
Big Picture Medicine
The health entrepreneurship podcast — focusing on big picture stuff.
Interviews with health/biotech entrepreneurs and leaders having impact at scale. Health stuff a techbro/sis would find interesting. Think health meets the Tim Ferriss Show.
Get in touch: pod@musty.io
Latest episodes

Sep 20, 2023 • 29min
#124 Wearable Data is Bullsh*t Debate — Maitham Dib (Vital YC21)
People are wearing Apple Watches to their wedding days. Has this whole 'quantified self' movement gone bananas? Is any of this data actually useful?
I spoke to Maitham Dib about this. He's building Vital (YC21); a startup which makes all wearable/lab data available to other startups/companies.
0:00 Wearable data is mostly useless
3:22 The case for wearable data
6:37 Wearable data is mostly useless
8:06 Wearable data is useful
10:16 The big opportunity with wearable/lab data (startups)
14:15 Naivety as a superpower (Paul Graham)
15:45 Why building Vital is so hard
19:31 Pros/cons of an infrastructure play in healthcare
20:51 How to enterprise sales
24:09 Lessons from YCombinator
27:32 The benefits of being an immigrant
Links
Vital: https://tryvital.io/
Dr Mustafa Sultan: https://www.musty.io/

Sep 15, 2023 • 52min
#123 How To Write Killer Healthcare Content — Healthcare Huddle (acquired by Workweek)
Dr Jared Dashevsky, Healthcare Huddle (acquired by Workweek), shares 12 frameworks for healthcare content creation. Topics discussed include the importance of consistency, unique/controversial takes, network building, injecting personality, the value of boring content, audience acquisition, lessons from Jerry Springer, and the danger of hyper-optimization in content creation.

Sep 4, 2023 • 41min
#122 Why AI Drug Discovery Is So Hard — Dr Imran Haque (Recursion)
Dr Imran Haque, SVP of AI and Digital Sciences at Recursion Pharmaceuticals, discusses why AI drug discovery is challenging, the need for better understanding of drug interactions, the trade-offs in translational models, advancements in computational modeling and data acquisition in biology, and the value of being a generalist in the field.

Aug 20, 2023 • 38min
🔥 NVIDIA Pumped $50M Into This Startup You've Never Heard Of (TechBio)
0:00 NVIDIA's $50M investment into Recursion Pharmaceuticals
2:28 NVIDIA is becoming a seed investor
3:45 Bull case for Recursion Pharmaceuticals
9:20 Recursion's two big acquisitions
13:05 How are Recursion going to make money?
14:15 Recursion is overhyped
19:45 Recursion is unprofitable
22:21 Kim Kardashian's full body MRI scan
26:03 Longevity doctor's advice to Kim K
31:49 Speculating on Kim K's longevity regime (what she takes)
35:00 Outro and feedback
Podcast Links
YouTube: https://www.youtube.com/@bigpicturemedicine
Apple: https://podcasts.apple.com/gb/podcast/big-picture-medicine/id1500446262
Spotify: https://open.spotify.com/show/5707RPmWOJkVZyUHNRSUfS?si=96c7fff6bccb456a
People
Dr Imran Mahmud: https://www.imranmahmud.com/
Dr Adam Bataineh: https://twitter.com/DrAdamBat / https://numenor.health
Dr Mustafa Sultan: https://www.musty.io/

Aug 9, 2023 • 39min
#121 Raising $17M Uber for Medical Scans — Charlie Bullock (Scan.com)
Ever waited months for a scan? Scan.com is making getting a scan as easy as booking an Uber. Behind the scenes of the disruptor changing medical imaging forever.
0:00 Race to the bottom?
1:34 AirBnB 11 star framework
9:57 Scan.com looks really easy to build — what's hard about it?
12:19 Lessons from working at Deliveroo
15:14 How do you make a lot of money?
19:41 Buying the domain name Scan.com
24:16 How to build a marketplace business
27:50 The perils of price transparency
30:36 What I would do to build a competitor
32:43 You need grit when building a health startup
35:46 Billion $ health ideas
Podcast Links
YouTube: https://www.youtube.com/channel/UCEzluDRmBTVby0WsO37V-xg
Apple: https://podcasts.apple.com/gb/podcast...
Spotify: https://open.spotify.com/show/5707RPm...
People
Dr Mustafa Sultan: https://www.musty.io/
Charlie Bullock: https://scan.com/

Aug 1, 2023 • 34min
🔥 What David Sinclair is Hiding From Elon Musk
0:00 David Sinclair's controversial claim
1:39 Bull v bear case
6:23 David Sinclair's history of exaggerating and profiteering
8:34 Adam Neuman's involvement
11:40 Raising from unsophisticated investors
16:30 Why aren't big pharma interested in longevity?
22:45 Cynics are right, optimists get rich
25:26 Will a longevity drug be the most valuable therapeutic ever made
28:52 Feedback and outro
David Sinclair's Tweet: https://twitter.com/davidasinclair/status/1679178670743732249?s=20
David Sinclair's Research Paper: https://www.aging-us.com/article/204896/text
Elon Musk Tweet: https://twitter.com/davidasinclair/status/1679504700285104129?s=20
Dr Charles Brenner's Critique of Sinclair: https://twitter.com/CharlesMBrenner/status/1679213673771057152?s=20
Podcast Links
YouTube: https://www.youtube.com/@bigpicturemedicine
Apple: https://podcasts.apple.com/gb/podcast/big-picture-medicine/id1500446262
Spotify: https://open.spotify.com/show/5707RPmWOJkVZyUHNRSUfS?si=96c7fff6bccb456a
People
Dr Imran Mahmud: https://www.imranmahmud.com/
Dr Adam Bataineh: https://twitter.com/DrAdamBat / https://numenor.health
Dr Mustafa Sultan: https://www.musty.io/

Jul 23, 2023 • 24min
🔥 Regulators Hate Doctor ChatGPT (Here's Why) — Dr Hugh Harvey (Hardian Health)
0:00 Why not let the builders build? Move fast and break things?
1:56 Why don't you ban people from googling their symptoms?
3:28 Is a disclaimer enough?
5:27 Why are LLMs difficult to regulate?
10:13 Move fast and kill patients — principal agent problem
12:23 People aren't idiots (they are)
14:20 Dr ChatGPT will never work
17:35 Spotting bubbles in healthcare
19:20 How much time does regulation add onto medical device approval?21:40 Can we ever regulate LLMs?
Podcast Links
YouTube: https://www.youtube.com/@bigpicturemedicineApple: https://podcasts.apple.com/gb/podcast/big-picture-medicine/id1500446262
Spotify: https://open.spotify.com/show/5707RPmWOJkVZyUHNRSUfS?si=96c7fff6bccb456a
People
Dr Hugh Harvey: https://www.hardianhealth.com/
Dr Mustafa Sultan: https://www.musty.io/

4 snips
Jul 10, 2023 • 43min
🔥 Spotify Founder's Longevity Startup: Bear v Bull Case (Neko Health)
Daniel Ek (Spotify Founder) has raised $65M for his new longevity startup: Neko Health.
0:00 What is Neko Health
2:18 They're doing nothing new
5:33 The bull case; why it's going to be huge
7:47 How are they possibly going to make money!?
18:30 Why aren't they doing full body MRI?
20:26 The bear case; why this will fail
25:13 Smells a bit hypey
29:15 The risks of longevity startups and early testing
35:41 The lowdown
37:47 Unexpected way of making $$$
40:00 Outro and feedback
Podcast Links
YouTube: https://www.youtube.com/@bigpicturemedicine
Apple: https://podcasts.apple.com/gb/podcast/big-picture-medicine/id1500446262
Spotify: https://open.spotify.com/show/5707RPmWOJkVZyUHNRSUfS?si=96c7fff6bccb456a
People
Dr Imran Mahmud: https://www.imranmahmud.com/
Dr Adam Bataineh: https://twitter.com/DrAdamBat / https://numenor.health
Dr Mustafa Sultan: https://www.musty.io/

Jul 3, 2023 • 34min
🔥 Apple's Plan to Dominate Healthcare (And Why It Will Fail)
0:00 Leaked secret Apple health report
5:06 What Apple are up to in healthcare
9:21 Decentralised clinical trials
11:35 Apple healthcare leaked documents controversy
15:38 Apple is going to become a health insurer
23:07 Imran's advice to Tim Cook
26:11 Being a healthcare provider is unprofitable
28:12 Apple will make a longevity/subscription health play
30:27 Outro and feedback
Links mentioned
Apple Struggles in Push to Make Healthcare Its Greatest Legacy (Wall Street Journal): https://www.wsj.com/articles/apple-struggles-in-push-to-make-healthcare-greatest-legacy-11623832200
Podcast Links
YouTube: https://www.youtube.com/@bigpicturemedicineApple: https://podcasts.apple.com/gb/podcast/big-picture-medicine/id1500446262
Spotify: https://open.spotify.com/show/5707RPmWOJkVZyUHNRSUfS?si=96c7fff6bccb456a
People
Dr Imran Mahmud: https://www.imranmahmud.com/
Dr Adam Bataineh: https://twitter.com/DrAdamBat / https://numenor.health
Dr Mustafa Sultan: https://www.musty.io/

Jun 26, 2023 • 40min
#120 Billion $ Healthtech 'Soonicorn' Huma: Lessons from Jony Ive and Big Pharma — Dan Vahdat (CEO)
Huma is about to reach a 1 billion dollar valuation, and is thriving while other digital health companies are dying. But what’s their secret sauce?
Dan Vahdat is the Johns Hopkins dropout — who meticulously studied the successful business practices of big pharma, and using these, has created the 'soonicorn' digital health company that’s about to take over the world of remote patient monitoring and decentralised clinical trials.
0:00 Intro
1:11 Focusing on one big thing is bullsh*t
6:33 Lessons from Jony Ive
10:02 Healthtech infrastructure play
16:04 'Ownership is everything' discussion
20:18 If you maximise impact, commercial will come
24:00 Bad design hurts me
28:56 You don't need to try and inspire anyone
30:35 Are you full of sh*t?
32:27 How does your life change when you 'make it'?
36:50 Is studying successful people a waste of time?
39:28 Outro
Podcast Links
YouTube: / @bigpicturemedicine
Apple: https://podcasts.apple.com/gb/podcast...
Spotify: https://open.spotify.com/show/5707RPm...
People
Dr Mustafa Sultan: https://www.musty.io/
Dan Vahdat https://www.huma.com/
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