The Pharma Files

Case File 06 — Insulin Coma Therapy: Shock Treatment That Became Standard Care

29 min · 17 de mar de 2026
portada del episodio Case File 06 — Insulin Coma Therapy: Shock Treatment That Became Standard Care

Descripción

In the 1930s, psychiatrists searching for answers to schizophrenia embraced a radical intervention: insulin coma therapy. By deliberately driving patients into deep hypoglycemic coma—sometimes daily for weeks—physicians believed they could “reset” the brain and disrupt psychosis. Hospitals built specialized insulin wards, and the treatment quickly became standard care despite thin evidence and significant risk. This episode explores how a dangerous shock therapy came to symbolize modern psychiatry, why dramatic case reports overshadowed missing data, and what insulin coma therapy reveals about medicine’s tendency to mistake intensity for effectiveness. For the full written case file, visit thepharmafiles.substack.com. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thepharmafiles.substack.com [https://thepharmafiles.substack.com?utm_medium=podcast&utm_campaign=CTA_1]

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12 episodios

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In 1992, a businessman published a book called Sharks Don’t Get Cancer — and overnight, a legitimate line of Harvard and MIT cancer research became the justification for a multimillion-dollar supplement industry. This episode traces how real science, carefully caveated by the researchers who produced it, got stripped of its caveats, tested on desperate patients without controls, and sold in health stores across America before a single properly designed trial had been run. For the full written case file, visit thepharmafiles.substack.com. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thepharmafiles.substack.com [https://thepharmafiles.substack.com?utm_medium=podcast&utm_campaign=CTA_1]

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