Misdirection

July 22, 2013

During the summer weeks, "From the Director" will bring to you some of our favorite entries from previous years. Today's blog first appeared May 22, 2012.

I often arrange my days so I can see their sunrises and sunsets; so I have seen more of them, and paused longer over them, than most people I know. But in spite of the large number I’ve seen, I still have some favorites.

Without question, my most memorable sunrise was observed this past January as I stepped out on the balcony of a hotel room in Panama City, cup of coffee in hand, and watched a huge, red-golden sun rise out of the Pacific Ocean. That’s right, the Pacific!

I was in one of those relatively rare locations in the world where the Pacific Ocean is located east of the Atlantic Ocean.

Nearby, great ocean-going ships were traveling east through the Panama Canal in order to reach their western destinations more efficiently.

And beneath the ocean surface, the trim tabs of the huge ships’ rudders were being turned to the left to help the ships steer right, and to the right to help the ships steer left.

Sometimes it is quicker or more economical or just more acceptable to go in one direction for awhile in order to reach an ultimate goal that’s in the opposite direction.

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.