PharmedOut's Pharmanipulation Podcast
Pharmanipulation is now available anywhere you get your podcasts!
Listening options on Spotify, Google Podcasts, Apple Podcasts, Stitcher, Amazon Music, or Audible.
Episode 8 - "The First One's Free and Then You're Hooked: The Problem with Free Drug Samples" with Dr. Shahram Ahari
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
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
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.
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.