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.
A Walk in the Woods
July 3, 2018
(This blog first appeared on MHSAA.com on July 30, 2010)
My wife and I were on a long walk through the woods and back roads of west Michigan this summer when she remarked, “We’re not lost; but we don’t know where we are.”
We knew how to get back to our car, but we didn’t know the direction we were headed. “We’re not lost,” I mused; “but we don’t know where we are.”
That’s an apt description for interscholastic athletics. We could back-track on the path to the origins of this journey, so we’re really not lost. But I don’t know anyone who really knows where we are, which direction we might be headed.
There are few who have viewed interscholastic athletics from more angles than I; but I’m not any clearer about the future than the newest coach or most casual fan. I’ve looked at high school sports as a coach, and as the son of a coach. I’ve been involved as a player, and as the parent of two players. I’m the son of a state leader and the protégé of a national leader. I’ve been an administrator at the state and national levels. I’ve read the old histories and handbooks, and I’ve talked at length with key leaders of the past. But I don’t know where we’re headed.
Where does this path lead that relaxes or eliminates out-of-season practice and competition restrictions for athletes and their coaches? From the repeated complaints of coaches and administrators, it’s evident that path was a bad choice; but how now to find our way back? We’ve taken a few steps back, but we know it was downhill to this point and a tough uphill climb back.
Where, if ever, is the end of this path that leads to more and more commercialization of sports? Where are we being taken as high school associations in other states relax or eliminate amateur and awards rules?
Where are the sporting goods manufacturers and street agents taking high school basketball? Will the game that has captured hearts and minds for generations continue its charm when the pervasive corruption of college basketball is exposed or it infects high school heroes beyond healing?
When, if ever, will the government’s thirst to regulate sports be quenched? Where, if ever, will the requests end for extra protections and privileges for special groups?
When, if ever, will seasons be long enough, travel far enough and the stakes high enough to satisfy promoters? Where are we being taken as high school associations in other states take down the barricades placed on those paths by the pioneers of our programs?
Eventually, on our walk through the woods, my wife and I determined it was time to turn around and head back toward our starting point. We didn’t think we could go any further ahead and still make our way back. We knew we didn’t have the power of mind to remember more turns. We ran out of memory before we ran out of energy.
I worry that some of those who are pushing the limits of high school athletics have forgotten where they parked the car. And having forgotten this, they wander in vain through the woods, trying this turn and that.
They’ve run out of memory, but not energy; and sadly, they drag us along, deceiving us and perhaps themselves that it’s only around the next corner or over the next hill that we will see clearly again or reach our goal.
(Note: This was first published in the MHSAA’s August 1995 Bulletin and in 2000 was included in the book Raising Expectations, which is now a part of the MHSAA Library.)