Matthew O'Reilly: "Am I dying?" The honest answer.

299,915 views ・ 2014-09-25

TED


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Prevodilac: Ivana Krivokuća Lektor: Mile Živković
00:12
I've been a critical care EMT for the past seven years in Suffolk County, New York.
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Poslednjih sedam godina sam medicinski tehničar
na intenzivnoj nezi u okrugu Safolk, Njujork.
00:16
I've been a first responder in a number of incidents
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Bio sam prva osoba koja reaguje u brojnim slučajevima
00:18
ranging from car accidents to Hurricane Sandy.
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od saobraćajnih nesreća do uragana Sendi.
00:21
If you are like most people, death might be
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Ako ste kao većina ljudi, smrt je možda
00:23
one of your greatest fears.
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jedan od vaših najvećih strahova.
00:25
Some of us will see it coming.
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Neki od nas će znati kada da je očekuju.
00:26
Some of us won't.
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Neki od nas neće.
00:28
There is a little-known documented medical term
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Postoji manje poznati medicinski termin
00:30
called impending doom.
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zvani neposredni kraj.
00:32
It's almost a symptom.
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Gotovo da je simptom.
Kao medicinski radnik, obučen sam da reagujem
00:34
As a medical provider, I'm trained to respond
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00:35
to this symptom like any other,
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na ovaj simptom kao i bilo koji drugi,
00:37
so when a patient having a heart attack looks at me
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tako da kada me pogleda pacijent koji ima srčani udar
00:39
and says, "I'm going to die today,"
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i kaže: "Umreću danas",
00:41
we are trained to reevaluate the patient's condition.
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obučeni smo da preispitamo stanje pacijenta.
00:45
Throughout my career, I have responded
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Tokom moje karijere, odgovorio sam
00:47
to a number of incidents where the patient
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na niz slučajeva gde su pacijentu
00:49
had minutes left to live
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ostali minuti života
00:50
and there was nothing I could do for them.
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i ništa nisam mogao da učinim za njih.
00:54
With this, I was faced with a dilemma:
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Imajući to u vidu, bio sam suočen sa dilemom:
00:56
Do I tell the dying that they are about to face death,
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da li da kažem umirućima da će se uskoro suočiti sa smrću,
01:00
or do I lie to them to comfort them?
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ili da ih lažem da ih utešim?
01:03
Early in my career, I faced this dilemma
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Na početku karijere, suočavao sam se sa ovom dilemom
01:05
by simply lying.
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jednostavno laganjem.
01:07
I was afraid.
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Bio sam uplašen.
01:09
I was afraid if I told them the truth,
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Bio sam uplašen da ako im kažem istinu,
01:11
that they would die in terror, in fear,
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da će umreti u užasu, u strahu,
01:14
just grasping for those last moments of life.
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grabeći te poslednje trenutke života.
01:18
That all changed with one incident.
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To se sve promenilo sa jednim događajem.
01:20
Five years ago, I responded to a motorcycle accident.
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Pre pet godina, reagovao sam na saobraćajnu nesreću.
01:23
The rider had suffered critical, critical injuries.
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Vozač motora je pretrpeo kritične, kritične povrede.
01:26
As I assessed him, I realized that there was nothing
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Dok sam ga procenjivao, shvatio sam da se ništa
01:29
that could be done for him,
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ne može učiniti za njega,
01:31
and like so many other cases, he looked me in the eye
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i kao toliko drugih slučajeva, pogledao me je u oči
01:34
and asked that question: "Am I going to die?"
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i postavio to pitanje: "Da li ću umreti?"
01:39
In that moment, I decided to do something different.
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U tom trenutku, rešio sam da učinim nešto drugačije.
01:42
I decided to tell him the truth.
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Odlučio sam da mu kažem istinu.
01:45
I decided to tell him that he was going to die
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Odlučio sam da mu kažem da će umreti
01:48
and that there was nothing I could do for him.
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i da ništa ne mogu da učinim za njega.
01:51
His reaction shocked me to this day.
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Njegova reakcija me je ostavila u šoku do današnjeg dana.
01:55
He simply laid back and had a look
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Prosto se opustio i imao je pogled
01:57
of acceptance on his face.
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prihvatanja na svom licu.
01:59
He was not met with that terror or fear
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Nije se susreo sa užasom niti strahom
02:01
that I thought he would be.
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kao što sam ja očekivao.
02:04
He simply laid there, and as I looked into his eyes,
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Prosto je ležao, i dok sam gledao u njegove oči,
02:07
I saw inner peace and acceptance.
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video sam unutrašnji mir i prihvatanje.
02:09
From that moment forward, I decided
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Od tog trenutka nadalje, rešio sam
02:11
it was not my place to comfort the dying with my lies.
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da nije moje da tešim umiruće lažima.
02:16
Having responded to many cases since then
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Odgovorivši na mnoge slučajeve od tada
02:19
where patients were in their last moments
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gde su pacijenti bili u svojim poslednjim trenucima
02:21
and there was nothing I could do for them,
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i nije bilo ničeg što bih mogao da učinim za njih,
02:23
in almost every case,
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u skoro svakom slučaju,
02:25
they have all had the same reaction to the truth,
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svi su imali istu reakciju na istinu,
02:28
of inner peace and acceptance.
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unutrašnji mir i prihvatanje.
02:30
In fact, there are three patterns
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Zapravo, postoje tri obrasca
02:32
I have observed in all these cases.
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koje sam primetio u svim tim slučajevima.
02:37
The first pattern always kind of shocked me.
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Prvi obrazac me je uvek nekako šokirao.
02:40
Regardless of religious belief or cultural background,
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Bez obzira na religijska uverenja ili kulturnu pozadinu,
02:44
there's a need for forgiveness.
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postoji potreba za oproštajem.
02:47
Whether they call it sin
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Bilo da to zovu grehom
02:49
or they simply say they have a regret,
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ili jednostavno kažu da se kaju,
02:52
their guilt is universal.
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njihova krivica je univerzalna.
02:54
I had once cared for an elderly gentleman
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Jednom sam se starao o starijem gospodinu
02:55
who was having a massive heart attack.
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koji je imao snažan srčani udar.
02:58
As I prepared myself and my equipment
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Dok sam pripremao sebe i svoju opremu
03:00
for his imminent cardiac arrest,
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za njegov predstojeći srčani zastoj,
03:03
I began to tell the patient of his imminent demise.
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počeo sam da govorim pacijentu o njegovoj bliskoj smrti.
03:07
He already knew by my tone of voice and body language.
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Već je znao po tonu mog glasa i govoru tela.
03:10
As I placed the defibrillator pads on his chest,
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Kako sam stavljao ploče defibrilatora na njegove grudi,
03:13
prepping for what was going to happen,
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pripremajući se za ono što će se uskoro dogoditi,
03:15
he looked me in the eye and said,
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pogledao me je u oči i rekao:
03:17
"I wish I had spent more time with my children and grandchildren
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"Voleo bih da sam proveo više vremena sa mojom decom i unucima
03:20
instead of being selfish with my time."
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umesto što sam bio sebičan sa svojim vremenom."
03:23
Faced with imminent death,
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Suočen sa neposrednom smrću,
03:25
all he wanted was forgiveness.
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sve što je želeo bio je oproštaj.
03:28
The second pattern I observe
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Drugi obrazac koji sam primetio
03:30
is the need for remembrance.
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je potreba za pamćenjem.
03:33
Whether it was to be remembered in my thoughts
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Bilo da je to da bude upamćen u mojim mislima
03:35
or their loved ones', they needed to feel
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ili svojih voljenih, bilo im je potrebno da osete
03:37
that they would be living on.
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da će nastaviti da žive.
03:39
There's a need for immortality
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Postoji potreba za besmrtnošću
03:41
within the hearts and thoughts of their loved ones,
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u srcima i mislima njihovih voljenih,
03:44
myself, my crew, or anyone around.
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mene, mog osoblja, ili bilo koga unaokolo.
03:47
Countless times, I have had a patient look me in the eyes
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Bezbroj puta sam imao pacijenta koji me gleda u oči
03:50
and say, "Will you remember me?"
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i kaže: "Hoćeš li me pamtiti?"
03:54
The final pattern I observe
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Poslednji obrazac koji sam primetio
03:56
always touched me the deepest, to the soul.
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uvek me je dirnuo najdublje u dušu.
03:59
The dying need to know that their life had meaning.
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Umirućima je potrebno da znaju da je njihov život imao smisla.
04:03
They need to know that they did not waste their life
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Potrebno im je da znaju da nisu protraćili svoj život
04:06
on meaningless tasks.
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na beznačajne poslove.
04:09
This came to me very, very early in my career.
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Ovo mi se desilo veoma, veoma rano u karijeri.
04:12
I had responded to a call.
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Odgovorio sam na poziv.
04:14
There was a female in her late 50s
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Žena u kasnim pedesetim
04:16
severely pinned within a vehicle.
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bila je ozbiljno prikovana u vozilu.
04:18
She had been t-boned at a high rate of speed,
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Drugi auto je udario u njen sa strane pri velikoj brzini,
04:22
critical, critical condition.
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kritično, kritično stanje.
04:24
As the fire department worked to remove her from the car,
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Dok su vatrogasci radili na tome da je izvuku iz auta,
04:26
I climbed in to begin to render care.
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popeo sam se da počnem sa pružanjem nege.
04:29
As we talked, she had said to me,
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Dok smo govorili, rekla mi je:
04:32
"There was so much more I wanted to do with my life."
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"Bilo je toliko mnogo više toga što sam želela
da uradim sa svojim životom."
04:35
She had felt she had not left her mark on this Earth.
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Osećala je da nije ostavila svoj trag na ovoj Zemlji.
04:39
As we talked further, it would turn out
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Dok smo nastavili da govorimo, ispostavilo se
04:41
that she was a mother of two adopted children
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da je ona majka dva usvojena deteta
04:44
who were both on their way to medical school.
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koja su na putu da upišu medicinsku školu.
04:47
Because of her, two children
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Zbog nje, dvoje dece
04:49
had a chance they never would have had otherwise
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imalo je priliku koju inače ne bi imali
i nastaviće da spasavaju živote u medicinskom polju
04:52
and would go on to save lives in the medical field
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04:54
as medical doctors.
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kao doktori medicine.
04:56
It would end up taking 45 minutes
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Trebalo je 45 minuta
04:58
to free her from the vehicle.
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da je oslobode iz vozila.
05:00
However, she perished prior to freeing her.
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Međutim, umrla je pre nego što je oslobođena.
05:04
I believed what you saw in the movies:
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Verovao sam u ono što viđate u filmovima:
05:06
when you're in those last moments
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kada ste u tim poslednjim trenucima
05:07
that it's strictly terror, fear.
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da je tu isključivo užas, strah.
05:10
I have come to realize, regardless of the circumstance,
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Shvatio sam, bez obzira na okolnosti,
05:13
it's generally met with peace and acceptance,
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uglavnom je dočekana sa mirom i prihvatanjem,
05:16
that it's the littlest things, the littlest moments,
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da su najmanje stvari, najmanji momenti,
05:20
the littlest things you brought into the world
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najsitnije stvari koje si doneo na svet
05:23
that give you peace in those final moments.
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one koje ti daju mir u tim poslednjim trenucima.
05:26
Thank you.
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Hvala vam.
05:28
(Applause)
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(Aplauz)
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