TIP: Click on subject to list as thread! ANSI
echo: grand_rounds
to: MARILYN WHITNEY
from: MATT SMITH
date: 1996-06-12 23:38:00
subject: Re: SCHOOL PHYSICALS

MW> MS>KU> The kids PERSONAL Doc when he/she does the physical that can
MW> MS>KU> be mandated by the school prior to taking place.  It can be 
MW> done
MW> MS>KU> in  the 
MW> MS>KU> DOCTOR's office as opposed to the school, it can be done by a
MW> MS>KU> person  the 
MW> MS>KU> kid 
MW> MS>KU> is familiar with and if the person doesn't want to do it, then
MW> MS>KU> is there  no 
MW> MS>KU> coercion to do it...you just don't play sports.
MW> 
MW> MS>    Pennsylvania schools at least used to just send home the 
MW> physical
MW> MS>form  and a note telling parents to take the kid to the family's
MW> MS>doctor and have  him complete the form by a certain date.
MW> 
MW> MS>    Playing football is a personal _choice_.  Being herded into a
MW> MS>room and  ordered to strip isn't.
MW> 
MW> In our community the "herd" approach to physical exams in the schools 
MW> applies to the student athletes only.  The biggest reasons we 
MW> physicians 
MW> are asked to donate our time to this is that the parents are not 
MW> willing 
MW> to take the child to the family physician for a proper exam.  $$ 
MW> speak.  
MW> $10 vs. $36.  Ultimately it is the parents responsibility.  I'd like 
MW> to 
MW> see the "herd" evenings eliminated myself.  I hate doing them and 
MW> don't 
MW> think the kids get the care they need.  The exam at that age is only 
MW> part of the story.  Education as well as immunizations are missed in 
MW> these types of exams.  
    Again, playing football is a _choice_ rather than _coercion_!
    But there is another issue you raised: American public schools are doing 
less _teaching_ as they are transformed into full-service social-service 
centers.
MW> Examination of the genitals is an appropriate part of the 
MW> "pre-sports" 
MW> exam at least in male athletes to screen for inguinal hernias.  To do 
MW> less is incomplete.  
    I'll agree.  
    But that doesn't relate to what was done in Pennsylvania to _females_!
--- Simplex BBS (v1.07.00Beta [DOS])
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* Origin: NighthawkBBS, Burlington NC 910-228-7002 HST Dual (1:3644/6)

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