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.

Go With It

April 30, 2012

One of my counterparts in another state asked me last week, “How do you do it?”  He meant, how do I find time to prepare two blog postings every week; and he also meant, how do I find topics for 104 postings each year; and he also meant, how do I go about the actual writing?

As for finding time, it’s no problem; because writing helps me think.  It helps me clarify and prioritize.  And going public with these thoughts helps me be more certain that I’m committed to the ideas.  For me, writing daily is as important as breathing deeply.

As for finding topics, it’s rarely a problem.  I find subject matter in what I read, what I hear and what I observe in everyday life and worldwide travel.  And I’ve discovered that the richest sources for writing about school sports are often found the furthest from school sports.

And as for the actual technique, I go about it this way:  I try to provide a plain circle, and then invite readers to color it however they wish, to use any shade they prefer, to color outside the lines if they think that’s most beneficial to their situation.

When we were children we were praised for coloring within the lines and utilizing the appropriate shades for sun, sky, grass and flowers.  These days I just want to provide a blank circle and ask, “What can you do with that?”  Not dictating what readers should do, but inviting readers to take an idea and do with it what they will where they live, work and play.

At least that’s what I want to do.