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

43,062 views ・ 2015-07-16

TED


Please double-click on the English subtitles below to play the video.

Prevodilac: Milica Radenkovic Lektor: Mile Živković
00:14
This back here was my brain cancer.
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Ovo iza je bio moj rak mozga.
00:19
Isn't it nice?
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Zar nije lep?
00:20
(Laughter)
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(Smeh)
00:23
The key phrase is "was,"
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Ključna reč je "bio",
00:25
phew.
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pfju.
00:27
(Applause)
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(Aplauz)
00:32
Having brain cancer was really, as you can imagine,
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Imati rak mozga je bila stvarno, kao što možete zamisliti,
00:36
shocking news for me.
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šokantna vest za mene.
00:38
I knew nothing about cancer.
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Nisam znao ništa o raku.
00:42
In Western cultures, when you have cancer,
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U zapadnim kulturama, kada imate rak,
00:45
it's as if you disappear in a way.
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kao da nestajete na neki način.
00:48
Your life as a complex human being is replaced by medical data:
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Vaš život složenog ljudskog bića zamenjen je medicinskim podacima:
00:55
Your images, your exams, your lab values,
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vašim nalazima, ispitivanjima, laboratorijskim vrednostima,
01:01
a list of medicines.
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listom lekova.
01:03
And everyone changes as well.
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I svi se takođe menjaju.
01:06
You suddenly become a disease on legs.
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Iznenada postajete hodajuća bolest.
01:09
Doctors start speaking a language which you don't understand.
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Doktori počinju da govore jezikom koji ne razumete.
01:13
They start pointing their fingers
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Počinju da upiru prstom
01:19
at your body and your images.
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na vaše telo i vaše nalaze.
01:24
People start changing as well
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Ljudi takođe počinju da se menjaju
01:27
because they start dealing with the disease,
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zato što počinju da se bave bolešću
01:31
instead of with the human being.
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umesto ljudskim bićem.
01:33
They say, "What did the doctor say?"
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Kažu: "Šta su rekli doktori?"
01:35
before even saying, "Hello."
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pre nego što čak kažu "Zdravo".
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 ste ostavljeni sa pitanjima na koja niko ne daje odgovor.
01:47
These are the "Can I?" questions:
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Ovo su "Mogu li?" pitanja:
01:49
Can I work while I have cancer?
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Mogu li da radim dok imam rak?
01:52
Can I study? Can I make love? Can I be creative?
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Mogu li da učim? Mogu li da vodim ljubav? Mogu li da budem kreativan?
01:57
And you wonder, "What have I done to deserve this?"
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I pitate se: "Šta sam učinio da zaslužim ovo?"
02:01
You wonder, "Can I change something about my lifestyle?"
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Pitate se: "Mogu li da promenim nešto u svom načinu života?"
02:05
You wonder, "Can I do something?
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Pitate se: "Mogu li da uradim nešto?
02:08
Are there any other options?"
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Da li postoje neke druge opcije?"
02:12
And, obviously, doctors are the good guys in all these scenarios,
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I, očigledno, doktori su dobri momci u svim ovim scenarijima,
02:17
because they are very professional and dedicated to curing you.
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zato što su veoma profesionalni i posvećeni vašem izlečenju
02:23
But they also are very used to having to deal with patients,
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Ali oni su takođe veoma navikli da moraju da se bave 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 bih rekao da ponekad smetnu s uma da je ovo mučenje za vas
02:36
and that you become, literally, a patient --
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i postajete, bukvalno, pacijent -
02:41
"patient" means "the one who waits."
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"pacijent" znači "onaj koji čeka".
02:43
(Laughter)
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(Smeh)
02:44
Things are changing, but classically,
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Stvari se menjaju, ali najčešće,
02:49
they tend to not engage you in any way to learn about your condition,
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oni su skloni da vas ni na koji način ne podstaknu da saznate o svom stanju,
02:54
to get your friends and family engaged,
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da podstaknu vaše prijatelje i porodicu da se uključe,
02:58
or showing you ways in which you can change your lifestyle
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niti da vam pokažu načine da promenite stil života
03:02
to minimize the risks of what you're going through.
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da umanjite rizike onoga kroz za šta prolazite.
03:06
But instead, you're forced there to wait
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Umesto toga prinuđeni ste da čekate
03:09
in the hands of a series of very professional strangers.
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u rukama veoma profesionalnih stranaca.
03:16
While I was in the hospital,
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Dok sam bio u bolnici,
03:18
I asked for a printed-out picture of my cancer
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tražio sam odštampanu sliku mog raka
03:22
and I spoke with it.
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i razgovarao sam sa njim.
03:25
It was really hard to obtain,
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Bilo je teško dobiti je,
03:27
because it's not common practice to ask for a picture of your own cancer.
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jer niije uobičajna praksa da tražite sliku sopstvenog raka.
03:32
I talked to it and I said,
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Pričao sam sa njim i rekao sam:
03:34
"Okay, cancer, you're not all there is to me.
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"U redu, raku, ti nisi sve što sam ja.
03:38
There's more to me.
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Postoji još delova mene.
03:40
A cure, whichever it is, will have to deal with the whole of me."
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Lek, koji god da je, moraće da se bavi sa mnom celim."
03:47
And so, the next day, I left the hospital against medical advice.
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I tako sam, sledećeg dana, napustio bolnicu uprkos savetu doktora.
03:53
I was determined to change my relationship with the cancer
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Bio sam rešen da promenim svoj odnos sa rakom
03:57
and I was determined to learn more about my cancer
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i bio sam rešen da naučim više o svom raku
04:00
before doing anything as drastic as a surgery.
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pre nego što uradim bilo šta drastično poput operacije.
04:06
I'm an artist, I use several forms of open-source technologies
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Ja sam umetnik, i koristim nekoliko oblika svima dostupnih tehnologija
04:12
and open information in my practice.
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i informacija u svom radu.
04:15
So my best bet was to get it all out there, get the information out there,
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Pa je za mene najbolje bilo da sve stavim onlajn, da stavim informacije onlajn,
04:21
and use it so that it could be accessed by anyone.
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i koristim ih tako da može svako da im pristupi.
04:28
So I created a website, which is called La Cura,
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Tako sam napravio sajt, koji se zove La Cura,
04:32
on which I put my medical data, online.
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na koji sam stavio svoje medicinske podatke.
04:35
I actually had to hack it
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Zapravo sam morao da ga hakujem
04:37
and that's a thing which we can talk about in another speech.
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i to je stvar o kojoj možemo da pričamo u drugom govoru.
04:41
(Laughter)
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(Smeh)
04:42
I chose this word, La Cura --
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Izabrao sam ovu reč, La Cura -
04:45
La Cura in Italian means "the cure" --
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La Cura na italijanskom znači "lek" -
04:47
because in many different cultures,
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zato što u različitim kulturama,
04:50
the word "cure" can mean many different things.
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reč "lek" može da znači mnogo različitih stvari.
04:55
In our Western cultures,
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U našim zapadnim kulturama
04:56
it means eradicating or reversing a disease,
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znači uništiti ili preokrenuti bolest,
05:01
but in different cultures,
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ali u drugim kulturama,
05:02
for example, a culture from Asia,
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na primer, kulturi iz Azije,
05:06
from the Mediterranean, from Latin countries, from Africa,
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Mediterana, latinskih zemalja, Afrike,
05:10
it can mean many more things.
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može da znači još mnogo stvari.
05:12
Of course, I was interested in the opinions of doctors
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Naravno, bio sam zainteresovan za mišljenja doktora
05:18
and healthcare providers,
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i zdravstvenih radnika,
05:20
but I was also interested in the cure of the artist, of the poet,
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ali sam takođe bio zainteresovan za lek umetnika, pesnika,
05:26
of the designer,
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dizajnera,
05:28
of, who knows, the musicians.
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ko zna, muzičara.
05:32
I was interested in the social cure,
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Bio sam zainteresovan za društveni lek,
05:35
I was interested in the psychological cure,
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bio sam zainteresovan za psihološki lek,
05:38
I was interested in the spiritual cure,
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bio sam zainteresovan za duhovni lek,
05:41
I was interested in the emotional cure,
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bio sam zainteresovan za emotivni lek,
05:44
I was interested in any form of cure.
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bio sam zainteresovan za bilo koji vid leka.
05:48
And, it worked.
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I urodilo je plodom.
05:52
The La Cura website went viral.
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Sajt La Cura je postao popularan na internetu.
05:55
I received lots of media attention from Italy and from abroad
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Dobio sam dosta pažnje medija iz Italije i inostranstva
06:00
and I quickly received more than 500,000 contacts --
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i ubrzo sam primio više od 500.000 kontakata -
06:06
emails, social networking --
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putem mejla, socijalnih mreža -
06:08
most of them were a suggestion on how to cure my cancer,
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većina njih su bili predlozi kako da izlečim rak,
06:11
but more of them were about how to cure myself
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ali više njih su bili predlozi kako da izlečim sebe,
06:15
as a full individual.
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kao celovitog pojedinca.
06:18
For example, many thousands of videos,
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Na primer, više hiljada video snimaka,
06:22
images, pictures, art performances
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fotografija, slika, umetničkih nastupa
06:26
were produced for La Cura.
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napravljeno je za La Cura-u.
06:28
For example, here we see Francesca Fini in her performance.
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Na primer, ovde vidimo Frančesku Fini u svom performansu.
06:33
Or, as artist Patrick Lichty has done:
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Ili, kao što je umetnik Patrik Lihti učinio:
06:37
He produced a 3D sculpture of my tumor
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On je napravio 3D skulpturu mog tumora
06:42
and put it on sale on Thingiverse.
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i stavio je na prodaju na Tingivers.
06:44
Now you can have my cancer, too!
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Sada i vi takođe možete imati moj rak!
06:47
(Laughter)
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(Smeh)
06:49
Which is a nice thing, if you think about it,
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Što je lepo, ako razmislite o tome,
06:52
we can share our cancer.
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možemo da delimo naš rak.
06:56
And this was going on --
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I dešavalo se da su -
06:58
scientists, the traditional medicine experts,
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naučnici, eksperti tradicionalne medicine,
07:02
several researchers, doctors --
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nekoliko istraživača, doktori -
07:03
all connected with me to give advice.
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svi bili povezani sa mnom da bi dali savet.
07:06
With all this information and support,
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Sa svim tim informacijama i podrškom,
07:08
I was able to form a team of several neurosurgeons,
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uspeo sam da formiram tim od nekoliko neurohirurga
07:14
traditional doctors,
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doktora tradicionalne medicine,
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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sa kojima sam mogao da razgovaram
07:26
the information I was receiving, which is very important.
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o informacijama koje sam dobijao, što je veoma važno.
07:31
And together, we were able to form a strategy for my own cure
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I zajedno bili smo u stanju da napravimo strategiju mog izlečenja
07:38
in many languages, according to many cultures.
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na mnogo jezika, u skladu sa mnogim kulturama.
07:41
And the current strategy spans the whole world
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I trenutna strategija povezuje ceo svet
07:45
and thousands of years of human history,
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i hiljade godina ljudske istorije,
07:47
which is quite remarkable for me.
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što je za mene prilično izuzetno.
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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Srećom, snimci magnetne rezonance nakon operacije pokazali su
mali, odnosno nikakav rast tumora.
07:57
So I was able to take my time and choose.
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Tako da sam mogao da izdvojim vreme i izaberem.
08:00
I chose the doctor I wanted to work with,
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Izabrao sam doktora sa kojim sam želeo da radim,
08:04
I chose the hospital I wanted to stay in,
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izabrao sam bolnicu u kojoj sam želeo da budem,
08:06
and in the meanwhile, I was supported by thousands of people,
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a u međuvremenu, hiljade ljudi su me podržale,
08:10
none of whom felt pity for me.
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od kojih me niko nije sažaljevao.
08:13
Everyone felt like they could take an active role
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Svi su osećali da mogu da preuzmu aktivnu ulogu
08:19
in helping me to get well,
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u pomaganju da ozdravim,
08:21
and this was the most important part of La Cura.
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i ovo je bila najbitnija uloga La Cura-e.
08:26
What are the outcomes?
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Šta su ishodi?
08:28
I'm fine, as you can see, pretty fine.
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Dobro sam, kao što možete da vidite, dosta dobro.
08:30
(Applause)
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(Aplauz)
08:35
I had excellent news
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Nakon operacije,
08:38
after the surgery --
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čuo sam dobre vesti -
08:39
I have -- I had a very low-grade glioma,
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imam - imao sam gliome veoma niskog stepena
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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Potpuno sam promenio svoj život i stil života.
08:54
Everything I did was thoughtfully designed to get me engaged.
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Sve što sam uradio bilo je smišljeno napravljeno da bi me uključilo.
09:00
Up until the very last few minutes of the surgery,
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Sve do poslednjih nekoliko minuta operacije,
09:04
which was very intense,
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koja je bila veoma intenzivna,
09:06
a matrix of electrodes was implanted in my brain
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matriks elektroda bio je implantovan u moj mozak,
09:10
from this side,
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sa ove strane,
09:12
to be able to build a functional map of what the brain controls.
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kako bi se napravila funkcionalna mapa onoga što mozak kontroliše.
09:17
And right before the operation,
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I neposredno pre operacije
09:20
we were able to discuss the functional map of my brain
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mogli smo da razgovaramo o funkcionalnoj mapi moga mozga
09:27
with the doctor, to understand which risks I was running into
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sa doktorom, kako bismo razumeli rizike sa kojima sam se suočavao
09:32
and if there were any I wanted to avoid.
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i da li su postojali neki koje sam želeo da izbegnem.
09:36
Obviously, there were.
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Naravno, bilo ih je.
09:38
[Open]
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[Otvoren]
09:39
And this openness was really the fundamental part of La Cura.
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I ova otvorenost je bila stvarno bitan deo La Cura-e.
09:44
Thousands of people shared their stories, their experiences.
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Hiljade ljudi su podelili svoje priče, svoja iskustva.
09:49
Doctors got to talk with people they don't usually consult
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Doktori su dobili priliku da pričaju sa ljudima koje obično ne konsultuju
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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Ja sam samouspostavljeno, kontinuirano stanje prevoda
10:04
among many different languages,
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među mnogo različitih jezika,
10:06
in which science meets emotion
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u kome se sreću nauka i emocija
10:10
and conventional research meets traditional research.
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i u kome se sreću konvencionalno i tradicionalno istraživanje.
10:14
[Society]
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[Društvo]
10:16
The most important thing of La Cura
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Najbitnija stvar kod La Cura-e
10:21
was to feel like a part of a really engaged and connected society
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bila je osećati se kao deo stvarno uključenog i povezanog društva
10:28
whose wellness really depends on the wellness of all of its components.
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čija dobrobit stvarno zavisi od dobrobiti njegovih delova.
10:36
This global performance is my open-source cure for cancer.
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Ovaj globalni performans je moj svima dostupan lek za rak.
10:41
And from what I feel,
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I osećam
10:43
it's a cure for me, but for us all.
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da je to lek ne samo za mene, već za sve nas.
10:46
Thank you.
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Hvala vam.
10:47
(Applause).
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(Aplauz)
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