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  4. #277 Shiv Rao: Abridge’s CEO on Skateboarding, “Languishing” Founder Pressure & Reinventing How Doctors Work
#277 Shiv Rao: Abridge’s CEO on Skateboarding, “Languishing” Founder Pressure & Reinventing How Doctors Work

#277 Shiv Rao: Abridge’s CEO on Skateboarding, “Languishing” Founder Pressure & Reinventing How Doctors Work

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This episode is supported by Xero, helping businesses use AI with
more control through JAX, its in-platform AI finance partner. Get
90% off your plan for your first 6 months at
xero.com/highflyers. 

________

Dr. Shiv Rao is the Co-Founder and CEO of Abridge, one of the
world’s leading healthcare AI companies, turning
clinician-patient conversations into clinical intelligence across
300+ health systems and 100M+ conversations annually. A
practising cardiologist, Shiv previously worked across healthcare
technology and investing at UPMC before founding Abridge in 2018.

In this rare in-depth conversation, Shiv joins Vidit to unpack
his unconventional path: moving from Pittsburgh to India at nine,
skateboarding, programming synthesizers, selling records in Japan
and nearly quitting medical school before becoming a
cardiologist.

He shares how a seemingly perfect career across medicine,
technology and investing left him “incredibly restless”,
eventually leading to Abridge. But success was far from
immediate: Shiv spent nearly four years as a “languishing
founder” before generative AI arrived, “the sky just opened up”,
and Abridge made its pivotal move into enterprise healthcare.

They also explore why “pressure makes diamonds”, the family
sacrifices behind building when “every minute matters”, what
changes when a company passes 500 people, why Shiv still
practises medicine, and what he’s learned from unlikely
influences including Jensen Huang and Rick Rubin.

Please enjoy exploring your curiosity.

________

Get in touch with us via email at contact@curiositycentre.com

Join our stable of commercial partners including the Australian
Government, Google, KPMG,, Allens, Macquarie Capital, Xero, JP
Morgan and more. 

Show notes and more episodes here

Follow us on LinkedIn, Twitter and Instagram

Get in touch with our Founder and Host, Vidit
Agarwal directly here

Contact us via our website

This episode is supported by Xero, helping businesses use AI with
more control through JAX, its in-platform AI finance partner. Get
90% off your plan for your first 6 months at
xero.com/highflyers. 

________

TIMESTAMPS

00:00 Meet Shiv Rao

02:00 Living on planes 

04:55 Xero

07:00 Pittsburgh and India

12:00 Identity, India & belonging

17:00 Skateboarding, music & creativity

19:00 The moment that led Shiv to medicine

23:00 Selling records in Japan

25:00 Nearly quitting medical school

28:00 Medicine’s complicated relationship with technology

30:00 Teaching himself to code & early product-market
fit

35:00 Why “pressure makes diamonds”

39:00 Medicine healthcare investing

44:00 Leaving the “dream job” to build Abridge

48:00 Family sacrifice & the reality of building

50:00 Why “every minute matters” in AI

54:00 Abridge’s years as a “languishing” startup

59:00 When “the sky just opened up”

1:01:00 Abridge’s YOLO move into enterprise

1:03:00 The first customer “Love Stories”

1:10:00 Why enterprise healthcare is so defensible

1:15:00 Building AI that enterprises can’t replicate

1:21:00 Hiring, loyalty & scaling the team

1:23:00 Leading 500+ people

1:26:00 Lessons from Jensen Huang & Rick Rubin

1:30:00 What everyone is missing about AI

1:32:00 Rapid fire

________

The High Flyers Podcast features in-depth interviews with the
world’s most influential figures in business, tech, finance,
government and sport. Launched in 2020, it has ranked in the
global top ten for past three years, with listeners in 27
countries and over 200+ episodes released, and featured in
Forbes, Daily Telegraph, and at SXSW.

Our guests include -- Malcolm Turnbull (Prime Minister of
Australia), Keith Rabois (Managing Director, Khosla Ventures),
Jason Collins (Head of BlackRock, Asia Pacific), Brad Banducci
(CEO, Woolworths), Michael Schneider (CEO, Bunnings), David
Eckstein (CFO, Legora), Kevin Hartz (Partner, A*; Founder,
Eventbrite), Jesse Zhang (CEO, Decagon), Vandita Pant (CFO, BHP),
Elena Verna (Head of Growth, Lovable), David Haber (a16z
Partner), Jodie Auster (Uber's Global Head of Travel), Rob Giglio
(CCO, Canva), Jean-Michel Limieux (CTO, Shopify and Atlassian),
Stevie Case (CRO, Vanta), Cristina Cordova (COO, Linear), Gautam
Chari (Head of Capital Commitments, Bank of America), John
Haddock (CBO, Harvey), Mark Suster (Partner, Upfront Ventures),
Niki Scevak (Partner, Blackbird), Craig Tiley (CEO, USA Tennis),
Jeanne DeWitt Grosser (COO, Vercel), Paul Bassat (Partner, Square
Peg), Bowen Pan (Creator, Facebook Marketplace), Peter Varghese
(Secretary of Foreign Affairs, Australian Government), Sam
Sicilia (CIO, Hostplus), Jack Zhang (CEO, Airwallex), Tim Doyle
(CEO, Eucalyptus), Sukhinder Singh Cassidy (CEO, Xero), Sanjeev
Gandhi (CEO, Orica) and Philip Green (Australia's Ambassador/High
Commissioner to India). 
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