A Conversation with Theranos Whistleblower Tyler Shultz | The Program for Leadership and Character — Transcript
Full transcript
- 0:00So Tyler, um maybe just say your name
- 0:02and and who you are.
- 0:03>> Yeah, so my name is Tyler Schultz and
- 0:06I'm most well known for blowing the
- 0:07whistle at Theronos as my first job out
- 0:09of college, but after that I went on to
- 0:11start two diagnostics companies myself.
- 0:13I've become a husband and a father and
- 0:16now I actually speak full-time about my
- 0:19experience at Theronos and hope that we
- 0:20can bring some lessons to uh all kinds
- 0:22of stakeholders.
- 0:23>> Well, we're glad to have you speaking
- 0:24today to us. I first want to about you
- 0:26Tyler. When you were the whistleblower
- 0:27at Theronos, how did you become a
- 0:29Theronos whistleblower? [laughter]
- 0:32>> I guess the first step was working at
- 0:33Theronos.
- 0:35Um, in a nutshell, I joined the company
- 0:38very very excited. I thought that that
- 0:40was the type of company that I could
- 0:41work at for my entire career. I thought
- 0:43it was just the absolute perfect place.
- 0:45It was the Apple of Healthcare. But
- 0:47pretty much as soon as I joined, like
- 0:48we're talking about first day as a
- 0:50full-time employee, red flags started
- 0:52popping up and they just kept popping
- 0:54up. We were deceiving regulators. We
- 0:55were deceiving investors. We were
- 0:56deceiving the board. We were deceiving
- 0:58doctors and patients. And so I started
- 1:00raising these concerns. And so I first
- 1:02talked to my colleagues who also kind of
- 1:04became some of my friends at Theronos. I
- 1:06talked to my managers. And ultimately I
- 1:08talked to a vice president, the CEO, the
- 1:11COO and president, a board member, a
- 1:14regulator, and nothing ever happened
- 1:16when I went to all those channels. And
- 1:18so it wasn't until a Wall Street Journal
- 1:20reporter reached out to me digging into
- 1:22some questions about Theronos and I
- 1:23started talking to him that things
- 1:25really started happening and moving and
- 1:27that's when I really became a
- 1:29whistleblower. And the first time that I
- 1:30ever thought of myself as a
- 1:32whistleblower was reading it in the Wall
- 1:34Street Journal with the whistleblower
- 1:35word written right next to my name.
- 1:37>> Oh, interesting. So you mentioned the
- 1:39red flags that you saw. What were some
- 1:40of the red flags that you saw at
- 1:41Theronos?
- 1:42>> So I mean [laughter] how much time do we
- 1:45have?
- 1:46Um, probably the biggest red flag was
- 1:48that the technology that Elizabeth had
- 1:50been touting simply did not exist. This
- 1:53device that could test for hundreds of
- 1:55things from a single drop of blood
- 1:56without the infrastructure of a central
- 1:58laboratory did not exist. It was an
- 2:01eight channel pipet on a robotic arm.
- 2:04Um, there was no micrfluidics in it.
- 2:06There was no new signal transduction
- 2:07method. It could only test for one thing
- 2:09at a time. It wasn't even a standalone
- 2:11platform. And so really the technology
- 2:13not existing was the root of all the
- 2:15problems and then everything else kind
- 2:17of followed from that. You know the
- 2:19deceiving of the regulators, the hiding
- 2:21inaccurate results, um the lying to
- 2:24investors that all stemmed from the fact
- 2:26that the technology didn't exist
- 2:30>> and when did you know that there's
- 2:31something off about this technology?
- 2:32When did you figure out that this was
- 2:34not quite what it was claimed to be? So
- 2:37the big aha moment was really on my
- 2:39fourth day working there. Wow. And that
- 2:41is when I joined what was called the
- 2:44assay validation team where our jobs
- 2:46were to make sure that these tests
- 2:47worked before we tested real patients.
- 2:49And as part of our onboarding into that
- 2:51lab, we got to see what they called the
- 2:53quote unquote open reader. So it was the
- 2:55therronos device that did not have the
- 2:57plastic shell on it. So you could see
- 2:59exactly what was inside, exactly what it
- 3:00was doing. And the first time that I was
- 3:03seeing this was actually the first time
- 3:04that my manager was seeing this,
- 3:06>> which is kind of odd because my manager
- 3:08had been working there for a few years,
- 3:09but had never seen the product that she
- 3:11was working on. But we're watching this
- 3:13demonstration together, and I just
- 3:15remember my manager turning to the woman
- 3:16who was giving us the demo. And she just
- 3:18said, "Do you think this is cool?" And
- 3:22the woman just shrugged her shoulders
- 3:23and said, "I'll let you decide for
- 3:25yourself." And in that moment, I
- 3:27realized there was an open secret in the
- 3:29scientific community at Theronos that
- 3:32the technology just didn't exist.
- 3:34>> So that was the first real indication
- 3:36that something was wrong. Um, but
- 3:40actually maybe the first indication was
- 3:42even earlier than that. So I joined on
- 3:44the day that Theronos launched the
- 3:46product. But on my first day, I also
- 3:48learned that even though we had just
- 3:50launched the product, that we had no
- 3:51tests that were validated on the
- 3:52platform, which meant if a patient went
- 3:55into Walgreens, first of all, they would
- 3:57not get the finger prick that had been
- 3:58promised. They would have gotten a
- 3:59needle in the arm. And then on top of
- 4:01that, none of those tests were run on
- 4:03the Theronos equipment. We either
- 4:05diluted the blood and ran it on
- 4:07thirdparty equipment or we would just
- 4:08literally just send it out to other labs
- 4:10to do the testing. So even though we had
- 4:13launched the product, we really just
- 4:14launched the perception of a product. We
- 4:17launched like a business model more than
- 4:19launching a product.
- 4:21>> Wow. Interesting. Well, h what happened
- 4:23when you raised these questions? Um what
- 4:25happened after you told the CEO,
- 4:27Elizabeth Holmes, about this concern?
- 4:29>> Yeah, so Elizabeth was not very
- 4:32receptive to my concerns.
- 4:35Uh I first
- 4:37uh confronted her in her office with
- 4:39just a couple points and she kind of
- 4:41brushed me off and I followed up with a
- 4:43much longer email and in this email I
- 4:46pretty much wrote like this is an
- 4:47observation that I've made. This is data
- 4:49to support that observation and this is
- 4:52what I think we should do about it. And
- 4:54I ended that email by saying I apologize
- 4:56if this sounds attacking in any way. It
- 4:58is truly not meant to be. I'm dedicated
- 5:01to the long-term vision of this company,
- 5:02but I'm worried that some of our
- 5:04short-term practices will prevent us
- 5:06from reaching those long-term goals. And
- 5:09she did not respond to that email. She
- 5:11forwarded it to Sunonny Balwani for and
- 5:13for context, he was the president, COO,
- 5:16a board member, an investor, and also
- 5:18Elizabeth's boyfriend.
- 5:20>> Um, and so he responded to the email,
- 5:22and his email was literally an all red.
- 5:25A lot of it capitalized, a lot of it
- 5:27bolded. And he essentially said that I
- 5:29was arrogant, ignorant, patronizing,
- 5:30reckless. I had no understanding of
- 5:32basic math, science, or statistics. If I
- 5:35had any other last name, I would have
- 5:36already been held accountable in the
- 5:38strongest way. And the only conversation
- 5:40he wanted on this moving forward was an
- 5:42apology from me. And so, um,
- 5:46>> wow.
- 5:47>> Yes. They they did not take, uh, take my
- 5:50advice. [laughter]
- 5:52>> When he mentioned your last name, I know
- 5:54your grandfather, George Schwarz, was an
- 5:56investor at Therronos. How did that uh
- 5:58impact your decision and your role with
- 6:00the company?
- 6:01>> Yeah, so he joined as a board member. I
- 6:04don't know the exact timeline, but it
- 6:05was around the same time that I joined
- 6:08the company
- 6:09>> and it played a huge role in my decision
- 6:12to become a whistleblower and the way
- 6:14that I went about it. Um,
- 6:17and and
- 6:19the way that his influence impacted my
- 6:22decision changed a lot throughout this
- 6:24story. So when I first became a
- 6:25whistleblower, obviously a huge
- 6:27motivation of mine was that I knew
- 6:29patients were getting hurt, right? That
- 6:31was the main motivation. But on top of
- 6:33that, I really cared about my
- 6:35grandfather's reputation. And he had a
- 6:37really, really great reputation. In
- 6:40fact, the first time I ever spoke to the
- 6:41Wall Street Journal reporter, I told him
- 6:44on the phone that my grandfather was
- 6:46part of the Nixon administration during
- 6:48Watergate, he was the Secretary of
- 6:49Treasury.
- 6:50>> He was a secretary of state under Ronald
- 6:52Reagan during the Iran Contra scandal.
- 6:54And he made it out of both of those with
- 6:56his integrity completely intact.
- 6:58>> So I thought, you know, if he could if
- 7:00he can make it out of Watergate with his
- 7:02integrity intact, there was no doubt in
- 7:04my mind that if he was given the
- 7:06opportunity that he was going to make
- 7:08things right with the people that
- 7:09Elizabeth had hurt and he would make it
- 7:11out of this with his integrity intact.
- 7:13So I wanted to make sure he had that
- 7:15opportunity. And I think he was 95 or 96
- 7:19years old at the time. So I wanted to
- 7:22make sure that this story came out
- 7:24before he passed away so that he had
- 7:26that opportunity. So that was really
- 7:28part of my motivation for becoming a
- 7:31whistleblower. [clears throat]
- 7:33>> But he didn't seem to be as welcoming of
- 7:35that to you. Your book is really um I
- 7:37think really powerful and how you show
- 7:39uh repeated conversations with your
- 7:41grandfather about this work. How did
- 7:42that relationship unfold over time
- 7:44through this process?
- 7:48Yeah, unfortunately he pretty much
- 7:50disappointed me at every possible
- 7:52opportunity and our relationship just
- 7:55really degraded over time. He continued
- 7:57to take Elizabeth's side over mine. He
- 8:00continued to defend her over me. Even
- 8:02after the Wall Street Journal had come
- 8:04out with all of their reporting, even
- 8:06after there were investigations by the
- 8:08FDA and CMS,
- 8:11>> uh he just continued to support her. He
- 8:13was just under some sort of spell, it
- 8:15seemed like.
- 8:16>> And so eventually it got to the point
- 8:18where I felt like I have to stop making
- 8:20decisions with his best interest in
- 8:22mind. I have to do what's best for me.
- 8:24He was 96 years old and I was just
- 8:26starting my career. I was just starting
- 8:28my professional adult life and so I
- 8:30thought I need to, you know, look after
- 8:33myself here. Um,
- 8:36>> so at one point I just I I really just
- 8:38started focusing on myself and stopped
- 8:40caring what the consequences would be
- 8:42for him. And I thought if if he's sued
- 8:46and in some lawsuit and loses all of his
- 8:48money, if he somehow ends up in prison,
- 8:51if he's held liable for this, I have to
- 8:53be okay with that because I've done
- 8:55everything I can possibly do to help him
- 8:57and to get him out of this. But he would
- 8:59not take any of those opportunities.
- 9:02Well, in your book, you're really
- 9:03describing great detail about the
- 9:04conversations back and forth around this
- 9:06and the real disappointment. Um, did you
- 9:09ever reconcile with your grandfather?
- 9:11>> To some extent, you know, he never
- 9:14apologized to me for for his role in
- 9:17this. He never really even acknowledged
- 9:19the role that he had in enabling
- 9:20Elizabeth to do what she did. But he did
- 9:23admit that I was right.
- 9:25>> But he did so
- 9:28>> long after it was really useful. You
- 9:30know, these are
- 9:31>> after the SEC had found that there were
- 9:35instances where Elizabeth told
- 9:36prospective investors that their revenue
- 9:39the previous year was $108 million when
- 9:42in reality it was only $100,000.
- 9:45>> Wow.
- 9:45>> And so when it's that black and white
- 9:47coming from an investigation by the SEC,
- 9:50that's when he felt like, hm,
- 9:53>> Elizabeth might be lying to me here. U
- 9:56so it really it took until that point
- 9:58for him to come around. But the last
- 10:00conversation that I had with him in
- 10:02person before the co lockdowns, uh he
- 10:05invited me over to his house and he
- 10:07actually told me about a time that he
- 10:09saw Elizabeth lie where I didn't have to
- 10:12force him to see this.
- 10:14>> And so I think that was kind of his way
- 10:15of
- 10:17>> of really letting me know that he he saw
- 10:19that she was lying and that I was right.
- 10:21And what he told me was that during
- 10:23fleet week in San Francisco when they
- 10:25bring the battleships into the bay and
- 10:28they have the Blue Angels fly over the
- 10:30city, he got Elizabeth an invite to
- 10:32speak on a battleship to a group of Navy
- 10:34sailors. And he said with tears in her
- 10:37eyes, she got up there and told these
- 10:40young men and women who were potentially
- 10:42sacrificing their lives for the United
- 10:45States that she was just so honored and
- 10:47humbled that her life's work was saving
- 10:50the lives of United States service men
- 10:52and women. And he just said, "I could
- 10:54not believe that any human being was
- 10:57capable of lying to those people as
- 11:00confidently and as convincingly as she
- 11:03lied." And so it meant a great deal to
- 11:06me for him to to say that. But at the
- 11:10same time, he he did fall a bit short in
- 11:12as far as making things right
- 11:15>> and taking accountability for his
- 11:17involvement.
- 11:18>> You know, you spent years, Tyler, and
- 11:20lots of money, almost $500,000, you
- 11:22said, um, to defend yourself in the
- 11:25midst of this really intense,
- 11:26high-profile case.
- 11:28>> Um, what was the scariest part of being
- 11:31a whistleblower?
- 11:32So, the scariest part to me was that I
- 11:36knew with 100% certainty that I was
- 11:40right.
- 11:41>> There was no doubt in my mind.
- 11:44>> And I thought if I'm ever, you know, if
- 11:46this if I ever actually go to court
- 11:48against Elizabeth, I'm just going to say
- 11:51if this thing works in a medevac
- 11:53helicopter, it should work in a
- 11:55courtroom. Go prick [laughter] the
- 11:56judge's finger and if you can get 300
- 11:59results from a single drop of blood, I
- 12:01will lie down. I will say I was wrong. I
- 12:03will say anything you want me to say. I
- 12:05will give up. But I just knew that
- 12:06there's no chance that they would be
- 12:08able to do that. There's no way they
- 12:09would be able to actually prove me
- 12:11wrong.
- 12:11>> The scary part was that I didn't think
- 12:14that that mattered.
- 12:16>> It really seemed like the only thing
- 12:18that mattered in our legal system was
- 12:20how much money you could spend. The
- 12:22truth counted for nothing. The only
- 12:24thing that mattered was that you could
- 12:25buy the truth. And they had tremendous
- 12:29amounts of resources, way more than what
- 12:32I had. And it became clear that part of
- 12:34their strategy was just to get me and my
- 12:36family to spend all the money we had
- 12:39>> and then take us down. And and I gave
- 12:43this analogy in my audio book, but it
- 12:45felt like we settle these legal disputes
- 12:47over games of one-on-one basketball, but
- 12:49you get to choose who goes and plays for
- 12:52you. And if you're Theronos, you can go
- 12:53hire LeBron James to go play for
- 12:55[clears throat] you. and you just anyone
- 12:56else just does not stand a chance.
- 12:58>> And that's how it felt for a very very
- 13:00long time.
- 13:01>> But luckily what I learned is that the
- 13:03truth does count for a lot.
- 13:06>> It just takes a painfully painfully long
- 13:10time.
- 13:11>> It it does. Yeah. and and and a time
- 13:13when you were also followed by private
- 13:15investigators when you were threatened
- 13:17with lawsuits, when you're getting
- 13:19pressure from your grandfather and
- 13:20others to to do this. Um, how'd you find
- 13:23the courage to do the right thing in the
- 13:24face of all this pressure in the in this
- 13:26very high stakes case? I I really felt
- 13:30like it could be the most important
- 13:33thing that I do in my life. I felt like
- 13:35it was hugely important for me to see
- 13:37this through. One thing that I think
- 13:39people don't understand about being a
- 13:41whistleblower is not it's just not a
- 13:43decision you make one time and then you
- 13:45live with it. You have to remake that
- 13:47decision every single day because there
- 13:49are [clears throat] constantly
- 13:50opportunities to say you were wrong, to
- 13:52give up, to take an out.
- 13:54>> Um, and I just felt like that I couldn't
- 13:56do that. I couldn't give up. I had to
- 13:58see this through.
- 13:59>> And I look back on some of the things
- 14:02that Sunny accused me of on my last day,
- 14:04you know, arrogant, ignorant,
- 14:05patronizing, reckless. And in a lot of
- 14:08ways, I recognize now that he wasn't
- 14:10really wrong. You know, I went might
- 14:13phrase it differently. I would say I was
- 14:14extremely confident. I had an extremely
- 14:16high risk tolerance and I was totally
- 14:18naive of what the personal consequences
- 14:21would be to me. And in a way, that was a
- 14:24really interesting combination of
- 14:26factors. It's a really unique type of
- 14:27courage that comes with being young. And
- 14:31I'd like to think that today, you know,
- 14:33now I'm 34 years old, that I would still
- 14:35do this the same things that I did when
- 14:37I was 22, 23, 24.
- 14:42But on at the same time, it was much
- 14:44easier for me to do when I was that age
- 14:46because I didn't have a wife. I didn't
- 14:48have kids. I didn't have a mortgage. In
- 14:51a lot of ways, I had a lot less to lose
- 14:53than I do now. Um, and so that in a way
- 14:56may have helped me garner that courage.
- 14:59And then on top of all of that, I I
- 15:01really think that my my parents honestly
- 15:04just did a really really good job
- 15:06raising me and raising me with values.
- 15:08>> So much so that I was um you know,
- 15:11absolutely unrelenting. I would not
- 15:13allow my own personal values to be
- 15:16compromised no matter what. I think
- 15:18maybe my parents
- 15:19>> uh were disappointed in that a little
- 15:21bit. You know, they would have preferred
- 15:22that I just give up and move on with my
- 15:24life. But I would not I absolutely would
- 15:26not compromise on my values. I wouldn't
- 15:29sign affidavit under penalty or perjury
- 15:31that Theronos was trying to get me to
- 15:33sign because I knew they weren't true
- 15:35>> and I was not willing to say that I was
- 15:38wrong when I knew that I was right.
- 15:41>> Um,
- 15:42>> and so I don't know exactly to be
- 15:44honest, but it was a combination of of
- 15:46just all of those things. So Tyler, I
- 15:48spent a lot of time thinking about,
- 15:50reading about, writing about the virtue
- 15:51of hope and um and it's a hard virtue
- 15:55because we have to avoid kind of
- 15:57optimism that is so blind to reality,
- 15:59but also despair that can be very
- 16:01tempting to us. Um what was it like when
- 16:03you were in the midst of all the hardest
- 16:05things when despair might have been a
- 16:06real temptation for you? Um how did you
- 16:09maintain your hope?
- 16:13>> So in a lot of ways I didn't. I think in
- 16:16some ways I resigned myself to the fact
- 16:18that I was going to lose, but I was
- 16:20going to fight to the end anyway. And
- 16:24I was so young and I recognized that I
- 16:26was so young that I felt like it it
- 16:28almost didn't matter. And that what
- 16:30helped me come to that realization was
- 16:32actually my mom. She we she had a
- 16:34conversation with me and she said um you
- 16:37know they're trying to take all of your
- 16:40money. They're trying to bankrupt you.
- 16:41They're trying to bankrupt us. Um, but
- 16:44that doesn't matter because the most
- 16:45important things in your life, they
- 16:47cannot take away. They can't take away
- 16:48your family. They can't take away your
- 16:51education. They can't take away your
- 16:53friends. They can't take away the
- 16:54passion that you have for life. No
- 16:56matter how this ends, you are going to
- 16:58be okay. The most important things in
- 17:00your life, they cannot touch. And that
- 17:03was really empowering to me because I
- 17:05felt like, yeah, I can completely lose
- 17:08>> and that will be okay.
- 17:09>> I can again, I can change fields. I
- 17:13could move to a new country. Before I
- 17:15joined Theronos, I spent a couple months
- 17:18playing guitar on the streets of
- 17:19Ireland. And I was so happy doing that.
- 17:22I thought I can move to Ireland and be a
- 17:25perfectly happy vagabond for the rest of
- 17:27my life if that's how this story ends.
- 17:31>> And and so in a lot of ways, that was
- 17:32very freeing to honestly not even have
- 17:34the hope.
- 17:35>> Just know that the fight was worth it.
- 17:37>> Yeah. And I love that it wasn't hope for
- 17:39an outcome, but hope for a way of being
- 17:41that you want to maintain. You know,
- 17:42this person of real passion, of
- 17:44integrity,
- 17:45>> with friends and family. Um, you
- 17:46actually need to hope for that.
- 17:48>> You can hope for that and you can also
- 17:49control that,
- 17:50>> right? Exactly. Yeah. Exactly. A lot of
- 17:52agency involved in that sort of kind of
- 17:54hope. Yeah.
- 17:54>> You mentioned your parents and so say
- 17:56what about your own childhood and how um
- 17:59growing up shaped your character. Were
- 18:00there moments or people that really
- 18:02formed this sense of integrity and
- 18:05courage in the midst of difficulty?
- 18:07>> Yeah. Yeah. So, going back to my
- 18:08parents, I I I mean, as an adult, I look
- 18:10back and I don't think I recognized it
- 18:12when I was a kid. I mean, how could you?
- 18:13But I really just I did have amazing
- 18:16parents.
- 18:16>> And what I realized what they did was
- 18:18they
- 18:19>> um created their life basically to
- 18:24>> dedicate themselves to raising their
- 18:25children, me and my two siblings.
- 18:27>> Um everything in their life was around
- 18:29what was best for us, the jobs that they
- 18:32chose. Um, like my dad was a high school
- 18:35biology teacher, which meant he had
- 18:36summers off. He got out of school around
- 18:39the same time that we did. So, he was
- 18:40coaching our soccer teams and basketball
- 18:42teams. My mom was a nurse and then
- 18:45became a full-time stay-home mom um, you
- 18:48know, once my brother was born. And, and
- 18:51I really just feel like we had so much
- 18:53attention from them. And they were very
- 18:56intentional about making sure that we
- 18:58had good values as we grew up. And
- 19:02at the time it was could be like
- 19:04nauseating at times, but my my dad would
- 19:06constantly tell us things like, you
- 19:08know, you're the only person who has to
- 19:10live with you for the rest of your life.
- 19:13>> So, you have to make sure you can live
- 19:15with yourself. You have to be able to
- 19:16sleep at night. You have to be able to
- 19:17look yourself in the mirror and be proud
- 19:19of the person that you are. And that
- 19:21message was just reiterated over and
- 19:24over and over. And then we even saw that
- 19:26reflected in the way that my parents
- 19:28behaved as well. One great example is
- 19:31that we used to go to church every
- 19:33Sunday. Um, and then there was some
- 19:35incidents with pedophilia and
- 19:39they that the church had an extra
- 19:41collection at the end of one of their
- 19:43services to pay for the legal fees of a
- 19:46priest who had been accused of
- 19:48pedophilia.
- 19:49>> And my parents just could not believe
- 19:51that the church was collecting money to
- 19:53defend this person. And so they
- 19:54literally stood up and walked out. And I
- 19:58was probably 10 years old at the time,
- 19:59you know. So to me, I I didn't fully
- 20:02grasp the situation. I just thought,
- 20:04"Yes, I don't have to go to church
- 20:05anymore, you know." But really, it
- 20:07really it was a great example for their
- 20:10children because they they were saying,
- 20:11"There's ways to instill values in our
- 20:14family that don't require the
- 20:16institution of a church." And I think
- 20:20that was a powerful message to to to
- 20:23bring to their kids.
- 20:25You are now a dad. You have two
- 20:28[clears throat] kids, uh, two and and
- 20:29three months old. Yeah.
- 20:30>> So, how has your parents example shaped
- 20:33your own sort of role as a father?
- 20:37>> Yeah. I mean, it's it's funny. You don't
- 20:39know what parenthood is going to do to
- 20:41you until you become a parent.
- 20:42>> And what I very very quickly realized is
- 20:45that
- 20:47>> a lot of my life up to that point had
- 20:49been I would create a life that
- 20:52supported the job that I wanted to have.
- 20:53like I really I was dedicated to my
- 20:55startups. I was a founder. And then that
- 20:58changed on a dime. Literally overnight.
- 21:00It became I had this realization that I
- 21:03need to create a life um I need to
- 21:05create a a work life that supports my
- 21:08home life, not the other way around.
- 21:10>> Um and it it really made me think about
- 21:14what my own values are. And the one the
- 21:17thing that I value most in my life is my
- 21:18family. And I realized when my son was
- 21:21born that I could not be the founder
- 21:23that I wanted to be and the father that
- 21:25I wanted to be at the same time. At
- 21:27least not at at this moment in time.
- 21:29People do it. Um but at this moment in
- 21:32time that was not possible. So I made
- 21:34the decision to step away from the
- 21:36startup that I was working on and just
- 21:38be a dad full-time.
- 21:40>> Yeah.
- 21:40>> Um it kind of coincided with the time
- 21:43that Elizabeth and Sunny finally went to
- 21:45prison. And it also coincided with the
- 21:48time that my wife got her first job
- 21:50after being in dental school and
- 21:52residency for and you know until she was
- 21:5531 years old or whatever.
- 21:57>> So it was just a great period of time to
- 21:59um allow my you know so my wife could go
- 22:02pursue her career. I took a step back
- 22:03from the crazy startup world and I just
- 22:06started dedicating myself to being the
- 22:08best dad that I could be and I' I've
- 22:10absolutely loved it. And the initial
- 22:14plan was to probably take three months
- 22:16and then try to go start another
- 22:18startup, join a venture fund, maybe
- 22:20start a fund. And here we are two plus
- 22:22years later. And [laughter] I I I
- 22:25haven't done those things. Um but what I
- 22:28have done is I've I've created um you
- 22:31know a business for myself where I go
- 22:33and speak and it's been an amazing job
- 22:36for me because I'm able to come to
- 22:37places here like Wake Forest and I feel
- 22:39like I can make an incredible impact on
- 22:41your students and on your community
- 22:44>> but then I get to fly home and then when
- 22:45I'm home I'm dad 100%.
- 22:48>> And right now it has just created the
- 22:50best work life balance that I could
- 22:53possibly imagine.
- 22:54>> Yeah. And I think in a lot of ways I get
- 22:57that from my parents. I think my parents
- 22:59did that in a very different way but
- 23:01kind of had that same idea.
- 23:03>> Excellent. Well, you were amazing in our
- 23:04talk here at Wake Forest. I think you
- 23:06really sort of inspired students,
- 23:07faculty and staff here about the
- 23:08importance of courage, commitment in the
- 23:10face of intense pressure. And I want to
- 23:12ask about your your past in a different
- 23:14way. So to choose to blow the whistle at
- 23:17Theronos is a really big decision in a
- 23:19very high stakes, very public setting.
- 23:22Were there smaller decisions in your
- 23:25past where you you really were tested in
- 23:27your character and how did those shape
- 23:28your ability to do this now in this very
- 23:30high-profile moment?
- 23:32>> Yeah, I mean it's a really great point.
- 23:34I think um a great message that I try to
- 23:37give to students is that you can't just
- 23:39walk into Theronos right after
- 23:40graduating college and really expect to
- 23:44be able to [laughter]
- 23:45to confront something like that without
- 23:47any practice. And there are all kinds of
- 23:49moments in our lives where there are
- 23:51challenges to our values. And the first
- 23:54step is to recognize when those values
- 23:56are being challenged. The next step is
- 23:58to act on it. And I I like to say that
- 24:01it's like flexing a muscle. Like it your
- 24:03your ethical impulses are like muscles
- 24:06that you need to work out. You need to
- 24:07identify these situations. You need to
- 24:09flex those muscles. And that's how you
- 24:11grow as a person. And how you grow that
- 24:13muscle. Then when the big one comes,
- 24:15when the Theronos event type comes, I
- 24:17think you're much more prepared. You
- 24:19understand yourself and and what you're
- 24:21capable of. You have trust and
- 24:23confidence in yourself. You know who
- 24:24your support network is.
- 24:26>> And um you know how to relieve stress in
- 24:28your own life. And you need the practice
- 24:32in order to figure out what those things
- 24:33are. And there are a few moments in my
- 24:36in my past that helped me kind of flex
- 24:38that muscle. Um I don't necessarily
- 24:41speak about them all publicly. Maybe
- 24:42someday I will, but know that they they
- 24:45do exist. And a lot of that again comes
- 24:48from I think starting with my parents.
- 24:49Like when I was a kid, my my parents
- 24:51would be able to identify those types of
- 24:53situations and talk about them with
- 24:55their children. And so that's something
- 24:57that I will hope to do as a parent even
- 24:59though it's can be very hard to do.
- 25:02>> Well, it's easy especially in uh the
- 25:05academy to focus on these big ethical
- 25:06moments, these big decisions and reduce
- 25:08ethics to those really extraordinary
- 25:10cases. But I think what what you're
- 25:12saying now is that these moments also
- 25:13happen in much more mundane ways,
- 25:15perhaps even daily in certain ways. So
- 25:18in your experience as a leader at
- 25:19Theronos or um in your own companies,
- 25:22how have you seen ethical dilemmas arise
- 25:25daily and how do you respond to those in
- 25:26your own role?
- 25:27>> So I would say especially as a founder
- 25:29of a startup, you are faced with ethical
- 25:31dilemmas daily. There is always pressure
- 25:35to exaggerate, to cut corners. Um, and
- 25:39it can be really hard to resist that
- 25:42pressure. Sometimes it feels like
- 25:43everybody else is doing it. It's it's
- 25:46the only way. It's it's the formula for
- 25:50success. And one manifestation of this
- 25:53would be this this idea of faking it
- 25:54till you make it in startups.
- 25:57>> And I think that that concept has gotten
- 26:00really out of hand. And this is a bit
- 26:03maybe a bit of a longer answer than you
- 26:05intended for, but that phrase fake it
- 26:07till you make it really became popular
- 26:10when Dropbox launched this very
- 26:12convincing demonstration of what Dropbox
- 26:15would be on YouTube.
- 26:17>> And they got tens of thousands of people
- 26:19to sign up for their weight list who
- 26:21thought, "Oh, this product looks
- 26:22amazing. I would love to buy it." And
- 26:24Dropbox took that weight list and they
- 26:26went to venture capital firms and said,
- 26:27"Look at all the people who want to buy
- 26:29our product. All we need is money to
- 26:31build it. They got the VC investment.
- 26:33They built the product. They sold it to
- 26:35everybody on the wait list. The rest is
- 26:38history. I see what they did as really
- 26:40good market diligence. They really found
- 26:44made sure that they had a product market
- 26:46fit before they raised money, before
- 26:47they built the product.
- 26:49>> Um because they were a startup with
- 26:50constrained resources.
- 26:52>> But what they didn't do was they didn't
- 26:53sell a product that didn't work. They
- 26:55didn't pre pretend it worked when it
- 26:57didn't. They didn't take anybody's money
- 26:59under false pretenses. And that concept
- 27:02I think has been completely manipulated
- 27:05into pretend it works when it doesn't,
- 27:07which is exactly what Theronos did. They
- 27:09pretended it worked when it did not.
- 27:11Another great example would be Nicola,
- 27:13which had they were developing
- 27:15hydrogen-powered cars and they had this
- 27:17very convincing video that looked like
- 27:19the car was driving under its own power,
- 27:21but in reality it was rolling downhill
- 27:23and then they just tilted the frame so
- 27:25that it looked like it was driving. And
- 27:27they they raised billions of dollars in
- 27:30in a spack um in part due to marketing
- 27:34PS like this video. And really the
- 27:36technology just didn't work. Mhm.
- 27:38>> And to me that is not the same type of
- 27:40fake it till you make it that Dropbox
- 27:43deployed. But those those are the types
- 27:45of
- 27:47situations that founders feel like
- 27:49they're always faced with. Another I
- 27:51think a an example that every founder is
- 27:54faced with is just creating your revenue
- 27:56projection slide. And everyone
- 27:58[clears throat] feels like they need to
- 27:59exaggerate these revenue projections.
- 28:01And you'll get a lot of bad advice from
- 28:04um adviserss who will say you need to
- 28:06show $500 million of revenue in less
- 28:08than five years. And it just becomes
- 28:11this I think a a terrible way to start a
- 28:15relationship between a founder and a
- 28:16venture capital firm where everybody
- 28:18knows that this slide is made up
- 28:21>> and the the VC firms will even tell
- 28:24founders like you know we're going to
- 28:25half or more than half this number in
- 28:27our mind so you need to double it or
- 28:30more than double it. your job as a CEO
- 28:32is to be optimistic. And I would always
- 28:34push back on that type of of rhetoric
- 28:37and that type of advice and say my job
- 28:38as a CEO is not to be optimistic.
- 28:41Anybody can be optimistic. My job is to
- 28:43see around corners, predict problems,
- 28:45and try to solve those problems before
- 28:48they become, you know, potential issues
- 28:50that could destroy my company. That's
- 28:51what a good CEO should be doing. Um, but
- 28:54unfortunately I I think you know you
- 28:57start with founders who start
- 28:58exaggerating about revenue projections
- 29:01and then they're not clear where that
- 29:02line is and then they take it too far.
- 29:05>> Well, Elizabeth Holmes took it too far
- 29:07and she faked it and made it for a while
- 29:09but then ultimately didn't make it. So
- 29:11she's now serving 11 years in prison for
- 29:13the fraud that she was convicted of. And
- 29:15so tell us more about Elizabeth. How did
- 29:17you come to meet Elizabeth? And what was
- 29:18your first impression of her? So I met
- 29:21Elizabeth in my grandfather's living
- 29:23room. So I was a junior at Stanford at
- 29:25the time and my grandfather was part of
- 29:27of a think tank that was on campus. So
- 29:30he lived and worked on campus when I was
- 29:32there. And one day I got a phone call
- 29:34from him and he just said, "I'm having
- 29:36this brilliant woman come over come over
- 29:38to my house. I think you would learn a
- 29:39lot if you came over and listened in on
- 29:41the discussion." So, I biked over to his
- 29:44house and that's where I met Elizabeth
- 29:47and she was wearing her all black
- 29:48outfit, the black turtleneck, very
- 29:51intentionally modeled after Steve Jobs.
- 29:53I heard her very deep, monotone,
- 29:56hypnotic voice, saw the unblinking,
- 29:58piercing blue eyes, and that's where I
- 30:01heard her lay out her vision for
- 30:03Theronos for the first time. Um,
- 30:07a little interesting detail is that
- 30:09Diane Feinstein was also there, senator
- 30:11from California. And what's interesting
- 30:14about that is after this meeting,
- 30:16obviously my grandfather and I were very
- 30:18captured by this vision and by
- 30:20Elizabeth's story. As far as I know,
- 30:22Diane Feinstein had nothing to do with
- 30:24her ever again. So, [laughter] I would
- 30:26love to know what did Diane Feinstein
- 30:29see in that first meeting that my
- 30:30grandfather and I did not.
- 30:32>> What made her so convincing? I mean, she
- 30:34was able to convince secretaries of
- 30:35state, um, military leaders, famous
- 30:38business leaders to join and invest in
- 30:40Theronos. How did she do it?
- 30:43>> It's really hard to describe now just
- 30:47how charismatic she was, just how good
- 30:49she was at doing this. She just had so
- 30:52much credibility. Her words carried so
- 30:54much weight. When she walked into a room
- 30:56and started speaking, everyone would
- 30:58stop talking to listen to what Elizabeth
- 31:00had to say. Employees just wanted to
- 31:03please her. They wanted to be near her.
- 31:04She had this
- 31:05>> People talk about how Steve Jobs had
- 31:07this reality distortion field. Elizabeth
- 31:09absolutely had that. She was just so
- 31:12good at being able to tell you exactly
- 31:15what you needed to hear for you to do
- 31:18what Elizabeth wanted you to do. Um,
- 31:21and
- 31:25there's just it's impossible to describe
- 31:27just how good she was. Like I I say that
- 31:29founders need to be really good at
- 31:31telling stories.
- 31:33But Elizabeth took it a step further.
- 31:35She didn't just tell the stories, she
- 31:37wrote the stories. She would recreate
- 31:40her own life to support her narrative.
- 31:43The black turtlenecks, you know, is the
- 31:45the the
- 31:46>> the most glaring example,
- 31:49>> but there are others like when Elizabeth
- 31:52first launched the product, they had
- 31:53this reporter come do a big story on
- 31:56Elizabeth and Theronos and they
- 31:58interviewed her parents and her brother.
- 32:00And as part of this, they Elizabeth
- 32:02showed the reporter her apartment in
- 32:06PaloAlto. And what she showed the
- 32:07reporter was like a twobedroom apartment
- 32:10with just a mattress and Evian water
- 32:12bottles in the fridge and a closet full
- 32:15of black turtlenecks. And the reporter
- 32:18wrote this story about how she lived an
- 32:19incredibly austere life. She had this
- 32:21monklike devotion to Theronos.
- 32:25And that apartment was completely
- 32:27staged. In reality, she was living in a
- 32:30mansion in Athetherton with her
- 32:32boyfriend who was also the investor and
- 32:35COO of the company, right? So, she would
- 32:38create these worlds that people just
- 32:40wanted to be true. People, she knew the
- 32:43story that people wanted to believe and
- 32:46she just served it up on a platter for
- 32:48us to consume.
- 32:49>> Wow.
- 32:50>> And she was a master at it.
- 32:52>> And she's doing it again with her whole
- 32:54rebrand. She's not Elizabeth anymore.
- 32:56She's Liz with her two kids and she
- 32:58poses with those kids in magazine and
- 33:01newspaper shoots and she's on the cover
- 33:04of People magazine even from prison
- 33:05somehow. Um she's trying to relaunch
- 33:10Theronos 2.0 basically called Hanthus
- 33:12through her husband and
- 33:16unfortunately I think she's so good at
- 33:18this that she probably will have a
- 33:20second act
- 33:21>> and she probably will do it somewhat
- 33:23successfully.
- 33:25What motivates her?
- 33:28>> I believe that at least when she started
- 33:31Theronos, she was not motivated by a
- 33:33true desire to help patients. I think
- 33:35she's obviously proven that that she
- 33:36didn't care about patients health. But I
- 33:38also don't think that she started
- 33:40Theronos wanting to commit a, you know,
- 33:43billion-dollar fraud. I think that she
- 33:46just really really wanted to be famous.
- 33:48>> She wanted to be the youngest self-made
- 33:50female billionaire. She wanted to be the
- 33:52female Steve Jobs. She wanted to fly on
- 33:55private jets with Mark Zuckerberg. She
- 33:57wanted to be part of the president's
- 33:58advisory council. She wanted to be on
- 34:00the cover of Forbes and Fortune and Inc.
- 34:03magazines. And she achieved all those
- 34:05things and then just didn't necessarily
- 34:09have an exit strategy. But I think that
- 34:12her primary driver was to be famous. And
- 34:16one really frustrating thing about that
- 34:18is again even from prison she was on the
- 34:21cover of People magazine just a few
- 34:23months ago and so even from prison we're
- 34:26continuing to give her exactly what she
- 34:29wants.
- 34:30>> Interesting.
- 34:32>> What about our culture now makes fame so
- 34:36seductive? U I mean we have we see
- 34:38people trying to be influencers and
- 34:40getting as many followers as possible to
- 34:41build their brands. Um, how should we
- 34:44think about fame in our current culture?
- 34:48>> Yeah, I think it can be a really
- 34:50dangerous thing because I think there's
- 34:52a maybe not a lot of people exactly like
- 34:54Elizabeth, but a lot of people who have
- 34:55that drive to be famous, not necessarily
- 34:59to create something positive in the
- 35:02world. They just want attention. And the
- 35:05really unfortunate thing is that the
- 35:06easiest way to get attention is by just
- 35:09saying really divisive things on social
- 35:11media. And so I think people are able to
- 35:13get a lot of followers and fame just by
- 35:17being these loud voices on the internet.
- 35:20And I I think it's a terrible terrible
- 35:23thing for for our society honestly.
- 35:26>> Yeah.
- 35:27>> Well, we think a lot about leadership on
- 35:29this podcast. And so I want to ask you
- 35:31about leadership and character. I know
- 35:33you learned a lot about leadership in
- 35:35these last few years from your
- 35:36experiences, from your own experience as
- 35:37a leader about what to do and also what
- 35:39not to do. Mhm.
- 35:40>> And so what are some lessons that you've
- 35:42taken away from your experiences?
- 35:44>> So I think a big one is just around
- 35:46culture building in your organizations
- 35:48and I think in a odd way Elizabeth and
- 35:52Sunny did an amazing job of building a
- 35:55culture at Therronos albeit a very
- 35:58misguided one. But they knew the type of
- 36:01culture they wanted to build and they
- 36:02were incredibly intentional about
- 36:04building that culture for a very long
- 36:06time. They wanted people to be afraid of
- 36:09them. They wanted no one to be willing
- 36:10to stand up for to them. And so over a
- 36:13period of 10 years, they took every
- 36:15single opportunity to reinforce that
- 36:17culture. We had overbearing NDAs. We
- 36:21were not allowed to say that we even
- 36:23worked at the company on LinkedIn. We
- 36:26were told not to talk to colleagues
- 36:28about work. There were barricades. There
- 36:30were locked doors. Um,
- 36:33and whenever anyone spoke up, they would
- 36:36be fired. And then after they were
- 36:38fired, sometimes they would be sued. And
- 36:40when they sued employees, they would
- 36:42even send out companywide emails about
- 36:43it where if you read between the lines,
- 36:45what they're saying is, "We will sue you
- 36:47too if you get in our way. We will
- 36:49destroy your life."
- 36:51>> And so people would stop speaking up,
- 36:53who's going to speak up? Nothing good
- 36:55comes. They see the feedback loops. They
- 36:57see it's not good for the person who
- 36:58speaks up. It doesn't benefit their
- 37:00colleagues. It doesn't benefit the
- 37:02patients. It's not good for anybody. So
- 37:04no one speaks up. And instead the people
- 37:06who would want to speak up instead just
- 37:08quietly leave. And some people were even
- 37:11afraid to leave. I
- 37:12>> had a close colleague who was afraid to
- 37:15give notice. So he bought a house in a
- 37:17different state, came in on a Friday,
- 37:20did a full day's work, left his badge on
- 37:22his desk, walked out the door, and by
- 37:24Monday morning he was in another state,
- 37:26living in his new house, didn't give a
- 37:28single day's notice. He was just gone.
- 37:30>> Wow. Um, and so when people do that, the
- 37:33type of people who are left are the
- 37:35people who will just go along with
- 37:36whatever they're asked to do. And there
- 37:39are all kinds of justifications. And I I
- 37:41genuinely don't think I've worked with
- 37:42bad people. I think my colleagues at
- 37:44Theronos were, you know, they were
- 37:46funny. They were kind. They were ethical
- 37:49people. There were people I I would
- 37:51consider my friends, but every day they
- 37:53were just put in situations where they
- 37:55had to compromise their values. And they
- 37:57got in the habit of doing that. And in a
- 38:00lot of ways, it felt like the Mgrim
- 38:02experiment. And I even gave that exact
- 38:04analogy to my grandfather once and said,
- 38:06"It feels like I'm part of the Mgrim
- 38:07experiment. I'm pushing this button and
- 38:09I hear somebody scream and there's an
- 38:12authority figure that's just telling me
- 38:13to keep pushing the button and I can't
- 38:15do it anymore."
- 38:16>> And when you look at that experiment, I
- 38:18don't think you would say that people
- 38:19who were pushing that button were
- 38:20actually bad, immoral people, right?
- 38:23They were just put in a bad situation
- 38:24and maybe they didn't know better. But
- 38:26to break out of that Mgrim type of
- 38:28experiment is actually very very hard to
- 38:31do. Um and that's the culture that
- 38:33Elizabeth and Sunny built very
- 38:35intentionally over a very long period of
- 38:37time.
- 38:38>> So what I hope companies and leaders do
- 38:40is to be thoughtful about the types of
- 38:42cultures they want to build and be very
- 38:46intentional about that culture and know
- 38:47that it will take a long time and a lot
- 38:49of reinforcement just like it is with a
- 38:52parent and a child. [laughter]
- 38:55Well, you you've parented both children
- 38:56and companies and so how have you done
- 38:58that in your own your own work? How have
- 39:00you built a positive culture?
- 39:01>> Yeah, I think the the best way I mean it
- 39:04really comes down to it. Transparency
- 39:06and humility I think are two big big big
- 39:09ones. Transparency to me means people
- 39:13within your organization understand why
- 39:14you're making the decisions that you're
- 39:16that you're making and and that helps
- 39:19keep everybody aligned. Um, I also
- 39:23always wanted anyone to be able to feel
- 39:25like they could disagree with me. That
- 39:27is what I really think of as
- 39:29transparency is people feel free to
- 39:31actually speak their mind. And it's
- 39:33really hard to build a culture to do
- 39:34that. And of course, it's easy to say
- 39:36like, yes, of course, we want a culture
- 39:38where people can have passionate debates
- 39:40and and all of that, but it's actually
- 39:42really hard to build that culture. And
- 39:44it's important to create positive
- 39:46feedback loops around that. And one
- 39:48thing that I found to be very useful is
- 39:50even when you're having an argument and
- 39:52especially in the scientific field like
- 39:54passionate scientists will argue all the
- 39:57time and it's a very healthy thing to do
- 40:00and at the end of those arguments you
- 40:01have to be able to take a step back and
- 40:03say we're on the same team.
- 40:06>> I really like you as a person. You know
- 40:08it we're arguing and we're fighting
- 40:10maybe and so maybe it doesn't feel good
- 40:12in this moment but we're still friends.
- 40:14We're still colleagues. we're on the
- 40:15same team and it's actually a really
- 40:16healthy thing that we're debating this
- 40:18and we can actually come up with a
- 40:20solution. Luckily, where in the field
- 40:22I've been working in, you can usually
- 40:23design an experiment and figure out
- 40:25whether A is happening or B is happening
- 40:27and turns out most of the time you'll
- 40:29both be wrong and everyone will learn
- 40:30something new and then you can continue
- 40:32to move forward. So being able to to
- 40:36build that type of transparency I think
- 40:37is just so crucial and it's in the way
- 40:41it's easier to do at a small startup
- 40:43because as a founder you have an outside
- 40:47a hugely outsized influence over that
- 40:50culture.
- 40:51>> But as the company scales
- 40:53>> and honestly I don't have a lot of
- 40:54experience doing this myself but as a
- 40:56company scales it becomes much harder
- 40:58when it's no longer necessarily just the
- 41:00founder setting the culture. It's all
- 41:02the people that they they've hired and
- 41:04all the people that they manage. But I
- 41:06still think as long as possible, you
- 41:08should have a culture where any employee
- 41:10at the company should feel confident or
- 41:13comfortable walking into the office of
- 41:15the CEO and saying, "I have something
- 41:18you really need to hear." Of course, you
- 41:20need like chain of command and all that.
- 41:22You can't have every single employee
- 41:23walking to your office every single day.
- 41:25But in those specific moments, if
- 41:28there's an employee who thinks the CEO
- 41:30needs to know this, they should feel
- 41:32like they should be able to walk into
- 41:33that person's office and tell them.
- 41:35>> Yeah. In your book, you talk about a
- 41:37great moment where happened to you where
- 41:38a student you're working with looked at
- 41:40one of your ideas, said I don't think
- 41:42that'll work actually. And so I love
- 41:44that you were kind of modeling that even
- 41:45in your own book.
- 41:46>> Oh yeah. I I'm and that kind of comes
- 41:49down to the humility part is you always
- 41:51need to be willing to admit that you're
- 41:53wrong about something which I think is
- 41:54very hard for a lot of leaders to do
- 41:57>> and you actually see this over and over
- 41:58again in the Theronos story where either
- 42:01Theronos or like Walgreens for instance
- 42:04hired a laboratory expert to go do
- 42:06diligence on Theronos. The expert was
- 42:09not shown anything that they needed to
- 42:10see. So they went back to Walgreens and
- 42:12said you should definitely not do a deal
- 42:14with this company. And they ignored that
- 42:16person.
- 42:17They didn't have the humility to say,
- 42:19>> "Well, we've gone through a hiring
- 42:22process and we've hired this consultant
- 42:24to go do diligence. Now, we should
- 42:26listen to that person." Instead, they
- 42:28thought, you know, we're a multi-billion
- 42:29dollar company. We know better than this
- 42:32guy. We know what's better for our
- 42:33business than some laboratory
- 42:35consultant, right?
- 42:36>> Wow.
- 42:37>> And I really think that again just comes
- 42:39down to humility. You have to be able to
- 42:40recognize that you're not the expert in
- 42:42everything. And the best you can do is
- 42:45to hire the experts that you need and
- 42:47then listen to them and admit that
- 42:48you're wrong and be willing to change
- 42:49your mind.
- 42:51>> You mentioned hiring. So when you think
- 42:52about hiring people for your companies,
- 42:54what do you look for? Are there certain
- 42:56skills or virtues or traits that you
- 42:58want to find in new employees?
- 43:01>> Yeah. So the thing that I really like to
- 43:05look for is um in a way someone who
- 43:09reflects a lot of the values that I have
- 43:11and it's good to find someone with
- 43:12complimentary skill sets but with um
- 43:15maybe similar values. So find people who
- 43:18are their skills are they complement
- 43:20you. They can do things that you can't
- 43:22do but you have that those same values.
- 43:25And so how you tease those out can be a
- 43:27little bit challenging. But for me, one
- 43:29of my personal values is curiosity. Like
- 43:31I'm a very curious person and I love
- 43:33pursuing curiosities. Like when I was a
- 43:36an undergrad at Stanford, I was a
- 43:38mechanical engineer until I was a senior
- 43:40and then I switched my major to biology.
- 43:42I took all kinds of classes in computer
- 43:44science and I took biochemistry classes
- 43:46and I took I actually had a minor in
- 43:49math for a brief second and then I had
- 43:51to switch one of my math classes to
- 43:53count towards my biology degree. But
- 43:55basically, I would be interested in
- 43:56something and I would just go try to
- 43:58learn it. I would just go head first.
- 44:00And I've done that all throughout my
- 44:02professional career as well. And it's a
- 44:04great way to learn new skill, new
- 44:06skills. And I really like working with
- 44:08people who have that same type of
- 44:10mentality. So, if I'm interviewing
- 44:13somebody, one thing that I I like to
- 44:15learn about is a time that they've gone
- 44:18and learned something that was
- 44:19completely outside their skill set or
- 44:21they got really really into something
- 44:22that is maybe completely unrelated to
- 44:26>> uh what you're working on. Uh, a great
- 44:28example is I actually worked for a brief
- 44:30period of time at RO,
- 44:32>> very big biotech company and we were
- 44:34hiring for our team and there was a a
- 44:38man who came in who didn't have very
- 44:40much biochemistry experience at all, but
- 44:43you could tell that he wanted to learn
- 44:45so badly and he was previously like a
- 44:48lifeguard. and he talked about the
- 44:50methodology that went into the way that
- 44:52he put chlorine in the pool and
- 44:54perfectly balanced the pH and he just
- 44:56got so into it and so scientific about
- 44:58it that you could tell like this guy
- 45:00would be a great chemist
- 45:03>> and so if you're willing to mentor
- 45:04someone like that
- 45:06>> um they can become a great employee.
- 45:09>> So I want to ask about transparency
- 45:10Tyler you mentioned that as a kind of
- 45:11key value of yours which you've learned
- 45:13pretty fundamentally in your time at
- 45:15Therronos. Um, and I know in the startup
- 45:18world there's often this view that you
- 45:19can't to be too transparent for you
- 45:21might share your secrets and others
- 45:23might get your ideas and take them or
- 45:25use them. And so how do you balance
- 45:27questions about when and how to be
- 45:29transparent in the midst of that threat
- 45:31out there? And I know their notes went
- 45:33to the extreme on hiding their own
- 45:35secrets. How do you make the right
- 45:36decisions around transparency?
- 45:39>> Yeah, it's it's really really tough. And
- 45:42again, that's I mean, that's a true like
- 45:43ethical dilemma when one of your values
- 45:45is transparency, but then you're faced
- 45:47with a situation where that could
- 45:49actually hurt you. And that can happen a
- 45:51lot at companies and in startups. And
- 45:53it's good to to think about those
- 45:55situations ahead of time before they
- 45:57happen so you know actually how you will
- 46:00behave. And I actually think back to one
- 46:02of the excuses Elizabeth gave about
- 46:04being so secretive was that she said
- 46:07there were Chinese spies in Silicon
- 46:08Valley trying to steal the technology.
- 46:10Mhm.
- 46:11>> And there was a time when I thought that
- 46:12was, you know, completely made up. It
- 46:14was just a justification.
- 46:16And then actually a Chinese company did
- 46:19steal the technology of my first
- 46:21company, Flux Biosciences.
- 46:23>> Wow.
- 46:23>> And it was a little bit bittersweet
- 46:25because they published some papers out
- 46:27of China that was a complete replication
- 46:29of our technology and the data looked
- 46:31amazing, right? [laughter] So in a way
- 46:33it was validation that what we were
- 46:35doing
- 46:36>> um you know was legit but at the same
- 46:38time it became an impossible narrative
- 46:40to tell investors when they would ask
- 46:42what are you going to do about this
- 46:43company in China that has exactly
- 46:45replicated the thing you were building
- 46:47right so there's truth to that you can't
- 46:49be too transparent because people will
- 46:51steal your technology and in somewhere
- 46:53like China it can be really hard to
- 46:55enforce that especially as a small
- 46:57startup maybe Apple can enforce it
- 46:59>> but you know someone with a seed round
- 47:00is not going to be able to enforce that
- 47:02>> and So, when the investors ask what
- 47:04you're going to do, do you want to say
- 47:06I'm going to spend your money on
- 47:07lawsuits to prevent this company from
- 47:10stealing our our technology, or are you
- 47:12going to say we're going to let it go?
- 47:15>> Neither answer is very good. So, you do
- 47:17actually I I've learned that you do have
- 47:19to be a little bit careful about the
- 47:21technology that you're building. But
- 47:23where I think it really crossed a line
- 47:24at Theronos was where it prevented
- 47:27colleagues from collaborating. Like the
- 47:30person in the first lab that I joined,
- 47:33we just developed antibodies for the
- 47:34tests
- 47:35>> and no no not a single person I worked
- 47:38with ever saw the product we were
- 47:40working on. So the people who had
- 47:41developed the antibodies would pass
- 47:43these antibodies off and they would
- 47:45never speak to the people who then
- 47:46developed the tests using those
- 47:48antibodies. then they would pass it off
- 47:50and they would never speak to the person
- 47:52who validated that test and then they
- 47:54would pass it off and they would never
- 47:55speak to the person who ramped up that
- 47:58test for production to test real
- 48:00patients. Then they would pass it off
- 48:02and they would never test to they would
- 48:04never talk to the laboratory technician
- 48:06that actually tested the real patients.
- 48:08And when you have intentional blocks to
- 48:10communication at every single one of
- 48:12those steps, it's going to fail. there's
- 48:15no way that this is going to work if you
- 48:17don't allow these scientists to
- 48:19collaborate and debug things. Um, it's
- 48:22just it's it's an impossible way to do
- 48:25science and I think it's an an
- 48:27impossible way to conduct business in in
- 48:30non-scientific areas as well.
- 48:33>> Well, you're a person of tremendous
- 48:35integrity and wisdom. Um, how do you
- 48:38stay true to who you are? How do you
- 48:40maintain your character in the midst of
- 48:42your daily life?
- 48:47I think a big part of it is just by
- 48:49surrounding myself with people who know
- 48:52who I am and who value who I am. So I
- 48:54don't often feel pressures to change the
- 48:57person that I am. And that really helps
- 48:59me stay true to myself and a lot of
- 49:02credit I have to give to my wife for
- 49:04that. You know, we have very
- 49:04complimentary values. She's very
- 49:06supportive of uh the type of work that I
- 49:09do. She's very supportive of me, wanting
- 49:11to be home with my family as much as I
- 49:13possibly can be. Um, and that that
- 49:16extends to to your friends as well, just
- 49:18surrounding yourself with like-minded
- 49:20people who necessarily don't do the
- 49:22same, just like when you're hiring
- 49:24people who may not necessarily do the
- 49:26same types of things that you do, but
- 49:27value the same things that you do.
- 49:29>> Were your friends surprised to know that
- 49:30you were the therronos whistleblower?
- 49:34>> So, I would say that they were shocked,
- 49:36but not surprised. M
- 49:38>> there was certainly shock value in
- 49:40opening that newspaper and seeing that I
- 49:43was a Thanos whistleblower because I
- 49:44told nobody. I was so secretive. I
- 49:47didn't tell my housemates. I didn't even
- 49:48tell my girlfriend at the time that this
- 49:51was going on. Um I didn't tell her until
- 49:53right before the Wall Street Journal
- 49:55published that I was a whistleblower.
- 49:58>> Um so my friends were shocked to read
- 50:01that, but at the same time I don't think
- 50:03they were surprised because they knew
- 50:05the type of person that I was. They they
- 50:07knew that I had behaved similarly in
- 50:10other situations in the past and they
- 50:13all just celebrated me. They were all so
- 50:15happy for me. They were so proud of me.
- 50:17I remember that first day after I went
- 50:19on the record, I came home uh to the
- 50:21house that I was renting with like six
- 50:23friends and they just thrown a big party
- 50:25for me and we popped champagne and at
- 50:28the same time I was getting this
- 50:30outpouring of support from the general
- 50:33community. LinkedIn messages, text
- 50:35messages, emails. I was just I was just
- 50:38completely supported
- 50:39>> when I came out as a whistleblower. I
- 50:41>> think that support is so valuable to
- 50:43this work.
- 50:44>> Yes. And I certainly don't take it for
- 50:46granted. I know that most
- 50:47whistleblowers, you know, their stories
- 50:49do not end as happy as mine has. Um so
- 50:52I'm just I'm very grateful that that
- 50:54things really have worked out for me.
- 50:56>> And it seemed like it was very lonely
- 50:58when it was happening. I mean, you were
- 50:59really talking about you couldn't tell
- 51:01anybody uh about this happening. You
- 51:03only your lawyers, not even your parents
- 51:04for a while, you couldn't tell. So, how
- 51:06do you think about the time of sort of
- 51:08that real sort of constraint um with
- 51:10this moments now of really being able to
- 51:12live a life where you can be open um
- 51:14with your friends and family?
- 51:16>> Oh, yeah. I mean, trying to just holding
- 51:18this in as a secret for so long was one
- 51:20of the hardest things that I ever did in
- 51:22my life.
- 51:23>> And I think maybe that's part of the
- 51:25reason why I'm speaking so much about it
- 51:26now is that years later, I still have
- 51:28all these this pent up uh almost like
- 51:31emotion and and stories. And it's just
- 51:33it feels so good to be able to talk
- 51:35about it. But to really illustrate how
- 51:37closed off I was, I blocked every single
- 51:40number in my phone because I was afraid
- 51:43that someone would text me, "Oh, I
- 51:45remember you telling me XYZ about
- 51:47Theronos when you worked there."
- 51:49>> And this is when Theronos was
- 51:50threatening to sue me and I thought
- 51:52something like that could, you know,
- 51:54maybe cause huge problems for me. So I
- 51:56blocked every single number in my phone
- 51:58book. I only communicated over Snapchat.
- 52:00I pretty much fell off the face of the
- 52:02earth to most of my friends. Nobody knew
- 52:05where I was, what I was doing because I
- 52:07was so stressed that a simple question
- 52:10like, "Hey, how are you doing? What what
- 52:12did you do today?" I didn't know how to
- 52:14answer that question because the answer
- 52:16was I was up in San Francisco with my
- 52:18lawyers, you know, trying to negotiate
- 52:21my way out of this crisis all day every
- 52:24day for like four months and I couldn't
- 52:26tell anyone that. And so [clears throat]
- 52:28I'd have to lie. I would have to say,
- 52:29"Oh, I was, you know, in lab at on
- 52:31campus or and I just hated having to do
- 52:34that." So, I just really cut myself off
- 52:36from the world.
- 52:38Um, but to get find some companionship,
- 52:41I did end up dating a woman that I met
- 52:43on Tinder
- 52:44>> and she was a bioengineering student at
- 52:48PhD student actually at Stanford. And
- 52:50so, when the Wall Street Journal started
- 52:52publishing about this, this was big news
- 52:54in the bioengineering world at Stanford.
- 52:56So she and all of her friends were
- 52:59constantly talking about me in front of
- 53:01me without having any idea that they
- 53:03were talking about me.
- 53:04>> Wow.
- 53:05>> So I really felt like a fly on the wall
- 53:08of my own life.
- 53:10>> And the only way I could get relief from
- 53:13that was to finally go on the record.
- 53:15Like the only way for me to to safely
- 53:17tell my friends and my girlfriend about
- 53:20what was going on was to tell the whole
- 53:21world.
- 53:23>> And you did and very bravely. So, thank
- 53:25you for doing that.
- 53:26>> Thanks. So, Tyler, you tell the story a
- 53:29lot. You speak now publicly about your
- 53:31experience at Theronos. What is it like
- 53:33though to talk about a story that was so
- 53:35difficult and so traumatic for you
- 53:37personally and do it over and over
- 53:39again? How does that feel for you?
- 53:41>> Yeah. So, I'm actually really glad that
- 53:43I've been able to take time, this period
- 53:46of time in my life to dedicate myself to
- 53:49do this because I had obviously been
- 53:51speaking for a while now, but I've been,
- 53:53it wasn't my focus. my focus was on my
- 53:55startups and this was something I would
- 53:56occasionally do on the side. And I
- 53:58really like that I've now now that
- 53:59Elizabeth and Sunny are in prison that I
- 54:02can be a little bit more reflective on
- 54:03these experiences that I've set aside
- 54:05time just to dedicate to doing this. And
- 54:08I found it to be very rewarding because
- 54:10it was by far the most negative
- 54:13experience of my life.
- 54:15>> But when I do things like this, it helps
- 54:17turn it into a positive experience.
- 54:20>> And I find that to be incredibly
- 54:22rewarding. uh just personally
- 54:25and what it's like to retell the stories
- 54:27over and over. It's actually different
- 54:30every time. Um sometimes it feels like
- 54:33I'm reading it out of a book. And
- 54:35sometimes I feel like I'm back in that
- 54:37moment.
- 54:39>> And when I get up and start talking, I
- 54:41never know which one it's going to be.
- 54:43>> And sometimes it's harder to tell the
- 54:46story than other times. And when I start
- 54:49having that feeling, I change the types
- 54:50of stories that I might tell. Um, so I
- 54:54found that every event ends up being a
- 54:56little bit different.
- 54:57>> Well, there's so much we could talk
- 54:58about, Tyler. Um, but I think your
- 55:01experience is so rich with so much
- 55:02insight and and wisdom. And so given
- 55:05your experiences, um, at their notes and
- 55:07beyond, what advice would you have for
- 55:09young people who maybe in your same
- 55:11shoes when you were looking for
- 55:12internships or looking for new jobs in
- 55:14your 20s
- 55:16>> uh, about starting their careers and
- 55:17what should they be looking for in a job
- 55:20and looking out for in a new job? Yeah.
- 55:22Well, first of all, I would just say
- 55:25pursue your curiosities. And sometimes
- 55:28that can be hard to do. You feel like
- 55:30you've made a decision and you're stuck
- 55:31with it. Like maybe you've committed to
- 55:33being a premed major or something like
- 55:34that and you realize I don't want to be
- 55:36a doctor for the rest of my life. Now is
- 55:38the time to to make that change. Um just
- 55:41like when
- 55:44uh Sunny called me arrogant, ignorant,
- 55:46patronizing, reckless, like I think
- 55:49students, young people are in this
- 55:51amazing part of their life right now
- 55:54where they can take the opportunity to
- 55:56speak truth to power, to start a
- 55:58company, to change their majors, to
- 55:59change their field. So my number one
- 56:01piece of advice would be to take this
- 56:03opportunity, pursue your curiosities,
- 56:05find what you love doing because I
- 56:07really believe that competency follows
- 56:09curiosity. So that's my number one piece
- 56:11of advice. And then as far as finding a
- 56:13place to work and interviewing,
- 56:15something that I would really recommend
- 56:17doing, which might take a little bit of
- 56:18courage to do, but when you have the
- 56:20opportunity to ask your interviewer a
- 56:22question, you should ask them, "What are
- 56:24the core values of this company?" And if
- 56:26they don't know, I think that's a really
- 56:28big red flag. They should there should
- 56:30be like three or four core values that
- 56:32every single employee at a at a company
- 56:35should know and they should tell you
- 56:37what's important to that company and it
- 56:39should be a framework on how to make
- 56:40decisions and if they don't have that I
- 56:42I think that's a big red flag. I
- 56:45personally
- 56:47am also very very wary of stealth mode
- 56:49startups in general. Like I maybe it's
- 56:53just my personality. I need to be able
- 56:55to talk about what I'm doing. If I have
- 56:57to feel like I'm working at the CIA, I
- 57:00don't want to work there. If I can't
- 57:01tell my wife about what I'm doing, I
- 57:02don't want to work there. And I think it
- 57:06comes back to this kind of issue with
- 57:08transparency. stealth mode startups say
- 57:11that they don't want someone to steal
- 57:12their technology, but I think that there
- 57:14are other ways to defend it
- 57:16>> and sometimes they take the stealth mode
- 57:19a little bit too far and it can really
- 57:21be a way of of hiding other things.
- 57:25>> Well, in the spirit of your advice, what
- 57:27are your three core values? [laughter]
- 57:29>> Uh, family, curiosity, and authenticity.
- 57:33And I try as best I can to make
- 57:36decisions in my life through the lens of
- 57:38those three core values. Um the main one
- 57:41is family, especially right now. Is what
- 57:43I'm doing the best thing that I can do
- 57:45for my family?
- 57:47>> Yeah, that's great. Well, you're really
- 57:48an embodiment, Tyler, of courage, of
- 57:51authenticity, of character under immense
- 57:54pressure. And so we're just very to have
- 57:56a chance to talk to you today about your
- 57:57story and think about what we can learn
- 57:59from your lessons of character and
- 58:01leadership. So thank you very Yeah,
- 58:03thank you so much for having me. Really
- 58:04appreciate it. Great.
About this transcript
This page contains the full transcript of A Conversation with Theranos Whistleblower Tyler Shultz | The Program for Leadership and Character by The Program for Leadership and Character, generated from the public captions YouTube serves with the video. The transcript has 11,443 words across 1,632 segments, with the original timestamps preserved so you can click any line to jump to that moment in the embedded player.
What you can do with it
Use the transcript to take notes, quote the speaker, build a study guide, generate a summary with ChatGPT or Claude via the YouTube Summary tool, or export it as a timed subtitle file with YouTube to SRT. You can also re-open it in the transcriber to translate the transcript into 100+ languages.
Free YouTube transcript tool
YouTube2Text is a free YouTube transcript generator — no signup, no daily limit. Paste any YouTube link and get the full transcript instantly, with timestamps, click-to-jump, translation to 100+ languages, AI prompts for ChatGPT, Claude, and Gemini, and exports to TXT, SRT, VTT, or Markdown.