WEBVTT

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Matt Abrahams: Moments lead to
movements, which lead to momentum.

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My name is Matt Abrahams and I
teach strategic communication at

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Stanford Graduate School of Business.

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Welcome to Think Fast
Talk Smart, the podcast.

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Today I am super excited to
talk to my friends and mentors,

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Jonathan Berek and Phil Polakoff.

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Jonathan is a renowned
gynecological oncologist.

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He is a professor at Stanford
School of Medicine and a former

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chair of the Stanford Department
of Obstetrics and Gynecology.

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In addition to his extensive
medical career, he is an active

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documentary filmmaker, creating and
directing films on medical topics

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with a focus on patient stories.

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He's also the faculty director
of Health Communication for the

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Stanford Center for Health Education,
where he promotes effective medical

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communication and health media.

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Phil is a distinguished health
transformation advisor, a consulting

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professor at Stanford School of
Medicine, and a widely published author.

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With a career spanning 45 years, he
has held diverse roles from a nominee

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for US Surgeon General to CEO of his
own nonprofit, A Healthier WE, which

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is dedicated to improving health.

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He's the author of 5 books and
more than 200 articles, making

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him a leading voice in healthcare
innovation, policy, and administration.

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Welcome, Phil and Jonathan, I am
really excited to have you here.

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It's been a long time coming.

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Thanks for joining me.

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Phil Polakoff: Thank you.

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Jonathan Berek: Thank you very much.

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Matt Abrahams: Shall we get started?

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Jonathan Berek: Yeah, absolutely.

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Matt Abrahams: Awesome.

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Beyond being medical professionals,
you each have worked hard to draw

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attention to and solicit money
for important healthcare issues.

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Jonathan, can you share a bit about
your work to bring attention and

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funding to women's cancer issues?

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Jonathan Berek: Yeah, so when I came
to Stanford 20 years ago, I realized

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in putting together the Stanford
Women's Cancer Center that we needed

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more than just governmental funding.

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I put together with the help of many
women, in particular, in the Stanford

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area, a philanthropic project called
Under One Umbrella, where we raised

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money for women's cancer research.

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Those monies have been used to
recruit people to create endowed

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professorships and also support our
clinical research trials group, as

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well as giving out innovation awards.

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And that's really helped to improve
our research capabilities and all the

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activities at Stanford Cancer Center.

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Matt Abrahams: People around
the area and around the world

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have benefited from that work.

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So thank you on behalf of all of them.

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Phil, your turn.

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Can you share a little bit about
what you've been doing to highlight

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healthcare inequity issues?

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Phil Polakoff: I go back in a
different direction, not better or

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worse than my friend Jonathan's.

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Mine's a little bit more
holistic on the word health.

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In 1948, the World Health Organization
put forth, there's definition of health.

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Health is a state of complete physical,
mental, social, and I inserted the

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word spiritual, wellbeing, not merely
the absence of disease or infirm.

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So I'm looking at how people improve their
health, and I've seen healthcare and sick

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care through all the different lenses.

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So the challenge has always been
how do you effectively have change

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transformation, which is not easy.

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Early in my career, I was a clinical
investigative officer for the

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CDC Centers for Disease Control.

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I traveled around this country with a new
organization called the National Institute

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for Occupational Safety and Health.

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And I got to see both urban and rural
issues, and that's where my passion's

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been, to see the three Ps. Practicalities,
policies, and political will.

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For me, the real opportunity now is can
we cross the chasm and bridge the gap

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so it becomes for all of our society.

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Matt Abrahams: And that work has
been really important in the past

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and even more important today.

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Phil Polakoff: It's mission
critical now, crisis to opportunity.

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Matt Abrahams: Absolutely.

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Not only are you both steeped in
the medical business and world, but

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interestingly, you both use very
effective communication tools to

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bring your message to the public.

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You both, for example, use film.

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I'm curious to learn your thoughts
on the importance of storytelling

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to move and motivate people,
and what goes into a good story.

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I know Jonathan, for example,
you've directed many films.

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I'm curious to get your
take on storytelling.

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Jonathan Berek: When I was an
undergraduate student, I was very

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involved in creative writing.

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I wrote plays, short stories, and I
was very involved in the theater, did a

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lot of acting, directing, and actually
for a while thought I was going to

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end up in the theater, but decided
to go to medical school after all.

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But what I learned during that
time is the value of storytelling

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and how powerful it is in terms
of engaging people with a message.

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Sometimes much more valuable to do it
that way rather than just write it out.

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I had the opportunity in the past
couple of decades to get into filmmaking

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as more as a hobby originally,
although now it's become a passion,

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and I do a considerable amount of
filmmaking, mostly short documentaries.

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People are more likely to listen
to something that's in a film

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than they are in the written word.

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I think it's part of our
culture now because we're the

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television film generation.

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People feel the emotion
when they see a story.

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In my case, I do a lot of medical related
types of films and I use patient stories,

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which tears at the heartstrings often,
and I think that gets the message across

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more than if I were to just say, well,
I'm doing this little science project.

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And there's this molecule, and
we're trying to do that, and

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people, their eyes glaze over.

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But if they hear a patient's story,
if they hear someone saying, I

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took this drug, or I was on this
medication and it gave me a remission

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in my cancer, people get that.

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They understand and they think, wow,
this is a very important medical advance.

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Matt Abrahams: So I hear a
couple things in that response.

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One is storytelling that has emotion
can really connect to people, and

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storytelling that is personal, that
brings it down to an individual level,

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can really help with that connection.

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Phil, you have also used film
and media to really move people.

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I recall watching one of your films
talking about Appalachia, and things

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going on in healthcare, and was very
moved and part of what impressed me so

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much was actually seeing the things.

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It's one thing to read it.

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It's another thing to see it.

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What's your take on the
importance of storytelling and

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what makes for a good story?

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Phil Polakoff: I find it intriguing,
or the intersection between

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Jonathan and I, our evolution
was almost along a similar path.

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In the process I started doing radio
shows and back then I found they were more

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interactive than podcasts today 'cause
I would get questions from the audience.

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And then I saw it being a little
different than Jonathan, but I

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was heavily involved in politics.

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So at a very young age, while he was doing
his surgical training and his academic

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and all that, I was running for Lieutenant
Governor of California when I was 32.

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So you realize that you had to be
empathetic, but you had to say things that

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were very precise and very short on words.

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So that's my pearl.

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I now have the trifecta of words.

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So it could be what are the three
most important thing in one's life?

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It's relationships, it's
service and purpose.

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Two, how do you deal with social issues?

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You listen more, speak less.

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Three, think bold, start small.

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Move with passion and purpose.

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Because people don't have longevity.

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Matt Abrahams: So a lot of insight there.

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So being concise and clear, highlighting
bright spots are ways to enhance

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a story so that it's memorable.

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You are embodying, Phil, a saying
my mom has, which is to tell

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the time, don't build the clock.

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Be very concise.

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Be very clear.

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One of the things I have enjoyed in
our, in getting to know you and having

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you as friends and mentors is you
both have really nice communication

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styles that are really effective.

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You're just both affable, super
bright, and very articulate.

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Do you have advice for people on how
they can be better communicators?

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You're around a lot of people and
you see a lot of people communicate.

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Phil, are there a few things that you
would recommend, suggest, advise people

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to do to improve their communication
beyond being concise and clear?

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Phil Polakoff: Coming in front
with Jonathan and you, I thought

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about what was important.

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Make sure you do your homework ahead of
time and have the questions distilled.

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Find mentors in your life that can
help you and look to have opportunities

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that are outside of your comfort zone.

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Matt Abrahams: Lots of
goodness in that statement.

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Jonathan, one of the things that's always
impressed me about you is you are able

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to take very complex, often scientific
information and make it very relatable.

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Can you share how you do
that so we can all benefit?

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What are some of the things you think
about to make the very academic, very

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scientific information something that
we can all understand and access?

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Jonathan Berek: I guess the first thing
I think of is the process of what some

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people call leveling, which is be sure
that first of all, you know your audience.

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And so, you communicate in a style and
with words and phrases that you think will

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connect with that particular audience.

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When you're speaking to a lay
audience about a complex medical

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issue, you don't speak down to them
and you don't speak up to them.

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You try to get to their level, and
that's the best way to connect.

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Matt Abrahams: Absolutely.

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And one of the things that you do,
and I'd love to get Phil's comment on

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this as well, you listen very well.

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Many people I know with the accolades
and backgrounds, such as you both

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have, almost use listening as the
starting gun for their talking.

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Jonathan, you and I, we met, uh, you
were a student in one of my classes and I

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was so impressed right away with how you
listened to our MBA students who, whose

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life experience is very different than
your life experience was at that point.

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And yet, you would listen, you
would acknowledge what they said,

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and then you would connect to it.

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How important is listening in all of this?

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Jonathan Berek: Well, I think
the two most important skills in

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communication are empathy and listening.

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And they are related because you
demonstrate empathy through listening

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and of course, other phrases that
you use to connect with people with

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whom you're trying to communicate.

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You have to have an open mind
and an open heart, as they say,

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when you communicate with people.

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I think a couple of things that Phil
said are important to emphasize.

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Doing one's homework, being prepared
is critically important, and to

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quote an actor who says the other
important thing is show up on time.

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It really has to do with demonstrating
your availability and your awareness

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of the circumstance and the
situation, so people take you serious.

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That's very important when you're
communicating to an audience.

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Matt Abrahams: You're showing respect
and you're showing that I'm here for you.

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Phil, talk to me a bit about your
perspective on listening and empathy,

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and you're expert at both, I'm curious.

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Phil Polakoff: As you get a little
older, two words have more impact

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to me than they used to, and I've
gotten to the point where I'm

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patient, but I like a yes or a no.

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I don't like ambivalence or ambiguity.

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If you don't want to do it, that's okay.

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And if you do, don't constantly
ask for something without telling

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what you get as your deliverable.

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Doesn't matter if it's academia,
philanthropy, but make sure

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there's some tangible, definable
results that you believe in as you

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contribute to someone else's efforts.

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Matt Abrahams: What I'm hearing
in what you just said really is

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about this notion of clarity.

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Clarity of the connection you have with
the person, and taking the time to find

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those connections, and then clarity
in the actions and communication.

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Jonathan, I wanna come back to
one thing that you and I have

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collaborated on, along with my
friend and your friend, Adam Tobin.

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You invited Adam and me to, and Adam
has been a guest on the show before,

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to help bring ideas from the world of
improvisation into the medical profession.

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Rather than build that whole story up,
I'm just curious for you to share why

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you believe tenants from improv can be
so important in, in really high stakes

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communication situations, such as a
medical professional with a patient.

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Jonathan Berek: When we first
promoted this idea, of course,

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my colleague said to me, improv,
I don't wanna do standup comedy.

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And I said, well, just
think about it this way.

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Every interaction you have
with a patient, you improvise.

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You improvise what you say.

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You talk around it.

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You don't have a script, you may have
an idea of what you're gonna talk

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about, but the advantage of practicing
a situation where you're improvising

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within a group is that it allows you
to get more in touch with your ability

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to improvise so that when you're in a
difficult situation with patients or

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others, it helps you refine your skills.

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And people got the notion and
the sessions that you and Adam

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ran were very popular, very well
received, and they got the message.

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Yeah, this is helpful, and a lot of
people afterwards said, this really

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improved my communication skills.

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Matt Abrahams: The point that I
wanna echo for everyone is that you

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can practice spontaneity, right?

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You can put yourself in situations,
learn some rules, and that

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can really make a difference.

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Because if you think about it,
most of our communication is

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spontaneous, it's not planned.

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And in high stakes situations,
having that preparation can help.

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And I appreciate that you
invited us to do that.

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You are both examples and role models
of people who've pivoted or expanded

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their work later in their careers.

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As I'm getting older and hopefully,
perhaps a little wiser, I'm curious about

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your thought process behind the choices
you made and the moves that you made.

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Did you always know you wanted
to become advocates or did

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you discover this on the way?

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And how has this felt and how have you
communicated this change to other people?

00:13:24.069 --> 00:13:28.150
A lot of people change and pivot as they
get older, but we have to explain it.

00:13:28.390 --> 00:13:31.204
Phil, how have you always thought that
this is where you wanted to end up?

00:13:31.745 --> 00:13:34.204
Phil Polakoff: I don't think
that's exactly my thinking.

00:13:34.204 --> 00:13:38.285
My thinking was how do you, as I
said earlier, have a role in making

00:13:38.285 --> 00:13:40.145
meaningful transformation change?

00:13:40.235 --> 00:13:43.834
I think what I learned is it's
less about I and more about we.

00:13:44.255 --> 00:13:48.545
There's another line that people can
use in these times, if I is replaced

00:13:48.545 --> 00:13:50.975
by we, even illness becomes wellness.

00:13:50.975 --> 00:13:54.725
Only working together, will
we have a healthier society.

00:13:55.305 --> 00:13:59.775
I tried many different ways, working
for large healthcare corporations,

00:13:59.805 --> 00:14:04.545
looking for large corporations, the
government, not-for-profit, academia,

00:14:04.665 --> 00:14:09.855
and I think what I did is I did not have
enough laser focus on fewer initiatives

00:14:09.975 --> 00:14:13.365
because if you want to get something
done, you have to be laser focused.

00:14:13.365 --> 00:14:17.295
And you can't be a clinician and a
politician and see patients at the

00:14:17.295 --> 00:14:20.625
same time you're trying to be an
entrepreneur because you lose focus.

00:14:20.864 --> 00:14:25.425
The other thing is I think I would've
benefited by some executive coaching.

00:14:25.635 --> 00:14:30.285
So right now I'm much more laser focused
given the challenges we're facing on

00:14:30.494 --> 00:14:36.375
trying to have a petition sign to make
health a basic human right and get

00:14:36.375 --> 00:14:41.265
this to be a bipartisan hearing in
Washington so people can collectively

00:14:41.594 --> 00:14:43.984
think it's their process, not mine.

00:14:44.084 --> 00:14:49.814
Maybe we take it initiative, but you
get from moment to momentum to movement.

00:14:50.115 --> 00:14:54.194
Three M'S are not easy to go from A to
B to C. So you have to have the passion,

00:14:54.194 --> 00:14:57.615
but also as you get a little older,
and I'm not speaking for Jonathan,

00:14:57.975 --> 00:14:59.925
moderation's a pretty important word.

00:15:00.285 --> 00:15:02.444
Don't think you can do the
same thing you used to do.

00:15:02.444 --> 00:15:03.795
I was a competitive athlete.

00:15:04.095 --> 00:15:07.275
You cannot be on a rugby field
all over the world again, playing

00:15:07.275 --> 00:15:09.194
rugby, it's a little bit too much.

00:15:09.555 --> 00:15:12.314
So pace yourself and have fun.

00:15:12.615 --> 00:15:16.665
I mean, I think that you're talking about
empathy on, tears are great, and I don't

00:15:16.665 --> 00:15:20.760
have a problem tearing in public, but
it's also nice to smile and be happy.

00:15:21.510 --> 00:15:23.849
Matt Abrahams: I like that idea
of seeing interactions as the

00:15:23.849 --> 00:15:25.560
beginning of the next conversation.

00:15:25.620 --> 00:15:30.420
The ability to be focused, to
moderate what you do, to have fun.

00:15:30.420 --> 00:15:33.089
That's all great advice and
I hope everybody is listening

00:15:33.089 --> 00:15:34.589
to how Phil uses words.

00:15:34.589 --> 00:15:40.560
I love I to we, illness, to wellness,
from moment to movement, to momentum.

00:15:40.560 --> 00:15:45.150
These are all ways to help us
not just remember, but to feel

00:15:45.150 --> 00:15:47.314
a sense of ah-ha or motivation.

00:15:47.584 --> 00:15:50.314
Jonathan, tell me about your
decision and arc and how

00:15:50.314 --> 00:15:51.814
you've communicated that focus.

00:15:52.560 --> 00:15:56.460
Jonathan Berek: I think as I progressed
in my medical career and matured,

00:15:56.640 --> 00:16:01.650
hopefully, during that process, I was
trying to look more at the big picture.

00:16:01.830 --> 00:16:05.670
You know, when you're laser focused
on taking care of patients and doing

00:16:05.730 --> 00:16:10.865
research, in my case, cancer research, you
have to be very dedicated to the process,

00:16:10.925 --> 00:16:16.954
but as you mature in the field, you
learn the importance of mentoring others.

00:16:17.165 --> 00:16:21.845
Obviously, when I was younger, I
desperately needed mentors, and

00:16:21.845 --> 00:16:23.585
I learned from that experience.

00:16:23.824 --> 00:16:27.305
I learned from you and others
in the communication field.

00:16:27.515 --> 00:16:30.605
So in a way, you served as
a very important mentor at

00:16:30.605 --> 00:16:31.550
the time when I needed it.

00:16:32.205 --> 00:16:34.905
Matt Abrahams: One thing I heard both
you say differently, you talked about

00:16:34.905 --> 00:16:38.655
mentors and finding mentors, and you
talked about coaches and finding coaches.

00:16:39.240 --> 00:16:40.500
It's not a single act.

00:16:40.500 --> 00:16:43.890
You have to have others to help you,
and you both have served as mentors

00:16:43.890 --> 00:16:47.520
for many people, including myself,
and I am greatly appreciative of that.

00:16:48.660 --> 00:16:50.730
Before we end, I always
ask three questions.

00:16:50.730 --> 00:16:53.490
One I create just for you, and two,
I've been asking everybody on the show.

00:16:53.790 --> 00:16:54.660
Are you up for that?

00:16:54.840 --> 00:16:55.350
Phil Polakoff: Always.

00:16:55.590 --> 00:16:56.130
Jonathan Berek: Go for it.

00:16:56.460 --> 00:16:57.030
Matt Abrahams: Excellent.

00:16:57.330 --> 00:17:01.410
Phil, looking back at your career and
success and you've had many successes,

00:17:01.590 --> 00:17:05.280
and in your case, many careers, what
is one thing you wish you would've

00:17:05.280 --> 00:17:08.170
known when you were younger that
would've helped you along the way?

00:17:08.764 --> 00:17:10.115
Phil Polakoff: Social interaction.

00:17:10.504 --> 00:17:14.974
The best thing that ever happened to me
is when I married my wife, who's my hero,

00:17:15.365 --> 00:17:17.435
and that changed my path of direction.

00:17:17.764 --> 00:17:21.004
Matt Abrahams: So making those social
connections and being open to them.

00:17:21.365 --> 00:17:22.685
Same question to you, Jonathan.

00:17:22.685 --> 00:17:24.845
What is one thing you wish you
would've known that would've

00:17:24.994 --> 00:17:26.044
helped you along the way?

00:17:26.405 --> 00:17:27.425
Jonathan Berek: How to be smarter.

00:17:27.869 --> 00:17:32.730
I think when you're young and you're
invincible and you think that whatever you

00:17:32.730 --> 00:17:38.040
do is okay, you have to learn to be much
more circumspect and it takes a while.

00:17:38.040 --> 00:17:42.030
That's part of the process of growing
up, becoming a mature human being.

00:17:42.510 --> 00:17:44.820
Matt Abrahams: So learning to question
and learning to be empathetic earlier.

00:17:45.240 --> 00:17:48.004
Jonathan, who's a communicator
that you admire and why?

00:17:48.705 --> 00:17:51.405
Jonathan Berek: Phil Pizzo,
he's probably one of the best

00:17:51.405 --> 00:17:53.475
communicators I've ever encountered.

00:17:53.715 --> 00:17:58.485
His ability to speak extemporaneously
is quite extraordinary.

00:17:58.815 --> 00:18:02.055
Virtually every time he gets
up in front of an audience,

00:18:02.055 --> 00:18:04.005
afterwards, people, oh my goodness.

00:18:04.095 --> 00:18:05.025
That's incredible.

00:18:05.355 --> 00:18:08.505
Matt Abrahams: Phil, what are the
first three ingredients that go into

00:18:08.505 --> 00:18:10.995
a successful communication recipe?

00:18:11.655 --> 00:18:15.645
Phil Polakoff: Being invited to
participate, reflecting and stepping

00:18:15.645 --> 00:18:17.565
back, and pause for a moment.

00:18:18.120 --> 00:18:21.180
And three, to make it a
communication process.

00:18:21.540 --> 00:18:22.470
The three I's.

00:18:22.980 --> 00:18:27.990
Interactive, interconnected, and
interdependent, and that it's

00:18:27.990 --> 00:18:32.040
the start, not the finish, of a
dynamic, meaningful interaction.

00:18:32.520 --> 00:18:35.250
Matt Abrahams: All three of those
ingredients, although you slipped in

00:18:35.250 --> 00:18:37.440
five there, really, are really important.

00:18:37.710 --> 00:18:40.800
The one I wanna highlight for
everyone is the reflective piece.

00:18:40.950 --> 00:18:42.540
Taking a pause, taking a beat.

00:18:42.630 --> 00:18:44.520
A lot of us in our
communication rush through it.

00:18:45.149 --> 00:18:47.430
I'm glad we did not have
to rush through today.

00:18:47.520 --> 00:18:52.020
And to your point, this is just
the start of hopefully a deeper

00:18:52.020 --> 00:18:54.780
conversation among the three of
us, but also everybody listening

00:18:54.780 --> 00:18:56.639
to take away the advice from you.

00:18:57.060 --> 00:18:58.470
Find mentors and guides.

00:18:58.560 --> 00:19:00.629
Think about how you tell
stories and connect.

00:19:00.629 --> 00:19:01.500
Make them concise.

00:19:01.500 --> 00:19:02.430
Make them empathetic.

00:19:02.790 --> 00:19:03.540
Gentlemen, thank you.

00:19:03.540 --> 00:19:04.440
This was a true pleasure.

00:19:04.445 --> 00:19:05.909
I'm glad we finally made it happen.

00:19:05.935 --> 00:19:06.365
Thank you.

00:19:06.365 --> 00:19:06.510
Phil Polakoff: Thank you.

00:19:09.480 --> 00:19:11.250
Matt Abrahams: Thank you for
joining us for another episode of

00:19:11.250 --> 00:19:13.230
Think Fast Talk Smart, the podcast.

00:19:13.635 --> 00:19:18.225
This episode was produced by Katherine
Reed, Ryan Campos, and me, Matt Abrahams.

00:19:18.495 --> 00:19:19.995
Our music is from Floyd Wonder.

00:19:20.084 --> 00:19:22.304
With special thanks to
Podium Podcast Company.

00:19:22.574 --> 00:19:25.665
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