PharmedOut's Pharmanipulation Podcast

Pharmanipulation is now available anywhere you get your podcasts! 

Listening options on Spotify, Apple Podcasts, Stitcher, Amazon Music, or Audible. 

Description: Episode 9 features a conversation on opioids with Andrew Kolodny MD. Dr. Kolodny is a leading expert on the opioid crisis and serves as President of Health Professionals for Responsible Opioid Prescribing (PROP). We chat about the opioid epidemic in the US over the years, the covert marketing strategies used to sell opioids, and opioid prescribing guidelines. 

Additional Resources

PROP’s Website: ⁠https://www.supportprop.org/⁠ 

PharmedOut on Opioids: ⁠https://sites.google.com/georgetown.edu/pharmedout/advocacy/pharmedout-on-opioids⁠ 

PharmedOut's Journal Article, “Survey of opioid prescribing among dentists indicates need for more effective education regarding pain management” in Journal of the American Dental Association: ⁠https://pubmed.ncbi.nlm.nih.gov/34689958/⁠ 

“Years into an addiction crisis, a med school lecture still minimized opioid risks” by Ed Silverman for STAT News. Link: ⁠https://www.statnews.com/pharmalot/2024/02/07/opioid-addiction-pain-nova-southeastern-university-florida/⁠ 

Fact sheet on opioid marketing: ⁠https://georgetown.app.box.com/s/3fqr4f0nl4jnviwrcxhn6muaxqqptgsx⁠ 

Summaries of key articles on opioid marketing: ⁠https://georgetown.app.box.com/s/xt2rhk3tinq0rqgn9bz2dozm2w4dv84c 

Click here to listen to Episode 9 on Spotify.

Episode 8 features an interview with Shahram Ahari MD, an emergency medicine physician and former drug rep, that explores the world of pharmaceutical samples. We chat about why samples are the most important marketing tactic drug companies have, how samples are used to manipulate prescribing choices, and discuss whether or not drug samples should be banned.

Additional Resources

PharmedOut fact sheet on drug samples: ⁠⁠https://georgetown.app.box.com/s/y51hkdvu2dju9sv26fjcc976ivlvwtkj⁠

Summaries of key articles on the topic of drug samples: ⁠⁠https://georgetown.app.box.com/s/3052cjlgv9thfw0qf3k9fkuyio978mbr⁠

PharmedOut’s paper “Pharmaceutical marketing: the example of drug samples.” Link: ⁠https://joppp.biomedcentral.com/articles/10.1186/s40545-022-00479-z⁠

PharmedOut’s paper “Following the Script: How Drug Reps Make Friends and Influence Doctors.” Link: ⁠https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0040150⁠

PharmedOut’s paper “Why lunch matters: Assessing physicians' perceptions about industry relationships.” Link: ⁠https://onlinelibrary.wiley.com/doi/abs/10.1002/chp.20081⁠

Dr. Ahari’s op-ed in The Washington Post “I was a drug rep. I know how pharma companies pushed opioids.” Link: ⁠https://www.washingtonpost.com/outlook/i-was-a-drug-rep-i-know-how-pharma-companies-pushed-opioids/2019/11/25/82b1da88-beb9-11e9-9b73-fd3c65ef8f9c_story.html⁠

Click here to listen to Episode 8 on Spotify.

Description: Episode 7 features an interview with Peter Whitehouse MD, PhD and Lon Schneider MD, MS exploring dementia and mild cognitive impairment. We chat about the medicalization of normal aging, the overdiagnosis of mild cognitive impairment, problems with new drugs and tests for Alzheimer’s disease, and how to prevent dementia.

Additional Resources

PharmedOut resources on Alzheimer’s and Mild Cognitive Impairment: ⁠https://sites.google.com/georgetown.edu/pharmedout/advocacy/alzheimers-and-mild-cognitive-impairment?authuser=0⁠

Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Link: ⁠https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext⁠

Making the Case for Accelerated Withdrawal of Aducanumab. Link: ⁠https://content.iospress.com/articles/journal-of-alzheimers-disease/jad220262⁠

Dr. Peter Whitehouse’s latest letter to the editor, “Cummings column on Alzheimer treatments skips over a few key things.” Link: ⁠https://www.cleveland.com/letters/2023/10/cummings-column-on-alzheimer-treatments-skips-over-a-few-key-things.html⁠

American Dementia: Brain Health in an Unhealthy Society by Danny George PhD and Peter Whitehouse MD, PhD. Link: ⁠https://www.press.jhu.edu/books/title/12394/american-dementia⁠

The Myth of Alzheimer’s: What You Aren't Being Told About Today's Most Dreaded Diagnosis by Peter Whitehouse MD, PhD and Danny George MSc. Link: ⁠https://us.macmillan.com/books/9780312368173/themythofalzheimers

Click here to listen to Episode 7 on Spotify.

Description: Episode 6 invites Ragen Chastain, activist and author, and Joel Lexchin MD of York University, to discuss myths about weight and health, the hype around Ozempic and Wegovy, and the unclear connection between weight loss and health.

To learn more about Ragen Chastain and her work, please visit her website: ⁠https://weightandhealthcare.substack.com/⁠

Additional Resources

Dances With Fat Monthly Workshop – September: Navigating Weight Stigma at the Doctor’s Office date changed from September 27 to October 11 to avoid overlap with ASDAH’s annual meeting. Link: ⁠https://danceswithfat.org/monthly-online-workshops/⁠ 

Books

“Fearing the Black Body: The Racial Origins of Fat Phobia” by Sabrina Strings. Link: ⁠https://nyupress.org/9781479886753/fearing-the-black-body/⁠ 

“Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness” by Da'Shaun L. Harrison. Link: ⁠https://www.penguinrandomhouse.com/books/670607/belly-of-the-beast-by-dashaun-harrison/⁠ 

Articles

“How the ‘It's Bigger Than Me’ Campaign Is Harming Fat People for Profit" by Ragen Chastain. Link: ⁠https://themighty.com/topic/eating-disorders/its-bigger-than-me-campaign-harms-fat-people-for-profit/⁠  

“Weighing the Consequences of Weight-Loss Drugs” by Judy Butler and Dr. Adriane Fugh-Berman. Link: ⁠https://www.medpagetoday.com/opinion/second-opinions/104482⁠ 

Igho J. Onakpoya, Carl J. Heneghan and Jeffrey K. Aronson. Post-marketing withdrawal of anti-obesity medicinal products because of adverse drug reactions: a systematic review. BMC Medicine 2016;14:191. Link: ⁠https://pubmed.ncbi.nlm.nih.gov/27894343/  ⁠

Prescrire’s "Semaglutide (Wegovy°) for excess body weight" Prescrire International 2023; 32 (245): 36-38. Link: ⁠https://english.prescrire.org/en/81/168/66102/0/NewsDetails.aspx

Please note: the full article is available for subscribers only. 

Click here to listen to Episode 6 on Spotify.

Description: Episode 5 invites Tony Scialli MD, an obstetrician-gynecologist and reproductive toxicologist, to talk about the overuse of gynecologic surgeries – namely hysterectomies and Cesarean sections.

To learn more about Dr. Tony Scialli, please visit his website: https://www.scialliconsulting.com/#about 

Additional Resources

The Cultural Warping of Childbirth by Doris Haire. Link: https://www.abebooks.com/9789315600471/Cultural-Warping-Childbirth-Doris-Haire-9315600479/plp 

Our Bodies, Ourselves by Boston Women’s Health Collective. Link: https://www.simonandschuster.com/books/Our-Bodies-Ourselves/Boston-Womens-Health-Book-Collective/9781439190661 

Spiritual Midwifery by Ina May Gaskin. Link: https://www.abebooks.com/servlet/BookDetailsPL?bi=31385160493&ref_=ps_ggl_17730880232&cm_mmc=ggl-_-US_Shopp_Trade_10to20-_-product_id=COM9781570671043USED-_-keyword=&gclid=Cj0KCQjw1_SkBhDwARIsANbGpFs4ExX1P9YXQFUuTueJytlUy2VdelLMIBU7neywgGu14aYawh1w7hkaArxfEALw_wcB 

National Women's Health Network: https://nwhn.org/ 

Click here to listen to Episode 5 on Spotify. | Click here to access the transcript for Episode 5

Description: Episode 4 invites medical anthropologist Sylvia Önder PhD and cultural psychologist Yulia Chentsova Dutton PhD to discuss the differences among disease, sickness and illness and explore the concepts of invented diseases, folk illnesses, and the social value of certain diseases.

Bonnie O’Connor. Healing Traditions: Alternative Medicine and the Health Professions. 1995. Link: https://www.jstor.org/stable/j.ctt3fhvd3 

Irving Zola. Medicine as an institution of social control. 1976. Link: https://www.jstor.org/stable/43618673 

Michel Foucault. The Birth of the Clinic: An Archaeology of Medical Perception. Link: https://www.penguinrandomhouse.com/books/55034/the-birth-of-the-clinic-by-michel-foucault/ 

Click here to listen to Episode 4 on Spotify. | Click here to access the transcript for Episode 4. 

Description: Episode 3 of Pharmanipulation invites Gretchen LeFever Watson PhD and Robert Whitaker to question diagnoses of attention deficit hyperactivity disorder and to critique drug treatment of behaviors associated with ADHD.

For a list of resources and studies mentioned in this episode, please visit: ⁠⁠https://georgetown.box.com/s/ivv55hvcwl8p48d2cwmn8pyvjwjjx4q4⁠⁠

To learn more about Dr. LeFever Watson, please visit her website: ⁠https://drgretchenwatson.com/⁠

To learn more about Robert Whitaker, please visit his website: ⁠https://www.madinamerica.com/robert-whitaker-new/ 

Click here to listen to Episode 3 on Spotify. | Click here to access the transcript for Episode 3. 

Description: PharmedOut invites Adewole S. Adamson MD, MPP, to discuss the relationship of sun exposure to melanoma, whether sunscreen actually prevents skin cancer, and the overdiagnosis of melanoma. Dr. Adamson is a board-certified dermatologist and an assistant professor in the department of Internal Medicine at Dell Medical School at the University of Texas at Austin where he studies skin cancer, evidence-based medicine, and health policy. He is also the Director of the Pigmented Lesion Clinic at the University of Texas at Austin, and he serves as an assistant editor at JAMA Dermatology.

To learn more about Dr. Adamson, please visit his website: https://adeadamson.com/ 

Dr. Adamson’s paper on "Estimating Overdiagnosis of Melanoma Using Trends Among Black and White Patients in the U.S." is available here: https://jamanetwork.com/journals/jamadermatology/fullarticle/2789995 

Dr. Adamson’s paper on "The Rapid Rise in Cutaneous Melanoma Diagnoses" is available here: https://www.nejm.org/doi/10.1056/NEJMsb2019760?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed 

Click here to listen to Episode 2 on Spotify. | Click here to access the transcript for Episode 2. 

Description: Pharmanipulation is a new show created by PharmedOut, dedicated to the topics of evidence-based medicine and industry influence on medical information and public health. Episode 1 covers pharmaceutical marketing tactics, industry influence on medical knowledge, and invented diseases. Join hosts Caroline Renko and Patricia Bencivenga as they interview Adriane Fugh-Berman MD, the Director of PharmedOut.

Click here to listen to Episode 1 on Spotify. | Click here to access the transcript for Episode 1.