Logo

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.

Reserve Lessons

January 26, 2018

Nothing prepared me for coaching more than the time I spent sitting on the bench. I hated it. And when I started coaching, I couldn’t forget how much I disliked sitting on the bench, and I did everything I could do to get every player in a game every week on some level – 9th grade, JV or varsity.

So I get it. Not starting hurts. Not playing stinks. And while many coaches are brilliant in their tactics to share playing time, some coaches do a miserable job of getting reserves into games.

But having said all that, I must add that too many people undervalue the importance of reserves, of the practice players who work hard to make the regulars better. Many champion wrestlers and tennis players earned their titles because of practice partners who pushed them to be better day-in and day-out. Many championship teams achieved their success through arduous daily competition in practice all season long. Many times it has been a so-called “backup” player, who worked hard in practices and who was often worked into games by caring coaches, who steps in after a starter is injured and saves the season.

There is much to be learned as a reserve, including what it means to be a loyal teammate ... a team player ... and what teamwork and sacrifice and loyalty and dedication really mean.

I have said often in speeches that it’s my wish that every student would have the opportunity to be a starter in one sport and a substitute in another because the lessons to be learned from each are different and so vital to developing the whole person.

It is a shame that students have somehow gotten the message that it’s a waste of their time to be a part of a team where they aren’t a starter or even the star. They get this message from adults ... sometimes it’s coaches, but more often it’s parents who criticize coaches and/or transfer their children to schools where they have a greater chance for athletic success.

As the benches get shorter on our school sports teams, the lessons learned get fewer.