Talithia Williams: Own your body's data

122,537 views ・ 2014-08-11

TED


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譯者: Hsun Ying Tsai 審譯者: Jenny Yang
00:12
As a kid I always loved information
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我從小就喜歡
00:15
that I could get from data
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從數據取得資訊
00:17
and the stories that could be told with numbers.
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以及用數字所傳遞的故事
00:20
I remember, growing up, I'd be frustrated at
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我還記得成長的過程中
00:22
how my own parents would lie to me using numbers.
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對於我爸媽用數字欺騙我感到沮喪
00:28
"Talithia, if I've told you once I've told you a thousand times."
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泰莉西雅,我跟你說一次 就代表我已經跟你說過一千次了
00:33
No dad, you've only told me 17 times
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爸,你只跟我說17次而已
00:37
and twice it wasn't my fault. (Laughter)
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其中有兩次還不是我的錯 (笑聲)
00:40
I think that is one of the reasons I got a Ph.D. in statistics.
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我覺得這是我拿到統計學博士的其中一個理由
00:43
I always wanted to know,
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我總是想知道
00:44
what are people trying to hide with numbers?
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大家究竟想用數字隱藏什麼事情
00:47
As a statistician,
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身為統計學家
00:48
I want people to show me the data
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我希望大家能拿數據給我看
00:52
so I can decide for myself.
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這樣我才能替自己下決定
00:55
Donald and I were pregnant with our third child
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唐納和我當時有了第三個小孩
00:58
and we were at about 41 and a half weeks,
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那時候寶寶41週半
01:00
what some of you may refer to as being overdue.
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有些人會說這已經過了預產期
01:04
Statisticians, we call that
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我們統計學家稱這為
01:06
being within the 95 percent confidence interval.
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95% 以下的信賴區間
01:08
(Laughter)
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(笑聲)
01:10
And at this point in the process
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在這個階段
01:12
we had to come in every couple of days
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每幾天我們就要來醫院
01:15
to do a stress test on the baby,
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讓寶寶接受壓力測試
01:16
and this is just routine,
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這只是例行公事而已
01:18
it tests whether or not the baby is feeling any type of undue stress.
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這種測試是為了知道 寶寶是否承受太大的壓力
01:22
And you are rarely, if ever, seen by your actual doctor,
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通常在醫院很難遇到自己本來的醫生
01:26
just whoever happens to be working at the hospital that day.
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都是由剛好當天值班的醫生看診
01:29
So we go in for a stress test and after 20 minutes
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於是我們就進去診間做壓力測試
20分鐘後醫生出來,他說:
01:32
the doctor comes out and he says,
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01:35
"Your baby is under stress, we need to induce you."
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你的寶寶承受胎壓了 我們要幫你催生
01:41
Now, as a statistician, what's my response?
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身為統計學家,我的回答是什麼呢?
01:45
Show me the data!
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就是讓我看數據!
01:49
So then he proceeds to tell us
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接下來醫生告訴我們
01:52
the baby's heart rate trace went from 18 minutes,
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寶寶的心率追蹤持續 18 分鐘
01:54
the baby's heart rate was in the normal zone
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寶寶的心率落在正常的區間內
01:56
and for two minutes it was in what appeared to be
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但有兩分鐘的時間內變成是
01:59
my heart rate zone and I said,
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我的心率區間
02:03
"Is it possible that maybe this was my heart rate?
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我就問 有可能這是我的心率嗎?
02:05
I was moving around a little bit,
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我有稍微移動
02:07
it's hard to lay still on your back,
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讓懷孕 41 週半的孕婦
02:09
41 weeks pregnant for 20 minutes.
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躺平 20 分鐘真的很困難
02:12
Maybe it was shifting around."
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也許檢查的位置稍微跑掉了
02:14
He said, "Well, we don't want to take any chances."
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醫生說 我們不想要冒任何險
02:19
I said okay.
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我說當然好
02:20
I said, "What if I was at 36 weeks
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我又問 要是我現在懷孕 36 週
02:22
with this same data?
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也有跟這情況一樣的數據
02:24
Would your decision be to induce?"
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你還會決定要催生嗎?
02:28
"Well, no, I would wait until you were at least
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不,我會等到你至少 38 週
02:31
38 weeks, but you are almost 42,
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可是你現在都快 42 週了
02:33
there is no reason to leave that baby inside,
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根本沒有理由 還要把寶寶留在你肚子裡
02:35
let's get you a room."
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讓我們幫你準備病房吧
02:37
I said, "Well, why don't we just do it again?
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我說 我們為什麼不重頭再來一次?
02:44
We can collect more data.
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我們可以收集更多數據
02:45
I can try to be really still for 20 minutes.
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我可以試著穩穩地躺 20 分種
02:48
We can average the two and see
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我們再平均這兩次的數據
02:51
what that means. (Laughter)
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才能確定數據代表的意思 (笑聲)
02:53
And he goes,
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他接著說
02:57
"Ma'am, I just don't want you to have a miscarriage."
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女士,我不希望你流產
03:04
That makes three of us.
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我們三個人都不想啊
03:07
And then he says,
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他接著說
03:08
"Your chances of having a miscarriage double
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過了預產期後,你流產的可能性
03:12
when you go past your due date. Let's get you a room."
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整整多了一倍 讓我們幫你準備病房吧
03:16
Wow. So now as a statistician, what's my response?
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哇,那身為統計學家 我的回答是什麼呢?
03:22
Show me the data!
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讓我看數據!
03:24
Dude, you're talking chances,
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老兄,你說可能性
03:25
I do chances all day long, tell me all about chances.
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我每天都在分析可能性 還輪得到你告訴我
03:27
Let's talk chances. (Laughter)
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那我們就來談可能性 (笑聲)
03:29
Let's talk chances.
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我們就來談可能性
03:31
So I say, "Okay, great.
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於是我說 那好
03:32
Do I go from a 30-percent chance to a 60-percent chance?
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我流產可能性從 30% 提升至 60% 的意思嗎?
03:36
Where are we here with this miscarriage thing?
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流產的可能性到底是多少?
03:39
And he goes, "Not quite, but it doubles,
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他說 不完全是,不過可能性加倍
03:42
and we really just want what's best for the baby."
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我們只想為寶寶提供最好的方法
03:47
Undaunted, I try a different angle.
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我一點也不害怕 試著用另一個角度思考
03:49
I said, "Okay, out of 1,000 full-term pregnant women,
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我說 那一千位足月孕婦中
03:55
how many of them are going to miscarry
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有幾位會在預產期前
03:57
just before their due date?
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就流產?
03:59
And then he looks at me and looks at Donald,
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醫生看著我和唐納
04:02
and he goes, about one in 1,000.
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他說大概一千位之中只有一位
04:06
I said, "Okay, so of those 1,000 women, how many
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我說 那這一千位足月孕婦
04:09
are going to miscarry just after their due date?"
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有多少人會在過了預產期後就流產?
04:14
"About two." (Laughter)
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大約兩位 (笑聲)
04:18
I said, "Okay, so you are telling me that my chances
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我說 那麼你說的可能性
04:20
go from a 0.1-percent chance
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是從 0.1%
04:24
to a 0.2-percent chance."
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上升至 0.2% 對吧
04:28
Okay, so at this point the data is not convincing us
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所以在這個點上 這個數據無法說服我們夫妻倆
04:30
that we need to be induced,
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讓我們催生寶寶
04:32
and so then we proceed to have a conversation
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接下來我們討論
04:34
about how inductions lead to a higher rate
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催生讓剖腹產的機率變高了
04:36
of Cesarean sections, and if at all possible we'd like to avoid that.
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如果有可能的話,我們就盡可能要避開它
04:40
And then I said,
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於是我就說
04:42
"And I really don't think my due date is accurate."
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我覺得我的預產期一點也不準確
04:45
(Laughter)
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(笑聲)
04:47
And so this really stunned him
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醫生聽到後有些錯愕
04:50
and he looked sort of puzzled
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他看起來有點困惑
04:52
and I said, "You may not know this,
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我就說 你可能不知道
04:54
but pregnancy due dates are calculated
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懷孕預產期的計算方法
04:55
assuming that you have a standard 28-day cycle,
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是建立在你有標準28天的經期
04:58
and my cycle ranges —
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而我的經期不固定
04:59
sometimes it's 27, sometimes it's up to 38 —
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有時候 27 天,有時候到 38 天
05:03
and I have been collecting the data to prove it.
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而我也一直收集數據來證明這一切
05:06
(Laughter)
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(笑聲)
05:10
And so we ended up leaving the hospital that day without being induced.
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結果當天我們沒有進行 催生手術就離開醫院
05:16
We actually had to sign a waiver to walk out of the hospital.
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也必須要簽下切結書 才能夠離開醫院
05:22
And I'm not advocating that you not listen to your doctors,
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我並不是要鼓吹大家不聽醫生的話
05:25
because even with our first child,
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因為即使是我們的第一個孩子
05:27
we were induced at 38 weeks; cervical fluid was low.
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也是在 38 週時就催生 是因為子宮頸黏液偏低
05:31
I'm not anti-medical intervention.
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所以我並不反對醫學的介入
05:33
But why were confident to leave that day?
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不過那天我們為什麼可以 自信滿滿地離開醫院呢?
05:36
Well, we had data that told a different story.
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這是因為我們的數據講的 是不同的故事
05:40
We had been collecting data for six years.
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過去六年我們持續收集數據
05:45
I had this temperature data,
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我所記錄的溫度數據
05:47
and it told a different story.
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又是另外一個故事了
05:49
In fact, we could probably pretty accurately estimate conception.
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其實我們應該可以 準確地預測受孕時間
05:56
Yeah, that's a story you want to tell
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這種故事你就會想要
05:58
at your kid's wedding reception. (Laughter)
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在小孩婚宴上說了 (笑聲)
06:01
I remember like it was yesterday.
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這好像昨天才剛發生
06:05
My temperature was a sizzling 97.8 degrees
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當我看著你爸的雙眼時
06:07
as I stared into your father's eyes. (Laughter)
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我的體溫是發燙的 36.5 度 (笑聲)
06:12
Oh, yeah. Twenty-two more years, we're telling that story.
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是的,過了 22 年後 我們就會說這個故事
06:18
But we were confident to leave because we had been collecting data.
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我們勇敢地離開醫院是因為 我們都一直都在收集數據
06:21
Now, what does that data look like?
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這些數據顯示些什麼呢?
06:23
Here's a standard chart
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這是女性月經週期中
06:26
of a woman's waking body temperature
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基礎體溫的
06:29
during the course of a cycle.
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標準圖表
06:31
So from the beginning of the menstrual cycle
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從此次月經週期的開始
06:32
till the beginning of the next.
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到下一次月經來臨前
06:34
You'll see that the temperature is not random.
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你會發現溫度是規律的
06:36
Clearly there is a low pattern
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在月經週期開始時
06:38
at the beginning of her cycle
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會很明顯地看到溫度偏低
06:40
and then you see this jump and then a higher
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之後會看到溫度拉高
06:43
set of temperatures at the end of her cycle.
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接近月經週期結束前又一波高溫
06:45
So what's happening here?
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這裡發生什麼事?
06:47
What is that data telling you?
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這些數據表達些什麼呢?
06:49
Well, ladies, at the beginning of our cycle,
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女士們,在你們月經週期一開始時
06:52
the hormone estrogen is dominant and that estrogen
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荷爾蒙雌激素主導你的身體
06:55
causes a suppression of your body temperature.
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雌激素會幫身體降溫
06:59
And at ovulation, your body releases an egg
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在排卵期時,你的身體會排卵
07:03
and progesterone takes over, pro-gestation.
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此時黃體激素主導身體,黃體-激素
07:08
And so your body heats up in anticipation
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你的體溫會預先升高
07:10
of housing this new little fertilized egg.
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為這顆小小的新受精卵提供居住地
07:14
So why this temperature jump?
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那為什麼溫度會突然升高呢?
07:17
Well, think about when a bird sits on her eggs.
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試想有隻鳥坐在牠的蛋上面
07:20
Why is she sitting on them?
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為什麼要坐在蛋的上面?
07:22
She wants to keep them warm,
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因為鳥媽媽要讓蛋保持溫暖
07:24
protect them and keep them warm.
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保護蛋並且讓蛋維持溫度
07:25
Ladies, this is exactly what our bodies do every month,
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各位女士,這就是我們身體 每個月所做的事情
07:27
they heat up in anticipation
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身體會先預熱
07:29
of keeping a new little life warm.
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才能讓這個新生命保持溫暖
07:33
And if nothing happens, if you are not pregnant,
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如果沒有任何事情發生 假使你沒有懷孕
07:36
then estrogen takes back over and that cycle starts all over again.
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雌激素就拿回主控權 所有週期又會重新再開始一次
07:40
But if you do get pregnant, sometimes you
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不過要是妳懷孕了,有時候
07:42
actually see another shift in your temperatures
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你會看到體溫又有變化
07:45
and it stays elevated for those whole nine months.
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在懷孕的九個月內體溫會偏高
07:48
That's why you see those pregnant women just sweating and hot,
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這就是為什麼你會發現 懷孕婦女都在流汗又覺得熱
07:51
because their temperatures are high.
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這是因為她們的體溫偏高
07:55
Here's a chart that we had about three or four years ago.
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這是三、四年前我們用的圖表
07:59
We were really very excited about this chart.
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我們對這圖表真的很開心
08:01
You'll see the low temperature level
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你可以看見這低溫的數據
08:03
and then a shift and for about five days,
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之後溫度轉變,並且持續五天
08:07
that's about the time it takes for the egg to travel
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這時候卵子出發
08:09
down the fallopian tube and implant,
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順著輸卵管而下然後著床
08:11
and then you see those temperatures start to go up a little bit.
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之後你會發現溫度又會往上提升
08:15
And in fact, we had a second temperature shift,
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這是第二次溫度的改變
08:18
confirmed with a pregnancy test that were indeed pregnant
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透過驗孕,我真的懷孕了
08:22
with our first child, very exciting.
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那是我們的第一個孩子 我們非常興奮
08:25
Until a couple of days later
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直到幾天後
08:27
I saw some spotting and then I noticed heavy blood flow,
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我看到點狀出血 之後感覺到一股大量的血流下來
08:32
and we had in fact had an early stage miscarriage.
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其實我遇到了懷孕初期的流產
08:37
Had I not been taking my temperature
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這樣看起來要是我沒量體溫的話
08:41
I really would have just thought my period was late that month,
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我可能只會覺得那個月的經期晚來而已
08:45
but we actually had data to show
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不過我們的數據顯示出
08:46
that we had miscarried this baby,
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我們已經失去這個寶寶了
08:49
and even though this data revealed a really
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即使這數據也讓我們看到
08:51
unfortunate event in our lives,
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我們生命中非常不幸的一件事
08:53
it was information that we could then take to our doctor.
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我們之後拿著這些資訊給醫生看
08:55
So if there was a fertility issue or some problem,
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所以要是有任何生育問題或其他狀況
08:58
I had data to show:
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我就有數據可以給別人看
08:59
Look, we got pregnant, our temperature shifted,
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你看,我懷孕,溫度也有改變
09:01
we somehow lost this baby.
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卻不知道為何失去這個寶寶
09:03
What is it that we can do to help prevent this problem?
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我們能夠做些什麼 預防這種問題再次發生呢?
09:06
And it's not just about temperatures
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這不只是關於體溫
09:10
and it's not just about fertility;
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也不只是跟生育有關
09:13
we can use data about our bodies to tell us a lot of things.
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而是身體的數據能夠 讓我們知道很多事情
09:16
For instance, did you know that taking your temperature can tell you a lot
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像是,你知道量體溫可以知道
09:20
about the condition of your thyroid?
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甲狀腺的狀況嗎?
09:22
So, your thyroid works a lot like the thermostat in your house.
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甲狀腺的功能像跟你家裡的中央空調一樣
09:26
There is an optimal temperature that you want in your house;
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我們總是希望房子裡維持最佳的溫度
09:29
you set your thermostat.
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所以我們會設定中央空調
09:30
When it gets too cold in the house, your thermostat kicks in
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當房子裡的溫度下降 中央空調就會開始運轉
09:33
and says, "Hey, we need to blow some heat around."
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並說 我們把將熱氣送進來
09:36
Or if it gets too hot, your thermostat
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如果房子裡太熱,中央空調
09:38
registers, "Turn the A.C. on. Cool us off."
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就會說 開冷氣吧,讓大家涼快
09:41
That's exactly how your thyroid works in your body.
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這就是甲狀腺在你身體裡的功能
09:45
Your thyroid tries to keep an optimal temperature
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甲狀腺會為身體維持
最適當的體溫
09:48
for your body.
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09:49
If it gets too cold, your thyroid says, "Hey, we need to heat up."
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如果溫度太低,甲狀腺就會說 嘿,我們要升溫
09:51
If it gets too hot, your thyroid cools you down.
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如果溫度太高 甲狀腺就會幫你降溫
09:54
But what happens when your thyroid is not functioning well?
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不過,要是你的甲狀腺 失去功用會怎麼樣呢?
09:59
When it doesn't function, then it shows up
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甲狀腺壞的時候,那麼你的體溫
10:01
in your body temperatures,
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就會顯示這個狀況
10:02
they tend to be lower than normal or very erratic.
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你的體溫會比平常還要低 或是非常不規律
10:05
And so by collecting this data
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所以收集這些數據
10:06
you can find out information about your thyroid.
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你就可以知道甲狀腺的訊息
10:09
Now, what is it, if you had a thyroid problem and you went to the doctor,
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現在要是你有了甲狀腺問題 然後你去看醫生
10:13
your doctor would actually test the amount of
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你的醫生其實只會檢測血液中
10:15
thyroid stimulating hormone in your blood.
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促甲狀腺激素的值
10:18
Fine. But the problem with that test is
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不錯,可是這個檢測的問題在於
10:22
it doesn't tell you how active the hormone is in your body.
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這並不會跟你說身體內 激素的活躍度有多高
10:25
So you might have a lot of hormone present,
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所以你可能身體裡有非常多的激素
10:27
but it might not be actively working to regulate
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卻沒有辦法活躍的運作
10:29
your body temperature.
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幫你調節身體的溫度
10:30
So just by collecting your temperature every day,
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所以只要每天收集你的體溫
10:32
you get information about the condition of your thyroid.
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你就可以知道關於甲狀腺狀況的訊息
10:35
So, what if you don't want to take your temperature every day?
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那要是你不想要每天量體溫呢?
10:38
I advocate that you do,
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我還是建議量體溫
10:40
but there are tons of other things you could take.
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不過也有其他東西可以記錄
10:41
You could take your blood pressure, you could take your weight —
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你可以記下血壓、記下你的體重
10:44
yeah, who's excited about
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當然,每天量體重
10:46
taking their weight every day? (Laughter)
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誰不開心啊? (笑聲)
10:49
Early on in our marriage, Donald had a stuffy nose
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我們剛結婚的時候 唐納會鼻塞
10:54
and he had been taking a slew of medications
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他嘗試過一堆的醫療方法
10:57
to try to relieve his stuffy nose, to no avail.
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試著要減輕鼻塞的狀況,不過都沒效
11:01
And so, that night he comes and he wakes me up and he says,
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所以,有一晚他上了床 然後搖醒我並說
11:05
"Honey, I can't breath out of my nose."
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親愛的,我不能用鼻子呼吸了
11:09
And I roll over and I look, and I said, "Well, can you breath out of your mouth?"
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我翻身過去,看了一下 我說 那你可以用嘴巴呼吸嗎?
11:14
(Laughter)
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(笑聲)
11:16
And he goes, "Yes, but I can't breath out of my nose!"
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然後他說
可以,不過我不能用鼻子呼吸!
所以就像每位好太太一樣,
11:23
And so like any good wife, I rush him
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在凌晨兩點的時候
11:26
to the emergency room
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11:27
at 2 o'clock in the morning.
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我趕快帶著他衝到急診室
11:30
And the whole time I'm driving and I'm thinking,
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整路上開著車時,我都在想
11:33
you can't die on me now.
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你現在可不能死
11:36
We just got married,
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我們才剛結婚欸
11:38
people will think I killed you! (Laughter)
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大家一定會以為是我殺了你! (笑聲)
11:43
And so, we get to the emergency room, and the nurse sees us,
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我們抵達了急診室 護士看到我們
11:47
and he can't breath out of his nose, and so
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因為我先生不能用鼻子呼吸
11:49
she brings us to the back and the doctor says,
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所以護士帶我們到後方,醫生說
11:51
"What seems to be the problem?" and he goes, "I can't breath out of my nose."
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有什麼問題嗎? 我先生說 我不能用鼻子呼吸
11:54
And he said, "You can't breath out of your nose?
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醫生說 你不能用鼻子呼吸?
11:56
No, but he can breath out of his mouth. (Laughter)
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沒辦法,可是他可以用嘴巴呼吸 (笑聲)
12:02
He takes a step back and he looks at both of us
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醫生退了一步,看著我們倆
12:05
and he says "Sir, I think I know the problem.
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他說 先生,我知道你的問題了
12:09
You're having a heart attack.
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你心臟病發作
12:10
I'm going to order an EKG and a CAT scan
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我要馬上幫你安排 心電圖和電腦斷層掃描
12:12
for you immediately."
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12:16
And we are thinking,
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我們就在想
12:17
no, no, no. It's not a heart attack. He can breathe,
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不不不,這絕對不是 心臟病發作他可以呼吸
12:20
just out of his mouth. No, no, no, no, no.
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不過只能用嘴巴呼吸 不...不...不...不...不...
12:25
And so we go back and forth with this doctor
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所以我們來來回回和醫生談
12:28
because we think this is the incorrect diagnosis,
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因為我們覺得這個診斷不正確
12:30
and he's like, "No really, it'll be fine, just calm down."
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他卻表現出 不可能 一切會沒事的,你們冷靜
12:34
And I'm thinking, how do you calm down? But I don't think he's having a heart attack.
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我就想,要怎麼冷靜? 而且我不認為他是心臟病發作
12:38
And so fortunately for us, this doctor was at the end of the shift.
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還好我們很幸運 這位醫生剛好值班結束
12:41
So this new doctor comes in, he sees us clearly
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當新醫生進門後,他清楚地知道
12:44
distraught, with a husband who can't breath
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我們很煩惱,煩惱著丈夫無法用
12:47
out of his nose. (Laughter)
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鼻子呼吸 (笑聲)
12:50
And he starts asking us questions.
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接下來他開始問我們問題
12:53
He says, "Well, do you two exercise?"
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他問 你們兩位會運動嗎?
12:58
We ride our bikes, we go to the gym occasionally.
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我們騎腳踏車,偶爾去健身房
13:05
(Laughter)
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(笑聲)
13:07
We move around.
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我們到處走來走去
13:09
And he says, "What were you doing just before you came here?"
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他又問 在你們來這前,做了什麼事?
13:12
I'm thinking, I was sleeping, honestly.
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2712
我就想,我那時在睡覺,這是真的
13:15
But okay, what was Donald doing just before?
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很好,不過唐納在這之前做了什麼事?
13:18
So Donald goes into this slew of medications he was taking.
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唐納當時忙著服用一堆的藥
13:21
He lists, "I took this decongestant and then I took this nasal spray,"
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他列出藥名並說 我吃了解充血藥 然後用這個鼻噴劑
13:24
and then all of a sudden a lightbulb goes off and he says,
267
804612
1995
突然間靈光一閃,醫生說
13:26
"Oh! You should never mix this decongestant with this nasal spray.
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3627
哦! 你永遠都不該把 解充血藥跟鼻噴劑混在一起用
13:30
Clogs you up every time. Here, take this one instead."
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這樣每次鼻子都會塞住,換成這個藥吧
13:33
He gives us a prescription.
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醫生給我們新的處方
13:35
We're looking at each other, and I looked at the doctor,
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1990
我們看著對方,然後我看著醫生
13:37
and I said, "Why is it that it seems like you
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2226
並說 為什麼看起來似乎
13:39
were able to accurately diagnose his condition,
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2411
你能夠準確地診斷出他的症狀
13:41
but this previous doctor wanted to order
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2216
但是前一位醫生卻想幫他安排
13:44
an EKG and a CAT scan?"
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2506
心電圖和電腦斷層掃描?
13:46
And he looks at us and says,
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醫生看著我們並說
13:49
"Well, when a 350-pound man walks in the emergency room and says he can't breath,
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當一位350磅重的男子走進急診室 並說他無法呼吸的話
13:53
you assume he's having a heart attack
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1764
你就會認定他心臟病發作
13:55
and you ask questions later."
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3949
晚點才會再問他問題
13:59
Now, emergency room doctors are trained to make decisions quickly,
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5720
現在急診室醫生的訓練 都是要他們能快速做決策
14:04
but not always accurately.
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2091
但不能永遠都那麼準確
14:07
And so had we had some information
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1549
所以要是我們將自己
14:08
about our heart health to share with him,
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心臟健康的狀況分享給醫生
14:10
maybe we would have gotten a better diagnosis the first time.
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或許在第一時間我們 就能有更好的診斷
14:14
I want you to consider the following chart,
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854741
2232
我要請你們仔細看接下來的圖表
14:16
of systolic blood pressure measurements
286
856973
1954
這是血壓收縮壓測量
14:18
from October 2010 to July 2012.
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858927
4072
2010年10月到2012年7月這段期間的
14:22
You'll see that these measurements start
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862999
1693
你們可以發現這些測量值一開始
14:24
in the prehypertension/hypertension zone,
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3668
都在高血壓前期/高血壓區域內
14:28
but over about the course of a year and a half
290
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2586
歷經一年半的時間後
14:30
they move into the normal zone.
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2645
這些數據跑到正常值的區間內
14:33
This is about the heart rate of a healthy 16-year-old.
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4109
這個心跳率大約跟 16 歲身體健康的人一樣
14:37
What story is this data telling you?
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這些數據又說了什麼樣的故事?
14:41
Obviously it's the data from someone
294
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2881
很顯然地,這個人的數據
14:44
who's made a drastic transformation,
295
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2673
有了巨大的改變
14:47
and fortunately for us, that person happens to be here today.
296
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對我們來說也很幸運 這位人士今天也有出席
14:52
So that 350-pound guy that walked into the emergency room with me
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892443
4254
那位跟我一起走進急診室 的 350 磅重男士
14:56
is now an even sexier and healthier
298
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2972
他現在是更性感及更健康的
14:59
225-pound guy, and that's his blood pressure trace.
299
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6688
225 磅重的人,那是他的血壓追蹤表
所以在過去一年半的時間內
15:06
So over the course of that year and a half
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3461
唐納改變飲食習慣
15:09
Donald's eating changed
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1569
15:11
and our exercise regimen changed,
302
911387
1991
我們也改變運動養生方法
15:13
and his heart rate responded,
303
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2790
他的心率以及
15:16
his blood pressure responded to that change
304
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1502
血壓都呼應著
15:17
that he made in his body.
305
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2299
他為身體所做的改變
15:19
So what's the take-home message
306
919969
1978
所以今天在你們離開前
15:21
that I want you to leave with today?
307
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3714
這演講的重點是什麼呢?
15:25
By taking ownership of your data just like we've done,
308
925661
4374
跟我們做一樣的事 就可以擁有自己的數據
15:30
just by taking this daily measurements about yourself,
309
930035
3947
只要每天測量自己的身體
15:33
you become the expert on your body.
310
933982
2509
你就能當自己身體的專家
15:36
You become the authority.
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2002
你就是身體的主人
15:38
It's not hard to do.
312
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2423
要做到這樣並不難
15:40
You don't have to have a Ph.D. in statistics
313
940916
1920
你不需要先成為統計學博士
15:42
to be an expert in yourself.
314
942836
1332
才能懂自己
15:44
You don't have to have a medical degree
315
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1441
你不需要先取得醫學學位
15:45
to be your body's expert.
316
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2126
才能懂自己的身體
15:47
Medical doctors, they're experts on the population,
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3419
醫生是懂大眾的專家
15:51
but you are the expert on yourself.
318
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2278
但你是自己身體的專家
15:53
And so when two of you come together,
319
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1910
所以如果能兩個人一起合作
15:55
when two experts come together,
320
955342
1970
你和醫生兩位專家一起
15:57
the two of you are able to make a better decision
321
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2795
兩個人所做出的決定
會勝過醫生一個人的決定
16:00
than just your doctor alone.
322
960107
2000
16:02
Now that you understand the power of information
323
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3767
現在你懂了資訊帶來的力量
16:05
that you can get through personal data collection,
324
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1871
都只要透過收集自己的數據
16:07
I'd like you all to stand and raise your right hand.
325
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3669
我想要請大家站起來並舉起你的右手
16:11
(Laughter)
326
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2559
(笑聲)
16:13
Yes, get it up.
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2120
對,請站起來
16:18
I challenge you to take ownership of your data.
328
978771
6908
我挑戰你們 成為自己身體數據的主人
16:25
And today, I hereby confer upon you
329
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3562
我在此授予你們
16:29
a TEDx associate's degree in elementary statistics
330
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4345
TEDx 初階統計學副學士學位
16:33
with a concentration in time-dependent data analysis
331
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4444
因你們專注花時間在分析數據上
16:38
with all the rights and privileges appertaining thereto.
332
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3713
以及其所屬權利與殊榮
16:41
And so the next time you are in your doctor's office,
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3476
所以當你們下次到醫生的辦公室
16:45
as newly inducted statisticians,
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作為新上任的統計學家
16:48
what should always be your response?
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你們的回答應該是什麼?
16:50
Audience: Show me the data! Talithia Williams: I can't hear you!
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觀眾: 讓我看數據! 泰莉西雅: 我聽不到!
16:52
Audience: Show me the data!
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1768
觀眾: 讓我看數據!
16:54
TW: One more time!
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TW: 再說一次!
16:55
Audience: Show me the data!
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觀眾: 讓我看數據!
16:57
TW: Show me the data.
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TW: 讓我看數據
16:58
Thank you.
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謝謝大家
(掌聲)
17:01
(Applause)
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