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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 oldest industry in the world is merging with the modern world as technology is helping farmers and making farms more sustainable.Farming has always been a part of Ranveer Chandra's life. When he was a kid, memories were made on his family's farm in India.“Back then, every summer and winter vacation, I would spend my time there. I didn’t like agriculture back then, the farms didn’t have electricity or toilets. That exposed me to a lot of poverty, a lot of primitive forms of agriculture that was practiced in different parts of the world,” Chandra said.Now with a Ph.D. in computer science, he's directed that interest and curiosity toward a program within Microsoft that he leads called FarmBeats."Through this project, we want to build digital tools that can empower farmers worldwide, make their lives better, make the food they produce better,” Chandra said.Like its name, FarmBeats is centered around farms. Chandra and his team are working to bring computers and their data to farms. What if you could bring all the benefits of things like artificial intelligence, cutting edge computing and the latest digital tech to agriculture? Imagine just how it could improve a farmer's life and work.“Humans and machines need to work together. All the latest technologies we’re building when combined with human knowledge you can take them to a completely different level,” Chandra said.That next level is evident in a new partnership between Land O'Lakes and Microsoft.“Imagine a computer sitting in the barn, getting a lot of data from cameras and sensors so it can detect how the different cows are doing, whether it’s sick and in heat, what’s happening with each cow,” Chandra said.But, none of that can happen unless there's broadband. Enter in the "digital divide" which has become even more apparent during the pandemic. Land O'Lakes wants to not only bring that new tech to farmers, but bring everyone online at the same time.“A lot of our solutions were not working as well as they should have because of the connectivity issue. It hit us right in the face we’re talking about some really neat capabilities and technologies but we couldn’t use them because we didn’t have that connectivity in rural America,” said Teddy Bekele, chief technology officer at Land O'Lakes.Land O'Lakes, which brings you butter, milk and cheese, is also a farmer-owned cooperative with 2,000 dairy producers, 1,000 retailers and 300,000 farmers.“Having one farmer connected is not enough,” Bekele said, “you’ve got to have the whole community connected and if you think about bringing technology, it’s not just the household. We want the whole field.”He says drone footage bringing you data about your fields does not work if you don't have internet.“We’ve been working on a lot of novel solutions to bring to farmers, things from remote sensing, satellite and drone images to using crop models that use machine learning capabilities to help farmers make better decisions as well as a platform that helps with sustainability,” Bekele said.Farmers know so much about land. Technology will take the guesswork out of the farming industry. Things like how much you should water, when and where mapped out by data.“One of the things we’re building is a digital dairy platform, bringing different dairy management tools into one umbrella. You can have one place where you can get all the data and then start using it to create insights” says Chandra.And while data-driven solutions for a modern world won't happen overnight, the two companies are aiming at a worldwide agriculture transformation in a few years, in hopes of forever changing our food supply, our food system and our sustainability. 3691

The pandemic has made addiction exponentially worse. Doctors are worried that those who are suffering aren't getting the treatment and help they need, especially as people turn their focus to Covid-19.Ashlynn, 25, is two years "clean." "I love being a mom. It's my favorite thing ever and I love that I’m in recovery,” she said.It's been two years since she walked away from a life that was spiraling out of control and heading for an extremely dark place. “I went through stages of functioning addict, thief, manipulator, prostitute, the person that relapses, the person that overdoses, you name it I went through it,” Ashlynn explains. Her journey with mental illness started when she was a teenager. She was in and out of mental institutions and eventually, rehab. “It wasn’t that I wanted to party, it was just that I didn’t want to feel anything at all because I felt so terrible. I didn’t want any of those feelings,” she recalls.It wasn't that she didn't try to break away, it was that she couldn't. She relapsed. A lot. And then she was confronted with one of those life moments in which she realized that her life could go one way or another. “I remember being in a hospital and thinking, 'I don’t want to die a statistic. I’m more than a statistic. I don’t want to die a statistic.' And I got arrested and that helped me get my life together because I don’t really want to go to jail,” Ashlynn said.She made milestones for herself. And eventually, became the person she is today, after finding what doctors call "medication assisted treatment," balanced with support groups and counseling. The first step though, says Dr. Adam Rubinstein, is making that call for help.“My concern is that because we’re all so focused on Covid-19 and it is so scary, patients with opioid use disorder who were already moving in the shadows may be even more marginalized,” Dr. Rubinstein said.Dr. Rubinstein works in both internal and addiction medicine. “We take care of people who have a disorder that hijacks their brain, people that are compulsively using a substance and can’t stop on their own," he said. The behaviors, he says, bring negative consequences. But those who suffer from the disease of addiction can't stop, and end up using so as to not suffer withdrawal.“They think they’ll die when they’re in withdrawal and will do anything they can to get out of it. Which means using that drug of choice again,” he said. The disease of addiction doesn't stop even in a global health crisis. The death rate from opioid overdoses is rising.“The second problem is that Covid-19 brings unemployment, financial problems, isolation and depression. Third, is our healthcare system is now less accessible,” Dr. Rubinstein explained.When we asked how the problem is addressed during a pandemic, Dr. Rubinstein said, “there is no one answer because addiction requires customization based on the provider and the patient deciding what is most effective.”As for Ashlynn, she wants people to know there's hope. And a way out. “I don’t regret what I went through, though, because it brought me to where I am today. I’m a different person than I was before I started using,” she said.It's never too early and never too late to start the road to recovery, Ashlynn says. For those who are ready to take the first step towards a new life, doctors recommend visiting www.samhsa.org and rethinkopioidaddiction.com 3400

The number of missing in Californian wildfires has soared to 631, as authorities added hundreds of names to the lists of the unaccounted for Thursday, in what has become the deadliest and most destructive wildfire in the state's history.Butte County Sheriff and Coroner Kory Honea said Thursday evening the death toll from the Camp Fire in northern California had grown to 63 people. Seven sets of remains were discovered Thursday, he said.At least two other people have been killed in another, separate wildfire in Southern California, putting the state's death toll at 65 since the two blazes began last week.On Friday hundreds of rescue personnel -- deputies, National Guard troops and coroners -- dressed in white overalls sifted through smoldering rubble and checked mangled cars, searching for human remains.Honea said the number of names on the missing list soared after investigators added information from callers who rang the dispatch center on the day the fire erupted and reported people who were missing in the chaos.Some of the names on the Butte County list appear more than once and it's not clear if any are duplicates. Officials have said it's hard to determine the number of missing, because some people may have evacuated and can't be reached with cell phone service unreliable due to the fire."There are a lot of people displaced and we're finding a lot of people don't know we are looking for them," Honea said.The fire turned the hard-hit town of Paradise into ash and debris and also devastated the nearby communities of Magalia and Concow. Honea said three sets of remains were found Thursday in Paradise, three in Magalia and one in Concow.Honea has invited relatives of the missing to visit the sheriff's office in Oroville so authorities can collect DNA samples from them. The DNA will be used to help identify fire victims, Honea said."This is a daunting task. We feel really bad for the people who don't know what happened to their loved ones and our hearts go out to them," Butte County Sheriff's Investigations Sgt. Steve Collins said. "We want to give them some answers." 2132

The New York attorney general is investigating the parent company of MoviePass, a source familiar with the probe confirmed to CNN Business.The state is looking into whether Helios and Matheson (HMNY) misled investors about its finances, the source said. The investigation is being conducted under New York's Martin Act, an anti-fraud and investor protection law. The existence of the probe was first reported Wednesday by CNBC.The movie subscription service exploded in popularity last year when it began offering customers the ability to watch as many movies in theaters as they wanted for per month. But that business model proved unsustainable, and the company has since changed its subscription plans and pricing as well as the number of movies it makes available to its customers.As the company's troubles worsened this year, its stock price also cratered.Helios and Matheson stock was trading at an all-time high of nearly a share in October 2017. Now the stock is trading at 2 cents — and that's after the company approved a reverse split to boost the price 250-fold earlier this summer.Nasdaq has even warned Helios and Matheson that it could delist the stock.Helios and Matheson and MoviePass did not respond to requests for comment Wednesday.The company is wrestling with other problems as well.Board member Carl Schramm, an economist and Syracuse University professor, recently quit his job and claimed that executives mismanaged the business and withheld crucial information from the board.Purported stockholders have filed two federal class-action complaints against Helios and Matheson in August, claiming the company made "materially false or misleading" statements to the market. The company said at the time that it intended to "vigorously defend" itself and believed the complaints were "without merit."Last month, the company filed new paperwork with the Securities and Exchange Commission indicating that it was going to ask shareholders to vote on another reverse split — one that this time could increase the stock by as much as 500-fold.That meeting was scheduled to happen Thursday. In documents filed with the government on Tuesday, the company said the meeting would be moved to November 1 so stockholders had more time to consider the split before voting. 2323

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