Modern medicine has given us extraordinary capabilities. We can diagnose disease, treat infections, perform complex surgery, control blood pressure and manage conditions that once dramatically shortened people's lives.
But it can be easy to think of healthcare as something that happens mainly when we become unwell:
Sometimes that is exactly what is required.
But it isn't the whole picture of healthcare.
Your body is working 24 hours a day
Long before you enter a doctor's office, your physiology is operating. Your cardiovascular system, metabolism, muscles, nervous system, immune system and endocrine system are continually responding to your environment and behaviour.
How you eat matters. How you move matters. Sleep matters. Body composition matters. Fitness matters. Medication matters. Medical conditions matter. Laboratory results matter.
And critically, these things can influence one another.
The pieces are connected
Consider blood pressure.
Medication may be entirely appropriate and can be extremely important for reducing risk. But understanding blood pressure can also involve looking at physical activity, body weight, diet, sleep, alcohol, medications, kidney health and other physiological or medical factors.
That doesn't make medication unimportant.
It demonstrates that healthcare is bigger than medication.
Don't stop at the medical word
Another common experience is being told:
“Your blood tests are fine.”
That may be reassuring, but it isn't the same as understanding the information.
What was tested? What were the actual values? How do they compare with previous results? What could influence them? Is there a trend? Does the result make sense when considered alongside symptoms, medications, medical history and other measurements?
Laboratory reference ranges are valuable clinical tools, but a result within a reference interval is still only one piece of the overall health picture.
Context matters.
Optimization is not perfection
Physiology First is not about forcing every person toward an invented set of perfect numbers.
Human beings are different. Age, medical conditions, medications, genetics, symptoms and circumstances matter. For many measurements there is no single universally accepted “optimal” value for every person.
Optimization means something more practical:
Become an active participant
Whole-person health means looking beyond isolated organs or isolated measurements and considering the broader biological, behavioural, social and environmental factors that influence health.
That principle is fundamental to Physiology First.
Your doctor remains an important part of healthcare. Appropriate medication remains an important part of healthcare.
But you also have a role.
Know your information. Understand your measurements. Look at trends. Understand your physiology. Ask questions. Improve the factors that can reasonably be improved. Then measure again and see what actually changed.
Understand it.
National Institutes of Health — United States:
Whole Person Health: What It Is and Why It's Important
American Heart Association — United States:
Life's Essential 8
Australian Institute of Health and Welfare — Australia:
Risk Factors for Heart, Stroke and Vascular Disease
World Health Organization — International:
Physical Activity
MedlinePlus — United States National Library of Medicine:
How to Understand Your Lab Results