1 00:00:02,234 --> 00:00:03,711 MARTIN: Today, we're gonna talk about 2 00:00:03,735 --> 00:00:05,338 a medical condition known as breakthrough pain. 3 00:00:05,362 --> 00:00:07,632 RANDY: We were curious as to why nobody says OxyContin 4 00:00:07,656 --> 00:00:10,510 in a video designed to promote OxyContin. 5 00:00:10,534 --> 00:00:12,136 PATIENT #1: I'm at a loss for words. 6 00:00:12,160 --> 00:00:13,804 It's just changed my life for the better. 7 00:00:13,828 --> 00:00:15,389 MARKETER #1: We just did what they wanted. 8 00:00:15,413 --> 00:00:17,391 They said, "Make a PSA," so that's what we shot. 9 00:00:17,415 --> 00:00:19,310 BRIDGET: This drug has only been on the market 10 00:00:19,334 --> 00:00:20,937 for three years, and there's already been 11 00:00:20,961 --> 00:00:23,731 a spike in overdoses and crime rates. 12 00:00:23,755 --> 00:00:26,817 Purdue Pharma is doing my people a great service, 13 00:00:26,841 --> 00:00:29,195 so God bless 'em for it. 14 00:00:29,219 --> 00:00:31,531 What happens if someone has breakthrough pain 15 00:00:31,555 --> 00:00:33,908 and they're already at 40 milligrams? 16 00:00:33,932 --> 00:00:36,202 MARTIN: It is time to double the dose again 17 00:00:36,226 --> 00:00:38,037 as I present to you, 18 00:00:38,061 --> 00:00:39,497 the 80 milligram pill. 19 00:00:39,521 --> 00:00:41,022 [applause] - Whoo! 20 00:00:46,486 --> 00:00:49,489 [crickets chirping] 21 00:00:52,784 --> 00:00:55,787 [train horn blares] 22 00:01:06,172 --> 00:01:07,757 [engine stops] 23 00:01:30,322 --> 00:01:31,882 [alarm blaring] 24 00:01:31,906 --> 00:01:34,885 [dramatic music] 25 00:01:34,909 --> 00:01:38,389 ♪ ♪ 26 00:01:38,413 --> 00:01:40,600 RUSSELL: Pulse rate, body temperature, 27 00:01:40,624 --> 00:01:42,893 blood pressure, respiration rate. 28 00:01:42,917 --> 00:01:45,438 These are the four vital signs. 29 00:01:45,462 --> 00:01:46,647 They indicate the status 30 00:01:46,671 --> 00:01:48,524 of the body's life-sustaining functions 31 00:01:48,548 --> 00:01:51,944 and serve as a basic warning to potential health problems 32 00:01:51,968 --> 00:01:55,781 should these indicators be off standard levels. 33 00:01:55,805 --> 00:01:58,409 But I would argue 34 00:01:58,433 --> 00:01:59,827 that if we want to ascertain 35 00:01:59,851 --> 00:02:02,204 the true health of our patients, 36 00:02:02,228 --> 00:02:04,415 then these four vital signs are not enough 37 00:02:04,439 --> 00:02:08,377 because they do not monitor pain. 38 00:02:08,401 --> 00:02:09,920 From pain, 39 00:02:09,944 --> 00:02:13,924 we can instantly determine if a patient is suffering. 40 00:02:13,948 --> 00:02:15,134 And what better indicator 41 00:02:15,158 --> 00:02:17,845 for the status of a patient's health 42 00:02:17,869 --> 00:02:20,181 than the level of their pain? 43 00:02:20,205 --> 00:02:22,308 Therefore, I propose to you here today 44 00:02:22,332 --> 00:02:24,435 in these vaunted halls 45 00:02:24,459 --> 00:02:28,272 that the medical community must make pain 46 00:02:28,296 --> 00:02:30,548 the fifth vital sign. 47 00:02:40,600 --> 00:02:44,038 FINNIX: Well, it looks better. How's it feel? 48 00:02:44,062 --> 00:02:45,539 It feels a lot better. 49 00:02:45,563 --> 00:02:48,000 - Good. - That's what I wanna hear. 50 00:02:48,024 --> 00:02:51,295 So it's been four weeks. 51 00:02:51,319 --> 00:02:54,632 I wanna taper you off the meds. 52 00:02:54,656 --> 00:02:57,635 See, starting Monday, I want you to 53 00:02:57,659 --> 00:03:00,554 take one pill a day until the next Monday, 54 00:03:00,578 --> 00:03:02,247 and then we're gonna stop altogether. 55 00:03:05,125 --> 00:03:06,977 Oh, okay. FINNIX: Okay? 56 00:03:07,001 --> 00:03:08,312 Sounds good. 57 00:03:08,336 --> 00:03:10,815 FINNIX: And if you have a problem, you call me. 58 00:03:10,839 --> 00:03:14,193 You know, like you didn't do when you first got injured? 59 00:03:14,217 --> 00:03:16,529 - [chuckles] - Yeah. You're the boss. 60 00:03:16,553 --> 00:03:18,096 FINNIX: That's right. I'm the boss. 61 00:03:20,348 --> 00:03:24,870 So what's the latest with Eureka Springs? 62 00:03:24,894 --> 00:03:26,706 Oh, we called a realtor. 63 00:03:26,730 --> 00:03:29,417 She's looking for a place for us. 64 00:03:29,441 --> 00:03:31,043 Talk to your folks? 65 00:03:31,067 --> 00:03:35,464 Well, uh, I tried to talk to my mom. 66 00:03:35,488 --> 00:03:36,990 FINNIX: How'd that go? 67 00:03:40,368 --> 00:03:41,595 They'll think I'm going to hell, 68 00:03:41,619 --> 00:03:43,889 so it doesn't really matter what I say. 69 00:03:43,913 --> 00:03:45,766 You think you're going to hell? 70 00:03:45,790 --> 00:03:47,435 No. 71 00:03:47,459 --> 00:03:49,562 I never believed in none of that stuff, 72 00:03:49,586 --> 00:03:51,272 even when I was a kid. 73 00:03:51,296 --> 00:03:52,773 Well, then, as far as that goes, 74 00:03:52,797 --> 00:03:54,442 you got nothing to worry about. 75 00:03:54,466 --> 00:03:56,277 Unless I end up in hell. 76 00:03:56,301 --> 00:03:57,903 [laughs] Yeah. 77 00:03:57,927 --> 00:04:00,180 - [Betsy laughs] - Well, yeah, there's that. 78 00:04:04,976 --> 00:04:07,455 What do I do about 'em? 79 00:04:07,479 --> 00:04:09,582 Forgive 'em. 80 00:04:09,606 --> 00:04:12,334 Love 'em. 81 00:04:12,358 --> 00:04:13,461 Be patient with 'em. 82 00:04:13,485 --> 00:04:15,045 You never know. They might surprise you. 83 00:04:17,614 --> 00:04:19,199 Go live your life, Bets. 84 00:04:21,659 --> 00:04:23,703 Sometimes you gotta let it go. 85 00:04:25,330 --> 00:04:26,331 You know what I mean? 86 00:04:35,048 --> 00:04:38,027 [ominous music] 87 00:04:38,051 --> 00:04:44,682 ♪ ♪ 88 00:04:45,683 --> 00:04:47,143 BETSY: Fuck this shit. 89 00:04:53,942 --> 00:04:55,085 We are getting reports 90 00:04:55,109 --> 00:04:56,837 that doctors have had a lot of success 91 00:04:56,861 --> 00:05:00,132 treating breakthrough pain by doubling the patient's dose, 92 00:05:00,156 --> 00:05:02,218 so this got us thinking that perhaps there's a way 93 00:05:02,242 --> 00:05:05,554 to prevent breakthrough pain before it even begins, 94 00:05:05,578 --> 00:05:07,539 and, uh, this inspired... 95 00:05:10,708 --> 00:05:12,937 Why start someone at 10 milligrams 96 00:05:12,961 --> 00:05:16,565 if they really need to start at 20 milligrams, or even 40? 97 00:05:16,589 --> 00:05:18,692 We don't know the needs of a specific patient 98 00:05:18,716 --> 00:05:21,153 the way their doctor would, so we need to let 99 00:05:21,177 --> 00:05:22,738 physicians and nurses know 100 00:05:22,762 --> 00:05:25,265 they need to individualize the dose. 101 00:05:26,808 --> 00:05:29,078 This is exactly right. 102 00:05:29,102 --> 00:05:30,120 KATHE: Yeah, I agree. 103 00:05:30,144 --> 00:05:32,957 It's very good, Michael. Very good. 104 00:05:32,981 --> 00:05:34,708 Let's move on it. - Great. 105 00:05:34,732 --> 00:05:36,502 Thank you, everyone. 106 00:05:36,526 --> 00:05:38,128 KATHE: Good work. 107 00:05:38,152 --> 00:05:39,463 [muttering] 108 00:05:39,487 --> 00:05:42,490 Paul, uh, can you stay for a minute? 109 00:05:50,665 --> 00:05:53,644 I wanna look into launching OC in Germany 110 00:05:53,668 --> 00:05:56,188 under a relaxed status. 111 00:05:56,212 --> 00:05:57,982 Germany? RICHARD: Yes. 112 00:05:58,006 --> 00:06:01,235 If we can obtain a relaxed status, 113 00:06:01,259 --> 00:06:03,237 we'd be uncontrolled there. 114 00:06:03,261 --> 00:06:05,948 But German regulators are much stricter than the FDA, 115 00:06:05,972 --> 00:06:07,825 and it's very time-consuming dealing with them. 116 00:06:07,849 --> 00:06:09,743 They're, you know, German. 117 00:06:09,767 --> 00:06:12,371 Thank you for the geography lesson, Paul. 118 00:06:12,395 --> 00:06:15,708 I'm aware Germany isn't the United States. 119 00:06:15,732 --> 00:06:18,752 Perhaps we should focus on shoring up the U. S. 120 00:06:18,776 --> 00:06:21,255 Before we start making foreign moves. 121 00:06:21,279 --> 00:06:23,090 And we'll work on it for months or years, 122 00:06:23,114 --> 00:06:25,217 and it won't go anywhere. 123 00:06:25,241 --> 00:06:26,760 They'll never go for this. 124 00:06:26,784 --> 00:06:30,055 Well, that's what Uncle Mortimer said 125 00:06:30,079 --> 00:06:32,224 when I told him we should create a narcotic 126 00:06:32,248 --> 00:06:35,269 for moderate long-term pain. 127 00:06:35,293 --> 00:06:36,395 Thank you. 128 00:06:36,419 --> 00:06:42,902 ♪ ♪ 129 00:06:42,926 --> 00:06:45,613 Danke schoen. 130 00:06:45,637 --> 00:06:47,531 If you can get these country doctors 131 00:06:47,555 --> 00:06:50,242 to individualize the dose, 132 00:06:50,266 --> 00:06:53,370 you get the positive side effect 133 00:06:53,394 --> 00:06:56,165 of individualizing your bonus. 134 00:06:56,189 --> 00:06:57,166 All right. 135 00:06:57,190 --> 00:07:00,002 Purdue also just conducted 136 00:07:00,026 --> 00:07:02,463 an osteoarthritis study- 137 00:07:02,487 --> 00:07:05,215 pass those out for me-- and it says 138 00:07:05,239 --> 00:07:08,761 that if a patient is on 60 milligrams a day or less, 139 00:07:08,785 --> 00:07:12,264 they can stop cold turkey without withdrawals. 140 00:07:12,288 --> 00:07:14,975 Now, you make sure you show that to your doctors. 141 00:07:14,999 --> 00:07:17,937 [chuckles] This drug is just amazing. 142 00:07:17,961 --> 00:07:20,773 All right, now, for a little bit of fun news, 143 00:07:20,797 --> 00:07:23,901 management knows how hard you all have been working. 144 00:07:23,925 --> 00:07:25,444 And, you know, we wanna do a little something 145 00:07:25,468 --> 00:07:28,113 to say thank you, so I am pleased to announce 146 00:07:28,137 --> 00:07:31,116 that Purdue is starting a sales competition 147 00:07:31,140 --> 00:07:33,243 called the Toppers Contest. 148 00:07:33,267 --> 00:07:35,245 The sales rep with the highest grosses 149 00:07:35,269 --> 00:07:37,164 from each region 150 00:07:37,188 --> 00:07:41,335 is gonna get an all-expense-paid trip 151 00:07:41,359 --> 00:07:43,295 to Bermuda. 152 00:07:43,319 --> 00:07:46,322 [cheers and applause] 153 00:07:47,198 --> 00:07:48,676 All right, so everybody get out there, 154 00:07:48,700 --> 00:07:50,386 you keep selling, 155 00:07:50,410 --> 00:07:52,763 and someone in this room is gonna end up 156 00:07:52,787 --> 00:07:54,098 with one hell of a tan. 157 00:07:54,122 --> 00:07:57,017 [laughter] 158 00:07:57,041 --> 00:07:58,727 AMBER: Don't be offended when I tell you, 159 00:07:58,751 --> 00:08:00,729 I would jam a knife into your carotid artery 160 00:08:00,753 --> 00:08:01,897 to win that trip. 161 00:08:01,921 --> 00:08:04,233 - [laughs] - Okay. Well, how about this? 162 00:08:04,257 --> 00:08:06,735 We double our dose and we partner up. 163 00:08:06,759 --> 00:08:09,488 So if I win, you're my plus-one. 164 00:08:09,512 --> 00:08:11,240 And if you win, you take me. 165 00:08:11,264 --> 00:08:13,492 Or I'll go with you if you win. 166 00:08:13,516 --> 00:08:15,119 And if I win, I'll go with someone else. 167 00:08:15,143 --> 00:08:16,745 How about that? 168 00:08:16,769 --> 00:08:18,831 Yeah, I mean, that's not really what I was going for. 169 00:08:18,855 --> 00:08:21,333 Oh, Billy, I think you're a riot, 170 00:08:21,357 --> 00:08:24,211 but I only fuck really hot guys and really rich guys. 171 00:08:24,235 --> 00:08:26,463 And you are neither hot nor rich, 172 00:08:26,487 --> 00:08:27,923 but you are fun. 173 00:08:27,947 --> 00:08:30,134 Sort of sweet when you're not being a fucking douche, 174 00:08:30,158 --> 00:08:33,303 so let's just be friends, okay? 175 00:08:33,327 --> 00:08:35,055 'Cause this one-sided sexual tension 176 00:08:35,079 --> 00:08:36,056 is getting tired. 177 00:08:36,080 --> 00:08:37,725 [scoffs] 178 00:08:37,749 --> 00:08:41,854 I mean, can we be friends who fuck on the trip to Bermuda 179 00:08:41,878 --> 00:08:44,023 if I win the contest? 180 00:08:44,047 --> 00:08:46,150 Well, I'll consider it. 181 00:08:46,174 --> 00:08:47,568 [car alarm beeps] 182 00:08:47,592 --> 00:08:50,344 Maybe it's time for an upgrade from that piece of shit. 183 00:08:52,305 --> 00:08:54,575 I just gotta individualize the dose. 184 00:08:54,599 --> 00:08:57,286 This is beautiful, Doc. 185 00:08:57,310 --> 00:08:59,580 Yeah, it's one of my favorite spots. 186 00:08:59,604 --> 00:09:02,541 BILLY: You know, Drea Price keeps asking me 187 00:09:02,565 --> 00:09:04,251 if you're gonna come to Orlando. 188 00:09:04,275 --> 00:09:05,502 She does? 189 00:09:05,526 --> 00:09:06,611 BILLY: Yeah. 190 00:09:08,613 --> 00:09:09,882 [grunts] 191 00:09:09,906 --> 00:09:11,967 She sure liked ya. 192 00:09:11,991 --> 00:09:13,218 Huh. 193 00:09:13,242 --> 00:09:15,304 Why don't you come down, take her on a- 194 00:09:15,328 --> 00:09:17,139 take her on a date or something? 195 00:09:17,163 --> 00:09:18,682 A date? 196 00:09:18,706 --> 00:09:20,684 I wouldn't remember what you do on a date. 197 00:09:20,708 --> 00:09:21,894 [laughs] 198 00:09:21,918 --> 00:09:24,521 I don't know what I'd even talk about. 199 00:09:24,545 --> 00:09:28,692 Well, you just talk about, you know- 200 00:09:28,716 --> 00:09:30,110 well, I don't know, actually. 201 00:09:30,134 --> 00:09:32,529 I'm not a expert in these matters, but- 202 00:09:32,553 --> 00:09:35,115 Do you have a girlfriend, or what? 203 00:09:35,139 --> 00:09:36,825 BILLY: No. No. - No? 204 00:09:36,849 --> 00:09:40,746 Well, there's this sales rep, actually, who's hot as hell. 205 00:09:40,770 --> 00:09:42,539 Loves to torture me. 206 00:09:42,563 --> 00:09:44,583 She like you? 207 00:09:44,607 --> 00:09:47,127 - Definitely not, no. - [chuckles] 208 00:09:47,151 --> 00:09:48,420 But she flirts with me just enough 209 00:09:48,444 --> 00:09:49,880 to keep me going, you know? 210 00:09:49,904 --> 00:09:51,048 Yeah. 211 00:09:51,072 --> 00:09:52,841 Here's an idea. 212 00:09:52,865 --> 00:09:56,970 Maybe you could find a girl who actually likes you. 213 00:09:56,994 --> 00:09:58,138 That sounds awful. 214 00:09:58,162 --> 00:10:00,390 [both laugh] 215 00:10:00,414 --> 00:10:02,792 Mmm, boy. Look at this. Mmm. 216 00:10:05,169 --> 00:10:07,022 Doc. FINNIX: Yeah? 217 00:10:07,046 --> 00:10:09,048 I was gonna run something by you. 218 00:10:11,175 --> 00:10:15,447 Would you ever start your patients on a higher dose? 219 00:10:15,471 --> 00:10:18,992 If their pain was especially strong, 220 00:10:19,016 --> 00:10:21,161 would you start 'em at 20 milligrams 221 00:10:21,185 --> 00:10:22,412 instead of, say, 10? 222 00:10:22,436 --> 00:10:23,539 Nah. 223 00:10:23,563 --> 00:10:25,916 If I had 'em on 10 and if I had to, 224 00:10:25,940 --> 00:10:27,334 I'd just bump 'em up. 225 00:10:27,358 --> 00:10:30,170 Right. FINNIX: Why? 226 00:10:30,194 --> 00:10:31,839 No, no reason. 227 00:10:31,863 --> 00:10:33,531 I was just, uh, curious, you know? 228 00:10:35,491 --> 00:10:37,636 How are your patients doing on Oxy? 229 00:10:37,660 --> 00:10:39,888 Good, good. 230 00:10:39,912 --> 00:10:43,809 I'm trying to, uh, you know, taper one off. 231 00:10:43,833 --> 00:10:46,687 She has no pain. Her pain's gone. 232 00:10:46,711 --> 00:10:48,296 You don't need to taper her. 233 00:10:50,381 --> 00:10:53,443 Actually, a new study that I just read said that 234 00:10:53,467 --> 00:10:55,863 if they're taking anything less than 60 milligrams a day, 235 00:10:55,887 --> 00:10:58,866 they can stop without withdrawals. 236 00:10:58,890 --> 00:11:00,224 I'll send it to you. 237 00:11:02,685 --> 00:11:05,247 Nah. 238 00:11:05,271 --> 00:11:08,566 I'd rather have her taper, just to be safe. 239 00:11:10,151 --> 00:11:11,461 BETSY: Hey, Grace. 240 00:11:11,485 --> 00:11:12,963 I don't think I'm gonna make it tonight. 241 00:11:12,987 --> 00:11:14,590 GRACE: What the hell are you talking about? 242 00:11:14,614 --> 00:11:15,799 I'm already at the Rattlesnake. 243 00:11:15,823 --> 00:11:17,759 No, I know. I know. I just--. 244 00:11:17,783 --> 00:11:20,721 I-I'm not feeling too great. 245 00:11:20,745 --> 00:11:22,431 Are you sure there's not somethin' going on? 246 00:11:22,455 --> 00:11:23,974 'Cause you're acting really strange. 247 00:11:23,998 --> 00:11:25,601 BETSY: No. No, Grace. 248 00:11:25,625 --> 00:11:28,187 Nothing's going on. I just- 249 00:11:28,211 --> 00:11:30,272 I'm not feeling great, all right? 250 00:11:30,296 --> 00:11:32,232 GRACE: Okay. Well, let me know if you need anything. 251 00:11:32,256 --> 00:11:35,277 No. I don't. 252 00:11:35,301 --> 00:11:37,613 - GRACE: All right, fine. Bye. - Bye. 253 00:11:37,637 --> 00:11:40,616 [apprehensive music] 254 00:11:40,640 --> 00:11:45,746 ♪ ♪ 255 00:11:45,770 --> 00:11:47,623 [exhales shakily] 256 00:11:47,647 --> 00:11:49,958 Shit! 257 00:11:49,982 --> 00:11:51,793 Shit! Fuck! 258 00:11:51,817 --> 00:11:54,820 [teeth chattering] 259 00:11:56,030 --> 00:11:59,033 [gagging] 260 00:12:08,376 --> 00:12:10,312 I'd been living with pain for so long, 261 00:12:10,336 --> 00:12:15,484 but then almost overnight, I got my life back. 262 00:12:15,508 --> 00:12:17,194 As shown in Exhibit 1A 263 00:12:17,218 --> 00:12:19,404 of the "I Got My Life Back" promotional video, 264 00:12:19,428 --> 00:12:21,990 Purdue manipulated basic facts of the drug, 265 00:12:22,014 --> 00:12:23,742 claiming it is essentially nonaddictive 266 00:12:23,766 --> 00:12:25,077 when it clearly was. 267 00:12:25,101 --> 00:12:26,828 And these participants involved 268 00:12:26,852 --> 00:12:29,539 were deceived into participating, 269 00:12:29,563 --> 00:12:31,333 being told it was a PSA for pain relief 270 00:12:31,357 --> 00:12:33,043 instead of an advertisement for OxyContin, 271 00:12:33,067 --> 00:12:37,130 and many of them are now addicted or dead from drug use. 272 00:12:37,154 --> 00:12:40,175 So we request access to all internal marketing materials, 273 00:12:40,199 --> 00:12:41,718 research, and testing data 274 00:12:41,742 --> 00:12:44,179 to determine if there are other deceptions 275 00:12:44,203 --> 00:12:46,640 as flagrant as the exhibit currently for the court. 276 00:12:46,664 --> 00:12:49,893 Your Honor, statements made by counsel 277 00:12:49,917 --> 00:12:52,437 in no way even resemble the facts. 278 00:12:52,461 --> 00:12:54,564 My client is aware 279 00:12:54,588 --> 00:12:55,983 there have been addiction issues 280 00:12:56,007 --> 00:12:57,442 in this part of the world, 281 00:12:57,466 --> 00:12:59,695 but blaming Purdue Pharma for this 282 00:12:59,719 --> 00:13:02,406 is like blaming Budweiser for a drunk driver. 283 00:13:02,430 --> 00:13:04,408 It is the fault of the drug abuser 284 00:13:04,432 --> 00:13:06,576 and not of the manufacturer. 285 00:13:06,600 --> 00:13:09,121 The scope of the subpoena is overly broad, 286 00:13:09,145 --> 00:13:11,665 and the information contained in their request is privileged. 287 00:13:11,689 --> 00:13:13,375 Your Honor, if there is no liability, then- 288 00:13:13,399 --> 00:13:16,795 What these local lawyers don't seem to understand 289 00:13:16,819 --> 00:13:19,214 is that there is a national pain movement 290 00:13:19,238 --> 00:13:23,218 that is far bigger than my client and its drugs. 291 00:13:23,242 --> 00:13:25,846 Renowned pain organizations 292 00:13:25,870 --> 00:13:28,640 have not only endorsed my client's medication, 293 00:13:28,664 --> 00:13:31,768 but the general use of increased opioid treatment. 294 00:13:31,792 --> 00:13:35,188 My client should be given a Nobel Prize, 295 00:13:35,212 --> 00:13:38,233 not a subpoena for materials. 296 00:13:38,257 --> 00:13:40,152 I actually tend to agree. 297 00:13:40,176 --> 00:13:43,196 Not on the Nobel Prize part. 298 00:13:43,220 --> 00:13:45,824 The scope of the request is too wide 299 00:13:45,848 --> 00:13:47,409 as it currently stands. 300 00:13:47,433 --> 00:13:50,037 You need to bring me something more compelling 301 00:13:50,061 --> 00:13:52,956 than a single video for such a broad request. 302 00:13:52,980 --> 00:13:54,583 [gavel knocks] 303 00:13:54,607 --> 00:13:58,211 [dramatic music] 304 00:13:58,235 --> 00:14:00,380 That video should have been enough. 305 00:14:00,404 --> 00:14:02,257 Hey, we'll find more. 306 00:14:02,281 --> 00:14:04,009 We knew it wasn't gonna be easy. 307 00:14:04,033 --> 00:14:06,011 Hey, good luck in surgery tomorrow. 308 00:14:06,035 --> 00:14:07,220 And I know it's gonna go great. 309 00:14:07,244 --> 00:14:10,682 - Thanks. - I'll be back in a week. 310 00:14:10,706 --> 00:14:12,476 Hey, you take as much time as you need. 311 00:14:12,500 --> 00:14:13,709 RANDY: All I need's a week. 312 00:14:15,336 --> 00:14:18,315 [sinister music] 313 00:14:18,339 --> 00:14:25,346 ♪ ♪ 314 00:14:28,099 --> 00:14:30,744 Hey, sweetie. 315 00:14:30,768 --> 00:14:32,371 You did good. 316 00:14:32,395 --> 00:14:33,955 [clears throat] 317 00:14:33,979 --> 00:14:36,291 JENNIFER: The doctor told me it went really well. 318 00:14:36,315 --> 00:14:37,959 Oh, good. Good. 319 00:14:37,983 --> 00:14:40,587 NURSE: Hey there. How you feeling? 320 00:14:40,611 --> 00:14:43,882 RANDY: Oh, a little-- uh, not too good. 321 00:14:43,906 --> 00:14:45,300 Are you in a lot of pain? 322 00:14:45,324 --> 00:14:48,553 - Yeah. Yeah. - I'm feeling some pain. 323 00:14:48,577 --> 00:14:51,556 How would you describe your pain? 324 00:14:51,580 --> 00:14:52,933 Scale of one to ten? 325 00:14:52,957 --> 00:14:59,380 ♪ ♪ 326 00:15:00,339 --> 00:15:03,568 - Mm, about a thousand. - NURSE: Got it. 327 00:15:03,592 --> 00:15:04,736 We are gonna go ahead 328 00:15:04,760 --> 00:15:06,696 and give you 20 milligrams OxyContin. 329 00:15:06,720 --> 00:15:09,849 It will significantly reduce your level of pain. 330 00:15:13,436 --> 00:15:16,832 Do you have anything besides OxyContin? 331 00:15:16,856 --> 00:15:18,625 Why 20? Why not 10? 332 00:15:18,649 --> 00:15:20,836 It's standard to individualize the dose 333 00:15:20,860 --> 00:15:22,796 for the patient's needs. 334 00:15:22,820 --> 00:15:24,589 I don't want Oxy. 335 00:15:24,613 --> 00:15:26,258 We don't have anything as effective. 336 00:15:26,282 --> 00:15:27,676 It is completely safe. 337 00:15:27,700 --> 00:15:29,702 Just--just give me some Tylenol. 338 00:15:32,413 --> 00:15:35,600 I'm gonna go ahead 339 00:15:35,624 --> 00:15:37,894 and have you guys look at this pamphlet 340 00:15:37,918 --> 00:15:39,479 on painkillers. 341 00:15:39,503 --> 00:15:40,981 They're very safe now. 342 00:15:41,005 --> 00:15:45,819 ♪ ♪ 343 00:15:45,843 --> 00:15:47,112 [sighs] 344 00:15:47,136 --> 00:15:49,197 DR. KISSELL: Hi, Randy. Surgery went well. 345 00:15:49,221 --> 00:15:50,991 Your margins look clean, but I'll know for sure 346 00:15:51,015 --> 00:15:53,160 once the, uh, pathology comes back. 347 00:15:53,184 --> 00:15:54,369 Right. 348 00:15:54,393 --> 00:15:56,830 How are you feeling? 349 00:15:56,854 --> 00:15:58,498 Patient's refusing OxyContin. 350 00:15:58,522 --> 00:16:01,835 He only wants Tylenol. 351 00:16:01,859 --> 00:16:04,171 It won't be strong enough. 352 00:16:04,195 --> 00:16:05,464 Pain's the new fifth vital sign. 353 00:16:05,488 --> 00:16:07,132 It's the top priority of this hospital. 354 00:16:07,156 --> 00:16:08,324 We manage it. 355 00:16:10,367 --> 00:16:13,346 Do you have a strong non-opioid? 356 00:16:13,370 --> 00:16:15,724 We could go with 1,200 milligrams of Motrin. 357 00:16:15,748 --> 00:16:18,018 It'll knock the edge off, but it doesn't last 12 hours. 358 00:16:18,042 --> 00:16:19,811 Well, neither does OxyContin. 359 00:16:19,835 --> 00:16:21,980 - That'll be fine. - He'll do Motrin. 360 00:16:22,004 --> 00:16:28,010 ♪ ♪ 361 00:16:31,639 --> 00:16:33,450 [phones ringing] [chatter] 362 00:16:33,474 --> 00:16:35,243 Jermaine. 363 00:16:35,267 --> 00:16:37,996 Break-in at a rural pharmacy, officer shot. 364 00:16:38,020 --> 00:16:41,124 Guy took only four bottles of OxyContin and nothing else. 365 00:16:41,148 --> 00:16:42,584 I saw a pain clinic in Kentucky 366 00:16:42,608 --> 00:16:43,793 that looked like a junkie drive-through. 367 00:16:43,817 --> 00:16:45,003 JERMAINE: What were you doing in Kentucky? 368 00:16:45,027 --> 00:16:46,296 BRIDGET: It's where I get my hair done. 369 00:16:46,320 --> 00:16:47,464 The fuck, Bridget? 370 00:16:47,488 --> 00:16:49,299 You could get in serious shit for this. 371 00:16:49,323 --> 00:16:50,842 Hey, I'm just making observations 372 00:16:50,866 --> 00:16:52,093 and bringing it to the appropriate authorities. 373 00:16:52,117 --> 00:16:53,470 - Look, I get it, okay? - I get it. 374 00:16:53,494 --> 00:16:54,554 But what's the next move? 375 00:16:54,578 --> 00:16:56,181 You tell me. 376 00:16:56,205 --> 00:16:58,266 Well, if this were cocaine, you'd try to prevent 377 00:16:58,290 --> 00:17:00,352 the smugglers from bringing the drugs into the country 378 00:17:00,376 --> 00:17:02,521 and target local dealers to bust larger syndicates. 379 00:17:02,545 --> 00:17:03,897 Correct? - Correct. 380 00:17:03,921 --> 00:17:06,775 I don't need a sting operation to find the drugs 381 00:17:06,799 --> 00:17:08,735 because I know exactly where they are. 382 00:17:08,759 --> 00:17:11,655 - BRIDGET: Where? - They're in every pharmacy in the country. 383 00:17:11,679 --> 00:17:12,989 So I can't call in the Coast Guard 384 00:17:13,013 --> 00:17:13,990 to protect our borders 385 00:17:14,014 --> 00:17:15,867 because the drugs are already here. 386 00:17:15,891 --> 00:17:18,245 So who do I bring a major case against? 387 00:17:18,269 --> 00:17:20,372 Some dickhead with a truck? 388 00:17:20,396 --> 00:17:22,249 A shithole pain clinic in Kentucky? 389 00:17:22,273 --> 00:17:24,751 - I don't know, okay? - I don't know. 390 00:17:24,775 --> 00:17:26,378 But something is happening here. 391 00:17:26,402 --> 00:17:27,629 A single prescription drug 392 00:17:27,653 --> 00:17:29,673 is filling up jails in rural areas. 393 00:17:29,697 --> 00:17:31,383 Find me a cartel 394 00:17:31,407 --> 00:17:32,634 and I'll call in the Coast Guard, 395 00:17:32,658 --> 00:17:35,411 but right now, this is a local crime issue. 396 00:17:37,079 --> 00:17:40,058 [tense music] 397 00:17:40,082 --> 00:17:47,089 ♪ ♪ 398 00:17:50,217 --> 00:17:52,320 BRIDGET: Uh, Mr. Wayton? 399 00:17:52,344 --> 00:17:53,905 Bridget Meyer, DEA. We spoke on the phone. 400 00:17:53,929 --> 00:17:56,283 WAYTON: Yeah. Hey. 401 00:17:56,307 --> 00:17:57,492 What's going on? 402 00:17:57,516 --> 00:17:59,202 WAYTON: We're gonna put in a higher counter, 403 00:17:59,226 --> 00:18:00,453 tougher to jump over. 404 00:18:00,477 --> 00:18:01,580 Third break-in this year, 405 00:18:01,604 --> 00:18:03,331 and all they ever take's the Oxy. 406 00:18:03,355 --> 00:18:05,584 You ever think about not carrying the pills? 407 00:18:05,608 --> 00:18:08,628 Tried, but they told me I'd get sued if I did that. 408 00:18:08,652 --> 00:18:10,213 Who told you that? 409 00:18:10,237 --> 00:18:11,423 That woman from Purdue. 410 00:18:11,447 --> 00:18:12,841 What did the Purdue rep say? 411 00:18:12,865 --> 00:18:14,801 WAYTON: She acted like she was helping me out, you know? 412 00:18:14,825 --> 00:18:17,721 Like she was my good friend offering advice. 413 00:18:17,745 --> 00:18:20,599 She said if I refused to dispense her drug, 414 00:18:20,623 --> 00:18:22,767 that doctors and patients could sue me, 415 00:18:22,791 --> 00:18:24,686 and the lawsuits could put me out of business. 416 00:18:24,710 --> 00:18:27,397 Either way, I'm screwed. 417 00:18:27,421 --> 00:18:29,608 Do you have her name? 418 00:18:29,632 --> 00:18:32,611 [sinister music] 419 00:18:32,635 --> 00:18:34,904 ♪ ♪ 420 00:18:34,928 --> 00:18:39,326 [shutter clicking] 421 00:18:39,350 --> 00:18:46,357 ♪ ♪ 422 00:19:02,873 --> 00:19:04,434 Fuck. AMBER: No, no, no. 423 00:19:04,458 --> 00:19:06,770 You've got to get your patients off Vicodin. 424 00:19:06,794 --> 00:19:09,147 I've got one multiple studies from different pain foundations 425 00:19:09,171 --> 00:19:12,275 that show Vicodin is terrible for their liver. 426 00:19:12,299 --> 00:19:13,943 Mm-hmm. 427 00:19:13,967 --> 00:19:16,363 What--I don't have any change. 428 00:19:16,387 --> 00:19:19,991 - Bridget Meyer, DEA. - Please exit the car. 429 00:19:20,015 --> 00:19:21,392 I have to call you back. 430 00:19:28,607 --> 00:19:31,294 I'm so sorry about the change thing. 431 00:19:31,318 --> 00:19:33,296 I get hit up in my car a lot. 432 00:19:33,320 --> 00:19:34,631 I'd like to ask you some questions 433 00:19:34,655 --> 00:19:37,092 about break-ins at pharmacies in the area. 434 00:19:37,116 --> 00:19:38,468 Well, I didn't do it. 435 00:19:38,492 --> 00:19:40,679 I would never risk scratching my new Manolos. 436 00:19:40,703 --> 00:19:42,972 You're not a suspect, ma'am. 437 00:19:42,996 --> 00:19:45,016 Several of the pharmacists complained they were told 438 00:19:45,040 --> 00:19:47,435 they had to carry OxyContin when they didn't want to. 439 00:19:47,459 --> 00:19:49,562 - Who told them that? - BRIDGET: They said you did. 440 00:19:49,586 --> 00:19:51,606 They said you threatened them with lawsuits. 441 00:19:51,630 --> 00:19:53,900 [laughing] Oh, what? 442 00:19:53,924 --> 00:19:55,443 Oh, you're fucking kidding me. 443 00:19:55,467 --> 00:19:58,446 Um, no. No. I tried to help them. 444 00:19:58,470 --> 00:20:01,783 I told them doctors and patients could sue them. 445 00:20:01,807 --> 00:20:04,035 I never said anything about my company. 446 00:20:04,059 --> 00:20:06,454 Well, they took it as a threat from you. 447 00:20:06,478 --> 00:20:07,747 They felt they were being bullied 448 00:20:07,771 --> 00:20:10,041 into carrying a drug they didn't wanna carry. 449 00:20:10,065 --> 00:20:13,545 Well, I'm not surprised they were confused. 450 00:20:13,569 --> 00:20:16,131 They're pretty stupid down here. 451 00:20:16,155 --> 00:20:19,801 That's what happens when you fuck your sister. 452 00:20:19,825 --> 00:20:21,803 Were you instructed to threaten these pharmacies 453 00:20:21,827 --> 00:20:24,097 by your employers? 454 00:20:24,121 --> 00:20:26,516 No. 455 00:20:26,540 --> 00:20:27,642 And I have to go. 456 00:20:27,666 --> 00:20:29,227 I just have a few more questions. 457 00:20:29,251 --> 00:20:30,395 Do I have to answer them by law? 458 00:20:30,419 --> 00:20:31,938 No, you do not. 459 00:20:31,962 --> 00:20:33,273 - [with Southern accent] - Then you have 460 00:20:33,297 --> 00:20:36,317 a great day, ma'am. 461 00:20:36,341 --> 00:20:39,320 [tense music] 462 00:20:39,344 --> 00:20:42,157 ♪ ♪ 463 00:20:42,181 --> 00:20:45,160 [engine turns over, revs] 464 00:20:45,184 --> 00:20:46,518 [tires squeal] 465 00:20:54,318 --> 00:20:57,297 [gentle orchestral music] 466 00:20:57,321 --> 00:20:59,674 ♪ ♪ 467 00:20:59,698 --> 00:21:01,426 GUEST: Good to see you. Thank you for having us. 468 00:21:01,450 --> 00:21:02,677 RICHARD: Oh, of course. GUEST: Nice to see you. 469 00:21:02,701 --> 00:21:04,137 Glad you could come. 470 00:21:04,161 --> 00:21:05,430 MORTIMER D. A.: Check out Richard. 471 00:21:05,454 --> 00:21:07,849 I didn't know he knew how to smile. 472 00:21:07,873 --> 00:21:10,643 It's a smile of relief he didn't sink the company. 473 00:21:10,667 --> 00:21:13,521 I don't know if I'm happier we have a potential blockbuster 474 00:21:13,545 --> 00:21:15,815 or annoyed he actually pulled it off. 475 00:21:15,839 --> 00:21:17,692 Hmm, I heard everyone at the office hates him. 476 00:21:17,716 --> 00:21:18,902 KATHE: Mm. 477 00:21:18,926 --> 00:21:20,403 Can't stand him. 478 00:21:20,427 --> 00:21:22,405 You know, he didn't even know what oxycodone was 479 00:21:22,429 --> 00:21:23,656 until I told him, 480 00:21:23,680 --> 00:21:25,575 and now he micromanages everyone 481 00:21:25,599 --> 00:21:27,285 like he's God's gift to medicine. 482 00:21:27,309 --> 00:21:30,646 [laughter] 483 00:21:35,859 --> 00:21:37,277 He's gonna make a toast. 484 00:21:39,863 --> 00:21:41,758 MORTIMER: Theresa and I would like to toast 485 00:21:41,782 --> 00:21:45,428 the opening of the Sackler Institute at Cornell 486 00:21:45,452 --> 00:21:47,430 as we make our family 487 00:21:47,454 --> 00:21:50,058 the most philanthropic in America. 488 00:21:50,082 --> 00:21:52,101 [cheers and applause] 489 00:21:52,125 --> 00:21:53,812 RAYMOND: Thank you, Mortimer. 490 00:21:53,836 --> 00:21:57,482 I'd also like to toast our host, my son, Richard, 491 00:21:57,506 --> 00:22:01,778 for his tireless work on our latest product, OxyContin. 492 00:22:01,802 --> 00:22:03,363 It's only been out a few months, 493 00:22:03,387 --> 00:22:05,406 and it's already a major breakthrough 494 00:22:05,430 --> 00:22:06,908 in pain management. 495 00:22:06,932 --> 00:22:09,160 So to Richard. 496 00:22:09,184 --> 00:22:10,787 ALL: To Richard. 497 00:22:10,811 --> 00:22:12,163 [scattered applause] 498 00:22:12,187 --> 00:22:13,790 BETH: Hi. How are you? 499 00:22:13,814 --> 00:22:16,751 [tense music] 500 00:22:16,775 --> 00:22:18,503 ♪ ♪ 501 00:22:18,527 --> 00:22:20,213 RICHARD: Your numbers are good, 502 00:22:20,237 --> 00:22:23,132 but they can be even better. 503 00:22:23,156 --> 00:22:27,387 Just keep pushing your doctors to individualize the dose, 504 00:22:27,411 --> 00:22:30,265 and I will keep checking in. 505 00:22:30,289 --> 00:22:31,891 Thank you. 506 00:22:31,915 --> 00:22:33,852 Good Unch. 507 00:22:33,876 --> 00:22:35,979 Good boy. Good boy. 508 00:22:36,003 --> 00:22:38,481 Dad hates it when you bring him into the office. 509 00:22:38,505 --> 00:22:40,942 Then, uh, don't tell him. 510 00:22:40,966 --> 00:22:43,611 Is Unch short for something? 511 00:22:43,635 --> 00:22:45,822 RICHARD: What's going on? 512 00:22:45,846 --> 00:22:47,347 Uh, so... 513 00:22:49,099 --> 00:22:52,036 - Uh, Germany isn't gonna work. - Why not? 514 00:22:52,060 --> 00:22:55,206 We have to prove OC has minimal abuse liability, 515 00:22:55,230 --> 00:22:56,958 and we-we can't make that claim. 516 00:22:56,982 --> 00:22:59,836 RICHARD: That's-that's just negative thinking. 517 00:22:59,860 --> 00:23:01,880 Can't we run another long-term trial 518 00:23:01,904 --> 00:23:03,256 to get more data? 519 00:23:03,280 --> 00:23:05,657 I wasn't aware there were any long-term trials. 520 00:23:09,995 --> 00:23:11,347 Dr. Richard, 521 00:23:11,371 --> 00:23:13,975 even if we could get OxyContin designated uncontrolled, 522 00:23:13,999 --> 00:23:16,561 it's highly likely it will be abused in Germany 523 00:23:16,585 --> 00:23:18,104 under that classification 524 00:23:18,128 --> 00:23:20,148 and then be reclassified as controlled. 525 00:23:20,172 --> 00:23:22,483 [slams hands on desk] 526 00:23:22,507 --> 00:23:24,360 RICHARD: God damn it, I'm sick 527 00:23:24,384 --> 00:23:27,387 of all these fucking noes! 528 00:23:29,765 --> 00:23:31,075 I want a yes. 529 00:23:31,099 --> 00:23:32,577 Germany isn't like the U. S. 530 00:23:32,601 --> 00:23:35,121 We can't maneuver around their laws. 531 00:23:35,145 --> 00:23:37,081 You're wasting a lot of time on something 532 00:23:37,105 --> 00:23:38,541 that will get revoked. 533 00:23:38,565 --> 00:23:41,252 - It's also cultural. - [Richard sighs] 534 00:23:41,276 --> 00:23:43,463 The Germans don't believe in opioids. 535 00:23:43,487 --> 00:23:46,740 They believe suffering is part of healing. 536 00:23:49,034 --> 00:23:52,245 JONATHAN: Um, hey, Paul, will give us a minute? 537 00:23:56,041 --> 00:24:00,355 ♪ ♪ 538 00:24:00,379 --> 00:24:03,483 Richie. 539 00:24:03,507 --> 00:24:05,318 It's going great. 540 00:24:05,342 --> 00:24:07,362 It really is. 541 00:24:07,386 --> 00:24:09,238 The drug has turned a corner. 542 00:24:09,262 --> 00:24:11,824 We're on an upswing. 543 00:24:11,848 --> 00:24:14,285 You and Beth should take a trip. 544 00:24:14,309 --> 00:24:15,828 Relax. 545 00:24:15,852 --> 00:24:17,121 You haven't had a break in years. 546 00:24:17,145 --> 00:24:18,998 Go spend some time with David and girls. 547 00:24:19,022 --> 00:24:22,752 RICHARD: There's no time for a break. 548 00:24:22,776 --> 00:24:24,545 There is no break. 549 00:24:24,569 --> 00:24:28,532 There will never be a break. 550 00:24:30,659 --> 00:24:35,932 Look, I-I know I can be hard on people, 551 00:24:35,956 --> 00:24:41,187 but can you think of any greater venture 552 00:24:41,211 --> 00:24:44,983 to help humanity 553 00:24:45,007 --> 00:24:47,610 than curing pain? 554 00:24:47,634 --> 00:24:52,222 We need to get this drug into Germany. 555 00:24:53,724 --> 00:24:56,452 Please, John, just 556 00:24:56,476 --> 00:25:00,665 don't give up so fast. 557 00:25:00,689 --> 00:25:03,209 Okay. 558 00:25:03,233 --> 00:25:06,004 Okay. We'll-we'll keep trying. 559 00:25:06,028 --> 00:25:07,213 Thank you. 560 00:25:07,237 --> 00:25:09,048 FINNIX: We got lucky with the weather, buddy. 561 00:25:09,072 --> 00:25:11,092 JERRY: No doubt. 562 00:25:11,116 --> 00:25:13,469 FINNIX: It's just nice to get out and get away from things. 563 00:25:13,493 --> 00:25:15,471 JERRY: Oh, amen. I could just sit here 564 00:25:15,495 --> 00:25:18,141 and stare at the river, to be honest. 565 00:25:18,165 --> 00:25:19,934 FINNIX: Pretty crazy world, these days there. 566 00:25:19,958 --> 00:25:23,688 JERRY: Oh, Lord. Lord. Oh, it's a mess. 567 00:25:23,712 --> 00:25:26,816 You know, you read about or heard about 568 00:25:26,840 --> 00:25:29,110 any of these programs 569 00:25:29,134 --> 00:25:32,613 if you think someone's a homosexual, 570 00:25:32,637 --> 00:25:35,783 they--they're gonna pray away the gay? 571 00:25:35,807 --> 00:25:37,660 You ever hear of them? 572 00:25:37,684 --> 00:25:39,037 Oh, yeah. I've heard of that. 573 00:25:39,061 --> 00:25:40,246 FINNIX: Yeah. - Why? 574 00:25:40,270 --> 00:25:42,373 FINNIX: I got a friend up in Greensboro. 575 00:25:42,397 --> 00:25:46,753 He's thinking of sending his kid to one. 576 00:25:46,777 --> 00:25:48,838 [scoffs] 577 00:25:48,862 --> 00:25:51,466 JERRY: What, you saying they don't work or something? 578 00:25:51,490 --> 00:25:54,343 It's snake oil business. 579 00:25:54,367 --> 00:25:57,305 I mean, prayer is good, 580 00:25:57,329 --> 00:26:00,808 but it's not gonna do any more or less for that 581 00:26:00,832 --> 00:26:02,560 than it would for anything else. 582 00:26:02,584 --> 00:26:04,604 Well, not to be a Bible thumper, Doc, 583 00:26:04,628 --> 00:26:06,606 but if you had a kid like that 584 00:26:06,630 --> 00:26:08,900 and you believed in the good word, 585 00:26:08,924 --> 00:26:11,235 you'd wanna do something to try to help 'em, wouldn't you? 586 00:26:11,259 --> 00:26:13,738 Yeah, except most all the research says 587 00:26:13,762 --> 00:26:17,825 that's just, you know, how people are born. 588 00:26:17,849 --> 00:26:19,452 It's who they are. 589 00:26:19,476 --> 00:26:23,623 - Research, huh. - FINNIX: Yeah. Yeah. 590 00:26:23,647 --> 00:26:27,109 I don't know. Maybe. 591 00:26:31,321 --> 00:26:34,592 My cousin's got a kid who's, uh, 592 00:26:34,616 --> 00:26:38,137 maybe that way. 593 00:26:38,161 --> 00:26:42,100 Just, uh, goes against about everything he believes in. 594 00:26:42,124 --> 00:26:43,392 Why don't you tell your cousin 595 00:26:43,416 --> 00:26:45,770 just to-- just think for a minute 596 00:26:45,794 --> 00:26:49,273 about how hard it is on that kid. 597 00:26:49,297 --> 00:26:55,595 ♪ ♪ 598 00:26:56,596 --> 00:26:59,784 I don't know if he can let it go, Doc. 599 00:26:59,808 --> 00:27:01,143 FINNIX: Sure he can. 600 00:27:03,103 --> 00:27:07,208 He can just remind himself that his love for his kid 601 00:27:07,232 --> 00:27:10,068 is bigger than anything else in the world. 602 00:27:11,570 --> 00:27:15,216 [chuckles] 603 00:27:15,240 --> 00:27:18,636 He sure does love that kid. 604 00:27:18,660 --> 00:27:20,036 Sure does. 605 00:27:21,955 --> 00:27:24,934 [utensils clattering, footsteps approaching] 606 00:27:24,958 --> 00:27:31,965 ♪ ♪ 607 00:27:34,759 --> 00:27:36,070 DIANE: You feeling all right? 608 00:27:36,094 --> 00:27:38,114 Yeah, I'm fine. 609 00:27:38,138 --> 00:27:39,556 Just tired. 610 00:27:43,727 --> 00:27:45,997 DIANE: Well, you don't have a fever. 611 00:27:46,021 --> 00:27:48,666 Jer, dinner's up. 612 00:27:48,690 --> 00:27:50,233 Mm-hmm. [Grunts] 613 00:27:58,283 --> 00:28:00,553 DIANE: Bless us, oh Lord, for these are gifts, 614 00:28:00,577 --> 00:28:03,764 which are boundless, oh Lord. Amen. 615 00:28:03,788 --> 00:28:06,142 So did you catch anything? 616 00:28:06,166 --> 00:28:10,438 - Well, a couple of trout. - Not worth, uh, keeping, though. 617 00:28:10,462 --> 00:28:13,232 And Finnix? - Oh, no. 618 00:28:13,256 --> 00:28:15,902 He wasn't really interested in fishing. 619 00:28:15,926 --> 00:28:18,196 He seemed, uh, more interested 620 00:28:18,220 --> 00:28:20,138 in talking about his friend's gay kid. 621 00:28:23,308 --> 00:28:25,328 And why would he do that? 622 00:28:25,352 --> 00:28:28,456 - I don't know. - Have to ask him, I guess. 623 00:28:28,480 --> 00:28:30,958 Sure made a big deal about it, though. 624 00:28:30,982 --> 00:28:34,420 Said how research shows people are born that way, 625 00:28:34,444 --> 00:28:36,422 so on, so forth. 626 00:28:36,446 --> 00:28:40,033 That's the, uh, city boy still in him. 627 00:28:42,744 --> 00:28:46,140 He's been here for 40 years. 628 00:28:46,164 --> 00:28:49,167 Well, I guess he ain't a true believer, then, is he? 629 00:28:51,544 --> 00:28:55,382 The worst thing that, uh, a parent could hear is that... 630 00:28:58,802 --> 00:29:02,156 Our kid is, um, 631 00:29:02,180 --> 00:29:06,035 queer or gay or lesbian 632 00:29:06,059 --> 00:29:08,228 or whatever they say now. 633 00:29:13,817 --> 00:29:16,087 It'd kill me if you were, Bets. 634 00:29:16,111 --> 00:29:18,029 It'd absolutely kill me. 635 00:29:23,326 --> 00:29:26,889 Well... 636 00:29:26,913 --> 00:29:28,498 I guess you're dead, then. 637 00:29:31,501 --> 00:29:32,853 You got something to say to me, 638 00:29:32,877 --> 00:29:35,106 or you want old Doc Finnix to say it for you? 639 00:29:35,130 --> 00:29:37,358 I just said it. 640 00:29:37,382 --> 00:29:39,694 Didn't you hear me? 641 00:29:39,718 --> 00:29:41,362 And what about you? 642 00:29:41,386 --> 00:29:42,989 You hear me this time?! 643 00:29:43,013 --> 00:29:44,323 You don't raise your voice 644 00:29:44,347 --> 00:29:46,200 to your mom in my house, you hear me? 645 00:29:46,224 --> 00:29:49,287 You don't have to worry about that, 646 00:29:49,311 --> 00:29:51,289 'cause I'll leave, Dad. 647 00:29:51,313 --> 00:29:53,815 You won't ever have to look at your queer kid ever again. 648 00:29:55,608 --> 00:29:59,422 Well... 649 00:29:59,446 --> 00:30:00,840 I think that's best. 650 00:30:00,864 --> 00:30:03,092 No! BETSY: Fine. 651 00:30:03,116 --> 00:30:04,760 I'll leave this weekend. 652 00:30:04,784 --> 00:30:07,054 - You do that. - DIANE: No, Jer. No. 653 00:30:07,078 --> 00:30:08,347 You don't have to go anywhere. 654 00:30:08,371 --> 00:30:10,016 No, I do. 655 00:30:10,040 --> 00:30:11,726 I'm not wanted here. 656 00:30:11,750 --> 00:30:14,312 No. She doesn't have to leave! 657 00:30:14,336 --> 00:30:16,772 I don't care. 658 00:30:16,796 --> 00:30:18,816 I don't care. 659 00:30:18,840 --> 00:30:21,068 I don't care. I really don't. 660 00:30:21,092 --> 00:30:22,820 Jerry, I don't care. 661 00:30:22,844 --> 00:30:25,823 [sinister music] 662 00:30:25,847 --> 00:30:28,743 ♪ ♪ 663 00:30:28,767 --> 00:30:30,870 [car door opens] 664 00:30:30,894 --> 00:30:31,996 [car door slams] 665 00:30:32,020 --> 00:30:38,985 ♪ ♪ 666 00:30:44,824 --> 00:30:47,035 BETSY: Oh, shit. Oh, shit. 667 00:30:51,623 --> 00:30:54,268 [groans] 668 00:30:54,292 --> 00:31:01,299 ♪ ♪ 669 00:31:08,056 --> 00:31:09,891 EDDIE: Did you check the methane monitor? 670 00:31:17,524 --> 00:31:20,795 Betsy, did you check the methane monitor? 671 00:31:20,819 --> 00:31:22,195 Yeah. 672 00:31:23,655 --> 00:31:25,966 [machinery groaning] 673 00:31:25,990 --> 00:31:28,993 Yeah, it's all clear. It's all clear. 674 00:31:30,620 --> 00:31:33,724 [machine clunks] 675 00:31:33,748 --> 00:31:40,755 ♪ ♪ 676 00:31:46,553 --> 00:31:48,781 [explosion] 677 00:31:48,805 --> 00:31:50,324 [grunts] 678 00:31:50,348 --> 00:31:52,243 MINER: Help! 679 00:31:52,267 --> 00:31:55,270 [Betsy coughing] 680 00:31:56,938 --> 00:31:58,582 Did you read the methane monitor? 681 00:31:58,606 --> 00:32:00,126 Of course I did. 682 00:32:00,150 --> 00:32:02,628 [tense music] 683 00:32:02,652 --> 00:32:05,047 How's Eddie? 684 00:32:05,071 --> 00:32:06,382 Go ahead. 685 00:32:06,406 --> 00:32:09,718 They, uh, think he's gonna lose his right arm. 686 00:32:09,742 --> 00:32:11,804 What was the number? 687 00:32:11,828 --> 00:32:15,099 On the readout, before the explosion? 688 00:32:15,123 --> 00:32:16,434 Um... 689 00:32:16,458 --> 00:32:18,310 Was it above a four? - No. 690 00:32:18,334 --> 00:32:20,646 When the levels are that high, the machine just shuts down. 691 00:32:20,670 --> 00:32:22,022 MINING COMPANY REP: And we both know 692 00:32:22,046 --> 00:32:23,107 it sometimes gets disabled, 693 00:32:23,131 --> 00:32:24,900 which is why you're there to check it. 694 00:32:24,924 --> 00:32:26,676 Was dust obscuring the readout? 695 00:32:28,261 --> 00:32:30,531 [moaning softly] 696 00:32:30,555 --> 00:32:32,765 Just--just tell the truth. 697 00:32:35,310 --> 00:32:38,456 Uh 698 00:32:38,480 --> 00:32:39,999 there might have been. 699 00:32:40,023 --> 00:32:45,212 ♪ ♪ 700 00:32:45,236 --> 00:32:49,550 Do you realize that men might be dead 'cause of you? 701 00:32:49,574 --> 00:32:52,344 That it's possible this mine will close? 702 00:32:52,368 --> 00:32:55,371 Do you know how much damage you have done? 703 00:32:58,625 --> 00:33:00,352 [crying] I don't understand. 704 00:33:00,376 --> 00:33:01,937 MINING COMPANY REP: What? What don't you understand? 705 00:33:01,961 --> 00:33:03,772 I don't- 706 00:33:03,796 --> 00:33:06,174 I don't understand what's happening to me. 707 00:33:12,055 --> 00:33:14,575 SINGER: ♪ Who's the man with the master plan? 708 00:33:14,599 --> 00:33:15,910 ♪ I'm thinking of a master plan ♪ 709 00:33:15,934 --> 00:33:18,829 - Gracias. - PAUL: Hey, I want some of that. 710 00:33:18,853 --> 00:33:20,748 Yeah? [Paul chuckles] 711 00:33:20,772 --> 00:33:22,065 Oh, it's really good. 712 00:33:23,691 --> 00:33:26,212 Mmm! 713 00:33:26,236 --> 00:33:27,755 - You wanna jump in? - [beeper chiming] 714 00:33:27,779 --> 00:33:29,673 - PAUL: Yeah, I can do that. - Hold on. Hold on. 715 00:33:29,697 --> 00:33:31,509 Sorry. 716 00:33:31,533 --> 00:33:33,344 This is fucking great. 717 00:33:33,368 --> 00:33:35,971 - Um, it's work. Is that okay? - Yeah, go ahead. 718 00:33:35,995 --> 00:33:38,974 No problem. - Okay. 719 00:33:38,998 --> 00:33:40,392 Hello? 720 00:33:40,416 --> 00:33:41,852 WAYTON: Hi. Agent Meyer? 721 00:33:41,876 --> 00:33:44,104 This is Mike Wayton from Wayton's Pharmacy. 722 00:33:44,128 --> 00:33:45,564 I don't know if you're still investigating 723 00:33:45,588 --> 00:33:47,149 the guy that broke in here, but they got him. 724 00:33:47,173 --> 00:33:49,860 Oh. Where did they catch him? 725 00:33:49,884 --> 00:33:51,529 WAYTON: In his bathtub. 726 00:33:51,553 --> 00:33:54,073 He was dead from an overdose. 727 00:33:54,097 --> 00:33:56,450 His little girl in the next room. 728 00:33:56,474 --> 00:33:59,328 I tried not to sell that stuff, but those people- 729 00:33:59,352 --> 00:34:01,497 Um... PAUL: Bridget! 730 00:34:01,521 --> 00:34:04,124 BRIDGET: I'm--I'm so sorry. Uh, I-I gotta go. 731 00:34:04,148 --> 00:34:06,335 Thank you, um, 732 00:34:06,359 --> 00:34:08,420 and I promise you, it is not your fault. 733 00:34:08,444 --> 00:34:10,047 WAYTON: I appreciate that. 734 00:34:10,071 --> 00:34:13,050 [somber music] 735 00:34:13,074 --> 00:34:20,081 ♪ ♪ 736 00:34:21,082 --> 00:34:22,810 [cheering] 737 00:34:22,834 --> 00:34:24,645 - You want some more? - No, I'm okay. 738 00:34:24,669 --> 00:34:27,648 [hip-hop music continues] 739 00:34:27,672 --> 00:34:30,776 ♪ ♪ 740 00:34:30,800 --> 00:34:33,779 [upbeat music over speakers] 741 00:34:33,803 --> 00:34:37,491 ♪ ♪ 742 00:34:37,515 --> 00:34:40,536 PAUL: You, uh, want to stop here, take a look? 743 00:34:40,560 --> 00:34:42,788 Yeah, right here. 744 00:34:42,812 --> 00:34:45,791 [soft dramatic music] 745 00:34:45,815 --> 00:34:49,545 ♪ ♪ 746 00:34:49,569 --> 00:34:53,340 How many kids in your school are on OxyContin? 747 00:34:53,364 --> 00:34:54,592 Maybe half. 748 00:34:54,616 --> 00:35:01,623 ♪ ♪ 749 00:35:03,124 --> 00:35:06,312 PAUL: Bridget. 750 00:35:06,336 --> 00:35:07,354 Down here. - Oh. 751 00:35:07,378 --> 00:35:09,148 Are you okay? - Yeah, I'm fine. 752 00:35:09,172 --> 00:35:12,026 Uh, I know we've only been dating for nine months, 753 00:35:12,050 --> 00:35:15,571 but I have never been with someone 754 00:35:15,595 --> 00:35:18,574 that I respected 755 00:35:18,598 --> 00:35:22,036 and admired and cared for 756 00:35:22,060 --> 00:35:26,957 and loved as much as I love you. 757 00:35:26,981 --> 00:35:29,627 You're my hero, 758 00:35:29,651 --> 00:35:34,089 and I would be so honored 759 00:35:34,113 --> 00:35:37,426 if you would be my--my wife. 760 00:35:37,450 --> 00:35:39,303 Oh, my God. [Paul chuckles] 761 00:35:39,327 --> 00:35:41,013 Yes? BRIDGET: Yes! 762 00:35:41,037 --> 00:35:43,182 Yes! I'm sorry. I'm so sorry. [Paul laughs] 763 00:35:43,206 --> 00:35:45,142 - Don't apologize. Here. Wait. - Oh, my God! 764 00:35:45,166 --> 00:35:48,562 [upbeat music continues] 765 00:35:48,586 --> 00:35:50,814 - PAUL: You think you got it? - Wait, I got it. Oh, my God! 766 00:35:50,838 --> 00:35:52,107 [both laugh] 767 00:35:52,131 --> 00:35:54,092 Oh, my gosh! 768 00:35:56,010 --> 00:35:57,053 [knocks on door] 769 00:35:57,887 --> 00:36:00,032 [inaudible] - Okay. 770 00:36:00,056 --> 00:36:01,683 You asked to speak to me, sir? 771 00:36:05,353 --> 00:36:07,915 Stay out of Diversion's domain. 772 00:36:07,939 --> 00:36:10,501 You made a presentation, and we listened. 773 00:36:10,525 --> 00:36:12,336 But in no way did this give you the right 774 00:36:12,360 --> 00:36:14,546 to start an independent investigation. 775 00:36:14,570 --> 00:36:16,006 I understand, sir. 776 00:36:16,030 --> 00:36:18,550 And I immediately gave everything I uncovered 777 00:36:18,574 --> 00:36:22,304 to Diversion, but I believe we must pursue. 778 00:36:22,328 --> 00:36:23,305 Why? 779 00:36:23,329 --> 00:36:25,182 Agent Spellman told me 780 00:36:25,206 --> 00:36:27,726 that the reason we can't pursue an OxyContin case 781 00:36:27,750 --> 00:36:30,646 is that there is no cartel to go after. 782 00:36:30,670 --> 00:36:32,064 The drug is here legally 783 00:36:32,088 --> 00:36:33,941 and opioids are now widely accepted 784 00:36:33,965 --> 00:36:35,901 in the medical community. 785 00:36:35,925 --> 00:36:38,362 But I believe I found the cartel. 786 00:36:38,386 --> 00:36:39,988 - Oh, you have? - BRIDGET: Yes, sir. 787 00:36:40,012 --> 00:36:41,490 I even have their address. 788 00:36:41,514 --> 00:36:44,993 201 Tresser Boulevard, Stamford, Connecticut. 789 00:36:45,017 --> 00:36:47,287 That's the main headquarters of Purdue Pharma. 790 00:36:47,311 --> 00:36:49,123 They are the makers of OxyContin, 791 00:36:49,147 --> 00:36:51,500 and they are the cartel, sir. 792 00:36:51,524 --> 00:36:53,460 They are lying to doctors and patients 793 00:36:53,484 --> 00:36:56,130 about the dangers of the drug, and they are forcing pharmacies 794 00:36:56,154 --> 00:36:58,382 to carry it with threats of lawsuits if they don't. 795 00:36:58,406 --> 00:37:00,843 And the FDA is an unwitting coconspirator 796 00:37:00,867 --> 00:37:02,970 because they issued Purdue a warning label 797 00:37:02,994 --> 00:37:05,931 that gives them cover to say that the drug is less addictive 798 00:37:05,955 --> 00:37:09,601 than other opioids when it's clearly not. 799 00:37:09,625 --> 00:37:12,146 Could the FDA be colluding with Purdue? 800 00:37:12,170 --> 00:37:14,148 BRIDGET: It's possible. 801 00:37:14,172 --> 00:37:17,276 The individual who approved this highly unusual wording 802 00:37:17,300 --> 00:37:20,320 on the warning label now works for Purdue. 803 00:37:20,344 --> 00:37:21,739 Really? BRIDGET: Yes, sir. 804 00:37:21,763 --> 00:37:24,825 Curtis Wright. We need to act now. 805 00:37:24,849 --> 00:37:27,703 We have to go after Purdue Pharma now, sir. 806 00:37:27,727 --> 00:37:28,787 Right now. 807 00:37:28,811 --> 00:37:31,623 [tense music] 808 00:37:31,647 --> 00:37:33,041 [Moore clears throat] 809 00:37:33,065 --> 00:37:36,420 MOORE: How attached are you to your service pistol? 810 00:37:36,444 --> 00:37:37,921 Why do you ask? 811 00:37:37,945 --> 00:37:42,593 Diversion agents aren't allowed to carry firearms. 812 00:37:42,617 --> 00:37:44,344 Are you transferring me? 813 00:37:44,368 --> 00:37:46,305 No. 814 00:37:46,329 --> 00:37:48,849 No, I'm promoting you. 815 00:37:48,873 --> 00:37:50,559 I'd like you to be deputy director 816 00:37:50,583 --> 00:37:52,519 of the diversion division. 817 00:37:52,543 --> 00:37:54,837 They need someone with balls over there. 818 00:37:57,006 --> 00:37:58,650 I accept. 819 00:37:58,674 --> 00:38:01,278 [chuckles] 820 00:38:01,302 --> 00:38:03,530 Congratulations, Bridget. 821 00:38:03,554 --> 00:38:05,365 I believe you're now the highest ranking woman 822 00:38:05,389 --> 00:38:08,535 in the DEA. 823 00:38:08,559 --> 00:38:09,703 Thank you. 824 00:38:09,727 --> 00:38:10,996 RANDY: Oh, hey, Doc. 825 00:38:11,020 --> 00:38:13,415 This is Rick Mountcastle, U. S. Attorney's office. 826 00:38:13,439 --> 00:38:15,334 See, uh, we wanna ask you a few questions 827 00:38:15,358 --> 00:38:17,669 about a case that we're working on. 828 00:38:17,693 --> 00:38:19,087 Sure. 829 00:38:19,111 --> 00:38:21,673 So Randy described a scenario in which his nurse 830 00:38:21,697 --> 00:38:24,384 was quite forceful about him taking OxyContin. 831 00:38:24,408 --> 00:38:25,719 Is that standard? 832 00:38:25,743 --> 00:38:27,054 What do you mean? 833 00:38:27,078 --> 00:38:28,514 I mean, is there some sort of hospital policy 834 00:38:28,538 --> 00:38:31,934 to push OxyContin? 835 00:38:31,958 --> 00:38:34,394 The hospital can now get sued if the patient felt 836 00:38:34,418 --> 00:38:36,772 that we didn't manage their pain properly. 837 00:38:36,796 --> 00:38:38,816 Or they can write us a bad review online, 838 00:38:38,840 --> 00:38:42,027 which would cause the staff to be rebuked by management. 839 00:38:42,051 --> 00:38:44,530 Nurses have been fired over online reviews. 840 00:38:44,554 --> 00:38:46,281 Is that just this hospital? 841 00:38:46,305 --> 00:38:48,867 No. All across the country. 842 00:38:48,891 --> 00:38:50,452 Internet has really changed things. 843 00:38:50,476 --> 00:38:52,120 Online reviews have caused a shift 844 00:38:52,144 --> 00:38:54,331 in national opioid prescribing? 845 00:38:54,355 --> 00:38:58,168 ♪ ♪ 846 00:38:58,192 --> 00:39:00,587 How are you feeling? 847 00:39:00,611 --> 00:39:02,339 I'm a little better. 848 00:39:02,363 --> 00:39:04,383 I appreciate it, Doc. Thank you. 849 00:39:04,407 --> 00:39:07,159 - All right. - Well, I'll check back in. 850 00:39:10,705 --> 00:39:13,392 The older nurses hate it. 851 00:39:13,416 --> 00:39:14,667 All the opioids. 852 00:39:20,298 --> 00:39:22,985 I wanted to show you this. 853 00:39:23,009 --> 00:39:25,946 Pain societies have infiltrated the hospital rooms, 854 00:39:25,970 --> 00:39:28,574 and they love their pamphlets. 855 00:39:28,598 --> 00:39:31,618 I never heard that phrase before today, 856 00:39:31,642 --> 00:39:33,519 and now it's everywhere I look. 857 00:39:36,814 --> 00:39:39,710 ROGER: Thank you all for coming. 858 00:39:39,734 --> 00:39:42,546 I'm Roger Thurby from the Appalachian Pain Foundation. 859 00:39:42,570 --> 00:39:45,591 We're here tonight to discuss opioids in our community. 860 00:39:45,615 --> 00:39:47,634 We know they've been getting a lot of attention lately 861 00:39:47,658 --> 00:39:51,263 and there's been some folks struggling with addiction, 862 00:39:51,287 --> 00:39:54,099 so we decided to gather experts on the situation 863 00:39:54,123 --> 00:39:55,517 and discuss it publicly. 864 00:39:55,541 --> 00:39:57,144 First, I'd like to turn the microphone over 865 00:39:57,168 --> 00:39:59,479 to Ms. Barbara Mullins, who's on the editorial board 866 00:39:59,503 --> 00:40:00,939 of the "Journal of Pain." 867 00:40:00,963 --> 00:40:03,233 BARBARA: Thank y'all for having me here tonight. 868 00:40:03,257 --> 00:40:05,652 Opioid abuse is certainly growing, 869 00:40:05,676 --> 00:40:08,947 but it's important to distinguish between abusers 870 00:40:08,971 --> 00:40:11,742 and legitimate pain patients who need these medicines. 871 00:40:11,766 --> 00:40:13,577 ROGER: So is this a consensus? 872 00:40:13,601 --> 00:40:16,496 Pills aren't the issue, it's the addicts abusing them? 873 00:40:16,520 --> 00:40:19,207 Absolutely, but I also think it's important 874 00:40:19,231 --> 00:40:21,293 the pharmaceutical industry does a better job 875 00:40:21,317 --> 00:40:22,669 working with law enforcement 876 00:40:22,693 --> 00:40:25,464 to keep these products out of the hands of abusers. 877 00:40:25,488 --> 00:40:28,216 They have some responsibility here too. 878 00:40:28,240 --> 00:40:29,927 Uh, my sciatica was so bad 879 00:40:29,951 --> 00:40:31,970 I couldn't even get up in the morning. 880 00:40:31,994 --> 00:40:34,556 And right when I finally get back to normal, 881 00:40:34,580 --> 00:40:36,516 I'm terrified my drugs are gonna be pulled 882 00:40:36,540 --> 00:40:37,935 'cause of these junkies. 883 00:40:37,959 --> 00:40:39,227 DONALD: Absolutely not, ma'am. 884 00:40:39,251 --> 00:40:40,562 We are doing everything in our power 885 00:40:40,586 --> 00:40:42,064 to make sure you get your medication. 886 00:40:42,088 --> 00:40:45,817 [applause] 887 00:40:45,841 --> 00:40:48,028 - ROGER: Yes, sir, in the back. - Hi. 888 00:40:48,052 --> 00:40:50,530 Um, I've been hearing from some folks 889 00:40:50,554 --> 00:40:52,449 the real problem is, OxyContin is 890 00:40:52,473 --> 00:40:55,953 much more addictive than its maker claims. 891 00:40:55,977 --> 00:40:58,956 - Is there any truth to that? - No, it's a misconception. 892 00:40:58,980 --> 00:41:00,582 Vicodin is actually being abused 893 00:41:00,606 --> 00:41:02,668 at a much higher rate of its total sales. 894 00:41:02,692 --> 00:41:04,086 BARBARA: That's right. Much higher. 895 00:41:04,110 --> 00:41:07,089 And actually, Vicodin is potentially bad for your liver. 896 00:41:07,113 --> 00:41:08,799 I personally wouldn't use it. 897 00:41:08,823 --> 00:41:10,008 I wouldn't either. 898 00:41:10,032 --> 00:41:11,551 It has addictive qualities, 899 00:41:11,575 --> 00:41:15,138 whereas less than 1% of people become addicted to OxyContin. 900 00:41:15,162 --> 00:41:18,165 [crowd muttering] 901 00:41:22,378 --> 00:41:25,315 - Hey. How you feeling? - I'm good. I'm good. 902 00:41:25,339 --> 00:41:27,442 - How y'all doing? - Good. We missed ya. 903 00:41:27,466 --> 00:41:28,735 Hey, the guys are in the conference room. 904 00:41:28,759 --> 00:41:30,404 RANDY: Get in here and talk to these maniacs. 905 00:41:30,428 --> 00:41:32,990 Pain Society has been pushing them for years, 906 00:41:33,014 --> 00:41:37,369 and once pain became accepted as the fifth vital sign, yeah, 907 00:41:37,393 --> 00:41:40,038 J-Co went from anti-opioid to pro-opioid. 908 00:41:40,062 --> 00:41:42,207 Hey, Gregg! GREGG: Hey. 909 00:41:42,231 --> 00:41:45,127 Conversation sounded like a barrel of laughs. 910 00:41:45,151 --> 00:41:47,045 Mind if I grab a sarsaparilla and join y'all? 911 00:41:47,069 --> 00:41:48,130 [chuckles] 912 00:41:48,154 --> 00:41:49,381 Brother, when you said one week, 913 00:41:49,405 --> 00:41:51,216 you really meant it. 914 00:41:51,240 --> 00:41:53,677 Randy, how are you feeling? 915 00:41:53,701 --> 00:41:55,679 I think I just might be in the clear. 916 00:41:55,703 --> 00:41:57,097 Everything's negative. 917 00:41:57,121 --> 00:41:59,641 That's wonderful news. 918 00:41:59,665 --> 00:42:03,979 So what have we got on these pain foundations? 919 00:42:04,003 --> 00:42:05,147 Totally legit, right? 920 00:42:05,171 --> 00:42:07,649 Just a bunch of straight shooters. 921 00:42:07,673 --> 00:42:10,819 - Yeah. - Humanitarians of the year. 922 00:42:10,843 --> 00:42:13,071 Uh, started with the Appalachian Pain Foundation. 923 00:42:13,095 --> 00:42:17,117 Pulled their tax returns, and you were spot-on, Rick. 924 00:42:17,141 --> 00:42:20,454 In 2000, they got a $20,000 grant from Purdue Pharma 925 00:42:20,478 --> 00:42:24,166 to literally start their organization. 926 00:42:24,190 --> 00:42:26,251 [scoffs] What tipped you off? 927 00:42:26,275 --> 00:42:27,586 When they were pushing OxyContin 928 00:42:27,610 --> 00:42:30,589 and trashing Vicodin. 929 00:42:30,613 --> 00:42:31,715 Subtle. 930 00:42:31,739 --> 00:42:33,175 Did you find Purdue connections 931 00:42:33,199 --> 00:42:36,595 with other pain societies? 932 00:42:36,619 --> 00:42:40,206 Gentlemen, it is time to buckle up. 933 00:42:41,916 --> 00:42:43,477 RICK: The American Pain Society claims 934 00:42:43,501 --> 00:42:45,062 to be an independent medical group 935 00:42:45,086 --> 00:42:47,272 representing physician pain specialists, 936 00:42:47,296 --> 00:42:49,274 but it receives a sizable portion of its funding 937 00:42:49,298 --> 00:42:50,609 from the drug industry, 938 00:42:50,633 --> 00:42:53,779 including significant grants from Purdue Pharma, 939 00:42:53,803 --> 00:42:55,530 who are one of the biggest beneficiaries 940 00:42:55,554 --> 00:42:57,866 of the society's successful effort 941 00:42:57,890 --> 00:43:01,078 to make pain the fifth vital sign. 942 00:43:01,102 --> 00:43:02,996 Purdue also spent heavily 943 00:43:03,020 --> 00:43:05,749 to subsidize the American Academy of Pain Medicine 944 00:43:05,773 --> 00:43:07,542 and, in 1997, 945 00:43:07,566 --> 00:43:11,671 spent $500,000 to underwrite the work of a joint committee 946 00:43:11,695 --> 00:43:14,800 formed by these two groups, which issued a report 947 00:43:14,824 --> 00:43:17,928 urging the broader use of powerful narcotics. 948 00:43:17,952 --> 00:43:21,139 Now, Purdue also contributed generously 949 00:43:21,163 --> 00:43:22,849 to patient advocacy groups, 950 00:43:22,873 --> 00:43:25,560 like the National Foundation for the Treatment of Pain 951 00:43:25,584 --> 00:43:28,438 and the American Chronic Pain Association, 952 00:43:28,462 --> 00:43:31,024 but in effect, they helped fund 953 00:43:31,048 --> 00:43:33,568 an entire network of pain groups 954 00:43:33,592 --> 00:43:36,613 that represented themselves as independent, 955 00:43:36,637 --> 00:43:40,742 but all heavily promoted the use of opioids. 956 00:43:40,766 --> 00:43:42,686 Uh, permission to approach the bench, Your Honor? 957 00:43:45,563 --> 00:43:48,166 Now, you might recognize this pain chart, 958 00:43:48,190 --> 00:43:51,670 as, uh, it's in hospital rooms and doctor's offices 959 00:43:51,694 --> 00:43:53,130 all across the country. 960 00:43:53,154 --> 00:43:55,423 It's from the organization Partners Against Pain, 961 00:43:55,447 --> 00:43:57,259 which is ostensibly an educational alliance 962 00:43:57,283 --> 00:43:59,845 dedicated to the treatment of pain, 963 00:43:59,869 --> 00:44:01,638 but, in fact, 964 00:44:01,662 --> 00:44:03,765 it is fully funded and run by Purdue Pharma. 965 00:44:03,789 --> 00:44:08,061 It is 100% Purdue-owned. 966 00:44:08,085 --> 00:44:10,480 In effect, it's Purdue's shadow company, 967 00:44:10,504 --> 00:44:12,107 which has infiltrated 968 00:44:12,131 --> 00:44:15,485 hospital rooms and doctor's offices 969 00:44:15,509 --> 00:44:18,738 as a stealth tool to prompt pain discussions 970 00:44:18,762 --> 00:44:20,782 between doctors, nurses, and patients 971 00:44:20,806 --> 00:44:22,450 with the goal of prescribing more opioids- 972 00:44:22,474 --> 00:44:25,245 Objection. Conjecture. 973 00:44:25,269 --> 00:44:27,080 Purdue has never hidden its relationship 974 00:44:27,104 --> 00:44:28,456 with Partners Against Pain. 975 00:44:28,480 --> 00:44:30,375 Then why not put Purdue Pharma on these pain charts 976 00:44:30,399 --> 00:44:31,501 instead of a different company name? 977 00:44:31,525 --> 00:44:34,212 PURDUE LAWYER: Your Honor, th- 978 00:44:34,236 --> 00:44:35,964 Proceed. 979 00:44:35,988 --> 00:44:38,925 RICK: Partners Against Pain also has a website 980 00:44:38,949 --> 00:44:41,761 masquerading as a patient advocacy group 981 00:44:41,785 --> 00:44:44,681 to guide pain sufferers to specialists, 982 00:44:44,705 --> 00:44:46,600 but every specialist that it sends you to 983 00:44:46,624 --> 00:44:50,562 is a doctor with a very high rate of prescribing OxyContin. 984 00:44:50,586 --> 00:44:52,939 So pain societies partially or fully funded 985 00:44:52,963 --> 00:44:55,817 by Purdue Pharma and other pharmaceutical companies 986 00:44:55,841 --> 00:44:59,905 are de facto propaganda divisions for big pharma. 987 00:44:59,929 --> 00:45:04,075 The deception is so effective that some sales reps at Purdue 988 00:45:04,099 --> 00:45:06,828 thought they were using independent data 989 00:45:06,852 --> 00:45:09,206 when they were quoting studies from the American Pain Society 990 00:45:09,230 --> 00:45:12,667 with slogans like, "Pain is the fifth vital sign." 991 00:45:12,691 --> 00:45:15,462 And, of course, the solution for pain 992 00:45:15,486 --> 00:45:20,967 is always, always an increased use of opioids. 993 00:45:20,991 --> 00:45:23,470 And it's an increase so high in the last five years 994 00:45:23,494 --> 00:45:25,263 it's at levels not seen 995 00:45:25,287 --> 00:45:30,018 since the run-up to the Harrison Narcotics Tax Act 996 00:45:30,042 --> 00:45:32,044 of 1914. 997 00:45:34,046 --> 00:45:35,232 Thank you, Your Honor. 998 00:45:35,256 --> 00:45:38,235 [dramatic music] 999 00:45:38,259 --> 00:45:39,694 ♪ ♪ 1000 00:45:39,718 --> 00:45:42,489 Permission granted to release requested documents 1001 00:45:42,513 --> 00:45:46,558 relating to marketing, research, and distribution. 1002 00:45:48,686 --> 00:45:51,188 All right. 1003 00:45:54,358 --> 00:45:57,545 Go get 'em, Boss. [chuckles] 1004 00:45:57,569 --> 00:46:00,715 I know you all are dying to know the results 1005 00:46:00,739 --> 00:46:02,175 of the Toppers Contest. 1006 00:46:02,199 --> 00:46:05,220 [cheers and applause] 1007 00:46:05,244 --> 00:46:07,973 All right, but before I name the winner, 1008 00:46:07,997 --> 00:46:09,557 I just have to say 1009 00:46:09,581 --> 00:46:12,686 what an incredible quarter you had. 1010 00:46:12,710 --> 00:46:15,605 "Individualize the Dose" got a huge number of doctors 1011 00:46:15,629 --> 00:46:18,275 to start at 20 milligrams, and some at even 40! 1012 00:46:18,299 --> 00:46:19,985 You guys fucking rock! 1013 00:46:20,009 --> 00:46:23,012 [cheers and applause] 1014 00:46:23,971 --> 00:46:28,660 All right, but there can only be one winner. 1015 00:46:28,684 --> 00:46:32,330 And this quarter, it is... 1016 00:46:32,354 --> 00:46:33,623 Todd Brunward. 1017 00:46:33,647 --> 00:46:35,917 Fuck yeah! Come on! 1018 00:46:35,941 --> 00:46:37,002 MARTIN: All right. All right. 1019 00:46:37,026 --> 00:46:39,462 Todd, Todd sold 1020 00:46:39,486 --> 00:46:44,009 $767,000 worth of OxyContin, 1021 00:46:44,033 --> 00:46:46,428 one of the highest in the nation. 1022 00:46:46,452 --> 00:46:48,388 Todd, come up here. 1023 00:46:48,412 --> 00:46:50,724 Tell everybody how you did it. 1024 00:46:50,748 --> 00:46:55,228 Um, well, you know, it was all hustle 1025 00:46:55,252 --> 00:46:57,063 and determination. 1026 00:46:57,087 --> 00:47:00,275 Yeah, I went to every doctor on my IMS sheet 1027 00:47:00,299 --> 00:47:03,486 and, uh, told them what we got here. 1028 00:47:03,510 --> 00:47:06,740 AMBER: He's such a liar. He didn't hustle shit. 1029 00:47:06,764 --> 00:47:08,950 - What do you mean? - He has a whale. 1030 00:47:08,974 --> 00:47:10,535 One doctor running a pill mill. 1031 00:47:10,559 --> 00:47:11,995 What's a pill mill? 1032 00:47:12,019 --> 00:47:14,497 It's a doctor who overprescribes like crazy. 1033 00:47:14,521 --> 00:47:16,583 It's a total gold mine if you can land one. 1034 00:47:16,607 --> 00:47:18,168 Todd works a few hours a month, 1035 00:47:18,192 --> 00:47:21,046 then plays video games and smokes pot all day. 1036 00:47:21,070 --> 00:47:23,381 It is so unfair that he wins with a pill mill. 1037 00:47:23,405 --> 00:47:24,716 Yeah. 1038 00:47:24,740 --> 00:47:27,385 Shouldn't he report a doctor for something like that? 1039 00:47:27,409 --> 00:47:30,597 He'd probably get fired if he reported him. 1040 00:47:30,621 --> 00:47:32,766 So Purdue want whales? 1041 00:47:32,790 --> 00:47:34,934 Oh, sure. 1042 00:47:34,958 --> 00:47:36,811 You don't wanna shut a whale down. 1043 00:47:36,835 --> 00:47:37,896 You wanna reel it in. 1044 00:47:37,920 --> 00:47:40,899 [tense music] 1045 00:47:40,923 --> 00:47:43,193 ♪ ♪ 1046 00:47:43,217 --> 00:47:44,903 BARBARA: Sam. - Hey. 1047 00:47:44,927 --> 00:47:47,530 [both laugh] BARBARA: Oh! 1048 00:47:47,554 --> 00:47:50,825 Oh, I can't tell you how happy I am to see you. 1049 00:47:50,849 --> 00:47:53,286 It's been way too long. FINNIX: Way too long. 1050 00:47:53,310 --> 00:47:54,954 Yeah, you look wonderful. 1051 00:47:54,978 --> 00:47:57,290 Oh, come on. - What'd you do? 1052 00:47:57,314 --> 00:47:59,459 [both laugh] 1053 00:47:59,483 --> 00:48:02,087 I sometimes think about you all holed up in that house 1054 00:48:02,111 --> 00:48:03,797 and it just breaks my heart. 1055 00:48:03,821 --> 00:48:05,632 It's not what Shelly would want. 1056 00:48:05,656 --> 00:48:07,050 Well, it's her fault. 1057 00:48:07,074 --> 00:48:09,010 She's the one that dragged me down to the mountains. 1058 00:48:09,034 --> 00:48:11,137 BARBARA: Yeah, but she knew you'd follow her. 1059 00:48:11,161 --> 00:48:13,539 [chuckles] Yeah, she did. 1060 00:48:16,041 --> 00:48:19,062 - Do you ever regret it? - Regret what? 1061 00:48:19,086 --> 00:48:21,856 BARBARA: Spending all those years in Appalachia? 1062 00:48:21,880 --> 00:48:24,651 Top of your class at Duke, a fellowship at Johns Hopkins. 1063 00:48:24,675 --> 00:48:26,486 [laughs] It's pretty heady stuff. 1064 00:48:26,510 --> 00:48:30,115 - Yeah. That's pretty good. - Yeah. 1065 00:48:30,139 --> 00:48:31,741 No. 1066 00:48:31,765 --> 00:48:33,701 I like it down there. 1067 00:48:33,725 --> 00:48:38,581 Yeah, I mean, it's not exactly the life I had planned, 1068 00:48:38,605 --> 00:48:41,876 but it's been good. 1069 00:48:41,900 --> 00:48:44,963 It's good. 1070 00:48:44,987 --> 00:48:48,299 Until your sister left. 1071 00:48:48,323 --> 00:48:49,741 I miss her too. 1072 00:48:52,369 --> 00:48:55,723 But you got a lot of years still. 1073 00:48:55,747 --> 00:48:57,475 FINNIX: Uh, yeah. 1074 00:48:57,499 --> 00:48:59,602 That's kinda 1075 00:48:59,626 --> 00:49:02,647 kinda why I wanted to come up here 1076 00:49:02,671 --> 00:49:04,381 and visit with you, Barbara. 1077 00:49:05,924 --> 00:49:08,528 Uh... 1078 00:49:08,552 --> 00:49:12,699 You know, this whole idea 1079 00:49:12,723 --> 00:49:16,369 of, uh, dating again, 1080 00:49:16,393 --> 00:49:20,790 I mean, it's really, you know, odd just saying dating. 1081 00:49:20,814 --> 00:49:23,168 But... 1082 00:49:23,192 --> 00:49:25,587 I don't know. 1083 00:49:25,611 --> 00:49:29,299 First of all, it makes me feel 1084 00:49:29,323 --> 00:49:31,259 guilty. 1085 00:49:31,283 --> 00:49:36,139 Like I'm doing wrong by Shelly, you know? 1086 00:49:36,163 --> 00:49:38,433 What, did you meet someone? 1087 00:49:38,457 --> 00:49:40,602 I don't know. 1088 00:49:40,626 --> 00:49:41,895 Maybe. 1089 00:49:41,919 --> 00:49:43,730 BARBARA: Aww. 1090 00:49:43,754 --> 00:49:47,108 Sam, if you spend the rest of your life 1091 00:49:47,132 --> 00:49:48,193 locked away in that house, 1092 00:49:48,217 --> 00:49:49,861 you will be doing a great disservice 1093 00:49:49,885 --> 00:49:51,595 to that spitfire you married. 1094 00:49:54,556 --> 00:49:57,535 [soft music] 1095 00:49:57,559 --> 00:50:04,566 ♪ ♪ 1096 00:50:06,193 --> 00:50:08,111 But is it really okay? 1097 00:50:10,906 --> 00:50:15,285 You're using your pain as an excuse not to live. 1098 00:50:17,496 --> 00:50:19,849 But it's time to start living again. 1099 00:50:19,873 --> 00:50:26,880 ♪ ♪ 1100 00:50:45,691 --> 00:50:47,585 [phone beeps] 1101 00:50:47,609 --> 00:50:50,338 [line trilling] 1102 00:50:50,362 --> 00:50:51,923 DREA: Hello? - Hey. 1103 00:50:51,947 --> 00:50:53,550 Well, be still my heart. 1104 00:50:53,574 --> 00:50:55,343 Is this my knight in shining armor? 1105 00:50:55,367 --> 00:50:58,137 - Oh, well, yeah, I guess. - [chuckles nervously] 1106 00:50:58,161 --> 00:51:00,265 Please tell me I'm gonna see you in Orlando 1107 00:51:00,289 --> 00:51:01,307 in a few weeks. 1108 00:51:01,331 --> 00:51:03,643 Yeah, well, uh, 1109 00:51:03,667 --> 00:51:05,186 actually, that's why I'm calling. 1110 00:51:05,210 --> 00:51:08,481 I, you know, wanted to know if, uh, you still wanted me to. 1111 00:51:08,505 --> 00:51:11,776 - DREA: Well, of course, I do. - Well, good. Good. 1112 00:51:11,800 --> 00:51:13,945 Yes, and you're gonna make another speech, 1113 00:51:13,969 --> 00:51:15,947 and you're gonna get paid for it this time. 1114 00:51:15,971 --> 00:51:17,282 Bring your swim trunks. 1115 00:51:17,306 --> 00:51:19,158 [chuckles] Oh, all right. 1116 00:51:19,182 --> 00:51:21,369 Well, I don't know if-- not sure I got any, 1117 00:51:21,393 --> 00:51:23,371 but I'll, uh--I'll swing by and pick some up. 1118 00:51:23,395 --> 00:51:24,455 [line beeps] 1119 00:51:24,479 --> 00:51:26,291 Hey, can you-- I'm gonna call you- 1120 00:51:26,315 --> 00:51:27,292 call you a little later. 1121 00:51:27,316 --> 00:51:28,918 I gotta take this call here. 1122 00:51:28,942 --> 00:51:31,212 DREA: Yes. All right. See you Wednesday. 1123 00:51:31,236 --> 00:51:33,172 - All right. - Looking forward to it. 1124 00:51:33,196 --> 00:51:34,632 [phone beeps] Hello? 1125 00:51:34,656 --> 00:51:36,301 LEAH: Dr. Finnix, where are you? 1126 00:51:36,325 --> 00:51:39,262 - I'm in D.C. - I'm visiting Shelly's sister. 1127 00:51:39,286 --> 00:51:40,763 LEAH: Well, you gotta come back. 1128 00:51:40,787 --> 00:51:43,433 There was an explosion at the mine. 1129 00:51:43,457 --> 00:51:45,101 How--how bad? 1130 00:51:45,125 --> 00:51:46,311 LEAH: Everyone's alive, 1131 00:51:46,335 --> 00:51:47,562 but a bunch are at the hospital. 1132 00:51:47,586 --> 00:51:49,272 Betsy Mallum is in bad shape. 1133 00:51:49,296 --> 00:51:51,381 - Okay. All right. - I'm on my way. 1134 00:51:52,716 --> 00:51:53,693 [engine turns over] 1135 00:51:53,717 --> 00:51:56,696 [eerie music] 1136 00:51:56,720 --> 00:52:03,727 ♪ ♪ 1137 00:52:18,575 --> 00:52:20,345 [truck door slams] 1138 00:52:20,369 --> 00:52:23,222 Morning. DRIVER: Morning. 1139 00:52:23,246 --> 00:52:25,540 Big truck for just a couple boxes. 1140 00:52:28,251 --> 00:52:32,649 ♪ ♪ 1141 00:52:32,673 --> 00:52:34,442 They're drowning us in paperwork. 1142 00:52:34,466 --> 00:52:37,386 This isn't half of it. 1143 00:52:40,222 --> 00:52:41,848 Oh, Lord. 1144 00:52:44,768 --> 00:52:45,870 It's gonna take us over a year 1145 00:52:45,894 --> 00:52:47,246 just to catalog all this. 1146 00:52:47,270 --> 00:52:50,124 And they'll keep selling pills the entire time. 1147 00:52:50,148 --> 00:52:56,571 ♪ ♪ 1148 00:52:57,781 --> 00:53:01,010 So we've been talking to the German regulators, 1149 00:53:01,034 --> 00:53:04,389 and we just keep hitting a brick wall. 1150 00:53:04,413 --> 00:53:05,890 Why did you have to pick 1151 00:53:05,914 --> 00:53:08,184 the hardest country in the world 1152 00:53:08,208 --> 00:53:09,751 to get a drug uncontrolled? 1153 00:53:15,173 --> 00:53:16,383 Follow me. 1154 00:53:19,553 --> 00:53:23,032 I'm, uh, sorry to bother you, but would you mind giving me 1155 00:53:23,056 --> 00:53:25,100 a few minutes alone with my brother? 1156 00:53:47,330 --> 00:53:52,061 The reason why I want to get relaxed status in Germany 1157 00:53:52,085 --> 00:53:55,982 is precisely because 1158 00:53:56,006 --> 00:54:00,278 they do have the strictest regulations in Europe. 1159 00:54:00,302 --> 00:54:02,655 If we get Germany uncontrolled, 1160 00:54:02,679 --> 00:54:05,742 even if the status is eventually revoked, 1161 00:54:05,766 --> 00:54:09,871 it will serve as a gateway to the rest of Europe, 1162 00:54:09,895 --> 00:54:14,208 which will then open us up to the majority of global markets. 1163 00:54:14,232 --> 00:54:17,378 [dramatic music] 1164 00:54:17,402 --> 00:54:20,923 No one in the history of this family 1165 00:54:20,947 --> 00:54:22,175 will ever come close 1166 00:54:22,199 --> 00:54:24,201 to accomplishing what we're gonna do. 1167 00:54:28,121 --> 00:54:32,292 We're going to cure the world of its pain. 1168 00:54:34,878 --> 00:54:37,881 [breathing heavily] 1169 00:54:44,012 --> 00:54:46,240 So unfortunately, the x-rays show 1170 00:54:46,264 --> 00:54:47,909 you've got four broken ribs. 1171 00:54:47,933 --> 00:54:51,120 Yeah. I saw it there. 1172 00:54:51,144 --> 00:54:52,789 Thank you very much, Doc. 1173 00:54:52,813 --> 00:54:54,624 Uh, Dr. Finnix, please don't rush. 1174 00:54:54,648 --> 00:54:56,542 This is a real injury. FINNIX: I know. 1175 00:54:56,566 --> 00:54:58,002 [exhales] I know, yeah. 1176 00:54:58,026 --> 00:55:00,671 I'm just in a little bit of a hurry here. 1177 00:55:00,695 --> 00:55:04,217 On a scale of one to ten, how would you rate your pain? 1178 00:55:04,241 --> 00:55:05,343 What is that? 1179 00:55:05,367 --> 00:55:06,844 I don't have my, uh-- my readers. 1180 00:55:06,868 --> 00:55:08,638 DOCTOR: It's a pain assessment chart. 1181 00:55:08,662 --> 00:55:10,765 FINNIX: Oh, I've never seen one of those. 1182 00:55:10,789 --> 00:55:13,518 I don't know. 1183 00:55:13,542 --> 00:55:16,145 Five, six. Call it a five. I don't know. 1184 00:55:16,169 --> 00:55:17,563 DOCTOR: All right. 1185 00:55:17,587 --> 00:55:21,400 I'm gonna start you at 20 milligrams of OxyContin. 1186 00:55:21,424 --> 00:55:23,402 20? 1187 00:55:23,426 --> 00:55:26,531 I usually start my patients at, uh, 10. 1188 00:55:26,555 --> 00:55:28,574 Well, I like to individualize the dose. 1189 00:55:28,598 --> 00:55:31,577 [ominous music] 1190 00:55:31,601 --> 00:55:37,023 ♪ ♪