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[Speaking] (PS-023) ¡°Á¦°¡ Á×À»±î¿ä?¡± ¼ÖÁ÷ÇÑ ´ä - Matthew O£§Reilly
ÃÖ°í°ü¸®ÀÚ  |  16-12-03 18:32

´ëÁß ¿¬¼³Àº ¾Æ¸¶µµ ´Ü¼øÇÑ ¾ð¾îÀÇ ±â¼úÀû ±¸»ç°¡ ¾Æ´Ñ, ûÁßÀ» »ç·ÎÀâ´Â ³ë·Â°ú Áغñ·Î
¸¸µé¾îÁø ¾ðº¯(åëܪ)ÀÇ °á°ú¹°À̶ó ÇÒ ¼ö ÀÖÀ» °ÍÀÔ´Ï´Ù. ¸í¿¬¼³Àº ÇÑ »ç¶÷ÀÇ ÀλýÀ» ¿ÏÀüÈ÷
¹Ù²Ù±âµµ ÇÏÁö¿ä. ¿µ¾î °øºÎ¿¡ À־ °¡Àå Áß¿äÇÑ "µè°í/ÀÌÇØ"ÇÏ´Â ´É·ÂÀ» ²ÙÁØÈ÷ ¹è¾çÇÏ¿©
Æ°Æ°ÇÑ ¿µ¾î ½Ç·ÂÀ» ±â¸£±æ ¹Ù¶ø´Ï´Ù.

[TED Ŭ¸¯]



[Transcript]

0:11

Àú´Â Áö³­ 7³â°£ ´º¿å ¼­ÆÜÄ«¿îƼ¿¡¼­ ÁßȯÀÚ ÀÀ±Þ±¸Á¶»ç·Î ÀÏÇß½À´Ï´Ù.
ÀÚµ¿Â÷ »ç°íºÎÅÍ Ç㸮ÄÉÀÎ »÷µð¿¡ À̸£´Â ¸¹Àº »ç°í¿¡¼­ ÃÖÃÊ·Î ´ëó¸¦ ÇÏ´Â »ç¶÷À̾ú½À´Ï´Ù.
I've been a critical care EMT for the past seven years in Suffolk County, New York. I've been a first responder in a number of incidents ranging from car accidents to Hurricane Sandy.

0:20
¿©·¯ºÐÀÌ ´ëºÎºÐÀÇ »ç¶÷µé°ú °°´Ù¸é Á×À½Àº
°¡Àå Å« µÎ·Á¿ò Áß ÇϳªÀÏ °ÍÀÔ´Ï´Ù. ¾î¶² »ç¶÷Àº Á×À½ÀÌ ´Ù°¡¿ÈÀ» º¾´Ï´Ù. ¾î¶² »ç¶÷Àº ±×·¸Áö ¾ÊÁÒ. Àß ¾Ë·ÁÁöÁö ¾ÊÀº ÀÇÇÐ ¿ë¾î°¡ ÀÖ½À´Ï´Ù. 'ÀÓ¹ÚÇÑ Á×À½' ±×°ÍÀº °ÅÀÇ Áõ»ó¿¡ °¡±õ½À´Ï´Ù. ±¸Á¶»ç·Î¼­ Àú´Â ÀÌ·± Áõ»ó¿¡ ´ëºñÇÑ ÈÆ·ÃÀ» ¹Þ¾Ò½À´Ï´Ù. ±×·¡¼­ ½É±Ù°æ»ö ȯÀÚ°¡ Àú¸¦ º¸°í, "¿À´Ã Á×À» °Í °°¾Æ¿ä"¶ó°í ¸»ÇÒ ¶§, ÀúÈñ´Â ȯÀÚÀÇ »óŸ¦ ÀçÆò°¡Çϵµ·Ï ÈƷù޽À´Ï´Ù.
If you are like most people, death might be one of your greatest fears. Some of us will see it coming. Some of us won't. There is a little-known documented medical term called impending doom. It's almost a symptom. As a medical provider, I'm trained to respond to this symptom like any other, so when a patient having a heart attack looks at me and says, "I'm going to die today," we are trained to reevaluate the patient's condition.

0:44
Á¦°¡ ÀÏÇÏ´Â µ¿¾È »ó´ç¼öÀÇ »ç°í¿¡¼­ »ì ½Ã°£ÀÌ ¸î ºÐ¹Û¿¡ ¾È ³²Àº ȯÀڵ鿡 ´ëÀÀÇß½À´Ï´Ù. Á¦°¡ ±×µéÀ» À§ÇØ ÇÒ °ÍÀº ¾Æ¹«°Íµµ ¾ø¾ú½À´Ï´Ù. ±×·¯¸é Àú´Â ÇÑ µô·¹¸¶¿¡ Á÷¸éÇÕ´Ï´Ù. ³»°¡ ±×µé¿¡°Ô °ð Á×´Â´Ù°í ¸»ÇÒ±î? ¾Æ´Ï¸é °ÅÁþ¸»·Î ¾È½ÉÀ» ½Ãų±î? ÀÏÀ» ½ÃÀÛÇßÀ» Ãʱ⿡ Àú´Â ÀÌ µô·¹¸¶¿¡ Á÷¸éÇß°í, ´Ü¼øÈ÷ °ÅÁþ¸»À» Çß½À´Ï´Ù. Àú´Â µÎ·Á¿ü½À´Ï´Ù. ¸¸¾à Á¦°¡ Áø½ÇÀ» ¾ê±âÇϸé, ±×µéÀº °øÆ÷¿Í µÎ·Á¿ò ¼Ó¿¡ Á×À» °ÍÀÌ°í »îÀÇ ¸¶Áö¸· ¼ø°£ ±×·± °Íµé¿¡°Ô »ç·ÎÀâÇô ÀÖÀ» °ÍÀÔ´Ï´Ù.
Throughout my career, I have responded to a number of incidents where the patient had minutes left to live and there was nothing I could do for them. With this, I was faced with a dilemma: Do I tell the dying that they are about to face death, or do I lie to them to comfort them? Early in my career, I faced this dilemma by simply lying. I was afraid. I was afraid if I told them the truth, that they would die in terror, in fear, just grasping for those last moments of life.

1:17
±× ¸ðµç °ÍµéÀÌ ÇÑ »ç°ÇÀ¸·Î ´Þ¶óÁ³½À´Ï´Ù. 5³âÀü Àú´Â ¿ÀÅä¹ÙÀÌ »ç°í¿¡ Ã⵿Çߴµ¥ ¿îÀüÀÚ´Â Ä¡¸íÀû »óó¸¦ ÀÔ°í °íÅ뽺·¯¿öÇß½À´Ï´Ù. Á¦°¡ ±×¸¦ Æò°¡ÇßÀ» ¶§ ±×¸¦ À§ÇØ ÇÒ ¼ö ÀÖ´Â °Ô ¾Æ¹«°Íµµ ¾ø¾ú½À´Ï´Ù. ±×¸®°í ¸¹Àº °æ¿ìµéó·³, ±×´Â Á¦ ´«À» º¸¾Ò°í ¹°¾ú½À´Ï´Ù. "Á¦°¡ °ð Á×À»±î¿ä?" ±× ¼ø°£ Àú´Â ¹º°¡ ´Ù¸¥ °ÍÀ» Çϱâ·Î Çß½À´Ï´Ù. Àú´Â ±×¿¡°Ô Áø½ÇÀ» ¸»Çϱâ·Î Çß½À´Ï´Ù. ±×´Â °ð Á×À» °ÍÀÌ°í ³»°¡ ÇÒ ¼ö ÀÖ´Â°Ô ¾Æ¹«°Íµµ ¾ø´Ù°í ¸»Çϱâ·Î Çß½À´Ï´Ù. ±×ÀÇ ¹ÝÀÀÀº ¿À´Ã±îÁöµµ Á¦°Ô Ãæ°ÝÀ» ÁÖ¾ú½À´Ï´Ù. ±×´Â ¿©À¯·Î¿ü°í ¾ó±¼¿¡¼­ ¼ö¿ëÀÇ ÀÚ¼¼¸¦ º¸¿´½À´Ï´Ù. ±×´Â Á¦°¡ »ý°¢Çß´ø Á×À½ÀÇ °øÆ÷¿Í µÎ·Á¿òÀ» ¹ÞÁö ¾Ê¾Ò½À´Ï´Ù. ±×´Â ±×³É °Å±â ´©¿ö ÀÖ¾ú°í Àú´Â ±×ÀÇ ´«¿¡¼­ ³»Àû ÆòÈ­¿Í Á×À½ÀÇ ¼ö¿ëÀ» º¸¾Ò½À´Ï´Ù. ±× »ç°Ç ÀÌÈÄ·Î Àú´Â Á¦ °ÅÁþ¸»·Î Á×À½À» À§·ÎÇÏ´Â °ÍÀÌ Á¦ÀÏÀÌ ¾Æ´ÔÀ» ¾Ë¾Ò½À´Ï´Ù. ±× ÀÌÈÄ·Î ¸¹Àº »ç°í¿¡ ´ëÀÀÇϸ鼭 Á×À½¿¡ ÀÓ¹ÚÇÑ È¯ÀÚµéÀ» ºÃ°í, Á¦°¡ ±×µéÀ» À§ÇØ ÇÒ ¼ö ÀÖ´Â°Ô ¾ø¾ú½À´Ï´Ù. °ÅÀÇ ¸ðµç »ç°Ç¿¡¼­ ¸»ÀÌÁö¿ä. Áø½ÇÀ» ¸»ÇÏ¸é ¸ðµÎ °°Àº ¹ÝÀÀÀ» º¸¿´½À´Ï´Ù. ³»Àû ÆòÈ­¿Í Á×À½ÀÇ ¼ö¿ë. »ç½Ç 3°¡Áö °æ¿ì°¡ ÀÖ½À´Ï´Ù. Àú´Â ¸ðµç °æ¿ì¸¦ º¸¾Ò½À´Ï´Ù.
That all changed with one incident. Five years ago, I responded to a motorcycle accident. The rider had suffered critical, critical injuries. As I assessed him, I realized that there was nothing that could be done for him, and like so many other cases, he looked me in the eye and asked that question: "Am I going to die?" In that moment, I decided to do something different. I decided to tell him the truth. I decided to tell him that he was going to die and that there was nothing I could do for him. His reaction shocked me to this day. He simply laid back and had a look of acceptance on his face. He was not met with that terror or fear that I thought he would be. He simply laid there, and as I looked into his eyes, I saw inner peace and acceptance. From that moment forward, I decided it was not my place to comfort the dying with my lies. Having responded to many cases since then where patients were in their last moments and there was nothing I could do for them, in almost every case, they have all had the same reaction to the truth, of inner peace and acceptance. In fact, there are three patterns I have observed in all these cases.

2:36
ù¹ø° °æ¿ì´Â ¾ðÁ¦³ª Àú¿¡°Ô Ãæ°ÝÀ» ÁÝ´Ï´Ù.
Á¾±³Àû ¹ÏÀ½À̳ª ¹®È­Àû ¹è°æ¿¡ »ó°ü¾øÀÌ, ¿ë¼­ÇÒ ÇÊ¿ä°¡ ÀÖ½À´Ï´Ù. ±×µéÀÌ ¿øÁ˶ó°í ºÎ¸£°Å³ª ¶Ç´Â ÈÄȸÇÑ´Ù°í ¸»Çϰųª ±×µéÀÇ ÁËÃ¥°¨Àº º¸ÆíÀûÀÔ´Ï´Ù. Àú´Â ¾î¶² ³ë½Å»ç¸¦ µ¹ºÁÁØ ÀûÀÌ ÀÖ½À´Ï´Ù. ±× ³ë½Å»ç´Â ½É°¢ÇÑ ½ÉÀ庴À» °¡Áö°í ÀÖ¾úÁÒ. Á¦°¡ ±×ÀÇ ±ÞÀÛ½º·¯¿î ½ÉÀ帶ºñ¿¡ ´ëºñÇØ ÁغñÇÏ°í ÀÖÀ» ¶§¿´½À´Ï´Ù. Àú´Â ȯÀÚ¿¡°Ô ÀÓ¹ÚÇÑ Á×À½À» ¸»Çϱ⠽ÃÀÛÇßÁÒ. ±×´Â ÀÌ¹Ì Á¦ ¸»Åõ¿Í ¸öÁþÀ¸·Î ¾Ë¾Æë½À´Ï´Ù. Á¦°¡ ±×ÀÇ °¡½¿¿¡ ¼¼µ¿Á¦°Å±â Æе带 ¿Ã¸®°í ¾î¶² ÀÏÀÌ ÀϾÁö¸¦ ÁغñÇÒ ¶§ ±×´Â Á¦ ´«À» ¹Ù¶óº¸°í ¸»Çß½À´Ï´Ù. "³»°¡ ½Ã°£À» À̱âÀûÀ¸·Î ¾²Áö ¾Ê°í, Àڽĵé°ú ¼ÕÀÚ, ¼Õ³àµé¿¡°Ô ´õ ¸¹Àº ½Ã°£À» º¸³Â´õ¶ó¸é." Á×À½¿¡ ÀÓ¹ÚÇؼ­ ±×°¡ ¿øÇÏ´ø ¸ðµç °ÍÀº ¿ë¼­¿´½À´Ï´Ù.
The first pattern always kind of shocked me. Regardless of religious belief or cultural background, there's a need for forgiveness. Whether they call it sin or they simply say they have a regret, their guilt is universal. I had once cared for an elderly gentleman who was having a massive heart attack. As I prepared myself and my equipment for his imminent cardiac arrest, I began to tell the patient of his imminent demise. He already knew by my tone of voice and body language. As I placed the defibrillator pads on his chest, prepping for what was going to happen, he looked me in the eye and said, "I wish I had spent more time with my children and grandchildren instead of being selfish with my time." Faced with imminent death,
all he wanted was forgiveness.

3:27
Á¦°¡ °üÂûÇÑ µÎ¹ø° °æ¿ì´Â ȸ»ó¿¡ ´ëÇÑ ÇÊ¿äÀÔ´Ï´Ù. Á¦ ±â¾ï ¼Ó¿¡¼­ ¶Ç´Â »ç¶ûÇß´ø »ç¶÷ÀÇ ±â¾ï ¼Ó¿¡¼­ ÀڽŵéÀÌ »ì¾ÆÀÖ´Ù´Â °ÍÀ» ´À³¢±æ ¿øÇß½À´Ï´Ù. ±×µéÀÌ »ç¶ûÇß´ø »ç¶÷, Àú¿Í Á¦ µ¿·á, ¶Ç´Â ÁÖº¯ »ç¶÷µéÀÇ ¸¶À½°ú »ý°¢ ¾È¿¡¼­ ºÒ¸ê¿¡ ´ëÇÑ Çʿ伺ÀÌ ÀÖ½À´Ï´Ù. ¼ö¸¹Àº °æ¿ì¿¡ ȯÀÚµéÀÌ Á¦ ´«À» º¸¸é¼­ ¸»Çß½À´Ï´Ù. "Àú¸¦ ±â¾ïÇØÁֽǰÅÁÒ?"
The second pattern I observe is the need for remembrance. Whether it was to be remembered in my thoughts or their loved ones', they needed to feel that they would be living on. There's a need for immortality within the hearts and thoughts of their loved ones, myself, my crew, or anyone around. Countless times, I have had a patient look me in the eyes and say, "Will you remember me?"

3:53
Á¦°¡ °üÂûÇÑ ¸¶Áö¸· °æ¿ì´Â Ç×»ó Àú¿¡°Ô ±íÀº °¨µ¿À» ÁÝ´Ï´Ù. ȯÀÚµéÀº ÀÚ±âµéÀÇ »îÀÌ ÀǹÌÀÖ¾ú´ÂÁö ¾Ë°í ½Í¾îÇÕ´Ï´Ù. ±×µéÀº ÀÚ½ÅÀÇ »îÀ» ¾µ¸ð¾ø´Â ÀÏ¿¡ ³¶ºñÇÏÁö ¾Ê¾ÒÀ½À» ¾Ë°í ½Í¾îÇÕ´Ï´Ù.
The final pattern I observe always touched me the deepest, to the soul. The dying need to know that their life had meaning. They need to know that they did not waste their life on meaningless tasks.

4:08
ÀÌ »óȲÀº Àú¿¡°Ô ¸Å¿ì ÀÏÂï ÀϾ½À´Ï´Ù. Àú´Â ÀÀ±ÞÀüÈ­¿¡ ÀÀ´äÇß½À´Ï´Ù. 50´ë ¿©¼ºÀÌ ÀÖ¾ú´Âµ¥ ±×³à´Â Â÷·® ³»¿¡ ½É°¢ÇÏ°Ô ³¤ »óÅ¿´½À´Ï´Ù. ³ôÀº ¼Óµµ·Î Ãø¸éÃæµ¹À» Çؼ­ ¸Å¿ì ½É°¢ÇÑ »óÅ¿´½À´Ï´Ù. ¼Ò¹æ°üµéÀÌ Â÷¿¡¼­ ±×³à¸¦ »©³¾ ¶§ Àú´Â µµ¿òÀ» ÁÖ±â À§ÇØ Â÷·Î ¿Ã¶ó°¬½À´Ï´Ù. ¿ì¸®´Â ´ëÈ­¸¦ Çß°í ±×³à´Â ÀÌ·¸°Ô ¸»Çß½À´Ï´Ù. "Á¦ »î¿¡¼­ ÇÏ°í ½Í¾ú´ø °ÍµéÀÌ ¾ÆÁ÷ ¸¹ÀÌ ³²¾ÆÀÖ½À´Ï´Ù." ±×³à´Â Áö±¸»ó¿¡¼­ ÀØÇôÁú±îºÁ ¿°·ÁÇß½À´Ï´Ù. ¿ì¸®°¡ ±×³à¿Í ´õ ¾ê±âÇϸ鼭 ±×³à°¡ ÀÔ¾çÇÑ µÎ ¾ÆÀÌµé ¸ðµÎ ÀÇ´ë·Î ÁøÇÐÇÑ´Ù´Â °ÍÀ» ¾Ë¾Ò½À´Ï´Ù. ±×³à ¶§¹®¿¡ µÎ ¾ÆÀ̵éÀº Àý´ë·Î °¡ÁöÁö ¸øÇÒ ±âȸ¸¦ °¡Á³°í ¾ÕÀ¸·Î ÀÇ»ç·Î½á ÀÇÇко߿¡¼­ »ý¸íµéÀ» ±¸ÇÒ °Ì´Ï´Ù. 45ºÐ µ¿¾ÈÀÇ ±¸Á¶ ³¡¿¡ ±×³à¸¦ Â÷·®À¸·ÎºÎÅÍ »©³Â½À´Ï´Ù. ±×·¯³ª ±×³à¸¦ »©³»±â Àü¿¡ °á±¹ »ç¸ÁÇß½À´Ï´Ù.
This came to me very, very early in my career. I had responded to a call. There was a female in her late 50s severely pinned within a vehicle. She had been t-boned at a high rate of speed, critical, critical condition. As the fire department worked to remove her from the car, I climbed in to begin to render care. As we talked, she had said to me, "There was so much more I wanted to do with my life." She had felt she had not left her mark on this Earth. As we talked further, it would turn out that she was a mother of two adopted children who were both on their way to medical school. Because of her, two children had a chance they never would have had otherwise and would go on to save lives in the medical field as medical doctors. It would end up taking 45 minutes to free her from the vehicle. However, she perished prior to freeing her.

5:03
Àú´Â ¿µÈ­¿¡¼­ ¿©·¯ºÐÀÌ º» °ÍÀ» ¹Ï½À´Ï´Ù. ¿©·¯ºÐÀº ¸¶Áö¸· ¼ø°£¿¡ Àý´ëÀûÀÎ °øÆ÷¿Í µÎ·Á¿ò¿¡ ÀÖ½À´Ï´Ù. Àú´Â ±ú´Þ¾Ò½À´Ï´Ù. »óȲ¿¡ °ü°è¾øÀÌ ÆòÈ­¿Í Á×À½À» ¼ö¿ëÇÏ°í, ±×¸®°í ¾ÆÁÖ ÀÛÀº °Íµé, ÀÛÀº ¼ø°£µé, ¿©·¯ºÐÀÌ ¼¼»ó¿¡ °¡Á®¿Ô´ø ¾ÆÁÖ ÀÛÀº °ÍµéÀÌ ¸¶Áö¸· ¼ø°£¿¡ ¿©·¯ºÐ¿¡°Ô ÆòÈ­¸¦ ÁÙ °ÍÀÔ´Ï´Ù.
I believed what you saw in the movies: when you're in those last moments that it's strictly terror, fear. I have come to realize, regardless of the circumstance, it's generally met with peace and acceptance, that it's the littlest things, the littlest moments, the littlest things you brought into the world that give you peace in those final moments.

5:25 °¨»çÇÕ´Ï´Ù. Thanks you. 5:27 (¹Ú¼ö) (Applause)