Over Our Heads

June 29, 2012

In last month’s Wired magazine, Vint Cerf of Google cites American computer scientist Alan Kay’s comment, “The best way to predict the future is to invent it.”

Wired’s Thomas Goetz writes, “Too much of the technology world is trying to build clever solutions to picayune problems.”  (A quick look at the more than 1.2 million mobile phone applications available free or for sale in our world today – growing by 2,500 per day – makes the observation abundantly clear that many great minds are being wasted on the mundane, silly apps that do nothing to improve the quality of life for humankind.)

Goetz would have these talents aimed at much higher order needs of society.  “These times especially call for more than mere incrementalism.  Let’s demand that our leaders get in over their heads, that they remain a little bit naïve about what they’re getting into.”

And what might “going beyond incrementalism” look like for us in school sports?  Well, on just one topic – health and safety – it might mean, as provocative samples to stimulate bigger and better ideas:

      • Restricting kickoff returns, punt returns and interception returns in football – the three most dangerous times for players.
      • Reducing heading of the ball in soccer to reduce the effects of repeated blows to the brain.

      • Requiring all head coaches to complete CPR training, and requiring all coaches on all levels to complete an online coaching fundamentals course within their first two years of coaching.

      • Presenting an AED with every MHSAA tournament trophy – District, Regional and Final, for both champion and runner-up – during each of the next four years.

In any event, we need to avoid the distraction of meaningless matters and fix our focus on larger issues, and risk raising ideas and making changes that could have more lasting impact than incremental changes.  Just talking about these things begins to send messages that improve school sports.  Doing some things like them would actually invent our future.

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.