Robert Gupta: Between music and medicine

111,449 views ・ 2012-10-02

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00:00
Translator: Joseph Geni Reviewer: Morton Bast
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Prevoditelj: Ranka Zarkovic Recezent: Senzos Osijek
00:23
(Music)
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(Glazba)
02:38
(Applause)
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(Pljesak)
02:41
Thank you very much. (Applause)
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Najljepša vam hvala. (Pljesak)
02:46
Thank you. It's a distinct privilege to be here.
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Hvala vam. Posebna je privilegija biti ovdje.
02:50
A few weeks ago, I saw a video on YouTube
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Prije nekoliko tjedana, pogledao sam na YouTube-u video
02:52
of Congresswoman Gabrielle Giffords
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o kongresnici Gabielle Giffords
02:54
at the early stages of her recovery
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u ranijim stadijima njezinog oporavka
02:56
from one of those awful bullets.
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od jednog od onih groznih projektila.
02:58
This one entered her left hemisphere, and
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Ovaj je ušao u njezinu lijevu hemisferu, i
03:00
knocked out her Broca's area, the speech center of her brain.
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uništio joj Brokin predio, centar za govor u njezinom mozgu.
03:04
And in this session, Gabby's working with a speech therapist,
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U dotičnom tretmanu Gabby radi sa govornim terapeutom,
03:08
and she's struggling to produce
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i bori se ne bi li proizvela
03:10
some of the most basic words, and you can see her
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neke od osnovnih riječi, i možete primjetiti kako
03:13
growing more and more devastated, until she ultimately
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joj je sve teže i teže, sve dok se na kraju
03:16
breaks down into sobbing tears, and she starts sobbing
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potpuno ne slomi i počne jecati
03:19
wordlessly into the arms of her therapist.
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bez riječi na rukama svog terapeuta.
03:23
And after a few moments, her therapist tries a new tack,
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I nakon nekoliko trenutaka njezin terapeut pokušava sa novom tehnikom,
03:25
and they start singing together,
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i oni počinju pjevati skupa,
03:27
and Gabby starts to sing through her tears,
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i Gabby počinje pjevati kroz suze
03:29
and you can hear her clearly able to enunciate
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i možete čuti kako je u stanju jasno izgovarati
03:32
the words to a song that describe the way she feels,
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riječi pjesme koja opisuje njezine osjećaje,
03:34
and she sings, in one descending scale, she sings,
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i ona pjeva, u uzlaznoj skali, ona pjeva,
03:37
"Let it shine, let it shine, let it shine."
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"Neka sija, neka sija, neka sija."
03:41
And it's a very powerful and poignant reminder of how
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I to je vrlo snažan i dirljiv podsjetnik o tomu kako
03:44
the beauty of music has the ability to speak
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ljepota glazbe ima moć govora
03:47
where words fail, in this case literally speak.
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tamo gjde riječi zataje, u ovom slučaju glazba doslovce govori.
03:52
Seeing this video of Gabby Giffords reminded me
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Gledanje ove snimke Gabby Giffords me podsjetilo
03:54
of the work of Dr. Gottfried Schlaug,
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na rad doktora Gottfrieda Schlauga,
03:56
one of the preeminent neuroscientists studying music and the brain at Harvard,
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jednog od istaknutih neurologa koji se bavi proučavanjem glazbe i mozga na Harvardu.
04:00
and Schlaug is a proponent of a therapy called
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Schlaug je pobornik terapije nazvane
04:03
Melodic Intonation Therapy, which has become very popular in music therapy now.
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Melodijska terapija intonacije koja je sada postala vrlo popularna u muzikoterapiji.
04:08
Schlaug found that his stroke victims who were aphasic,
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Schlaug je otkrio da osobe pogođene moždanim udarom i zahvaćene afazijom
04:12
could not form sentences of three- or four-word sentences,
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koje su bile nesposobne da oblikuju rečenice složene od tri ili četiri riječi,
04:17
but they could still sing the lyrics to a song,
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ipak su još uvijek bile u stanju pjevati riječi pjesme,
04:20
whether it was "Happy Birthday To You"
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bilo da je u pitanju "Sretan ti rođendan"
04:22
or their favorite song by the Eagles or the Rolling Stones.
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ili njihova omiljena pjesma Eaglesa ili Rolling Stonesa.
04:24
And after 70 hours of intensive singing lessons,
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I nakon 70 sati intenzivnih satova pjevanja,
04:27
he found that the music was able to literally rewire
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otkrio je da je glazba bila u stanju doslovce ponovno promrežiti
04:31
the brains of his patients and create a homologous
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mozgove njegovih pacijenata i stvoriti odgovarajući
04:34
speech center in their right hemisphere
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centar za govor u njihovoj desnoj hemisferi
04:36
to compensate for the left hemisphere's damage.
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kako bi se naknadilo oštećenje lijeve hemisfere.
04:39
When I was 17, I visited Dr. Schlaug's lab, and in one afternoon
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Kao sedamnaestogodišnjak sam posjetio laboratorij doktora Schlauga, i u jedno popodne
04:43
he walked me through some of the leading research
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proveo me kroz jedno od vodećih istraživanja
04:45
on music and the brain -- how musicians had
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o glazbi i mozgu -- o tome kako su glazbenici imali
04:49
fundamentally different brain structure than non-musicians,
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iz temelja drugačiju strukturu mozga u odnosu na ne-glazbenike
04:52
how music, and listening to music,
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i kako glazba i slušanje glazbe
04:54
could just light up the entire brain, from
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mogu jednostavno osvjetliti cijeli mozak, od
04:56
our prefrontal cortex all the way back to our cerebellum,
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prednjeg mozga pa sve do malog mozga,
04:59
how music was becoming a neuropsychiatric modality
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o tome kako glazba postaje neuropsihijatrijska metoda
05:02
to help children with autism, to help people struggling
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za pomoć autističnoj djeci, za pomoć onima koji se bore
05:06
with stress and anxiety and depression,
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protiv stresa, tjeskobe i depresije,
05:09
how deeply Parkinsonian patients would find that their tremor
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kako se teško oboljelim od parkinsonove bolesti primjetno smirivalo podrhtavanje
05:12
and their gait would steady when they listened to music,
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i hod postajao stabilniji kada bi slušali glazbu,
05:15
and how late-stage Alzheimer's patients, whose dementia
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i kako bi oboljeli od Alzheimerove bolesti, čija je senilnost
05:19
was so far progressed that they could no longer recognize
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toliko uznapredovala da nisu više prepoznavali
05:22
their family, could still pick out a tune by Chopin
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svoju obitelj, još uvijek jasno prepoznavali Chopinovu melodiju
05:24
at the piano that they had learned when they were children.
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za klavir koju su naučili kada su bili djeca.
05:28
But I had an ulterior motive of visiting Gottfried Schlaug,
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Ali imao sam još jedan razlog za posjet Gottfriedu Schlaugu
05:31
and it was this: that I was at a crossroads in my life,
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i bio je to sljedeći: nalazio sam se na raskršću svog života,
05:34
trying to choose between music and medicine.
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pokušavajući izabrati između glazbe i medicine.
05:37
I had just completed my undergraduate, and I was working
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Bio sam upravo završio svoj redoviti studij i radio sam
05:40
as a research assistant at the lab of Dennis Selkoe,
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kao asistent u laboratoriju Dennisa Selkoea,
05:43
studying Parkinson's disease at Harvard, and I had fallen
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proučavao Parkinsonovu bolest na Harvardu, i bio sam se
05:46
in love with neuroscience. I wanted to become a surgeon.
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zaljubio u neurologiju. Htio sam postati kirurg.
05:49
I wanted to become a doctor like Paul Farmer or Rick Hodes,
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Želio sam postati liječnikom poput Paula Farmera ili Ricka Hodesa,
05:53
these kind of fearless men who go into places like Haiti or Ethiopia
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poput tih neustrašivih ljudi koji su odlazili na mjesta kao što su Haiti ili Etiopija
05:57
and work with AIDS patients with multidrug-resistant
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i radili sa oboljelima od AIDS-a s tuberkulozom višestruko otpornom
06:00
tuberculosis, or with children with disfiguring cancers.
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na lijekove, ili s djecom izobličenom od raka.
06:04
I wanted to become that kind of Red Cross doctor,
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Htio sam postati takav ljiečnik Crvenog križa,
06:07
that doctor without borders.
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liječnik bez granica.
06:09
On the other hand, I had played the violin my entire life.
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S druge strane, svirao sam violinu cijelog svog života.
06:12
Music for me was more than a passion. It was obsession.
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Glazba je za mene bila više od strasti. Bila je opsesija.
06:16
It was oxygen. I was lucky enough to have studied
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Bila je kisik. Imao sam sreću studirati
06:19
at the Juilliard School in Manhattan, and to have played
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na Juilliardu (privatna akademija umjetnosti) na Manhattanu, i svirati
06:22
my debut with Zubin Mehta and the Israeli philharmonic orchestra in Tel Aviv,
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svoj prvi koncert sa Zubinom Mehtom i Izraelskim filharmonijskim orkestrom u Tel Avivu
06:27
and it turned out that Gottfried Schlaug
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i ispostavilo se da je Gottfried Schlaug
06:29
had studied as an organist at the Vienna Conservatory,
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studirao za orguljaša na Bečkom konzervatoriju,
06:32
but had given up his love for music to pursue a career
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ali je odustao od svoje ljubavi za glazbu da bi nastavio karijeru
06:34
in medicine. And that afternoon, I had to ask him,
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u medicini. I tog poslijepodneva sam ga upitao:
06:38
"How was it for you making that decision?"
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"Kako ti je bilo donijeti takvu odluku?"
06:40
And he said that there were still times when he wished
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I on je odgovorio da i dalje ponekad zaželi
06:43
he could go back and play the organ the way he used to,
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svirati orgulje kao što je to nekada činio
06:45
and that for me, medical school could wait,
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i da u mom slučaju medicinska škola može pričekati,
06:49
but that the violin simply would not.
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a da violina to jednostavno ne može.
06:51
And after two more years of studying music, I decided
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I nakon još dvije godine glazbenog usavršavanja, odlučio sam
06:54
to shoot for the impossible before taking the MCAT
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pokušati nešto nemoguće prije nego što se pojavim na prijemnom ispitu za medicinu
06:57
and applying to medical school like a good Indian son
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i upišem se na fakultet kao poslušan indijski sin
06:59
to become the next Dr. Gupta. (Laughter)
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ne bi li postao novi Dr Gupta. (smijeh)
07:02
And I decided to shoot for the impossible and I took
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I tako sam odlučio pokušati nemoguće i pojavio sam se
07:05
an audition for the esteemed Los Angeles Philharmonic.
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na audiciji za cijenjenu Los Angeles Filharmoniju.
07:08
It was my first audition, and after three days of playing
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To je bila moja prva audicija, i nakon tri dana sviranja,
07:11
behind a screen in a trial week, I was offered the position.
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iza paravana probnog tjedna, ponudili su mi mjesto.
07:14
And it was a dream. It was a wild dream to perform
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I to je bio san. Bio je ludi san biti dio
07:18
in an orchestra, to perform in the iconic Walt Disney Concert Hall
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orkestra i svirati u kultnoj Walt Disney Concert Hall
07:21
in an orchestra conducted now by the famous Gustavo Dudamel,
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u orkestru kojim sada dirigira poznati Gustavo Dudamel,
07:25
but much more importantly to me to be surrounded
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ali za mene je bilo još daleko važnije to da sam bio okružen
07:28
by musicians and mentors that became my new family,
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glazbenicima i mentorima koji su postali moja nova obitelj,
07:32
my new musical home.
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moj novi glazbeni dom.
07:35
But a year later, I met another musician who had also
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Ali godinu dana kasnije, sreo sam još jednog glazbenika koji je također
07:38
studied at Juilliard, one who profoundly helped me
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studirao na Juilliardu, koji mi je osobito pomogao
07:42
find my voice and shaped my identity as a musician.
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da pronađem svoj način izražavanja i oblikujem svoj glazbeni identitet.
07:46
Nathaniel Ayers was a double bassist at Juilliard, but
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Nathaniel Ayers bio je kontrabasist na Juilliardu, ali
07:49
he suffered a series of psychotic episodes in his early 20s,
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je kao dvadesetogodišnjak patio od serije psihotičnih epizoda,
07:53
was treated with thorazine at Bellevue,
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liječen je kloropromazinom u Bellevueu,
07:55
and ended up living homeless on the streets of Skid Row
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i 30 godina kasnije završio je kao beskućnik na ulicama Skid Rowa (siromašna četvrt)
07:59
in downtown Los Angeles 30 years later.
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u centralnom Los Angelesu.
08:01
Nathaniel's story has become a beacon for homelessness
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Nathanielova sudbina je bacila novo svjetlo na beskućništvo
08:05
and mental health advocacy throughout the United States,
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i na prevenciju mentalnog zdravlja u Sjedinjenim državama,
08:08
as told through the book and the movie "The Soloist,"
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kao što je prikazano u knjizi i u filmu "Solist",
08:10
but I became his friend, and I became his violin teacher,
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ali ja sam postao njegov prijatelj, i postao sam njegov učitelj violine,
08:13
and I told him that wherever he had his violin,
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i rekao sam mu da gdje god bude imao svoju violinu,
08:15
and wherever I had mine, I would play a lesson with him.
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i gde god ja budem imao svoju, da ćemo održati našu lekciju.
08:18
And on the many times I saw Nathaniel on Skid Row,
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I u mnogim prilikama u kojima sam vidio Nathaniela na Skid Rowu,
08:21
I witnessed how music was able to bring him back
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mogao sam se osvjedočiti koliko ga je glazba mogla povratiti
08:24
from his very darkest moments, from what seemed to me
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iz njegovih najcrnjih trenutaka, iz onoga što je meni
08:27
in my untrained eye to be
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i mom neuvježbanom oku izgledalo
08:29
the beginnings of a schizophrenic episode.
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kao početak shizofrenične epizode.
08:32
Playing for Nathaniel, the music took on a deeper meaning,
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Svirajući za Nathaniela, glazba je dobila dublje značenje
08:36
because now it was about communication,
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jer se tu radilo o komunikaciji,
08:38
a communication where words failed, a communication
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komunikaciji tamo gde su riječi zakazale, komunikaciji
08:41
of a message that went deeper than words, that registered
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poruke koja je prodrla dublje od riječi, koja se urezala
08:44
at a fundamentally primal level in Nathaniel's psyche,
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u osnovni primarni nivo Nathanielove psihe,
08:48
yet came as a true musical offering from me.
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i koja je došla kao istinski glazbeni poklon od mene.
08:52
I found myself growing outraged that someone
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Postajao sam sve ogorčeniji jer netko
08:56
like Nathaniel could have ever been homeless on Skid Row
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poput Nathaniela može završiti kao beskućnik na Skid Rowu
09:00
because of his mental illness, yet how many tens of thousands
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radi svoje mentalne bolesti i koliko je još desetaka tisuća
09:04
of others there were out there on Skid Row alone
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drugih bila tamo na Skid Rowu sama
09:07
who had stories as tragic as his, but were never going to have a book or a movie
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sa sudbinom podjednako tragičnom kao što je njegova, ali za razliku od njega nikada neće imati knjigu ili film
09:11
made about them that got them off the streets?
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o sebi koji bi ih mogli maknuti sa ceste.
09:14
And at the very core of this crisis of mine, I felt somehow
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I u samoj srži te svoje krize, osjetio sam kako
09:18
the life of music had chosen me, where somehow,
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je život glazbe izabrao mene, i nekako,
09:22
perhaps possibly in a very naive sense, I felt what Skid Row
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možda vjerojatno u vrlo naivnom smislu, osjetio sam da Skid Row
09:25
really needed was somebody like Paul Farmer
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ima potrebu za nekim poput Paula Farmera,
09:28
and not another classical musician playing on Bunker Hill.
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a ne za još jednim klasičnim glazbenikom koji svira na Bunker Hillu.
09:32
But in the end, it was Nathaniel who showed me
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I na kraju, Nathaniel je bio taj koji mi je pokazao
09:34
that if I was truly passionate about change,
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da ako sam zaista posvećen tome da nešto promjenim,
09:37
if I wanted to make a difference, I already had the perfect instrument to do it,
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ako sam zaista htio stvoriti razliku, već sam imao savršen instrument za to,
09:41
that music was the bridge that connected my world and his.
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i da je glazba bila most koji je povezao moj svijet sa njegovim.
09:46
There's a beautiful quote
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Evo lijepog citata
09:48
by the Romantic German composer Robert Schumann,
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romantičarskog njemačkog kompozitora Roberta Schumanna,
09:50
who said, "To send light into the darkness of men's hearts,
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koji je rekao: "Poslati zraku svjetlosti u tamu ljudskih srdaca,
09:55
such is the duty of the artist."
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to je dužnost umjetnika."
09:58
And this is a particularly poignant quote
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I to je osobito dirljiv citat
10:00
because Schumann himself suffered from schizophrenia
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jer je i sam Schumann patio od shizofrenije
10:03
and died in asylum.
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i umro u utočištu.
10:05
And inspired by what I learned from Nathaniel,
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Inspiriran onim što sam naučio od Nathaniela,
10:07
I started an organization on Skid Row of musicians
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osnovao sam organizaciju glazbenika na Skid Rowu
10:10
called Street Symphony, bringing the light of music
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nazvanu Ulična simfonija, koja donosi svjetlost glazbe
10:13
into the very darkest places, performing
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u najmračnija mjesta, koja svira
10:16
for the homeless and mentally ill at shelters and clinics
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za beskućnike i mentalno bolesne u prihvatilištima i klinikama
10:18
on Skid Row, performing for combat veterans
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na Skid Rowu, koja svira za ratne veterane
10:22
with post-traumatic stress disorder, and for the incarcerated
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sa posttraumatskim stresnim poremećajima i za zatvorenike
10:26
and those labeled as criminally insane.
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i one koji su označeni kao kriminalno ludi.
10:29
After one of our events at the Patton State Hospital
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Nakon jednog od naših koncerata u Državnoj bolnici Patton
10:32
in San Bernardino, a woman walked up to us
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u San Bernardinu, jedna žena nam je prišla
10:34
and she had tears streaming down her face,
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i suze su joj se slivale niz lice,
10:37
and she had a palsy, she was shaking,
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a imala je paralizu, tresla se,
10:39
and she had this gorgeous smile, and she said
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ali je imala i taj predivan osmijeh, i rekla je
10:42
that she had never heard classical music before,
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da nikada prije nije čula klasičnu glazbu,
10:44
she didn't think she was going to like it, she had never
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nije ni pomišljala da bi joj se svidjela, nije nikada ranije
10:47
heard a violin before, but that hearing this music was like hearing the sunshine,
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čula zvuk violine, i da je slušanje ove glazbe bilo poput slušanja sunčeve svjetlosti,
10:51
and that nobody ever came to visit them, and that for the first time in six years,
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i da ih nikada nitko nije posjetio, i da je to bilo prvi put u šest godina,
10:54
when she heard us play, she stopped shaking without medication.
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kada je čula naše sviranje, da se prestala tresti bez pomoći lijekova.
10:59
Suddenly, what we're finding with these concerts,
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Iznenada, ono što smo otkrili ovim koncertima,
11:02
away from the stage, away from the footlights, out
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daleko od pozornice, daleko od reflektora, daleko
11:05
of the tuxedo tails, the musicians become the conduit
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od smokinga, jest da su glazbenici postali sredstvo
11:08
for delivering the tremendous therapeutic benefits
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za uručivanje nevjerovatnih terapeutskih beneficija kojima
11:12
of music on the brain to an audience that would never
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glazba utječe na mozak publike koja nikada ne bi imala priliku
11:15
have access to this room,
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ući u ovu sobu,
11:16
would never have access to the kind of music that we make.
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nikada ne bi imala pristup toj vrsti glazbe koju mi izvodimo.
11:22
Just as medicine serves to heal more
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Kao što medicina služi da bi liječila ne samo
11:26
than the building blocks of the body alone,
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sastavne djelova samoga tijela,
11:29
the power and beauty of music transcends the "E"
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moć i ljepota glazbe nadilazi "E"
11:33
in the middle of our beloved acronym.
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u sredini našeg voljenog akronima.
11:36
Music transcends the aesthetic beauty alone.
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Glazba nadilazi samu estetsku ljepotu.
11:39
The synchrony of emotions that we experience when we
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Usklađivanje emocija koje doživljavamo kada
11:42
hear an opera by Wagner, or a symphony by Brahms,
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slušamo Wagnerovu operu, ili Brahmsovu simfoniju
11:45
or chamber music by Beethoven, compels us to remember
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ili Beethovenovu komornu glazbu, prisiljava nas da se sjetimo
11:49
our shared, common humanity, the deeply communal
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naše zajedničke ljudskosti koju djelimo, duboko zajednički
11:53
connected consciousness, the empathic consciousness
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povezane svijesti, empatične svijesti
11:56
that neuropsychiatrist Iain McGilchrist says is hard-wired
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za koju neuropsihijatar Iain McGilchrist kaže da je jako promrežena
12:00
into our brain's right hemisphere.
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u desnoj hemisferi našega mozga.
12:03
And for those living in the most dehumanizing conditions
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I za one koje žive u vrlo nehumanim uvjetima
12:06
of mental illness within homelessness
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mentalne bolesti unutar beskućništva
12:09
and incarceration, the music and the beauty of music
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i zatvoreništva, glazba i ljepota glazbe
12:11
offers a chance for them to transcend the world around them,
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nude priliku da nadiđu svijet oko sebe
12:16
to remember that they still have the capacity to experience
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i da se podsjete da još uvijek imaju sposobnost doživjeti
12:19
something beautiful and that humanity has not forgotten them.
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nešto predivno i da čovječanstvo nije zaboravilo na njih.
12:23
And the spark of that beauty, the spark of that humanity
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I iskra te ljepote, iskra te ljudskosti
12:26
transforms into hope,
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pretvara se u nadu,
12:29
and we know, whether we choose the path of music
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i znamo, bez obzira jesmo li izabrali put glazbe
12:32
or of medicine, that's the very first thing we must instill
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ili medicine, da je upravo to prva stvar koju moramo usaditi
12:35
within our communities, within our audiences,
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unutar naše zajednice, unutar naše publike
12:37
if we want to inspire healing from within.
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ako želimo potaknuti liječenje iznutra.
12:41
I'd like to end with a quote by John Keats,
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Želio bih završiti citirajući Johna Keatsa,
12:44
the Romantic English poet,
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romantičnog engleskog pjesnika,
12:46
a very famous quote that I'm sure all of you know.
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to je poznat citat za kojeg sam uvjeren da svi vi poznajete.
12:49
Keats himself had also given up a career in medicine
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I sam Keats je također odustao od medicinske karijere
12:52
to pursue poetry, but he died when he was a year older than me.
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da bi se bavio poezijom, ali je umro kada je imao godinu dana više od mene.
12:55
And Keats said, "Beauty is truth, and truth beauty.
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I Keats je rekao: "Ljepota je istina, istina je ljepota.
13:00
That is all ye know on Earth, and all ye need to know."
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To je sve što znaš i sve što trebaš znati."
13:09
(Music)
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(Glazba)
15:53
(Applause)
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(Pljesak)
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