Skin form expiration

I've heard the form needs to be signed within a week of weigh in for Subs.
However, it appears from the form and the rules that the physician sets the treat start date, date wrestler can return, and the expiration. I have a wrestler who saw a physician last week (~10 days from Subdistrict weigh in), and it would be good to confirm the paperwork is appropriate.

Our bi-laws state the examination date on the form can't be more than 7 days old. You will need a new skin form each week.

Tom, what about eczema (which is not curable OR contagious) I have been using the skin form for each seasonal year and have never had issues with it. Clayton has had it since he was about 3 or so. Just like psoriasis, it cannot be transferred. Just something to think about and possibly bring up in the meetings for next year. Now I'm a little Leary about going to skin checks with and "outdated" skin form...

Also, when you say "each week" do you mean just during the 3 week state run?

According the the skin release directions, one release is good all year for eczema. It would be good to know now if it isn't, we would be in the same boat.

Wow these by laws need to be changed. What is the point of having an expiration date on the form if it is just going to be ignored. This could get very expensive with copays to make a Dr. visit 3 weeks in a row bucause the powers that be will not take a Dr. recomended expiration date.

Disagree.
One out of 10 children have eczema. Eczema is a highly inducible secondary bacterial opportunity for staphylococcus aureas which may include MRSA (methicillin resistant staphylococcus aureus) generally treatable with bactrim ds (sulfa derivative), streptococcus, HSV, molluscum contagiosum.

Eczema is easily able to be kept in remission with topical lotion and corticosteroids its the secondary infections that love to interact with the "atopic dermatitis" broken, chafed, irritated & inflamed skin layer. Stress as well as heat is a factor in exacerbating the condition. Keeping the skin in check is important for all children.

Yes I agree, but who is to determine and go against the instructions on the form itself. I am not talking about lesions or anything else but sometimes and outbreak or eczema can be looked at like a ringworm.

I still chuckle about the kid that reported "some where in the USA" with oral griseofulvin (antifungal) for a silver dollar sized ringworm (tinea corporis) oozing and the healthcare provider stated the child "should be ok to wrestle" after taking one pill and presenting with an oozing facial ringworm & taking 1 pill. Parent wasn't too happy---on denial--- a walnut oozing cheek really doesn't't happen over night.

Also, don't neglect scalp checks for tinea capitus.....easily spreads to others via sweaty heads.

Wow, so I guess there is confusion from the sounds the above conversation. At this point, one with Eczema or similar issue either has to pay for 3 Dr. visits over the next 3 weeks to get a properly dated form, or run the risk of a rule application "judgement call" that kicks your kid out of State. Seems illogical.

In general, most healthcare providers are NOT going to "make you pay" three times for a signed form in a sport series when they have a good rapport with you & your child. Perhaps once and then may understand your needs with them taking a quick peek. There still remains professional courtesy in the world of healthcare.

I don't know of any Dr that would "examine" a patient without charging for it. The form has date of exam on it that means a Dr must look at the area and no Dr is going to do this without an appointment and charging for said appointment unless you can find one to just date the paperwork and sign it. My son was treated in early January and treatment left a scar, since then I have had to show paperwork on the area over a month later because of scar and now I am going to have to pay to get paperwork done that I already have. It is dated to expire at the end of the month but the powers that be will not accept that date on the paperwork why do we have this on the paperwork if it is not going to be accepted.

I respectfully disagree.

Eczema is not easily kept in remission with all cases. There are in fact several different variables to consider when looking at causes for this condition. In my sons case, he is highly allergic to several foods and almost all trees and grasses, all of which cause his eczema to flare. Environmental factors are impossible to control. We have been to 3 different drs for help with this (even drove to KC to see a specialist).We go to see a Dr. every week to look at his skin and fill out the skin release form. Question to Tom also, Is a Dr. note sufficient in these cases or will someone look at the flare up and determine who wrestles and who doesn't regardless of following the rules and completing skin form accompanied by a Dr. note?

I don't officiate kids, and haven't read the bylaws, but the concept should be the same as the HS rule. Any condition or mark or whatever is only an issue if the official has some good reason to believe the condition has not cleared up despite the doctor's "cleared to wrestle date." The 7 day deal has to only apply to suspicious situations. Some conditions, such as the one this gentleman mentions, leave marks. Other times kids have rug burns, scabs, or cuts, that's not what the rule is about. Generally, if the condition is "dry" and appears to be waning its not an issue. If its "wet" then there's going to be a problem and a note may or may not resolve the situation. I've seen kids with a perfectly "good" note not be allowed to wrestle. Doesn't happen often, but sometimes you have to make the call. Nobody likes to see a kid not get on the mat for any reason, but some of this skin stuff stays with you for life. My rule of thumb is that I don't want to take anything home to the family.....

I believe the "new" HS rules allow for an "annual" note for chronic, but not contagious, conditions.

That said, I would not rely upon common sense or the good graces of whoever is running the show and would make sure I had a current note for the post season, if I had any doubt.It doesn't do much good to be right on Sunday morning if your kid didn't wrestle on Saturday.

"in it to win it", did you plagiarize or did you pull that out of the ole' wazoo? he he

Anyone with a kid with Eczema, try Cortisone 10 plus, if used daily (we always forget), it will clear it up for an extended period of time over using lotions or just hydro-cortisone. Winter time or dry seasons always seem to flare up my Son's case. Also, covering it up during practice with one of those arm sleeves and a large band-aid with Triple antibiotic helps tremendously IF you remember:)

Also, if you DO NOT have a skin form at state, they will not let you wrestle!!! Luckily our pediatrician was open last year early or we would have not wrestled that day.

Hey Jimmy--
Sent you a pm with street & professional credentials. No plagiarism here good buddy, just 30 years of practice. Justifiable.
Ricki

FYI: 25% of the population actually adheres to any kind of medical regimen advised by a healthcare professional. How can someone "forget rx./tx. that 'controls' a chronic condition"?? SMH till the end of time.......

Jimmy,
I am no expert on skin issues. Luke had a spot under his eye and I had to get a new form 4 weeks in a row. It's a pain, however better than not wrestling.

Thanks Tom, good luck to Luke this weekend buddy, see you soon!

So you would risk your child not being able to wrestle. My son has a scar and it has been questioned on two seperate occasions and I had to show skin form, now I have to go pay my $25 dollar copay per visit to get the same form filled out and redated and because the form says "Exam Date" I have to actually make an appointment and go see the Dr. I just got back from the Dr. office and they would not fill out the paperwork without actually doing an exam these bylaws need to be changed. I already have my appointment made for next week. Damn kids anyway.

I guess I'm not following. The instructions on the skin release state that if the diagnosis is ezcema then one form will work for the year. If the release from the doctor states ezcema and the approximate part of the body that it bothers, why would this not work?

In our case it was not ezcema it was molescum and it was in the begining of January, when the Dr burned or froze or whatever you want to call it, there is a scar there now and it is not oozing, scabed or anything like that it is just a perfect round scar that has been questioned by people that don't know what they are doing when it comes to skin checks. I have had the sheet to show them and I will have new sheets the next couple weeks. My complaint is that what is the point of an expiriation date on the form if we are not going to follow what a Dr. says is safe to do. I will spend my $25 today to get my son cleared for this weekend and since he only has 3 other kids in his bracket I will spend it again next week and if he makes it through district I will spend it again, but that is not the point, I should not have to go to the Dr. three weeks in a row when the paperwork clearly has an expiration date on it.

Matt will be posting clarifications about the skin form and requirements today. I was wrong in stating the form must be 7 days or less old.

What about for stitches? Anything needed?

Skin Release Forms
Kansas Kids Wrestling does not have a 3 day or 7 day requirement that a form must be signed before a tournament – the 3 day wording comes from an example given on the back of the skin release form under "Important Components for an Effective Form", paragraph 3. It is just an example, but not a rule.

The skin release form USAWKS uses lists an "expiration date" and an "earliest date may return to participation". As long as the form compeltely filled out (for the current season)and covers the present skin lesion, then the wrestler should be allowed to participate - unless an appropriate health care provider is present at weigh-in, and overrules the form. The KSHSAA has defined an appropriate health care provider as an MD, DO, or PA-C. With that said, the head tournament official always has the final say.

Rule 4-2-5 specifically covers a "specific condition such as a birthmark or other non-communicable skin conditions such as psoriasis or eczema . . ." That rule is designed so a wrestler does not have to get the form redone multiple times during a season for such a situation.

Our By-Laws require a physicians letterhead or prescription form to accompany the skin release form, however, our skin release form does not say anything about that requirement. Because such a requirement is not listed on the form, it would unfair to require such letterhead or prescription form from the doctor to accompany the skin release form. Therefore, no letterhead or prescription form is required.

Matt Treaster
Executive Director
Kansas Kids Wrestling

Maybe I have a misunderstanding here, but I have always been under the impression that if a By-Law needs to be changed it has to go before the state body meeting. Is this not actually the case? If this is part of the By-Laws how can it be changed now not to require a letterhead or prescription form attached to the silhouette form?

For the record this seems like a really bad idea not to require the letterhead or prescripton form even if it doesn't state it directly in the silhouette form. It basically allows anybody the ability to print off a form and fill it out themselves. It doesn't give the officials performing skin checks any additional ability to verify that the skin problem is not an issue.

Rich Zimmerman

So you expect every parent to go through and read all the by-laws to figure this out? If it is not on our skin release forms how would anyone know that the letterhead or prescription is required?

No I don't expect parents to be required to read through the bylaws to figure out this is required. I don't think it is unreasonable though to expect club directors to know the rules by which they are being governed and to read through them and know that it's a requirement. They could then inform their parents of this requirement when getting a form filled out.

I know that we tell everybody that wrestles for Salina of the requirement, that I make it a requirement at our tournament, and that we tell everybody that has a skin issue when we are asked to host a satellite weigh-in of the requirement.

Rich Zimmerman

My son came down with Impetigo a couple of weeks ago. It seems that this season has had a lot of skin diseases, more than I remember in the past. Impetigo is pretty nasty, so take precautions if your wrestler exhibits any skin irregularities (go see the doctor).

Salina was a tourny where we were questioned about a scar I showed the skin form without any letterhead or prescription and we passed skin check we were not asked to show letterhead or prescription

Jeremy if that was the case, then you probably got by skin checks when you shouldn't have. I can tell you that I sent a whole lot of people to StatCare even though they had forms because they didn't have a letterhead or prescription form attached to it. If your wrestlers got booted from State for a skin disease he got from somebody with a bogus form at Subs or District I would imagine your view on the subject would change.

Regardless though of whether you got by at Salina or not, this rule is in the bylaws and should be followed. The argument that "I didn't know" doesn't exclude you from having to follow the rules and guidelines.

Sorry Matt, I don't see anything under the By-Laws for Rule 4-2-5

Is it under Kansas Kids' Bylaws (effective 10/30/2011)
or Bylaws of USA Wrestling-Kansas, Inc.?

The by laws need to be changed or this rule needs to be put on the form that is being provided on this website by usawks. I had never heard of this rule before it was brought up here and have never seen it enforced at any tourny, but I guess I will be going back to the Dr again to get some letterhead.

Rich, in this day and age of computers your arguement on people filling out their own paperwork does not hold water, anyone could create paperwork that had letterhead on it.

Jeremy, I totally agree with you that it should have been stated on the form once that By-Law was created. I even think the form that's on the website needs to be updated immediately to conform to the By-Laws. I don't know when that By-Law was initially created, but somebody at some point in time must have dropped the ball on that.

I'll also agree that if somebody wants to bad enough they will find a way to cheat the system. I don't necessarily think that because a small percentage of people will find a way around it makes the rule flawed. I don't see what the problem with is with getting a letterhead or prescription pad attached to the form for those people going to the doctor. I guess we will have to agree to disagree on the usefulness of the By-Law, since I don't see either of us changing our opinion on it. It sounds like this is definitely something that should be brought up at the State Body meeting though.

I still would like to hear clarification from somebody on whether the By-Law can be changed without it going before the State Body though. Like I stated earlier, it was my understanding that this was a requirement. Maybe Tom, Matt or Richard could clarify that for everybody.

Rich, I don't have a problem with having to get the letterhead my problem is with not knowing about it, most parents don't talk to their club directors or head coaches when it comes to filling out skin sheets they just print them off and go to the Dr and I believe you are correct the by-laws can't be changed without going before state body.

Anyone see Rule 4-2-5 in the by-laws? Thanks

I'm guessing he got the number of the rule wrong Jimmy. Rule 4-2-3 which falls under the section on Tournament Operations is on page 19 and states the following.

The written documentation must consist of the form designed by USAWA-Kansas Kids, Inc. This form must be accompanied by a physician's letterhead or prescription form.

Let me just say, I had to make a last minute appointment for my son with ezcema to get all the requirements on the form that everyone is complaining about. The D.O. was floored when I told her everything that was needed.

Thanks Rich, saw that but still doesn't clearly explain the subject of non-communicable skin disorders. I think I'll play it safe and just get a new form. This definitely needs to be addressed at all district/by-law meetings in the fall. Smithy, it IS indeed a pain, I had 30 minutes to do it in last year at state... Good luck to ya.