Louisville Medicine Volume 66, Issue 9 | Page 7

From the President Wayne Tuckson, MD GLMS President | [email protected] INTIMATE PARTNER VIOLENCE: It Doesn’t Have to End That Way T he opening verse of Jimi Hendrix’s rendition of “Hey Joe” is “Hey Joe, where you going with that gun in your hand? I’m going down to shoot my old lady, you know, I caught her messing around with another man.” In the original version this is the second verse, and the first verse is “Hey Joe, where you goin’ with that money in your hand? Chasin’ my woman, she run off with another man. Goin’ downtown, buy me a .44.” Another change in Hendrix’s version is the addition of a female chorus which repeats the phrase “Hey, hey, hey Joe” at first in a whisper then gradually increasing in intensity throughout the song. This, to me, reflects his better half trying to dissuade him from his actions. Alas, it fails since he does kill his lady. This song is a cautionary tale of Intimate Partner Violence (IPV). In the US, we have a big problem of IPV, and it appears in many different guises. Perhaps the most severe of these is the attack which ends in homicide. In a 2016 FBI report on crime, there were 760 homicides related to IPV, and though both men and women may be victims, over 75 percent are women. Every month, 50 women are killed as a consequence of IPV and, in most of these cases, a gun was used. In the US a woman is 16 times more likely to be shot or killed than a woman in any other developed country. 1 Let us think on this as we cast judgment upon about how other countries and cultures treat women. The Gifford Law Center to Prevent Gun Violence reports that women are five times more likely to be killed by their abuser if the abuser owns a firearm. 2 The presence of a gun changes the dynamics of the abuser and the abused. The severity and deadliness of IPV increase when the violent partner has access to firearms, even though the gun may not be the murder weapon. However, in those states with statutes prohibiting gun ownership by persons under domestic vio- lence restraining orders, there is a reduction in intimate partner homicide 3 . We must re-examine who may and may not have access to guns of any type. I accept that there is honest debate on general gun control measures. However, I cannot see how one can argue against denying access to a gun to a person with a proven history of domestic abuse. There is merit to the argument that re- stricting individual gun purchases is diffi- cult because of the number in circulation and accessibility through loopholes and il- legal means. However, this just points to the need for a more coherent federal policy on gun sales rather than the current markedly ineffective patchwork of varying states’ laws. In a retort to an argument for having non-smoking and smoking areas in the same restaurant, someone once remarked that this was akin to having a urinating and non-urinating section in the same pool. Guns, like smoke and fluids, do not respect borders. Statistics on origination of guns from the Bureau of Alcohol, Tobacco, Fire- arms and Explosives show that 49 percent of firearms recovered in one state were pur- chased in another state; 65 percent of guns which were recovered in states with restric- tive gun laws were not purchased in those states; and 44 percent of guns recovered were from states with the least restrictive gun laws 4 . Gun violence is a public health crisis, and domestic violence is a moral travesty and a stain on our social fabric. As Dr. Erick J. Olson, a trauma surgeon at the Univer- sity of Pennsylvania put it, “As physicians and surgeons, our job is to find a cure for whatever pathogen is out there that is hin- dering or causing our patients’ illness. In the trauma community, we just strongly feel that the pathogens are firearms or bullets.” For those who either cannot or will not heed their better instincts, we must place barriers that keep them from bringing vio- lent thoughts to fruition. In short to protect those who need our protection, we must say “Hey Joe, we ain’t gonna let you get a gun in your hand.” I am not so naive as to believe IPV will go away with restriction of gun ownership. However, I bet anyone of those 50 women who will be shot this month would have liked us to do something to protect them from dying. Dr. Tuckson is a practicing colon and rectal surgeon. Footnotes 1 Everytown Research 2 Gifford’s Law Center To Prevent Gun Violence. Statistics on Domestic Violence and Firearms. 3 Zeoli AM et al. Epidemiol Rev. 2016 4 Frangou C. General Surgery News. 2018 FEBRUARY 2019 5