Hello, and thank you very much for visiting. I am a cardiologist and internist in solo private practice. Outside of this blog, I publish papers on a regular basis. Some of my work is scholarly and appears in specialized journals, but I also write articles and essays for a general readership interested in medicine. These appear in various outlets. You will find links to some of my publications at the bottom of this page.The articles on this website are addressed primarily to fellow physicians and health profession colleagues, but anyone interested in medicine and health care is welcome to join the conversation.
I am primarily interested in discussing concepts that are foundational to modern medical practice. The subjects that I will broach include: principles and philosophy of medicine, medical economics, medical ethics, medical law, and medical education. Of course, commentary about current health care policy is inevitable, but I will try to always link policy questions to more fundamental notions or presuppositions.
I see three problems as fundamental to the health care crisis in Western societies: 1) a strong tendency to mix or conflate medical care and public health 2) extreme centralization of medical doctrine 3) an inability to define what medicine should (or should not) be about. At the root of all these errors is an inability or an unwillingness to come to terms with a workable definition of what a human being is. Absent broad consensus on this, it is little wonder that the healing profession should find itself in such a state of disarray.
I obtained my bachelor’s degree in mathematics from the University of Texas in Austin. I went to medical school at the University of Texas in Houston and completed medical residency there, including a year as chief medical resident. My fellowship training in cardiology and interventional cardiology took place at the University of California San Francisco. Additional details about me can be found on my practice website. I also run a program of cardiovascular disease prevention and sports cardiology called Athletic Heart of San Francisco.
I enjoy hearing from readers very much, so feel free to drop me a note via the Contact page.
Thank you again!
- Accad, M. Hylomorphic elements and the cell theory: A basis for biological law? In progress
- Accad, M. Of parts and wholes: A Thomistic refutation of “brain death.” Linacre Q. (2015) In Press (Available online ahead of publication).
- Accad M. Heterologous embryo transfer: magisterial answers and metaphysical questions. Linacre Q. (2014) 81:38-46
- Accad M. On defining good health. Tex Heart Inst J (correspondence). (2013) 40(3):370
- Accad M. Skills, knowledge, and prediction. Am J Cardiol (2012) 110(1):161
- Accad M. More reasons statins are shunned. Am J Cardiol (2011) 107(6):957
- Accad M, Fred HL. Risk-factor medicine: an industry out of control? Cardiology (2010) 117:64-67
- Accad M, Fred HL. On redefining hypertension. Tex Heart Inst J (2010) 37(4):439-441
- Accad M, Fred HL. Is Jupiter also a god of primary prevention? Tex Heart Inst J (2010) 37(1):6-7
- Accad M. Statistics and the rise of medical fortunetellers. Tex Heart Inst J (2009) 36(6):508-509
- Michaels AD, Accad M, Ports TA, Grossman W. Left ventricular systolic unloading and augmentation of intracoronary pressure and Doppler flow during enhanced external counterpulsation. Circulation (2002) 106(10):1237-42
- Accad M, Michaels AD. Management after myocardial infarction. Curr Treat Options Cardiovasc Med (2002) 4(1):41-54
- Fazio S, Liu L, Gleaves LA, Major AS, Swift LL, Accad M, Linton MF, Fareses RV Jr. Increased atherosclerosis in LDL-receptor-deficient mice lacking ACAT1 in macrophages. J Clinic Invest (2001) 107(2):163-71
- Buhman KF, Accad M, Farese RV Jr. Mammalian acyl-CoA:cholesterol acyltransferases. Biochim Biophys Acta (2000) 1529(1-3):142-54
- Buhman KF, Accad M, Novak S, Choi RS, Wong JS, Hamilton RL, Turley S, Farese RV Jr. Resistance to diet-induced hypercholesterolemia and gallstone formation in ACAT2-deficient mice. Nature Med (2000) 6(12):1341-47
- Accad M, Smith SJ, Newland DL, Sana DA, King LE Jr., Linton MF, Fazio S, Farese RV Jr. Massive xathomatosis, and altered composition of atheroscleoric lesions in hyperlidemic mice lacking acyl CoA:acyltrasferase 1. J Clin Invest (2000) 105(6):711-9
- Fred HL, Accad M. Lipemia Retinalis. N Eng J Med (1999) 340(25)1969
- Accad M, Farese RV Jr. Cholesterol homeostasis: a role for oxysterols. Curr Biol (1998) 8(17):R601-4
- Accad MF, Fred HL. Dyspnea, cyanosis, and pulmonary infiltrates in a young skier. Hosp Pract (1997) 32(12):93-4
- Accad MF, Fred HL. Gross hematuria in a young woman with seizures and skin lesions. Hosp Pract (1997) 32(5):204-6
- Fred HL, Accad MF. Abdominal pain, leg weakness, and alopecia in a teenage boy. Hosp Pract (1997) 32(4):69-70
- Feld S, Li G, Amirian J, Felli P, Vaugh WK, Accad M, Tolleson TR, Swenson C, Ostro M, Smalling RW. Enhanced thrombolysis, reduced coronary re-occlusion and limitation of infarct size with liposomal prostaglandin E1 in a canine thombolysis model. J Am Coll Cardiol (1994) 24(5):1382-1390
Here are some publications in the lay press (print and online):
- “’Physician-Assisted Dying:’ A Deadly Choice for the Medical Profession.” San Francisco Medicine. April 2015
- “Medical Experts and the Stewardship of the Body,” CANFP News, Salinas, CA, Winter 2015
- “Prohibition, Then and Now.” San Francisco Medical Society Blog. September 29, 2014. http://www.sfms.org/NewsPublication/SFMSBlog/TabId/467/Tag/michel-accad/Default.aspx
- “Dr. Feelgood: Yesterday and Today” Healthy Living. Nob Hill Gazette, San Francisco, CA, August 2014
- “Is the ‘Executive Physical’ Bad for You?” Healthy Living. Nob Hill Gazette, San Francisco, CA, January 2014
- “The Cardiovascular Costs of Contraceptive ‘Freedom,’” CANFP News, Salinas, CA, Summer 2013
- “The Mayo Clinic and the Free Market.” Mises Daily (online) http://mises.org/library/mayo-clinic-and-free-market
- “Herb Fred’s 4 C’s” foreword to The Best of Herb Fred, MD. Kingsley Literary Services, Houston, 2010.