Kim Gorgens: Protecting the brain against concussion

Prevodilac: Vanja Cakić Lektor: Elizabeta Petrovic

So, a funny thing happened

Dogodila se zanimljiva stvar

on my way to becoming a brilliant, world-class neuropsychologist:

na mom putu da postanem briljantni,

svetski priznati neuropsiholog:

I had a baby.

dobila sam dete.

And that's not to say

Ali ne kažem da sam postala

I ever went on to become a brilliant, world-class neuropsychologist.

briljantni, svetski neuropsiholog.

Sorry, TED.

Izvini, TED.

But I did go on to be a reasonably astute,

Ali postala sam razumno vredna,

arguably world-class worrier.

ratnica svetskog nivoa.

One of my girlfriends in graduate school, Marie,

Jedna od mojih prijateljica na diplomskim studijama, Mari,

said, "Kim, I figured it out.

je rekla: "Kim, shvatila sam.

It's not that you're more neurotic than everyone else;

Nije da si neurotičnija od svih ostalih,

it's just that you're more honest about how neurotic you are."

samo si iskrenija

o tome koliko si zapravo neurotična."

So in the spirit of full disclosure,

Pa u duhu potpunog razotkrivanja,

I brought some pictures to share.

donela sam nekoliko slika.

Awwww.

Oooo.

(Laughter)

I'll just say: July.

Samo ću reći, jul.

(Laughter)

(Smeh)

Zip!

Zakopčan

(Laughter)

For safety.

za sigurnost.

(Laughter)

Water wings --

Rukavice za plivanje -

an inch of water.

par centimetara vode.

And then, finally, all suited up

I na kraju, u punoj opremi

for the 90-minute drive to Copper Mountain.

za 90-minutnu vožnju na Kuper Planini.

So you can get kind of a feel for this.

Sada možete shvatiti o čemu pričam....

So my baby, Vander, is eight years old now.

I tako, moje dete, Vender,

sada ima osam godina.

And, despite being cursed with my athletic inability,

I upkros tome što je uklet

mojom atletskom nesposobnošću,

he plays soccer.

igra fudbal.

He's interested in playing football.

Takođe je zainteresovan i za ragbi.

He wants to learn how to ride a unicycle.

Želi da nauči da vozi unicikl.

So why would I worry?

Ali zašto se ja brinem?

Because this is what I do. This is what I teach.

Jer to je ono što radim. Ono što predajem.

It's what I study. It's what I treat.

To izučavam. To lečim.

And I know that kids get concussed every year.

I znam da deca svake godine dobijaju potres mozga.

In fact, more than four million people sustain a concussion every year,

Zapravo, svake godine, više od četiri miliona ljudi doživi potres mozga,

and these data are just among kids under 14

i ti se podaci odnose samo na decu ispod 14 godina

who were seen in emergency rooms.

koja su pregledana na hitnoj.

And so when kids sustain a concussion,

I kada deca pretrpe potres mozga,

we talk about them getting dinged or getting their bell rung,

pričamo im kako su nastradali i o zvonu,

but what is it that we're really talking about?

ali stvarno, o čemu pričamo?

Let's take a look.

Pogledajmo.

[Concussive Force]

Dobro. "Satrski i Hač" verovatno. Da.

"Starsky and Hutch"? Arguably, yes.

So, a car accident.

Dakle saobraćajna nesreća.

Forty miles an hour into a fixed barrier:

Šezdesetpet kilometara na sat u fiksnu barijeru -

35 Gs.

35 G.

A heavyweight boxer punches you straight in the face:

Bokser teške klase

vas udara pravo u lice -

58 Gs.

58 G.

(Music)

In case you missed it, we'll look again.

U slučaju da ste propustili, pogledajmo opet.

So look to the right-hand side of the screen.

Pogledajte desnu stranu ekrana.

(Music)

What would you say?

Šta biste rekli?

How many Gs?

Koliko G?

Close.

Blizu.

Seventy-two?

72.

Would it be crazy to know:

Bilo bi ludo znati,

103 Gs?

103 G.

The average concussive impact

Prosečni uticaj potresa -

is 95 Gs.

je 95 G.

Now, when the kid on the right doesn't get up,

Sada, kada momak s desne strane ne ustane,

we know they've had a concussion.

znamo da je imao potres.

But how about the kid on the left,

Ali šta je s momkom levo,

or the athlete that leaves the field of play?

ili sportistom koji izlazi sa terena?

How do we know if he or she has sustained a concussion?

Kako znamo

da li je on, ili ona, pretrpeo potres?

How do we know

Kako znamo

that legislation that would require they be pulled from play,

da se pravila koja zahtevaju da budu povučeni iz igre,

cleared for return to play,

da im se odobri povratak u igru,

applies to them?

odnose na njih?

The definition of concussion

Definicija potresa

doesn't actually require a loss of consciousness.

ne zahteva gubitak svesti.

It requires only a change in consciousness,

Zahteva promenu u svesti,

and that can be any one or a number of symptoms,

i to može biti bilo koji jedan ili više simptoma,

including feeling foggy, feeling dizzy,

uključujući zamućenost vida, vrtoglavicu,

hearing a ringing in your ear,

zvonjavu u ušima,

being more impulsive or hostile than usual.

veću implusivnost i netrpeljivost nego inače.

So given all of that and given how darn neurotic I am,

Pa sa svim tim i koliko sam neurotična,

how do I get any sleep at all?

kako uopšte spavam?

Because I know our brains are resilient.

Jer znam

da su naši mozgovi otporni.

They're designed to recover from an injury.

Dizajnirani su da se oporave

od povrede.

If -- God forbid --

Ako, ne daj bože,

any of us left here tonight and sustained a concussion,

neko od nas ovde ode i doživi potres,

most of us would go on to fully recover inside of a couple hours

većina nas bi se potpuno oporavila

u roku od par sati do par nedelja.

to a couple of weeks.

But kids are more vulnerable to brain injury.

Ali su deca osetljivija na povrede mozga.

In fact, high-school athletes are three times more likely

U stvari, srednjoškolski sportisti imaju tri puta veće šanse

to sustain catastrophic injuries

za katastrofalne povrede

relative even to their college-age peers,

u odnosu studente koji su sportisti,

and it takes them longer to return to a symptom-free baseline.

i treba im duže

da se vrate na početak bez simptoma.

I posle te prve povrede,

After that first injury,

their risk for second injury is exponentially greater.

rizik za drugu povredu

eksponencijalno raste.

From there, their risk for a third injury, greater still, and so on.

Odatle, njihov rizik da treću povredu,

je još veći i tako dalje.

I evo ga alarmantan deo:

And here's the really alarming part:

We don't fully understand the long-term impact of multiple injuries.

ne razumemo skroz

dugoročni uticaj višestrukih povreda.

You guys may be familiar with this research

Vi ste možda upoznati da istraživanjem

that's coming out of the NFL.

koje dolazi iz NFL-a.

In a nutshell, this research suggests that,

Ukratko, ovo istraživanje ukazuje

among retired NFL players with three or more career concussions,

da kod penzionisanih NFL igrača

sa 3 ili više potresa u karijeri,

the incidence of early-onset dementing disease

incidenti ranih oboljenja demencije

is much greater than it is for the general population.

su veći nego kod opšte populacije.

So you've all seen that -- New York Times, you've seen it.

Svi ste to videli - Njujork Tajms, videli ste.

What you may not be familiar with

Ono s čim možda niste upoznati

is that this research was spearheaded by NFL wives who said,

je da je ovo istraživanje vodila

grupa supruga u NFL-u koje kažu:

"Isn't it weird that my 46-year-old husband

"Nije li čudno da moj 46-godišnji muž

is forever losing his keys?"

uvek gubi ključeve?"

"Isn't it weird that my 47-year-old husband

"Nije li čudno da moj 47-godišnji muž

is forever losing the car?"

uvek gubi kola?"

"Isn't it weird that my 48-year-old husband

"Nije li čudno da moj 48-godišnji muž

is forever losing his way home

uvek zaboravlja put do kuće

in the car, from the driveway?"

u kolima, od parkinga?"

I may have forgotten to mention that my son is an only child.

Tako da sam možda zaboravila da pomenem

da je moj sin jedinac.

So it's going to be really important

Tako da će biti veoma bitno

that he be able to drive me around someday.

da je on sposoban da me vozi jednog dana.

(Laughter)

So, how do we guarantee the safety of our kids?

Pa kako da garantujemo sigurnost naše dece?

How can we 100 percent guarantee the safety of our kids?

Kako možemo 100%

da garantujemo sigurnost naše dece?

Let me tell you what I've come up with.

Dopustite da vam kažem šta sam smislila.

(Laughter)

(Smeh)

If only.

Kad bi moglo.

My little boy's right there, and he's like, "She's not kidding.

Moj mali dečko je tu, misli:

"Ona se ne šali. Ona se uopšte ne šali."

She's totally not kidding."

So in all seriousness:

I budimo ozbiljni,

Should my kid play football?

da li moj sin treba da igra ragbi?

Should your kid play football?

Da li vaš sin treba da igra ragbi? Ne znam.

I don't know.

But I do know there are three things you can do.

Ali znam da postoje tri stvari koje možete da uradite.

The first: study up.

Prvo, ispitajte.

You have to be familiar with the issues we're talking about today.

Morate da budete upoznati sa stvarima o kojim pričamo danas.

There are some great resources out there.

Postoje dobri resursi za to.

The CDC has a program, HEADS UP.

Centar za kontrolu bolesti ima program, Glavu gore.

It's at CDC.gov.

Ima na CDC.gov.

HEADS UP is specific to concussion in kids.

Glavu gore je specifično o potresu kod dece.

The second is a resource I'm personally really proud of.

Drugo, je resurs na koji sam posebno ponosna.

Sproveli smo ovo poslednjih nekoliko meseci -

We've just rolled this out in the last couple months --

CO Kids With Brain Injury.

cokidswithbraininjury.

This is a great resource for student athletes,

Ovo je super resurs za studente sportiste,

teachers, parents, professionals, athletic and coaching staff.

nastavnike, roditelje, profesionalce,

sportsko i trenesko osoblje.

It's a great place to start if you have questions.

To je dobro mesto za početak

ako imate pitanja.

The second thing is: speak up.

Druga stvar je: budite glasni.

Just two weeks ago,

Samo pre dve nedelje,

a bill introduced by Senator Kefalas

predlog zakona od Senatora Kefalasa,

that would have required athletes, kids under 18,

koji bi zahtevao da sportisti, deca ispod 18 godina

to wear a helmet when they're riding their bike,

da nose kacige kada voze bicikle

died in committee.

je umro pred komitetom.

It died, in large part,

Umro je u velikom delu

because it lacked constituent buy-in;

jer nije imao podršku glasača,

it lacked stakeholder traction.

nije imao glasove interesnih grupa.

Now, I'm not here to tell you

Sada, nisam tu da vam kažem kakve zakone

what kind of legislation you should or shouldn't support,

treba ili ne treba da podržite,

but I am going to tell you that, if it matters to you,

ali ću vam reći da, ako vam je bitno,

your legislators need to know that.

vaši zakonodavci treba da znaju to.

Speak up also with coaching staff.

Takođe pričajte da trenerskim osobljem.

Ask about what kind of protective equipment is available.

Pitajte koja je zaštitna oprema dostupna.

What's the budget for protective equipment?

Koji je budžet za zaštitnu opremu?

How old it is?

Koliko je stara?

Maybe offer to spearhead a fundraiser to buy new gear.

Možda da se ponudite da vodite skupljanje novca

da se kupi nova oprema.

Which brings us to: suit up.

Što nas dovodi do: obucite se, nosite kacigu.

Wear a helmet.

The only way to prevent a bad outcome

Jedini način da sprečite loš ishod

is to prevent that first injury from happening.

je da sprečite da se ta prva povreda desi.

Recently, one of my graduate students, Tom, said,

Skoro, jedan od mojih diplomaca, Tom,

Tom je rekao,

"Kim, I've decided to wear a bike helmet on the way to class."

"Kim, rešio sam da nosim kacigu za biciklu

na putu do predavanja."

And Tom knows that that little bit of foam in a bike helmet

I Tom zna da to malo pene u kacigi za bicikl

can reduce the g-force of impact by half.

može da smanji uticaj G-sile za pola.

Now, I thought it was because I have this totally compelling helmet crusade,

Sada, mislila sam da je to bilo

zato što imam taj ubedljivi pohod na kacigu,

this epiphany of Tom's.

to Tomovo otkrovenje.

As it turns out, it occurred to Tom that a $20 helmet

Kako je ispalo, Tom je shvatio da je kaciga od 20 dolara

is a good way to protect a $100,000 graduate education.

dobar način da se zaštiti diplomsko obrazovanje od 100 000 dolara.

(Laughter)

(Smeh)

So ...

Should Vander play football?

Pa, da li bi trebalo da Vender igra ragbi?

I can't say no,

Ne mogu da kažem ne,

but I can guarantee that every time he leaves the house,

ali mogu da garantujem

da svaki put kada izađe iz kuće

that kid's wearing a helmet --

to dete nosi kacigu -

like, to the car,

na primer do kola,

or at school.

ili u školi.

So whether athlete, scholar,

Pa bilo sportista, učenjak,

overprotected kid, neurotic mom,

previše zaštićeno dete, neurotična mama,

or otherwise,

ili nešto drugo,

here's my baby, Vander,

evo ga moj mališa, Vender,

reminding you

podseća vas

to mind your matter.

da čuvate svoje stvari.

Thank you.

Hvala vam.

(Applause)

(Aplauz)