成瘾剂量（2021）

Dopesick S01E06

Part 6 Dec. 9, 2021, 10:57 a.m.

So if Purdue Pharma used specific language in charts,
那也是药监局审批的
then the FDA approved it?
没错
That's correct.
我们想问问你
We'd like to ask you
普渡的药代表给医生们看的这张血检图表
about this blood chart that sales reps at Purdue
它说明这种药物的血液水平不像
showed doctors to demonstrate that the drug
每12小时服用一次
血液药物水平稳定而持久
其他阿片类药物一样有峰值和谷值
didn't have the same peaks and valleys as other opiates.
能让我们单独谈谈吗
Would you guys give us the room for a minute?
-当然 -谢谢
- Sure. - Yeah. Thank you.
-你们从哪里搞到这个的 -在对普渡的调查中
- Where did you get this? - In discovery, at Purdue.
你们确定
And you're sure that
这真是普渡的药代给医生们看的图表吗
this is a chart that Purdue reps actually showed doctors?
是其中的一个版本
A version of it.
还有很多类似的
There are others that are similar.
他们在研讨会上用这些图表来进行推销
It was used in seminars and for promotional purposes.
该死
God damn it.
-这个有问题吗 -是的有问题
- Is that a problem? - Yes, that's a problem.
很大的问题
That's a big problem.
这张图表被篡改过
This chart has been manipulated
让人对数据产生错误的印象
to give a false impression of the data.
这条轴上的刻度标值是假的
The scale in this column has been deceptively numbered.
他们的药其实跟其他阿片类药物一样有峰值
Their drug actually spikes like any opioid,
而不是这张图上说的什么趋于稳定
not this bullshit plateau that the graph claims.
为什么药监局会批准
Why'd the FDA approve it?
我们没批准
We didn't.
我们明确告诉过普渡
We specifically told Purdue
他们不能做这样的声明
they could not make these claims.
我可以给你们多年前我们发给他们的信
I can give you the letter we sent them years ago.
而且我们拒绝使用这种说法
And we rejected the use of the term
"峰值和谷值更少"
"fewer peaks and valleys,"
因为这显然不对
as that is clearly not accurate.
你们知道普渡的药代表用这种说法作为
Are you aware that sales reps at Purdue used this term
主要销♥售♥手段吗
as a major marketing tool?
现在才知道
Not until this conversation.
这些混♥蛋♥居然一直在这么干
Those fucking assholes do this all the time!
他们简直为所欲为
They just do whatever the hell they want.
而且这个部门多年来一直在抵♥制♥他们
And this division has been pushing back on them for years.
你愿意在大陪审团面前作证吗
And would you be willing to testify to this before a grand jury?
乐意之至
Oh, gladly.
联邦检察官麦克洛斯基尊敬的来宾们
U.S. Attorney McCloskey, esteemed participants,
感谢你们邀请我们参加这次重要谈话
thank you for including us in this important conversation
并让我们注意到这个令人关切的话题
and for bringing this concerning topic to our attention.
这不仅仅是令人关切的话题
This is more than just a concerning topic.
我州所面临的危机
It's a crisis in our state
是由你们的药物直接导致的
that stems directly from your drug.
我之前不太想让普渡的代表
I was reluctant to include representatives
参加今天的谈话但我们需要群策群力
from Purdue here today, but we need all hands on deck,
因为这个问题在持续升级
as this problem continues to escalate.
而且我们想做正确的事
And we want to do what's right,
所以我们想出了一些解决方案
so we've come up with some solutions
我们觉得会非常有效
we believe will be very effective.
比如什么
Like what?
医生
Doctor?
对普渡制药
Yes, at Purdue Pharma,
我们将立即承诺聘请一支
we'll immediately commit to hiring a team of expert
独♥立♥专家顾问团队来制定策略
independent consultants to develop a strategy
教医生们如何识别
to educate physicians on the ways to identify
成瘾者和药物滥用者
addicts and abusers.
我是里克·曼卡索想找杰·麦克洛斯基
This is Rick Mountcastle calling for Jay McCloskey.
我已经打过几次了而且作为前检察官
I have tried several times, and as a former U.S. Attorney,
我希望他至少回个电♥话♥给我
I'd expect that he'd at least call me back.
麦克洛斯基先生向您道歉
Mr. McCloskey apologizes.
他一直都很忙
He's been very busy.
他会尽快回电
He'll return your call as soon as possible.
非常感谢
Thank you so much.
这些专家能做些什么
What will these experts accomplish?
他们战略的第一阶段是
Phase one of their strategy
让我们的销♥售♥团队
will be to have our sales team members
在结束对医生的拜访时
conclude all of their doctor's visits
明确提醒他们
with a clear reminder:
基于阿片类药物的止痛药是
opioid-based painkillers are common targets
药物滥用者和药物成瘾者的共同目标
for both drug abusers and drug addicts.
也许他有什么个人问题
Maybe he's having personal problems.
也许他就是个混♥蛋♥
Or maybe he's an asshole.
别说得那么难听
Easy on the language.
伙计们
Hey, guys.
你不用再给他打电♥话♥了
You don't need to call him anymore.
我终于知道麦克洛斯基为什么
I literally just found out why McCloskey's
-不回你电♥话♥了 -为什么
- not returning your calls. - Why's that?
麦克洛斯基先生
Mr. McCloskey,
这是执法部门的问题
this is a law enforcement issue.
而普渡最不希望的就是药物成瘾者和滥用者
And the last thing Purdue wants is for addicts and abusers
造成数百万疼痛病人
to cause millions of pain patients
失去唯一能缓解疼痛的药物
to lose access to the only thing that provides them with pain relief.
他进入私人律所之后
After he went into private practice,
猜猜他的客户是谁
take a wild guess who he took on as a client.
-不是吧 -是的
- No. - Yep.
这位前检察官现在代理普渡制药
The former U.S. Attorney is now representing Purdue Pharma.
我会考虑一下
I'll take it under consideration.
他们买♥♥通了所有
They are buying off everybody
本应监管他们的人
who's supposed to be regulating them.
兰迪我欠你一个道歉
You know, Randy, I owe you an apology.
为什么
For what?
杰·麦克洛斯基真的是个混♥蛋♥
Jay McCloskey really is an asshole.
41岁男性
41-year-old male.
在睡梦中死亡没有呼吸骤停
Died in his sleep. No respiratory arrest.
也没有遗书或有过自杀的念头
No suicide note or history of suicidal ideation.
所以可以确认这是奥施康定造成的死亡
So this one is a confirmed OxyContin death.
是的但说实话
It is. But to be honest,
我们遇到了些严重的问题
we're running into some serious issues.
我们扔掉了三分之一的报告
We threw out about a third of the reports
毫不犹豫因为它们缺乏关键信息或
right off the bat, because they're missing key info
其实是不相关的死亡
or are actually unrelated deaths,
比如枪击致死或癌症
like gunshot wounds or cancer.
对意料之中
Right, we expected that.
对
Right.
但我们没料到这个最大的障碍
But we didn't expect the biggest hurdle.
几乎所有报告都显示出死者体内
Nearly all the reports show multiple drugs
有多种药物
in the deceased's system,
我们要在研究中排除这些药物
which we excluded from the study,
因为我们要找的是
since we're trying to pin down
按处方服用奥施康定造成的死亡
deaths from Oxy as prescribed.
那还剩下些什么
So where does that leave us?
还有多少案例可以查
What number are we at?
不是你想要的
It's not what you're looking for.
目前我们只找到
So far, we've only found
12位只服用奥施康定的服药过量死者
a dozen overdoses with just oxycodone.
只有12位
Just a dozen.
本来到这个阶段我们应该能找到150位左右
At this point, we were expecting about 150.
我很乐意继续下去但希望不大
I'm happy to keep going, but it's not promising.
我们可以再做几个月
We could do this for months
但数字最多也只能翻个三倍
and barely triple these numbers.
不不没事
No, no, that's fine.
可以停下了
We can stop.
谢谢你们的努力工作
Thank you for all the hard work.
用药物控制高血压可以预防心脏问题
治安官在凌晨的抓捕行动中没收价值五万美元的处方止痛药
死亡惨剧发生后
高中校长提醒家长注意学生们选择的新药
本地青少年被发现死于本地药房♥外
亲爱的
Honey.
我录了《24小时》要看吗
I TiVoed 24. Should we watch it?