Peter Saul: Let's talk about dying

Translator: Joseph Geni Reviewer: Morton Bast

Prevodilac: Jovana Zorić Lektor: Ivana Korom

Look, I had second thoughts, really,

Predomišljao sam se

about whether I could talk about this

da li mogu da govorim o ovome

to such a vital and alive audience as you guys.

publici koja je ovako puna života, kao vi.

Then I remembered the quote from Gloria Steinem,

A onda sam se setio citata Glorije Stajnem

which goes,

koji kaže:

"The truth will set you free,

"Istina će vas osloboditi,

but first it will piss you off." (Laughter)

ali će vas prvo dobro naljutiti." (Smeh)

So -- (Laughter)

Tako da... (Smeh)

So with that in mind, I'm going to set about

Imajući ovo na umu,

trying to do those things here,

to ću vam pokazati

and talk about dying in the 21st century.

tako što ću govoriti o umiranju u 21. veku.

Now the first thing that will piss you off, undoubtedly,

Prva stvar koja će vas sigurno naljutiti,

is that all of us are, in fact, going to die

je da ćemo svi mi umreti

in the 21st century.

u 21. veku.

There will be no exceptions to that.

Bez izuzetaka.

There are, apparently, about one in eight of you

Sudeći po anketama, otprilike jedan od osmoro vas

who think you're immortal, on surveys, but --

misli da je besmrtan, ali...

(Laughter)

(Smeh)

Unfortunately, that isn't going to happen.

Nažalost, to ne ide tako.

While I give this talk, in the next 10 minutes,

Dok vam budem ovo govorio, u sledećih 10 minuta,

a hundred million of my cells will die,

100 miliona mojih ćelija će odumreti,

and over the course of today, 2,000 of my brain cells

a tokom današnjeg dana, 2000 mojih moždanih ćelija

will die and never come back,

će nepovratno nestati,

so you could argue that the dying process

tako da bi se moglo reći da proces umiranja

starts pretty early in the piece.

počinje prilično rano.

Anyway, the second thing I want to say about dying in the

U svakom slučaju, druga stvar koju želim da kažem o umiranju

21st century, apart from it's going to happen to everybody,

u 21. veku, osim toga da nas to sve očekuje,

is it's shaping up to be a bit of a train wreck

je da taj proces za većinu nas

for most of us,

liči na raspad sistema,

unless we do something to try and reclaim this process

osim ako uradimo nešto što će ga preusmeriti

from the rather inexorable trajectory that it's currently on.

sa njegove trenutne, nezaustavljive putanje.

So there you go. That's the truth.

Tako da, to je istina.

No doubt that will piss you off, and now let's see

Ne sumnjam da će vas to naljutiti, a sada hajde da vidimo

whether we can set you free. I don't promise anything.

da li može i da vas oslobodi. Ništa ne obećavam.

Now, as you heard in the intro, I work in intensive care,

Kao što ste čuli u uvodnom govoru, ja radim na intenzivnoj nezi

and I think I've kind of lived through the heyday

i mislim da sam na neki način proživeo zlatno doba

of intensive care. It's been a ride, man.

intenzivne nege. Bila je to prilično luda vožnja.

This has been fantastic.

I bilo je fantastično.

We have machines that go ping.

Imamo svemoguće mašine.

There's many of them up there.

I to mnogo njih.

And we have some wizard technology which I think

I imamo nekakvu magičnu tehnologiju za koju smatram

has worked really well, and over the course of the time

da nas je dobro služila

I've worked in intensive care, the death rate

i od kada radim na intenzivnoj nezi, stopa smrtnosti

for males in Australia has halved,

muškaraca u Australiji se upola smanjila,

and intensive care has had something to do with that.

a intenzivna nega imala je udela u tome.

Certainly, a lot of the technologies that we use

Definitivno, mnoge od tehnologija koje koristimo

have got something to do with that.

imale su udela u tome.

So we have had tremendous success, and we kind of

Tako da smo imali ogroman uspeh i na neki način

got caught up in our own success quite a bit,

smo se zaneli tim uspehom

and we started using expressions like "lifesaving."

i počeli da koristimo izraze poput "spasavanje života".

I really apologize to everybody for doing that,

Izvinjavam se svima zvog toga,

because obviously, we don't.

jer mi to očigledno ne radimo.

What we do is prolong people's lives,

Ono što mi radimo, je produžavanje života,

and delay death,

odlaganje smrti

and redirect death, but we can't, strictly speaking,

i preusmeravanje smrti, ali ne možemo, u pravom smislu,

save lives on any sort of permanent basis.

trajno spasiti živote.

And what's really happened over the period of time

A ono što se stvarno desilo tokom mog rada

that I've been working in intensive care is that

na intenzivnoj nezi je da ljudi

the people whose lives we started saving back in the '70s,

čije živote smo počeli da spašavamo u sedamdesetim,

'80s, and '90s, are now coming to die in the 21st century

osamdesetim i devedesetim godinama, sada dolaze da umru u 21. veku

of diseases that we no longer have the answers to

zbog bolesti na koje više nemamo odgovore

in quite the way we did then.

onako kako smo ih imali pre.

So what's happening now is there's been a big shift

Ono što se trenutno dešava je velika promena

in the way that people die,

u načinu na koji ljudi umiru

and most of what they're dying of now isn't as amenable

i većina uzroka smrti više nije toliko rešiva

to what we can do as what it used to be like

kao što je to bila

when I was doing this in the '80s and '90s.

onda kada sam se ovim bavio u osamdesetima i devedesetima.

So we kind of got a bit caught up with this,

Dakle, malo nas je ovo sve zateklo

and we haven't really squared with you guys about

i nismo bili baš otvoreni sa vama u vezi sa onim

what's really happening now, and it's about time we did.

što se zapravo dešava trenutno. Ali vreme je da se to promeni.

I kind of woke up to this bit in the late '90s

Nekako su mi se otvorile oči u kasnim devedesetima

when I met this guy.

kada sam upoznao ovog čoveka.

This guy is called Jim, Jim Smith, and he looked like this.

Njegovo ime je Džim, Džim Smit, i izgledao je ovako.

I was called down to the ward to see him.

Pozvali su me na odeljenje da ga pogledam.

His is the little hand.

Njegova je ova manja ruka.

I was called down to the ward to see him

Dakle, lekar za grudne bolesti

by a respiratory physician.

pozvao me je da ga pogledam.

He said, "Look, there's a guy down here.

Rekao mi je: "Slušaj, imamo jednog čoveka ovde.

He's got pneumonia,

Ima upalu pluća

and he looks like he needs intensive care.

i izgleda mi kao da mu je potrebna intenzivna nega.

His daughter's here and she wants everything possible

Njegova ćerka je ovde i želi da uradimo sve

to be done."

što je u našoj moći".

Which is a familiar phrase to us.

A ovo nam je veoma poznata rečenica.

So I go down to the ward and see Jim,

I ja odem do odeljenja da pogledam Džima,

and his skin his translucent like this.

a njegova koža je providna, kao što možete da vidite.

You can see his bones through the skin.

Možete da mu vidite kosti kroz kožu.

He's very, very thin,

Veoma, veoma je mršav

and he is, indeed, very sick with pneumonia,

i zaista je u lošem stanju zbog upale pluća.

and he's too sick to talk to me,

I previše mu je loše da govori,

so I talk to his daughter Kathleen, and I say to her,

tako da uzmem da razgovaram sa njegovom ćerkom Ketlin i pitam je:

"Did you and Jim ever talk about

"Da li ste Džim i vi ikada razgovarali o tome

what you would want done

šta biste želeli da uradite

if he ended up in this kind of situation?"

kad bi on završio u ovakvoj sitaciji?"

And she looked at me and said, "No, of course not!"

A ona me je pogledala i rekla: "Ne, naravno da nismo!"

I thought, "Okay. Take this steady."

Pomislio sam: "Okej. Hajdemo polako."

And I got talking to her, and after a while, she said to me,

Porazgovarao sam s njom i posle nekog vremena, rekla mi je:

"You know, we always thought there'd be time."

"Znate, uvek smo mislili da će biti vremena za to."

Jim was 94. (Laughter)

Džimu je tada bilo 94 godine. (Smeh)

And I realized that something wasn't happening here.

I shvatio sam da je nešto tu nedostajalo.

There wasn't this dialogue going on

Nije bilo tog razgovora

that I imagined was happening.

za koji sam mislio da se dešava.

So a group of us started doing survey work,

Tako da je nekolicina nas počela da sprovodi istraživanja

and we looked at four and a half thousand nursing home

i pregledali smo 4,5 hiljade staračkih domova

residents in Newcastle, in the Newcastle area,

u Njukaslu i njegovoj okolini.

and discovered that only one in a hundred of them

Otkrili smo da samo jedan od sto njih

had a plan about what to do when their hearts stopped beating.

ima plan za trenutak kada srca tih ljudi prestanu da kucaju.

One in a hundred.

Jedan od sto.

And only one in 500 of them had plan about what to do

A samo jedan od petsto njih ima plan

if they became seriously ill.

ako se neko od njih ozbiljno razboli.

And I realized, of course, this dialogue

I shvatio sam, naravno, ovaj se razgovor

is definitely not occurring in the public at large.

uglavnom ne odvija u našem društvu.

Now, I work in acute care.

E sada, ja radim na akutnoj nezi.

This is John Hunter Hospital.

Radi se o bolnici Džon Hanter.

And I thought, surely, we do better than that.

I pomislio sam, sigurno možemo bolje od toga.

So a colleague of mine from nursing called Lisa Shaw and I

Zatim sam sa koleginicom Lisom Šo, koja je negovateljica,

went through hundreds and hundreds of sets of notes

prošao kroz stotine i stotine papira

in the medical records department

u odeljenju medicinskih dosijea

looking at whether there was any sign at all

ne bismo li pronašli ikakvog traga

that anybody had had any conversation about

da je neko imao ikakav razgovor o tome

what might happen to them if the treatment they were

šta bi se moglo desiti sa njima, ako bi terapija

receiving was unsuccessful to the point that they would die.

koju primaju bila neuspešna i ako bi oni umrli.

And we didn't find a single record of any preference

I nismo našli nijedan dokaz o preferiranim

about goals, treatments or outcomes from any

ciljevima, terapiji ili ishodima ni u jednom

of the sets of notes initiated by a doctor or by a patient.

zapisu lekara ili pacijenta.

So we started to realize

Počeli smo da shvatamo

that we had a problem,

da imamo problem,

and the problem is more serious because of this.

a on je još ozbiljniji zbog ovoga. (Važno je kako ćete umreti.)

What we know is that obviously we are all going to die,

Ono što znamo je da ćemo zasigurno svi umreti,

but how we die is actually really important,

ali kako ćemo umreti je zapravo veoma važno

obviously not just to us, but also to how that

i to ne samo zbog nas, nego i zbog toga kako će se to

features in the lives of all the people who live on afterwards.

odraziti na živote ljudi koji nastavljaju da žive posle toga.

How we die lives on in the minds of everybody

Način na koji umremo ostaje u glavama svih

who survives us, and

koji nas nadžive

the stress created in families by dying is enormous,

i stres koji zbog smrti nastaje u porodici je ogroman.

and in fact you get seven times as much stress by dying

Zapravo, taj stres je sedam puta veći ako se umre

in intensive care as by dying just about anywhere else,

na intenzivnoj nezi nego ako se umre bilo gde drugde.

so dying in intensive care is not your top option

Tako da, smrt na intenzivnoj nezi ne bi bio vaš prvi izbor,

if you've got a choice.

ako biste mogli da birate.

And, if that wasn't bad enough, of course,

A kao da ovo nije dovoljno loše,

all of this is rapidly progressing towards the fact that

sve to brzo napreduje prema činjenici da će

many of you, in fact, about one in 10 of you at this point,

mnogi od vas, oko jedan od deset vas,

will die in intensive care.

umreti na intenzivnoj nezi.

In the U.S., it's one in five.

U SAD, to je jedan od pet.

In Miami, it's three out of five people die in intensive care.

U Majamiju, tri od pet ljudi umre na intenzivnoj nezi.

So this is the sort of momentum

Dakle, trenutno

that we've got at the moment.

imamo porast u ovim brojevima.

The reason why this is all happening is due to this,

Razlog svega toga je ovo što vidite

and I do have to take you through what this is about.

i zaista moram da vam objasnim značenje ovih grafikona.

These are the four ways to go.

Ovo su četiri načina na koje se umire.

So one of these will happen to all of us.

Dakle, jedan od ovih će se desiti svima nama.

The ones you may know most about are the ones

Oni koje možda najbolje poznajete su oni

that are becoming increasingly of historical interest:

koji sve više postaju od istorijskog značaja:

sudden death.

iznenadna smrt.

It's quite likely in an audience this size

Veoma je verovatno da se iz publike u ovom broju

this won't happen to anybody here.

ovakva smrt neće desiti nikome ovde.

Sudden death has become very rare.

Iznenadna smrt postala je veoma retka.

The death of Little Nell and Cordelia and all that sort of stuff

Smrti Male Nel i Kordelije [iz Kralja Lira] i takve stvari

just doesn't happen anymore.

jednostavno se više ne dešavaju.

The dying process of those with terminal illness

Proces umiranja poput onog kod neizlečivih bolesti

that we've just seen

koji smo upravo videli

occurs to younger people.

dešava se mlađim ljudima.

By the time you've reached 80, this is unlikely to happen to you.

Nakon što dosegnete osamdesetu, malo je verovatno da će vam se to desiti.

Only one in 10 people who are over 80 will die of cancer.

Tek 1 od 10 ljudi koji imaju preko 80 godina, umire od raka.

The big growth industry are these.

U porastu su ove.

What you die of is increasing organ failure,

Ono od čega umirete je otkazivanje organa,

with your respiratory, cardiac, renal,

gde se vaša pluća, srce, bubrezi,

whatever organs packing up. Each of these

ili koji god organi, predaju. Sve od ovoga

would be an admission to an acute care hospital,

znači da biste bili primljeni na akutnu negu u bolnici

at the end of which, or at some point during which,

gde bi na kraju ili u toku nje

somebody says, enough is enough, and we stop.

neko rekao: "što je dosta, dosta je" i mi stajemo.

And this one's the biggest growth industry of all,

A ova ovde je u najvećem porastu od svih

and at least six out of 10 of the people in this room

i barem 6 od 10 ljudi u ovoj prostoriji

will die in this form, which is

umreće ovako, a to je

the dwindling of capacity

smanjenje kapaciteta

with increasing frailty,

sa porastom slabosti.

and frailty's an inevitable part of aging,

Slabost je neizbežan deo starenja,

and increasing frailty is in fact the main thing

a porast slabosti je zapravo glavni razlog

that people die of now,

smrti danas.

and the last few years, or the last year of your life

Poslednjih nekoliko godina ili poslednju godinu svog života,

is spent with a great deal of disability, unfortunately.

nažalost, ćete provesti, u velikoj meri, nemoćni.

Enjoying it so far? (Laughs)

Uživamo li zasad? (Smeje se)

(Laughter)

(Smeh)

Sorry, I just feel such a, I feel such a Cassandra here.

Izvinite, osećam se kao neka zloslutna proročica.

(Laughter)

(Smeh)

What can I say that's positive? What's positive is

Ono što je pozitivno je

that this is happening at very great age, now.

da se to sada dešava u veoma kasnim godinama.

We are all, most of us, living to reach this point.

Većina nas živi da bi dostigla ovu tačku.

You know, historically, we didn't do that.

Znate, u prošlosti, to nismo mogli.

This is what happens to you

To je ono što vam se desi

when you live to be a great age,

kada doživite te kasne godine,

and unfortunately, increasing longevity does mean

a, nažalost, povećanje dugovečnosti znači

more old age, not more youth.

dužu starost, ne dužu mladost.

I'm sorry to say that. (Laughter)

Žao mi je što to moram da vam kažem. (Smeh)

What we did, anyway, look, what we did,

Ono što smo uradili je da

we didn't just take this lying down

nismo samo sedeli skrštenih ruku

at John Hunter Hospital and elsewhere.

u bolnici Džnon Hanter ili negde drugde.

We've started a whole series of projects

Započeli smo čitav niz projekata

to try and look about whether we could, in fact, involve

kako bismo saznali da li možemo mnogo više

people much more in the way that things happen to them.

da uključimo ljude u ono što će im se desiti.

But we realized, of course, that we are dealing

Ali smo, naravno, shvatili da imamo posla

with cultural issues,

sa kulturološkim problemima.

and this is, I love this Klimt painting,

A ovo je, obožavam ovu Klimtovu sliku,

because the more you look at it, the more you kind of get

jer što je duže gledate, to bolje shvatate

the whole issue that's going on here,

ceo taj problem koji se odvija

which is clearly the separation of death from the living,

a to je naravno odvajanje smrti od života,

and the fear — Like, if you actually look,

i strah. Na primer, ako se zaista zadubite

there's one woman there

videćete ovu ženu ovde

who has her eyes open.

kojoj su otvorene oči.

She's the one he's looking at,

Ona je ta koju on gleda.

and [she's] the one he's coming for. Can you see that?

Po nju je došao. Vidite li to?

She looks terrified.

Ona izgleda prestravljeno.

It's an amazing picture.

Neverovatna slika.

Anyway, we had a major cultural issue.

U svakom slučaju, imali smo ogroman kulturološki problem.

Clearly, people didn't want us to talk about death,

Jasno je da ljudi nisu želeli da pričamo o smrti

or, we thought that.

ili smo mi bar tako mislili.

So with loads of funding from the Federal Government

I tako smo sa ogromnom finansijskom podrškom savezne vlade

and the local Health Service, we introduced a thing

i lokalne zdravstvene službe, u bolnici Džon Hanter

at John Hunter called Respecting Patient Choices.

predstavili nešto što se zove Poštovanje izbora pacijenta.

We trained hundreds of people to go to the wards

Obučili smo stotine ljudi da idu po odeljenjima

and talk to people about the fact that they would die,

i pričaju sa ljudima o činjenici da će umreti

and what would they prefer under those circumstances.

i šta bi voleli da se uradi u tom slučaju.

They loved it. The families and the patients, they loved it.

I svidelo im se. I porodicama i pacijetima se izuzetno svidelo.

Ninety-eight percent of people really thought

98 procenata ljudi je stvarno smatralo

this just should have been normal practice,

da to treba da bude uobičajena praksa

and that this is how things should work.

i da bi tako stvari trebalo da funkcionišu.

And when they expressed wishes,

I kada su izneli svoje želje

all of those wishes came true, as it were.

sve te želje su se ostvarile.

We were able to make that happen for them.

Mogli smo to da im omogućimo.

But then, when the funding ran out,

Ali onda, kada se finansijska pomoć potrošila

we went back to look six months later,

vratili smo se da vidimo 6 meseci kasnije

and everybody had stopped again,

i svi su prestali sa tim.

and nobody was having these conversations anymore.

Niko više nije vodio ove razgovore.

So that was really kind of heartbreaking for us,

To nas je prilično pogodilo,

because we thought this was going to really take off.

jer smo mislili da će stvarno postati popularno.

The cultural issue had reasserted itself.

Kulturološki problem se ponovo vratio.

So here's the pitch:

Dakle, šta je zaključak:

I think it's important that we don't just get on this freeway

važno je da se ne zaputimo ovim autoputem

to ICU without thinking hard about whether or not

koji vodi ka intenzivnoj nezi, a da pre toga dobro ne razmislimo

that's where we all want to end up,

da li uopšte želimo tamo da završimo.

particularly as we become older and increasingly frail

Posebno pošto postanemo sve stariji i slabiji

and ICU has less and less and less to offer us.

i intenzivna nega ima sve manje da nam ponudi.

There has to be a little side road

Mora da postoji malo skretanje

off there for people who don't want to go on that track.

za ljude koji ne žele da idu tim putem.

And I have one small idea,

A ja imam jednu malu

and one big idea about what could happen.

i jednu veliku ideju o tome šta bi se moglo desiti.

And this is the small idea.

A ovo je mala ideja.

The small idea is, let's all of us

Ona predlaže da se svi

engage more with this in the way that Jason has illustrated.

više uključimo u ovo na način na koji je Džejson prikazao.

Why can't we have these kinds of conversations

Zašto ne možemo na ovaj način da razgovaramo

with our own elders

sa starijima iz sopstvene okoline

and people who might be approaching this?

i sa ljudima koji se tome bliže?

There are a couple of things you can do.

Postoji nekoliko stvari koje možete da uradite.

One of them is, you can,

Jedna od njih je da samo pitate

just ask this simple question. This question never fails.

ovo prosto pitanje. Ono nikad ne zakaže.

"In the event that you became too sick to speak for yourself,

"U slučaju da postanete previše bolesni da biste mogli da

who would you like to speak for you?"

govorite za sebe, koga biste voleli da govori umesto vas?"

That's a really important question to ask people,

To je veoma važno pitanje

because giving people the control over who that is

jer dati ljudima odluku o toj osobi

produces an amazing outcome.

dovodi do neverovatnih rezultata.

The second thing you can say is,

Druga stvar koju možete da pitate je:

"Have you spoken to that person

"Da li ste razgovarali sa tom osobom

about the things that are important to you

o onome što je vama važno, kako bismo

so that we've got a better idea of what it is we can do?"

imali bolju ideju o tome šta mi možemo da uradimo?"

So that's the little idea.

Dakle, to je ta mala ideja.

The big idea, I think, is more political.

Mislim da je velika ideja više stvar politike.

I think we have to get onto this.

Mislim da moramo da se posvetimo ovome.

I suggested we should have Occupy Death.

Predložio sam nekakav protest za smrt.

(Laughter)

(Smeh)

My wife said, "Yeah, right, sit-ins in the mortuary.

Moja žena je rekla: "Da, baš, skupljaćemo se u mrtvačnici.

Yeah, yeah. Sure." (Laughter)

Da, da. SIgurno." (Smeh)

So that one didn't really run,

Tako da mi to baš nije uspelo,

but I was very struck by this.

ali bio sam dosta pogođen time.

Now, I'm an aging hippie.

Dobro, ja sam ostareli hipik.

I don't know, I don't think I look like that anymore, but

Ne znam, mislim da ne izgledam tako više,

I had, two of my kids were born at home in the '80s

ali dvoje moje dece rođeno je kod kuće u osamdesetima

when home birth was a big thing, and we baby boomers

kad je kućni porođaj bio popularan, a mi, deo Bebi-bum generacije

are used to taking charge of the situation,

navikli smo da preuzimamo kontrolu nad situacijom,

so if you just replace all these words of birth,

tako da, ako samo zamenite svuda gde piše "porođaj",

I like "Peace, Love, Natural Death" as an option.

meni se sviđa opcija "Mir, ljubav, prirodna smrt".

I do think we have to get political

Mislim da ne moramo da govorimo u političkom smislu

and start to reclaim this process from

i da počnemo da premeštamo ovaj proces

the medicalized model in which it's going.

iz onog medicinskog modela u kome se nalazi.

Now, listen, that sounds like a pitch for euthanasia.

Ali slušajte, to zvuči kao da zagovaram eutanaziju.

I want to make it absolutely crystal clear to you all,

Želim da svima bude apsolutno kristalno jasno

I hate euthanasia. I think it's a sideshow.

da ja mrzim eutanaziju. Mislim da je to sporedna stvar.

I don't think euthanasia matters.

Mislim da eutanazija nije bitna.

I actually think that,

Zaista mislim

in places like Oregon,

da na mestima poput Oregona

where you can have physician-assisted suicide,

gde je moguće izvršiti samoubistvo uz pomoć lekara,

you take a poisonous dose of stuff,

gde uzmete otrovnu dozu nečega,

only half a percent of people ever do that.

samo pola procenta ljudi se odluči na to.

I'm more interested in what happens to the 99.5 percent

Mene više zanima šta se dešava sa 99,5 procenata

of people who don't want to do that.

ljudi koji to ne žele.

I think most people don't want to be dead,

Mislim da većina ljudi ne želi da umre,

but I do think most people want to have some control

ali zato mislim da većina ljudi želi da ima nekakvu kontrolu

over how their dying process proceeds.

nad svojim procesom umiranja.

So I'm an opponent of euthanasia,

Tako da sam ja protivnik eutanazije,

but I do think we have to give people back some control.

ali mislim da moramo da damo ljudima neku kontrolu.

It deprives euthanasia of its oxygen supply.

Time bismo eutanaziji oduzeli zalihu kiseonika.

I think we should be looking at stopping

Mislim da treba da težimo zaustavljanju

the want for euthanasia,

želje za eutanazijom,

not for making it illegal or legal or worrying about it at all.

a ne tome da ona bude ilegalna ili legalna ili da brinemo uopšte o tome.

This is a quote from Dame Cicely Saunders,

Ovo je citat gospođe Siseli Sonders,

whom I met when I was a medical student.

koju sam upoznao kao student medicine.

She founded the hospice movement.

Ona je osnovala pokret domova za nemoćne.

And she said, "You matter because you are,

I ona je rekla: "Značajan si jer postojiš,

and you matter to the last moment of your life."

i značajan si do poslednjeg trenutka svog života".

And I firmly believe that

I ja čvrsto verujem da je to

that's the message that we have to carry forward.

poruka koju moramo dalje da prenosimo.

Thank you. (Applause)

Hvala vam. (Aplauz)