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.

The Pencil Tale

May 25, 2018

I’ve learned to create at the computer keyboard, but my favorite writing experience continues to be by pencil (with eraser), legal pad and a pot of hot coffee. Thus, I’ve enjoyed this anonymous parable of the pencil.

An old pencil maker took his newest pencil aside, just before he was about to pack him into a box. Imagining the little fellow as a person, he recalled a few things about the pencil.

“There are five things you need to know,” he said to his pencil, “before I send you out into the world. Always remember these five things – never forget them – and you will become the best pencil you can be!

“The first thing is to remember that you will be able to do many great things, but only if you put yourself in someone else’s hands.

“From time to time you will experience a painful sharpening, but remember that this will make you a better pencil.

“Also, keep in mind that you will be able to correct any mistakes you might make along the way.

“And the most important part of you is what’s on the inside.

“And remember this, as well, upon every surface that you are used, you must leave your mark. No matter what else happens, you must continue to write.”