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.
Tools of Thought
July 13, 2018
(This blog first appeared on MHSAA.com on May 11, 2012.)
I am famous at home and office for my lack of keyboarding skills. The only “C” grade I received in high school was a summer school course in what was then called “typing.” At Dartmouth I paid a woman who worked at the dining hall to type my college papers. In an early job at the University of Wisconsin I typed the play-by-play of Badger football and basketball games with a clumsy “hunt-and-peck” approach.
Today, with the same lack of style, I pound out dozens of emails daily, hammering the keys like my first manual typewriter required four decades ago.
But for any document of great length or importance, I do as I’ve always done: take up pencil (my software) and legal pad (my hardware). There is no question that, for me, the nature of the equipment I’m using for writing affects the nature of the thinking.
With his eyesight failing late in his life, Freidrich Nietzsche bought his first typewriter, changing from pen and paper to the new technology of the 1800s. According to a 2008 article in Atlantic Monthly by Nichols Carr, a friend wrote to Nietzsche in a letter that, since adapting to the telegraphic style, Nietzsche’s terse prose had become even tighter. To which Nietzsche replied: “You are right, our writing equipment takes part in the forming of our thoughts.”
Which makes one wonder where all today’s tweeting and texting may take us.