
#17: From Couch to Everest: Dr. Biff Palmer Discusses His Unlikely Journey to the Top of the World
12/12/24 • 81 min
Dr. Biff Palmer’s journey to becoming a world-class climber started in his mid-40s, on a couch in Texas, captivated by documentaries on extreme mountaineering. This fascination fueled his successful climbing of the Seven Summits—the tallest peaks on each continent, including Mount Everest.
In this episode, Dr. Palmer recounts his experiences on challenging climbs like Denali, Elbrus, and the Carstensz Pyramid. He discusses his training methods (the simplicity might surprise you) and the science of adapting to high-altitude environments. From the icy winds of Antarctica’s Mount Vinson to the final steps on Everest’s summit, his story is one of mental fortitude, love for adventure, and triumph over fear.
As a nephrologist with a deep understanding of human physiology, Dr. Palmer also explores the impact of extreme environments on metabolism, the stark realities of hypoxia, and even the surprising gender differences in performance at altitude. For aspiring climbers or those simply curious about the limits of human endurance, this episode is a rich tapestry of lessons from the peaks.
Dr. Palmer’s Bio
Dr. Biff Palmer is a tenured Professor of Internal Medicine at UT Southwestern Medical Center, specializing in nephrology. He has authored over 270 articles and chapters and served on the nephrology subspecialty board for the American Board of Internal Medicine. Dr. Palmer is also an accomplished climber, having ascended the tallest peaks on each of the seven continents, including Mount Everest. His unique experiences blend medical science with the challenges of high-altitude climbing, offering valuable perspectives on human physiology and personal perseverance.
Relevant Links:
- UT Southwestern Faculty Profile
- American Society of Nephrology Biography
- Nephrologist discusses physiology, journey in scaling mountains
- Nephrologist Palmer scales educational heights with prestigious Piper Professor Award recognition
- Why not? Biff Palmer at TEDxSMU 2013
For a deeper dive into Dr. Palmer's experiences, you can watch his TEDx talk below: https://www.youtube.com/watch?v=JXQUqPEZfrU
Top 3 Takeaways
- It’s never too late to pursue your dreams. Dr. Palmer began mountaineering in his mid 40s and summited Everest at age 59.
- Preparation, both mental and physical, is the key to tackling life’s challenges—whether climbing a mountain or facing daily struggles.
- Adventure isn’t just about reaching the summit. It’s about embracing the journey and the profound lessons learned along the way.
Let’s Connect:
Work with me: Premier Cardiovascular Health
Facebook: https://www.facebook.com/chris.huff.9480
Instagram: @hufcm
Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider before making any decisions about your health or medical treatment.
Dr. Biff Palmer’s journey to becoming a world-class climber started in his mid-40s, on a couch in Texas, captivated by documentaries on extreme mountaineering. This fascination fueled his successful climbing of the Seven Summits—the tallest peaks on each continent, including Mount Everest.
In this episode, Dr. Palmer recounts his experiences on challenging climbs like Denali, Elbrus, and the Carstensz Pyramid. He discusses his training methods (the simplicity might surprise you) and the science of adapting to high-altitude environments. From the icy winds of Antarctica’s Mount Vinson to the final steps on Everest’s summit, his story is one of mental fortitude, love for adventure, and triumph over fear.
As a nephrologist with a deep understanding of human physiology, Dr. Palmer also explores the impact of extreme environments on metabolism, the stark realities of hypoxia, and even the surprising gender differences in performance at altitude. For aspiring climbers or those simply curious about the limits of human endurance, this episode is a rich tapestry of lessons from the peaks.
Dr. Palmer’s Bio
Dr. Biff Palmer is a tenured Professor of Internal Medicine at UT Southwestern Medical Center, specializing in nephrology. He has authored over 270 articles and chapters and served on the nephrology subspecialty board for the American Board of Internal Medicine. Dr. Palmer is also an accomplished climber, having ascended the tallest peaks on each of the seven continents, including Mount Everest. His unique experiences blend medical science with the challenges of high-altitude climbing, offering valuable perspectives on human physiology and personal perseverance.
Relevant Links:
- UT Southwestern Faculty Profile
- American Society of Nephrology Biography
- Nephrologist discusses physiology, journey in scaling mountains
- Nephrologist Palmer scales educational heights with prestigious Piper Professor Award recognition
- Why not? Biff Palmer at TEDxSMU 2013
For a deeper dive into Dr. Palmer's experiences, you can watch his TEDx talk below: https://www.youtube.com/watch?v=JXQUqPEZfrU
Top 3 Takeaways
- It’s never too late to pursue your dreams. Dr. Palmer began mountaineering in his mid 40s and summited Everest at age 59.
- Preparation, both mental and physical, is the key to tackling life’s challenges—whether climbing a mountain or facing daily struggles.
- Adventure isn’t just about reaching the summit. It’s about embracing the journey and the profound lessons learned along the way.
Let’s Connect:
Work with me: Premier Cardiovascular Health
Facebook: https://www.facebook.com/chris.huff.9480
Instagram: @hufcm
Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider before making any decisions about your health or medical treatment.
Previous Episode

#16: Controversies in Heart Health: A discussion on lipids, seed oils, and the carnivore diet
Coronary heart disease is the result of ApoB containing lipoprotein invasion into the arterial wall. Fortunately, lifestyle modifications can reduce your risk. From engaging in regular physical activity to consuming a diet rich in whole foods, every small change can ripple into significant long-term benefits. Don’t get sidetracked by misinformation pushed by those with little knowledge or training regarding heart disease prevention. Robust research can help guide you along the correct path towards a healthy heart. In this episode, Dr. Gary McGowan breaks down the data surrounding lipids, nutrition, seed oils, and the carnivore diet.
Top 3 Actionable Takeaways You Use Do Today
- Know Your Numbers
Go beyond basic cholesterol tests. Know your ApoB and Lp(a) concentration to get a comprehensive picture of your cardiovascular risk. - Focus on Lifestyle Foundations
Prioritize a heart-healthy lifestyle: Improve your aerobic fitness and adopt a diet rich in fruits, vegetables, whole grains, and healthy fats like olive oil and nuts. - Challenge Misinformation
Follow outcomes, not mechanisms and question oversimplified narratives about heart disease. Equip yourself with reliable, science-backed information to make informed decisions about your health.
Bio
Dr. Gary McGowan is an Irish medical doctor, physiotherapist, and co-founder of Triage Method—a health and fitness company dedicated to empowering individuals through evidence-based education. Hailing from County Kerry, Ireland, Dr. McGowan's diverse expertise spans medicine, physiotherapy, and fitness coaching, giving him a unique perspective on health, nutrition, and wellness.
He holds first-class honors degrees in both Physiotherapy (BSc) and Medicine (MB BCh BAO). With over a decade of coaching experience, Dr. McGowan combines his medical knowledge with practical training methodologies to help clients optimize health, performance, and body composition.
Through Triage Method, he delivers world-class coaching and educational content, bridging the gap between scientific research and real-world fitness application.
Connect with Dr. Gary McGowan:
- Instagram & X: @drgarymcgowan
- Triage Method: Triage Method Website
Connect with me:
Work with me: Premier Cardiovascular Health
Facebook: https://www.facebook.com/chris.huff.9480
Instagram: @hufcm
Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider before making any decisions about your health or medical treatment.
Next Episode

#18: The Basics of Exercise Physiology and Metabolism
As we move through the holiday season, it’s easy to let fitness routines fall by the wayside. But understanding how your body uses energy can reignite your motivation and set the stage for better performance, endurance, and health in the new year.
In this episode, Dr. Huff takes us through the science of energy production, explaining how adenosine triphosphate (ATP) acts as the "currency" powering every movement.
Takeaway—Example Training Plan
Building a fitness routine that targets all energy systems is essential for metabolic flexibility. A sample week might include:
- Monday: Zone 2 cardio (60–90 minutes at 60–70% max heart rate or 3-4 RPE)
- Tuesday: Interval training (30 minutes, high intensity)
- Wednesday: Active recovery (yoga, walking)
- Thursday: Zone 2 cardio (60-90 minutes)
- Friday: Tempo or intervals training
- Saturday: Long-duration Zone 2 cardio (90-120 minutes)
- Sunday: High-intensity interval training or rest depending on level of fatigue
Let’s Connect:
Work with me: Premier Cardiovascular Health
Facebook: https://www.facebook.com/chris.huff.9480
Instagram: @hufcm
Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider before making any decisions about your health or medical treatment.
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