Hard Copy

January 31, 2017

It's probably a sign of my age and stage in life, but I cannot get in any habit of consuming information by podcasts. If I want to absorb facts, figures and ideas that I can retain for later use, I have to receive that information in writing and be free to highlight phrases and make notes in the margins of that document.

I'm so committed to or conditioned by this process that I even need to print online articles so I can take my pen to the text to help me embrace the author's message or mold it into mine. I remain an ardent advocate for the medium of printed words.

I'm apt to remember portions of long-form printed pieces much longer than texts and tweets; and if a printed piece is very good, or at least speaks to me, I develop a relationship with it through my underlining and notes, and it stays with me longer than audio and even video media.

My preferences are demonstrated in the continuing commitment the Michigan High School Athletic Association has made to providing printed souvenir programs at the finals for most of its postseason tournaments as well as to a glossy, issues-oriented magazine (benchmarks) and hard-copy printed curriculum for our in-person coaches education program (CAP) when many of its counterpart organizations across the US have moved to electronic alternatives for these services.

I'm all for reducing the use and waste of paper for environmental reasons; but for educational purposes, print on paper still has a place in the modern world of communications clutter. Perhaps a never more important place.

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.