Delaware County Medical Society Summer 2017 - 17

I think (I hope) that doctors in general understand the
negative impact ACEs can have on a youthful mind. But
just in case we didn't know it, there was a groundbreaking
study done by the Centers for Disease Control (CDC) and
Kaiser Permanente from 1995-1997 that clearly spelled it out
for us. It is one of the largest studies done that show how
early childhood experiences affect our health and well-being
as adults. All participants in the study were adults and they
answered 23 items assessing exposure to 10 types of ACEs
before 19 years of age, including physical abuse, sexual abuse,
emotional abuse, physical neglect, emotional neglect, mother
treated violently, household substance abuse, household mental illness, parental separation or divorce and incarceration
of a household member. An ACE score was created for each
participant and then associations between each ACE category
and sexual victimization during adulthood were examined. In
addition, looking forward, the ACEs study looked to see if
there is a relationship between the number of categories of
childhood exposures and adult disease.

Very briefly, the results of the ACEs
study showed that if someone has an
ACEs score of 4 or more, that is, there
is maltreatment and household dysfunction in childhood, that individual is
more at risk for significant health issues
decades later. These illnesses include
heart disease, cancer, chronic lung disease, strokes and diabetes. That patient is
more likely to be alcoholic and to abuse
drugs. Depression, suicide attempts,
more lifetime sexual partners, sexually
transmitted diseases and obesity were
also notably higher in the ACEs population. Basically, this study showed us
that when someone experiences trauma
in childhood, every aspect of their life is
negatively affected. It affects them physically, socially, behaviorally and mentally.
The economic costs of ignoring or not
adequately treating childhood trauma is
staggering.

has demonstrated that she has the ability to take care of this
beautiful child, but you would be wrong. I was involved in
this case and this mother demonstrated beautifully during this
child's hospitalization that because of her drug addiction, she
has very little ability to take care of this infant at this point
in her life. But it doesn't matter. None of it matters, because
despite the work of numerous doctors, Children and Youth
Services (CYS) case workers and other county workers, the
judge returned this child to a very unsafe and unstable home
environment and so I stress about this infant's safety. This
child cannot sit, stand or talk as yet but his ACEs score is
greater than four already. Based on the CDC-Kaiser study, the
odds are stacked against him.
Right now, when we talk about ACEs, we're talking about
adverse experiences that occur during childhood. What happens when the adverse event begins prenatally? Before they
take their first breath out of the womb, babies with Neonatal
Abstinence Syndrome (NAS) have an uphill battle for survival. Some of them are successfully and safely weaned off
drugs and do well in loving homes. However, many of them
do not. What is happening to our infants who are successfully
weaned and immediately sent back to the home where the
parent is still an active drug user? We do so much for adults
with drug dependencies and I am happy about that but how
about our babies?

Ten Medical Specialties
in One Group - and One
Convenient Location.

For high-quality medical care from a team
of specialists, discover Bryn Mawr Medical
Specialists Association (BMMSA).

825 Old Lancaster Road
Bryn Mawr, PA 19010

When I teach, I like to use examples of real cases to illustrate my point. I needed to be in my garden today because
I found out that this past week a wonderful judge made a
decision to return an infant from foster care to the home
with his biologic mother. One would assume that this mother

BMMSA Specialties:
Cardiology: (610) 527-3800 | Dermatology: (610) 642-1090
Endocrinology: (610) 527-1604 | Endoscopy: (610) 525-9570
Gastroenterology: (610) 525-9570 | Hematology/Oncology: (610) 525-4511
Infectious Disease: (610) 527-8118 | Neurology: (610) 527-8140
Pulmonary/Critical Care: (610) 527-4896 | Rheumatology: (610) 525-4463

www.delcomedsoc.org

DELAWARE COUNTY MEDICINE & HEALTH

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Table of Contents for the Digital Edition of Delaware County Medical Society Summer 2017

Delaware County Medical Society Summer 2017 - 1
Delaware County Medical Society Summer 2017 - 2
Delaware County Medical Society Summer 2017 - 3
Delaware County Medical Society Summer 2017 - 4
Delaware County Medical Society Summer 2017 - 5
Delaware County Medical Society Summer 2017 - 6
Delaware County Medical Society Summer 2017 - 7
Delaware County Medical Society Summer 2017 - 8
Delaware County Medical Society Summer 2017 - 9
Delaware County Medical Society Summer 2017 - 10
Delaware County Medical Society Summer 2017 - 11
Delaware County Medical Society Summer 2017 - 12
Delaware County Medical Society Summer 2017 - 13
Delaware County Medical Society Summer 2017 - 14
Delaware County Medical Society Summer 2017 - 15
Delaware County Medical Society Summer 2017 - 16
Delaware County Medical Society Summer 2017 - 17
Delaware County Medical Society Summer 2017 - 18
Delaware County Medical Society Summer 2017 - 19
Delaware County Medical Society Summer 2017 - 20
Delaware County Medical Society Summer 2017 - 21
Delaware County Medical Society Summer 2017 - 22
Delaware County Medical Society Summer 2017 - 23
Delaware County Medical Society Summer 2017 - 24
https://www.nxtbook.com/hoffmann/delcomed/DelawareMedicalSocietySummerFall2020
https://www.nxtbook.com/hoffmann/delcomed/DelawareMedicalSocietySpring2020
https://www.nxtbook.com/hoffmann/delcomed/DelawareMedicalSocietyFall2019
https://www.nxtbook.com/hoffmann/delcomed/LivingwithLossfromAddiction
https://www.nxtbook.com/hoffmann/delcomed/DelcoMedicalSocietySummer2019
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietySpring2019
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyWinter2019
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyFall2018
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietySummer2018
https://www.nxtbook.com/hoffmann/delcomed/DelcoMedicalSocietySpring2018
https://www.nxtbook.com/hoffmann/delcomed/DelcoMedicalSociety
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyWinter2017
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyFall2017
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietySpring2017A
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSociety
https://www.nxtbookmedia.com