The Dean of Stanford Medical School on How AI Is Shaping The Future of Health Precision

Over the years, I’ve had the pleasure of conversing with many an Olympian, each with a uniquely impressive journey from obscurity to heights most can’t fathom. But what happens after the medal ceremony wraps, the klieg lights shutter, and the career comes to a close? When your entire life is centered on a moment now passed, how do you then shift overnight from podium to pedestrian?  One would presume the many skills learned as an athlete -- mindset, focus, discipline, and teamwork -- would translate to seemless success in the civilian world. Ironically, that presumption would be misplaced. In truth, this transition is fraught, and has felled some the greatest competitors among us. We love to celebrate our Olympic heroes. We relish in the dissection of their habits, wrapt in what makes them tick; what makes them great; and what distinguishes the very best from everyone else -- all in service to that sliver of inspiration and applicability to our own lives. From private mental health struggles to debt, loss of identity and a lack of opportunities in retirement, the systems sending our athletes to the Olympics aren’t supporting them well in the long haul. And it’s gotta change. That change begins now, starting with the recently released HBO documentary, The Weight of Gold. Expanding upon a recurring theme of this podcast, the film presents a potent look at the mental health challenges our Olympians often face from their lived perspective. Executive produced and narrated by Michael Phelps, the world’s most athletically accomplished mental health advocate, it features a myriad of celebrated athletes, including today's guest. Meet Apolo Ohno, here to help untangle this dark thread that connects those who have stood in the spotlight. An eight-time Olympic medalist in short track speed skating, Apolo is the most decorated American Olympian at the Winter Olympics, and was inducted into the U.S. Olympic Hall of Fame in 2019. He is a Twelve-time U.S. champion, a three-time overall World Cup champion and in 2008 he was Overall World Championship gold medalist. Despite his post-athlete career successes, Apolo knows well the mental perils of elite athleticism. Raised by a single dad, Apolo took his dream all the way to the very top. When it was over he didn't just face what might come next. For the first time he had to discover who he was off the rink--and reimagine his life wholesale. This is a conversation about what it’s like to have a passion with a shelf life. The mental health repercussions of Olympic pursuit. And the pitfalls of prodigious success at a young age. More broadly, it's a dialog about why we sabotage ourselves, and how to break this bad habit. And it’s about deconstructing those preconditioned beliefs we all have about who we are and what we are capable of achieving. Today, one of history's all-time great Olympians provides a master class in mindset and intention: how to use it to our advantage, and what it takes to break the mold of what is possible.  My hope is that this conversation will help you form a more holistic idea of who you are and what you seek to offer the world. I hope it encourages you to see the strength in vulnerability and the power in asking for help.  But more than anything, I hope it breaks whatever illusion you have about what an Olympic athlete is and what an Olympic athlete is not. The visually inclined can watch it all go down on YouTube. And as always, the podcast streams wild and free on Apple Podcasts and Spotify. May you receive Apolo with an open heart. Peace + Plants, Rich

17 Elo 20202h 8min

We are living in a moment of compounding collective stress---personal, pandemic, economic, civic, and political. This trauma and tumult comes with side effects both physical and psychological.  How do we take care of our bodies during this incredibly stressful moment? Furthermore, how do we buttress our immune system to combat the virus? The answer, we are increasingly coming to understand, begins with the microbiome. In fact, you might be surprised to learn, the gut is home to 70% of our immune system. To glean a better understanding of what that means, I convened with Dr. Will Bulsiewicz, a lauded gastroenterologist & gut health guru whose life’s work is devoted to better comprehending the microbiome and the crucial role it plays in all facets of health, from brain function and hormone balance to weight management and everything in between. Affectionately known as 'Dr. B', Will is a graduate of Georgetown School of Medicine and a former chief medical resident at Northwestern Memorial Hospital and chief gastroenterology fellow at the University of North Carolina Hospitals. In addition, he received his Master of Science in Clinical Investigation (MSCI) from Northwestern University and a certificate in nutrition from Cornell University. He's authored more than twenty articles in the top American gastroenterology journals and his New York Times bestselling book, Fiber Fueled: The Plant Based Gut Health Program For Losing Weight, Restoring Your Health, and Optimizing Your Microbiome, is a must-read primer on why gut health is so crucial--and everything you need to know to optimize it. Since the beginning of the pandemic, I’ve lamented the mainstream media's lack of attention to caring for our immune system. So today we dive in. This is a conversation about all things microbiome and gut health. The mechanisms behind it and latest research findings. We discuss our epidemic of dysbiosis (lack of gut biome balance) and its relation to a litany of chronic diseases that unnecessarily plague too many.  We explore the gut-brain connection. The paramount need to increase the biodiversity in our bodies and our environments. And (sorry carnivores) why fiber is king. In addition, in this time of excessive sterilization and sequestration, Dr. B provides practical takeaways on how we can improve our gut flora and optimize our immune system, without putting ourselves and others at risk. And finally, we talk fecal transplants. Because, let's face it, I can’t have a gastroenterologist on the show and not ask about that. It was an honor to to converse with Dr. B--a fresh, new mind making big waves on the plant-based, microbiome scene. Passionate, empathetic and whip-smart, I enjoyed every minute. And I promise you will walk away from this episode armed to take your health to the next level. Note: I first came across Dr. B's work by way of his many appearances on my friend Simon Hill's wonderful Plant Proof Podcast (which you should all check out). The pandemic prevented an in-person exchange, so this conversation was recorded remotely a few months ago. Apologies in advance for any audio issues. We did the best we could. The visually inclined can watch it all go down on YouTube. And as always, the podcast streams wild and free on Apple Podcasts and Spotify. Enjoy! Peace + Plants, Rich

10 Elo 20202h 14min

Welcome to another edition of Roll On—my bi-weekly deep dive into (semi) current events, topics of audience interest, and of course answers to your questions. Once again serving up co-host duties is Adam Skolnick, an activist and veteran journalist perhaps best known as David Goggins' Can't Hurt Me co-author. Adam has written about adventure sports, environmental issues and civil rights for outlets such as The New York Times, Outside, ESPN, BBC, and Men’s Health. He is also the author of One Breath, which chronicles the life and death of America's greatest freediver, and is currently hard at work on a novel. Some of the many topics explored in today's conversation include: An update on ultrarunner Tommy Rivs' battle with lymphoma; Endurance training first principles; Why building a Zone 2 base is critical; DHS failures & overreach; Cancel culture: the Harper's Letter & Bari Weiss; Gear review show & tell; and Wins of the week: Kai Lenny & Valarie Allman In addition we answer the following listener questions: How to live with an angry & abusive alcoholic? The paralyzing perils of self-help addiction Daily habits to thrive What changes should be made to public education? Is it worth writing and sharing your story? How to effectively work with your spouse or partner Thank you to Jake from Kansas City, Jackson from Wyoming, Adam from Alberta, Canada, Jeremy in Sant Michael, Minnesota, and Henry in Los Angeles for your questions. If you want your query discussed, drop it on our Facebook Page, or better yet leave a voicemail at (424) 235-4626.   The visually inclined can watch it all go down on YouTube. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. Enjoy! Peace + Plants, Rich

6 Elo 20202h 29min

When you hear the words “professional runner” what image pops into your head? Most likely it's some version of a skinny white male in tiny shorts. Let’s just say Mirna Valerio is here to smash that stereotype — and completely redefine what it means to be an accomplished endurance athlete. She's not White. She's not a dude. And she isn't skinny. She is a total badass of her own design. Back for a long-awaited sequel to RRP #340, Mirna is back to drop truth bombs left and right on all things body inclusion, identity, and diversity in the outdoors. For those new to Mirna, aka the force of nature affectionately known as The Mirnavator, she is one of the most inspirational athletes I have ever met — a true ambassador of sport on a mission to empower humans of all shapes, sizes, colors and genders to proudly embrace their bodies, expand their horizons, and own their personal truth. Today’s conversation picks up where we last left off, spanning her evolution into a full-time sponsored running professional to her work as as a diversity and inclusion educator. We talk about identity, and the way in which we see ourselves as the lens through which we interpret the world. We discuss the difference between body inclusion versus body positivity and acceptance. We talk about everyday racism in the outdoor world and industry--and the work required to assess and overcome our own internalized unconscious beliefs. And it's about defining your values and embodying them in your actions--day in and day out. Mirna’s joyful self-acceptance is both real and rare. It’s authentic and bold. And it's as infectious as it is inclusive. She is totally unapologetic, far from sheepish, and 100% herself. The visually inclined can watch it all go down on YouTube. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. I must confess: after almost 130 days in relative quarantine, melancholy has crept up on me. But there is something about Mirna’s gleeful demeanor that cheered me up. I think she will cheer you up as well. Enjoy! Peace + Plants, Rich

3 Elo 20201h 55min

In the words of today's guest, "we are in a moment of acute collective suffering." I couldn't agree more. From our nation’s current civil rights struggles to a metastasizing global pandemic, the pain is real, exacerbated by acurrent political system that seems hardwired to exacerbate problems, yet rather inept at actually solving them. Fomenting a collective sense of existential dread is the dark beast of climate change, an accelerating background hum that can leave even the most optimistic among us feeling powerless. Because we are not nearing the edge of a cliff. We have already flung ourselves off. Hitting the brakes isn't enough. We need to jam the engine into reverse. We need an immediate call to action. We need a 'Manhattan Project' scale approach to reckon with the objective truth of our dire predicament. Margaret Klein Salamon, PhD is here to guide us.  A Harvard graduate and self-dubbed “climate psychologist,” Margaret is the founder and executive director of The Climate Mobilization, a volunteer organization dedicated to initiating a transformation of the economy, politics, and society to respond to the climate emergency. She is also the author of  Facing the Climate Emergency: How to Transform Yourself with Climate Truth, an emotional guide to processing our impending apocalypse, and the subject of today's exchange. Recorded remotely in early June, this is a conversation about our emotional response to climate change, and tools for contributing to the positive change required of us. It's about the intersectionality of the climate crisis--it’s ties to the pandemic as well as the protests. It’s about the inherent conflict between capitalism and environmentalism--and how we must de-couple corporate self-interest from the public good.  And it’s about how to deal with weaponized media and the way in which we are being spoon-fed lies by conglomerated industry over-invested in maintaining the status quo. But more than anything, this is a discourse about effective altruism--and the actionable steps we can take now to backtrack from the global suicide we are nearing. It's normal to feel disheartened. Action seems futile. And 2020 has maxed out our collective bandwidth when it comes to crises and revolutions. But embracing the truth and finding a way to contribute to positive change is not only mandatory -- it’s a path to hope. To girding your life with more meaning, inclusion and empathy. This is one of my increasingly rare audio-only podcasts. You can find the is streaming wild and free on Apple Podcasts and Spotify. Margaret’s ideologies have totally reframed how I perceive, address, and talk about the climate crisis. My hope is that her words offer you a perspective that is honest and hopeful. But more than anything, my hope is that it inspires you to do something. Peace + Plants, Rich

27 Heinä 20201h 35min

Welcome to another edition of Roll On—my bi-weekly deep dive into (semi) current events, topics of audience interest, and of course answers to your questions. Serving up hype-man duties is Adam Skolnick, an activist and veteran journalist perhaps best known as David Goggins' Can't Hurt Me co-author. Adam has written about adventure sports, environmental issues and civil rights for outlets such as The New York Times, Outside, ESPN, BBC, and Men’s Health. He is the author of One Breath, which chronicles the life and death of America's greatest freediver, and is currently hard at work on a novel. Today's conversation begins with a quick update on my forthcoming book Voicing Change and the subscription offering we are currently building. We then pivot to ruminations on goal setting based upon my personal experience and that of my many past guests. We talk about the latest coverage of the coronavirus, spikes across the country, the mask-authoritarianism debate, and the current constitutional crisis occurring in Portland. We honor the legacy of John Lewis, exploring his history and many accomplishments, including his pivotal role in the civil rights movement. We shoutout my friends Utkarsh Ambudkar and Darin Olien and their respective Netflix offerings: We Are Freestyle Love Supreme and Down to Earth--both mandatory quarantine viewing. We discuss the KFC-Beyond Chicken collaboration debut. And we send some love to legendary ultra runner Tommy Rivs — a beloved athlete and friend currently in the ICU (now in a coma since recording) suffering from undiagnosed COVID-like symptoms and severe respiratory distress. If you're able, please consider a donation to Tommy's GoFundMe to ameliorate medical expenses. A little goes a long way. And finally, we switch gears to answer a few questions submitted by audience members on our Facebook Group page and voicemail. How can we best ration our time between consumption and creation? What can we do to abate feelings of powerlessness and fatalism about the future of humanity and the planet? How do you maintain sanity while both working and being a parent and part-time teacher during this unique time in history? And How do you ease into running? The visually inclined can watch it all go down on YouTube. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. Thank you to Patrick Dean, Bel Rumi, Joe from Pittsburgh, Bill Lawrence and Julie from Minnesota for your questions. If you want your query discussed, drop it on our Facebook Page, or better yet leave a voicemail at (424) 235-4626.  I'm digging this new format. I hope you find it equal parts entertaining and informative. Peace + Plants, Rich

23 Heinä 20201h 54min

You can’t teach an old dog new tricks. Past the ripe age of 25, we are fully cooked; calcified in our ways. So dispense with the idea of learning a new language, skill, or thought pattern—it’s just not happening. But what if that idea is simply false? What if I told you that you actually have the power to change your brain and reprogram your perception, irrespective of age? This is the life’s work of today’s guest, Andrew Huberman, Ph.D. A neuroscientist and tenured professor in the Department of Neurobiology at Stanford University School of Medicine, Andrew specializes in neuroplasticity--the brain's ability to reorganize and repair itself by forming new neural connections throughout life. In addition, his work in the Huberman Lab at Stanford has been featured on the pages of Science, Discover, Scientific American, Time, and the New York Times, not to mention countless peer-reviewed journals. First and foremost, this is a conversation about what it really takes to shift our thought patterns. A master class on all things neuroplasticity, Dr. Huberman walks us through the brain's inherent ability to modify itself based on experience and how we can advantageously leverage this process--through focus, mindfulness and restorative sleep--to not only learn new skills but also improve all essential aspects of well-being. We cover his research in self-motivation, and how we can hijack our dopamine systems and optimize stress to move forward in difficult situations.  We discuss the inner workings of our nervous systems and how we can use our physical bodies—our diaphragms and visual systems—to access and optimize certain states of mind. And we also explore Dr. Huberman’s personal transformation. How he transcended family dysfunction and his days as a punk rock skater truant. And the most unlikely path he blazed to becoming the celebrated scientist he is today. Andrew teaches us that to shift the way that you function, changing your behavior is the first step.  I just see it as the science backing my favorite mantra -- mood follows action. The visually inclined can watch it all go down on YouTube. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. The Appetizer: People seemed to enjoy my previous brief check-in segments with Mishka Shubaly and Nadia Bolz-Weber so I thought I’d do it again. Today’s main course warm-up comes courtesy of my friend Utkarsh Ambudkar, the linguistically dexterous musician, actor and rapper longtime listeners will recall from RRP #373. The occasion is the release of We Are Freestyle Love Supreme--a must see documentary that chronicles a tribe of über-talented artists--including UTK and one Lin-Manuel Miranda--from humble beginnings to Broadway superstardom. I love this film. Check it immediately on Hulu (and no, this is not a sponsored thing). I am super impressed by Andrew, his story and the crucial work he is doing. And grateful for the practical tools graciously shared today. May this exchange serve to expand your perception, capabilities, and worldview. Peace + Plants, Rich

20 Heinä 20202h 46min

A powerful primer on all matters pandemic pertinent, today Michael Greger, M.D., FACLM returns for his fourth appearance on the podcast to answer all your coronavirus queries and more. A graduate of Cornell University and Tufts University School of Medicine as well as a founding member and Fellow of the American College of Lifestyle Medicine, Dr. Greger is the nutrition science wizard behind NutritionFacts.org — the world’s most authoritative, non-profit, science-based public service destination for all things nutrition, health and disease prevention. His massively popular books, including How Not to Die, How Not To Diet, and their cookbook analogues, all became instant New York Times Best Sellers and crowned Dr. Greger a media darling, his excitable face popping up everywhere from The Dr. Oz Show to The Colbert Report. Less well known is the fact that, prior to his focus on nutrition, Dr. Greger had an entire career as an internationally-recognized expert on public health. A specialist in emerging infectious diseases, he's been sounding the pandemic alarm for over a decade. Back then, nobody was listening. Now they are. To wit, Dr. Greger's latest release, How To Survive A Pandemic, now available in audiobook and kindle with a paperback version hitting the shelves August 18, forms the basis of today's conversation. Today's exchange is hyper focused on the public and political health disaster that is the novel coronavirus. The even more deadly impending H7N9 bird flu. And the common thread between these and other zoonotic diseases: humanity's broken relationship with animals. In general terms, I seize the opportunity to ask Dr. Greger his expert opinion on all my (and perhaps your) lingering questions about what exactly is happening. Where it started. Where it's going. How we prevent future pandemics. And how we survive this one. And perhaps the most fundamental question of all, how can we stop the emergence of pandemics in the first place? The answer begins with the dismantling of our industrialized factory farming infrastructure. Not only are America’s factory farms vile for the animals and the workers that slaughter them, but they are essentially breeding grounds for future pandemics. This is a call for the eradication of these systems--a moral imperative if we want to preserve not only our environment but the long-term viability of our species. This is an important, alarming, and downright terrifying moment of truth. So pay attention. The visually inclined can watch it all go down on YouTube. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. If you're new to the show and interested in exploring Dr. Greger's work in nutrition, jump back to RRP #7, #199, and #522. It’s scary out there folks, but Dr. G, ever the enthusiastic optimist, remains hopeful. That gives me hope. And hopefully gives you a little. hope too. In the meantime, be kind. Peace + Plants, Rich Roll

13 Heinä 20202h 1min