Sunday, October 8, 2017

Mandalay Bay in the Aftermath of Horror


Mandalay Bay in the Aftermath of Horror



      Horror came to a peaceful gathering of approximately 22,000 individuals as the sky rained down bullets on them from the 32nd floor of a very well-known casino in Las Vegas. Mandalay Bay played host to a country music festival on October 1st 2017. With a great lineup and tranquil weather patrons never would have thought the sounds music would be eclipsed by sounds of automatic gun fire. Stephen Paddock gained instant worldwide fame as he carried out his own personal holocaust. This day would be indelibly written on the psyches of millions.

     Unknown to those on Spirit flight 695 approaching McCarran Airport carnage was occurring less than a mile down the road. My fellow passengers and I received our first inkling of the events unfolding that evening when our cell phones finally caught signals on the ground. Thankfully Spirit and their great staff kept us on the tarmac for 90 minutes as the first responders finalized it was safe to disembark the plane. No one at the time knew how many shooters were participating in the slaughter. Courage and bravery abounded everywhere sometimes from the most unlikely sources.

     Once the extent of the evil was known a tide of emotion overwhelmed the faces of those you passed on the streets and vestibules in hotels. An astounding quiet pervaded the areas immediately around the death scene overshadowing the immense building in the background. First responders may have saved thousands. Left to his own devices Stephen Paddock would have continued his reign of terror to an nth point only God could conceive. Fortunately those who moved on this beast did it quickly and effectively.

     The death toll stands a 59 at this writing with more than 500 injured. Makeshift memorials have been established throughout the city. One of note, not far the death scene, displays a series of white crosses inscribed with the names of each victim and statements of regret. As we walked through this area a palpable sorrow and a state of mournfulness was ever present amongst the observers paying their respects. Sadly the media finds the killer more important than the victims.

      Extensive investigations are now underway to uncover the basis for this horror. Stephen Paddock was a misanthrope, no doubt. Yet his extreme actions take a leap no rational mind could envision. When the history of this event is finally penned let us pray no one tries to outdo this maniac. May God rest the souls of these individuals and settle the minds of those left behind.



Mark Davis MD


onandoffthehill.com

superbbookreviews.com

Monday, September 25, 2017

Maryland's Medical MarijuanaLaws a Mine Field for Physicians


             Maryland’s Medical Marijuana Laws a Mine Field for Physicians





One question physicians should ask themselves is: What civil and criminal penalties may I incur in the event I prescribe Marijuana? Neither Maryland’s inept and corrupt Medical Board nor its self-serving Medical Society have issued any statements concerning potential penalties. House Bill 881 signed by Governor Martin O’Malley in April of 2014 required the Department of Health and Mental Hygiene and its Marijuana Commission to derive regulations governing the dispensing of medical Marijuana. Recently directives have been released concerning physician involvement in procuring Marijuana for potential patients. Physician liability was not addressed by these rules or prior statue. Worse, Marijuana is listed as a Schedule 1 substance along with Heroin, LSD and other potential abusive drugs. Under federal rules prescribing Marijuana is a felony unless given prior dispensation by authorities. In recent times federal prosecutors have turned away from charging physicians with Marijuana law incursions if their respective states legalized it. This could change at a moment’s notice. Maryland physicians who become involved in accommodating patients seeking “medical Marijuana” run many risks for few rewards.



Physicians will have to move through multi levels of paperwork to be allowed the privilege to certify individuals to obtain “medical Marijuana.” An unrestricted active medical license and a spotless record of compliance with state regulatory structure is a must. Being politically well connected, similar to those chosen to be dispensers of this drug, would not hurt either. Physicians contemplating being listed for medical Marijuana certification should review all available literature issued by state authorities with particular emphasis on any statements by the Attorney General’s Office and the Medical Board.



Maryland Board of Physicians has a habit of inventing rules and standards care after the fact. Never proactive this Board cherry picks which sections of its legal Title it will follow depending upon who is before it. With a lawyer as the Executive head of this administrative entity expectations were the Board would have created guidelines for implementing House Bill 881, since it had 3 years. Without protections from civil and criminal penalties lawyers will have a literal field day prosecuting cases. Worse incorrectly certifying a patient or a patient who crashes a vehicle, with this Schedule One drug in his or her system, the physician’s liability may be substantial. Point is prescribing Marijuana could be entrapment for physicians.



Lastly does malpractice insurance cover prescribing of Schedule One drugs and the resulting detriment this drug could cause to a patient? Approximately 23 states have legalized Marijuana in some form or manner. Each state manages the legalities and judicial responses to this psycho active drug differently. Maryland’s Board of Physicians is not managed as it should. Control has been given over to lawyers with minimal input from physicians. The unpredictability of this Board’s actions, lacking specific written guidelines and standards for physician involvement with this highly potent drug, may not be worth the risk for health care providers.



The author of this article cautions physicians to be wary of signing on to prescribing Marijuana until such time as the civil and criminal liabilities have been “totally clarified.” Maryland’s Board of Physicians and its attack dog the Attorney General’s Office will quickly blame doctors, not themselves, for prescribing mishaps related to Marijuana, even though they have promulgated no rules as of this writing. In the event you want to learn how corrupt your medical board is read a few of the articles at: medicalboardusa.com.



Mark Davis MD


medicalboardusa.com

onandoffthehill.com

Monday, September 18, 2017

Drugged Up Maryland


                                             Drugged Up Maryland



Drugs have found their way into every facet of Maryland life. Children are overdosed with amphetamines. While our aged population is controlled by third generation antidepressants. Those in between have alcohol, opioids, psychotropic drugs and now Marijuana. Controlling the masses has never been easier.

Marijuana industry is coming to the entitlement state. Initially 14 licensees have been chosen from a group of 140. Though the state’s Marijuana Commission notes the newly licensed were carefully picked evidence suggests many are politically well connected. Claiming “Medical Marijuana” will be of the purest variety by their choices the Commission needs to explain why not one pharmaceutical company was chosen. Yet someone from the casino industry was.

Decriminalization of Marijuana at the state level has been on the road to reality for years. In Maryland the drug epidemic, both legal and illegal, has gone beyond manageable levels. Adding Marijuana to the mix elevates the problem exponentially. As long as the drug is used in the privacy of one’s home who is to argue with its need and questionable medical necessity. Sense and sensibility dictates the latter will not be the norm. Instead people will mix Marijuana with the other drugs they utilize, including alcohol, resulting an increase in fatalities more expansive than currently is seen. Decriminalization absolutely, providing this drug through state approved outlets is extremely questionable and introduces a series of unknowns.

Physicians, who chose to prescribe Marijuana, must be on a state approved list. Once approved they must certify medical necessity to the patients seeking this drug. After approval the patient can take his or her Marijuana Identification card to a dispensary and receive a limited amount of this drug. Knowing most of the prescribed drug is not going to be used for its medically intended purpose who will be held responsible when irrationality of its use enters the picture? Will physicians be held responsible when a vehicular crash occurs by someone with excess drug in their systems (presently blood level excess has not been set)? If a physician approves too many requests will his or her license be impaired?  And the list of unknowns goes on.

Maryland Legislature pays lip service to those whose minds and bodies have been crushed by the never ending supply of drugs consumed by its residents. Marijuana should never have been criminalized. With that stated drug sales should not be supported by state mandate either. Enter a busy emergency and watch as the bodies of drug victims roll in. Marijuana may not be nearly as toxic as opioids. When combined with alcohol or other deadly substances bad results are inevitable. Does this reporter have the answers, no I don’t. Nevertheless neither does the Maryland hierarchy. I hope and pray that I am wrong. Yet experience outside Maryland should have taught those in power something. Apparently it hasn’t.

Mark Davis MD


onandoffthehill.com

superbbookreviews.com

Tuesday, September 5, 2017

Strange Case of Doctor Nikita Levy and the Maryland Board of Physicians lack of Response


Strange Case of Doctor Nikita Levy and the Maryland Board of Physicians lack of Response



Doctor Nikita Levy, an Ob-gyn physician, purportedly photographed the vulnerable parts of thousands of women before his secret was outed in February 2013. A savvy John Hopkins Hospital employee noticed that Dr. Levy had a small device on his person resembling a camera. Soon after this revelation the unnamed employee reported Dr. Levy to Hopkins hierarchy who subsequently fired him. Investigations displayed Dr. Levy had a large cache of photos in his personal possession which allegedly contained those of both adult females and children. Dr. Levy was an employee of Hopkins for more than 2 decades. Indications are his photo spree started on or about 2005. There is no history of outrageous medical activity prior to this time.



Within 2 weeks of his disengagement from Hopkins Dr. Levy committed suicide reportedly by suffocation utilizing Helium as a catalyst to expedite his death. The horror to his family and the patients affected is insurmountable. In the month leading up to this article over 8,000 checks were mailed to Dr. Levy’s patients as part of a 190 million dollar malpractice settlement. Media sources note lawyers received 32 million of this amount. This case has more questions than answers.



1)    Why didn’t the Maryland Board of Physicians suspend Dr. Levy’s medical license under an emergency order immediately upon knowing the circumstances of this case? This is within their power

2)    Eight thousand women made claim to funds in the malpractice financial pool. Is the public supposed to believe not one of these women suspected Dr. Levy’s deviance during their exams?

3)    Doctor Levy was exposed to many John Hopkin’s employees during his tenure at this noteworthy institution. Only one employee noticed his deviance with a camera device. This is a stretch of credibility.

4)    Worse is the public to believe not one patient of the 8,000 complained to Hopkin’s hierarchy from 2005 until 2013 concerning the odd behavior of Dr. Levy.

5)    Did the Maryland Board of Physicians treat this case with special deference because Dr. Levy worked for Hopkins? Did Dr. Levy receive special treatment from the medical board for other reasons?

6)    Since Dr. Levy was not cited by the medical board prior to his untimely death his record with the Medical Board will never reflect the facts of this case and the malpractice settlement. Why?

7)    What did Hopkins know about Dr. Levy prior to its employee discovering his camera on or about February 4th 2013?



Maryland Board of Physicians is managed by lawyers. There appears to be purposeful intent on their part to look the other way in this case. Dr. Levy, as reported by local media, continued to have an active medical license at the time of his death. If true the Maryland Board of Physicians is hiding the truth of a former licensee by their silence. The final question is: Why?



Mark Davis MD


Manager of medicalboardusa.com

Sunday, September 3, 2017

Trump will not Dance to Kim Jung-un's Tune


Trump will not Dance to Kim Jung-un’s Tune



Prior presidential administrations appeased North Korea with money and gifts hoping they would move down a civilized path. Ironically North Korea’s nuclear ambitions became more aggressive. America and its allies are inches from a thermonuclear showdown with a megalomaniac who is inviting war on himself and others. Diplomacy is fading as a tool to sedate Kim Jung-un. Since Dennis Rodman could not seduce Kim into compliance with international law perhaps a missile up his rear end will. President Trump is left with few options if Kim’s trigger finger gets itchy.



Newest in Kim’s arsenal purportedly is a Hydrogen bomb. Power in this type of weapon is exponential to the previous devices North Korea had developed. Allies of this isolated nation, including China and Russia, appear to have enabled the building of this horrific weapon. Nevertheless both countries approved sanctions in the United Nations after Kim set off a series of missiles recently. Guam may be the ultimate target of North Korea because of its proximity and American military base there.  President Trump must decide soon whether to continue failing diplomacy or bring the wrath of God down on North Korea’s military. The next few weeks will answer this question.



Mark Davis MD


onandoffthehill.com

medicalboardusa.com

Wednesday, August 30, 2017

Medicalboardusa.com Protecting Physicians from Medical Board Abuses


Medicalboardusa.com Protecting Physicians from Medical Board Abuses




Medicalboardusa.com is a website designed to provide support to physicians who are under the duress of a medical board intervention and or a malicious malpractice case. When targeted physicians become isolated, their stance in the community is diminished and the economic drain is potentially enormous. With the latter in mind this site seeks to connect physicians with others who have been down this road and appropriate people who can protect them. Medicalboardusa.com seeks lawyers who are extremely cognizant of administrative law that governs medical practice. Medical Boards have counsel well versed in this segment of the law and their targets should have equal representation.



Medical Boards have moved on from oversight of their flock to confrontational assaults with physicians. When targeted a physician should expect the worst from their medical colleagues who sit on these tribunals. With the misuse of standards of care and complex regulatory structure medical boards now entrap physicians with bogus compliance cases. These actions are performed to improve their sanction numbers amongst the states. Studies of the Arizona, Texas and Maryland Medical Boards display they have been politicized to a point that they lost the purpose of their original intent. Case after case reviewed displayed only strong legal representation by a lawyer who knew his/her way around the regulatory mind field had successful outcomes. This site should be a first step for accused physicians to discuss their cases before answering any letter from a medical board inquiring about their practice.



Mark Davis MD


Medicalboardusa.com

Sunday, August 27, 2017

Maryland Board of Physicians from Bad to Worse


Maryland Board of Physicians: from Bad to Worse



Maryland Board of Physicians has touched many lives, unfortunately not in a positive manner. Coincident with several articles I wrote for the Baltimore Examiner, detailing the unscrupulous nature of this Board, the Maryland Legislature released a derogatory report against this entity in 2011. This report was entitled, Sunset Review: Evaluation of the State Board of Physicians and Related Health Advisory Committees. Embodied in its pages was supposed to be the framework from which the Board would improve its functions and effectuate processes that were honest and consistent with its written regulatory structure. Instead the Board went in another direction. In a series of deceptive reports to the Maryland Legislature over the years following the release of the Sunset Review the Board omitted its failures exemplifying a false front as stated in this article. Managed by lawyers, from the top down, due process has been cast into the fire as this Board cherry picks which laws it will follow.



Medical Boards have come under increasing scrutiny over the last decade. Both the Texas and Arizona Boards have assaulted physicians in merciless manners resulting in loss of licensure for hundreds of physicians who did nothing more than have an MD after their names. State Legislatures woke up and cleansed the slate of characters that managed these administrative entities. Maryland Board’s incessant misuse of standards of care to entrap physicians is a tragedy that needs correction too. In the author’s case the Maryland Board spent hundreds of thousands of dollars and an entire decade to rid the state of this physician over paper compliance issues. Time has come for the Maryland Legislature to investigate this corrupt entity and rid the Board of it’s over dependence on lawyers.



Maryland’s Legislature has taken a step back in its oversight of the Maryland Board of Physicians. Last time I looked physicians were also citizens of the state. Hence they deserved certain due process rights. Appearance of due process is not due process. The Board along with its attack dog the Attorney General’s Office have a routine they follow to keep physicians from their full rights. Through convoluted legalese physicians have had a rough time defending themselves in administrative hearings. The Board’s attorneys have developed strategies to keep physicians from presenting expert witnesses, exculpatory evidence and patient testimony. Case number DHMH SBP-71-07-05227 Mark Davis MD hearing before an administrative court exposes the outright suppression of a physician’s right to defend himself appropriately. The transcript should be read by any physician forced to participate in this Soviet style hearing before a state appointed judge.



With the failure of the Nikita Levy case, the failure to oversee excessive opioid prescribing and the misuse to standards of care to target certain physicians the Maryland Legislature should be compelled to take an independent review of the Board. This should be a review by people who are not friends or associates of the Board as the most recent review by its University connections. In a future article we will review why the Maryland Board of Physicians allowed Nikita Levy case to be hidden from view until it spilled over into the media.



Mark Davis MD


medicalboardusa.com