A highlight from Sam Quinones

Automatic TRANSCRIPT

We'd be created the corolla world over their bid at your mom's house and Also let's see instagram. Dr drew pinski deirdre pinski and take talk acronyms twitch whatever check us out. Please find us there and i as i said. We're trying to be careful about who supports us here and we hope you will enjoy their products and help us keep going so we can keep putting the wind in the shale sales of the crawl up pirate ship sam cronje with me last in july of two thousand eighteen. I can't believe it's been that long. That's been insane although we did see each other in florida. We'll talk about that a second. But the new book is called the least of us. True tales of america and hope in the age of fennel and math sam's famous for dreamland the true tale of america's opioid epidemic over. I don't remember that being the the subtitle of it. Because i just remember dreamland is literally the true tale. Is that when. I read it the first time i was like. Oh shits sam knows gets exactly what has happened here. It is. I lived it. It's what happened if you wanna know how we got into this mess with opiates. Just read. sam's book dreamland. That's all you have to do and you will understand it. It's green for quick second because it's worth reviewing that you set out really not to talk about the american physician pain management. All that bs that you get into your story about mexico. I was going to really do a story about a mexican heroin traffickers. Because i thought it very weird that you know there was all of a sudden this resurgent and seizures of heroin at the border by the da and all these barometers about increased heroin usage in america. Thought who the hell would use heroin. Again i mean in the seventies teaches. And you know. I couldn't imagine such a thing. I wish i had known you that it could told you precisely how it how what happened. Well there was an interesting thing. I stumbled upon this story about. This village. Were in town in mexico where everybody comes north to sell heroin like pizza at the pizza kind of operators standing by to deliver and all that and how they expand like a subway sam domino's pizza franchise but then along the way you know The the story. I realized i was really on the small story to connected with all this much. Bigger stories you know was the revolution and pain. Management with regard to opioid. Painkillers narcotic painkiller called revolution. Well it certainly was used transformed. You know The pain management of for better and worse throughout the country and it. So you know it's a weird thing going on now. Let me ask you something about tell you. Yeah sure so so we got better. Yeah and really was oh crap. What's his name was the head of the doj before The guy with southern accent was the head of the yeah. General for from alabama senator. Jeff sessions sessions session did it. I went to a conference at the white house. And he said. I know exactly what to and i'm gonna get this. I know i'm going to be able to turn this thing around. Three months later. It was done. He turned right because physicians freeze. When you take legal action. It's how we got into the paint epidemic. Doctors were put in jail or fide. Massive funds for inadequate treatment of pain. We all froze. We didn't do anything. We had everything to hate pain. Management out of fear and the pain management people delivered the epidemic to read but the pain management group broiled still at large. Now they now have. If you see what's going on now You tell me the same thing all over again the the pain advocacy groups are getting attorneys. The attorneys are saying that people are dying and suffering because inadequately pain and going after doctors. Frenetic retreatment of pain. The problem is we do need to reach about. He's they're sorta right. We've actually have gone a little too far the wrong direction but there again denial that opiates addictive and baba espy ferrets. Mostly attics want their pills. That's mostly what it is. Because the reason i can say that is we now know that suboxone is a superior medication for chronic pain to all other. Opiates i could bregalia with a interesting with fifty different pieces of literature that are so dramatic and there are pain management doctors in the country that use it routinely and they are vilified and. They're told that they don't know what they're doing. And they're i don't know what the resistance is because the the blitzer is one hundred percent clear and those of my peers that use it are over the moon with how effective it is and how pen for chronic pain and addiction but the other chronic the complex chronic pain patient. Let's call it. They do beautifully suboxone and all the opioid seeking and preoccupation. It all goes falsely. Signed the minimize the use and control of pain. I just see drug addiction at work. When i see people not wanting to do something that has scientific basis to it right and then why the physicians are resisting is the part. I find challenging. Probably be story. Physicians have been through a lot and they're also insists frequently and systems that you know it's very difficult to be kind of a your own boss and you're right you know and this is. I would wish you would write this next door. Because because here's the story that i've learned during cova since we were last together we will florida two years ago. I think it was. Yeah right And what happened during this pandemic in the tiniest little sketch. Physicians froze right. They got scared. They got scared of the mob. I they get scared of being called trumpers or whatever they were scared up. And then i realized i didn't realize the next layer to this. They were fearful of losing their job. They had employers. They had hospital systems hospital. Administrators insurance administrators. They're part of big systems and if they didn't do exactly what the party line was saying they could lose their job. I might appear. I've never seen that. And then what they did as opposed to doing what we're supposed to do is make the best decision possible. On behalf of the patient we see did the whole process to bureaucrats to the fda the nih who not in. That's what they do. They've never they're not. They're not trained to do that. That's not what they're interested in her and we just seated the whole thing to them. That's the really interesting thing about this taback. I'm telling you wanna write a story about that. That's your that's your next as talk. Some thought this book the least of details of american physicians in the age of pandemic that because it was really stunning to me now. How doctors relinquished their responsibility to bureaucrats and clinical pathways and administrators. I've never just breathtaking to me and much breathtaking as the opioid similar. Kind of way. So i'm sorry. I interrupted you. Were talking about the pain management. Well no just that. There was this moment when i began to realize that the story was enormous and i had spent years in mexico Which in helped me immensely. Because it's very hard. I don't see how it's possible. Frankly to write about the drug issue in america without knowing mexico very deeply. It's just all connected. Mexico is the source of a lot of this stuff and so i began to realize that story is even bigger than that though. And there was this revolution and a pain management. Which i did not care about i really wanted to be. I'm a crime reporter. All my life. My professional life and i i wanted to be writing about drug cartels dr- street gangs in la. Which i did a lot of immigration that kind of stuff you know and in the story kind of sucked me in but it became clear to me because i was in mexico and on bolivia's to all this stuff i missed. I didn't know what an oxycontin was. I didn't want to buy the awareness. Kudu there was this a little bit a couple of conversations with cops. They're all on oxycontin all the all the heroin users are on oxycontin.

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