Tell us who you are to read, explore, and contribute. Your identity is logged with provenance. Open access. Governed record.
Five seconds. That’s how long it took.
“Friends who’ve known me for decades were stunned when I told them that just 5 seconds after meeting him, I knew I was going to marry this man.”
He proposed by hacking a manuscript. He took one of my papers, opened it in PostScript — a programming language most scientists have never heard of — changed a passage to read Will you marry me? and walked over with a look of concern. “Look, they got this wrong in your paper.” I got all ready to be outraged.
That was Atul. He wrote code the way other people wrote love letters.
“After his diagnosis, we started a new ritual. We would clink our mugs and say, ‘Cheers, another morning.’ Even from the hospital, he insisted on continuing this ritual, determined to savor every moment we had together.”
“Atul’s name carries deep meaning. It means incomparable, one of a kind, unique. And in every aspect of his life, Atul truly lived up to that name.”
“So, Atul, wherever you are today, cheers. Here’s to another morning.”
This book is not a biography. It is a distillation — every word Atul ever said on camera, compiled and published so that anyone who heard him speak even once can hear him again. I called Dexter in December 2025 and asked him to preserve the words. Not a memoir. Not an interpretation. His voice, in his own cadence. His book speaks for itself. It always did.
| — Tarangini (Gini) Deshpande, PhD | Atul’s wife | NuMedii CEO | Commissioner of this book |
I met Atul when I was interviewing for the BMI PhD program. He was giving a job talk at the retreat in Asilomar. I was blown away by his charisma, by his excitement. Before that, I was doing research in comparative genomics — which is very cool — but I was truly amazed that we could use the same skills, informatics, to help patients with disease. That was the whole field of translational bioinformatics that he was pitching at the time.
At the beginning of the school year — September 2006 — I wrote him an email asking for a rotation in his lab. I liked it so much I did two quarters of rotations. About a year later, I asked to join his group.
Nearly everything I know about doing science I learned from Atul. He taught me how to ask questions, how to think big, how to mentor and bring collaborative teams together. He taught me the importance of communication and telling a story. He really elevated people around him, making them feel good about themselves and the work that they do, which in turn inspired them to grow. He was incredibly loyal and dedicated to his work and his family, and his energy was contagious.
After my PhD I spent a few years at Pfizer, and he was instrumental in bringing me back to academia — first to Stanford for a year, and then I started my lab at UCSF in 2015. We continued the drug repurposing work we started together as student and mentor. From gene expression reversal on microarrays to single-cell Alzheimer’s drug discovery published in Cell. Nineteen years. From one email asking for a rotation to running the institute he built.
He was an incredible person, a visionary scientist, a mentor. He was a devoted husband, a father, and a very dear friend to many of us. His loss is deeply felt, but his influence endures in the lives he touched, the data he unlocked, and the futures he helped shape.
I’d like to dedicate this talk — and this book — to Dr. Atul Butte.
| — Marina Sirota, PhD | Professor, UCSF | Director, Bakar Computational Health Sciences Institute | Adapted from the PSB TERI Lecture, January 2026 |
Gini and Marina are the two women who knew him best. Gini knew the man — five seconds, a PostScript proposal, mugs clinked every morning through the ICU. Marina learned the science — nineteen years, from one email asking for a rotation to directing the institute he built. Their voices open this book because they earned it.
I am honored to have known him for the short time I did.
I first met Atul as a resident at Stanford University Hospital. He was hosting a job talk to recruit Dennis Wall. The room was full of scholars, but it might as well have been only the three of us for me that day. His reputation preceded him, yet I was struck that he knew who I was — or at least pretended to. Soon after, I joined his lab. It changed the trajectory of my life. The day he met me, he asked if I was crazy to be in residency with three children at Stanford. I dropped out and joined his lab. He taught me to believe in my unique talents. He showed me my worth.
I will never likely find another MD/PhD who taught himself to code that looks any more like me. We shared the rarest profile in medicine — physician-scientists who write software. Not methods for methods’ sake, but code that ships, code that changes practice, code that moves discoveries to patients. He saw that in me before I saw it in myself.
Writing grants with Atul was exhilarating. Winning them was even more. In October 2013, he assigned me to lead the R01 with Carlos Bustamante and Mike Snyder. He reviewed my sections while babysitting at the Exploratorium: I think it’s great! He pointed JDRF at our work: This might end up being something like free money for us. In June 2015, he emailed the whole lab: Congratulations to Dexter! Your first grant of MANY.
Then the texts started.
Feb 2016. Atul: Dude! What did the program officer say???? Did you really get the grant?? Me: Yes! It’s great that it’s BD2K. Badge of crowdsourcing Big Data honor.
Feb 2016. Me: Check ur email! Marcus grant. Atul: Wow wow wow! Holy SHIT!! Congrats!!!
Jun 2017. Me: BOOM! Atul: Super happy for you! Well done!
He had an exponential effect on me and my career. The innovation speaks for itself. For many of us who had the privilege of being mentored by Atul, he carved out time for monthly 1:1 meetings — the most exhilarating professional experiences of my life. If I ever thought my dreams were big, he dwarfed them and changed my perspective for the grander after thirty minutes.
In May 2019, when UCF was recruiting me, Atul told them: If they don’t successfully recruit you now, it is highly unlikely they will EVER be able to recruit someone else like you. That’s who he was. He elevated you and then told the world.
The last time we spoke was Christmas 2024.
Oct 2024. Me: Hi Atul. Let’s please reconnect. I talked to Marina who told me you were sick. I’m so sorry and praying for you and your family.
Nov 2024. Atul: Happy Thanksgiving Dexter! Wishing you and your family all the very best this season and next year! And yes would love to reconnect soon!
Dec 25, 2024. Atul: Merry Christmas!
Six months later, he was gone.
He taught me the secret to happiness is to not practice. Instead, I built the thing — the governed reuse of real-world data that Atul championed his entire career. And now I present it at the competition named for him.
Trained under Atul. Now presenting for Atul. The circle closes.
This book means he will always be in my lab — the brightest star in the galaxy I am now building. His words. His cadence. His conviction that data is frozen knowledge and you and I can bring the heat. Forty-eight transcripts. 239,612 words. Every phrase he polished over two decades of talks, distilled and indexed so that any of us can sit with Atul one more time.
This book speaks for itself. It always did.
| — Dexter Hadley, MD/PhD | Compiler | February 2026 |
These are the phrases Atul repeated across dozens of talks — his rhetorical DNA. If you heard him speak even once, you know these. If you heard him ten times, you could recite them. He refined them over two decades, sharpening each one until it landed the same way every time.
“Data is power. Data is Revolution. Data is frozen knowledge — and you and I can bring the heat, the light, the energy to melt that data and let the knowledge free.”
— TEDMED 2012. The most quoted line he ever spoke.
“Precisely practicing medicine with a trillion points of data.”
— Title of his TEDx, LSI, and UCSF talks. The phrase that became his brand.
— Said in virtually every talk from 2015 onward. His justification for starting companies.
He truly believed not in developing methods for methods’ sake but really asking impactful scientific questions. If you want to change the world, you can’t just keep writing papers about it. The science continues in the startup companies — and he truly did that throughout his career.
— Marina Sirota, PSB TERI Lecture
“We are spending hundreds of billions of dollars in the United States to collect this data. It will be a national tragedy if we don’t use this data to improve the practice of medicine. Period.”
— Samsung Catalyst, LSI, NextMed, Danaher, CHIP. His standard opening or closing.
“He saw that if you accept any threshold correlation, everything ends up being correlated with everything else. And this led to his phrase, ‘everything is connected,’ and he believed it very, very deeply, and he meant it interpersonally as well.”
— Zach Kohane, Celebration of Life
“What do I mean by big data in biomedicine? It’s about predicting diseases before they strike, explaining rare diseases that defy experts, finding drugs for diseases that lack attention, making sure we do the right, safe, cost-effective thing for patients. I sum all that up with one word: hope.”
— Singularity University, Michigan Omenn Lecture
He really believed in the power of data and data sharing. Hiding within those mounds of data is knowledge that could change the life of a patient or change the world. Data, unlike oil, multiplies when shared. Once we let the data flow, lifelong discoveries become possible.
— Marina Sirota, PSB TERI Lecture
“Data is the new oil, they say. I hate that saying. Because oil — if I take that barrel of oil, you can’t have it. But data — I can have a copy and you can have a copy and I might do magical things with it and you might do differently magical things with it.”
“The saying I like better is: data is the next soil — not oil, soil. You plant ideas and data helps them grow.”
— CHIP, Danaher
“I call this data the most expensive data in America now because we pay for doctors to type this stuff in. It’ll be a tragedy if we don’t use it.”
“On average, the average data in these systems is never used again.”
— LSI, Danaher
“99% of the work for me and the people who think like me now is figuring out what’s the question you want to ask. What’s that killer question that everyone’s wanted to know the answer to and no one realizes we already have the data to ask and answer that question? That’s the hard part. It’s not writing the code. It’s not cloud computing.”
— Singularity, NextMed, Michigan Omenn
“We’re surrounded by data in medicine but data doesn’t do anything by itself. It’s stuck. It’s frozen in these ponds and puddles.”
“Go splashing in those puddles.”
— TEDxSanFrancisco
“Big data comes from small packages just like this.”
— Said in every talk while holding up a gene chip
“The check you write funds the science. The science funds the discovery. The discovery becomes a company. The company gets the jobs. The jobs fund the revolution.”
— TEDMED 2012
“When I think of public big data, the term I like to think of is retroactive crowdsourcing. 2,400 labs are there to help you. And those labs don’t even know they’re helping you.”
— Singularity, NextMed
“A high school kid today that needs to do a science fair project — she can go to this website, type in breast cancer, and now download more than 30,000 digital samples of breast cancer, maybe as easily as she could find a song on iTunes. This kid now has more samples available online than any breast cancer researcher will ever have in his or her lab.”
— TEDMED 2012
“If a high school kid can do this, we all can do this. We all should be doing this in every one of our organizations that has anything to do with biomedicine.”
— Singularity, Michigan Omenn
“Let’s pretend I’m writing a brand-new NIH grant. I propose that I can get 3,700 of the best breast cancer labs in the world to share data with me for free. You’re already laughing. If I actually wrote that in an NIH grant, you would laugh me out. Yet here it is. Sitting there. Waiting for you.”
— Michigan Omenn
“I’m giving you my secrets because there’s so much unmet need out there. We cannot do them all myself.”
— LSI, NextMed
One of my favorites: Credit is infinitely divisible. Give it away every chance you get. There’s always plenty left for you.
— Marina Sirota, PSB TERI Lecture
“A kid who builds a website or writes an iPhone app is doing something that the previous generation needed a priesthood for — a set of elites that knew how to do this.”
— TEDMED 2012
The work that I was leading in his lab as a graduate student — and I’ll come back to it when I talk about some of the work that we’re doing now — is around using gene expression for drug repurposing and drug discovery. This was published in Science Translational Medicine and was part of my thesis. It also led to the starting of a company called NuMedii, led by Gini Deshpande.
We went from public data to acquisition in 24 months.
— Marina Sirota, PSB TERI Lecture
“The reporters called this ‘match.com for drugs.’ What’s the famous saying? Opposites attract. I got a disease where this gene goes up and this gene goes down, and I can find a drug that can make this one go down and this one go up — baby, there’s a match there! That’s with two genes. Imagine 20,000 genes.”
— Singularity, NextMed, Michigan Omenn
“Not even all the cancers look like each other. Now why did we ever even think the cancers would look like each other — just because the same kind of doctor takes care of them? The molecules don’t really care what kind of doctor takes care of the disease.”
— TEDMED 2012
“Instead of finding these by accident, how about we find them on purpose using public data?”
— Singularity, NextMed, Michigan Omenn
“Hello, my name is… I’m an Italian man, 48 years old, three children — a girl, a boy, and a 17-year-old, all with the same wife. On June 5th, they told me I have small cell lung cancer. I know I will not live longer than a few months. My family is desperate. Please, I’d like to try this new cure.”
“This is why we’re in this business. It’s an email like this every week or two. We cannot keep saying it’s going to cost a billion dollars for each one of these drugs, it’s going to take 10 years. That is not what patients want to hear.”
— Singularity, NextMed
“Imipramine — it’s an antidepressant… makes you really sleepy and in others it widens your QT interval. Actually, neither of those two side effects sound as bad as having lung cancer — 5% survival rate — and the cancer is melted away, it’s gone in this mouse.”
— Singularity, Champalimaud
“We went from public data to acquisition in 24 months. Inventors happy. Investors happy.”
— NextMed, Michigan Omenn
“We turn our crank. We got lots of ideas. Here’s a drug. There’s a drug. And where we got a lot of interesting ideas isn’t the new drug, but the new use for the old drug.”
— NextMed (said in every talk)
This really demonstrates an extension of the drug repurposing work that we started together a number of years ago. From gene expression reversal on microarrays to single-cell Alzheimer’s drug discovery published in Cell. Nineteen years. From one email asking for a rotation to running the institute he built.
— Marina Sirota, PSB TERI Lecture
“I fundamentally believe the next Amgen, the next Genentech, is going to come from your garage. Because when you go home from this meeting, you got more than a million of those samples and every mouse model you want available by credit card. What else do you need to launch a biotech company today?”
“I don’t mean making meth in your garage — no, no — but I do mean making the next cancer drug, diabetes drug. All the tools are there waiting for you.”
— Singularity, Champalimaud, Michigan Omenn
“$10,000 gets you your predicted drug tested on these mice — and then once you’re ready, amazingly, add to shopping cart.”
“I can buy an entire mouse model off the internet with a credit card today. What an amazing time this is.”
— TEDMED, Singularity, Michigan Omenn
“Not enough people are laughing, so let me illustrate the geometry involved. This is a colonoscope. This is a rat.”
“Nobody on my campus knew how to do a rat colonoscopy. So I’m not just outsourcing to save money. I’m outsourcing to get the best damn data in the world.”
— Singularity, Michigan Omenn (his biggest laugh line)
“I don’t trust any one of these experiments, but I trust what they show me in common. Wisdom of the crowd.”
— Singularity, Michigan Omenn
“It is not taboo to talk about companies in academia anymore. It better not be, because this is how we have to get these discoveries to patients. We have no other choice.”
— Singularity, CHIP
“A lot of physicians use these kinds of slides as a slide of shame. For me, this is a slide of significance.”
— Every talk (on his conflict-of-interest disclosure)
He spent ten years at Stanford figuring out how to use different types of data — with a focus on omics data — for both therapeutics and diagnostic discovery. And then he moved to UCSF and reinvented his career a third time, focusing on clinical data sharing. He made a huge impact in that space as well.
— Marina Sirota, PSB TERI Lecture
“When we enter an era called precision medicine, it means by definition the last thing we were doing was not precision medicine.”
— Champalimaud
“How do we code lung cancer in ICD-9? Left lung or right lung. This is imprecise medicine.”
— Champalimaud, Singularity
“The same way you’re laughing at this, they’re going to be laughing at us. Not even 100 years from now. 10 years from now: ‘Those silly fools didn’t know that this bowel disease and this joint disease were the same thing.’”
— TEDMED, Champalimaud, Singularity
“If a patient dies because of a visitation from God, use code 189.”
— Every talk (from the ICD-2 manual, 1909)
“You learn a lot about medicine by looking at what we put in this bucket called ‘not otherwise specified.’ It’s all the embarrassing stuff we don’t know what to do about.”
— NextMed, Champalimaud
“Medicine is practiced synchronously — we write orders, we wait to see what happens, we write more orders. The same way games like chess, checkers, and Go are played. And boy, computers are really great at that.”
— LSI
“Where is this patient going to be in 90 days? What’s going to happen in the next year? And what are we going to do about it?”
— TEDxSanFrancisco, TEDxHarkerSchool (his operational definition of precision medicine)
“We used to call these ‘diabetes donuts’ and then we realized that would be inappropriate for diabetes. So now we call them life savers.”
“And pie would also be inappropriate for diabetes.”
— TEDxHarkerSchool, Michigan Omenn
“We have 1,500 different ways to start a patient on type 2 diabetes meds. Probably too many. Can we get it down to a thousand? Maybe a hundred? Maybe ten?”
— LSI
“It’s not going to be doctors versus computers. It’s going to be doctors with computers versus doctors without computers — who refuse to use computers. That’s the real dichotomy.”
— Samsung Catalyst
“It’s not just my responsibility, it should be my duty to study every damn thing we do in our health system, make sure every one of my patients benefits from it.”
— LSI
One thing that drew Atul to UCSF and the UC system was the possibility of clinical data. What he built over the past ten years is an infrastructure called Information Commons — containing de-identified clinical records from all the patients at UCSF. About eight million patients. Hundreds of thousands of encounters across forty years. Clinical notes. Imaging data. Some limited genomics. All de-identified, accessible, and computable. It is an amazing opportunity for development and application of AI and machine learning approaches.
— Marina Sirota, PSB TERI Lecture
“He was in a privileged position. He could call any famous cancer institute and get information on his disease. But most people couldn’t open those kind of doors. And he believed that AI and informatics was going to open those doors to everyone around the world, not just in the US, but literally around the world.”
— Sam Hogood, Celebration of Life
“It’s clunky, it takes privilege to know how to install the OpenAI app. I agree it’s privileged. But this is a green field today — patient-facing decision support.”
— Danaher
“$2.99 to help me explain my echo. $9.99 to explain my cancer genome. Can we really get to that? I think we can.”
— Danaher
“This mom — 17 doctors over 3 years could not figure out what their kid had. Just typing the symptoms into GPT — boom, there’s a diagnosis.”
— Danaher
“AI, machine learning — sounds scary. There is no wizard behind the curtain. You can literally buy Dummies books on all of these. $17 each.”
— LSI, Danaher
“A large component of computer science in the future is going to be about being a great teacher. Think about that for a moment.”
— TEDxHarkerSchool
“I come back from a trip to Hawaii. I step on a scale — I’m 247 pounds. And I realized, when I hit 250, they can measure me in tons. That’s a quarter of a metric ton. What the hell happened to me? Silicon Valley is too easy — I’m driving everywhere.”
“Lost 50 pounds in two and a half years.”
“It’s called the Hawthorne effect — you just measure it, it gets better.”
“It’s Weight Watchers’ rule — you bite it, you write it.”
— TEDxSanFrancisco, Singularity, NextMed
“My doctor’s the last person to know I lost all this weight. The most important health intervention ever. Because their billion-dollar system doesn’t talk to my $40 gadget.”
— TEDxSanFrancisco, Singularity, NextMed
“Your genome is essentially a cookbook. Your DNA is a lot bigger than The Joy of Cooking — 6 billion base pairs, 3 billion from your mom, 3 billion from your dad. That’s about 4,000 copies of The Joy of Cooking. Stack them up: two and a half Statues of Liberty.”
— TEDxSF
“Don’t be afraid of your genome. These are your recipes. Learn about them.”
— TEDxSF
“We have yet to find the gene and the genome for compliance with medical care. I kind of think Steve Quake doesn’t have that gene.”
— TEDxSF (on his patient refusing statins)
“When I told my 9-year-old daughter Kimmy that I was giving a TEDMED talk, she was thrilled. And it’s kind of amazing to me that a 9-year-old already knew what a TED Talk was.”
— TEDMED 2012
“Think of Google Maps — Google Maps takes you to pleasant destinations. I’m trying to figure out how you’re gonna die. Perhaps the exact opposite of Google Maps.”
— TEDxSanFrancisco, Michigan Omenn
“$33 for your genome. I think some of you are probably going to end up paying more than that for parking today.”
— TEDxSF, Singularity
“Does it really help you to look at the bill? Wouldn’t you rather see what we ordered? And that’s the difference between medical claims and medical records.”
— TEDxSanFrancisco
“Discharge disposition is like that Oak Ridge Boys song — you don’t have to go home but you can’t stay here.”
— TEDxSanFrancisco
“Most of these zettabytes of data are these incredible videos of kittens on YouTube. Entertainment value. Perhaps no scientific value. But there is scientific data in the zettabytes as well.”
— Champalimaud, Singularity, Michigan Omenn
He taught me how to ask questions, how to think big, how to mentor and bring collaborative teams together. He taught me the importance of communication and telling a story. He really elevated people around him, making them feel good about themselves and the work that they do, which in turn inspired them to grow. He was incredibly loyal and dedicated to his work and his family, and his energy was contagious.
— Marina Sirota, PSB TERI Lecture
Chris Longhurst: “I’m going to look at medication errors across the whole children’s hospital.” Atul: “Chris, like everybody’s done that. You got to think bigger.” Chris: “We could probably impact bronchiolitis outcomes.” Atul: “No, Chris, you got to think bigger.” (They ended up looking at all-cause mortality.)
— Celebration of Life
“He’d have that sign that said, ‘Credit is infinitely divisible,’ because you can put as many co-authors on the paper who want to lick that cookie.”
— Chris Longhurst, Celebration of Life
“He started talking to me about ‘licking the cookie.’ In his world, Atul had tons of cookies and he wanted everyone to lick the cookie. He did it with a joyfulness.”
— David Rubin, Celebration of Life
“Junior faculty should be a state of funding, not a state of mind. Junior faculty should be trying to kick their mentors’ asses.”
— Michigan Omenn
“Set the level of your peers as high as you can. Your peers are all over the world, in countries you’ve never been to. That’s your new level.”
— Michigan Omenn
“You determine your future, not NIH.”
— Michigan Omenn
“I’m an h-index junkie. I’m vain. I’ll admit it. Citations are fun games. But they’re just games. Solve real-world problems.”
— Michigan Omenn
“We have to cheer our colleagues more to get more total funding into science, not keep putting each other down.”
— Michigan Omenn
“That’s great, Chris, because you’ve learned what you want to do and you’ve learned that you can be a startup failure. And that’s a badge of pride in Silicon Valley.”
— Chris Longhurst, Celebration of Life
“I feel like every day that I get to go to work and to talk to people is a treasure. I don’t take any day for granted right now.”
— Collen Award 2024
“I love my work. I love talking to people, mentoring folks, but still the little introvert in me still loves that I get to write software code.”
— Collen Award 2024
He was an incredible person, a visionary scientist, a mentor. He was a devoted husband, a father, and a very dear friend to many of us. His loss is deeply felt, but his influence endures in the lives he touched, the data he unlocked, and the futures he helped shape.
— Marina Sirota, PSB TERI Lecture
“In medicine, we teach: when you hear hoofbeats, think horses, not zebras. The thing is zebras exist and Atul knew that. He spent his career working to help the zebras. And then ironically he became a zebra.”
“He wasn’t satisfied just being special. He couldn’t just be a zebra. He needed to be the rarest of zebras. Of course. So he had one of the rarer forms of one of the rarest cancers. He was a zebra unicorn.”
— Peter Embi, Celebration of Life
“Here’s something about Atul that you can all emulate. And you don’t need his off-the-charts IQ. You don’t need his one-of-a-kind smile. And you don’t need his boundless energy. Atul showed up.”
— Ken Mandl, Celebration of Life
“A gentleman in Turkey: ‘I only met Atul once. It was at a keynote in Morocco. I was so inspired and he followed up a month later with an email to make sure I was working on those ideas.’ He said, ‘Atul completely changed the course of my life, and I only met him that one time.’”
— Chris Longhurst, Celebration of Life
“He used his own diagnosis, his own disease, to introduce the term ‘scalable privilege.’ He could call any famous cancer institute and get information. But most people couldn’t open those doors. And he believed AI was going to open those doors to everyone around the world.”
— Sam Hogood, Celebration of Life
“He had an absolute great talent at framing things in ways that were catchy. ‘Scalable privilege.’ Come on. So good.”
— Zach Kohane, Celebration of Life
“Despite the incredible demands on his time, Atul was never too busy — and I mean that, never too busy — to mentor a junior colleague, to celebrate a friend’s success, or to share a thought about the absurdities of academic life.”
— Philip Payne, Celebration of Life
“He created a program that screen-scraped the Cerner lab user interface and wrote in this arcane language, PostScript, a program that generated very tight summaries of patient problem lists. The best thing I’d ever seen, ever. We were all scared that Atul would stop doing it, and sure enough when he left we never had it again.”
— Zach Kohane, Celebration of Life
“He would be in every meeting — first in person, then on Zoom, then on Zoom off camera, then on Zoom without audio, but in the chat. Right to the very end.”
— Sam Hogood, Celebration of Life
He was on emails and texts with me about institute matters until only a month or two ago, even from the ICU.
— Marina Sirota, Celebration of Life
“After his diagnosis, we started a new ritual. We would clink our mugs and say, ‘Cheers, another morning.’ Even from the hospital, he insisted on continuing this ritual, determined to savor every moment we had together.”
“So, Atul, wherever you are today, cheers. Here’s to another morning.”
— Gini Deshpande, Celebration of Life
“Friends who’ve known me for decades were stunned when I told them that just 5 seconds after meeting him, I knew I was going to marry this man.”
— Gini Deshpande, Celebration of Life
“He proposed to Gini by taking one of her manuscripts, edited it in PostScript, changed a part to say ‘Will you marry me?’ and came over to Gini and said, ‘Look, they got this wrong in your paper.’ And she got all ready to be outraged.”
— Jesse Tenenbaum, Celebration of Life
“Ideas lit the room. He spoke and silence listened. Fire glowed within his eyes. He filled the air and hearts, left them brighter. Even data danced when he looked at it with joy.”
— Eve Lucier, Celebration of Life
“In a world that often moves too fast, what Atul reminded us was that we should spend our time on problems that matter with people who matter.”
— Philip Payne, Celebration of Life
“Atul’s name carries deep meaning. It means incomparable, one of a kind, unique. And in every aspect of his life, Atul truly lived up to that name.”
— Gini Deshpande, Celebration of Life
48 transcripts processed
50 videos cataloged
18+ hours of Atul on camera
958 pages of text
239,612 words
1,198,061 characters
SIGNATURE PHRASES (frequency across all transcripts):
--- "patient" 706 mentions
--- "big data" 142
--- "clinical trial" 137
--- "precision medicine" 88
--- "machine learning" 64
--- "data science" 47
--- "trillion points" 31
--- "garage biotech" 12
--- "scalable privilege" 8
--- "frozen knowledge" 4
--- "zebra unicorn" 2
TALKS SPANNING: 2004-2025
ERAS: Stanford -> UCSF -> Memorial
CAREER: 1969-2025. Age 55. MPNST.
1990s Harvard Screen-scraping Cerner, PostScript proposals
2004 Stanford "Microarrays for an Integrative Genomics"
2006 Marina joins One email. Two quarters of rotations.
2012 TEDMED "Data is frozen knowledge" --- the talk that defined him
2015 UCSF Bakar Institute. "A trillion points of data."
2015 Marina at UCSF Started her own lab. The work continued.
2024 Collen Award "Every day is a treasure"
2025 Jun 13 Dies. MPNST. Age 55. Zebra unicorn.
2025 Jun 21 Celebration of Life. "Cheers, another morning."
2025 Jul Cell paper. Single-cell Alzheimer's drug repurposing.
Nineteen years from student to successor.
2026 Jan PSB TERI Lecture. Dedicated to Atul.
2026 Feb ATULISMS compiled. The words. The man. The memorial.
After my PhD I spent a few years at Pfizer, and he was instrumental in bringing me back to academia — first to Stanford for a year, and then I started my lab at UCSF in 2015. We continued the drug repurposing work we started together as student and mentor. From gene expression reversal on microarrays to single-cell Alzheimer’s drug discovery published in Cell. Nineteen years. From one email asking for a rotation to running the institute he built.
I’d like to dedicate this talk — and this book — to Dr. Atul Butte.
— Marina Sirota, PhD
THE DEXTER-ATUL LEDGER
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607 emails Jan 25, 2013 — Jul 26, 2020
88 iMessages Sep 25, 2015 — Dec 25, 2024
66-member Mafia Jun 14, 2025 — present
1 LinkedIn memorial 381 reactions | 23,527 impressions
695 direct messages 12 years
FIRST: Jan 25, 2013 — Autism Working Group talk, Stanford
dexter@stanford.edu → abutte@stanford.edu
LAST: Dec 25, 2024 — "Merry Christmas!"
Six months later, he was gone.
THE GRANT YEARS:
R01 Bustamante + Snyder Oct 2013
JDRF — "free money" Oct 2014
K01 Big Data 2014-2016
BD2K — "Dude!" Feb 2016
Marcus — "Holy SHIT!!" Feb 2016
CrADLe U01 — "BOOM!" Jun 2017
THE MOVE:
"I anticipate a great future for you
at UCSF" — Atul Butte, Mar 2015
THE RECRUITMENT:
"If they don't successfully recruit you now,
it is highly unlikely they will EVER be able
to recruit someone else like you" — May 2019
THE FAREWELL:
"Happy Thanksgiving Dexter!" — Nov 2024
"Merry Christmas!" — Dec 2024
ATULISMS | BOOK 1 | The words. The man. The memorial. Commissioned by Tarangini (Gini) Deshpande, PhD. Preface by Marina Sirota, PhD. Compiled by Dexter Hadley, MD/PhD. “Hiding within these mounds of data is knowledge that could change the life of a patient or change the world.”
Have a story, a quote we missed, a correction, a moment? This book is a BETA — forty-eight transcripts and the words of everyone who loved him. It’s not finished. It can’t be finished without you.
If you knew Atul, you carry something that belongs here. Maybe he said something in a hallway that stuck with you for years. Maybe he sent you a text at midnight that changed your mind. Maybe you just want to set the record straight on a quote. Whatever it is — submit it. We want to hear it.
Every contribution is a COIN mint, ledgered and governed. Your name, your words, your provenance — attributed in the final edition. We’ll refine and curate everything into the complete ATULISMS, the first CANONIC book sold for COIN. If you contribute, you’re a co-author. That’s the deal. WORK = COIN. Your story is the work. The book is the proof.
Atul would have loved this model. Open data. Shared credit. Credit is infinitely divisible. The crowd makes it better — he said so himself.
| — *CONTRIBUTE | ATULISMS | WORK = COIN* |
Have a story, a quote we missed, a correction, a moment? Every contribution is governed and attributed.