Sunday, May 20, 2012

When Life Deals You a Tough Hand of Aces

Kaiser Permanente - When Life Deals You a Tough Hand of Aces
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Last month I presented a lecture at Bastyr University addressing the relationship and causality in the middle of emotions and corporeal pain. I supported and addressed the use of non-pharmaceutical energetic methods for reducing and eliminating pain. By studying to unhook or rewire painful memories and associations in the brain, one can work in tandem with corporeal interventions like chiropractic to effectively resolve even long term persisting pain. For some, this would be an outrageous suggestion. For the room of people concerned in power Medicine, this was a given and they were ecstatic to see that there was scientific evidence behind this perspective.

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It is much easier and less complicated to believe that our corporeal symptoms or diseases are a direct follow of purely corporeal causes - that makes sense to us. It is a paradigm that is influenced by our current model of disease causation. For example, if I eat too much fried fatty food I am likely to get hypertension and heart disease as a result. Genetic disease causality resulted in the human genome scheme being launched in part because of the idea that if we can name each gene and chromosome we might create early disease prevention with respect to diseases we are destined to have, and then we could manipulate that bad chromosome and voila, no disease!

Slow down I say! A new study shows that when twin's genetic makeup was studied with respect to genetic markers for disease and they were as likely as not to manifest the imaginable conditions that they were "genetically determined to be susceptible". So if genes are not trustworthy as a measurement for disease, is there a more exact predictor?

This might come as a surprise, but in the 1990's a highly exact prognostic determiner of future conditions was discovered. It has a very strong statistical correlation in the middle of things that occurred in a person's childhood which resulted in brain changes that resulted in a wide collection of corporeal traits, habits and corporeal conditions later in life. Repeated studies have supported this idea.

The idea that a child's exposure to painful childhood traumatic events, also known as Adverse Childhood Experiences, (Aces), was incredibly trustworthy in predicting major pathological conditions as an adult. The first phase of the Ace Study was conducted at Kaiser Permanente in San Diego from 1995 to 1997 with more than 17,000 participants. These Aces include exposure to nine situations: childhood physical, emotional or sexual abuse, witnessing domestic violence of mother, neglect, exposure to family thinking illness, alcohol or drug abuse, family member incarceration or loss of a parent due to death or abandonment; together with inherent abandonment related with divorce.

The most intelligent aspect of this research is that there are very specific brain structures that are more susceptible to emotionally triggered corporeal functional harm and trauma at very specific ages. For example the corpus callosum is the part of the brain that connects the right and left brain hemispheres and regulates negative emotions, processes communal cues and promotes learning. It has been shown to be vulnerable to child neglect and sexual abuse trauma and results in an increased vulnerability to post traumatic stress syndrome.

The cerebellar vermis is a part of the brain that regulates attention, is one of the few areas of the brain that can grow new nerve cells after birth and regulates our capability to hold focused attention. It has been found to be strongly affected by all types of maltreatment before the age of nine. Damage to this area often results in attentiveness deficit problems and a tendency for a body to produce higher cortisol stress hormone levels.

The higher the number of these Aces, the stronger and more direct a relationship with the many of the following: alcoholism and alcohol abuse, persisting obstructive pulmonary disease (Copd), depression, fetal death, health-related capability of life, Illicit drug use, Ischemic heart disease (Ihd), Liver disease, Risk for intimate partner violence, multiple sexual partners, Sexually transmitted diseases (Stds), Smoking, suicide attempts, unintended pregnancies, early initiation of smoking, early initiation of sexual action and youthful pregnancy.

I highlighted clear conditions that most people would realize as predominantly corporeal or chemical conditions not necessarily resulting from emotionally stressful experiences.

To give you an idea of statistics, a person with zero Aces has a 1 in 14 opening of having a heart attack. If they have 7 of the 9 categories experienced, their likelihood is 1 in 6 or two and a half times the risk. With nearly 25% of individuals studied having three or more Aces, the acknowledgement of this foremost correlation could potentially save billions of condition care dollars and thousands of lives in the Us.

So what should we do once we understand that we cannot isolate our emotionally stressful experiences from our corporeal conditions? As a physician it is foremost that with any patient that walks in my door, I must always open my perspective to look beyond the symptom and explanation that is offered as to what may seem the clear cause of their ailment; especially in the cases of pain not directly related to immediate injury. Some studies have shown condition benefits plainly by broaching the seminar with patients to discuss the relationship in the middle of past emotional trauma and corporeal conditions. As a patient, it is worth being open to the idea that there may be a correlation and reconsider working to resolve past traumas as a form of preventive care that may save you from having to live straight through some very difficult and painful conditions that may be dormant or not currently symptomatic.

Finally, and most importantly if you are a parent, do not add guilt to the mix of what is already the world's hardest job, but just do all within your control to affirm your children and realize that every loving comment and action that you offer them genuinely builds a healthier brain as a result. That, my friends, is something you can duplicate down on!

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