Gun Shot Wound
- Description
- Reviews
- Citation
- Cataloging
- Transcript
Every day in the United States, an average of 318 people are shot—about 116,000 victims each year. Most aren’t involved in mass shootings; instead they’re caught in the web of routine, almost invisible, gun violence. More than 35,000 of these victims will die from their wounds. Dr. Amy Goldberg leads the team that treats more than 500 gunshot victims each year. In 2019, someone was shot every 6 1⁄2 hours in Phildelphia, where she works. We follow Dr. Goldberg on a busy Friday evening in the trauma center. In the space of 12 hours, she’ll treat three gunshot victims and perform emergency life-saving surgery on one of them. And since 80% of gunshot victims survive in Philadelphia, GUN SHOT WOUND gives an authentic look at the daunting process of rehab and often permanent disability. Meanwhile, Dr Joseph Sakran shares his day-to-day experience treating gunshot victims and introduces viewers Brandon Fisher. Brandon arrived at the trauma bay nearly dead with 13 bullet wounds and injuries in almost every cavity in his body. It took a multi-disciplinary team of surgeons and more than 15 surgeries for Brandon to recover. GUN SHOT WOUND shows what really happens when someone gets shot and highlights how physicians and hospitals are not just treating patients, but going above and beyond to prevent gun violence.
Citation
Main credits
Schiliro, Jody (screenwriter)
Schiliro, Jody (film director)
Schiliro, Jody (film producer)
Collins, Michael (screenwriter)
Other credits
Cinematography, Erin Harvey; editor, Penny Trams; music, Lenny Williams, Chris Biondo.
Distributor subjects
Gun Violence in America; Frontline Trauma Surgeons; Preventing Gun Violence; Community HealthKeywords
00:00:02.095 --> 00:00:05.040
(sirens blaring)
(police radio chattering)
00:00:05.040 --> 00:00:06.731
- [Dispatcher] 911.
What are you reporting?
00:00:06.731 --> 00:00:09.814
- [Caller] Person shot. Person shot.
00:00:13.390 --> 00:00:16.107
- Most of us think we
understand what happens
00:00:16.107 --> 00:00:17.310
when you shoot somebody.
00:00:18.417 --> 00:00:21.604
And I had no idea until
I started working here
00:00:21.604 --> 00:00:23.547
the devastation that is wrought
00:00:23.547 --> 00:00:25.710
by such a small piece of metal.
00:00:27.207 --> 00:00:31.137
And I've seen the smallest calibre bullet
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destroy flesh and bone and dreams.
00:00:37.148 --> 00:00:39.267
- [Dispatcher] We got another
person shot now. Person shot.
00:00:39.267 --> 00:00:40.892
- Too many of our young people
00:00:40.892 --> 00:00:43.557
are either dying or going to jail.
00:00:43.557 --> 00:00:44.607
- [Caller] Went to a nightclub group.
00:00:44.607 --> 00:00:46.527
People were shooting guns.
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- Society, a whole society
is under this delusion
00:00:51.567 --> 00:00:56.567
that it's okay for
33,000 innocent citizens
00:00:56.817 --> 00:00:59.220
to die for absolutely no reason.
00:01:02.157 --> 00:01:03.957
I've seen assassinations
00:01:03.957 --> 00:01:08.957
and I've seen mass
shootings and dead children.
00:01:09.420 --> 00:01:11.427
(tense sombre music)
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- But it's the mass
shootings, which are terrible,
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don't get me wrong.
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But it's those mass
shootings that really do
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get all of the attention.
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And I think the rub for the trauma surgeon
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in a large city is that
this is what we're seeing
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all the time.
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And where is that outrage?
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(machines beeping)
(doctors chattering)
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- This is a public health crisis
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(tense sombre music)
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(sirens wailing)
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- When it comes to gunshot victims,
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I'm very proud of this trauma centre.
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I mean, literally, if you watch us,
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we tilt the hospital up on its side
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and try to pour lifeblood
into a dying gunshot victim.
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I mean, it's a remarkable thing to watch
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in terms of society trying to save a life.
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- [Paramedic] Stay with me. Stay with me.
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- Jacobi Medical Centre
Emergency Department. Go ahead.
00:02:25.107 --> 00:02:27.806
- This is Empress EMS, I've
got a 34-year-old male.
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Multiple GSWs, 90 over
palp, respiration's at 35.
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ETA's four minutes out.
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(tense suspenseful music)
(sirens wailing)
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- This is the adult ED.
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We have a level one trauma coming in.
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We have a 34 year old male
with multiple gunshot wounds.
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Blood pressure is 80 over 40.
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Heart rate is 110. Trauma, please respond.
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- [Medic] Radiology responding.
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- [Medic] Trauma team responding.
00:03:01.767 --> 00:03:03.417
- [Medic] Respiratory responding.
00:03:04.767 --> 00:03:05.817
- [Medic] Anaesthesia.
00:03:06.957 --> 00:03:08.677
- Okay, everyone, we
have a prenotification
00:03:08.677 --> 00:03:12.177
for a 34-year-old male with multiple GSWs
00:03:12.177 --> 00:03:13.737
to the neck and chest.
00:03:13.737 --> 00:03:16.287
The patient is hypotensive
and tachycardic.
00:03:16.287 --> 00:03:18.717
Everyone please introduce yourselves.
00:03:18.717 --> 00:03:20.157
- Mike, survey resident.
00:03:20.157 --> 00:03:22.737
- Carl, I'm blood runner and c-spine.
00:03:22.737 --> 00:03:24.657
- I'm Nicki, procedures on
the right side of the chest.
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- I'm Heidi, primary nurse.
00:03:26.217 --> 00:03:27.630
- Naomi, trauma team leader.
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Everyone knows they're assigned roles
00:03:29.934 --> 00:03:31.857
and we have a plan for
what we're gonna do.
00:03:31.857 --> 00:03:34.647
We'll notify the operating
room if we have to go upstairs.
00:03:34.647 --> 00:03:35.667
Patient's hypotensive.
00:03:35.667 --> 00:03:38.228
Can you get the belmont
ready to transfuse two units?
00:03:38.228 --> 00:03:39.061
- Behind you.
00:03:39.061 --> 00:03:40.826
- Let's hear our vital
signs. Check right inside it.
00:03:40.826 --> 00:03:43.737
- [Medic] We have vitals 80
over 40, heart rate of 110.
00:03:43.737 --> 00:03:45.057
- Mike, give us some breath sounds.
00:03:45.057 --> 00:03:47.290
- [Mike] I have breath
sounds on the left side.
00:03:47.290 --> 00:03:49.977
I have no sounds on the right.
00:03:49.977 --> 00:03:51.057
- [Teperman] Naomi,
what are we looking at?
00:03:51.057 --> 00:03:52.737
- [Naomi] Our chest X-ray
shows that the patient
00:03:52.737 --> 00:03:55.834
has the resolution of the
pneumothorax on the right side.
00:03:55.834 --> 00:03:57.147
- So we got a bullet?
00:03:57.147 --> 00:03:57.987
- [Naomi] We don't see a bullet.
00:03:57.987 --> 00:03:59.188
- [Mike] Chop, chop. Go, go.
00:03:59.188 --> 00:04:00.021
- [Naomi] Let's go.
- [Mike] Find me that bullet.
00:04:00.021 --> 00:04:00.854
- Let's get ready to log
and run the patients again.
00:04:00.854 --> 00:04:02.307
- What's the status of the operating?
00:04:02.307 --> 00:04:03.807
- From the trauma surgeon's perspective,
00:04:03.807 --> 00:04:05.337
bullets are all about real estate.
00:04:05.337 --> 00:04:06.717
Location, location, location.
00:04:06.717 --> 00:04:08.727
- Okay, our pelvic x-ray shows
that we have a projectile
00:04:08.727 --> 00:04:09.867
on the left pelvis.
00:04:09.867 --> 00:04:10.700
That means that our-
00:04:10.700 --> 00:04:12.147
- OR, this is Teperman.
00:04:12.147 --> 00:04:13.917
We're heading up for a neck exploration
00:04:13.917 --> 00:04:15.657
and immediate exploratory laparotomy.
00:04:15.657 --> 00:04:17.387
The patient's hypotensive.
00:04:17.387 --> 00:04:18.987
Prepare anaesthesia. We're coming up hot.
00:04:18.987 --> 00:04:20.277
- [Naomi] I wanna shoot one more x-ray
00:04:20.277 --> 00:04:21.903
of the neck before we go-
- Negative.
00:04:21.903 --> 00:04:22.736
- [Naomi] To see if there's any further-
00:04:22.736 --> 00:04:24.267
- Negative. Let's go.
00:04:24.267 --> 00:04:25.707
Checklist complete. Let's roll.
00:04:25.707 --> 00:04:26.540
All right.
00:04:27.447 --> 00:04:30.008
Take 'em off the vent and clear the way.
00:04:30.008 --> 00:04:30.841
Clear a path.
00:04:30.841 --> 00:04:33.267
One of the reasons why
we don't have 50,000 dead
00:04:33.267 --> 00:04:37.557
or 60,000 dead in America
is that we have organised
00:04:37.557 --> 00:04:39.927
a wonderful trauma system,
00:04:39.927 --> 00:04:42.810
and we've been honing it for years.
00:04:43.737 --> 00:04:45.177
- All right, everybody, I
just wanna thank you guys all
00:04:45.177 --> 00:04:47.250
for participating in today's simulation.
00:04:48.237 --> 00:04:50.607
It's obviously an ongoing
effort to keep on practising
00:04:50.607 --> 00:04:51.987
taking care of these really sick patients.
00:04:51.987 --> 00:04:54.147
I just want to go over
a good proper debrief
00:04:54.147 --> 00:04:55.887
on exactly what happened in the scenario
00:04:55.887 --> 00:04:58.287
and how you guys all
thought you guys went.
00:04:58.287 --> 00:04:59.637
- Yeah, so, thank you, guys.
00:04:59.637 --> 00:05:02.397
- The first layer is you
have to have a trauma system.
00:05:02.397 --> 00:05:04.077
You have to have an EMS system.
00:05:04.077 --> 00:05:07.467
So things have to be in place
in terms of the medicine,
00:05:07.467 --> 00:05:09.613
long before someone takes a bullet.
00:05:09.613 --> 00:05:10.824
The more of this we do,
00:05:10.824 --> 00:05:14.277
the better will we be in the real world.
00:05:14.277 --> 00:05:16.917
- Whatever walks into the door,
00:05:16.917 --> 00:05:19.047
we are all gonna band together,
00:05:19.047 --> 00:05:21.103
and we're all gonna get it done.
00:05:21.103 --> 00:05:25.917
(police radio chattering)
(sirens wailing)
00:05:25.917 --> 00:05:29.640
- In 2009, I was working late.
00:05:30.537 --> 00:05:35.007
It was the evening, and a
call came over the radio
00:05:35.007 --> 00:05:39.477
that we had a 92 year old
woman that had been shot.
00:05:39.477 --> 00:05:40.977
It was a level one activation.
00:05:40.977 --> 00:05:42.977
She was on the way to our trauma centre.
00:05:45.147 --> 00:05:46.497
And she comes in.
00:05:46.497 --> 00:05:50.427
She was this really elegant elderly woman.
00:05:50.427 --> 00:05:52.177
You know, she was your grandmother.
00:05:53.817 --> 00:05:58.817
And the story is that she
was home in her living room.
00:05:59.007 --> 00:06:02.217
Gang members were having a fight,
00:06:02.217 --> 00:06:05.607
and a stray bullet had gone
through her living room
00:06:05.607 --> 00:06:08.007
or a bedroom window as
she was preparing dinner.
00:06:09.447 --> 00:06:13.407
So I began the operation
00:06:13.407 --> 00:06:15.927
and, you know, as predicted,
00:06:15.927 --> 00:06:17.637
the bullet had come across the midline
00:06:17.637 --> 00:06:22.200
and it had injured everything
that's important for life.
00:06:23.847 --> 00:06:26.697
But we tried and we dumped the hospital
00:06:26.697 --> 00:06:31.380
into her, blood and people and we tried.
00:06:32.627 --> 00:06:35.247
(machine beeping)
00:06:35.247 --> 00:06:36.387
So it's done.
00:06:36.387 --> 00:06:41.007
You know, her life blood is
poured out all over the floor
00:06:41.007 --> 00:06:43.347
and all over me and her heart stops
00:06:43.347 --> 00:06:44.217
and we try to get her back.
00:06:44.217 --> 00:06:48.461
And I look up the clock
and pronounce her dead.
00:06:48.461 --> 00:06:51.987
(tense sombre music)
00:06:51.987 --> 00:06:54.060
And then I lose it.
00:06:55.695 --> 00:06:57.297
I just sat down right there,
00:06:57.297 --> 00:06:59.127
covered in her blood,
and I started to cry.
00:06:59.127 --> 00:07:03.120
Man, did I cry. Never
happened to me before.
00:07:04.467 --> 00:07:06.677
And Sadie Mitchell was just, I don't know,
00:07:06.677 --> 00:07:08.277
it was just too much.
00:07:08.277 --> 00:07:13.277
It just said to me that
this country had an illness
00:07:14.067 --> 00:07:16.257
that maybe we were just
never gonna get better from.
00:07:16.257 --> 00:07:20.517
It just epitomised how
messed up this thing was.
00:07:20.517 --> 00:07:23.520
This scourge of gun violence.
00:07:27.526 --> 00:07:30.609
(tense sombre music)
00:07:36.717 --> 00:07:38.967
- [Scott] Temple has the
dubious distinction of treating
00:07:38.967 --> 00:07:41.667
the most gunshot victims in
the State of Pennsylvania.
00:07:48.697 --> 00:07:51.807
- [Medic] X-ray of the
left lower extremity.
00:07:51.807 --> 00:07:52.940
- [Goldberg] What's this?
00:07:54.557 --> 00:07:55.390
- [Medic] Oh, what is that?
00:07:55.390 --> 00:07:57.370
- [Goldberg] Were you
shot before ever, sir?
00:07:58.527 --> 00:07:59.607
- [Patient] Years ago, yes.
00:07:59.607 --> 00:08:00.638
- [Medic] Where were you shot?
00:08:00.638 --> 00:08:03.137
- My back.
- [Medic] Yeah.
00:08:03.137 --> 00:08:07.197
- In the trauma bay, there
are no good guys or bad guys.
00:08:07.197 --> 00:08:10.587
They're all patients that
have sustained gunshot wounds
00:08:10.587 --> 00:08:13.137
that we need to take care of.
00:08:13.137 --> 00:08:16.107
And over the years, there's no doubt
00:08:16.107 --> 00:08:18.147
that every patient that
hits the trauma bay
00:08:18.147 --> 00:08:19.587
has somebody that loves them.
00:08:19.587 --> 00:08:20.457
The only thing we see on that...
00:08:20.457 --> 00:08:22.707
So I never pass any judgement .
00:08:22.707 --> 00:08:24.987
I never wanna know anything at all
00:08:24.987 --> 00:08:27.327
about the circumstances of the shooting.
00:08:27.327 --> 00:08:28.260
Not at all.
00:08:29.817 --> 00:08:32.757
I quickly look at the patient
and look at the heart rate.
00:08:32.757 --> 00:08:34.633
Heart rate can tell you everything.
00:08:34.633 --> 00:08:37.677
And a good trauma surgeon
will tell you that
00:08:37.677 --> 00:08:40.197
the colour of a patient's
feet can tell you everything.
00:08:40.197 --> 00:08:41.067
Gonna take some blood pressure.
00:08:41.067 --> 00:08:43.587
Because if they're really pale,
00:08:43.587 --> 00:08:46.797
then that's a terrible
prognostic indicator.
00:08:46.797 --> 00:08:49.731
That means that they're bleeding terribly.
00:08:49.731 --> 00:08:53.667
(tense suspenseful music)
00:08:53.667 --> 00:08:57.477
I think one of the
biggest misunderstandings
00:08:57.477 --> 00:09:01.497
in kind of the lay non-medical population
00:09:01.497 --> 00:09:03.594
is, "Did you remove the bullet?"
00:09:05.487 --> 00:09:09.232
You know, really what
our jobs are is to fix
00:09:09.232 --> 00:09:11.877
all the damage that the bullets do.
00:09:11.877 --> 00:09:13.857
You know, whether it's stop the bleeding,
00:09:13.857 --> 00:09:15.960
whether it's take out the organs.
00:09:16.961 --> 00:09:20.457
It's the fixing of those organs.
00:09:20.457 --> 00:09:22.617
It's not necessarily
looking for the bullets
00:09:22.617 --> 00:09:23.847
and removing them.
00:09:23.847 --> 00:09:27.267
It's just trying to catch
up to what the, you know,
00:09:27.267 --> 00:09:30.341
the destruction that
the bullets have done.
00:09:30.341 --> 00:09:33.424
(tense sombre music)
00:09:34.317 --> 00:09:39.317
And what we have seen over
the years from 1993 to 2019
00:09:39.417 --> 00:09:44.187
is that the calibre of the
bullet is so much larger.
00:09:44.187 --> 00:09:46.887
And the kinetic energy and the destruction
00:09:46.887 --> 00:09:50.367
that these bullets can do are so great.
00:09:50.367 --> 00:09:53.187
And, you know, patients
aren't shot just once
00:09:53.187 --> 00:09:55.227
or twice or three times.
00:09:55.227 --> 00:09:56.247
You know, they're shot, like,
00:09:56.247 --> 00:09:59.944
10 and 11 and 12 times and more.
00:09:59.944 --> 00:10:03.027
(doctors chattering)
00:10:05.517 --> 00:10:06.717
When you're in the operating room,
00:10:06.717 --> 00:10:08.877
particularly with a gunshot victim
00:10:08.877 --> 00:10:12.387
and they have a multitude of injuries,
00:10:12.387 --> 00:10:15.090
it can really be a slug fest.
00:10:18.387 --> 00:10:20.847
That's how I feel in the operating room.
00:10:20.847 --> 00:10:22.947
You know, God, you know, way to go.
00:10:22.947 --> 00:10:24.207
You're a good trauma surgeon.
00:10:24.207 --> 00:10:27.627
The devil, you suck. You call
yourself a trauma surgeon.
00:10:27.627 --> 00:10:29.397
What are you doing here?
00:10:29.397 --> 00:10:32.547
And I had really struggled
for all those years
00:10:32.547 --> 00:10:35.307
to understand what that was all about.
00:10:35.307 --> 00:10:37.287
And that's exactly what it is.
00:10:37.287 --> 00:10:40.184
God and the devil on your shoulder.
00:10:40.184 --> 00:10:43.017
(machine beeping)
00:10:48.150 --> 00:10:50.037
- [Dispatcher] All trauma
team members respond
00:10:50.037 --> 00:10:53.367
back on an intel only for
a level one activation.
00:10:53.367 --> 00:10:55.518
- So we just finished the case,
00:10:55.518 --> 00:10:58.647
but we have another gunshot
wound that's coming here.
00:10:58.647 --> 00:11:00.060
Being brought in by police.
00:11:02.127 --> 00:11:04.407
- Good job.
- Yep, we'll be good.
00:11:04.407 --> 00:11:05.967
- [Goldberg] We've got another
gunshot wound coming in.
00:11:05.967 --> 00:11:06.800
- All right.
00:11:09.117 --> 00:11:10.197
- He's going to CAT scan first.
00:11:10.197 --> 00:11:12.597
- And then to OR.
- Not yet. We don't know yet.
00:11:15.961 --> 00:11:18.097
- [Medic] Blood pressure is 123 over 74.
00:11:18.097 --> 00:11:19.080
- Okay, let's go.
00:11:26.157 --> 00:11:29.574
Shot two times in the right
chest and once in the right neck
00:11:29.574 --> 00:11:31.527
and the BBs are where he was shot.
00:11:32.444 --> 00:11:35.990
(tense sombre music)
00:11:35.990 --> 00:11:39.233
- The gun shot, you know.
00:11:39.233 --> 00:11:40.160
Piece of shrapnel in there.
00:11:40.160 --> 00:11:41.756
- Yeah, and the jugular is okay?
00:11:41.756 --> 00:11:42.589
- Yeah.
00:11:43.567 --> 00:11:45.717
But yeah, the floor of his
mouth doesn't look so...
00:11:45.717 --> 00:11:47.007
And there's shrapnel extending
00:11:47.007 --> 00:11:48.657
all the way up to his tongue, so.
00:11:50.489 --> 00:11:51.807
- Do you see anything lodged in the pallet
00:11:51.807 --> 00:11:52.857
or anything like that?
00:11:52.857 --> 00:11:53.847
- Yeah, I mean, that's what, like,
00:11:53.847 --> 00:11:55.107
these little tiny guys-
00:11:55.107 --> 00:11:56.127
- Yeah, but nothing larger?
00:11:56.127 --> 00:11:56.960
- But nothing larger.
00:11:56.960 --> 00:12:00.927
I mean, I suspect, was it,
like, a buckshot or something?
00:12:00.927 --> 00:12:02.427
- [Goldberg] No, it was a big bullet.
00:12:02.427 --> 00:12:03.379
- Oh, it was a big bullet.
00:12:03.379 --> 00:12:05.367
- He has a big wound in the right neck.
00:12:05.367 --> 00:12:07.497
It's large calibre, we have one hole,
00:12:07.497 --> 00:12:09.417
and we're looking for a bullet.
00:12:09.417 --> 00:12:10.967
- I think that's in his tongue.
00:12:13.407 --> 00:12:16.107
- He was shot two times
in his right thigh,
00:12:16.107 --> 00:12:18.537
two times in his right chest.
00:12:18.537 --> 00:12:20.487
It looks like both of those injuries
00:12:20.487 --> 00:12:23.727
were relatively superficial
in that we don't think
00:12:23.727 --> 00:12:26.097
that there was any bones
broken in the right thigh
00:12:26.097 --> 00:12:29.277
or any arteries or veins
injured in the right chest.
00:12:29.277 --> 00:12:31.737
We don't think that the
bullets entered the chest.
00:12:31.737 --> 00:12:33.937
So we don't think that
the lung was injured.
00:12:35.217 --> 00:12:38.637
He was also shot in the right neck.
00:12:38.637 --> 00:12:41.587
And the bullet looks like it
may have lodged in his tongue.
00:12:42.927 --> 00:12:44.547
It's always very ironic,
00:12:44.547 --> 00:12:48.717
because we sometimes say that
these patients are lucky.
00:12:48.717 --> 00:12:50.397
I don't know how you
could think that a patient
00:12:50.397 --> 00:12:53.187
that gets shot 1, 2, 3, 4, 5 times
00:12:53.187 --> 00:12:56.787
with a bullet in his neck,
in his tongue is lucky.
00:12:56.787 --> 00:12:59.580
But that's what we say, that he's lucky.
00:13:00.506 --> 00:13:03.747
(medics chattering)
00:13:03.747 --> 00:13:07.137
In the moment, it's all about
taking care of the patient,
00:13:07.137 --> 00:13:09.297
and the focus needs to be intense,
00:13:09.297 --> 00:13:11.520
and you can't be distracted by anything.
00:13:13.107 --> 00:13:15.507
And then when the moment passes,
00:13:15.507 --> 00:13:18.147
you need to be distracted by everything,
00:13:18.147 --> 00:13:22.677
because you can't walk away not feeling
00:13:22.677 --> 00:13:25.230
that what you've just participated in,
00:13:25.230 --> 00:13:27.387
in some way is so wrong.
00:13:27.387 --> 00:13:29.127
You don't wanna be taking care of patients
00:13:29.127 --> 00:13:30.930
who've suffered gunshot wounds.
00:13:32.577 --> 00:13:33.627
- My name is Scott Charles,
00:13:33.627 --> 00:13:35.787
I'm the Trauma Outreach Coordinator,
00:13:35.787 --> 00:13:37.617
and I work with victims of gun violence.
00:13:37.617 --> 00:13:39.537
And that's essentially all I do.
00:13:39.537 --> 00:13:41.757
Outta curiosity, do any
of you know somebody
00:13:41.757 --> 00:13:42.590
who's been shot?
00:13:42.590 --> 00:13:43.423
With a show of hands?
00:13:43.423 --> 00:13:45.747
How many of you know
somebody who's been shot?
00:13:45.747 --> 00:13:48.497
Do any of you live with
somebody who's been shot? Okay.
00:13:50.157 --> 00:13:54.237
- So the reason why Scott and
I wanted to create a programme
00:13:54.237 --> 00:13:58.674
like Cradle to Grave, was we
felt that we needed to do more
00:13:58.674 --> 00:14:02.427
of, like, preventing these
patients from coming in.
00:14:02.427 --> 00:14:06.777
We saw it as an education,
in that who knows better
00:14:06.777 --> 00:14:08.217
what bullets do to bodies
00:14:08.217 --> 00:14:10.137
than those that work in a hospital.
00:14:10.137 --> 00:14:11.675
- My job is not to freak you out,
00:14:11.675 --> 00:14:13.894
but we are gonna have
a candid conversation
00:14:13.894 --> 00:14:15.147
about gun violence.
00:14:15.147 --> 00:14:15.980
Is that cool?
00:14:15.980 --> 00:14:19.347
- And we thought it was our
responsibility to do that.
00:14:19.347 --> 00:14:23.517
If we weren't talking, then
the students were seeing
00:14:23.517 --> 00:14:27.027
what was happening in
movies or video games or TV,
00:14:27.027 --> 00:14:29.367
and that was not real at all.
00:14:29.367 --> 00:14:32.097
- The goal of Cradle to
Grave was to really humanise
00:14:32.097 --> 00:14:34.259
the experience of gun violence,
00:14:34.259 --> 00:14:37.140
to de-glamorize it in many ways.
00:14:41.487 --> 00:14:43.527
I want to introduce you
to Dr. Amy Goldberg,
00:14:43.527 --> 00:14:46.617
who is the Chair of Surgery here.
00:14:46.617 --> 00:14:48.537
And so she's gonna walk
us through what she
00:14:48.537 --> 00:14:50.487
and her colleagues do in this space
00:14:50.487 --> 00:14:53.247
when she ends up with a gunshot victim.
00:14:53.247 --> 00:14:54.417
And we're gonna talk about Lamont
00:14:54.417 --> 00:14:55.617
and all the things that were done
00:14:55.617 --> 00:14:57.687
in an effort to save his life.
00:14:57.687 --> 00:15:00.987
Lamont is gonna have a
bullet wound right here.
00:15:00.987 --> 00:15:02.607
He's gonna have a bullet
wound right there.
00:15:02.607 --> 00:15:03.927
He's gonna have a bullet
wound right there.
00:15:03.927 --> 00:15:05.607
- When Lamont came in, as Scott said,
00:15:05.607 --> 00:15:07.947
the first thing that
we did was to make sure
00:15:07.947 --> 00:15:09.837
that we take off all of
his clothes and everything
00:15:09.837 --> 00:15:12.447
so we can identify where the injuries are
00:15:12.447 --> 00:15:14.841
and we can start thinking
about what has been injured.
00:15:14.841 --> 00:15:18.357
And when we first evaluate
him, he's not breathing at all.
00:15:18.357 --> 00:15:20.967
And the first thing
that we needed to do was
00:15:20.967 --> 00:15:23.307
put a breathing tube in his mouth
00:15:23.307 --> 00:15:25.407
so that we were able to breathe for him.
00:15:25.407 --> 00:15:26.997
- This issue of gun violence isn't really
00:15:26.997 --> 00:15:28.707
as much about living it or dying
00:15:28.707 --> 00:15:31.017
as much as it is about suffering.
00:15:31.017 --> 00:15:33.057
And we find that,
particularly when you talk
00:15:33.057 --> 00:15:35.187
about one of the things
that leads to so much
00:15:35.187 --> 00:15:37.557
of the violence, the sense
of being disrespected,
00:15:37.557 --> 00:15:39.327
the sense of shame that lies at the heart
00:15:39.327 --> 00:15:41.487
of so much of the violence that we see,
00:15:41.487 --> 00:15:45.777
the kids after seeing the
realities of being shot
00:15:45.777 --> 00:15:48.480
or more importantly pulling the trigger,
00:15:49.587 --> 00:15:52.827
they see violence as a
less reasonable reaction
00:15:52.827 --> 00:15:54.477
to being disrespected.
00:15:54.477 --> 00:15:57.270
- And what we did was we used our knife,
00:16:00.027 --> 00:16:03.057
and we made an incision in his left chest
00:16:03.057 --> 00:16:03.897
where the heart is.
00:16:03.897 --> 00:16:06.126
- Cradle to Grave is not a
scared straight programme.
00:16:06.126 --> 00:16:08.577
You know, nobody raises their voices.
00:16:08.577 --> 00:16:11.490
It's just narrating a story that is sad,
00:16:12.867 --> 00:16:15.417
but it is unfortunately
too often a reality
00:16:15.417 --> 00:16:17.727
of growing up in a city like Philadelphia.
00:16:17.727 --> 00:16:21.897
Since 2002, approximately
25,000 people have been shot
00:16:21.897 --> 00:16:23.007
in the city of Philadelphia.
00:16:23.007 --> 00:16:27.147
The number one weapon of
choice is the nine millimetre.
00:16:27.147 --> 00:16:29.517
Somebody was shot every 6 1/2 hours
00:16:29.517 --> 00:16:31.620
last year in Philadelphia.
00:16:33.447 --> 00:16:35.457
That 80% of people who
get shot in Philadelphia
00:16:35.457 --> 00:16:37.350
actually survive being shot.
00:16:39.387 --> 00:16:43.107
Gun violence is contagious.
It's like a disease.
00:16:43.107 --> 00:16:44.367
When somebody gets infected with it,
00:16:44.367 --> 00:16:45.537
it doesn't stay with them.
00:16:45.537 --> 00:16:47.700
They pass it along, right?
00:16:47.700 --> 00:16:49.227
(tense sombre music)
00:16:49.227 --> 00:16:52.747
One of the goals is to really
spell out the consequences
00:16:52.747 --> 00:16:55.977
of being a victim of gunshot injury
00:16:55.977 --> 00:16:59.907
and talk about the debilitating
injuries that they suffer.
00:16:59.907 --> 00:17:02.217
Among those are amputations,
00:17:02.217 --> 00:17:04.707
or the fact that we see so many young men
00:17:04.707 --> 00:17:07.320
who are paralysed as a
result of a shooting.
00:17:10.047 --> 00:17:14.547
- It is good that 80% of
our gunshot victims live.
00:17:17.127 --> 00:17:18.867
And if you don't dive down
00:17:18.867 --> 00:17:21.657
into what that statement really means,
00:17:21.657 --> 00:17:23.727
then you kind of just move on.
00:17:23.727 --> 00:17:26.037
But it's kind of, what
are they living with,
00:17:26.037 --> 00:17:27.480
and how are they living?
00:17:28.647 --> 00:17:31.467
So they're young.
00:17:31.467 --> 00:17:34.767
They have their whole lives ahead of them,
00:17:34.767 --> 00:17:37.417
and the wounds can be really devastating
00:17:39.567 --> 00:17:42.327
from, you know, traumatic brain injury
00:17:42.327 --> 00:17:45.327
to paralysed from the neck down,
00:17:45.327 --> 00:17:48.507
where they know they're paralysed,
00:17:48.507 --> 00:17:49.827
and they can't move their arms,
00:17:49.827 --> 00:17:51.807
and they can't move their legs,
00:17:51.807 --> 00:17:54.240
and they're 20-something years old.
00:17:58.279 --> 00:18:01.612
(gentle sanguine music)
00:18:07.077 --> 00:18:09.927
- I have a nonprofit in
honour of my brother Dante,
00:18:09.927 --> 00:18:12.987
who was murdered in 2008.
00:18:12.987 --> 00:18:15.057
And we work with individuals
00:18:15.057 --> 00:18:17.007
who have been impacted by gun violence.
00:18:18.027 --> 00:18:19.497
The majority of the people
in the support group
00:18:19.497 --> 00:18:21.927
are individuals who have been shot.
00:18:21.927 --> 00:18:24.827
So they're gun violence
survivors, and they are paralysed.
00:18:26.607 --> 00:18:27.567
- [Leon] What up? What up.
00:18:27.567 --> 00:18:28.737
- What's up, Leon? How are you?
00:18:28.737 --> 00:18:30.237
- [Leon] It's going all right.
00:18:31.317 --> 00:18:32.667
- How has everyone been doing?
00:18:32.667 --> 00:18:34.617
Mentally, physically, emotionally?
00:18:34.617 --> 00:18:36.276
Mo, I know you were
struggling a little bit
00:18:36.276 --> 00:18:37.737
from your operation.
00:18:37.737 --> 00:18:39.027
How you doing?
00:18:39.027 --> 00:18:40.156
- I couldn't move.
00:18:40.156 --> 00:18:42.450
Only thing I gotta do is stay on my back,
00:18:43.437 --> 00:18:44.817
and I couldn't do weight shifts
00:18:44.817 --> 00:18:47.757
and stuff like I normally do so now, like-
00:18:47.757 --> 00:18:50.307
- People who have been shot and paralysed,
00:18:50.307 --> 00:18:52.287
go through quite a bit.
00:18:52.287 --> 00:18:56.427
A lot of them fight harder
than they ever fought before.
00:18:56.427 --> 00:18:58.227
So getting shot was easy,
00:18:58.227 --> 00:19:00.837
because now I'm trying to find housing,
00:19:00.837 --> 00:19:01.670
trying to get employment,
00:19:01.670 --> 00:19:03.474
trying to just do the basic things.
00:19:03.474 --> 00:19:06.957
Like, driving your car is a challenge.
00:19:06.957 --> 00:19:09.177
- You know, when I'm single,
I always have a wheelchair.
00:19:09.177 --> 00:19:11.030
You know, it's one of those things, like,
00:19:11.030 --> 00:19:12.897
it's just always there.
00:19:12.897 --> 00:19:16.617
You know, for all of us,
quite honestly, you know,
00:19:16.617 --> 00:19:18.867
the last thing we do is to
get out of a wheelchair,
00:19:18.867 --> 00:19:20.027
and the first thing we do when we get up
00:19:20.027 --> 00:19:21.627
is kind of get into a wheelchair.
00:19:21.627 --> 00:19:23.997
So it's always a constant in relations
00:19:23.997 --> 00:19:25.590
to our new lives.
00:19:26.727 --> 00:19:28.437
- But they oftentimes are forgotten about.
00:19:28.437 --> 00:19:31.317
So that group, that population of people,
00:19:31.317 --> 00:19:33.687
I always say they lived for a reason,
00:19:33.687 --> 00:19:36.327
and they have a story, and
it's our responsibility
00:19:36.327 --> 00:19:38.627
and our duty to make
sure that people hear it.
00:19:41.307 --> 00:19:43.857
- Well, back in August the 3rd of 2013,
00:19:43.857 --> 00:19:45.671
I was the victim of domestic violence,
00:19:45.671 --> 00:19:49.857
which the gentleman that I
was with shot me in the back.
00:19:49.857 --> 00:19:51.057
Yeah, she comes straight home now.
00:19:51.057 --> 00:19:52.527
And when I got shot,
00:19:52.527 --> 00:19:55.107
I felt that I had no movement down here.
00:19:55.107 --> 00:19:57.207
So I knew I was gonna be paralysed.
00:19:57.207 --> 00:20:01.857
And what saved me was that I
had crawled underneath my car,
00:20:01.857 --> 00:20:03.597
because he still was shooting.
00:20:03.597 --> 00:20:06.330
Only one bullet hit me in the back.
00:20:08.554 --> 00:20:10.647
Oh, my child. Oh, it's Louie?
00:20:10.647 --> 00:20:13.827
First and foremost, it changed
the life of my daughter.
00:20:13.827 --> 00:20:17.157
She was just going inside of high school,
00:20:17.157 --> 00:20:19.197
and now I'm a single parent,
00:20:19.197 --> 00:20:24.027
so now it's, like, her
whole world changed as well.
00:20:24.027 --> 00:20:29.027
So that was more stress and
just hardship on my mind.
00:20:29.247 --> 00:20:32.757
My Mom's house, she had to
make her downstairs area
00:20:32.757 --> 00:20:35.130
into an apartment kind of for me.
00:20:36.297 --> 00:20:39.872
Rails and lifts for her front porch.
00:20:39.872 --> 00:20:41.217
- [Relative] You have to get another one.
00:20:41.217 --> 00:20:42.237
- So that was hard.
00:20:42.237 --> 00:20:43.707
I know it was hard on my mama,
00:20:43.707 --> 00:20:45.521
'cause this was something different.
00:20:45.521 --> 00:20:47.037
Put it in there and just let it sit.
00:20:47.037 --> 00:20:47.907
Everything changed.
00:20:47.907 --> 00:20:51.357
I really honestly say everything changed,
00:20:51.357 --> 00:20:54.957
and I was in a sunken place,
which is depression for me,
00:20:54.957 --> 00:20:58.524
for about three years that
I could not get out of.
00:20:58.524 --> 00:21:01.691
(gentle sombre music)
00:21:02.607 --> 00:21:06.897
- I think the biggest obstacles
the individuals in our group
00:21:06.897 --> 00:21:09.607
who are paralysed face is
really the mental struggle
00:21:10.482 --> 00:21:13.257
of living with paralysis
and being paralysed.
00:21:13.257 --> 00:21:15.597
I think physically they're
strong enough to get through it.
00:21:15.597 --> 00:21:18.270
I think mentally they struggle.
00:21:24.267 --> 00:21:25.407
- When I was eight years old,
00:21:25.407 --> 00:21:26.967
I had just got off a punishment.
00:21:26.967 --> 00:21:30.090
I was an adventurous child.
00:21:31.917 --> 00:21:35.280
We decided to buy some firecrackers.
00:21:36.747 --> 00:21:38.997
I guess the guy who lived next door
00:21:38.997 --> 00:21:41.427
didn't like the sound of
the firecrackers going off
00:21:41.427 --> 00:21:42.727
or something on that line.
00:21:43.707 --> 00:21:46.107
Then he had pulled out
a sawed off shotgun.
00:21:46.107 --> 00:21:47.367
I thought I was running one way.
00:21:47.367 --> 00:21:48.360
But the reality of it is,
00:21:48.360 --> 00:21:50.547
is I was running a different direction,
00:21:50.547 --> 00:21:53.547
and the last thing I
heard was the shot go off,
00:21:53.547 --> 00:21:56.247
and I loosely heard myself scream.
00:21:56.247 --> 00:21:57.807
And then from there, I
don't remember anything.
00:21:57.807 --> 00:21:59.557
And that was kind of what happened.
00:22:04.527 --> 00:22:06.267
I wasn't supposed to survive
00:22:06.267 --> 00:22:07.317
because of the amount of damage.
00:22:07.317 --> 00:22:09.327
Even to this day, I still
have some of the buckshot
00:22:09.327 --> 00:22:10.740
in my body from the shotgun.
00:22:15.670 --> 00:22:18.657
I remember, you know,
when the doctor asked
00:22:18.657 --> 00:22:21.267
if I could feel my legs,
00:22:21.267 --> 00:22:22.257
and I had some feeling,
00:22:22.257 --> 00:22:23.757
and he asked what I, you
know, what I thought.
00:22:23.757 --> 00:22:25.467
And I thought that he had taken
00:22:25.467 --> 00:22:26.937
my legs off and replaced them.
00:22:26.937 --> 00:22:28.710
You know, all that child stuff.
00:22:31.917 --> 00:22:34.740
Don't know why I'm even
crying about it right now.
00:22:38.247 --> 00:22:39.597
But that's what I remember.
00:22:45.657 --> 00:22:49.257
I got into street photography
by happenstance, to be honest,
00:22:49.257 --> 00:22:50.937
which is kind of, like,
one of the easiest things
00:22:50.937 --> 00:22:52.107
to kind of do.
00:22:52.107 --> 00:22:55.203
I guess you don't have to
rely on anybody. You just go.
00:22:55.203 --> 00:22:56.130
You go ahead.
00:22:57.357 --> 00:22:58.557
I thought that if I was really good
00:22:58.557 --> 00:23:00.747
then no one would care
about the wheelchair.
00:23:00.747 --> 00:23:02.337
But the reality of my situation
00:23:02.337 --> 00:23:04.437
is that I can't have
one without the other.
00:23:04.437 --> 00:23:06.957
And it's the very thing
that has defined my image
00:23:06.957 --> 00:23:09.147
and what I see and why I see what I see.
00:23:09.147 --> 00:23:11.015
Awesome. Let me switch lenses
and let me get one more.
00:23:11.015 --> 00:23:12.837
(camera shuttering)
00:23:12.837 --> 00:23:15.687
- I think people always are stereotypical
00:23:15.687 --> 00:23:18.117
about why people from urban communities
00:23:18.117 --> 00:23:19.767
or people of colour are gunned down.
00:23:19.767 --> 00:23:22.287
And they always kind
of answer the question,
00:23:22.287 --> 00:23:26.697
well, maybe they did some
things to get shot or killed.
00:23:26.697 --> 00:23:30.090
And that's not true in every
case, in every situation.
00:23:31.347 --> 00:23:33.237
I think it's the access to guns,
00:23:33.237 --> 00:23:36.197
and it's like getting bubblegum.
00:23:36.197 --> 00:23:39.987
It's easier to get a gun now
than it is a driver's licence.
00:23:39.987 --> 00:23:42.063
And I think that's the problem.
00:23:42.063 --> 00:23:45.230
(gentle sombre music)
00:23:47.637 --> 00:23:49.797
- Hardworking single mom.
00:23:49.797 --> 00:23:54.567
Just did everything that I
knew I was doing correctly
00:23:54.567 --> 00:23:57.957
to better myself and my
daughter's future, and I got shot.
00:23:57.957 --> 00:23:59.743
So it ain't about, "Oh, 'cause you live
00:23:59.743 --> 00:24:02.337
in an urban community,
that this is what happens."
00:24:02.337 --> 00:24:04.857
No, it happens to the innocent too
00:24:04.857 --> 00:24:06.897
in these kind of communities.
00:24:06.897 --> 00:24:08.277
- All the time we hear about these things,
00:24:08.277 --> 00:24:09.567
about people's rights and it's, like,
00:24:09.567 --> 00:24:12.507
but at what point in time does your idea
00:24:12.507 --> 00:24:15.960
of what this right is
infringes on my right to live.
00:24:18.027 --> 00:24:21.327
My life has changed because of this,
00:24:21.327 --> 00:24:23.010
because of how easy it is.
00:24:24.327 --> 00:24:27.837
I worry I may never be married.
I may never have children.
00:24:27.837 --> 00:24:32.460
These are things that are
taken from me that I've lost.
00:24:33.567 --> 00:24:36.687
Things happen, and if you're
not a responsible gun owner,
00:24:36.687 --> 00:24:39.240
listen, you shouldn't have one, period.
00:24:40.077 --> 00:24:42.597
- So I think we have to do
a better job in society,
00:24:42.597 --> 00:24:46.527
educating young people,
educating our communities
00:24:46.527 --> 00:24:48.717
on how to handle conflicts
00:24:48.717 --> 00:24:51.360
so that it doesn't result
in and end in a gun.
00:24:53.124 --> 00:24:58.124
(sirens wailing)
(gentle sombre music)
00:25:04.317 --> 00:25:07.947
- Here in Baltimore, we have young men
00:25:07.947 --> 00:25:10.380
dying every day from firearm injury.
00:25:11.217 --> 00:25:15.990
And those stories often go untold.
00:25:17.804 --> 00:25:20.971
(gentle sombre music)
00:25:22.887 --> 00:25:25.617
Here at Hopkins, 80% of our patients
00:25:25.617 --> 00:25:28.148
come from within a five mile radius.
00:25:28.148 --> 00:25:30.815
(siren wailing)
00:25:31.887 --> 00:25:35.727
When Brendan arrived to the
trauma bay, he was nearly dead.
00:25:35.727 --> 00:25:37.080
His blood pressure was 50.
00:25:39.957 --> 00:25:41.337
During the initial operation,
00:25:41.337 --> 00:25:45.117
his heart actually stopped multiple times.
00:25:45.117 --> 00:25:50.117
So this is as close as you can get
00:25:50.534 --> 00:25:52.576
to dying without dying.
00:25:52.576 --> 00:25:56.517
(tense suspenseful music)
00:25:56.517 --> 00:25:58.677
One of the things that we had to do
00:25:58.677 --> 00:26:01.407
was reconstruct his chest,
00:26:01.407 --> 00:26:04.167
because we had to not
just open up his chest,
00:26:04.167 --> 00:26:07.287
but take down a certain
muscle called the diaphragm
00:26:07.287 --> 00:26:09.087
that helps with breathing,
00:26:09.087 --> 00:26:12.627
in order to get access to some
of the very difficult areas
00:26:12.627 --> 00:26:13.577
he was bleeding in.
00:26:17.187 --> 00:26:19.947
When you look at how complex it is
00:26:19.947 --> 00:26:23.967
delivering care to these really
critically injured patients,
00:26:23.967 --> 00:26:25.407
you know, specifically Brendan,
00:26:25.407 --> 00:26:27.477
who was shot over 13 times,
00:26:27.477 --> 00:26:31.947
and had injuries in almost
every cavity in his body.
00:26:31.947 --> 00:26:35.667
He went to the operating
room over 15 times,
00:26:35.667 --> 00:26:36.927
with not just myself,
00:26:36.927 --> 00:26:40.497
but a multidisciplinary group of surgeons.
00:26:40.497 --> 00:26:44.727
And it's that type of care that allows us
00:26:44.727 --> 00:26:48.637
to bring these patients
from nearly being dead
00:26:49.497 --> 00:26:52.677
to now being able to, you know,
00:26:52.677 --> 00:26:54.687
work with physical therapy,
00:26:54.687 --> 00:26:56.837
and hopefully make it
out of this hospital.
00:27:02.097 --> 00:27:05.067
At the age of 17, my life really changed.
00:27:05.067 --> 00:27:06.990
It's almost, like, my second birthday,
00:27:08.127 --> 00:27:13.127
where I went from being a
healthy high school student
00:27:13.947 --> 00:27:16.827
to someone that was nearly killed
00:27:16.827 --> 00:27:21.023
after being shot in the throat
with a 38 calibre bullet.
00:27:21.023 --> 00:27:23.307
(gentle sombre music)
00:27:23.307 --> 00:27:28.257
The night I was shot, it was
after the first high school
00:27:28.257 --> 00:27:29.557
football game of the year.
00:27:31.077 --> 00:27:32.637
After the game, like, you know,
00:27:32.637 --> 00:27:35.397
typical high school students,
we were hanging out.
00:27:35.397 --> 00:27:37.527
We were actually at a
playground that was close
00:27:37.527 --> 00:27:38.727
to an elementary school.
00:27:40.617 --> 00:27:44.907
And a fight had broken out
that we had nothing to do with.
00:27:44.907 --> 00:27:47.877
And a guy pulled out a gun,
00:27:47.877 --> 00:27:49.977
and started firing into the crowd.
00:27:49.977 --> 00:27:51.837
(gun shots bang)
00:27:51.837 --> 00:27:55.710
And I remember distinctly that
night, the flashes of light.
00:27:56.727 --> 00:27:58.830
Everything kind of went into slow motion.
00:27:59.926 --> 00:28:01.587
(siren wailing)
00:28:01.587 --> 00:28:05.457
So as I was being
transported to the hospital,
00:28:05.457 --> 00:28:08.547
it was a very kind of surreal experience,
00:28:08.547 --> 00:28:11.937
because I felt like I was watching myself
00:28:11.937 --> 00:28:13.950
as everything took place.
00:28:16.887 --> 00:28:18.916
And I couldn't lie flat,
because I was choking
00:28:18.916 --> 00:28:21.600
on my own blood because of my injury.
00:28:24.627 --> 00:28:29.627
That experience profoundly
changed who I was as a person.
00:28:31.287 --> 00:28:34.278
And I remember distinctly,
it was a couple months
00:28:34.278 --> 00:28:36.630
after I left the hospital,
00:28:37.737 --> 00:28:41.250
and I was standing in the bathroom,
00:28:42.448 --> 00:28:43.977
and I was looking at the mirror,
00:28:43.977 --> 00:28:48.030
and I had these beet-red
scars all up and down my neck.
00:28:49.767 --> 00:28:51.867
And I had a tracheostomy tube at the time.
00:28:52.977 --> 00:28:55.257
And what I didn't realise
00:28:55.257 --> 00:28:59.100
is my father was standing in the doorway.
00:29:00.567 --> 00:29:05.547
And I think he saw the look
of devastation in my eyes.
00:29:05.547 --> 00:29:09.990
And he walked in and he said,
00:29:11.044 --> 00:29:15.210
"I know what happened to you is horrible,
00:29:17.727 --> 00:29:19.677
but you really have two options.
00:29:19.677 --> 00:29:23.550
The first is you feel sorry for yourself,
00:29:25.317 --> 00:29:30.317
but the second is you take
this horrible experience
00:29:31.677 --> 00:29:34.587
and you turn it around
and you try to impact
00:29:34.587 --> 00:29:36.024
the lives of other people."
00:29:39.207 --> 00:29:42.627
And so it was really that
moment that inspired me to,
00:29:42.627 --> 00:29:44.367
you know, go into medicine,
00:29:44.367 --> 00:29:46.560
inspired me to become a trauma surgeon.
00:29:49.167 --> 00:29:51.057
What could be more gratifying
00:29:51.057 --> 00:29:53.337
than being able to give someone else
00:29:53.337 --> 00:29:56.460
that same second chance that I received?
00:29:57.809 --> 00:29:59.797
(door knocks)
00:29:59.797 --> 00:30:01.595
Hey, there.
- [Brandon] How you doing?
00:30:01.595 --> 00:30:03.207
- [Sakran] How's it going?
It's good to see you, Brandon.
00:30:03.207 --> 00:30:04.647
How you doing?
- Good.
00:30:04.647 --> 00:30:05.480
- [Sakran] Hey, how are you? How are you?
00:30:05.480 --> 00:30:06.477
- [Friend] Hello, how are you?
00:30:06.477 --> 00:30:07.945
- Good, good, good.
00:30:07.945 --> 00:30:08.847
How you doing? How you feeling?
00:30:08.847 --> 00:30:09.807
- [Brandon] I'm great.
00:30:09.807 --> 00:30:11.307
- Yeah?
- Yeah.
00:30:11.307 --> 00:30:14.337
- It's good to see you
finally in rehab, huh?
00:30:14.337 --> 00:30:16.737
- Yeah, thanks to you, man.
00:30:16.737 --> 00:30:19.257
- Team effort for sure.
- Right. Right.
00:30:19.257 --> 00:30:21.747
- It's amazing to think
about where you were
00:30:21.747 --> 00:30:25.507
and how critical you were, and
just to see you sitting here
00:30:27.087 --> 00:30:30.657
in this chair and just
talking to me is unbelievable.
00:30:30.657 --> 00:30:35.657
- Yes, I think there was
21 entry and exit wounds,
00:30:35.907 --> 00:30:37.827
and I think I got five bullets
00:30:37.827 --> 00:30:39.810
still in my back, four or five.
00:30:40.977 --> 00:30:43.407
- [Sakran] The only thing
you can do is now, you know,
00:30:43.407 --> 00:30:46.347
try to take that horrible incident
00:30:46.347 --> 00:30:48.537
and turn it into something positive.
00:30:48.537 --> 00:30:49.677
- Right. Right.
00:30:49.677 --> 00:30:52.797
- And I think, you know,
everyone here knows how much,
00:30:52.797 --> 00:30:55.317
you know, your family knows
how much you care about them
00:30:55.317 --> 00:30:56.150
and how much you love them.
00:30:56.150 --> 00:31:00.087
And obviously I have no
doubt that you're gonna try
00:31:00.087 --> 00:31:01.297
to do everything you can
00:31:02.607 --> 00:31:04.137
to ensure that you're
there for them as well.
00:31:04.137 --> 00:31:05.217
- Yeah, absolutely.
00:31:05.217 --> 00:31:08.430
- But first we gotta get
you back to baseline, huh?
00:31:08.430 --> 00:31:09.644
- Yeah.
- All right, bud.
00:31:09.644 --> 00:31:11.817
See you later. It's good to see you.
00:31:11.817 --> 00:31:12.897
All right, keep up the good work.
00:31:12.897 --> 00:31:14.497
- Definitely.
- All right, man.
00:31:15.837 --> 00:31:20.247
If the human toll of gun
violence is not enough,
00:31:20.247 --> 00:31:24.098
there's also an economic
burden that exists.
00:31:24.098 --> 00:31:28.947
There are some estimates
that look at the total
00:31:28.947 --> 00:31:33.630
economic burden to be over $220 billion.
00:31:34.594 --> 00:31:37.761
(gentle sombre music)
00:31:39.387 --> 00:31:44.387
In November of 2018, the NRA
came out with a communication
00:31:45.417 --> 00:31:50.397
that essentially said that
doctors have no business
00:31:50.397 --> 00:31:52.617
being part of the solution
00:31:52.617 --> 00:31:55.860
of firearm-related injury
and death in America.
00:31:56.757 --> 00:32:00.747
And they essentially used the phrase
00:32:00.747 --> 00:32:02.347
that we should stay in our lane.
00:32:04.022 --> 00:32:07.189
(gentle sombre music)
00:32:14.007 --> 00:32:17.227
And I was just incensed that
00:32:19.047 --> 00:32:24.047
an individual, an organisation would think
00:32:24.177 --> 00:32:26.607
that we as healthcare professionals,
00:32:26.607 --> 00:32:30.687
the people that are
literally on the front lines
00:32:30.687 --> 00:32:33.957
of caring for these
patients day in and day out,
00:32:33.957 --> 00:32:36.930
have no business in being
part of the solution.
00:32:39.867 --> 00:32:43.947
And so that's why I ended
up starting the handle
00:32:43.947 --> 00:32:45.030
this is our lane.
00:32:52.647 --> 00:32:56.220
And that initially caught a lot
of attention and went viral.
00:32:58.407 --> 00:33:00.297
And what I started noticing
00:33:00.297 --> 00:33:03.327
is there are so many
clinicians, not just doctors,
00:33:03.327 --> 00:33:05.757
clinicians from all walks of life
00:33:05.757 --> 00:33:10.739
that are wanting to have
a voice on this issue.
00:33:10.739 --> 00:33:13.906
(gentle sombre music)
00:34:01.887 --> 00:34:03.627
- The Bronx is the
borough of New York City
00:34:03.627 --> 00:34:05.457
with the highest rates of people living
00:34:05.457 --> 00:34:07.047
below the federal poverty line.
00:34:07.047 --> 00:34:08.607
The highest rates of children living
00:34:08.607 --> 00:34:10.347
below the federal poverty line,
00:34:10.347 --> 00:34:12.057
and one of the boroughs of New York City
00:34:12.057 --> 00:34:14.407
with the highest rates
of immigrant population.
00:34:17.157 --> 00:34:19.658
The majority of our
neighbourhoods comprise
00:34:19.658 --> 00:34:23.070
different public housing projects
within our neighbourhoods.
00:34:25.047 --> 00:34:27.957
- This is probably one of the most diverse
00:34:27.957 --> 00:34:29.405
communities in the Bronx.
00:34:29.405 --> 00:34:31.280
Matter of fact, probably in New York City.
00:34:32.247 --> 00:34:35.397
We have Albanians, we
have African Americans,
00:34:35.397 --> 00:34:38.697
we have the West Indians,
we have the Hispanics,
00:34:38.697 --> 00:34:41.790
the Italians, you name it, we have it.
00:34:42.897 --> 00:34:46.020
Stand Up to Violence is based
on the Cure Violence model.
00:34:47.037 --> 00:34:49.076
We're anti-gun violence.
00:34:49.076 --> 00:34:50.236
We walk in peace.
00:34:50.236 --> 00:34:51.069
- [Demonstrator] In our streets.
00:34:51.069 --> 00:34:51.902
- We walk in peace.
00:34:51.902 --> 00:34:54.177
We wanna put the common back in unity
00:34:54.177 --> 00:34:55.947
to make this a stronger community.
00:34:55.947 --> 00:34:59.037
- So this programme was to try to provide
00:34:59.037 --> 00:35:01.897
culturally syntonic,
culturally appropriate
00:35:02.877 --> 00:35:05.697
people to speak to these kids.
00:35:05.697 --> 00:35:09.477
And of course, I say
kids because gun violence
00:35:09.477 --> 00:35:11.937
is a disease of the young, right?
00:35:11.937 --> 00:35:14.967
If you look at who I'm taking care of,
00:35:14.967 --> 00:35:18.265
who me and my colleagues are
taking care of here at Jacobi,
00:35:18.265 --> 00:35:19.887
it's young people.
00:35:19.887 --> 00:35:22.860
Squarely in their 20s by and large.
00:35:23.877 --> 00:35:25.377
So who's gonna talk to them?
00:35:25.377 --> 00:35:27.477
Who's gonna have street cred with them?
00:35:27.477 --> 00:35:32.280
So people that have lived
their life and have gotten out.
00:35:35.307 --> 00:35:40.307
So we had to hire former gang
members and former criminals.
00:35:43.047 --> 00:35:45.507
- Well, I was incarcerated at a young age.
00:35:45.507 --> 00:35:47.307
I grew up in foster care.
00:35:47.307 --> 00:35:49.467
You know, I had a hard life growing up.
00:35:49.467 --> 00:35:51.358
- He wanted me to give a pep talk.
00:35:51.358 --> 00:35:53.275
- I did a lot of time.
00:35:54.237 --> 00:35:57.537
When I became an actual victim,
it just let me know that
00:35:57.537 --> 00:35:59.277
this is not something that I like.
00:35:59.277 --> 00:36:02.127
It's not something that I want
anybody else to go through.
00:36:02.127 --> 00:36:05.160
And if I could change it,
why not do it? You know?
00:36:06.400 --> 00:36:08.937
(door knocks)
00:36:08.937 --> 00:36:10.299
Yo, what's up, bro? How you doing?
00:36:10.299 --> 00:36:11.132
- [Patient] How you doing?
00:36:11.132 --> 00:36:13.373
- I've been doing good.
- [Patient] Doing good?
00:36:13.373 --> 00:36:14.806
I'm feeling much better.
00:36:14.806 --> 00:36:16.475
- Much better?
- Much better.
00:36:16.475 --> 00:36:17.937
- Okay, cool.
00:36:17.937 --> 00:36:21.237
- Whenever a person comes in
as a victim of violent trauma,
00:36:21.237 --> 00:36:23.577
they're in the hospital, they're
not around their friends,
00:36:23.577 --> 00:36:24.567
they're not around their family.
00:36:24.567 --> 00:36:26.487
They're just here getting
their medical treatment.
00:36:26.487 --> 00:36:29.757
So it really is a golden
moment for intervention.
00:36:29.757 --> 00:36:31.917
Because they're sitting
there in a hospital bed,
00:36:31.917 --> 00:36:34.527
they're healing from their
injuries or getting medical care,
00:36:34.527 --> 00:36:35.727
and they're just thinking.
00:36:35.727 --> 00:36:37.227
They're thinking about what happened.
00:36:37.227 --> 00:36:38.667
They're thinking about who did it to them,
00:36:38.667 --> 00:36:39.500
and they're probably thinking
00:36:39.500 --> 00:36:42.147
about what they're gonna
do to get back to them.
00:36:42.147 --> 00:36:42.980
- That's the whole thing.
00:36:42.980 --> 00:36:45.657
We do deal with violence
like it's a disease.
00:36:45.657 --> 00:36:48.747
So basically it spreads from
the perpetrator to the victim,
00:36:48.747 --> 00:36:51.210
and then the victim
becomes the perpetrator.
00:36:52.647 --> 00:36:53.817
- If I go in there and talk to people
00:36:53.817 --> 00:36:55.677
about retaliation alone, you know,
00:36:55.677 --> 00:36:56.510
I'm the guy going in there
00:36:56.510 --> 00:36:58.017
with a stethoscope around
my neck and a doctor.
00:36:58.017 --> 00:37:00.170
So they don't view me as
somebody they can identify with.
00:37:00.170 --> 00:37:01.947
They're like, "Sure, okay, yeah.
00:37:01.947 --> 00:37:04.227
You're gonna tell me not to
think about retaliation."
00:37:04.227 --> 00:37:06.657
But somebody who comes
in who looks like you,
00:37:06.657 --> 00:37:09.027
who talks like you, who's
from your same neighbourhood,
00:37:09.027 --> 00:37:11.277
who's been through the same
thing you've been through,
00:37:11.277 --> 00:37:13.617
that information and that counselling
00:37:13.617 --> 00:37:16.707
carries a lot more weight
and has more of a potential
00:37:16.707 --> 00:37:18.567
to influence your behaviour.
00:37:18.567 --> 00:37:20.313
- Thank you so much.
- Hope I see you, man.
00:37:20.313 --> 00:37:21.146
- You will.
00:37:21.146 --> 00:37:23.107
- Those patients that
we also intervened in,
00:37:23.107 --> 00:37:26.457
had a 60% less likelihood of
coming back with a re-injury
00:37:26.457 --> 00:37:28.790
compared to those patients
that we did not see.
00:37:32.277 --> 00:37:33.657
- I guess I just know how to engage
00:37:33.657 --> 00:37:36.057
with people in the community,
00:37:36.057 --> 00:37:37.707
'cause I come from the community.
00:37:39.978 --> 00:37:41.367
You know, I want the streets to be safe.
00:37:41.367 --> 00:37:43.067
I want my kids to grow up as well.
00:37:46.625 --> 00:37:49.527
(upbeat music)
00:37:49.527 --> 00:37:51.627
- So what we do at SUV
is stop the shootings
00:37:51.627 --> 00:37:53.247
and the homicides in the community.
00:37:53.247 --> 00:37:55.827
The way we do it is by
mediations and reaching
00:37:55.827 --> 00:37:57.927
the highest risk
individuals in the community
00:37:57.927 --> 00:38:00.277
that's most likely to
shoot someone or be shot.
00:38:02.637 --> 00:38:03.767
So what we do, what we doing now,
00:38:03.767 --> 00:38:05.757
is we walk around and
canvas the community,
00:38:05.757 --> 00:38:07.527
get a pulse on what's going on out here.
00:38:07.527 --> 00:38:09.127
Let people know that we are out.
00:38:10.257 --> 00:38:12.087
- Tasha, what's up, boo?
00:38:12.087 --> 00:38:13.996
- [Khayan] I know why
you ain't wanna see me.
00:38:13.996 --> 00:38:17.460
What's up, dude?
- Yeah, chillin'.
00:38:17.460 --> 00:38:19.229
Hey, Kris.
- [Kris] I gotta get... Hello.
00:38:19.229 --> 00:38:20.062
- Kwame, how you feeling today?
00:38:20.062 --> 00:38:21.087
- [Kwame] You all right?
00:38:21.087 --> 00:38:22.977
- Every time there's a
shooting, we're out here
00:38:22.977 --> 00:38:26.307
making sure there's no
retaliation for that shooting.
00:38:26.307 --> 00:38:29.277
Making sure we mediate any beefs
that might get out of hand.
00:38:29.277 --> 00:38:31.167
And, you know, it's a tough job.
00:38:31.167 --> 00:38:33.537
It's a very tough job, because
these kids have to trust you.
00:38:33.537 --> 00:38:34.527
This community has to trust you.
00:38:34.527 --> 00:38:36.272
These parents have to trust you.
00:38:36.272 --> 00:38:38.820
We work with some of the
most hardened criminals
00:38:38.820 --> 00:38:40.080
in the streets.
00:38:41.667 --> 00:38:43.047
- Any day we go through where somebody
00:38:43.047 --> 00:38:45.687
didn't shoot somebody, that's a good day.
00:38:45.687 --> 00:38:47.487
And that's what the team
has been able to do.
00:38:47.487 --> 00:38:49.587
They're very successful at what they do.
00:38:49.587 --> 00:38:51.147
We use each other's strengths.
00:38:51.147 --> 00:38:52.587
We correct each other when we need to,
00:38:52.587 --> 00:38:53.787
and we get the job done.
00:39:01.889 --> 00:39:05.576
(group chattering and laughing)
00:39:05.576 --> 00:39:10.576
(bright uplifting music)
(vocalist singing)
00:39:34.137 --> 00:39:35.724
- This is what it's about.
00:39:35.724 --> 00:39:38.592
Our community. Music over violence.
00:39:38.592 --> 00:39:40.467
And when we can bring the
community together like this,
00:39:40.467 --> 00:39:41.817
we are better together.
00:39:41.817 --> 00:39:44.067
Not everybody is trying to kill everybody,
00:39:44.067 --> 00:39:46.250
but we have to show that
love for one another.
00:39:48.356 --> 00:39:50.004
- Without further ado, I just
wanna bring up Pastor Gooding
00:39:50.004 --> 00:39:52.467
just to give a few words.
00:39:52.467 --> 00:39:54.667
Pastor. Let's give it
up for Pastor Gooding.
00:39:55.917 --> 00:39:58.347
- Let me just drop this
on you in one minute.
00:39:58.347 --> 00:39:59.727
And I know y'all hear a
preacher say one minute,
00:39:59.727 --> 00:40:02.247
and that's, like, two
hours, but gimme one minute.
00:40:02.247 --> 00:40:04.527
The leading cause of death
00:40:04.527 --> 00:40:08.367
in our African American
community for our young males
00:40:08.367 --> 00:40:12.117
between the ages of 14
and 25 is gun violence.
00:40:12.117 --> 00:40:13.767
It's the second leading cause of death
00:40:13.767 --> 00:40:15.747
in that same age bracket
00:40:15.747 --> 00:40:18.567
and that demographic of our Hispanic.
00:40:18.567 --> 00:40:20.397
No longer can we stand by,
00:40:20.397 --> 00:40:23.007
but it's time for us to
stand up to the violence.
00:40:23.007 --> 00:40:26.037
It's time for us to take
back our communities.
00:40:26.037 --> 00:40:29.487
Put the guns down. One shot
fired is one shot too many.
00:40:29.487 --> 00:40:32.760
God bless you.
(crowd applauds)
00:40:34.047 --> 00:40:35.593
- [Friend] Thanks, man.
- [Pastor] Good to see you.
00:40:35.593 --> 00:40:37.766
- [Friend] Likewise.
00:40:37.766 --> 00:40:41.461
(tense sombre music)
(police radio chattering)
00:40:41.461 --> 00:40:43.347
- [Officer] Yeah, so this
boy that had just came over,
00:40:43.347 --> 00:40:44.646
and shots fired so...
00:40:44.646 --> 00:40:49.646
(police radio chattering)
(tense sombre music)
00:41:02.097 --> 00:41:04.167
- So the individuals who came in,
00:41:04.167 --> 00:41:07.017
there were two 17 and
21 year old young men
00:41:07.017 --> 00:41:09.597
that came in from our target
area who were dead on arrival.
00:41:09.597 --> 00:41:11.937
So they came in in cardiac arrest,
00:41:11.937 --> 00:41:14.517
and they were not able
to do anything for them
00:41:14.517 --> 00:41:15.797
actually by the time they got here.
00:41:15.797 --> 00:41:17.607
'Cause they were already far gone,
00:41:17.607 --> 00:41:21.027
and they had died pretty
probably instantaneously, so.
00:41:21.027 --> 00:41:21.860
- Tomorrow, I don't know if you can go
00:41:21.860 --> 00:41:23.529
through the logistics of it,
00:41:23.529 --> 00:41:26.174
but we're gonna be starting
right where the shooting
00:41:26.174 --> 00:41:28.434
or the response the police came to,
00:41:28.434 --> 00:41:32.967
and then we're going to go
around just the housing area,
00:41:32.967 --> 00:41:35.097
doing our thing, our chants,
00:41:35.097 --> 00:41:37.020
and then ending back on White Plains.
00:41:37.857 --> 00:41:39.511
- We had gone 183 days without a shooting,
00:41:39.511 --> 00:41:43.335
and we were getting
quite proud of ourselves.
00:41:43.335 --> 00:41:44.510
And you should be. You all should be.
00:41:44.510 --> 00:41:47.097
Because you guys have been
doing a fantastic job.
00:41:47.097 --> 00:41:49.287
But every once in a while
things like this will happen,
00:41:49.287 --> 00:41:51.207
and it's no one's fault.
00:41:51.207 --> 00:41:52.620
Nobody did anything wrong.
00:41:53.607 --> 00:41:55.210
- There was a lot of grieving out there.
00:41:55.210 --> 00:41:57.987
But just seeing my friends
crying and stuff like that,
00:41:57.987 --> 00:42:00.717
I felt it too, so it is personal for me.
00:42:00.717 --> 00:42:04.620
And yeah, so we all feeling it.
00:42:09.297 --> 00:42:13.467
- So whenever a shooting happens
in one of our target areas,
00:42:13.467 --> 00:42:14.847
one of the biggest things we do
00:42:14.847 --> 00:42:17.217
is we do something called
a shooting response.
00:42:17.217 --> 00:42:20.127
And what that is, is the SUV team goes out
00:42:20.127 --> 00:42:22.777
to the exact location of
where the shooting happened.
00:42:23.907 --> 00:42:26.667
And this is just really
a way to kind of showcase
00:42:26.667 --> 00:42:30.237
for the community that a
shooting happened here,
00:42:30.237 --> 00:42:33.330
and it's a big deal and it's not normal.
00:42:35.637 --> 00:42:37.007
- Two young men were shot and killed
00:42:37.007 --> 00:42:39.376
in this community right here.
00:42:39.376 --> 00:42:42.147
And so tonight we have
gathered here as a community
00:42:42.147 --> 00:42:45.057
to let this community know
that we stand with you.
00:42:45.057 --> 00:42:45.890
Where there is hate,
00:42:45.890 --> 00:42:48.027
tonight we've come in the spirit of love.
00:42:48.027 --> 00:42:49.557
Where there is confusion,
00:42:49.557 --> 00:42:51.507
tonight we come in the spirit of peace,
00:42:52.587 --> 00:42:54.327
Guns down.
- [Crowd] Lives up.
00:42:54.327 --> 00:42:55.887
- [Pastor] Guns down.
- [Crowd] Lives up.
00:42:55.887 --> 00:42:57.747
- We stand in peace.
- [Crowd] In our streets.
00:42:57.747 --> 00:42:59.877
- We stand in peace.
- [Crowd] In our streets.
00:42:59.877 --> 00:43:02.007
(crowd applauds)
00:43:02.007 --> 00:43:04.377
- As I said, there's no words for a parent
00:43:04.377 --> 00:43:05.724
that loses a child except pain.
00:43:05.724 --> 00:43:07.977
And so we're praying
for this family tonight.
00:43:07.977 --> 00:43:10.340
We're gonna hear from the
mother at this time, Sharier.
00:43:11.427 --> 00:43:13.707
- Hello, I'm not gonna say too much,
00:43:13.707 --> 00:43:16.320
because my heart is broken.
00:43:18.267 --> 00:43:20.607
Buddha was the love of my life.
00:43:20.607 --> 00:43:23.520
He was beautiful. I was
honoured to be his mother.
00:43:24.627 --> 00:43:28.677
I can't say too much more,
'cause my heart hurts a lot.
00:43:28.677 --> 00:43:30.960
Thank you all for being
here. I love you all.
00:43:32.277 --> 00:43:33.927
- [Friend] We love you too, mama.
00:43:35.487 --> 00:43:38.007
- I've been living in this
neighbourhood for 20 plus years,
00:43:38.007 --> 00:43:41.847
and every year I see candles
from kids being killed.
00:43:41.847 --> 00:43:44.187
Kids. And it hurts.
00:43:44.187 --> 00:43:45.777
It really, really hurts.
00:43:45.777 --> 00:43:48.570
And unfortunately this
time, this is my kid.
00:43:50.601 --> 00:43:51.627
There is no words for that.
00:43:51.627 --> 00:43:54.027
It's just no parent deserve
to bury their child.
00:43:54.927 --> 00:43:59.927
- Now he's 17 years old. 17.
00:43:59.953 --> 00:44:04.110
You know, his life is gone.
00:44:09.237 --> 00:44:10.187
My heart is broken.
00:44:12.082 --> 00:44:12.915
That's the only thing I can tell you.
00:44:12.915 --> 00:44:16.110
My heart is really and truly broken.
00:44:17.517 --> 00:44:21.300
You know, I helped raise him.
00:44:22.906 --> 00:44:25.250
Him and his brother.
00:44:25.250 --> 00:44:28.347
Arnelle, everybody called him Buddha,
00:44:28.347 --> 00:44:32.352
which was a nickname that I
gave him when he was born.
00:44:32.352 --> 00:44:34.820
You know, 'cause he was
such a chubby little baby.
00:44:36.027 --> 00:44:40.349
But my love for that boy,
00:44:40.349 --> 00:44:43.080
it's like I gave birth to him myself.
00:44:45.597 --> 00:44:47.520
And that's how much I loved him.
00:44:49.586 --> 00:44:53.769
(group chattering)
(gentle sombre music)
00:44:53.769 --> 00:44:57.720
- That day I got a knock at the door.
00:44:59.859 --> 00:45:01.350
You know, he did what he did,
00:45:02.337 --> 00:45:04.347
normally would do throughout his day.
00:45:04.347 --> 00:45:06.597
I was doing what I normally
did and then that day came,
00:45:06.597 --> 00:45:09.720
I got the knock at the
door, and that was it.
00:45:10.947 --> 00:45:12.210
That was it for that day.
00:45:13.257 --> 00:45:16.240
That was it. That was it.
00:45:17.582 --> 00:45:20.749
(gentle sombre music)
00:45:37.494 --> 00:45:42.494
- But sometimes a suture and a scalpel
00:45:43.137 --> 00:45:47.910
is a poor match for the
lethality of a bullet.
00:45:48.777 --> 00:45:50.997
And sometimes we can't fix it.
00:45:50.997 --> 00:45:54.567
And it is, so I said, the worst day
00:45:54.567 --> 00:45:55.497
of a trauma surgeon's life
00:45:55.497 --> 00:45:57.964
is when he has to go out to a mom and say,
00:45:57.964 --> 00:45:59.864
"Your son's never coming back to you."
00:46:01.587 --> 00:46:03.297
You know, you have to use the word.
00:46:03.297 --> 00:46:04.497
They teach you that in
medical school, right?
00:46:04.497 --> 00:46:07.797
You have to use the word,
"Your child has died."
00:46:07.797 --> 00:46:11.160
You need the finality and the thud,
00:46:11.997 --> 00:46:13.447
'cause they have to hear you.
00:46:15.987 --> 00:46:18.027
- My grandmother, who
was from a small village
00:46:18.027 --> 00:46:20.367
in rural Mexico in her infinite
wisdom would always say,
00:46:20.367 --> 00:46:23.157
you know, "When a woman loses a husband,
00:46:23.157 --> 00:46:24.687
they call her a widow.
00:46:24.687 --> 00:46:28.167
When a child loses a mother,
they call him an orphan.
00:46:28.167 --> 00:46:31.050
But when a mother loses a child,
00:46:32.097 --> 00:46:34.410
there's just no name for that."
00:46:34.410 --> 00:46:36.027
And I think about that a
lot, because it's true.
00:46:36.027 --> 00:46:38.157
You remember every single
face of every single mother
00:46:38.157 --> 00:46:39.357
who you've told that to.
00:46:42.327 --> 00:46:44.940
- And I dread it. I absolutely dread it.
00:46:46.047 --> 00:46:47.277
In fact, I've told people
00:46:47.277 --> 00:46:50.877
that what will make me
leave trauma surgery
00:46:50.877 --> 00:46:54.687
won't be the hours and the fatigue.
00:46:54.687 --> 00:46:58.467
It'll be that I just can't
tell another family member
00:46:58.467 --> 00:46:59.967
that their loved one has died.
00:47:01.001 --> 00:47:04.168
(gentle sombre music)
00:47:08.607 --> 00:47:11.757
- As nurses, we need to create the space
00:47:11.757 --> 00:47:14.007
to have the difficult conversation
00:47:14.007 --> 00:47:16.767
about the patient that
you took care of yesterday
00:47:16.767 --> 00:47:19.197
that you weren't able to save.
00:47:19.197 --> 00:47:22.077
We do have that emotional component
00:47:22.077 --> 00:47:25.617
about our jobs and how we feel.
00:47:25.617 --> 00:47:29.337
And did I do well? Should
I have done better?
00:47:29.337 --> 00:47:31.722
And a lot of us struggle with that.
00:47:31.722 --> 00:47:33.958
(tense sombre music)
00:47:33.958 --> 00:47:34.840
- [Officer] I have a
request for battalion.
00:47:34.840 --> 00:47:38.927
Multiple patients shot, 3347
Dubois Place, southeast.
00:47:40.990 --> 00:47:43.390
We need two additional battalions.
00:47:43.390 --> 00:47:47.723
(dispatch radio speaking inaudibly)
00:47:49.530 --> 00:47:51.450
- At the end of the day,
00:47:52.857 --> 00:47:56.367
firearms as we've come
00:47:56.367 --> 00:47:59.097
to embrace them in this country,
00:47:59.097 --> 00:48:02.640
are at odds with human life.
00:48:05.937 --> 00:48:08.547
We're happy to talk about
the great aspects of guns.
00:48:08.547 --> 00:48:10.017
We just are unwilling.
00:48:10.017 --> 00:48:12.477
Even those who are opposed
to guns don't want to hear
00:48:12.477 --> 00:48:14.637
about what bullets actually do to bodies.
00:48:14.637 --> 00:48:16.857
And I think it's why we're kind of trapped
00:48:16.857 --> 00:48:20.370
in this kind of intractable
debate right now.
00:48:23.127 --> 00:48:27.147
- When you look at, for
example, motor vehicle crashes.
00:48:27.147 --> 00:48:29.910
Fatalities were high in the '60s and '70s.
00:48:31.047 --> 00:48:34.107
We didn't say, "Okay,
let's get rid of cars."
00:48:34.107 --> 00:48:38.307
No, we came up with things
like seat belts and airbags,
00:48:38.307 --> 00:48:40.260
and we tried to make roads safer.
00:48:42.597 --> 00:48:45.897
That's the same type of
approach that we have to take
00:48:45.897 --> 00:48:48.720
with firearm injury and death in America.
00:48:49.674 --> 00:48:52.757
(tense sombre music)
00:48:55.077 --> 00:48:56.667
- It's preventable.
00:48:56.667 --> 00:48:58.707
Just like lung cancer is preventable.
00:48:58.707 --> 00:49:02.217
Just like, you know, dying in
a car accident is preventable.
00:49:02.217 --> 00:49:03.417
Just like hypertension
00:49:03.417 --> 00:49:05.517
and high blood pressure is preventable.
00:49:05.517 --> 00:49:06.627
It's preventable.
00:49:06.627 --> 00:49:09.387
- Come take a walk with
us today, community.
00:49:09.387 --> 00:49:11.937
We walk that our little
children can walk in peace
00:49:11.937 --> 00:49:12.837
in the streets.
00:49:12.837 --> 00:49:14.487
Bullets have no names on them.
00:49:14.487 --> 00:49:18.477
- If you want change to be
made, have a voice, speak on it.
00:49:18.477 --> 00:49:21.057
- We want the gun violence
to stop in our communities.
00:49:21.057 --> 00:49:24.417
- These are the times that
we need for you to speak loud
00:49:24.417 --> 00:49:26.337
and clear for everybody to hear it.
00:49:26.337 --> 00:49:29.000
- It can stop, and it starts with us.
00:49:29.000 --> 00:49:31.617
- I think it's important for
hospitals and trauma centres
00:49:31.617 --> 00:49:34.737
throughout the United States
to think about incorporating
00:49:34.737 --> 00:49:39.087
programmes like this that may
be a little bit outside the box.
00:49:39.087 --> 00:49:41.414
It can be sometimes more powerful
00:49:41.414 --> 00:49:44.130
than what we can do
within the hospital walls.
00:49:44.130 --> 00:49:46.317
(tense sombre music)
00:49:46.317 --> 00:49:49.377
- For so many years,
people have looked at this
00:49:49.377 --> 00:49:52.560
as a third rail issue, but no more.
00:49:53.547 --> 00:49:56.937
You know, we cannot keep ignoring
00:49:56.937 --> 00:49:59.487
the injuries and deaths that are happening
00:49:59.487 --> 00:50:01.437
in communities all across this country.
00:50:02.286 --> 00:50:05.453
(gentle sombre music)
00:50:25.881 --> 00:50:29.131
(gentle pensive music)
00:51:01.394 --> 00:51:05.477
(gentle pensive music continues)
00:51:26.205 --> 00:51:30.288
(gentle pensive music continues)
