The Harry Glorikian Show

Large language models are already changing the business of search. But now they’re about to change the practice of medicine. Harry's guests, Vivek Natarajan and Shek Azizi, are both researchers on the Health AI team at Google, where they're pushing the boundaries of what large language models can achieve in specialized domains like health. This spring their team announced it would start rolling out a new large language model called Med-PaLM 2 that’s designed to answer medical questions with high accuracy. (The model got an 85 percent score on the U.S. Medical License Exam, the test all doctors have to take before they’re allowed to practice.) It's been clear for a while that consulting with an AI would eventually become an indispensable part of every medical journey—whether you’re a patient searching for information about your symptoms, or a doctor looking for an expert second opinion. And now that such a future is almost here, the work Vivek and Shek are doing at Google feels both exciting and a little bit scary. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

Harry's guests this week are Sri Kosaraju, the CEO of Inscripta, and Richard Fox, a former Inscripta scientist who just rejoined the company as its SVP of Synthetic Biology. In reabsorbing Infinome—the Inscripta spinout Fox described to Harry in a spring 2021 episode of the show—Inscripta is placing a big bet on biomanufacturing, the creation and fermentation of genetically customized microbes that can pump out medical, agricultural, and nutraceutical products, and more. Inscripta had previously focused on a benchtop "bio-foundry" machine called Onyx that that makes programmed edits to bacterial or yeast cells at thousands of different points in their genome in parallel. Now it's pivoting away from selling the machine and instead focusing on becoming a power user of its own technology. Its ultimate plan is market multiple biomanufactured products, starting with a synthetic form of bakuchiol, an alternative to the anti-aging compound retinol. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

Harry's guest this week, Jen Nwankwo, is the founder and CEO of a drug discovery company in Boston called 1910 Genetics. Her PhD is in pharmacology, which shows through in her practical focus on fixing the drug discovery process to get more and better therapies into the hands of doctors. To hear Jen tell it, 1910 Genetics is focused on finding the most promising new drug candidates for stubborn health problems—and it takes a refreshingly agnostic approach to everything else. The company doesn’t hunt for just small-molecule drugs or just protein therapies. It explores both. It doesn’t utilize just one form of neural networking or machine learning. It uses whatever model produces the best science for a given problem. It doesn’t hunt for drugs using just wet lab data or just computational simulations. It does both. It isn’t just assembling its own pipeline of drugs or just partnering with larger pharma companies. It’s working on both. Jen wasn’t even dead set on being an entrepreneur—she had to be talked into applying to the Y Combinator startup incubator and into accepting her Series A investment from Microsoft’s venture fun. She says the way 1910 thinks about drug discovery is to start with the desired output -- say, a new molecule to block pain -- then figure out what sorts of data inputs exist. Then they find or create all the data they need to analyze the problem. Then they transform that data using whatever AI tools work best, until they get some decent drug candidates. She calls it Input, Transform, Output. It’s never that simple, of course. But at a time when AI and machine learning focused drug discovery companies are sprouting up faster than dandelions—each one touting some specific reason why its model is better than all the others—1910 Genetics is has a more inclusive approach to solving classic problems in pharmacology, and it’s one that should spread to other parts of the life science business. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

Tears are a signal of more than just our emotions. The liquid in tears comes from blood plasma, and contains a lot of the same proteins and other biomolecules that circulate in the bloodstream. But what this liquid doesn’t have are a lot of the extra components like antibodies that would get in the way if you were looking for specific biomarkers—such as the low-molecular-weight proteins released as a byproduct of the inflammation around tumors. Harry's guests Anna Daily and Omid Moghadam are from a startup called Namida Lab that’s the first company to market a lab test using tears to predict cancer risk. Specifically, Namida’s test assesses the short-term risk that a patient might have breast cancer, as a way of helping them decide how soon to go in for a mammogram. "Namida" is actually the Japanese word for tears, and beyond breast cancer, the company aims to build a whole business around risk assessment and diagnostics, using just the biomarkers in tears. Eventually it could be possible to collect a sample of your tears on a small strip of absorbent paper, send it in to Namida Lab, and find out whether you have colon cancer, pancreatic cancer, prostate cancer, or ovarian cancer. Namida’s big vision, as Moghadam and Daily tell it, is to use tear testing to make precision medicine and diagnostics more accessible and affordable, including to patients who might live far away from tertiary care centers. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

It may feel like generative AI technology suddenly burst onto the scene over the last year or two, with the appearance of text-to-image models like Dall-E and Stable Diffusion, or chatbots like ChatGPT that can churn out astonishingly convincing text thanks to the power of large language models. But in fact, the real work on generative AI has been happening in the background, in small increments, for many years. One demonstration of that comes from Insilico Medicine, where Harry's guest this week, Alex Zhavoronkov, is the co-CEO. Since at least 2016, Zhavoronkov has been publishing papers about the power of a class of AI algorithms called generative adversarial networks or GANs to help with drug discovery. One of the main selling points for GANs in pharma research is that they can generate lots of possible designs for molecules that could carry out specified functions in the body, such as binding to a defective protein to stop it from working. Drug hunters still have to sort through all the possible molecules identified by GANs to see which ones will actually work in vitro or in vivo, but at least their pool of starting points can be bigger and possibly more specific. Zhavoronkov says that when Insilico first started touting this approach back in the mid-2010s, few people in the drug business believed it would work. So to persuade investors and partners of the technology's power, the company decided to take a drug designed by its own algorithms all the way to clinical trials. And it’s now done that. This February the FDA granted orphan drug designation to a small-molecule drug Insilico is testing as a treatment for a form of lung scarring called idiopathic pulmonary fibrosis. Both the target for the compound, and the design of the molecule itself, were generated by Insilico’s AI. The designation was a big milestone for the company and for the overall idea of using generative models in drug discovery. In this week's interview, Zhavoronkov talks about how Insilico got to this point; why he thinks the company will survive the shakeout happening in the biotech industry right now; and how its suite of generative algorithms and other technologies such as robotic wet labs could change the way the pharmaceutical industry operates. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

There have been a lot of stories in the news over the last few months about AI chatbots like ChatGPT that can respond to your questions with convincing and well-written answers. These so-called large language models can tell you how to build a treehouse, how to bake a cake, or how to sleep better. But notice that word large. Behind the scenes, these models have learned which word tend to cluster together by sifting through hundreds of billions of pieces of data—basically the entire Internet, in the cast of ChatGPT, including all of Wikipedia and thousands of published books. Now imagine that another chatbot came along that could learn how to generate convincing text response by studying only, say, 18 sentences. Something like that is what this week’s guest Raphael Townshend, the founder and CEO of Atomic AI, has accomplished when it comes to predicting the structure of RNA molecules. RNA has been in the news a lot lately too. That's in part because some of the vaccines that helped us beat back the coronavirus pandemic were made from messenger RNA, a form of the molecule that instructs cells how to build proteins (in that case, antibodies to the virus). But RNA has many other functions in the body, and if we knew how to design small-molecule drugs to attach to binding pockets on any given RNA to interrupt or modulate its functions, it could open up a whole new realm of medical treatments. The problem is, if all you know about an RNA molecule is its nucleotide sequence, it’s very hard to predict where those binding pockets might be and what kind of drug might fit into them. As a PhD student at Stanford, Townshend designed a deep learning model to tackle that problem. The model, called ARES, started with a proposed structure for an RNA molecule with a known nucleotide sequence, and predict how that proposal would compare to real-world data. ARES turned out to be stunningly accurate, and it acquired its skills by studying a remarkably small training set: just 18 examples of RNAs with known structures. So in a way, it was using the power of small data, together with a bit of physics. Now Atomic AI is building on that original model to create an engine for discovering new small-molecule drugs that could potentially interrupt any disease where RNA is a player. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

The medical news publication STAT calls Will Flanary “the Internet’s funniest doctor.” The guests we bring on the show usually talk about how technology is changing healthcare, but Will and his wife Kristin are changing healthcare in a very different way—through comedy. A former standup comic who trained as an ophthalmologist and runs a successful ophthalmology practice in Oregon City, Oregon, Will is better known by his alter ego “Dr. Glaucomflecken.” His short videos have millions of views on YouTube and TikTok, and feature a cast of quirky characters, all played by Will himself, who lightly satirize medical culture and the idiosyncracies of the US healthcare system. And now Will and Kristin have a hybrid comedy and interview podcast called “Knock, Knock, Hi” where they bring on guests who share their own weird and hilarious medical stories. If you wanted to find a comparably successful crossover between medicine and comedy, you’d probably have to go all the way back to TV shows like M*A*S*H and Scrubs. But as funny as Will and Kristin’s comedy work can be, it comes from a pretty serious place. Will’s been on the patient side of medical care. He survived two bouts of testicular cancer. And in May of 2020, after WIll went into cardiac arrest, Kristin saved his life by administering CPR until emergency medical technicians could arrive and rush him to the hospital, where surgeons implanted a defibrillator. It was a nightmare experience. But Flanary’s collision after the surgery with the health insurance bureaucracy may have been even worse. All of it became grist for his comedy sketches, and today the Glaucomfleckens videos and podcast range across topics like what goes on behind the scenes in emergency rooms, how oncologists deliver bad news, or why doctors in different specialties sometimes have a hard time communicating. The basic insight behind Will and Kristin’s work is that in a country where the healthcare system often feels so broken and so full of crazy personalities, sometimes you just have to laugh. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

There's a quiet revolution happening in the field of genetic screening of newborns. Within the last couple of years it’s become possible to sequence the entire genome of a newborn baby, all six billion base pairs of DNA, and diagnose potential genetic disorders in about 7 hours. That’s already happening in a handful of hospitals, with a focus on babies who are showing symptoms of rare genetic disorders. But within five years, says Harry's guest, Dr. Stephen Kingsmore, it should be possible to extend this rapid whole-genome sequencing to every baby in every hospital, whether they’re showing symptoms or not. Kingsmore earned his medical degrees in Northern Ireland, trained in internal medicine and rheumatology at Duke, and studied genomic medicine at Children’s Mercy Hospital in Kansas City. And he’s now the president and CEO of the Institute for Genomic Medicine at Rady Children’s Hospital in San Diego. There, he’s been leading an aggressive push to prove that rapid whole-genome sequencing and diagnosis can not only save the lives of newborns, but save the healthcare system a lot of money by making hospital stays shorter and therapies more directed. He’s been able to use that argument to get Medicaid agencies in California and five other states, as well as a handful of private insurance companies, to cover whole-genome sequencing as the new standard of care for babies who end up in intensive care with unexplained illnesses. And if his newest project, BeginNGS, succeeds, it could lead to universal screening of all newborns for hundreds or even thousands of rare genetic disorders. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

Last October, medical imaging company Arterys announced that it had been acquired by healthcare AI giant Tempus. That caught our attention here at The Harry Glorikian Show, because back in the fall of 2018—exactly 100 episodes ago, as it turns out—we welcomed Arterys co-founder and CEO Fabien Beckers as our guest. At the time, Arterys had recently won FDA clearance for a cloud-based software platform that used deep learning to help radiologists automatically locate the contours of the ventricles of the heart. The company would go on to apply similar technology to MRI and CT images of all sorts of tissue, including the breast, chest, brain, and lungs. What made the platform doubly unique was that doctors could access it over the web, so hospitals didn’t have to maintain expensive on-premise software or hardware. Today it would be hard to find a health tech company that isn’t using AI and cloud computing in some way, but it's easy to forget how recent those developments are; Arterys was the very first company to obtain FDA clearance for a cloud-based radiology platform. In light of the acquisition news, we decided to dip into the show’s archives and bring that you that original interview with Fabien Beckers, who's now head of digital pathology for the Alphabet company Verily Life Sciences. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

You can wear an Oura ring or a WHOOP armband to tell you how your body is adapting to exercise. A continuous glucose monitor can send your phone information about your blood sugar levels are changing. And during the pandemic, a lot of people bought home pulse oximeters to monitor their blood oxygenation levels. But there’s one part of the body where home health sensors haven’t reached yet, and that’s our brains. They're protected inside our thick skulls, which means it’s pretty hard to measure what’s going on in there. Until recently, the only real instruments available to doctors and neuroscientists were big hospital-based machines like X-Rays, CT-scans, EEGs, and MRIs. But that might finally be changing. Harry's guest this week is Ryan Field, chief technology officer at Kernel. The vision of the L.A.-based company is to develop a consumer device that would work like a pulse oximeter, but for your brain. The first version, Kernel Flow, is shaped like a bicycle helmet, and it contains more than 50 low-power lasers that beam light through your scalp into your skull, into the outermost layers of your brain. Hundreds of detectors built in the helmet collect the light that’s scattered back to determine oxygen levels in the brain’s blood supply, which is an indirect measure of neural activity. Field says the company isn't yet targeting specific consumer applications for the Kernel Flow. But it's already using the device in early studies designed to measure a user’s level of focus on a specific task, or how their brain activity changes in response to pain therapy or psychedelic drugs. Field says what Kernel has done is sort of like building the very first iPhone -- but if the only app the device came with was Maps. Now it's up to developers to figure out what else to do with it. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

Out of all the dozens of types of cancer that occur in humans, we habitually screen for only five: breast, cervical, colon, prostate, and lung. But what if there were a single test that could detect 50 types of cancer, based on a simple blood draw? That's exactly what's possible today, thanks to the Galleri test, introduced by Illumina spinoff Grail in 2021. The $949 test, which won breakthrough designation from the FDA in 2019, uses machine learning to assess the patterns of methyl groups—molecules that attach to chromosomes and control gene activity—in free-floating DNA shed by tumors. This week Harry interviews Grail's president, Dr. Josh Ofman. He says that the company is working to bring down the price of the test, and that if multi-cancer early detection tests like Galleri are eventually approved for population-level screening, it could help avert 100,000 deaths per year. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

These days, there's an explosion of digital imaging technology for almost every part of the body. There are the familiar types of imaging everyone knows, like CT scans, MRIs, ultrasound, and of course, X-rays. But now doctors and medical researchers are also exploring newer types of digital imaging technology, such as Optical Coherence Tomography, or OCT. OCT uses near-infrared light that penetrates just a couple of millimeters into a tissue such as an artery wall or the retina of the eye. By collecting the light that scatters back, OCT can produce an incredibly high-resolution cross section or even a 3D reconstruction of the tissue. Ophthalmology is one of the fields putting OCT to use most aggressively, partly because it’s perfect for showing cross-sections of the retina, the iris, the cornea, or the lens on the scale of micrometers. But as you can imagine, every time an ophthalmologist or optometrist uses an OCT scanner, the procedure generates a huge amount of digital data. Harry's guest, Carlos Ciller, started a company called RetinAI whose mission is to help eye doctors, eye surgeons, and scientists studying the eye manage and analyze all that information. And not just information from OCT, but from other types of eye imaging like fundus photography and fluorescent angiography. At one level, RetinAI is just doing its part to cure a huge headache we’ve talked about again and again on the show, which is the lack of standards and interoperability in the healthcare IT world. They want to make it possible to store and analyze digital images of the eye no matter what technology or device was used to capture it. But more intriguingly, once that data is stored in a structured way, it’s possible to use machine learning and other forms of artificial intelligence to sort through image data and identify pathologies or double-check the judgments of human physicians. RetinAI is developing algorithms that could make it easier to diagnose and treat common conditions like age-related macular degeneration—a form of damage to the retina that causes vision loss in almost 200 million people around the world. Ciller told me he started out his career as a telecom engineer and never thought he’d wind up running a 40-person company that works to help people with vision problems. But at a time when there’s so much new data available to diagnose disease rand identify the best treatments, journey’s like his—from the computer lab to the clinic—are becoming more and more common. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

There are many causes for diabetes—chronicallly high blood sugar—but there’s also a growing list of ways to prevent it, or manage it once it starts. Wearable technologies like continuous glucose monitors or CGMs are high on that list. These devices have tiny needles that penetrate the skin and measure glucose levels in the interstitial fluid between cells. They can send that data to a smartphone, where apps made by a variety of companies can record it and analyze it. January.ai is one such company, and co-founder and CEO Noosheen Hashemi joined Harry on the show back in July of 2021. It turns out that the same foods can have different effects on the blood glucose levels of different individuals, and January’s app starts off using live CGM data to study those patterns using machine learning algorithms. Then it can start making predictions about a user's future blood glucose levels, even after they stop wearing a CGM. That can help them make smarter decisions about what, when, or how much to eat, or how much they need to exercise after eating. January’s main goal is not to treat diabetes but actually to prevent it from arising in the first place in the tens of millions of people who have signs of pre-diabetes. Now Hashemi has helped to launch a second business, Eden's, that helps with that goal by promoting better gut health. The company makes a nutritional supplement that provides a blend of polyphenols, probiotics, and prebiotics to help improve the function of the bacteria that call your large intestine home. Probiotics, which live organisms introduced to change the makeup of your gut microbiome. Prebiotics are non-digestible substances that are fermented by beneficial bacteria like bifidobacteria and lactobacillus, breaking them down into useful nutrients like short-chain fatty acids. Altogether, the Eden’s blend is designed to keep your gut microbiomes happy, which can have the useful side effect of helping to keep your blood glucose steady. Harry talked with Hashemi to talk about why that’s so important, and about the work January has been doing this year to update its glucose monitoring app—and how the app works in concert with the Eden's supplements. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

About half a million babies are born every year through IVF. That number would probably be a lot higher if the procedure were cheaper and more accessible—but making that happen would mean transforming IVF from an artisanal craft into something more like a modern automated factory, with AI helping doctors and technicians make faster and better decisions at every step. And that’s exactly what Harry's guest Mylene Yao, the co-founder of Univfy, is doing. Univfy helps patients with two aspects of the IVF process. The first is using machine learning to provide patients with a more accurate assessment of the odds of success, before they decide whether to invest in one or more IVF cycles, which can cost up to $30,000 per cycle. The second is financing. Univfy works with a bank called Lightstream to provide up to $100,000 in financing for up to three rounds of IVF, with a large refund as part of the deal if the treatments don’t result in a baby. Harry talks with Dr. Yao about the prospects for far broader access to IVF, now that the field is finally adopting more ideas from the worlds of technology and finance. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

For the 100th episode of The Harry Glorikian Show, Harry welcomes Phil Febbo, chief medical officer at Illumina. The San Diego-based company is the leading maker of the high-speed gene sequencing machines that are at the core of the precision medicine revolution. The company has an 80 percent market share, which means that if you or your loved one has had any sequencing done for any reason, chances are your samples were sequenced on an Illumina machine. Gene sequencing is already a key part of both diagnostics and treatment decisions for many disease, but its use is only going to expand as the technology gets faster and cheaper. This fall, Illumina announced that it’s coming out a new gene sequencing machine called the NovaSeq X that can sequence a genome more than twice as fast as Illumina’s previous top-of-the-line machine, and at a lower cost. That’s bound to speed up progress all across the field of genetic medicine, drug discovery, and life science research. And that’s where Harry starts his interview with Febbo. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

In 1978, Louise Joy Brown was celebrated as the world's first "test tube baby," born as the result of in vitro fertilization (IVF). Today, Brown is 44 years old, and what was a technological triumph in 1978 is almost routine today, with half a million babies born every through IVF. But Harry's guest this week, gynecologist and investor David Sable, thinks IVF still isn’t nearly as reliable or accessible as it should be. From his studies of infertility services, he’s convinced that society is on the cusp of bringing down the cost and raising the success rate of IVF, so that it can finally become an affordable solution for millions more people every year who want to start or grow their families. And he thinks one of the keys to the next big wave of advances in IVF will be artificial intelligence. As you’ll hear in this week's interview, Sable thinks most IVF labs today still operate almost like artisanal kitchens, with way too much riding on the judgment of individual doctors and technicians. He thinks machine learning algorithms could supplement human expertise at many points in the process, and turn what’s essentially a craft into a truly automated and predictable industry. His central argument is that IVF won’t truly be democratized until providers have “engineered the hell out of” the procedure, to increase success rates and lower the chances that patients will have to pay for more than one cycle of the treatment. At the same time, he says the concept of value-based care needs to make its way into the IVF world, so that patients and their insurers or their employers only pay when the procedure works, not when it fails. Stay tuned to future episodes for more discussion about the role of AI in IVF. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

“LinkedIn meets ZoomInfo meets Zocdoc, but for doctors." That’s how H1 co-founder and CEO Ariel Katz describes the information service his company offers. It's a response to the fact that the healthcare is incredibly fragmented, with no central database or platform that everyone can use to share their professional profiles and get in touch with colleagues. (Physicians never adopted LinkedIn for this kind of networking because they just don’t switch jobs very often.) Without a central directory, patients can have a hard time find the right doctors, and doctors can have a hard time finding each other—say, when they might be searching for research collaborators. It’s an even bigger frustration for drug companies, who need to know which doctors can help them enroll the right patients for clinical trials. H1 is trying to solve all of those problems by building what Katz says will be the world’s largest graph database of people in healthcare. After participating in the 2020 batch of startups at the Silicon Valley incubator Y Combinator, H1 has rocketed forward, raising almost $200 million in venture capital. This week Ariel joins Harry to talk about how and why H1 has grown so quickly, and how better networking could accelerate drug development and help patients find the best doctors for them. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

If you walked into a typical life science research lab at a university or a biotech startup, you might be surprised to see how much paper is still laying around. A lot of researchers still keep records of their experiments and studies in paper notebooks—in fact, along with doctor’s offices, life sciences labs might be one of the last bastions of professional life that surrenders to digitization. But these labs are surrendering. And Harry's guest this week, Erwin Seinen, is helping to accelerate that shift. He’s the founder and CEO of a company called eLabNext, whose core product is a Web-based software platform called eLabJournal that includes tools for inventory and sample tracking, managing experimental protocols and procedures, and recording experimental results. Seinen spent years building e-commerce tools before he went back to school and got his degree in medical genetics. So he knew how to write software, and to streamline his dissertation work, he built his own electronic lab notebook tool. He says his lab colleagues were so jealous that he realized every lab researcher needs a similar tool. And that’s how eLabNext was born. But when absolutely everything goes digital, there’s the danger of losing the special connection between mind, pen, and paper that goes with making old-fashioned handwritten notes. Harry talked with Seinen about that, as well as his vision of how an electronic lab notebook can fit together with other lab tools in an era where there’s just too much data to print out everything on paper. If companies and universities manage this transition right, they can benefit from all the latest digital tools—without sacrificing any of the spontaneity, curiosity, or creativity that good science is all about. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

Harry's guest this week, Brian Pepin, says there haven’t really been any advances in the treatment of Parkinson’s Disease in a decade. The standard treatment is still the standard treatment—meaning various drugs to replace dopamine in the brain, since the loss of neurons that produce dopamine is one of the hallmarks of the disease. But there has been one important change during that decade. Thanks to new technologies, ranging from wearables like the Apple Watch to sophisticated deep brain implants from companies like Medtronic, we’re now able to gather a lot more data about what’s happening in the daily lives of patients with Parkinson’s, and how the disease is affecting their brain function and their physical movement. Which means there’s now the potential to make much smarter and more timely decisions about how to dose the drugs patients are taking, or whether they should think about joining a clinical trials. Gathering and analyzing that information and feeding it back to patients and their doctors in a user-friendly form is the mission of Rune Labs, where Pepin is CEO. He says we’re on the edge of a new era of “precision neurology,” where data gives doctors the power to predict the course of a disease and muster a meaningful clinical response. And he wants Rune Labs to be at the leading edge of that change. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.

In most hospitals, the practice of radiology went digital years ago. Today you'll rarely find a radiologist examining a broken bone or a fluid-filled lung on a sheet of old-fashioned X-ray film. But pathology isn't as computerized. For a variety of cultural, technical, and regulatory reasons, many pathologists still prefer to look at tissue samples the old-fashioned way, on a slide under a microscope. Philadelpha-based Proscia is working to change that—and open up pathology to the power of remote work and automated image analysis—by building a cloud-based infrastructure for storing and sharing scanned pathology images. Harry's guest today is Proscia CEO David West, who says there are still strong cultural barriers to the adoption of digital pathology, but "the community is realizing this can be really great for them and their discipline." West says easier scanning, higher resolution, faster image delivery, and the ability to review images from anywhere and tap the power of artificial intelligence are powerful advantages driving adoption of Proscia's platform. For a full transcript of this episode, please visit our episode page at http://www.glorikian.com/podcast Please rate and review The Harry Glorikian Show on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: 1. Open the Podcasts app on your iPhone, iPad, or Mac. 2. Navigate to The Harry Glorikian Show podcast. You can find it by searching for it or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode. 3. Scroll down to find the subhead titled "Ratings & Reviews." 4. Under one of the highlighted reviews, select "Write a Review." 5. Next, select a star rating at the top — you have the option of choosing between one and five stars. 6. Using the text box at the top, write a title for your review. Then, in the lower text box, write your review. Your review can be up to 300 words long. 7. Once you've finished, select "Send" or "Save" in the top-right corner. 8. If you've never left a podcast review before, enter a nickname. Your nickname will be displayed next to any reviews you leave from here on out. 9. After selecting a nickname, tap OK. Your review may not be immediately visible. That's it! Thanks so much.