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    #238 – Francis Collins: National Institutes of Health (NIH)

    enNovember 05, 2021

    Podcast Summary

    • Francis Collins on Science, COVID-19, and Gain of Function ResearchCollins highlights the importance of international collaboration in science and the need for objective inquiry into topics such as the origins of COVID-19 and gain of function research in order to regain trust and push the frontiers of medicine and health.

      In a conversation with Lex Fridman, Francis Collins, director of the NIH, discusses the importance of science as a source of hope during the pandemic and addresses difficult questions surrounding COVID-19 and gain of function research. On the origins of COVID-19, Collins states that while a lab-leak cannot be excluded, it is likely that the virus had a natural origin from a bat or an intermediate host. He also highlights the importance of international collaboration in science and the potential benefits and risks of gain of function research with viruses. Overall, Collins emphasizes the need for thorough and objective inquiry into these topics to regain trust in science and continue to push the frontiers of medicine and health.

    • Gain of Function Research: Understanding a Confusing TermGain of function research involves enhancing a pathogen's abilities, but also refers to any kind of improvement. Safety protocols must be followed when studying potential pandemic pathogens, and clear communication is key to avoiding confusion.

      Gain of function is a term used in scientific research to describe the enhancement of a pathogen's transmissibility or its variance. This type of research is subject to stringent oversight to ensure that the benefits are worth the risks. However, gain of function can also refer to any improvement or enhancement, such as the use of eyeglasses. The confusion arises from the different meanings of the term. Scientists can safely study potential pandemic pathogens like influenza and coronaviruses but need to take necessary precautions to prevent lab accidents. The experiments conducted at the Wuhan Institute of Virology did not meet the rigorous oversight required for gain of function research on a potential pandemic pathogen. It is essential to have clear communication and understanding of scientific terminology before making conclusions based on it.

    • Balancing Risks and Benefits: The Ethics of Gain of Function ResearchGain of function research involves creating dangerous viruses with the potential for unexpected results. The decision to continue with these experiments should be carefully considered, with oversight and transparency in place to mitigate risks and ensure accountability.

      The debate around gain of function research raises important ethical issues around balancing the potential benefits with the risks involved in creating dangerous viruses. The threshold for approving such experiments has been carefully deliberated and decided based on scientific input, but there is always the possibility of unexpected results or the risk of an experiment being conducted outside of regulated laboratories. The importance of oversight and surveillance cannot be overstated as technology makes it easier to conduct these experiments on a smaller scale. Ultimately, the decision to continue with gain of function research should be based on a careful consideration of the risks and benefits, with a commitment to transparency and accountability in the scientific community.

    • Risks and Ethical Concerns in Science Communication and ResearchCollaboration, transparency, and caution are vital in science communication and research to ensure ethical practices, prevent risks, and gain public trust. Leaders must represent science truthfully, acknowledge limitations, and adjust recommendations accordingly.

      The lack of international collaboration on ethical issues, such as enforcement mechanisms for germline genome editing in humans, poses a risk. There is also a risk of accidents due to biosecurity failures when studying pathogens, which must be factored in when determining the worth of supporting research on potential pandemics. In terms of public trust in science communication, telling the truth and sharing the best available information is the best way to garner trust. It's unfair to call for someone's firing based on fabricated stories and twists of their comments. As a leader, it's important to go above and beyond to represent science and alleviate division, but it's also important to acknowledge the limitations and uncertainties of the information and adjust recommendations accordingly.

    • The Challenges and Importance of Effective Science and Medicine CommunicationLeaders in science and medicine need to balance accurate information with avoiding panic or confusion. They should take responsibility for mistakes to build trust. Addressing vaccine hesitancy with clear information and celebrating scientific accomplishments can unify people.

      Effective communication of science and medicine is challenging, especially during times of uncertainty and limited information. Leaders in these fields must balance conveying information accurately and avoiding causing panic or confusion. It is important for leaders to take responsibility and admit when mistakes are made, as this can build trust with the public. Vaccine hesitancy is common, and it is crucial to listen to people's concerns and address them with clear and accurate information. Despite the difficulties, communicating the benefits and accomplishments of science, such as the development of COVID vaccines, can inspire hope and unify people in a time of division.

    • Francis Collins on the Danger of Vaccine MisinformationFalse information about the COVID-19 vaccine has spread quickly due to a loss of faith in objective truth. People who propagate false information are endangering lives. Vaccine hesitancy can be addressed by listening to concerns in a compassionate manner.

      Francis Collins, Director of the National Institutes of Health, expresses concern for the spread of misinformation regarding the COVID-19 vaccine. Collins believes that a loss of faith in objective truth has led to the proliferation of false information about the vaccine, which many believe was developed too quickly and may have long-term effects. He places blame on politicians and media outlets that sensationalize and spread false information. Collins emphasizes the importance of humility and empathy in communication and notes that vaccine hesitancy can be addressed by listening and addressing concerns in a compassionate manner. He also points out that those who propagate false information are endangering lives.

    • The controversy and potential dangers of using ivermectin for COVID-19 treatmentTrust in vaccines and remain vigilant as the emergence of new variants such as Delta creates uncertainty. It is essential to avoid taking doses intended for livestock, as this can result in severe illness.

      The controversy surrounding the use of ivermectin for COVID-19 treatment has not yet been resolved. Although there are ongoing studies, a recent review suggests that it probably does not work. The concern lies in people taking doses intended for livestock and overdosing, resulting in severe illness. It is essential to trust science and vaccines. Healthy and young people are not immune to the virus, and there have been instances of them dying from it. The emergence of new variants such as Delta is worrying, and it is still uncertain whether it will be the dominant variant globally. It is crucial to remain vigilant and take advantage of safe and effective vaccines.

    • Preventing New COVID Variants: Insights from NIH Director.Higher vaccination rates and widespread testing are key to preventing new COVID variants and ending the pandemic. MRN vaccines can be designed quickly to address future variants.

      In a recent podcast, Francis Collins, Director of the National Institutes of Health, discusses the Delta plus variant of COVID-19 and vaccine efficacy against it. While current vaccines still provide good coverage against Delta plus and even Beta, there is concern that future variants could be different enough to evade vaccine protection. However, the MRN vaccines can be redesigned quickly to address new variants. The key takeaway is that increasing vaccination rates, particularly in lower-income countries, and implementing widespread rapid at-home testing are critical steps to prevent the emergence of new variants and ultimately end the pandemic.

    • NIH Uses Venture Capitalism to Ramp Up COVID-19 TestingThe NIH collaborated with small businesses and academic labs to produce 2 million home COVID-19 tests, with plans to ramp up production to 410 million by December. Animal research is overseen and justified for medical experiments.

      The National Institutes of Health turned to venture capitalism to find solutions for COVID-19 testing. They invited small businesses and academic labs with innovative ideas about home testing to pitch their ideas to a team of experts in business, engineering, technology, supply chains, and manufacturing. The program resulted in 2 million tests currently available on pharmacy shelves. The NIH is working with the FDA to get more testing platforms approved and manufactured. The goal is to have 410 million tests ready by December and, with more platforms approved, reach half a billion tests per month. Animal research is a challenging issue, but the NIH has a system in place to oversee and justify the use of animals in medical experiments.

    • Dr. Francis Collins on the Importance of Animal Research and Ethical ConcernsDr. Collins believes animal research is necessary but recognizes ethical concerns. He highlights advancements in gene editing and precision medicine for cancer, stresses interdisciplinary collaboration and importance of politicians with scientific understanding.

      Dr. Francis Collins, former director of the National Institutes of Health, believes that animal research is important for medical advancements and that taking it off the table completely would be unethical. However, he also recognizes that there are greater ethical concerns, such as factory farming and animal welfare. During his 12-year tenure, he was proud of the progress made in gene editing, single cell biology, and precision medicine for cancer. He also highlights the importance of interdisciplinary collaboration and the brain initiative, which has given us a cell census of the brain's cells. Dr. Collins believes that politicians like Barack Obama, who deeply understand scientific concepts, give hope for the depth of understanding that humans in political offices can attain.

    • Successful Partnerships in Science: Breaking Down Traditional BarriersCollaboration between public and private sectors with a curious mindset can lead to innovative scientific partnerships like the Accelerating Medicines Partnership (AMP) and the ACTIV partnership, bringing hope for breakthroughs in medicine and global health.

      Francis Collins, Director of the National Institutes of Health, believes that curiosity and breaking down traditional barriers between the public and private sectors can lead to successful partnerships in science. His Accelerating Medicines Partnership (AMP) project started with three projects on Alzheimer's, diabetes, and rheumatoid arthritis and lupus, and has expanded to six projects with a new gene therapy project for ultra-rare diseases underway. He credits the success of the AMP project for paving the way for the formation of the ACTIV partnership, which has been accelerating COVID-19 therapeutic interventions and vaccines. This successful partnership between industry, government, and academia gives hope for a brighter future.

    • The Legacy and Insight of Francis Collins, Director of the National Institutes of HealthProper leadership transitions and collaboration between faith and science can lead to groundbreaking discoveries that transform society. Collins' tenure and scientific achievements provide valuable lessons for the future.

      Francis Collins, former director of the National Institutes of Health (NIH), recently stepped down after serving for 12 years, becoming the first NIH director to serve multiple presidential terms. He emphasizes the importance of new leadership, particularly in scientific organizations, and the need for proper transitions during unpredictable times. As someone who oversaw the Human Genome Project, Collins shares his awe-inspiring perspective on the significance of the project and the way it has transformed medicine and science forever. He also discusses his personal journey as both a man of faith and a man of science, recognizing that the two fields can coexist and complement each other.

    • Francis Collins' Journey to Faith and Friendship with Christopher HitchensFrancis Collins went from atheism to agnosticism before ultimately becoming a Christian. He finds belief in God to be plausible though there isn't any proof. However, his belief brings meaning to his life.

      Francis Collins, a prominent scientist, struggled to find answers to life's big questions during his medical training. He found atheism to be the least supportable option and settled on agnosticism before ultimately becoming a Christian. While he acknowledges that there is no proof of God's existence, he finds it "pretty darn plausible" and believes that encountering Jesus Christ in his search for answers was compelling. Collins also discusses his friendship with the late Christopher Hitchens, a devout atheist, and how their differing beliefs led to engaging discussions. As a person of faith, Collins is not afraid of death but wants to use his time on Earth in a meaningful way.

    • The Legacy of Francis Collins: Building Bridges Between Science and ReligionFrancis Collins shows that science and religion can coexist. His contributions have revolutionized modern medicine, and his philosophy encourages altruism and spreading love.

      Francis Collins started a foundation called BioLogos to bridge the gap between science and religion, but stepped away to become NIH director. The foundation has since flourished, with millions of people utilizing their website and attending their meetings. Collins believes that one can love both science and God. When asked about his legacy, he doesn't want to build a monument or edifice, but feels satisfied with the profound contributions he has made, from the Human Genome Project to COVID-19 vaccines. He believes that the meaning of life is to make the world a better place, strive for altruistic instincts, and put love out into the world.

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    Sean Carroll is a theoretical physicist, author, and host of Mindscape podcast. Please support this podcast by checking out our sponsors: - HiddenLayer: https://hiddenlayer.com/lex - Cloaked: https://cloaked.com/lex and use code LexPod to get 25% off - Notion: https://notion.com/lex - Shopify: https://shopify.com/lex to get $1 per month trial - NetSuite: http://netsuite.com/lex to get free product tour Transcript: https://lexfridman.com/sean-carroll-3-transcript EPISODE LINKS: Sean's Website: https://preposterousuniverse.com Mindscape Podcast: https://www.preposterousuniverse.com/podcast/ Sean's YouTube: https://youtube.com/@seancarroll Sean's Patreon: https://www.patreon.com/seanmcarroll Sean's Twitter: https://twitter.com/seanmcarroll Sean's Instagram: https://instagram.com/seanmcarroll Sean's Papers: https://scholar.google.com/citations?user=Lfifrv8AAAAJ Sean's Books: https://amzn.to/3W7yT9N PODCAST INFO: Podcast website: https://lexfridman.com/podcast Apple Podcasts: https://apple.co/2lwqZIr Spotify: https://spoti.fi/2nEwCF8 RSS: https://lexfridman.com/feed/podcast/ YouTube Full Episodes: https://youtube.com/lexfridman YouTube Clips: https://youtube.com/lexclips SUPPORT & CONNECT: - Check out the sponsors above, it's the best way to support this podcast - Support on Patreon: https://www.patreon.com/lexfridman - Twitter: https://twitter.com/lexfridman - Instagram: https://www.instagram.com/lexfridman - LinkedIn: https://www.linkedin.com/in/lexfridman - Facebook: https://www.facebook.com/lexfridman - Medium: https://medium.com/@lexfridman OUTLINE: Here's the timestamps for the episode. On some podcast players you should be able to click the timestamp to jump to that time. (00:00) - Introduction (11:03) - General relativity (23:22) - Black holes (28:11) - Hawking radiation (32:19) - Aliens (41:15) - Holographic principle (1:05:38) - Dark energy (1:11:38) - Dark matter (1:20:34) - Quantum mechanics (1:41:56) - Simulation (1:44:18) - AGI (1:58:42) - Complexity (2:11:25) - Consciousness (2:20:32) - Naturalism (2:24:49) - Limits of science (2:29:34) - Mindscape podcast (2:39:29) - Einstein

    #427 – Neil Adams: Judo, Olympics, Winning, Losing, and the Champion Mindset

    #427 – Neil Adams: Judo, Olympics, Winning, Losing, and the Champion Mindset
    Neil Adams is a judo world champion, 2-time Olympic silver medalist, 5-time European champion, and often referred to as the Voice of Judo. Please support this podcast by checking out our sponsors: - ZipRecruiter: https://ziprecruiter.com/lex - Eight Sleep: https://eightsleep.com/lex to get special savings - MasterClass: https://masterclass.com/lexpod to get 15% off - LMNT: https://drinkLMNT.com/lex to get free sample pack - NetSuite: http://netsuite.com/lex to get free product tour Transcript: https://lexfridman.com/neil-adams-transcript EPISODE LINKS: Neil's Instagram: https://instagram.com/naefighting Neil's YouTube: https://youtube.com/NAEffectiveFighting Neil's TikTok: https://tiktok.com/@neiladamsmbe Neil's Facebook: https://facebook.com/NeilAdamsJudo Neil's X: https://x.com/NeilAdamsJudo Neil's Website: https://naeffectivefighting.com Neil's Podcast: https://naeffectivefighting.com/podcasts/the-dojo-collective-podcast A Life in Judo (book): https://amzn.to/4d3DtfB A Game of Throws (audiobook): https://amzn.to/4aA2WeJ PODCAST INFO: Podcast website: https://lexfridman.com/podcast Apple Podcasts: https://apple.co/2lwqZIr Spotify: https://spoti.fi/2nEwCF8 RSS: https://lexfridman.com/feed/podcast/ YouTube Full Episodes: https://youtube.com/lexfridman YouTube Clips: https://youtube.com/lexclips SUPPORT & CONNECT: - Check out the sponsors above, it's the best way to support this podcast - Support on Patreon: https://www.patreon.com/lexfridman - Twitter: https://twitter.com/lexfridman - Instagram: https://www.instagram.com/lexfridman - LinkedIn: https://www.linkedin.com/in/lexfridman - Facebook: https://www.facebook.com/lexfridman - Medium: https://medium.com/@lexfridman OUTLINE: Here's the timestamps for the episode. On some podcast players you should be able to click the timestamp to jump to that time. (00:00) - Introduction (09:13) - 1980 Olympics (26:35) - Judo explained (34:40) - Winning (52:54) - 1984 Olympics (1:01:55) - Lessons from losing (1:17:37) - Teddy Riner (1:37:12) - Training in Japan (1:52:51) - Jiu jitsu (2:03:59) - Training (2:27:18) - Advice for beginners

    #426 – Edward Gibson: Human Language, Psycholinguistics, Syntax, Grammar & LLMs

    #426 – Edward Gibson: Human Language, Psycholinguistics, Syntax, Grammar & LLMs
    Edward Gibson is a psycholinguistics professor at MIT and heads the MIT Language Lab. Please support this podcast by checking out our sponsors: - Yahoo Finance: https://yahoofinance.com - Listening: https://listening.com/lex and use code LEX to get one month free - Policygenius: https://policygenius.com/lex - Shopify: https://shopify.com/lex to get $1 per month trial - Eight Sleep: https://eightsleep.com/lex to get special savings Transcript: https://lexfridman.com/edward-gibson-transcript EPISODE LINKS: Edward's X: https://x.com/LanguageMIT TedLab: https://tedlab.mit.edu/ Edward's Google Scholar: https://scholar.google.com/citations?user=4FsWE64AAAAJ TedLab's YouTube: https://youtube.com/@Tedlab-MIT PODCAST INFO: Podcast website: https://lexfridman.com/podcast Apple Podcasts: https://apple.co/2lwqZIr Spotify: https://spoti.fi/2nEwCF8 RSS: https://lexfridman.com/feed/podcast/ YouTube Full Episodes: https://youtube.com/lexfridman YouTube Clips: https://youtube.com/lexclips SUPPORT & CONNECT: - Check out the sponsors above, it's the best way to support this podcast - Support on Patreon: https://www.patreon.com/lexfridman - Twitter: https://twitter.com/lexfridman - Instagram: https://www.instagram.com/lexfridman - LinkedIn: https://www.linkedin.com/in/lexfridman - Facebook: https://www.facebook.com/lexfridman - Medium: https://medium.com/@lexfridman OUTLINE: Here's the timestamps for the episode. On some podcast players you should be able to click the timestamp to jump to that time. (00:00) - Introduction (10:53) - Human language (14:59) - Generalizations in language (20:46) - Dependency grammar (30:45) - Morphology (39:20) - Evolution of languages (42:40) - Noam Chomsky (1:26:46) - Thinking and language (1:40:16) - LLMs (1:53:14) - Center embedding (2:19:42) - Learning a new language (2:23:34) - Nature vs nurture (2:30:10) - Culture and language (2:44:38) - Universal language (2:49:01) - Language translation (2:52:16) - Animal communication

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    When Jonathan Baktari, MD was arguably at the peak of his medical career, he saw an opportunity to try something new. Taking everything he’d learned as a doctor, medical director and educator, he launched two businesses—a vaccine clinic and drug-testing enterprise—that are driven by technology and designed for fast, customer-centric service. Now, as those businesses grow, he’s continuing to write his second career chapter as a health care CEO. Learn more by visiting his website linked above OR by visiting his company pages linked below.
    Visit e7 Health here: https://www.e7health.com/
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    Disclaimer: All information discussed or provided by Jonathan Baktari, M.D. (“Dr. Baktari”) and/or his affiliates/guests are for educational purposes only. The information discussed and provided is not a substitute for professional medical advice, diagnosis, or treatment.  Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical concern or condition. Never disregard professional medical advice or delay in seeking it because of any information discussed or provided by Dr. Baktari or his affiliates/guests!  If you think you may have a medical emergency, call 911 immediately.  All information concerning hospitals, physicians, insurers, and other healthcare-related companies is based on Dr. Baktari’s observations of the healthcare industry as a whole and do not reflect on any specific hospital, physician, insurer, or other healthcare-related company.

    #1958 - Andrew Huberman

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    www.hubermanlab.com