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I am a stage four cancer survivor, and most of the cancer that happens in India is avoidable cancer.
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If everything goes well in the next five years, we will have the world's largest cancer biorepository.
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As you thought about your career aspirations, you would end up as a chief procurement officer because that's a big job.
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It's a C-suite, I mean it is a C-suite job.
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Can I live up to those standards?
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Right, was the question, you know, in my mind.
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How are you doing?
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How is your weekend?
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Oh good.
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I just got back from uh from India.
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I remember we were talking about the project that I was pitching with the National Cancer Institute in India.
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I had that presentation on the 8th uh to the to the chief minister of uh of Maharashtra.
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And it's a unanimous if everything goes well in the next five years, we will have the world's largest cancer biorepository in this and and a dedicated research division, which will be the biggest in the country.
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That's amazing.
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And were were you in Mumbai or Pune?
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I was in Nagpur.
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I was in Nagpur, which is in the central part of India.
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So that's where this uh this will come up.
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And I will need to lead it, right?
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I mean, of course, I'm not going to lead the research, of course, hire some top-notch uh chief science officer and all of that, but lead it from a from a getting it going.
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How did you first get turned on to this problem?
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Cancer research specifically?
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Was there something that happened that just really inspired you there?
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I'm with Johnson.
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I was with Johnson Johnson for 12 years.
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JFJ is a is is a large innovative pharma company with almost like a$30 billion portfolio just for cancer research.
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The second is very personal, and I am a cancer survivor, as you know.
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I am a stage four cancer survivor.
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I don't keep it confidential.
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I've shared it.
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It's actually better if people talk about it.
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And so, as a part of that, I got involved with uh with this organization almost four years back, yeah and a half, four years back.
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What's the organization called?
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National Cancer Institute in India.
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Yeah.
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So it's a not-for-profit.
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It is a 700-bed cancer hospital, which started in 2014.
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And my intent or my my thinking was that you know, you have this concept of comprehensive cancer centers here in the in the US, which is basically the US NCI, not to be confused with the NCI of India.
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The US NCI designates hospitals as at various levels.
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And the highest designation is comprehensive cancer center.
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Patient services, which is making sure that you can administer the standards of care at the highest possible standards to any patient who walks in.
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That's patient services.
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The second is education, which is educating fellows, oncologists.
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And also educating patients.
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So that's the second part of a comprehensive to become a comprehensive cancer center, you need to demonstrate the highest levels of proficiency in that in that area.
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And the third is research, right?
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Because as we know, cancer is not one disease.
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It's many diseases that put put together even within uh an organ, like let's say breast cancer.
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There are so many types of uh cancers.
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And having research, education, and patient services under one roof, operating at the highest possible levels of of excellence, has a significant impact in eventual patient outcomes.
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In fact, in the US, there's been many studies which show that patient outcomes from comprehensive cancer centers are 35 to 70% better than non-comprehensive cancer centers, right?
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So that's the that was the thinking that, you know, hey, can we create a research like there's already a patient services like which is up and running?
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Yeah.
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There are plans to drive education.
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So my thinking was, you know, or my my role was was to work with NCI India in in creating a whole research division with so that you know all three three aspects of good cancer care sort of you know move forward.
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I started working with them almost like three, three and a half years back.
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But in the last six months, I dedicated a large part of my time in creating a business case.
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I mean, although the word business case is a is a misnomer because it's a not-for-profit.
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So you're not gonna make but but even for a not-for-profit, when you're embarking on something
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which is significantly capital intensive, like research and capital in in cancer, there has to be a sustainable model, right?
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And so that other people will fall by the wayside very quickly.
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So that's what I was trying to create.
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And that was the that was the business plan, uh, quote unquote, that I presented, and uh which now we will be moving forward.
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That's really exciting.
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Well, congratulations and and and I guess thank you for all of your good work.
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I mean, it's it's really amazing to see.
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And and in terms of making the business case work, I mean, I think there's a I have a million questions.
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I know we've talked about this before, but what do you feel like the big gap is right now at the National Cancer Institute where you feel like, hey, like this new area of research, because I remember it was something about specifically creating some kind of biomarker repository.
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I'm I'm not a biologist, and so, but I remember that there were some specific things to Indian genome that, if studied a little bit better, you think could provide better outcomes.
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I I'd love to understand that a little bit.
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Actually, it's it's not just about uh this specific organization, like in general, in general, research, cancer research in India lags behind the rest of the world.
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That's a it's a known issue.
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Now, the disease itself, it's very unfortunate, but India has the gold medal, the silver medal, and bronze medal in a in in the wrong place.
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What I mean by that is the incidence-wise, India is number three in the world.
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Okay.
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Behind the US and China.
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So absolute incidence.
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And then you look at the uh the mortality, we are number two, right?
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So number of deaths because of cancer, India is next only to China.
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And and then if you look at the ratio of uh mortality to incidence, India is number one amongst the top 10 high incidence countries in the world.
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So which basically means that, and that is 65%.
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Just for perspective, in the US, it is 25%, which means if someone is detected with cancer in India, odds are that they will they will succumb to the to the disease in 65% of the cases, whereas it is 25%.
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It's almost like you know, three times more chances of potential death in India versus let's say in the US.
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And this is based on a registry which is which is only 10%.
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Okay, so only 10% of the expansive cases are actually reported in India.
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And most of them, as you know, based on your work in India, most of them tend to be urban.
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Of course, yeah.
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Rural cancer is not reported.
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I don't have any data because it is not reported, but if you were to, I mean, it's it's not that difficult to hypothesize that if you were to add rural data in, those numbers will only get worse, right?
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And the nature of the disease is very different in India versus versus let's say the US, right?
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So US cancer is largely a disease of the of the aging, right?
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So prostate cancer, for example, amongst men is the is almost a third of the total incidences of of cancer, which is which comes with age.
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In India, it's unfortunate, but cancer is primarily a disease of the young, and and it's it's most of the cancer that happens in India is avoidable cancer.
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What I mean by that is the number one cause for cancer in India is is a habit, and that is tobacco.
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Right.
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Right?
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So oral tobacco consumption and smoking, right?
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Those are the two.
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So tobacco is the number one.
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So just like so a third of male cancers in India come from tobacco.
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And then the other big reason for cancers in India is also avoidable, which is infectious reasons.
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So, for example, cervical cancer.
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So there are other uh cancers which come from infections, which are I would consider avoidable because there are vaccines available.
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So with the right level of awareness and with the right level of adoption of the of these uh vaccines, we could avoid those those cancers, right?
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So that's just the nature of the disease is different in these in these two countries, even where it is, where it is common.
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For example, breast cancer is the number one cancer amongst women in both the both the countries.
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But breast cancer in in the US is mostly post-menopausal women, whereas whereas in India it's still it's almost a decade earlier.
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So late 30s and early 40s is when women in UC breast cancer incidence, which again shows that the epidemiology needs to be studied, needs to be understood better as to why that is happening.
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And I'm sure there are there are good reasons, and but those good reasons need to be identified, and then strategies need to be need to be planned across the full spectrum, right?
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So it's not just treatment, it's awareness, it's diagnostic, early diagnostics.
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You know, the other data point is that most of these cancers are detected very late.
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So diagnostics, patients, affordable patient care, and then you know, maybe palliative care.
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So all of those areas needs to be evaluated and studied.
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And that's the reason why research in India on cancer is critical.
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So it's not just NCI or it's not, I mean, in general, it there is a there is a problem.
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The problem is different from what we see elsewhere.
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Of course, we can learn and we will build on research from elsewhere.
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Needs to have India-specific research to solve this major problem.
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No, it's interesting.
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And thanks for sharing this, Shashi.
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How much overlap versus uh difference do you think there will be longer term between the research that's happening in the United States at like a Johns Hopkins versus the research that's happening in India at the National Cancer Institute?
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I think it's a great question.
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The point is it it will be, it will build off each other.
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So basically, uh it's not like this is this is a different research and there's a different research and there is some Venn diagram.
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The reality is that most of the basic research, I don't think, you know, for example, National Cancer Institute in India would get it.
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Most organizations of that nature would rely on basic research from the John Hopkins of the world, right?
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But what you would need is what I would call as translational research.
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So taking that basic research and identifying the kind of problems that I just talked about, and then seeing how we can translate these bench side insights into bedside actions in a way that is very effective for the specific problems in India.
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Right.
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So it's more on the translational side that that research will start.
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Now, it's it's almost impossible to draw a partition and say that this is translational research.
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We will not do basic, it's not possible.
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But we've identified four or five critical research areas that need to be addressed that need to be understood better to have to improve patient outcomes in um in India.
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Whatever is the basic research needed for that, we may do uh locally, but otherwise we will
be relying on research.
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Research is a very collaborative game.
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Work will happen all over the world and you know it builds off each other, and that's what is going to happen.
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And the work that happens in India will be of benefit to the rest of the world as well.
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For example, you mentioned biorepository, right?
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We would be one of the aspects of this uh is to set up a biorepository which would become the world's largest translated biorepository.
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So what it means is that it's this is not just physical storage of tissue and blood, et cetera, but it's also annotations, right?
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It is the genomic data, the the all the multi-omic data that comes with it, the patient, the EMR information, all of that is is in the form of a almost like a digital twin of the sample, is all of this data that can be of use anywhere in the world, right?
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So I think that there is benefit both ways, and it's a collaborative uh most research tends to be highly collaborative, and that's how that's how it would be.
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And one of the and one of the sort of the keynote hallmarks of a biorepository is that you're acting, and maybe folks don't know this, but you're actually storing the physical tissue samples, not just the data.
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And so is the thought that that would then be used by the institute for research as as drugs are being developed and you want to sample across a broader range of tissues.
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I'm sort of curious how the link between the biorepository and the outcomes, you know?
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Yeah, so uh a biorepository is typically the starting point for many of these.
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So so let's say you are a principal investigator, you're you're you're starting research in a specific area, and let's say you're looking for a specific uh head and neck cancer for a particular type, a male, 50 plus, who was suffering from Lynch syndrome and hence has a has had a tumor in in his intestines, and you would want to start with that.
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And so that that let's say that's the kind of profile.
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If you have that tissue, first of all, collected in the right way, which means it has been collected using all the right protocols, but also with all the ethical checks, right?
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So so there's there's a lot of ethics involved in in all of this.
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So let's say let's say you have that sample, and then you have that sample annotated with all the information that you need, and that is the starting point for uh for any researcher, right?
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So the sooner they can get access to such samples, the faster would be the research.
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Many times you have researchers who are stuck because they want a specific, let's say, pediatric sample, and there are not enough patients, or at least even if there are patients of that nature, they're not the sample is not being being stored or they don't have access to it.
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So as a result of which, the research might get, might wait for like two to three years, sometimes four years, many years, right?
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To before they can even find an adequate number of samples to get the to to start their work.
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We're hoping that one of the many things that that this research initiative will accomplish is that it'll accelerate uh that kind of investigations.
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You know, it's amazing.
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We um, you know, I'll just share just a small tidbit.
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When I when I started at Harvard Business School, the first case that we read for the entire, the entire class of uh for my entire class was actually about a heart hospital in India uh that was uh founded in Bangalore.
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They were actually able to perform more surgeries than the May Clinic and the Cleveland Clinic combined.
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And we're talking like complex heart surgeries like bypass for about$2,000, which is like orders of magnitude less than similarly equipped hospitals, even in India.
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So they sort of thought of it as the the, I mean, I don't know if this is not the same direction necessarily, but the Walmartization of healthcare and that sometimes if you if you bring technology or maybe just really good business thinking that can disseminate medical care in a in a much more impactful way in a developing country where your dollar can stretch way farther.
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I mean, if you think about it from the utilitarian perspective, especially, like the same amount of effort and resources could, you know, potentially save thousands of lives if it's done in the right in the right way.
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And this is sort of that marriage of research and business, you know?
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No, absolutely.
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I I I also read that case study.
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Yeah, yeah.
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David, Dr.
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Devi Shati and and his Narayna but the LA is the is the which basically transformed.
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We're not looking at walmartization and in research that I wish we could.
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I don't think that that is but but I think that to your point, the core insight is still the same, which is that what that hospital was doing was that it understood what was the was needed by the patients in a particular job.
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Yeah, sort of created a whole activity system that could deliver against those bill those those patient needs at costs.
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And you know, obviously the costs are an important parameter, right?
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In a country like India, right?
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But without compromising on quality, right?
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So patient outcomes as that study you know clearly highlights, the patient outcomes are actually on par or sometimes even better than the rest of the world, right?
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So it's the same same concept here that you know, let's look at the patient unmet patient needs in in Indian South Asia primarily, and then understand what we might be doing differently to help me help address those patient needs, which includes costs, one of the parameters, in such a way that we can meet, we can address those patient needs and at the same time uh do it in a way that is equitable.
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No, it makes it it makes a ton of sense and it's very exciting work.
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I'm kind of curious if there's a tie-in between your world as a procurement leader and the work that you're doing now for the National Cancer Institute.
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You know, what's the where there must be many relationships there, but I'm curious like where your prior life comes into play.
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I mean, uh my role as a as the chief procurement officer at Johnson ⁇ Johnson was to make sure that we understand what what the needs are at uh within JNG and then find capabilities externally that could help meet those not needs.
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And do it in a way that is that makes business sense, right?
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That makes it sustainable on an ongoing basis, right?
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That that is the the core role of any buyer anywhere in the world.
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And it's to some extent similar here.
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Uh, I wouldn't say it's I I won't say this is the buyer's role, but but my role here is to establish a strategy that will help identify capabilities.
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Some we may build in-house, some we will bid, some we will sort of tie in with uh with with wherever that capability exists to meet the needs of the patients in in South, South Asia and India, and and some of those samples adjacent countries.
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So that is the that is the objective.
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It's more of a business, quote unquote business role, because as I said, it's a not-for-profit, it's a sure, sure.
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But how do we do this in a sustainable way is an important question.
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And that's what we will be striving to achieve.
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What's the what's the key unlock on the business so far?
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If you can share, like I agree with you in India, the the economics are
really important.
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And sometimes when when folks are living on a pretty meager salary and there's not always the kind of resources to go around that folks, folks want, you know,$2,000 for heart surgery sounds cheap by American standards, but it's still far more than what an individual is capable of paying.
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And so I'm kind of curious, how do you make the model sustainable?
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How do you get to a place, you know, where you where you're able to actually make things like the biorepository uh a solvable business?
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I think there are two aspects.
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One is quantitative in the sense that it's a bit unfortunate, but it is it is also a fact that you know we have lots of patients.
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Yeah, because we have lots of patients, we have lots of samples.
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Right.
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Lots of samples, and we if we collect them in the right way, if we store them in the right way, if we get all the consents, you know, with the highest possible standards, global standards, then it is something that we can do better than anyone else because we have it's very unfortunate that we have that inflow, but you know, it just creates a stream of different types of very diverse cancers that we could that we could easily you know deposit, right?
00:19:05.839 --> 00:19:11.920
So that's that's one I would call that the quantitative you know advantage uh sure that we have.
00:19:12.400 --> 00:19:14.720
The second is I think the strategic vision.
00:19:14.880 --> 00:19:31.119
I I think the the National Cancer Institute and and the the overall the trust that runs this organization is very committed to to research and to education and to patient services, all three legs of the you know, solving the cancer problem, right?
00:19:31.680 --> 00:19:34.720
Those three are the are the uh all three have to be addressed.
00:19:34.960 --> 00:19:42.319
And the the strategic direction from the from the board and the government is has been very unwavering, right?
00:19:42.400 --> 00:19:57.039
That we have to do this and therefore willing to put resources because uh while I say that it is sustainable, we know that we'll have to invest quite a bit, okay, the first uh three to four years before you know we generate other other revenue streams to make it work.
00:19:57.359 --> 00:19:58.480
No, I think it makes sense.
00:19:58.640 --> 00:20:01.440
Well, I I really wish you the best of luck with your endeavor.
00:20:01.519 --> 00:20:09.519
And you know, more than anything, uh, if there's ways that I can be helpful, I mean, outside obviously this specific podcast, like I'm always happy to help.
00:20:09.680 --> 00:20:18.079
At minimum, when you send me the donation link, know that there's gonna be a a check coming that is right size to a startup founder's salary.
00:20:18.240 --> 00:20:29.440
But uh nonetheless, it would be my it would be my joy to support you in this effort because it's you know, I think there's often times where, you know, I mean, like, look, I had a business where we were trying to do something to make lives better in India.
00:20:29.680 --> 00:20:30.880
I care very much about it.
00:20:30.960 --> 00:20:35.039
And, you know, sometimes I think, okay, maybe we first let's first make the money and then I can use it.
00:20:35.119 --> 00:20:35.599
You know what I mean?
00:20:35.759 --> 00:20:36.960
Like maybe that's the right order.
00:20:37.119 --> 00:20:43.920
But basically, I think something that always surprised me was the metrics that try to equate between different diseases.
00:20:44.160 --> 00:20:50.640
And there's a metric that I love from the World Health Organization called dailies, disability disability adjusted life years.
00:20:50.880 --> 00:20:58.079
And the interesting thing is that it's a mixture of how long an illness will impair your life, how severely will it impair it?
00:20:58.240 --> 00:21:06.720
And so things like cancer that are late onset, late in life, has actually a much lower dailies implication than if somebody gets it very early in life.
00:21:06.880 --> 00:21:12.960
And then there's certain illnesses like tooth decay, the one that I was really focused on, where it would happen even in childhood.
00:21:13.039 --> 00:21:16.640
And so it could affect a very long period of time in so many different ways.
00:21:16.720 --> 00:21:24.640
And there are now more and more links between oral infections and things like heart disease, which is like a shocking and poorly understood link.
00:21:24.799 --> 00:21:31.119
The only thing we know is that these things do go in pairs, you know, but not exactly the mechanisms for why, the pathways for why.
00:21:31.279 --> 00:21:34.559
Although I haven't followed the research in the last few years, so maybe this is dated.
00:21:34.640 --> 00:21:37.839
Like this is a procurement podcast, not a medical podcast.
00:21:38.160 --> 00:21:41.519
Although we we've not even we've not even mentioned the word procurement, you know.
00:21:42.400 --> 00:21:44.640
Yeah, you know, and that's and that's wonderful.
00:21:44.880 --> 00:21:48.079
You know, people people know about the seven step sourcing process.
00:21:48.160 --> 00:21:50.000
I think they want to see what folks do with.
00:21:50.319 --> 00:21:55.759
I mean, because I think this is one of the things that I think people always think about in um in life and career, right?
00:21:55.839 --> 00:21:59.599
Which is like, okay, I mean, a lot of times I feel that people don't get started.
00:22:00.240 --> 00:22:04.640
In procurement by design, they sort of find their way there by accident.
00:22:04.799 --> 00:22:08.079
And then the question becomes, okay, I'm early in career procurement.
00:22:08.240 --> 00:22:09.759
Where does that path lead me?
00:22:09.839 --> 00:22:10.000
Right.
00:22:10.160 --> 00:22:21.440
And then it's like,
okay, well, if you do all the right stuff, eventually you can reach, I mean, you've reached the echelon of chief procurement officer of an iconic global 2000 business, Johnson ⁇ Johnson.
00:22:21.599 --> 00:22:25.119
And then the question is, okay, well, once you do that, what can you do with it?
00:22:25.279 --> 00:22:45.920
And so I think it's, it's very, it's a very, I don't want to say inspiring because that's so trite, but it is a very illuminating kind of trajectory that you've sort of and a path that I think you've carved for people that isn't an obvious one, which is, hey, you know, even once you've reached this like press career precipice within the industry, well, one, you can get there.
00:22:46.079 --> 00:22:58.480
And then two, is like, okay, can you have some kind of broader impact if you want to, you know, soothe your soul in a in a much broader way and and and give back to the people that uh weren't as lucky to have the opportunities that you had.
00:22:58.559 --> 00:23:00.079
And I I think it's just wonderful.
00:23:00.240 --> 00:23:00.880
And you know what?
00:23:00.960 --> 00:23:03.920
Like, there's two sides of commerce, there's buying and selling.
00:23:04.079 --> 00:23:11.599
And so, you know, if you can do one of those two things really, really well, then I think you could be extremely helpful, especially to a nonprofit organization, right?
00:23:11.680 --> 00:23:16.319
Like most of the time, what they have is researchers, what they don't have is business and operators.
00:23:16.480 --> 00:23:23.920
And they what they might not also have, and this is something that I'm sure you can help with too, is access to Western resources and Western connections, right?
00:23:24.000 --> 00:23:40.720
And so the fact that you can go, you know, spend uh, you know, a few months in Maharashtra and then come back to New Jersey and have, you know, all these institutions in in the and bring your credibility to really interface between these sort of these sort of continents is it's really powerful, you know.
00:23:40.880 --> 00:23:47.759
So I I just think it's I think it's just so I think it's wonderful on every single possible surface, you know, is the thing I will say.
00:23:48.079 --> 00:23:50.480
No, no, Spencer, actually, uh I I agree with you.
00:23:50.559 --> 00:24:03.200
But I think the only only plea place where I would say I would every time I hear someone say that it's giving back, I actually philosophically, of course it is, it is called giving back, and I totally understand, you know, from where where you come from.
00:24:03.440 --> 00:24:15.839
But in in my own mind, I don't think there's any giving back because what I realize is that I do, I mean, at least I can speak for myself, I do only those things where I get something out of it.
00:24:16.000 --> 00:24:24.400
Of course, I get more out of it, you know, call it, you know, there's a there's a lot of satisfaction and there is a lot of uh I want to do this, right?
00:24:24.640 --> 00:24:25.359
And I'm doing it.
00:24:25.440 --> 00:24:33.519
So that's so it so the the very fact that I'm working on something that that I that is very close to my heart gives me a lot of uh positive buzz.
00:24:33.680 --> 00:24:34.960
And that's the reason why I'm doing it.
00:24:35.039 --> 00:24:40.160
I mean, like like I sometimes wonder if someone tomorrow comes back and says that, okay, Shashi, let's do one thing.
00:24:40.319 --> 00:24:42.640
You don't work on it, someone else will work on it.
00:24:42.799 --> 00:24:44.559
Who will be more more sad?
00:24:45.039 --> 00:24:53.279
Whether they will be sad because I'm not contributing or because our I will be, I think I will be the sad person because I think I'm getting a lot out of this.
00:24:53.440 --> 00:25:00.160
That's the insight for me personally, is that you know, this is something there is a there is a self-interest in everything.
00:25:00.400 --> 00:25:05.839
If you're a good natured person and you get endorphins and joy from giving back, is that selfish?
00:25:06.000 --> 00:25:08.960
And I think that at that point it's the lines are very blurred.
00:25:09.039 --> 00:25:28.799
I think it's still I mean, you know, there's there's a few folks that I can think of that I now that we're talking about it, that I'd love to make the introduction to after the after we finish the call, you know, because I have uh relationships obviously with my my two alma maters, which are Harvard and and University of Pennsylvania, and they're both, you know, Penn Medicine and Harvard are are both big research institutions.
00:25:28.880 --> 00:25:34.160
So when the moment's right and and you want a warm introduction, I'm happy to to make the connection, David.
00:25:34.319 --> 00:25:35.119
There'll be something there.
00:25:35.440 --> 00:25:36.640
Absolutely, Spencer.
00:25:36.720 --> 00:25:41.119
I would really so going back to your your earlier comment on you know your offer of help.
00:25:41.200 --> 00:25:44.640
Of course, no, I'll take I'll take any amount of money that you give.
00:25:44.720 --> 00:25:46.160
That's not but that's not the main thing.
00:25:46.319 --> 00:25:53.279
I think I think your help would be would be far more useful in exactly these areas, like may helping make the connections, right?
00:25:53.519 --> 00:26:06.960
Because the way we progress forward is that there is a research advisory board, which would essentially consist of top-notch researchers from around the world, right, who are helping set agenda, right, for this research division.
00:26:07.279 --> 00:26:08.079
So that's one.
00:26:08.319 --> 00:26:13.920
So helping, you know, like for example, the the the introductions that you just talked about with Harvard, right?
00:26:14.000 --> 00:26:21.839
It could maybe if I can get one or two strong leaders who would be passionate about helping contributing their research uh acumen.
00:26:21.920 --> 00:26:23.039
These are top-notch researchers.
00:26:23.200 --> 00:26:24.880
But I think on the research advisory board, right?
00:26:24.960 --> 00:26:25.839
I mean, that would be great.
00:26:26.000 --> 00:26:30.319
Of course, the foundation advisory board, which is more around fundraising and all of that.
00:26:30.480 --> 00:26:34.559
So who people so folks who can who can help open doors, right?
00:26:34.640 --> 00:26:38.079
And and who can help uh all of that is the foundation advisory board.
00:26:38.160 --> 00:26:44.480
So again, there could be leaders who could be on that on that board, but I think it's the connections that are going to be very important.
00:26:44.799 --> 00:26:48.960
As you very well know, you know, because you did something like this many years back, right?
00:26:49.119 --> 00:26:52.079
And you know that those are the two big knowledge and money.
00:26:52.160 --> 00:26:54.240
I think those are the two that go hand in hand, right?
00:26:54.640 --> 00:26:56.079
And access, I mean, I think you're right.
00:26:56.160 --> 00:26:59.119
The access is really invaluable in any direction.
00:26:59.359 --> 00:27:05.920
Well, I guess I'm kind of curious if we take a step like way back, you know, we're we're talking, you know, 30 plus years at this point.
00:27:06.079 --> 00:27:17.680
You know, you were in Maharashtra in Pune as an as an engineer, uh building thermic fluid heaters, which I assume is like a gas-fired boiler.
00:27:17.920 --> 00:27:21.039
How did you go from the world of engineering to the world of procurement?
00:27:21.200 --> 00:27:22.799
How did you land a PNG?
00:27:23.039 --> 00:27:30.480
So I did my engineering, I'm an electrical engineer, and then I well, my first job was with uh was with this company called Thermax.
00:27:30.720 --> 00:27:36.240
So if you had a tie up with Dapcock, which is a which is a major boiler manufacturer around the world.
00:27:36.400 --> 00:27:41.039
Uh and boilers are essentially equipment that you use for heating, right?
00:27:41.200 --> 00:27:42.160
Heating, process heating.
00:27:42.240 --> 00:27:54.880
So if you have an industry, if you have a company that is doing anything, a manufacturing plant that is that needs heat, so typically that would be there would be a boiler that is generating steam, and then the steam is used to heat your process, right?
00:27:54.960 --> 00:27:58.160
So that's the now steam has certain limitations.
00:27:58.400 --> 00:28:06.640
One of them being that, you know, the temperature, if you need a temperature above a certain certain number, then you need to superheat the steam.
00:28:06.799 --> 00:28:08.960
It becomes a little bit more risky.
00:28:09.039 --> 00:28:13.920
Uh, you can, of course, you can still have superheated steam, which as you do in power plants and all of that.
00:28:14.079 --> 00:28:16.880
But then there's what is called as thermic fluid heater.
00:28:17.039 --> 00:28:25.359
So you so you heat the thermic fluid, you can go up to 300 degrees Celsius, 400 degrees Celsius, because the the fluid doesn't break down
at those temperatures.
00:28:25.440 --> 00:28:33.680
And then you and because it's you can then run that that high temperature fluid through the through the process to to to do the heating, right?
00:28:33.759 --> 00:28:36.079
So that's the that's the work that I used to do.
00:28:36.240 --> 00:28:41.680
The reason I I describe it is because engineering tends to be very, very focused, right?
00:28:41.759 --> 00:28:46.960
So in the sense you it's very important to specialize if you want to to grow in the world of engineering.
00:28:47.119 --> 00:28:53.039
I joined as uh because I did my electrical engineering, I joined in the in the world of instrumentation.
00:28:53.200 --> 00:29:03.359
So boiler is also a very complex piece of equipment which needs a lot of instrumentation, not just to run it, but also to protect the rest of the it can become quite risky if it's not managed well.
00:29:03.519 --> 00:29:09.359
So I was doing instrumentation, but very quickly, instrumentation for boilers is a very broad, broad field.
00:29:09.519 --> 00:29:20.079
Very quickly, it became instrumentation for process boilers, then it became oil and gas-spied process boilers, and then it became burners, just the burner part of it, right?
00:29:20.240 --> 00:29:25.759
So I was becoming super specialized, which is I think very much needed in the engineering world.
00:29:25.920 --> 00:29:40.960
But for me as an individual, I felt like I wouldn't want to be spending 30 years or 35 years of my career going deeper and deeper into instrumentation of the nozzle in a burner that fires NAFTA, right?
00:29:41.039 --> 00:29:43.279
And that's the only way you can get good at it.
00:29:43.359 --> 00:29:45.920
But I felt like that's too specialized for me.
00:29:46.079 --> 00:29:52.079
So that's where I was fortunate enough to be selected for a master's program in business administration.
00:29:52.240 --> 00:29:59.599
I still wanted to stay close to my engineering, so I did my industrial management from what is now the Ministry of Management in Mumbai.
00:29:59.839 --> 00:30:05.119
So that's that's how I I moved away from engineering into a broader management field.
00:30:05.200 --> 00:30:08.240
And then I joined Frocter and Gamble in the supply chain procurement.
00:30:08.319 --> 00:30:15.200
So basically in the buying for raw materials and packaging materials for some of the businesses for PNG in in Asia.
00:30:15.440 --> 00:30:18.880
From there, I actually, for four years, I was in marketing.
00:30:19.039 --> 00:30:23.359
I led the interesting yeah, for PNG India.
00:30:23.680 --> 00:30:30.640
Then in 2004, I moved to Moscow to set up the procurement organization for PNG for all of Eastern Europe.
00:30:30.960 --> 00:30:37.440
My uh territory at that time extended from Israel on one hand to Pakistan on the other end.
00:30:37.680 --> 00:30:39.440
I was based out of Moscow.
00:30:39.759 --> 00:30:41.200
Fascinating experience.
00:30:41.359 --> 00:30:46.000
I think all of those countries, we used to call them the CNN countries at that time.
00:30:46.240 --> 00:30:49.839
Reason was because they were always on CNN for the wrong reasons.
00:30:50.880 --> 00:30:51.839
So these countries.
00:30:52.000 --> 00:30:57.359
But but for Proctor Gamble, that was a very important, very strategic and a very fast-growing business.
00:30:57.519 --> 00:31:00.720
And it came in a strategic role in in that region.
00:31:00.799 --> 00:31:04.400
So we had to get the currencies right, the market up and down.
00:31:04.480 --> 00:31:09.039
So we had to make sure that our suppliers are as localized as possible.
00:31:09.279 --> 00:31:14.000
And then most importantly, we had to make sure that our talent is as local as possible.
00:31:14.240 --> 00:31:20.799
So I moved there very early in my in my life, but I think it was one of those really good decisions that I had made.
00:31:20.880 --> 00:31:24.240
And I was fortunate to be even selected for that for a role like that.
00:31:24.480 --> 00:31:27.039
I learned and I grew uh quite a bit.
00:31:27.200 --> 00:31:30.240
Uh the one four-year assignment or of Moscow.
00:31:30.319 --> 00:31:35.200
And then afterwards I moved to Cincinnati, which is the global quadrant for PNG in the global category though.
00:31:35.599 --> 00:31:35.839
Right.
00:31:36.000 --> 00:31:36.880
That's amazing.
00:31:37.119 --> 00:31:40.160
Cincinnati, by contrast, isn't is never on CNBC.
00:31:40.319 --> 00:31:43.119
So actually was like in in in Russia at that time.
00:31:43.200 --> 00:31:47.119
I've I've only visited once, but it was back in 2019.
00:31:47.279 --> 00:31:53.920
So way before the stuff with Ukraine, well, the most recent stuff, and then and then way after the the end of the Soviet Union.
00:31:54.079 --> 00:32:05.039
I'm kind of curious, like when you were at when you were at PMG, especially in those early days, you know, did you ever think, you know, as you thought about your career aspirations, you would end up as a chief procurement officer?
00:32:05.200 --> 00:32:06.319
Because that's a big job.
00:32:06.400 --> 00:32:10.400
It's a C-suite, I mean, it is a C-suite job at a Fortune 500 company.
00:32:10.480 --> 00:32:18.160
I mean, that's an amazing, you know, it's like the NBA, the funnel gets so narrow, you know, to get to that echelon is a lottery-winning opportunity.
00:32:18.559 --> 00:32:20.640
No, I I never, you know, Spencer.
00:32:20.880 --> 00:32:25.519
I mean, I don't think and and I remember, and and I said this to the to the person who I'm referring to.
00:32:25.599 --> 00:32:39.759
So when when this chief pretended officer for uh for PNG used to, you know, really now they would they would make a trip to Asia, they'd come to Singapore, or sometimes they would come to Bombay and I would host them, or I would go across to Singapore to meet.
00:32:39.839 --> 00:32:46.480
It was like going and meeting someone who I get to meet this person who's CPO of PNG and all of that.
00:32:46.720 -->
00:32:58.640
And I think I was very fortunate that that I interacted with some of these CPOs who were like who are really iconic and I really learned a lot from them and I looked up to them and and all of that.
00:32:58.720 --> 00:33:07.759
And so it was a little bit you know, very humbling in a way that you know that so when I became the CPO of J, like, you know, can I live up to those standards, right?
00:33:07.920 --> 00:33:10.960
Was the was the question, you know, in in my mind.
00:33:11.200 --> 00:33:12.640
And I think I was fortunate.
00:33:12.799 --> 00:33:22.079
I think some of these uh decisions that, you know, without complete, you know, complete it was not like a planned move that I would do these and then I would get to become the CPO of uh uh of J.
00:33:22.640 --> 00:33:23.680
There was no such plan.
00:33:23.839 --> 00:33:28.240
But the fact that I was continuously going out of my comfort zone, right?
00:33:28.319 --> 00:33:35.680
I mean, I was moving out of procurement into marketing, which is a very risky job at PNG because it's up or out in marketing, right?
00:33:35.759 --> 00:33:37.519
And and I had more training marketing.
00:33:37.599 --> 00:33:45.759
I was a supply chain person, going into market, competing with the best marketers in the world and doing well was a risky proposition.
00:33:45.839 --> 00:33:48.079
But I I at that time did not see it as a risk.
00:33:48.240 --> 00:33:51.759
I thought that it was the right, it was just I would I would have fun, so I just did it.
00:33:51.920 --> 00:33:52.160
Yeah.
00:33:52.319 --> 00:33:53.759
And then going to Moscow.
00:33:53.920 --> 00:34:02.799
I mean, now on hindsight, I it was it if it someone had offered a role like that to me now, I don't know if I would have the courage to accept it.
00:34:02.960 --> 00:34:08.880
But at that time I did it and I learned a lot through through through those uh through those moves.
00:34:09.039 --> 00:34:18.960
I guess all of that helped in accelerating my my career and helping me get to the the highest possible level in the function.
00:34:19.119 --> 00:34:34.000
But I I don't think I ever had a plan, but I'm fortunate that I had those opportunities and I had the the the I I could look up, I I worked with some of these CPOs who I really could look up to and say that I would I would want to be someone like them.
00:34:34.320 --> 00:34:34.719
Yeah.
00:34:34.960 --> 00:34:35.840
What do you feel?
00:34:35.920 --> 00:34:36.880
I mean, that's amazing.
00:34:37.039 --> 00:34:39.599
What do you feel like it takes to become a CPO?
00:34:39.760 --> 00:34:43.519
I mean, obviously there's some amount of opportunity, like luck that's involved.
00:34:43.679 --> 00:34:58.800
But if you were, you know, if you're talking to somebody who's early in their career, who's just starting out as a category manager or buyer, and they say, hey, look, I I'm doing this because I want to be at that sort of top echelon, like what does it take to get to one of those positions?
00:34:59.119 --> 00:35:05.440
I think the number one, the number one requirement and number one is is being very close to the business.
00:35:05.679 --> 00:35:09.280
I think understanding the business that you are part of.
00:35:09.440 --> 00:35:13.199
I won't even say you're supporting because you you are part of the business.
00:35:13.280 --> 00:35:22.559
Uh, you know, and as I mentioned in Eastern Europe, when I led the procurement organization, we could make or break that business big time.
00:35:22.719 --> 00:35:27.920
You know, if we could go out, if we all we had to do is get a couple of currencies wrong and we would mess up the whole business.
00:35:28.000 --> 00:35:33.679
And we get them right, we can actually put our business in a really, you know, we can crisis proof our business, right?
00:35:33.760 --> 00:35:35.679
So we are part of the business.
00:35:35.760 --> 00:35:38.639
So we need to understand the business really, really well.
00:35:38.960 --> 00:35:52.000
And I think when you are working in a in a team, the cross-functional team, if you as a procurement person knows the industries that you buy from really well, you also understand the business inside.
00:35:52.079 --> 00:36:09.360
And you can communicate, you can converse the way any other function can, like let's say a marketing person can, and you can speak to the consumer insights, you can speak to the business insights, and therefore make the connection to what is possible from the outside world, you become indispensable in that being.
00:36:09.519 --> 00:36:14.800
I think that is the that's the magic, right, that uh a good procurement person brings to the table.
00:36:14.960 --> 00:36:23.440
If I were to advise, and this is what I tell new procurement leaders, right, is that number one, get as close as possible to the business.
00:36:23.599 --> 00:36:28.800
And number two is of course, know your industries well, know your categories, know your strategies and all of that.
00:36:29.119 --> 00:36:32.320
I think there's the combination of the two that truly creates magic.
00:36:32.639 --> 00:36:33.280
No, it's amazing.
00:36:33.360 --> 00:36:35.360
And how how does somebody get close to the business?
00:36:35.440 --> 00:36:42.880
Because I think that sometimes, you know, depending on the organization, I think direct materials, you see a little bit less of this because you are really integrated.
00:36:43.039 --> 00:36:51.519
But in indirect, a lot of times folks will view procurement wrongly, in my opinion, as like an obstacle to just get to buy the thing they wanted to get anyway.
00:36:51.760 --> 00:36:56.719
So, how do you how do you get close to the business if you're coming into a new organization?
00:36:56.960 --> 00:37:03.280
I think even in indirect, you know, for example, in indirect comes in different different different categories, right?
00:37:03.360 --> 00:37:06.880
So, for example, if you're buying, if you're buying media, as an example, yeah.
00:37:07.119 --> 00:37:11.280
You are you are very, very, you know, embedded in the business.
00:37:11.440 --> 00:37:26.880
In fact, in fact, you would know most of what needs to happen and and you would want to make sure that you are proactively you know setting up everything that needs to be from an external perspective to support the the initiatives that are so critical uh to your your business.
00:37:27.039 --> 00:37:29.599
So media is an example, very deeply embedded.
00:37:29.760 --> 00:37:29.920
Right.
00:37:30.159 --> 00:37:33.920
RD is another indirect category in a pharma company.
00:37:34.159 --> 00:37:43.199
I don't know if actually, if you would if you were to say which is the most important, most embedded, most critical category for the business.
00:37:43.440 --> 00:37:49.599
They're all important as a CPR, I would say all categories are important, but I think RD is really, really you know critical.
00:37:49.760 --> 00:37:49.920
Right.
00:37:50.079 --> 00:37:54.000
Like you're the one who's managing the relationship with the with the big CRO.
00:37:54.239 --> 00:38:12.239
You're the one who's managing the relationship with some of those contract research organizations and C DMOs, and you're you're the so there is a lot that that rests on your understanding of what the pipeline is and the capabilities of these suppliers, you know, and how you can communicate that to a table.
00:38:12.320 --> 00:38:22.800
So so I think every every category is and let's take the example of the typical indirect categories like business services, like force and travel and all of that.
00:38:23.760 --> 00:38:33.440
A big part of any business, right, when it comes to their total PL, you would be surprised as to how big these were, they just add up.
00:38:33.599 --> 00:38:54.400
So if you have the ability to provide options to the business on a continuous basis where they can pull levers in these categories and help advance their PL or advance their opportunities that they see in the market, I think, I think you you there can be a there can be a significant value driver.
00:38:54.559 --> 00:38:59.599
You can become a very significant value driver, irrespective of which category you are uh your manager.
00:39:00.000 --> 00:39:03.760
How to answer the question of you know how do you get close?
00:39:04.000 --> 00:39:06.320
Right, oh easy answer to it.
00:39:06.400 --> 00:39:08.480
You have to just study the business.
00:39:08.559 --> 00:39:10.639
You have to become a very strong student.
00:39:10.880 --> 00:39:38.639
You have to you have to make an effort to make sure that when you go into a meeting, you re- you study the agenda in advance, you do your pre-work, yeah, and make connections, not just on process or procurement process, but also on the business side and relate the, you know, that's why articulation is important and relate the dynamics and the whatever is happening in the outside world to the pipeline discussion, to the financials discussion for the business.
00:39:38.719 --> 00:39:43.440
I think that if you're able to do it, you will be highly sought after.
00:39:43.679 --> 00:39:48.000
But that means you have to invest a lot of time in understanding the the business.
00:39:48.079 --> 00:39:53.679
You are invest as much time in understanding the business as you do in understanding the external industry.
00:39:54.079 --> 00:39:56.239
Thinking about the other side of the coin.
00:39:56.400 --> 00:40:07.199
So once you've you've become close to the business, you've embedded yourself really well, you become indispensable as a procurement leader, you get elevated to this position of chief procurement officer.
00:40:07.360 --> 00:40:09.840
Now you have a bigger purview on your plate.
00:40:10.079 --> 00:40:13.599
How I'm kind of curious, how are chief procurement officers measured?
00:40:13.760 --> 00:40:22.960
Like how do people determine who's been, you know, you mentioned there have been some iconic chief CPOs that you had sort of interacted with at a PNG.
00:40:23.199 --> 00:40:30.480
What makes a chief procurement officer a good, a great, or an iconic chief procurement officer?
00:40:30.639 --> 00:40:37.920
And are those measurements, are they consistent across different companies or are they really unique to the business when you meet with other CPOs?
00:40:38.239 --> 00:40:47.599
Yeah, I think uh when you when when a CPO is evaluated, you know, there are a few few broad categories that would be that would be common across, you know.
00:40:47.679 --> 00:40:55.199
So for example, as a CPO, it's not so much about, again, your ability to source something or run an RF that you don't do all that, right?
00:40:55.280 --> 00:40:57.280
So that's that's done by your organization.
00:40:57.599 --> 00:41:06.960
But I think your strength is in your ability to connect with the senior leadership, okay, in the organization and represent the function, okay, to those stakeholders.
00:41:07.119 --> 00:41:08.559
I think that's that's one.
00:41:08.800 --> 00:41:16.800
The second is your ability to build a strong organization that can rally, you know, uh for for the businesses that they're part of.
00:41:16.880 --> 00:41:17.039
Right.
00:41:17.280 --> 00:41:18.480
That's the that's the second.
00:41:18.800 --> 00:41:32.000
I I think there's a third aspect which is also becoming important now, actually for the last almost like 10, 15 years, is is having a very strong digital first mindset and modernizing the function.
00:41:32.239 --> 00:41:42.079
To your point, you know, procurement has unfortunately acquired this uh fuddy guddy, you know, image of, you know, we're the we're the process guys, we're the you know, we're the compliance guys.
00:41:42.239 --> 00:41:44.159
We yes, compliance is important.
00:41:44.320 --> 00:41:54.159
I'm not saying that that's not important, but I don't think it's I I think procurement needs to step out of this uh this role, that self-assumed role of being the cop, right?
00:41:54.320 --> 00:41:56.880
To being a an enabler, right?
00:41:56.960 --> 00:42:10.400
And therefore modernization of the function, bringing in the best of technology, you know, to drive speed, to drive value, I think that is a that's an important mindset that the CPO will need to bring to the table.
00:42:10.559 --> 00:42:11.840
So I think that those are the few.
00:42:11.920 --> 00:42:24.480
So the digital mindset, business orientation and capability, ability to build strong capability, these are the, I don't think it's a surprise, but those are the three big areas that any CPO would be would be measured on.
00:42:24.639 --> 00:42:30.559
Now, if you go double click on each one of those, there that's where the differences arise across sectors.
00:42:30.800 --> 00:42:33.840
For example, in the pharma industry, it's all about innovation.
00:42:33.920 --> 00:42:35.920
That's why I said RD is an important category.
00:42:36.079 --> 00:42:43.360
If you look at CPG, now of course I'm not saying innovation is not important there, it is important there, but but costs are extremely critical, right?
00:42:43.519 --> 00:42:47.599
I mean, these are um this is an industry that operates on razor-pin margins, right?
00:42:47.679 --> 00:42:50.480
So, and the sourcing from around the world and all of that.
00:42:50.639 --> 00:43:14.400
So in in the pharma world, by the way, supplier sustainability and in general, you know, sustainability and making sure that that resilience and all of that is is critical because the last thing that you want is a patient who's suffering from, who's going through a chemotherapy regime and has gone through three cycles and has to and cannot go through the full cycle because some disruption happened somewhere in the region.
00:43:14.800 --> 00:43:16.400
So resilience is important, right?
00:43:16.480 --> 00:43:18.000
So I think that's the now.
00:43:18.079 --> 00:43:29.840
If you go to a bank uh or a financial sector and you're a CPO for a bank or a CPO for a for a credit card company, then it's risk that is that is the primary parameter there, right?
00:43:30.000 --> 00:43:38.719
So how do you make sure that all the suppliers that you that you bring in, they're not adding any new risks to the um to the operation.
00:43:38.880 --> 00:43:41.920
So risk becomes paramount in that CPO role.
00:43:42.159 --> 00:43:49.039
So what I'm saying is that the the top three categories, digital orientation, the business orientation, and capability build is common.
00:43:49.199 --> 00:43:55.920
But then what you get measured on will primarily determine, be determined by which business you're in.
00:43:56.079 --> 00:44:00.960
I gave you examples of three pharma, CPG, and uh financial sectors.
00:44:01.360 --> 00:44:02.239
It's interesting.
00:44:02.400 --> 00:44:08.239
I guess um maybe one last question that I'll sort of ask, and I know we're coming up on time.
00:44:08.480 --> 00:44:11.920
What's what's something that you feel like I should have
asked you that I haven't?
00:44:12.239 --> 00:44:20.880
No, I think uh we we talked about my transition uh from uh from a CPO to to my now role.
00:44:21.039 --> 00:44:31.679
And I talked a lot because I think that's where our conversation went, and it was about about the work that I'm doing on the on cancer research with uh uh with this organization in India.
00:44:31.920 --> 00:44:33.840
That's 50% of my of my time.
00:44:34.000 --> 00:44:36.159
The remaining 50% is still on procurement.
00:44:36.400 --> 00:44:47.840
I want to talk about this this plural career because I think that's an important in my mind as I moved out of my CPO role, that is what I was thinking that I need to do.
00:44:48.000 --> 00:45:05.840
I don't want to take on another CPO role, but I want to, I'm not retiring, but I would want to have a career where I tend to grow, grow not just from a financial perspective, but also grow from just new areas that I can learn and have the ability to work on things that are very close to my heart, right?
00:45:05.920 --> 00:45:13.519
So, and then how can I do all of it together without compromising on without compromising on, let's say, the financials and all of that.
00:45:13.599 --> 00:45:24.400
So that's the strategy that I'm pursuing, what I would call as my plural career approach, where I I work with a number of um number of companies, as you, as you know, on in advisory capacity.
00:45:24.480 --> 00:45:30.800
I work with private equity firms, and then I also do the work that I'm doing with uh with the Cancer Institute.
00:45:30.960 --> 00:45:35.840
So all put together is my portfolio of work, and that's the plural career.
00:45:36.639 --> 00:45:39.039
I would want to move forward.
00:45:39.199 --> 00:45:44.400
It's it's a diversified source of of revenues, of financial for me.
00:45:44.559 --> 00:45:47.599
Also, it's a diversified source of growth opportunities for me.
00:45:47.679 --> 00:45:48.800
When I tend to grow, right?
00:45:56.480 --> 00:45:59.280
I'm not saying that this is the right thing for everyone.
00:45:59.440 --> 00:46:09.920
I think there's the right time for or but I think uh for for someone like like me, I felt like this was the right time to make the transition to a plural career.
00:46:10.239 --> 00:46:10.800
Amazing.
00:46:10.960 --> 00:46:12.559
And you're simply too young to retire.
00:46:12.719 --> 00:46:15.840
That's also part of the problem when you get early career success, you know.
00:46:16.000 --> 00:46:18.639
Well, Shashi, thank you so much for joining the podcast.
00:46:18.800 --> 00:46:22.400
As always, I truly, truly enjoy our conversations.
00:46:22.639 --> 00:46:32.559
I'm thrilled to be able to have one of them on the record that we can share with other people, especially about the wonderful work that you're doing uh at India and abroad in the United States.
00:46:32.719 --> 00:46:35.519
Um, so yeah, thank you so much for joining in.
00:46:35.920 --> 00:46:36.400
Thank you.
00:46:36.559 --> 00:46:38.079
Thanks, uh, Spencer.