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Ep. 156 The Push for Nurse Practitioners on the Frontlines of Healthcare

Our guests are Rebekah Bernard, MD and Niran Al-Agba, MD, authors of a soon-to-be-published book examining the rise of nurse practitioners and physician assistants in healthcare.

Dr. Bernard is a family physician from Fort Myers, Florida. She is board member of Physicians for Patient Protection, an organization calling for more transparency regarding the difference in training between physicians and non-physician providers.

Dr. Al-Agba is a board-certified pediatrician in private practice in Washington State. She is a prolific writer who speaks widely and openly on a variety of issues, including policy, ethics, and medical practice. 

GUESTS:

Rebekah Bernard: Twitter and website

Niran Al-Agba: Twitter and website

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.

Niran Al-Agba and Rebekah Bernard: Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare (Amazon link and book website)

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Ep. 155 Kevin McKernan on PCR testing for COVID-19

Our guest is Kevin McKernan, founder and chief scientific officer of Medicinal Genomics, a company specialized in genetic testing of medicinal plants, including cannabis for strains, traits, and pest infestation, including plant viruses. He is here to shed light on the process of PCR testing as applied to the COVID pandemic.

GUEST:

Kevin McKernan: Twitter

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,

  • Jaafar R. et al. “Correlation Between 3790 Quantitative Polymerase Chain Reaction–Positives Samples and Positive Cell Cultures, Including 1941 Severe Acute Respiratory Syndrome Coronavirus 2 Isolates” (Open access in Clinical Infectious Diseases)

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Ep. 154 Outpatient COVID-19 Therapy: Why the Controversy?

Our guest is Peter McCullough, MD, MPH, consultant cardiologist and Vice Chief of Medicine at Baylor University Medical Center in Dallas, Texas. He is an internationally recognized authority on the role of chronic kidney disease as a cardiovascular risk state with more than a thousand publications and more than five hundred citations in the National Library of Medicine. His works have appeared in the New England Journal of Medicine, Journal of the American Medical Association, Lancet and other top-tier journals worldwide.

However, he is not with us to discuss the cardiorenal syndrome nor his many illustrious achievements in cardiology. Rather, he joins us to tell us about an article on the outpatient treatment of COVID-19 of which he is first author. The paper is titled and was published in the American Journal of Medicine online on August 6, 2020.

GUEST:

Peter McCullough, MD, MPH: Twitter

LINKS:

  • McCullough P, et al. “Pathophysiological Basis and Rational for Early Outpatient Treatment of SARS-CoV-2 (COVID-19) Infection” (Open Access in Am J. Med)

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Ep. 153 Vinay Prasad: Making Conversations in Medicine Great Again

Our guest is Vinayak K. Prasad, hematologist-oncologist. He was an associate professor of medicine at the Oregon Health & Science University School of Medicine and in the summer of 2020 moved to the University of California San Francisco.

He is a prolific researcher with a particular interest in the quality of medical evidence and trial design. He is also author of 2 best-selling books: Ending Medical Reversal (2015) co-authored with Dr. Adam Cifu and Malignant: How Bad Evidence and Bad Policy Harm People With Cancer, released earlier this year.

We have a broad ranging conversation about the tenor of medical discourse today and about his main ideas regarding the quality of medical evidence.

GUEST:

Vinay Prasad: Twitter, Website, and Podcast

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,

  • Prasad, V et al. “A Decade of Reversal: An Analysis of 146 Contradicted Medical Practices.” Open Access in Mayo Clinic Proceedings with accompanying video of Dr. Prasad
  • Vinay Prasad and Adam Cifu. Ending Medical Reversal. Amazon link.
  • Vinay Prasad. Malignant. Amazon link.

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Ep. 152 Underrepresented Minorities in India: The Reservation System

Our guest is Dr. Somalaram Venkatesh, interventional cardiologist In private practice in Bengaluru, India. He obtained his medical degree and completed his cardiology training at PGI, Chandigarh. He is now director of cardiology at Aster Hospital, Bengaluru. He discusses India’s historical legacy of discrimination, and the solution built into the Indian constitution to rectify this : the reservation system.

GUEST:

Somalaram Venkatesh, MD: Professional website

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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:

RELATED EPISODES:

Ep. 35 Why Brain Death Isn’t Death: An Introduction to “Shewmon’s Challenge” (with guest Alan Shewmon, MD)

Ep. 45 Brain Death at the Bedside (with guest Fred Rincon, MD)

Ep. 146 Diagnosing Brain Death: Clinical and Legal Quagmire (with guests Alan Shewmon and Doyen Nguyen)

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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

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, April 8, 2020)
  • Ivan Illich. Limits to Medicine: Medical Nemesis; The Expropriation of Health (Amazon link)
  • David Cayley and Ivan Illich. Rivers North of the Future: The Testament of Ivan Illich (Amazon link)

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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: Twitter and New Discourses Web page

SHOW NOTES:

Amazon book link: Cynical Theories

John Stuart Mill Essay: On Liberty

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/

New Discourses website: https://newdiscourses.com/

Podcast on race and estimated GFR: https://podcasts.apple.com/us/podcast/race-and-estimated-gfr/id1461664501?i=1000488650915

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Ep. 148 David Heymann and Paul Fine: Herd Immunity Models and Realities

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: Professional page and Wikipedia page

Paul Fine: Professional page

LINKS:

  • Paul Fine, Ken Eames, and David Heymann: “Herd Immunity”: A “Rough Guide (Open Access in Clinical Infectious Diseases)
  • David Heymann: How SARS Was Contained (Opinion in New York Times)

RELATED EPISODES:

Ep. 140. Gabriela Gomes: Why Herd Immunity May Be At Hand

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Ep. 147 Sally Satel: Should Med Schools Teach 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: Twitter and Website

LINKS:

RELATED EPISODES:

Ep. 144 John Mandrola: Why Doctoring and Politics Shouldn’t Mix

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SUPPORT THE SHOW:

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