153 episodes

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.

The Accad and Koka Report Michel Accad and Anish Koka

    • Medicine
    • 5.0 • 54 Ratings

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.

    Ep. 151 Brain Death: Challenges and Responses

    Ep. 151 Brain Death: Challenges and Responses

    Does it matter if we call irreversibly comatose patients "dead?" Our guest is Doyen Nguyen, OP, MD, STD. Dr. Nguyen was previously an academic hemato-pathologist and is currently a Catholic moralhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749302/ theologian and bioethicist. She has authored books and articles both in medicine and in moral theology/bioethics and authored a 600-page monograph that takes a critical look at brain death from a variety of perspectives.
    LINKS:
    Nguyen D.  (https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1&isAllowed=y). (2018, Amazon link)
    Nair-Collins, M and Miller, FG. "Do the 'Brain Dead' merely appear to be alive? (in J of Med Ethics, open access (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749302/))
    RELATED EPISODES:
    Ep. 35 Why Brain Death Isn’t Death: An Introduction to “Shewmon’s Challenge (https://accadandkoka.com/episodes/episode35/)” (with guest Alan Shewmon, MD)
    Ep. 45 Brain Death at the Bedside (https://accadandkoka.com/episodes/episode45/) (with guest Fred Rincon, MD)
    Ep. 146 Diagnosing Brain Death: Clinical and Legal Quagmire (https://accadandkoka.com/episodes/episode146/) (with guests Alan Shewmon and Doyen Nguyen)
    WATCH ON YOUTUBE:
    Watch the episode (https://youtu.be/tAzmBvV7MOA) on our YouTube channel
    SUPPORT THE SHOW:
    Make a small donation (https://www.patreon.com/accadandkoka) on our Patreon page on and join our discussion group or receive a free book.

    • 1 hr 3 min
    Ep. 150 David Cayley on Ivan Illich

    Ep. 150 David Cayley on Ivan Illich

    Our guest is David Cayley, author and broadcaster based in Toronto, Canada, whose career focused on the philosophies of major contemporary thinkers and on the history of intellectual thought. For 30 years, he made radio commentaries for the acclaimed Ideas radio series produced by the CBC. He is well known for his close collaboration and friendship with the philosopher and social critic Ivan Illich who is the subject of this episode.
    GUEST:
    David Cayley: Website (http://www.davidcayley.com/)
    LINKS:
    Note: The Accad and Koka Report participates in the Amazon Affiliate program and may earn a small commission from purchases completed from links on the website.
    "David Cayley. "Questions about the current pandemic from the viewpoint of Ivan Illich." (blog post (http://www.davidcayley.com/blog/2020/4/8/questions-about-the-current-pandemic-from-the-point-of-view-of-ivan-illich-1), April 8, 2020)
    Ivan Illich. Limits to Medicine: Medical Nemesis; The Expropriation of Health (Amazon link (https://amzn.to/34oeYsd))
    David Cayley and Ivan Illich. Rivers North of the Future: The Testament of Ivan Illich (Amazon link (https://amzn.to/37xhduZ))
    WATCH ON YOUTUBE:
    Watch the episode (https://youtu.be/FTUPvSTAHSc) on our YouTube channel
    SUPPORT THE SHOW:
    Make a small donation (https://www.patreon.com/accadandkoka) on our Patreon page on and join our discussion group or receive a free book.

    • 1 hr 16 min
    Ep. 149 James Lindsay: Critical Race Theory, Post-Modernism, and Medicine

    Ep. 149 James Lindsay: Critical Race Theory, Post-Modernism, and Medicine

    An American-born author, mathematician, and political commentator, Dr. James Lindsay has written books spanning a range of subjects including religion, the philosophy of science and postmodern theory. He is the co-founder of the website New Discourses and is currently promoting his new book "Cynical Theories". Enjoy a wide ranging discussion on the Post-Modern movement and how it impacts Medicine
    GUEST:
    James Lindsay: New Discourses Web page (https://newdiscourses.com/author/jameslindsay/)
    SHOW NOTES:
    Amazon book link: Cynical Theories (https://www.amazon.com/dp/B08BGCM5QZ/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1)
    John Stuart Mill Essay: On Liberty (https://www.gutenberg.org/files/34901/34901-h/34901-h.htm)
    Anish's article in Quilette on the Real Gender gap in Cardiology: https://quillette.com/2019/06/12/the-real-gender-gap-in-heart-disease/ (https://quillette.com/2019/06/12/the-real-gender-gap-in-heart-disease/)
    New Discourses website: https://newdiscourses.com/ (https://newdiscourses.com/)
    Podcast on race and estimated GFR: https://podcasts.apple.com/us/podcast/race-and-estimated-gfr/id1461664501?i=1000488650915 (https://podcasts.apple.com/us/podcast/race-and-estimated-gfr/id1461664501?i=1000488650915)
    WATCH ON YOUTUBE:
    Watch the episode (https://youtu.be/-NZ_wGRdSYA) on our YouTube channel
    SUPPORT THE SHOW:
    Make a small donation (https://www.patreon.com/accadandkoka) on our Patreon page on and join our discussion group or receive a free book.

    • 1 hr 12 min
    Episode with Heymann and Fine

    Episode with Heymann and Fine

    Our guests are Professors David L. Heymann and Paul Fine from the London School of Hygiene and Tropical Medicine. Professor Heymann is a physician who held leading positions at the WHO for more than 20 years, coordinating global responses to epidemics such as Ebola, AIDS, polio, and SARS. He also served as Chairman of Public Health England from 2009 until 2017. Professor Fine is also a leading academic figure in epidemiology and public health with broad interests in infectious diseases. Professor Heymann and Professor Fine, along with colleague Ken Eames, have co-authored an landmark review paper on the concept of herd immunity.
    GUESTS:
    David Heymann: Wikipedia page (https://en.wikipedia.org/wiki/David_L._Heymann)
    Paul Fine: Professional page (https://www.lshtm.ac.uk/aboutus/people/fine.paul)
    LINKS:
    Paul Fine, Ken Eames, and David Heymann: "Herd Immunity": A "Rough Guide (Open Access (https://academic-oup-com.ucsf.idm.oclc.org/cid/article/52/7/911/299077) in Clinical Infectious Diseases)
    David Heymann: How SARS Was Contained (Opinion (https://www.nytimes.com/2013/03/15/opinion/global/how-sars-was-contained.html) in New York Times)
    RELATED EPISODES:
    Ep. 140. Gabriela Gomes: Why Herd Immunity May Be At Hand (https://accadandkoka.com/episodes/episode140/)
    WATCH ON YOUTUBE:
    Watch the episode (https://youtu.be/likEoL7qzLI) on our YouTube channel
    SUPPORT THE SHOW:
    Make a small donation (https://www.patreon.com/accadandkoka) on our Patreon page on and join our discussion group or receive a free book.

    • 1 hr 4 min
    Ep. 147 Sally Satel: Should Physicians Practice “Antiracism?”

    Ep. 147 Sally Satel: Should Physicians Practice “Antiracism?”

    Our guest is physician and author Sally Satel, MD. Dr. Satel is a resident scholar at the American Enterprise Institute and staff psychiatrist at a local methadone clinic in the Washington DC area. She earned a bachelor's degree from Cornell University, a master's degree from the University of Chicago, and an MD degree from Brown University.
    She has written widely in academic journals on topics in psychiatry and medicine, and has published articles on cultural aspects of medicine and science in numerous magazines and journals. She has testified before Congress on veterans’ issues, mental health policy, drug courts, and health disparities. She is the author of numerous books including The Health Disparities Myth:Diagnosing the Treatment Gap with co-author Jonathan Klick and, most recently, Brainwashed: The Seductive Appeal of Mindless Neuroscience co-authored with Scott Lilienfeld.
    GUEST:
    Sally Satel, MD: Website (https://sallysatelmd.com/)
    LINKS:
    "The Hypocritical Oath (https://www.persuasion.community/p/the-hypocritical-oath-054)" (in Persuasion online community)
    (https://www.amazon.com/Health-Disparities-Myth-Diagnosing-Treatment/dp/0844771929) (with co-author Jonathan Klick)
    RELATED EPISODES:
    Ep. 144 John Mandrola: Why Doctoring and Politics Shouldn't Mix (https://accadandkoka.com/episodes/episode144/)
    WATCH ON YOUTUBE:
    Watch the episode (https://youtu.be/tLjnCEVVt7I) on our YouTube channel
    SUPPORT THE SHOW:
    Make a small donation (https://www.patreon.com/accadandkoka) on our Patreon page on and join our discussion group or receive a free book.

    • 1 hr 3 min
    Ep. 146

    Ep. 146

    Our guests are Doyen Nguyen, OP, MD, STD and D. Alan Shewmon, MD. They join us to discuss troubling development on the legal treatment of brain death.
    Dr. Nguyen was previously an academic hematopathologist and is currently a Catholic moral theologian and bioethicist. She has authored books and articles both in medicine and in moral theology/bioethics and authored a 600-page monograph that takes a critical look at brain death from a variety of perspectives.
    Dr. Shewmon is Professor Emeritus of Pediatric Neurology at UCLA. His work, comprising decades of well-documented clinical observations and reflections, is now known as “Shewmon’s challenge,” a compelling rebuke to the principal arguments put forth to defend the concept of brain death.
    LINKS:
    Shewmon DA. "Chronic “brain death”: Meta-analysis and conceptual consequences. (https://www.ncbi.nlm.nih.gov/pubmed/9855499)" (in Neurology, 1998)
    Lewis A, et al. "Determination of Death by Neurologic Criteria in the United States: The Case for Revising the Uniform Determination of Death Act (https://journals.sagepub.com/doi/abs/10.1177/1073110519898039)" (in J. of Law, Medicine, and Ethics, 2019)
    President's Commission for the Study of Ethical Problems in Medicine, Biomedical and Behaviora Research. "Defining Death (https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1&isAllowed=y)" (1981)
    Nguyen D. (https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1&isAllowed=y). (2018, Amazon link)
    Nguyen, D. "Does the Uniform Determination of Death Act Need to Be Revised? (https://journals.sagepub.com/doi/abs/10.1177/0024363920926018)" (2020, Linacre)
    RELATED EPISODES:
    Ep. 35 Why Brain Death Isn't Death: An Introduction to "Shewmon's Challenge (https://accadandkoka.com/episodes/episode35/)" (with guest Alan Shewmon, MD)
    Ep. 45 Brain Death at the Bedside (https://accadandkoka.com/episodes/episode45/) (with guest Fred Rincon, MD)
    WATCH ON YOUTUBE:
    Watch the episode (https://www.youtube.com/watch?v=9TldPDbLYGA&feature=youtu.be) on our YouTube channel
    SUPPORT THE SHOW:
    Make a small donation (https://www.patreon.com/accadandkoka) on our Patreon page on and join our discussion group or receive a free book.

    • 1 hr

Customer Reviews

5.0 out of 5
54 Ratings

54 Ratings

rabidmoderate ,

James Lindsay

Great show. If only the woke medicine lobby was as rigorous in its logic as Lindsay.

Nicolechamp ,

As an ER nurse ....

A MUST LISTEN!

practicaldoc ,

Breath of fresh air

Outstanding guests, informed hosts. Tackle very important questions at the micro and macro crossroads where medicine meets society. I learn a lot.

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