Hãy nói về cái chết – Peter Saul

Let's talk about dying - Peter Saul

Autoscroll:

[Music] [Music] [Music] [Applause] [Applause] [Applause] look<00:00:16.560> i<00:00:16.720> had<00:00:16.880> second<00:00:17.199> thoughts<00:00:17.520> really<00:00:17.760> about look i had second thoughts really about look i had second thoughts really about whether<00:00:18.480> i<00:00:18.640> could<00:00:18.880> talk<00:00:19.199> about<00:00:19.520> this<00:00:19.760> to<00:00:19.920> such whether i could talk about this to such whether i could talk about this to such a<00:00:20.320> vital<00:00:20.640> and<00:00:20.720> a<00:00:20.800> live<00:00:21.039> audience<00:00:21.439> as<00:00:21.520> you<00:00:21.680> guys a vital and a live audience as you guys a vital and a live audience as you guys but<00:00:23.359> then<00:00:23.519> i<00:00:23.680> remember<00:00:24.000> the<00:00:24.080> quote<00:00:24.240> from but then i remember the quote from but then i remember the quote from gloria<00:00:24.800> steinem<00:00:25.600> which<00:00:25.840> goes gloria steinem which goes gloria steinem which goes the<00:00:27.439> truth<00:00:27.680> will<00:00:27.840> set<00:00:28.000> you<00:00:28.160> free the truth will set you free the truth will set you free but<00:00:29.199> first<00:00:29.519> it<00:00:29.599> will<00:00:29.679> piss<00:00:30.000> you<00:00:30.160> off but first it will piss you off but first it will piss you off [Laughter] [Laughter] [Laughter] so

so<00:00:35.600> with<00:00:35.760> that<00:00:35.920> in<00:00:36.079> mind<00:00:36.320> i'm<00:00:36.480> going<00:00:36.559> to<00:00:36.719> set so with that in mind i'm going to set so with that in mind i'm going to set about<00:00:37.360> trying<00:00:37.520> to<00:00:37.600> do<00:00:37.760> those<00:00:38.000> things<00:00:38.320> here<00:00:39.040> and about trying to do those things here and about trying to do those things here and talk<00:00:39.440> about<00:00:39.600> dying<00:00:39.920> in<00:00:40.000> the<00:00:40.079> 21st<00:00:40.559> century<00:00:40.879> now talk about dying in the 21st century now talk about dying in the 21st century now the<00:00:41.360> first<00:00:41.600> thing<00:00:41.760> that<00:00:41.840> will<00:00:42.000> piss<00:00:42.239> you<00:00:42.399> off the first thing that will piss you off the first thing that will piss you off undoubtedly<00:00:43.200> is<00:00:43.360> that<00:00:43.600> all<00:00:43.760> of<00:00:44.000> us<00:00:44.480> are<00:00:44.719> in undoubtedly is that all of us are in undoubtedly is that all of us are in fact<00:00:45.120> going<00:00:45.280> to<00:00:45.440> die<00:00:45.840> in<00:00:46.000> the<00:00:46.079> 21st<00:00:46.559> century fact going to die in the 21st century fact going to die in the 21st century there<00:00:47.039> will<00:00:47.200> be<00:00:47.280> no<00:00:47.520> exceptions<00:00:48.000> to<00:00:48.160> that there will be no exceptions to that there will be no exceptions to that um<00:00:49.520> there<00:00:49.760> are<00:00:49.920> apparently<00:00:50.399> about<00:00:50.960> one<00:00:51.200> in um there are apparently about one in um there are apparently about one in eight<00:00:51.840> of<00:00:51.920> you<00:00:52.160> who<00:00:52.320> think<00:00:52.559> you're<00:00:52.719> immortal eight of you who think you're immortal eight of you who think you're immortal on<00:00:53.760> surveys<00:00:54.320> but

unfortunately<00:00:57.760> that<00:00:57.920> doesn't<00:00:58.320> this<00:00:58.559> isn't unfortunately that doesn't this isn't unfortunately that doesn't this isn't going<00:00:58.800> to<00:00:58.879> happen going to happen going to happen um um um while<00:01:01.600> i<00:01:01.680> give<00:01:01.920> this<00:01:02.079> talk<00:01:02.320> in<00:01:02.399> the<00:01:02.480> next<00:01:02.719> 10 while i give this talk in the next 10 while i give this talk in the next 10 minutes<00:01:03.199> 100<00:01:03.760> million<00:01:04.159> of<00:01:04.239> my<00:01:04.479> cells<00:01:04.879> will<00:01:05.040> die minutes 100 million of my cells will die minutes 100 million of my cells will die and<00:01:06.720> over<00:01:06.960> the<00:01:07.040> course<00:01:07.280> of<00:01:07.360> today<00:01:07.680> 2000<00:01:08.240> of<00:01:08.320> my and over the course of today 2000 of my and over the course of today 2000 of my brain<00:01:08.880> cells<00:01:09.200> will<00:01:09.360> die<00:01:09.600> and<00:01:09.680> never<00:01:09.920> come<00:01:10.240> back brain cells will die and never come back brain cells will die and never come back so<00:01:11.280> you<00:01:11.439> could<00:01:11.680> argue<00:01:11.920> that<00:01:12.080> the<00:01:12.159> dying so you could argue that the dying so you could argue that the dying process<00:01:13.040> starts<00:01:13.360> pretty<00:01:13.600> early<00:01:13.840> in<00:01:13.920> the<00:01:14.080> piece process starts pretty early in the piece process starts pretty early in the piece anyway<00:01:16.240> the<00:01:16.400> second<00:01:16.640> thing<00:01:16.799> i<00:01:16.880> want<00:01:16.960> to<00:01:17.040> say anyway the second thing i want to say anyway the second thing i want to say about<00:01:17.360> dying<00:01:17.600> in<00:01:17.680> the<00:01:17.759> 21st<00:01:18.159> century<00:01:18.479> apart about dying in the 21st century apart about dying in the 21st century apart from<00:01:18.720> what's<00:01:18.880> going<00:01:18.960> to<00:01:19.040> happen<00:01:19.200> to<00:01:19.360> everybody from what's going to happen to everybody from what's going to happen to everybody is<00:01:20.159> it's<00:01:20.560> shaping<00:01:20.960> up<00:01:21.040> to<00:01:21.200> be<00:01:21.280> a<00:01:21.360> bit<00:01:21.520> of<00:01:21.600> a is it's shaping up to be a bit of a is it's shaping up to be a bit of a train<00:01:22.000> wreck train wreck train wreck for<00:01:23.520> most<00:01:23.759> of<00:01:23.920> us for most of us for most of us unless<00:01:25.119> we<00:01:25.280> do<00:01:25.520> something<00:01:25.840> to<00:01:26.000> try<00:01:26.159> and unless we do something to try and unless we do something to try and reclaim<00:01:26.720> this<00:01:26.960> process<00:01:27.840> from<00:01:28.000> the<00:01:28.159> rather reclaim this process from the rather reclaim this process from the rather inexorable<00:01:29.040> trajectory<00:01:29.600> that<00:01:29.840> it's inexorable trajectory that it's inexorable trajectory that it's currently<00:01:30.400> on currently on currently on so<00:01:31.520> there<00:01:31.680> you<00:01:31.840> go<00:01:31.920> that's<00:01:32.159> the<00:01:32.320> truth<00:01:33.040> no so there you go that's the truth no so there you go that's the truth no doubt<00:01:33.439> that<00:01:33.600> will<00:01:33.680> piss<00:01:33.920> you<00:01:34.079> off<00:01:34.240> and<00:01:34.320> now doubt that will piss you off and now doubt that will piss you off and now let's<00:01:34.560> see<00:01:34.720> whether<00:01:34.960> we<00:01:35.040> can<00:01:35.200> set<00:01:35.360> you<00:01:35.520> free<00:01:35.759> i let's see whether we can set you free i let's see whether we can set you free i don't<00:01:36.400> promise<00:01:36.720> anything<00:01:37.600> now<00:01:37.840> as<00:01:38.000> you<00:01:38.079> heard don't promise anything now as you heard don't promise anything now as you heard in<00:01:38.320> the<00:01:38.479> intro<00:01:38.720> i<00:01:38.799> work<00:01:39.040> in<00:01:39.200> intensive<00:01:39.680> care in the intro i work in intensive care in the intro i work in intensive care and<00:01:41.360> i<00:01:41.520> think<00:01:41.680> i've<00:01:41.840> kind<00:01:42.000> of<00:01:42.159> lived<00:01:42.479> through and i think i've kind of lived through and i think i've kind of lived through the<00:01:42.880> heyday<00:01:43.360> of<00:01:43.439> intensive<00:01:43.920> care<00:01:44.159> this<00:01:44.320> has the heyday of intensive care this has the heyday of intensive care this has been<00:01:44.560> a<00:01:44.720> ride<00:01:45.119> man<00:01:45.280> this<00:01:45.520> has<00:01:45.600> been<00:01:45.840> fantastic been a ride man this has been fantastic been a ride man this has been fantastic we<00:01:46.640> have<00:01:46.799> machines<00:01:47.200> that<00:01:47.280> go<00:01:47.520> ping<00:01:47.920> there's we have machines that go ping there's we have machines that go ping there's many<00:01:48.399> of<00:01:48.479> them<00:01:48.720> up<00:01:48.880> there many of them up there many of them up there and<00:01:50.560> we<00:01:50.720> have<00:01:50.960> some<00:01:51.119> wizard<00:01:51.439> technology<00:01:52.079> which and we have some wizard technology which and we have some wizard technology which i<00:01:52.399> think<00:01:52.640> has<00:01:52.799> worked<00:01:53.119> really<00:01:53.439> well<00:01:54.320> and<00:01:54.560> over i think has worked really well and over i think has worked really well and over the<00:01:54.880> course<00:01:55.119> of<00:01:55.200> the<00:01:55.280> time<00:01:55.439> i've<00:01:55.600> worked<00:01:55.840> in the course of the time i've worked in the course of the time i've worked in intensive<00:01:56.479> care<00:01:56.720> the<00:01:56.960> death<00:01:57.200> rate<00:01:57.600> for<00:01:57.920> males intensive care the death rate for males intensive care the death rate for males in<00:01:58.399> australia<00:01:58.880> has<00:01:59.119> halved<00:01:59.600> and<00:01:59.759> intensive in australia has halved and intensive in australia has halved and intensive care<00:02:00.320> has<00:02:00.399> had<00:02:00.640> something<00:02:00.880> to<00:02:00.960> do<00:02:01.119> with<00:02:01.280> that care has had something to do with that care has had something to do with that certainly<00:02:01.759> a<00:02:01.840> lot<00:02:02.000> of<00:02:02.079> the<00:02:02.159> technologies<00:02:02.880> that certainly a lot of the technologies that certainly a lot of the technologies that we<00:02:03.119> use<00:02:03.439> have<00:02:03.600> got<00:02:03.759> something<00:02:04.000> to<00:02:04.079> do<00:02:04.240> with we use have got something to do with we use have got something to do with that that that so<00:02:05.680> we<00:02:05.840> have<00:02:06.000> had<00:02:06.320> tremendous<00:02:06.799> success<00:02:07.280> and<00:02:07.360> we so we have had tremendous success and we so we have had tremendous success and we we<00:02:07.920> kind<00:02:08.080> of<00:02:08.239> got<00:02:08.720> caught<00:02:09.039> up<00:02:09.200> in<00:02:09.360> our<00:02:09.520> own we kind of got caught up in our own we kind of got caught up in our own success<00:02:10.160> quite<00:02:10.319> a<00:02:10.399> bit<00:02:10.560> and<00:02:10.640> we<00:02:10.800> started<00:02:11.120> using success quite a bit and we started using success quite a bit and we started using expressions<00:02:11.920> like<00:02:12.560> life-saving expressions like life-saving expressions like life-saving i<00:02:14.160> really<00:02:14.400> apologize<00:02:14.959> to<00:02:15.120> everybody<00:02:15.520> for i really apologize to everybody for i really apologize to everybody for doing<00:02:15.920> that<00:02:16.160> because<00:02:16.480> obviously<00:02:16.879> we<00:02:17.040> don't doing that because obviously we don't doing that because obviously we don't what<00:02:17.599> we<00:02:17.680> do<00:02:17.920> is<00:02:18.400> prolong<00:02:18.800> people's<00:02:19.200> lives<00:02:19.680> and what we do is prolong people's lives and what we do is prolong people's lives and delay<00:02:20.959> death<00:02:22.000> and<00:02:22.319> redirect<00:02:22.959> death<00:02:23.200> but<00:02:23.360> we<00:02:23.760> we delay death and redirect death but we we delay death and redirect death but we we can't<00:02:24.160> strictly<00:02:24.560> speaking<00:02:25.040> save<00:02:25.360> lives<00:02:25.599> on can't strictly speaking save lives on can't strictly speaking save lives on any<00:02:25.920> sort<00:02:26.080> of<00:02:26.160> permanent<00:02:26.640> basis any sort of permanent basis any sort of permanent basis and<00:02:28.000> what's<00:02:28.239> really<00:02:28.480> happened<00:02:28.800> over<00:02:29.040> the and what's really happened over the and what's really happened over the period<00:02:29.440> of<00:02:29.520> time<00:02:29.760> that<00:02:29.840> i've<00:02:30.000> been<00:02:30.160> working<00:02:30.400> in period of time that i've been working in period of time that i've been working in intensive<00:02:31.040> care intensive care intensive care is<00:02:32.400> that<00:02:32.959> the<00:02:33.120> people<00:02:33.519> whose<00:02:33.840> lives<00:02:34.239> we is that the people whose lives we is that the people whose lives we started<00:02:34.879> saving<00:02:35.200> back<00:02:35.440> in<00:02:35.519> the<00:02:35.680> 70s<00:02:36.160> 80s<00:02:36.480> and started saving back in the 70s 80s and started saving back in the 70s 80s and 90s<00:02:37.440> are<00:02:37.599> now<00:02:37.920> coming<00:02:38.160> to<00:02:38.319> die<00:02:39.040> in<00:02:39.200> the<00:02:39.280> 21st 90s are now coming to die in the 21st 90s are now coming to die in the 21st century century century of<00:02:41.280> diseases<00:02:41.760> that<00:02:41.920> we<00:02:42.080> no<00:02:42.319> longer<00:02:42.800> have<00:02:43.040> the of diseases that we no longer have the of diseases that we no longer have the answers<00:02:43.680> to answers to answers to in<00:02:44.560> quite<00:02:44.800> the<00:02:44.879> way<00:02:45.040> we<00:02:45.200> did<00:02:45.440> then in quite the way we did then in quite the way we did then so<00:02:46.720> what's<00:02:46.959> happening<00:02:47.280> now<00:02:47.519> is<00:02:47.599> there's<00:02:47.760> been so what's happening now is there's been so what's happening now is there's been a<00:02:48.000> big<00:02:48.160> shift<00:02:48.400> in<00:02:48.560> the<00:02:48.640> way<00:02:48.800> that<00:02:48.959> people<00:02:49.280> die a big shift in the way that people die a big shift in the way that people die and<00:02:50.400> most<00:02:50.640> of<00:02:50.720> what<00:02:50.879> they're<00:02:51.040> dying<00:02:51.360> of<00:02:51.519> now and most of what they're dying of now and most of what they're dying of now isn't<00:02:52.160> as<00:02:52.319> amenable<00:02:53.200> to<00:02:53.360> what<00:02:53.599> we<00:02:53.760> can<00:02:54.000> do<00:02:54.480> as isn't as amenable to what we can do as isn't as amenable to what we can do as what<00:02:54.800> it<00:02:54.879> used<00:02:55.040> to<00:02:55.200> be<00:02:55.280> like<00:02:55.760> when<00:02:56.000> i<00:02:56.080> was<00:02:56.239> doing what it used to be like when i was doing what it used to be like when i was doing this<00:02:56.640> in<00:02:56.720> the<00:02:56.959> 80s<00:02:57.440> and<00:02:57.519> 90s this in the 80s and 90s this in the 80s and 90s so<00:03:00.000> we<00:03:00.160> kind<00:03:00.319> of<00:03:00.560> we<00:03:00.720> kind<00:03:00.879> of<00:03:00.959> got<00:03:01.120> a<00:03:01.200> bit so we kind of we kind of got a bit so we kind of we kind of got a bit caught<00:03:01.680> up<00:03:01.760> with<00:03:01.920> this<00:03:02.159> and<00:03:02.239> we<00:03:02.319> haven't caught up with this and we haven't caught up with this and we haven't really<00:03:02.879> squared<00:03:03.280> with<00:03:03.440> you<00:03:03.599> guys really squared with you guys really squared with you guys about<00:03:05.200> what's<00:03:05.440> really<00:03:05.680> happening<00:03:06.080> now<00:03:06.400> and about what's really happening now and about what's really happening now and it's<00:03:06.720> about<00:03:06.959> time<00:03:07.200> we<00:03:07.360> did

i<00:03:10.319> kind<00:03:10.480> of<00:03:10.560> woke<00:03:10.800> up<00:03:10.879> to<00:03:11.040> this<00:03:11.200> bit<00:03:11.680> in<00:03:11.920> the i kind of woke up to this bit in the i kind of woke up to this bit in the late<00:03:12.239> 90s<00:03:13.120> when<00:03:13.360> i<00:03:13.440> met<00:03:13.680> this<00:03:13.840> guy late 90s when i met this guy late 90s when i met this guy this<00:03:14.800> guy this guy this guy is<00:03:15.920> called<00:03:16.159> jim<00:03:16.400> jim<00:03:16.640> smith is called jim jim smith is called jim jim smith and<00:03:18.480> he<00:03:18.640> looked<00:03:18.800> like<00:03:18.959> this<00:03:19.200> i<00:03:19.280> was<00:03:19.360> called and he looked like this i was called and he looked like this i was called down<00:03:19.760> to<00:03:19.920> the<00:03:20.000> ward<00:03:20.640> to<00:03:20.800> see<00:03:21.040> him<00:03:21.360> his<00:03:21.680> is<00:03:21.760> the down to the ward to see him his is the down to the ward to see him his is the little<00:03:22.159> hand little hand little hand i<00:03:23.840> was<00:03:23.920> called<00:03:24.080> down<00:03:24.239> the<00:03:24.319> wall<00:03:24.560> to<00:03:24.640> see<00:03:24.800> him<00:03:24.959> by i was called down the wall to see him by i was called down the wall to see him by a<00:03:25.200> respiratory<00:03:25.760> physician<00:03:26.239> he<00:03:26.480> he<00:03:26.640> said<00:03:27.200> look a respiratory physician he he said look a respiratory physician he he said look there's<00:03:27.519> a<00:03:27.599> guy<00:03:27.840> down<00:03:28.080> here<00:03:28.239> he's<00:03:28.400> got there's a guy down here he's got there's a guy down here he's got pneumonia pneumonia pneumonia and<00:03:30.239> he<00:03:30.400> looks<00:03:30.560> like<00:03:30.720> he<00:03:30.879> needs<00:03:31.200> intensive and he looks like he needs intensive and he looks like he needs intensive care<00:03:32.319> his<00:03:32.560> daughter's<00:03:32.959> here<00:03:33.200> and<00:03:33.280> she<00:03:33.440> wants care his daughter's here and she wants care his daughter's here and she wants everything<00:03:34.159> possible<00:03:34.560> to<00:03:34.720> be<00:03:34.879> done everything possible to be done everything possible to be done which<00:03:37.120> is<00:03:37.200> a<00:03:37.280> familiar<00:03:37.760> phrase<00:03:38.239> to<00:03:38.640> to<00:03:38.879> us which is a familiar phrase to to us which is a familiar phrase to to us so<00:03:39.760> i<00:03:39.840> go<00:03:40.000> down<00:03:40.159> to<00:03:40.239> the<00:03:40.319> ward<00:03:40.480> and<00:03:40.640> see<00:03:40.879> gym<00:03:41.280> and so i go down to the ward and see gym and so i go down to the ward and see gym and his<00:03:41.599> skin<00:03:41.920> is<00:03:42.080> translucent<00:03:42.959> like<00:03:43.200> this<00:03:43.519> you his skin is translucent like this you his skin is translucent like this you can<00:03:43.840> see<00:03:44.000> his<00:03:44.159> bones<00:03:44.480> through<00:03:44.720> the<00:03:44.799> skin<00:03:45.440> he's can see his bones through the skin he's can see his bones through the skin he's very<00:03:46.000> very<00:03:46.319> thin very very thin very very thin and<00:03:47.280> he<00:03:47.360> is<00:03:47.519> indeed<00:03:48.319> very<00:03:48.799> very<00:03:49.040> sick<00:03:49.200> with and he is indeed very very sick with and he is indeed very very sick with pneumonia<00:03:50.480> and<00:03:50.640> he's<00:03:50.879> too<00:03:51.040> sick<00:03:51.280> to<00:03:51.360> talk<00:03:51.519> to pneumonia and he's too sick to talk to pneumonia and he's too sick to talk to me<00:03:51.760> so<00:03:51.920> i<00:03:52.000> talked<00:03:52.239> to<00:03:52.319> his<00:03:52.480> daughter<00:03:52.799> kathleen me so i talked to his daughter kathleen me so i talked to his daughter kathleen and<00:03:53.360> i<00:03:53.519> say<00:03:53.680> to<00:03:53.840> her

did<00:03:57.120> you<00:03:57.280> and<00:03:57.439> jim did you and jim did you and jim ever<00:03:58.560> talk<00:03:58.879> about<00:04:00.239> what<00:04:00.400> you<00:04:00.480> would<00:04:00.640> want<00:04:00.879> done ever talk about what you would want done ever talk about what you would want done if<00:04:01.920> he<00:04:02.080> ended<00:04:02.319> up<00:04:02.480> in<00:04:02.560> this<00:04:02.720> kind<00:04:02.879> of<00:04:02.959> situation if he ended up in this kind of situation if he ended up in this kind of situation and<00:04:03.760> she<00:04:03.840> looked<00:04:04.000> at<00:04:04.080> me<00:04:04.159> and<00:04:04.239> said<00:04:04.560> no<00:04:04.959> of and she looked at me and said no of and she looked at me and said no of course<00:04:05.360> not course not course not i<00:04:07.360> thought<00:04:07.599> okay i thought okay i thought okay take<00:04:08.959> this<00:04:09.120> steady<00:04:10.000> um take this steady um take this steady um and<00:04:12.400> i<00:04:12.720> got<00:04:12.879> talking<00:04:13.120> to<00:04:13.280> her<00:04:13.360> and<00:04:13.519> after<00:04:13.680> a and i got talking to her and after a and i got talking to her and after a while<00:04:13.920> she<00:04:14.080> said<00:04:14.239> to<00:04:14.319> me while she said to me while she said to me you<00:04:15.200> know<00:04:15.360> we<00:04:15.519> always<00:04:15.840> thought<00:04:16.079> there'd<00:04:16.320> be you know we always thought there'd be you know we always thought there'd be time time time jim<00:04:18.560> was<00:04:18.799> 94.

and<00:04:22.079> i<00:04:22.240> realized<00:04:22.560> that<00:04:22.720> something<00:04:23.040> wasn't and i realized that something wasn't and i realized that something wasn't happening<00:04:23.840> here<00:04:24.240> there<00:04:24.400> wasn't<00:04:24.720> this happening here there wasn't this happening here there wasn't this dialogue<00:04:25.440> going<00:04:25.759> on<00:04:26.000> that<00:04:26.160> i<00:04:26.320> imagined<00:04:26.800> was dialogue going on that i imagined was dialogue going on that i imagined was happening happening happening so so so a<00:04:29.520> group<00:04:29.759> of<00:04:29.840> us<00:04:30.080> started<00:04:30.320> doing<00:04:30.639> survey<00:04:31.120> work a group of us started doing survey work a group of us started doing survey work and<00:04:31.520> we<00:04:31.680> looked<00:04:31.919> at<00:04:32.080> four<00:04:32.240> and<00:04:32.400> a<00:04:32.479> half and we looked at four and a half and we looked at four and a half thousand<00:04:33.199> nursing<00:04:33.520> home<00:04:33.680> residents<00:04:34.240> in thousand nursing home residents in thousand nursing home residents in newcastle<00:04:35.360> in<00:04:35.520> the<00:04:35.600> newcastle<00:04:36.160> area<00:04:36.960> and newcastle in the newcastle area and newcastle in the newcastle area and discovered<00:04:37.600> that<00:04:37.759> only<00:04:38.000> one<00:04:38.240> in<00:04:38.320> a<00:04:38.400> hundred<00:04:38.720> of discovered that only one in a hundred of discovered that only one in a hundred of them them them had<00:04:40.000> a<00:04:40.080> plan<00:04:40.320> about<00:04:40.479> what<00:04:40.639> to<00:04:40.720> do<00:04:40.880> when<00:04:41.040> their had a plan about what to do when their had a plan about what to do when their heart<00:04:41.360> stopped<00:04:41.680> beating heart stopped beating heart stopped beating one<00:04:43.199> in<00:04:43.360> a<00:04:43.440> hundred one in a hundred one in a hundred and<00:04:44.560> only<00:04:44.720> one<00:04:44.880> in<00:04:45.120> 500<00:04:46.240> of<00:04:46.400> them<00:04:46.639> had<00:04:46.800> a<00:04:46.880> plan and only one in 500 of them had a plan and only one in 500 of them had a plan about<00:04:47.360> what<00:04:47.520> to<00:04:47.680> do<00:04:47.840> if<00:04:47.919> they<00:04:48.080> became about what to do if they became about what to do if they became seriously<00:04:49.040> ill seriously ill seriously ill i<00:04:50.960> realized<00:04:51.360> of<00:04:51.440> course i realized of course i realized of course this<00:04:53.120> dialogue<00:04:53.600> is<00:04:54.160> definitely<00:04:54.720> not this dialogue is definitely not this dialogue is definitely not occurring<00:04:55.680> in<00:04:55.759> the<00:04:55.919> public<00:04:56.400> at<00:04:56.560> large occurring in the public at large occurring in the public at large and<00:04:58.080> i<00:04:58.240> work<00:04:58.479> in<00:04:58.560> acute<00:04:59.040> care and i work in acute care and i work in acute care this<00:05:00.080> is<00:05:00.240> john<00:05:00.400> hunter<00:05:00.720> hospital this is john hunter hospital this is john hunter hospital and<00:05:02.000> i<00:05:02.080> thought<00:05:02.320> surely<00:05:02.639> we and i thought surely we and i thought surely we we<00:05:03.680> do<00:05:03.840> better<00:05:04.080> than<00:05:04.639> that we do better than that we do better than that so<00:05:06.320> a<00:05:06.479> colleague<00:05:06.880> of<00:05:06.960> mine<00:05:07.120> from<00:05:07.280> nursing so a colleague of mine from nursing so a colleague of mine from nursing called<00:05:07.840> lisa<00:05:08.080> shaw<00:05:08.400> and<00:05:08.479> i<00:05:08.639> went<00:05:08.880> through called lisa shaw and i went through called lisa shaw and i went through hundreds<00:05:09.759> and<00:05:09.919> hundreds<00:05:10.320> of<00:05:10.400> sets<00:05:10.720> of<00:05:10.800> notes hundreds and hundreds of sets of notes hundreds and hundreds of sets of notes in<00:05:11.199> the<00:05:11.360> medical<00:05:11.680> records<00:05:12.080> department in the medical records department in the medical records department looking<00:05:12.880> at<00:05:13.120> whether<00:05:13.360> there<00:05:13.520> was<00:05:13.680> any<00:05:13.919> sign<00:05:14.160> at looking at whether there was any sign at looking at whether there was any sign at all<00:05:14.960> that<00:05:15.199> anybody<00:05:15.680> had<00:05:15.919> any<00:05:16.240> had<00:05:16.479> any all that anybody had any had any all that anybody had any had any conversation<00:05:17.280> about<00:05:17.520> what<00:05:17.680> might<00:05:17.919> happen<00:05:18.160> to conversation about what might happen to conversation about what might happen to them<00:05:18.479> if<00:05:18.639> the<00:05:18.800> treatment<00:05:19.120> they<00:05:19.199> were them if the treatment they were them if the treatment they were receiving<00:05:19.759> was<00:05:19.919> unsuccessful<00:05:20.560> to<00:05:20.639> the<00:05:20.720> point receiving was unsuccessful to the point receiving was unsuccessful to the point that<00:05:21.039> they<00:05:21.120> would<00:05:21.280> die that they would die that they would die and<00:05:22.720> we<00:05:22.800> didn't<00:05:23.039> find<00:05:23.280> a<00:05:23.440> single<00:05:24.000> record<00:05:24.880> of and we didn't find a single record of and we didn't find a single record of any<00:05:25.360> preference<00:05:25.840> about<00:05:26.160> goals<00:05:26.639> treatments<00:05:27.600> or any preference about goals treatments or any preference about goals treatments or outcomes outcomes outcomes from<00:05:29.440> any<00:05:29.680> of<00:05:29.759> the<00:05:29.919> sets<00:05:30.160> of<00:05:30.320> notes<00:05:30.639> initiated from any of the sets of notes initiated from any of the sets of notes initiated by<00:05:31.360> a<00:05:31.440> doctor<00:05:31.840> or<00:05:32.000> by<00:05:32.160> a<00:05:32.320> patient by a doctor or by a patient by a doctor or by a patient so<00:05:34.160> we<00:05:34.400> started<00:05:34.639> to<00:05:34.800> realize so we started to realize so we started to realize that<00:05:36.720> we<00:05:36.800> had<00:05:36.960> a<00:05:37.120> problem that we had a problem that we had a problem and<00:05:38.880> the<00:05:39.280> problem and the problem and the problem is<00:05:40.800> more<00:05:41.039> serious<00:05:41.440> because<00:05:41.759> of<00:05:41.840> this is more serious because of this is more serious because of this what<00:05:44.080> we<00:05:44.240> know<00:05:44.479> is what we know is what we know is that<00:05:45.680> obviously<00:05:45.919> we<00:05:46.080> are<00:05:46.240> all<00:05:46.400> going<00:05:46.560> to<00:05:46.720> die that obviously we are all going to die that obviously we are all going to die but<00:05:47.360> how<00:05:47.600> we<00:05:47.759> die<00:05:48.000> is<00:05:48.160> actually<00:05:48.400> really but how we die is actually really but how we die is actually really important important important obviously<00:05:50.240> not<00:05:50.400> just<00:05:50.639> to<00:05:50.880> us<00:05:51.360> but<00:05:51.520> also<00:05:51.919> to<00:05:52.160> how obviously not just to us but also to how obviously not just to us but also to how that that that features<00:05:54.320> in<00:05:54.400> the<00:05:54.560> lives<00:05:54.800> of<00:05:54.960> all<00:05:55.039> the<00:05:55.199> people features in the lives of all the people features in the lives of all the people who<00:05:55.440> live<00:05:55.680> on<00:05:55.840> afterwards<00:05:56.800> how<00:05:57.039> we<00:05:57.280> die<00:05:57.759> lives who live on afterwards how we die lives who live on afterwards how we die lives on<00:05:58.240> in<00:05:58.320> the<00:05:58.400> minds<00:05:58.720> of<00:05:58.800> everybody<00:05:59.120> who on in the minds of everybody who on in the minds of everybody who survives<00:05:59.840> us survives us survives us and and and the<00:06:02.400> stress the stress the stress created<00:06:04.000> in<00:06:04.080> families<00:06:04.479> by<00:06:04.720> dying<00:06:05.039> is<00:06:05.199> enormous created in families by dying is enormous created in families by dying is enormous and<00:06:06.240> in<00:06:06.400> fact<00:06:06.560> you<00:06:06.639> get<00:06:06.960> seven<00:06:07.280> times<00:06:07.520> as<00:06:07.600> much and in fact you get seven times as much and in fact you get seven times as much stress<00:06:08.080> by<00:06:08.319> dying<00:06:08.560> in<00:06:08.720> intensive<00:06:09.120> care<00:06:09.520> as<00:06:09.759> by stress by dying in intensive care as by stress by dying in intensive care as by dying<00:06:10.160> just<00:06:10.319> about<00:06:10.479> anywhere<00:06:10.880> else<00:06:10.960> so<00:06:11.120> dying dying just about anywhere else so dying dying just about anywhere else so dying in<00:06:11.440> intensive<00:06:11.759> care<00:06:12.000> is<00:06:12.160> not<00:06:12.319> your<00:06:12.479> top<00:06:12.720> option in intensive care is not your top option in intensive care is not your top option if<00:06:14.319> if<00:06:14.479> you've<00:06:14.639> got<00:06:14.800> a<00:06:14.880> choice if if you've got a choice if if you've got a choice and<00:06:17.120> if<00:06:17.440> that<00:06:17.600> wasn't<00:06:17.759> bad<00:06:18.000> enough<00:06:18.319> of<00:06:18.400> course and if that wasn't bad enough of course and if that wasn't bad enough of course all<00:06:19.039> of<00:06:19.120> this all of this all of this is<00:06:20.000> rapidly<00:06:20.400> progressing<00:06:20.800> towards<00:06:21.199> the<00:06:21.280> fact is rapidly progressing towards the fact is rapidly progressing towards the fact that<00:06:21.600> many<00:06:21.840> of<00:06:22.000> you<00:06:22.160> in<00:06:22.319> fact<00:06:22.560> about<00:06:22.720> one<00:06:22.880> in<00:06:22.960> 10 that many of you in fact about one in 10 that many of you in fact about one in 10 of<00:06:23.280> you<00:06:23.440> at<00:06:23.520> this<00:06:23.680> point<00:06:23.919> will<00:06:24.080> die<00:06:24.240> in of you at this point will die in of you at this point will die in intensive<00:06:24.880> care<00:06:25.440> in<00:06:25.600> the<00:06:25.680> us<00:06:26.000> it's<00:06:26.160> one<00:06:26.319> in intensive care in the us it's one in intensive care in the us it's one in five<00:06:26.880> in<00:06:26.960> miami<00:06:27.440> it's<00:06:27.680> three<00:06:27.919> out<00:06:28.080> of<00:06:28.319> five five in miami it's three out of five five in miami it's three out of five people<00:06:28.880> die<00:06:29.120> in<00:06:29.280> intensive<00:06:29.759> care<00:06:30.319> so<00:06:30.479> this<00:06:30.639> is people die in intensive care so this is people die in intensive care so this is the<00:06:30.880> sort<00:06:31.039> of<00:06:31.120> momentum the sort of momentum the sort of momentum that<00:06:32.560> we've<00:06:32.800> got<00:06:33.120> at<00:06:33.199> the<00:06:33.360> moment that we've got at the moment that we've got at the moment the<00:06:34.960> reason<00:06:35.360> why<00:06:35.600> this<00:06:35.759> is<00:06:35.919> all<00:06:36.000> happening<00:06:36.400> is the reason why this is all happening is the reason why this is all happening is due<00:06:36.720> to<00:06:36.880> this<00:06:37.120> and<00:06:37.199> i<00:06:37.280> do<00:06:37.440> have<00:06:37.600> to<00:06:37.680> take<00:06:37.840> you due to this and i do have to take you due to this and i do have to take you through<00:06:38.160> what<00:06:38.319> this<00:06:38.479> is<00:06:38.560> about<00:06:38.880> these<00:06:39.039> are<00:06:39.120> the through what this is about these are the through what this is about these are the four<00:06:39.520> ways<00:06:39.759> to<00:06:39.919> go<00:06:40.560> so<00:06:40.720> one<00:06:40.880> of<00:06:40.960> these<00:06:41.120> will four ways to go so one of these will four ways to go so one of these will happen<00:06:41.440> to<00:06:41.600> all<00:06:41.759> of<00:06:41.919> us happen to all of us happen to all of us the<00:06:43.600> ones<00:06:43.919> you<00:06:44.160> may<00:06:44.400> know<00:06:44.639> most<00:06:44.880> about<00:06:45.600> are<00:06:45.759> the the ones you may know most about are the the ones you may know most about are the ones<00:06:46.240> that<00:06:46.479> are<00:06:46.639> becoming<00:06:47.039> increasingly<00:06:47.600> of ones that are becoming increasingly of ones that are becoming increasingly of historical<00:06:48.319> interest<00:06:48.720> sudden<00:06:49.039> death historical interest sudden death historical interest sudden death it's<00:06:50.639> quite<00:06:50.800> likely<00:06:51.039> in<00:06:51.199> an<00:06:51.280> audience<00:06:51.600> this it's quite likely in an audience this it's quite likely in an audience this size<00:06:52.000> this<00:06:52.160> won't<00:06:52.400> happen<00:06:52.639> to<00:06:52.800> anybody<00:06:53.280> here size this won't happen to anybody here size this won't happen to anybody here sudden<00:06:54.720> death<00:06:54.960> has<00:06:55.120> become<00:06:55.440> very<00:06:55.680> rare<00:06:56.000> the sudden death has become very rare the sudden death has become very rare the death<00:06:56.319> of<00:06:56.400> little<00:06:56.720> nail<00:06:56.960> and<00:06:57.120> cordelia<00:06:57.759> and death of little nail and cordelia and death of little nail and cordelia and all<00:06:57.919> that<00:06:58.080> sort<00:06:58.240> of<00:06:58.319> stuff<00:06:58.560> just<00:06:58.720> doesn't all that sort of stuff just doesn't all that sort of stuff just doesn't happen<00:06:59.280> anymore<00:07:00.080> the<00:07:00.240> dying<00:07:00.639> process<00:07:01.120> of happen anymore the dying process of happen anymore the dying process of those<00:07:01.440> with<00:07:01.599> terminal<00:07:02.000> illness<00:07:02.319> that<00:07:02.400> we've those with terminal illness that we've those with terminal illness that we've just<00:07:02.880> seen just seen just seen occurs<00:07:04.000> to<00:07:04.240> younger<00:07:04.560> people<00:07:05.120> by<00:07:05.360> the<00:07:05.440> time occurs to younger people by the time occurs to younger people by the time you've<00:07:05.759> reached<00:07:06.080> 80<00:07:06.400> this<00:07:06.639> is<00:07:06.720> unlikely<00:07:07.199> to you've reached 80 this is unlikely to you've reached 80 this is unlikely to happen<00:07:07.599> to<00:07:07.680> you<00:07:07.840> only<00:07:08.080> one<00:07:08.240> in<00:07:08.319> 10<00:07:08.560> people<00:07:09.120> who happen to you only one in 10 people who happen to you only one in 10 people who are<00:07:09.440> over<00:07:09.680> 80<00:07:10.000> will<00:07:10.080> die<00:07:10.319> of<00:07:10.479> cancer are over 80 will die of cancer are over 80 will die of cancer the<00:07:12.319> big<00:07:12.560> growth<00:07:12.880> industry<00:07:13.360> are<00:07:13.440> these the big growth industry are these the big growth industry are these what<00:07:16.479> you<00:07:16.639> die<00:07:16.880> of<00:07:17.280> is<00:07:17.599> increasing<00:07:18.000> organ what you die of is increasing organ what you die of is increasing organ failure<00:07:19.280> with<00:07:19.520> your<00:07:19.680> respiratory<00:07:20.400> cardiac failure with your respiratory cardiac failure with your respiratory cardiac renal<00:07:21.840> whatever<00:07:22.319> organs<00:07:22.720> packing<00:07:23.039> up<00:07:23.199> each<00:07:23.360> of renal whatever organs packing up each of renal whatever organs packing up each of these<00:07:23.599> would<00:07:23.759> be<00:07:23.840> an<00:07:24.000> admission<00:07:24.319> to<00:07:24.479> an<00:07:24.560> acute these would be an admission to an acute these would be an admission to an acute care<00:07:25.120> hospital care hospital care hospital at<00:07:26.160> the<00:07:26.319> end<00:07:26.400> of<00:07:26.560> which<00:07:26.800> or<00:07:26.960> at<00:07:27.120> some<00:07:27.360> point at the end of which or at some point at the end of which or at some point during<00:07:27.840> which<00:07:28.000> somebody<00:07:28.319> says<00:07:28.479> enough<00:07:28.800> is during which somebody says enough is during which somebody says enough is enough<00:07:29.360> and<00:07:29.520> we<00:07:29.680> stop enough and we stop enough and we stop and<00:07:30.960> this<00:07:31.120> one's<00:07:31.360> the<00:07:31.440> biggest<00:07:31.680> growth and this one's the biggest growth and this one's the biggest growth industry<00:07:32.400> of<00:07:32.560> all<00:07:32.880> and<00:07:33.199> at<00:07:33.440> least<00:07:33.840> six<00:07:34.160> out<00:07:34.319> of industry of all and at least six out of industry of all and at least six out of ten<00:07:34.639> of<00:07:34.720> the<00:07:34.800> people<00:07:35.039> in<00:07:35.120> this<00:07:35.280> room<00:07:35.520> will<00:07:35.680> die ten of the people in this room will die ten of the people in this room will die this<00:07:36.160> form this form this form which<00:07:37.520> is which is which is the<00:07:38.639> dwindling the dwindling the dwindling of of of capacity<00:07:42.160> with<00:07:42.479> increasing<00:07:43.039> frailty<00:07:44.000> and capacity with increasing frailty and capacity with increasing frailty and frailty<00:07:44.639> is<00:07:44.720> an<00:07:44.800> inevitable<00:07:45.280> part<00:07:45.520> of<00:07:45.680> aging frailty is an inevitable part of aging frailty is an inevitable part of aging and<00:07:46.560> increasing<00:07:46.960> frailty<00:07:47.680> is<00:07:47.840> in<00:07:48.000> fact<00:07:48.160> the and increasing frailty is in fact the and increasing frailty is in fact the main<00:07:48.639> thing<00:07:48.800> that<00:07:48.960> people<00:07:49.199> die<00:07:49.440> of<00:07:49.599> now<00:07:50.240> and main thing that people die of now and main thing that people die of now and the<00:07:50.560> last<00:07:50.800> few<00:07:51.120> years<00:07:51.440> or<00:07:51.599> last<00:07:51.840> year<00:07:52.080> of<00:07:52.160> your the last few years or last year of your the last few years or last year of your life<00:07:52.560> is<00:07:52.720> spent<00:07:52.880> with<00:07:53.039> a<00:07:53.120> great<00:07:53.280> deal<00:07:53.440> of life is spent with a great deal of life is spent with a great deal of disability<00:07:54.160> unfortunately disability unfortunately disability unfortunately enjoying<00:07:57.120> it<00:07:57.199> so<00:07:57.360> far

sorry<00:08:02.960> i<00:08:03.039> just<00:08:03.199> feel<00:08:03.440> such<00:08:03.680> a sorry i just feel such a sorry i just feel such a i<00:08:04.800> feel<00:08:05.039> such<00:08:05.280> a<00:08:05.360> cassandra<00:08:05.919> here<00:08:06.560> um

what<00:08:11.199> can<00:08:11.280> i<00:08:11.360> say<00:08:11.520> that's<00:08:11.599> positive<00:08:12.000> what's what can i say that's positive what's what can i say that's positive what's positive<00:08:12.560> is<00:08:12.639> that<00:08:12.720> this<00:08:12.879> is<00:08:13.120> happening<00:08:13.360> at positive is that this is happening at positive is that this is happening at very<00:08:13.759> great<00:08:14.000> age<00:08:14.319> now<00:08:14.639> we<00:08:14.800> are<00:08:15.039> we<00:08:15.199> are<00:08:15.360> all very great age now we are we are all very great age now we are we are all most<00:08:15.919> of<00:08:16.000> us<00:08:16.160> living<00:08:16.479> to<00:08:16.879> to<00:08:17.039> reach<00:08:17.280> this<00:08:17.520> point most of us living to to reach this point most of us living to to reach this point you<00:08:18.000> know<00:08:18.160> historically<00:08:18.800> we<00:08:18.879> didn't<00:08:19.120> do<00:08:19.280> that you know historically we didn't do that you know historically we didn't do that this<00:08:19.680> is<00:08:19.759> what<00:08:19.919> happens<00:08:20.319> to<00:08:20.479> you<00:08:21.120> when<00:08:21.280> you this is what happens to you when you this is what happens to you when you live<00:08:21.520> to<00:08:21.680> be<00:08:21.840> a<00:08:21.919> great<00:08:22.240> age live to be a great age live to be a great age and<00:08:23.440> unfortunately<00:08:23.919> increasing<00:08:24.400> longevity and unfortunately increasing longevity and unfortunately increasing longevity does<00:08:25.120> mean<00:08:25.360> more<00:08:25.680> old<00:08:25.919> age<00:08:26.319> not<00:08:26.479> more<00:08:26.720> youth does mean more old age not more youth does mean more old age not more youth i'm<00:08:27.440> sorry<00:08:27.680> to<00:08:27.919> say<00:08:28.080> that i'm sorry to say that i'm sorry to say that um

what<00:08:33.919> we<00:08:34.080> did<00:08:34.240> anyway<00:08:34.560> look<00:08:34.719> what<00:08:34.880> we<00:08:35.039> did<00:08:35.279> we what we did anyway look what we did we what we did anyway look what we did we didn't<00:08:35.760> just<00:08:35.919> take<00:08:36.080> this<00:08:36.320> lying<00:08:36.560> down<00:08:36.880> at<00:08:37.039> john didn't just take this lying down at john didn't just take this lying down at john hunter<00:08:37.519> hospital<00:08:37.839> and<00:08:38.000> elsewhere<00:08:38.320> we've hunter hospital and elsewhere we've hunter hospital and elsewhere we've started<00:08:38.800> a<00:08:38.880> whole<00:08:39.120> series<00:08:39.440> of<00:08:39.519> projects<00:08:40.000> to started a whole series of projects to started a whole series of projects to try<00:08:40.320> and<00:08:40.399> look<00:08:40.560> about<00:08:40.800> whether<00:08:41.039> we<00:08:41.200> could<00:08:41.680> in try and look about whether we could in try and look about whether we could in fact<00:08:42.159> involve<00:08:42.640> people<00:08:42.959> much<00:08:43.200> more<00:08:43.440> in<00:08:43.599> the<00:08:43.680> way fact involve people much more in the way fact involve people much more in the way that<00:08:44.240> in<00:08:44.320> the<00:08:44.480> way<00:08:44.640> that<00:08:44.800> things<00:08:45.040> happen<00:08:45.279> to that in the way that things happen to that in the way that things happen to them<00:08:46.080> but<00:08:46.320> we<00:08:46.399> realize<00:08:46.720> of<00:08:46.800> course<00:08:47.040> that<00:08:47.120> we them but we realize of course that we them but we realize of course that we are<00:08:47.440> dealing<00:08:47.680> with<00:08:47.920> cultural<00:08:48.320> issues are dealing with cultural issues are dealing with cultural issues um<00:08:49.600> and<00:08:49.760> this<00:08:49.920> is<00:08:50.080> i<00:08:50.480> love<00:08:50.640> this<00:08:50.880> climped um and this is i love this climped um and this is i love this climped painting<00:08:51.600> because<00:08:51.839> if<00:08:52.080> the<00:08:52.160> more<00:08:52.399> you<00:08:52.480> look<00:08:52.640> at painting because if the more you look at painting because if the more you look at it<00:08:52.880> the<00:08:53.040> more<00:08:53.200> you<00:08:53.360> kind<00:08:53.519> of<00:08:53.680> get<00:08:53.920> the<00:08:54.000> whole it the more you kind of get the whole it the more you kind of get the whole issue<00:08:54.640> that's<00:08:54.880> going<00:08:55.120> on<00:08:55.279> here<00:08:55.760> which<00:08:56.000> is issue that's going on here which is issue that's going on here which is clearly<00:08:56.480> the<00:08:56.560> death<00:08:56.959> the<00:08:57.360> separation<00:08:58.000> of clearly the death the separation of clearly the death the separation of death<00:08:58.480> from<00:08:58.640> the<00:08:58.800> living<00:08:59.360> and<00:08:59.519> the<00:08:59.680> fear<00:08:59.920> like death from the living and the fear like death from the living and the fear like if<00:09:00.240> you<00:09:00.399> actually<00:09:00.720> look<00:09:01.120> there's<00:09:01.360> one<00:09:01.600> woman if you actually look there's one woman if you actually look there's one woman there there there who<00:09:02.880> has<00:09:03.120> her<00:09:03.279> eyes<00:09:03.600> open<00:09:04.240> she's<00:09:04.560> the<00:09:04.640> one<00:09:04.800> he's who has her eyes open she's the one he's who has her eyes open she's the one he's looking<00:09:05.279> at looking at looking at and<00:09:06.320> he's<00:09:06.560> the<00:09:06.640> one<00:09:06.880> he's<00:09:07.040> coming<00:09:07.360> for<00:09:07.600> can<00:09:07.760> you and he's the one he's coming for can you and he's the one he's coming for can you see<00:09:08.080> that see that see that she<00:09:09.360> looks<00:09:09.600> terrified she looks terrified she looks terrified it's<00:09:11.200> an<00:09:11.360> amazing<00:09:11.839> picture<00:09:12.399> anyway<00:09:13.040> we<00:09:13.200> had<00:09:13.440> a it's an amazing picture anyway we had a it's an amazing picture anyway we had a major<00:09:13.839> cultural<00:09:14.240> issue<00:09:14.560> clearly<00:09:14.800> people major cultural issue clearly people major cultural issue clearly people didn't<00:09:15.279> want<00:09:15.519> us<00:09:15.600> to<00:09:15.760> talk<00:09:16.000> about<00:09:16.240> death<00:09:16.560> oh<00:09:16.640> we didn't want us to talk about death oh we didn't want us to talk about death oh we thought<00:09:17.120> that thought that thought that so<00:09:18.080> with<00:09:18.240> loads<00:09:18.480> of<00:09:18.560> funding<00:09:18.959> from<00:09:19.120> the so with loads of funding from the so with loads of funding from the federal<00:09:19.519> government<00:09:19.839> and<00:09:20.000> the<00:09:20.080> local<00:09:20.320> health federal government and the local health federal government and the local health service<00:09:20.880> we<00:09:20.959> introduced<00:09:21.360> the<00:09:21.440> thing<00:09:21.600> that service we introduced the thing that service we introduced the thing that john<00:09:21.920> hunter<00:09:22.240> called<00:09:22.399> respecting<00:09:22.959> patient john hunter called respecting patient john hunter called respecting patient choices<00:09:24.399> we<00:09:24.640> trained<00:09:24.959> hundreds<00:09:25.360> of<00:09:25.440> people choices we trained hundreds of people choices we trained hundreds of people to<00:09:26.880> go<00:09:27.040> to<00:09:27.200> the<00:09:27.360> wards<00:09:27.760> and<00:09:28.000> talk<00:09:28.160> to<00:09:28.320> people to go to the wards and talk to people to go to the wards and talk to people about<00:09:29.040> the<00:09:29.440> fact<00:09:29.680> that<00:09:29.839> they<00:09:30.000> would<00:09:30.160> die<00:09:30.560> and about the fact that they would die and about the fact that they would die and what<00:09:31.040> would<00:09:31.200> they<00:09:31.360> prefer<00:09:31.760> under<00:09:31.920> those what would they prefer under those what would they prefer under those circumstances<00:09:33.200> they<00:09:33.440> loved<00:09:33.760> it<00:09:34.080> the<00:09:34.240> families circumstances they loved it the families circumstances they loved it the families and<00:09:34.800> the<00:09:34.880> patients<00:09:35.279> they<00:09:35.519> loved<00:09:35.760> it and the patients they loved it and the patients they loved it nine<00:09:36.880> uh<00:09:37.200> 98<00:09:38.000> of<00:09:38.080> people<00:09:38.399> really<00:09:38.640> thought<00:09:38.800> this nine uh 98 of people really thought this nine uh 98 of people really thought this just<00:09:39.200> should<00:09:39.360> be<00:09:39.519> normal<00:09:39.839> practice<00:09:40.240> and<00:09:40.320> that just should be normal practice and that just should be normal practice and that this<00:09:40.560> is<00:09:40.640> how<00:09:40.880> things<00:09:41.120> should<00:09:41.279> work this is how things should work this is how things should work and<00:09:43.519> when<00:09:43.680> they<00:09:43.920> express<00:09:44.240> wishes<00:09:44.640> all<00:09:44.720> of and when they express wishes all of and when they express wishes all of those<00:09:44.959> wishes<00:09:45.279> came<00:09:45.519> true<00:09:45.920> as<00:09:46.080> it<00:09:46.160> were<00:09:46.399> we those wishes came true as it were we those wishes came true as it were we were<00:09:46.720> able<00:09:46.959> to<00:09:47.040> make<00:09:47.200> that<00:09:47.360> happen<00:09:47.600> for<00:09:47.760> them were able to make that happen for them were able to make that happen for them but<00:09:49.600> then<00:09:49.760> when<00:09:49.920> the<00:09:50.000> funding<00:09:50.320> ran<00:09:50.560> out<00:09:51.040> we but then when the funding ran out we but then when the funding ran out we went<00:09:51.360> back<00:09:51.600> to<00:09:51.680> look<00:09:51.920> six<00:09:52.080> months<00:09:52.399> later<00:09:52.880> and went back to look six months later and went back to look six months later and everybody<00:09:53.519> had<00:09:53.680> stopped<00:09:54.000> again everybody had stopped again everybody had stopped again and and and nobody<00:09:56.320> was<00:09:56.480> having<00:09:56.640> these<00:09:56.800> conversations nobody was having these conversations nobody was having these conversations anymore<00:09:58.320> so<00:09:58.560> that<00:09:58.640> was<00:09:58.880> really<00:09:59.040> kind<00:09:59.200> of anymore so that was really kind of anymore so that was really kind of heartbreaking<00:09:59.920> for<00:10:00.080> us<00:10:00.240> because<00:10:00.399> we<00:10:00.560> thought heartbreaking for us because we thought heartbreaking for us because we thought this<00:10:00.959> was<00:10:01.120> going<00:10:01.360> to<00:10:01.920> really<00:10:02.160> take<00:10:02.480> off this was going to really take off this was going to really take off the<00:10:03.440> cultural<00:10:04.000> issue<00:10:04.320> had<00:10:04.480> reasserted<00:10:05.200> itself the cultural issue had reasserted itself the cultural issue had reasserted itself so<00:10:07.519> here's<00:10:07.760> the<00:10:07.839> pitch<00:10:08.160> i<00:10:08.240> think<00:10:08.480> it's so here's the pitch i think it's so here's the pitch i think it's important important important that<00:10:10.720> we<00:10:10.880> don't<00:10:11.120> just<00:10:11.360> get<00:10:11.519> on<00:10:11.680> this<00:10:11.920> freeway that we don't just get on this freeway that we don't just get on this freeway to<00:10:12.560> icu<00:10:13.279> without<00:10:13.680> thinking<00:10:14.079> hard<00:10:14.320> about to icu without thinking hard about to icu without thinking hard about whether<00:10:14.800> or<00:10:14.880> not<00:10:15.040> that's<00:10:15.279> where<00:10:15.440> we<00:10:15.600> all<00:10:15.760> want whether or not that's where we all want whether or not that's where we all want to<00:10:16.079> end<00:10:16.240> up<00:10:16.399> particularly<00:10:16.800> as<00:10:16.959> we<00:10:17.040> come<00:10:17.440> older to end up particularly as we come older to end up particularly as we come older and<00:10:17.920> increasingly<00:10:18.480> frail<00:10:19.120> and<00:10:19.279> icu<00:10:19.839> has<00:10:20.079> less and increasingly frail and icu has less and increasingly frail and icu has less and<00:10:20.560> less<00:10:20.800> and<00:10:20.959> less<00:10:21.200> to<00:10:21.440> offer<00:10:21.760> us and less and less to offer us and less and less to offer us there<00:10:22.640> has<00:10:22.800> to<00:10:22.880> be<00:10:23.040> a<00:10:23.120> little<00:10:23.839> side<00:10:24.160> road there has to be a little side road there has to be a little side road off<00:10:26.000> there<00:10:26.480> for<00:10:26.640> people<00:10:26.800> who<00:10:26.959> don't<00:10:27.200> want<00:10:27.360> to off there for people who don't want to off there for people who don't want to go<00:10:27.600> on<00:10:27.680> that<00:10:27.920> track go on that track go on that track and<00:10:29.279> i<00:10:29.440> have and i have and i have one<00:10:30.959> small<00:10:31.360> idea<00:10:32.240> and one small idea and one small idea and uh<00:10:33.440> one<00:10:33.760> big<00:10:34.000> idea<00:10:34.399> about<00:10:34.640> what<00:10:35.200> could<00:10:35.440> happen uh one big idea about what could happen uh one big idea about what could happen and<00:10:36.560> this<00:10:36.720> is<00:10:36.880> a<00:10:36.959> small<00:10:37.360> idea<00:10:37.600> the<00:10:37.760> small<00:10:37.920> idea and this is a small idea the small idea and this is a small idea the small idea is<00:10:38.399> let's<00:10:38.560> all<00:10:38.800> of<00:10:38.959> us is let's all of us is let's all of us engage<00:10:40.720> with<00:10:40.959> more<00:10:41.200> with<00:10:41.440> this<00:10:42.000> in<00:10:42.079> the<00:10:42.240> way engage with more with this in the way engage with more with this in the way that<00:10:42.560> jason<00:10:42.959> has<00:10:43.120> illustrated<00:10:43.920> why<00:10:44.160> can't<00:10:44.399> we that jason has illustrated why can't we that jason has illustrated why can't we have<00:10:44.880> these<00:10:45.040> kinds<00:10:45.279> of<00:10:45.360> conversations<00:10:46.079> with have these kinds of conversations with have these kinds of conversations with our<00:10:46.480> own<00:10:46.640> elders our own elders our own elders and<00:10:47.839> people<00:10:48.160> who<00:10:48.320> might<00:10:48.480> be<00:10:48.640> approaching<00:10:49.120> this and people who might be approaching this and people who might be approaching this there<00:10:50.800> are<00:10:50.880> a<00:10:50.959> couple<00:10:51.120> of<00:10:51.200> things<00:10:51.440> you<00:10:51.519> can<00:10:51.600> do there are a couple of things you can do there are a couple of things you can do one<00:10:52.000> of<00:10:52.079> them<00:10:52.240> is<00:10:52.720> um<00:10:53.200> you<00:10:53.279> can one of them is um you can one of them is um you can er<00:10:54.800> just<00:10:54.959> ask<00:10:55.200> this<00:10:55.279> simple<00:10:55.600> question<00:10:55.920> this er just ask this simple question this er just ask this simple question this this<00:10:56.320> question<00:10:56.640> never<00:10:56.880> fails this question never fails this question never fails in<00:10:57.920> the<00:10:58.079> event<00:10:58.320> that<00:10:58.480> you<00:10:58.640> became<00:10:58.959> too<00:10:59.200> sick<00:10:59.440> to in the event that you became too sick to in the event that you became too sick to speak<00:10:59.920> for<00:11:00.079> yourself<00:11:00.880> who<00:11:01.040> would<00:11:01.200> you<00:11:01.279> like<00:11:01.519> to speak for yourself who would you like to speak for yourself who would you like to speak<00:11:01.920> for<00:11:02.160> you speak for you speak for you that's<00:11:03.839> a<00:11:04.000> really<00:11:04.240> important<00:11:04.640> question<00:11:04.959> to that's a really important question to that's a really important question to ask<00:11:05.360> people<00:11:05.680> because<00:11:06.000> giving<00:11:06.320> people<00:11:06.560> the ask people because giving people the ask people because giving people the control<00:11:07.120> over<00:11:07.279> who<00:11:07.519> that<00:11:07.680> is control over who that is control over who that is produces<00:11:08.959> an<00:11:09.040> amazing<00:11:10.000> outcome<00:11:10.959> the<00:11:11.120> second produces an amazing outcome the second produces an amazing outcome the second thing<00:11:11.519> you<00:11:11.600> can<00:11:11.760> say<00:11:11.920> is<00:11:12.079> have<00:11:12.320> you<00:11:12.480> spoken<00:11:12.880> to thing you can say is have you spoken to thing you can say is have you spoken to that<00:11:13.200> person<00:11:13.760> about<00:11:14.079> the<00:11:14.160> things<00:11:14.399> that<00:11:14.560> are that person about the things that are that person about the things that are important<00:11:15.120> to<00:11:15.279> you<00:11:15.680> so<00:11:15.839> that<00:11:16.000> we<00:11:16.079> can<00:11:16.480> got<00:11:16.640> a important to you so that we can got a important to you so that we can got a better<00:11:17.040> idea<00:11:17.760> of<00:11:17.920> what<00:11:18.079> it<00:11:18.240> is<00:11:18.320> we<00:11:18.480> can<00:11:18.640> do better idea of what it is we can do better idea of what it is we can do so<00:11:19.839> that's<00:11:20.160> a<00:11:20.240> little<00:11:20.560> idea so that's a little idea so that's a little idea the<00:11:22.240> big<00:11:22.480> idea<00:11:22.800> i<00:11:22.880> think<00:11:23.040> is<00:11:23.120> more<00:11:23.279> political<00:11:23.680> i the big idea i think is more political i the big idea i think is more political i think<00:11:23.920> we<00:11:24.079> have<00:11:24.160> to<00:11:24.320> get<00:11:24.480> onto<00:11:24.800> this<00:11:25.519> i<00:11:25.680> i think we have to get onto this i i think we have to get onto this i i suggested<00:11:26.560> we<00:11:26.640> should<00:11:26.800> have<00:11:26.959> occupied<00:11:27.519> death

my<00:11:31.680> wife<00:11:31.920> said<00:11:32.240> i<00:11:32.480> said<00:11:32.640> rio<00:11:32.959> right<00:11:33.279> sitting's my wife said i said rio right sitting's my wife said i said rio right sitting's in<00:11:33.680> the<00:11:33.839> mortuary<00:11:34.320> yeah<00:11:34.480> yeah<00:11:34.800> sure in the mortuary yeah yeah sure in the mortuary yeah yeah sure so<00:11:37.200> that<00:11:37.600> one<00:11:37.760> didn't<00:11:38.000> really<00:11:38.240> run<00:11:38.480> but<00:11:38.640> i<00:11:38.720> did so that one didn't really run but i did so that one didn't really run but i did i<00:11:39.200> was<00:11:39.440> very<00:11:39.600> struck<00:11:39.839> by<00:11:40.000> this<00:11:40.160> now<00:11:40.560> i'm<00:11:40.720> in i was very struck by this now i'm in i was very struck by this now i'm in aging<00:11:41.200> hippie<00:11:41.600> is<00:11:41.680> i<00:11:41.920> don't<00:11:42.000> know<00:11:42.160> i<00:11:42.240> don't aging hippie is i don't know i don't aging hippie is i don't know i don't think<00:11:42.480> i<00:11:42.560> look<00:11:42.720> like<00:11:42.880> that<00:11:43.040> anymore<00:11:43.440> but<00:11:44.000> um<00:11:44.240> i think i look like that anymore but um i think i look like that anymore but um i had<00:11:44.560> two<00:11:44.800> two<00:11:44.959> of<00:11:45.040> my<00:11:45.200> kids<00:11:45.360> were<00:11:45.519> born<00:11:45.760> at<00:11:45.920> home had two two of my kids were born at home had two two of my kids were born at home in<00:11:46.320> the<00:11:46.560> in<00:11:46.640> the<00:11:46.720> 80s<00:11:47.279> when<00:11:47.519> home<00:11:47.839> birth<00:11:48.160> was<00:11:48.320> a in the in the 80s when home birth was a in the in the 80s when home birth was a big<00:11:48.640> thing<00:11:49.200> and<00:11:49.519> now<00:11:49.680> we<00:11:49.920> baby<00:11:50.240> boomers<00:11:50.640> are big thing and now we baby boomers are big thing and now we baby boomers are used<00:11:50.959> to<00:11:51.120> taking<00:11:51.519> charge<00:11:51.839> of<00:11:52.000> the<00:11:52.079> situation used to taking charge of the situation used to taking charge of the situation so<00:11:53.360> if<00:11:53.519> you<00:11:53.600> just<00:11:53.680> replace<00:11:54.160> all<00:11:54.320> these so if you just replace all these so if you just replace all these all<00:11:55.519> these<00:11:55.839> words<00:11:56.160> of<00:11:56.320> birth<00:11:56.640> i<00:11:56.800> like<00:11:57.040> peace all these words of birth i like peace all these words of birth i like peace love<00:11:57.519> natural<00:11:58.000> death<00:11:58.320> as<00:11:58.480> a<00:11:58.720> as<00:11:58.880> an<00:11:59.040> option<00:11:59.519> i love natural death as a as an option i love natural death as a as an option i do<00:11:59.760> think<00:11:59.920> we<00:12:00.079> have<00:12:00.160> to<00:12:00.240> get<00:12:00.399> political<00:12:01.200> and do think we have to get political and do think we have to get political and start<00:12:01.600> to<00:12:01.760> reclaim<00:12:02.240> this<00:12:02.560> process<00:12:03.120> from<00:12:03.519> the start to reclaim this process from the start to reclaim this process from the medicalized<00:12:04.320> model<00:12:04.640> in<00:12:04.720> which<00:12:04.880> it's<00:12:05.040> going medicalized model in which it's going medicalized model in which it's going now<00:12:05.600> listen<00:12:05.839> that<00:12:06.000> sounds<00:12:06.240> like<00:12:06.399> a<00:12:06.480> pitch<00:12:06.720> for now listen that sounds like a pitch for now listen that sounds like a pitch for euthanasia<00:12:07.600> i<00:12:07.680> want<00:12:07.760> to<00:12:07.839> make<00:12:08.000> it<00:12:08.160> absolutely euthanasia i want to make it absolutely euthanasia i want to make it absolutely crystal<00:12:08.880> clear<00:12:09.120> to<00:12:09.279> you<00:12:09.440> all<00:12:09.839> i<00:12:10.000> hate crystal clear to you all i hate crystal clear to you all i hate euthanasia<00:12:10.959> i<00:12:11.040> think<00:12:11.200> it's<00:12:11.440> a<00:12:11.600> sideshow<00:12:12.800> i euthanasia i think it's a sideshow i euthanasia i think it's a sideshow i don't<00:12:13.120> think<00:12:13.279> euthanasia<00:12:14.000> matters<00:12:14.880> i don't think euthanasia matters i don't think euthanasia matters i actually<00:12:15.360> think<00:12:15.600> that actually think that actually think that that<00:12:17.680> in<00:12:17.920> country<00:12:18.320> in<00:12:18.399> places<00:12:18.720> like<00:12:18.959> oregon that in country in places like oregon that in country in places like oregon where where where you<00:12:20.320> can you can you can have<00:12:21.600> physician-assisted<00:12:22.399> suicide<00:12:22.880> you<00:12:23.040> take have physician-assisted suicide you take have physician-assisted suicide you take a<00:12:23.839> poisonous<00:12:24.320> dose<00:12:24.639> of<00:12:24.720> stuff<00:12:25.040> only<00:12:25.279> half<00:12:25.440> a a poisonous dose of stuff only half a a poisonous dose of stuff only half a percent<00:12:25.920> of<00:12:26.000> people<00:12:26.160> ever<00:12:26.399> do<00:12:26.560> that<00:12:26.959> i'm<00:12:27.120> more percent of people ever do that i'm more percent of people ever do that i'm more interested<00:12:27.600> in<00:12:27.680> what<00:12:27.839> happens<00:12:28.079> to<00:12:28.160> the<00:12:28.519> 99.5 interested in what happens to the 99.5 interested in what happens to the 99.5 percent<00:12:29.839> of<00:12:30.000> people<00:12:30.160> who<00:12:30.240> don't<00:12:30.399> want<00:12:30.639> to<00:12:30.720> do percent of people who don't want to do percent of people who don't want to do that<00:12:31.360> i<00:12:31.519> think<00:12:31.680> most<00:12:31.920> people<00:12:32.160> don't<00:12:32.320> want<00:12:32.560> to that i think most people don't want to that i think most people don't want to be<00:12:32.800> dead<00:12:33.519> but<00:12:33.760> i<00:12:33.839> do<00:12:34.000> think<00:12:34.160> most<00:12:34.480> people<00:12:34.800> want be dead but i do think most people want be dead but i do think most people want to<00:12:35.120> have<00:12:35.279> some<00:12:35.519> control<00:12:36.000> over<00:12:36.240> how<00:12:36.480> their to have some control over how their to have some control over how their dying<00:12:36.959> process<00:12:37.360> proceeds dying process proceeds dying process proceeds so<00:12:38.800> i'm<00:12:38.959> an<00:12:39.120> opponent<00:12:39.440> of<00:12:39.519> euthanasia<00:12:40.079> but<00:12:40.240> i so i'm an opponent of euthanasia but i so i'm an opponent of euthanasia but i do<00:12:40.480> think<00:12:40.639> we<00:12:40.800> have<00:12:40.880> to<00:12:40.959> give<00:12:41.120> people<00:12:41.360> back do think we have to give people back do think we have to give people back some<00:12:41.760> control<00:12:42.399> it<00:12:42.880> deprives<00:12:43.360> euthanasia<00:12:44.000> of some control it deprives euthanasia of some control it deprives euthanasia of its<00:12:44.320> oxygen<00:12:44.720> supply its oxygen supply its oxygen supply i<00:12:46.079> think<00:12:46.240> we<00:12:46.320> should<00:12:46.480> be<00:12:46.560> looking<00:12:46.880> at<00:12:47.040> stopping i think we should be looking at stopping i think we should be looking at stopping the<00:12:47.600> want<00:12:47.839> for<00:12:48.000> euthanasia<00:12:48.720> not<00:12:48.880> for<00:12:49.040> making the want for euthanasia not for making the want for euthanasia not for making it<00:12:49.440> illegal<00:12:49.839> or<00:12:49.920> legal<00:12:50.240> or<00:12:50.399> worrying<00:12:50.639> about<00:12:50.880> it it illegal or legal or worrying about it it illegal or legal or worrying about it at<00:12:51.200> all at all at all this<00:12:53.680> is<00:12:53.760> a<00:12:53.920> quote<00:12:54.240> from this is a quote from this is a quote from from<00:12:55.440> dame<00:12:55.760> sicily<00:12:56.160> saunders<00:12:56.560> whom<00:12:56.800> i<00:12:56.880> met from dame sicily saunders whom i met from dame sicily saunders whom i met when<00:12:57.200> i<00:12:57.279> was<00:12:57.360> a<00:12:57.440> medical<00:12:57.760> student<00:12:58.160> she<00:12:58.480> she when i was a medical student she she when i was a medical student she she founded<00:12:59.040> the<00:12:59.120> hospice<00:12:59.600> movement founded the hospice movement founded the hospice movement and<00:13:01.360> she<00:13:01.519> says<00:13:01.680> you<00:13:01.839> matter<00:13:02.160> because<00:13:02.399> you<00:13:02.639> are and she says you matter because you are and she says you matter because you are and<00:13:02.959> you<00:13:03.120> matter<00:13:03.440> to<00:13:03.600> the<00:13:03.760> last<00:13:04.000> moment<00:13:04.399> of and you matter to the last moment of and you matter to the last moment of your<00:13:04.639> life your life your life and<00:13:05.680> i<00:13:05.920> firmly<00:13:06.320> believe and i firmly believe and i firmly believe that<00:13:07.440> that's<00:13:07.760> the<00:13:07.839> message<00:13:08.240> that<00:13:08.320> we<00:13:08.560> have<00:13:08.639> to that that's the message that we have to that that's the message that we have to carry<00:13:09.040> forward carry forward carry forward thank<00:13:11.519> you thank you thank you [Music]

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