Swimming Lessons

January 19, 2016

I found a place between Christmas and New Year’s Day that was out of Internet reach. For four days and three nights I spent most of the days in the water looking downward into an ocean of coral canyons surrounded by swarms of colorful fish, and much of the nights on the open deck of a catamaran looking up at a nearly full moon moving between stars and swirling clouds. Here is some of what I learned from experiences, rather than from Google, on those days.

First, flying fish really do fly, on average, about the length of a football field.

Second, sea urchins have an edible element, if the spiny critters are smoked in a fire of coconuts and palm fronds and then soaked in saltwater, and if you are either desperately marooned on some remote island or just trying to be nice to the local residents you just met who believe the urchin's slimy, salty core is a delicacy that hospitality requires be shared and graciousness demands be appreciated.

And, more relevant to the work we share that I tried unsuccessfully to tune out for these four days, I learned ...

What you see in the ocean is distorted until you put on your goggles and get beneath the surface of the water. Getting beneath the surface of things is necessary for clear vision.

What you see first is likely to be the flashy fish, while the greater significance is observed more slowly in what appears to be their inanimate habitats, which turn out to be alive with movement if you wait and watch for it. Patience is necessary for clear vision.

The wavy six-inch line of purple coral was really the lips of a large clam that actually separate a fraction of an inch every minute or so to take in the nourishment of the sea. The brown stump below it was really a sea cucumber that actually moves an inch or two a day to vacuum the ocean floor. I saw none of this until I got beneath the surface, and waited.

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.