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1
00:00:01,950 --> 00:00:02,992
If fraud was too high a bar,
2
00:00:02,992 --> 00:00:04,244
what would you charge him with?
3
00:00:04,244 --> 00:00:06,246
I'd charge them
with criminal misbranding.
4
00:00:06,246 --> 00:00:08,706
Permission granted to release
requested documents
5
00:00:08,706 --> 00:00:11,709
relating to marketing
and distribution.
6
00:00:11,709 --> 00:00:13,253
[suspenseful music]
7
00:00:13,253 --> 00:00:14,754
They're drowning us
in paperwork.
8
00:00:14,754 --> 00:00:16,631
I'm promoting you.
9
00:00:16,631 --> 00:00:18,132
I'd like you to be
deputy director
10
00:00:18,132 --> 00:00:19,634
of the Diversion Division.
11
00:00:19,634 --> 00:00:20,927
I accept.
12
00:00:20,927 --> 00:00:23,721
The worst thing that a
a parent could hear
13
00:00:23,721 --> 00:00:25,848
is that her kid is,
you know, queer.
14
00:00:25,848 --> 00:00:27,517
It'd kill me if you were, Bets.
15
00:00:27,517 --> 00:00:29,143
I guess you're dead, then.
16
00:00:29,143 --> 00:00:31,563
Do you realize that men
might be dead 'cause of you?
17
00:00:31,563 --> 00:00:33,773
I don't understand
what's happening to me.
18
00:00:33,773 --> 00:00:35,817
If we get Germany
uncontrolled,
19
00:00:35,817 --> 00:00:39,028
it will serve as a gateway
to the rest of Europe.
20
00:00:39,028 --> 00:00:40,488
Please tell me
I'm gonna see you
21
00:00:40,488 --> 00:00:42,031
in Orlando in a few weeks.
22
00:00:42,031 --> 00:00:45,076
SAMUEL: That's why I'm calling.
I was
23
00:00:45,076 --> 00:00:47,745
20 milligrams of OxyContin.
24
00:00:59,841 --> 00:01:01,509
TEEN: Got it.
TEEN: Hey, dude.
25
00:01:01,509 --> 00:01:03,094
TEEN: Hi, how are you doing?
TEEN: What's your in on?
26
00:01:03,094 --> 00:01:04,637
TEEN: 80.
TEEN: Bam.
27
00:01:04,637 --> 00:01:06,139
TEEN: Oh, fuck.
TEEN: Yeah.
28
00:01:06,139 --> 00:01:07,390
TEEN: Cheers to that.
29
00:01:07,390 --> 00:01:08,891
TEEN: Hey, hey,
what you doing, man?
30
00:01:08,891 --> 00:01:10,268
I was just gonna pop it.
31
00:01:10,268 --> 00:01:11,728
TEEN: No, man.
You gotta snort 'em.
32
00:01:11,728 --> 00:01:12,895
Here, I'll show you.
33
00:01:12,895 --> 00:01:14,272
TEEN: What the fuck's your
problem?
34
00:01:14,272 --> 00:01:15,815
TEEN: Elizabeth Ann,
are you in?
35
00:01:15,815 --> 00:01:17,191
It hits way faster.
36
00:01:17,191 --> 00:01:18,610
TEEN: Are you sure, man?
TEEN: Trust me, yeah.
37
00:01:18,610 --> 00:01:20,028
TEEN: 'Cause, we've
popped them normal before.
38
00:01:20,028 --> 00:01:21,904
Did Purdue say it was easy
for someone to bypass
39
00:01:21,904 --> 00:01:24,324
the timerelease coating
on an OxyContin pill?
40
00:01:24,324 --> 00:01:26,659
No, Purdue claimed
the coating
41
00:01:26,659 --> 00:01:28,578
was difficult to get around,
and therefore,
42
00:01:28,578 --> 00:01:32,457
OxyContin would be
unappealing to abusers.
43
00:01:32,457 --> 00:01:34,917
Was the coating difficult
to dissolve?
44
00:01:34,917 --> 00:01:38,671
No, it was very easy.
45
00:01:38,671 --> 00:01:41,466
All you had to do
is dissolve it in saliva
46
00:01:41,466 --> 00:01:43,885
and then scrape it off.
47
00:01:43,885 --> 00:01:46,554
And then the abuser
would have immediate access
48
00:01:46,554 --> 00:01:48,931
to the full 12hour supply.
49
00:01:48,931 --> 00:01:51,893
They just crush it off
then snort it.
50
00:01:53,436 --> 00:01:56,314
TEEN: Yeah!
TEEN: Oh, here we go!
51
00:01:56,314 --> 00:01:58,316
TEEN: Holy shit.
TEEN: Fuck yeah.
52
00:01:58,316 --> 00:02:01,319
I think I'm getting a chubby.
[all laugh]
53
00:02:01,319 --> 00:02:03,655
TEEN: Where's, uh,
where's Elizabeth Ann?
54
00:02:03,655 --> 00:02:05,198
TEEN: Elizabeth Ann?
55
00:02:05,198 --> 00:02:06,199
Hey!
TEEN: What the fuck you doing?
56
00:02:06,199 --> 00:02:07,575
Get your ass over here.
57
00:02:07,575 --> 00:02:10,620
Hey, it's good. Don't worry.
58
00:02:12,538 --> 00:02:13,956
TEEN: Go, you're up next.
59
00:02:16,793 --> 00:02:18,628
TEEN: First time
is the best time.
60
00:02:25,218 --> 00:02:28,805
Yeah!
[laughter]
61
00:02:28,805 --> 00:02:32,058
[Elizabeth sniffing]
Yeah!
62
00:02:32,058 --> 00:02:34,185
TEEN: Oh, shit.
TEEN: Hey, hey!
63
00:02:34,185 --> 00:02:36,104
[tense music]
64
00:02:36,104 --> 00:02:37,105
TEEN: All right, I'm up next,
right?
65
00:02:37,105 --> 00:02:39,190
TEEN: Yeah, you got to see...
66
00:02:39,190 --> 00:02:41,275
[whooping]
67
00:02:41,275 --> 00:02:45,071
[distorted, indistinct chatter]
68
00:02:54,414 --> 00:02:57,375
[Elizabeth screaming]
69
00:02:57,375 --> 00:02:59,377
Oh, my God. Oh, my God.
70
00:02:59,377 --> 00:03:00,962
Don't you fucking die,
Ryder!
71
00:03:00,962 --> 00:03:02,380
TEEN: You're gonna be all
right, don't worry about it.
72
00:03:02,380 --> 00:03:03,506
TEEN: Let's take him
to his mom's house.
73
00:03:03,506 --> 00:03:04,799
TEEN: We can't go
to his mom's house!
74
00:03:04,799 --> 00:03:06,175
Can we take him
to a fucking hospital?
75
00:03:06,175 --> 00:03:07,885
We can't take him
to a hospital.
76
00:03:07,885 --> 00:03:09,137
TEEN: Get him out of there.
77
00:03:09,137 --> 00:03:11,639
ELIZABETH:
What should we do?
78
00:03:11,639 --> 00:03:14,517
Oh, John, don't die, please.
79
00:03:14,517 --> 00:03:18,730
TEEN: Fuck, come on.
ELIZABETH: Please.
80
00:03:18,730 --> 00:03:21,107
What the fuck is that?
They didn't have any ice.
81
00:03:21,107 --> 00:03:22,817
Is that a fish?
TEEN: It's frozen.
82
00:03:22,817 --> 00:03:24,277
It'll wake him up.
83
00:03:24,277 --> 00:03:29,574
♪ ♪
84
00:03:29,574 --> 00:03:30,992
TEEN: Wake up.
ELIZABETH: Why?
85
00:03:30,992 --> 00:03:32,660
Wake the fuck up.
86
00:03:34,620 --> 00:03:35,830
Fuck!
87
00:03:38,541 --> 00:03:39,834
Let's get out of here.
88
00:03:39,834 --> 00:03:41,461
ELIZABETH: No, wait, we can't
leave him here!
89
00:03:41,461 --> 00:03:43,796
TEEN: Come on!
ELIZABETH: We can't leave him!
90
00:03:43,796 --> 00:03:45,757
TEEN: Elizabeth Ann!
91
00:03:45,757 --> 00:03:46,883
Come on!
92
00:03:46,883 --> 00:03:53,890
♪ ♪
93
00:04:13,910 --> 00:04:17,538
[engine roaring]
94
00:04:19,582 --> 00:04:22,627
[heavy metal music
playing on radio]
95
00:04:34,055 --> 00:04:35,389
BETSY:
Here.
96
00:04:38,351 --> 00:04:40,853
What the fuck is this?
These are fucking 10s.
97
00:04:40,853 --> 00:04:43,439
ER doctor was on to me.
98
00:04:43,439 --> 00:04:45,983
Only gave me four days' worth.
99
00:04:45,983 --> 00:04:48,653
God damn it. What the fuck?
100
00:04:50,696 --> 00:04:52,949
I'ma be really sick tomorrow.
WALT: Yeah, and I'm not?
101
00:04:52,949 --> 00:04:54,408
You're the fucking
drug dealer!
102
00:04:54,408 --> 00:04:56,118
Why is this on me?
103
00:05:05,962 --> 00:05:07,588
WALT:
And what about Florida?
104
00:05:07,588 --> 00:05:09,549
We can hit one
of the pain clinics.
105
00:05:12,301 --> 00:05:15,179
BETSY:
That's too far. We'll get fired.
106
00:05:15,179 --> 00:05:16,681
Yeah, well, we got
nowhere else to go
107
00:05:16,681 --> 00:05:18,349
'cause you keep burning up
all the God damned ERs.
108
00:05:18,349 --> 00:05:21,477
I'm not good at this.
They don't believe me.
109
00:05:21,477 --> 00:05:22,895
That's why it's gotta
be Florida, okay?
110
00:05:22,895 --> 00:05:24,105
They don't care down there.
111
00:05:24,105 --> 00:05:26,023
We can get whatever
the fuck we want.
112
00:05:30,278 --> 00:05:31,529
I can't go.
113
00:05:33,823 --> 00:05:35,324
I can't go.
114
00:05:35,324 --> 00:05:36,534
All right,
then get the fuck out.
115
00:05:38,369 --> 00:05:40,079
BETSY: What?
WALT: I said, get the fuck out!
116
00:05:40,079 --> 00:05:42,290
BETSY:
Jesus Christ, Walt.
117
00:05:42,290 --> 00:05:46,127
[engine revving]
118
00:05:46,127 --> 00:05:47,169
Fuck!
119
00:05:51,883 --> 00:05:53,134
SAMUEL:
How about right here?
120
00:05:53,134 --> 00:05:55,595
Oh, yeah.
It'sit'sit's getting worse.
121
00:05:55,595 --> 00:05:57,013
Yeah.
122
00:05:57,013 --> 00:05:59,098
Can't even wake up
without a pill anymore.
123
00:05:59,098 --> 00:06:00,933
SAMUEL: Yeah.
You're taking them twice a day?
124
00:06:00,933 --> 00:06:03,060
PATIENT:
Yeah, but where does that help?
125
00:06:03,060 --> 00:06:06,606
SAMUEL:
Okay, you're having pain even when you don't take it.
126
00:06:06,606 --> 00:06:09,984
Oh, 100%.
But I want off of this stuff.
127
00:06:09,984 --> 00:06:11,110
SAMUEL:
Yeah.
128
00:06:11,110 --> 00:06:13,112
I'mI'm either
falling asleep all day
129
00:06:13,112 --> 00:06:14,447
or thinking
about the next pill.
130
00:06:14,447 --> 00:06:15,990
Mmhmm, okay.
131
00:06:15,990 --> 00:06:19,327
Well, we're just gonna
taper you off there, buddy.
132
00:06:19,327 --> 00:06:20,703
PATIENT:
Wewe tried that.
133
00:06:20,703 --> 00:06:23,080
Yeah, I know,
we're trying again.
134
00:06:23,080 --> 00:06:24,206
I'm gonna lower your dose
135
00:06:24,206 --> 00:06:27,209
from 80 milligrams
down to 40, okay?
136
00:06:27,209 --> 00:06:29,420
And if you're experiencing
any withdrawal symptoms,
137
00:06:29,420 --> 00:06:32,673
I'll cut that
with some Xanax, okay?
138
00:06:32,673 --> 00:06:34,592
We'll get this right.
139
00:06:34,592 --> 00:06:37,053
How many pills do you have left
in that bottle?
140
00:06:37,053 --> 00:06:38,846
PATIENT:
A few. A few here.
141
00:06:38,846 --> 00:06:41,307
SAMUEL:
Okay, just leave the bottle on the table there,
142
00:06:41,307 --> 00:06:44,894
and, uh, we'll lower
your dose here, buddy.
143
00:06:44,894 --> 00:06:47,521
All right.
144
00:06:47,521 --> 00:06:50,149
We'll get you
feeling better, okay?
145
00:06:50,149 --> 00:06:51,150
It'll be all right.
146
00:06:51,150 --> 00:06:52,568
PATIENT:
Thanks, doc.
147
00:06:56,280 --> 00:06:59,241
[tense music]
148
00:06:59,241 --> 00:07:06,248
♪ ♪
149
00:07:25,142 --> 00:07:27,269
We are so proud
to be honoring
150
00:07:27,269 --> 00:07:29,397
my great brother,
Arthur Sackler,
151
00:07:29,397 --> 00:07:32,400
into the Medical Advertising
Hall of Fame.
152
00:07:32,400 --> 00:07:35,486
[applause]
153
00:07:35,486 --> 00:07:39,991
In many ways, Arthur Sackler
invented medical advertising.
154
00:07:39,991 --> 00:07:42,159
He was the first to realize
155
00:07:42,159 --> 00:07:45,663
it wasn't patients who decided
what drugs they took.
156
00:07:45,663 --> 00:07:47,915
It was their doctors.
157
00:07:47,915 --> 00:07:51,377
Shunned by Madison Avenue
for being Jewish,
158
00:07:51,377 --> 00:07:54,839
he formed his own company
specifically targeting doctors
159
00:07:54,839 --> 00:07:57,466
with articles
from scientific journals
160
00:07:57,466 --> 00:08:01,345
and studies
from medical societies.
161
00:08:01,345 --> 00:08:03,973
Sure, sometimes the societies
162
00:08:03,973 --> 00:08:07,935
and the experts
were financed by Arthur.
163
00:08:07,935 --> 00:08:09,353
[laughter]
164
00:08:09,353 --> 00:08:11,355
JONATHAN: Who do you think
is the bigger asshole?
165
00:08:11,355 --> 00:08:13,733
Uncle Mortimer or Uncle Arthur?
166
00:08:16,318 --> 00:08:18,696
C, all the above.
[Jonathan chuckles]
167
00:08:18,696 --> 00:08:20,364
Not only
changed the way medicine
168
00:08:20,364 --> 00:08:22,074
is marketed in this country;
169
00:08:22,074 --> 00:08:25,745
it changed
the medical industry forever.
170
00:08:25,745 --> 00:08:28,748
[indistinct chatter]
171
00:08:31,459 --> 00:08:32,835
BETH:
Your uncle was good.
172
00:08:32,835 --> 00:08:34,295
RICHARD:
For his time.
173
00:08:37,131 --> 00:08:38,132
Hmm.
174
00:08:38,132 --> 00:08:39,967
This one's missing the zombies
175
00:08:39,967 --> 00:08:43,471
that valium
turned some patients into.
176
00:08:43,471 --> 00:08:46,390
He got away with it.
Barely.
177
00:08:46,390 --> 00:08:49,435
But it made him rich.
178
00:08:49,435 --> 00:08:53,105
Beth, darling, would you
give us a few minutes, please?
179
00:08:54,523 --> 00:08:56,233
Sure.
RAYMOND: Thank you.
180
00:08:59,653 --> 00:09:01,238
You had to do it, didn't you?
181
00:09:03,949 --> 00:09:05,034
Do what?
182
00:09:05,034 --> 00:09:08,412
You had to say
it was nonaddictive.
183
00:09:08,412 --> 00:09:10,498
Dad, even the FDA
Oh, please.
184
00:09:10,498 --> 00:09:12,792
Call notes are starting
to come in that patients
185
00:09:12,792 --> 00:09:14,627
are showing signs of addiction.
186
00:09:14,627 --> 00:09:17,755
Just a few pockets
of West Virginia.
187
00:09:17,755 --> 00:09:19,131
It's cultural.
188
00:09:19,131 --> 00:09:21,884
All those hillbillies do
is get addicted.
189
00:09:21,884 --> 00:09:25,763
And Maine and Kentucky.
All our phase one states.
190
00:09:25,763 --> 00:09:28,140
If it becomes accepted
that more than 1%
191
00:09:28,140 --> 00:09:30,059
become addicted, it's dead.
192
00:09:30,059 --> 00:09:31,435
And one year of strong sales
193
00:09:31,435 --> 00:09:34,396
isn't gonna make up
for the 40 million you spent.
194
00:09:34,396 --> 00:09:37,149
[suspenseful music]
195
00:09:37,149 --> 00:09:40,194
Any suggestions?
196
00:09:40,194 --> 00:09:42,446
Take a page
from Arthur's playbook.
197
00:09:42,446 --> 00:09:44,073
Get an expert
who'll tell doctors
198
00:09:44,073 --> 00:09:46,492
the truth of our wonder drug.
199
00:09:46,492 --> 00:09:48,119
We've got Russell Portenoy.
200
00:09:48,119 --> 00:09:52,248
No, I'm thinking someone
more aggressive,
201
00:09:52,248 --> 00:09:56,293
especially if your 1% claim
is, um, hmm.
202
00:09:56,293 --> 00:09:59,213
What's that medical term?
203
00:09:59,213 --> 00:10:00,673
Fucking bullshit.
204
00:10:02,508 --> 00:10:03,676
Fine.
205
00:10:06,053 --> 00:10:08,556
We'll find
an aggressive expert.
206
00:10:08,556 --> 00:10:12,226
No, thethe osteoarthritis
was truly debilitating,
207
00:10:12,226 --> 00:10:14,061
and nothing seemed to work
until I realized
208
00:10:14,061 --> 00:10:15,938
that the patient
needed something strong enough
209
00:10:15,938 --> 00:10:17,815
to stop the breakthrough pain.
210
00:10:17,815 --> 00:10:20,526
So I started the patient
on methadone,
211
00:10:20,526 --> 00:10:22,319
and she was back to normal
within just a few days.
212
00:10:22,319 --> 00:10:24,864
Methadone?
213
00:10:24,864 --> 00:10:27,074
You said find me aggressive.
214
00:10:27,074 --> 00:10:30,161
He has a theory
called pseudo addiction,
215
00:10:30,161 --> 00:10:33,414
which basically means addiction
doesn't exist.
216
00:10:36,834 --> 00:10:38,377
Who is this guy?
217
00:10:38,377 --> 00:10:39,837
David Haddox.
218
00:10:39,837 --> 00:10:41,755
He went to dental school
but now heads
219
00:10:41,755 --> 00:10:44,008
the Pain Management Department
at Emory.
220
00:10:44,008 --> 00:10:47,344
Aa fitting progression.
221
00:10:47,344 --> 00:10:48,554
MICHAEL:
You wanna meet with him?
222
00:10:50,764 --> 00:10:52,975
God, yes.
223
00:10:52,975 --> 00:10:55,686
So you really feel opioids
are underprescribed?
224
00:10:55,686 --> 00:10:57,271
For decades.
225
00:10:57,271 --> 00:10:59,732
Now, the Porter/Jick study
is exactly right.
226
00:10:59,732 --> 00:11:03,485
Under the proper care,
opioids are totally safe.
227
00:11:05,529 --> 00:11:08,699
II recently read
a theory of yours,
228
00:11:08,699 --> 00:11:12,244
which is why I
I wanted to meet.
229
00:11:12,244 --> 00:11:13,329
DAVID:
Thank you.
230
00:11:14,997 --> 00:11:18,000
Let me guess: pseudo addiction?
231
00:11:18,000 --> 00:11:20,544
Correct.
How'd you come up with
232
00:11:20,544 --> 00:11:22,838
mm, uh.
233
00:11:24,340 --> 00:11:28,719
Where did you discover
pseudo addiction?
234
00:11:28,719 --> 00:11:33,390
Yeah, so I was, um,
so I was, uh, was working
235
00:11:33,390 --> 00:11:35,726
with a 17yearold
leukemia patient
236
00:11:35,726 --> 00:11:38,395
who showed
classic signs of addiction.
237
00:11:38,395 --> 00:11:40,189
And yet we upped
his medication,
238
00:11:40,189 --> 00:11:41,941
and he was fine.
239
00:11:41,941 --> 00:11:44,068
Turns out that
he wasn't addicted at all.
240
00:11:44,068 --> 00:11:46,070
It was that
that underlying pain
241
00:11:46,070 --> 00:11:47,821
hadn't been properly treated.
242
00:11:47,821 --> 00:11:49,573
[inquisitive music]
243
00:11:49,573 --> 00:11:53,410
So pseudo addiction means
244
00:11:53,410 --> 00:11:56,330
that, uh,
245
00:11:56,330 --> 00:12:00,751
addiction symptoms are,
in actuality,
246
00:12:00,751 --> 00:12:03,671
the symptoms of untreated pain?
247
00:12:03,671 --> 00:12:05,214
That's correct.
248
00:12:05,214 --> 00:12:08,759
Yeah, taking away a patient's
medication isn't helping them.
249
00:12:08,759 --> 00:12:10,844
It's torturing them.
250
00:12:10,844 --> 00:12:13,681
What they need
is more medication,
251
00:12:13,681 --> 00:12:15,224
and then these supposed
252
00:12:15,224 --> 00:12:18,519
addiction symptoms
will quickly go away.
253
00:12:18,519 --> 00:12:21,355
So
254
00:12:21,355 --> 00:12:25,109
so do you think all addiction
255
00:12:25,109 --> 00:12:30,072
is, in actuality,
pseudo addiction?
256
00:12:30,072 --> 00:12:32,283
In relation to medication?
257
00:12:32,283 --> 00:12:33,659
Yes.
Huh.
258
00:12:33,659 --> 00:12:36,203
DAVID: I look in those rare
instances when a patient
259
00:12:36,203 --> 00:12:37,746
truly is an addict;
260
00:12:37,746 --> 00:12:40,582
that's not the fault
of the drug or the doctor.
261
00:12:40,582 --> 00:12:44,169
No, the patient was most likely
a drug addict to begin with
262
00:12:44,169 --> 00:12:47,006
due to genetic defects.
263
00:12:47,006 --> 00:12:49,341
What about cigarettes?
[David chuckles]
264
00:12:49,341 --> 00:12:51,593
Addiction or pseudo addiction?
265
00:12:51,593 --> 00:12:55,556
Yeah, smokingsmoking is
definitely pseudo addiction.
266
00:12:55,556 --> 00:12:57,182
It's all in their heads.
267
00:13:04,315 --> 00:13:06,608
How would you like to work
for Purdue Pharma?
268
00:13:11,488 --> 00:13:14,450
[inquisitive music]
269
00:13:14,450 --> 00:13:21,457
♪ ♪
270
00:13:33,135 --> 00:13:34,303
RANDY:
Morning, boss.
271
00:13:36,513 --> 00:13:38,349
RICK: Still no update
on the funding?
272
00:13:39,933 --> 00:13:41,727
Well, good morning
to you too, Randy.
273
00:13:41,727 --> 00:13:43,937
How's Jennifer? The kids?
274
00:13:43,937 --> 00:13:45,814
RICK:
Sorry, good morning.
275
00:13:45,814 --> 00:13:46,982
Nailed it.
276
00:13:49,443 --> 00:13:52,071
You know,
it seems pretty darn odd
277
00:13:52,071 --> 00:13:53,989
if these FBI guys
won't grant us
278
00:13:53,989 --> 00:13:56,325
a small amount of resources.
279
00:13:56,325 --> 00:13:57,868
Could just be,
as my son would say,
280
00:13:57,868 --> 00:14:00,496
a dysfunctional government.
281
00:14:00,496 --> 00:14:02,748
Your son's four, Rick.
282
00:14:02,748 --> 00:14:05,417
Feeling a little inadequate
right now.
283
00:14:05,417 --> 00:14:06,794
Good morning, guys.
284
00:14:06,794 --> 00:14:08,295
RANDY: Morning.
What's up?
285
00:14:08,295 --> 00:14:10,714
KAREN: Still haven't heard back
from the Medicaid office,
286
00:14:10,714 --> 00:14:13,175
and Dr. Jick's office finally
called me back and said,
287
00:14:13,175 --> 00:14:14,968
"The doctor's unavailable."
288
00:14:14,968 --> 00:14:17,596
Unavailable? Today?
289
00:14:17,596 --> 00:14:19,932
Nope.
She said unavailable, period.
290
00:14:24,103 --> 00:14:26,230
RECEPTIONIST: Yes, I told you,
Dr. Jick is unavailable.
291
00:14:26,230 --> 00:14:27,481
Well, I've called
multiple times,
292
00:14:27,481 --> 00:14:28,857
and I'd just like
an explanation
293
00:14:28,857 --> 00:14:31,068
as to why Dr. Jick refuses
to speak to me.
294
00:14:31,068 --> 00:14:32,319
RECEPTIONIST:
He said he's very busy,
295
00:14:32,319 --> 00:14:33,737
but I'll leave a message.
Thank you.
296
00:14:38,742 --> 00:14:40,869
Well, this just
got interesting.
297
00:14:43,038 --> 00:14:44,123
JOHN:
So what's the latest?
298
00:14:44,123 --> 00:14:45,249
Well, as you know,
299
00:14:45,249 --> 00:14:47,292
Purdue aggressively
pushed the drug
300
00:14:47,292 --> 00:14:48,752
as nonaddictive
with the phrase
301
00:14:48,752 --> 00:14:50,421
"less than 1% get addicted."
302
00:14:50,421 --> 00:14:53,590
That figure comes from
the Porter/Jick study
303
00:14:53,590 --> 00:14:57,094
that was done
by Dr. Hershel Jick at, uh...
304
00:14:57,094 --> 00:14:59,471
Boston. Boston University.
RICK: Boston University.
305
00:14:59,471 --> 00:15:01,557
JOHN:
Well, let me guess, it's that the fraudulent study
306
00:15:01,557 --> 00:15:03,225
that was secretly funded
by Purdue?
307
00:15:03,225 --> 00:15:04,977
Just like the pain study?
RANDY: Well, that's one theory.
308
00:15:04,977 --> 00:15:08,897
We actually called Dr. Jick
to discuss it with him,
309
00:15:08,897 --> 00:15:12,109
but something
very interesting occurred.
310
00:15:12,109 --> 00:15:14,570
He wouldn't get
on the phone with us.
311
00:15:18,615 --> 00:15:19,867
Well, nothing says suspect
312
00:15:19,867 --> 00:15:22,953
quite like
an unanswered phone call.
313
00:15:22,953 --> 00:15:25,747
If that 1% study
is indeed fraudulent,
314
00:15:25,747 --> 00:15:29,084
it's a home run in proving
criminal misbranding.
315
00:15:29,084 --> 00:15:30,377
Yeah, and if you can find
316
00:15:30,377 --> 00:15:31,879
the highlevel Purdue exec
that oversaw it...
317
00:15:31,879 --> 00:15:33,255
Could indict them for fraud.
318
00:15:33,255 --> 00:15:36,550
Yeah, that's right.
It sounds like a great lead.
319
00:15:36,550 --> 00:15:38,886
Yeah, this case is starting
to take up so much time.
320
00:15:38,886 --> 00:15:40,137
That's right.
321
00:15:40,137 --> 00:15:41,513
RANDY: We need more funding
for prosecutors
322
00:15:41,513 --> 00:15:43,182
for our nonPurdue cases.
JOHN: Yeah, I know, I know.
323
00:15:43,182 --> 00:15:45,100
I mean,
why won't the FBI or the DEA
324
00:15:45,100 --> 00:15:46,560
give us additional funding?
325
00:15:46,560 --> 00:15:48,061
You know, I don't know.
326
00:15:48,061 --> 00:15:50,856
Maybe they're not, uh,
connected to the issue.
327
00:15:50,856 --> 00:15:52,316
You know what you should do,
you should try
328
00:15:52,316 --> 00:15:53,901
the Virginia State Police.
329
00:15:53,901 --> 00:15:55,611
Try Virginia Medicaid
Fraud Unit.
330
00:15:55,611 --> 00:15:57,779
They'll get it.
And you know, the more we find,
331
00:15:57,779 --> 00:15:59,072
the more it opens up
those coffers.
332
00:15:59,072 --> 00:16:01,450
Yeah, but it, it just
it is really difficult
333
00:16:01,450 --> 00:16:03,410
to find anything without
the proper resources.
334
00:16:03,410 --> 00:16:04,953
I mean,
I knew we'd be outspent,
335
00:16:04,953 --> 00:16:06,413
but I did not expect
336
00:16:06,413 --> 00:16:08,415
to not have access
to the most basic things,
337
00:16:08,415 --> 00:16:09,917
like highspeed computers
and scanners.
338
00:16:09,917 --> 00:16:12,628
JOHN:
Look, guys, II get it, trust me.
339
00:16:12,628 --> 00:16:14,463
But we just
keep pushing, all right?
340
00:16:14,463 --> 00:16:16,507
Yeah.
We'll see where it goes, sir.
341
00:16:16,507 --> 00:16:18,842
JOHN:
All right, boys. You can enjoy your lunch.
342
00:16:18,842 --> 00:16:20,177
RICK: Thank you.
JOHN: Keep me posted.
343
00:16:20,177 --> 00:16:22,513
Oh, Randy.
Sir?
344
00:16:22,513 --> 00:16:24,723
Uh, how you doing,
healthwise?
345
00:16:24,723 --> 00:16:26,683
I actually just had
my oneyear scan,
346
00:16:26,683 --> 00:16:29,353
and I am cancerfree.
347
00:16:29,353 --> 00:16:31,897
Yeah, he's good.
JOHN: That's great news.
348
00:16:37,194 --> 00:16:40,030
BRIDGET: OxyContin is becoming
the leading cause
349
00:16:40,030 --> 00:16:41,949
of overdose in the country.
350
00:16:41,949 --> 00:16:44,409
Newspapers are filled
with arrests in rural areas
351
00:16:44,409 --> 00:16:48,080
where crime directly related
to the drug is skyrocketing.
352
00:16:48,080 --> 00:16:49,665
Isn't Diversion
and local authorities
353
00:16:49,665 --> 00:16:51,208
supposed to deal
with these crime issues?
354
00:16:51,208 --> 00:16:53,919
Yes, but what makes this
so overwhelming
355
00:16:53,919 --> 00:16:56,129
for law enforcement
is the sheer ease
356
00:16:56,129 --> 00:16:58,715
with which users
can get access to the drug.
357
00:16:58,715 --> 00:17:02,636
I mean, they are available in
every pharmacy in the country.
358
00:17:02,636 --> 00:17:04,721
What do you feel
is the best approach?
359
00:17:04,721 --> 00:17:06,557
I think
the most effective way
360
00:17:06,557 --> 00:17:08,475
to solve this problem
361
00:17:08,475 --> 00:17:10,978
is to limit the drug's use
for severe pain only.
362
00:17:10,978 --> 00:17:14,523
It is a very strong narcotic
that is being prescribed
363
00:17:14,523 --> 00:17:17,442
for issues such as basic
dental work and even headaches.
364
00:17:17,442 --> 00:17:20,112
If it was no longer allowed
for moderate pain,
365
00:17:20,112 --> 00:17:21,446
then overnight,
366
00:17:21,446 --> 00:17:23,991
millions of pills
will be off the streets.
367
00:17:23,991 --> 00:17:25,867
What about the millions
of legitimate pain patients
368
00:17:25,867 --> 00:17:27,327
that will lose access
to the drug?
369
00:17:27,327 --> 00:17:30,455
If they have severe pain,
they will not lose access.
370
00:17:30,455 --> 00:17:33,584
But this recent practice
of opioid use for moderate pain
371
00:17:33,584 --> 00:17:37,671
is causing a startling new wave
of crime and addiction.
372
00:17:37,671 --> 00:17:40,674
The role of the FDA is
to make sure medicine is safe.
373
00:17:40,674 --> 00:17:43,302
And when this drug
is taken as prescribed,
374
00:17:43,302 --> 00:17:46,179
this medicine is safe.
375
00:17:46,179 --> 00:17:48,056
And I disagree.
376
00:17:51,935 --> 00:17:54,104
CYNTHIA:
Anecdotes about abuse and crime
377
00:17:54,104 --> 00:17:56,356
are not a scientific analysis
of the drug's safety.
378
00:17:56,356 --> 00:17:58,942
They're tales of addicts
abusing pharmaceuticals,
379
00:17:58,942 --> 00:18:00,360
which happens with all opioids.
380
00:18:00,360 --> 00:18:04,031
So until you can prove
the drug itself is dangerous,
381
00:18:04,031 --> 00:18:06,241
I don't see how we can
put restrictions on it.
382
00:18:11,997 --> 00:18:14,416
[tense music]
383
00:18:14,416 --> 00:18:15,626
Okay.
384
00:18:16,918 --> 00:18:20,380
Well, you're not gonna
take action,
385
00:18:20,380 --> 00:18:25,052
then I will call in Purdue,
discuss it with them directly.
386
00:18:25,052 --> 00:18:27,471
I think you should.
I will.
387
00:18:33,894 --> 00:18:36,104
And your warning label
that this drug
388
00:18:36,104 --> 00:18:38,357
is somehow less addictive
389
00:18:38,357 --> 00:18:40,275
is total bullshit.
390
00:18:40,275 --> 00:18:43,320
You should look into
changing that immediately.
391
00:18:47,783 --> 00:18:49,284
BILLY:
Why would you start him on 20 milligrams
392
00:18:49,284 --> 00:18:51,328
when 40 milligrams sounds like
it's gonna be more effective?
393
00:18:51,328 --> 00:18:53,622
KANE: Hey, yo, Teddy.
RILEY: Yo.
394
00:18:53,622 --> 00:18:55,374
BILLY:
Right, that's why you keep titrating 'em up
395
00:18:55,374 --> 00:18:57,876
until all there's left to say
is thank you.
396
00:18:57,876 --> 00:19:01,171
I managed to scrounge up
a couple of Hokies tickets
397
00:19:01,171 --> 00:19:02,506
if you're interested.
398
00:19:02,506 --> 00:19:06,093
You are the hardestworking
nurse in the state.
399
00:19:06,093 --> 00:19:08,512
All right, you deserve
a spa weekend.
400
00:19:08,512 --> 00:19:12,349
Listen, I think win or lose,
we go to the bar.
401
00:19:12,349 --> 00:19:13,934
That'sthat's what
I've been saying.
402
00:19:13,934 --> 00:19:16,353
Individualizing the dose
is everything.
403
00:19:16,353 --> 00:19:18,105
BOTH:
♪ I work ♪
404
00:19:18,105 --> 00:19:22,359
♪ I work, I work ♪
405
00:19:22,359 --> 00:19:24,444
♪ I work, baby ♪
406
00:19:24,444 --> 00:19:27,155
♪ I work, I work ♪
407
00:19:27,155 --> 00:19:28,657
KANE:
♪ I'll get the job done ♪
408
00:19:28,657 --> 00:19:30,701
BOTH:
♪ I work ♪
409
00:19:30,701 --> 00:19:32,911
♪ I work, baby ♪
410
00:19:32,911 --> 00:19:35,163
DAVID:
Which means that most symptoms of addiction
411
00:19:35,163 --> 00:19:37,791
are, in reality,
untreated pain.
412
00:19:37,791 --> 00:19:40,168
And the cure
for pseudo addiction
413
00:19:40,168 --> 00:19:42,379
is that the patient
needs more medication.
414
00:19:42,379 --> 00:19:44,464
MICHAEL:
More than 100,000 physicians,
415
00:19:44,464 --> 00:19:46,425
almost half of all doctors
in the country
416
00:19:46,425 --> 00:19:49,219
will be sent
pseudo addiction pamphlets.
417
00:19:49,219 --> 00:19:51,388
Give one to any doctor
if their patients
418
00:19:51,388 --> 00:19:55,267
show signs of addict
sorry, pseudo addiction.
419
00:19:55,267 --> 00:19:57,602
Questions? Yes.
420
00:19:57,602 --> 00:20:00,772
Last week, I had a doctor
tell me he had two patients
421
00:20:00,772 --> 00:20:03,108
taking way more pills
than he prescribed.
422
00:20:03,108 --> 00:20:04,276
Like, he was very worried
423
00:20:04,276 --> 00:20:05,736
they were addicted
to the medication.
424
00:20:05,736 --> 00:20:06,945
No, no, no, no,
it sounds like
425
00:20:06,945 --> 00:20:09,156
your physician's
actually under prescribing.
426
00:20:09,156 --> 00:20:10,574
No, he's not.
427
00:20:10,574 --> 00:20:12,492
They're already taking
80 milligrams a day.
428
00:20:12,492 --> 00:20:14,619
Look, if I tell them
that they're pseudo addicted
429
00:20:14,619 --> 00:20:17,038
and need to be bumped up
to 160 milligrams,
430
00:20:17,038 --> 00:20:18,415
he'll just kick me
out of his office.
431
00:20:18,415 --> 00:20:22,002
Now that is
a defeatist attitude.
432
00:20:22,002 --> 00:20:26,214
Dr. Haddox is giving us
innovative concepts,
433
00:20:26,214 --> 00:20:29,760
and he deserves respect and
appreciation for his expertise.
434
00:20:29,760 --> 00:20:34,222
Uh, ma'am, if people are
living with unnecessary pain,
435
00:20:34,222 --> 00:20:35,432
and they're being stigmatized
436
00:20:35,432 --> 00:20:37,768
when the solution
is right in front of them
437
00:20:37,768 --> 00:20:41,521
if people are suffering,
they need a higher dose.
438
00:20:41,521 --> 00:20:44,524
[applause]
439
00:20:48,487 --> 00:20:51,490
[upbeat music playing]
440
00:20:56,161 --> 00:20:59,206
Hey, I'm Sandra.
441
00:20:59,206 --> 00:21:00,749
BILLY:
Hey. Billy.
442
00:21:00,749 --> 00:21:03,001
So, um, which territories
do you cover?
443
00:21:03,001 --> 00:21:05,796
Uh, Virginia.
Appalachia mostly.
444
00:21:05,796 --> 00:21:08,173
Wow, lucky you.
445
00:21:08,173 --> 00:21:09,716
Excuse me. Paula.
446
00:21:09,716 --> 00:21:13,970
Hey, are you, uh, checking
into the hotel right now?
447
00:21:13,970 --> 00:21:17,057
No, I'm going home.
They just fired me.
448
00:21:17,057 --> 00:21:19,059
What? Are you serious? Why?
449
00:21:19,059 --> 00:21:22,103
They said I had
inconsistent paperwork.
450
00:21:22,103 --> 00:21:26,066
Oh, my God. Um, I'm sorry.
451
00:21:26,066 --> 00:21:27,776
Don't be.
452
00:21:27,776 --> 00:21:30,403
No, I'm relieved actually.
453
00:21:30,403 --> 00:21:32,531
They all know.
454
00:21:32,531 --> 00:21:34,157
And you know.
455
00:21:34,157 --> 00:21:36,535
[tense music]
456
00:21:36,535 --> 00:21:38,119
Uh, know what?
457
00:21:40,247 --> 00:21:41,915
Okay, Billy.
458
00:21:41,915 --> 00:21:48,672
♪ ♪
459
00:21:51,883 --> 00:21:54,886
[unsettling music]
460
00:21:54,886 --> 00:21:57,889
[Radiohead's
"Spinning Plates"]
461
00:21:57,889 --> 00:22:02,143
♪ ♪
462
00:22:02,143 --> 00:22:03,728
Individualize the dose.
463
00:22:13,113 --> 00:22:14,781
SCIENTIST:
As opposed to other drugs,
464
00:22:14,781 --> 00:22:17,659
opioids are uniquely
challenging to stop using
465
00:22:17,659 --> 00:22:20,495
because they can change
a person's brain chemistry.
466
00:22:25,834 --> 00:22:29,588
But in a desperate effort
to end the cycle of dependency,
467
00:22:29,588 --> 00:22:31,423
some people try to quit
cold turkey,
468
00:22:31,423 --> 00:22:34,801
but the results
can often be disastrous.
469
00:23:00,327 --> 00:23:03,121
A hydrangea? How'd you know?
470
00:23:03,121 --> 00:23:05,373
BILLY:
Oh, you know, I have my ways.
471
00:23:05,373 --> 00:23:07,918
Can I, uh, can I see the doc?
472
00:23:07,918 --> 00:23:12,005
Billy, you know he doesn't
wanna see you anymore.
473
00:23:12,005 --> 00:23:14,090
Come on, there's gotta be
a misunderstanding here.
474
00:23:14,090 --> 00:23:15,800
It's been months.
475
00:23:15,800 --> 00:23:17,802
And Iyou know, I miss him.
476
00:23:19,971 --> 00:23:22,682
Well, he cleared
his appointments today
477
00:23:22,682 --> 00:23:24,392
'cause he's not feeling well.
478
00:23:24,392 --> 00:23:27,187
I was in the bathroom
when you walked in.
479
00:23:27,187 --> 00:23:29,439
Thank you, Leah.
Mmhmm.
480
00:23:32,943 --> 00:23:35,111
[rhythmic knock at door]
481
00:23:35,111 --> 00:23:36,529
BILLY:
It's your favorite pharma rep.
482
00:23:39,699 --> 00:23:41,201
Doc, are you okay?
483
00:23:45,121 --> 00:23:46,665
Never better.
484
00:23:48,583 --> 00:23:50,877
Hi, I just, uh,
485
00:23:50,877 --> 00:23:55,006
wanted to see
how you're doing and, uh,
486
00:23:55,006 --> 00:23:57,842
see how you're patients are.
487
00:23:57,842 --> 00:23:59,719
It's been a while.
488
00:23:59,719 --> 00:24:02,555
Have a seat.
Sure.
489
00:24:12,440 --> 00:24:15,151
Let me ask you
something, Bill.
490
00:24:15,151 --> 00:24:18,113
Do you ever think that, um,
491
00:24:18,113 --> 00:24:21,616
maybe that miracle drug
you're selling,
492
00:24:21,616 --> 00:24:23,159
it's just, you know,
493
00:24:23,159 --> 00:24:26,705
just a tad more addictive
than you said?
494
00:24:30,500 --> 00:24:33,920
Uh, that's not
what we're hearing.
495
00:24:33,920 --> 00:24:37,841
Um, but there is a condition
associated with this,
496
00:24:37,841 --> 00:24:41,302
um, which III have
some information on.
497
00:24:41,302 --> 00:24:44,389
I can share it with you. Um.
498
00:24:44,389 --> 00:24:45,765
Pseudo addiction.
499
00:24:45,765 --> 00:24:49,436
Uh, we're seeing some cases,
although rare,
500
00:24:49,436 --> 00:24:52,313
where they show
the symptoms of addiction,
501
00:24:52,313 --> 00:24:55,400
but in reality,
their underlying pain
502
00:24:55,400 --> 00:24:57,902
hasn't been
sufficiently addressed.
503
00:24:57,902 --> 00:25:00,071
Uh.
504
00:25:00,071 --> 00:25:02,115
Andand the solution
is simple.
505
00:25:02,115 --> 00:25:06,578
You know, youyou up the dose,
andand their symptoms,
506
00:25:06,578 --> 00:25:10,165
you know, disappear, and
in time.
507
00:25:10,165 --> 00:25:11,624
Let's have a look.
508
00:25:16,379 --> 00:25:19,382
[unsettling music]
509
00:25:19,382 --> 00:25:23,094
♪ ♪
510
00:25:23,094 --> 00:25:26,848
You sell poison, Billy.
511
00:25:26,848 --> 00:25:28,183
What's that?
SAMUEL: That's all it says.
512
00:25:28,183 --> 00:25:29,809
You sell poison.
That's what you do.
513
00:25:29,809 --> 00:25:32,562
That's just poison.
514
00:25:32,562 --> 00:25:33,688
BILLY:
No, doc, I
515
00:25:33,688 --> 00:25:35,482
Yeah, well, it's what it is.
516
00:25:38,401 --> 00:25:41,571
Yeah, it's poison.
517
00:25:41,571 --> 00:25:42,739
I can talk you
through it, doc.
518
00:25:42,739 --> 00:25:44,115
It's a new concept.
It's all in here.
519
00:25:44,115 --> 00:25:47,660
No, no, these are good,
hardworking people.
520
00:25:47,660 --> 00:25:49,287
These are good,
hardworking people,
521
00:25:49,287 --> 00:25:51,164
and you have
the FDA label this
522
00:25:51,164 --> 00:25:53,083
Doc, anything in here
that you don't understand,
523
00:25:53,083 --> 00:25:54,709
I can talk you through.
524
00:25:54,709 --> 00:25:56,044
[grunts]
525
00:25:56,044 --> 00:25:57,128
[tense music]
526
00:25:57,128 --> 00:25:59,380
All right. Okay.
SAMUEL: Get out.
527
00:25:59,380 --> 00:26:01,633
Get out.
BILLY: All right.
528
00:26:01,633 --> 00:26:03,051
LEAH:
No! Dr. Finnix.
529
00:26:03,051 --> 00:26:06,221
SAMUEL:
Get away.
530
00:26:06,221 --> 00:26:08,014
You need to get going.
Don't ever come back.
531
00:26:08,014 --> 00:26:09,849
Docdoc
SAMUEL: Get out of here.
532
00:26:09,849 --> 00:26:11,142
BILLY: Doc, please.
SAMUEL: Get out of here.
533
00:26:11,142 --> 00:26:13,853
[Billy grunts]
534
00:26:13,853 --> 00:26:15,688
You ever come back
on these rounds,
535
00:26:15,688 --> 00:26:17,023
I'll fucking kill you.
536
00:26:17,023 --> 00:26:19,275
Yeah, I'll fucking kill you
myself.
537
00:26:21,945 --> 00:26:23,947
LEAH:
What's wrong with you?
538
00:26:23,947 --> 00:26:25,698
SAMUEL:
Take the rest of the day off.
539
00:26:25,698 --> 00:26:27,033
Go home.
540
00:26:27,033 --> 00:26:33,998
♪ ♪
541
00:27:02,277 --> 00:27:04,904
[engine revving]
542
00:27:09,117 --> 00:27:11,494
[engine shuts off]
[door thumps open]
543
00:27:11,494 --> 00:27:12,745
[door slams]
544
00:27:47,697 --> 00:27:49,866
Hi.
545
00:27:49,866 --> 00:27:53,203
I didn't know you worked here.
546
00:27:53,203 --> 00:27:54,245
Yeah.
547
00:27:57,832 --> 00:27:59,584
What are you doing in town?
548
00:27:59,584 --> 00:28:02,795
Oh.
BETSY: It's been a while.
549
00:28:02,795 --> 00:28:05,506
Oh, I'm just
visiting my grandma.
550
00:28:17,143 --> 00:28:19,812
How's Eureka Springs?
551
00:28:19,812 --> 00:28:25,401
Oh, it's great.
Um, I really love it there.
552
00:28:32,992 --> 00:28:35,286
I like your belt.
553
00:28:35,286 --> 00:28:42,168
Oh, thanks. Um, I made it.
554
00:28:42,168 --> 00:28:43,962
I guess I'm crafting now.
555
00:28:46,506 --> 00:28:47,882
You still quilting?
556
00:28:56,683 --> 00:28:57,892
Um, I...
557
00:29:02,647 --> 00:29:05,650
[sentimental music]
558
00:29:05,650 --> 00:29:11,406
♪ ♪
559
00:29:11,406 --> 00:29:13,283
It's good to see you, Bets.
560
00:29:16,202 --> 00:29:18,371
You take care
of yourself, okay?
561
00:29:38,474 --> 00:29:41,436
[line trills]
562
00:29:41,436 --> 00:29:44,439
Hey.
563
00:29:44,439 --> 00:29:47,066
I wanna go to Florida.
564
00:29:47,066 --> 00:29:50,278
SINGER:
♪ When I go driving, I stay in my lane ♪
565
00:29:50,278 --> 00:29:53,156
[spirited rock music]
566
00:29:53,156 --> 00:29:56,492
♪ But getting cut off,
it makes me insane ♪
567
00:29:56,492 --> 00:29:59,829
[The Offspring's "Bad Habit"]
568
00:29:59,829 --> 00:30:02,749
♪ I open the glove box,
reach inside ♪
569
00:30:02,749 --> 00:30:05,209
♪ I'm gonna wreck
this fucker's ride ♪
570
00:30:05,209 --> 00:30:08,046
♪ Guess I got a bad habit ♪
571
00:30:08,046 --> 00:30:10,381
Hey, you want a Xanax?
572
00:30:10,381 --> 00:30:11,758
It'll take the edge off.
573
00:30:13,926 --> 00:30:15,386
How much?
574
00:30:17,138 --> 00:30:18,681
Jesus, man, it's a gift.
575
00:30:21,559 --> 00:30:24,562
In the Gulf, we used to say,
don't make me offer twice.
576
00:30:24,562 --> 00:30:26,022
BETSY: Okay.
WALT: Take this.
577
00:30:26,022 --> 00:30:27,899
It'll make you feel better.
BETSY: All right, all right.
578
00:30:30,943 --> 00:30:33,363
I didn't know you were a vet.
579
00:30:33,363 --> 00:30:35,823
Yeah, did two tours.
580
00:30:38,743 --> 00:30:40,161
Shit I saw...
581
00:30:45,041 --> 00:30:47,210
Hey.
582
00:30:47,210 --> 00:30:50,296
Salvation at last.
583
00:30:50,296 --> 00:30:52,965
SINGER:
♪ And your next breath is your last ♪
584
00:30:52,965 --> 00:30:56,177
♪ Guess I got a bad habit ♪
585
00:30:56,177 --> 00:30:58,096
♪ Of blowin' away ♪
586
00:30:58,096 --> 00:30:59,847
♪ Yeah, yeah ♪
587
00:30:59,847 --> 00:31:01,599
♪ Got a bad habit ♪
588
00:31:01,599 --> 00:31:02,934
♪ Yeah, yeah ♪
589
00:31:02,934 --> 00:31:04,602
WALT: Told you.
[Betsy laughs]
590
00:31:04,602 --> 00:31:06,437
SINGER:
♪ Yeah, yeah ♪
591
00:31:06,437 --> 00:31:07,855
♪ Got a bad habit ♪
592
00:31:07,855 --> 00:31:09,315
♪ Yeah, yeah ♪
593
00:31:09,315 --> 00:31:10,983
♪ And it ain't goin' away ♪
594
00:31:10,983 --> 00:31:12,735
♪ Yeah, yeah ♪
595
00:31:12,735 --> 00:31:14,237
♪ Yeah, yeahahah ♪
596
00:31:14,237 --> 00:31:15,905
♪ Yeah, yeah ♪
597
00:31:15,905 --> 00:31:17,532
♪ Yeah, yeahahah ♪
598
00:31:17,532 --> 00:31:19,242
♪ Yeah, yeah ♪
599
00:31:31,295 --> 00:31:34,507
DOCTOR:
So injury or chronic condition?
600
00:31:34,507 --> 00:31:38,803
I hurt my back.
Mining incident.
601
00:31:38,803 --> 00:31:40,513
DOCTOR:
Okay, I'm gonna need to examine you.
602
00:31:40,513 --> 00:31:42,181
Did the nurse give you a gown?
603
00:31:48,980 --> 00:31:50,314
Here you go.
604
00:32:04,245 --> 00:32:05,955
Uh, bra too, please.
605
00:32:22,513 --> 00:32:24,348
Okay, lift your arms.
606
00:32:31,981 --> 00:32:34,859
Yes, you are definitely
gonna need painkillers.
607
00:32:34,859 --> 00:32:37,236
[unsettling music]
608
00:32:37,236 --> 00:32:38,863
Strong ones.
609
00:32:38,863 --> 00:32:42,992
OxyContin, 40 milligrams,
twice per day.
610
00:32:42,992 --> 00:32:44,660
Unless you have
breakthrough pain.
611
00:32:47,580 --> 00:32:48,873
How does that sound?
612
00:33:00,134 --> 00:33:02,678
Hey, these prescriptions
can really add up.
613
00:33:04,514 --> 00:33:06,599
So if you're in a bind,
614
00:33:06,599 --> 00:33:08,935
we might be able
to work something out.
615
00:33:14,148 --> 00:33:16,484
It's fit's fine.
I have cash.
616
00:33:16,484 --> 00:33:18,069
DOCTOR:
No problem.
617
00:33:23,783 --> 00:33:26,702
Fill this out
at the dispensary in the back.
618
00:33:41,467 --> 00:33:43,928
God bless
the great state of Florida.
619
00:33:43,928 --> 00:33:50,935
♪ ♪
620
00:33:57,817 --> 00:34:00,319
DREA:
I told you never to call me again.
621
00:34:00,319 --> 00:34:04,407
SAMUEL:
Hi, yeah, you know, I'm I'm sorry, and II, uh,
622
00:34:04,407 --> 00:34:06,659
do want to apologize for
for what happened.
623
00:34:06,659 --> 00:34:08,119
I'm going
through some stuff, Drea.
624
00:34:08,119 --> 00:34:10,913
Watching you fall asleep
in the middle of a restaurant
625
00:34:10,913 --> 00:34:12,707
is not my idea of a good time.
626
00:34:12,707 --> 00:34:14,375
SAMUEL: Yeah.
DREA: It was humiliating.
627
00:34:14,375 --> 00:34:17,503
I know, I know, I'm dealing
with a medical condition,
628
00:34:17,503 --> 00:34:19,463
and, um, in fact,
629
00:34:19,463 --> 00:34:22,675
I was wondering if, you know,
possibly you could help me.
630
00:34:22,675 --> 00:34:26,345
Uh, Drea, you don't have
samples of OxyContin, do you?
631
00:34:26,345 --> 00:34:29,557
[laughs]
No, I don't.
632
00:34:29,557 --> 00:34:31,976
Delete my number.
633
00:34:31,976 --> 00:34:37,273
♪ ♪
634
00:34:37,273 --> 00:34:42,987
SINGER:
♪ When this just feels like ♪
635
00:34:42,987 --> 00:34:48,117
♪ Spinning plates ♪
636
00:34:48,117 --> 00:34:50,369
SCIENTIST:
The brain is rewired to function normally
637
00:34:50,369 --> 00:34:51,746
when opioids are present
638
00:34:51,746 --> 00:34:53,956
and abnormally
when they are not.
639
00:34:53,956 --> 00:34:57,543
And the pain from withdrawal
is so overwhelming
640
00:34:57,543 --> 00:34:59,920
that a person can feel like
they are literally
641
00:34:59,920 --> 00:35:02,340
going to die
if they don't get more drugs.
642
00:35:05,092 --> 00:35:11,724
SINGER:
♪ And this just feels like ♪
643
00:35:11,724 --> 00:35:14,352
What is the term for the pain
an addict feels
644
00:35:14,352 --> 00:35:18,439
when they're in clinical need
of their next fix?
645
00:35:18,439 --> 00:35:20,483
It's called dopesick.
646
00:35:20,483 --> 00:35:27,490
♪ ♪
647
00:35:45,633 --> 00:35:47,093
RICK:
You wanted to speak to me?
648
00:35:47,093 --> 00:35:50,763
RANDY: Uh, there's something
very strange going on here.
649
00:35:50,763 --> 00:35:52,515
RICK:
What is it?
650
00:35:52,515 --> 00:35:54,892
RANDY: The Porter/Jick study
isn't on the internet.
651
00:35:54,892 --> 00:35:56,477
What?
652
00:35:56,477 --> 00:35:58,813
RANDY:
Yeah, I mean, it's referenced all over the place.
653
00:35:58,813 --> 00:36:00,606
TIME magazine,
Scientific American.
654
00:36:00,606 --> 00:36:02,525
But II mean,
I can't find the actual study.
655
00:36:02,525 --> 00:36:05,277
Greg can't find it, either.
He's been on it longer than me.
656
00:36:05,277 --> 00:36:08,030
Do you find any affiliations
between Purdue and Jick?
657
00:36:08,030 --> 00:36:10,282
Paid speeches, consulting,
anything like that?
658
00:36:10,282 --> 00:36:11,867
Nothing.
659
00:36:11,867 --> 00:36:14,370
What about Porter?
Who's that?
660
00:36:14,370 --> 00:36:17,164
It's Jick's assistant.
Jane Porter.
661
00:36:17,164 --> 00:36:19,125
There's 10,000 of them.
662
00:36:19,125 --> 00:36:21,460
So thethe famous
Porter/Jick study
663
00:36:21,460 --> 00:36:23,003
that's the North Star
of the pain movement
664
00:36:23,003 --> 00:36:25,214
to increase opioid use
is nowhere to be found?
665
00:36:26,716 --> 00:36:28,384
Bingo.
666
00:36:28,384 --> 00:36:30,469
Hey, yeah, we're calling about
a Scientific American article
667
00:36:30,469 --> 00:36:33,764
you wrote in 1990,
"The Tragedy of Needless Pain,"
668
00:36:33,764 --> 00:36:37,893
in which you referenced an,
uh, "extensive study"
669
00:36:37,893 --> 00:36:40,730
that claimed less than 1%
of opioid users,
670
00:36:40,730 --> 00:36:42,273
uh, become addicted.
671
00:36:42,273 --> 00:36:45,109
RONALD:
Uh, yeah, Porter/Jick. What about it?
672
00:36:45,109 --> 00:36:47,027
Do you have a copy
of that study?
673
00:36:47,027 --> 00:36:48,821
RONALD:
Uh, I'm not sure.
674
00:36:48,821 --> 00:36:50,489
Uh, have you tried
the Internet?
675
00:36:50,489 --> 00:36:53,159
[chuckles]
Uh, you know, I sure did.
676
00:36:53,159 --> 00:36:54,368
I might've missed it, though,
677
00:36:54,368 --> 00:36:56,787
'cause I only type
with my index fingers,
678
00:36:56,787 --> 00:36:58,873
but I hear, uh, JD Salinger
did the same thing,
679
00:36:58,873 --> 00:37:01,417
so that kind of helps me out
in the selfesteem department.
680
00:37:01,417 --> 00:37:03,169
RONALD:
[chuckles] Yeah.
681
00:37:03,169 --> 00:37:04,587
Any medical school
will have it.
682
00:37:04,587 --> 00:37:06,797
It's taught all over
the country, but, um,
683
00:37:06,797 --> 00:37:09,216
I'm happy to check my notes
and call you back.
684
00:37:09,216 --> 00:37:11,093
Oh, you know what?
I don't mind holding for you.
685
00:37:11,093 --> 00:37:13,888
Um, my boss has been
getting on me about this,
686
00:37:13,888 --> 00:37:17,016
and you'd really be
helping me out here.
687
00:37:17,016 --> 00:37:18,934
RONALD:
Okay. I'll do a quick search.
688
00:37:18,934 --> 00:37:21,103
Thank you.
689
00:37:21,103 --> 00:37:23,689
Oh, Mr. Smarty Pants
knows his JD Salinger.
690
00:37:23,689 --> 00:37:25,816
I got it
from my book learning, sir.
691
00:37:25,816 --> 00:37:28,652
Thinking of reading
Moby Dick next
692
00:37:28,652 --> 00:37:30,362
'cause I love whales
693
00:37:30,362 --> 00:37:34,116
and, uh, reading stories
about whales and doing
694
00:37:34,116 --> 00:37:36,243
RONALD:
Hi, um, yeah, it's right here in my notes.
695
00:37:36,243 --> 00:37:38,662
The Porter/Jick study
is in a 1980 issue
696
00:37:38,662 --> 00:37:40,372
of the New England
Journal of Medicine.
697
00:37:40,372 --> 00:37:42,708
Do you know
which issue exactly?
698
00:37:42,708 --> 00:37:45,252
RONALD:
No, that's all I have here, but good luck, okay?
699
00:37:45,252 --> 00:37:47,087
I gotta get going.
RANDY: Okay, thank you.
700
00:37:47,087 --> 00:37:49,381
[inquisitive music]
701
00:37:49,381 --> 00:37:50,841
All right.
702
00:37:50,841 --> 00:37:57,848
♪ ♪
703
00:38:21,205 --> 00:38:23,249
Been through every issue
of a weekly publication
704
00:38:23,249 --> 00:38:26,043
from 1978 to what, 1994,
705
00:38:26,043 --> 00:38:29,004
and we can't find
this thing, huh?
706
00:38:29,004 --> 00:38:30,965
So we got TIME magazine,
707
00:38:30,965 --> 00:38:33,634
Scientific American citing it.
RICK: Mmhmm.
708
00:38:33,634 --> 00:38:36,637
Medical schools all across
the country teaching it.
709
00:38:36,637 --> 00:38:38,973
RICK:
Right.
710
00:38:38,973 --> 00:38:40,891
And yet it appears to be
the most famous study
711
00:38:40,891 --> 00:38:42,685
that no one
has actually ever seen.
712
00:38:58,033 --> 00:38:59,201
Whwhat's going on?
713
00:38:59,201 --> 00:39:00,870
ERIC:
Hi, Betsy.
714
00:39:00,870 --> 00:39:02,746
My name is Eric Miller,
715
00:39:02,746 --> 00:39:06,000
and I'm a member of the
AA community here in town.
716
00:39:06,000 --> 00:39:09,378
Everyone in this room is here
because we're very concerned
717
00:39:09,378 --> 00:39:12,047
for your health
and your safety.
718
00:39:12,047 --> 00:39:14,091
And we have so many things
that we want to say
719
00:39:14,091 --> 00:39:16,510
and share with you.
720
00:39:16,510 --> 00:39:18,888
We're all worried
about your drug use
721
00:39:18,888 --> 00:39:21,807
and think it's time
to seek treatment.
722
00:39:21,807 --> 00:39:23,517
Why don't you sit down?
723
00:39:29,523 --> 00:39:31,775
You lied to me
at the station.
724
00:39:33,569 --> 00:39:38,991
Uh, I came here
because your mom asked me to.
725
00:39:38,991 --> 00:39:41,076
we're all really worried
about you, Bets.
726
00:39:41,076 --> 00:39:42,328
Your daddy and I don't care
727
00:39:42,328 --> 00:39:44,038
about anything other than
you getting better.
728
00:39:44,038 --> 00:39:47,708
All that other stuff, Bets,
doesn't matter.
729
00:39:47,708 --> 00:39:50,502
Just doesn't matter.
730
00:39:50,502 --> 00:39:54,256
[sentimental music]
731
00:39:54,256 --> 00:39:56,508
ERIC:
Your friends and family are worried every day
732
00:39:56,508 --> 00:39:59,219
that you're going to end up
in a hospital or dead
733
00:39:59,219 --> 00:40:02,473
or in the back of a police car.
734
00:40:02,473 --> 00:40:05,017
They wanna do everything
they can to help you get back
735
00:40:05,017 --> 00:40:07,102
to a place of health,
736
00:40:07,102 --> 00:40:09,772
of just being okay
without drugs.
737
00:40:11,607 --> 00:40:13,734
Will you commit to a program?
738
00:40:13,734 --> 00:40:20,741
♪ ♪
739
00:40:25,162 --> 00:40:27,706
JERRY:
Pleplease, Bets.
740
00:40:27,706 --> 00:40:30,542
Please don't walk out
that door, honey.
741
00:40:30,542 --> 00:40:33,545
Youyour mama and me,
we just
742
00:40:33,545 --> 00:40:36,382
we just want
our little girl back.
743
00:40:36,382 --> 00:40:38,133
Just the way you are.
744
00:40:45,599 --> 00:40:48,727
I'm sorry.
745
00:40:48,727 --> 00:40:52,272
I can't. I can't.
746
00:40:52,272 --> 00:40:55,526
Betsy, if you don't do this,
747
00:40:55,526 --> 00:40:58,320
your family will be forced
to turn their back on you.
748
00:41:11,625 --> 00:41:13,961
Grant! Get in here.
749
00:41:17,131 --> 00:41:19,883
GRANT: What's up?
Guess who's coming to dinner?
750
00:41:22,553 --> 00:41:24,805
Purdue Pharma agreed to meet.
751
00:41:26,557 --> 00:41:28,475
Is Richard Sackler gonna join?
752
00:41:28,475 --> 00:41:29,893
Doesn't say.
753
00:41:29,893 --> 00:41:31,437
Let's see if they
give a fuck about safety
754
00:41:31,437 --> 00:41:33,022
or if they're just
trying to sell pills.
755
00:41:33,022 --> 00:41:35,649
Uh, look, II know
756
00:41:35,649 --> 00:41:38,485
you're newest to Diversion,
but as a general rule,
757
00:41:38,485 --> 00:41:40,696
the pharmas don't really care
about safety.
758
00:41:40,696 --> 00:41:43,282
They just push as hard as they
can until they get slapped.
759
00:41:43,282 --> 00:41:44,324
Then let's bitch slap
the shit
760
00:41:44,324 --> 00:41:45,743
out of these motherfuckers.
761
00:41:45,743 --> 00:41:48,287
[inquisitive music]
762
00:41:48,287 --> 00:41:51,290
[Bridget snapping fingers]
763
00:41:51,290 --> 00:41:57,087
♪ ♪
764
00:41:57,087 --> 00:41:58,464
[clears throat]
765
00:42:03,302 --> 00:42:04,636
Good afternoon.
766
00:42:04,636 --> 00:42:06,847
I'm Bridget Meyer,
deputy director of Diversion.
767
00:42:06,847 --> 00:42:09,516
I'm Michael Friedman.
Howard Udell and David Haddox.
768
00:42:09,516 --> 00:42:10,893
DAVID:
Pleasure.
769
00:42:10,893 --> 00:42:13,353
Is Richard Sackler coming?
770
00:42:13,353 --> 00:42:15,147
Dr. Sackler had a meeting
out of state,
771
00:42:15,147 --> 00:42:17,441
but I can assure you,
we'll relay every word.
772
00:42:18,859 --> 00:42:21,111
Fine. Let's get started.
773
00:42:21,111 --> 00:42:23,906
Uh, we'd like to start with
a, uh, PowerPoint presentation
774
00:42:23,906 --> 00:42:26,325
about the efficacies
of OxyContin.
775
00:42:26,325 --> 00:42:27,618
That won't be necessary.
776
00:42:27,618 --> 00:42:29,244
I've seen
your promotional materials,
777
00:42:29,244 --> 00:42:31,121
and I'm familiar
with your talking points.
778
00:42:31,121 --> 00:42:33,582
So let's get right
to the issue at hand.
779
00:42:33,582 --> 00:42:37,127
I've brought you here to talk
about addiction and abuse.
780
00:42:37,127 --> 00:42:39,004
Since the launch of your drug
four years ago,
781
00:42:39,004 --> 00:42:40,547
it has gotten out of control.
782
00:42:40,547 --> 00:42:41,590
No, I beg to differ.
783
00:42:41,590 --> 00:42:43,175
Uh, you can beg
when I finish.
784
00:42:43,175 --> 00:42:46,303
Now, to be proactive,
my staff and I have come up
785
00:42:46,303 --> 00:42:48,639
with some practical
common sense ideas
786
00:42:48,639 --> 00:42:51,183
that we believe
could easily be implemented
787
00:42:51,183 --> 00:42:52,434
and would really help reduce
788
00:42:52,434 --> 00:42:54,603
the widespread abuse
of this drug.
789
00:42:54,603 --> 00:42:56,105
We don't believe
the drug is being abused,
790
00:42:56,105 --> 00:42:57,940
but we'd be happy
to hear your ideas
791
00:42:57,940 --> 00:43:00,359
if you think
it would enhance public safety.
792
00:43:02,361 --> 00:43:05,114
Given the growing incidences
of drugstore robberies,
793
00:43:05,114 --> 00:43:06,865
it might be useful to reduce
794
00:43:06,865 --> 00:43:09,243
the number of pharmacies
allowed to dispense.
795
00:43:09,243 --> 00:43:10,744
This would also help
with pharmacies
796
00:43:10,744 --> 00:43:12,329
that don't want
to carry the drug
797
00:43:12,329 --> 00:43:17,126
but feel pressured to
because of threats of lawsuits.
798
00:43:17,126 --> 00:43:18,877
We'll take it
under advisement.
799
00:43:28,846 --> 00:43:30,013
We also thought that
800
00:43:30,013 --> 00:43:32,141
you could limit
prescribing privileges
801
00:43:32,141 --> 00:43:35,144
to doctors with training
in pain management.
802
00:43:35,144 --> 00:43:37,855
It seems that GPs
are prescribing this for things
803
00:43:37,855 --> 00:43:40,399
as frivolous as headaches
and toothaches.
804
00:43:40,399 --> 00:43:42,901
The drugs should be limited
to pain specialists.
805
00:43:42,901 --> 00:43:45,154
Well, um,
that's not only impractical,
806
00:43:45,154 --> 00:43:47,573
it would also deny many
legitimate pain patients
807
00:43:47,573 --> 00:43:50,784
access to the drugs, so.
808
00:43:50,784 --> 00:43:54,955
That's verbatim,
the FDA's concern.
809
00:43:54,955 --> 00:43:56,373
Do you have them on speed dial?
810
00:43:56,373 --> 00:43:58,542
[tense music]
811
00:43:58,542 --> 00:44:01,128
Excuse me?
812
00:44:01,128 --> 00:44:04,173
Whatever friendly situation
you have going on over there,
813
00:44:04,173 --> 00:44:07,092
I assure you,
you do not have here.
814
00:44:07,092 --> 00:44:09,636
I want to restrict access
to this drug.
815
00:44:09,636 --> 00:44:10,929
It is being overprescribed
816
00:44:10,929 --> 00:44:13,223
and causing patients
to become addicted
817
00:44:13,223 --> 00:44:15,809
as well as making it
too easily available
818
00:44:15,809 --> 00:44:18,270
for recreational drug users.
819
00:44:18,270 --> 00:44:22,691
Addiction rates, overdoses,
and crime is on the rise
820
00:44:22,691 --> 00:44:24,818
across the country
because of this drug.
821
00:44:24,818 --> 00:44:28,697
So if you will not take action
to curb this problem,
822
00:44:28,697 --> 00:44:30,073
then I will.
823
00:44:30,073 --> 00:44:36,038
♪ ♪
824
00:44:36,038 --> 00:44:37,623
We'll take that
under advisement.
825
00:44:44,838 --> 00:44:47,758
[indistinct chatter]
826
00:44:49,426 --> 00:44:52,429
[suspenseful music]
827
00:44:52,429 --> 00:44:59,436
♪ ♪
828
00:45:08,528 --> 00:45:10,280
RECEPTIONIST: New England
Journal of Medicine.
829
00:45:10,280 --> 00:45:11,698
Hi, my name
is Rick Mountcastle.
830
00:45:11,698 --> 00:45:12,991
I'm with the
US Attorney's office
831
00:45:12,991 --> 00:45:14,618
in the Western District
of Virginia,
832
00:45:14,618 --> 00:45:17,287
and I'm trying to locate
a study
833
00:45:17,287 --> 00:45:18,705
that you published years ago
834
00:45:18,705 --> 00:45:22,417
regarding opioid addiction
by a Dr. Hershel Jick.
835
00:45:22,417 --> 00:45:23,794
Does that ring a bell?
836
00:45:23,794 --> 00:45:25,629
RECEPTIONIST: Oh, yeah.
We know Dr. Jick well.
837
00:45:25,629 --> 00:45:27,339
He's been writing us letters
for years.
838
00:45:27,339 --> 00:45:28,924
We've published a lot of them.
They're good.
839
00:45:28,924 --> 00:45:30,676
Some people just, you know...
Wait.
840
00:45:30,676 --> 00:45:32,302
RECEPTIONIST:
They love to read letters to the Internet.
841
00:45:32,302 --> 00:45:34,763
I'm sorry, uh,
you mean, like letters?
842
00:45:34,763 --> 00:45:38,392
RECEPTIONIST:
Yeah, yeah. He writes a lot of letters.
843
00:45:38,392 --> 00:45:45,399
♪ ♪
844
00:45:47,651 --> 00:45:48,902
RICK:
I found it.
845
00:45:58,578 --> 00:45:59,955
That can't be it.
846
00:46:01,790 --> 00:46:03,417
Oh, my God.
847
00:46:05,836 --> 00:46:08,171
Government calls
Dr. Hershel Jick.
848
00:46:19,391 --> 00:46:20,392
Afternoon, sir.
849
00:46:28,525 --> 00:46:32,738
Dr. Jick, tell us about
your 1980 letter to the editor
850
00:46:32,738 --> 00:46:34,448
at the New England
Journal of Medicine
851
00:46:34,448 --> 00:46:37,326
regarding addiction rates
and patients taking opioids.
852
00:46:38,660 --> 00:46:42,456
In the late '70s, I built
a database of hospital records,
853
00:46:42,456 --> 00:46:45,667
which became known,
as it was one of the first.
854
00:46:45,667 --> 00:46:47,961
After reading a newspaper
article on addiction,
855
00:46:47,961 --> 00:46:51,757
I decided to calculate how
many patients in my database
856
00:46:51,757 --> 00:46:55,719
showed signs of addiction
to narcotic painkillers.
857
00:46:55,719 --> 00:46:59,556
Number was shockingly low,
less than 1%.
858
00:46:59,556 --> 00:47:01,183
So I wrote up a letter
859
00:47:01,183 --> 00:47:04,186
and sent it to the New England
Journal of Medicine.
860
00:47:04,186 --> 00:47:05,771
This letter was based
on patients
861
00:47:05,771 --> 00:47:07,939
confined to a hospital setting,
is that correct?
862
00:47:07,939 --> 00:47:09,733
Yes.
Mmhmm.
863
00:47:09,733 --> 00:47:12,652
Isso is the likelihood
of addiction
864
00:47:12,652 --> 00:47:14,029
higher in these same patients
865
00:47:14,029 --> 00:47:16,823
if they were not confined
to a hospital?
866
00:47:16,823 --> 00:47:19,868
HERSHEL:
That is correct. It wasn't an official study.
867
00:47:19,868 --> 00:47:23,413
It was an observation based on
a small group of patients
868
00:47:23,413 --> 00:47:25,749
in a highly
controlled environment.
869
00:47:25,749 --> 00:47:28,251
That's why the letter
was so short.
870
00:47:28,251 --> 00:47:30,504
Yes.
It was five sentences long.
871
00:47:30,504 --> 00:47:35,842
♪ ♪
872
00:47:35,842 --> 00:47:38,178
How long would an average
scientific study
873
00:47:38,178 --> 00:47:39,888
on addiction be?
874
00:47:39,888 --> 00:47:41,765
Between 25 and 50 pages.
875
00:47:41,765 --> 00:47:43,350
Which is more
than five sentences.
876
00:47:43,350 --> 00:47:44,559
HERSHEL:
Obviously.
877
00:47:44,559 --> 00:47:46,019
Have you ever worked
for Purdue Pharma?
878
00:47:46,019 --> 00:47:47,270
No.
879
00:47:47,270 --> 00:47:48,563
RICK:
Have you ever consulted for them
880
00:47:48,563 --> 00:47:49,898
or received money from them?
881
00:47:49,898 --> 00:47:54,027
No, I have no affiliation
with Purdue Pharma.
882
00:47:54,027 --> 00:47:58,990
Well, are you aware
that sales reps at Purdue
883
00:47:58,990 --> 00:48:01,827
cite your letter
as a scientific study
884
00:48:01,827 --> 00:48:04,454
to convince doctors
that less than 1% of patients
885
00:48:04,454 --> 00:48:07,374
would get addicted
to their narcotic OxyContin?
886
00:48:09,709 --> 00:48:11,253
No, I'm not.
887
00:48:11,253 --> 00:48:15,257
And are you aware that your
fivesentence letter is cited
888
00:48:15,257 --> 00:48:18,468
as a major study by medical
schools all across the country,
889
00:48:18,468 --> 00:48:22,013
and in magazine articles
from TIME magazine,
890
00:48:22,013 --> 00:48:26,935
Scientific American as proof
that opioids are safe?
891
00:48:26,935 --> 00:48:29,563
I was not aware of that.
892
00:48:29,563 --> 00:48:31,273
Well, I'm gonna
tell you what,
893
00:48:31,273 --> 00:48:34,234
there is an entire school
of thought espousing opioids
894
00:48:34,234 --> 00:48:36,069
as being
practically nonaddictive,
895
00:48:36,069 --> 00:48:37,821
and your letter is often cited
896
00:48:37,821 --> 00:48:41,450
as a major source
for this thesis.
897
00:48:41,450 --> 00:48:44,661
This particular letter
is very near the bottom
898
00:48:44,661 --> 00:48:47,706
of a long list
of my published work.
899
00:48:47,706 --> 00:48:49,499
It's simply provides
some basic numbers
900
00:48:49,499 --> 00:48:51,751
based on a small group
of people.
901
00:48:51,751 --> 00:48:55,839
I have no idea
how it became so discussed.
902
00:48:55,839 --> 00:48:57,090
I'll tell you how.
903
00:48:59,801 --> 00:49:04,306
So it became the primary source
that opioids are nonaddictive
904
00:49:04,306 --> 00:49:07,559
when it was cited
in a 1986 article
905
00:49:07,559 --> 00:49:09,227
in PAIN magazine,
906
00:49:09,227 --> 00:49:11,563
which was highly influential
in transforming
907
00:49:11,563 --> 00:49:15,025
the perception of opioids
from addictive to safe.
908
00:49:15,025 --> 00:49:17,986
And this article
was coauthored
909
00:49:17,986 --> 00:49:20,071
by Dr. Russell Portenoy,
910
00:49:20,071 --> 00:49:22,324
who is now a paid spokesperson
for Purdue Pharma
911
00:49:22,324 --> 00:49:24,409
and one of the chief
medical proponents
912
00:49:24,409 --> 00:49:28,288
for increased use
of opioids and OxyContin
913
00:49:28,288 --> 00:49:30,332
in the United States
of America.
914
00:49:35,253 --> 00:49:38,089
Halfway home
to Abington, baby.
915
00:49:38,089 --> 00:49:40,550
Whoo. Ah.
[Rick chuckles]
916
00:49:40,550 --> 00:49:42,552
I'm all about
those small victories.
917
00:49:42,552 --> 00:49:44,012
Aw, what do you mean,
small victories?
918
00:49:44,012 --> 00:49:45,472
We had a big day.
919
00:49:45,472 --> 00:49:47,057
[phone ringing]
Sure was.
920
00:49:47,057 --> 00:49:49,351
Maybe it'll
help us get more funding?
921
00:49:49,351 --> 00:49:50,644
I doubt it.
922
00:49:54,898 --> 00:49:56,149
Rick Mountcastle.
923
00:49:58,818 --> 00:50:02,113
Oh yeah, I remember you, Toby.
How're things at the DEA?
924
00:50:02,113 --> 00:50:05,242
[suspenseful music]
925
00:50:05,242 --> 00:50:07,410
Mmhmm.
926
00:50:07,410 --> 00:50:08,954
Well, it's still early
in the case.
927
00:50:08,954 --> 00:50:10,747
We haven't found anything yet.
You know what?
928
00:50:10,747 --> 00:50:14,376
I'll tell you what
it isn't a good time to talk.
929
00:50:14,376 --> 00:50:16,878
Try you another time? Yeah.
930
00:50:16,878 --> 00:50:20,090
It's all right. Great, bye.
931
00:50:25,095 --> 00:50:28,265
DEA wants to know
how the pharma case is going.
932
00:50:28,265 --> 00:50:30,850
[sighs]
933
00:50:30,850 --> 00:50:32,477
They have zero interest,
934
00:50:32,477 --> 00:50:34,396
and right when we land
something big,
935
00:50:34,396 --> 00:50:37,357
they justthey call us
right outta nowhere?
936
00:50:37,357 --> 00:50:39,818
Let's keep this buttoned up.
937
00:50:39,818 --> 00:50:41,820
Just me, you, and Brownlee.
938
00:50:43,822 --> 00:50:45,991
I don't trust anyone
on this case.
939
00:50:48,410 --> 00:50:50,704
AA MEMBER: Even after
nine years staying sober,
940
00:50:50,704 --> 00:50:53,039
I know I got a disease.
941
00:50:53,039 --> 00:50:56,835
So grateful I can come here
every week as a reminder
942
00:50:56,835 --> 00:51:01,715
of what I need
to do to stay on my path.
943
00:51:01,715 --> 00:51:05,176
Thank you for sharing, Belle,
and you're not alone.
944
00:51:09,055 --> 00:51:11,099
Betsy, would you
like to speak?
945
00:51:13,393 --> 00:51:16,521
Do I have to?
946
00:51:16,521 --> 00:51:19,274
ERIC:
You might find it helpful.
947
00:51:19,274 --> 00:51:22,319
This is a very safe space.
948
00:51:22,319 --> 00:51:24,738
Just share
from your heart, dear.
949
00:51:24,738 --> 00:51:26,615
We're all here to support you.
950
00:51:34,623 --> 00:51:38,627
Okay, um.
951
00:51:38,627 --> 00:51:39,961
I'm Betsy.
952
00:51:39,961 --> 00:51:42,297
ALL:
Hi, Betsy.
953
00:51:42,297 --> 00:51:45,592
BETSY:
I was prescribed OxyContin
954
00:51:45,592 --> 00:51:49,346
for, uh, a back injury...
955
00:51:51,931 --> 00:51:56,227
And it worked great at first,
but...
956
00:51:58,146 --> 00:52:04,569
Then it stopped working,
and I needed more.
957
00:52:08,114 --> 00:52:09,783
Here you are, sweetheart.
958
00:52:15,163 --> 00:52:16,247
BETSY:
I guess
959
00:52:18,750 --> 00:52:25,382
I guess I always felt
kinda tense
960
00:52:25,382 --> 00:52:30,303
and uncomfortable
around people.
961
00:52:35,100 --> 00:52:40,355
But taking the pills, it was...
962
00:52:43,149 --> 00:52:46,111
It was the first time
I felt normal.
963
00:52:49,030 --> 00:52:50,782
In maybe my whole life.
964
00:52:56,788 --> 00:52:57,789
And now...
965
00:53:01,292 --> 00:53:05,004
And now I don't feel
966
00:53:05,004 --> 00:53:07,298
anything at all anymore.
967
00:53:10,635 --> 00:53:13,263
All I think about
is getting more pills.
968
00:53:16,182 --> 00:53:18,601
And it can get scary.
969
00:53:39,247 --> 00:53:41,875
Aww, everything's
gonna be just fine.
970
00:53:41,875 --> 00:53:44,461
Don't you worry.
971
00:53:44,461 --> 00:53:46,171
How long has it been?
972
00:53:47,922 --> 00:53:51,009
Two days.
I feel like I'm gonna die.
973
00:53:51,009 --> 00:53:54,971
Oh, honey, it's the
worst feeling in the world,
974
00:53:54,971 --> 00:53:56,890
but I can help with that.
975
00:53:58,433 --> 00:54:00,810
You can?
Mmhmm.
976
00:54:00,810 --> 00:54:04,564
I got 10s, 20s, and 40s.
977
00:54:04,564 --> 00:54:07,025
It's a dollar a milligram,
so if you've got $40,
978
00:54:07,025 --> 00:54:11,154
I can give you
four 10s right now.
979
00:54:11,154 --> 00:54:15,950
I mean, wouldn't it be nice if
all this pain just went away?
980
00:54:15,950 --> 00:54:17,702
Yeah.
981
00:54:17,702 --> 00:54:19,329
Here you go.
982
00:54:19,329 --> 00:54:22,665
[unsettling music]
983
00:54:22,665 --> 00:54:24,042
Thank you so much.
984
00:54:24,042 --> 00:54:25,210
It's gonna be
all right, sugar.
985
00:54:25,210 --> 00:54:27,003
Thank you.
986
00:54:27,003 --> 00:54:29,130
I'll see you here next week,
all right?
987
00:54:29,130 --> 00:54:36,137
♪ ♪
988
00:54:51,069 --> 00:54:52,862
WALT: Hey.
Hey, Walt.
989
00:54:52,862 --> 00:54:54,113
WALT:
Doc, how you doing?
990
00:54:54,113 --> 00:54:55,949
Ah, good, good.
Hey, sorry, I know it's late
991
00:54:55,949 --> 00:54:57,492
Hey, no, you're all good.
992
00:54:57,492 --> 00:54:58,993
Yeah, I'm gonna need
some of that 80s
993
00:54:58,993 --> 00:55:01,329
if you got 'em, or 40s.
Whatever you got.
994
00:55:01,329 --> 00:55:03,373
Yeah, yeah, you're in luck.
I'm newly replenished.
995
00:55:03,373 --> 00:55:04,791
One second.
996
00:55:04,791 --> 00:55:06,084
Now, hey,
put that awayput that away.
997
00:55:06,084 --> 00:55:07,418
SAMUEL:
All right. Okay, okay.
998
00:55:13,258 --> 00:55:15,426
SINGER:
♪ You feed me ♪
999
00:55:15,426 --> 00:55:21,724
♪ To the ♪
1000
00:55:23,726 --> 00:55:26,980
♪ Lions, yeah ♪
1001
00:55:26,980 --> 00:55:28,273
WALT: Doc?
SAMUEL: Hey.
1002
00:55:30,191 --> 00:55:31,442
You got it?
WALT: All right, I got you.
1003
00:55:31,442 --> 00:55:33,069
All right, now,
this is two 12 bags.
1004
00:55:33,069 --> 00:55:34,279
SAMUEL: All right.
WALT: All right.
1005
00:55:34,279 --> 00:55:36,239
SAMUEL:
Got you here.
1006
00:55:36,239 --> 00:55:37,365
That's good, hey?
1007
00:55:37,365 --> 00:55:39,993
Thanks, thanks.
WALT: That's good.
1008
00:55:39,993 --> 00:55:41,244
SAMUEL:
All right, how're you doing? You all right? Good?
1009
00:55:41,244 --> 00:55:42,704
I'm good, man.
SAMUEL: Sorry, sorry.
1010
00:55:42,704 --> 00:55:44,163
I woke you up
so late there, man.
1011
00:55:44,163 --> 00:55:45,874
You knowyou know how it is.
1012
00:55:45,874 --> 00:55:47,250
Say, doc?
SAMUEL: Yeah?
1013
00:55:47,250 --> 00:55:48,793
You don't look good, man.
SAMUEL: Huh?
1014
00:55:48,793 --> 00:55:50,169
No, I'm not. I'm not.
1015
00:55:50,169 --> 00:55:51,671
No, I know, but do yourself
a favor, all right?
1016
00:55:51,671 --> 00:55:56,009
Snort those, crush them up.
Snort 'em.
1017
00:55:56,009 --> 00:55:57,218
How do you do that?
1018
00:55:57,218 --> 00:55:58,887
Put them in your mouth,
all right,
1019
00:55:58,887 --> 00:56:00,430
for about a minute.
1020
00:56:00,430 --> 00:56:02,640
And then rub off that coating
on the outside,
1021
00:56:02,640 --> 00:56:04,684
so make a little mark.
1022
00:56:04,684 --> 00:56:07,896
All right, crush it up,
snort it.
1023
00:56:07,896 --> 00:56:09,480
It's gonna hit you way better.
1024
00:56:09,480 --> 00:56:15,236
SINGER:
♪ When this just feels like ♪
1025
00:56:15,236 --> 00:56:19,991
♪ Spinning plates ♪
1026
00:56:19,991 --> 00:56:22,869
♪ ♪
1027
00:56:22,869 --> 00:56:24,829
♪ I'm living ♪
1028
00:56:24,829 --> 00:56:30,168
♪ In Cloud Cuckoo ♪
1029
00:56:30,168 --> 00:56:33,922
♪ Land ♪
1030
00:56:33,922 --> 00:56:40,929
♪ ♪
1031
00:57:46,202 --> 00:57:50,748
DORIS DAY:
♪ Stars shining bright above you ♪
1032
00:57:50,748 --> 00:57:52,458
[Doris Day's
"Dream a Little Dream of Me"]
1033
00:57:52,458 --> 00:57:56,295
♪ Night breezes
seem to whisper ♪
1034
00:57:56,295 --> 00:57:58,965
♪ "I love you" ♪
1035
00:57:58,965 --> 00:58:04,971
♪ Birds singing
in the sycamore trees ♪
1036
00:58:04,971 --> 00:58:10,685
♪ Dream a little dream of me ♪
1037
00:58:10,685 --> 00:58:12,478
[soft romantic music]
1038
00:58:12,478 --> 00:58:17,608
♪ Say "Nightynight"
and kiss me ♪
1039
00:58:17,608 --> 00:58:19,318
♪ ♪
1040
00:58:19,318 --> 00:58:23,031
♪ Just hold me tight
and tell me ♪
1041
00:58:23,031 --> 00:58:25,992
♪ You'll miss me ♪
1042
00:58:25,992 --> 00:58:31,664
♪ While I'm alone
and blue as can be ♪
1043
00:58:31,664 --> 00:58:36,627
♪ Dream a little dream of me ♪
1044
00:58:36,627 --> 00:58:38,171
♪ ♪
1045
00:58:38,171 --> 00:58:41,758
♪ Stars fading ♪
1046
00:58:41,758 --> 00:58:45,845
♪ But I linger on, dear ♪
1047
00:58:45,845 --> 00:58:50,391
♪ Still craving your kiss ♪
1048
00:58:50,391 --> 00:58:52,143
♪ ♪
1049
00:58:52,143 --> 00:58:54,979
♪ I'm longing ♪
1050
00:58:54,979 --> 00:58:59,484
♪ To linger till dawn, dear ♪
1051
00:58:59,484 --> 00:59:05,573
♪ Just saying this ♪
1052
00:59:05,573 --> 00:59:12,288
♪ Sweet dreams
till sunbeams find you ♪
1053
00:59:12,288 --> 00:59:18,920
♪ Sweet dreams that leave
all worries behind you ♪
1054
00:59:18,920 --> 00:59:21,547
♪ But in your dreams ♪
1055
00:59:21,547 --> 00:59:24,509
♪ Whatever they be ♪
1056
00:59:24,509 --> 00:59:28,763
♪ Dream a little dream of me ♪
1057
00:59:28,763 --> 00:59:35,770
♪ ♪
1058
00:59:57,458 --> 01:00:00,878
♪ Stars fading ♪
1059
01:00:00,878 --> 01:00:04,799
♪ But I linger on, dear ♪
1060
01:00:04,799 --> 01:00:11,180
♪ Still craving your kiss ♪
1061
01:00:11,180 --> 01:00:14,058
♪ I'm longing ♪
1062
01:00:14,058 --> 01:00:18,521
♪ To linger till dawn, dear ♪
1063
01:00:18,521 --> 01:00:24,735
♪ Just saying this ♪
1064
01:00:24,735 --> 01:00:31,367
♪ Sweet dreams
till sunbeams find you ♪
1065
01:00:31,367 --> 01:00:38,291
♪ Sweet dreams that leave
all worries behind you ♪
1066
01:00:38,291 --> 01:00:40,877
♪ But in your dreams ♪
1067
01:00:40,877 --> 01:00:44,213
♪ Whatever they be ♪
1068
01:00:44,213 --> 01:00:48,634
♪ Dream a little dream of me ♪
1069
01:00:48,634 --> 01:00:50,845
♪ ♪
1070
01:00:50,845 --> 01:00:53,848
♪ Dream a little dream ♪
1071
01:00:53,848 --> 01:00:56,601
♪ ♪
1072
01:00:56,601 --> 01:01:01,731
♪ Of me ♪
1073
01:01:01,731 --> 01:01:05,776
♪ ♪
1074
01:01:05,776 --> 01:01:07,653
[rooster crows]
1075
01:01:07,703 --> 01:01:12,253
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