TED英语演讲在生命的尽头你想要什么.docx

TED英语演讲在生命的尽头你想要什么.docx

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TED英语演讲在生命的尽头你想要什么

TED英语演讲：

在生命的尽头你想要什么

　　在生命的终点，我们最渴望的是什么?

对许多人而言，只是很简单的舒适、尊重和爱。

BJ*米勒是个安宁疗护医生，他深入思考如何为他的病患创造有尊严、优雅的生命终点。

请花点时间品尝这场动人的谈话，裡面探讨了我们如何思考死亡和为人生增光的重要议题。

下面是小编为大家收集关于TED英语演讲：

在生命的尽头你想要什么，欢迎借鉴参考。

　　英文演讲稿

　　Well,weallneedareasontowakeup.Forme,itjusttook11,000volts.

　　Iknowyou'retoopolitetoask,soIwilltellyou.

　　Onenight,sophomoreyearofcollege,justbackfromThanksgivingholiday,afewofmyfriendsandIwerehorsingaround,andwedecidedtoclimbatopaparkedcommutertrain.Itwasjustsittingthere,withthewiresthatrunoverhead.Somehow,thatseemedlikeagreatideaatthetime.We'dcertainlydonestupiderthings.Iscurrieduptheladderontheback,andwhenIstoodup,theelectricalcurrententeredmyarm,blewdownandoutmyfeet,andthatwasthat.Wouldyoubelievethatwatchstillworks?

Takesalicking!

　　Myfatherwearsitnowinsolidarity.

　　Thatnightbeganmyformalrelationshipwithdeath--mydeath--anditalsobeganmylongrunasapatient.It'sagoodword.Itmeansonewhosuffers.SoIguesswe'reallpatients.

　　Now,theAmericanhealthcaresystemhasmorethanitsfairshareofdysfunction--tomatchitsbrilliance,tobesure.I'maphysiciannow,ahospiceandpalliativemedicinedoc,soI'veseencarefrombothsides.Andbelieveme:

almosteveryonewhogoesintohealthcarereallymeanswell--Imean,truly.Butwewhoworkinitarealsounwittingagentsforasystemthattoooftendoesnotserve.

　　Why?

Well,there'sactuallyaprettyeasyanswertothatquestion,anditexplainsalot:

becausehealthcarewasdesignedwithdiseases,notpeople,atitscenter.Whichistosay,ofcourse,itwasbadlydesigned.Andnowherearetheeffectsofbaddesignmoreheartbreakingortheopportunityforgooddesignmorecompellingthanattheendoflife,wherethingsaresodistilledandconcentrated.Therearenodo-overs.

　　Mypurposetodayistoreachoutacrossdisciplinesandinvitedesignthinkingintothisbigconversation.Thatis,tobringintentionandcreativitytotheexperienceofdying.Wehaveamonumentalopportunityinfrontofus,beforeoneofthefewuniversalissuesasindividualsaswellasacivilsociety:

torethinkandredesignhowitiswedie.

　　Solet'sbeginattheend.Formostpeople,thescariestthingaboutdeathisn'tbeingdead,it'sdying,suffering.It'sakeydistinction.Togetunderneaththis,itcanbeveryhelpfultoteaseoutsufferingwhichisnecessaryasitis,fromsufferingwecanchange.Theformerisanatural,essentialpartoflife,partofthedeal,andtothiswearecalledtomakespace,adjust,grow.Itcanbereallygoodtorealizeforceslargerthanourselves.Theybringproportionality,likeacosmicright-sizing.Aftermylimbsweregone,thatloss,forexample,becamefact,fixed--necessarilypartofmylife,andIlearnedthatIcouldnomorerejectthisfactthanrejectmyself.Ittookmeawhile,butIlearnediteventually.Now,anothergreatthingaboutnecessarysufferingisthatitistheverythingthatunitescaregiverandcarereceiver--humanbeings.This,wearefinallyrealizing,iswherehealinghappens.Yes,compassion--literally,aswelearnedyesterday--sufferingtogether.

　　Now,onthesystemsside,ontheotherhand,somuchofthesufferingisunnecessary,invented.Itservesnogoodpurpose.Butthegoodnewsis,sincethisbrandofsufferingismadeup,well,wecanchangeit.Howwedieisindeedsomethingwecanaffect.Makingthesystemsensitivetothisfundamentaldistinctionbetweennecessaryandunnecessarysufferinggivesusourfirstofthreedesigncuesfortheday.Afterall,ourroleascaregivers,aspeoplewhocare,istorelievesuffering--notaddtothepile.

　　Truetothetenetsofpalliativecare,Ifunctionassomethingofareflectiveadvocate,asmuchasprescribingphysician.Quickaside:

palliativecare--averyimportantfieldbutpoorlyunderstood--whileitincludes,itisnotlimitedtoendoflifecare.Itisnotlimitedtohospice.It'ssimplyaboutcomfortandlivingwellatanystage.Sopleaseknowthatyoudon'thavetobedyinganytimesoontobenefitfrompalliativecare.

　　Now,letmeintroduceyoutoFrank.Sortofmakesthispoint.I'vebeenseeingFranknowforyears.He'slivingwithadvancingprostatecancerontopoflong-standingHIV.Weworkonhisbonepainandhisfatigue,butmostofthetimewespendthinkingoutloudtogetherabouthislife--really,aboutourlives.Inthisway,Frankgrieves.Inthisway,hekeepsupwithhislossesastheyrollin,sothathe'sreadytotakeinthenextmoment.Lossisonething,butregret,quiteanother.Frankhasalwaysbeenanadventurer--helookslikesomethingoutofaNormanRockwellpainting--andnofanofregret.Soitwasn'tsurprisingwhenhecameintocliniconeday,sayinghewantedtoraftdowntheColoradoRiver.Wasthisagoodidea?

Withalltheriskstohissafetyandhishealth,somewouldsayno.Manydid,buthewentforit,whilehestillcould.Itwasaglorious,marveloustrip:

freezingwater,blisteringdryheat,scorpions,snakes,wildlifehowlingofftheflamingwallsoftheGrandCanyon--alltheglorioussideoftheworldbeyondourcontrol.Frank'sdecision,whilemaybedramatic,isexactlythekindsomanyofuswouldmake,ifweonlyhadthesupporttofigureoutwhatisbestforourselvesovertime.

　　Somuchofwhatwe'retalkingabouttodayisashiftinperspective.Aftermyaccident,whenIwentbacktocollege,Ichangedmymajortoarthistory.Studyingvisualart,IfiguredI'dlearnsomethingabouthowtosee--areallypotentlessonforakidwhocouldn'tchangesomuchofwhathewasseeing.Perspective,thatkindofalchemywehumansgettoplaywith,turninganguishintoaflower.

　　Flashforward:

nowIworkatanamazingplaceinSanFranciscocalledtheZenHospiceProject,wherewehavealittleritualthathelpswiththisshiftinperspective.Whenoneofourresidentsdies,themortuarymencome,andaswe'rewheelingthebodyoutthroughthegarden,headingforthegate,wepause.Anyonewhowants--fellowresidents,family,nurses,volunteers,thehearsedriverstoo,now--sharesastoryorasongorsilence,aswesprinklethebodywithflowerpetals.Ittakesafewminutes;it'sasweet,simplepartingimagetousheringriefwithwarmth,ratherthanrepugnance.Contrastthatwiththetypicalexperienceinthehospitalsetting,muchlikethis--floodlitroomlinedwithtubesandbeepingmachinesandblinkinglightsthatdon'tstopevenwhenthepatient'slifehas.Cleaningcrewswoopsin,thebody'swhiskedaway,anditallfeelsasthoughthatpersonhadneverreallyexisted.Well-intended,ofcourse,inthenameofsterility,buthospitalstendtoassaultoursenses,andthemostwemighthopeforwithinthosewallsisnumbness--anesthetic,literallytheoppositeofaesthetic.Ireverehospitalsforwhattheycando;Iamalivebecauseofthem.Butweasktoomuchofourhospitals.Theyareplacesforacutetraumaandtreatableillness.Theyarenoplacetoliveanddie;that'snotwhattheyweredesignedfor.

　　Nowmindyou--Iamnotgivinguponthenotionthatourinstitutionscanbecomemorehumane.Beautycanbefoundanywhere.IspentafewmonthsinaburnunitatSt.BarnabasHospitalinLivingston,NewJersey,whereIgotreallygreatcareateveryturn,includinggoodpalliativecareformypain.Andonenight,itbegantosnowoutside.Iremembermynursescomplainingaboutdrivingthroughit.Andtherewasnowindowinmyroom,butitwasgreattojustimagineitcomingdownallsticky.Nextday,oneofmynursessmuggledinasnowballforme.Shebroughtitintotheunit.IcannottellyoutheraptureIfeltholdingthatinmyhand,andthecoldnessdrippingontomyburningskin;themiracleofitall,thefascinationasIwatcheditmeltandturnintowater.Inthatmoment,justbeinganypartofthisplanetinthisuniversematteredmoretomethanwhetherIlivedordied.ThatlittlesnowballpackedalltheinspirationIneededtobothtrytoliveandbeOKifIdidnot.Inahospital,that'sastolenmoment.

　　Inmyworkovertheyears,I'veknownmanypeoplewhowerereadytogo,readytodie.Notbecausetheyhadfoundsomefinalpeaceortranscendence,butbecausetheyweresorepulsedbywhattheirliveshadbecome--inaword,cutoff,orugly.Therearealreadyrecordnumbersofuslivingwithchronicandterminalillness,andintoeverolderage.Andwearenowherenearreadyorpreparedforthissilvertsunami.Weneedaninfrastructuredynamicenoughtohandletheseseismicshiftsinourpopulation.Nowisthetimetocreatesomethingnew,somethingvital.Iknowwecanbecausewehaveto.Thealternativeisjustunacceptable.Andthekeyingredientsareknown:

policy,educationandtraining,systems,bricksandmortar.Wehavetonsofinputfordesignersofallstripestoworkwith.

　　Weknow,forexample,fromresearchwhat'smostimportanttopeoplewhoareclosertodeath:

comfort;feelingunburdenedandunburdeningtothosetheylove;existentialpeace;andasenseofwondermentandspirituality.

　　OverZenHospice'snearly30years,we'velearnedmuchmorefromourresidentsinsubtledetail.Littlethingsaren'tsolittle.TakeJanette.ShefindsithardertobreatheonedaytothenextduetoALS.Well,guesswhat?

Shewantstostartsmokingagain--andFrenchcigarettes,ifyouplease.Notoutofsomeself-destructivebent,buttofeelherlungsfilledwhileshehasthem.Prioritieschange.OrKate--shejustwantstoknowherdogAustinislyingatthefootofherbed,hiscoldmuzzleagainstherdryskin,insteadofmorechemotherapycoursingthroughherveins--she'sdonethat.Sensuous,aestheticgratification,whereinamoment,in