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Health Histories

September 4, 2012

Eighteen months ago we completed two new preparticipation physical examination forms:  (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.

Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation.  Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.

At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use.  But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.

The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.

Change for Worse

November 25, 2014

I recall a toaster that was handed down from my parents when my wife and I were first married and in need of everything. It was already an antique, but it worked just fine, popping nicely browned bread with efficiency.
Some years later, we handed that toaster down to another generation; and we have missed its iconic look and quick, quality performance. No toaster we’ve had since has matched that model.
Recently we purchased a new dishwasher to replace one that was at least 25 years old. The new appliance is advertised as more energy efficient, with the features now required by the government in order to be more environmentally friendly. But the fact is, it runs twice as long and works half as well, often requiring a second wash to adequately clean the dishes.
You would think these earlier disappointments would have taught us; but even more recently we purchased a new washer and new dryer . . . energy efficient, of course . . . with all the required environmental improvements included. But again, the washer runs twice as long as the model it replaced. The dryer does too, and the clothes remain damp after repeating the maximum drying time . . . twice.
All of which proves the point that change is not always good.
People who proclaim that the world is changing and that we must change too are not always on the higher ground. Change is as often bad as it is good; and change often needs to be confronted, and thwarted.
Much of the change that has come to our homes has not improved our daily lives. Much of the change that has come to our schools has not improved the quality of education our children receive. Much of the change that has come to school sports has done much to harm and little to help educational athletics.
We must ignore the hype and point out the pitfalls of the shiny new products and promotions. Saying “No” to change is sometimes the boldest and best leadership we can provide for school-sponsored sports.