The Life-Giving & Healing Energy Fields of The Forest

  

Some years ago, I attended a talk on forest bathing given by a lady who brought her entire family including her newborn baby to live in a forest even though she had a comfortable home in Petaling Jaya, a satellite township adjoining Kuala Lumpur, the Federal Territory and capital of Malaysia. I have forgotten all what she said by now, except she mentioned the benefits living in a jungle.

The talk was organised by CanSurvive Bhd, a charitable society for cancer patients and for cancer prevention. 

She spoke about the health and healing effects of living in a forest surrounded by trees all round. About a year and a half later my wife told me she saw over TV how South Korean doctors advised their cancer patients to stay in the forest as part of their cancer treatment. The patients did as advise, and all of them had their cancer completely cured.

I thought this over and I am convinced that there must be some healing energy emitted by the living trees surrounding a sick person.

 Forest bathing, also known as "Shinrin-yoku," is a Japanese practice that involves immersing oneself in a forest environment to promote physical and mental health. The term was coined in 1982 by the Japanese Ministry of Agriculture, Forestry, and Fisheries as part of a national public health program.

Forest bathing is not simply entering into the jungles or a forest for a short while.  It's about engaging with the forest environment in a mindful, sensory-oriented way. This practice encourages individuals to slow down and connect with nature through their senses: sight, sound, smell, taste, and touch. Being surrounded by an abundance of living trees and plants has been shown to have physical health benefits to lower levels of cortisol, the hormone associated with stress. It has been shown to improve immune function by exposure to phytoncides, antimicrobial compounds released by trees.

It was also shown that time spent in nature can help reduce blood pressure and heart rate and enhance recovery rates.  Patients recovering from surgery or illness often heal faster when exposed to natural environments. Nature exposure has been linked to lower rates of anxiety and depression, improved mood, and increased feelings of well-being.

Other health benefits when exposed to a natural environment can help improve concentration and cognitive function, and it can foster creativity. Besides that, exposure to natural light and environments can help regulate sleep patterns. Forest bathing also confers cognitive benefits by improving attention span and reducing symptoms of ADHD in both children and adults. It is also believed that time spent with nature has been associated with improved short-term memory. These are what is believed by immersing ourselves in a forest or a jungle.

These are beliefs, but how does forest bathing work? The mechanisms through which forest bathing confers its benefits are multifaceted and involve both psychological and physiological processes.

First, engaging the senses helps to shift focus away from stressful thoughts and brings attention to the present moment. The sounds of rustling leaves, the scent of pine, and the feel of moss all contribute to this immersive experience.

Second, from the scientific point of view, we know that trees and plants release phytoncides, which are volatile organic compounds that protect them from insects and disease. Inhaling these compounds can increase the activity of natural killer (NK) cells, a type of white blood cell that plays a critical role in the body's defence against viruses and cancer. 

Coincidentally, natural killer cells (NK cells) are probably the most important immunological cells against cancers. See explanation here:

Our Body’s Own Natural Immunological Battle Against Cancers

https://scientificlogic.blogspot.com/2024/05/

 Third, forest environments typically have higher concentrations of negative ions, which have been associated with improved mood and a reduction in stress and depression.

Fourth, there is also the visual impact of green colour and natural scenery that can have a calming effect on the mind and body, promoting relaxation and reducing mental fatigue. We all accept this very nice feeling even through a short walk in the forest

Firth, even gentle walking can improve cardiovascular health, muscle strength, and overall physical fitness.

Sixth, forest bathing often incorporates elements of mindfulness, encouraging individuals to be present and fully engaged with their surroundings, which can reduce rumination and stress.

But how do we implement forest bathing?

First, choose a location. find a suitable forest or natural area where we can spend uninterrupted time.

Second, disconnect ourselves from the artificial and material world. We turn off electronic devices to avoid distractions to engage our senses by focusing on the sights, sounds, smells, and textures around us.  Breathe deeply and move slowly.

Third, try to let go of any specific goals or agendas. The aim is to simply be in nature.

Fourth, while even short sessions can be beneficial, spending 2-4 hours can maximize the health benefits.

Simply put, forest bathing is a holistic practice that leverages the therapeutic effects of nature to promote overall well-being. Its benefits are supported by a growing body of research indicating improvements in physical health, mental clarity, and emotional balance. The mechanisms involve sensory engagement, exposure to phytoncides and negative ions, visual relaxation, light exercise, and mindfulness, all contributing to its restorative power.

The idea that forest bathing can have profound effects on health, including cancer, is intriguing as advised by South Korean oncologists and reflects the broader interest in the potential therapeutic benefits of nature exposure. However, the assertion that patients emerged cancer-free purely as a result of forest bathing needs careful consideration within the context of scientific evidence. I think we should not depend on forest bathing as a standalone therapy for cancer management. It needs to be augmented by a multi-faceted approach for the best outcome. While there are numerous benefits to forest bathing, it's important to understand the mechanisms and evidence behind these claims.

One of the mechanisms potentially involved in cancer treatment using forest bathing is the enhancement of immune function. As already mentioned, trees release phytoncides, which have been shown to increase the activity of natural killer (NK) cells in the human body. NK cells play a critical role in the body’s defence against tumours and virus-infected cells. Coincidentally, natural killer cells (NK cells) are probably the most important immunological cells against cancers. This is well-accepted by immunologists. See explanation here:

Our Body’s Own Natural Immunological Battle Against Cancers

https://scientificlogic.blogspot.com/2024/05/

Spending time in forests has been associated with improved immune function, which could theoretically support the body in combating cancer cells more effectively.

Then we also consider the benefits of stress reduction and anxiety.  We know as scientists and clinicians; chronic stress can suppress the immune system and potentially promote the growth of cancer cells. Forest bathing reduces stress levels by lowering cortisol and other stress-related hormones, which might contribute to an overall healthier immune response. Then consider the relaxation response. Engaging with nature can activate the parasympathetic nervous system, promoting relaxation and reducing stress, which may help the body in its fight against cancer.

Mental health improvement is therapeutic. Improved mental health can positively influence physical health. Reduced anxiety and depression can lead to better immune function and overall health. Consider enhanced mood and well-being which is much needed in cancer patients since most of them are very depressed giving the disease an advantage over our body and immune system.  Positive changes in mood and well-being can support the body’s natural healing processes.

Next, consider anti-inflammatory effects of a forested environment.  Chronic inflammation is associated with various diseases, including cancer. Forest environments may help reduce systemic inflammation, thereby potentially supporting the body’s ability to fight cancer.

While there are documented cases and anecdotal reports of cancer patients experiencing improvements in health after spending time in nature, there are several important considerations. Here are some.

Forest bathing is often used as a complementary therapy rather than a standalone treatment. It can support overall well-being and improve quality of life, which is crucial for cancer patients undergoing conventional treatments like chemotherapy, radiation, or surgery.

There are also the psychological and physiological benefits of being surrounded all over by living trees and greeneries. Being living with a vital energy in them they could emit “Qi” energy which I shall explain shortly.  The improvements in stress levels, immune function, and overall well-being can create an environment in which the body is better able to heal and respond to conventional treatments.

Patients engaging in forest bathing might also adopt other healthy lifestyle changes, such as improved diet, increased physical activity, and mindfulness practices, all of which contribute to overall health and cancer recovery.

Case reports and studies by Japanese and South Korean physicians need to be respected by all doctors, biological and medical scientists.  In Japan and South Korea, forest bathing is integrated into public health strategies, and there are numerous wellness centres offering forest therapy. Some studies from these countries report enhanced immune function and improved mental health among participants.

While some studies have shown promising results regarding the immune-boosting effects of forest environments, more rigorous scientific research is needed to establish a direct causal link between forest bathing and cancer remission.

When I was working at the Institute for Medical Research in Malaysia for 25 years, my team and I conducted countless health surveys across the lengths and breadth of the country, probably over 3 million people all in. Most of our health and medical surveys were in the villages near jungle areas. As far as I can remember, we hardly came across a case of cancer among inhabitants living in villages near jungles and forested areas. Most of the ailments were simple ones such as nutritional deficiencies, anaemia, lethargy, parasitism, rarely lifestyle diseases like diabetes and high blood pressure, and almost none among some two million people with cancer. When the government relocated them into the urban areas most of them suffered from diabetes, high blood pressure, cancers and all those non-communicable and lifestyle diseases. This speaks volumes about living among natural living trees surrounding us.

Once again, forest bathing can significantly contribute to overall health by enhancing immune function, reducing stress, and improving mental health, which are critical factors in the body's ability to fight diseases, including cancer. However, it should be viewed as a complementary approach rather than a primary treatment for cancer. The stories of cancer patients experiencing remission after forest bathing highlight the potential benefits of a holistic approach to health but should be interpreted within the broader context of integrative medicine. Further scientific research is necessary to fully understand the mechanisms and effectiveness of forest bathing in cancer treatment.

Let me now offer my own personal explanation how forest bathing works on well-being and their curative effects on cancer and diseases. The forest is living and very much alive with all kinds of life, not just an abundance of trees that emit only phytoncides as already mentioned earlier that increases the natural killer cells against cancer, but being living, they emit out a lot of chi energy which I believe are vital energy that affects the chemistry of the body. I have written quite a lot of articles here in this blog about this Qi energy associated with health, life, and our soul. I need not repeat them again.

Briefly, all living things including humans have this vital “chi", some kind of energy found in all living bodies. This probably is the same kind of energy the Chinese draws in during their ancient Qigong exercises especially in the early morning where they go to the parks and forested areas to do their Qigong. I have a strong suspicion that when a sick patient goes into the forest, he is being surrounded and bathed all over his body by this Qi energy emitted by the living plants.

In other words, the Qi energy is being pumped or infused into his body to increase his immune system such as natural killer cells against cancer. This is what studies have found except researchers could not explain this phenomenon.

 I think this is the same Qi energy as what Jesus had when He instantly healed the sick by merely touching the patient or the patient. Even the clothes Jesus was wearing was charged with some kind of healing energy when a woman with bleeding problem for 12 years was instantly healed when she touched Jesus clothes when He passed by in the crowd milling around Him and following Him everywhere. Jesus asked "who touched me"? There were so many, many people following Him in the crowd, milling around Him  and touching Him but Jesus did not feel their touches except this woman who was in need. Probably most of them in the crowd were healthy with the chi energy in their bodies quite high but not this woman who was sick for 12 years with almost all her qi energy depleted. She was obviously in need. 

When she touched Jesus clothes in those crowd, Jesus could instantly feel that "healing energy (Qi)" drained off His body or from His clothes into the woman's body. The energy was transferred from His to hers  

The account of that woman who was instantly healed after touching Jesus clothes was clearly described in Matthew 9:20-22.

I have a feeling the way our immune system works also depends on that Qi energy, yet to be detected and measured.  

Allow me to offer further the fascinating perspective on the potential mechanisms underlying the benefits of forest bathing, grounded in the concept of "chi" or "qi" energy. This idea resonates with many traditional beliefs and practices, particularly those in Eastern medicine, which emphasize the flow of vital energy through the body and its impact on health and well-being. Over 2,000 years later after Jesus came to this world, science has not offered any explanation. Those horrendous healing powers of Jesus were conferred by God His heavenly Father.

 Let's delve deeper into this perspective. First, let us try to define what Qi is?

Qi (also spelled chi) is a central concept in traditional Chinese medicine (TCM), martial arts, and other Eastern philosophies. It is considered the vital life force or energy that flows through all living things.

In TCM, its function is to maintain the balance and flow of qi is essential for health. Blockages or imbalances in qi are thought to lead to illness and disease. So, the next question we ask is, how does this work by receiving this Qi energy from the living trees in a forested environment? Let me try using my personal scientific analysis.

First, the mechanism of forest bathing using Qi energy is an energy exchange. The forest or jungle is a living environment. They are a dynamic living ecosystem rich in energy fields of the living. Trees, plants, and other organisms within these environments emit qi, which might be absorbed by individuals spending time in such settings.

 Next, there is an absorption of Qi from the trees into our bodies, much more for those with cancers and other diseases, just like that woman with a 12-year bleeding problem. Her need was far more than others in the crowd milling around Jesus.

Just as practitioners of Qigong or Tai Chi draw in qi from their surroundings, those engaging in forest bathing might absorb this vital energy far more, thereby enhancing their own qi and promoting health.

Next, there is an enhanced Qi flow and infusion or perfusion if you like into the much-needed sick body, very similar to that woman with 12 years of bleeding disorders who touched Jesus clothes and was instantly healed. Improved qi flow is believed to support the immune system. The infusion of forest qi could potentially invigorate the body's natural defences, including the activity of natural killer (NK) cells that combat cancer and other diseases.

Next, there is an energy balance between trees and the sick human or animal bodies living in the jungles.  By harmonizing the body's energy, forest bathing might help restore balance, reducing stress and inflammation, and promoting overall well-being. This is holistic healing beyond science and medicine to understand because conventional allopathic medicine only understands pharmacology using chemicals called “medicine” to “cure” by altering the pathways of a pathological chemistry I learnt years ago.  I too was disillusioned.

Forest bathing with Qi energy connects the mind and body. The interaction with forest qi could foster a deeper mind-body connection, facilitating healing processes. This holistic approach recognizes that mental and emotional health are closely linked to physical health.

Then we offer the spiritual aspect of healing.  Forests often provide a sense of peace and spiritual renewal, which can be part of the healing process. This spiritual qi might enhance one's life force, contributing to recovery and resilience. This could in part explain how and why those who followed and believed in Jesus during His time over 2,000 years ago were instantly healed by His touch. Jesus did not use even one drop of petrol or petroleum chemicals we use today to manufacture our drugs. But how did He instantly healed by only just one touch or by only using His voice? I strongly believe it was the perfusion of His Qi energy into the sick body. Ask ourselves how He instantly healed without using any drug made from petroleum chemicals like we do now, and yet we have not been able to cure any of our chronic non-communicable diseases till this day.

The origins of Qigong can be traced back to the earliest dynastic periods, around 5,000 years ago, during the Neolithic era. Early forms of Qigong were likely linked to shamanic practices and were used for health, spiritual growth, and martial arts training. The Yellow Emperor's Classic of Internal Medicine (Huangdi Neijing), which dates back to around the 3rd century BCE, contains references to breathing exercises and meditative practices similar to Qigong.

Throughout Chinese history, Qigong has evolved and been influenced by various philosophical, medical, and spiritual traditions, including Taoism, Buddhism, and Confucianism. It was practiced by monks, scholars, and martial artists for health maintenance, longevity, and spiritual enlightenment.

Qigong has been practiced in China for approximately 5,000 years, with its development influenced by various cultural and historical factors over the millennia.

Qiqong is an early morning exercise when the Qi energy is most abundant before sunrise.  Practitioners of Qigong often perform exercises in natural settings, believing that the qi in the air is especially potent in the morning and in forested areas. Regular practice of Qigong is said to balance and enhance qi, leading to improved health and well-being. This tallies with biblical accounts of the healing powers of Jesus.

The New Testament describes numerous instances where Jesus healed people through touch or through their faith in Him. The story of the woman healed by touching His clothes suggests a transmission of healing energy. The Energy (Qi) transfer from His body could be interpreted as a form of divine qi or spiritual energy that facilitated miraculous healings.

How do we explain this in the eyes of science? Modern interpretations and scientific considerations are in Energy Medicine or Biofield Science. Emerging fields such as biofield science and energy medicine explore the concept of a vital energy field around living beings. While still not widely accepted in mainstream science, these areas seek to understand how energy fields influence health.

There are current research efforts to study these fields aimed at measuring and quantifying bioenergetic phenomena, potentially validating traditional concepts of qi and its effects on health. I think the correct approach in medicine is to use an integrative approach, and not merely using Big Pharma chemical products they call them as drugs or “medicines” to “cure” a chronic illness.

Complementary therapies include combining forest bathing with other conventional and alternative therapies could offer a comprehensive approach to health. Recognizing the potential role of qi alongside scientific mechanisms could enhance overall treatment effectiveness.

We need to emphasize the interconnectedness of body, mind, and spirit, integrative health practices support the idea that enhancing qi through natural environments and practices can lead to significant health benefits.

The idea that forest bathing works by infusing individuals with qi energy is a compelling and holistic explanation that aligns with traditional Eastern philosophies and practices. While this perspective may not yet be fully supported by conventional scientific research, it provides a valuable framework for understanding the profound effects of nature on human health. Recognizing the potential of qi energy in healing encourages a broader, more integrative approach to wellness, combining ancient wisdom with modern health practices.

There are many things about health and disease we do not understand fully. I mentioned about the horrendous healing powers of Jesus, even to the extent of bringing up the dead, such as Lazarus who has died for 4 days. He must have pumped these vital life forces into Lazarus to the extent that even the molecules of decomposition began to move and reassemble themselves into life, living molecules back into the dead body of Lazarus to cause him to rise up from his grave.

Somehow, I have a very strong nagging feeling that after Jesus spent out all His Qi energy vested in Him by God healing the sick and raising up the dead, He needed to be recharged with this life-giving energy again before continuing with His miracles on healing.

I believe this is the same life-giving energy that was recharged into Jesus' body when He took with him Peter, James and John the brother of James, and led them up a high mountain by themselves. There Jesus was transfigured before them. His face shone like the sun, and his clothes became as white as the light (Matthew 17). After being recharged with this life-giving and healing energy, He came down from the mountain to continue healing

 I strongly believe this was the same life-giving and health-restoring energy found for forest bathing. 

After Jesus was recharged, He came down the mountain to resume His work on healing the sick, lame, bland and paralyzed. Of course, His was far, far more powerful and much more concentrated than what all the forests could offer.

This hypothesis I forward about the healing powers of Jesus and the concept of vital life force or "qi" can be a fascinating interpretation that bridges spiritual and physical realms. This perspective aligns with the idea that there is a fundamental energy underlying life, health, and healing. Let’s explore these thoughts further:

Spiritual and vital healing energy in Jesus in the New Testament describes numerous miraculous healings performed by Jesus, including the resurrection of Lazarus. These acts suggest the presence of an extraordinary life force or divine energy that Jesus could channel.

First, the event of the Transfiguration, where Jesus' appearance was radically altered and his clothes shone brightly, can be interpreted as an infusion or amplification of this divine energy. This might be similar to the concept of recharging or intensifying one's vital energy.

This tallies with vital energy in various traditions.

First, we have the Eastern traditions of Qi in Chinese Medicine. Qi is the life force that flows through all living things. Practices like Qigong and Tai Chi aim to cultivate and balance this energy, enhancing health and vitality.

Second, we have the Prana in Indian philosophy. This is similar to qi. Prana is considered the vital life force in Indian traditions. Practices like yoga and pranayama (breath control) are designed to increase and balance prana within the body.

Strangely this also coincides with Western scientific perspectives as in:

Biofield Science. This emerging research in biofield science explores the idea of an energy field surrounding living beings. This field, though not fully understood, is thought to influence health and well-being.

Many spiritual traditions recognize a form of healing energy that can be channelled or invoked through prayer, meditation, or laying on of hands even by western medical and scientific communities

The concept of recharging vital energy through natural environments such as forest bathing by spending time in natural settings, particularly forests, is believed to recharge and balance one's qi. This practice involves immersing oneself in the natural environment, absorbing the energy emitted by living plants and the earth.

Then we have the mountain retreats.  Mountains are often seen as places of spiritual power. The thin, clean air and natural surroundings might enhance the flow of vital energy, making them ideal for spiritual retreats and recharging.

Next, we have mindfulness and meditation.  Engaging in mindfulness and meditation practices can help align and balance one's internal energy, promoting healing and well-being.

We also believe in prayers and contemplation.  Spiritual practices like prayer can invoke a sense of connection to a higher power, potentially channelling healing energy.

Hypotheses on healing and resurrection means healing energy transfer by Divine channelling.  Jesus might have been a conduit for a divine healing energy, able to transfer this life force to others through touch, words, or presence.

The resurrection of Lazarus could be seen as the ultimate act of infusing life force, reversing decomposition and restoring life through an extraordinary concentration of this energy.

My hypothesis of Energy and Molecular Transformation and Molecular Reassembly as in the case of Lazarus who was raised up from the dead after 4 days suggests that vital energy can influence molecular structures, potentially reassembling decomposed molecules back into a living state. This concept, while not yet scientifically validated, aligns with the idea that life force has profound effects on physical matter.

Integrating traditional and modern medicine should include:

First, holistic health through:

1.      Integrative Medicine by combining traditional practices that emphasize vital energy with modern medical approaches can provide a more comprehensive understanding of health and healing.

2.      Energy Therapies like Reiki, acupuncture, and energy healing are gaining recognition for their potential benefits, aligning with the concept of manipulating and balancing life energy.

3.      Scientific exploration and research opportunities.  Further scientific research into biofield science, energy medicine, and the effects of natural environments on health could provide deeper insights into the mechanisms underlying these phenomena.

4.      Interdisciplinary Studies: Collaboration between scientists, medical practitioners, and spiritual healers can enhance our understanding of the connections between vital energy, health, and well-being.

My hypothesis, should I do my PhD in Medicine all over again, I would conduct studies about the healing powers of Jesus and the concept of vital energy and forest bathing inside a Qi energy field offers a rich, integrative perspective on health and disease. It emphasizes the potential of spiritual and natural energies in promoting profound healing and aligns with both ancient traditions and emerging scientific interests. While these ideas are not yet fully understood or accepted in mainstream science, they provide a valuable framework for exploring the deeper connections between energy, life, and healing.

Finally, once we understand how life and health are maintained and why death ultimately sets in, and the soul leaves the body, we can have an excellent idea how we can integrate science with ancient traditions and wisdom.

 My perspective touches on profound and complex questions about life, health, aging, and the nature of the soul. These topics have been explored by various cultures, philosophies, and scientific disciplines throughout history. Let us delve into some key ideas and viewpoints

Our understanding on health, aging and health maintenance should include:

First, on homeostasis.  The body maintains health through a process called homeostasis, which involves various mechanisms to keep internal conditions stable (e.g., temperature, pH, glucose levels).

Second, regeneration and repair.  Cells in the body constantly regenerate and repair themselves. Stem cells play a crucial role in this process, especially in tissues with high turnover rates like the skin and blood.

Third, biological aging.  Aging is a complex process influenced by genetic, environmental, and lifestyle factors. It involves the gradual decline of physiological functions and an increase in the risk of diseases.

Fourth, cellular senescence.  Over time, cells accumulate damage and enter a state called senescence, where they stop dividing and function less effectively.

Firth, telomere shortening.  Each time a cell divides, the protective caps on the ends of chromosomes, called telomeres, shorten. Eventually, they become too short to protect the DNA, leading to cellular aging.

Sixth, probably the most important, should be our understanding of the role of the soul and vital energy, the philosophical and spiritual perspectives.

There is a soul's influence.  Many spiritual traditions believe that the soul is the essence of life, guiding and influencing the body's functions. The soul is often seen as immortal, continuing to exist after physical death. I have written a few articles about the soul in this blog. Check them out.

Vital Energy: Concepts like qi, prana, and life force are seen as the energy that sustains life. In many traditions, maintaining the balance and flow of this energy is crucial for health.

Aging and the Soul departure: Some believe that the soul leaves the body when it can no longer sustain life, either due to age or severe illness. This transition is seen as the soul moving to a different plane of existence or preparing for reincarnation.

Purposeful Aging: Aging might be viewed as a natural process where the soul gradually prepares to transition, reflecting on life experiences and preparing for the next stage.

Integrating Science, Spirituality in Scientific Exploration:

Mind-Body Connection.  Research in psychoneuroimmunology explores how thoughts, emotions, and beliefs can influence physical health. The placebo effect is a well-documented phenomenon where belief in a treatment's effectiveness can lead to real health improvements.

Biofield Research.  Emerging fields like biofield science and energy medicine investigate the possibility of a subtle energy field influencing health. These areas seek to bridge the gap between traditional concepts of vital energy and modern scientific understanding.

Spiritual and Holistic Health Approaches: Integrative medicine combines conventional medical treatments with holistic practices, recognizing the importance of mind, body, and spirit in health and healing.

Meditation and Mindfulness: Practices like meditation, yoga, and Qigong can enhance the flow of vital energy, reduce stress, and improve overall well-being.

Reflections on life and death in life's journey. Its purpose and meaning: Many philosophical and spiritual traditions emphasize the search for meaning and purpose in life. Understanding one's purpose can provide a sense of fulfilment and guide how one approaches health and aging.

Death as Transition: Death is often viewed not as an end, but as a transition to another state of existence. This perspective can provide comfort and a sense of continuity beyond physical life.

Conclusion and Summary:

Our reflections on health, aging, and the soul highlight the interconnectedness of physical, mental, and spiritual aspects of life. While science continues to explore the mechanisms of aging and health, integrating these findings with spiritual and philosophical insights can provide a more comprehensive understanding of the human experience. This holistic approach acknowledges that there is much we have yet to learn about the mysteries of life, health, and the soul's journey.

Finally, I believe the soul controls all our life's chemistry and decides to leave the body, probably the body has become too old and rickety that it can no longer correct and control and heal anymore. That's the moment the soul decides to leave the body for another new body elsewhere. I have written on these issues many times in this blog of mine. You may check this out.  

It is hardly likely readers too busy in their worldly material pursuits understand what I am writing. I don’t think they are even bothered to read. It is up to them and souls to decide.

If they do, thank you for their time, and I dedicate this essay to them.  

Lim ju boo 

Are We in Good Health? How Do We Measure the Status of Health?

 

Jennifer wrote in the comment column.

Dear Dr Lim,

You write very well. My friends and I always enjoy all those seldom written articles about the mysteries of life, about the the soul, and spirit combined with your highly qualified knowledge in medicine and science. One of them was your article on forest bathing and your article about the aura surrounding the human body which you said may be the living soul. You mentioned whether or not this aura emitted by the body and all living things may indicate vitality of the body and you discussed whether or not we can use this simple method to diagnose disease and our health. 

The reason I ask is, I go to the doctor or to a medical lab they offer to have my blood tests done every 6 months to ensure my health is perfect, and so far, all the results are normal. 

Despite what the doctor assured me, I still feel tired and lethargic, lose my appetite and feel depressed. I would like to seek your expert professional opinion whether these blood tests, body scans and examinations I periodically go to would be of any use since I just don't feel tip top. What if I go to the jungle for forest bathing or use Kirlian imaging instead. Would that help?

Thanking you in anticipation

Jennifer Lee

---------------------------------

Dear Jennifer

First, I have to thank you for your kind words. It is a pleasure for me to write to find it useful for appreciative people like your good self.

I am sorry to hear about your health problems despite going to your doctor for check-up and having all those lab and blood test periodically done by your doctor, you still do not feel well. 

Before I go to answer further, I have to straight away emphasize that doing all those blood tests and undergoing all those annual medical examinations and find them all normal does not mean you are healthy.

First, let me give you the official definition of health. WHO remains firmly committed to the principles set out in the preamble to the Constitution that:

 "health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity".

This straight away means that we cannot measure health by merely going to a doctor for medical examination and doing all those blood tests like most people do, with the doctor certifying you in good health when all your test results are normal. That is WRONG straight away.

When I was working at the Institute for Medical Research (IMR) we conducted nutrition and health surveys across the lengths and breadth of the country. Our medical team including myself of course, may have already examined at least 2.5 million people in the course of my 25 years work at IMR. 

Our health and medical team consisted not just medical doctors, but a large number of physicians and doctors, expert nutritionists, anthropologists, sociologists, biochemists, biostatisticians, psychiatrists, clinical psychologists, behavioural scientists, dental officers, nurses, medical laboratory technicians and other support staff.

 We spend weeks each time evaluating first their nutritional status as our priority as nutrition as singly, nutrition is most important indicator of health, followed by the normal results from a battery of other medical, and other health-related assessments. 

We did not just do some medical examinations and carry out some blood tests or urine examinations only like doctors from outside in private practice offer their patients, giving them the wrong impression they are in “perfect health” if they find all these blood tests normal. That's WRONG straight away. We need to look and measure the status of health holistically, not just look at the absence of disease.  

 Please once again, bear in mind the official definition of health spelt out clearly by the World Health Organization. All, including Nobel Prize winners in Medicine or in Physiology need to accept and respect this official defintion by WHO. Normal blood tests results does NOT mean one is in good health. Good health is far more than normal blood chemistry.    

Let me explain what are the physical types of examinations and tests normally done to assess the status of health. The most important is the nutritional status of an individual.

Let me explain this first, before I go to the medical examination and other tests since food and nutrition is solely the only ingredient we need to stay alive and healthy, not all those nutritional supplements or medicines we take. So let me explain how our very large team of health professionals carry out a nutrition survey first to assess the status of health before going to all those medical examinations and lab tests that you underwent, found them all normal and yet you complained you don’t feel well.

Health Assessment (First, Nutrition Status):

Our food intake, quantity, type of food consumed is going to determine the type of diseases we are going to get. We, health and medical professionals in our collective consensus, think food and health relationships are intertwined not just biochemical or radiological normality. Health status assessment or health surveys must also include nutrition assessment that include anthropometry, heights and weights, food consumption, social wellbeing and cultural patterns, mental health, housing, water supply, sanitation among others.

Let me explain that in some detail its importance, not just for one person or one patient, but for entire communities and populations.  

The assessment of nutritional status is the most critical component of overall health assessment, particularly at the population level. Nutrition directly influences the prevalence of various diseases and health conditions. Let us have an overview of how nutritional status and related factors are assessed in a population or community:

1. Anthropometry

Anthropometric measurements are fundamental in assessing nutritional status. They include:

• Height and Weight: Used to calculate Body Mass Index (BMI) to categorize underweight, normal weight, overweight, and obesity. Growth charts for children. 
• Mid-Upper Arm Circumference (MUAC): Particularly useful for assessing malnutrition in children and pregnant women.
• Skinfold Thickness: Measures body fat percentage.
• Waist and Hip Circumference: Assesses fat distribution and central obesity
• Body Composition: Fat percentage, muscle mass, bone density.
• Waist-Hip Ratio: Indicator of fat distribution and risk of metabolic syndrome.

2. Dietary Intake Assessment

Dietary Surveys and Questionnaires

• 24-Hour Recall: Participants report all foods and beverages consumed in the past 24 hours.
• Food Frequency Questionnaire (FFQ): Assesses habitual food intake over a specific period.
• Dietary Records: Participants record their food intake over several days.
• Household Consumption and Expenditure Surveys: Collect data on food purchases and consumption at the household level.

3. Biochemical Assessments

Laboratory tests that measure nutrient levels in the blood or urine can identify deficiencies or excesses:

• Blood Tests: Measure levels of vitamins, minerals, and other biomarkers (e.g., haemoglobin for iron status, serum vitamin D, plasma glucose).
• Urine Tests: Assess nutrient excretion and balance (e.g., iodine levels).

4. Clinical Assessments

Physical examination for signs of nutrient deficiencies or excesses:

• Signs of Malnutrition: E.g., oedema, hair changes, skin lesions.
• Micronutrient Deficiencies: E.g., pallor (iron deficiency), goitre (iodine deficiency), rickets (vitamin D deficiency).

5. Socioeconomic and Environmental Assessments

Understanding the context in which people live helps identify barriers to proper nutrition and health:

• Income and Employment Status: Correlates with food security and access to nutritious food.
• Education Level: Influences knowledge about nutrition and health.
• Housing Conditions: Assess the impact on health and nutrition (e.g., overcrowding, poor ventilation).
• Water Supply and Sanitation: Important for preventing water-borne diseases and ensuring proper hygiene.

6. Food Security Assessments

Measures the availability and access to sufficient, safe, and nutritious food:

• Household Food Insecurity Access Scale (HFIAS): Assesses perceptions and experiences of food insecurity.
• Coping Strategies Index (CSI): Evaluates how households cope with food shortages.

7. Cultural and Behavioural Assessments

Understanding cultural practices and dietary habits is crucial for effective nutritional interventions:

• Cultural Dietary Practices: Traditional foods, meal patterns, and dietary restrictions.
• Behavioural Factors: Knowledge, attitudes, and practices related to food and nutrition.

8. Mental Health and Social Wellbeing

The relationship between mental health, social wellbeing, and nutrition:

• Mental Health Assessments: Tools to measure stress, depression, and anxiety, which can affect eating behaviours.
• Social Wellbeing Surveys: Assess the impact of social support networks on nutritional status.

9. Program and Policy Evaluations

Assessing the impact of nutrition programs and policies:

• Program Reach and Efficacy: Evaluating the effectiveness of interventions like food aid programs, school feeding programs, and nutrition education.
• Policy Impact Assessments: Understanding how policies related to agriculture, trade, and health affect nutritional outcomes.

10. Environmental and Food Systems Assessments

Evaluating the broader food environment and systems:

• Food Availability and Prices: Assessing local food markets, availability of nutritious foods, and their affordability.
• Agricultural Practices: Evaluating the impact of agricultural methods on food quality and sustainability.

By incorporating these comprehensive methods, public health professionals can gain a holistic understanding of nutritional status and its determinants within a population. This approach ensures that interventions are well-targeted and effective in improving the overall health and wellbeing of the community.

Even all these would not indicate the precise status of health even for very large populations let alone for an individual like yourself. In fact, it is very hard to define what is health, let alone measure and define optimal health. There is no single criterion that can be used to measure state of health, definitely not just using clinical examination, using blood tests or any other diagnostic measurement. No single assessment can be used. Health encompasses everything from physical, mental and social well-being and not just the absence of disease or infirmity.

Health is a multifaceted concept that goes beyond mere absence of disease, encompassing physical, mental, and social well-being. To capture this complexity, a holistic approach is necessary, utilizing various measures and assessments. We need to have an expanded and detailed look at how different dimensions of health are evaluated:

1. Physical Health (Second, The Medical Aspect)

Clinical and Laboratory Assessments

• Vital Signs: Blood pressure, heart rate, respiratory rate, and temperature.
• Laboratory Tests: Blood tests (e.g., CBC, metabolic panel), urine tests, lipid profiles, glucose levels.
• Imaging Studies: X-rays, MRIs, CT scans, ultrasounds.
• Physical Examination: General appearance, organ-specific examinations, functional tests (e.g., range of motion, strength tests).

2. Mental Health

Psychological Assessments

• Screening Tools: PHQ-9 for depression, GAD-7 for anxiety, MMSE for cognitive function.
• Behavioural Assessments: Observations and structured interviews to evaluate mood, behaviour, and mental state.
• Self-Reported Measures: Questionnaires assessing subjective well-being, stress levels, and emotional health.

3. Social Well-Being

Social Determinants of Health

• Socioeconomic Status: Income, employment, education level.
• Living Conditions: Housing quality, neighbourhood safety, access to amenities.
• Social Support Networks: Family, friends, community engagement.
• Cultural and Religious Practices: Impact on lifestyle, diet, and mental health.

4. Environmental and Community Health

Environmental Assessments

• Air and Water Quality: Monitoring pollutants and contaminants.
• Housing Conditions: Overcrowding, sanitation, ventilation.
• Access to Health Services: Availability and quality of healthcare facilities.

Community Health Surveys

• Community Needs Assessments: Identifying health needs and resources in the community.
• Health Behaviour Surveys: Data on smoking, alcohol consumption, physical activity, and dietary habits.

5. Health Behaviours

Lifestyle Assessments

• Physical Activity: Frequency, duration, and intensity of exercise.
• Diet and Nutrition: Eating habits, nutrient intake, food security.
• Substance Use: Smoking, alcohol, and drug use.

Preventive Health Practices

• Vaccination Coverage: Rates of immunization against preventable diseases.
• Screening Programs: Participation in regular health screenings (e.g., cancer, diabetes).

6. Quality of Life and Well-Being

Health-Related Quality of Life (HRQoL) Instruments

• SF-36: Measures physical and mental health constructs.
• EQ-5D: Assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.

Well-Being Surveys

• Happiness and Satisfaction: Surveys assessing subjective well-being and life satisfaction.
• Stress and Coping: Measures of perceived stress and coping strategies.

7. Cultural and Behavioural Context

Cultural Assessments

• Dietary Habits: Traditional foods and cultural dietary restrictions.
• Health Beliefs and Practices: Impact of cultural beliefs on health behaviours and treatment adherence.

Behavioural Assessments

• Health Literacy: Understanding and use of health information.
• Health-Seeking Behaviour: Patterns of accessing and utilizing health services.

8. Policy and Program Impact

Health Policy Analysis

• Evaluation of Health Policies: Assessing the impact of policies on public health outcomes.
• Program Effectiveness: Analysis of public health programs and interventions.

Health status assessment is a comprehensive, multidimensional process. It involves evaluating various physical, mental, and social factors to obtain a holistic view of an individual's or community's health. By integrating these diverse assessments, we, as health professionals can design more effective interventions and policies, ultimately leading to improved health outcomes and quality of life.

The status of health in an individual is measured using a combination of subjective and objective assessments. These measurements provide a comprehensive view of an individual's physical, mental, and social well-being. Here’s a detailed overview of the methods and tools we used:

1. Medical History and Physical Examination

Medical History

• Personal Medical History: Information about past illnesses, surgeries, allergies, medications, and vaccinations.
• Family Medical History: Information about the health of close family members to identify genetic or hereditary conditions.
• Lifestyle Information: Details about diet, exercise, smoking, alcohol consumption, and other lifestyle factors.

Physical Examination

• Vital Signs: Measurements of temperature, pulse, respiration rate, and blood pressure.
• General Appearance: Observation of appearance, behaviour, and mobility.
• Organ System Examination: Detailed examination of various body systems such as cardiovascular, respiratory, gastrointestinal, musculoskeletal, neurological, and others.

2. Laboratory Tests

• Blood Tests: Including complete blood count (CBC), blood glucose, lipid profile, liver and kidney function tests, electrolyte levels, and specific markers for diseases (e.g., HbA1c for diabetes, troponins for heart conditions).
• Urine Tests: Including urinalysis for infection, kidney function, and metabolic conditions.
• Other Fluid Tests: Analysis of cerebrospinal fluid, saliva, or other bodily fluids for specific conditions.

3. Imaging Studies

• X-rays: Used to view bones and certain tissues.
• Ultrasound: Utilizes sound waves to visualize organs and blood flow.
• CT scans: Cross-sectional imaging for detailed views of internal structures.
• MRI: Provides detailed images of soft tissues, brain, and spinal cord.
• PET Scans: Used for detecting cancer, monitoring heart conditions, and examining brain function.

4. Functional Tests

• Cardiovascular Tests: Including ECG, stress tests, echocardiograms to assess heart function.
• Respiratory Tests: Spirometry, peak flow measurements to evaluate lung function.
• Neurological Tests: EEG, EMG, nerve conduction studies to assess brain and nerve function.
• Musculoskeletal Tests: Range of motion tests, strength tests, gait analysis.

5. Screening Tests

• Cancer Screening: Mammograms, colonoscopies, Pap smears, PSA tests.
• Infectious Disease Screening: HIV tests, hepatitis tests, tuberculosis tests.
• Chronic Disease Screening: Blood pressure screening, cholesterol screening, diabetes screening.

6. Mental Health Assessments

• Psychological Questionnaires: Tools like the PHQ-9 for depression, GAD-7 for anxiety.
• Cognitive Tests: Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA).
• Behavioural Assessments: Observations and structured interviews to assess mental and emotional health.

7. Genetic and Genomic Testing

• Genetic Tests: To identify predispositions to certain hereditary conditions.
• Genomic Sequencing: Comprehensive analysis of an individual’s DNA for personalized medicine.

8. Health Risk Assessments

• Questionnaires and Surveys: Collecting data on lifestyle, environmental exposures, and family history.
• Risk Calculators: Tools that combine various data points to estimate the risk of developing certain conditions (e.g., Framingham Risk Score for heart disease).

9. Self-Reported Measures

• Health-Related Quality of Life (HRQoL) Instruments: Questionnaires such as the SF-36 or EQ-5D that measure perceived health and well-being.
• Symptom Diaries: Logs kept by individuals to track symptoms, triggers, and patterns over time.

10. Wearable and Remote Monitoring Devices

• Fitness Trackers: Devices that monitor activity levels, heart rate, sleep patterns.
• Remote Health Monitoring: Blood pressure cuffs, glucose monitors, and other devices that transmit data to healthcare providers.

By integrating these various methods and tools, healthcare providers can obtain a holistic view of an individual's health status, identify potential health issues early, and tailor interventions to promote optimal health outcomes.

Normally we are more interested in looking at the health status of the entire health status of very large communities, not just one individual. Assessing the health status of a large population or community involves different approaches than individual health assessments. Public health professionals use a variety of methods and tools to gather data, analyse health trends, and identify health needs at the population level. Let me show you some key strategies we normally use.

1. Population Surveys

Health Surveys

• National Health Interview Survey (NHIS): Collects data on a broad range of health topics through personal household interviews.
• Behavioural Risk Factor Surveillance System (BRFSS): A telephone survey collecting data on health-related risk behaviours, chronic health conditions, and use of preventive services.
• Demographic and Health Surveys (DHS): Collects data on health, nutrition, and population trends in various countries.

2. Census Data

• National Census: Provides comprehensive demographic information, including age, sex, race, and socioeconomic status, which are essential for health assessments.
• Specialized Health Censuses: Periodically conducted to gather specific health-related information on large populations.

3. Vital Statistics

• Birth and Death Records: Collect data on birth rates, death rates, causes of death, and life expectancy.
• Marriage and Divorce Records: Provide insight into social determinants of health.

4. Disease Surveillance Systems

• Notifiable Disease Reporting: Mandatory reporting of certain infectious diseases and conditions to public health authorities.
• Syndromic Surveillance: Real-time data collection and analysis to detect and respond to potential outbreaks based on symptom patterns.

5. Health Care Utilization Data

• Hospital Discharge Data: Information on reasons for hospitalizations, lengths of stay, and outcomes.
• Electronic Health Records (EHR): Aggregated data from health care providers on diagnoses, treatments, and outcomes.

6. Environmental and Social Determinants

• Air and Water Quality Monitoring: Data on environmental factors that impact health.
• Housing and Urban Development Data: Information on living conditions, infrastructure, and access to health services.

7. Community Health Assessments (CHAs)

• Community Surveys: Collect data on health needs, behaviours, and perceptions from community members.
• Focus Groups and Interviews: Qualitative methods to gather detailed insights from specific groups within the community.
• Health Needs Assessments (HNA): Systematic process to identify and address the health needs of a community.

8. Health Indicators and Indices

• Health Indicators: Standardized measures such as infant mortality rate, prevalence of chronic diseases, and vaccination coverage.
• Indices: Composite measures like the Human Development Index (HDI) and the Health Adjusted Life Expectancy (HALE).

9. Geospatial Analysis

• GIS Mapping: Geographic Information Systems to visualize spatial patterns of health problems and resources.
• Hotspot Analysis: Identifying areas with high concentrations of health issues or risk factors.

10. Policy and Program Data

• Evaluation of Health Programs: Data on the reach, effectiveness, and impact of public health programs.
• Policy Analysis: Assessing the health impacts of existing and proposed policies.

11. Health Informatics and Big Data

• Data Mining: Analysing large datasets to identify patterns and trends in health data.
• Predictive Analytics: Using statistical models to forecast health trends and outcomes.

12. Behavioural and Social Research

• Psychosocial Assessments: Studies on the impact of social factors on health, such as stress, social support, and community cohesion.
• Behavioural Studies: Research on health behaviours, such as smoking, diet, and physical activity.

13. Participatory Approaches

• Community-Based Participatory Research (CBPR): Involving community members in the research process to ensure relevance and accuracy of findings.
• Public Health Campaigns and Feedback: Engaging the community in health promotion and collecting feedback to refine strategies.

By employing these methods, public health professionals like medical doctors and nutritionists can efficiently assess and monitor the health status of large populations or communities, identify key health issues, and implement targeted interventions to improve public health outcomes.

Unfortunately most doctors are not trained in all these areas. It is hardly likely that they know all these areas of health, let alone do them to assess the health of a patient.

Their work is mainly taking medical history, do a clinical examination, request for lab tests, radiological examinations and writing out a prescription. 

Although doctors are trained in medical history taking, clinical examinations, lab tests, and radiological examinations, the comprehensive approach to health assessment includes many facets beyond clinical practice.  A more comprehensive and structured way in which this holistic knowledge could be integrated into medical education and practice should be these:

Enhancing Medical Training

1. Curriculum Development
• Public Health and Epidemiology: Incorporate more extensive training on the social determinants of health, population health assessments, and epidemiological methods.
• Nutrition: Include courses on nutritional science, dietary assessments, and the impact of nutrition on health and disease.
• Mental Health: Enhance training on psychological assessment tools, mental health conditions, and their interplay with physical health.
• Environmental Health: Teach the impact of environmental factors on health, including air and water quality, housing conditions, and community health.
2. Interdisciplinary Learning
• Collaboration with Public Health Experts: Encourage joint courses and projects with public health schools to foster a multidisciplinary approach.
• Social Work and Community Health: Partner with social work programs to understand the social and economic factors affecting health.
3. Practical Skills Development
• Community Rotations: Integrate community health rotations where medical students work with public health professionals, nutritionists, and social workers.
• Health Behaviour Change: Train in motivational interviewing and other techniques to promote healthy behaviours.

Continuing Medical Education (CME)

1. Workshops and Seminars
• Regular workshops on the latest research in nutrition, mental health, and social determinants of health.
• Seminars on the application of health informatics and big data in clinical practice.
2. Online Courses and Webinars
• Nutrition and Lifestyle Medicine: Online modules covering dietary assessments, lifestyle interventions, and the role of nutrition in chronic disease management.
• Mental Health Integration: Webinars on integrating mental health assessments into routine practice.

Integrating Holistic Health Assessment into Clinical Practice

1. Multidisciplinary Teams
• Collaborative Care Models: Develop multidisciplinary teams including dietitians, mental health professionals, social workers, and environmental health experts.
• Case Conferences: Regularly scheduled meetings to discuss complex cases from a holistic perspective.
2. Patient Education and Empowerment
• Health Literacy: Develop educational materials and programs to improve patients' understanding of their health and the factors affecting it.
• Community Outreach: Engage in community health initiatives to educate the public about nutrition, mental health, and preventive care.
3. Utilizing Technology
• Electronic Health Records (EHR): Incorporate comprehensive health data, including social and environmental factors, into EHRs for better patient management.
• Telemedicine: Use telehealth to provide access to multidisciplinary care, especially in underserved areas.

Research and Evidence-Based Practice

1. Health Outcomes Research
• Conduct research on the impact of integrated health assessments on patient outcomes.
• Publish findings to advocate for a broader approach to health in medical practice.
2. Quality Improvement
• Implement quality improvement projects that incorporate holistic health assessments into clinical practice.
• Measure the impact of these projects on patient health outcomes and satisfaction.

Policy Advocacy

1. Health Policy Engagement
• Advocate for policies that support comprehensive health assessments, such as better funding for public health programs and multidisciplinary care.
• Engage with policymakers to highlight the importance of addressing social determinants of health.
2. Professional Organizations
• Work within professional medical organizations to promote the integration of holistic health assessment into medical standards and guidelines.

By integrating these comprehensive health assessments into medical education and practice, healthcare providers can offer more effective, personalized, and preventive care. This approach not only improves individual patient outcomes but also enhances the health of entire communities. As the understanding of health continues to evolve, ongoing education and adaptation in medical practice are essential.

 Some medical schools do teach social and preventive medicine, not all. Some medical schools I know do not teach psychological medicine, psychiatry and mental health or nutrition which is exceedingly important as one of the major root causes of chronic lifestyle diseases so prevalent in modern societies. I think doctors should emphasize more on preventive medicine than trying to 'cure' a disease, especially chronic lifestyle and non-communicable diseases

Emphasizing preventive medicine, particularly for chronic lifestyle and non-communicable diseases, is crucial for improving overall health outcomes and reducing healthcare costs. Some strategies to enhance the focus on preventive medicine in medical education and practice I think should be these:

Enhancing Medical Education

1. Integrating Preventive Medicine into the Curriculum
• Core Courses: Ensure that all medical schools include comprehensive courses on preventive medicine, social and preventive medicine, nutrition, mental health, and behavioural sciences.
• Interdisciplinary Courses: Develop courses that integrate concepts from public health, nutrition, psychology, and social sciences.
2. Clinical Rotations and Experiences
• Community Health: Provide rotations in community health settings where students can engage in preventive care practices.
• Primary Care: Emphasize the role of primary care physicians in preventive health during clinical training.
3. Case-Based Learning
• Use case studies that highlight preventive approaches to managing chronic diseases.
• Discuss successful public health interventions and their impact on disease prevention.

Continuing Medical Education (CME)

1. Preventive Medicine Workshops
• Regular workshops focusing on the latest research and practices in preventive medicine.
• Topics could include lifestyle modification, nutritional counselling, mental health integration, and screening recommendations.
2. Online Learning
• Online courses on preventive medicine topics that can be accessed by healthcare professionals worldwide.
• Webinars and virtual conferences on emerging trends in preventive health.

Practice-Based Strategies

1. Preventive Health Screenings
• Implement routine screening programs for early detection of chronic diseases (e.g., diabetes, hypertension, cancer).
• Utilize risk assessment tools to identify individuals at high risk for chronic diseases.
2. Lifestyle Medicine
• Incorporate lifestyle medicine into routine practice, focusing on diet, exercise, sleep, stress management, and substance use reduction.
• Provide personalized health coaching and follow-up to support behaviour change.
3. Patient Education and Empowerment
• Develop educational materials and programs to empower patients to take control of their health.
• Use motivational interviewing techniques to engage patients in discussions about their lifestyle choices.
4. Community Engagement
• Participate in community health initiatives and outreach programs to promote preventive health.
• Collaborate with local organizations to address social determinants of health.

Policy and System-Level Changes

1. Health Policy Advocacy
• Advocate for policies that support preventive health measures, such as funding for public health programs, incentives for preventive care, and regulations to reduce risk factors (e.g., tobacco control, healthy food policies).
• Engage in policymaking processes to ensure that preventive medicine is a priority in healthcare systems.
2. Healthcare System Reforms
• Promote models of care that prioritize prevention, such as patient-centred medical homes and accountable care organizations.
• Implement payment structures that reward preventive care and health outcomes rather than volume of services.

Research and Evidence-Based Practice

1. Research on Preventive Interventions
• Conduct and support research on the effectiveness of various preventive interventions.
• Publish findings and disseminate best practices for preventive health.
2. Data-Driven Approaches
• Use data analytics to identify trends and target preventive measures more effectively.
• Monitor health outcomes to evaluate the impact of preventive strategies.

Collaboration and Interdisciplinary Approaches

1. Multidisciplinary Teams
• Form multidisciplinary teams that include dietitians, psychologists, social workers, and other specialists to provide comprehensive preventive care.
• Hold regular team meetings to coordinate care and share insights.
2. Partnerships with Public Health
• Collaborate with public health departments and organizations to align clinical practices with public health initiatives.
• Participate in community health assessments and program planning.

By prioritizing preventive medicine, the healthcare system can shift from a reactive, disease-focused model to a proactive, health-promoting one. This approach not only improves individual health outcomes but also addresses the root causes of many chronic diseases, ultimately leading to healthier communities. Integrating these strategies into medical education, practice, policy, and research is essential for creating a sustainable and effective healthcare system.

I think we need to understand the importance of a holistic approach to health and the critical role of preventive medicine. Empowering both the doctors and patients with comprehensive knowledge and strategies is key to achieving better health outcomes.

Did your doctor you consulted do all these examinations and studies for you? If your doctor does not know all these, but merely does some history taking, clinical examination and sends your blood and urine to the laboratory for testing and tells you everything is normal and declares you in “perfect health” I am truly very sorry for you and for him also.

No wonder you still feel unwell, tired and lethargic and irritated despite your doctor declaring you in “good health”.  

You should check out your health status with a team of other health professionals not just with the medical doctor in all these areas I mentioned above, not the “diagnosis” of one doctor 

Neither can we measure the status of health using some blood test results like you did. No wonder you still feel unwell despite all your blood tests results showing normal. Just keep the official definition of health prescribed by WHO all the time, not the medicine prescribed by your doctor for "good health"  

I am truly very sorry for both of you. Doctors need to constantly learn too.