27 - The First Opiate Epidemic

What does it mean when a computer can make better medical decisions than a human? The progress in large language models, and in particular the popularity of ChatGPT, has brought these questions to the forefront in 2023, but we've been discussing this for over 50 years. In this ep ...  Show more

What happens when a patient far from surgical care – say, at the bottom of the Pacific ocean on a submarine, or at a research base in Antarctica in the middle of the winter – develops a surgical abdomen? This dilemma was the impetus to build the first truly effective clinical dec ...  Show more

An opioid abuse epidemic now plagues US healthcare. It was caused, in part, by overzealous advocacy for controlling chronic pain resulting in overuse of narcotics. There are now 2 million Americans addicted to opioids. The approach for treating chronic pain must change. In this p ...  Show more

Over the past twenty years, over half a million Americans have died of opioid overdoses.

In this episode, we'll explore how this happened, who is responsible, and ask ourselves whether the USA will ever be able to kick its addiction to prescr ...

In the U.S. doctors often prescribe opioids for pain management, and it's no secret that these substances are a big business for pharmaceutical companies -- and, increasingly, it's no secret that exposure to these legal pills are turning patients into unwilling addicts. So how ex ...  Show more

There have been drastic changes made in the regulation of opioids for medical treatment in the past few decades. However, with advent of fentanyl and carfentanil addiction, overdose-related death continues to increase. In this episode, our guests discuss continued regulation of o ...  Show more