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.
Perspective
July 9, 2018
(This blog first appeared on MHSAA.com November 2, 2010)
Each summer I put together a list of all the problems we’re addressing and all the projects we know we’ll be working on through the MHSAA during the year ahead. It’s always a long list, and accomplishing just a few items would make any year a good year.
So, this requires that we try to decide between all that we might do and all that we must do. And here’s a reminder of one thing we must do.
When I ask school and community groups with whom I’m speaking about what they think the problems are in school sports, the most popular responses from these constituents are (1) too little funding, and (2) too many misdirected parents; or sometimes that order is reversed: over-involved parents and under-funded programs.
I like to caution people that in some situations, our students suffer from too little adult engagement in their lives and that, almost everywhere, interscholastic athletics benefit greatly from the time and energy parents and other adults volunteer to help local programs operate. But I get the point of what I’m hearing.
These and other responses I hear – serious as these cited problems can be – may merely be symptoms of the single, fundamental issue that’s at the heart of all the others. That’s perspective.
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Too little money for schools and sports?
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Pressure-packed parents?
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Poor sportsmanship?
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Too much specialization? Too much year-round competition?
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Too much talk of college athletic scholarships?
Perspective – spending money on less essential things.
Perspective – people focusing on adults’ desires more than students’ needs.
Perspective – forgetting or never learning the pure purpose of educational athletics.
Perspective again.
Perspective once again.
In essence, almost all issues arise from matters of perspective. At their root, almost all problems are problems of perspective.
What can we do about this?
I don’t have the perfect prescription; but one thing is certain: we can’t relegate this to an afterthought. We cannot hope to make time to address this problem each day; we must plan to make time for it each day.
We need to model a positive perspective. Point to it when we see it. Explain it. Reward it.
It can’t be left to others. We are the guardians of proper perspective. It’s Job 1.