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PPGV 2019 Annual Report- summary.

April 30th, 2020 | Posted by in Uncategorized - (Comments Off on PPGV 2019 Annual Report- summary.)

Summary of the 2019 Annual Report: Physicians for the Prevention of Gun Violence

There are now 730 members of PPGV. Please join us.

Our leadership group has expanded to include Willie James and Welton Craig Washington, Jr.MD

SUMMARY: Our major efforts continue to be education and public advocacy and support for legislative activities supporting gun registration and regulation.

Education: Dr. James Peggs continues to spearhead our educational activities:

  • PPGV members presented to 12 physician and community groups this the year.
  • Dr. Sonya Lewis has developed a teaching module for University of Michigan medical students as part of their Department of Psychiatry clinical rotation.
  • PPGV has prepared a slide presentation focused on gun violence prevention which is available to others for educational activities.

Advocacy: PPGV continues to advocate for gun violence mitigation efforts by:

  • Lobbying Michigan state legislators
  • Supporting the efforts of medical societies including the American Public Health Association, the Michigan Academy of Family Physicians and the Michigan State Medical Society
  • Speaking out publically at local events supporting gun violence reduction efforts
  • Supporting youth advocacy groups

Nationally this was the year following the 2018 youth movement response to the Parkland, Florida shooting and the “Stay in your lane” directive by the NRA. In 2019 physicians everywhere proclaimed “This is OUR LANE”, but Michigan was disappointing legislatively as passing a lifesaving Extreme Risk Protection Order, or Red Flag Bill, was impossible given the composition of the Michigan legislature. Nevertheless, we are encouraged that more physicians and more citizens groups are supportive of our gun violence prevention goals. We urge you to join PPGV in our mission to prevent gun violence.

A Trauma Surgeons Post- Covid, a Kid, a Gun, a Death.

April 22nd, 2020 | Posted by admin in Uncategorized - (Comments Off on A Trauma Surgeons Post- Covid, a Kid, a Gun, a Death.)

Dr. Shaikh trained under PPGV’s Dr. Mac Whitehouse. This is her story.

Almaas Shaikh

April 14 at 10:54 PM ·

COVID Chronicles

LEGOS

With a bottle of hydrogen peroxide I soak a towel and clean the small little lifeless bloody hand on the gurney. At the intersection of science and emotion my mind wanders as I clean. I don’t want his parent’s hand stained with their own child’s blood when they let go. If they let go. I try not to feel the rush of my emotions hurling at me like a runaway train. I have to pull it together so I can shortly go tell the parents of this precious young boy that their child has died.

I clean that hand as gently but as intently as I can to make sure every last drop of blood is gone. I couldn’t do much else for him; the injury was devastating and non-survivable. Not one skillset in all my training and experience could help me to help him live. The bullet traversed his brain from one side to out the other. No one survives. That is the science. I felt my eyes well up with tears. The trauma nurse quietly takes over the cleaning.

It was a trauma nurse who taught me to clean hands for dead patients. It is a lesson that has stayed with me, as morbid as that sounds. Similarly, I was taught to cover bodies in a blanket and wrap the head in gauze after cleaning any head wounds. Then it will just look like the child is sleeping. Peacefully.

My young patient was 4 years old. He hadn’t even had enough time to begin to live. Through tears his mom shows me a video she had made just a few hours earlier. Time warps as I travel back to see the life of a young child with the most beautiful brown eyes and an engaging, innocent precious smile playing with LEGOS. The moment belies what was to happen shortly thereafter. Time would pass and once done building LEGOS his life and my life would intersect in one of the most tragic ways possible.

“I didn’t even know my boys knew we had a gun in the house” mom tells me through gasping sobs. Her husband stands at her side- he tries to hold her in comfort. She pulls away. Immediately I know why. The gun was his. She never wanted it in the house. She never wanted it at all. I read it all on her face because I have seen this story over and over again. The people are just different this time. The gaping emotional heart wrenching impact though is the same.

It’s the middle of the morning. 1030 am. Normally these children would have been in school. But we are in a global pandemic. Schools are closed. Usually a safe haven for so many, these learning environments engage the mind and busy the body. They keep our kids out of trouble – or at the very least minimize the trouble they can get into. We underestimate how valuable school truly is.

The conversation falls to silence.

I step away feeling like an intruder on a very personal moment. The police are waiting for me outside. They need a report. They want to know injuries. Monotonously I answer their questions as I have similarly before. They look as shocked as I feel.

“Where did the older child get the gun?” I ask.

They kept a gun in the house, to protect against intruders. A flood of questions come into my head. Did they not know that the odds of needing to shoot an intruder are so much less than the odds of a gun accident in the house? Did they not listen to their pediatrician who asked about safety locks and lockboxes for gun storage? I don’t ask any of the questions because in this very moment it won’t change a thing.

The older brother had found the gun box. In the closet. On the top shelf. Behind shoe boxes. Tucked under old clothes. He had seen Dad put it away once and also knew where Dad hid the key to open the lock. He picked up the gun. It was shiny, clean and crisp to touch. Much like he thought the one in his video game might be. He turned the gun around in his hand and latched his small finger on the trigger all while his imagination went wild. He was chasing down the bad guys. There was a gun fight. He needed to save some innocent people. He was going to shoot them and be a hero. He aimed it toward the closet door and gently pulled the trigger.

BAM! A loud sound muffled his hearing for a moment. The gun recoiled in his hand and knocked him off the step stool he was standing on. He fell to the ground surprised. He heard someone running up the stairs. He quickly put the gun down. He stepped outside at the very same moment his mother and father walked around the corner to find his younger brother on the carpet…lifeless.

I’ll never be able to look at LEGOS the same way again.

Traumatic injury – such as gun violence – is a nearly 100% preventable disease. Gun violence is no less now that #stayathome and #socialdistancing are in effect. In fact when all is said and done, statistics will likely show an increase during these “shelter at home” times. Economies are stressed as are lives. Schools which are normally safe havens for children are closed. Choices made in boredom or under stress are not always the wisest. If you choose to own a gun please abide by the following:

1) Store guns safely. Guns and ammunition should be stored separately.
2) Use an approved firearms safety device on the gun such as a trigger lock or cable lock so it cannot be fired.
3) Store it unloaded in a locked approved container (lock box or gun safe).
4) Use both a locking device and separate container for maximum safety.

Choose wisely. Save a life.

In peace,
Almaas Shaikh MD

Feel free to share.

Disclaimer: Any resemblance real, fictional or in location in the writing of the story is purely coincidental.

#Stayathome #socialdistancing #COVIDChronicles #COVID19 #Traumaprevention

Photo below of LEGO Sydney Opera House built by Kashif Zubair; a build of nearly 3000 pieces requiring pure grit and determination.

Thanks and Gratitude to our Caregivers

April 12th, 2020 | Posted by admin in Uncategorized - (Comments Off on Thanks and Gratitude to our Caregivers)

Tuesday, April 7.

Hello Physicians, Physicians Assistants, Nurse Practitioners, and Nurses who are members of the Physicians for the Prevention of Gun Violence.

Thank you, Sisters and Brothers for being on the Front Line in this pandemic of

Covid 19 and taking care of all our other health issues as well! All health personnel are doing the work of heroes.

The Executive Committee of the PPGV wishes to reach out, to shake your hands, to show our appreciation for your performance in this time of trial. Of course, we can’t actually touch you as we would like, but your work gives us the necessary hope to live until we once again can. Shouts and cheers to you!

We pray for your safety.

We thank you. Stay well!

In peace,

Jerry and Andy

New Year’s Note Dec. 30

December 31st, 2019 | Posted by admin in Uncategorized - (Comments Off on New Year’s Note Dec. 30)

Dear Doctors,
As the New Year approaches we want to say thanks for supporting our work in 2019 for a safer Michigan.
Physicians for the Prevention of Gun Violence (PPGV) continues to grow. We are now well over 700 members. We are gaining voice with our public health approach to gun violence prevention (gvp). This voice is developing just in time as the toll of deaths and injuries is mounting- now passing automobiles.
PPGV has given grand rounds at many Michigan medical schools and primary care residencies. (We will visit your program if invited.) At these presentations we have gained both members and voice. With Governor Whitmer’s veto power we have not had to advocate in Lansing for GVP as often as the Republican legislature has not forwarded risky laws as in the past. And nationally, after years of prohibition there now is some money being appropriated to study gun violence.https://www.thetrace.org/2019/12/congress-gun-violence-research-budget-agreement-cdc-nih/
We are developing a GVP curriculum. Ours is modest, but in California the legislature just awarded over $3 million to UC Davis to develop curriculum there for their physicians. That’s exciting! https://www.sacbee.com/news/politics-government/capitol-alert/article236257503.html?utm_source
The public health approach to gvp has many facets. Read or listen to David Hemenway, the director of Harvard’s Injury Control Research Center, speak on this recently.  Hemenway asserts that everyone has a role to play to stop the shootings- from manufacturers to police to pawn shops to gun owners to docs and more-everyone!https://www.harvardmagazine.com/2019/podcast/david-hemenway
The public is on board, the kids in many areas are energized, moms are demanding action, docs are in “our lane” uninhibited by the NRA and hope is on the ascent that we may start to reduce the burden of suffering from gun violence. Thanks for your work and support in 2019 and Happy New Year!
Jerry for PPGV

Chart Notes for Dec 2019 – Events

December 2nd, 2019 | Posted by admin in Uncategorized - (Comments Off on Chart Notes for Dec 2019 – Events)

Three things to know for December for PPGV.
1.Michigan Coalition to Prevent Gun Violence. Wednesday, December 4th, 2019 at 9:15 am Room 403 in the Capitol Building – a press conference.
We’ll hear from Senator Rosemary Bayer, Rep Robert Wittenberg, and Rep Brenda Carter. This is a great opportunity to learn about this important legislation, while supporting our elected officials who are fighting for the safety of our communities!
Later that day is
Vigil of Remembrance for Newtown MCPGV is hosting a vigil December 4 to support those impacted by gun violence and raise awareness of this critical issue.

Wednesday, December 4 at 7pm
St. Stephens Community Church
1007 Kimberly Dr, Lansing, MI 48912

2.Curbing Gun Violence: Strategies for Change/Live Webcast/D/ Harvard podcast with David Hemenway and others.https://theforum.sph.harvard.edu/series/policy-controversies/
3.FallenAngels.
Good day. This year church of the Messiah will host its 12th annual “Fallen Angels” ceremony. Fallen Angels honors the innocent victims of gun violence. This year Fallen Angels will be a Christmas concert honoring innocent victims of gun violence. Family and friends will celebrate a day of peace and healing with others in the community who have experienced loss. We will honoring “Code 22” on December 22nd as a day of peace, no killing, and healing as outlined by pastor Ovella Davis of United communities of America.
Doors open at 3:30. The concert is at 4pm. Dinner will be served at 5:45.
We will gather with community and government officials, law enforcement, business leaders, religious organizations, and families and friends of those we lost to gun violence. All are welcome.
For more information contact Rev. Barry Randolph 313 6335331

Reflections on the FACTs symposium.

December 2nd, 2019 | Posted by admin in Uncategorized - (Comments Off on Reflections on the FACTs symposium.)

Reflections on the FACTS Symposium, Monday, October 21, 2019

Firearm Safety Among Children and Teens- FACTs. The consortium and website. https://depts.washington.edu/hiprc/child-and-teen-firearm-safety-research-consortium-fund  www.childfirearmsafety.com https://www.ncbi.nlm.nih.gov › pubmed  

 (Dr. Rebeccah Cunningham’s UM team received a large grant from NIH to study Gun Violence and this symposium was an outgrowth.)

1.Most current data indicates 109 Americans die from guns every day

2.The differences between urban and rural attitudes and practices are real. A community advisory panel in rural areas felt defensive reading the message on the UM Injury Center’s handout for parents that “The Safest Home with children is a home with NO guns” as per the AAP (pediatrics.) What do we do about that- conversation starter?

3. The most successful way to ask about guns in the home may be to ASSUME THERE ARE GUNS and ASK ABOUT STORAGE e.g. “Are the guns in your home all stored safely?”

4. Dr. Joseph Eradi, an expert in school safety who was a consultant to Sandy Hook school after their tragedy has been touting the approach to recognize bullying, loneliness, weird behavior changes among students before lives are lost. He encourages kids to “SAY HELLO” i.e. practice inclusiveness, don’t let kids sit alone in the corner of the cafeteria, etc. and “SAY SOMETHING” if they see something worrisome. He is not a proponent of arming teachers. This program is the Sandy Hook Promise. https://www.sandyhookpromise.org

5. Declaring gun violence a public health crisis in America Dr. Patrick Carter pointed out there are 130 suicides/day and 130 opioid deaths /day currently in US. Both are crises, but only the opioid has been declared!

6. Youth and adults typically do not visit a mental health professional prior to suicide but many DO visit their primary care provider. Doctors should screen for depression—converse with patient appropriately—provide gun locks or help get gun/s removed from access. This could be facilitated by ERPO’s.

7. Youth who are vulnerable to violence seem to respond to a pilot program using a phone app which sends alerts and words of encouragement during the day, GPS monitors if kids are in “bad situations”, students receive rewards as incentive e.g. five consecutive days without carrying your gun.

8. Data indicate the predictable: in states where gun laws are more permissive school shootings are more prevalent

9. There appears to be some progress towards increasing federal funding for research related to gun violence

James Peggs, MD

First Lobby Day and Chart Notes October

October 11th, 2019 | Posted by admin in Uncategorized - (Comments Off on First Lobby Day and Chart Notes October)

1ST Lobby Day

We are joining Michigan Coalition to Prevent Gun Violence Oct 30 to Lobby for GVP in Lansing. Can you come and lobby your representative? Register here. https://michigancoalitiontopreventgunviolence.salsalabs.org/legislativedayrsvp/index.html

PPGV Chart Notes for October

2019 Sports Medicine for the Primary Care Physician & Fall Update in Family Medicine. Drs J Peggs and J Walden presented on the Gun Violence and Injury Prevention- the Physician’s Role. We had 2 lectures and also a table. GVP is gaining recognition as a Public Health Crisis.

Upcoming: FACTS Symposium: Preventing Firearm Injuries Among Children and Teens: The State of the Science taking place October 21, 2019 from 7:30am-3:30pm. This is a large national conference at University of Michigan led by Rebecca Cunningham newly appointed Interim Vice President for Research. She has led the Injury Prevention Center at UM. PPGV has submitted a poster “Educating Physicians About Prevention of Youth Gun Injury”. Here is the information to register for the symposium by livestream. https://mail.google.com/mail/u/0/#search/FACT/FMfcgxwDrcCfXqLtPGxgljSTxrPwQkDq

Osher Lifelong Learning Institute (OLLI-UM) GVP Presentation Oct. 14.  S. Lewis and J. Peggs are giving a 2-hour early evening presentation. For ticket information https://www.olli-umich.org/

Grand Rounds –Nov. 21 at Western Michigan Family Medicine at 730 am. This follows an earlier WMU Pediatric GR.

Calling all Republicans. We need to find a republican legislator who will support or even introduce a Red Flag bill. (Maybe someone who has lost a relative to gun violence.) This legislation saves lives in states that have passed it. Can you help us with this?

JSWalden

Chart Notes Summer 2019

July 28th, 2019 | Posted by admin in Uncategorized - (Comments Off on Chart Notes Summer 2019)

PPGV Activity and Upcoming Events.

June 4 Visit to Oakland/Beaumont Family Medicine for second time.  Amy Seger, MD Program Director at Sterling Heights invited us to speak. Large group and lively discussion. 15 new members. M. Shearer and J. Walden presented.

June 8 Wear Orange March at Spirit of Detroit Plaza. Oakland Co. Moms Demand Action invited J Walden to speak along with Rashida Tlaib, Robert Wittenberg, and many others. Mary Sheffield, Council President Pro Tem emceed. It was a “spirited gathering” of several hundred, but saddened by the deaths we were honoring. https://www.detroitnews.com/story/news/local/detroit-city/2019/06/08/michigan-activists-officials-rally- Silence the Violence gun-safety-detroit/1370656001/

June 9 Wear Orange in Ypsilanti. C. Farmer, S. Lewis and J. Peggs attended. See Facebook @physiciansforthepreventionofgunviolence to view photos.

June 29 Silence the Violence march in Detroit. J. Peggs and J. Walden wore white coats in this march begun more than 10 years ago.  Barry Randolph’s Church of the Messiah has a mission to youth- over 60% of his parish of 300 are young black males. Hundreds marched to reclaim the streets. Code 22 is Detroit’s effort to avoid any deaths on the 22nd of each month. PPGV invited back.

August 2. Michigan Academy of Family Physicians Annual Meeting. Shanty Creek, Bellaire. C. Farmer and W. Wadland present “Gun Safety and Violence Prevention.” Join us for early am CME.

National movement to coordinate GVP with the Denver Accords. GVpedia wrote this spring and PPGV joined.   https://docs.google.com/forms/d/e/1FAIpQLSd6XXoU9CwvgRGMTrGiZEU_TWjx_16lDYAsjkEo0jAH2qBvOg/viewform

J.S. Walden

PPGV Speaking

May 15th, 2019 | Posted by in Uncategorized - (Comments Off on PPGV Speaking)

Spring Opportunities for PPGV-  Join us at St. Joe AA, IHA, and Beaumont.

Yesterday, May 14   A presentation before the Medical Executive Committee of Saint Joseph Mercy Ann Arbor, which we believe is the first hospital in Michigan and probably in the US to have all the medical executives joined in an organization to prevent of gun violence. The Trinity System CEO, Rob Casalou and the Michigan Hospital Association are also strong supporters of PPGV. Invitation from Robert McCurdy, Chief of Staff.  Mac Whitehouse presented along with Jerry Walden.

May 22   12pm. Drs. J. Peggs and M. Whitehouse present “the Clinician’s Role in the Prevention of Gun Violence” at the Interdisciplinary Grand Rounds Hospital Auditorium St. Joseph Mercy Hospital, Ann Arbor. Invited by John Watt, MD

May 22. 630pm. Drs. J. Peggs and M. Whitehouse present “the Clinician’s Role in the Prevention of Gun Violence” at IHA Central Dominos Farm 24 Lloyd Wright Drive . Invited by Robert Breakey, MD

May 29. 1030 am. Drs. J. Peggs and J. Walden present “the Clinician’s Role in the Prevention of Gun Volencei” at Family Medicine Grand Rounds Beaumont Hospital/Oakland University- Wayne Campus. 33155 Annapolis Rd. Invited by Jianming Lau, MD

June 4. 745 am. Drs. M. Shearer and J. Walden present “ the Clinician’s Role in the Prevention of GV” Family Medicine Grand Rounds Beaumont Hosp./Oakland University- Sterling Heights. 44250 Dequindre. Invited by Amy Seger, MD

 

We hope you can join one of these events and ready your voices to help.

Jerry

Annual Report for 2018

May 2nd, 2019 | Posted by admin in Uncategorized - (Comments Off on Annual Report for 2018)

2018 Annual Report, PPGV       

660 physicians strong.

Mission Statement: Michigan Physicians: Educated and Empowered to Advocate for Gun Violence Prevention.

Operations. Our Executive Committee continues to meet monthly. Cochairs J. Walden and A.  Zweifler,Treasurer Zweifler, and Secretary E. Arneson. Membership T. Wilson, Welcome W. Whitehouse, Gov. Relations S. Dombey. Communication, S. Lewis. Others listed on panel.

1.Education. We made several Grand Rounds presentations.

Jan. 14, 2018 First Cong. Church, A2 (JP)

Jan. 26, 2018 Grand Rounds, Children’s Hospital of Michigan, Det (JP,WMW*)

Feb. 9, 2018 Grand Rounds, U of Michigan Dept of Int Medicine (JP, SL)

UM student Psych clerkship (2018) Feb 19, Mar 22, May 31, Sept 10, Oct 18, Nov 12

March,2018 Traverse Bay School District, Journalism students (BW**)

May,2018 American Psychiatric Assoc. Annual Mtg, (NYC) SL

May 30, 2018 UM Preventive Med Residents, School of Public Health (JW, Peg S.)

June 2, 2018 Orange Out, Gun Violence Awareness Rally, Ann Arbor (SL)

June 14, 2018 First Presbyterian Church Hilltoppers, Ann Arbor (JP)

June 24, 2018 PEG (Protectors of Equality in Government) Ann Arbor (SL,JP)

October 25, 2018 MSMS Annual Sci Mtg (SL, AW, CF, JP)

October 30, 2018 Kalamazoo Med Soc (WMW, JP)

November 14, 2018 Grand Rounds, UM Family Medicine (JP, JW)

*WMW, Walter Mac Whitehouse **BW, William Bill Wadland

2.Curriculum. PPGV continues an affiliation with UM Psychiatry Department making a popular presentation to UM medical students (15-30 at a time) as part of their 3rd year clerkship in psychiatry. PPGV psychiatrist Sonya Lewis is our primary presenter with an assist from J. Peggs and others occasionally. PPGV presents to every UM medical student.  Our presentation continues to evolve during our presentations depending on our audience. The presentation to the psych students focuses on suicide, domestic partner abuse and children’s accidental deaths. Homicides, mass shootings, gag laws and stand your ground laws are included in other grand rounds. Our medical student opportunity, begun in 2016, is considered crucial to developing the physician voice in the struggle to prevent gun violence and we have plans to take the curriculum to other med schools and programs in 2018

3.Advocacy. PPGV advocated for gun safety legislation by attending several legislative hearings in Lansing and marches and rallies in support of efforts to prevent gun violence.

Lame Duck session- Although there were hundreds of bills brought forward (over300) the gun safety associated bills were not a factor.

We now have a new Governor, Attorney General, and Secretary of State- all women and allies. Although GVP should be a bipartisan effort having these new officers gives PPGV better working partners as all are considered pro GVP.

At the Michigan Academy of Family Physicians (MAFP) Annual Meeting A. Kittendorf, P. Rockwell, J. Walden brought Resolutions 18.04 which passed by acclamation.  These four resolutions, first authored in Scientific American, https://www.scientificamerican.com/article/4-laws-that-could-stem-the-rising-threat-of-mass-shootings/ claim to reduce GV injury and death. https://www.mafp.com/system/:tenant_id/ckeditor_assets/attachments/2158/original2018_2019_proposed_resolutions.pdf The MAFP Advocacy Committee will bring them forward in 2018.

  1. Publications and Letters to the Editor.
    Lewis, S.Washtenaw Jewish News Review of Wallenberg Award winners. https://www.washtenawjewishnews.org/PDFs/WJN_Dec_Jan_18_web.pdf P. 16.

Lewis,S. Parkland Anniversary Rally:

https://docs.google.com/document/d/1XdNkrLV1BSEuxZmfKKoetwiGTTmGnooHTCB7xAk86N4/edit

Lewis,S. ERPO.  Protectors of Equality in Government. https://equalityingov.org/2019/03/extreme-risk-protection-order-legislation-can-prevent-gun-suicide/

Lewis,S. Marching for Lives.  MCH Amer Ass Pub Health

https://mailchi.mp/31ceca62ea46/mch-section-spring-newsletter

5.Media, Art and Celebrations. We attended the Washtenaw Co. Sheriff’s Spring Annual Gun Safety Day.

June 2. Wear Orange Day.  S. Lewis spoke along with other Michigan leaders.

Dec. 13 PPGV cosponsored #EndGunViolence Day 6th year after Sandy Hook. S. Lewis spoke.

  1. Meetings. Dr. Walden continued membership on the MAFP Advocacy Committee. Drs. Farmer, Shearer and Walden are WCMS and MSMS members.

7.Partners. PPGV remains a member of Michigan Coalition to Prevent Gun Violence. We are working with MAFP and through it reaching out to the Pediatricians and ER physicians to build a coalition. Locally, we have a strong group of physicians at Trinity Hospitals who continue to work with us. County and State-wide help from Washtenaw Co Med Society and Michigan State Medical Society remains vibrant. One focus is building a physician movement that includes current groups in Michigan and the US.

 

8.Recruiting /Activism. We continue to work for a gun-free environment in our hospitals and clinics and in public spaces. With leadership from Dr. Whitehouse we were able to recruit several medical directors from St. Joseph Mercy Ann Arbor. We continue to work with leaders at other Trinity Health hospitals in southeastern Michigan as well as IHA. We continue to search for partners.