Just started watching this on Hulu. Really sad to see how Purdue intentionally chose to market Oxycontin in rural areas where coal miners worked. We now see the complete devastation of those communities in nearly every facet of their lives. People are addicted to drugs, their jobs are being lost due to environmental regulations [even though there is a net benefit to this for the planet), etc.
The most eye-opening thing for me on the show has been how openly the drug reps spoke with one another about how they were just there to sell a product at whatever cost. Unique terminology like "breakthrough pain" and "psychic anxiety" were created just to sell a drug/therapy. It really makes me think about these stim reps and what they talk about. Did anyone talk about cluneal neuralgia before PNS? The resurgence of vertebrogenic pain now that there is BVN ablation. The list can go on. Nevro has FDA approval for PDN and while I have seen good outcomes in those patients, do we know the long term effects of 10kHz stim on the CNS? We rightfully maligned unnecessary spinal fusions and talked about their adverse effects down the road... but now that we can do it as pain docs it's ok? Will Minuteman not cause adjacent segment disease?
Idk.. the show has just got me thinking a lot and has given me the healthy dose of skepticism of new therapies that I think I needed.
