Salvatore Iaconesi: What happened when I open-sourced my brain cancer

43,062 views

2015-07-16 ・ TED


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Salvatore Iaconesi: What happened when I open-sourced my brain cancer

43,062 views ・ 2015-07-16

TED


Dvaput kliknite na engleske titlove ispod za reprodukciju videozapisa.

Prevoditelj: Senzos Osijek Recezent: Ivan Stamenković
00:14
This back here was my brain cancer.
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Ovo tu bio je moj rak na mozgu.
00:19
Isn't it nice?
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Nije li lijep?
00:20
(Laughter)
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(Smijeh)
00:23
The key phrase is "was,"
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Ključna je riječ „bio“.
00:25
phew.
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Uh!
00:27
(Applause)
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(Pljesak)
00:32
Having brain cancer was really, as you can imagine,
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To da imam rak na mozgu bila je, kao što možete pretpostaviti
00:36
shocking news for me.
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šokantna vijest za mene.
00:38
I knew nothing about cancer.
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Ništa nisam znao o raku.
00:42
In Western cultures, when you have cancer,
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Kada imate rak, u zapadnjačkim kulturama,
00:45
it's as if you disappear in a way.
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na neki način, nestajete.
00:48
Your life as a complex human being is replaced by medical data:
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Vaš život kao složenog ljudskog bića zamijene medicinski podaci:
00:55
Your images, your exams, your lab values,
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slike, testovi, laboratorijske vrijednosti,
01:01
a list of medicines.
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popis lijekova.
01:03
And everyone changes as well.
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I svi se oko vas promijene.
01:06
You suddenly become a disease on legs.
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Odjednom postanete hodajuća bolest.
01:09
Doctors start speaking a language which you don't understand.
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Liječnici počnu govoriti jezikom koji ne razumijete.
01:13
They start pointing their fingers
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Upiru prstom
01:19
at your body and your images.
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u vaše tijelo i slike.
01:24
People start changing as well
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I ljudi se počnu mijenjati
01:27
because they start dealing with the disease,
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jer se počnu baviti bolešću
01:31
instead of with the human being.
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umjesto ljudskim bićem.
01:33
They say, "What did the doctor say?"
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Pitaju što je rekao liječnik
01:35
before even saying, "Hello."
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čak i prije nego pozdrave.
01:39
And in the meanwhile,
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A u međuvremenu
01:41
you're left with questions to which nobody gives an answer.
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vi imate pitanja na koja vam nitko ne daje odgovore.
01:47
These are the "Can I?" questions:
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To su „Mogu li“ pitanja:
01:49
Can I work while I have cancer?
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Mogu li raditi dok imam rak?
01:52
Can I study? Can I make love? Can I be creative?
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Mogu li učiti? Mogu li voditi ljubav? Mogu li biti kreativan?
01:57
And you wonder, "What have I done to deserve this?"
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I pitate se što ste učinili da vam se to dogodi.
02:01
You wonder, "Can I change something about my lifestyle?"
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Pitate se možete li promijeniti svoj način života.
02:05
You wonder, "Can I do something?
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Pitate se možete li štogod učiniti,
02:08
Are there any other options?"
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postoji li koja druga mogućnost.
02:12
And, obviously, doctors are the good guys in all these scenarios,
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I, naravno, liječnici su u čitavoj toj priči pozitivci
02:17
because they are very professional and dedicated to curing you.
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zato što su vrlo profesionalni i posvećeni vašem liječenju.
02:23
But they also are very used to having to deal with patients,
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Ali, također, oni su naviknuli nositi se s pacijentima
02:29
so I'd say that they sometimes lose the idea that this is torture for you
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tako da mislim da ponekad ne shvaćaju da je to za vas mučenje
02:36
and that you become, literally, a patient --
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i da doslovno postajete pacijent,
02:41
"patient" means "the one who waits."
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u smislu „onaj koji čeka“.
02:43
(Laughter)
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(Smijeh)
02:44
Things are changing, but classically,
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Stvari se mijenjaju, ali kao i obično,
02:49
they tend to not engage you in any way to learn about your condition,
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ni na koji vas način ne upućuju u vaše stanje.
02:54
to get your friends and family engaged,
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kao ni vaše prijatelje i obitelj,
02:58
or showing you ways in which you can change your lifestyle
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niti vas savjetuju kako promijeniti način života
03:02
to minimize the risks of what you're going through.
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kako biste smanjili rizik onoga kroz što prolazite.
03:06
But instead, you're forced there to wait
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Umjesto toga, prisiljeni ste čekati
03:09
in the hands of a series of very professional strangers.
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u rukama vrlo ozbiljnih profesionalnih stranaca.
03:16
While I was in the hospital,
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Kada sam bio u bolnici,
03:18
I asked for a printed-out picture of my cancer
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tražio sam izrađenu sliku raka
03:22
and I spoke with it.
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i razgovarao sam s njim.
03:25
It was really hard to obtain,
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Bilo ju je vrlo teško dobiti
03:27
because it's not common practice to ask for a picture of your own cancer.
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jer nije uobičajeno tražiti sliku vlastitog raka.
03:32
I talked to it and I said,
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Razgovarao sam s njim i rekao:
03:34
"Okay, cancer, you're not all there is to me.
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„Ok, raku, ti ne predstavljaš sve što ja jesam.
03:38
There's more to me.
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Više sam od toga.
03:40
A cure, whichever it is, will have to deal with the whole of me."
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Lijek, kakav god on bio, morat će se nositi sa mnom u cijelosti.“
03:47
And so, the next day, I left the hospital against medical advice.
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I tako sam sutradan, unatoč savjetima liječnika, napustio bolnicu.
03:53
I was determined to change my relationship with the cancer
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Odlučio sam promijeniti svoj odnos s rakom
03:57
and I was determined to learn more about my cancer
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i odlučio sam naučiti više o njemu
04:00
before doing anything as drastic as a surgery.
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prije poduzimanja drastičnih mjera, kao što je operacija.
04:06
I'm an artist, I use several forms of open-source technologies
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Umjetnik sam i koristim nekoliko oblika open-source tehnologija
04:12
and open information in my practice.
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i otvorenih informacija.
04:15
So my best bet was to get it all out there, get the information out there,
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Najbolja prilika bila mi je da prikupim sve informacije
04:21
and use it so that it could be accessed by anyone.
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i koristim ih tako da svima budu dostupne.
04:28
So I created a website, which is called La Cura,
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Napravio sam web stranicu La Cura
04:32
on which I put my medical data, online.
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na koju sam postavio svoje medicinske podatke.
04:35
I actually had to hack it
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Morao sam ih ukrasti,
04:37
and that's a thing which we can talk about in another speech.
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ali to je nešto o čemu možemo pričati u nekom drugom govoru.
04:41
(Laughter)
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(Smijeh)
04:42
I chose this word, La Cura --
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Izabrao sam tu riječ, La Cura
04:45
La Cura in Italian means "the cure" --
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što na talijanskom znači lijek
04:47
because in many different cultures,
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jer u različitim kulturama
04:50
the word "cure" can mean many different things.
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„lijek“ može značiti različite stvari.
04:55
In our Western cultures,
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U našim zapadnjačkim kulturama
04:56
it means eradicating or reversing a disease,
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znači iskorjenjivanje ili poništavanje bolesti,
05:01
but in different cultures,
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ali u različitim kulturama,
05:02
for example, a culture from Asia,
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na primjer, azijskoj,
05:06
from the Mediterranean, from Latin countries, from Africa,
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mediteranskoj, latinsko-američkoj, afričkoj
05:10
it can mean many more things.
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može imati više značenja.
05:12
Of course, I was interested in the opinions of doctors
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Naravno, zanimalo me mišljenje liječnika
05:18
and healthcare providers,
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i zdravstvenih djelatnika,
05:20
but I was also interested in the cure of the artist, of the poet,
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ali i lijek umjetnika, pjesnika,
05:26
of the designer,
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dizajnera,
05:28
of, who knows, the musicians.
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od, tko zna, glazbenika.
05:32
I was interested in the social cure,
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Zanimao me društveni lijek,
05:35
I was interested in the psychological cure,
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psihološki lijek,
05:38
I was interested in the spiritual cure,
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duhovni lijek,
05:41
I was interested in the emotional cure,
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emocionalni lijek,
05:44
I was interested in any form of cure.
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zanimao me bilo koji oblik lijeka.
05:48
And, it worked.
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I upalilo je.
05:52
The La Cura website went viral.
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La Cura stranica postala je hit.
05:55
I received lots of media attention from Italy and from abroad
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Imao sam veliku medijsku pažnju iz Italije i inozemstva
06:00
and I quickly received more than 500,000 contacts --
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i ubrzo dobio više od 500 000 kontakata-
06:06
emails, social networking --
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e-mailovi, društvene mreže -
06:08
most of them were a suggestion on how to cure my cancer,
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većina su bili prijedlozi kako izliječiti moj rak,
06:11
but more of them were about how to cure myself
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više ih je bilo o tome kako izliječiti samog sebe
06:15
as a full individual.
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kao pojedinca.
06:18
For example, many thousands of videos,
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Na primjer, tisuće videa,
06:22
images, pictures, art performances
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prikaza, slika, umjetničkih izvedbi
06:26
were produced for La Cura.
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bilo je izrađeno za La Curu.
06:28
For example, here we see Francesca Fini in her performance.
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Ovdje, na primjer, vidimo Francescu Fini u njenoj izvedbi.
06:33
Or, as artist Patrick Lichty has done:
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Ili, što je umjetnik Patrick Lichty učinio:
06:37
He produced a 3D sculpture of my tumor
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3D skulpturu mog tumora
06:42
and put it on sale on Thingiverse.
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koju je stavio na prodaju na Thingivers.
06:44
Now you can have my cancer, too!
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Sada i vi možete imati moj rak!
06:47
(Laughter)
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(Smijeh)
06:49
Which is a nice thing, if you think about it,
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Što je zgodna stvar, ako razmislite o tome,
06:52
we can share our cancer.
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možemo dijeliti rakove.
06:56
And this was going on --
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I događalo se ovo -
06:58
scientists, the traditional medicine experts,
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znanstvenici, tradicionalni medicinski stručnjaci,
07:02
several researchers, doctors --
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nekoliko istraživača, liječnici -
07:03
all connected with me to give advice.
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svi povezani sa mnom da bi me savjetovali.
07:06
With all this information and support,
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Sa svim tim informacijama i potporom,
07:08
I was able to form a team of several neurosurgeons,
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formirao sam tim od nekoliko neurokirurga,
07:14
traditional doctors,
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tradicionalnih liječnika,
07:16
oncologists, and several hundred volunteers
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onkologa, i nekoliko stotina volontera
07:23
with whom I was able to discuss
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s kojima sam mogao raspravljati
07:26
the information I was receiving, which is very important.
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o informacijama koje sam primao, što je vrlo važno.
07:31
And together, we were able to form a strategy for my own cure
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A zajedno smo mogli izraditi strategiju za moje izlječenje
07:38
in many languages, according to many cultures.
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na različitim jezicima, prema različitim kulturama.
07:41
And the current strategy spans the whole world
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Trenutna strategija uključuje čitav svijet
07:45
and thousands of years of human history,
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i tisuće godina ljudske povijesti,
07:47
which is quite remarkable for me.
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što je prilično izvanredno za mene.
07:49
[Surgery]
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[Operacija]
07:51
The follow-up MRIs showed, luckily, little to no growth of the cancer.
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Iduća je MR snimka pokazala minimalno do nepostojeće širenje raka.
07:57
So I was able to take my time and choose.
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Bio sam u mogućnosti uzeti vremena i izabrati.
08:00
I chose the doctor I wanted to work with,
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Izabrao sam liječnike s kojima sam htio raditi,
08:04
I chose the hospital I wanted to stay in,
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bolnicu u kojoj sam htio ostati,
08:06
and in the meanwhile, I was supported by thousands of people,
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a u međuvremenu me podržalo na tisuće ljudi,
08:10
none of whom felt pity for me.
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od kojih me nitko nije sažalijevao.
08:13
Everyone felt like they could take an active role
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Svi su se osjećali kao da mogu odigrati aktivnu ulogu
08:19
in helping me to get well,
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i pomoći mi da ozdravim,
08:21
and this was the most important part of La Cura.
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a to je bio najvažniji dio La Cure.
08:26
What are the outcomes?
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Koji su ishodi?
08:28
I'm fine, as you can see, pretty fine.
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Ja sam dobro, kao što vidite, prilično dobro.
08:30
(Applause)
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(Pljesak)
08:35
I had excellent news
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Imam odlične vijesti:
08:38
after the surgery --
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Nakon operacije-
08:39
I have -- I had a very low-grade glioma,
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imam— imao sam vrlo nizak stupanj glioma,
08:45
which is a "good" kind of cancer which doesn't grow a lot.
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što je „dobra“ vrsta raka koja ne raste puno.
08:49
I have completely changed my life and my lifestyle.
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Potupno sam promijenio svoj život i način života.
08:54
Everything I did was thoughtfully designed to get me engaged.
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Sve što sam radio bilo je osmišljeno kako bih se angažirao.
09:00
Up until the very last few minutes of the surgery,
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Sve do posljednjih nekoliko minuta operacije,
09:04
which was very intense,
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koja je bila vrlo intenzivna,
09:06
a matrix of electrodes was implanted in my brain
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matrica elektroda bila je usađena u moj mozak
09:10
from this side,
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od ove strane,
09:12
to be able to build a functional map of what the brain controls.
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kako bi se izradila funkcionalna mapa onoga što mozak kontrolira.
09:17
And right before the operation,
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Netom prije operacije
09:20
we were able to discuss the functional map of my brain
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mogli smo raspravljati o funkcionalnoj mapi mog mozga
09:27
with the doctor, to understand which risks I was running into
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s liječnicima, kako bismo shvatili koje rizike prihvaćam
09:32
and if there were any I wanted to avoid.
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i vidjeli postoje li neke koje želim izbjeći.
09:36
Obviously, there were.
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Naravno, bilo ih je.
09:38
[Open]
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[Otvori]
09:39
And this openness was really the fundamental part of La Cura.
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Otvorenost je bila temeljni dio La Cure.
09:44
Thousands of people shared their stories, their experiences.
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Tisuće su ljudi su dijelili svoje priče, svoja iskustva.
09:49
Doctors got to talk with people they don't usually consult
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Liječnici su razgovarali s ljudima s kojima se inače ne savjetuju
09:54
when they think about cancer.
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kada razmišljaju o raku.
09:59
I'm a self-founding, continuous state of translation
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Samostalno sam osnovana trajna država prijevoda
10:04
among many different languages,
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među različitim jezicima,
10:06
in which science meets emotion
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u kojima znanost upoznaje osjećaje,
10:10
and conventional research meets traditional research.
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a konvencionalno istraživanje upoznaje tradicionalno.
10:14
[Society]
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[Društvo]
10:16
The most important thing of La Cura
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Najvažniji dio La Cure
10:21
was to feel like a part of a really engaged and connected society
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je osjećaj da ste dio angažiranog i povezanog društva
10:28
whose wellness really depends on the wellness of all of its components.
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čija dobrobit zaista ovisi o dobrobiti svih njegovih sastavnica.
10:36
This global performance is my open-source cure for cancer.
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Ova je globalna izvedba moj open-source lijek za rak.
10:41
And from what I feel,
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I, kako mi se čini,
10:43
it's a cure for me, but for us all.
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to je lijek za mene, ali i za sve nas.
10:46
Thank you.
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Hvala.
10:47
(Applause).
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(Pljesak).
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