clinic

Human health and filling in the gaps

There are seemingly no clear boundaries between health and disease of humans. From one side the judgement of one’s health may be subjective, and from the other side the feeling of being healthy or sick may be intermingled in the different parts of the same day. One of the most impactful insights in medical sciences is to find the appropriate definition of health and disease statuses. The definition of health laid by the World Health Organization states health as “the state of complete physical, mental and social well-being, and not merely the absence of disease and infirmity.” Apparently and in practical terms no one on Earth would fit to the WHO definition as being a healthy human.
The human health, being the sum of several biological components or entities, should not be regarded apart from its inherent dynamic nature. It can, therefore, be considered and expressed in hand of mathematical probability estimation. The human health may be, accordingly, defined as the state of satisfactory physical, mental and social showing in average life conditions with or without auxiliary means in terms of lifestyle and/or medical treatment. Therefore, in light of this definition while health state judgment may be individually tailored and appreciated, the presence or absence of certain physical or psychological disease state would be regarded as a constitutional health element for every individual. For the delineation of such constitutional health elements, physicians and other health scientists may succeed in writing down all known conditions (or diseases) with their different possible classifications.
Such dynamic nature of human health should give a red alarm to physicians not to make statements on one’s health based only on some data in limited clinical sessions or visits. In many cases, closer observation and more rigorous data collection may be needed before the health state of an individual can be judged.
On handling certain health condition, the natural body resources and compensatory reserves (so-called natural healing power) should not be overseen, but rather boosted and encouraged. In other words, the medicines; if they are clearly indicated, should be given prudently so that such natural resources and reserves would still be desirably in action. The benefits of such prudent medical conduct include: 1) preservation and boosting of natural healing would ensure permanent or durable cure and reflect positively on longevity, 2) giving less medicines with less chances for side-effects and with lower cost, and 3) deliberate ‘undertreatment’, i.e. prudent treatment, would allow easy-to-follow life style and help avoid iatrogenic (of doctor origin) and accidental overdosing.

clinic

Orthotherapia (orthocura) – an interview –

orthotherapia (orthocura)

Interviewer: Hallo, everybody! Welcome to this episode of “medical views”. Today, we have another very exciting view of medical care, namely “orthotherapia or orthocura”. Let’s greet our guest; Mr. Physician 21, welcome back to our program!

Physician 21: Thank you. I am very happy to be with you today.

Interviewer: Would you explain the core concept of your orthotherapy?

Physician 21: Well. To start with, the idea is not by any means very novel but more it gathers and harmonizes some basic medical principles in a well structured and meaningful medical philosophy.

Interviewer: So, what are the main pillars of your idea?

Physician 21: Orthotherpia or orthocura claims that among all possible medical care regimens there could be only one that best suits a given medical case. While in this regard the conception of a presumed bodily functional hierarchy would be in the centre, some medical peculiarities are also much concerned including patient type, medical remedy type and mode of application.

Interviewer: Very fine Mr. Physician 21. Now, we are about to get that well structured and meaningful medical philosophy of orthotherapy. Would you bring us closer to those very interesting medical presumptions; first, what do you mean by bodily functional hierarchy?

Physician 21: The bodily functional hierarchy would mean that the various physiological functions and their body organs may be ordered in such hierarchical manner so that one function would be prioritized in respect to another. An example could be: lung > stomach > heart > liver and spleen > muscle and bone > gonad and kidney > brain. Such conception of possible hierarchically ordered body organs would help appreciate disease evolution from one side and disease management order from the other side.

Interviewer: How nice! We would perceive a glimpse of ‘alternative medicine’ in that presumption of bodily functional hierarchy, would you say that?

Physician 21: Well, I should say that I am not an expert in alternative medical methods. Anyhow, as I already said in the beginning the idea may not be very novel and it should make use of much of the well known medical arts.

Interviewer: Would you give practical examples to further explain that?

Physician 21: Well. Let’s consider a case of fever with signs of dehydration. The dehydration may be first corrected by giving appropriate fluids and then the body temperature could be assessed and managed accordingly. In such case, prioritizing fever to dehydration would be inappropriate and cost-ineffective. Another example could be the improvement of anxiety which reflects neurologic stress on practicing some suitable kind of sports. Again, in that case over consumption of anxiolytics may be cost-ineffective.

Interviewer: you mean that in handling diseases it makes great sense which disease or organ function to consider first to achieve a rather smooth and nature-coping healing process.

Physician 21: That is it. Thank you.

Interviewer: To summarize, “orthotherpy” or “orthocura” would emphasize the significance of choosing the management regimen with the presumption of natural hierarchical order of body functions and systems. Thank you very much. Mr. Physician 21 for this very interesting information.

Physician 21: Thank you too.

medical ethics and bioethics

Physician and physical contact

In the medical field ‘physical contact’ usually implies the medically required contact with patients and its aspect of disease communicability. However, this generally perceived view may need some reform to emphasize the two opposite sides, the profits and the risks. Although modern tools of communication could be of great help, they are used only in cases where direct contact of the doctor with patient is instantly not manageable. What kind of blesses a skilful physician can have in his/her attendance! The look; the affection; the touch; the wisdom and the proof. This may refer to the true start of the medical care from mind and not matter, from tact but not tempt, from thoughtfulness and not automaticity. Some people can argue metaphysical working in even lay and plain dealings and for them the medical cases wouldn’t be exceptions. The medical tactfulness can be gained in steps and over time. It comprises emotional, behavioral, ethical and medical progresses. In my opinion, the value of the clever physician lies in the lengthy and subjective path to acquire such collegial attitude and not only the cost and difficulty of the academic courses. Should the physician’s responsible physical contact be rightly and adequately perceived by the patient, this can be a subject of individuals’ variations. For example, rubbing the hairs and cheering up of a child in a medical session may not look well reasoned by the child’s parent(s). Accordingly, the physician may show sympathy and encouragements just as little and sufficient as possible to balance between his/her emotional generosity from one side and the patient’s understanding and conception from the other.