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    Health & Fitness

    The Accad and Koka Report

    This is a show for all those who love medicine but have grown weary of this vast boondoggle called the health care system. We produce an episode once a week and we regularly bring in guests that we put on the hot seat. We discuss current topics in medical science, policy, economics, and ethics, always with an eye toward safeguarding the doctor-patient relationship. We bring fresh, provocative insights that resonate with physicians in the trenches who are determined not to let their passion for medicine be ground to a pulp.

    Advertise

    Copyright: © Copyright 2021 Michel Accad and Anish Koka

    • Apple Podcasts
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    Latest Episodes:
    Ep. 115 Per Bylund on Regulations, COVID, and Sweden Apr 11, 2020
    Show notes

    Our guest is Per Bylund, Assistant Professor of Entrepreneurship at Oklahoma State University where he holds the Records-Johnston Professorship of Free Enterprise in the School of Entrepreneurship. We talk about regulations in the age of COVID, and he also shares his perspective on Sweden's response to the pandemic.

    GUEST:

    Per Bylund, PhD: Twitter and Website

    LINKS:

    • That Which Is Seen and That Which Is Unseen (Frederic Bastiat)
    • What Sweden Can Teach Us About Obamacare (WSJ, April 17, 2014)
    • Is Sweden a Good Model? (The Tom Woods Show)

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 114 Hospital Ethics in the Face of COVID-19 Apr 01, 2020
    Show notes

    Our guest is Aaron Kheriaty, MD, Associate Clinical Professor of Psychiatry at the University of California, Irvine, where he is Director of the Bioethics Program. Dr. Kheriaty is the chair of his hospital's ethics committee and is presently working on a task force with the University of California Office of the President to prepare for the possibility that a surge in demand for intensive care due to the coronavirus pandemic will outstrip the supply of equipment and staff. He is the author of numerous articles in peer-reviewed journals and in the lay press, many of which are focused on end-of-life issues.

    GUEST:

    Aaron Kheriaty, MD: Twitter and Website

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 113 COVID-19: The Seattle Experience Mar 28, 2020
    Show notes

    Our guest is intensive care specialist Mark Tonelli, Professor of Medicine at the University of Washington Medical Center in Seattle. He shares with us the encounter with the COVID-19 pandemic as it emerged from a nursing home in King County, Washington, and how the Seattle area medical community has responded to this first US cluster of cases.

    GUEST:

    Mark Tonelli, MD: Faculty Website

    PREVIOUS GUEST APPEARANCE:

    Ep. 30 Beyond EBM: Case-Based Reasoning and the Integration of Clinical Knowledge

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 112 Paul Offit: Striking a Balance in Our Response to COVID-19 Mar 26, 2020
    Show notes

    Our guest is Dr. Paul Offit, an expert on vaccines, immunology, and virology. He is the Maurice R. Hilleman Professor of Vaccinology,Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania and Director of the Vaccine Education Center at The Children's Hospital of Philadelphia. He shares with us his thoughts on the response to the COVID pandemic, a response that should take into account the health costs of a severe economic downturn.

    GUEST:

    Paul Offit, MD: Twitter and Webpage

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 111 Daniel Jafari : Life at the Center of the COVID Storm Mar 25, 2020
    Show notes

    Anish discusses the COVID19 pandemic with Dr. Daniel Jafari, an emergency physician and surgical critical care specialist working at the North Shore University Hospital in New York. Dr. Jafari speaks to us about watching the pandemic unfold, the problems being wrestled with, the remarkable response, and what's needed in the coming weeks.

    GUEST:

    Daniel Jafari : @DanielJafari

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 110 Health Care, Free Markets, and Viruses Mar 23, 2020
    Show notes

    Our guest is Russ Roberts, host of EconTalk, the award-winning weekly podcast about economics and daily life. Russ is the John and Jean Denault Research Fellow at the Hoover Institution at Stanford University. He wrote several books, including most recently Gambling with Other People’s Money: How Perverse Incentives Caused the Financial Crisis.

    GUEST:

    Russ Roberts: Twitter and Website

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Special Episode: The COVID19 Pandemic Mar 11, 2020
    Show notes

    Anish discusses the COVID19 pandemic with Christos Argyropoulos, Chief Nephrologist at New Mexico. Dr. Argyropoulos has been warning all of us for some time about COVID19, and we discuss where his early concern emerged from, mis-steps of the US in handling this early on, and what to do now.

    GUEST:

    Christos Argyropoulos, MD PhD : @ChristosArgyrop

    LINKS:

    CDC COVID19 Website: https://www.cdc.gov/coronavirus/2019-ncov/index.html

    Anthony Fauci MD, NIAID Director NEJM editorial : https://www.nejm.org/doi/full/10.1056/NEJMe2002387

    "Flattening the curve" : https://www.statnews.com/2020/03/11/flattening-curve-coronavirus/

    South Korea's success: https://nationalinterest.org/blog/korea-watch/no-panic-here-i-am-south-korea-watching-coronavirus-spread-128697

    Johns Hopkins Global COVID19 tracker: https://systems.jhu.edu/research/public-health/ncov/

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 109 A Social Contract for Pharma? Feb 29, 2020
    Show notes

    Our guest is Peter Kolchinsky, author of The Great American Drug Deal: A New Prescription for Innovative and Affordable Medicines. Peter holds a PhD in Virology from Harvard University and is co-founder and manager of the Boston-based investment firm RA Capital Management.

    GUEST:

    Peter Kolchinsky, PhD: Twitter and Website

    RELATED EPISODES:

    • Ep. 15 Lethal Regulations: The 1962 FDA Amendments (with guest Mary Ruwart, PhD)
    • Ep. 92 Why is the Antibiotics Market Broken? (with guest Schlaes, MD, PhD)
    • Ep. 100 Can We Trust Generic Drugs? The Ranbaxy Whistleblower Narrates the Pharma Scandal of the Century (with guest Dinesh Thakur)

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 108 The Testing Cartel Retreats on Step 1: What Next for Medical Students? Feb 23, 2020
    Show notes

    Under pressure from a grassroots campaign, the monopolistic National Board of Medical Examiners has made a significant concession in the way it administers Step 1 of the US Medical Licensing Examination. Our guest, Bryan Carmody, was among the most vocal participants in that campaign. He returns to the show to give us an update and to share his thoughts on what might happen next.

    GUEST:

    Bryan Carmody, MD: Twitter and Website

    RELATED EPISODES:

    Ep. 72 Taking the USMLE to Task (with guest Bryan Carmody)

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


    Ep. 107 Independent NPs: Public Health Threat or Libertarian Step Forward? Feb 07, 2020
    Show notes

    Hordes of independent nurse practitioners are on the horizon. Many physicians are raising the alarm bell, but our guest views things differently.

    GUEST:

    John Mandrola, MD: Twitter and Website

    LINKS:

    Independent Nurse Practitioners and Physician Assistants: A Doc's View (Medscape)

    RELATED EPISODES:

    Ep. 69 MD vs. NP: Patient Protection or Turf War? (with guest Rebekah Bernard)

    Ep. 72 Taking the USMLE to Task (with guest Bryan Carmody)

    WATCH ON YOUTUBE:

    Watch the episode on our YouTube channel

    SUPPORT THE SHOW:

    Make a small donation on our Patreon page on and join our discussion group or receive a free book.


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