Just as 12 people were shot and killed in a California nightclub, the National Rifle Association declared war against the medical profession via social media. Apparently, the war was triggered by the Centers for Disease Control and Prevention (CDC) having the gall to release new figures showing gun deaths on the rise, indicating latest data for large metro areas are reaching levels not seen since 2006-2007.

Among the 50 largest metro areas, 43 (86%) reported rate increases when compared to 2012-2013 total. The report states a likely factor in both homicide and suicide rates is access to a firearm. According to previous studies, the decision to harm yourself or another person take as little as 10 minutes or less. Persons who make such decisions tend not to substitute use of a firearm when one is unavailable or difficult to access.

“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. https://t.co/oCR3uiLtS7“

— NRA (@NRA) November 7, 2018

The NRA is right. We need a consult.

In July 2017, the Emergency Management website ran a story indicating initial hospitalizations involving firearm injuries cost $734.6 million a year nationally. The story, written by reporters Jennifer Smith Richards, Annie Sweeney and Jason Meisner, Chicago Tribune followed two gunshot victims – Annette Johnson and Leo Leyva.

The bills for their initial treatment were staggering. In his first 35 minutes at the hospital, Leyva had racked up $21,521 in charges, and by the time he was released three weeks later the bill totaled more than $157,000. For Johnson, who spent barely 24 hours at Mount Sinai, the hospital charges approached $27,000.

Can anyone guess the average cost of branded and top grade shotguns? $500 to $800 dollars. Likewise, can anyone guess the average cost of a decent 9MM weapon? $250 to $400 dollars.

The Emergency Management article continued. An unprecedented analysis of state data by the Tribune revealed that the initial medical costs for treating Chicago gunshot victims like Johnson and Leyva add up to tens of millions of dollars annually.

Also in June 2017, NBC News published “Journey of a Bullet” followed six people endured the physical force, paid the emotional toll and found a path to recovery. the most interesting quote,

“… the gunshot wound may heal, but the bullet remains embedded in every facet of the survivor’s life.” For a fleeting moment, the thrust of the bullet bonds these survivors before their stories pull apart, diverging in directions where their futures are thrown into turmoil: Some are left paralyzed or must undergo years of reconstructive surgeries or are so shaken up, they can’t walk down a street without glancing over their shoulders.

What the NRA’s social media war fails to comprehend is that for clubgoers, rescue staff, police, heath care clinicians, and victims of the Borderline Bar and Grill shooting are forever bonded. That will never change. In the meantime, Trump ordered flags to half-staff, Democrats demand action, and relentless prayers. All those damned prayers. “Prayers and condolences” for all.

Having made a living in the medical profession, both as a former rescue man and paramedic, police officer and now consultant, I can attest that the physicians are right. However, maybe the NRA’s concern, that “… the medical community seems to have consulted NO ONE but themselves” is valid. As such, I sarcastically propose the following scenario during the next major trauma. It’s not very Buddhist, but it feels right.

Doctor: “Gunshot wound. Oh my God. I need a consult.” Picks up phone. Dials.

Voice: “National Rifle Association. How can I assist you?”

Doctor: “This is Anytown ER. Need a consult. We have a well-developed, well nourished, white male, 70 inches tall, weighing 138 lbs, and appearing the stated age of 39 years. Present in the right upper chest, 13 1/2 inches below the top pf the head, level with the jugular notch, just below the clavicle and 2 3/4 inches to the right of the midline, there is a gunshot wound of entrance. Initial examination of the wound reveals it to consist of an oval-shaped, seared and blackened wound, measuring 5/16 inch vertically x 1/4 inch horizontally. Partially burned grains of powder are present in this wound. Lying slightly above this wound and enclosing three-quarters of it, there is a circular contusion ring, approximately 1/2 inch in diameter. This ring measures slightly less than 1/16-inch-wide and has a reddish color. The bullet, after passing in between the clavicle and 1st rib, struck and perforated the right brachio-cophalic vein and the right internal thoracic artery. The bullet then went through the apex of the upper lobe of the right lung and struck the antero-lateral aspect of the 3rd thoracic vertebra. The bullet went through the body of this vertebra in a posterior path, creating a tangential wound of entrance into the spinal canal.”

So, ah, NRA? It’s your gun and your bullet. How should we proceed?”

How’s that for a consult?