TED英语演讲稿让我们来谈谈死亡.docx
《TED英语演讲稿让我们来谈谈死亡.docx》由会员分享,可在线阅读,更多相关《TED英语演讲稿让我们来谈谈死亡.docx(6页珍藏版)》请在冰豆网上搜索。
TED英语演讲稿让我们来谈谈死亡
TED英语演讲稿:
让我们来谈谈死亡
简介:
我们无法控制死亡的到来,但也许我们可以选择用何种态度来面对它。
特护专家petersaul博士希望通过演讲帮助人们弄清临终者真正的意愿,并选择适当的方式去面对。
look,ihadsecondthoughts,really,aboutwhethericouldtalkaboutthistosuchavitalandaliveaudienceasyouguys.thenirememberedthequotefromgloriasteinem,whichgoes,thetruthwillsetyoufree,butfirstitwillpissyouoff.(laughter)so--(laughter)
sowiththatinmind,imgoingtosetabouttryingtodothosethingshere,andtalkaboutdyinginthe21stcentury.nowthefirstthingthatwillpissyouoff,undoubtedly,isthatallofusare,infact,goingtodieinthe21stcentury.therewillbenoexceptionstothat.thereare,apparently,aboutoneineightofyouwhothinkyoureimmortal,onsurveys,but--(laughter)unfortunately,thatisntgoingtohappen.
whileigivethistalk,inthenext10minutes,ahundredmillionofmycellswilldie,andoverthecourseoftoday,2,000ofmybraincellswilldieandnevercomeback,soyoucouldarguethatthedyingprocessstartsprettyearlyinthepiece.
anyway,thesecondthingiwanttosayaboutdyinginthe21stcentury,apartfromitsgoingtohappentoeverybody,isitsshapinguptobeabitofatrainwreckformostofus,unlesswedosomethingtotryandreclaimthisprocessfromtheratherinexorabletrajectorythatitscurrentlyon.
sothereyougo.thatsthetruth.nodoubtthatwillpissyouoff,andnowletsseewhetherwecansetyoufree.idontpromiseanything.now,asyouheardintheintro,iworkinintensivecare,andithinkivekindoflivedthroughtheheydayofintensivecare.itsbeenaride,man.thishasbeenfantastic.wehavemachinesthatgoping.theresmanyofthemupthere.andwehavesomewizardtechnologywhichithinkhasworkedreallywell,andoverthecourseofthetimeiveworkedinintensivecare,thedeathrateformalesinaustraliahashalved,andintensivecarehashadsomethingtodowiththat.certainly,alotofthetechnologiesthatweusehavegotsomethingtodowiththat.
sowehavehadtremendoussuccess,andwekindofgotcaughtupinourownsuccessquiteabit,andwestartedusingexpressionslikelifesaving.ireallyapologizetoeverybodyfordoingthat,becauseobviously,wedont.whatwedoisprolongpeopleslives,anddelaydeath,andredirectdeath,butwecant,strictlyspeaking,savelivesonanysortofpermanentbasis.
andwhatsreallyhappenedovertheperiodoftimethativebeenworkinginintensivecareisthatthepeoplewhoseliveswestartedsavingbackinthe70s,80s,and90s,arenowcomingtodieinthe21stcenturyofdiseasesthatwenolongerhavetheanswerstoinquitethewaywedidthen.
sowhatshappeningnowistheresbeenabigshiftinthewaythatpeopledie,andmostofwhattheyredyingofnowisntasamenabletowhatwecandoaswhatitusedtobelikewheniwasdoingthisinthe80sand90s.
sowekindofgotabitcaughtupwiththis,andwehaventreallysquaredwithyouguysaboutwhatsreallyhappeningnow,anditsabouttimewedid.ikindofwokeuptothisbitinthelate90swhenimetthisguy.thisguyiscalledjim,jimsmith,andhelookedlikethis.iwascalleddowntothewardtoseehim.hisisthelittlehand.iwascalleddowntothewardtoseehimbyarespiratoryphysician.hesaid,look,theresaguydownhere.hesgotpneumonia,andhelookslikeheneedsintensivecare.hisdaughtershereandshewantseverythingpossibletobedone.whichisafamiliarphrasetous.soigodowntothewardandseejim,andhisskinhistranslucentlikethis.youcanseehisbonesthroughtheskin.hesvery,verythin,andheis,indeed,verysickwithpneumonia,andhestoosicktotalktome,soitalktohisdaughterkathleen,andisaytoher,didyouandjimevertalkaboutwhatyouwouldwantdoneifheendedupinthiskindofsituation?
andshelookedatmeandsaid,
no,ofcoursenot!
ithought,okay.takethissteady.andigottalkingtoher,andafterawhile,shesaidtome,youknow,wealwaysthoughttheredbetime.
jimwas94.(laughter)andirealizedthatsomethingwasnthappeninghere.therewasntthisdialoguegoingonthatiimaginedwashappening.soagroupofusstarteddoingsurveywork,andwelookedatfourandahalfthousandnursinghomeresidentsinnewcastle,inthenewcastlearea,anddiscoveredthatonlyoneinahundredofthemhadaplanaboutwhattodowhentheirheartsstoppedbeating.oneinahundred.andonlyonein500ofthemhadplanaboutwhattodoiftheybecameseriouslyill.andirealized,ofcourse,thisdialogueisdefinitelynotoccurringinthepublicatlarge.
now,iworkinacutecare.thisisjohnhunterhospital.andithought,surely,wedobetterthanthat.soacolleagueofminefromnursingcalledlisashawandiwentthroughhundredsandhundredsofsetsofnotesinthemedicalrecordsdepartmentlookingatwhethertherewasanysignatallthatanybodyhadhadanyconversationaboutwhatmighthappentothemifthetreatmenttheywerereceivingwasunsuccessfultothepointthattheywoulddie.andwedidntfindasinglerecordofanypreferenceaboutgoals,treatmentsoroutcomesfromanyofthesetsofnotesinitiatedbyadoctororbyapatient.
sowestartedtorealizethatwehadaproblem,andtheproblemismoreseriousbecauseofthis.
whatweknowisthatobviouslyweareallgoingtodie,buthowwedieisactuallyreallyimportant,obviouslynotjusttous,butalsotohowthatfeaturesinthelivesofallthepeoplewholiveonafterwards.howwedielivesoninthemindsofeverybodywhosurvivesus,andthestresscreatedinfamiliesbydyingisenormous,andinfactyougetseventimesasmuchstressbydyinginintensivecareasbydyingjustaboutanywhereelse,sodyinginintensivecareisnotyourtopoptionifyouvegotachoice.
and,ifthatwasntbadenough,ofcourse,allofthisisrapidlyprogressingtowardsthefactthatmanyofyou,infact,aboutonein10ofyouatthispoint,willdieinintensivecare.intheu.s.,itsoneinfive.inmiami,itsthreeoutoffivepeopledieinintensivecare.sothisisthesortofmomentumthatwevegotatthemoment.
thereasonwhythisisallhappeningisduetothis,andidohavetotakeyouthroughwhatthisisabout.thesearethefourwaystogo.sooneofthesewillhappentoallofus.theonesyoumayknowmostaboutaretheonesthatarebecomingincreasinglyofhistoricalinterest:
suddendeath.itsquitelikelyinanaudiencethissizethiswonthappentoanybodyhere.suddendeathhasbecomeveryrare.thedeathoflittlenellandcordeliaandallthatsortofstuffjustdoesnthappenanymore.thedyingprocessofthosewithterminalillnessthatwevejustseenoccurstoyoungerpeople.bythetimeyouvereached80,thisisunlikelytohappentoyou.onlyonein10peoplewhoareover80willdieofcancer.
thebiggrowthindustryarethese.whatyoudieofisincreasingorganfailure,withyourrespiratory,cardiac,renal,whateverorganspackingup.eachofthesewouldbeanadmissiontoanacutecarehospital,attheendofwhich,oratsomepointduringwhich,somebodysays,enoughisenough,andwestop.
andthisonesthebiggestgrowthindustryofall,andatleastsixoutof10ofthepeopleinthisroomwilldieinthisform,whichisthedwindlingofcapacitywithincreasingfrailty,andfrailtysaninevitablepartofaging,andincreasingfrailtyisinfactthemainthingthatpeopledieofnow,andthelastfewyears,orthelastyearofyourlifeisspentwithagreatdealofdisability,unfortunately.
enjoyingitsofar?
(laughs)(laughter)sorry,ijustfeelsucha,ifeelsuchacassandrahere.(laughter)
whatcanisaythatspositive?
whatspositiveisthatthisishappeningatverygreatage,now.weareall,mostofus,livingtoreachthispoint.youknow,historically,wedidntdothat.thisiswhathappenstoyouwhenyoulivetobeagreatage,andunfortunately,increasinglongevitydoesmeanmoreoldage,notmoreyouth.imsorrytosaythat.(laughter)whatwedid,anyway,look,whatwedid,wedidntjusttakethislyingdownatjohnhunterhospitalandelsewhere.wevestartedawholeseriesofprojectstotryandlookaboutwhetherwecould,infact,involvepeoplemuchmoreinthewaythatthingshappentothem.butwerealized,ofcourse,thatwearedealingwithculturalissues,andthisis,ilovethisklimtpainting,becausethemoreyoulookatit,themoreyoukindofgetthewholeissuethatsgoingonhere,whichisclearlytheseparationofdeathfromtheliving,andthefearlike,ifyouactuallylook,theresonewomantherewhohashereyesopen.shestheoneheslookingat,andtheonehescomingfor.canyouseethat?
shelooksterrified.itsanamazingpicture.
anyway,wehadamajorculturalissue.clearly,peopledidntwantustotalkaboutdeath,or,wethoughtthat.sowithloadsoffundingfromthefederalgovernmentandthelocalhealthservice,weintroducedathingatjohnhuntercalledrespectingpatientchoices.wetrainedhundredsofpeopletogotothewardsandtalktopeopleaboutthefactthattheywoulddie,andwhatwouldtheypreferunderthosecircumstances.theylovedit.thefamiliesandthepatients,theylovedit.ninety-eightpercentofpeoplereallythoughtthisjustshouldhavebeennormalpractice,andthatthisishowthingsshouldwork.andwhentheyexpressedwishes,allofthosewishescametrue,asitwere.wewereabletomakethathappenforthem.butthen,whenthefundingranout,wewentbacktolooksixmonthslater,andeverybodyhadstoppedagain,andnobodywashavingtheseconversationsanymore.sothatwasreallykindofheartbreakingforus,becausewethoughtthiswasgoingtoreallytakeoff.theculturalissueh