Pick Your Poison
I love drugs. They’re the currency with which I practice my profession. Not a day in the office goes by without completing at least one transaction that involves them. I’ve learned to field questions about the over-the-counter varieties (Which cough medicine do you recommend?). I’ve learned to negotiate the economic value others place them (If I get this one off the $4 list, will it work as well?). I’ve heard men in highly-polished shoes wax poetic about pills. I’ve seen doctors draw their ethical shades of objectivity when being paid to discuss them. I’ve laughed with late night comedians as they crack jokes about their potency. Magazines devote back covers to their potentials. Football games air commercials about them…often pairing grey-haired men with younger women. Dr. William Osler, master clinician at Johns Hopkins Hospital at the turn of the twentieth century, was onto something when he wrote that, “the desire to take medicine is perhaps the greatest feature which distinguishes man from animals.” Ever since my pharmacology class in medical school, much of my training has been devoted to learning the form and function of pharmaceuticals. Much less time has been devoted to their names. One creative joy of writing Control Group was building a pharmaceutical company that needed a medicine cabinet full of blockbuster drugs. BioloGen Pharmaceuticals is my fictional baby-biotech born in the pastoral beauty of southwest Ohio, founded on the idea that more perfect drugs can be created by mechanizing the process of research and development. Rather than testing for side effects in rats and humans, the founders of BioloGen developed an Automated Device to Acquire Molecule, affectionately called ADAM. This machine runs potential chemicals through a battery of tests to see if they will be harmful in humans. When promising “hits” are discovered, ADAM can then test these compounds against computer-simulated biologic systems to see if side effects will develop. Never underestimate the hubris of a human with a good idea. The story takes place in 1993, ten years before completion of the human genome project, yet the founders of BioloGen have unparalleled faith that their machine has enough information to bypass the traditional regulatory process of drug development to offer safe medicines quickly. My research for the pharmaceutical industry initially came in the form of drug detailers, a.k.a. pharmaceutical representatives, coming to the office or hospital to educate physicians about their goods. I had...read more