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Stepping Off the Slippery Slope Pittsfield, Massachusetts (MA) - Berkshire Health Systems
  1. Home
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  3. Community Outreach Program
  4. Health Take-Away
  5. Stepping Off the Slippery Slope

Health Take-Away

Health Take-Away

  • Save a Life, Lift Your Soul, Give Blood
  • Team Approach for Breast Cancer
  • Surviving Breast Cancer: A Journey
  • Hunger in the Berkshires
  • Vaccinations Help Avoid Needless Risks
  • Embrace Mindfulness
  • Low Carb High Fat Diet has Benefits
  • Probiotics Uses the Good Bugs to Fight the Bad Ones
  • Use the Power of Nature for Better Health
  • Unplug from Online for Better Health
  • Weight Loss Through Narrowing Your Eating Window
  • Mammography and Dense Breast Tissue
  • Medication-Assisted Treatment for Addiction Disorder
  • Smoker or Former Smoker? Lung Cancer Screening is Recommended for You
  • Be Safe When Using Over the Counter Medications
  • Screenings for Colon Cancer
  • Thyroid Health Essential to Metabolism
  • Go for Nutrition that is Heart Healthy
  • High Blood Pressure and Ways to Lower It
  • Hospitalists: Your Around the Clock Caregiver
  • Weight Loss Surgery Has Lasting Impact
  • Can you Find Joy in the Holidays When Sick?
  • Coping with Holiday Depression
  • When Quitting Smoking You May Need to Try and Try Again
  • Vaginal Birth after C-Section
  • New Tool to Assess Breast Cancer Risk
  • Migraines: How to Treat Them
  • Vestibular Care: It's All in Your Ears
  • Prepare for a Healthy Trip Abroad
  • New Moms Encouraged to Breast Feed
  • Language Diversity Important to Healthcare
  • Latest Advances in Joint Replacement
  • Vaping and Nicotine Addiction
  • Urgent Care or Emergency Department
  • Free Medicare Wellness Visit
  • Rehabilitation from Stroke Onset
  • Life Threatening Stroke Can be Prevented
  • Mammography and MRI for Women with High Risk of Breast Cancer
  • Breaking the Silence on Kidney Disease
  • Stop Mindless Eating
  • Hospitals Working to Improve Heart Health
  • Your Healthy Gut Bacteria
  • Give Up Smoking in 2018
  • Healthy Resolutions for 2018
  • Healthy Giving for 2017
  • Concussions: Myths and Truths
  • Celebrate a Thankful & Healthy Holiday
  • Don't Die of Embarrassment: Get Screened for Colon Cancer
  • Don't Let the Flu Get You This Season
  • Advanced Cardiac Imaging
  • Chronic Wound Care
  • What is a Hospitalist?
  • Healthy Heart Rhythms
  • Wellness Coaching
  • Men's Health In Crisis
  • Prevent Stroke or Respond FAST
  • Walking to Good Health
  • Healing Through Acupuncture
  • Self Care is Our Future
  • Family Wellness - Play Together Stay Healthy Together
  • Rewriting Your Book of Life
  • Pre-Diabetes: A Wake-Up Call for Better Health
  • Overcoming Crisis With Resiliency
  • Stepping Off the Slippery Slope
  • Sleep & Wellness: Learning to Cherish Your Sleep
  • Kicking the Habit and Ending the Fear
  • High Blood Pressure: One of the Few Things in Life We Can Control
  • Friendship is Powerful Medicine
  • It's Flu Season: Get the Vaccine!
  • The Healing Power of Gratitude
  • Where's the Joy?
  • New Year's Resolutions to Live By
  • Preventing Falls: A Leading Health Risk for the Older Population
  • Staying Healthy in the Office
  • Exercising at Home and Staying Fit in the Winter
  • Cardiac Rehabilitation: Regaining a Healthier and Better Life
  • Nutrition & Exercise: Two Great Gifts for Children
  • A Screening That Has Saved More than a Million Lives
  • How Walking Can Change Your Life
  • Injury-Free Sports & Activities
  • Have a Healthy Summer
  • Head to a Farmers' Market
  • Just Breathe
  • Lyme Disease Facts
  • Mindful Eating
  • Empathy in Healthcare
  • Preparing Your Family for an Emergency
  • Helping Someone to Cope with Opioid Addiction
  • Breast Cancer Awareness: Mammograms Save Lives
  • Antibiotic Resistance
  • Lung Cancer Screening
  • Giving Thanks
  • Healthy Holidays
  • Save a Life, Lift Your Soul, Give Blood
  • Team Approach for Breast Cancer
  • Surviving Breast Cancer: A Journey
  • Hunger in the Berkshires
  • Vaccinations Help Avoid Needless Risks
  • Embrace Mindfulness
  • Low Carb High Fat Diet has Benefits
  • Probiotics Uses the Good Bugs to Fight the Bad Ones
  • Use the Power of Nature for Better Health
  • Unplug from Online for Better Health
  • Weight Loss Through Narrowing Your Eating Window
  • Mammography and Dense Breast Tissue
  • Medication-Assisted Treatment for Addiction Disorder
  • Smoker or Former Smoker? Lung Cancer Screening is Recommended for You
  • Be Safe When Using Over the Counter Medications
  • Screenings for Colon Cancer
  • Thyroid Health Essential to Metabolism
  • Go for Nutrition that is Heart Healthy
  • High Blood Pressure and Ways to Lower It
  • Hospitalists: Your Around the Clock Caregiver
  • Weight Loss Surgery Has Lasting Impact
  • Can you Find Joy in the Holidays When Sick?
  • Coping with Holiday Depression
  • When Quitting Smoking You May Need to Try and Try Again
  • Vaginal Birth after C-Section
  • New Tool to Assess Breast Cancer Risk
  • Migraines: How to Treat Them
  • Vestibular Care: It's All in Your Ears
  • Prepare for a Healthy Trip Abroad
  • New Moms Encouraged to Breast Feed
  • Language Diversity Important to Healthcare
  • Latest Advances in Joint Replacement
  • Vaping and Nicotine Addiction
  • Urgent Care or Emergency Department
  • Free Medicare Wellness Visit
  • Rehabilitation from Stroke Onset
  • Life Threatening Stroke Can be Prevented
  • Mammography and MRI for Women with High Risk of Breast Cancer
  • Breaking the Silence on Kidney Disease
  • Stop Mindless Eating
  • Hospitals Working to Improve Heart Health
  • Your Healthy Gut Bacteria
  • Give Up Smoking in 2018
  • Healthy Resolutions for 2018
  • Healthy Giving for 2017
  • Concussions: Myths and Truths
  • Celebrate a Thankful & Healthy Holiday
  • Don't Die of Embarrassment: Get Screened for Colon Cancer
  • Don't Let the Flu Get You This Season
  • Advanced Cardiac Imaging
  • Chronic Wound Care
  • What is a Hospitalist?
  • Healthy Heart Rhythms
  • Wellness Coaching
  • Men's Health In Crisis
  • Prevent Stroke or Respond FAST
  • Walking to Good Health
  • Healing Through Acupuncture
  • Self Care is Our Future
  • Family Wellness - Play Together Stay Healthy Together
  • Rewriting Your Book of Life
  • Pre-Diabetes: A Wake-Up Call for Better Health
  • Overcoming Crisis With Resiliency
  • Stepping Off the Slippery Slope
  • Sleep & Wellness: Learning to Cherish Your Sleep
  • Kicking the Habit and Ending the Fear
  • High Blood Pressure: One of the Few Things in Life We Can Control
  • Friendship is Powerful Medicine
  • It's Flu Season: Get the Vaccine!
  • The Healing Power of Gratitude
  • Where's the Joy?
  • New Year's Resolutions to Live By
  • Preventing Falls: A Leading Health Risk for the Older Population
  • Staying Healthy in the Office
  • Exercising at Home and Staying Fit in the Winter
  • Cardiac Rehabilitation: Regaining a Healthier and Better Life
  • Nutrition & Exercise: Two Great Gifts for Children
  • A Screening That Has Saved More than a Million Lives
  • How Walking Can Change Your Life
  • Injury-Free Sports & Activities
  • Have a Healthy Summer
  • Head to a Farmers' Market
  • Just Breathe
  • Lyme Disease Facts
  • Mindful Eating
  • Empathy in Healthcare
  • Preparing Your Family for an Emergency
  • Helping Someone to Cope with Opioid Addiction
  • Breast Cancer Awareness: Mammograms Save Lives
  • Antibiotic Resistance
  • Lung Cancer Screening
  • Giving Thanks
  • Healthy Holidays

Stepping Off the Slippery Slope

Stepping Off the Slippery Slope
By Gray Ellrodt, MD - Published in the Berkshire Eagle, August 17, 2015

ELLRODT.jpgLet’s call our patient Joe. He may not know it yet, but Joe is standing on a very slippery slope. Like many people in late middle age, Joe is suffering from chronic health issues that keep him from thriving.

His illnesses have already cost him quality of life. They may also shorten his days. Joe thinks this is inevitable; everybody is going to get sick someday.

It is at this point that physicians like me start seeing a lot of Joe. Traditionally, we focus on people with complicated issues, whose symptoms have advanced to disease and the need for hospital care. And like many of my colleagues, I wonder how different Joe’s life would be if we had intervened years earlier.

There are a lot of people on the same path down the slippery slope. According to national health statistics, one quarter of older adults have at least one chronic disease like diabetes, high blood pressure, heart disease, and COPD (chronic obstructive pulmonary disease.) Of that 25 percent, half of them are suffering from more than one health issue.

Here is the most alarming statistic of all: seven out of 10 deaths in the U.S. are the result of chronic illnesses, and many of those lives could have been saved with evidence-based interventions. The problem is, our system of healthcare has traditionally focused on treating people after they get sick. It’s time to radically shift our focus to promoting health and wellness before people get sick, or with deliberate interventions that help halt the progression of disease after they become ill.

The most obvious place to begin ensuring a healthy future is when people are young, well before symptoms first appear and disease ultimately takes hold. But conclusive medical evidence proves that lifestyle interventions at any point along the progression of chronic illness will help. While sooner is always better, if Joe begins physical activity, eats a steady diet of nutritious food, and receives compassion and support for necessary lifestyle changes, he will regain a better quality of life - and even add years to his life.

We can help Joe step off the slippery slope, but the process can be complicated. Patients with chronic illnesses need physicians to diagnose and treat their disease. But they also need education, information, resources, and help with lifestyle changes to ultimately get better. Often, that kind of assistance is found in community organizations that focus on nutrition and exercise, or those dedicated to such chronic conditions as diabetes.

For example, patients diagnosed with high blood pressure – a widespread chronic illness that can lead to many life-threatening conditions – will probably receive medication from their doctor. But we know from evidence-based research that a prescription is not enough. Patients must also understand how to monitor their blood pressure and how to adjust diet and lifestyle so that their overall conditions improve. This requires the kind of time and vigilance not available from most primary care physicians who have practices that are already over-burdened with too many patients.

The challenge for healthcare in the 21st Century is connecting patients to all of the best medical and community resources available, creating dynamic partnerships that will share treatment and follow-up care for people with chronic illnesses. Massachusetts is already launching physician/community partnerships and other states will soon follow. While still in the early stages, this new model for the delivery of effective healthcare is showing great promise.

This is important work for all communities. People don’t want to be sick. For many of us, regaining quality of life and preserving precious years requires coordinated help from a variety of resources. These are the kinds of proven interventions that will keep people from getting too close to the slippery slope before their time.

Gray Ellrodt, MD, is Chief Quality Officer and Chairman of Medicine at Berkshire Medical Center.

 

 

 

 

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