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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.

Football’s Future

March 20, 2012

Many folks, including me, will too often focus on the destination more than the trip.  More on results than process.  The end more than the means.

This is epidemic in sports, on all levels.  There’s so much focus on the postseason that it overshadows the regular season.

In contrast, in educational athletics, we are supposed to hold to the principle that opportunities for teaching and learning are as plentiful, maybe more so, in regular season as in tournaments, at subvarsity levels as at varsity, during practices as during games.

This disease affects football as much as any high school sport.  There’s been too much focus on the end of the season – playoffs.  Postseason tournaments have been the demise of many great Thanksgiving Day high school football classics across the country.  Playoffs continue to ruin rivalries and collapse conferences nationwide.

And, disturbingly, the focus on the end of the season misses what is most wrong with football, and may be most threatening to its future.  It’s practice.  Specifically, what’s allowed during preseason practice and then at practice throughout the season.

We can predict that, in high school football’s future, two-a-day practices will be fewer, practice hours will be shorter and activities will be different. Among proposals we will be presented (and should seriously consider) will be:

  • Increasing the number of days without pads at the start of the season from three days to four or even five.
  • Prohibiting two-a-day practices entirely, or at least on consecutive days.
  • Limiting the number of minutes of practice on any one day.
  • Restricting contact drills to a certain number of minutes each week.

If this all sounds silly or radical, remember that the NCAA and NFL are already making such changes.  NFL players face contact in practice on only 14 days during a 17-week regular season.  Meanwhile, many high school coaches have kids knocking heads and bruising bodies two to four days a week, all season long.  Giving critics the impression that interscholastic football for teens is more brutal than the higher levels of football for grown men.  Inviting interference from people who think they know better.

Actually, we know better; and we need to do better.  Soon.