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     The ACE Score- plus one : (mine)

                  Vincent Felitti, MD, MPH Kaiser Preventive Medicine

                  Nadine Burke Harris, MD, MPH, FAAP San Francisco

                  Lt.Col. Dave Grossman- Kids as Superior Marksmans 

                 The Challenge: Prevention Prevention Prevention

     Abusive Childhood Experience Score  

  Felitti's ACE score is the first 10 questions. I added the eleventh about NDE, OOB, seeing-of-the-light experiences because I learned that these energetic shifts change the body. I also learned that you must ask these ten questions of patients directly.
     NDEs, and OOBs are my personal interests from working with NDE and OOB survivors and cancer patients.  Melvin Morse, MD, Seattle pediatrican studied children who have had NDEs and Light Seeing events and found: they, both no longer fear death and they find a 'mission' in life. P.M.H. Atwater, during her NDE was told to 'write a book' (she wrote 3), reported that adults who survive NDE, OOB require 7 years to 're-organize' themselves. Patients are 'spooked' afterwards and they have no one to talk about their 'weird' experiences. When you listen to them it is called SUPPORT.  Knowing the ACE score can help you understand where their behaviors may come from.
     I have come to believe that these energetic connections may be a form of 'life saving energy' from 'heaven'? 'An angelic force'? Now several doctors have written about their own NDEs and about working in the ED and getting 'messages' from their dying patients. You may call 'IT' crazy- until 'IT' happens to you. Be prepared! As health providers you MUST be open to listening to the patient's story, and hearing their emotions, and NOT be degrading or judgemental of them. We do not know all the answers or even all the questions.
   Wounds That Don't Heal -             The ACE Study
                           Vincent Felitti, MD, MPH  Published on Apr 25, 2013
Adverse childhood experiences (ACEs), though well concealed, are unexpectedly common, and have a profound effect on adult health. In the 30-minute program previewed here, eight adult survivors of ACEs describe their childhood experiences and the effects later in life, including obesity, depression, and addictions.
Through Kaiser they have studied 440,000 insured patients and found that the higher ACE results in higher health care costs and more visits to the ED. Also the year following the  Kaiser wide anonymous ACE screening the number of ED visits dropped significately. Felitti posits that they finally got to tell some who could believe them about their toxic childhoods.
Belief #1:  I believe that Felitti and Anda (the statistician) deserve a Nobel Peace Prize in Medicine for the significance of these findings and the implications for prevention and treatment of all major diseases!!
Belief #2:  I believe that it is easy to shoot off the memory tubules of the Go-Go Combat Stress Reaction.
        Removing all the early childhood traumas is where the challenge rests.

Adverse Childhood Experiences:  Level 2 How childhood trauma affects health across a lifetime                                                                                                                                                                                                 TED 175,032Published on Feb 17, 2015

  Nadine Burke Harris, MD, MPH, FAAP
Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple the risk for heart disease and lung cancer. An impassioned plea for pediatric medicine to confront the prevention and treatment of trauma, head-on.
      Every medical intake must include the ACE score along with the blood pressure.
      Lt. Col. Dave Grossman, US Army Ranger, PhD, states the use of violent interactive video games are 'murder simulators and marksmanship trainers' for children. Back in 2000 the AMA, the pediatricains (AAP), the psychologists (APA) and the child psychiatrist (AACAP) targeted the issue: the negative effects of these violent videos games are more impactful than T.V., movies or music. In 2001 the Stanford Study found that after kids cut back on video games and television there was a decrease in aggression: 40% physical and 50% verbal.
        Further evidence is from the mass killings by school children. The Paducah, KY rapid accurate killing of 8 with 5 head shots and 3 upper torso hits by a 14 y.o. boy was unprecedented marksmanship-not to be found in the annuals of law enforcement, military, or criminal history.             The boy had been on the video simulator every night for years on end before he stole a pistol and hot fired 2 clips of ammunition the night before. The next day he was 'locked into' playing a real life video game with his friends as the targets. He was shooting them as fast as possible to win a high game score.  And he was very good. Mass shootings require marksman ship training (to develope that 'skill') that is built into the violent interactive video games. (My
naive question is when did he, the kid, have time to
do his homework?) 
     Dave's text, 'ON COMBAT' is one of the
best warrior -swat- police first responders
books I've ever read. If you are a member of
one of those groups, it is a MUST read!
(available on Kindle). Go to the section on
Physiological Arousal and Performance,
Ch.4 and tactical breathing first. His
information may save your life one day!
     His personal web site is
     Col. Grossman lectures  for teachers and parents on what became the "SMART" curriculum  developed by Stanford to curb violence in schools nationwide. The "SMART" schedule available at
On Combat, important reading for vets.
     Native American grandparents job was to raise their blessed children in the tribes spiritual ways so that they all would be healthy and strong.
     As the white settlers started to invade Indian territories a Black Foot brave came back to his village to report:                         "Their children all have hollow eyes!"
‘So Sorry for your childhood abuse_
     but what can I do??’
The answer is
    learn to treat it....
Better yet, learn to PREVENT IT!!
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