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 What Happens Next
October 17, 2017
It is when I read opinions such as this one from Norman Chad last month for the Charleston (SC) Gazette-Mail, that I know the cause is right to keep frustrating the arms race in high school sports.
“College football is so wrong for so many reasons and that’s before we even get to the latest academic fraud at Florida State. It is money ill-spent and time ill-spent, an alarming hidden-in-broad-daylight repudiation of our institutions of higher learnings’ supposed core mission.
“Let’s round up the usual suspects:
“Alabama’s outside linebackers coach makes more money than its university president. University President Stuart Bell’s salary is $755,000.
“This likely reflects the fact that outside linebackers impact the Tuscaloosa campus more than, say, National Merit Scholars. It also brings to mind 1930, when Babe Ruth’s $80,000 salary eclipsed President Hoover’s $75,000 salary; called on it, the Bambino said, ‘I had a better year.’
“Still and don’t get me wrong, I realize that Alabama’s outside linebackers are the Lamborghini of outside linebackers. It’s hard to fathom that Lupoi makes nearly a million dollars annually just to deal with outside linebackers. Somehow he doesn’t have enough time in the day to give even a sideways glance to an inside linebacker.
“Of course, this all starts at the top, with Alabama Coach Nick Saban, at $11.125 million this year, the nation’s highest paid public employee. Some argue he is undercompensated; the entire state economy apparently is tied to Saban’s ability to go 12-1 every season.
“Just below Saban are defensive coordinator Jeremy Pruitt, earning $1.3 million, and offensive coordinator Brian Daboll, earning $1.2 million. Saban, clearly and correctly, favors good defense over good offense to the tune of 100k a year.
“Meanwhile, the Crimson Tide’s strength and conditioning coach, Scott Cochran, makes $535,000. I also have no problem here; strength and conditioning are the backbones of America, though tragically omitted from our founding fathers’ Declaration of Independence.
“But where I draw the line on athletic excess is this: Cochran lords over a 36,000-square-foot weight room; as a rule, Coach Slouch sees no reason any weight room ever need to exceed 30,000 square feet.
“Texas has remodeled and renovated its football locker room and weight room. Man, evidently you cannot run a first-rate FBS program without state-of-the-art dumbbells.
“But let’s bypass the weight room here and focus on the locker room.
“Extravagant locker rooms are all the rage. Texas A&M’s new facility includes a barbershop, UAB’s facility has a nutrition center and Clemson’s sports two bowling lanes.
“Which brings us to Austin, where each player’s locker at Texas cost $8,700.
“Uh, $8,700 FOR A LOCKER?
“I mean, this is where you keep your cleats, your jockstrap, your deodorant and, back in the day, a copy of Playboy. But these are no ordinary lockers; above each of the 126 lockers, where a nameplate might normally be, is a 43-inch video monitor.
“That’s right, a locker room with 126 flat-screen TVs.
“It’s essentially Buffalo Wild Wings, without the liquor license.
“Maryland unveils an almost-paid-for new indoor football practice field. My spiritually bankrupt and financially bereft alma mater continues to push that in-the-red athletic rock up the hill, trying to keep up with the Joneses and Harbaughs in the Big Ten.
“To that end, they have renovated Cole Field House, with a center for sports medicine, an academy for entrepreneurship and the school’s first indoor football home.
“It’s a shiny new penny! Go Terps!!!
“I hope it doesn’t cost too many nickels and dimes.
“Actually, it cost only $155 million, mostly privately financed, with fiscally challenged university president Wallace Loh saying the project has raised two-thirds of its $90 million fundraising goal.
“So they have built something rather expensive that they have not paid for yet. Reminds me of the first rule of money management: Live within your means.
“I hope there’s at least a nice weight room in there.”
Detachment of athletics from academics is 90 percent complete in NCAA Division I football and basketball. We should hold up that track record as the example of what will happen when, step by step, we expand the scope of school sports. Intersectional and national events for high school sports teams are not merely expensive frills; they are dangerous.