TEDMED 2012
Ed Gavagan: A story about knots and surgeons
Ed Gavagan: Príbeh o uzloch a chirurgoch
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1,054,849 views
Jedného dňa Ed Gavagan sedel v metre a sledoval, ako si dvaja medici trénujú viazanie uzlov. Zrazu sa mu vybavila silná spomienka na jednu šokujúcu chvíľu, ktorá mu navždy zmenila život. Nezabudnuteľný príbeh zločinu, lekárskej zručnosti a vďaky.
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
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
Double-click the English transcript below to play the video.
00:19
You know, we wake up in the morning,
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Poznáte to, ráno sa zobudíte,
00:22
you get dressed, put on your shoes,
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oblečiete sa, obujete sa,
00:25
you head out into the world.
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vyrazíte do sveta.
00:27
You plan on coming back, getting undressed,
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Plánujete sa vrátiť, vyzliecť,
00:31
going to bed,
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ísť do postele,
00:34
waking up, doing it again,
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zobudiť sa, urobiť to znovu
00:35
and that anticipation, that rhythm,
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a toto očakávanie a rytmus
00:38
helps give us a structure
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nám pomáha vytvoriť si štruktúru,
00:41
to how we organize ourselves and our lives,
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podľa ktorej si riadime svoj život
00:44
and gives it a measure of predictability.
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a ktorá nám poskytuje istú mieru predvídateľnosti.
00:48
Living in New York City, as I do,
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V New Yorku, kde bývam,
00:50
it's almost as if, with so many people doing so many things
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robí toľko ľudí toľko vecí
00:57
at the same time in such close quarters,
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súčasne a v takej blízkosti,
01:01
it's almost like life is dealing you extra hands
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že je to skoro ako keď vám život rozdá
01:04
out of that deck.
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z balíčka ešte nejaké karty navyše.
01:06
You're never, there's just, juxtapositions are possible
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Môže nastať toľko kombinácií,
01:10
that just aren't, you don't think they're going to happen.
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ktoré by vám nikdy ani nenapadli.
01:15
And you never think you're going to be the guy
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A vôbec nemyslíte na to, že budete tým mužom,
01:18
who's walking down the street
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ktorý ide po ulici
01:19
and, because you choose to go down one side or the other,
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a na základe toho, či pôjde po ľavej alebo pravej strane,
01:23
the rest of your life is changed forever.
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sa mu navždy zmení celý život.
01:26
And one night, I'm riding the uptown local train.
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Raz v noci si tak idem metrom z centra.
01:31
I get on. I tend to be a little bit vigilant
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Nastupujem. Bývam trochu ostražitý,
01:35
when I get on the subway.
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keď cestujem metrom.
01:37
I'm not one of the people zoning out with headphones
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Nepatrím k tým, ktorí si nasadia slúchadlá
01:40
or a book.
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alebo zoberú knihu a vypnú okolie.
01:42
And I get on the car, and I look, and I
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Nasadám do vagóna, rozhliadnem sa
01:44
notice this couple,
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a všimnem si jeden pár,
01:47
college-aged, student-looking kids,
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vyzerajú ako študenti,
01:50
a guy and a girl, and they're sitting next to each other,
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chlapec a dievča, sedia vedľa seba,
01:52
and she's got her leg draped over his knee,
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ona má prehodenú nohu cez jeho koleno
01:55
and they're doing -- they have this little contraption,
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a pracujú na niečom - na taje malej vecičku,
01:59
and they're tying these knots,
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a snažia sa uväzovať uzlíky,
02:01
and they're doing it with one hand,
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robia to jednou rukou,
02:03
they're doing it left-handed and right-handed very quickly,
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veľmi rýchlo ľavou aj pravou
02:07
and then she'll hand the thing to him and he'll do it.
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a ona mu potom tú vec podá a viaže on.
02:09
I've never seen anything like this.
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Nikdy predtým som niečo také nevidel.
02:10
It's almost like they're practicing magic tricks.
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Ako keby si trénovali kúzelnícke triky.
02:13
And at the next stop, a guy gets on the car,
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A na ďalšej zastávke nastúpi nejaký muž
02:18
and he has this sort of visiting professor look to him.
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a vyzerá presne ako prednášajúci na vysokej.
02:22
He's got the overstuffed leather satchel
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Má prepchatú koženú brašňu,
02:24
and the rectangular file case and a laptop bag
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zložku s papiermi a tašku s notebookom
02:27
and the tweed jacket with the leather patches,
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a tvídové sako s koženými záplatami na lakťoch
02:30
and — (Laughter) —
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a — (Smiech) —
02:32
he looks at them, and then
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pozrie sa na nich a potom
02:34
in a blink of an eye, he kneels down in front of them,
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si okamžite pred nich kľakne
02:37
and he starts to say,
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a hovorí:
02:39
"You know, listen, here's how you can do it. Look,
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„Počujte, aha, takto sa to robí. Pozrite,
02:41
if you do this -- " and he takes the laces out of their hand,
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ak urobíte toto..., “ berie im šnúrky z rúk
02:44
and instantly, he starts tying these knots,
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a hneď začína viazať uzly
02:47
and even better than they were doing it, remarkably.
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a robí to ešte oveľa lepšie ako oni, pozoruhodné.
02:52
And it turns out they are medical students
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A vysvitne, že sú to študenti medicíny
02:55
on their way to a lecture about the latest
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na ceste na prednášku o najnovších
02:57
suturing techniques, and he's the guy giving the lecture.
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zašívacích technikách a on tam ide prednášať.
03:00
(Laughter)
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(Smiech)
03:02
So he starts to tell them, and he's like,
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Začne im hovoriť:
03:04
"No, this is very important here. You know,
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„Toto je veľmi dôležité. Viete,
03:07
when you're needing these knots,
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keď budete tieto uzly potrebovať,
03:09
it's going to be, you know, everything's
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viete, všetko sa bude diať
03:11
going to be happening at the same time, it's going to be --
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naraz, bude to...
03:14
you're going to have all this information coming at you,
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zo všetkých strán na vás budú hrnúť informácie,
03:18
there's going to be organs getting in the way,
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budú vám zavadzať orgány,
03:19
it's going to be slippery,
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budú sa vám šmýkať ruky
03:21
and
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a
03:23
it's just very important that you be able to do these
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je veľmi dôležité, aby vám tie uzly
03:26
beyond second nature, each hand, left hand, right hand,
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išli úplne automaticky, každou rukou, ľavou, pravou,
03:29
you have to be able to do them without seeing your fingers."
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musíte ich vedieť urobiť, aj keď si nebudete vidieť na prsty.“
03:32
And at that moment, when I heard that,
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A v tej chvíli, keď som to počul,
03:34
I just got catapulted out of the subway car into a night
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ma to v mysli vykatapultovalo z toho vagóna metra do noci,
03:41
when I had been getting a ride in an ambulance
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v ktorej ma odvážali v sanitke
03:44
from the sidewalk where I had been stabbed
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z chodníka, kde ma dobodali,
03:49
to the trauma room of St. Vincent's Hospital in Manhattan,
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na jednotku intenzívnej starostlivosti Nemocnice sv. Vincenta v Manhattane,
03:53
and what had happened was
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kvôli
03:55
a gang had come in from Brooklyn.
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jednému gangu z Brooklynu.
03:58
As part of an initiation for three of their members,
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Prijímali troch nových členov, ktorí museli v rámci iniciácie
04:01
they had to kill somebody,
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niekoho zabiť
04:03
and I happened to be the guy walking down Bleecker Street
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a ja som bol zhodou okolností tej noci ten muž idúci Bleeckerovou ulicou
04:06
that night,
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prechádzajúci Bleeckerovou ulicou
04:07
and they jumped on me without a word.
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a bez varovania sa na mňa vrhli.
04:12
One of the very lucky things,
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Mojím šťastím bolo,
04:14
when I was at Notre Dame, I was on the boxing team,
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že keď som bol na strednej, chodil som na box,
04:17
so I put my hands up right away, instinctively.
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a tak som si hneď inštinktívne dal ruky do bojového postoja.
04:22
The guy on the right had a knife with a 10-inch blade,
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Chlapík napravo mal nôž s 25-centimetrovou čepeľou
04:25
and he went in under my elbow,
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a bodol ma priamo pod lakeť,
04:29
and it went up and cut my inferior vena cava.
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prešiel vyššie a prerezal mi dolnú dutú žilu.
04:33
If you know anything about anatomy,
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Ak viete niečo z anatómie,
04:35
that's not a good thing to get cut,
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nie je dobré, ak vám ju prerežú
04:37
and everything, of course, on the way up,
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a samozrejme ani cievy, čo sú vyššie
04:40
and then — I still had my hands up —
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a potom — ruky som držal stále hore —
04:42
he pulled it out and went for my neck,
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vytiahol ten nôž a a pokračoval smerom ku krku,
04:44
and sunk it in up to the hilt in my neck,
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zabodol mi ho do krku až po rukoväť,
04:48
and I got one straight right punch
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no ja som zasadil pravý hák
04:51
and knocked the middle guy out.
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a zrazil stredného chlapíka na zem.
04:53
The other guy was still working on me,
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Ten druhý stále ešte na mne pracujúc,
04:55
collapsing my other lung,
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prebodávajúc mi pľúca,
04:57
and I managed to, by hitting that guy, to get a minute.
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v tom sa mi podarilo udieť toho chlapíka, aby som získal trochu času.
05:03
I ran down the street and collapsed,
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Utekal som dolu ulicou a následne skolaboval,
05:05
and the ambulance guys intubated me on the sidewalk
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záchranári ma na chodníku intubovali
05:08
and let the trauma room know
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a povedali úrazovke,
05:10
they had an incoming.
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že majú príjem.
05:12
And one of the
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Jedným
05:15
side effects of having major massive blood loss
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z vedľajších účinkov veľkej straty krvi
05:19
is you get tunnel vision,
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je tunelové videnie.
05:21
so I remember being on the stretcher
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Pamätám si, že som bol na nosidlách,
05:23
and having a little nickel-sized cone of vision,
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moje zorné pole bolo vo veľkosti 5-centovej mince,
05:27
and I was moving my head around
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tak som hýbal hlavou dookola.
05:28
and we got to St. Vincent's,
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Dostali sme sa do Nemocnice sv. Vincenta,
05:30
and we're racing down this hallway,
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uháňajúc ako o závod po chodbe,
05:31
and I see the lights going,
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vidím mihot svetiel.
05:33
and it's a peculiar effect of memories like that.
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Takéto myšlienky majú na človeka zvláštny účinok.
05:40
They don't really go to the usual place that memories go.
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Neuložia sa na zvyčajné miesto k ostatným spomienkam,
05:44
They kind of have this vault where they're stored in high-def,
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ale ako keby boli uložené vo vysokom rozlíšení v nejakom trezore
05:50
and George Lucas did all the sound effects. (Laughter)
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a George Lucas k nim spravil všetky zvukové efekty. (Smiech)
05:54
So sometimes, remembering them, it's like,
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Takže keď si na ne znova spomínate,
05:59
it's not like any other kind of memories.
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nie sú ako ostatné spomienky.
06:02
And I get into the trauma room,
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Dostávam sa na úrazovku,
06:05
and they're waiting for me, and the lights are there,
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čakajú na mňa, sú tam svetlá
06:08
and I'd been able to breathe a little more now,
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a už sa mi dýcha trochu ľahšie,
06:13
because the blood has left, had been filling up my lungs
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lebo krv je už preč, predtým sa mi hromadila v pľúcach
06:17
and I was having a very hard time breathing,
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a ledva som dýchal,
06:19
but now it's kind of gone into the stretcher.
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ale teraz sa nejako vsiakla do nosidiel.
06:22
And I said, "Is there anything I can do to help?"
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Povedal som: „Môžem nejako pomôcť?“
06:25
and — (Laughter) —
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a — (Smiech) —
06:27
the nurse kind of had a hysterical laugh, and
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sestrička sa začala hystericky smiať,
06:30
I'm turning my head trying to see everybody,
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otáčal som hlavou, aby som všetkých videl
06:32
and I had this weird memory of being in college
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a zrazu sa mi objavila táto zvláštna spomienka, ako som bol na vysokej škole
06:36
and raising,
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a snažil sa vyberať peniaze
06:39
raising money for the flood victims of Bangladesh,
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pre obete povodní v Bangladéši
06:43
and then I look over and my anesthesiologist
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a vtom sa pozriem hore a anestéziológ
06:46
is clamping the mask on me, and I think,
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mi nasadzuje masku a ja si myslím:
06:47
"He looks Bangladeshi," — (Laughter) —
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„Vyzerá ako Bangladéšan,“ — (Smiech) —
06:49
and I just have those two facts, and I just think,
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mám len tieto dva fakty, ale myslím si:
06:53
"This could work somehow." (Laughter)
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„Možno sa to nakoniec podarí.“ (Smiech)
06:56
And then I go out, and
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Potom stratím vedomie a
06:59
they work on me for the rest of the night,
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lekári na mne pracujú po zvyšok noci.
07:00
and I needed about 40 units of blood to keep me there
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Počas operácie som
07:05
while they did their work,
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spotreboval asi 40 jednotiek krvi
07:09
and the surgeon took out about a third of my intestines,
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a chirurg mi vyoperoval asi tretinu čriev,
07:13
my cecum, organs I didn't know that I had,
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Cecum (začiatok hrubého čreva), orgány, o ktorých som ani netušil, že ich mám
07:16
and he later told me one of the last things he did
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a neskôr mi povedal, že keď už bol skoro na hotový,
07:19
while he was in there was to remove my appendix for me,
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tak mi ešte mi aj vyoperoval slepé črevo,
07:22
which I thought was great, you know,
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čo si myslím,že je úžasné, viete,
07:24
just a little tidy thing there at the end. (Laughter)
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na koniec mi to tam ešte aj upratal. (Smiech)
07:27
And I came to in the morning.
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Prebral som sa až ráno.
07:32
Out of anesthetic, he had let them know
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Keď som už nebol pod vplyvom anestetík, povedal,
07:33
that he wanted to be there, and he had given me
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že tam ráno chce byť a dával mi
07:37
about a two percent chance of living.
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asi 2 percentnú šancu na prežitie.
07:40
So he was there when I woke up,
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Takže tam bol, keď som sa prebral
07:42
and it was, waking up was like
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a zobúdzanie sa bolo ako
07:44
breaking through the ice into a frozen lake of pain.
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keby sa podo mnou prelomil ľad a spadol som do zamrznutého jazera bolesti.
07:50
It was that enveloping,
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Tá bolesť bola úplne všade
07:52
and there was only one spot that didn't hurt
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a existovalo len jediné miesto, ktoré ma nebolelo,
07:57
worse than anything I'd ever felt,
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viac ako čokoľvek ostatné,
07:58
and it was my instep,
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a to bol môj nárt,
08:00
and he was holding the arch of my foot
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a v tom mi už chirurg držal chodidlo
08:03
and rubbing the instep with his thumb.
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a palcom mi masíroval nárt.
08:07
And I looked up, and he's like,
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Pozrel som sa naňho a on mi hovorí:
08:10
"Good to see you,"
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„Rád vás vidím.“
08:11
and I was trying to remember what had happened
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Snažil som sa rozpamätať, čo sa stalo,
08:15
and trying to get my head around everything,
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pochopiť to,
08:17
and the pain was just overwhelming, and he said,
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bolesť bola úplne zdrvujúca a povedal:
08:21
"You know, we didn't cut your hair. I thought
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„Neostrihali sme vám vlasy. Myslel som si,
08:24
you might have gotten strength from your hair like Samson,
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že možno čerpáte silu z vlasov ako Samson
08:29
and you're going to need all the strength you can get."
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a budete potrebovať všetku silu, čo máte."
08:31
And in those days, my hair was down to my waist,
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V tých časoch som nosieval vlasy po pás,
08:35
I drove a motorcycle, I was unmarried,
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jazdil som na motorke, nebol som ženatý,
08:38
I owned a bar, so those were different times. (Laughter)
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vlastnil som bar, to boli to iné časy. (Smiech)
08:43
But
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Takže som
08:46
I had three days of life support,
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strávil tri dni na podporných prístrojoch
08:49
and everybody was expecting,
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a každý čakal,
08:52
due to just the massive amount of what they had had to do
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že keďže mi museli toľko toho operovať,
08:57
that I wasn't going to make it,
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tak to neprežijem,
08:59
so it was three days of
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takže tri dni
09:01
everybody was either waiting for me to die or poop,
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všetci čakali, že buď zomriem alebo sa vykakám
09:04
and — (Laughter) —
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a — (Smiech) —
09:05
when I finally pooped, then that somehow,
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keď som sa nakoniec vykakal,
09:08
surgically speaking, that's like you crossed some good line,
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v chirurgii je to ako keby som prekročil nejakú dobrú hranicu
09:12
and, um — (Laughter) —
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a — (Smiech) —
09:13
on that day, the surgeon came in
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v ten deň prišiel chirurg a
09:16
and whipped the sheet off of me.
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odhrnul mi prikrývku.
09:19
He had three or four friends with him,
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Boli s ním traja alebo štyria kamaráti,
09:21
and he does that, and they all look,
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odhrnul mi prikrývku a všetci sa pozreli
09:23
and there was no infection,
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a nemal som žiadnu infekciu,
09:25
and they bend over me and they're poking and prodding,
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zohli sa nado mňa, rýpali a štuchali do mňa
09:28
and they're like, "There's no hematomas, blah blah,
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a hovorili: „Nemá hematómy, blá blá,
09:30
look at the color," and they're talking amongst themselves
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pozrite sa na tú farbu,“ a rozprávali sa medzi sebou
09:33
and I'm, like, this restored automobile
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a bol som tam ako keby som bol nejaké opravené auto
09:36
that he's just going, "Yeah, I did that." (Laughter)
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a chirurg hovorí: „Hej, to som urobil ja.“ (Smiech)
09:39
And it was just,
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A bolo to jednoducho úžasné,
09:42
it was amazing, because these guys are high-fiving him
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pretože títo doktori mu gratulovali,
09:45
over how good I turned out, you know? (Laughter)
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ako dobre som sa vydaril. (Smiech)
09:47
And it's my zipper, and I've still got the staples in
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A stále som bol plný stehov a svoriek
09:51
and everything.
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a všetkého.
09:52
And
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A
09:54
later on, when I got out
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neskôr, keď ma pustili domov
09:57
and the flashbacks and the
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a záblesky minulosti
10:02
nightmares were giving me a hard time,
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a nočné mory mi strpčovali život,
10:07
I went back to him
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som sa vrátil k tomu chirurgovi
10:09
and I was sort of asking him,
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a spýtal sa ho:
10:12
you know, what am I gonna do?
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„Čo s tým budem robiť?“
10:15
And I think, kind of, as a surgeon, he basically said,
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A keďže bol chirurg, v podstate mi povedal:
10:19
"Kid, I saved your life.
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„Chlapče, zachránil som ti život.
10:21
Like, now you can do whatever you want, like,
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Teraz môžeš robiť, čo chceš,
10:24
you gotta get on with that.
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ďalej musíš ísť už sám.
10:25
It's like I gave you a new car
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To ako keby som ti dal nové auto
10:27
and you're complaining about not finding parking.
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a ty by si sa sťažoval, že si nevieš nájsť parkovacie miesto.
10:29
Like, just, go out, and, you know, do your best.
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Proste choď a, veď vieš, snaž sa zo všetkých síl.
10:33
But you're alive. That's what it's about."
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Si nažive. To je podstatné.“
10:38
And then I hear, "Bing-bong," and the subway doors
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A potom tom momente počujem zvuk zatvárajúcich sa dverí vagónu v metre
10:44
are closing, and my stop is next, and I look at these kids,
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ďalšia zastávka je tá moja, pozriem sa na tých študentov
10:50
and I go, I think to myself,
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a ako idem si pomyslím:
10:52
"I'm going to lift my shirt up
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„Vyhrniem si košeľu
10:53
and show them," — (Laughter) —
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a ukážem im jazvy," — (Smiech) —
10:55
and then I think, "No, this is the New York City subway,
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ale potom si pomyslím: „Nie, toto je newyorské metro,
10:57
that's going to lead to other things." (Laughter)
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pomysleli by si o mne divné veci.“ (Smiech)
11:01
And so I just think, they got their lecture to go to.
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A poviem si, že musia ísť na prednášku.
11:05
I step off, I'm standing on the platform,
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Vystupujem, stojím na nástupišti
11:09
and I feel my index finger
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a ukazovákom
11:12
in
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sa dotknem
11:14
the first scar that I ever got,
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svojej úplne prvej jazvy,
11:17
from my umbilical cord,
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z pupočnej šnúry,
11:21
and then around that, is traced
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okolo ktorej sa tiahne
11:24
the last scar that I got
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posledná jazva, ktorá mi zostala
11:26
from my surgeon,
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od môjho chirurga
11:29
and I think that, that chance encounter
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a pomyslím si, že to náhodné stretnutie
11:34
with those kids on the street with their knives
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s tými deckami s nožmi na ulici
11:38
led me
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ma priviedlo
11:40
to my surgical team,
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k môjmu tímu chirurgov
11:43
and their training
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a ich tréningu
11:48
and their skill
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zručnosti
11:50
and, always, a little bit of luck
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a, ako vždy, troška šťastia
11:53
pushed back against chaos.
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zatlačená do pozadia pred chaosom.
11:56
Thank you. (Applause)
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Ďakujem. (Potlesk)
12:00
(Applause)
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(Potlesk)
12:09
Thank you. Very lucky to be here. Thank you. (Applause)
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Ďakujem. Mám veľké šťastie, že tu môžem byť. Ďakujem. (Potlesk)
ABOUT THE SPEAKER
Ed Gavagan - Designer, StorytellerEd 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.
Ed Gavagan | Speaker | TED.com