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

I've got nothing but love for stories of personal metamorphosis, perhaps the most predominant theme of this show. We call it the hero’s journey. Archetypal and totemic, it’s a most powerful narrative that unites, connecting with something indelible and universal within us all. Over the years, I’ve hosted many flavors of physical triumph. From Olympic medalists to arctic explorers, I celebrate the arc of the athletic warrior. But life’s greatest passage isn’t physical. It’s not free-soloing El Capitan, crossing Antarctica, or running ultramarathons in Patagonia. Our most challenging voyage is learning how to love ourselves. No one embodies this genus of the hero’s journey better than Kamal Ravikant. To be clear, Kamal has more than earned his spot as a respected adventurer living beyond convention. From modest beginnings, he’s trekked to one of the highest base camps in the Himalayas, earned his US Army Infantry patch, walked 550 miles across Spain, and meditated with Tibetan monks in the Dalai Lama’s monastery. Professionally, he’s done it all too, founding a company with the guy who wrote the first browser. From launching startups to managing venture capital funds, Kamal has spent the better part of his career working alongside some of the smartest investors and engineers in Silicon Valley, writing books in his free time. But Kamal's most transformative experience has been the simple act of learning how to love himself. Why is it so hard for us? I first heard about Kamal by way of his frequent appearances on our mutual and beloved friend James Altucher’s podcast. Compelled by his honesty and vulnerability, I felt myself holding space with someone who embodied an important wisdom. A wisdom I lacked. Reflexively, I picked up Kamal's latest book, Love Yourself Like Your Life Depends on It. Spiritual and emotional growth is my jam and yer I never thought much about self-love. So I freely admit I met Kamal's book with a healthy dose of initial skepticism. However, the read ignited a realization that I continue to harbor unhealed wounds. Simple, straightforward and profound, I discovered practices not just helpful, but truly transformative. I wanted to know more. Today we unpack Kamal's heroic journey of the heart. It’s a conversation about his trials and his triumphs. His divine moment. The path of self-discovery that followed. And what he learned surviving a recent near death experience. It’s about how he learned to love himself. The simple routine he deploys to maintain it. And why this practice is essential to living an examined, self-actualized life of presence, purpose and contentment. For the stoics and skeptics, I implore you to set aside whatever resistance you may be feeling right now. And give this one a shot with an open mind and heart. Note: This conversation was recorded pre-pandemic (February 12, 2020), thus there is no coronavirus reference. Nonetheless, Kamal's wisdom is timeless. Moreover, the practices we discuss are powerful tools of self-discovery than can prove transformative as we navigate this challenging time. 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. Kamal’s vulnerability is refreshing. I love this conversation and the friendship it has birthed. I hope it serves you as it did me. Peace + Plants, Rich

27 Apr 20201h 59min

Coronavirus has canceled more than just school, work, and social outings. It’s also canceled sports. The Olympics. And even that race you've been training for -- gone. The world has huge problems right now. To lament your cancelled marathon, ultra or Ironman is feels tone deaf; insensitive to the countless people across the world currently suffering in unimaginable ways. And yet for the athlete, the disappointment is still real. It's not shameful to experience the emotions that accompany a let down. Just don't linger there. In this precarious moment, we can't afford to dwell on a future that will no longer be. And events beyond our control. Instead, let us pull focus on creative solutions for maintaining our enthusiasm for fitness. Strategies to engage with our physical selves. And tactics to ensure adherence to a daily routine with staying power. To dive deeper into the hows and whys of staying fit during quarantine, I'm joined today by Chris Hauth -- my friend and trusted sensei of of all matters strength and endurance. A two-time Olympian, former professional triathlete, Ironman champion, Age Group Ironman World Champion, and accomplished ultra-athlete, Chris is one of the world’s most respected endurance coaches — and the star act in my recurring Coach's Corner edition of the podcast. A remarkable coach and lifelong athlete, Chris has honed his craft unlike any other sports professional I have ever met. But my favorite thing about Chris is his attitude. A fount of soothing positivity, he values experience and fun over podiums. This is a conversation about adapting our fitness routines to quarantine. How to maintain healthy home habits in this hectic time. How to reimagine goals. And craft personal adventures in lieu of canceled races. Finally, Chris provides copious tangible takeaways to stay sane for those whose training life has been turned upside down. And for something new & different: An appetizer to precede today's main course, we also briefly check in with the RRP's favorite lap dog Mishka Shubaly. To get a little taste for his flavor of quarantine. To celebrate the 7th anniversary of our bromance. And because my self-deprecating, gravelly voiced brother from another mother has a new must-listen Audible Original called Cold Turkey: How To Quit Drinking By Not Drinking. May these exchanges lift your spirits in this bizarre moment we are collectively experiencing. Peace + Plants, Rich

23 Apr 20201h 37min

Every single day you make about 35,000 decisions. Our lives truly are the sum of our decisions compounded. What we do and what we decide quite literally defines who we are. In this destabilizing moment of fear and uncertainty -- when lives quite literally hang in the balance -- the nature and quality of our decision making is paramount.  It is thus incumbent upon us all, now more than ever, to optimize our decision making skills. So how precisely do we do this? It’s a question that became an obsession for Shane Parrish, a former computer scientist and spy who began to ply his curiosity and copious analytical aptitude to create a canonical roadmap to drive better judgment, better decisions, and ultimately better life outcomes for himself and others. According to Shane, the key is expanding our mental models, the frameworks we craft and rely upon to simplify complexity and understand the world. Prioritizing objective reasoning, mental models help to better frame the decision-making process, putting us in a better position to create relevancy and succeed in life. One of the biggest influencers across Wall Street, Silicon Valley and professional sports, Shane is a former cybersecurity expert for Canada’s version of the NSA and the founder of Farnam Street — a curated collection of research and musings to sharpen your mind, help you make smarter decisions, and ultimately live better. Featured in The New York Times, The Wall Street Journal, Forbes, and The Economist, Shane also hosts The Knowledge Project podcast (always high in my personal rotation), pens the Brain Food weekly newsletter and is the author of The Great Mental Models Vol. 1: General Thinking Concepts and The Great Mental Models, Volume 2: Physics, Chemistry and Biology — the first two releases in a series of books designed to improve your decision making, productivity, and how clearly you see the world. We begin today's exchange with Shane’s prior career at Canada’s top intelligence agency. His take on cybersecurity in a post 9-11 world. And the lessons he learned from his time as a spy. It's a conversation about the importance of reading and deep learning— training yourself to remember everything you read and how to apply it to your life. And it’s about developing your mind and thought processes to create a competitive advantage. But more than anything, this is a conversation about distilling wisdom into teachable formulae for living a better, more fulfilling, more wholesome life. Because how we decide is how we live. 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. Note: this conversation was recorded on February 11, 2020 -- weeks prior to the alternate reality we find ourselves in today. Therefore, there is no talk about the pandemic. Nonetheless, Shane's wisdom and experience is both timeless and timely. I suspect you will find this exchange instructive and helpful in navigating the perils of our current situation. If you are interested in Shane's pandemic related thoughts, he recently penned an excellent piece on Farnam Street entitled What You Truly Value. I’m grateful for this exchange and am better for it. My hope is that you find Shane as dynamic and helpful as I did. Peace + Plants, Rich

20 Apr 20202h 1min

Completing a marathon is a noble accomplishment. How about completing a marathon on every continent? A feat of a lifetime. Now imagine completing a marathon in every single country in the world. Impossible? Meet Nick Butter — an enterprising young Brit who recently reframed human potential, becoming the first person in history to crush 196 marathons in all 196 countries. A world-record setting feat noteworthy for daunting financial and logistical challenges that often dwarfed those athletic, it took Nick and his team two years to plan and 674 days to complete — an astounding accomplishment that entailed running 3 marathons, in 3 new countries a week, every week, for 96 weeks, blowing through 10 passports and 455 flights along the way. More Jason Bourne than Forrest Gump, Nick ran through 15 war zones and endured several Argo-esque border crossings. He was mugged twice and repeatedly attacked by dogs, even going so far as to run 335 laps around a car park on the Marshall Islands to avoid that country’s overrun population of rabid canines. He had his luggage stolen. He ran in extreme cold and unbearable heat, oftentimes starting marathons at two or three in the morning to avoid 140-degree weather. He repeatedly succumbed to food poisoning and kidney infections. This list goes on. But ultimately, Nick prevailed -- and learned a few things about life along the way. What drives a man to attempt such a feat? In Nick’s case, it wasn’t fame. It wasn't notoriety. It was something far greater. In 2016, while enduring Marathon des Sables deep in the Moroccan desert, Nick struck up a friendship with fellow ultrarunner Kevin Webber — a man given just two years to live, courtesy of incurable advanced prostate cancer. Kevin’s courageous life embrace inspired Nick to rethink his career path in finance. Empowered him to tackle an impossible goal. And motivated him to raise funds and awareness for prostate cancer solutions along the way. This is a conversation about the physical, mental, and emotional strength it took to conquer a challenge of breathtaking magnitude. It’s about the obstacles faced and overcome. The lessons learned. And the importance of giving back. It’s about audacious dreams. Unbridled adventure. And the courage required to jump into the unknown without a safety net. But more than anything, this is a conversation about this fleeting, shared experience we call life — and what we can all learn from Nick's example about ourselves and our place in the world. 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. Note: This podcast was recorded pre-pandemic (on January 28, 2020). Reminder: I recently created a Facebook Group for fans of the show to to congregate. Click here to join. I think you're going to fall in love with Nick. I sure did. Peace + Plants, Rich

13 Apr 20201h 59min

One of the deepest integrative thinkers active today, today's guest is a voice both crucial and integral to this conversation. Meet Charles Eisenstein. A speaker, writer, and social philosopher focusing on themes of human cultural evolution, economics and consciousness, Charles is the author of several books, including Climate - A New Story, Sacred Economics, The More Beautiful World our Hearts Know is Possible, and The Ascent of Humanity. A graduate of Yale University, where he acquired degrees in both mathematics and philosophy, Charles is a counter-culture intellectual and proponent of alternative political and economic narratives that combine ecology, biology, philosophy & spirituality to challenge our current system. You can find his essays, videos, courses and podcasts at charleseisenstein.org.  Recognizing the delicacy of this moment, I’ve been very careful about who I invite on the show to discuss it. The pandemic has cast a cosmic panic I am not interested in amplifying. Nor do I feel it appropriate to deliver an empty dose of conjectural optimism. I don’t hold myself out as knowing what exactly is happening. I don’t think any of us do. I can’t give you a prediction or a prescription. What I can offer is perception. Some perspective. And a broader aperture to reckon with the many ramifications of this most unusual global event. Last week I devoured a recent essay by Charles entitled The Coronation. I found it to be one of the most insightful and well-considered long reads on how to think expansively about our current moment. It’s a piece that has stayed with me -- and the motivation behind today's exchange. In the vein of my exchanges with Dr. Zach Bush, this is a thoughtful and at times metaphysical conversation about completely redefining our definition of normal. It's about the potential energy of this shared experience to unite humanity around reinventing society wholesale.  It’s about asking questions. It’s about challenging the dominant narrative. Taking a hard look at our institutional failures. And the systems that perpetuate them.  But more than anything, this a conversation about standing in our fear. As we delicately wade through the muddy waters of media calamity, conspiracy theories, and fake news, it's about learning how to listen. How to feel. And how to excite the senses around the quiet call that change is actualizing.  Without minimizing the severity of what is and what is to come, this truly is our opportunity to cast a new world. May Charles Eisenstein be our gentle steward. Audio Note: This podcast was recorded remotely. Therefore, please excuse the audio quality, a somewhat eroded version of what you’ve come to expect. Facebook Group: I have been remiss in not previously announcing that I recently created a Facebook Group for fans of the show to to congregate. Click here to join. I'm honored to host today's discourse. May it leave you better than you were before. Peace + Plants, Rich

9 Apr 20201h 37min

Today Leah Garcés joins the podcast with a public service announcement: everything you think you know about chicken is wrong. The new president of the international non-profit Mercy for Animals, Leah Garcés has spent her life on the frontlines of the animal welfare movement exposing what actually transpires inside industrial chicken farms. Devoted to improving conditions for factory-farmed animals, she has made significant progress not through a traditional strategy of antagonism, but instead by pursuit of cooperation, working alongside some of the largest food and agriculture companies in the world -- including Perdue, Popeye’s, Panera & Chipotle -- to produce positive change. In her new book, Leah chronicles her experience teaming up with whistleblowers in the megafarm industry. Part memoir, part investigative thriller, Grilled: Turning Adversaries into Allies to Change the Chicken Industry is a great read that not only elucidates the ills of our broken food system, but also casts an optimistic lens on a better future for food, animals, and humans. Most impressive is Leah's profound empathy. Not just for the animals, but for the people most animal rights folks consider the enemy: the factory-farmers; the slaughterhouse workers; and the corporate executives that control animal intensive farming. Rather than fight against these people, Leah adopted a different approach, working with them instead. It's a tactic that might strike the hardened animal rights activist as anathema. Controversial and perhaps even unacceptable. But the cornerstone of the vegan movement is compassion. And lasting change can only come from directing that emotion not just to the animals, but to all — including the people behind the animals. Today we unpack all of it. It's a conversation about the insidious reality of industrial chicken farming. An exploration of the modern-day farmer's plight as an indentured servant. And the industrial complex that entrenches our broken and undeniable cruel system of food production. But ultimately, this is a conversation about empathy. It’s about practicing what you preach. And the strategies required to create sustainable change to forge a better world for all. 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. Note: For those who shut down at the mere mention of animal rights, I ask only that you set aside your preconceived judgments. Because this conversation isn’t just about the suffering of animals. It’s about the suffering of people. And it’s about a system that is hoodwinking us all, including the chicken farmer with his boots in the ground. Final Note: this conversation was recorded pre-pandemic on January 31, 2020. Our world has since changed. But given what we are learning about the relationship between large-scale intensive animal farming and the propagation of disease, Leah's message, experience and wisdom is more relevant now than ever I am grateful for Leah's advocacy and passion. May you find this conversation as impactful as I did. Peace + Plants, Rich

6 Apr 20202h 6min

As we navigate this perilous moment, may we find some sliver of grace. May we embrace beauty. Choose curiosity over rigidity. Compassion and fullness of heart over closed mindedness. And social connection over geographic isolation -- even if it be temporarily virtual. Difficult times across history have always resulted in explosions of creative expression. Art as a means of better understanding our shared human condition. Few people embody this ethos more thoroughly than today’s guest, one of my very favorite people breathing air on planet Earth. Generous, present and deeply curious, he goes by the moniker IN-Q. Long-time listeners will fondly recall our two previous sit-downs (RRP #81 & #118 back in 2014) and his appearance at our more recent live event (RRP #473). For those new to the show, prepare to be amazed. IN-Q is a National Poetry Slam Champion, award-winning poet, spoken word artist and multi-platinum songwriter who has shared the stage with everyone from Barack Obama to Eminem. Named to Oprah’s SuperSoul 100 list of the world’s most influential thought leaders, IN-Q is the first spoken word artist to perform with Cirque Du Soleil and has been featured on A&E, ESPN, and HBO’s Def Poetry Jam. Inspiring audiences around the world through his live performances and amazing storytelling workshops, his poetry videos have a habit of going viral, clocking over 70 million views to date. Following in the tradition of some of the world’s great poets, IN-Q crafts verse that not only entertains, but challenges listeners to take a deep look inward, and consider their place in the world, their impact on the environment, and to recognize the threads of loss, forgiveness, transformation, and belief that are woven into all of our lives.  Today he shares his story, wisdom, and unique gifts. The occasion for this particular conversation is Inquire Within, IN-Q’s long-awaited, wholly original, deeply authentic and inspiring new book. Hitting shelves everywhere this week, the book — and this conversation — is a contemplation of universal issues: love, loss, forgiveness, transformation, and belief. This conversation was recorded pre-pandemic. However, the wisdom is timeless. Shining a light on the shared human condition, IN-Q provides a dynamic lens through which to think about ourselves and the world -- something we need now more than ever. Today I shine that light on him. And what a glorious exchange it is. The visually inclined can watch it all go down on YouTube. In addition to the two poems performed during the podcast, we also filmed a third poetic performance post-podcast which you can view here. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. Provocative, entertaining and refreshingly honest, IN-Q is unlike any other. May his presence, wisdom, experience, and poetry help you reimagine your truth. Peace + Plants, Rich Roll

30 Mar 20202h 1min

The pandemic presents an opportune time to get re-acquainted with Zach Bush, MD. A triple board-certified physician specializing in internal medicine, endocrinology and hospice care, today's guest is an internationally recognized educator, speaker and authority on all facets of well-being. Focused on the relationship between the microbiome, disease and food production systems, Zach is the founder of Seraphic Group, an organization devoted to developing root-cause solutions for human and ecological health in the sectors of big farming, big pharma, and Western Medicine at large He is also the founder of Farmers Footprint, a non-profit coalition of farmers, educators, doctors, scientists, and business leaders aiming to expose the deleterious human and environmental impacts of chemical farming and pesticide reliance -- while simultaneously offering a path forward through regenerative agricultural practices to rebuild living biodiversity and ultimately reverse climate change. To me, Zach is a master healer. A man I call friend. And a critical voice in the conversation we need to have in this unprecedented moment of global calamity. Without minimizing the profound severity of our current situation, I cannot overstate the unique opportunity we are being gifted. Like an addict’s moment of clarity, the pandemic presents a singular occasion to break the chains of denial that imprison us. A moment to objectively examine that which no longer serves us. The behaviors that repeatedly lead us astray. An economic system that demands constant growth at the cost of the collective good. A political system that preys on fear to divide. A conglomerated food apparatus that foments disease. A pharmaceutical complex that relies upon that disease to create dependency. And and ultimately a collective obsession with ego, power, money, and material consumption that is rapidly eroding our biosphere, degrading our integrity -- and separating us from others, ourselves and our innate divinity. I aspire that we emerge from this planetary wake up call not as victims, but empowered -- armed with greater clarity to reimagine and actualize a better, more sustainable, purposeful, intentional and fulfilling life experience for ourselves, our loved ones, future generations and frankly the world at large. I can think of few people better equipped to traverse this terrain than Zach, alongside me for his fourth appearance on the show. Well worth your undivided attention, today he shares his unique perspective on the coronavirus epidemic in a conversation that goes behind what is happening. How to best navigate it. And what the pandemic signifies for humanity and the future of planetary ecology. Audio Note: This podcast was recorded remotely. My first since the earliest days of the podcast, I admit a severe allergy to this dynamic. Being physically present with my guest is crucial to providing an optimal listening experience. However, sequestration demands I adapt. So this is my fairly reluctant attempt to do just that. Therefore, please excuse the audio quality, a somewhat eroded version of what you’ve come to expect. Sub-par bandwidth and latency issues impeded our ability to converse as naturally as I would have preferred -- more staccato back and forth than my hallmark organic flow. Zach has a knack for landing our podcasts with unmatched profundity. And today he delivers a master class in thinking both deeply and broadly about this unique situation we are collectively experiencing. I love this man. I’m grateful for his wisdom. And I’m proud to share it with you today. May you find it equal parts instructive, enlightening and moving -- especially the end. Peace + Plants, Rich

26 Mar 20201h 52min