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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 jarring noises and machines inside the Usheco plastics warehouse sound like home to the Schaeffer family.“My grandfather, Bernarr Schaeffer, started the business in ’61. So, proud to be third generation,” said Alethea Shuman, who will one day take over the company for her father.The company started with the World War II fighter pilot, and now, more than 60 years later, nearly every member of his family has worked inside these four walls.“It’s like having your own team. There’s an extra level of trust that you just don’t get elsewhere,” said Wayne Schaeffer, Bernarr’s son and the President of Usheco.They build all kinds of plastic devices. The company is known for air purifying planters, handicapped equipment, and laboratory supplies.“Our business was really founded on my grandfather wanting to make health-related products,” said Shuman. Now, this family is seeing a huge boom in some new products.At the start of the pandemic when everything shut down, Usheco had to lay off much of their staff because business dropped by about 40 percent. However, they designed face shields and desk barriers and had to bring everyone back on and hire extra workers on just to fulfill all their orders.“We only cut everyone’s hours for one week," said Shuman. "The following week, we were back to full-time hours for everyone."Hundreds of thousands of face shields and plastic desk barriers in custom shapes and sizes are coming out of this factory.While most businesses are in need of help themselves, the plastics industry is one of few seeing pandemic profits.“Things are looking pretty good for us,” said Schaeffer. “How can you not be thrilled to be helping out and making your business grow?”The Schaeffers say their U.S. made products are growing to a global scale. “Our pricing is similar to China now,” said Wayne.“We’re seeing new quotes coming in for things that are typically done overseas and were grateful to be able to help with that,” said Shuman.Shuman said by the time she takes over the business, she hopes the products keeping her grandfather’s legacy alive are no longer in stock.“I’m hoping we figure out a way to get past this and we’re not going to need PPE and sneeze guards, and the business coming back to the U.S. is going to support us. And from what I can see, that’s happening,” she said.But more important than business, is carrying on a tradition.“Over the last few months, we really have understood where our roots are and where we’re going,” she said.Towards a future where simple, plastic products mean more than ever before. 2571

The pandemic has brought on a shortage of toilet paper, cleaning supplies and disinfectants. Now there's a new shortfall in the form of currency.The coin supply has been disrupted, forcing the Federal Reserve to step in.Like everything else in our lives, COVID-19 got in the way. This time it’s affecting the currency supply by causing fewer coins.Now, the U.S Mint is trying to keep up with the demand.Jim Gaherity of Coinstar, which has 22,000 kiosks around the world, says this is a call to action.“What’s happened during the pandemic is businesses have been shut down without access to buy your daily coffee, afternoon sandwich, which most purchases of small items is done by cash,” Gaherity said. “In the US, the ability of the consumer to recirculate that coin back into the retail, which then goes back into the bank, slowed down significantly.”The 29-year-old company is mainly featured in grocery stores and banks. People come in with loose change and get a voucher for folding money, or these days, you can load your Starbucks and Amazon account, donate to charity, or buy bitcoin. Gaherity says, believe it or not, most of those coins are now stuck in people's homes.“The vast majority of coins is (sic) recirculated through typical use of consumer,” Gaherity said. “They’re either taking it and buying things from store. which goes into till which then goes back into the banking system into inventories, or they’re going to aggregators like Coinstar.”The way money is funneled through our country is like a big cycle. The mint produces a new coin and it goes through the federal reserve bank, which then takes orders from banks and distributes it.“What banks do is look historically in terms of retail orders that they’re getting,” Gaherity said. “Retail is getting coin and currency from their local bank and they know historically what that volume typically looks like so they place their orders in advance to fulfill the need from retail.”Businesses and consumers help move it around too.“Coinstar recirculates more coins every year in the US by 3.5 times what the US mint produces,” Gaherity said.Those Coinstar kiosk bins weigh about 700 pounds when collected. That's a lot of pennies, nickels, dimes and quarters. Trucks pick it up and swap it out.“That coin goes on the truck and into a processing center,” Gaherity said. “It’s places like Loomis and Brinks where we deliver that coin. They take those bins and fine count every single piece and distribute into denominational bins so all the pennies, nickels, dimes, all get segregated. Once that’s all done and count is complete, it goes back into the local bank.”Coinstar is doing extra pickups to help recirculate as much as they can. There's just not enough out there because people aren't putting it back into the system.Asked if coins are, like toilet paper once was, the next thing that people are hoarding. Gaherity said, “That’s the question we’re trying to answer. We work with the Mint and Federal Reserve to try and understand better are banks hoarding it right now? Are they keeping it for themselves for their customer calls to start again? If you think about a bank that services Walmart, they want to have enough coin in their inventory to deliver to Walmart for their registers. They don’t want to disappoint Walmart. Nobody wants to disappoint their retailers.”Banks are the largest recycler of coins. They, like the rest of us, are watching, waiting, to be able to resume normal routines. When we asked what's next, Gaherity said, “That is the question of the day. How do we get the right supply to meet the demand that’s out there? What we’re asking Americans is come out and do your normal transactions, go to a Coinstar, go to a bank and make despots so we can see recirculated coin fill the pipeline enough for the demand we have.”The good news he says, is that the European Coinstar Operations are back online and normal. 3923

The man accused of pursuing and killing 20-year-old Mollie Tibbetts appeared in Poweshiek County court on Wednesday to face a charge of first-degree murder.The court hearing for Cristhian Bahena Rivera came a month after Tibbetts went for an evening run in Brooklyn, Iowa, and did not return home.On Tuesday, Rivera -- who confessed to following her as she ran on a country road -- led authorities to the field where a body believed to be hers was buried under corn stalks, officials said.Rivera, 24, was arraigned on first-degree murder charges and his bond was set at million. His next court hearing is scheduled for August 31. 640

The House has approved legislation to provide direct relief to Americans suffering physically, financially and emotionally from the coronavirus pandemic.Supervisor Nathan Fletcher talks about coronavirus and newly approved stimulus bill will impact San Diego County. 274