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TIHCER ZOOM JULY 2020

Experiences integrating ACEs into our Internal Medicine practices - Mike Flaningam and Drew Factor

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Well done Drew and Mike. There is almost a total lack of attention to the pathophysiological impact of child hood trauma on adult physical as well as mental disease. The medical establishment has a tremendous inertia as you learned...from the clinic to the medical group to the professional society to medical schools and graduate training to  clinical research there is a near ubiquitous resistance to considering the impact of childhood abuse and neglect on adults. A large CDC study showed that child abuse and neglect, on a population basis, makes a 13% contribution to coronary artery disease - in fact this is about the same impact that high cholesterol has!

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