The Most Important Decisions
October 13, 2015
During the course of contests, coaches and officials make many mistakes – not as many as spectators might think, of course – but mistakes certainly do happen. In the heat of competition, most are quickly forgotten.
Those mistakes that occur near the end of games or are caught on camera can live longer than dozens of more consequential decisions earlier in the event that might later be determined to be incorrect in the 20/20 hindsight of “Monday morning quarterbacking.” But it is extraordinarily rare that any decision during a contest defines a career, or ends it.
No, the decisions that do most to damage, detour or destroy a coaching or officiating career are those made away from the contest. A bad impulse during a social outing, indiscreet comments or conduct caught on video and sent worldwide overnight, or an inappropriate email or website search ... these are the decisions that end up defining the career.
The stakes may be higher for decisions made away from the sport by coaches and officials than the decisions they make in the athletic arena. Every week’s sports news tells me this is correct. Hundreds or even thousands of people may witness a judgment call during a contest, while millions upon millions will be exposed to poor judgment exercised away from the contest.
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.