Ed Gavagan: A story about knots and surgeons

134,989 views ・ 2012-09-24

TED


Please double-click on the English subtitles below to play the video.

00:00
Translator: Joseph Geni Reviewer: Morton Bast
0
0
7000
00:18
You know, we wake up in the morning,
1
18799
3076
00:21
you get dressed, put on your shoes,
2
21875
2520
00:24
you head out into the world.
3
24395
2512
00:26
You plan on coming back, getting undressed,
4
26907
4251
00:31
going to bed,
5
31158
2225
00:33
waking up, doing it again,
6
33383
1754
00:35
and that anticipation, that rhythm,
7
35137
3148
00:38
helps give us a structure
8
38285
2270
00:40
to how we organize ourselves and our lives,
9
40555
3588
00:44
and gives it a measure of predictability.
10
44143
3480
00:47
Living in New York City, as I do,
11
47623
2388
00:50
it's almost as if, with so many people doing so many things
12
50011
7239
00:57
at the same time in such close quarters,
13
57250
3350
01:00
it's almost like life is dealing you extra hands
14
60600
3239
01:03
out of that deck.
15
63839
1526
01:05
You're never, there's just, juxtapositions are possible
16
65365
4668
01:10
that just aren't, you don't think they're going to happen.
17
70033
5003
01:15
And you never think you're going to be the guy
18
75036
2343
01:17
who's walking down the street
19
77379
1630
01:19
and, because you choose to go down one side or the other,
20
79009
3422
01:22
the rest of your life is changed forever.
21
82431
3160
01:25
And one night, I'm riding the uptown local train.
22
85591
5728
01:31
I get on. I tend to be a little bit vigilant
23
91319
3496
01:34
when I get on the subway.
24
94815
2117
01:36
I'm not one of the people zoning out with headphones
25
96932
3046
01:39
or a book.
26
99978
1383
01:41
And I get on the car, and I look, and I
27
101361
2806
01:44
notice this couple,
28
104167
2584
01:46
college-aged, student-looking kids,
29
106751
3488
01:50
a guy and a girl, and they're sitting next to each other,
30
110239
1797
01:52
and she's got her leg draped over his knee,
31
112036
2649
01:54
and they're doing -- they have this little contraption,
32
114685
4160
01:58
and they're tying these knots,
33
118845
1758
02:00
and they're doing it with one hand,
34
120603
1837
02:02
they're doing it left-handed and right-handed very quickly,
35
122440
3964
02:06
and then she'll hand the thing to him and he'll do it.
36
126404
2248
02:08
I've never seen anything like this.
37
128652
1201
02:09
It's almost like they're practicing magic tricks.
38
129853
3384
02:13
And at the next stop, a guy gets on the car,
39
133237
4319
02:17
and he has this sort of visiting professor look to him.
40
137556
3978
02:21
He's got the overstuffed leather satchel
41
141534
2120
02:23
and the rectangular file case and a laptop bag
42
143654
3310
02:26
and the tweed jacket with the leather patches,
43
146964
2512
02:29
and — (Laughter) —
44
149476
1977
02:31
he looks at them, and then
45
151453
2823
02:34
in a blink of an eye, he kneels down in front of them,
46
154276
3016
02:37
and he starts to say,
47
157292
1665
02:38
"You know, listen, here's how you can do it. Look,
48
158957
2069
02:41
if you do this -- " and he takes the laces out of their hand,
49
161026
2619
02:43
and instantly, he starts tying these knots,
50
163645
3311
02:46
and even better than they were doing it, remarkably.
51
166956
4661
02:51
And it turns out they are medical students
52
171617
3080
02:54
on their way to a lecture about the latest
53
174697
2112
02:56
suturing techniques, and he's the guy giving the lecture.
54
176809
3226
03:00
(Laughter)
55
180035
1608
03:01
So he starts to tell them, and he's like,
56
181643
2414
03:04
"No, this is very important here. You know,
57
184057
2508
03:06
when you're needing these knots,
58
186565
2280
03:08
it's going to be, you know, everything's
59
188845
1592
03:10
going to be happening at the same time, it's going to be --
60
190437
3753
03:14
you're going to have all this information coming at you,
61
194190
3637
03:17
there's going to be organs getting in the way,
62
197827
1496
03:19
it's going to be slippery,
63
199323
2035
03:21
and
64
201358
1310
03:22
it's just very important that you be able to do these
65
202668
2758
03:25
beyond second nature, each hand, left hand, right hand,
66
205426
3370
03:28
you have to be able to do them without seeing your fingers."
67
208796
2828
03:31
And at that moment, when I heard that,
68
211624
2370
03:33
I just got catapulted out of the subway car into a night
69
213994
7072
03:41
when I had been getting a ride in an ambulance
70
221066
3134
03:44
from the sidewalk where I had been stabbed
71
224200
4491
03:48
to the trauma room of St. Vincent's Hospital in Manhattan,
72
228691
4319
03:53
and what had happened was
73
233010
1989
03:54
a gang had come in from Brooklyn.
74
234999
3209
03:58
As part of an initiation for three of their members,
75
238208
2623
04:00
they had to kill somebody,
76
240831
1704
04:02
and I happened to be the guy walking down Bleecker Street
77
242535
3387
04:05
that night,
78
245922
1297
04:07
and they jumped on me without a word.
79
247219
4437
04:11
One of the very lucky things,
80
251656
2325
04:13
when I was at Notre Dame, I was on the boxing team,
81
253981
3008
04:16
so I put my hands up right away, instinctively.
82
256989
4648
04:21
The guy on the right had a knife with a 10-inch blade,
83
261637
3552
04:25
and he went in under my elbow,
84
265189
3293
04:28
and it went up and cut my inferior vena cava.
85
268482
4467
04:32
If you know anything about anatomy,
86
272949
1720
04:34
that's not a good thing to get cut,
87
274669
1708
04:36
and everything, of course, on the way up,
88
276377
3158
04:39
and then — I still had my hands up —
89
279535
1890
04:41
he pulled it out and went for my neck,
90
281425
2489
04:43
and sunk it in up to the hilt in my neck,
91
283914
4205
04:48
and I got one straight right punch
92
288119
2724
04:50
and knocked the middle guy out.
93
290843
1771
04:52
The other guy was still working on me,
94
292614
2213
04:54
collapsing my other lung,
95
294827
1865
04:56
and I managed to, by hitting that guy, to get a minute.
96
296692
5980
05:02
I ran down the street and collapsed,
97
302672
2093
05:04
and the ambulance guys intubated me on the sidewalk
98
304765
3047
05:07
and let the trauma room know
99
307812
2473
05:10
they had an incoming.
100
310285
1618
05:11
And one of the
101
311903
2999
05:14
side effects of having major massive blood loss
102
314902
3941
05:18
is you get tunnel vision,
103
318843
1847
05:20
so I remember being on the stretcher
104
320690
1813
05:22
and having a little nickel-sized cone of vision,
105
322503
4005
05:26
and I was moving my head around
106
326508
1549
05:28
and we got to St. Vincent's,
107
328057
1356
05:29
and we're racing down this hallway,
108
329413
1643
05:31
and I see the lights going,
109
331056
2268
05:33
and it's a peculiar effect of memories like that.
110
333324
6728
05:40
They don't really go to the usual place that memories go.
111
340052
4179
05:44
They kind of have this vault where they're stored in high-def,
112
344231
5204
05:49
and George Lucas did all the sound effects. (Laughter)
113
349435
4485
05:53
So sometimes, remembering them, it's like,
114
353920
4496
05:58
it's not like any other kind of memories.
115
358416
3724
06:02
And I get into the trauma room,
116
362140
2672
06:04
and they're waiting for me, and the lights are there,
117
364812
3022
06:07
and I'd been able to breathe a little more now,
118
367834
5295
06:13
because the blood has left, had been filling up my lungs
119
373129
3479
06:16
and I was having a very hard time breathing,
120
376608
1966
06:18
but now it's kind of gone into the stretcher.
121
378574
3042
06:21
And I said, "Is there anything I can do to help?"
122
381616
3304
06:24
and — (Laughter) —
123
384920
1772
06:26
the nurse kind of had a hysterical laugh, and
124
386692
3314
06:30
I'm turning my head trying to see everybody,
125
390006
2248
06:32
and I had this weird memory of being in college
126
392254
3816
06:36
and raising,
127
396070
2912
06:38
raising money for the flood victims of Bangladesh,
128
398982
4057
06:43
and then I look over and my anesthesiologist
129
403039
2457
06:45
is clamping the mask on me, and I think,
130
405496
1533
06:47
"He looks Bangladeshi," — (Laughter) —
131
407029
2061
06:49
and I just have those two facts, and I just think,
132
409090
3485
06:52
"This could work somehow." (Laughter)
133
412575
3714
06:56
And then I go out, and
134
416289
2278
06:58
they work on me for the rest of the night,
135
418567
1776
07:00
and I needed about 40 units of blood to keep me there
136
420343
5013
07:05
while they did their work,
137
425356
3045
07:08
and the surgeon took out about a third of my intestines,
138
428401
4224
07:12
my cecum, organs I didn't know that I had,
139
432625
3419
07:16
and he later told me one of the last things he did
140
436044
2371
07:18
while he was in there was to remove my appendix for me,
141
438415
3345
07:21
which I thought was great, you know,
142
441760
2223
07:23
just a little tidy thing there at the end. (Laughter)
143
443983
3163
07:27
And I came to in the morning.
144
447146
4318
07:31
Out of anesthetic, he had let them know
145
451464
1816
07:33
that he wanted to be there, and he had given me
146
453280
3488
07:36
about a two percent chance of living.
147
456768
3195
07:39
So he was there when I woke up,
148
459963
1912
07:41
and it was, waking up was like
149
461875
2161
07:44
breaking through the ice into a frozen lake of pain.
150
464036
6217
07:50
It was that enveloping,
151
470253
2103
07:52
and there was only one spot that didn't hurt
152
472356
4172
07:56
worse than anything I'd ever felt,
153
476528
1473
07:58
and it was my instep,
154
478001
1406
07:59
and he was holding the arch of my foot
155
479407
3746
08:03
and rubbing the instep with his thumb.
156
483153
3868
08:07
And I looked up, and he's like,
157
487021
2936
08:09
"Good to see you,"
158
489957
1121
08:11
and I was trying to remember what had happened
159
491078
3936
08:15
and trying to get my head around everything,
160
495014
1718
08:16
and the pain was just overwhelming, and he said,
161
496732
4057
08:20
"You know, we didn't cut your hair. I thought
162
500789
3376
08:24
you might have gotten strength from your hair like Samson,
163
504165
4372
08:28
and you're going to need all the strength you can get."
164
508537
2783
08:31
And in those days, my hair was down to my waist,
165
511320
3709
08:35
I drove a motorcycle, I was unmarried,
166
515029
2872
08:37
I owned a bar, so those were different times. (Laughter)
167
517901
5309
08:43
But
168
523210
2260
08:45
I had three days of life support,
169
525470
2972
08:48
and everybody was expecting,
170
528442
3781
08:52
due to just the massive amount of what they had had to do
171
532223
4493
08:56
that I wasn't going to make it,
172
536716
1828
08:58
so it was three days of
173
538544
2045
09:00
everybody was either waiting for me to die or poop,
174
540589
2827
09:03
and — (Laughter) —
175
543416
1596
09:05
when I finally pooped, then that somehow,
176
545012
2959
09:07
surgically speaking, that's like you crossed some good line,
177
547971
3407
09:11
and, um — (Laughter) —
178
551378
1040
09:12
on that day, the surgeon came in
179
552418
3265
09:15
and whipped the sheet off of me.
180
555683
3192
09:18
He had three or four friends with him,
181
558875
1661
09:20
and he does that, and they all look,
182
560536
2402
09:22
and there was no infection,
183
562938
1881
09:24
and they bend over me and they're poking and prodding,
184
564819
2870
09:27
and they're like, "There's no hematomas, blah blah,
185
567689
2097
09:29
look at the color," and they're talking amongst themselves
186
569786
2870
09:32
and I'm, like, this restored automobile
187
572656
2923
09:35
that he's just going, "Yeah, I did that." (Laughter)
188
575579
3191
09:38
And it was just,
189
578770
3024
09:41
it was amazing, because these guys are high-fiving him
190
581794
3136
09:44
over how good I turned out, you know? (Laughter)
191
584930
2060
09:46
And it's my zipper, and I've still got the staples in
192
586990
3521
09:50
and everything.
193
590511
1236
09:51
And
194
591747
2215
09:53
later on, when I got out
195
593962
2611
09:56
and the flashbacks and the
196
596573
5612
10:02
nightmares were giving me a hard time,
197
602185
4505
10:06
I went back to him
198
606690
1682
10:08
and I was sort of asking him,
199
608372
3893
10:12
you know, what am I gonna do?
200
612265
2181
10:14
And I think, kind of, as a surgeon, he basically said,
201
614446
4608
10:19
"Kid, I saved your life.
202
619054
1726
10:20
Like, now you can do whatever you want, like,
203
620780
2650
10:23
you gotta get on with that.
204
623430
1666
10:25
It's like I gave you a new car
205
625096
1832
10:26
and you're complaining about not finding parking.
206
626928
2292
10:29
Like, just, go out, and, you know, do your best.
207
629220
3601
10:32
But you're alive. That's what it's about."
208
632821
4806
10:37
And then I hear, "Bing-bong," and the subway doors
209
637627
5781
10:43
are closing, and my stop is next, and I look at these kids,
210
643408
6239
10:49
and I go, I think to myself,
211
649647
1869
10:51
"I'm going to lift my shirt up
212
651516
1562
10:53
and show them," — (Laughter) —
213
653078
1617
10:54
and then I think, "No, this is the New York City subway,
214
654695
2229
10:56
that's going to lead to other things." (Laughter)
215
656924
3631
11:00
And so I just think, they got their lecture to go to.
216
660555
4042
11:04
I step off, I'm standing on the platform,
217
664597
3961
11:08
and I feel my index finger
218
668558
2864
11:11
in
219
671422
2179
11:13
the first scar that I ever got,
220
673601
3703
11:17
from my umbilical cord,
221
677304
3114
11:20
and then around that, is traced
222
680418
3238
11:23
the last scar that I got
223
683656
2496
11:26
from my surgeon,
224
686152
2377
11:28
and I think that, that chance encounter
225
688529
5314
11:33
with those kids on the street with their knives
226
693843
3889
11:37
led me
227
697732
2433
11:40
to my surgical team,
228
700165
3125
11:43
and their training
229
703290
4075
11:47
and their skill
230
707365
2116
11:49
and, always, a little bit of luck
231
709481
3420
11:52
pushed back against chaos.
232
712901
2971
11:55
Thank you. (Applause)
233
715872
4054
11:59
(Applause)
234
719926
8944
12:08
Thank you. Very lucky to be here. Thank you. (Applause)
235
728870
6420
About this website

This site will introduce you to YouTube videos that are useful for learning English. You will see English lessons taught by top-notch teachers from around the world. Double-click on the English subtitles displayed on each video page to play the video from there. The subtitles scroll in sync with the video playback. If you have any comments or requests, please contact us using this contact form.

https://forms.gle/WvT1wiN1qDtmnspy7