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The photos from doctors came quickly and in succession: blood-stained operating rooms, blood-covered scrubs and shoes, bullets piercing body parts and organs.The pictures on Twitter were an emotional response to a smackdown by the powerful gun industry lobby, which took issue with the American College of Physicians' call late last month for tighter gun control laws. The recommendations included bans on "assault weapons," large capacity magazines and 3D-printed firearms."Someone should tell self-important anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves," the National Rifle Association tweeted.Physicians across the United States seized on the phrasing, taking to Twitter with 22,000 comments and the hashtags #thisismylane and #thisisourlane, posting photos of their encounters with gun violence and offering their own personal stories of treating such wounds.The debate gained new urgency this week with the shooting death of an emergency room doctor outside the hospital where she worked, as physicians argue shootings are a public health crisis that they must play a key role in trying to stem. Dr. Tamara O'Neal was killed Monday outside a hospital in Chicago in what police say was a dispute with her ex-fiance. The shooter and two other people — a responding police officer and a resident in the hospital's pharmacy — also died."It just shows that not only is this is in our lane, but this happens to us," said Dr. Joseph Sakran, a trauma surgeon at Johns Hopkins Medicine in Baltimore who as a 17-year-old was shot in the throat by a stray bullet fired during a dispute at a high school football game.Sakran created a Twitter account @ThisIsOurLane which in just two weeks has attracted nearly 15,000 followers. They include Dr. Peter Masiakos, a pediatric trauma surgeon in Boston, who wrote "The Quiet Room" just hours after the mass shooting at a church in Sutherland Springs, Texas, about breaking the news that a loved one has died."We need to start talking about this as a public health issue. Politics aside, we have a problem that no other country has, and we shouldn't," Masiakos said.About 35,000 people each year are killed by guns in the United States, and about two-thirds are suicides. That's about 670 people per week and among the largest number of civilian gun deaths in the world.The world's highest rate of gun deaths is in El Salvador with a rate of 72.5 per 100,00; the rate in the U.S. is 3.1 per 100,000. Among all European countries, the rate never breaks 1 gun death per 100,000, according to Small Arms Survey, a Switzerland-based research organization that examines firearms and violence."These are not just statistics. These are people, mothers, fathers, brothers, sisters that are being killed," Sakran said. "The worst part of my job is having to go out and talk to these families and to tell them that their loved one is never coming home."It's not the first time that medical professionals have taken on powerful industries: auto companies over seat belts, Big Tobacco over cigarettes and toys that posed choking hazards. It's also not the first time that the gun lobby has pushed back against the medical community or researchers it considers to be biased. In the 1990s, Congress barred the Centers for Disease Control from conducting research that advocated or pushed for gun control; while it didn't ban research from being conducted, it did have a chilling effect.More recently, the NRA backed legislation in Florida — eventually overturned in court — that would have barred doctors from asking patients about guns in the home.Dr. Stephanie Bonne, a trauma surgeon in New Jersey, was in the hospital when she saw the dispute playing out on Twitter."I was reading this, and I was like 'Stay in my lane', are you kidding me? Gun violence is something I deal with every day. We're mopping it up in the hospital every day," she said. "My second sort of reaction is maybe people ought to see what this lane is really all about."Bonne works at a Level I trauma center — the top-level hospital for treating the most serious cases. Her hospital sees about 600 gunshot wounds each year, and she described the toll that unfolds: medically, psychologically and financially."It's always tragic and it's always preventable," Bonne said.Dr. Judy Melinek, a forensic pathologist in the San Francisco Bay area, examines the dead. She took to Twitter to push back at the gun lobby, posting: "Do you have any idea how many bullets I pull out of corpses weekly? This isn't just my lane. It's my (expletive) highway.""The chutzpah, the gall is what really got to me," Melinek told The Associated Press. "The NRA seems to think they've cornered the market on expertise when it comes to guns. And that's not correct."She's conducted about 300 autopsies involving gunshot wounds, about half of those suicides. She's seen the damage from bullets and believes more and better research would help prevent gun violence.Would GPS tracking on firearms or high-tech trigger locks make firearms safer, for example?Dr. Arthur Przebinda, director of the gun rights advocacy group Doctors for Responsible Gun Ownership, said the pushback from physicians is largely driven by more liberal forces within medical academia and based on ignorance about firearms.He described it as old, tired debate that shows a knee-jerk bias against firearms. Rather than stripping away constitutional rights, physicians should focus on finding ways to study the underlying causes of violence, he noted."These virtue-signaling physicians would be in their lane if they pursued better surgical techniques, better postoperative treatments. They are in the wrong profession if they want to cure society's ills," Przebinda said. "If that was their life's calling, they should have pursued a career path in psychology, criminology or the clergy."___This story has been amended to correct the first name of Dr. Judy Melinek. 6087

The last man authorities were seeking in the killing of rapper XXXTentacion surrendered at his lawyer's office, Broward County authorities said Tuesday evening.Trayvon Newsome was booked in the Broward County Jail on charges of first-degree murder and robbery with a deadly weapon. CNN could not immediately learn the name of his attorney.XXXTentacion, whose given name was Jahseh Onfroy, was gunned down June 18 in an apparent robbery as he left a motorsports store in Deerfield Beach, Florida. 503

The number of people killed in wildfires burning in California has risen to 50 -- including 48 from northern California's Camp Fire, already the most destructive and deadly blaze in state history.As firefighters battle that fire Wednesday in Butte County north of Sacramento, authorities fear more human remains will be found as searchers comb through rubble and ashes in Paradise, the ravaged town of about 27,000 residents."I want to tell you, though, this is a very, very difficult process," Butte County Sheriff and Coroner Kory L. Honea told reporters. "There's certainly the unfortunate possibility that even after we search an area, once we get people back in there, it's possible that human remains can be found."PHOTOS: Wildfires devastationAuthorities have requested that 100 National Guard troops join cadaver dogs, mobile morgues and anthropology teams in the grim search and recovery of human remains.In Southern California, firefighters still are battling the Woolsey Fire, which so far has left two people dead in Malibu.They've also been fighting a new blaze, the Sierra Fire, in San Bernardino County. It started late Tuesday about 50 miles east of Los Angeles near Rialto and Fontana, and by Wednesday morning had burned 147 acres, though no evacuations have been ordered, the San Bernardino County Fire District said.Fire officials said the Sierra Fire was fanned by the Santa Ana winds -- strong, dry winds that high-pressure systems push from east to west, from the mountains and desert areas down into the Los Angeles area.Winds will be "particularly strong" Wednesday morning but are expected to weaken by evening, the National Weather Service said.Meanwhile in Northern California, forecasters have said the winds fueling the Camp Fire would slowly begin to decrease Wednesday and give firefighters a reprieve. 1842

The head of the US Forest Service has resigned amid reports that the agency was looking into misconduct allegations against him."Many of you have seen the news reports which included the stories from women who told of their experiences with sexual harassment in the Forest Service. I admire their courage," Tony Tooke wrote in an email to employees.The email later adds, "In some of these news reports, you may have seen references to my own behavior in the past. This naturally raised questions about my record and prompted an investigation, which I requested and fully support, and with which I have cooperated."Tooke added: "I have been forthright during the review, but I cannot combat every inaccuracy that is reported in the news media. What I can control, however, are decisions I make today and the choice of a path for the future that is best for our employees, the Forest Service and the US Department of Agriculture. I must also think about what is best for my family. Therefore, I have decided that what is needed right now is for me to step down as Forest Service Chief and make way for a new leader that can ensure future success for all employees and the agency."PBS NewsHour, which recently published an investigation detailing sexual harassment at the Forest Service, first reported the news of his resignation Wednesday.The investigation into misconduct at the agency as a whole comes as the nation is facing a reckoning over sexual assault and harassment in the workplace.Congress has previously looked into harassment within the ranks of the US Department of Agriculture, of which the Forest Service is a part.Tooke's time as Forest Service chief began only recently, under President Donald Trump's tenure. Agriculture Secretary Sonny Perdue tapped Tooke to lead the agency in August 2017, but according to a news release from the time of the announcement, Tooke had worked for the Forest Service since he was a teenager.Perdue accepted Tooke's resignation Wednesday."Forest Service Chief Tony Tooke today tendered his resignation, which I accepted," Perdue wrote in a statement. "The Forest Service is filled with dedicated employees from across this nation who devote their lives to promoting healthy and productive forests for the benefit of taxpayers and our environment. In my experience, in order to effectively lead any organization, you must have the moral authority to inspire its members to work toward the goal of continuous improvement."  2483

The price of wine is going up.Global wine production slumped to its lowest level in 60 years in 2017, according to data from the International Organisation of Vine and Wine.The most recent harvest produced 25 billion liters of wine, a decrease from 26.7 billion in 2016 and 27.6 billion in 2015. The decline was driven by weak harvests in key markets including Europe and South Africa.The shortage has caused the wholesale price of basic wine in Italy to skyrocket 74% over the previous year, according to the European Commission. Prices are up 45% in Spain and over 10% in France.Analysts said that producers, dealers and retailers will absorb some of the price hikes, but consumers will end up paying more -- especially for cheaper bottles."The wine companies that are targeting very low prices ... will be hit the worst, because their margins are very low," said Stephen Rannekleiv, a global beverages strategist at Rabobank. "When prices go up, it puts a lot of strain on them."Reduced supply will also hurt quality."There will be, in some cases, lower quality wines getting blended into slightly higher value products, so everyone kind of goes down a tier in quality," said Rannekleiv.Producers were hardest hit in Europe, where heavy hailstorms and harsh frosts damaged vineyards in early 2017 before a summer drought took its toll. The continent accounts for 65% of global wine production, and 57% of consumption.European production dropped 15% in 2017. Production fell 21% in Italy, 18% in France and 15% in Spain, according to the Commission.Other regions had problems, too.Wildfires destroyed or tainted some of the harvest in California, and drought harmed vineyards in South Africa. Warm weather can cause grapes to ripen early and be smaller in size.Rannekleiv said the result was a global harvest that was even worse than analysts had feared. The pain could spread to other industries.Rannekleiv said the slump in production means there will be less wine to divert for use in other products. Brandy and vinegar makers could be hurt, for example. 2067