Tagged With "Gynecological Problems"
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Jeoffry, Although I have concerns about required screening for ACEs in a society and medical culture that has little understanding of trauma, still commonly believes the only effects of trauma are psychological, often tells individuals with “functional” diseases, mental health conditions, low income or who are discriminated against that it’s all in their heads, does not provide health insurance and mental health treatment for all – I believe it is important to move forward because of all...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Ms Mead I am so grateful for your heartfelt comments. It must have taken a lot of thought and energy to put together such an extensive essay. Your intimate passion and concern come through and I share it. I am glad you found a way (in spite of personal circumstances) to put your wisdom and caring to use. I would riff of your desire to see our society become "more trauma informed" to say I honestly think we live in a relatively brutal and unjust, selfish and violent society. Child abuse is...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
But, Alas, pediatricians are medical clinicians, not police. If they did not ask about language skills they may never uncover a hearing problem that could be treated. If they do not ask about home environment, they may overlook abuse -which they have the responsibility and skills to treat.This is not prejudice, punishment or stigmatization but caring outreach and risk assessment in the vast majority of circumstances.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
You DO NOT NEED AN ACE SCORE to get a psychosocial history. You do not need to put a family at risk to do a psychosocial history and provide services to patients. I know. I have been doing it for 20 years. All this score can be used for when put in the medical record is to harm children, parents and families. If I were forced to get this score, I would tell all my patients that the government is forcing me to ask you questions that could put you at risk for having your children removed from...
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Re: ACEs screening is about building relationships, says early adopter
I have been thinking a lot about the current lively conversation. We have now known about the problem of the endemic of child abuse and neglect with the resulting traumatic stress contributing to mental and physical disease for a generation, but medicine has not yet dealt with it adequately. Taking a broad view I see we are having an enthusiastic dialogue among 3 groups of clinicians about how to deal with this problem and the 4th group. The fourth group is by far the largest - maybe 80 % of...
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ACEs and Gynecological Problems - A Conversation Starter
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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Re: ACEs and Gynecological Problems - A Conversation Starter
Thank you for your posts. It's scary when I hear people say "it's all about choices," as if babies and children have agency.
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Re: ACEs and Gynecological Problems - A Conversation Starter
Hi Dianne, Thanks so much for your comments, thoughts and questions, and being brave enough to share your personal history! It reinforces in my mind why it's so necessary that health care systems should be trained in trauma-informed practices. I recently interviewed a nurse practitioner, Annie Lewis-O'Connor about another project. But she founded and directs the C.A.R.E. clinic at Brigham and Women's Hospital in Boston. It's a trauma-informed clinic that serves girls and women who have...
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California ACEs Academy Event: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead
Thursday, September 3, 2020 12:00pm - 1:00pm PDT | presented by Dr. Vincent J. Felitti *Priority will be given to Medi-Cal providers* The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences...
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Health advocates highlight extreme COVID burnout, stark inequities and strong call for action
Dr. Elisa Nicholas, a pediatrician and chief executive officer of TCC Family Health Clinics in Long Beach, California, relays an example of how the COVID-19 pandemic has wreaked havoc on the lives of the clinics’ patients. Most had already been struggling financially prior to the pandemic. “Both the mother and father came down with coronavirus,” said Nicholas. “Their child was in on a telephone visit with one of our doctors. They did not have any way to get food. They had no money to pay for...
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ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits
This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...
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Think beyond ACEs screening, advises California funders workgroup in new report
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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A hospital builds awareness about trauma, deploys acts of empathy
In late 2018, Roberta Azzo, an operations program manager at Bon Secours St. Francis Medical Center in Midlothian, Virginia, decided to take an all-hands-on-deck approach to infusing the hospital’s culture with a trauma-informed approach to care. This involves recognizing that trauma is widespread and that it can cause all kinds of troubled behavior, learning ways to de-escalate that behavior, and preventing practices that trigger patients and staff who have experienced trauma. The hospital...
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Supporting Skagit County (WA) Families in Need
In 2012, retired from a career in maternity nursing, I joined an effort to start a food bank in our town of 900 people. Though small, we were prepared for most requests; that is, until the day a mother came in search of baby diapers. We had none, so one of our volunteers bought a package of diapers to give her the next time she came in. Soon after, more women came looking for diapers, including a mother-to-be who was expecting twins. She was going to need help. We felt empathy for her and...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs and ACEs+, ACREs, and More
As I've discovered since leaving my career as a family doctor, retraining as a somatic trauma therapist, and scouring the research for 20 years - adversity of all kinds, in all phases of our lives, and in past generations influences our health. As does discrimination. Like ACEs, these 7 additional categories of adversity shape health. They increase opportunities for prevention, identify early indicators of risk, and offer more tools for healing chronic illness and other effects of trauma.
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Research article on ACEs and immune cell gene expression in children
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
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Dr. Claudia Gold's Recent Blog Posts & Videos
Dr. Claudia Gold is an ACEs Champion who has as much medical expertise as she does empathy for parents, including and maybe especially for parents who are struggling. She recognizes the challenges and difficulties many parents experience but instead of shaming or punishing parents, she starts by listening to and learning from us. While this seems like the most practical, effective, and common-sense approach, to me, it is something many providers don't have the time, skill, inclination, or...
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American Psychologist Special Issue: Adverse Childhood Experiences: Translating Research to Action [apa.org]
The American Psychological Association has published a special issue focusing on adverse childhood experiences (ACEs). In this special issue you will find a variety of articles addressing ACEs and the impact they have on us from biology to policy. From the American Psychological Association, " The goal of this special issue is to publish articles that encompass the range of work being conducted in research, practice, programs, and policy in psychology and allied disciplines. This emphasis is...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
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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California PACEs Connection initiatives spark new connections in regional meeting
Among PACEs Connection initiatives around the country, it’s well known that our social network is something like a bustling, giant town square where people share ideas, resources and any number of conversations about how to prevent childhood adversity and promote positive childhood experiences. On May 14, PACEs Connection assembled a virtual town square gathering of PACEs initiatives in California, where we have 58 initiatives sparking action all across the state. Speakers at the gathering,...
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How Meltdowns Can Manifest Resilience
As a primary care pediatrician, I spend most of my days talking about things that are hard for families. Parents ask what to do when their child won't poop on the potty. Or how to get their baby to sleep longer or how to get their teenager to wake up earlier. They ask how to get their child to sit in the car seat or what to do when they get car sick on long rides. And over the years I have developed a list of problem-solving strategies to help. But the one that has recently become my...
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New Release: Humboldt County Home Visiting Program Environmental Scan
In partnership with First 5 Humboldt and funded by the First 5 California Home Visiting Coordination Grant, the California Center for Rural Policy has just released the Humboldt County Home Visiting Program Environmental Scan. The findings and recommendations in the environmental scan are grounded in partner workgroups, interviews, and surveys that occurred in 2020-21 and capture the impact of the COVID-19 pandemic on home visiting services. Excerpts: "The organizations that provide home...
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How Integrity Can Heal Burnout (mindful.org)
Struggling to make an organizational decision that could adversely impact employees, or feeling unable to provide your children with care and attention while balancing the demands of work and your own need for rest, represent situations where moral suffering could arise. Whatever the exact nature of the decisions and dilemmas we face, the feeling of being too pressured or undersupported to act in alignment with our values has real effects on our mental health, and on whether we reach a point...
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Upcoming 6/9 Webinar and New Report and Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families
PACEs Connection and the Essentials for Childhood (EfC) Initiative, a project of the California Department of Public Health (CDPH) and the California Department of Social Services (CDSS) have developed two new resources, “Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families” Report and the “Digital Divide Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families”
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
The ACPM continues the high-minded academic tradition of castigating clinical research that does not meet precise research standards developed for biochemical pathophysiology and its treatment. In doing so it creates barriers to needed and overdue clinical intervention in a major behavioral pandemic with huge consequences for individual health and society. This policy statement impedes, impairs and delays attention to ACES, PACES, childhood abuse and neglect in the clinic as well as omits...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
You know on the surface I could agree with you, but if you go a bit deeper: It is a bit trying to solve a clinical problem ignoring the rules of trauma informed care. First you ask "What's wrong? What do you need? How can I help?" One does not engage by criticizing, pointing out faults, and generally concluding you fell short and your behavior and attitude could even be harmful or dangerous!
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Can government policy reduce trauma?
One of the most radical implications of the literature on early childhood trauma is that abuse needs to be eliminated from all of our relationships—with our families, teachers, colleagues, and government . When government leaders create a new policy, they can proceed in a way that dis-empowers constituents, or they can proceed in a way that fosters dialogue and shared decision-making. Ironically, the development and implementation of California’s policy to address childhood trauma provides...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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“Going Way Upstream” - Panelists at Resilient Pender County Conference report on current trauma prevention and healing efforts; look to future
Amy Read of Coastal Horizons introduces the panel following a viewing of "Resilience: The Biology of Stress, The Science of Hope", at the Pender Resiliency Task Force Mini Conference Thursday, June 8 ,at Heide Trask High School in Rocky Point. A "dream team" of subject-matter expert panelists (L-R) were Ryan Estes of Coastal Horizons, Ben David, district attorney for Pender and New Hanover counties, Judge J. H. Corpening, district court judge for New Hanover and Pender counties, Taylor...