“让死亡带走我们,而不是因为缺乏想象力”| 年度最该看的一场
字幕摘录
| 时间 | 英文 | 中文 |
|---|---|---|
| 0:14 | Well, we all need a reason to wake up. | 我们都需要一个醒过来的理由 |
| 0:19 | For me, it just took 11,000 volts. | 对我来说,它只需要11,000伏特。 |
| 0:23 | I know you're too polite to ask, so I will tell you. | 我知道你太客气了 问,所以我会告诉你。 |
| 0:27 | One night, sophomore year of college, | 一天晚上,大二的时候, |
| 0:29 | just back from Thanksgiving holiday, | 感恩节刚回来 |
| 0:33 | a few of my friends and I were horsing around, | 我和几个朋友到处乱跑 |
| 0:36 | and we decided to climb atop a parked commuter train. | 我们决定爬上停靠的通勤列车 |
| 0:39 | And we were on our way to the airport, | 我们正要去机场 |
| 0:40 | just sitting there with the wires that run overhead. | 只是坐在那里 电线运行的顶端。 |
| 0:43 | Somehow, that seemed like a great idea at the time. | 不知怎的,这似乎是 一个伟大的想法在当时。 |
展开字幕全文（314 条）
| 序号 | 英文 | 中文 |
|---|---|---|
| 1 | Well, we all need a reason to wake up. | 我们都需要一个醒过来的理由 |
| 2 | For me, it just took 11,000 volts. | 对我来说,它只需要11,000伏特。 |
| 3 | I know you're too polite to ask, so I will tell you. | 我知道你太客气了 问,所以我会告诉你。 |
| 4 | One night, sophomore year of college, | 一天晚上,大二的时候, |
| 5 | just back from Thanksgiving holiday, | 感恩节刚回来 |
| 6 | a few of my friends and I were horsing around, | 我和几个朋友到处乱跑 |
| 7 | and we decided to climb atop a parked commuter train. | 我们决定爬上停靠的通勤列车 |
| 8 | And we were on our way to the airport, | 我们正要去机场 |
| 9 | just sitting there with the wires that run overhead. | 只是坐在那里 电线运行的顶端。 |
| 10 | Somehow, that seemed like a great idea at the time. | 不知怎的,这似乎是 一个伟大的想法在当时。 |
| 11 | We'd certainly done stupider things. | 我们当然会做更蠢的事 |
| 12 | I scurried up the ladder on the back, | 我冲到后面的梯子上 |
| 13 | and when I stood up, | 当我站起来的时候, |
| 14 | the electrical current entered my arm, | 电流进入我的手臂, |
| 15 | blew down and out my feet, and that was that. | 炸掉我的脚,就是这样。 |
| 16 | Would you believe that watch still works? | 你相信那只表还能用吗? |
| 17 | Takes a licking. | 需要一个舔。 |
| 18 | My father wears it now in solidarity. | 我的父亲现在穿着它团结。 |
| 19 | That night began my formal relationship with death. | 那晚我和死亡开始了正式的关系 |
| 20 | и | |
| 21 | And it also began my long run as a patient, | 也开始了我作为一个病人的长期运行, |
| 22 | which is a good word. | 这是一个好词。 |
| 23 | It means one who suffers. | 谓受苦者. |
| 24 | So I guess we're all patients. | 我想我们都是病人 |
| 25 | Now, the American health care system | 现在,美国医疗保健系统 |
| 26 | has more than its fair share of dysfunction, | 在功能失调方面, |
| 27 | to match its brilliance, to be sure. | 与它的辉煌相匹配,肯定。 |
| 28 | I'm a physician now, a hospice and palliative medicine doc, | 我现在是医生 临终疗养院和治病医生 |
| 29 | so I've seen care from both sides. | 所以我从两边都看到了关心 |
| 30 | And believe me, most everyone who goes into health care | 并且相信我,大多数的人 谁去保健 |
| 31 | really means well. | 真的意味着很好。 |
| 32 | I mean, truly. | 我是说,真的 |
| 33 | But we who work in it | 但我们在其中工作 |
| 34 | are also unwitting agents for a system that too often does not serve. | 也是一种不知情的代理,而这种系统往往不起作用。 |
| 35 | Why? | 为什么? |
| 36 | Well, there's actually a pretty easy answer to that question. | 其实这个问题的答案很简单 |
| 37 | And it explains a lot. | 这解释了很多 |
| 38 | Because health care was designed with diseases, | 因为保健是用疾病设计的, |
| 39 | not people, at its center. | 不是人,在它的中心。 |
| 40 | Which is to say, of course, it was badly designed. | 这就是说,当然,它是设计不好的。 |
| 41 | And nowhere are the effects of bad design | 无处不在设计不良的效果 |
| 42 | more heartbreaking, | 更让人心碎, |
| 43 | or the opportunity for good design more compelling | 或更好的设计机会 |
| 44 | than at the end of life, | 比临终时, |
| 45 | where things are so distilled and concentrated. | 在那里,事物如此蒸馏和集中。 |
| 46 | There are no do-overs. | 无有复行. |
| 47 | My purpose today is to reach out across disciplines | 今天我的目的就是要跨学科 |
| 48 | and invite design thinking into this big conversation. | 并且邀请设计思考 在这次大对话。 |
| 49 | That is, to bring intention and creativity | 也就是带来意向和创造力 |
| 50 | to the experience of dying. | 经历死亡 |
| 51 | We have a monumental opportunity in front of us | 我们面前有一个巨大的机会 |
| 52 | before a universal, one of the few universal issues | 成为少数普遍问题之一 |
| 53 | as individuals as well as a civil society | 个人以及民间社会 |
| 54 | to rethink and redesign how it is we die. | 重新思考和重新设计我们是如何死去的 |
| 55 | So let's begin at the end. | 所以从头开始吧 |
| 56 | For most people, the scariest thing about death isn't being dead. | 对大多数人来说 死亡最恐怖的不是死 |
| 57 | It's dying, suffering. | 临终,受苦. |
| 58 | It's a key distinction. | 关键区别. |
| 59 | And to get underneath this, | 为了躲到这下面 |
| 60 | it can be very helpful to tease out suffering, | 取笑痛苦会很有帮助 |
| 61 | which is necessary, as it is, | 这是必要的,因为它是, |
| 62 | from suffering we can change. | 从痛苦中我们可以改变。 |
| 63 | The former is a natural, essential part of life, | 前者是生命中一个自然而必不可少的部分, |
| 64 | part of the deal. | 交易的一部分。 |
| 65 | And to this, we are called to make space, | 为此,我们被要求创造空间, |
| 66 | adjust, grow. | 调整,增长。 |
| 67 | It can be really good to realize forces larger than ourselves. | 实现比我们更大的力量是非常好的。 |
| 68 | They bring proportionality, | 他们带来了相称性, |
| 69 | like a cosmic right-sizing. | 就像一个宇宙的右旋尺寸。 |
| 70 | After my limbs were gone, | 我的四肢不见了之后 |
| 71 | that loss, for example, became fact, fixed, | 例如,损失变成了事实,固定, |
| 72 | necessarily part of my life. | 一定是我生命的一部分。 |
| 73 | And I learned I could no more reject this fact than reject myself. | 我发现我拒绝这个事实 只能拒绝自己 |
| 74 | Took me a while, but I'd learned it eventually. | 花了我一段时间,但我终于学会了。 |
| 75 | Now, another great thing about necessary suffering | 现在,另一个伟大的事情 关于必要的痛苦 |
| 76 | is that it is the very thing | 是,这是 事情 |
| 77 | that unites caregiver and care receiver, | 团结照顾者和接受照顾者, |
| 78 | human beings. | 人类 |
| 79 | This, we are finally realizing, is where healing happens. | 我们终于意识到,这是治愈的地方。 |
| 80 | Yes, compassion. | 对,同情心 |
| 81 | Literally, as we learned yesterday, | 从字面上说,我们昨天学到, |
| 82 | suffering together. | 一起受苦受难 |
| 83 | Now, on the systems side, on the other hand, | 在系统方面, 另一方面, |
| 84 | so much of the suffering is unnecessary, invented. | 所以很多痛苦是不必要的,发明。 |
| 85 | It serves no good purpose. | 没用的 |
| 86 | But the good news is, | 但好消息是,我们... |
| 87 | since this brand of suffering is made up, | 因为这个品牌的痛苦是编造的, |
| 88 | well, we can change it. | 我们可以改变它。 |
| 89 | How we die is indeed something we can affect. | 我们的死亡确实会影响我们。 |
| 90 | Now, making the system sensitive to this fundamental distinction | 现在,使这个系统敏感于这个根本区别 |
| 91 | between necessary and unnecessary suffering | 在必要和不必要的痛苦之间 |
| 92 | gives us our first of three design cues for the day. | 给我们三个设计提示中的第一个 |
| 93 | After all, our role as caregivers, | 毕竟,我们作为照顾者的作用, |
| 94 | as people who care, | 作为关心的人, |
| 95 | is to relieve suffering, | 以解除苦难, |
| 96 | not add to the pile. | 不增加堆积。 |
| 97 | True to the tenets of palliative care, | 忠于缓和治疗的原则, |
| 98 | I function as something of a reflective advocate | 我是一个反省律师 |
| 99 | as much as a prescribing physician. | 就像开处方的医生一样 |
| 100 | Quick aside, palliative care, | 快让开 缓解治疗 |
| 101 | very important field but poorly understood. | 非常重要的领域,但理解不足。 |
| 102 | While it includes, it is not limited to end-of-life care. | 虽然它包括,但不限于报废护理。 |
| 103 | It is not limited to hospice. | 它不仅限于收容所。 |
| 104 | It's simply about comfort and living well at any stage. | 这仅仅是在任何阶段的舒适和美好生活. |
| 105 | OK, so please know that you don't have to be dying anytime soon | OK,所以请记住,你不必死 任何时间快 |
| 106 | to benefit from palliative care. | 享受缓和治疗。 |
| 107 | Now, let me introduce you to Frank. | 现在,让我给你介绍弗兰克。 |
| 108 | He sort of makes this point. | 他说到这一点。 |
| 109 | I've been seeing Frank now for years. | 我和弗兰克交往多年了 |
| 110 | He's living with advancing prostate cancer | 他活在先进的前列腺癌中 |
| 111 | on top of longstanding HIV. | 在长期的艾滋病毒之上。 |
| 112 | We work on his bone pain and his fatigue, | 我们研究他的骨痛和疲劳 |
| 113 | but most of the time we spend thinking out loud together about his life, | 但大部分时间,我们花 大声思考他的生活, |
| 114 | really about our lives. | 关于我们的生活 |
| 115 | In this way, Frank grieves. | 这样,弗兰克会感到悲伤. |
| 116 | In this way, he keeps up with his losses as they roll in, | 这样一来,他一直承受着损失 |
| 117 | so that he's ready to take in the next moment. | 以便他准备好 在下一个时刻。 |
| 118 | Loss is one thing, but regret quite another. | 损失是一回事,但遗憾是另一回事。 |
| 119 | So Frank has always been an adventurer. | 所以弗兰克一直是一个冒险家。 |
| 120 | Looks like something out of a Norman Rockwell painting, | 看起来像诺曼·洛克威尔画里的东西 |
| 121 | and no fan of regret. | 也无悔恨之心 |
| 122 | So it wasn't surprising when he came into clinic one day, | 所以当他有一天来诊所时 并不奇怪 |
| 123 | saying he wanted to raft down the Colorado River. | 说他想在科罗拉多河下游 |
| 124 | Was this a good idea? | 好主意吗? |
| 125 | With all the risks to his safety and his health, | 他的安全和健康都受到威胁 |
| 126 | some would say no, many did, but he went for it, | 有些人会说不,许多人会, 但他去这样做, |
| 127 | while he still could. | 但他还是可以的 |
| 128 | And it was a glorious, marvelous trip. | 它是一个辉煌,美妙的旅程。 |
| 129 | Freezing water, | 冻水, |
| 130 | blistering dry heat, | 燃烧干热, |
| 131 | scorpion snakes, | 蝎子蛇, |
| 132 | wildlife howling off the flaming walls of the Grand Canyon. | 野生动物在大峡谷的火墙上嚎叫 |
| 133 | All the glorious side of the world beyond our control. | 我们无法控制世界的光荣一面 |
| 134 | Frank's decision, while maybe dramatic, | 弗兰克的决定,虽然也许很戏剧化, |
| 135 | is exactly the kind so many of us would make | 我们很多人都会这样 |
| 136 | if we only had the support to figure out what is best for ourselves, | 如果我们只得到支持 找出什么是对我们最好, |
| 137 | over time. | 随着时间的推移。 |
| 138 | So much of what we're talking about today is a shift in perspective. | 我们今天谈论的很多是视角的转变. |
| 139 | After my accident, when I went back to college, | 我出事后 当我回到大学时 |
| 140 | I changed my major to art history. | 我改学艺术史 |
| 141 | Studying visual art, I figured I'd learn something about how to see. | 研究视觉艺术,我想我会学到一些如何看的东西。 |
| 142 | A really potent lesson for a kid who couldn't change | 对于一个无法改变的小孩来说 是一个非常有力的教训 |
| 143 | so much of what he was seeing. | 这么多他看到的。 |
| 144 | Perspective, that kind of alchemy we humans get to play with, | 透视,这种炼金术 我们人类可以玩, |
| 145 | turning anguish into a flower. | 把痛苦变成花朵 |
| 146 | Flash forward, now I work at an amazing place in San Francisco | 闪亮的前进,现在我在旧金山一个惊人的地方工作 |
| 147 | called the Zen Hospice Project, | 叫做"禅螺计划", |
| 148 | where we have a little ritual that helps with this shift in perspective. | 在那里,我们有一个小小的仪式 帮助这个转变的视角。 |
| 149 | When one of our residents dies, | 当我们的一个居民死了, |
| 150 | the mortuary men come, | 死尸们来了, |
| 151 | and as we're wheeling the body out through the garden, | 当我们把尸体从花园里推出来时 |
| 152 | heading for the gate, we pause. | 向大门前进,我们暂停。 |
| 153 | Anyone who wants, fellow residents, family, nurses, volunteers, | 任何想要的人,同胞,家人,护士,志愿者, |
| 154 | the hearse drivers, too, now, | 火车司机也是,现在 |
| 155 | share a story or a song or silence | 分享一个故事或一首歌或沉默 |
| 156 | as we sprinkle the body with flower petals. | 我们用花瓣撒满身体 |
| 157 | It takes a few minutes, | 需要几分钟 |
| 158 | a sweet, simple parting image | 一个甜蜜,简单的分离图像 |
| 159 | to usher in grief with warmth, | 以温暖带来悲伤, |
| 160 | rather than repugnance. | 而不是厌恶。 |
| 161 | Contrast that with the typical experience in the hospital setting, | 与医院环境的典型经验相对应 |
| 162 | much like this floodlit room | 很像这个淹水室 |
| 163 | lined with tubes and beeping machines and blinking lights | 用管子、哔声机和闪烁灯线 |
| 164 | that don't stop even when the patient's life has. | 即使病人有生命 也不会停止 |
| 165 | Cleaning crews swoops in, the body's whisked away, | 清理人员冲进来 尸体被刮掉了 |
| 166 | and it all feels as though that person had never really existed. | 感觉就像那个人从未真正存在过 |
| 167 | Well-intended, of course, in the name of sterility, | 当然,以不孕症为名, |
| 168 | but hospitals tend to assault our senses. | 但医院会攻击我们的感官 |
| 169 | And the most we might hope for within those walls is numbness, | 我们最希望的就是麻木 |
| 170 | anesthetic, | 麻醉剂, |
| 171 | literally the opposite of aesthetic. | 和美学相反 |
| 172 | I revere hospitals for what they can do. | 我敬重医院的能耐 |
| 173 | I am alive because of them. | 我活着是因为他们。 |
| 174 | But we ask too much of our hospitals. | 但我们要求的医院太多。 |
| 175 | They are places for acute trauma and treatable illness. | 它们是急性创伤和可治疗疾病的场所。 |
| 176 | They're no place to live and die. | 二者不生不灭. |
| 177 | That's not what they were designed for. | 这不是他们设计的目的 |
| 178 | Now, mind you, I'm not giving up on the notion | 记住,我不会放弃这个想法 |
| 179 | that our institutions can become more humane. | 我们的机构可以变得更加人道。 |
| 180 | Beauty can be found anywhere. | 美貌随处可见. |
| 181 | I spent a few months in a burn unit at St. Barnabas Hospital | 我在圣巴纳巴斯医院烧伤室待了几个月 |
| 182 | in Livingston, New Jersey, | 在新泽西州利文斯顿 |
| 183 | where I got really great care at every turn, | 在那里,我得到了非常的关心 在每一个转弯, |
| 184 | including good palliative care for my pain. | 包括治疗我疼痛的缓解疗法 |
| 185 | And one night, it began to snow outside. | 有一天晚上 外面开始下雪 |
| 186 | I remember my nurses complaining about driving through it. | 我记得我的护士抱怨开车经过那里 |
| 187 | And there was no window in my room, | 我房间没有窗户 |
| 188 | but it was great to just imagine it coming down all sticky. | 但它是伟大的,只是想象 它下来了所有的粘。 |
| 189 | The next day, one of my nurses smuggled in a snowball for me. | 第二天 我的一位护士为我走私了雪球 |
| 190 | She brought it into the unit. | 她把它带进了部队 |
| 191 | I cannot tell you the rapture I felt holding it in my hand, | 我不能告诉你,我感到的快乐 握在我手中, |
| 192 | the coldness dripping onto my burning skin, | 寒冷滴在我的燃烧的皮肤上, |
| 193 | the miracle of it all, | 这是其中的奇迹, |
| 194 | the fascination as I watched it melt and turn into water. | 我看着它融化变成水的迷恋 |
| 195 | In that moment, | 在那一刻 |
| 196 | just being any part of this planet in this universe | 成为宇宙中这个星球的任何一部分 |
| 197 | mattered more to me than whether I lived or died. | 对我而言,比起我死还是活更重要 |
| 198 | That little snowball packed all the inspiration I needed | 那个小雪球 收拾了我需要的灵感 |
| 199 | to both try to live and be OK if I did not. | 试着活下来 并保持平静 如果我没有。 |
| 200 | In a hospital, that's a stolen moment. | 在医院里,那是被偷走的时刻。 |
| 201 | In my work, over the years, | 多年来,在我的工作里, |
| 202 | I've known many people who were ready to go, ready to die. | 我认识很多人,他们准备去,准备去死。 |
| 203 | And not because they had found some final peace or transcendence, | 并不是因为他们找到了 最终的和平或超越, |
| 204 | but because they were so repulsed by what their lives had become. | 因为他们被自己的人生所厌恶 |
| 205 | In a word, cut off. | 一句话,切断。 |
| 206 | Ugly. | 丑恶. |
| 207 | There are already record numbers of us living with chronic and terminal illness | 已经有创纪录的数字 我们生活在慢性和绝症 |
| 208 | and into ever-older age. | 进入更老的年代 |
| 209 | And we are nowhere near ready or prepared for this silver tsunami. | 我们还没准备好迎接银色海啸 |
| 210 | We need an infrastructure dynamic enough | 我们需要足够多的基础设施 |
| 211 | to handle these seismic shifts in our population. | 处理这些地震变化 我们的人口。 |
| 212 | Now is a time to create something new, something vital. | 现在是创造新事物的时候, 重要的东西。 |
| 213 | I know we can because we have to. | 我知道我们可以,因为我们必须这样做。 |
| 214 | The alternative is just unacceptable. | 另一种选择是不可接受的。 |
| 215 | And the key ingredients are known. | 而关键成分已知. |
| 216 | Policy, education and training, | 政策、教育和培训, |
| 217 | systems, bricks and mortar. | 系统、砖和迫击炮。 |
| 218 | We have tons of input for designers of all stripes to work with. | 我们有吨量的输入 用于所有条纹的设计者工作。 |
| 219 | We know, for example, from research, | 我们从研究中知道 |
| 220 | what's most important to people who are closer to death. | 对离死亡更近的人来说最重要的 |
| 221 | Comfort, feeling unburdened | 舒舒服服,无拘无束 |
| 222 | and unburdening to those they love. | 并减轻他们所爱者的重负。 |
| 223 | Existential peace | 存在的和平 |
| 224 | and a sense of wonderment and spirituality. | 和一种奇异和精神的感觉。 |
| 225 | Over Zen Hospice's nearly 30 years, | 超过三十年来,禅何斯比斯, |
| 226 | we've learned much more from our residents in subtle detail. | 我们从居民那里学到了更多的细节 |
| 227 | Little things aren't so little. | 小东西不是那么少。 |
| 228 | Take Jeanette. | 带上珍妮特 |
| 229 | She finds it harder to breathe one day to the next due to ALS. | 由于ALS,她觉得一天呼吸到第二天更困难. |
| 230 | Well, guess what? | 你猜怎么着? |
| 231 | She wants to start smoking again. | 她想重新开始抽烟。 |
| 232 | And French cigarettes, if you please. | 还有法国香烟,如果你愿意的话。 |
| 233 | Not out of some self-destructive bent, | 不是从自毁的弯曲, |
| 234 | but to feel her lungs filled while she has them. | 但是在她有肺的时候感受她的肺部充沛 |
| 235 | Priorities change. | 优先事项发生变化。 |
| 236 | Or Kate. | 或者凯特 |
| 237 | She just wants to know her dog Austin is lying at the foot of her bed, | 她只是想知道她的狗奥斯汀躺在床脚下 |
| 238 | his cold muzzle against her dry skin. | 他对着她干燥的皮肤的冷口 |
| 239 | Instead of more chemotherapy coursing through her veins, | 而不是更多的化疗 通过她的血管凝结, |
| 240 | she's done that. | 她这样做了。 |
| 241 | Sensuous aesthetic gratification | 敏锐的审美满足 |
| 242 | where in a moment, in an instant, | 在那一刻,在瞬间, |
| 243 | we are rewarded for just being. | 我们因为只是存在而得到回报。 |
| 244 | So much of it comes down to loving our time by way of the senses, | 如此之多的事物 来到了爱我们的时间 通过感官, |
| 245 | by way of the body, | 通过身体, |
| 246 | the very thing doing the living and the dying. | 做活的和死的一样 |
| 247 | Probably the most poignant room in a Zen Hospice guesthouse is our kitchen, | 可能是我们家的厨房 是Zen Hospice招待所里最漂亮的房间 |
| 248 | which is a little strange when you realize | 这有点奇怪 当你意识到 |
| 249 | that so many of our residents can eat very little, if anything at all. | 我们的很多居民 吃得很少,甚至任何东西。 |
| 250 | But we realize we are providing sustenance on several levels. | 但是我们意识到,我们正在提供若干层面的生计。 |
| 251 | Smell, a symbolic plane. | 闻起来,一个象征性的飞机。 |
| 252 | Seriously, with all the heavy-duty stuff happening under our roof, | 说真的 在我们屋檐下 发生了许多重活 |
| 253 | one of the most tried-and-true interventions we know of | 我们所知道的 最尝试和最真实的发言之一 |
| 254 | is to bake cookies. | 是烤饼干。 |
| 255 | As long as we have our senses, even just one, | 只要我们有感官,哪怕只有一个 |
| 256 | we have at least the possibility of accessing | 我们至少可以访问 |
| 257 | what makes us feel human, connected. | 是什么让我们觉得人,联系。 |
| 258 | Imagine the ripples of this notion | 想象一下这个概念的波折 |
| 259 | for the millions of people living and dying with dementia. | 数百万人因痴呆而死 |
| 260 | Primal, sensorial delights | 初步的感官快乐 |
| 261 | that say the things we don't have words for. | 说我们没有话要说 |
| 262 | Impulses that make us stay present. | 冲动让我们留在原地 |
| 263 | No need for a past or a future. | 不需要过去或未来 |
| 264 | So if teasing unnecessary suffering out of the system | 所以,如果调侃不必要的痛苦 走出系统 |
| 265 | was our first design cue, | 这是我们第一个设计提示, |
| 266 | then tending to dignity by way of the senses, | 然后通过感官保持尊严, |
| 267 | by way of the body, | 通过身体, |
| 268 | the aesthetic realm, is design cue number two. | 美学领域,是设计二号提示。 |
| 269 | Now, this gets us quickly to the third and final bit for today. | 现在,这让我们很快 到了今天的第三,也是最后一点。 |
| 270 | Namely, we need to lift our sights, to set our sights on well-being | 也就是说,我们需要抬起我们的视线 把视线定在幸福上 |
| 271 | so that life can become, and health, and health care can become | 使生活、健康和保健 |
| 272 | about making life more wonderful, | 关于让生活更加美好, |
| 273 | rather than just less horrible. | 而不是仅仅减少恐怖。 |
| 274 | Beneficence. | 益众生. |
| 275 | Here, this gets right at the distinction between a disease-centered | 这里,这是正确的区别 以疾病为中心 |
| 276 | and a patient- or human-centered model of care. | 和以病人或人为中心的护理模式。 |
| 277 | And here is where caring becomes a creative, generative, even playful act. | 在这里,关爱变成了一种创造性的, 遗传性的,甚至游戏性的行为。 |
| 278 | Play may sound like a funny word here. | 演奏听起来可能像一个有趣的词。 |
| 279 | But it's also one of our highest forms of adaptation. | 但它也是我们最高的适应形式之一. |
| 280 | Consider every major compulsory effort it takes to be human. | 考虑做为人类的每一项重大强制努力。 |
| 281 | The need for food is birth cuisine. | 食物的需求是生菜. |
| 282 | The need for shelters, given rise to architecture. | 住房需要,导致建筑。 |
| 283 | The need for cover, fashion. | 需要掩护,时尚 |
| 284 | And for being subjected to the clock? | 受时钟支配? |
| 285 | Well, we invented music. | 我们发明了音乐 |
| 286 | So, since dying is a necessary part of life, | 既然死亡是生命的必要部分 |
| 287 | what might we create with this fact? | 我们能用这个事实创造什么? |
| 288 | By play, I am in no way suggesting that we take a light approach to dying | 我绝对不建议我们用轻轻的死法 |
| 289 | or that we mandate any particular way of dying. | 或者我们授权任何特定的死亡方式 |
| 290 | There are mountains of sorrow that cannot move, | 有悲伤的山 无法移动, |
| 291 | and one way or another, we will all kneel there. | 不管怎么样 我们都跪在那里 |
| 292 | Rather, I am asking we make space, | 相反,我要求我们创造空间, |
| 293 | physical, psychic room, | 物理的,灵媒的房间, |
| 294 | to allow life to play itself all the way out, | 为了让生活 发挥自己的方式, |
| 295 | so that rather than just getting out of the way, | 这样,而不是仅仅让开, |
| 296 | aging and dying can become a process of crescendo through to the end. | 衰老和死亡会变成一个 持续到最后的重现过程 |
| 297 | We can't solve for death. | 我们无法解决死亡 |
| 298 | I know some of you are working on this. | 我知道你们中有些人正在研究这个 |
| 299 | Meanwhile, we can design towards it. | 与此同时,我们可以设计它。 |
| 300 | Now, parts of me died early on, | 现在,我的一部分早死了, |
| 301 | and that's something we can all say one way or another. | 这也是我们可以说的一种方式。 |
| 302 | I got to redesign my life around this fact, | 我得重新规划我的生活 |
| 303 | and I tell you it has been a liberation | 我告诉你这是一次解放 |
| 304 | {\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}意识到你总能找到美的震撼 | |
| 305 | in what life you have left, | 在你们所剩的生活中, |
| 306 | like that snowball lasting for a perfect moment, | 像那个雪球 持续一个完美的时刻, |
| 307 | all the while melting away. | 在融化的时候 |
| 308 | If we love such moments ferociously, | 如果我们热衷于这种时刻 |
| 309 | then maybe we can learn to live well, | 也许我们可以学会过好日子 |
| 310 | not in spite of death, | 尽管死亡, |
| 311 | but because of it. | 但因为它。 |
| 312 | Let death be what takes us, | 让死亡成为夺去我们的生命 |
| 313 | not lack of imagination. | 而不是缺乏想象力。 |
| 314 | Thank you. | 谢谢 |
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