Can geographic information make you healthy? In 2001 I got hit by a train. My train was a heart attack. I found myself in a hospital in an intensive-care ward, recuperating from emergency surgery. And I suddenly realized something: that I was completely in the dark. I started asking my questions, "Well, why me?" "Why now?" "Why here?" "Could my doctor have warned me?"

地理環境是否 能使你身體更健康？ 2001年我被一列車撞到。 我的心臟受到了損害。 醒來時我發現自己在醫院 的一個加護病房里， 正從急救手術中恢復過來。 我突然意識到： 自己完全被蒙在鼓里。 我開始問自己：“為什么是我？” 為什么是現在？為什么在這兒？ “我的醫生能否事先告誡我？”

So, what I want to do here in the few minutes I have with you is really talk about what is the formula for life and good health. Genetics, lifestyle and environment. That's going to sort of contain our risks, and if we manage those risks we're going to live a good life and a good healthy life. Well, I understand the genetics and lifestyle part. And you know why I understand that? Because my physicians constantly ask me questions about this.

所以，在接下來的幾分鐘，我想與你們分享的是 一個健康的生命應由什么構成。 遺傳基因，生活方式和環境。 也就是說這些是我們將面對的風險因素， 如果我們處理好這些風險 我們的生活將會更健康更美好。 當然 ，我了解基因和生活方式這兩方面。 那你們知道我為什么了解嗎？ 因為我的內科醫生不斷地 詢問這些方面的情況。

Have you ever had to fill out those long, legal-size forms in your doctor's office? I mean, if you're lucky enough you get to do it more than once, right? (Laughter) Do it over and over again. And they ask you questions about your lifestyle and your family history, your medication history, your surgical history, your allergy history ... did I forget any history?

你是否在醫生的辦公處填寫過， 那些標準大小規格的表格？ 我是說，你們已幸運地做過多次這樣的事，對嗎？ （笑聲） 一次又一次的重復。然后他們還要詢問 你的生活方式，你的家庭史 你的藥物治療史，你的外科史 你的過敏史，恩...我還忘了其他的什么歷史嗎？

But this part of the equation I didn't really get, and I don't think my physicians really get this part of the equation. What does that mean, my environment? Well, it can mean a lot of things. This is my life. These are my life places. We all have these. While I'm talking I'd like you to also be thinking about: How many places have you lived?

但是對于這個部分，我并不是真正的知道。 而且我也不認為我的醫生 真正的了解了這部分的信息。 我的環境意味著什么？ 實際上，它意味著很多事情。 這是我的生活。它們是我生活的地方。 我們每個人都擁有的。 我希望在我演講時，你們都想想 你們在多少個地方生活過？

Just think about that, you know, wander through your life thinking about this. And you realize that you spend it in a variety of different places. You spend it at rest and you spend it at work. And if you're like me, you're in an airplane a good portion of your time traveling some place. So, it's not really simple when somebody asks you, "Where do you live, where do you work, and where do you spend all your time? And where do you expose yourselves to risks that maybe perhaps you don't even see?" Well, when I have done this on myself, I always come to the conclusion that I spend about 75 percent of my time relatively in a small number of places. And I don't wander far from that place for a majority of my time, even though I'm an extensive global trekker.

在你的生活中時不時 想想這個問題。 你會意識到，你的生命在很多不同的地方度過。 你在不同的地方休息和工作。 如果是像我類的人，旅途過程中你將花相當一部分的時間 在機場這個地方。 所以，我們總是很難回答類似的問題 你在哪兒生活？你在哪兒工作？ 你在哪兒度過你的時光？ 你在哪兒陷入那些 你甚至未意識到的危機之中？ 當我向自己發問時 我總能得出以下結論 我生命中大約75%的時間 都集中在幾個地方度過。 大部分的時間 我不會遠離它們， 即使我是一位滿世界跑的旅行者。

Now, I'm going to take you on a little journey here. I started off in Scranton, Pennsylvania. I don't know if anybody might hail from northeastern Pennsylvania, but this is where I spent my first 19 years with my little young lungs. You know, breathing high concentrations here of sulfur dioxide, carbon dioxide and methane gas, in unequal quantities -- 19 years of this. And if you've been in that part of the country, this is what those piles of burning, smoldering coal waste look like.

現在，我將帶你們踏上我的幾段旅途。 我從賓夕法尼亞的斯克蘭頓出發。 我不知道現場是否有人來自賓西法尼亞州東北部。 但是這是我與我年輕活力的肺 一起呆了19年的地方。 在這里，我伴隨著高濃度的 二氧化硫，二氧化碳 和甲烷 一起度過了我生命中的19年。 如果你也曾在這個地方住過， 你就會了解它們都是產生于就像這些一堆堆正在燃燒的煤渣。

So then I decided to leave that part of the world, and I was going to go to the mid-west. OK, so I ended up in Louisville, Kentucky. Well, I decided to be neighbors to a place called Rubbertown. They manufacture plastics. They use large quantities chloroprene and benzene. Okay, I spent 25 years, in my middle-age lungs now, breathing various concentrations of that. And on a clear day it always looked like this, so you never saw it. It was insidious and it was really happening.

所以，我決定離開那個地方。 然后打算遷到中西部。 現在我在肯塔基州的路易斯維爾定居。 我打算成為橡膠鎮的鄰居。 這個鎮生產塑料。生產過程中使用大量的氯丁二烯 和苯。 就這樣，我帶著我那步入中年的肺 呼吸著充滿氯丁二烯和奔的空氣又生活了25年。 在晴朗的天氣里它顯得那樣的干凈漂亮，你從不會發現這些毒氣存在。 但它卻是真真實實的潛在地發生了。

Then I decided I had to get really smart, I would take this job in the West Coast. And I moved to Redlands California. Very nice, and there my older, senior lungs, as I like to call them, I filled with particulate matter, carbon dioxide and very high doses of ozone. Okay? Almost like the highest in the nation. Alright, this is what it looks like on a good day. If you've been there, you know what I'm talking about.

然后我決定了我必須變得聰明， 我要在西海岸從事這個工作。 然后我又搬到了加利福尼亞州的瑞德蘭茲。 我帶著年長的 肺（我喜歡這樣稱呼它們）生活在那里 之后我又發現了一些小問題，二氧化碳，臭氧的濃度非常高。 甚至是整個國家最高點的。 這個地方天氣好的時候就像這樣。 如果你住過那里，你就會了解我正在說的。

So, what's wrong with this picture? Well, the picture is, there is a huge gap here. The one thing that never happens in my doctor's office: They never ask me about my place history. No doctor, can I remember, ever asking me, "Where have you lived?" They haven't asked me what kind of the quality of the drinking water that I put in my mouth or the food that I ingest into my stomach. They really don't do that. It's missing. Look at the kind of data that's available. This data's from all over the world -- countries spend billions of dollars investing in this kind of research.

現在看看，這副圖片存在什么問題？ 是的，在圖片的這里，有個巨大的空隙。 在我醫生的辦公室從未發生過的一件事就是： 他們從未問過我的居住地情況。 我記得從未有過任何一個醫生問過我： 你曾經在什么地方居住過？ 他們沒有問過我 我飲用的水質量如何？ 或者我食用的食物的質量又如何？ 他們從未那樣做過。 看看這組數據。 這組數據是世界各國投入數億美元 做此類研究所得出的。

Now, I've circled the places where I've been. Well, by design, if I wanted to have a heart attack I'd been in the right places. Right? So, how many people are in the white? How many people in the room have spent the majority of their life in the white space? Anybody? Boy you're lucky. How many have spent it in the red places? Oh, not so lucky. There are thousands of these kinds of maps that are displayed in atlases all over the world. They give us some sense of what's going to be our train wreck. But none of that's in my medical record. And it's not in yours either.

現在，我圈出了我們研究過的地方。 現在，我必須在一些地方呆過 我才能得心臟病，對嗎？ 所以，有多少人住在白色的這些地方？ 在坐的有多少人在這些白色地方 度過了你生命中的大部分時間？ 有嗎？這個先生你很幸運。 又有多少人居住在這些紅色區域？ 看來不是很幸運。 有成千上萬副類似的圖片， 在世界各地的 地圖冊中展示出來。 他們提醒我們 發生火車碰撞后將會發生什么。 但是在我的醫療記錄中沒有任何相關的記錄。 相信你們的也沒有。

So, here's my friend Paul. He's a colleague. He allowed his cell phone to be tracked every two hours, 24/7, 365 days out of the year for the last two years, everywhere he went. And you can see he's been to a few places around the United States. And this is where he has spent most of his time. If you really studied that you might have some clues as to what Paul likes to do. Anybody got any clues? Ski. Right. We can zoom in here, and we suddenly see that now we see where Paul has really spent a majority of his time. And all of those black dots are all of the toxic release inventories that are monitored by the EPA.

這是我的一位朋友Paul， 是我同事，在過去的兩年里，他將其移動電話設置為可以被追蹤的 365天，每天 兩個小時， 不管他到哪個地方。 你可以看到他到過了美國的幾個地方， 在這里他度過了大部分的時間。 如果你認真的觀察這些地方，你可能從中猜出 Paul的愛好是什么。 有人知道嗎？是的，就是滑雪。 我們聚焦這兒，我們馬上會發現 在這些地方Paul度過了相當一部分的時光。 所有這些黑點 都是由EPA監測出的有毒氣排放 記錄的地方。

Did you know that data existed? For every community in the United States, you could have your own personalized map of that. So, our cell phones can now build a place history. This is how Paul did it. He did it with his iPhone. This might be what we end up with.

你們知道有這類數據存在嗎？ 在美國的各個社區， 你們都可以領取屬于你們自己的地圖冊。 所以，我們的手機現在幫助建立我們的居住史。 這就是Paul用他的iPhone 所做的. 這可能即使我們最終想要達到的效果。

This is what the physician would have in front of him and her when we enter that exam room instead of just the pink slip that said I paid at the counter. Right? This could be my little assessment. And he looks at that and he says, "Whoa Bill, I suggest that maybe you not decide, just because you're out here in beautiful California, and it's warm every day, that you get out and run at six o'clock at night. I'd suggest that that's a bad idea Bill, because of this report."

當我們進入到治療室時， 這個將呈現給我們的醫生 而不是在柜臺領取的那張表，對嗎？ 這個是我自己一個小猜測 他可能看著那個然后說 “喔~Bill， 你居住， 你居住在美麗的加利福尼亞 每天都那么的溫暖， 可能你決定每天晚上6點出去跑步， 但是從這組數據中看出 這將不會是個好主意。”

What I'd like to leave you for are two prescriptions. Okay, number one is, we must teach physicians about the value of geographical information. It's called geomedicine. There are about a half a dozen programs in the world right now that are focused on this. And they're in the early stages of development. These programs need to be supported, and we need to teach our future doctors of the world the importance of some of the information I've shared here with you today.

今天我將留給你們是這樣的兩個處方： 第一個：我們必須讓我們的醫生 了解到地理信息的價值所在。 全世界正在做的研究 其中一半項目都在關注。 這些研究都處于起步階段， 都需要得到支持。 然后我們需要告訴我們未來全世界范圍內的 醫生們， 今天我與你們 一起分享的這些信息的重要性。

The second thing we need to do is while we're spending billions and billions of dollars all over the world building an electronic health record, we make sure we put a place history inside that medical record. It not only will be important for the physician; it will be important for the researchers that now will have huge samples to draw upon. But it will also be useful for us. I could have made the decision, if I had this information, not to move to the ozone capital of the United States, couldn't I? I could make that decision. Or I could negotiate with my employer to make that decision in the best interest of myself and my company.

第二件事我們需要做的是： 當世界各地投入 億萬美元 去建立一個電子化的健康記錄時， 我們必須確定將居住史 記錄在內。 它不僅對醫生顯得很重要， 為研究者也同樣重要。 對此，我們可以舉出大量的例子。 同樣對于我們自己也非常有用。 如果我們擁有了這些信息， 無需到美國的臭氧中心就可以得出結論。 我可以嗎？是的，我可以。 基于我自己和我公司的最大利益， 或者我可以與我的雇主談判 做出決定。

With that, I would like to just say that Jack Lord said this almost 10 years ago. Just look at that for a minute. That was what the conclusion of the Dartmouth Atlas of Healthcare was about, was saying that we can explain the geographic variations that occur in disease, in illness, in wellness, and how our healthcare system actually operates. That was what he was talking about on that quote. And I would say he got it right almost a decade ago. So, I'd very much like to see us begin to really seize this as an opportunity to get this into our medical records. So with that, I'll leave you that in my particular view of view of health: Geography always matters. And I believe that geographic information can make both you and me very healthy. Thank you. (Applause)

有了那些，我可以說出Jack Lord 差不多十年前說過的話。 花一分鐘的時間看這， 這是Dartmouth保健地圖冊 所得到的結論。 從中我們可以解釋 在身體處于生病抑或是健康時地理區域的變化。 還有我們的保健系統又是怎么實際運行的。 這就是他在引用此數據時 所要闡述的。 我要說在10年前他就正確的認識到了。 所以，我將非常欣喜的看到 我們能真正的抓住這個機會將居住史也涵蓋在醫療記錄中。 所以我將帶給你們 我個人對健康的看法： 就是地理總是問題所在。 而且我堅信了解地理信息 將會使你和我更加健康。謝謝！ （鼓掌）

更多 英語演講小短文、英文演講稿、英語演講稿 相關文章和資料，請繼續關注 英語作文大全