What really matters at the end of life | BJ Miller | TED

11,785,469 views ・ 2015-09-30

TED


Dvaput kliknite na engleske titlove ispod za reprodukciju videozapisa.

Prevoditelj: Anja Kolobarić Recezent: Ivan Stamenković
00:13
Well, we all need a reason to wake up.
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Svima nama potreban je razlog da se ujutro ustanemo iz kreveta.
00:18
For me, it just took 11,000 volts.
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Meni je za to trebalo samo 11 000 volti.
00:23
I know you're too polite to ask,
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Znam da ste prepristojni da pitate,
00:24
so I will tell you.
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pa ću vam reći.
00:27
One night, sophomore year of college,
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Jedne večeri na 2. godini faksa,
00:29
just back from Thanksgiving holiday,
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baš nakon praznika za Dan zahvalnosti,
00:33
a few of my friends and I were horsing around,
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nekolicina mojih prijatelja i ja smo se budalesali
00:35
and we decided to climb atop a parked commuter train.
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i odlučili se popeti na parkirani putnički vlak.
00:40
It was just sitting there, with the wires that run overhead.
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Samo je stajao tamo, žice su bile na krovu.
00:43
Somehow, that seemed like a great idea at the time.
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Tada se to nekako činilo kao izvrsna ideja.
00:46
We'd certainly done stupider things.
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Radili smo i glupljih stvari.
00:50
I scurried up the ladder on the back,
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Popeo sam se na stražnje ljestve
00:53
and when I stood up,
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i kad sam ustao,
00:55
the electrical current entered my arm,
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struja mi je ušla kroz ruku,
00:58
blew down and out my feet, and that was that.
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pošla prema dolje i prema stopalima i to je bilo to.
01:03
Would you believe that watch still works?
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Možete li vjerovati da taj sat još uvijek radi?
01:08
Takes a licking!
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Svašta je prošao.
01:09
(Laughter)
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(Smijeh)
01:10
My father wears it now in solidarity.
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Sad ga moj otac nosi iz solidarnosti.
01:15
That night began my formal relationship with death -- my death --
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Ta je večer započela moju formalnu vezu sa smrti - s mojom smrti -
01:21
and it also began my long run as a patient.
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a započela je i moju dugoročnu karijeru pacijenta.
01:25
It's a good word.
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Dobra je to riječ.
01:26
It means one who suffers.
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Znači "onaj koji pati".
01:28
So I guess we're all patients.
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Svi smo mi pacijenti.
01:31
Now, the American health care system
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Američki zdravstveni sustav
01:33
has more than its fair share of dysfunction --
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nefunkcionalan je
01:37
to match its brilliance, to be sure.
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koliko i briljantan.
01:39
I'm a physician now, a hospice and palliative medicine doc,
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Sad sam liječnik za palijativnu njegu u staračkom domu,
01:44
so I've seen care from both sides.
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pa sam vidio kako je njegovati i biti njegovan.
01:47
And believe me: almost everyone who goes into healthcare
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Vjerujte mi - gotovo svatko tko se odluči na karijeru u zdravstvu
01:50
really means well -- I mean, truly.
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ima najbolje namjere. Zaista ima,
01:54
But we who work in it are also unwitting agents
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ali svi mi koji u njemu radimo smo i nesvjesni agenti
01:58
for a system that too often does not serve.
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sustava koji nerijetko ne služi svrsi.
02:03
Why?
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Zašto?
02:05
Well, there's actually a pretty easy answer to that question,
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Odgovor na to pitanje prilično je jednostavan
02:09
and it explains a lot:
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i puno toga objašnjava:
02:11
because healthcare was designed with diseases, not people, at its center.
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zdravstvo je dizajnirano imajući u vidu bolesti, a ne ljude,
02:18
Which is to say, of course, it was badly designed.
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što, naravno, znači da je loše dizajnirano.
02:22
And nowhere are the effects of bad design more heartbreaking
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Posljedice lošeg dizajna nigdje nisu toliko žalosne,
02:28
or the opportunity for good design more compelling
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ili prilike za dobru zamišljenost toliko stvarne,
02:31
than at the end of life,
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kao na koncu života
02:33
where things are so distilled and concentrated.
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kad je sve toliko sažeto i koncentrirano.
02:38
There are no do-overs.
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Tu nema popravaka.
02:42
My purpose today is to reach out across disciplines
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Moj današnji cilj je doprijeti do različitih disciplina
02:46
and invite design thinking into this big conversation.
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i pozvati na razmišljanje o planiranju,
02:51
That is, to bring intention and creativity
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odnosno uvesti namjeru i kreativnost
02:56
to the experience of dying.
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u doživljaj umiranja.
03:01
We have a monumental opportunity in front of us,
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Pred nama je monumentalna prilika,
03:05
before one of the few universal issues
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pred jednim od rijetkih univerzalnih pitanja
03:09
as individuals as well as a civil society:
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koja se tiču i pojedinaca, a i civilnog društva:
03:12
to rethink and redesign how it is we die.
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ponovno razmisliti i redizajnirati način na koji umiremo.
03:19
So let's begin at the end.
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Krenimo od kraja.
03:23
For most people, the scariest thing about death isn't being dead,
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Kad govorimo o smrti, većini ljudi najveći strah nije to što će biti mrtvi,
03:27
it's dying, suffering.
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već samo umiranje, patnja.
03:29
It's a key distinction.
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To je glavna razlika.
03:32
To get underneath this, it can be very helpful
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Kako bismo to razumjeli, nekad zna pomoći
03:34
to tease out suffering which is necessary as it is,
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odvojiti patnju koja je ionako nužna
03:39
from suffering we can change.
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od patnje na koju možemo utjecati.
03:42
The former is a natural, essential part of life, part of the deal,
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Nužna patnja je prirodna, prirodan dio života, dolazi u paketu,
03:47
and to this we are called to make space, adjust, grow.
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na to se moramo priviknuti.
03:55
It can be really good to realize forces larger than ourselves.
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Dobro je uvidjeti sile veće od nas samih
04:01
They bring proportionality,
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koje nam donose proporcionalnost,
04:04
like a cosmic right-sizing.
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poput kozmičkog smanjivanja ljudske snage.
04:08
After my limbs were gone,
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Kad su mi uklonili udove,
04:11
that loss, for example, became fact, fixed --
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taj je gubitak postao činjeničan, fiksiran -
04:15
necessarily part of my life,
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nužan dio mog života
04:19
and I learned that I could no more reject this fact than reject myself.
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i shvatio sam da ne mogu odbacivati tu činjenicu, kao ni sebe.
04:27
It took me a while, but I learned it eventually.
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Trebalo mi je vremena, ali pomirio sam se s tim.
04:30
Now, another great thing about necessary suffering
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Još jedna sjajna stvar po pitanju nužne patnje
04:33
is that it is the very thing
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jest upravo ono
04:36
that unites caregiver and care receiver --
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što ujedinjuje pružatelja i primatelja njege -
04:41
human beings.
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ljudska bića.
04:45
This, we are finally realizing, is where healing happens.
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Konačno uviđamo da se tu odvija ozdravljenje.
04:49
Yes, compassion -- literally, as we learned yesterday --
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Da, suosjećanje - kao što smo doslovno jučer naučili -
04:53
suffering together.
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zajednička patnja.
04:56
Now, on the systems side, on the other hand,
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S druge strane, što se sustava tiče,
05:00
so much of the suffering is unnecessary, invented.
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puno je patnje bespotrebno, izmišljeno.
05:04
It serves no good purpose.
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Nema neku svrhu.
05:06
But the good news is, since this brand of suffering is made up,
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Dobra vijest glasi: budući da je ova vrsta patnje izmišljena,
05:10
well, we can change it.
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možemo je promijeniti.
05:13
How we die is indeed something we can affect.
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Na to kako umiremo zaista možemo utjecati.
05:18
Making the system sensitive to this fundamental distinction
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Osvješćivanje sustava o ovoj ključnoj razlici
05:22
between necessary and unnecessary suffering
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između nužne i bespotrebne patnje
05:25
gives us our first of three design cues for the day.
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dobivamo prvi od triju dizajnerskih tragova za danas.
05:30
After all, our role as caregivers, as people who care,
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Ipak je naša uloga kao pružatelja skrbi, kao ljudi koji brinu,
05:34
is to relieve suffering -- not add to the pile.
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ublažiti patnju, a ne je dodatno pogoršati.
05:42
True to the tenets of palliative care,
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Prema stanarima staračkog doma,
05:44
I function as something of a reflective advocate,
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ja sam nešto kao zagovornik refleksije,
05:47
as much as prescribing physician.
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kao i liječnik koji propisuje terapiju.
05:51
Quick aside: palliative care -- a very important field but poorly understood --
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Kratka digresija - palijativna njega - važno polje koje je slabo shvaćeno -
05:57
while it includes, it is not limited to end of life care.
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uključuje njegu na kraju života, ali nije ograničeno na njega.
06:00
It is not limited to hospice.
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Nije ograničeno na hospicij,
06:02
It's simply about comfort and living well at any stage.
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već se tiče ugode i kvalitetnog življenja u bilo kojoj fazi života.
06:06
So please know that you don't have to be dying anytime soon
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Imajte na umu da se ne morate opasno bližiti smrti
06:10
to benefit from palliative care.
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da biste imali koristi od palijativne njege.
06:13
Now, let me introduce you to Frank.
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Upoznajte Franka.
06:17
Sort of makes this point.
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On to nekako i dokazuje.
06:19
I've been seeing Frank now for years.
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Viđam se s njim godinama.
06:21
He's living with advancing prostate cancer on top of long-standing HIV.
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Živi s uznapredovanim rakom prostate, kao i s dugogodišnjim virusom HIV.
06:26
We work on his bone pain and his fatigue,
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Radimo na njegovoj kostobolji i umoru,
06:28
but most of the time we spend thinking out loud together about his life --
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ali najviše vremena provodimo razmišljajući naglas o njegovu životu -
06:32
really, about our lives.
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zapravo, o našim životima.
06:35
In this way, Frank grieves.
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Frank tako tuguje.
06:37
In this way, he keeps up with his losses as they roll in,
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Tako prati svoje gubitke kako nadolaze,
06:41
so that he's ready to take in the next moment.
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pa je spreman proživjeti sljedeći trenutak.
06:45
Loss is one thing, but regret, quite another.
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Gubitak je jedna stvar, ali žaljenje je nešto sasvim drugo.
06:51
Frank has always been an adventurer --
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Frank je uvijek bio avanturist -
06:53
he looks like something out of a Norman Rockwell painting --
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izgleda kao da je iskočio sa slike Normana Rockwella -
06:56
and no fan of regret.
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i nije ljubitelj žaljenja.
06:58
So it wasn't surprising when he came into clinic one day,
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Nije me iznenadilo kad mi je jednog dana došao u kliniku
07:01
saying he wanted to raft down the Colorado River.
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i rekao da želi ići na rafting rijekom Colorado.
07:05
Was this a good idea?
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Je li to bila dobra ideja?
07:07
With all the risks to his safety and his health, some would say no.
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Imajući na umu sve rizike po njegovu sigurnost i zdravlje, neki bi rekli - ne.
07:11
Many did, but he went for it, while he still could.
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Mnogi i jesu, ali odvažio se na to dok je još mogao.
07:15
It was a glorious, marvelous trip:
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Bio je to veličanstven, sjajan put:
07:20
freezing water, blistering dry heat, scorpions, snakes,
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ledena voda, strašna vrućina, škorpioni, zmije,
07:26
wildlife howling off the flaming walls of the Grand Canyon --
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zavijanje divljih životinja širilo se uzavrelim zidinama Grand Canyona -
07:31
all the glorious side of the world beyond our control.
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sva veličanstvena strana svijeta koja je izvan naše kontrole.
07:36
Frank's decision, while maybe dramatic,
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Iako je Frankova odluka bila dramatična,
07:38
is exactly the kind so many of us would make,
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to je i odluka na kakvu bi se mnogi od nas odvažili
07:40
if we only had the support to figure out what is best for ourselves over time.
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kad bi imali podršku osmisliti što je za nas najbolje, dugoročno gledano.
07:49
So much of what we're talking about today is a shift in perspective.
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Puno toga o čemu danas govorimo tiče se promjene u perspektivi.
07:54
After my accident, when I went back to college,
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Nakon nesreće, vratio sam se na faks
07:56
I changed my major to art history.
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i promijenio glavni studij u povijest umjetnosti.
08:00
Studying visual art, I figured I'd learn something about how to see --
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Mislio sam da ću proučavajući likovnu umjetnost naučiti kako vidjeti -
08:05
a really potent lesson for a kid who couldn't change
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bila je to moćna lekcija za mladića koji nije mogao promijeniti
08:09
so much of what he was seeing.
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puno opažanoga.
08:12
Perspective, that kind of alchemy we humans get to play with,
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Perspektiva, svojevrsna alkemija kojom se mi ljudi igramo -
08:16
turning anguish into a flower.
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pretvaramo muku u cvijet.
08:21
Flash forward: now I work at an amazing place in San Francisco
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Sad radim na krasnom mjestu u San Francisku
08:25
called the Zen Hospice Project,
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koji se zove Hospicijski projekt Zen
08:28
where we have a little ritual that helps with this shift in perspective.
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gdje imamo mali ritual koji pomaže s ovim promjenama perspektive.
08:32
When one of our residents dies,
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Kad jedan od naših stanara umre,
08:35
the mortuary men come, and as we're wheeling the body out through the garden,
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dolaze mrtvozornici i vozimo tijelo kroz vrt,
08:39
heading for the gate, we pause.
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idemo prema vratima i zastanemo.
08:42
Anyone who wants --
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Svatko tko želi -
08:44
fellow residents, family, nurses, volunteers,
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drugi stanari, obitelj, sestre, volonteri,
08:46
the hearse drivers too, now --
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pa i vozači mrtvačkih kola -
08:49
shares a story or a song or silence,
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s ostalima podijeli priču, pjesmu ili tišinu
08:53
as we sprinkle the body with flower petals.
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dok tijelo posipamo laticama cvijeća.
08:57
It takes a few minutes;
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Traje nekoliko minuta;
08:59
it's a sweet, simple parting image to usher in grief with warmth,
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to je dražesna, jednostavna slika kojom tugu pratimo toplinom,
09:04
rather than repugnance.
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a ne gađenjem.
09:08
Contrast that with the typical experience in the hospital setting,
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Usporedite to s uobičajenim iskustvom u bolnici
09:13
much like this -- floodlit room lined with tubes and beeping machines
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koje izgleda ovako nekako - osvijetljena soba puna cijevi i aparata
09:18
and blinking lights that don't stop even when the patient's life has.
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i svjetla koja neprestano trepere, pa čak i nakon smrti pacijenta.
09:23
Cleaning crew swoops in, the body's whisked away,
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Dolaze čistačice, tijelo jurno odvoze iz prostorije
09:26
and it all feels as though that person had never really existed.
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i čini se kao da ta osoba nikad nije ni postojala.
09:33
Well-intended, of course, in the name of sterility,
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Naravno, sve u najboljoj namjeri, u ime sterilnosti,
09:35
but hospitals tend to assault our senses,
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ali bolnice vrše udar na naša osjetila,
09:39
and the most we might hope for within those walls is numbness --
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a najviše čemu se možemo nadati unutar tih zidova jest otupjelost -
09:44
anesthetic, literally the opposite of aesthetic.
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anestetik - doslovno suprotnost estetici.
09:50
I revere hospitals for what they can do; I am alive because of them.
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Cijenim bolnice zbog svega što rade, zbog njih sam danas živ,
09:56
But we ask too much of our hospitals.
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ali previše tražimo od naših bolnica.
09:59
They are places for acute trauma and treatable illness.
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To su mjesta za akutne traume i izlječive bolesti.
10:03
They are no place to live and die; that's not what they were designed for.
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To nisu mjesta za život i smrt; nisu za to zamišljene.
10:10
Now mind you -- I am not giving up on the notion
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Pazite, ne odričem se ideje
10:12
that our institutions can become more humane.
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da naše institucije mogu postati humanije.
10:16
Beauty can be found anywhere.
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Ljepotu možemo pronaći svugdje.
10:21
I spent a few months in a burn unit
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Nekoliko mjeseci proveo sam na odjelu za opekotine
10:23
at St. Barnabas Hospital in Livingston, New Jersey,
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u bolnici sv. Barnabe u Livingstonu, New Jersey
10:26
where I got really great care at every turn,
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gdje mi je pružana sjajna njega na svakom koraku
10:30
including good palliative care for my pain.
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uključujući i izvrsnu palijativnu njegu za moje bolove.
10:33
And one night, it began to snow outside.
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Jedne je večeri počelo sniježiti.
10:37
I remember my nurses complaining about driving through it.
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Sjećam se da su se sestre žalile što moraju voziti kroz taj snijeg.
10:42
And there was no window in my room,
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U sobi nije bilo prozora,
10:44
but it was great to just imagine it coming down all sticky.
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ali bilo je zabavno zamišljati ga kako pada.
10:49
Next day, one of my nurses smuggled in a snowball for me.
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Sljedećeg dana jedna od mojih sestara prokrijumčarila mi je grudu snijega.
10:53
She brought it in to the unit.
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Donijela ju je na odjel.
10:56
I cannot tell you the rapture I felt holding that in my hand,
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Ne mogu vam opisati koliko sam se sjajno osjećao držeći je u ruci
11:02
and the coldness dripping onto my burning skin;
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dok je hladnoća kapala po mojoj uzavreloj koži;
11:05
the miracle of it all,
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koliko je to čudesno bilo,
11:07
the fascination as I watched it melt and turn into water.
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fascinacija s kojom sam promatrao kako se pretvara u vodu.
11:15
In that moment,
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U tom trenutku
11:17
just being any part of this planet in this universe mattered more to me
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sama činjenica da sam bilo koji dio ovog planeta u svemiru značilo mi je više
11:21
than whether I lived or died.
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od činjenice hoću li živjeti ili umrijeti.
11:24
That little snowball packed all the inspiration I needed
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Da gruda snijega nosila je inspiraciju koja mi je bila potrebna
11:27
to both try to live and be OK if I did not.
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da pokušam živjeti i da mi ne smeta ako i ne poživim.
11:31
In a hospital, that's a stolen moment.
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U bolnici je to ukraden trenutak.
11:36
In my work over the years, I've known many people
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Tijekom godina karijere upoznao sam mnoge ljude
11:39
who were ready to go, ready to die.
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koji su bili spremni na smrt -
11:43
Not because they had found some final peace or transcendence,
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ne zato što su pronašli konačan spokoj ili transcedenciju,
11:47
but because they were so repulsed by what their lives had become --
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nego zato što im se zgadilo to na što su im se životi sveli -
11:54
in a word, cut off, or ugly.
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Jednom riječju - odvojeni ili ružni.
12:03
There are already record numbers of us living with chronic and terminal illness,
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Već postoji rekordni broj nas koji živimo s kroničnim i terminalnim bolestima,
12:09
and into ever older age.
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pa čak i u starijoj dobi.
12:11
And we are nowhere near ready or prepared for this silver tsunami.
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Nismo ni blizu spremni ili pripravni za ovaj srebrni tsunami.
12:19
We need an infrastructure dynamic enough to handle
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Treba nam dovoljno dinamična infrastruktura koja će se nositi
12:22
these seismic shifts in our population.
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s ovim seizmičkim promjenama u našoj populaciji.
12:27
Now is the time to create something new, something vital.
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Sad je vrijeme da stvorimo nešto novo, nešto ključno.
12:30
I know we can because we have to.
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Znam da to možemo jer to moramo.
12:33
The alternative is just unacceptable.
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Alternativa je jednostavno neprihvatljiva,
12:35
And the key ingredients are known:
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a ključni sastojci su poznati:
12:37
policy, education and training,
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politika, odgoj i obrazovanje i obuka,
12:41
systems, bricks and mortar.
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sustavi, cigle i žbuka.
12:44
We have tons of input for designers of all stripes to work with.
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Imamo hrpu materijala s kojima mogu raditi dizajneri svih orijentacija.
12:49
We know, for example, from research
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Npr. iz istraživanja znamo
12:51
what's most important to people who are closer to death:
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što je najvažnije ljudima koji se bliže smrti:
12:54
comfort; feeling unburdened and unburdening to those they love;
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ugoda; osjećaj neopterećenosti i nestvaranja tereta onima koje vole;
13:01
existential peace; and a sense of wonderment and spirituality.
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egzistencijalni mir; osjećaj čuđenja i duhovnosti.
13:08
Over Zen Hospice's nearly 30 years,
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U gotovo trideset godina hospicija Zen
13:12
we've learned much more from our residents in subtle detail.
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puno smo više detalja naučili od naših stanara.
13:17
Little things aren't so little.
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Male stvari i nisu toliko male.
13:21
Take Janette.
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Npr. Janette je
13:22
She finds it harder to breathe one day to the next due to ALS.
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svakim danom sve teže disati zbog ALS-a.
13:26
Well, guess what?
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Znate što?
13:28
She wants to start smoking again --
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Želi ponovno početi pušiti,
13:31
and French cigarettes, if you please.
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i to francuske cigarete.
13:36
Not out of some self-destructive bent,
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Ne iz nekog auto-destruktivnog hira,
13:39
but to feel her lungs filled while she has them.
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već kako bi osjetila kako joj se pluća pune dok ih još uvijek ima.
13:44
Priorities change.
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Prioriteti se mijenjaju.
13:47
Or Kate -- she just wants to know
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Ili npr. Kate koja samo želi znati
13:50
her dog Austin is lying at the foot of her bed,
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da njezin pas Austin leži ispred njezinog kreveta,
13:54
his cold muzzle against her dry skin,
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njegova hladna njuška na njezinoj suhoj koži
13:57
instead of more chemotherapy coursing through her veins --
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umjesto dodatne kemoterapije koja joj teče venama -
14:00
she's done that.
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učinila je to.
14:02
Sensuous, aesthetic gratification, where in a moment, in an instant,
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Senzualna, estetička zadovoljština u kojoj u trenutku, u sekundi
14:07
we are rewarded for just being.
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dobijemo nagradu samo zato što postojimo.
14:15
So much of it comes down to loving our time by way of the senses,
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Toliko se toga svodi na uživanje u preostalom vremenu putem osjetila,
14:19
by way of the body -- the very thing doing the living and the dying.
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putem tijela - onoga što je zaslužno za život i smrt.
14:26
Probably the most poignant room
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Vjerojatno najbolnija soba
14:27
in the Zen Hospice guest house is our kitchen,
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u gostinjskoj kući hospicija Zen naša je kuhinja,
14:30
which is a little strange when you realize
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što je malo neobično kad shvatite
14:32
that so many of our residents can eat very little, if anything at all.
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da toliko naših stanara jede vrlo malo ili nimalo.
14:36
But we realize we are providing sustenance on several levels:
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Svjesni smo da im pružamo podršku na nekoliko različitih razina:
14:41
smell, a symbolic plane.
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miris, simboličke osnove.
14:46
Seriously, with all the heavy-duty stuff happening under our roof,
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Ozbiljno, sa svim obvezama koje su se odvijale pod našim krovom,
14:51
one of the most tried and true interventions we know of,
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jedna od najboljih intervencija koje smo otkrili
14:55
is to bake cookies.
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jest pečenje kolača.
15:10
As long as we have our senses --
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Sve dok imamo osjetila -
15:11
even just one --
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makar samo jedno -
15:13
we have at least the possibility of accessing
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imamo barem mogućnost pristupa
15:17
what makes us feel human, connected.
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onome zbog čega se osjećamo kao ljudi, povezano.
15:22
Imagine the ripples of this notion
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Zamislite posljedice ovoga
15:25
for the millions of people living and dying with dementia.
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za milijune ljudi koji žive i umiru s demencijom.
15:29
Primal sensorial delights that say the things we don't have words for,
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Osnovni senzorni užici koji govore stvari za koje mi nemamo riječi,
15:33
impulses that make us stay present --
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impulsi koji nam pomažu da ostanemo u sadašnjosti -
15:36
no need for a past or a future.
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bez potrebe za prošlosti ili budućnosti.
15:42
So, if teasing unnecessary suffering out of the system was our first design cue,
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Ako nam je prvi dizajnerski trag bio uklanjanje nepotrebne patnje iz sustava,
15:50
then tending to dignity by way of the senses,
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onda je težnja dostojanstvu putem osjetila,
15:53
by way of the body -- the aesthetic realm --
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putem tijela - estetski realm -
15:57
is design cue number two.
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drugi dizajnerski trag.
15:59
Now this gets us quickly to the third and final bit for today;
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To nas je brzo dovelo do trećeg i posljednjeg dijela;
16:03
namely, we need to lift our sights, to set our sights on well-being,
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moramo podići pogled i pažnju usmjeriti na našu dobrobit
16:10
so that life and health and healthcare
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kako bi se život i zdravlje i zdravstvo
16:13
can become about making life more wonderful,
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više usredotočio na uljepšavanje života,
16:16
rather than just less horrible.
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umjesto na uklanjanje užasnosti.
16:20
Beneficence.
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Dobrotvornost.
16:22
Here, this gets right at the distinction
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Ovo pokazuje razliku
16:25
between a disease-centered and a patient- or human-centered model of care,
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između modela brige usmjerenog na bolest i onog usmjerenog na pacijenta, čovjeka.
16:30
and here is where caring becomes a creative, generative,
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Tu briga postaje kreativni, proizvodni,
16:33
even playful act.
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pa čak i zaigran čin.
16:36
"Play" may sound like a funny word here.
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Riječ "igra" ovdje se može učiniti čudnom,
16:39
But it is also one of our highest forms of adaptation.
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ali to je ujedno jedan od najviših oblika prilagođavanja.
16:42
Consider every major compulsory effort it takes to be human.
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Razmislite o svakom većem obveznom naporu koji moramo napraviti da bismo bili ljudi.
16:47
The need for food has birthed cuisine.
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Potreba za hranom izrodila je kuharstvo.
16:49
The need for shelter has given rise to architecture.
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Potreba za skloništem izrodila je arhitekturu.
16:52
The need for cover, fashion.
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Potreba za pokrivanjem - modu.
16:54
And for being subjected to the clock,
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A kako bismo se podredili satu,
16:57
well, we invented music.
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izumili smo glazbu.
17:03
So, since dying is a necessary part of life,
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Budući da je umiranje nužan dio življenja,
17:06
what might we create with this fact?
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što možemo učiniti s tom činjenicom?
17:12
By "play" I am in no way suggesting we take a light approach to dying
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"Igrom" nikako ne predlažem da olako pristupimo smrti
17:15
or that we mandate any particular way of dying.
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ili da naredimo kako umirati.
17:18
There are mountains of sorrow that cannot move,
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Brda tuge ne možemo pomaknuti
17:20
and one way or another, we will all kneel there.
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i bilo kako bilo, svi ćemo pred njima pokleknuti.
17:24
Rather, I am asking that we make space --
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Zapravo tražim da napravimo mjesta -
17:28
physical, psychic room, to allow life to play itself all the way out --
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fizičkog, psihičkog mjesta da pustimo život da se sam odigra do kraja
17:34
so that rather than just getting out of the way,
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i da umjesto da mu se samo izmičemo,
17:37
aging and dying can become a process of crescendo through to the end.
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starenje i umiranje može postati proces koji se razvija sve do kraja.
17:44
We can't solve for death.
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Ne možemo izliječiti smrt.
17:50
I know some of you are working on this.
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Znam da neki od vas rade na tome.
17:52
(Laughter)
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(Smijeh)
17:57
Meanwhile, we can --
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U međuvremenu možemo -
17:58
(Laughter)
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(Smijeh)
18:00
We can design towards it.
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- možemo dizajnirati prema njoj.
18:04
Parts of me died early on,
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Dijelovi mene rano su umrli,
18:05
and that's something we can all say one way or another.
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a to svi mi možemo reći za sebe ovako ili onako.
18:08
I got to redesign my life around this fact,
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Dobio sam priliku redizajnirati svoj život oko te činjenice
18:11
and I tell you it has been a liberation
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i mogu vam reći da je bilo oslobađajuće
18:14
to realize you can always find a shock of beauty or meaning
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shvatiti da uvijek možete pronaći iznenađujuću ljepotu ili smisao
18:17
in what life you have left,
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u životu koji vam je preostao,
18:20
like that snowball lasting for a perfect moment,
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poput one grude snijega koja je stvorila savršen trenutak
18:22
all the while melting away.
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topeći se.
18:26
If we love such moments ferociously,
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Ako divljački volimo te trenutke,
18:32
then maybe we can learn to live well --
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onda možda možemo naučiti dobro živjeti -
18:35
not in spite of death,
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ne u inat smrti,
18:37
but because of it.
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već zbog nje.
18:42
Let death be what takes us,
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Neka smrt bude ono što će nas izbrisati,
18:44
not lack of imagination.
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a ne manjak mašte.
18:48
Thank you.
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Hvala vam.
18:50
(Applause)
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(Pljesak)
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