Facts from Radiolab — “The Medical Matchmaking Machine” (with David Fajgenbaum)

Episode 655, ~1h 2m, published August 22, 2025
Hosts: Lulu Miller, Latif Nasser


Episode Breakdown (Podwise AI Summary)

1. Introduction

  • Latif Nasser introduces the story of Dr. David Fajgenbaum.
  • Focus: his medical crisis, search for a cure, and the creation of a new system for drug discovery.

2. Personal Backstory

  • Fajgenbaum aspired to be a college quarterback.
  • His life shifted dramatically when his mother was diagnosed with brain cancer.
  • Inspired by this, he pursued medicine.

3. Medical Crisis

  • While in medical school, Fajgenbaum developed idiopathic multicentric Castleman disease (iMCD).
  • The disease caused multiple organ failure and placed him in intensive care.
  • At one point, he was given only months to live.

4. Discovery of a Cure

  • Fajgenbaum identified rapamycin, a drug originally used for organ transplant patients.
  • Rapamycin proved effective against his disease and brought him into remission.
  • This personal experience revealed the untapped potential of drug repurposing.

5. Using AI for Drug Discovery

  • Motivated by his survival and later his uncle’s cancer diagnosis, Fajgenbaum expanded his focus.
  • During the COVID‑19 pandemic, he launched the Corona Project to identify treatment options.
  • He went on to develop MATRIX, an AI-driven platform for drug repurposing.
  • MATRIX is now publicly available, offering researchers a new way to identify potential cures.

6. Opportunities and Risks

  • Potential: uncovering hidden treatments for many diseases.
  • Risks: patients or non-specialists may misinterpret AI outputs without medical guidance.
  • Emphasis: AI tools should support, not replace, medical research and professional oversight.

References

  • Everycure.org — nonprofit initiative connected to this work.
  • Books cited:
    • Chasing My Cure — David Fajgenbaum
    • Death Interrupted — Blair Bigham

Production Notes

  • Reported by: Latif Nasser
  • Produced by: Maria Paz Gutiérrez
  • Mixing: Jeremy S. Bloom
  • Fact‑checking: Natalie A. Middleton

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