Tag Archives: health

Improving health with 7 life elements

On this blog we explore the HEART of HEALTH

Many years ago Bruce Larson wrote, “There’s a Lot More to Health Than Not Being Sick .” (1984-07-03)


He proposed health is not just the opposite of un-health, disease, illness, informity- and I agree.

There's a Lot More to Health than Not Being Sick by Bruce Larson

I have seen this proven in the lives of countless patients.

I have treated patients who did not have a diagnosed disease, but yet did not feel or act healthy. Other patients who had a long list of ailments still managed to live active, healthy lives.

Defining Health

The WHO, World Health Organization, says

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

(The bibliographic citation for this definition is: Preamble to the Constitution of WHO as adopted by the International Health Conference, New York, 19 June – 22 July 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of WHO, no. 2, p. 100) and entered into force on 7 April 1948. The definition has not been amended since 1948.)

Improving health with 7 life elements- watercresswords.com

Health in 7 Dimensions

I recently discovered a definition of health that includes those points but goes even further. The University of California, Riverside, Human Resources department promotes wellness among its staff and students with a Seven Dimensions of Wellness program.

This program considers aspects of life which you might not think impact  health but do significantly affect wellbeing, or the lack of.

Let’s look at  their 7 points which I’m going to expand with my own thoughts.

Social Wellness- relating to and connecting  with other people in our world.

This includes family, friends, co-workers, neighbors, even strangers.

Loneliness is  a significant health problem: it contributes to ill health, and even risk of dying prematurely.

The New York Times health writer Jane Brody reviewed medical studies that show

Social interaction is critical for mental and physical healthstatue of 3 men dancing and playing instruments

Emotional Wellness- understanding our feelings and coping with life challenges.

Emotionally well people understand that feeling angry, sad, fearful or stressed will happen, and are able to not let those feelings cripple them. They use the times of  hope, love, joy and happiness to build a reserve on which to draw in difficult times.

Spiritual Wellness – what brings, peace, harmony, and purpose to our lives.

Our sense of ethics, morals, right, and wrong is usually based on what we believe to be true and meaningful,  woman with hands bowed in prayerand likely involves faith and support for an organized belief system or religion. Without belief in something, our lives can drift aimlessly and we can fall into restlessness, doubt our purpose, and lose hope for the future.


The saint, Mother Teresa, lived her life committed to the purpose she felt called to do- take care of the poor, sick, and suffering people in India.

Environmental Wellness – how you feel about where you live and work.

Whether it’s your own home, your neighborhood, city, country, or the world, your environment can make you feel safe and protected , or can make you feel uncomfortable and insecure, depending on the quality of the air, water, and physical surroundings.

Where you live often determines your access to basic services and goods necessary for health and wellness, what doctors call the social determinants of health  such as

  • doctor’s and dentist’s offices
  • hospitals
  • pharmacies
  • grocery stores that sell nutritious food

as well as access to schools, church, jobs, entertainment.

sign on an urgent care clinic

Environment may even change our genetic makeup. According to an article shared at Smithsonian.com

“A team of researchers from Northwestern University led by anthropology professor Thom McDade have shown that DNA can also be modified by your environment during childhood. What’s more, the authors conclude in the journal Proceedings of the National Academy of Sciences, those modifications can affect how or when you develop certain illnesses during adulthood.”

Occupational Wellness- finding personal fulfillment from our jobs or our chosen career .

Feeling that we are contributing to the society we live in, whether it’s through employment, voluntary service, or nurturing a family unit can give us a sense of accomplishment and self-worth.

When you realize that we often spend the majority of our waking hours at work, you can see why work has a major impact on our health. In my medical practice, I frequently encounter patients with job problems that impact their health.  This includes

  • physical demands, exposure to dangerous substances, environments, and situations
  • time demands, shift work, long hours, lack of time off
  • job insecurity due to uncertain employer stability, unclear job expectations, inadequate training
  • interpersonal conflicts with supervisors, other employees, clients, customers

These can lead to

  • physical injuries
  • fatigue, sleep deprivation
  • feelings of stress, anxiety, depression

Read about how a bad work environment may be worse than being unemployed in this CNN report.

 Bad work environment-bad for your health

drawing of a man reading a book which hides his face

Intellectual Wellness- opening  our minds to new ideas and experiences in order to increase our knowledge and skills

Whether through formal education in a school or through individual learning pursuits , keeping our minds active seems to be a key to remaining fit and active as we age, and may even slow or prevent the onset of dementia, as recommended by the Alzheimer’s Association. 

Stay Mentally Active.


plaque in front of the Bizzell Library, at the University of Oklahoma





Physical Wellness-  the ability to maintain a healthy quality of life that allows us to get through our daily activities without undue fatigue or physical stress.

These dimensions of health aren’t linear so much as they are circular-one leads to another. Addressing our physical health makes the other 6 easier to accomplish. In this category we would consider

  • weight management
  • physical activity
  • avoiding substances like tobacco, alcohol, illicit drugs
  • adequate quality sleep

WHO’s “Prerequisites for Health”

The World Health Organization later expanded their health definition .

They wrote, “To reach a state of complete physical, mental and social well-being, an individual  must be able

  • to identify and to realize aspirations,
  • to satisfy needs, and
  • to change or cope with the environment.

Health is a resource for everyday life, not the objective of living.

Health is a positive concept emphasizing social and personal resources, as well as physical capacities.”

I encourage you to read Rev. Larson’s book; There's a Lot More to Health than Not Being Sick by Bruce Larsonit’s vintage but still challenging and inspirational.

Explore the 7 Dimensions of Wellness page and the other information the University of California, Riverside offers to their employees and to us, and for which I thank them.


Now  think about which of the 7 dimensions you need to work on, devote more attention to, or change, to reach your optimal state of wellness. 

I’m certainly going to look harder at my own life to see where I need to make changes. Here are some questions to consider.

When was the last time I read a book about something I didn’t already know about?

How can I make more time for social activities with friends and family?

Is my job a source of intellectual stimulation and satisfaction, or does it drain my emotional and physical energy?

GOALS written on a sheet of paper

What new goals will help me achieve the health i want?

Are there habits I need to change to improve my physical well-being-lose weight, quit smoking, eat more nutritious foods?

Do I make time for goal setting, self-assessment,  meditation, nurturing and practicing my faith?

Who do I need to forgive, and what situations do I need to lay aside and move on?

I would love for you to leave a comment or send me a message if you just want me to know. 

Here are some other posts that might inspire you in your exploration.

Health is Primary

Health is Primary, a program committed to improving the health care system and patients’ health

7 surprising reasons to be smoke free

6 steps to losing weight and gaining hope

Use your phone to get fit

Expert advice to sleep well every night


10 health blogs you should read- 3 blogs by 3 docs


Today I am continuing my series about health blogs you should read.  We’ll look at 3 blogs by physicians in 3 different specialities  today.

For the complete introduction to this series and for the first 2 blogs, go to this post, otherwise continue reading .


I recommend these health blogs because they

  • offer valid medical information on a variety of topics.
  • offer sound advice without quick fixes.
  • discuss common everyday health concerns
  • discuss the healthcare system, how it works well and how it doesn’t.
  • offer insights on healthy living, both as individuals, families and a society.
  • show you how physicians think , feel and act , both as persons and professionals
  • will educate and challenge you.

These blogs open a window into the medical community.  You may be surprised that physicians have the same concerns about health and medical care as you , and some that you are unaware of. Most importantly, you will find they are on your side; they care about you,their patients,  probably a lot more than you care about them.


These bloggers’ viewpoints often surprise and challenge me; I don’t always agree with them and you may not either.  By recommending them, I don’t endorse their opinions, nor do I benefit financially.  

We’ll explore these 10 over several days so check back often, or subscribe by email to make it easy to keep up.

The accompanying photos are illustrative only, and are not necessarily affiliated with the blogs or bloggers mentioned.


James Marroquinn, M.D.

Dr. Marroquinn writes on health, bioethics and the practice of medicine.

He practices internal medicine in Austin, Texas, is  fellowship-trained/board certified in palliative care and works from time to time at an inpatient hospice facility.

Battleship Texas sign

The last of the battleships to participate in World War I and II, Battleship Texas became the first battleship memorial museum in the U.S. in 1948.



His goals for his self-titled blog are

“to inform people (including myself) about health science, ponder philosophical, political, theological issues associated with medicine, and make sense of my experience as a physician.”

Dr. Marroquinn posts infrequently; his posts are timely, articulate and informative.

Here is a post I especially enjoyed about Boxing and Parkinson’s Disease. He discusses a video about 60 Minutes news correspondent  Leslie Stahl and her husband who has Parkinson’s Disease.

In this post, he offers three reasons why physicians and other health practitioners should recognize and address the spiritual component of their patients’ lives. 


medicine for real– Navigating the healthcare system

is written by  blogger Dr. Shirie Leng, an anesthesiologist, who writes,

“I have worked in health care both as a nurse and as a doctor for 15 years.  The health care industry is just that, an industry.  As such it doesn’t have a whole lot of concern for the “customer”.  I write about the processes, redundancies, red-tape and pure pointlessness of much of medicine, so that you can make decisions and navigate for yourself.”

pre-op area of hospital

I suspect Dr. Leng spends much time in places similar to this.



Besides healthcare, she writes about education, insurance, end-of-life issues, motherhood, and the history of medicine.

Dr. Leng had not posted in awhile because, as she explains it, “nothing health-care related has outraged me recently.  And I definitely write better when agitated about something.”

But she did post  this piece recently, Health Is For Us, Not you , in which she touches on mass shooters, Syrian refugees and ISIS.



freud & fashion



You’ve met Vania Manipod, D.O when I shared her post about New Year’s Resolutions.

In this post, Dr. Manipod gives tips on recognizing and controlling anger


musicians on California beach

Dr. Manipod comes from California , which I found to be an interesting place.

flowers along the Pacific Ocean shore

And beautiful.