{
  "docId": "019dd923-622c-750b-8b9a-21918ac10c17",
  "docSlug": "f3db2294dcf9",
  "documentTitle": "Harmony Biosciences (HRMY)",
  "authorId": "58_Scorpion_Capital",
  "authorName": "Scorpion Capital",
  "documentKindSlug": "research-note",
  "documentKindLabel": "Research note",
  "sourceTypeSlug": "short_seller",
  "sourceTypeLabel": "Short seller",
  "presentationDate": "2023-03-28 00:00:00",
  "orientation": "landscape",
  "aspectRatio": 1.3333334,
  "pageNumber": 47,
  "pageCount": 366,
  "prevPage": 46,
  "nextPage": 48,
  "slideType": "expose_contradiction",
  "function": "expose_contradiction",
  "density": "dense",
  "nDataPoints": 0,
  "notes": "The slide uses direct quotes from two different medical professionals to highlight a pattern of disregard for safety protocols.",
  "elementsJson": [
    "paragraph",
    "quote_block"
  ],
  "metadataConfidence": 1,
  "imagePath": null,
  "slideHref": "/slides/019dd923-622c-750b-8b9a-21918ac10c17/47",
  "deckHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17",
  "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17.json",
  "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17#slide-47",
  "components": [
    {
      "bbox": null,
      "kind": "callout",
      "text": "The clear pattern of the drug’s toxicity, combined with extensive comorbidities in narcoleptics like obesity, diabetes, and cardiac issues, sets the stage for disaster.",
      "attrs": null,
      "subkind": null,
      "toolName": "Visual emphasis",
      "toolSlug": "visual-emphasis",
      "confidence": null,
      "componentId": "019dd953-64d0-7099-9ccc-2b00f99f9884",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.02,
        "w": 0.3,
        "x": 0.07,
        "y": 0.96
      },
      "kind": "other",
      "text": "Source: Scorpion Capital consultation calls with experts",
      "attrs": null,
      "subkind": "source-note",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "21525e22-7c86-4f99-894a-76153f721798",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.45,
        "w": 0.86,
        "x": 0.07,
        "y": 0.07
      },
      "kind": "paragraph",
      "text": "The recklessness that high volume Wakix prescribers exhibited in our interviews was jarring, a reflection of the false sense of safety created by Harmony’s sales practices. The FDA erred in approving the drug, but still slipped in a few watered-down warnings that understate the risk. However, one speaker after another told us they ignore them entirely. The clear pattern of the drug’s toxicity, combined with extensive comorbidities in narcoleptics like obesity, diabetes, and cardiac issues, sets the stage for disaster. We quote two prolific speakers near the top of the OpenPayments list, who stated they are most responsible for educating doctors in the US about Wakix, and whose comments are representative. The first: “those items are just warnings...you’re not going to run into those issues hardly ever”; “I’ve never ordered an EKG...that’s what I tell doctors, these are just warnings...technically speaking, you don’t have to do anything...you can just prescribe it, which is what we do.” A second: “I do not run any EKG’s...I don’t check lab work...remember, most narcoleptics are...pretty damned healthy...”",
      "attrs": null,
      "subkind": "paragraph",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "7430c575-8c2b-4a68-83f8-0514972300f6",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.18,
        "w": 0.86,
        "x": 0.07,
        "y": 0.58
      },
      "kind": "quote",
      "text": "Bay Area-based speaker: \"Those items are just warnings. You're not going to run into those issues hardly ever. I mean, to date, I've never ordered an EKG on a patient. That's what I tell doctors; these are just warnings...\"",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "70ec37cf-4714-4b4e-92c2-9b6e6596dfcb",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.86,
        "x": 0.07,
        "y": 0.79
      },
      "kind": "quote",
      "text": "Alabama-based speaker: \"I do not run any EKG's. When a patient says they've got things that are like palpitations or they feel dizzy... I don't check lab work. Remember, most narcoleptics that we see are pretty damned healthy people.\"",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "9c80e711-c12b-47e7-89e9-4748098db37a",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": null,
      "kind": "quote",
      "text": "“Those items are just warnings...you're not going to run into those issues hardly ever”; “I’ve never ordered an EKG...that’s what I tell doctors, these are just warnings...technically speaking, you don’t have to do anything...you can just prescribe it, which is what we do.” — Bay Area-based speaker; “I do not run any EKG’s...I don’t check lab work...remember, most narcoleptics are...pretty damned healthy...” — Alabama-based speaker",
      "attrs": null,
      "subkind": null,
      "toolName": "Authority citation",
      "toolSlug": "authority-citation",
      "confidence": null,
      "componentId": "019dd953-64d0-7099-9ccc-2c7fc0863f5b",
      "frameworkName": null,
      "frameworkSlug": null
    }
  ],
  "metrics": [],
  "tools": [],
  "frameworks": [
    {
      "name": "expose_contradiction",
      "slug": null,
      "matchId": "8dfdb97b-6fae-4f1b-9441-0089f8d16a85",
      "evidence": "Contrasts FDA warnings with actual prescriber behavior.",
      "confidence": 0.9
    }
  ],
  "arcBeats": [
    {
      "to": 50,
      "from": 31,
      "beatId": "2b789ae4-940c-4d3a-9f03-7f2e7e4f46fd",
      "arcName": "Overcoming the Monster",
      "arcSlug": "overcoming-monster",
      "beatName": "The Struggle",
      "beatSlug": null,
      "evidence": "The document presents the struggle of the company's critics and short-sellers to expose the truth",
      "position": 2,
      "confidence": 0.8,
      "parentBeatName": null,
      "parentBeatSlug": null
    }
  ],
  "loops": [],
  "imagePathAlt": null,
  "thumbSrc": null,
  "thumbSrcAlt": null,
  "locked": true
}