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Dr. Anish Koka's Newsletter

Anish Koka MD (Cardiology)

Medicine, Cardiology and health policy

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Substack
PricingOnly free issuesPublishesWeekly
Issues80Founded4 years agoLast Issue4 days ago
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Latest Issues

"We Cannot Afford to Miss a Superiority Outcome"

On the morning of June 29th, 2026 a blurb appeared on my phone about a retraction in the vaunted New England Journal of Medicine. The link led to a short notice on the NEJM webpage:

The two academic authors of the article by Jayne et al....

4 days ago
24
17

Fire the Regulator. Approve the Drug.

The FDA fired its acting drug chief after she blocked approval of an immune-suppressing drug for children. Her replacement approved it four weeks later — without the independent expert review she had ordered. Here is what the record shows....

15 days ago
53
9

They Were Fixing the FDA. Then They Were Pushed Out.

On January 12, 2026, the FDA approved Zycubo — copper histidinate — for Menkes disease. Menkes disease is a genetic disorder of copper metabolism that kills most children who have it before their third birthday. There is no other treatment....

a month ago
143
32

Pennsylvania Had a Functioning Medical Malpractice Market. Then It Didn't.

I recently was asked to moderate a session on the changing medical malpractice market in Pennsylvania — a topic I have a lot of interest in, but have very little deep understanding of. The panel consisted of individuals that normally work o...

a month ago
8
2

Follow up to MIS-C post: Response from a Pediatric Immunologist

After publishing “[Did MIS-C Ever Really Exist?],” I received thoughtful comments As well as pushback from a pediatric immunologist who saw MIS-C cases firsthand during the pandemic. He told me there was no question MIS-C was a distinct cli...

2 months ago
12
2

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  • Anish Koka MD (Cardiology)

    Cardiologist writing on medicine and health policy (mostly)

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