VPZD Ep. 40: Fauci’s Diary, FDA, Jason Arday, LIVE

Bro. We're back. LIVE.

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Topics and timecodes:

0:00 Welcome back after seven years (well, one) at FDA

2:21 What the job was actually like, 24/7 stress and travel

4:02 Reflecting on losing weight and health after leaving FDA

5:29 Navigating a thousand factions instead of two sides

6:14 CBER vaccines, biologics, and wearing a LOT of hats

6:59 Batting 100% on controversial decisions?

7:50 Evidence-based medicine versus political reality

9:06 Learning combination vaccines and pig kidney xenotransplants on the job

11:17 Why VP treats every new job like a student taking notes

12:23 Should the FDA be abolished, libertarian vs universal healthcare framing

16:34 Money, incentives, and who's actually happy with the system

17:37 The blood, guts, and pus essay and hospital administrators

19:02 Is there a healthcare system anywhere people are happy with

20:33 Brian Johnson's autoimmune gastritis and the vegan slurry diet

22:39 Coming back from Japan and eating whatever now

24:04 Standing up to the dentist about X-rays and gum pockets

26:26 The car analogy for phase one, efficacy, and true safety

28:39 Cyclospora outbreaks and flavored vape controversies

30:39 Sunscreen habits, UVA versus UVB, and vanity

32:11 GLP-1s in kids and what 30 years of Ozempic might look like

33:49 Blue zones, Brian Johnson, and living longer through walking

35:52 Creatine, supplements, and not really taking anything

37:00 Psychedelics as psychological effects, not drug effects

39:56 UCSF, Inner Sunset fog, and giving up on GI fellowship

41:04 The Jason Arden Cambridge sociology scandal begins

44:56 Mark Tessier-Lavine's Stanford resignation and duplicated images

51:07 James Frey, Million Little Pieces, and owning a fabrication

53:19 Whether universities have lost the plot on ideology

55:29 Categorical ideologues on vaccines versus a more nuanced record

57:35 Fired from Stanford over the booster mandate

1:02:49 Fauci's diary, closing schools, and masking based on anecdote

1:05:34 Dropping his daughter off at Vassar and the president's speech

1:09:23 Fragility, SSRIs, and the coddling of the American mind

1:13:22 The daughter's college essay and resisting the urge to helicopter it

1:16:23 Reflections on fragility among students despite anti-woke shifts

1:17:03 Sam Harris, taking positions too seriously, and Jonathan Franzen on writing

1:19:36 Measles deaths, RFK Jr., and proportionality in public health outrage

1:23:10 A Short Stay in Hell, the book and its premise

1:28:00 Why perfect memory and endless time would be a kind of hell

1:29:19 Claude confabulating a fake ending to the book

1:36:34 Life back at the university after the leave of absence

1:37:14 What a university should be versus corporatism and IP patents

1:41:03 Marty Makary's media skills and hopes for a return visit

1:44:00 Teaching evaluations and the sting of a few honest critiques

1:47:11 A patient's years-later message about a missed diagnosis

1:53:17 Why M&M sessions used to allow real, direct feedback

1:57:04 A fatal PCA dosing error and the shame of learning from it

1:59:57 East coast bluntness versus Bay Area fakeness after 9/11

2:03:19 Wrapping up, wheelchair jokes, and signing off