Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.
Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.
Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.
Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.
Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.
We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Swimming Lessons

January 19, 2016

I found a place between Christmas and New Year’s Day that was out of Internet reach. For four days and three nights I spent most of the days in the water looking downward into an ocean of coral canyons surrounded by swarms of colorful fish, and much of the nights on the open deck of a catamaran looking up at a nearly full moon moving between stars and swirling clouds. Here is some of what I learned from experiences, rather than from Google, on those days.

First, flying fish really do fly, on average, about the length of a football field.

Second, sea urchins have an edible element, if the spiny critters are smoked in a fire of coconuts and palm fronds and then soaked in saltwater, and if you are either desperately marooned on some remote island or just trying to be nice to the local residents you just met who believe the urchin's slimy, salty core is a delicacy that hospitality requires be shared and graciousness demands be appreciated.

And, more relevant to the work we share that I tried unsuccessfully to tune out for these four days, I learned ...

What you see in the ocean is distorted until you put on your goggles and get beneath the surface of the water. Getting beneath the surface of things is necessary for clear vision.

What you see first is likely to be the flashy fish, while the greater significance is observed more slowly in what appears to be their inanimate habitats, which turn out to be alive with movement if you wait and watch for it. Patience is necessary for clear vision.

The wavy six-inch line of purple coral was really the lips of a large clam that actually separate a fraction of an inch every minute or so to take in the nourishment of the sea. The brown stump below it was really a sea cucumber that actually moves an inch or two a day to vacuum the ocean floor. I saw none of this until I got beneath the surface, and waited.