At the E.R., Bearing Witness to Gun Violence
THERE is an unspoken rule in medicine: we do not tell tales out of school. As an emergency room physician, an Army veteran who was deployed to a combat support hospital in Baghdad in 2005, and a biomedical researcher in the field of cardiac-arrest resuscitation, I have been and am, on a daily basis, a witness to grave misfortune. Ordinarily, though, except for medical purposes, I will not discuss what I have seen.
Last week a colleague asked me to make an exception. The father of two young children, he was moved by the rampage at Sandy Hook Elementary School in Newtown, Conn., to ask his professional circle to reconsider our silence. I am an expectant father, and his words resonated with me. They reminded me that we doctors are at the front lines of the scourge of gun violence, and that to remain silent as this threat to public health continues unabated would be no different than for an oncologist or a cardiologist to stay mum on the dangers of smoking.
The doctor’s balance between discretion and education is complex. But the news from Newtown, and my colleague’s request, convinced me that we have reached the threshold. I can no longer stay silent.
There was a 9-year-old girl, shot in the chest by an assault rifle during a “drive-by” gang shooting, in a botched retaliation for a shooting earlier that day. She was baffled, and in pain, with a gaping hole under her collarbone. I have also seen an 8-year-old who found a shotgun in the closet while playing with a friend. The two boys pointed the weapon at each other a number of times before the gun accidentally discharged. The 8-year-old arrived in my emergency department with most of his face blown off. Miraculously, he survived.
Another child I will never forget was a 13-year-old who was shot twice in the abdomen by an older boy who mistook him for one of a group that had bullied and berated him a week earlier. Slick with sweat and barely conscious, he groaned and turned to look at me. Soon after, he died in the operating room. His mother arrived minutes later, wide-eyed and breathless.
http://www.nytimes.com/2013/01/02/opinion/at-the-er-bearing-witness-to-gun-violence.html?_r=0
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