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Nobody Should Believe Me

What “The Preventionist” Left Out with Dr. Randy Alexander

Nobody Should Believe Me

True Story Media

Personal Journals, Society & Culture, True Crime

4.23.3K Ratings

🗓️ 12 December 2025

⏱️ 89 minutes

🧾️ Download transcript

Summary

In this episode, we close out our coverage of Serial’s The Preventionist with Dr. Randy Alexander, one of the most experienced child abuse pediatricians in the country and the former supervisor of both Dr. Deborah Jensen and Dr. Sally Smith. Randy explains how the media’s portrayal of CAPs as all-powerful fundamentally misunderstands how these cases work and ignores the layers of oversight built into the system.  We also revisit the Amanda Saranofksy case, which The Preventionist casts as uncertain despite multiple conflicting stories and medical findings that simply don’t match the explanations given. These selective narratives don’t bring accountability. They undermine child safety by elevating fringe theories over decades of established research. This is our final episode on The Preventionist, but we’ll continue examining its consequences as we move into Season Seven. * * * Try out Andrea’s Podcaster Coaching App: https://studio.com/apps/andrea/podcaster Order Andrea’s book The Mother Next Door: Medicine, Deception, and Munchausen by Proxy.  Click here to view our sponsors. Remember that using our codes helps advertisers know you’re listening and helps us keep making the show!   Subscribe on YouTube where we have full episodes and lots of bonus content.  Follow Andrea on Instagram: @andreadunlop Buy Andrea's books here.  For more information and resources on Munchausen by Proxy, please visit MunchausenSupport.com The American Professional Society on the Abuse of Children’s MBP Practice Guidelines can be downloaded here. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0

True Story Media.

0:09.5

Over the past several weeks, we've been talking about Serial's new podcast, The Preventionist,

0:15.0

and the significant issues with their reporting on child abuse pediatricians.

0:19.5

And the harm this reporting does is very real.

0:22.6

First to the children involved, but certainly also to the doctors who are tasked with protecting them.

0:28.9

Dr. Stephen Boos, a child abuse pediatrician we spoke to at length for our upcoming season, said in an

0:34.1

interview with journalist Naomi Riley last month that his colleagues are the subject

0:38.1

of so many threats that many have had to install security systems. He also notes a concern about

0:43.4

attracting young doctors to the profession, and Dr. Sally Smith spoke to us the other week about

0:48.2

the death threats and harassment she's received as a result of misleading media coverage that

0:53.0

she's been the subject of.

0:55.4

Which I dare say may very well be the point of all this.

0:59.4

And it can be pretty challenging to unring the bell here.

1:02.6

For example, there was endless media coverage of the Kowalski's lawsuit against Johns Hopkins

1:07.3

all children's, mostly extremely favorable to them. However, the appeal in the

1:12.4

hospital's favor? Not so much. And while we can't speak to Dr. Jensen at the moment because of

1:18.5

the pending litigation, as we've been discussing, the people who should actually be evaluating

1:23.3

whether child abuse pediatricians are doing their work properly, are people with expertise in the field.

1:29.5

And thankfully, there's almost no one in the country with more expertise than today's guest, Dr. Randy Alexander,

1:36.4

a professor of pediatrics, and notably, the one child abuse pediatrician whose voice was featured in the

1:42.4

preventionist. Not only does Randy have a wealth of

1:44.9

experience in the field, he also knows both of journalist Diane Neary's targets Dr. Deborah Jensen

...

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