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And on a cloudy day, there was a crack in the clouds and the sun started to come out and I wondered, maybe I could feel better again. | В пасмурный день расступились облака и начало выходить солнце, и я подумал, может быть, я ещё смогу почувствовать себя лучше. | en-ru |
And I made myself a bargain that if only I redouble my efforts to be perfect and never make another mistake again, please make the voices stop. | Και έκανα μια συμφωνία με τον εαυτό μου να διπλασιάσω τις προσπάθειές μου να είμαι τέλειος και να μην ξανακάνω κανένα λάθος ποτέ, αρκεί να σταματήσουν οι φωνές. | en-el |
And I went back to work. | Mi-am reluat munca. | en-ro |
And then it happened again. | A pak se to stalo znovu. | en-cs |
Two years later I was an attending in the emergency department at a community hospital just north of Toronto, and I saw a 25 year-old man with a sore throat. | Dos años después, era ayudante en el departamento de emergencia en un hospital comunitario al norte de Toronto, y recibí a un hombre de 25 años con un dolor en la garganta. | en-es |
It was busy, I was in a bit of a hurry. | Ishte ditë e zënë, isha në nxitim. | en-sq |
He kept pointing here. | Il me montrait sa gorge sans cesse. | en-fr |
I looked at his throat, it was a little bit pink. | 그의 목구멍을 보니까 약간 붉은기가 있었지요. | en-ko |
And I gave him a prescription for penicillin and sent him on his way. | Ik gaf hem een recept voor penicilline en liet hem gaan. | en-nl |
And even as he was walking out the door, he was still sort of pointing to his throat. | Pero mientras él se dirigía a la puerta seguía señalando su garganta. | en-es |
And two days later I came to do my next emergency shift, and that's when my chief asked to speak to me quietly in her office. | Dos días después, cuando vine a hacer mi cambio de guardia, mi jefa pidió hablar conmigo tranquilamente en su oficina. | en-es |
And she said the three words: Do you remember? | И тя каза трите думи: Спомняш ли си? | en-bg |
"Do you remember that patient you saw with the sore throat?" | "Você se lembra daquele paciente que você viu com a garganta inflamada?" | en-pt-br |
Well it turns out, he didn't have a strep throat. | Ispalo je da nije imao streptokok u grlu. | en-hr |
He had a potentially life-threatening condition called epiglottitis. | او یک بیماری بالقوه مهلک به نام اپیگلوتیت داشت. | en-fa |
You can Google it, but it's an infection, not of the throat, but of the upper airway, and it can actually cause the airway to close. | אפשר למצוא את זה ב"גוגל", אבל זו דלקת, לא של הגרון, אלא של קנה-נשימה עליון, והיא גורמת למעשה לסגירת קנה-הנשימה. | en-he |
And fortunately he didn't die. | И, за среќа, тој не умре. | en-mk |
He was placed on intravenous antibiotics and he recovered after a few days. | Foram-lhe administrados antibióticos endovenosos e ele recuperou após alguns dias. | en-pt |
And I went through the same period of shame and recriminations and felt cleansed and went back to work, until it happened again and again and again. | А я знову пройшов через період сорому і звинувачень, відчув себе очищеним і знову пішов на роботу, аж поки це не трапилося знов і знов. | en-uk |
Twice in one emergency shift, I missed appendicitis. | Dwa razy podczas dyżuru, nie wykryłem zapalenia wyrostka. | en-pl |
Now that takes some doing, especially when you work in a hospital that at the time saw but 14 people a night. | Сега, това изисква известни усилия, особено, когато работиш в болница, където по онова време преглеждахме по 14 човека на нощ. | en-bg |
Now in both cases, I didn't send them home and I don't think there was any gap in their care. | Onların ikisini de evlerine göndermedim ve bakımlarında herhangi bir risk oluştuğunu düşünmüyorum. | en-tr |
One I thought had a kidney stone. | Я думав, що в одного був нирковий камінь, | en-uk |
I ordered a kidney X-ray. When it turned out to be normal, my colleague who was doing a reassessment of the patient noticed some tenderness in the right lower quadrant and called the surgeons. | Zarządziłem rentgen nerki. Okazała się zdrowa. Mój kolega dokonując ponownej diagnozy zauważył wrażliwość w prawej dolnej ćwiartce brzusznej i wezwał chirurgów. | en-pl |
The other one had a lot of diarrhea. | الاخر كان مصاباً بالإسهال. | en-ar |
I ordered some fluids to rehydrate him and asked my colleague to reassess him. | הוריתי לתת לו נוזלים כדי להרוות אותו וביקשתי מעמיתי לעשות לו איבחון חוזר. | en-he |
And he did and when he noticed some tenderness in the right lower quadrant, called the surgeons. | وفعل ذلك قام بطلب الجراحين عندما لاحظ ليونة في اسفل الربع الايمن. | en-ar |
In both cases, they had their operations and they did okay. | V oboch prípadoch sa im dostalo operácie a boli v poriadku. | en-sk |
But each time, they were gnawing at me, eating at me. | Ali svaki put su me mučili, proždirali me. | en-hr |
And I'd like to be able to say to you that my worst mistakes only happened in the first five years of practice as many of my colleagues say, which is total B.S. | 我非常想要告訴各位 我最嚴重的錯誤只發生在頭五年的行醫歷史中 像我眾多同事們所說的一樣，但是這是鬼扯。 | en-zh-tw |
(Laughter) Some of my doozies have been in the last five years. | (笑聲) 在最近的五年內, 我也發生一些糗事。 | en-zh-tw |
Alone, ashamed and unsupported. | Sozinho, envergonhado e sem apoio. | en-pt-br |
Here's the problem: If I can't come clean and talk about my mistakes, if I can't find the still-small voice that tells me what really happened, how can I share it with my colleagues? | 문제는 여기에 있습니다. 내가 내 잘못에 대해 솔찍히 말할 수 없으면, 실제로 일어난 일을 제 자신에 말해주는 작은 목소리를 들을 수 없다면, 제가 어떻게 그런 이야기를 제 동료에게 말할 수 있을까요? | en-ko |
How can I teach them about what I did so that they don't do the same thing? | Como posso ensinar-lhes acerca do que fiz de forma a que eles não façam o mesmo? | en-pt |
If I were to walk into a room -- like right now, I have no idea what you think of me. | Se tivesse que entrar numa sala... como agora, eu não tenho nenhuma ideia sobre o que vocês pensam de mim. | en-pt |
When was the last time you heard somebody talk about failure after failure after failure? | Quando foi a ultima vez que ouvir alguém falar sobre falhas, atrás de falhas, atrás de falhas? | en-pt |
Oh yeah, you go to a cocktail party and you might hear about some other doctor, but you're not going to hear somebody talking about their own mistakes. | Αλλά βέβαια, πας σ' ένα κοκτέιλ πάρτυ και μπορεί ν' ακούσεις για κάποιον άλλο γιατρό, αλλά δεν πρόκειται ν' ακούσεις κάποιον να μιλά για τα δικά του λάθη. | en-el |
If I were to walk into a room filled with my colleages and ask for their support right now and start to tell what I've just told you right now, I probably wouldn't get through two of those stories before they would start to get really uncomfortable, somebody would crack a joke, they'd change the subject and we would mo... | Se tivesse de entrar numa sala cheia de colegas meus e lhes pedisse apoio agora e lhes começasse a contar o que vos contei provavelmente não ia acabar duas destas histórias antes de eles se começarem a sentir mesmo desconfortáveis, alguém faria uma piada, mudariam o assunto e seguiríamos em frente. | en-pt |
And in fact, if I knew and my colleagues knew that one of my orthopedic colleagues took off the wrong leg in my hospital, believe me, I'd have trouble making eye contact with that person. | Μάλιστα, αν ήξερα εγώ και οι συνάδελφοί μου ότι ένας από τους ορθοπεδικούς συναδέλφους μας έβγαλε το λάθος πόδι στο νοσοκομείο μου, πιστέψτε με, θα είχα πρόβλημα ακόμα και να κοιτάξω στα μάτια αυτό το άτομο. | en-el |
That's the system that we have. | Das ist das System in dem wir leben. | en-de |
It's a complete denial of mistakes. | КОМПЛЕТНО НЕГИРАЊЕ НА ГРЕШКИТЕ. | en-mk |
It's a system in which there are two kinds of physicians -- those who make mistakes and those who don't, those who can't handle sleep deprivation and those who can, those who have lousy outcomes and those who have great outcomes. | 這個制度下 只有兩種情況-- 一邊是犯錯的 一邊是沒犯錯的 一邊是不能調適眠眠被剝削，一邊則可以 一邊是糟糕的結果 一邊則有優秀的結果 | en-zh-tw |
And it's almost like an ideological reaction, like the antibodies begin to attack that person. | Aproape că e o reacție ideologică, ca și cum anticorpii ar ataca acea persoană. | en-ro |
And we have this idea that if we drive the people who make mistakes out of medicine, what will we be left with, but a safe system. | 我们有着一种想法： 当我们将所有的会犯错的人 赶出医学界后， 我们便会得到一个安全的系统。 | en-zh-cn |
But there are two problems with that. | Taču ar to ir divas problēmas. | en-lv |
In my 20 years or so of medical broadcasting and journalism, I've made a personal study of medical malpractice and medical errors to learn everything I can, from one of the first articles I wrote for the Toronto Star to my show "White Coat, Black Art." | Στα 20 χρόνια περίπου ιατρικής δημοσιογραφίας και εκπομπών, έχω κάνει μία προσωπική μελέτη ιατρικής αμέλειας και λαθών για να μάθω όσα μπορώ, από ένα από τα πρώτα άρθρα που έγραψα για την Τορόντο Σταρ μέχρι το σόου μου "Λευκή Ρόμπα, Μαύρη Τέχνη". | en-el |
And what I've learned is that errors are absolutely ubiquitous. | Врешті-решт, я переконався, що помилки всюдисущі. | en-uk |
We work in a system where errors happen every day, where one in 10 medications are either the wrong medication given in hospital or at the wrong dosage, where hospital-acquired infections are getting more and more numerous, causing havoc and death. | Öyle bir sistem içindeyiz ki orada her gün hatalar olur, orada verilen her 10 ilaçtan biri ya yanlış ilaçtır ya da dozu yanlıştır, orada hastane kaynaklı infeksiyonlar her geçen gün yıkım ve ölüme yol açarak artmaktadır. | en-tr |
In this country, as many as 24,000 Canadians die of preventable medical errors. | У цій країні 24,000 канадців помирає від лікарських помилок, яких можна було уникнути. | en-uk |
In the United States, the Institute of Medicine pegged it at 100,000. | Nos Estados Unidos, o Institute of Medicine estima isso em 100.000. | en-pt-br |
In both cases, these are gross underestimates, because we really aren't ferreting out the problem as we should. | 即使如此，这两项数据也还是过于低估了现实， 因为我们从未像我们该做的那般 深入地探究这个问题。 | en-zh-cn |
And here's the thing. | และมันก็ไม่ใช่ -- ประเด็นอยู่ตรงนี้นะครับ | en-th |
In a hospital system where medical knowledge is doubling every two or three years, we can't keep up with it. | في نظام المستشفى حيث المعرفة الطبية مضاعفة كل سنتين او ثلاثة, لا نستطيع مواكبتها. | en-ar |
Sleep deprivation is absolutely pervasive. | Slaaptekort zie je absoluut overal. | en-nl |
We can't get rid of it. | Nem tudunk megszabadulni tőle. | en-hu |
We have our cognitive biases, so that I can take a perfect history on a patient with chest pain. | Elfogultan ítélkezünk. Fel tudom venni egy mellkasi fájdalommal jelentkező beteg tökéletes kórképét. | en-hu |
Now take the same patient with chest pain, make them moist and garrulous and put a little bit of alcohol on their breath, and suddenly my history is laced with contempt. | Τώρα πάρτε τον ίδιο ασθενή με τον πόνο στο στήθος, κάντε τον λίγο πιο υγρό και φλύαρο προσθέστε και λίγο αλκοόλ στην αναπνοή του, και ξαφνικά το ιστορικό μου περιβάλλεται με περιφρόνηση. | en-el |
I don't take the same history. | Ne uzimam istu anamnezu. | en-hr |
I'm not a robot; I don't do things the same way each time. | Я не робот. Я не повторяюсь в точности каждый раз. | en-ru |
And my patients aren't cars; they don't tell me their symptoms in the same way each time. | И пациентите ми не са коли, те не казват симптомите си всеки път по един и същи начин. | en-bg |
Given all of that, mistakes are inevitable. | Взимайки предвид всичко това, грешките са неизбежни. | en-bg |
So if you take the system, as I was taught, and weed out all the error-prone health professionals, well there won't be anybody left. | 如果是在我所被教導的制度下 趕出所有易出錯的醫療專業人員, 那麼這個領域會無人留下。 | en-zh-tw |
And you know that business about people not wanting to talk about their worst cases? | 你知道嗎? 在那領域 人們不願意談論 有關他們所犯糟糕的過往。 | en-zh-tw |
On my show, on "White Coat, Black Art," I made it a habit of saying, "Here's my worst mistake," I would say to everybody from paramedics to the chief of cardiac surgery, "Here's my worst mistake," blah, blah, blah, blah, blah, "What about yours?" and I would point the microphone towards them. | Në emisionin time, në" Përparse e Bardhë, Art i Zi" E kam bërë praktikë të thuhet, "Ky është gabimi im më i rëndë," Do t'i thoja gjithëkujt prej ndihmësve mjekësor deri te shefi i ndërhyrjeve kardiologjike, "Ky është gabimi im më i rëndë." blla, blla, blla, "Po cili është gabimi juaj?" dhe do t'ua drejtoj mikrofonin at... | en-sq |
And their pupils would dilate, they would recoil, then they would look down and swallow hard and start to tell me their stories. | А нивните зеници ќе се раширеа, тие ќе се повлечеа наназад, потоа ќе погледнеа надолу и ќе голтнеа кнедла и ќе почнеа да ми ги кажуваат нивните приказни. | en-mk |
They want to tell their stories. They want to share their stories. | Viņi vēlas pastāstīt savus atgadījumus. Viņi vēlas ar tiem dalīties. | en-lv |
They want to be able to say, "Look, don't make the same mistake I did." | Paylaşmak isterler. Söylemeyi isterler ki; " Bak, benim yaptığım hatayı sen yapma." | en-tr |
What they need is an environment to be able to do that. | Çfarë ata kanë nevojë është një mjedis ku mund ta bëjnë këtë. | en-sq |
What they need is a redefined medical culture. | Điều họ cần là một văn hóa y học cần xác định lại. | en-vi |
And it starts with one physician at a time. | Y comienza con un médico cada vez. | en-es |
The redefined physician is human, knows she's human, accepts it, isn't proud of making mistakes, but strives to learn one thing from what happened that she can teach to somebody else. | Le médecin redéfini est une femme, qui sait qu'elle est humaine, l'accepte, ne se vante pas de faire des erreurs, mais fait son possible pour apprendre quelque chose de ce qui s'est produit, qu'elle peut enseigner à quelqu'un d'autre. | en-fr |
She shares her experience with others. | Mluví o té zkušenosti s ostatními. | en-cs |
She's supportive when other people talk about their mistakes. | Îi încurajează pe cei care vorbesc de greșelile lor. | en-ro |
And she points out other people's mistakes, not in a gotcha way, but in a loving, supportive way so that everybody can benefit. | И посочва грешките на другите, не в стил "хванах ли те сега," а по любящ и подкрепящ начин, така че всеки да има полза. | en-bg |
And she works in a culture of medicine that acknowledges that human beings run the system, and when human beings run the system, they will make mistakes from time to time. | Работи в култура на медицината, която признава, че човешките същества управляват системата и когато хората управляват системата, те допускат грешки от време на време. | en-bg |
So the system is evolving to create backups that make it easier to detect those mistakes that humans inevitably make and also fosters in a loving, supportive way places where everybody who is observing in the health care system can actually point out things that could be potential mistakes and is rewarded for doing so,... | Donc le système évolue pour créer des sauvegardes qui facilitent le repérage de ces erreurs que les humains commettent inévitablement, et ça crée également avec amour et soutien des endroits où tous ceux qui observent le système des services de santé peut en fait observer des éléments qui pourraient être des erreurs et... | en-fr |
My name is Brian Goldman. | اسمي براين قولدمان. | en-ar |
I am a redefined physician. | sono un medico ridefinito. | en-it |
I'm human. I make mistakes. | Sunt om. Greșesc. | en-ro |
I'm sorry about that, but I strive to learn one thing that I can pass on to other people. | Sinto muito por isso, mas luto por aprender algo que possa passar para outras pessoas. | en-pt-br |
I still don't know what you think of me, but I can live with that. | Ich weis nicht was Sie von mir halten, aber damit kann ich leben. | en-de |
And let me close with three words of my own: I do remember. | Pozwólcie, że zakończę jednym słowem: Pamiętam. | en-pl |
The maxim, "Know thyself" has been around since the ancient Greeks. | Το ρητό, "Γνώθι σαυτόν" υπάρχει από την εποχή των Αρχαίων Ελλήνων. | en-el |
Some attribute this golden world knowledge to Plato, others to Pythagoras. | Некоторые приписывают это знание от Золотого Века Платону, другие — Пифагору. | en-ru |
But the truth is it doesn't really matter which sage said it first, because it's still sage advice, even today. | Но истината е, че всъщност няма значение кой от мъдреците го е казал първи, защото просто е мъдър съвет, дори и днес. | en-bg |
"Know thyself." | "Poznej sám sebe." | en-cs |
It's pithy almost to the point of being meaningless, but it rings familiar and true, doesn't it? | Jest zwięzłe prawie aż do punktu w którym przestaje coś znaczyć, ale brzmi znajomo i prawdziwie. | en-pl |
I understand this timeless dictum as a statement about the problems, or more exactly, the confusions, of consciousness. | Tôi hiểu lời tuyên bố muôn thuở này là một lời tuyên bố về những vấn đề, hay chính xác hơn là những nhầm lẫn, của ý thức. | en-vi |
I've always been fascinated with knowing the self. | Oduvjek sam bila fascinirana spoznavanjem sebe. | en-hr |
This fascination led me to submerge myself in art, study neuroscience, and later, to become a psychotherapist. | Ketertarikan ini membawa saya tenggelam ke dalam seni, mempelajari ilmu syaraf, dan kemudian menjadi ahli psikoterapi. | en-id |
Today I combine all my passions as the CEO of InteraXon, a thought-controlled computing company. | Danas kombinujem te svoje strasti kao izvršni direktor InteraXon-a, kompanije koja se bavi stvaranjem | en-sr |
My goal, quite simply, is to help people become more in tune with themselves. | 私の目標は非常に単純で 人が自分自身と 調和していられるようにしたいのです | en-ja |
I take it from this little dictum, "Know thyself." | Das alles gründet auf dieser kleinen Aussage: "Erkenne dich selbst." | en-de |
If you think about it, this imperative is kind of the defining characteristic of our species, isn't it? | Jika Anda memikirkan hal itu perintah ini sepertinya mengartikan ciri khas dari spesies kita, benar? | en-id |
I mean, it's self-awareness that separates Homo sapiens from earlier instances of our mankind. | أعني أنه وعي ذاتي الذي يفرق بين الإنسان العاقل عن مثيله البدائي من البشرية. | en-ar |
Today we're often too busy tending to our iPhones and iPods to really stop and get to know ourselves. | Tegenwoordig zijn we vaak te druk met onze iPhones en iPods om even stil te staan en onszelf te leren kennen. | en-nl |
Under the deluge of minute-to-minute text conversations, e-mails, relentless exchange of media channels and passwords and apps and reminders and Tweets and tags, we lose sight of what all this fuss is supposed to be about in the first place: Ourselves. | Unter der Flut der SMS-Unterhaltungen im Minutentakt, E-Mails, unermüdlichem Austausch von Medien- Kanälen, Passwörtern, Apps, Erinnerungen, Tweets und Tags verlieren wir die Sicht darauf, wozu all dieses Chaos überhaupt gut sein soll: Uns. Oft lähmen uns all diese Möglichkeiten, mit denen | en-de |
Much of the time we're transfixed by all of the ways we can reflect ourselves out into the world. | 自己在外部世界的表现所困， | en-zh-cn |
And we can barely find the time to reflect deeply back in on our own selves. | 却几乎没有时间再去 回头思考我们自己。 | en-zh-cn |
We've cluttered ourselves up with all this. | Затрупали сме се с всичко това. И чувстваме, че трябва да се оттеглим | en-bg |
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