Mark Mosley

• MD, MPH
• Medical Doctor at Wesley Medical Center

Historically, technology and law rather than therapeutics have been the success behind irradicating disease during pandemics

Medical Marijuana is a misnomer. THC and CBD are two very different compounds. THC has very few proven medical applications mostly for very exceptional circumstances. CBD has very few proven medical applications for very rare medical conditions. The "marijuana" or "CBD" oil a person buys has no medically provern applications.

Sepsis metrics are financially forced by CMS without good scientific support.

We have known from the beginning that 'time is brain' is a false mantra We used IV tPA prematurely for stroke because we were a desperate and blinded people VIEWPOINT BY MARK MOSLEY, MD

The “opioid crisis” is complex. It is defined by deaths from opioids which is predominantly illicit fentanyl. This is a very different problem than prescribed opioids for pain control in US emergency departments

Fear of being reprimanded is being used by US hospital-based physicians to not implement medicine based upon the scientific method. This is a type of attribution error in which we blame "the boogie man" for why we do bad medicine.

American physicians are succumbing to marketing instead of medicine

Why physicians are needed now more than ever in U.S.

Not applicable to use race in clinical medical practice

The term "abortion" is used as an ambiguoius umbrella term in medicine that makes little to no distinction between miscarriage and induced abortion. Furthermore, "pregnancy" (IUP) is often used as a euphemism for embryo or fetus. Induced abortion is an extremely complicated and variable topic which includes variable circumstances from fertilized eg...

How to attempt to do emergency medicine in the current environment of depleted human resources post-COVID.

In the age of COVID, some physicians have gone rogue and are operating with a deranged brain reminiscent of Dr. Frankenstein.

There are not enough nurses post-COVID to do safe medicine. Emergency medicine is a chain of necessary human resources and this chain is broken. Even if COVID goes completely away, adequate emergency care has been sunk by business decisions made because our volume tanked when COVID was not here.

Physicians need to be in the drivers seat to control the scientific medical narrative otherwise we end up in a ditch of wrecked medicine.

Military personnel are trained to wear the proper uniform and behave differently in order to meet the objective of protecting human lives. On this celebration of Veterans's day, we in the United States should be reminded that a mask is not political. It is medical. It is also part of a national uniform that speaks to patriotism, empathy, and philan...

Emergency medicine is not simply a professional craft. It bears witness to miraculous phenomenon. Experiencing the unexplainable is a humbling and powerful part of healing.

Protocols, provider-in-triage, and medical artificial intelligence in the emergency department depend upon a single patient during a brief encounter accepting answers prima facie. The answers are often binary, quantified "datafication" for information that is complex, nuanced, and qualified. The experienced emergency physician performing an intervi...

When opioids are prescribed from the emergency department, a large portion of patients get constipated. We fail to advise patients to take medicine preventively for this constipation and we may be uneducated in which medications to advise for opioid-induced constipation (OIC). Furthermore, with electronic prescribing to a pharmacy of choice becomin...

Most ailments in the emergency department, and especially in the emergency department, find their etiology in socio-economic determinants. Emergency physicians are proficient at mechanical interventions as well as pharmaceutical knowledge and applications. We should find a framework beyond pharmaceuticals that can be applied emergently to address t...

Medical science has de-volved into DIY truth where opinion has replaced empirical data. Medical professionals must explore ways to take back their profession from "the temples of the worst science."

One year into the COVID-19 pandemic, we need a professional standard in emergency medicine with details regarding proper attire concerning masks and shields.

The physician as a trusted professional called to virtue has been eroded by the "medicine as a business" construct resulting in physicians looking to make extra money with questionable pseudo-scientific medicine (supplements, aesthetics, etc) or they have become employees to large health corporations. The editorial is a call to abandon the capitali...

Serum troponins in emergency medicine are indiscriminantly over-used resulting in them being drawn in 1 out of four patients. This style of practice ruins the value of the test resulting in the mismanagement of patients, the inefficiency of emergency department rooms, and the added expense to the US healthcare system. The editorial calls for a "con...

One year into the emergent care of COVID-19; we need data and guidelines published concerning the proper use of various surgical masks , respirators and shields; their storage, methods for cleaning and changing and recommendations for use--while addressing the pragamatism of eating, drinking, sleeping, and communicating on phones during shifts in t...

Cholera gives us an excellent framework from which to consider COVID-19 in its global implications and in a public health mindset to this pandemic

COVID-19 and Black Lives Matter in 2020 are not isolated coincidences but have a historical link to yellow fever and the Haitian Revolution surrounding European colonization starting with Columbus.

America is infected with a virus. American is infected with racism. The course of illness and the color of one's skin are not disconnected in the United States of America.

The Germ theory was one of the most cataclysmic paradigm shifts modern humans have encountered; and yet in 2020 with COVID-19, this seems to be questioned if not forgotten

No one in medicine rewards you for doing less. But when the probability of disease falls below 1-2%; any tests done will likely only add cost and harm. This "extreme" testing will continue to prevent our health care system from being either affordable or safe. This concept of "law of diminishing returns" must be incorporated into discussions with p...

Hospitals need emergency public health staff to bridge acute emergency care with public health. Local, State, and Federal resources are insufficient and COVID-19 is not an episode; it is a new landscape for medical care in the 21st century.

The Electronic Health Record is about saving government dollars and has failed in any improvements in quality or safety for patients

A Journal Experience of Having COVID-19

Using phenobarbital in the emergency department for outpatient alcohol withdrawal syndrome is safe, effective and cheap and avoids the problems surrounding benzodiazepines out patient

"Availability" of a vaccine for COVID-19 is a long road beyond discover that ultimately must result in herd immunity for effectiveness. Wise patient leadership is needed to communicate this reality

What happened to 40 percent of life threatening disease during the COVID-19? The idea that it all stayed at home and didn’t come to the ED with no repercussions does not add up.

In low prevalence areas of the US, ignoring the possibility of COVID-19; or not testing for it because it is low probability, defies the emotional security and wellness in the workplace of knowing you and workmates are negative, as well as doing surveillance for a disease that can be devastating when it does enter into a community

Allowing a febrile patient a blanket is not harmful.

COVID-19 PCR Batch-Testing by employers in low prevalence areas as part of employee wellness is affordable, available, and a necessary first step for the well-being and safety of people who need to get back to work

When fear overtakes scientific scrutiny in COVID-19, we do more harm to patients by our desparate therapies.

We learn about COVID-19 by reading about 1918 Influenza

Allocating Ventilators during COVID-19

Looking at the 1918 Influenza Epidemic Teaches Us about the CODID-19 Pandemic

The CDC dismissal recommendations are complex and confusing which need simplification

The Historical Model of an American Physician is being replaced by an Economic Model

The Timing of human and material resouce utilization will save lives in COVID-19

COVID-19 is about the timing of human and material resource utilization

Refuting the common question asked during early COVID-19

Infection Control Tips for the ED during COVID-19

Personal Infection Control Tips for Hospital Staff during COVID-19

Press Ganey Scores are worthless for The ED

The CMS definition and requirements for Sepsis are not scientifically supported and following them for profit destroys the moral base of being a physician.

The role of availability bias in seemingly scientific decision making

Azithromycin is over-sold, over-used and rarely useful

Compare and assess information available on the Internet about the definition, symptoms, treatment, and return to play recommendations after a concussion. The top 10 websites generated by a Google search on the keyword "concussion" were evaluated by two independent researchers and three medical professionals for definition, signs, symptoms, home tr...

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