КАК ПОВЕРНУТЬ МЕДИЦИНУ К ЗДРАВООХРАНЕНИЮ
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Human body is a unique self-control system. The best way to keep such system in a good shape is preventing its potential breaches by regular maintenance, means Healthcare. Unfortunately, such happened that modern medical science and technology bypassed this necessary preventive healthcare. Nowadays mainstream medicine starts dealing with patient, as a rule, too late, when a breach or even breakage has already happened. So, being focused on the late repair of the concrete breakages-diseases, modern medicine disintegrated Human Body in its wholeness. Each specialist treats only the narrow group of diseases and minimally pays attention to the whole body functional status. The radical treatment comes to placing into the body some physical or chemical substitutions for the breached natural components. Such practice is step by step straining the body self-control. Lack of the integral functional control under growing intervention of specialized radical treatment creates serious threat to the body macrosystem stability. The situation reminds that of environmental but much more critical.

       We, physicists from Institute of Radioengineering and Electronics of Russian Academy of Sciences, first were struck by such dramatic situation with the preventive healthcare 20 years ago. Based on a high priority government order, we performed investigation of the Human Body’s physical fields and radiations. We applied for the purpose effective methods of passive remote sensing, that has been developed in the Institute for investigation of planets and the Earth from satellites. These methods, being principally integral, manifested the whole body scale dynamic functional pattern of the main physiological systems activities: metabolic rate, blood microcirculation, neural regulation, etc. That is why we named it Dynamic Functional Imaging [1]. This work attracted serious attention from medical community. Very soon we found ourselves collaborating with colleagues, practically from all medical specialties (cardiology, pulmonology, neurology, oncology, etc.), who had been interested in application of our methods and instrumentation for their concrete medical niches.  But nobody had been interested in investigation of the whole body conditions… It was very difficult to find an expert on the whole body healthcare, even for the scientific collaboration…

       It is critically important to formulate what does it means to be healthy. We are healthy up to extent the whole body self-control system is able to manage various real time life loadings: physical, nervous (e.g. emotional stress), immune, etc. There is no a partial health. Even if all medical specialists would make conclusions that patient is healthy, it does not exclude possibility of serious problems on the whole body control level. In order to keep the body healthy it is important to reveal in time when the self control system meets problems in managing the life loadings.  The most natural way for the purpose could be monitoring the body physiologic reactions on the various real time life loadings. It should be everyday permanent, since the most indicative signs used to manifest itself between the scheduled examinations (when rushing up stair, breathing in a smoke, being upset, catching an infection, etc). Nowadays such monitoring became realistic due to development of the necessary technology: wearable vital signs monitors, micro computing, etc. But this revolutionary for the true healthcare technology is used so far dominantly as supportive for the radical treatment “home care”, but not the health care. At the same time potential market for the necessary preventive healthcare, based on such monitors, could be comparable with that of nowadays medical.

       What interferes to move in this direction? A short answer is a lack of the adequate medical science approach to such preventive whole body healthcare. The mainstream medical science is too busy by the radical treatment of the concrete diseases that can not see “wood behind trees”… The science on the whole body health stays archaic. The key importance for bonding the modern digital technology with the science on the healthcare is to develop a global model, as a main frame for the body self control. Such frame is necessary in order to match results of the physiological monitoring with the whole body health conditions. Existing qualitative knowledge on the body physiology functional organization (homeostasis [2], stress [3], functional systems [4], etc.) should be used as the scientific basis for the model. But to become practical, such model should include the basic set of quantitative functional parameters of the tissues, organs, physiological systems and its interconnections, coherence on the whole body level. The latter is not less important for the whole body system characterization than the partial parameters. The model should be dynamic, describing the body reactivity on the various life loadings. Dynamic range of the whole body reactivity could be a measure of the health as an acceptable “life amplitude”(the range of the loadings). The model could be individually adjusted, e.g. by the Dynamic Functional Imaging [1].

       In addition, I want to attract attention to the few related topics.

       Together with early diagnostics of the body self control problems, healthcare should include technology for fixing it. The most natural cure for the whole body functional disorders could be based on activation of the body adaptive recourse via the mechanism of nonspecific adaptive reactions [3].  The body functional status is determined by the information flow from distributed net of the body’s sensors: internal and external, physical and chemical. These signals, if being properly organized by an interactive procedure, are capable to activate the physiological systems. For the purpose, investigation of the body macro informatics is necessary to learn “how to talk” with the body via its natural sensory inputs.

         The body macroinformatics recourse manifests itself in particular in the spontaneous self healing phenomenon “placebo”, used for contrasting the new drugs efficiency. Unfortunately, this interesting phenomenon practically stays beyond the scope of medical sciences, focused dominantly on the drugs itself. It looks realistic to increase efficiency of such body self healing (without side effects) if to understand in more detail its mechanism and to optimize it under controlled procedure.

         The intensity and doze of physical and chemical factors, applied nowadays for treatment, are much larger than regulatory range of the sensory signals. The body self control under such conditions is fighting against the treatment. The radical treatment approach is reasonable only for surgery and as the last recourse when fighting terminal cancer. But modern medicine applies it much wider… That is why it is so important to deal with potential threat of the body self control destabilization by the modern radical treatment: each drug and procedure should be analyzed and tested from this point [5].

       In general, it is important to realize that human body macro systemic self control has much more delicate and fragile organization, as compared with that of taken in consideration by the modern medicine. Getting deeper into the body micro- nano- scale does not make medical approach more delicate. On the opposite, it creates a threat in the previous order when dealing with the body genetic level, means touching the biologic “roots”…

        Situation with dramatic lack of the whole body approach in healthcare reflects general weakness, insufficiency of modern science toward the macro systemic problems such as environmental, social, economics. However, the main “human mind” power is more and more focusing on the micro scale approach …

        It looks like God left control over the human vital macro systemic problems for Himself…

 
References

1.Godik E.,Guljaev Yu.: Functional Imaging of Human Body. IEEE Engineering in Medicine and Biology, 10(4):21-29, 1991.

2. Walter B. Cannon: The wisdom of the Body. New York, W.W. Norton & Co., 1967.

3. Hans Selye : Stress of life. New York, McGrow-Hill, 1956.

4. Anokhin P.K.: Essays on the physiology of functional systems. Moscow, Medicine, (in Russian), 1975.

5. Godik E. Development proposal: International Institute of Human Organism Stability. IEEE Eng. Med. Biol. 11(2): 91, 1992.

 

 

 

 

 






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