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The man accused of killing 17 people when he opened fire inside a Florida high school has withdrawn his not guilty plea.Nikolas Cruz, 19, was formally indicted by a Florida grand jury on Wednesday. He was charged with 17 counts of premeditated murder in the first degree and 17 counts of attempted murder in the first degree. Complete Coverage: Parkland School ShootingParkland school shooter's life behind barsTwo Florida SWAT officers suspended for responding to Florida school shooting 516

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 photo is shocking. A young mother passed out in the front seat of her car, a syringe clutched in her fist.What you can't see in the photo is the back seat, where her infant son sat crying.That was a year ago this month -- but for Erika Hurt, it might as well be a lifetime.The 26-year-old Indiana woman says she has been clean since that day, doting on her son and working a full-time job.And the photo, which at first was a source of anger and humiliation, illustrates the slippery line between sobriety and despair."I was sober. I stopped going to meetings. I forgot about how bad the addiction got," Hunt told CNN about that period in her life last year. "This photo helped me look back. It's a constant reminder that sobriety needs to be worked at."The day the photo was shotThe day the photograph was taken, Hurt had parked in the lot of a dollar store in Hope, Indiana, to shoot up heroin. She had gotten out of a month-long stint in rehab just two weeks earlier. Her 10-month-old son was in the back seat.She rationalized his presence the same way a lot of addicts do while using in front their kids, she said: They're asleep. Or they're too young to realize what's going on.The last thing Hurt remembers from that day is pulling into the parking lot. She later learned a customer found her slumped over in the car and called 911.It took officers two doses of Narcan, the drug used to reverse an overdose in an emergency situation, to revive her."Had this woman not passed out from this and attempted to drive right afterward, she could have (driven) down the road, passed out two minutes later and hit a car with a family in it, killed every one of them," Hope Town Marshal Matthew Tallent told CNN at the time. "That's the thing that's so shocking to me to think about."What happened nextAfter a brief hospital stay came jail. Hunt had violated her probation from a previous charge in 2014.While she was waiting for her sentencing date, a local reporter requested an interview. Then another asked, and another.She didn't think much of it at the time. She found out why when she was watching the evening news.A police officer had snapped a photo of her passed out in the car. It soon went viral."I felt very humiliated, I felt very angry," she said. "You know, it was hard for me to truly believe that it was me."Hurt's story fits into a grim pattern, as research shows heroin use is on the rise in the US. The most recent United Nations' World Drug Report found that 914,000 people aged 12 years or older reported using heroin in 2014 -- a 145% increase since 2007.Where she is nowHunt has been fighting addiction all her life, she says."I had been an addict since I was 15 years old," she said. "It wasn't until I was 21 that I began seeking help -- and I was failing at it. "The overdose, captured in the photo, led to Hunt getting clean.She was sentenced to six months of intense rehab in a locked-down facility -- one that focused on the underlying issues of addiction and how to cope with them.She's part of WRAP (Women Recovering with a Purpose), a program that requires continued meetings with a therapist, a sobriety coach and multiple "self care" classes such as Narcotics Anonymous every week.Now, she works more than 40 hours a week at a local factory. She also cares for her son, but her mom has guardianship.At this point, her focus is on staying the course."If you are sober and healthy," she said, "then you can take care of everybody else." 3477

The holiday season is upon us and that means Black Friday is less than a month away. While many retail experts are saying Black Friday is dead, we found that might not ring true for most shoppers.Janice Lieberman is a retail expert for Deal News and she says, “even though you will start seeing deals now they will get even lower.”Retailers are excited to get you in the holiday spirit and have you shopping in stores, not online.  Lieberman says, “they want those door busters. They want the fever. They want you to enjoy shopping, seeing other people and touching merchandise which is becoming so foreign.”However, this year a number of retailers including Home Depot, Ikea and Office Depot will remain closed on Nov. 24 and REI is even closing its stores on Black Friday.But, for the thousands of stores that will be keeping their doors open, Lieberman says, we need to get prepared before the big shopping day.“You need to get onto social media. You need to sign up with all the stores you enjoy shopping at because they will give their loyal members added deals or select deals.”If you are not about social media or even couponing, try signing up online at places like Deal News. You click on the items you want and they will send you an alert letting you know who has the lowest price.Lieberman says, “I really think if you can hold off now I know it’s not so easy but if you can hold off to Thanksgiving weekend, the day before, the day after, even Cyber Monday that’s when you’re going to see the lowest prices.”Thanksgiving Day will have the best deals for any item. Black Friday is the day to shop for electronics, toys and clothing. Cyber Monday you’ll find the lowest prices on computers, kitchenware and shoes.If you really want to save big on Black Friday, Lieberman suggests you create a list of all the items you plan to buy. If not, expect to pay more by simply purchasing items that you didn’t need. 1955

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