Kim Gorgens: Protecting the brain against concussion

Kim Gorgens: Beyni sarsintilardan koruma

Çeviri: Seyhan SIRTALAN Gözden geçirme: Sancak Gülgen

So, a funny thing happened

Zeki ve dunya capinda bir

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

norofizyolog olma yolundayken

ilginc bir sey oldu.

Bebegim dogdu.

I had a baby.

Dunya capinda ve zeki

And that's not to say

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

bir norofizyolog oldum

anlaminda soylemiyorum.

Sorry, TED.

Uzgunum TED.

But I did go on to be a reasonably astute,

Ama makul derecede parlak

arguably world-class worrier.

dunya capindaligi tartisilir bir endise kupu oldum.

One of my girlfriends in graduate school, Marie,

Yuksek okuldaki arkadaslarimdan Marie

said, "Kim, I figured it out.

dedi ki, " Kim, olayi cozdum.

Sen herkesden daha norotik degilsin,

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

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

sadece ne kadar norotik

oldugun konusunda daha durustsun."

So in the spirit of full disclosure,

Tamamen durust olmak adina,

sizlerle paylasmak icin bazi resimler getirdim.

I brought some pictures to share.

Aaaa.

Awwww.

(Laughter)

Tek diyecegim, Temmuz.

I'll just say: July.

(Laughter)

(gulusmeler)

Zip!

zzzip

(Laughter)

guvenlik icin.

For safety.

(Laughter)

Water wings --

Kolluklar--

an inch of water.

uc santim su.

And then, finally, all suited up

Ve nihayet, Copper Dagina 90 dakikalik yolculuk

for the 90-minute drive to Copper Mountain.

icin haziriz.

So you can get kind of a feel for this.

Simdi bir fikriniz olusmustur.

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

Bebegim Vander simdi

sekiz yasinda.

And, despite being cursed with my athletic inability,

Benim atletik yeteneklerimle

lanetlenmis olmasina ragmen

he plays soccer.

futbol oynuyor.

He's interested in playing football.

Amerikan futbolu oynamayi istiyor.

He wants to learn how to ride a unicycle.

Tek tekerlekli bisiklete binmeyi ogrenmek istiyor.

So why would I worry?

Niye endiseleneyim?

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

Cunku bu benim isim. Ogrettigim.

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

Ogrendigim. Tedavi ettigim.

And I know that kids get concussed every year.

Ve biliyorum ki cocuklar her sene beyin sarsintisi geciriyor.

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

Aslinda, senede dort milyon kisi beyin sarsintisi geciriyor,

bu da sadece acil serviste gorulen

and these data are just among kids under 14

who were seen in emergency rooms.

14 yas ve alti grubu.

And so when kids sustain a concussion,

Beyin sarsintisi geciren cocuklardan

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

cinladi ya da canlari caldi diye bahsediyoruz,

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

ama aslinda neden bahsediyoruz?

Let's take a look.

Bir bakalim.

[Concussive Force]

Evet. "Starsky ve Hutch" sanirim. Evet.

"Starsky and Hutch"? Arguably, yes.

Bir araba kazasi.

So, a car accident.

Saatte 40 mil hizla bir bariyere carpma --

Forty miles an hour into a fixed barrier:

35 G.

35 Gs.

Agir siklet bir boksor

A heavyweight boxer punches you straight in the face:

suratinizin ortasina yumruk atar --

58 Gs.

58 G.

(Music)

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

Kacirdiysaniz bir daha bakalim.

Ekranin sag tarafina bakin.

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

(Music)

What would you say?

Ne dersiniz?

How many Gs?

Kac G?

Yakin.

Close.

72.

Seventy-two?

Would it be crazy to know:

Cilginlik oldugunu dusuneceksiniz,

103 G.

103 Gs?

The average concussive impact

Ortalama beyin sarsintisi kuvveti

is 95 Gs.

95 G.

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

Simdi, sagdaki cocuk ayaga kalkmazsa

biliyoruz ki beyin sarsintisi gecirdi.

we know they've had a concussion.

But how about the kid on the left,

Peki ya soldaki cocuk, ya da sahadan

or the athlete that leaves the field of play?

ayrilan bir sporcu?

Beyin sarsintisi gecirip gecirmedigini

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

nasil anlayabiliriz?

How do we know

Mactan cikarilmalarini ve tekrar maca donmeleri

that legislation that would require they be pulled from play,

konusundaki yonetmeligin

cleared for return to play,

bu oyuncular icin gecerli oldugunu

applies to them?

nasil bilebiliriz?

The definition of concussion

Beyin sarsintisinin anlamina bakarsak aslinda

doesn't actually require a loss of consciousness.

bayilmanin gerceklesmesi sart degil.

It requires only a change in consciousness,

Sadece bilincte bir degisiklik olmasi

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

yeterli ve bu da etrafini sisli gormek, basdonmesi,

including feeling foggy, feeling dizzy,

kulaklarda cinlama, normalden daha atilgan

hearing a ringing in your ear,

ya da kavgaci olmak semptomlarindan

being more impulsive or hostile than usual.

biri ya da birkaci olabilir.

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

Bunlari ve benim ne kadar norotik oldugumu

gozonune alirsak geceleri nasil uyuyorum acaba?

how do I get any sleep at all?

Because I know our brains are resilient.

Cunku biliyorum ki

beyinlerimiz cok saglam.

Bir sakatlanma durumunda

They're designed to recover from an injury.

kendilerini onarmak uzere yaratilmislar.

If -- God forbid --

Eger, Allah korusun, icimizden birileri buradan

any of us left here tonight and sustained a concussion,

ayrildiktan sonra bir beyin sarsintisi gecirecek olursa

bir cogumuz birkac saatle

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

birkac hafta suresinde

to a couple of weeks.

tamamen eski halimize doneriz.

But kids are more vulnerable to brain injury.

Ama cocuklar beyin sarsintilari konusunda daha kirilganlar.

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

Aslinda, lise cagindaki sporcularda

to sustain catastrophic injuries

universite yasindakilere oranla agir sakatlanmalara

uc kat daha fazla rastlaniyor ve semptomlarin

relative even to their college-age peers,

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

tamamen ortadan kalkmasi

daha uzun suruyor.

Ilk sarsintidan sonra

After that first injury,

ikincisin riski

their risk for second injury is exponentially greater.

katlanarak artiyor.

Ondan sonra ucuncu beyin sarsintisinda

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

risk daha da artiyor ve boyle devam ediyor.

Asil kaygi verici noktaya gelelim:

And here's the really alarming part:

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

Tekrarlanan beyin sarsintilarinin

uzun vadedeki etkilerini tam olarak bilmiyoruz.

NFL'in yaptirdigi arastirmayi

You guys may be familiar with this research

belki duymussunuzdur.

that's coming out of the NFL.

Ozetlersek,

In a nutshell, this research suggests that,

bu arastirmaya gore emekli olmus

among retired NFL players with three or more career concussions,

Amerikan futbolu oyuncularindan

uc veya daha fazla beyin sarsintisi

the incidence of early-onset dementing disease

gecirmis olanlarda erken bunama gorulmesi

is much greater than it is for the general population.

nufusun geneline gore cok daha fazla.

Hepiniz duymussunuzdur bunu -- New York Times'ta, duydunuz mu?

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

What you may not be familiar with

Belki sunu duymadiniz: Bu arastirmayi baslatan

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

sporcularin

eslerinin sorulari,

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

"46 yasindaki kocamin devamli

is forever losing his keys?"

anahtarlarini kaybetmesi garip degil mi?

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

47 yasindaki kocamin devamli arabasini

is forever losing the car?"

kaybetmesi garip degil mi?

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

48 yasindaki kocamin evin yaninda

is forever losing his way home

park ettigi yerden evi

bulamamasi garip degil mi?"

in the car, from the driveway?"

Belki oglumun tek cocuk

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

oldugundan bahsetmeyi unutmus olabilirim.

Bu yuzden ilerde beni arabayla

So it's going to be really important

that he be able to drive me around someday.

dolastirabilmesi cok onemli.

(Laughter)

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

Oyleyse cocuklarimizin guvenligini nasil saglariz?

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

Cocuklarimizin guvenligini yuzde yuz

nasil saglariz?

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

Bulusumu sizlere gostereyim.

(Gulusmeler)

(Laughter)

If only.

Keske.

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

Kucuk oglum orada oturmus ve "Saka degil.

Kesinlikle saka yapmiyor." der gibi.

She's totally not kidding."

So in all seriousness:

Neyse ciddi olarak soruyorum,

oglum amerikan futbolu oynamali mi?

Should my kid play football?

Should your kid play football?

Sizin cocugunuz oynamali mi? Bilmiyorum.

I don't know.

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

Ama yapabileceginiz uc sey oldugunu biliyorum.

The first: study up.

Ilk olarak, konuyu arastirin.

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

Burada bahsettigimiz konulara asina olmalisiniz.

There are some great resources out there.

Cok guzel kaynaklar var.

The CDC has a program, HEADS UP.

CDC'nin Heads Up adinda bir programi var.

It's at CDC.gov.

CDC.gov web adresinde.

HEADS UP is specific to concussion in kids.

Heads Up cocuklarda beyin sarsintisi ile ilgili.

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

Ikincisi benim sahsen cok gurur duydugum bir kaynak.

Bunu bir kac ay once baslattik --

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

CO Beyin Sarsintisi Gecirmis Cocuklar.

CO Kids With Brain Injury.

This is a great resource for student athletes,

Bu spor yapan ogrenciler, ogretmenler, ebeveynler,

profesyoneller, antrenorler ve yardimcilari icin

teachers, parents, professionals, athletic and coaching staff.

harika bir kaynak.

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

Kafanizda sorular varsa harika

bir baslangic noktasi.

Iki: Sesinizi cikarin.

The second thing is: speak up.

Daha iki hafta once,

Just two weeks ago,

a bill introduced by Senator Kefalas

bisiklete binen 18 yas alti sporcu ve cocuklarin

that would have required athletes, kids under 18,

kask giymesini gerektiren

Senator Kefalos tarafindan

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

hazirlanan yasa tasarisi

died in committee.

komiteden gecemedi.

It died, in large part,

Bunun sebebi agirlikli olarak

because it lacked constituent buy-in;

secmenlerin tutumu,

it lacked stakeholder traction.

taraftarlarin gercek anlamda konuya asilmamasi.

Now, I'm not here to tell you

Karsiniza gelip hangi yasa tasarilarini

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

desteklemeniz gerektigini soylemeyecegim

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

ama politikacilari onem verdiginiz

your legislators need to know that.

konulardan haberdar etmelisiniz.

Speak up also with coaching staff.

Antrenorlerle de konusmalisiniz.

Ask about what kind of protective equipment is available.

Hangi koruyucu donatimlarin bulundugunu sorun.

What's the budget for protective equipment?

Bunlara ayrilan butce nedir?

How old it is?

Kac senedir kullaniliyorlar?

Maybe offer to spearhead a fundraiser to buy new gear.

Belki yeni techizat icin bir para toplama

kampanyasi baslatmayi onerebilirsiniz.

Which brings us to: suit up.

Laf yine kullanilmasi

gereken kaska geliyor.

Wear a helmet.

The only way to prevent a bad outcome

Kotu bir sonucu engellemek icin tek yol

is to prevent that first injury from happening.

ilk sakatlanmayi engellemek.

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

Gecenlerde, doktora ogrencilerimden

Tom dedi ki,

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

"Kim derslere gelirken bisikletci kaski

takmaya karar verdim."

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

Tom biliyor ki bisiklet kaskinin icindeki azicik kopuk

can reduce the g-force of impact by half.

carpismanin etkisini yariya indirebilir.

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

Tom'un bu dusuncesi

benim verdigim kask mucadelesinden

this epiphany of Tom's.

dolayi dusundum.

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

Oysa Tom soyle dusunmus, 20 dolarlik bir kask

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

100.000 dolarlik doktora egitimini korumanin iyi bir yolu.

(Laughter)

(Gulusmeler)

So ...

Peki, Vander Amerikan futbolu oynamali mi?

Should Vander play football?

Hayir diyemem,

I can't say no,

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

ama sunu garanti ederim ki

arabaya, okula gitmek

that kid's wearing a helmet --

icin evden her ciktiginda

like, to the car,

basina kaskina takiyor

or at school.

olacak.

So whether athlete, scholar,

Ister sporcu, ister ogrenci,

ister asiri korunmus, norotik anneli

overprotected kid, neurotic mom,

or otherwise,

cocuk olsun,

here's my baby, Vander,

bebegim Vander sizlere

reminding you

sunu hatirlatsin:

to mind your matter.

Beyninizi koruyun.

Thank you.

Tesekkurler.

(Applause)

(Alkis)