Better health and wellbeing for allBMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m250 (Published 23 January 2020) Cite this as: BMJ 2020;368:m250
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David J Hunter, effort to focus on various issues of “Better health and wellbeing for all” is really appreciable. All policymakers and Governing agencies including WHO must hardly work on it for maintenance and improvement. But I would like to focus on a few issues which are beyond the reach of linear Medical science. Now a day the paradigm shift occurs in the health care sector. Presently pharma industry has upper hand than any government in the innovation of new drug molecule. Arnold Relman Professor of Harvard University and former editor of NEJM says "The medical profession is being bought by the pharmaceutical industry, not only in terms of the practice of medicine but also in terms of teaching and research," Presently diagnosed made by using linear medical science either by skilled or hypo skilled GPs is almost based on lab reports! If laboratory reports are abnormal, asymptomatic healthy person is “medicalised and drugged or operated upon” (1), irrespective of truth whether he or she is suffering or not.
Lord Platt a great teacher of medicine of the Twentieth century in 1949 wrote that “If you listen to your patient long enough, she/he will tell you what is wrong with her/him,”
Total body scan (TBS) including plasma glucose has become common in rich peoples of the routine national programme in developed as well as developing countries. TBS make healthy individual ill and who will rarely become healthy as Professor Isan burg says.
On a superficial view, everything looks worthy. How you measure worthfulness? How we will decide the normal or plasma range totally based on Statistics.
One more instance the condition Postmenopausal Osteoporosis Is an Age-Related Physiological Change and Not A Disease. But still, there is controversy on calcium density of bones and age.
Obesity is one of the health risks of HRT and while usage of antibiotics increases lipid peroxidation which increases the outweighs ( 2) ( 3) ( 4 ) ( 5 ) (6. )( 7). Here lack of immunity or estrogen is not the only reason for postmenopausal osteoporosis. The latter is definitely age-related.
In present we giving more importance to the linear than non-linear concepts to analyse vibrant human body system. Academicians indulge in forecasting the impulsive future of their patients.
Research reveals that consistent, systematic physical exercises reduce the risk of various types of cancer, as well as cancer-related death rate, comes down (8) like on.
Before conclusion, it is better to recall the words of former MAHE vice-chancellor Hegde BM, what he mentioned in his book? “What Doctors Don't Get to Study in Medical School “words “ All of us wash our body daily, but we fail to wash or change our mindset our mind is a central part of the body as it resides in every cell in the as a quantum and Molecular biology has brought encouraging changes in the cells by beliefs. These beliefs are an integral part of the operations of the brain (9)Same view supported by American theoretical physicist, futurist Michio Kaku.
In conclusion, critics note that every new disease for which the pharmaceutical industry provides a drug for major public health-related issues. So it is the duty or responsibility of every health care professional must focus on Non-linear methodologies to deliver better health care to the community.
1 Douglas G Altman. The scandal of poor medical research. BMJ 1994; 308:283-284
2.Janice Hopkins Tanne. Hormone trial for disease prevention stopped early. BMJ 2002; 325:61
3.Suzanne W. Fletcher, Graham A. Colditz, Failure of Estrogen Plus Progestin Therapy for Prevention. JAMA 2002; 288: 366-368
4.Beral V, Banks E, Reeves G. Evidence from randomised trials on the long-term effects of hormone replacement therapy. LANCET 2002; 360: 942-4
5.Shumaker SA, Legault C, Rapp SR, Thal L, Wallace RB, Ockene JK, Hendrix L, Jones BN 3rd, Assaf AR, Jackson RD, Kotchen JM, Wassertheil-Smoller S, Wactawski-Wende J; WHIMS Investigators. Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women: the Women's Health Initiative Memory Study: a randomized controlled trial. JAMA 2003; 289: 2651-62
6.Zandi PP, Carlson MC, Plassman BL, Welsh-Bohmer KA, Mayer LS, Steffens C, Breitner JC; Cache County Memory Study Investigators. Hormone replacement therapy and incidence of Alzheimer disease in older women: the Cache County Study. JAMA 2002; 288: 2123-9
7.Susan M. Resnick, Victor W. Henderson. Hormone Therapy and Risk of Alzheimer Disease. JAMA 2002; 288:2170-2171
9.Sathyanarayana Rao, T. S., Asha, M. R., Jagannatha Rao, K. S., & Vasudevaraju, P. (2009). The biochemistry of belief. Indian journal of psychiatry, 2009;51(4), 239–241. DOI:10.4103/0019-5545.58285
Competing interests: No competing interests