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.

Fixing Things

October 6, 2011

Leaders of schools and school sports have rarely been asked to do more with less than is demanded of them today.  Their plight has brought back to my memory that many years ago, a pastor from North Carolina, Stephen M. Crotts, told this story – one that I’ve kept in my files, and in my heart, ever since.  He said:

I started my ministry in Charlotte County, Virginia.  And there was a deacon in the church there named Harvey Milton who ran a seed and feed store in Drakes Branch.  Harvey and his wife Margaret sort of adopted me and helped me along during those first tentative years of the ministry.

I remember one day after I’d been there nearly three years.  I was struggling with trying to do too much, trying to keep everybody happy, trying to fix all the hurts.

I stopped by to see Harvey at his business and found him hunched over the back door replacing a broken hinge.

“What are you doing?” I politely inquired.

“Well, Stephen,” Harvey intoned, “there are four kinds of broken things in this world.  There are those things that are broken that if you just leave them alone they’ll fix themselves.  Then there are those things that are broken that are none of my business.  It’s up to somebody else to fix it.  Then there are those things that are broken that only God can fix.  And finally, there are those things that are broken that can be fixed and it’s my job to do it.  And this door is one of them.  And that’s what I’m doing . . . fixing this door.”

Stephen finished by saying this:  “When urgent calls, opportunities, pressure, criticism and thoughts of all I could be doing come, those words help me sort my duty.”

Perhaps those words will help you too.