Oregon: Easier to Get an Assault Weapon Than a Doctor →

I pick up a Glock semiautomatic, the model used in the Virginia Tech massacre. I need to hold it, to feel it, to rub my finger across the trigger.

I don’t fear death. Raised in a morgue, I worked with my dad, the city medical examiner. As a kid, I watched autopsies and talked to dead people and made up heroic stories about their lives.

Now I’m moved by slaughtered innocence. But I can’t find peace–until today. Obsessed, I have to hold the Bushmaster AR-15, the model that killed those school kids. I need to feel the cold metal on my heart. I hug the gun, but still can’t feel all the pain. So I beg to hold the biggest, deadliest gun on display. When I look up, a crowd is smiling at me. I smile back. A doctor with an assault weapon makes people laugh.

Some things never make sense.

At today’s gun show, I’m offered assault weapons. No paperwork. I don’t even have to give my name.

Some guns are pink for girls. Some are really tiny. They all shoot–and kill. One seller mumbles, “Everybody wants something that will fit in their pocket and destroy the world.”

Providing health care in a country of gun lovers has its challenges.

In Oregon, rifles and shotguns are legal to own at 18. Handguns are legal at 21. I was 28, with 24 years of education, before I was legal to provide health care.

In Oregon, I don’t need a license to use my gun, but I do need a license to use my stethoscope.

To apply for my license, I had to submit a notarized application to the Oregon Medical Board with my birth certificate, medical diploma, photograph, fingerprints, national board exam transcript, and specialty board certificate, plus proof of internship, residency, and medical education with dean’s letter. I had to verify past employment, staff privileges, state licenses, and comply with a Federation Disciplinary Inquiry.

In Oregon, I don’t need to know how to read or write to buy a gun from a licensed dealer. My one-page background check can be legally filled out by just about anyone.

In Oregon, I don’t need a permit to use my gun, but I need permission to use my stethoscope–and that requires knowing how to read and write and complete pages and pages of documents. I had to account for all personal time since medical school, including nonmedical activities and vacations. I had to disclose all mental health treatment with names, dosages, and dates of my medications, plus names and addresses of my psychiatrists. Today, I don’t have to disclose any of that to get my gun.

In Oregon, I don’t need to register my gun. To provide health care I had to register and pay more than 1,000 dollars in fees to the Oregon Medical Board and Drug Enforcement Administration. Applications take 3 months or longer to process.

But there’s no waiting period for my gun. My instant background check takes less than 30 minutes and costs just 10 bucks. In Oregon, it’s easy to get a gun.

In Oregon, it’s easier to get an assault weapon than a doctor. In Oregon, our suicide rate is higher than national average, and physicians have the highest suicide rate of any profession. I’ve lost far too many colleagues. All men. Firearms are the method of choice. Some docs buy guns and kill themselves the same day. Receipt still in the bag.

Background check is done. Now one last decision: Bushmaster or Glock.

 

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America: 350,000,000 Guns & 47,000 Psychiatrists →

We have a constitutional right to bear arms.

We have no constitutional right to health care.

America is the most heavily armed nation in the world.

America also leads the world in mental illness.

Half of all Americans develop at least one mental illness.

Half of all cases begin during childhood.

Nearly half of all Americans have at least one gun at home.

The human brain controls the gun.

People will find ways to end their pain.

A civilized society offers civilized solutions.

A violent society offers violent solutions.

It’s easier to get a gun than see a psychiatrist.

It’s cheaper to buy a gun than see a psychiatrist.

Ammunition costs less than medication.

Bullets are just a few cents each.

God bless America.

 

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Housecalls for the Homeless →

Dr. Pamela Wible spends the afternoon with Tamara and Marlo on 7th & Washington in Eugene, Oregon. A photoessay by Pamela Wible, M.D.

Pamela Wible, M.D., pioneered the first idea clinic designed entirely by patients. Are you a nurse, doctor, med student who wants a community-supported ideal clinic? Join the next Teleseminar & Retreat  and be part of the Ideal Medical Care Movement! Photos by Spark Boemi.

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Why Physicians Commit Suicide →

I’ve been a doctor for twenty years. I’ve not lost a single patient to suicide. I’ve lost only colleagues, friends, lovers–ALL male physicians–to suicide. Why?

Here’s what I know:

A physician’s greatest joy is the patient relationship.

Assembly-line medicine undermines the patient-physician relationship.

Most doctors are burned out, overworked, or exhausted.

Many doctors spend little time with their families.

Workaholics are admired in medicine.

Medicine values competition over nurturing.

Many doctors function in survival mode.

Doctors are not supposed to make mistakes.

Caring for sick people can make you sick if you don’t care for yourself.

Medical education often dissociates mind from body and spirit.

Some medical students believe they graduate with PTSD.

Seeing too much pain and not enough joy is unhealthy.

For a physician, a cry for help is weakness.

The reductionist medical model is dehumanizing for patient and physician.

Many doctors are emotionally detached (especially male physicians).

Doctors are obsessive-compulsive perfectionists in an imperfect medical system.

Physicians are the nation’s social safety net with few resources to help patients.

Some doctors feel like indentured slaves.

Death is perceived as failure.

Doctors don’t take very good care of themselves or each other.

Many doctors are in denial about the high rate of physician suicide.

Physicians are often bullied by insurance companies, employers, and patients.

Doctoring is more than a job; it’s a calling, an identity.

Doctors are often socially isolated.

Doctors can’t just be people. They’re doctors 24/7.

Doctors can feel severe psychological pain.

Doctors can feel powerless.

Doctors can feel trapped. Some see no alternatives to their suffering.

Doctors have easy access to lethal drugs and firearms.

Doctors have the same problems as everyone else.

Doctors have marital distress. They get divorced.

Doctors have addiction to drugs and alcohol.

Doctors have economic hardship and unbearable debt.

Doctors have mental illness.

Doctors are human.

Watch TED talk on physician suicide.

Pamela Wible, M.D., is a family physician, author, and expert in physician suicide prevention. She offers physician retreats for docs struggling with burnout and depression. For upcoming events, contact Dr. Wible.

 

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My IUD Christmas Tree →

How does a Jewish doctor prepare for the holidays? By decorating her house with festive medical specimens, of course!  All have been retrieved from human bodies, many during autopsies. I’m a hoarder with a medical art fetish.  It started with my turquoise and heart valve necklace. Now my IUD Christmas tree. What should I make next?

Photo credit: Spark Boemi

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