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Reality Check

July 29, 2016

In Garrison Keillor’s fictional Lake Wobegon, Minnesota, “all the children are above average.” The greater fiction is that most parents believe their children are way above average, especially when it comes to sports. On that topic most parents are badly in need of a reality check.

A colleague at the MHSAA showed me a letter from the CEO of the Amateur Athletic Union to my colleague’s eight-year-old daughter announcing that she had been selected for a national publication that would identify the brightest future stars of women’s basketball, for a fee of course. A scam certainly; but how many other people might be taken in by this, or contribute to it “just in case” because they wouldn’t want to do anything to discourage their child’s ascension to stardom?

The MHSAA’s Task Force on Multi-Sport Participation has identified delusional parents as one of the greatest contributors to athletic specialization that is too early and intense, forcing some children out of sports too soon and leading them toward a life of inactivity and obesity, while leading the chosen youth toward overuse injuries that can be equally damaging to adult fitness.

This task force is developing strategies to help inform parents of elementary children that their children will almost certainly not participate in either college or professional sports but, with adequate attention to physical fitness, nutrition and sports sampling, most children can be involved in interscholastic athletics and remain active and fit for life after high school.

Among several task force strategies are a “Reality Check” video for parent meetings and printed pieces on “What Parents Should Know” with units by medical personnel, physical educators and coaches.

These efforts won’t change the world. They are, however, a small part of what we can do, have an obligation to do and will do to promote the health and safety of this and the next generation of young people.

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.