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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 National Rifle Association is setting aside years of documents related to its interactions with a Kremlin-linked banker, as the gun-rights group appears to be bracing for a possible investigation, according to sources familiar with the situation.The NRA has faced fresh scrutiny from congressional investigators about its finances and ties to Alexander Torshin, one of the 17 prominent Russian government officials the US Treasury Department recently slapped with sanctions. The gun-rights group has said it is reexamining its relationship with Torshin, who is a lifetime NRA member, in the wake of the sanctions.The renewed attention has highlighted the close-knit if sometimes uneasy alliance between top NRA officials and Torshin -- a relationship that ensnared members of Trump's team during the presidential campaign, inviting further congressional scrutiny.Those inquiries could shed light on the tightly held fundraising practices and political activities of the NRA. The political powerhouse shelled out more than million in 2016 to back Donald Trump's candidacy -- more than it spent on 2008 and 2012 political races combined, according to the Center for Responsive Politics. Vice President Mike Pence is slated to speak at the National Rifle Association's annual convention in Dallas next Friday, an official told CNN.The NRA recently found itself facing allegations that the FBI was investigating whether Torshin illegally funneled money through the group to bolster Trump, according to a McClatchy report. The NRA has publicly denied any contact from the FBI and insisted it hasn't accepted illegal donations.Despite the public denials, officials at the gun-rights group have been anxiously preparing as if they were already under investigation, sources said. Some employees have been tasked with preserving years of documents mentioning Torshin or his associate, Maria Butina, who runs a pro-guns group in Russia, a source familiar with the situation said. Privately, some officials have expressed anxiety about a potential investigation and the group's Russian ties.The NRA's precautions could be little more than due diligence as the group faces inquiries from congressional investigators and the media about its relationship with Torshin. But the feeling among some officials internally is that the group appears to be readying for an investigation."True believers to the cause are getting very antsy," said a person privy to the NRA's internal deliberations. "They were definitely preparing, they were bracing themselves."The NRA declined to comment.  2589

The news out of El Paso is devastating. I'm heartbroken for the victims and their families. Far too many communities have suffered through tragedies like this already. We must act now to end our country's gun violence epidemic.— Elizabeth Warren (@ewarren) August 3, 2019 293

The jury in the trial of former Donald Trump campaign chairman Paul Manafort did not reach a verdict after its first full day of deliberations.Just before 5 p.m. ET, jurors sent a note to Judge T.S. Ellis with four questions, including one asking him if he could "redefine" for them the meaning of "reasonable doubt," the legal threshold for acquitting a defendant. Ellis responded that the prosecutors had to prove their case not "beyond possible doubt," but beyond "doubt based on reason."Jurors also asked questions related to Manafort's tax filing and foreign bank account disclosure charges, including when a person is required to file a foreign banking disclosure, and the definition of "shelf" companies. Ellis instructed them to rely on their "collective recollection" and gave no additional explanation.Jurors began deliberations Thursday morning. Manafort is facing 18 counts of tax evasion, bank fraud and hiding foreign bank accounts brought by special counsel Robert Mueller as part of the investigation into Russian interference in the 2016 election.The jury will return at 9:30 a.m. ET Friday.For the first time, the jurors are seeing pictures of the ,000 ostrich jacket, ,000 python jacket, and other high-end clothes Manafort purchased using foreign wire transfers. They are also debating the testimony of Rick Gates, Manafort's former deputy who admitted to embezzling hundreds of thousands of dollars. And they can pore over reams of emails, tax forms and financial documents that prosecutors say are the "star witness" in their case.The courtroom drama will be nothing compared to the political earthquake the verdict will bring, regardless of which way it comes down.The President has repeatedly called Mueller's investigation a "witch hunt" that hasn't found evidence of Russian collusion with his campaign, and Trump's allies in and out of the White House say the special counsel should wrap things up."If he doesn't get it done in the next two or three weeks we will just unload on him like a ton of bricks," Trump lawyer Rudy Giuliani told Bloomberg News."Looking back on history, who was treated worse, Alfonse Capone, legendary mob boss, killer and "Public Enemy Number One," or Paul Manafort, political operative & Reagan/Dole darling, now serving solitary confinement - although convicted of nothing? Where is the Russian Collusion?" Trump tweeted earlier this month about Manafort.An acquittal would only add to criticism that Mueller's investigation hasn't been worth the time and expense.A conviction, meanwhile, would allow Democrats and Mueller's supporters to say ending the investigation would be premature given the special counsel's results, having previously collected several guilty pleas.It could also boost Mueller's position as he negotiates with Trump's lawyers over a potential interview. 2876

The NFL is placing all teams in intensive protocol starting Saturday to mitigate the risk of COVID-19 as the number of cases rises around the country.Use of masks will be mandatory at all times at team facilities, including during practice and in weight rooms. Meetings must be held either virtually or in the largest indoor space with approval by the league. Meals have to be made available for grab-and-go to avoid players and staff congregating in cafeterias. Time spent in the locker room also has to be limited.Clubs operating under the intensive protocols have reduced close contacts by more than 50% since the fifth week of the regular season, according to a memo obtained by The Associated Press that was sent from NFL Commissioner Roger Goodell to teams on Wednesday.“These sustained reductions and the resulting health and safety benefits make it appropriate to implement the intensive protocols on a mandatory, league-wide basis,” Goodell said in the memo.So far, 28 teams have entered intensive protocol at some point and 16 teams have done it more than once.“The upcoming holidays, beginning with Thanksgiving next week, will introduce new risks of exposure that we need to address now,” Goodell wrote. “Because we have a highly sophisticated program of daily testing, we know when the virus enters our facilities, which underscores the importance of contact tracing and other steps to minimize close contacts within a facility.“Recent experience has highlighted the importance of minimizing high-risk close contacts; on multiple occasions, we have seen individuals identified on that basis test positive within a short time. We have also seen many instances in which effective action by clubs to minimize these close contacts prevented the virus from spreading within the club, and avoided players or coaches being ruled out of practice or games.”The NFL said Tuesday there were 17 new confirmed positives among players and 35 among other personnel during testing from Nov. 8-14. That brought the league’s total to 95 players and 175 other personnel since Aug. 1, not counting new cases this week.“The biggest motivator I find when we talk to the clubs about this is simply that if they are not in compliance with the protocols from a mask-wearing perspective or for some reason somebody forgot their device or something like that, they’re much more likely to be identified as a high-risk close contact than they would otherwise,” said Jeff Miller, the league’s executive vice president of communications, public affairs and policy.“So when that individual coach or player is removed from the team environment for five days because their mask was down, that’s a lesson learned throughout the facility. And so I don’t think we see a lot of repeat problems as far as that goes. Not everybody’s perfect all the time. But I think the biggest enforcement piece is taking somebody out of the team environment and potentially costing them the opportunity to play in the game or to go through a week’s worth of the practice. I think that part of it is a little bit undersold. It feels like a lot when we talk to the clubs as a behavior change mechanism.”Teams not having been in the intensive protocols are the Jets, Buccaneers, Seahawks and Washington.“Well, it does shift some things,” Seattle coach Pete Carroll said. “It’s not a problem for us . ... So we’ll do whatever. ... We’re gonna follow to the letter of the law, and continue to really have an attitude that we can pull this thing off. I think the mentality of it is important as anything, because it has to carry over into all aspects, and all facets of everybody’s lives.”Asked his thoughts on the intensive protocol mandates, Broncos linebacker Alexander Johnson said: “We gotta do what we gotta do to get paid.”Eagles cornerback Avonte Maddox, who lives with teammate Dallas Goedert, said they probably won’t host family or friends for Thanksgiving to avoid further risk.“You gotta do whatever it takes to stay safe and be able to play this game,” Maddox said. “You have to be responsible at home and be ready for whatever they have planned for us.”___AP Pro Football Writer Arnie Stapleton and AP Sports Writer Tim Booth contributed. 4214