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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 gunman behind the Texas church massacre killed his grandmother-in-law during the attack, multiple friends of the woman told CNN.Devin Patrick Kelley had domestic problems and texted his mother-in-law as recently as Sunday morning, not long before he carried out the largest mass shooting in Texas history, authorities said."We know that he expressed anger towards his mother-in-law, who attends this church," said Freeman Martin of the Texas Department of Public Safety. He said Kelley had a history of sending her threatening texts.But his mother-in-law was not inside the First Baptist Church in Sutherland Springs when Kelley sprayed the congregation with gunfire and killed 26 people. The youngest killed was a 17-month-old girl, her family told CNN. The oldest was 77 years old, Martin said.The gunman's grandmother-in-law, Lula White, was the grandmother of Kelley's wife and often volunteered at the church, according to friends and her Facebook profile.The friends asked not to be named as the family has decided to not speak to the media about White's death at this time, though a few have posted on social mediaTexas Gov. Greg Abbott called the massacre "the largest mass shooting" in the state's history. 1227

The Moderna COVID-19 vaccine, the second vaccine to receive the FDA’s emergency use authorization, is on its way to states, according to officials with Operation Warp Speed, the task force overseeing the nationwide vaccine distribution.During a press conference Saturday morning, U.S. General Gustave Perna, COO of Operation Warp Speed, said “distribution of (the) Moderna vaccine has already begun.”Moderna’s vaccine was approved for emergency use on Friday evening. The Pfizer-BioNTech vaccine was approved for emergency use a week earlier.“Boxes are being packed and loaded today. Trucks will begin rolling out tomorrow, from FedEx and UPS, delivering vaccines and kits to the American people across the United States," Perna said. "This week, in total, between Pfizer and Moderna, we have allocated 7.9 million doses of vaccine."He also took responsibility for discrepancies state leaders reported last week citing reductions in the amount of Pfizer vaccine doses they would be receiving. More than a dozen states said they were told by the federal government that next week's shipment of the Pfizer-BioNTech vaccine would be 20-to-40% less than originally projected. Perna said they are keeping an eye on manufacturing numbers and adjusting distribution in the short-term. USA Today is reporting the discrepancy is because of how many vaccines are able to be approved by quality control measures and released for distribution, not just how many doses are manufactured. “I want to take personal responsibility for the miscommunication,” he said. “I know that’s not done much these days. But I am responsible. This is a herculean effort and we are not perfect.”Perna did say “we remain on track to allocate around 20 million doses of vaccine to all jurisdictions by the end of December, with distribution of those doses pushing into the first week of January.”Perna joined other health experts in reminding Americans that just because the vaccine is being distributed, that doesn’t mean mask-wearing, social distancing and other precautions can be relaxed."Each shipment of vaccine is another few yards gained, but any good player or coach knows that you still need defense, along with offense, to win the game. I join our health professionals in urging Americans to stay diligent in their defense,” Perna said. 2322

The New York prosecutor who has been fighting to get President Donald Trump’s tax returns got a bank last year to turn over other Trump financial records. The New York Times reported Wednesday that Manhattan District Attorney Cyrus R. Vance sent a subpoena last year to Deutsche Bank as part of his investigation into Trump’s business dealings. The Times cited four people familiar with the inquiry. Vance’s office declined to comment. Attorneys for Trump and Deutsche Bank didn’t immediately respond to requests for comment. Vance is a Democrat. Trump has called his investigation “a continuation of the witch hunt.” 625

The presence of a Asian giant hornet nest, also known as murder hornets, has been confirmed in Washington state.“The rumors are true - our entomologists located the first-ever #AsianGiantHornet nest in the U.S. late yesterday,” a tweet from the Washington State Department of Agriculture reads. It also includes a video of the nest. 340