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PACEs in Medical Schools

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CMS: NEW – Waivers & flexibilities for health care providers 6.25.20

Karen Clemmer ·
Click here for the CMS Corona Virus Waivers & Flexibilities. Coronavirus Waivers & Flexibilities In certain circumstances, the Secretary of the Department of Health and Human Services (HHS) using section 1135 of the Social Security Act (SSA) can temporarily modify or waive certain Medicare, Medicaid, CHIP, or HIPAA requirements, called 1135 waivers. There are different kinds of 1135 waivers, including Medicare blanket waivers. When there's an emergency, sections 1135 or 1812(f) of...
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Resilience for Children & Families: Being Brave When Things are Hard

Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
Comment

Re: Reimagining Healthcare as a Community Investment

Jeoffry Gordon ·
Let us be clear: Guaranteeing medical services as a right to all Americans is not only a moral mandate, it is an investment in individual freedom and capacity, in family security and opportunity, as well as community solidarity and peace. The rest of the mature developed world places this priority along side fire departments, schools, and housing as collective public goods guaranteed by the government. Here in the USA this moral mandate has been retarded first by racism (those states which...
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ACEs and Gynecological Problems - A Conversation Starter

Dianne Couts ·
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Does VP Candidate Kamala Harris know about ACEs?  You bet!

Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
Comment

Re: What’s behind burnout in trainee physicians (Contemporary Pediatrics)

Jeoffry Gordon ·
YES, BUT! Even to use the term "burnout" is to buy into the oppressive perspective of an immoral, exploitative medical system. The real issue is "moral anguish" of clinicians who must work in an industrial environment where productivity and efficiency and an oppressive constraining electronic medical record trump attention, caring and compassion. Traditionally in medicine trainees (residents) learn best by being pushed, stressed, and dominated by the learned superiors (Germanic model). Now,...
Blog Post

Public Health considers itself as a social science. It can be a resource for ACEs activists.

Dennis Haffron ·
I have just attended two Virtual meetings about public health. Public health agencies have been under funded for years. The covid19 crisis has impacted those institutions heavily. However many Public Health agencies are ACEs aware. They can be useful allies for ACEs activities. What follows is from the Fighting For Our Lives forums follow up communication. The recordings from the forum series are available at the following links. There is a brief registration form before you can view the...
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Psychological Trauma Is the Next Crisis for Coronavirus Health Workers [Scientific American]

Jennifer A Walsh ·
After his roughest days in a New York City emergency room, physician Matthew Bai feels his whole body relax when he sees his wife and 17-month-old daughter. “My light at the end of the tunnel is going home to family,” Bai says. When Manhattan’s Mount Sinai Hospital started to overflow with COVID-19 patients in late March, however, Bai and his wife decided she should take their toddler and stay with her parents in New Jersey. The risk of spreading the virus to his family was too great. Now...
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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd

Carey Sipp ·
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
Blog Post

Free 2020 Virtual Trauma-Informed Care Conference

Bharat Sanders ·
Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.
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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)

Karen Clemmer ·
Child Welfare publication, Child Trends, September 25, 2020. The QIC-AG is a five-year project working with eight sites that implemented evidence-based interventions or developed and tested promising practices which, if proven effective, can be replicated or adapted in other child welfare jurisdictions. Effective interventions are expected to achieve long-term, stable permanence in adoptive and guardianship homes for waiting children as well as children and families after adoption or...
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Teaching Doctors In Training To Connect Climate Change And Health Care (WBUR)

Karen Clemmer ·
By Martha Bebinger, September 24, 2020, WBUR. It was low tide on the North Shore of Boston when Steve Kearns felt the mosquito bite that would land him in a hospital with West Nile Virus disease for a week. “For at least six months after that, I felt like every five minutes I was being run over by a truck,” Kearns says. “I couldn’t work, I couldn’t walk very well, and I couldn’t focus. I wondered for a bit if I’d ever get better.” Kearns recounts the experience during a check-up with his...
Blog Post

The importance of care coordination [medcitynews.com]

By Brooke Sabia, MedCity News, September 30, 2020 Some may ask the question, “What does a care coordinator do for my personal well-being?” There is no short answer as to what a patient can benefit from by receiving assistance from a care coordinator. Their job is to connect with high-risk individuals to uncover and identify needs in a patient-centered manner and in a way that takes into account whether the patient has endured any trauma. When people think of care coordination, they typically...
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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.
Blog Post

New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)

Elena Costa ·
English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance have co-created a newly developed resource, “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe...
Blog Post

A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]

Jennifer A Walsh ·
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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In medical schools, students seek robust and mandatory anti-racist training [washingtonpost.com]

By Elizabeth Lawrence, The Washington Post, November 8, 2020 Betial Asmerom, a fourth-year medical student at the University of California at San Diego, didn’t have the slightest interest in becoming a doctor when she was growing up. As an adolescent, she helped her parents — immigrants from Eritrea who spoke little English — navigate the health-care system in Oakland, Calif. She saw physicians who were disrespectful to her family and uncaring about treatment for her mother’s cirrhosis,...
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A Better Normal- Education Upended 11/19, with special guest Robin Cogan, The Relentless School Nurse!

Lara Kain ·
Hi Everyone! Welcome back. I am SO very excited to announce our special guest for this Thursday 11/19 12-1 PST. Please join us as we discuss everything school health and school nursing with rock star school nurse Robin Cogan. Along with all her amazing achievements in her bio below she has recently been featured on CNN, USA Today, Newsweek, and the NYT commenting on school health and the invaluable role of school nurses during a pandemic. Robin Cogan, MEd, RN, NCSN is a Nationally Certified...
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A college professor's Thanksgiving message to students is bringing people to tears (upworthy.com)

A college student on Twitter shared a pre-Thanksgiving e-mail she and her classmates received from a professor, and it's just the best example of real human-kindness. It reads: "Good morning. I know this has been a difficult time for a lot of you—some of you have had Covid, some of you are currently in quarantine, and some of you may not be able to go home for Thanksgiving as you have family members who are socially distancing. I don't want anyone to feel alone at Thanksgiving, or to miss...
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How U.S. Medical Schools Are Training a Post-Pandemic Generation of Doctors [time.com]

By Jamie Ducharme, Time, November 24, 2020 In February 2019, the Kaiser Permanente health system announced a new kind of medical school. The school would be built “from the ground up” to prepare students for the complexities of the U.S. medical system. The curriculum would emphasize cultural competency, patient and provider well-being, and the elimination of socioeconomic disparities in the medical system. Students would see patients right away, and hands-on learning would replace many...
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)

Christine Cissy White ·
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
Blog Post

Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)

Christine Cissy White ·
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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ACEs Champion: The reintroduction of Michael Hayes — from ACEs awakening to ACEs community service

Sylvia Paull ·
It wasn’t until his fifth prison term in a North Carolina county jail — his fourth conviction for driving under the influence — that Michael Hayes volunteered to take an ACE survey that changed his life. The 48-year-old father of six sons and one daughter had spent a number of years in and out of prison. During his last term, to get some time out of the cell where he spent 16 hours a day, he volunteered to attend a class offered by RHA Health Services, a nonprofit that incorporates the...
Comment

Re: Committed: How a 6-Year-Old Revealed Florida's Dysfunctional System of Baker Acting Kids [centerforhealthjournalism.org]

Lisa Eason ·
So many teachers, administrators, doctors, nurses and even some councilors have no idea what ACE's are and how they may relate to behavior and later life illnesses. Many do not know about sensory perceptual disorders. And many certainly are not trained in how to deal with children who have SPD and /or ADHD, let alone other mental health issues. Schools also do not off the support staff to help in the class and instead call police. But my question is, what are the mental health people doing...
Blog Post

Association Between Depressive Symptoms and Incident Cardiovascular Diseases (JAMA)

Karen Clemmer ·
Eric L. Harshfield, PhD 1,2 ; Lisa Pennells, PhD 1 ; Joseph E. Schwartz, PhD 3,4 ; et al December 15, 2020, JAMA. 2020;324(23):2396-2405. doi:10.1001/jama.2020.23068 Abstract Importance It is uncertain whether depressive symptoms are independently associated with subsequent risk of cardiovascular diseases (CVDs). Objective To characterize the association between depressive symptoms and CVD incidence across the spectrum of lower mood. Design, Setting, and Participants A pooled analysis of...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty

Carey Sipp ·
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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Doctor's Orders: Program Prescribes Fresh Fruits, Vegetables to Idahoans [publicnewsservice.org]

Rosie Hanna ·
Eric Tegethoff, Public News Service (12/10/2020) BOISE, Idaho -- A pilot program that prescribes a trip to the produce aisle has been a success in Idaho. The Nebraska-based Gretchen Swanson Center for Nutrition evaluated the Idaho Hunger Relief Task Force's (IHRTF) Prescription for Fresh Fruits and Vegetables program, which offers vouchers to food-insecure patients with diabetes and prediabetes. It found significant improvements in participants' health; Julie Walker, manager of diabetes...
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The Adverse Childhood Experiences Recovery Workbook (Dr. Glenn Schiraldi)

Dr. Glenn Schiraldi ·
A new guide for healing the hidden wounds from ACEs The Adverse Childhood Experiences Recovery Workbook Glenn R. Schiraldi, Ph.D. Oakland, CA: New Harbinger Publications, Inc., 2021, 232 pages Practical, powerful skills for healing the hidden wounds of childhood trauma “ Dr. Glenn Schiraldi is one of the world’s most trusted experts on stress and resilience. His Adverse Childhood Experiences Recovery Wor kbook is the most complete, accessible, and evidence-based healing resource available.
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Therapists Donate Their Time to Counsel Distressed Health Care Workers [jamanetwork.com]

By Mary Chris Jaklevic, JAMA, January 13, 2021 D aniel Hao, MD, wasn’t emotionally prepared for the crush of severely ill patients with coronavirus disease 2019 (COVID-19) who came under his care in March 2020. Many were young, sedated, and dying alone. Sometimes while FaceTiming with their families, Hao saw very young children on the screen. “It was frightening,” Hao, an anesthesia resident at Massachusetts General Hospital in Boston, said in an interview. “A lot of the things that we...
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8 Categories of Adversity To Help Medicine Better Understand, Prevent and Treat Chronic Illness: ACEs, ABEs, Discrimination and More

Veronique Mead ·
I was a family doctor when the first symptoms of what would turn out to become a disabling chronic illness first began to arise. I didn't know about ACEs back then and even if I had, I would have thought my score was zero and that ACEs didn't apply to me. What I've learned in the 20 years since then is that my ACE score is actually a two, which increases the chances of ever being hospitalized for an autoimmune disease by 70%.
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development

Christine Cissy White ·
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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March CTIPP CAN Call

Jesse Maxwell Kohler ·
Thank you to Aidan Phillips from the WAVE Trust for his excellent and engaging presentation for attendees of our monthly Campaign for Trauma-Informed Policy and Practice (CTIPP) call for March. The information he shared is invaluable as we continue our work to influence change at the national level through the National Trauma Campaign . If you were unable to join, would like to watch again, or want to share with others, you can find the call recording here . Additionally, if you would like...
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Rural Opportunity Institute of Edgecombe County offers Free Reconnect for Resilience Training

Carey Sipp ·
The Rural Opportunity Institute of Edgecombe County is offering the Reconnect for Resilience Training -- normally offered at $295 per person -- with the cost waived for the April 6-2, 2021 training. s scholarships front grant funding. Sign-up here: https://bit.ly/3m6FJIZ Date: April 6-9, 2021 (on Zoom) Time: 9 am to 12:30 pm EST At this Reconnect for Resilience training you will learn seven skills and eight rapid resets to help balance your nervous system, manage stress, build resilience,...
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Spreading HOPE Summit – Afternoon Session Feature, Pt. 5: Jane Stevens and Dr. David Willis [positiveexperience.org/blog]

Chloe Yang ·
Chloe Yang, 3/29/21, positiveexperience.org/blog Our first annual summit is less than a month away! Please register at this link , which you can also find on the Summit landing page (registration closes at 5:00 pm ET on Monday, April 5th). Our virtual summit seeks to inspire a group of leaders who will, together, champion a movement to shift how we support children and families, creating systems of care based on understanding, equity, and trust. Morning plenary sessions will feature Dr. Bob...
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Research from San Bernardino pediatric population

Ariane Marie-Mitchell ·
Sharing our recent publication of data on ACEs and immune cell gene expression
Member

Michael Belh

Michael Belh
Blog Post

To solve the Black maternal mortality crisis, start with upending racist practices

Laurie Udesky ·
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Learn how to secure federal funding for your community. A Better Normal with CTIPP, Dave Ellis, Dan Jurman

Carey Sipp ·
The nearly $2 trillion American Rescue Plan Act has several buckets of funding that can be used to promote trauma-informed and healing-centered projects. PACEs Connection communities can apply for this funding, according to leaders of the Campaign for Trauma-informed Policy and Practice (CTIPP), the National Trauma Campaign, and PACEs Connection. The “Better Normal” webinar on Friday, May 14 at 3 p.m. EST; Noon PST, Dan Press, Jesse Kohler and Marlo Nash of CTIPP will begin by describing...
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ACEs Parent Handouts & ACEs One Pagers & Link to GRC (UPDATED 4/28/21)

Christine Cissy White ·
We have so many wonderfu https://www.acesconnection.com/fileSendAction/fcType/0/fcOid/508261416693856202/filePointer/508261416693856263/fodoid/507698389112989542/Coping%20With%20Stress%20During%20the%20COVID-19%20Pandemic%20One-Pager_Accesible_English.pdf l resources shared by members. However, a few of you have asked me for help in retrieving them. Here's several of the most commonly shared ACEs handouts, info graphics and one pagers, with links to download. PLEASE share yours! I'm working...
Member

Kathy Gensel

Blog Post

Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Jeoffry Gordon ·
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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The Wisdom of Trauma - Encore Event - This Weekend until Midnight PST Sunday

Fritzi Horstman ·
If you missed the recent world premiere of The Wisdom of Trauma Movie with Dr. Gabor Maté, this weekend you can watch the encore of the movie plus get full access to the Talks on Trauma series including my talk with Dr. Gabor Maté and Nneka Jones Tapia on "A Vision for Compassionate Prison." The link is here (all donations will go to Compassion Prison Project by using this link!): https://fritzihorstman--sand.thrivecart.com/supporter/6080622415b14/ Opening Kick Off Introduction with Gabor...
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Eighteenth Edition: Preventing ACEs | Healing Adversity | Promoting Resilience

Cameron Bates ·
Aligning Resources Across Georgia To Support Resiliency To Our Resilient Georgia Partners and Stakeholders: Mark your calendars for our Lunch and Learn taking place July 21st from 12 to 12:45. We launched Resilient Georgia Lunch and Learn series this year to provide a place for our regional coalition partners, peers, and stakeholders to share opportunities for partnership across the state. Next month will feature Sewn Arts . Sewn Arts is a nonprofit organization working throughout Georgia...
Member

Molly Aitken

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