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TEDMED 2012

Ed Gavagan: A story about knots and surgeons

April 11, 2012

One day, Ed Gavagan was sitting on the subway, watching two young med students practicing their knots. And a powerful memory washed over him -- of one shocking moment that changed his life forever. An unforgettable story of crime, skill and gratitude.

Ed Gavagan - Designer, Storyteller
Ed Gavagan was walking down the street in downtown Manhattan when he was the victim of a gang assignment to kill a random stranger. He lives to tell the amazing story. Full bio

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Double-click the English subtitles below to play the video.
You know, we wake up in the morning,
00:18
you get dressed, put on your shoes,
00:21
you head out into the world.
00:24
You plan on coming back, getting undressed,
00:26
going to bed,
00:31
waking up, doing it again,
00:33
and that anticipation, that rhythm,
00:35
helps give us a structure
00:38
to how we organize ourselves and our lives,
00:40
and gives it a measure of predictability.
00:44
Living in New York City, as I do,
00:47
it's almost as if, with so many people doing so many things
00:50
at the same time in such close quarters,
00:57
it's almost like life is dealing you extra hands
01:00
out of that deck.
01:03
You're never, there's just, juxtapositions are possible
01:05
that just aren't, you don't think they're going to happen.
01:10
And you never think you're going to be the guy
01:15
who's walking down the street
01:17
and, because you choose to go down one side or the other,
01:19
the rest of your life is changed forever.
01:22
And one night, I'm riding the uptown local train.
01:25
I get on. I tend to be a little bit vigilant
01:31
when I get on the subway.
01:34
I'm not one of the people zoning out with headphones
01:37
or a book.
01:40
And I get on the car, and I look, and I
01:41
notice this couple,
01:44
college-aged, student-looking kids,
01:46
a guy and a girl, and they're sitting next to each other,
01:50
and she's got her leg draped over his knee,
01:52
and they're doing -- they have this little contraption,
01:54
and they're tying these knots,
01:58
and they're doing it with one hand,
02:00
they're doing it left-handed and right-handed very quickly,
02:02
and then she'll hand the thing to him and he'll do it.
02:06
I've never seen anything like this.
02:08
It's almost like they're practicing magic tricks.
02:09
And at the next stop, a guy gets on the car,
02:13
and he has this sort of visiting professor look to him.
02:17
He's got the overstuffed leather satchel
02:21
and the rectangular file case and a laptop bag
02:23
and the tweed jacket with the leather patches,
02:27
and — (Laughter) —
02:29
he looks at them, and then
02:31
in a blink of an eye, he kneels down in front of them,
02:34
and he starts to say,
02:37
"You know, listen, here's how you can do it. Look,
02:39
if you do this -- " and he takes the laces out of their hand,
02:41
and instantly, he starts tying these knots,
02:43
and even better than they were doing it, remarkably.
02:47
And it turns out they are medical students
02:51
on their way to a lecture about the latest
02:54
suturing techniques, and he's the guy giving the lecture.
02:56
(Laughter)
03:00
So he starts to tell them, and he's like,
03:01
"No, this is very important here. You know,
03:04
when you're needing these knots,
03:06
it's going to be, you know, everything's
03:08
going to be happening at the same time, it's going to be --
03:10
you're going to have all this information coming at you,
03:14
there's going to be organs getting in the way,
03:17
it's going to be slippery,
03:19
and
03:21
it's just very important that you be able to do these
03:22
beyond second nature, each hand, left hand, right hand,
03:25
you have to be able to do them without seeing your fingers."
03:28
And at that moment, when I heard that,
03:31
I just got catapulted out of the subway car into a night
03:34
when I had been getting a ride in an ambulance
03:41
from the sidewalk where I had been stabbed
03:44
to the trauma room of St. Vincent's Hospital in Manhattan,
03:48
and what had happened was
03:53
a gang had come in from Brooklyn.
03:55
As part of an initiation for three of their members,
03:58
they had to kill somebody,
04:00
and I happened to be the guy walking down Bleecker Street
04:02
that night,
04:05
and they jumped on me without a word.
04:07
One of the very lucky things,
04:11
when I was at Notre Dame, I was on the boxing team,
04:14
so I put my hands up right away, instinctively.
04:17
The guy on the right had a knife with a 10-inch blade,
04:21
and he went in under my elbow,
04:25
and it went up and cut my inferior vena cava.
04:28
If you know anything about anatomy,
04:33
that's not a good thing to get cut,
04:34
and everything, of course, on the way up,
04:36
and then — I still had my hands up —
04:39
he pulled it out and went for my neck,
04:41
and sunk it in up to the hilt in my neck,
04:43
and I got one straight right punch
04:48
and knocked the middle guy out.
04:50
The other guy was still working on me,
04:52
collapsing my other lung,
04:54
and I managed to, by hitting that guy, to get a minute.
04:56
I ran down the street and collapsed,
05:02
and the ambulance guys intubated me on the sidewalk
05:04
and let the trauma room know
05:07
they had an incoming.
05:10
And one of the
05:11
side effects of having major massive blood loss
05:14
is you get tunnel vision,
05:18
so I remember being on the stretcher
05:20
and having a little nickel-sized cone of vision,
05:22
and I was moving my head around
05:26
and we got to St. Vincent's,
05:28
and we're racing down this hallway,
05:29
and I see the lights going,
05:31
and it's a peculiar effect of memories like that.
05:33
They don't really go to the usual place that memories go.
05:40
They kind of have this vault where they're stored in high-def,
05:44
and George Lucas did all the sound effects. (Laughter)
05:49
So sometimes, remembering them, it's like,
05:53
it's not like any other kind of memories.
05:58
And I get into the trauma room,
06:02
and they're waiting for me, and the lights are there,
06:04
and I'd been able to breathe a little more now,
06:07
because the blood has left, had been filling up my lungs
06:13
and I was having a very hard time breathing,
06:16
but now it's kind of gone into the stretcher.
06:18
And I said, "Is there anything I can do to help?"
06:21
and — (Laughter) —
06:24
the nurse kind of had a hysterical laugh, and
06:26
I'm turning my head trying to see everybody,
06:30
and I had this weird memory of being in college
06:32
and raising,
06:36
raising money for the flood victims of Bangladesh,
06:39
and then I look over and my anesthesiologist
06:43
is clamping the mask on me, and I think,
06:45
"He looks Bangladeshi," — (Laughter) —
06:47
and I just have those two facts, and I just think,
06:49
"This could work somehow." (Laughter)
06:52
And then I go out, and
06:56
they work on me for the rest of the night,
06:58
and I needed about 40 units of blood to keep me there
07:00
while they did their work,
07:05
and the surgeon took out about a third of my intestines,
07:08
my cecum, organs I didn't know that I had,
07:12
and he later told me one of the last things he did
07:16
while he was in there was to remove my appendix for me,
07:18
which I thought was great, you know,
07:21
just a little tidy thing there at the end. (Laughter)
07:24
And I came to in the morning.
07:27
Out of anesthetic, he had let them know
07:31
that he wanted to be there, and he had given me
07:33
about a two percent chance of living.
07:36
So he was there when I woke up,
07:40
and it was, waking up was like
07:41
breaking through the ice into a frozen lake of pain.
07:44
It was that enveloping,
07:50
and there was only one spot that didn't hurt
07:52
worse than anything I'd ever felt,
07:56
and it was my instep,
07:58
and he was holding the arch of my foot
07:59
and rubbing the instep with his thumb.
08:03
And I looked up, and he's like,
08:07
"Good to see you,"
08:10
and I was trying to remember what had happened
08:11
and trying to get my head around everything,
08:15
and the pain was just overwhelming, and he said,
08:16
"You know, we didn't cut your hair. I thought
08:20
you might have gotten strength from your hair like Samson,
08:24
and you're going to need all the strength you can get."
08:28
And in those days, my hair was down to my waist,
08:31
I drove a motorcycle, I was unmarried,
08:35
I owned a bar, so those were different times. (Laughter)
08:37
But
08:43
I had three days of life support,
08:45
and everybody was expecting,
08:48
due to just the massive amount of what they had had to do
08:52
that I wasn't going to make it,
08:56
so it was three days of
08:58
everybody was either waiting for me to die or poop,
09:00
and — (Laughter) —
09:03
when I finally pooped, then that somehow,
09:05
surgically speaking, that's like you crossed some good line,
09:08
and, um — (Laughter) —
09:11
on that day, the surgeon came in
09:12
and whipped the sheet off of me.
09:15
He had three or four friends with him,
09:18
and he does that, and they all look,
09:20
and there was no infection,
09:23
and they bend over me and they're poking and prodding,
09:24
and they're like, "There's no hematomas, blah blah,
09:27
look at the color," and they're talking amongst themselves
09:29
and I'm, like, this restored automobile
09:32
that he's just going, "Yeah, I did that." (Laughter)
09:35
And it was just,
09:38
it was amazing, because these guys are high-fiving him
09:41
over how good I turned out, you know? (Laughter)
09:45
And it's my zipper, and I've still got the staples in
09:47
and everything.
09:50
And
09:51
later on, when I got out
09:54
and the flashbacks and the
09:56
nightmares were giving me a hard time,
10:02
I went back to him
10:06
and I was sort of asking him,
10:08
you know, what am I gonna do?
10:12
And I think, kind of, as a surgeon, he basically said,
10:14
"Kid, I saved your life.
10:19
Like, now you can do whatever you want, like,
10:20
you gotta get on with that.
10:23
It's like I gave you a new car
10:25
and you're complaining about not finding parking.
10:26
Like, just, go out, and, you know, do your best.
10:29
But you're alive. That's what it's about."
10:32
And then I hear, "Bing-bong," and the subway doors
10:37
are closing, and my stop is next, and I look at these kids,
10:43
and I go, I think to myself,
10:49
"I'm going to lift my shirt up
10:51
and show them," — (Laughter) —
10:53
and then I think, "No, this is the New York City subway,
10:54
that's going to lead to other things." (Laughter)
10:56
And so I just think, they got their lecture to go to.
11:00
I step off, I'm standing on the platform,
11:04
and I feel my index finger
11:08
in
11:11
the first scar that I ever got,
11:13
from my umbilical cord,
11:17
and then around that, is traced
11:20
the last scar that I got
11:23
from my surgeon,
11:26
and I think that, that chance encounter
11:28
with those kids on the street with their knives
11:33
led me
11:37
to my surgical team,
11:40
and their training
11:43
and their skill
11:47
and, always, a little bit of luck
11:49
pushed back against chaos.
11:52
Thank you. (Applause)
11:55
(Applause)
11:59
Thank you. Very lucky to be here. Thank you. (Applause)
12:08
Translator:Joseph Geni
Reviewer:Morton Bast

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Ed Gavagan - Designer, Storyteller
Ed Gavagan was walking down the street in downtown Manhattan when he was the victim of a gang assignment to kill a random stranger. He lives to tell the amazing story.

Why you should listen

Ed Gavagan is the owner of PraxisNYC, a design firm specializing in boutique residences and aimed at designing for sustainability, habitability, durability and beauty. In 2007 Gavagan told the story “Drowning on Sullivan Street” at the Moth, the series devoted to stories told live without notes, about his near-death experience on the streets of New York as the victim of a gang initiation rite. His stories have been heard on NPR and the Moth podcast, and he has appeared onstage with the Moth in events across the U.S. Gavagan lives in New York City with his wife and daughter.

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