In this episode of Modern Wisdom, UFC fighter Ben Askren recounts his near-fatal battle with necrotizing pneumonia, the double lung transplant that saved his life, and the physical and mental transformation that followed. Askren discusses his 37-day medically induced coma, the difficult rehabilitation process, and how the athletic discipline from his wrestling career shaped his recovery approach.
Beyond the medical details, Askren explores how facing mortality shifted his priorities toward meaningful coaching work and family time. He shares his perspectives on greatness and legacy, arguing that exceptional achievement stems more from environment than genetics, and explains why he refuses to let public opinion define his worth. The episode covers his philosophy on living fearlessly, his spiritual transformation, and his determination to push boundaries in his recovery—including his goal to become the longest-living double-lung transplant recipient.

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Ben Askren's podcast episode details his harrowing medical crisis, subsequent double lung transplant, and the profound life changes that followed. His story reveals how athletic discipline, spiritual transformation, and a fearless philosophy shaped his recovery and redefined his priorities.
Ben's ordeal began with what seemed like a minor elbow staph infection that he treated at home with antibiotics. When severe back pain developed days later, he initially dismissed it as a muscle spasm. However, the infection had entered his bloodstream, causing necrotizing pneumonia that was literally decomposing his lungs internally. His wife noticed his labored breathing and coordinated an emergency airlift to Milwaukee's Cardiovascular Intensive Care Unit.
Ben was placed in a medically induced coma for 37 days, paralyzed and on ECMO life support with only a 40% survival rate. He awoke to discover he'd undergone a double lung transplant—the transplant surgeon described his lungs as the worst case she'd ever seen. His recovery was complicated by infections and delayed healing, and he lost 60 pounds of muscle mass due to immobilization and medication side effects.
Rehabilitation meant relearning basic movements. Ben progressed from holding furniture to take a few steps to eventually walking independently for twelve minutes. Now, more than 11 months post-transplant, he continues rapid improvement through daily commitment to rebuilding his strength and mobility.
Upon waking in the hospital, Ben learned about his transplant from his wife's detailed journal documenting the weeks he'd missed. Reflecting on his near-death experience, he realized that if he hadn't survived, he would have still considered his life well-lived—he had meaningful work coaching wrestling, a loving family, and professional accomplishments. This realization freed him to live even more intentionally with his "extra" time.
Ben reevaluated his professional commitments, withdrawing from uninspiring business ventures and reducing travel for coaching. He now prioritizes hands-on coaching at his wrestling academies and being present for his children's activities, especially as his 13-year-old daughter develops her own passion for wrestling. He credits this shift to recognizing that his limited time should focus on what truly matters.
Ben also experienced a spiritual transformation. After sixteen years of church attendance, his faith only became deeply meaningful when facing mortality. He credits prayer, community support, and his donor family's sacrifice with his survival, fostering profound gratitude. Meeting other transplant patients who endured even greater challenges—like one man who spent nine months hospitalized for a second transplant—deepened his perspective on gratitude and humility.
Ben attributes his recovery progress to the discipline ingrained during his wrestling career. Even on difficult days, he refuses to surrender to inactivity, scaling back when necessary but never missing his physical therapy, breathing exercises, or medications completely. This goal-driven approach began with just four steps and expanded over time, always progressing based on his daily capabilities.
He views wrestling as a powerful teacher of resilience, discipline, and humility. The sport requires confronting defeat and persevering through continuous effort, fostering self-reliance and a forward-focused mindset. Ben applies this same mental fortitude to recovery, constantly asking "What do I need to do to get better?" rather than dwelling on setbacks.
Ben argues that exceptional achievement comes more from environment and development than genetics. He points to the Polgár sisters, whose father declared before their birth that he would raise chess champions through intensive training—all three became among the five highest-rated female players ever. Ben illustrates this with two hypothetical seven-year-olds beginning wrestling: different upbringings put them "worlds apart" before they even start.
When Ben and a sports psychologist surveyed every Division I NCAA wrestling champion from 1956 to 2006, they expected tales of defining moments. Instead, most champions denied ever feeling "great," focusing on improvement and defeating the next opponent rather than on legacy. Ben emphasizes that champions maintain a "green belt mentality," remaining open to learning rather than plateauing by thinking they've arrived.
Ben resists letting public opinion define his legacy or self-worth. Despite nearly a decade of near-perfect success, many remember him most for his five-second knockout loss to Jorge Masvidal. He says he ignores such reduction, explaining that he competed to test his potential, not to manage perceptions. He's had many opportunities to be defined by particular achievements—his NCAA title, undefeated streak, the Jake Paul fight, surviving serious illness—but refuses each narrative, saying: "Legacy is defined by other people if they want to. And if they don't want to think about me, I don't really care."
Ben's philosophy centers on seizing opportunities and living without fear of failure. He hopes to inspire people to live fearlessly, illustrating this with a quote: "Worrying is like a rocking chair. You can move all day, but you ain't going anywhere." He relates to the myth of Sisyphus, showing up every day and working hard with a great attitude regardless of immediate reward.
His fearlessness extends to his health journey. Determined to become the longest living double-lung transplant recipient—aiming to surpass the existing record of 38 years—Ben expresses willingness to participate in experimental treatments and cutting-edge stem cell technologies. He manages the challenges of immunosuppressant medications by masking and avoiding crowds, while communicating regularly with his doctor about promising new approaches.
Ben's approach to legacy means embracing challenges others might avoid due to reputation concerns. He accepted higher-ranked opponents and pursued opportunities that tested his abilities rather than protected his image. His return to wrestling just 11 months after transplant—participating in an event for RAF, the wrestling organization he helped launch—demonstrates his commitment to living fully and inspiring others by showing that adversity doesn't have to limit one's potential.
1-Page Summary
Ben Askren’s ordeal began with an apparently minor infection and evolved into a rare, life-threatening medical crisis that required emergency intervention, a double lung transplant, and a prolonged period of recovery and rehabilitation.
Ben initially noticed a staph infection on his elbow and treated it as he had with previous minor infections: cleaning, showering, applying antibacterial ointment, and taking a single course of antibiotics. The symptoms quickly resolved, and Ben believed the infection was gone. He didn’t feel sick and experienced no flu-like symptoms.
About four days later, Ben began experiencing severe back pain, which he attributed to a muscle spasm, given his history of such issues. Pain medication prescribed by a doctor had no effect. The pain worsened, and he was up most of the night trying to get relief. Unknown to him, the staph infection had entered his bloodstream and reached his lungs, causing necrotizing pneumonia—a condition where his body was essentially "eating" his lungs from the inside, leading to sepsis.
As Ben’s pain intensified, his wife noticed he was breathing rapidly and laboriously while sleeping. Concerned, she videotaped his breathing and consulted doctor friends, who advised immediate hospitalization. Ben was resistant but eventually agreed to go. After going to the hospital—recalling only the walk into the waiting room—his condition deteriorated further. Medical friends recognized the gravity of his condition and organized an airlift to Milwaukee’s Cardiovascular Intensive Care Unit (CVICU), where his condition could be better managed.
To stabilize him for transport, Ben was fully paralyzed and sedated. Upon arrival in Milwaukee, doctors placed him on ECMO (Extracorporeal Membrane Oxygenation), a life support system with only a 40% survival rate. Ben remained unconscious for 37 days, with no memory of this period. When he finally awoke, he discovered he’d undergone a double lung transplant, knowledge he pieced together from his wife’s detailed journal of his hospital journey.
The infection had destroyed Ben’s lung tissue so extensively that the transplant surgeon described his as the worst case she had ever seen. The lungs had decomposed and stuck to his ribs, requiring extensive scraping to remove all the necrotic tissue before the new lungs could be transplanted.
Ben’s recovery was complicated. He became the first lung transplant patient at his center sent home with a chest tube still in place due to delayed healing. He later developed an infection that required readmission for two weeks. Such complications were not attributed to personal fault but were part of the immense physiological challenge of his situation.
During his long hospitalization, Ben lost about 60 pounds, mos ...
The Medical Crisis and Physical Recovery
Ben Askren’s journey through a harrowing medical crisis and organ transplant deeply transformed his outlook on life, priorities, and spirituality. His reflections reveal profound changes in how he perceives meaning, work, and family, as well as a new sense of gratitude and faith.
Ben describes waking up in a hospital after being unconscious, confused about his circumstances. He could not recall any recent events or how he ended up in the hospital. Upon regaining clearer awareness, he learned from a nurse—since he still could not speak—that he had undergone a double lung transplant, a revelation that utterly defied his expectations, given his healthy lifestyle and never having smoked. His wife’s detailed journal about the weeks he missed documented the ordeal, helping him piece together the events.
Ben shares that after realizing the extent of his medical crisis and near-death experience, his primary emotions were shock and surprise. However, as he processed what had happened, he reflected on his previous life and found deep satisfaction. He recognized that if he had not survived, he would have still considered his life well-lived—having a loving family, meaningful work coaching wrestling and shaping young lives, and a fulfilling array of professional accomplishments. This sense of retrospective contentment affirmed for Ben that his priorities had been well set even before the trauma.
Although Ben was proud of the life he had led, surviving gave him a renewed commitment to make the most of his “extra” time. He realized he didn’t need to come close to dying to see how fortunate he had been. Now, he feels freed to identify areas where he can be even more intentional, optimizing his remaining years to focus on what truly matters.
Confronted by his experience, Ben reevaluated his professional commitments. He began to withdraw from business ventures that did not ignite real passion—even those requiring just small amounts of his time—requesting fair buyouts if his heart was not fully invested. Offers for new projects are now scrutinized through the lens of whether they are worthy of his limited and valuable time.
Ben also critically examined his travel schedule for wrestling coaching, acknowledging that although he loves tournaments and coaching, frequent travel cost valuable time with his family. In the past, his wife often juggled responsibilities alone when he traveled, and he missed important family moments. Committed to changing, Ben now limits travel to be present at more of his children’s activities—especially as his 13-year-old daughter develops a passion for wrestling—ensuring he doesn’t miss irreplaceable family experiences.
Ben’s main professional dedication is to the wrestling academies he operates with his brother in Wisconsin, with the part he treasures most being hands-on coaching. He prioritizes this core work and time with his family, letting go of less meaningful opportunities. This adjustment ensures t ...
Psychological Transformation and Changed Priorities
Ben Askren’s years of wrestling and combat sports have shaped his approach to recovery, imbuing his efforts with the same discipline, resilience, and internal motivation he learned as an athlete.
Askren credits his recovery progress to the regimented habits ingrained during his athletic career. He explains that even on days when he doesn’t feel well, he refuses to surrender to inactivity. Instead, he stays committed to performing productive activities, scaling back as necessary but never missing out completely. Whether it means moving a workout from morning to afternoon or doing fewer exercises than usual, he continues with his physical therapy, breathing exercises, and medical routines without fail.
This disciplined adherence extends to his medication and other necessary tasks, ensuring he never misses exercises or doses. The mindset he applies is one of persistent effort: if he can’t do everything he planned, he does as much as he can. He emphasizes the importance of “getting up and doing something” because passivity leads to stagnation. His goal-driven approach began small, from taking just four steps, and expanded over time to more demanding activities like squats, always progressing based on his capabilities each day.
Askren views wrestling as a powerful teacher of resilience, discipline, and humility. He believes wrestling is a microcosm of life, providing experiences that mirror real-world struggles. The sport humbles its participants—there is always someone better in the room, and confronting this fact is unavoidable. Instead of being sidelined when outmatched, a wre ...
Athletic Mindset as a Tool For Resilience
Ben Askren contends that what people call “talent” is much more about environment and upbringing than genetics. Citing his experience running a wrestling academy versus working in a mixed martial arts gym, he observes that parents’ expectations are crucial: wrestling parents typically want discipline and steady growth for their kids, while many MMA parents have unrealistic visions of stardom. Ben argues that to objectively test talent, you'd have to start "out of the womb," because so much depends on early environment and development.
He illustrates this with two hypothetical seven-year-olds, neither with any wrestling experience. One is undisciplined, having spent his childhood on the couch, eating junk food, and never challenged physically or mentally. The other, by contrast, has been raised by active parents, with siblings who toughen him up, a healthy lifestyle, and plenty of time outdoors. Though neither has wrestled, Ben says their different upbringings put them "worlds apart right now from jump," reinforcing that drive, discipline, and exposure are far more significant factors than innate talent.
Ben points to the story of the Polgár sisters as proof that environment and intensive training trump genetics. Their father famously claimed, even before having children, that he would raise world-class chess champions by creating an environment focused on chess mastery. Following this plan, all three Polgár sisters became among the five highest-rated female chess players of all time, supporting Ben’s argument that greatness is mostly developed, not inherited.
Ben notes the enormous time investment needed to reach the top in wrestling. Success in the sport is not a function of natural ability but of consistent hard work, years of guided improvement, and the persistence to push through plateaus. Wrestling, he asserts, is one of the purest examples of greatness arising from accumulated training hours and developmental environment.
Ben examines the mindset that separates true champions from others. When he and a sports psychologist surveyed every Division I NCAA wrestling champion from 1956 to 2006, they expected tales of defining moments or changes that turned good athletes into great ones. Instead, the most common answer was a denial of ever feeling “great.” Even among the top 1-in-100,000 athletes, most champions maintained they were not great, focusing not on their legacy or stature but on improvement and defeating their next opponent.
Ben emphasizes that greatness is always an external judgment, not an internal mindset. Champions keep what he calls a "green belt mentality," akin to the idea that if "you’re green, you’re growing." This approach—remaining open to learning and constantly improving—contrasts with those who plateau or decline, believing they have nothing more to learn. Ben insists that thinking you are great is actually what stops you from becoming so, while humble daily improvement keeps you climbing higher.
Ben resists letting public opinion or single events define his legacy or self-worth, focusing instead on personal growth and living authentically.
Philosophy on Talent, Greatness, and Legacy
Ben Askren’s life philosophy centers on seizing opportunities and living without fear of failure. He aims to inspire others to live fully, act boldly, and prioritize meaningful endeavors over a safe but limited existence.
Askren believes risking failure is preferable to playing it safe. He hopes to encourage people to live fearlessly and not let worries about judgment or the possibility of failure hold them back. According to Askren, the point of life isn’t simply to arrive safely at death but instead to live as fully as possible, immersing oneself in meaningful pursuits even if they involve significant risk. He illustrates this with a quote: "Worrying is like a rocking chair. You can move all day, but you ain't going anywhere." Rather than spend time worrying, Askren urges action and engagement, choosing to "make it happen" rather than be constrained by anxieties or societal expectations.
He further draws inspiration from the myth of Sisyphus, relating to the idea of showing up every day and working hard with a great attitude, regardless of immediate reward. For Askren, life is measured by effort and resilience in the face of adversity, not by playing it safe or avoiding challenges. He lives this out by embodying the same messages he shares, meeting hardship head-on and striving to give others an example of overcoming obstacles.
Askren’s fearlessness also extends to his health journey as a double-lung transplant recipient. Determined to be the longest living double-lung transplant recipient—his goal is to surpass the existing record of 38 years and make it to at least 39—Askren is not only disciplined about his health but also open to experimental treatments. He expresses a willingness to participate in experimental protocols and cutting-edge stem cell technologies if they offer the chance for a longer, healthier life.
He recognizes the risks and challenges of post-transplant life, particularly the impact of immunosuppressants that lower his immune system to prevent organ rejection. These medications bring their own complications, often limiting life expectancy because a suppressed immune system causes vulnerability to illness. Askren manages exposure by masking and avoiding crowded environments but hopes that maturing technologies—like lab-grown organs from his own stem cells—could one day provide an alternative to lifelong immunosuppression. He communicates regularly with his doctor, volunteering to try promising new approaches and treatment protocols.
Living Fearlessly and Seizing Opportunities
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