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The Mission of Medicine Walter M. Bortz II, M.D . Clinical . Prof. Med. Stanford University LOMA LINDA uclauuhnpb Tues. March 6 , 2012. The Mission of Medicine. THE ASSERTION AND ASSURANCE OF THE HUMAN POTENTIAL. The Determinants of Health. Solving the Health Equation.
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The Mission of MedicineWalter M. Bortz II, M.D. Clinical . Prof. Med. Stanford University LOMA LINDA uclauuhnpb Tues. March 6 ,2012
The Mission of Medicine THE ASSERTION AND ASSURANCE OF THE HUMAN POTENTIAL
Solving the Health Equation health = genes + extrinsic + intrinsic + aging health = genes15% + extrinsic0 + intrinsicx+ aging.5%/yr health = intrinsicx+ genes15% + aging .5%/yr Bortz. Determinants of Health. Am. J. Pub. Health. 2008
Proportional Contribution to Premature Death S. Schroeder Shattuck Lecture. Improving the Health of the American People. NEJM 2007; 357: 1222
Phenotypic Plasticity Conversion of Energetic stimulus to structure WMB “The Physics of Frailty”. Journal of the American Geriatrics Society, September 1993. Volume 41; 1006.
Symmorphosis (sim-mor-fosis) STRUCTURE MATCHES FUNCTION Weibel ER “Symmorphosis; on Form and Function on Shaping Life”. Harvard University Press. 2007.
Fitness / Function Blair SN “Physical Fitness and All-Cause Mortality”, Journal of the American Medical Association, 1989, Volume 262: 2396.
Fitness & Mortality Blair SN “Physical Fitness and All-Cause Mortality”, Journal of the American Medical Association, 1989, Volume 262: 2396.
The Disuse Syndrome • Cardiovascular Vulnerability • Metabolic Instability • Musculoskeletal Fragility • Immunologic Susceptibility • Central Nervous System Risk • Precocious Aging - Frailty From: WMB. Western Journal Med. 1984; 141: 691 - 694
New Paradigm • Health • Prevention • Internal Locus of Control • Pre-Pay • Universal • Managed Competition • Single Payer • Renaissance of Professional Status
The Mission of Medicine THE ASSERTION AND ASSURANCE OF THE HUMAN POTENTIAL