Talithia Williams: Own your body's data

117,930 views ・ 2014-08-11

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Prevoditelj: Senzos Osijek Recezent: Ivan Stamenković
00:12
As a kid I always loved information
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Kao dijete, uvijek sam voljela informacije
00:15
that I could get from data
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koje sam mogla dobiti iz podataka
00:17
and the stories that could be told with numbers.
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i priča koje su mogle biti ispričane brojevima.
00:20
I remember, growing up, I'd be frustrated at
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Sjećam se, kad sam odrastala, bila bih frustrirana
00:22
how my own parents would lie to me using numbers.
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kad bi mi roditelji lagali koristeći brojeve.
00:28
"Talithia, if I've told you once I've told you a thousand times."
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"Talithia, ako smo ti rekli jednom, rekli smo ti tisuću puta."
00:33
No dad, you've only told me 17 times
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Ne, tata, rekao si mi samo 17 puta,
00:37
and twice it wasn't my fault. (Laughter)
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a dva puta nisam ni bila kriva. (Smijeh)
00:40
I think that is one of the reasons I got a Ph.D. in statistics.
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Mislim da je to jedan od razloga zbog kojih sam doktorirala statistiku.
00:43
I always wanted to know,
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Oduvijek sam željela znati
00:44
what are people trying to hide with numbers?
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što ljudi pokušavaju sakriti brojevima.
00:47
As a statistician,
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Kao statističar,
00:48
I want people to show me the data
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želim da mi ljudi pokažu podatke
00:52
so I can decide for myself.
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kako bih sama mogla odlučiti.
00:55
Donald and I were pregnant with our third child
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Donald i ja smo bili trudni s našim trećim djetetom
00:58
and we were at about 41 and a half weeks,
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otprilike 41 i pol tjedan,
01:00
what some of you may refer to as being overdue.
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što bi neki od vas protumačili kao prenašanje trudnoće.
01:04
Statisticians, we call that
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Mi, statističari, to zovemo
01:06
being within the 95 percent confidence interval.
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ostajanjem unutar 95 posto intervala pouzdanosti.
01:08
(Laughter)
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(Smijeh)
01:10
And at this point in the process
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U ovom dijelu tog procesa
01:12
we had to come in every couple of days
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morali smo doći svakih par dana
01:15
to do a stress test on the baby,
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kako bismo radili stres-test na djetetu,
01:16
and this is just routine,
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a to je samo rutina.
01:18
it tests whether or not the baby is feeling any type of undue stress.
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Provjerava osjeća li, ili ne, dijete bilo kakav neprimjeren stres.
01:22
And you are rarely, if ever, seen by your actual doctor,
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A vas rijetko, ako ikad, pregleda vaš liječnik.
01:26
just whoever happens to be working at the hospital that day.
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već tkogod radi u bolnici taj dan.
01:29
So we go in for a stress test and after 20 minutes
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Tako smo otišli na stres-test i nakon 20 minuta
01:32
the doctor comes out and he says,
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doktor ulazi i kaže:
01:35
"Your baby is under stress, we need to induce you."
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"Vaše je dijete pod stresom, moramo inducirati porod."
01:41
Now, as a statistician, what's my response?
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Koji je bio moj odgovor kao statističar?
01:45
Show me the data!
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Pokaži mi podatke!
01:49
So then he proceeds to tell us
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Pa nam je rekao
01:52
the baby's heart rate trace went from 18 minutes,
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kako je trag rada srca djeteta trajao 18 minuta,
01:54
the baby's heart rate was in the normal zone
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i tada je rad srca bio u zoni normale.
01:56
and for two minutes it was in what appeared to be
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Nakon toga je dvije minute bilo u
01:59
my heart rate zone and I said,
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zoni rada mog srca pa sam rekla,
02:03
"Is it possible that maybe this was my heart rate?
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"Je li moguće da je ovo rad moga srca?
02:05
I was moving around a little bit,
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Kretala sam se,
02:07
it's hard to lay still on your back,
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teško je ležati mirno na leđima 20 minuta
02:09
41 weeks pregnant for 20 minutes.
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kad si trudan 41 tjedan.
02:12
Maybe it was shifting around."
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Možda se pomicalo."
02:14
He said, "Well, we don't want to take any chances."
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Rekao je: "Ne želimo riskirati."
Rekla sam, u redu.
02:19
I said okay.
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Rekla sam: "Što kad bih bila trudna 36 tjedana
02:20
I said, "What if I was at 36 weeks
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02:22
with this same data?
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s istim podatcima?
02:24
Would your decision be to induce?"
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Biste li i tada inducirali porod?"
02:28
"Well, no, I would wait until you were at least
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"Ne, čekao bih dok niste barem
02:31
38 weeks, but you are almost 42,
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trudni 8 tjedana, a vi ste trudni gotovo 42,
02:33
there is no reason to leave that baby inside,
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nema razloga da ostavimo dijete unutra,
02:35
let's get you a room."
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nađimo vam sobu."
02:37
I said, "Well, why don't we just do it again?
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Rekla sam, "Zašto to ne ponovimo?
02:44
We can collect more data.
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Možemo skupiti više podataka.
02:45
I can try to be really still for 20 minutes.
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Mogu pokušati biti mirna 20 minuta.
02:48
We can average the two and see
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Možemo napraviti prosjek ta dva mjerenja i vidjeti
02:51
what that means. (Laughter)
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što to znači. (Smijeh)
02:53
And he goes,
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A on nastavi:
02:57
"Ma'am, I just don't want you to have a miscarriage."
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"Gospođo, samo ne želim da dobijete spontani pobačaj."
03:04
That makes three of us.
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Nismo ni mi to željeli.
03:07
And then he says,
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Zatim je rekao:
03:08
"Your chances of having a miscarriage double
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"Šanse za pobačajem se udvostručavaju
03:12
when you go past your due date. Let's get you a room."
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kad prijeđete termin. Nađimo vam sobu."
03:16
Wow. So now as a statistician, what's my response?
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Vau. Kao statističar, koji je bio moj odgovor?
03:22
Show me the data!
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Pokaži mi podatke!
Čovječe, govorimo o šansama,
03:24
Dude, you're talking chances,
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03:25
I do chances all day long, tell me all about chances.
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bavim se šansama cijelo vrijeme, govori mi o šansama.
03:27
Let's talk chances. (Laughter)
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Pričajmo o šansama. (Smijeh)
03:29
Let's talk chances.
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Pričajmo o šansama.
03:31
So I say, "Okay, great.
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Rekla sam: "OK, odlično.
03:32
Do I go from a 30-percent chance to a 60-percent chance?
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Idem li od 30% do 60% vjerojatnosti?
03:36
Where are we here with this miscarriage thing?
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Gdje smo s tim pobačajem?
03:39
And he goes, "Not quite, but it doubles,
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A on kaže: "Ne baš, ali se udvostručuje,
03:42
and we really just want what's best for the baby."
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a mi samo želimo što je najbolje za dijete."
03:47
Undaunted, I try a different angle.
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Pokušala sam drugi pristup.
03:49
I said, "Okay, out of 1,000 full-term pregnant women,
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Rekla sam: "OK, od 1000 trudnica,
03:55
how many of them are going to miscarry
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koliko njih će pobaciti
03:57
just before their due date?
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tik prije termina?"
03:59
And then he looks at me and looks at Donald,
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Pogledao me i pogledao je Donalda
04:02
and he goes, about one in 1,000.
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i kaže, otprilike jedna od 1000.
04:06
I said, "Okay, so of those 1,000 women, how many
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Rekla sam: "OK, od tih 1000 žena, koliko će
04:09
are going to miscarry just after their due date?"
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njih pobaciti tik poslije termina?"
04:14
"About two." (Laughter)
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"Otprilike dvije." (Smijeh)
04:18
I said, "Okay, so you are telling me that my chances
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Rekla sam: "OK, kažete mi kako vjerojatnost
04:20
go from a 0.1-percent chance
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raste od 0.1 posto
04:24
to a 0.2-percent chance."
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do 0.2 posto."
04:28
Okay, so at this point the data is not convincing us
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OK, zasad nas podatci ne uvjeravaju kako
04:30
that we need to be induced,
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trebamo potaknuti porod,
04:32
and so then we proceed to have a conversation
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tako da nastavljamo razgovarati
04:34
about how inductions lead to a higher rate
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o tome kako poticanje poroda dovodi do veće stope
04:36
of Cesarean sections, and if at all possible we'd like to avoid that.
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carskih rezova, a kako bismo to vrlo rado htjeli izbjeći.
04:40
And then I said,
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Tada sam rekla
04:42
"And I really don't think my due date is accurate."
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"Ne mislim ni da mi je termin prezican."
04:45
(Laughter)
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(Smijeh)
04:47
And so this really stunned him
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Ovo ga je zateklo
04:50
and he looked sort of puzzled
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te je izgledao zbunjeno
04:52
and I said, "You may not know this,
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pa sam rekla: "Možda ovo ne znate,
04:54
but pregnancy due dates are calculated
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ali termini kraja trudnoće računaju se
04:55
assuming that you have a standard 28-day cycle,
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uz pretpostavku da ciklusi traju 28 dana,
04:58
and my cycle ranges —
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a moji ciklusi variraju —
04:59
sometimes it's 27, sometimes it's up to 38 —
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od 27 do 38 dana —
05:03
and I have been collecting the data to prove it.
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a skupljala sam podatke kako bih to dokazala.
05:06
(Laughter)
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(Smijeh)
05:10
And so we ended up leaving the hospital that day without being induced.
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Otišli smo iz bolnice taj dan bez indukcije.
05:16
We actually had to sign a waiver to walk out of the hospital.
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Morali smo potpisati dokument kako smo otišli u suprotnosti sa savjetom liječnika.
05:22
And I'm not advocating that you not listen to your doctors,
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Ne savjetujem kako ne trebate slušati liječnike,
05:25
because even with our first child,
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jer smo s našim prvim djetetom
05:27
we were induced at 38 weeks; cervical fluid was low.
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bili inducirani u 38. tjednu zbog malo cervikalne tekućine.
05:31
I'm not anti-medical intervention.
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Nisam protiv medicinskih intervencija.
05:33
But why were confident to leave that day?
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Zbog čega smo bili sigurni kad smo otišli taj dan?
05:36
Well, we had data that told a different story.
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Imali smo podatke koji su govorili drugu priču.
05:40
We had been collecting data for six years.
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Skupljali smo podatke šest godina.
05:45
I had this temperature data,
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Imala sam podatke o temperaturi,
05:47
and it told a different story.
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a oni su govorili drugu priču.
05:49
In fact, we could probably pretty accurately estimate conception.
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Mogli smo, u stvari, prilično točno odrediti trenutak začeća.
05:56
Yeah, that's a story you want to tell
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Da, to je priča koju želite ispričati
05:58
at your kid's wedding reception. (Laughter)
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na svadbi svog djeteta. (Smijeh)
06:01
I remember like it was yesterday.
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Sjećam se kao da je to bilo jučer.
06:05
My temperature was a sizzling 97.8 degrees
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Moja je temperatura bila uzavrelih 97.8 stupnjeva F
06:07
as I stared into your father's eyes. (Laughter)
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i pogledala sam u oči vašeg oca. (Smijeh)
06:12
Oh, yeah. Twenty-two more years, we're telling that story.
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Da, za dvadeset dvije ćemo godine pričati tu priču.
06:18
But we were confident to leave because we had been collecting data.
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Bili smo sigurni kad smo odlazili jer smo skupljali podatke.
06:21
Now, what does that data look like?
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Kako ti podatci izgledaju?
06:23
Here's a standard chart
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Evo grafikon
06:26
of a woman's waking body temperature
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tjelesne temperature žene kod buđenja
06:29
during the course of a cycle.
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tijekom ciklusa.
06:31
So from the beginning of the menstrual cycle
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Od početka menstrualnog ciklusa
06:32
till the beginning of the next.
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do početka sljedećeg.
06:34
You'll see that the temperature is not random.
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Vidjet ćete kako temperatura nije nasumična.
06:36
Clearly there is a low pattern
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Očito postoji uzorak niske temperature
06:38
at the beginning of her cycle
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na početku njenog ciklusa
06:40
and then you see this jump and then a higher
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nakon kojeg vidite skok i višu
06:43
set of temperatures at the end of her cycle.
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razinu temperature pri kraju njenog ciklusa.
06:45
So what's happening here?
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Što se ovdje događa?
06:47
What is that data telling you?
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Što vam podatci govore?
06:49
Well, ladies, at the beginning of our cycle,
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Pa, dame, na početku vašeg ciklusa,
06:52
the hormone estrogen is dominant and that estrogen
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hormon estrogen je dominantan i taj estrogen
06:55
causes a suppression of your body temperature.
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izaziva supresiju vaše tjelesne temperature.
06:59
And at ovulation, your body releases an egg
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Tijekom ovulacije, vaše tijelo oslobađa jajnu stanicu,
07:03
and progesterone takes over, pro-gestation.
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a progesteron preuzima, pro-gestacija.
07:08
And so your body heats up in anticipation
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Vaše se tijelo zagrijava u anticipaciji
07:10
of housing this new little fertilized egg.
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udomljavanja novog malog oplođenog jajeta.
07:14
So why this temperature jump?
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Zbog čega ovaj skok temperature?
07:17
Well, think about when a bird sits on her eggs.
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Mislite o ptici koja leži na jajima.
07:20
Why is she sitting on them?
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Zašto leži na njima?
07:22
She wants to keep them warm,
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Želi ih zagrijati,
07:24
protect them and keep them warm.
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zaštititi ih i zagrijati.
07:25
Ladies, this is exactly what our bodies do every month,
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Dame, upravo ovo čine vaša tijela svaki mjesec.
07:27
they heat up in anticipation
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Zagrijavaju se u iščekivanju
07:29
of keeping a new little life warm.
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zagrijavanja malog života.
07:33
And if nothing happens, if you are not pregnant,
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A ako se ništa ne dogodi, ako niste trudni,
07:36
then estrogen takes back over and that cycle starts all over again.
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estrogen nadvlada i ciklus ponovno započinje.
07:40
But if you do get pregnant, sometimes you
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Ali ako ste trudni, ponekad zapravo vidite
07:42
actually see another shift in your temperatures
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ponovnu promjenu temperature
07:45
and it stays elevated for those whole nine months.
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koja ostaje povišena svih devet mjeseci.
07:48
That's why you see those pregnant women just sweating and hot,
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Zbog toga vidite trudnice kako se znoje i vruće im je,
07:51
because their temperatures are high.
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to je zbog toga što im je temperatura visoka.
07:55
Here's a chart that we had about three or four years ago.
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Evo grafikona kojeg smo radili prije otprilike tri ili četiri godine.
07:59
We were really very excited about this chart.
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Bili smo vrlo uzbuđeni zbog ovog grafikona.
08:01
You'll see the low temperature level
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Vidjet ćete niske temperature
08:03
and then a shift and for about five days,
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i pomak koji traje otprilike pet dana,
08:07
that's about the time it takes for the egg to travel
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to je otprilike vrijeme potrebno jajetu da putuje
08:09
down the fallopian tube and implant,
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kroz jajovod i implantira se,
08:11
and then you see those temperatures start to go up a little bit.
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a zatim vidite kako temperature počnu malo rasti.
08:15
And in fact, we had a second temperature shift,
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Mi smo, u stvari, imali drugi temperaturni skok,
08:18
confirmed with a pregnancy test that were indeed pregnant
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potvrđen testom za trudnoću da smo doista bili trudni
08:22
with our first child, very exciting.
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s našim prvim djetetom, vrlo uzbudljivo.
08:25
Until a couple of days later
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Dok nisam za nekoliko dana
08:27
I saw some spotting and then I noticed heavy blood flow,
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uočila točkasto, a zatim i obilno krvarenje,
08:32
and we had in fact had an early stage miscarriage.
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imali smo, u stvari, rani spontani pobačaj.
08:37
Had I not been taking my temperature
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Da nisam mjerila temperaturu,
08:41
I really would have just thought my period was late that month,
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mislila bih kako mi samo mjesečnica kasni taj mjesec,
08:45
but we actually had data to show
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ali smo imali podatke koji su pokazali
08:46
that we had miscarried this baby,
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da smo pobacili to dijete.
08:49
and even though this data revealed a really
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Iako su ovi podatci otkrili vrlo
08:51
unfortunate event in our lives,
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nesretan događaj u našim životima,
08:53
it was information that we could then take to our doctor.
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to je bila informacija koju smo mogli odnijeti liječniku.
08:55
So if there was a fertility issue or some problem,
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Ako bi postojao problem plodnosti neke vrste,
08:58
I had data to show:
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imam podatke za pokazati:
08:59
Look, we got pregnant, our temperature shifted,
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Gle, bili smo trudni, temperatura nam se povisila,
09:01
we somehow lost this baby.
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nekako smo izgubili to dijete.
09:03
What is it that we can do to help prevent this problem?
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Što možemo učiniti kako bismo spriječili ovaj problem?
09:06
And it's not just about temperatures
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Ne radi se samo o temperaturama
09:10
and it's not just about fertility;
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i ne radi se samo o plodnosti;
09:13
we can use data about our bodies to tell us a lot of things.
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možemo koristiti ove podatke o našem tijelu kako bi nam rekli mnogo toga.
09:16
For instance, did you know that taking your temperature can tell you a lot
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Na primjer, jeste li znali da vam mjerenje temperature može reći mnogo
09:20
about the condition of your thyroid?
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o stanju vaše štitnjače?
09:22
So, your thyroid works a lot like the thermostat in your house.
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Vaša štitnjača radi kao termostat u vašoj kući.
09:26
There is an optimal temperature that you want in your house;
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Postoji optimalna temperatura koju želite u kući;
09:29
you set your thermostat.
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Namjestite termostat.
09:30
When it gets too cold in the house, your thermostat kicks in
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Kad zahladi, vaš se termostat uključi
09:33
and says, "Hey, we need to blow some heat around."
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i kaže: "Hej, trebamo upuhati topline."
09:36
Or if it gets too hot, your thermostat
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A ako postane prevruće, vaš termostat to
09:38
registers, "Turn the A.C. on. Cool us off."
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registrira:"Uključi klimu, rashladi nas."
09:41
That's exactly how your thyroid works in your body.
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Jednako tako funkcionira štitnjača.
09:45
Your thyroid tries to keep an optimal temperature
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vaša štitnjača održava optimalnu temperaturu
09:48
for your body.
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vašeg tijela.
09:49
If it gets too cold, your thyroid says, "Hey, we need to heat up."
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Ako previše zahladi, štitnjača kaže "Hej, moramo se zagrijati."
09:51
If it gets too hot, your thyroid cools you down.
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Ako postane prevruće, vaša vas štitnjača rashladi.
09:54
But what happens when your thyroid is not functioning well?
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Ali što se dogodi kad vaša štitnjača ne funkcionira pravilno?
09:59
When it doesn't function, then it shows up
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Kad ne funkcionira, to se vidi
10:01
in your body temperatures,
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u vašoj temperaturi.
10:02
they tend to be lower than normal or very erratic.
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Ona bude niža od normalne ili nepravilna.
10:05
And so by collecting this data
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Skupljanjem ovih podataka
10:06
you can find out information about your thyroid.
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možete dobiti informacije o svojoj štitnjači.
10:09
Now, what is it, if you had a thyroid problem and you went to the doctor,
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Kad biste imali problema sa štitnjačom i otišli biste kod svog liječnika,
10:13
your doctor would actually test the amount of
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vaš bi liječnik mjerio razinu
10:15
thyroid stimulating hormone in your blood.
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tiroid stimulirajućeg hormona u vašoj krvi.
10:18
Fine. But the problem with that test is
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Dobro. Ali problem s tim testom je taj
10:22
it doesn't tell you how active the hormone is in your body.
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što vam ne govori koliko je taj hormon aktivan u vašem tijelu.
10:25
So you might have a lot of hormone present,
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Možda imate mnogo hormona,
10:27
but it might not be actively working to regulate
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ali koji ne rade aktivno kako bi regulirali
10:29
your body temperature.
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vašu tjelesnu temperaturu.
10:30
So just by collecting your temperature every day,
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Mjereći svoju tjelesnu temperaturu svaki dan,
10:32
you get information about the condition of your thyroid.
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dobivate informacije o stanju vaše štitnjače.
10:35
So, what if you don't want to take your temperature every day?
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Što ako ne želite mjeriti temperaturu svaki dan?
10:38
I advocate that you do,
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Želim vas nagovoriti da to činite,
10:40
but there are tons of other things you could take.
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ali postoje mnoge druge stvari koje možete činiti.
10:41
You could take your blood pressure, you could take your weight —
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Možete mjeriti svoj krvni tlak, ili svoju tjelesnu masu —
10:44
yeah, who's excited about
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da, tko je uzbuđen
10:46
taking their weight every day? (Laughter)
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zbog svakodnevnog vaganja? (Smijeh)
10:49
Early on in our marriage, Donald had a stuffy nose
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Rano u našem braku, Donald je imao začepljen nos
10:54
and he had been taking a slew of medications
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i uzimao je niz lijekova
10:57
to try to relieve his stuffy nose, to no avail.
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kako bi odčepio nos, ali bez uspjeha.
11:01
And so, that night he comes and he wakes me up and he says,
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Tako je jedne noći došao i probudio me i rekao:
11:05
"Honey, I can't breath out of my nose."
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"Dušo, ne mogu izdahnuti kroz nos."
11:09
And I roll over and I look, and I said, "Well, can you breath out of your mouth?"
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Okrenula sam se, pogledala i rekla: "Pa, možeš li izdisati kroz usta?"
11:14
(Laughter)
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(Smijeh)
11:16
And he goes, "Yes, but I can't breath out of my nose!"
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A on će: "Mogu, ali ne mogu disati kroz nos!"
11:23
And so like any good wife, I rush him
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Kao svaka dobra žena, odvela sam ga
11:26
to the emergency room
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na hitnu
11:27
at 2 o'clock in the morning.
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u 2 sata ujutro.
11:30
And the whole time I'm driving and I'm thinking,
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Cijelim sam putem mislila
11:33
you can't die on me now.
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kako mi ne smije sad umrijeti.
11:36
We just got married,
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Tek smo se vjenčali,
11:38
people will think I killed you! (Laughter)
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ljudi će misliti da sam ga ubila! (Smijeh)
11:43
And so, we get to the emergency room, and the nurse sees us,
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I tako, stigli smo na hitnu i vidjela nas je sestra,
11:47
and he can't breath out of his nose, and so
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a on ne može disati kroz nos,
11:49
she brings us to the back and the doctor says,
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ona nas odvede iza i liječnik kaže:
11:51
"What seems to be the problem?" and he goes, "I can't breath out of my nose."
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"U čemu je problem?", a on će, "Ne mogu disati na nos."
11:54
And he said, "You can't breath out of your nose?
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A liječnik će: "Ne možete disati kroz nos?
11:56
No, but he can breath out of his mouth. (Laughter)
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Ne, ali može disati kroz usta." (Smijeh)
12:02
He takes a step back and he looks at both of us
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Vratio se korak unazad i pogledao nas oboje
12:05
and he says "Sir, I think I know the problem.
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i rekao: "Gospodine, mislim da znam u čemu je problem.
12:09
You're having a heart attack.
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Imate srčani udar.
12:10
I'm going to order an EKG and a CAT scan
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Naručit ću vas za EKG i CT
12:12
for you immediately."
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što prije."
12:16
And we are thinking,
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A mi si mislimo,
12:17
no, no, no. It's not a heart attack. He can breathe,
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ne, ne, ne. Nije to srčani udar. Može on disati,
12:20
just out of his mouth. No, no, no, no, no.
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ali samo na usta. Ne, ne, ne, ne.
12:25
And so we go back and forth with this doctor
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Tako smo se natezali s ovim doktorom
12:28
because we think this is the incorrect diagnosis,
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zato što smo mislili da ovo nije bila dobra dijagnoza,
12:30
and he's like, "No really, it'll be fine, just calm down."
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a on će: "Smirite se, sve će biti u redu."
12:34
And I'm thinking, how do you calm down? But I don't think he's having a heart attack.
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A ja si mislim, kako da se smirim? Ali ne mislim da ima srčani udar.
12:38
And so fortunately for us, this doctor was at the end of the shift.
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Na našu sreću, ovo je bio kraj smjene tog liječnika.
12:41
So this new doctor comes in, he sees us clearly
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Došao je novi liječnik, pogledao nas kako smo
12:44
distraught, with a husband who can't breath
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3001
vidno uzrujani, s mužem koji ne može disati
12:47
out of his nose. (Laughter)
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na nos. (Smijeh)
12:50
And he starts asking us questions.
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Počeo nas je ispitivati pitanja.
12:53
He says, "Well, do you two exercise?"
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Kaže: "Vježbate li vas dvoje?"
12:58
We ride our bikes, we go to the gym occasionally.
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Vozimo bicikle, idemo povremeno u teretanu.
13:05
(Laughter)
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(Smijeh)
13:07
We move around.
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Krećemo se.
13:09
And he says, "What were you doing just before you came here?"
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Pa kaže: "Što ste radili prije nego što ste došli ovamo?"
13:12
I'm thinking, I was sleeping, honestly.
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2712
Mislim si, spavala sam, iskreno.
13:15
But okay, what was Donald doing just before?
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Ok, ali što je Donald radio prije ovoga?
13:18
So Donald goes into this slew of medications he was taking.
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Govorio je o nizu lijekova koje je uzimao.
13:21
He lists, "I took this decongestant and then I took this nasal spray,"
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Nabrajao je: "Uzeo sam ovaj dekongestiv i ovaj sprej za nos"
13:24
and then all of a sudden a lightbulb goes off and he says,
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1995
odjednom mu se upalila lampica i kaže:
13:26
"Oh! You should never mix this decongestant with this nasal spray.
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"Oh! Nikad ne smiješ miješati ovaj dekongestiv i ovaj sprej.
13:30
Clogs you up every time. Here, take this one instead."
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Svaki te put začepi. Evo, uzmi ovaj umjesto toga."
13:33
He gives us a prescription.
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Dao nam je recept.
13:35
We're looking at each other, and I looked at the doctor,
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1990
Pogledali smo se, i pogledali smo liječnika,
13:37
and I said, "Why is it that it seems like you
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i rekla sam, "Kako to da ste
13:39
were able to accurately diagnose his condition,
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2411
uspjeli točno postaviti dijagnozu,
13:41
but this previous doctor wanted to order
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2216
a prethodni je liječnik
13:44
an EKG and a CAT scan?"
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2506
htio EKG i CT?"
13:46
And he looks at us and says,
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Pogledao nas je i rekao:
13:49
"Well, when a 350-pound man walks in the emergency room and says he can't breath,
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4218
"Pa, kad čovjek od 160 kg uđe u hitnu i kaže kako ne može disati,
13:53
you assume he's having a heart attack
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1764
posumnjate da ima srčani udar,
13:55
and you ask questions later."
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3949
a kasnije postavljate pitanja."
13:59
Now, emergency room doctors are trained to make decisions quickly,
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Liječnici na hitnoj su naučeni brzo donositi odluke,
14:04
but not always accurately.
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ali ne uvijek točno.
14:07
And so had we had some information
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1549
Da smo imali više informacija
14:08
about our heart health to share with him,
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o našem zdravlju srca koje smo mogli podijeliti s njim,
14:10
maybe we would have gotten a better diagnosis the first time.
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možda bismo i prvi put dobili bolju dijagnozu.
14:14
I want you to consider the following chart,
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2232
Ako ćete proučiti sljedeći grafikon
14:16
of systolic blood pressure measurements
286
856973
1954
sistoličkog krvnog tlaka
14:18
from October 2010 to July 2012.
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858927
4072
od listopada 2010. do srpnja 2012.,
14:22
You'll see that these measurements start
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862999
1693
vidjet ćete kako mjerenja počinju
14:24
in the prehypertension/hypertension zone,
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3668
u području prehipertenzije/hipertenzije,
14:28
but over about the course of a year and a half
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2586
ali kako se tijekom sljedeće godine i pol
14:30
they move into the normal zone.
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pomiče u područje normalnog tlaka.
14:33
This is about the heart rate of a healthy 16-year-old.
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4109
Ovo je srčani rad zdravog šesnaestogodišnjaka.
14:37
What story is this data telling you?
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Kakvu nam priču pričaju sljedeći podatci?
14:41
Obviously it's the data from someone
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2881
Očito su to podatci nekoga
14:44
who's made a drastic transformation,
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2673
tko je napravio drastičnu promjenu,
14:47
and fortunately for us, that person happens to be here today.
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i na sreću, ta je osoba danas ovdje s nama.
14:52
So that 350-pound guy that walked into the emergency room with me
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Taj je 160 kg težak muškarac koji je ušao u hitnu sa mnom
14:56
is now an even sexier and healthier
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sada zgodniji i zdraviji
14:59
225-pound guy, and that's his blood pressure trace.
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6688
muškarac od 100 kg, a ovo je njegov krvni tlak.
15:06
So over the course of that year and a half
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Tijekom tih godinu i pol
15:09
Donald's eating changed
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Donald je promijenio navike hranjenja,
15:11
and our exercise regimen changed,
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1991
a promijenio se i naš režim vježbanja,
15:13
and his heart rate responded,
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2790
i njegov je puls odgovorio,
15:16
his blood pressure responded to that change
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1502
odgovorio je i krvni tlak na promjenu
15:17
that he made in his body.
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2299
koju je učinio na svom tijelu.
15:19
So what's the take-home message
306
919969
1978
Što je poruka koju trebate ponijeti
15:21
that I want you to leave with today?
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3714
svojim kućama danas?
15:25
By taking ownership of your data just like we've done,
308
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4374
Posjedovanjem svojih podataka kako smo mi to učinili,
15:30
just by taking this daily measurements about yourself,
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3947
samo svakodnevnim mjerenjima,
15:33
you become the expert on your body.
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2509
možete postati stručnjak za svoje tijelo.
15:36
You become the authority.
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2002
Postajete autoritet.
15:38
It's not hard to do.
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2423
To nije zahtjevno.
15:40
You don't have to have a Ph.D. in statistics
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1920
Ne morate imati doktorat iz statistike
15:42
to be an expert in yourself.
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1332
kako biste bili stručnjak za sebe.
15:44
You don't have to have a medical degree
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1441
Ne morate biti liječnik
15:45
to be your body's expert.
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2126
da biste bili stručnjak za tijelo.
15:47
Medical doctors, they're experts on the population,
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Liječnici su stručnjaci za populaciju,
15:51
but you are the expert on yourself.
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ali ste vi stručnjak za sebe.
15:53
And so when two of you come together,
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1910
Kad se vas dvoje nađete,
15:55
when two experts come together,
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kad se dva stručnjaka nađu,
15:57
the two of you are able to make a better decision
321
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zajedno možete donijeti bolje odluke
16:00
than just your doctor alone.
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2000
nego sam liječnik.
16:02
Now that you understand the power of information
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Sad kad razumijete moć informacija
16:05
that you can get through personal data collection,
324
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1871
koje možete dobiti skupljanjem osobnih podataka,
16:07
I'd like you all to stand and raise your right hand.
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3669
željela bih da se ustanete i podignete svoju desnu ruku.
16:11
(Laughter)
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2559
(Smijeh)
16:13
Yes, get it up.
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2120
Da, podignite ju.
16:18
I challenge you to take ownership of your data.
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Izazivam vas da postanete vlasnik svojih podataka.
16:25
And today, I hereby confer upon you
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3562
Danas vam dajem
16:29
a TEDx associate's degree in elementary statistics
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4345
TEDx suradničku diplomu iz elementarne statistike
16:33
with a concentration in time-dependent data analysis
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s naglaskom na analizu podataka ovisnu o vremenu
16:38
with all the rights and privileges appertaining thereto.
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3713
sa svim pravima i privilegijama koje ona podrazumijeva.
16:41
And so the next time you are in your doctor's office,
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3476
Tako kada sljedeći put budete u liječničkoj ordinaciji,
16:45
as newly inducted statisticians,
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3191
kao novim statističarima,
16:48
what should always be your response?
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2510
koji bi trebao biti vaš odgovor?
16:50
Audience: Show me the data! Talithia Williams: I can't hear you!
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1832
Publika: "Pokaži mi podatke!" Talithia Williams: "Ne čujem vas!"
16:52
Audience: Show me the data!
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1768
Publika: "Pokaži mi podatke!"
16:54
TW: One more time!
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1308
TW: "Još jednom!"
16:55
Audience: Show me the data!
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1539
Publika: "Pokaži mi podatke!"
16:57
TW: Show me the data.
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1182
TW: Pokaži mi podatke.
16:58
Thank you.
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3021
Hvala vam.
17:01
(Applause)
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(Pljesak)
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