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.
It’s About the Base
May 8, 2018
Former Southeast Conference Commissioner Roy Kramer, whom Michiganders like to claim as our own for his East Lansing High School and Central Michigan University coaching roots, seized the opportunity of an acceptance speech for an award he received recently from the Tennessee Chapter of the National Football Foundation, College Football Hall of Fame and Knoxville Quarterback Club to deliver a sobering message regarding the game he loves so much – football.
His concerns were for the survival of football on college campuses “where their games will never be on television and will be played in front of less than 10,000 fans.” Which is the situation for 90 percent of the nation’s college football programs.
He also said, “I’m even more concerned about games on Friday night.” Mr. Kramer has been a long-time opponent of Friday night telecasts of college football games because they do poorly both at the gate and in television ratings, and they conflict with the tradition of approximately 6,000 high school football games played locally on Friday nights.
We Michiganders are sometimes criticized for our “conservative” views about the boundaries of a sensible scope for educational athletics. We come by this naturally, on the shoulders of people like Roy Kramer who, even after years in the glitz and glamour of elite college football, maintains his concern for more modest college programs as well as high school football.
It is this base of the game, not the few at the pinnacle, that is the future of a game under siege in dozens of courthouses and state houses across the U.S. – and worse, a game being questioned in many thousands of homes where football was once the game of choice.