Adverse Child Experiences

Experience TRUE HEALING from childhood trauma and Adverse Childhood Experiences.

The Adverse Childhood Experience Research

In the mid 1990’s a group of Kaiser physicians who were working with patients with severe chronic diseases noticed that they all had the same stories of terrible childhood events.  They started studying this and found a strong relationship with certain negative occurrences in childhood and pretty much every possible chronic disease.  It made sense that traumatized kids ended up with more mental health struggles like depression and anxiety, but when they also found a strong dose response relationship with obesity, diabetes, job losses, and even cancer, everyone started scratching their heads.

The Kaiser physicians developed a 10 question assessment related to trauma that individuals experienced prior to 18 years old, called the Adverse Childhood Experiences (ACE) Scale. They then launched a large scale study, involving tens of thousands of patients, to correlate health conditions with an individual’s ACE score. The results were shocking!

Researchers found that people with a high ACE score (>4) are 230% more likely to have cancer, 200% more likely to have cardiovascular disease, 10 times more likely to abuse injected drugs, and 40 times more likely to attempt suicide. Learn more about ACEs from the CDC by clicking here.

Screening and Assessments

Doctors in California are screening more than 500,000 patients for Adverse Childhood Experiences per year. More and more people are learning that they are at elevated risk for chronic disease. You can take the ACE assessment below, and receive a confidential individualized report. See below or click here.

But that creates a challenge. If you have a moderate or high ACE score, what should you do? Is a guarantee that you’re going to suffer from chronic conditions?

The Solution

Absolutely not! In fact, at Turnure Medical Group we have a number of patients with an ACE score of 10 (they’ve had every single bad thing happen to them). And they are thriving in health, family, and life.  Just like the Kaiser researchers, we are interviewing those who have experienced severe trauma but are doing well, and we are observing the kinds of interventions that promote resilience in their stories.  Researchers are also working on Positive Childhood Experiences (PCEs) which can be shown to promote resilience.

Looking at healthy high ACE score individuals, researchers have discovered that there are 7 Positive Childhood Experiences (PCE) that offset the harmful effects of ACEs.

PCEs include:

  1. Able to talk with my family about my feelings.
  2. Felt that my family stood by me during difficult times.
  3. Enjoyed participating in community traditions.
  4. Felt a sense of belonging in high school.
  5. Felt supported by friends.
  6. Had at least two non-parent adults who took a genuine interest in me.
  7. Felt safe and protected by an adult in my home.

The role of healthcare in the process

The problem is that none of those 7 Positive Childhood Experiences (see diagram) are healthcare. When you get sick, where do you go? To see your doctor. However, most physicians aren’t trained or equipped in helping people heal from childhood trauma.

The Turnure Medical Group Solution

At Turnure Medical Group, we’ve got the solution! We’ve helped hundreds of people with high ACE scores thrive in life through Health Care, Soul Care, and Culture Care. Our physicians, counselors, and pastoral staff are experts in trauma informed care.

Turnure Medical Group and the Healing Grove Health Center Foundation are encouraging PCEs through multiple facets in our community.  We encourage family conversations and support through Youth Group and family counseling.  We plan, fund, and implement annual large group community parties on Mother’s Day, Kids’ Day (a Mexican tradition), Dia de Unidad (the International Day of Peace), Halloween, and at many events around Christmastime, as well as smaller events like baby showers and specific traditional Mexican Catholic prayer events.  Youth Group and the Sports Program brings together kids, of all ages, promoting friendship, mentorship, discipline, spiritual growth, and fun.  We are really seeing growth in families and kids, in confidence, in connection, in character, and in resilience through these efforts.

The individual, family and community

The key to healing is to look at the individual, the family, AND the larger community. Western medicine is a great tool, but it often limits itself to only the individual. At Turnure Medical Group, we see the whole person, and the whole context in which they live!

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Positive Childhood Experiences

Positive Childhood Experiences

Creating PCEs has a very positive impact on young people experiencing adverse childhood events!

This is what healing looks like

“Turnure Medical Group is at the leading edge of evidence-based, upstream clinical practice!” Dr. Angela Bymaster, M.D.

Health Care

Our experienced primary care physicians are experts in science-based Western medicine. We have training in all medical specialties – including dermatology, psychiatry, orthopedics, pediatrics, geriatrics, cardiology, ophthalmology, rheumatology, neurology, nephrology, GI, and gynecology. We received our extensive experience and training from highly respected institutions, and we care for 90% of illnesses and injuries without the need for specialty referral.

Soul Care

Medical science is starting to awaken to the fact that people are not machines. Diseases behave differently in different people, and there is more to healing than finding the right pill. At Turnure Medical Group, our doctors use their spiritual gifts to see underlying aspects of some disease processes. We also invite interested patients to augment their health through prayer, Spirit-led healing, community, scripture studies, mentorship, trauma-specific therapy, and pastoral care. We believe in the power of God to bring wholeness and fullness of life.

Culture Care

We embrace the context of culture, which affects everything in us from the food and music we prefer to our parenting style and response to pain. All cultures come with positive and negative attributes. Many of our patients exist in multiple cultures simultaneously, often as immigrants or in multicultural households. At Turnure Medical Group, we celebrate culture and foster honest conversations about what is life-giving and what is hard about your cultural experience. We believe that if we can all grow in good cultural health, we will ALL be enriched.

Membership Benefits

All patients have access to our secure app for quick one-on-one communication with their doctor. Text or call your doctor whenever you have a need!

Our physicians also have access to low-cost medications, labs, and imaging studies, and we can often do the same work for less cost than the average traditional insurance co-pay.

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Benefits

  • Personal cell phone of your physician
  • Ability to SMS text with your physician and our office
  • Extended duration physician visits when needed
  • Ability to self-schedule visits
  • Ability to speak with one of our physicians on-call 24/7 when needed
  • Access to a nutritionist
  • Annual executive physical that provides health care, soul care, and culture care

How Are We Different?

“Blessed is the one who trusts in the Lord, whose confidence is in him. They will be like a tree planted by the water that sends out its roots by the stream. It does not fear when heat comes; its leaves are always green. It has no worries in a year of drought and never fails to bear fruit.”

Jeremiah 17:7-8

We offer a concierge healthcare plan just for you – all that you need, and nothing you don’t. Turnure Medical Group accepts HSA, HRA, and FSA.

This covers unlimited primary care, convenient physician access, health system navigation and advocacy, and invitations to our health, soul, and culture care programs. Plus, it gives TWO low-income members access to top-quality primary care!

This plan can be great for people with high-deductible health plans and cost sharing programs (like Medi-Share and Samaritans Ministry) who avoid their doctors because of unreasonable co-pays and hidden fees. We find the most affordable meds, radiology, and lab tests in the our area, which are often less expensive than health plan co-pays.

Traditional Doctors

$ 99

Per Month
  •  Patient sees a doctor
  • Coordination of specialist care
  • Extended patient visits
  • Personal cell phone of physician
  • Nutritionist visits
  • Patient self scheduling
  • Spiritual care team
  • Volunteer opportunities
  • Holistic medical care
  • Cross cultural and socio-economic relationship opportunities
  • Supports health care for recently arrived Afghan refugees in Sacramento

Concierge Medical Providers

$ 99

Per Month
  •  Patient sees a doctor
  • Coordination of specialist care
  • Extended patient visits
  • Personal cell phone of physician
  • Nutritionist visits
  • Patient self scheduling
  • Spiritual care team
  • Volunteer opportunities
  • Holistic medical care
  • Cross cultural and socio-economic relationship opportunities
  • Supports health care for recently arrived Afghan refugees in Sacramento

Turnure Medical GroupAnnual Membership

$ 220

Per Month
  •  Patient sees a doctor
  • Coordination of specialist care
  • Extended patient visits
  • Personal cell phone of physician
  • Nutritionist visits
  • Patient self scheduling
  • Spiritual care team
  • Volunteer opportunities
  • Holistic medical care
  • Cross-cultural and socio-economic relationship opportunities
  • Supports health care for recently arrived Afghan refugees in Sacramento
Enroll Today

Genetic Testing

Genetic testing allows our physicians to have a more comprehensive understanding of your medical profile, providing for the detection and prevention of hundreds of diseases and cancers. We offer an array of testing options so you can choose one that matches your needs the best.

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Share The Gift Of Healing

At $220 a month, you are not just providing for yourself; you are also providing the opportunity for TWO low-income patients to access our clinic!

As a member, you have the opportunity to receive top-quality healthcare while knowing you are supporting some of the most vulnerable people in the community. It’s a model much like TOMS Shoes! You’ll feel great about the premier concierge services you’re receiving, as well as the premier concierge services you’re giving to those in need.

FAQs

When will Turnure Medical Group launch the concierge care model?

Turnure Medical Group will switch from a fee for service model to a concierge model starting November 1st, 2022. After Nov 1st, 2022, Turnure Medical Group will only accept concierge patients for primary care services.

Are there a limited number of concierge patients that Turnure Medical Group will accept?

Yes, in order to provide more time with patients, our physicians have a very limited number of spots available. We suggest that patients sign up as soon as possible to ensure that a space is reserved.

How fast will the concierge practice fill?

Because of demand for physicians at our Rocklin site, we expect the concierge practice to fill very quickly. We encourage all patients to sign up as soon as possible to ensure that they can continue with their preferred physician.

What is Christian medical care? How does it differ from regular healthcare?

Regular healthcare, as you know, uses scientific methods to treat your physical body as a collection of atoms and molecules, proteins, nucleic acids, cells, and organs. Christian medical care does everything that Western medicine does, but also adds the component of spiritual soul care.

We care about you holistically. We’re just as worried about your relationships as we are about your blood pressure. We’ll offer you an antidepressant when appropriate, as well as prayer and community – because we know it’s all interrelated. Our doctors are board-certified, expert physicians deeply respected in the medical field. They are also deeply spiritual people with spiritual gifts and faith in God’s power to heal.

Is Turnure Medical Group a non-profit organization?

Turnure Medical Group is incorporated as a non-profit organization. Our 501c3 application is currently pending with the IRS. Note that concierge membership fees are not tax deductible, however, all donations to support the services Turnure Medical Group offers to low income refugees should be directed to the Healing Grove Health Center Foundation.  You can learn more about giving by following this link: https://healinggrove.givingfuel.com/sacramento


Do I have to be Christian in order to come to your clinic?

No. Because of our Christian values, we believe every person is created in the image of God. That means we believe you are special and valuable, regardless of your faith tradition (or lack thereof). We go out of our way to care for each and every one of our members. Regardless of faith background, you’ll feel welcomed, comfortable, and appreciated at Turnure Medical Group.

How much does my membership cost?

Each membership is a monthly cost of $200. Members can chose annual billing  at $2,400/year or semi-annual billing at $1,200/year.

Do you have family discounts?

Yes! Adult concierge fees are $200/mo. Children 18 years and under are $100/mo.

Are there co-pays?

In most cases, no.

Is this insurance?

No. Turnure Medical Group does not provide insurance of any kind. We ONLY provide primary care services. Your membership fee DOES NOT cover hospitalizations, speciality care, medication, imaging, etc.


I'm a Turnure Medical Group member. Do I still need insurance?

Yes. Turnure Medical Group is NOT insurance. You’ll need to keep your insurance when you become a member at Turnure Medical Group. We do not cover hospitalizations, car accidents, speciality care, etc. That means if you have a serious medical emergency, you’ll need to use your personal insurance to cover it.


What kind of insurance should I get?

The best private insurance fit for a Turnure Medical Group concierge primary care concierge membership is a high-deductible PPO. Having said that, our doctors can work with whatever kind of insurance you have.


How did Turnure Medical Group decide on the price for the membership?

We provide top-quality concierge care for about the same price as several other concierge and direct primary care providers in the area. However, our practice is unique since each paying member pays for two low-income people to access our clinic.


Can I use my HRA/HSA/FSA at Turnure Medical Group?

Yes. Turnure Medical Group’s membership fee applies to the annual health care and soul care exam which can be paid for using your HSA/HRA/FSA.


How does my membership fee help others?

Everyone at Turnure Medical works for significantly less than prevailing wages because of our Christian value of caring for the poor. Each paying member at Turnure Medical funds two low-income members to access the clinic – people who otherwise wouldn’t be able to afford healthcare.

Do I need to see my doctor to get a refill or a new prescription?

No, not necessarily. The best way to refill a medication we have prescribed is to call our office or your pharmacy 2 to 3 business days in advance. This keeps medication errors (wrong pharmacy, wrong medication, wrong dose, etc.) to a minimum by utilizing the connection between our electronic medical records.

We can take care of basic refills through a phone or text conversation. Certain refills require an in person appointment.

Do you participate in mail-order pharmacies?

Yes. Many of our members use mail-order pharmacies.

Do you cover vaccines?

Our concierge physicians can provide vaccinations to you through your insurance plan.

What tests or procedures do you offer in your office?

We perform basic office lab studies: urinalysis, blood sugar, urine pregnancy tests, hematocrit, electrocardiograms (EKG), basic breathing tests, and hearing screenings.

We also perform basic skin procedures (suturing and skin biopsies) and apply splints and casts for sprains and simple fractures (broken bones) here in the office.


Do your doctors do operations?

We perform basic skin procedures (suturing and skin biopsies). We can remove ingrown toenails. We can remove skin tags, sebaceous cysts, and most lipomas. We can freeze warts and other unsightly growths. We do not perform any major operations at surgical centers or hospitals.


Can you do sports/school/camp physicals?

Yes. This is often our best opportunity to assess the care of our school-aged benefactors.


Can you be my Workman’s Comp doctor?

No. Workman’s Compensation insurance is contracted with specific doctors. We are happy to see you for any health problem or injury you may have regardless of where it occurred; however, if you require extensive treatment related to a workplace injury, a specialty office will probably need to be involved. This usually necessitates a Workman’s Comp provider well-versed in the rules and regulations of the complex Workman’s Comp system.


Can you do my DMV physical?

No. Since May 2014, federal regulations require that you must see a provider on the National Registry of Certified Medical Examiners for DMV physicals.


What is not included in my membership?

  • Hospital coverage
  • Specialist coverage
  • Blood tests outside of our standard individualized health exam

Become a concierge member today!

Wonder no more. See for yourself. Sign up today and see how easy it is to get connected to a doctor.

Become A Member