How To Be Insanely Productive Even with ADHD w/ Dr. Jeff Karp | EP #111

25 Jul 2024 · 1 h 27 min

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Podcast Notes: Moonshots with Peter Diamandis - Episode #111

Episode Overview In this episode titled "How To Be Insanely Productive Even with ADHD," Peter Diamandis interviews Dr. Jeff Karp, a prominent bioengineer and professor at Harvard Medical School and MIT. The discussion revolves around entrepreneurship in the biomedical field, Dr. Karp's personal experiences with ADHD, and some groundbreaking technologies developed in his lab, including a nasal spray that shows promise against COVID-19.

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Key Participants

  • Peter H. Diamandis: Host and founder, investor, and bestselling author.
  • Dr. Jeffrey Karp: Bioengineer, professor at Harvard Medical School and MIT, founder of Karp Lab, and author.

Episode Highlights

Dr. Karp's Background

  • Holds professorship at Harvard and MIT.
  • Co-founded 13 companies, raising over $600 million.
  • Focuses on advanced biomaterials and devices for therapeutics.

ADHD and Productivity

  • Dr. Karp discusses his journey with ADHD and how it influences his work and productivity.
  • Emphasizes the importance of curiosity and the balance between saying "yes" to opportunities and knowing when to focus and say "no."
  • Shares strategies on leveraging ADHD for creativity and innovation.

Key Technologies from Karp Lab

  1. Profi Nasal Spray:
  2. Developed as a potential preventive measure against COVID-19 and influenza.
  3. Functions as a "HEPA filter for your nose," providing a barrier against respiratory pathogens.
  4. Achieved 99.99% efficacy in lab tests against COVID-19 and other viruses.
  1. Tissue Adhesives and 3D Printing:
  2. Work on innovative biomaterials that can be transformed into useful medical applications.

Future of Disease Diagnostics (21:34)

  • Discussion on advancements in disease diagnostics focusing on precision and early detection.

Imposter Syndrome (01:18:26)

  • Dr. Karp shares personal experiences with imposter syndrome and how he navigated it throughout his career.

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Key Themes and Discussions

Importance of Problem Definition

  • Karp emphasizes the significance of defining problems correctly in translational research, which often involves overlapping various aspects of science, manufacturing, and regulations.
  • The need for scientists to think about the practical implications of their research.

Curiosity and Learning

  • Both Karp and Diamandis discuss the role of curiosity in learning and innovation.
  • Dr. Karp's strategies for transforming personal challenges into strengths through inquiry and exploration.

Community and Networking

  • Building a network of diverse advisors around his lab projects has been crucial for Karp in translating academic research into viable products.
  • The importance of forming connections with industry experts, lawyers, and other stakeholders.

Mindset and Purpose

  • The discussion around personal transformative purpose and how it evolves over time.
  • Karp’s reflections on how ADHD shaped his understanding of his own capabilities and how he navigated through societal expectations.

AI and Biomedical Innovation

  • The integration of AI in biomedical research and its potential to revolutionize diagnostics and therapeutics.
  • Karp’s ongoing projects that integrate AI to identify new therapeutic targets.

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Resources Mentioned

  • Dr. Karp’s Book: [LIT](https://www.amazon.com/dp/0063010739)
  • Profi Nasal Spray: [Profi Spray](https://www.profispray.com/)
  • Karp Lab Website: [jeffkarp.com](https://www.jeffkarp.com/)

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Closing Thoughts The episode is a deep dive into the intersection of personal challenges, innovative biomedical technologies, and the entrepreneurial spirit. Dr. Karp’s journey serves as an inspiring example of how overcoming personal obstacles can lead to significant contributions in the field of medicine and beyond. The conversation encourages listeners to embrace their unique paths, cultivate curiosity, and define their transformative purposes in life and work.

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Transcript

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0:00You know, I had a lot of teachers that were giving me labels, lazy, lost cause, trouble maker. Once I was helping another child and the teacher came over and said, oh isn't that, like the blind leading the blind. They asked me one day what do you want to be and I said I don't want to be a doctor. The teacher said, well you better set your sights lower because you really just don't have that in you. I felt like I always had to work twice as hard as everyone else. I was the kid who was going in on weekends, like trying to meet with teachers to go over things and after school. Well, like I almost felt like kind of looking back, like I had this hardware in my mind, but I didn't have software.

0:35What's your advice to a mom or dad in this situation with their young child? What I've learned is... Welcome to Moonshots. Today I'm going to be speaking to Dr. Jeff Carp Professor at MIT in Harvard, the founder of 13 different companies, a gentleman who is using a whole slew of exponential technologies to reinvent products that impact our lives. We'll talk about this product. I love Profi Spray 99 .99 % prevention of influenza and COVID -19, couple sprays in the nose. It's like a hepa filter for your nose. But beyond that, we'll talk about his book, LIT, which is extraordinary. Talk about learning how to think about how you think, interviewing 40 extraordinary individuals on the processes that make them successful in life.

1:25Join me for a fascinating conversation. If you love conversations like we're about to have, please subscribe, allows me to bring incredible people to you. We'll talk about his MTP, his moonshots, and hopefully inspire you to go bigger and bolder in the world. Dr. Jeff Carp, welcome to moonshots. So great to be here. Thank you. A pleasure. You know, with first time we're physically meeting, we know it a lot in common, because we both have these beautiful, purple pilot pens, which are, which I love. You're at Harvard MIT now as a professor, my alma mater, which I love deeply. What's it like there right now?

2:00Are you a kidney candy store at this moment? Absolutely. Yeah, yeah. It's everybody's coming up with ideas. Our access to tools is just exceptional. New tools coming online constantly. Science is moving at a faster pace than ever. and we're really faced with tough decisions to make about what to focus on. Yeah, I think it's interesting because there's so much going on in the whole biotech AI robotics 3D printing world new material sciences that it's like an abundance of massive entrepreneurial opportunities and it's interesting. Do you know Martín Rothblatt? Yes. Yes, so Martin's been a friend for 40 years, I mean, during her extraordinary journey.

2:55And she once told me something that I never forget. She says, successful people say no to most things, the most successful people say no to everything. And that's always been a problem for me, just actually saying no and focusing. How about you? Yeah, it's definitely been a challenge, especially with my ADHD. Yeah. I think it's because I find like I just have boundless curiosity about everything. But at the same time, like I feel it's important to say no a lot of the time, but I think it's also important to say yes for things that you're unsure about because there's always opportunities to learn in every encounter.

3:42And I feel that when I start saying no to everything, it kind of becomes this algorithm that then limits me from, it sort of narrows what I potentially can learn about, right? Because it almost, it reduces the diversity of opportunities that I'm engaging in. Yeah. And you never know where some right angle, where you break out of a local maxima and break into a brand new space of discovery and joy. Mm -hmm. I mean, that's, and I think given where you are in the, I mean, as a professor, you run the carp labs at Harvard Medical School, and I wanna dive into what does that mean? That sort of, we mind mapped your world.

4:24Did I have like a 50 % on your labs? We'll talk about that, you know, 40 % on your seven year effort on building this book called Lit, and then 10 % on some other areas, and then there's probably another 50%. we haven't talked about yet because it's always that's up to 150%. But in as a professor, as a scientist, as a researcher, going down rabbit holes has got to be part of the job description. Yeah, no, absolutely. And I think for us, it's almost one of those things where whenever we come up with ideas for projects. We get excited about it, but I know now from sort of engaging in this process many times that our best ideas come from the challenges, the roadblocks, the hurdles that we encounter along the way.

5:18That's when we actually become the most creative, the most insightful. And so often we need to go down these kind of rabbit holes in order to discover what's truly most important. Yeah, but you have another element to you which is the entrepreneur, which is building companies. And that becomes interesting because while you've got to focus on the product, the market, and make something that people want and need and is sufficiently differentiated and if you keep on chasing it you never get something out the door. Yeah, I had this kind of holy crap moment when I was transitioning out of my post -doc into my faculty position because I discovered that I was during my post -doc and my PhD.

6:12I had very entrepreneurial mentors trained in Bob Linger's lab for my post -doc and it It was a holy crap moment for me because I really wanted to focus my laboratory on not just publishing papers, but taking that science and turning it into products that could help patients. But I realized that I didn't have a process for doing it. I had observed other people doing it, but I didn't do it for myself. And anytime in my life where I encounter something I can't do or I don't feel I'm good at, I recognize that it's not because it's inherently bad at something. It's just because I haven't found a process that works for me.

6:55And so I began to explore how might I engage and experimenting with various processes to find what would work for me so that I could develop a translational program for my research. That is fascinating. And being in Bob Langer's lab, who's prolific, he, George Church, there are these prolific professors who are just driving science and building companies. And it's like, again, Kennedy -Kandace Store, type of. You know, when I was at MIT, I was there from 80 through 90 at MIT and Harvard Med School. It wasn't the entrepreneurial era yet. I think MIT cared a lot more about Nobel prizes than it did anything else.

7:47How do you feel it is now? I was just on the phone literally before coming up here with two My Fraternity Brothers, Dave Blunden and Mike Seller, both MITers and both incredibly successful entrepreneurs. We're just talking about how do we stoke that entrepreneurial fire? Is the ethos at MIT more about starting companies now versus fundamental science? I think so. I think there's been a huge transition over the past, maybe 15, 20 years or so. And I think what's really fueled that is just a few notable academics who have spun off companies that have had massive impact on society, like Phil Sharp with BioGen, Bob Langer or with Moderna and many other companies.

8:36And I think when other sort of colleagues, academics, see what's possible, there's this huge gravity to sort of this realization that there's an opportunity to impact the world in such amazingly positive ways through using company formation as a vehicle and seeing examples of it around you, I think, just kind of get inspired and it sort of creates this energy that maybe you could do it as well. And I think now it's almost every professor, every doctor that I speak to in Boston is interested in starting companies. Yeah, I mean, because it used to be discovering some fundamental truth of science or physics was fascinating.

9:26But now it's like discovering it and actually using it to go and change the world, operationalizing it. Yeah, yeah, absolutely. I think one of the people actually I interviewed for the book David Suzuki, who's an environmentalist, and he had the longest running show on Canadian television. I think you call it the nature of things. And one of the things that he focused on in my conversation with him was what is enough and how we need to spend more of our time on exploration because that's one of the things that I struggle with in my life is that I've focused a lot on translation, but at the same time, the products that are being translated, it also creates environmental challenges.

10:16There's sustainability issues that come from the products that we're making. It's sort of like trying to strike that balance between exploration and basic science and the impacts of what we're developing, but then also pushing the fringe, the leading edge on maximizing positive impact for humans and for the earth. Yeah, and so the question becomes when you're trying to get what are you optimizing around, what's your optimization function, right? Yeah. And we'll come back to that. But on moonshots, we talk a lot about, you know, to entrepreneurs about your massive transformative purpose in your moonshot.

10:57Like, you know, I define an MTP as something that wakes you up in the morning, keeps you going at night. It's your North Star. It is what drives you. What drives you? I think what drives me has changed over time. Sure. And then one of the things, by the way, for me too, right? I mean, my third or fourth MTP, it was like started space and then went up to, you know, solving global grand challenges and then supporting entrepreneurs and how and longevity. But so take me back. What what have been your sort of like your Decadal MTPs if you would. Wow, I love that question. Um, such a great framing. Um, so I would say okay, so I go way back The initial one was really around, you know, I was struggling with undiagnosed ADHD and learning differences when I was younger.

11:52This is at what age? In the second grade when I was seven years old, I'd sit at the back of the class, completely frustrated, feeling demoralized, nothing was working. My mom tried flashcards, cue cards, nothing worked. I couldn't, I wasn't able to keep up with anything, wasn't connected socially with anybody. And what happened was the teacher at the end of the year pulled my parents aside and said that he would like to have me repeat the second grade. And my parents negotiated for me to spend time with tutors during the summer to then be able to catch up and go on to the third grade. And what happened that summer is I went in one day and the tutor asked, you know, red to pass it, ask me some questions.

12:38I gave some answers, but then she asked me a question that no one had ever asked me before that transformed my life and led to the first. You called it MTP. MTP, yeah. My first, yeah, massive transformative. Her purpose, yes. Perfect, yeah. That's good. And that was, so I gave the answers, and then she looked me in the eye and she said, how did you think about that? And that question actually created this newfound awareness for me that that was so transformative because it then became my mission to figure out like I almost felt like kind of looking back like I had this hardware in my mind but I didn't have software and I had to figure out how do I test various algorithms patterns that that I was observing in other people to create my own software for functioning and surviving in the education system.

13:37So that was my first sort of mission that I was focused on. What's your advice to a mom or dad in the situation with their young child? Well, one of the things that... And I know you've got an entire book on this, so we'll get into it all then. Yeah, but well, I think for me what I've realized and I feel like you know parenting is is Perhaps one of the most challenging jobs roles that anyone could ever and the most important for society and for every year Yeah and what I've learned is First and foremost is is just to find ways to support children in whatever their Experiencing and going through I feel like there's been this tendency for me with my children to kind of try to push them to extract potential, because I see this incredible potential in my children, and I find myself almost sort of treating them as if I was treating myself.

14:37You know, like I was sort of trying to extract, I'm always trying to extract my potential, and I feel that that doesn't work really well. And what works well, I think, is the support, just finding ways to support, and one of the ways that my mom supported me was, you know, here I was like a C &D student really struggling, feeling like I didn't fit in like an alien. I think a lot of kids, you kind of slipped through the cracks and who have, who are neurodiverse and become addicts. And my mom wrote speeches for me because there was public speaking contests and she would coach me in memorizing and then saying these speeches.

15:15And I got better and better and better and I started to win competitions. And so that was the one thing that I had going for me where I was able to build my confidence. So I think that one of the parallel or potential there for, you know, advice, maybe for parents is to find that one thing where whatever it does, it could be anything where the child can build a little bit of confidence every day. Maybe it's like finding a mentor who can help, you know, that the child's really excited to be with and learn from and to explore and build skills and really tap into that, the energy that we get from learning and gaining insights and building a skill because I think that can really carry the day and that always stays with you.

16:02Yeah, I think about my parents wanted me to become a doctor. I wanted to become an astronaut, right? And that struggle and I went through medical school and make my parents happy, shipped my dad, a copy of my diploma when I graduated and then went on to follow my space passions. I've come back full cycle to medicine a few decades later. Did your parents have a mission or a purpose for you or?

16:32I felt like there was a lot of dentists in my family, there were some doctors in my family and I did feel that that was sort of the path that people would sort of, There was appreciation for anyone in the family who you know the way people talked spoke about other family members and going into careers If it was like a doctor or a lawyer or you know something like that a dentist People get excited about it. So but I also I think You know, I had a lot of teachers that were giving me labels and so like like lazy lost cause, trouble maker. Once I was helping another child and the teacher came over and said, oh, isn't that like the blind leading the blind?

17:24And then they asked me one day what do you want to be? And I said, I want to be a doctor. And the teacher said, well, you better set your sights lower because you really just don't have that in you. American education system at work, ladies and gentlemen. So my parents were more focused on, you know, trying to not let that happen. become my label and for me to, you know, my mom constantly was telling me she was like, you know, you have superpowers and it was kind of hard for me to believe that she said it so often that, you know, I started to believe it and I started to imagine it and kind of fantasize about that and I remember distinctly in elementary school like being in class trying to almost like think that I could see things that others couldn't and I couldn't really but like I felt like like maybe I could, you know, like - Yeah, it's a confidence building game to believe in yourself and not let yourself be put down by the world around you.

18:18Yeah. So that was your sort of first MTP early on. Where'd you go next on your purpose? What was it that drove you? So what happened was my, okay, so my mom, nobody wanted to do anything about these challenges I was encountering. No one was talking about ADHD at the time. My mom went up against the school board on her own with a massive file. She had recorded everything that teachers That ever said written about me all my grades and everything and she went to the school board and actually Got me identified as having learning differences which then got got me special accommodations a little bit extra space extra time on my assignments and tests and exams and I had been developing all these tools studying patterns in What how old are you at this point at this point?

19:06I would have been Let's see maybe 12 and what happened was my grades went from season D's to straight A's and the struggles remained I felt like I always had to work twice as hard as everyone else I was always I was the kid who was going in on weekends like trying to meet with teachers to go over things and after school and just constantly working and trying to focus, because I was pretty extreme ADHD. And so the next sort of, you know, MTP phase for me was focusing on how I could maintain straight A's, because my grades went to straight A's. As soon as I got into the seventh grade, my grades went to straight A's.

19:48And so I just kept focusing on, I guess the MTP was on how could I improve my efficiencies? Because everything took me a long time. It was almost like, you know, in the movie Terminator, the original one, there's this scene where he goes to say something and this screen pops up and there's like five or six different options. What he can say and he's trying to figure out which one. And then, you know, select something, that's how I feel even today. Like, I see many possibilities. When I'm asked a question in, let's say, in school, I don't, I see many possible answers. and I don't know which one the teacher wants the most.

20:28And so I need time to figure out the probabilities around which answer to give back. And that actually makes it really challenging for me to help my children with their homework. They don't like me. They say they don't want me to help them at all because I don't really, I don't see the linear way that this education system kind of works. And so my focus then at that time was really on, how do I get more efficient? How do I observe people around me and what are their tools and strategies for being efficient with their time? And how do they approach problems and doing their homework and doing these things?

21:04And what can I experiment with? And I almost see everything as algorithms around me. So I'm constantly trying different algorithms that I see in environments how people behave, what they say in certain scenarios, and then I try those algorithms on and see how they feel. And I'm constantly iterating and adapting them. And so that's where a huge part of my life was focused after the seventh grade. You sound like a perfect analog for an AI learning system. Yeah. Everybody, I want to take a short break from our episode to talk about a company that's very important to me and could actually save your life or the life of someone that you love.

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22:22We have four across the US today and we're building 20 around the world. These centers give you a full body MRI, a brain, a brain vasculature, an AI -nabled coronary CT looking for soft plaque, dexascan, a grail blood cancer test, a full executive blood workup. It's the most advanced workup you'll ever receive. 150 gigabytes of data that then go to our AIs and our physicians to find any disease at the very beginning When it's solvable you're gonna find out eventually Might as well find out when you can take action found life also has an entire side of therapeutics We look around the world for the most advanced therapeutics that can add 10 20 healthy years to your life and we provide them to you At our centers So if this is of interest to you, please go and check it out.

23:14Go to FountainLife .com -peter. When Tony and I wrote our New York Times bestseller Life Force, we had 30 ,000 people who reached out to us for Fountain Life memberships. If you go to FountainLife .com -peter, we'll put you to the top of the list. It really is something that is, for me, One of the most important things I offer my entire family, the CEOs of my companies, my friends, it's a chance to really add decades onto our healthy life spans. Go to FountainLife .com, Backslash, Peter. It's one of the most important things I can offer to you as one of my listeners. All right, let's go back to our episode.

23:55Fast forwarding to your professional career. What was your first MTP there, what was your first purpose? So my PhD advisors and my postdoc advisor mentor were highly entrepreneurial. And I saw by being in their laboratories, the potential of science to have a massive impact on humanity. And so, and then I realized kind of going back to this holy crap moment that I didn't have a process for doing it. So I was on the hunt for how could I develop a process to maximize the Translation of everything that I worked on how could every project I worked on turn into a potential company that could then bring Products into clinical trials and eventually to patients and so what I did is I By the way that Decision to make sure that whatever you worked on actually wasn't just for a publication endpoint or what wasn't just for some prize and point, it was actually going to be meaningful for society.

25:00Probably wasn't a critically important filter for you. It was huge. It was also, I feel, because I was open to the cues. I feel all of us have this core wisdom and in the environments that we're in, if we sort of let ourselves sort of get into a state where we can feel as we're observing what's happening around us. And when I was in, for example, Bob Linger's lab, and I could just see the positivity of how science could be translated into products and really change people's lives. And that just, to me, seemed right. It just seemed like that's what I really needed to focus on. And so I just felt deeply connected to that, and that became my mission.

25:51But I didn't have a process. And so what I did was I said, okay, you know, I started thinking about problem definition, right? So I started to realize that what separates a academic project from a translational project that can really lead to, you know, impact Is the problem definition most of the time when we're doing academic projects. We're focused on just the biology problem, you know, like what's the target? what's this kind of thinking or the medical problem. But I realized that it was almost like a Venn diagram and overlapping circles where there was also the manufacturing problem, there was the patent problem, there was the regulatory problem, there was the biology problem, there was the medical problem, there was the practical implementation problem, there was the sales problem, there was a re -enhancing problem, a problem of marketing problem.

26:43There's all these things. And so the overlap of all these things is where the problem definition lies. If we don't think about all of these circles, we can't, we can't maximize our chance of solving that problem. And so I asked this question, and my whole life has really been about questions trying to figure out how to get better at asking high value questions. And so I said, okay, well, I don't have expertise in these areas, but who does? And I I realized in the Boston area that there's like the world leaders in all of these circles. And so what I did is I committed to start meeting with people and not just meeting, but actually it's not just networking, forming relationships.

27:26And so every two to three weeks for 10 years, I would meet with patent lawyers, corporate lawyers, reimbursement regulatory experts, manufacturing experts, people in Medtech, Pharma, biotech, consumer health, and I would look, I would meet with them, I would go to all these mixers and networking events and seminars and I would go and I would ask questions and I would try to develop the skill of interacting with people and finding ways to develop relationships. And what started to emerge from this was an informal advisory board for my lab. And so as we're advancing projects, I can reach out to people and say, do you think this could be manufactured, are investors interested in this.

28:08What would the clinical trial look like if this was to succeed? What would be the comparator? Because we want to include that early in our experiments to define what we're doing if it's important or not, to make that the North Star. And so that ended up serving this mission, this MTP, because it created this North Star that then enabled my laboratory to spin out almost every major project from my lab has spun out into a company. I love this. This is a master class, you know, moment for entrepreneurs here because a lot of entrepreneurs figure I need to do this myself, right? I need to know how to do this.

28:52I need to read the right book, watch the right YouTube video, but in building this ecosystem around you, Did you just go, was it a haphazard or were you like, I need to find a great patent lawyer and you ask around and knock on their door and then what were you offering them? Was it like, hi, I'm Professor Carp, I do this thing, I just would love to have a conversation with you. How would someone replicate that? Because it's a brilliant idea. So what I would do is, it was very experimental. It was not linear at all. I just felt this gravity that I needed to do this and that this is, and I didn't exactly know it would lead to this informal advisory board as it did.

29:40That just kind of unfolded as I was advancing in this process. But I just knew that I needed to, I wasn't able to learn the expertise on my own and I had to develop relationships with people who had that expertise. And so what I offered was I would talk to the people I was meeting about the projects that were ongoing in my laboratory. And I sort of kept it open that their input could direct help direct the trajectory of the product, of the technologies that we were developing. And so I think that generally humans want to work on things that are important and that can have impact. And so by tapping into that common energy, you know, I was able to develop the connections around that.

30:32And so people kind of felt as I was meeting with them that I was taking their advice seriously, and that I was going to incorporate that into the projects in my lab, which then created a connection. So they wanted to follow up. They wanted to see how their advice led to the next sort of It was a protest driven investment on their part, you know, and like I look like I Teach and and speak you know From the mount tops where I can't do something that's meaningful do something that can change the world We don't need another photo sharing app and I mean the reason people follow Elon with SpaceX or with Tesla is because he's got this massive transformative purpose and people want to be part of that.

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31:14People want meaning in their lives. And so this was not a financial transaction with these folks. No, it wasn't at all. In fact, I mean, when I was meeting with them, it was really at the highest possible risk stage of the projects we were just beginning. But I think that the people in the community also felt like not Not only that they were sort of felt invested in the process because I was taking their advice seriously, but there was also this potential for the future that if things started to work out that they might be able to be involved in the translation process. And that's what started to happen is that as we advanced things in the lab, I kept in touch with people.

31:57I sought their advice kind of over and over again. And then when something got kind of ready to be translated, there was a whole bunch of of people who already knew about those projects. And that, I felt, is also one of the key things is that one of the hardest things in spinning out companies is finding a CEO who has capabilities and the network and the adaptability and the relationship component. And what I realized is that when I started looking around what sort of the standard process for spinning a company out from academia was to push the project as far as possible and then to go find a CEO.

32:34But what I discovered was if I could meet with potential entrepreneurs, potential CEOs, the future companies early on, involve them, then there was almost like a number of potential CEOs that I already was interacting with, I already had a relationship with them. We were circling and felt ownership. Yes. Yeah, and feeling ownership. And by the way, you know, you're a serial entrepreneur as I am. And until you find that CEO, you're the CEO, and you'll get just pulled into the details and you need that amazing person. I love this. You mentioned the idea of your life's been about asking questions.

33:18And one of the things I speak about to my kids and to the CEO as I mentor is the single most important thing to do is ask great questions. That is everything. Everything, yeah. Well, there's actually maybe just three points that I can share on the questions. The first is actually between the second and third grade when I had this transformational experience with the tutor who said, how did you think about that? That sort of created this newfound awareness for me. And I realized that when I asked questions, that I couldn't really pay attention in class, but anytime I asked a question, I could hyper -focus for a few moments afterwards.

34:02And whatever it was said to me, imprinted in my mind, I could connect it to other things I knew, and I could recall it later. And so I discovered very quickly after that moment that questions were key to my learning. Interesting. And that's why as I navigated my undergrad, my grad school, I stopped going to a lot of my lectures, and I would just focus on figuring out questions that I could ask other students or go and ask the professor, you know, so questions became the key to my learning. If I was in a class where I couldn't, a lot of lectures were so big that they didn't allow questions. So I stopped going to those lectures because it just, you know, I needed to ask questions.

34:43So that's like one, so I discovered the discovery of questions being important was sort of like happened in elementary school. But then what happened is I got into grad school and it was like I was about to learn this whole new avenue of asking questions, this whole new level. And what happened was that academics typically go into seminars and you were these invited speakers and you sit there and I started going when I entered grad school at University Toronto. And then at the end there's the question and answer period. And people start asking questions and I was blown away by the level of questions that people are asking and those questions weren't coming to me.

35:24And these questions were going right to the heart of what the seminar speaker was talking about. And I almost started shaming myself like, why aren't these questions coming to me? Because I had focused my whole life on asking questions. And so I started to think, you know, what could I do to develop my skill? Because again, it's like I know that if I'm not good at something, it's because I haven't engaged the process that works for me yet. And I started So to think about it, and I realized that there was potentially an opportunity for pattern recognition. So the next seminar I went to, everyone was focused on what the speaker was saying, but I was focused on something different.

35:58Faster. I was focused on the questions that were being asked, and I wrote them all down. I went to seminar after seminar, and I wrote the questions that people in the audience were asking, pages and pages for like two or three months. And then one day I just stopped and I looked at it, and next day I'm looking, next day I'm just sort of thinking about it and then boom, light bulb moment. I realized that all the questions that were being asked fit under four or five different categories. One of them was, was the experiment working? Did the person act, did the scientists have the right controls?

36:30Right. You know, some experiments are really complicated. Another was, are the results important? So if they were developing a diagnostic for blood and they did all their work in saltwater saline and the results looked amazing, you know, it's relevant. It's not relevant exactly. And then so another one was did the speaker overstate their conclusions? Did the data support what they were concluding a lot of the time it actually doesn't? Then there were questions around statistics and there were some other questions. So once I had that awareness of the motivation behind asking the questions, the next seminar I went to, it was like I had my detective hat on.

37:05I was taking notes. All the questions that others were asking before are now coming to me. And not only that, I'm like tapped into my curiosity. Like I'm because I'm thinking of questions, I'm also thinking of the next potential experiment that that person could perform or other applications of their work so I'm able to tap into my creativity. And so what I realize is that questioning is a skill. Regardless of where you're at, you can always move that skill forward. And I brought that to social settings as well where there's always like, you know, early in my life I really struggled socially to connect with people.

37:41And so what I started to do was observe what are the people who are really good at connecting with people and you know the schmuzers and social settings What questions are they asking and I start listening to those questions and then I start asking those questions You're training up your neural net. Yes. Yes. Yes. It's it's a beautiful thing. You know questions are such a powerful part of our lives I mean I learn so I use questions For example when I'm I'm going to give a presentation I will write out the questions that I want to ask myself and then present answering the questions I've asked myself in that structure.

38:21And then for me, when I'm on stage, the most fun I ever have is the Q &A that follows a keynote. And a lot of times I'll just forego slides and forego everything and just have a conversation with the audience. My favorite time is like, I'm going to say a few provocative things up front and then I jump into the audience and I challenge them. Call bullshit, tell me what you disagree with. What are you concerned about and just get into a conversation because it's so more, unfortunately when we go into a lecture mode otherwise it just glosses over people and them out. Yeah, I totally relate to that.

39:03In fact, one of the things that I like to do in my laboratory is when people are presenting data, I like them to put a title with a very bold conclusion. That may even overstate what the results, but that will provoke a reaction in the room. So we get the best thinking to happen at that moment versus just watching somebody speak. And there's no reason to... What does this mean? What does the data mean and its best possible case? I want to take you to what your massive transformative purpose is now and on the lab side, we'll talk about the book side a little bit. And what is, do you have a moonshot or a set of moonshots?

39:48We're, you know, a defined a moonshot is going 10 times bigger in the world where everyone else is moving at 10%. Right? Where you want to just make, you know, to use jobs words make a dent in the universe. What is it that drives you there? Right at this moment. Yeah. Yeah. So, well, you know, really it's about it's about the book and we'll come back to that one on focus on your science a little bit first. Yeah. Well, for me, I feel like the the moonshot is really in training and in trying to I feel like I've spent so much time in deconstructing problem definitions and creating an ever evolving process for solving problems.

40:35And I would love to bring that to the world in the most massive way possible. So the learnings that you've had and doing the successes you've had, I was talking to in the process of manufacturing or making it live on. And so it's like, it's all of the processes that you've been developing that you think of as the most valuable assets you've been creating. Is that true? Yeah, I think that's it. And I think a big part of that is problem definition. Like for example, when I look at the X Prize RFA's, I'm very inspired by the problem definitions because to me the way to make the biggest impact in the world is to focus on problem definition.

41:32And that can then mobilize the problem solvers to come in. Many who which are not able to really define the problems, but once they see a defined problem, they can contribute their skills and their creativity to solving it. And what I see in the world is that a lot of the problems are not well -defined. and they're ambiguous. And so what ends up happening is that they're great sort of maybe discoveries or science that is done, but that is not translated. The goal of a lot of these initiatives is outwardly stated as translation, but yet the problem definition is not defined in a way that the problem can be solved or that you maximize potential for the solution.

42:17So I think that needs to be moved forward. Yeah, I think in the entrepreneur world that's also defining a product market fit, becoming really clearly defined about what the market needs and what you're delivering. And... Yeah, like one example, just to throw it out there is, it's like in an academic lab, you know, for trying to think of a solution for something, we might say, okay, we're gonna have a drug delivery system and we're gonna put like, you know, three or four different molecules to deliver. in there and each one has a purpose and this sounds really great. But then if you look at it from a translational angle, that becomes extraordinarily complex.

42:58It becomes so risky to do and even like, you know, the clinical trial of having individual arms for each of the agents and there's the complexity of quality control and, you know, all of these things. And it just to me, there's all these amazing problem solvers who are thinking that, like that are missing this concept of radical simplicity for being the guardrails for bringing their science to people in the most impactful, most efficient way possible. And to me, there's almost like this process we're not formally trained in science in terms of how we could impact the world. And I think that because I've focused for many years on trying to figure that out, and I'm still trying to figure it out, trying to make it more efficient.

43:51And there's always things we encounter that are big unknowns. I just feel how do we bring that process to the scientific community in the most impactful way so that people can start thinking about, if we're gonna focus, for example, on an academic sort of exploratory project, it's okay to have a 10 step synthesis to create something, to test, to question, to, you know, that's fine. But if it's a translational project and it's a 10 step synthesis, you know, most of the time that's not okay, that's far too complex. Now, it might be okay if you can create it, you know, get massive investment and, you know, like it's still possible, but it's so risky to advance something like that.

44:42It's sort of like, okay, how do we take that 10 step process and turn it into one step? That's how I think you switch from Exploratory to a translational project. Yeah, for sure. I want to dive down and Explore one of your companies one of your products. In fact, we've got one right here called profy Which I love and thank you for this What what's the story behind profit? Where did it begin? Where did this seed for this originate? So when COVID hit, and what is it? Yeah. When COVID hit, we were developing a nasal spray to treat multiple sclerosis. There's a lot of immune cells in the nasal lining, and we had developed a platform spray that could attach to the lining of the nose, stay there for long periods of time, and deliver drugs to those immune cells and we started to get some pretty interesting results.

45:41COVID hit and we asked this question every single project in the lab, how can we help? And we started to discover based on previous reports and some new science that was being developed that COVID spread via droplets. They stayed in the air for a long period of time even after someone infected left the room that these drops. So the six foot rule was not actually going to be a valid option. Right. Right. Yeah. I mean, some arbitrariness to that to the six feet. But we got to start somewhere. We got to put something in the ground and then sort of use that as a way to discover how we might change it.

46:21So we also started to learn that COVID combined to goblet cells that are in the nasal lining. And that's a major anchor point. In fact, we started to understand that many respiratory pathogens actually anchor and get, you know, kind of take hold in the nasal lining. That's the major entry point into the body. And so we started to think, okay, how can we help? And we thought, okay, could we develop a three -prong approach for creating a nasal spray that could effectively capture respiratory droplets that could prevent a barrier for the virus to cross the epithelium of the nasal lining, and could we also neutralize the virus and potentially bacteria when it binds to this spray?

47:12And so what we did is we also, in the concept, we sort of applied this concept of radical simplicity because we didn't want to include drugs in it, because we knew if we put drugs in it, that it was gonna take six, eight, ten years to bring this to market. And so we said, the guardrails were, we're only going to use agents that are on the generally recognized as safe list or have previously previously been used as excipients, pharmaceutical excipients, in nasal sprays. And so we looked at that entire landscape and we started sort of looking at the individual components. There's preservatives in nasal sprays that can prevent bacterial growth.

47:48There's surfactants in nasal sprays. Surfactants can, you know, soap is highly effective for most viruses and bacteria, if you kind of wash your hands long enough, you kill most things. And so we started to experiment looking at hundreds of different combinations of agents that we thought might sort of achieve these properties. And we discovered a formulation where we got in laboratory conditions, 99 .99 % kill of COVID -19, H1N1, influenza A and B, adenovirus, RSV, E. coli, and a formative pneumonia. This was with an infectious disease researcher that we teamed up with at the Bringham. And then what we also did is we administered 10 times the lethal dose of H1N1 via nasal drops to a mouse, and they all the mice, they don't do well, they all die.

48:45But if we preadminister the prophy formulation, they all survive. and we saw minimal viral load in the lungs. That's extraordinary. So what we did is we teamed up with two regulatory advisors, one Peter Hut, who is previously the general counsel at the FDA, another regulatory advisor, and then an international toxicology consulting firm. They all agreed that the agents that we had in Profe were safe and that we could regulate this as a cosmetic. We can't make strong claims about this product, that we can talk about the science that we've conducted in the lab and the article that the science that we've been doing, we've put out into the public access so anyone can see our data and we've submitted it for peer review so it's out for peer review right now.

49:30So when did this become available? So I launched the product at the near future summit in October. It was amazing conference, yes. Yeah, yeah, so I was... So October of last year. of last year, what that was 23. Yeah, exactly. I mean, this sounds like what everyone should have on their shelves. And now I have this. Can I just try it? For sure. Yeah. So, what is happening as, so what's in here, surfactant? So we have, yeah, there's a few ingredients that are in there. Profit, everyday nasal spray. So this is actually something that you would recommend to Rose a prophylactic everyday use. Yeah, I before you got an airplane when your kids are sick at home.

50:20Exactly. Yeah, before a meeting, before you go to an event, a concert. So I take it twice a day when I get up in the morning and then midday. And actually, we have some data that's emerging from the lab that this may be effective for allergies as well to prevent allergens from getting, so kind of creating a barrier to allergens. So the data actually is quite compelling and we're still doing some experiments to. I think this is sort of a hepa filter for your nasal cavity. I love that. Yeah, yeah, yeah, yeah, yeah, exactly. There you go. Yeah. Yeah. Yeah, super easy, pleasant, nothing negative. Yeah, yeah, it's like a gel composition.

51:08Most of it's actually water. So there's you know, it's like 2 % gel and other components. So I'm just thinking about this because it seems like this is extraordinarily simple, effective, but you can't make medical claims. What can you say about this? Well, what's on the box is kind of what we could say and we're sort of experimenting with that as well. And we do have plans to investigate this more rigorously in people. And we're just sort of in the process. Is this available online or? Yeah, you can purchase it online. What's it cost by the way? It cost $20 for a month's supply. So that would be two sprays a day, you know, one in each nostril, so for 30 days or so.

52:03I have my longevity platinum trips that I give out products. And I need to put this in everybody's bags. Now this is, so I remember University of Washington has a protein design labs and they been talking about a nasal spray for something that would bind the spike protein and disable it in that regard. But this doesn't work in that way. No, this works, I think, it's similar to how soap works essentially. So we're disrupting the membranes of the viruses and bacteria, and that can neutralize them. And so it basically reduces the load that your immune system has to do to fight. Exactly. I kind of think of protection in layers.

52:57So, masks will provide a certain level of protection dependent on the masks. I actually do a lot of work with masks. When COVID hit, I co -led this initiative to create a backup plan for N95 masks. So just in case the hospital system ran out of masks. And we made a lot of interesting sort of observations, which is when people wear generally a surgical mask, that the mass material is quite good at filtering out COVID and other pathogens, the problem is that it only filters about 40 or 50 % of the air because there's gaps that occur in the mass. So a lot of the air that you're breathing in and out is actually not being filtered.

53:39And that's where N95 comes in. And we actually, one of the technologies that we also developed during COVID was we developed a surgical, we took a surgical mask, which is readily available. And you know, it has a wire on the top. We added wires to the sides and the bottom of the mask so that you can face fit it like an N95. And then we created this flap on the inside. So if you cough, the flap opens up and captures the cough more efficiently. And then we put these little kind of additions here so that you could cinch the strap to make it tight, like to have a really good fit. You know, we ran a mask competition at X -Prize.

54:21We asked the wrong question, right? We were asking, we overspecified, because we asked for competition to design a new mask that would be more effective, manufacturable, and so forth. What we didn't ask was create a mechanism that was cheap and affordable and easy to filter out. Because this would have been an even better solution.

54:48So your process, you found a, you floated this, you spun this out as a company, found a CEO. How long was that process going from the idea to the product and then getting it launched as a company? So we started working on this in 2020. So I think it was about three years for us to, for the discovery phase, the iteration, all the experiments we did, you know, the formulation, then to find a CEO, to find an angel investor in New York. So we raised a million dollars for it through a single investor, and then to find manufacturers to, you know, and build the right model systems for testing and then to eventually launch the product.

55:38Amazing. How's it doing so far? Yes, doing great. It's doing really great. We haven't really put much into marketing. It's more just sort of word of mouth right now. Yeah. And... And where do people go? What website, can they order it from? It's just profy spray .com is the website and Can you get it on Amazon as well? Yeah, you can also get it on Amazon. Amazing. Yeah. Yeah Amazing. Did you see the movie Oppenheimer? If you did Did you know that besides building the atomic bomb at Los Alamos National Labs that they spent billions on on biodefense weapons, the ability to accurately detect viruses and microbes by reading their RNA.

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57:44You'll find it at vioM .com slash Peter. You've been playing in the AI world. And I have to imagine that every biologist, every biomedical engineer, every medical technologist is seeing AI as a whole new set of tools. How do you think about AI? when did you start playing how you incorporating it into your research and your company formation? Yeah, so I mean AI is, I use it more, I would say personally, than in the lab so far. We do have a project in the lab where there's a platform that we've started using that kind of takes all the omics data and allows us to mine it in a very efficient way. So we can identify new targets or new molecules to target old targets.

58:37And so we've been using that right now in the hearing loss space to develop new therapies that can functionally restore hearing. So that's a kind of an ongoing project that's early, but you know, we're gaining momentum on that. So what there's a moment in time where you say we're going to go and invest time in that. What led you to focusing on hearing loss? So what happened was we have always been interested in regenerative medicine and a lot of... You and I have that in common? Yes, yes. A lot of my training was in the area of mesenchymal stem cells or mesenchymal stromal cells. Would you define what that means for folks?

59:22Sure. So these are cells that exist pretty much in all areas of the body. There's debate over the nomenclature and how to define them, but essentially they derive from pericites which exist on blood vessels within all tissues. They're in the bone marrow, they're in fat. that people might be familiar with stromal vascular fraction. They're one of the core cells that have function in that type of a therapy. And so these are adult stem cells that are with us for life. They're very easy to isolate, to culture expand, to freeze, to administer. and they've actually been quite challenging to bring to market as a therapy because you can apply them both as an atologist approach as well as an allergenic approach.

1:00:24Right now, one of the things we're doing at my company, Fountain and Partnership with another of my company's circularity is we're beginning to bank adult mesenchymal stem cells. and just having that on, you know, sort of an available asset for people over time. Yeah. So, so go on, please. Yeah, yeah, for sure. So, so, so, Mazingamal stem cells are really interesting because they're almost like living anti -inflammatories. And so they have this immunomodulatory secretome that can down -regulate inflammation. Inflammation is a component of pretty much every disease. And so there's been a lot of work that's been done to demonstrate mizankimostem cells have potential to treat many possible diseases.

1:01:20Although there have been few cases where they have actually been able to be brought over the finish line and controlled randomized placebo -controlled trials, which are in regenerative medicine very difficult trials to run because there's a massive placebo effect. In fact, I was just talking to somebody about this yesterday. One of the major trials that was done several years ago was in graft versus host disease, extremely debilitating from bone marrow transplantation. And if you administer mizankamal stem cells, you tend to see a very significant response, not just in the experimental group, but also in the placebo group, which is amazing.

1:02:00Some of these trials showed over 50 % response rate. Find it, buddy. Amazing. Amazing. And so I've actually been looking into that, and I think that, you know, we don't fully understand the placebo effect, but one thing that really intrigued me was something I read about how, you know, when we were all hunters and gatherers, 10 to 15 ,000 years ago and weighed before that as well, how there would be this sort of evolutionary pressure or sort of aspect of life where if there was a treatment developed or a ritual performed and when people believed collectively that there was going to be benefit that that actually would have benefit, that we could, so it's almost like if we believed in an outcome, if we believed in the positive potential of what was being performed, even if the science wasn't there, and if there wasn't a particular mechanism of action, you know, in the way that we describe it now in Pharma, just the belief that something could help, there's some reason from an evolutionary a perspective that that can actually work in causing us benefit.

1:03:12And I think it's just, to me, it's like tapping into the life force that we don't fully understand it right now, but it's there. I mean, if you just look at these so many incredible trials where the response rate is just massive, especially in regenerative medicine with stem cells and other types of related therapies where placebo effect is just ginormous and it makes getting experimental approaches difficult to get through medicine. And before we started speaking, you were asking about FDA and how you'd run it differently. I really think there's something there. Like I really think in some ways, and it's challenging, but in some ways I feel it's unfair.

1:03:54All of these massive placebo effects that have helped people. If you were trying to weed it out instead of to your apple fire. Yeah, yeah, like there's there's got to be a better way and I think if we just set that as a goal Perhaps that's even an x -price to try to understand how could we actually commercialize or you know the the placebo effect? One of my favorite stats that I wrote about in my longevity book was a study done with 69 ,000 women and 1500 guys one of the few studies with mostly women that showed optimists were living 15 % longer than pessimists which again is the impact of mindset.

1:04:34Yeah. Amazing. Yeah, because I was thinking about this this morning, I was walking along the boardwalk, and I was thinking that, you know, like, I think, living with a very positive mindset for some people almost seems like a fantasy. You know, sometimes when you talk to, I've heard I've talked to other people, and they kind of say, oh, you're living in a fantasy world, but you know, it struck me this morning as I was thinking about it, is that it's almost the same if you're thinking negatively, right? Because it often things aren't inherently negative. They're just negative in your mind. We perceive it.

1:05:12We give it meaning. We are meaning -making machines constantly. You know, it's interesting that we are, our mindsets determine what we do with a datum. We either it's an attack or an opportunity. You know, it's a scarcity or a Trant a opportunity to create and transform into abundance. She just one more thing to add that I feel like we're we're at this snapshot in time, right? snapshot in evolution where we have this Survival wiring that really served us well 10 15 ,000 years ago 100 ,000 years ago really served us well We have and then with that there's like this impulsiveness. There's this kind of reactiveness very much focused on survival, but we also have this significant consciousness, this ability to leverage our prefrontal cortex, our neuroplasticity to be able to plan emotionally regulate to, you know, we can actually decrease the size of our amygdala through practicing rituals that that allow us to be more mindful and, you know, in a relaxed state.

1:06:25And I feel like over time, what doesn't serve us well, this impulsivity, the survival wiring, we'll get, we'll evolve out, but we're not at that point yet. And so it's kind of up to us individually to have strategies in our life where we can really tap into our prefrontal cortex. And, you know, neuroplasticity, our brains are constantly rewiring regardless of what we're doing, but we can actually be intentional about that rewiring by using the conscious part of our brains, and I think it's through rituals and practices that we can actually tap into that. Yeah, but I love that. Our default wiring is fear and scarcity, because that would save us 100 ,000 years ago.

1:07:05And fear and scarcity doesn't work for us today. It puts you in a very bad situation, a bad place. And I think actively choosing your mindset and shaping. And the way we do this is our brains are neural nets, and you shape a neural net by showing it example after example after example. And if you're willing to take the time like you've been doing to say I'm going to, and this is from the work I do in a program I've been developing called mindset mastery, which is I want people to develop a purpose driven mindset, a abundance mindset, a longevity mindset, a moonshot mindset, because these are the mindsets are going to serve us, a curiosity mindset, right?

1:07:47And I think we can actively shape our mindsets, and it's the differentiator between success and failure and happiness and sadness, and all of the things that we care about. And interestingly enough, right? Genetically, we're very similar to hominids 20, 30, 40 ,000 years ago. You could probably grab a population, put them through our educational system and have some percentage go to MIT and Harvard. But society is what's been sort of shifting. And I think we need to be very careful about how this societal overlay is being shaped going forward. What do you think about that? Well, I think that it's an indulgence to live in negativity.

1:08:40Interesting. I think that because the negativity often is the default mode for most people who listen to conversations and coffee shops or restaurants or... Yes. Yeah. And I feel like it's an indulgence... Or the media who just abuses your amygdala for their own financial benefit. Absolutely. And to that point, I think that I'm kind of going back to AI. One of the thoughts that I've been having is that technology can impact our brains, not just functionally, but also the structure of our brains. And so the hippocampus, the gray matter, can densify or we can reduce the density, depending on what media we engage, what we consume, what technologies we embrace.

1:09:32And I think that we need to steady more how technology not only impacts the function of our brains and the rewiring of our brains, but also how it impacts the structure of parts of our brains like the amygdala, like our hippocampus, and use that as potentially biometrics for how we move technology forward. And I think that what really strikes me is that I like to think about what am I up against in society? And to me there's two things that really stand out. One is $900 billion every year with a B is spent on marketing and advertising to hijack our attention and to serve us what's important. And the algorithms that were served and who's ever behind the algorithms is essentially controlling us.

1:10:21And one of the major reasons is because the second thing that we spoke a little bit about that we're against is this wiring that we have, this primitive wiring for survival, that where our brains also, another component of that is our brains gravitate to a low energy brain state and our bodies gravitate to a low energy body state. It would not have made sense to exercise 15 ,000 years ago because we were outside working hard to survive. And even our brains, it wouldn't have made sense to engage in things that would diminish our cognitive capacity. We need to keep that open for survival scenarios, you know, to complete resources, to problem solve and figure out a way to survive survival.

1:11:07And so these two things, when you bring them together, what happens is that if you don't have rituals and practices in your life to really activate your conscious part of your brain, then you essentially just become robots. And so as you're serve technology, you know, people are serve technology, I think that's one of the biggest challenges is that the people developing technologies we really need to deeply understand and every day remind ourselves that when we serve this technology to humanity, the majority of people who are not engaged in rituals and practices to activate their conscious brain are just going to be robots and do whatever they're told, whatever the algorithms are surfed to them.

1:11:53They're just going to live those algorithms and we need to start to better understand what the consequences of that are. Yeah, I think that is potentially one of the benefits that AI could serve as a warning system for you. Right. So one of the things along this line is we develop these cognitive biases. right? Because our brain cannot process the amount of information coming our way. So we are reactive, we have a, you know, there's a hundred cognitive biases, familiarity bias, bias, you know, a recency bias, negativity bias, and these biases basically allow us to make very quick snap judgments and not use the precious resources of our 100 -nural, you know, 100 million nerves in our cognitive capacity.

1:12:46But I want an AI that I can turn on to say, Peter, you're being manipulated, you're being used, you're being lied to, you're overweighting information from this person because you like the way they look or because they've gotten the same school as you, but the reality is let's look at this information over here. So I mean, there's the counterveiling force that could be offered by AI. I think a Jarvis is my AI wrap around, but is my interface with the world. If you want to, if you want to, I want to dive as we close out into your book, Lit. And we got a little bit of its origin in your childhood, but what's the, let's jump into that.

1:13:43Why do you write it? What's its message? Yeah, please. So I wrote it because my life has really been a living laboratory and I have developed a lot of tools and strategies to navigate all sorts of scenarios. and I really wanted to share those tools with the world. That's really the kind of the origin motivation for writing lit. My wife reminded me that even when we met, in over 20 years ago, I carried around a little book and would just write thoughts that came to me kind of like journaling but more like around like processes, really focused on tools and things that were coming to me on a daily basis.

1:14:29and so that's kind of the origin of lit, but it evolved and I interviewed 40 people, including Nobel Prize winners and Olympic medalists and social justice leaders and indigenous leader and astronauts and people from my laboratory and really just started to ask questions around how do you be intentional, how do you make decisions, how do you make deliberate decisions in your lives, how do you intercept patterns? were these questions the same for every person you interviewed? They were different, yeah, different. And just sort of looking for stories to tell in lit that might connect with different audiences and resonate with people in different ways.

1:15:16So share a few of your favorite stories? Sure. So, well, one of the people that I interviewed, Nelson Delas, five times US memory champion, and he - I could use that. Yeah. I think we all could use that. So he spoke about how when he was younger, he didn't have a good memory at all. He wasn't able to memorize things, and it didn't come easy to him. Someone in his family developed Alzheimer's, and that really created a pain point for him to find ways to improve his memory. And so he was motivated. And he sort of practiced a number of different techniques, one that he landed on called the memory palace, where essentially you envision, let's say a house that a chair your childhood home.

1:16:00And you have a lot of the stuff he does is with a deck of cards. And so someone will give him a deck that's completely randomly shuffled and he will go through and look at the cards. And I forget the exact time, but it's like in a minute and whatever he can memorize a complete deck of cards. And so maybe it's like 40 seconds or I forget what the exact number is, But and so what you do is you assign a card for each person in your life. So like his mom might be like the queen of hearts and his dad, the king of diamonds. And so he based on what he sees with the cards, who walk through his house and sort of, you know, put the card in different rooms and different picture frames and stuff.

1:16:43So now how he he talked about how he got better and better and better at it. and I asked him about the monotony of that process and how did he, you know, practicing can get very boring at times and hard to bring yourself to practicing. And he said that he, you know, he talked about a variety of techniques that he used to bring in fresh energy into that, like, you know, by adding, like mixing things up or adding cards in or taking cards out, or like he just had ways of kind of changing it up. So it would always create, you know, be interesting and intriguing for him. Ginner's mind as you speak about.

1:17:18I think it's the beginner's mind. Yeah. Yeah. I've been actually reading a lot about the beginner's mind recently and So anyhow what happened was he he tells the story about how he had gone tried to climb Everest twice and failed to reach the summit both times and He trained again for a third time and he was on his way up He went into the death zone where you know oxygen levels are so low. You can't survive for very long He was able to memorize a deck of cards in under a minute in the death zone and because he was practicing the cards He realized as he continued to kind of make his way up that he didn't, he wasn't going to be able to make it the third time even though he had failed to previous attempts, even though he had trained for it and he really wanted to make it, his ability to, you know, the process of engaging in this memory work as he went up made, like he was cognitively sharp at that moment, was able to convince himself to turn back and survive.

1:18:13And there's a ridiculously high mortality rate in going after Everest. Yeah, so that's one story that I just found really fascinating. Another Joyce Roche was an executive at Avaughan and she had worked her way up the corporate ladder and she described how she had really debilitating imposter syndrome. She just couldn't figure out how she made it that far. She never felt like she was, you know, she just, she wasn't really tapped into what she had brought to the company. And somebody in her, someone was up for a promotion and it sort of created a pain point because she was like, wait, I should have that promotion for some reason.

1:19:01She was like, just you just used to progressing. Yeah, she was just used to progressing but then someone was up for promotions. She thought, well, I, you know, that felt like, she felt like she should have that And so what she did is she went home and she did some deep thinking and she basically like journaled on what her what what what what the value that she had brought to Ava and What was holding her back and she started to realize through writing out all the valuable things that she had brought that she was indeed Qualified for this position and that she really was deserving of it and that prompted her to really be able to break free from this imposter syndrome, advocate for herself and get that promotion.

1:19:46And she told a number of stories around how that was just really empowering for her. And I think to me, that was just so fascinating because a lot of people suffer from imposter syndrome. And I think that in many ways, I think it's connected to the beginner's mind. I think it's connected there because we engage in a lot of things in our life. Like I feel like I feel most of the things I do, I'm not qualified to do. But that actually maximizes my chance of bringing value to it because I'm focused on what's important. It's interesting. I remember always thinking there's got to be somebody who's much more of an adult leading the stuff than we are.

1:20:27Right? But you find out that's not the case. How many total stories do you tell in the book? So there's 40 stories of people that I interviewed and then there's a bunch of my own stories as well. And to me, you know, Litt is really about resensitizing our aliveness. It's about intercepting patterns and algorithms and habits. Thinking about your thinking. Thinking about thinking. That is the core of it. Yeah, it's interesting. I talk about this a lot that people don't stop to think about their thinking enough. And the other side of the equation is we don't know how to think other than the way we know how to think.

1:21:10Which is an interesting question. So one of the things I love using large language models about is this is what I'm doing. This is the challenge I'm having. How would Steve Jobs solve this? Or how would someone else, you know, so it's interesting that you can use, even within a company, within your board or your leadership team, you're limited by the cognitive experiences and re -acting, you know, thinking that that's within that corpus of individuals. But if you can bring in external, this is where you bring in consultants, and disruptors, and so forth, but large language miles can play that role for you too.

1:21:50Neuro -diversity and just diversity in general, powers evolution. If everything was the same, everything would have become extinct. And I think that that's the case for for everything, that the diversity of thought, the ability to switch between different frames of reference, the ability to look at things through different lenses. And you know, one of the CEOs that I worked with, I think, made him such an incredible CEO, is that on the scientific advisory board, he populated it with the most critical scientists he possibly could in all the potential areas where there were holes in the story. And so it's about trying to look at things from different angles to be able to kind of put the ego aside and be able to consider the different perspectives, the different views and to me That's also what makes life so incredible is that there's so many different ways of being so many different ways of experiencing the world different ways of questioning and doing things and when you're with somebody who does something different or thinks differently, it's an opportunity to contrast that with your process and to discover whether it is what is your process really working optimally for you or is it time to try on another?

1:23:12But they're there in lies some challenges because you have to be willing. You know, it's, I know a lot of people including myself sometimes. I'm so sure of how I'm doing what I just don't want someone to tell me a different approach. It's like time is marching along, a limited amount of resources, money, whatever it might be. And I'm just like, no, we're going down this road. I look at everything on a pendulum. So I kind of think that everything's a pendulum swing. And so I feel like there's times where, for me, I'm really certain about the approach and then there's times where I'm considering all kinds of different frames of reference.

1:23:51And I feel like that pendulum, it's almost like a pendulum for everything. is constantly kind of moving back and forth. And so in life, I just, you know, I've heard a lot, you know, you wanna strike balance, but to me, it's more you wanna have awareness of where you are in the pendulum swing. And you wanna sort of be intentional of like, okay, that's where I want it to be, or do I want it to be more center, or do I want it to be over here? I mean, it can be for an entrepreneur, for a leader, for anyone trying to make a difference, that well for a mom and a dad, I mean, just being, taking the time to understand that, understand your processes and your thinking and be conscious, right, and not reacting.

1:24:30That is a huge... Oh my God. That's everything. Yeah, and I recognize that with my family, my interactions with my family, and you know, there was times where I became a workaholic, I became addicted to the dopamine hits that I was getting from my work, and I really needed to change my way of being. And I got into experimenting with meditation and various mindfulness strategies. And I started to realize that when I was interacting with family members that there was an energy of the conversation. Like let's say if I'm having a conversation with my son, for example, it's like if he's speaking about something, I have an urge to intercept, to show, hey, take a look at this on my phone or I try to say something.

1:25:09And I realize that I take the energy from him and I put it on me, that he stopped speaking. And that's not what I want. Like what my intention is to support him and what he's saying and for him to find his voice and to continue speaking And so to me that's one of the the things that I've been working on is to really in a conversation You know, I used to interest in interject all the time because I was you know with ADHD I lose my train of thought I want to say it. I want to get it out there But I realized that you know other thoughts will come and that's fine and you know things go things come things go but I want to my attention is to support the people that I'm interacting with and to create the right You know environment for deep connections.

1:25:57I love it. So Lit Unautable as well. Yeah, do you read the book or did you have something else read it? Actually Fred Saunders our Sanders reads the book who read Walter Isaacson's book on Elon Musk. Oh nice. I can't wait to download that It sounds like in a beautiful use of time. I mean, an amazing investment. So thank you for that. JeffCarp .com. Yes. And folks can find you there to learn about your work. hire you as a speaker for their events. Profispray .com. I'm going to probably buy this as a subscription gift for all my friends. I mean, this is like, thank you for this gift. Hey. Yeah, no, I love it.

1:26:43I love the science behind it. and I love the simplicity. I'm excited to build our friendship. Me too. Jeff, thank you for spending our time together. I'm willing to chat. Thank you for this opportunity. Thank you. Pleasure. Who Many our

From the publisher

In this episode, Jeff and Peter discuss how to be an entrepreneur in the biomedical field, Jeff’s journey with ADHD, and groundbreaking technologies pioneered by Jeff’s lab.  

21:34 | The Future of Disease Diagnostics

44:54 | A Nasal Spray Against Covid-19?

01:18:26 | Surviving Imposter Syndrome

Dr. Jeffrey Karp is a leading bioengineer, holding a professorship at Harvard Medical School and MIT. Karp has co-founded 13 companies, raising over $600 million. His Laboratory ‘Karp Lab’ focuses on advanced biomaterials and devices for therapeutics, and focuses on medical problem-solving fields like a nasal spray effective against viruses. Some of the groundbreaking technologies he’s developed are tissue adhesives (TISSIUM), target drug delivery needs, and 3D printing biomedical devices. His dedication to bioengineering research has led to over 30,000 citations for his publications (0.1% globally) and multiple awards by the National Academy of Inventors and TEDMED.

Dr. Karp’s new book: https://www.amazon.com/dp/0063010739
Website: https://www.jeffkarp.com/ 
Profi Nasal Spray: https://www.profispray.com/ 
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AI-powered precision diagnosis you NEED for a healthy gut: https://www.viome.com/peter 

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