve others, and not the other way around.
    • Don’t condescend, but concentrate on the rich worth of other people.  Seek them out.  Involve them.  Enter into their worlds and invite them into yours until such time as it is difficult to recognize different worlds in your school and community.

I believe this goal for the interscholastic athletic program, embraced by every administrator, participant and parent, would help us:  That  every participant be involved in academic and non-academic matters, athletic and non-athletic activities, be a star in one thing and a substitute in another, be on stage and backstage, in solo and ensemble, experiencing both winning and losing.

A student involved in such an experience as this could not help but provide glue and grace to a student body.

No student-athlete anywhere is remotely responsible for the massacre in Littleton, Colorado.  But student-athletes everywhere have an opportunity to be a small part of an environment that assures such a tragedy is not repeated where they live, study and play.  Talk to them.