imagine if your house arrives
a wave three meters high
pushed by a wind to 300 kilometers
at the time this wave overwhelms all this
that’s what happened in the
philippines ad haiti this is one
it overwhelms everything and all your memories
your photographs your home your your belongings
goods and maybe even your loved ones
they are swept away
imagine you’re going to 300 an hour on
world at your feet
you are winning everything you feel the master of
yourself and everything that happens
everything is under control
suddenly something happens that
you had not foreseen and you are in one side
in which he has no control of anything
imagine your mother does not recognize you
more
He does not know who you are when I see you
she calls Miss you and pretty me
I remember a person I knew
Imagine that you are that person
no longer recognizes people
and the faces that are around you
sometimes the disease does this there
puts in a tunnel where not always
we can see the light on
great poet rilke said only
when psychic suffering there
strikes we can seize in us
potentially creative resources
there is knowledge and creative experience
without suffering our body the
our mind is not separated
we are our body as one says
great Italian psychiatrist genius bourne
and to every disease
especially if protracted to a resonance
in psychic life because we enter
contact with our fragility is one
knowledge that helps to understand
better our inner attitudes
we discover feelings, emotions, strength
weakness problems that otherwise do not
we could never seize we would not have
never known the medical model like the
medicine in the last 100 years has us
taught that it can be medicine
sees the sick body with a car
spoil something I can do
repair the machine can restart the
biomedical model in the last 100 years
He brought us the point across
antibiotics have defeated diseases
the biomedical model works very well
progress anesthesia surgery
they definitely led to a
great advantage for man for
humanity, however, this model
biomedical cost a model of man
machine in a sense is showing
some limit world population
it ages for me as a doctor and one of the
most amazing successes of medicine
for many for politicians for those who
they must organize health is seen
like a frightening thing
but together with aging I have
also an increase in chronic diseases
an increase in the hypertension of firs
of cardiological diseases
of obesity of remaining diseases
especially the brain diseases
diseases neurological diseases
psychiatric increase and are diseases
for which the landscape in some way
the model is no longer enough to change
biomedical because where is the pathology
in large part of these diseases I do not
I know what to remove I do not know what is the
failure that I can fix to do
restart this body machine this
perfectly healthy man machine
perfectly indicates what to remove that
what to add and very difficult to cure
today it often means regular one
system we do not really know
well where is the breakdown is necessary
so maybe think back to medicine
think of a medicine that returns to the
clean air in greek clean air means
bend down and that’s where the medicine is born
clinic stoop to what it does the
doctor when bending
towards the patient and then and maybe it is
time to think that medicine them
performance space efficiency la
technology we have seen before
technology can do things
extraordinary but medicine is also
time the time of illness and from
primacy of the performance what it is
space makes us fantasize
progression of the human that is that
that we see with great progress
of medicine maybe we should think
that could be re-evaluated then
another part the part of the time the
time understood as the time of the
disease in which I have relations the
time of sickness that is not a time
lost as you said nietzsche you look at us
from being sick for too long
as soon as the spectators turn
impatient due to the obligation
habitual to show given compassion
that keep you long in yourself
this state costs them too much effort
and then they pass it immediately
make respect to your character
with the conclusion that you deserve to
be sick and it is no longer necessary
that we get tired with the
compassion so many years ago he lived nice but
in reality this impatience
contemporary is what facilitates
absolutely at the entrance to the interior
of our thinking of our daily life
of our contemporary impatience
what is called culture
of the gap that privileges
man forty years old man producer
beautiful possibly to what is the
reality each of you that is the
our reality is a culture of shooting
there has already been there but always that
that we must somehow
remind us that it is not that it has passed
the perfect man as a model brings
a culture of waste here today
here in Bergamo here in Italy here in
europe here in the world the culture of the
waste so if you are not perfect you
you are a waste people are not the
disease they have today are celebrated in the
world of a certain kind of people who
I’m used to working on
disability
sixteen years since Ms. said it
disability is not just the disease
you have but it is the disease you have
in the environment where you are and this
environment can be a barrier and
this model that somehow does
his biomedical model is called
biopsychosocial model a model
within which the human interaction
environment is crucial because we ourselves
when we have chronic diseases
we tend to consider this hand
this arthritis this hand that makes
it is difficult to make things both the essence
of a person actually not in maria
a grandmother wants to be a grandmother who is
his family is still useful
he could have a grandmother in spite of his
disease remains the person who is then
affirm that someone is worthy of
respect and which has no rights
because he is disabled but because he is a person
despite the disease also means
make it clear that there is nothing good
in the disability we researchers the
we fight it we try
something that goes against the disease ever
against sick and then it is man
real concrete despite the disease
disability that is worthy of respect e
in a certain sense, the theory of despite
which is a theory that has been defined
a philosopher from professor pesino
Italian in 2010 tells us that despite
the fact that nobody here is perfect in
somehow we have all known it
disease
for us our loved ones our friends but
this did not take anything away from ours
quality of being a man the fact of
to be with an illness with something
it makes us easy, it’s not that it makes us less
so we are men worthy of
dignity despite the disease
and then if this model is true
biopsychosocial for which changing perhaps
the environment I diminish disability
looking at this interaction, maybe
I can not change the disease because
unfortunately in many diseases I can
cure but I can not heal them like
I take it I say it because directing the
center coma this I see that many
illnesses
It is very difficult to cure but I can
work on the other component that
determines the disability that is
the environment the environment that can be
facilitator or barrier under the
our collective reasoning a lot
often the environment understood as the environment
architectural and it is clear to many
that architectural barriers are one
environment that can be modified e
it has changed clearly decreases
a general collective disability
because it is more accessible and usable
all that around us but in
reality environment that interests me
more to share with you today is
the social environment, the environment of the
report your friends your loved ones
the people you’re with
the social environment that somehow
now studies are showing in
unequivocal way that having friends
to be in relation to have some
knowledge of having networks changes the
your health
if you’re friends you’re better but you’re not
better because you’re only fine in
terms of well-being you’re really better
there are some Australian studies
wonderful in which they prove that
we have a variation within the scope of the
DNA if we are in relation if we are
connected with a great people
European study that we have coordinated
we of the Milan besta in which I work
with my researchers we have seen that
having social networks has an effect on
health if you are old if you flew
you’re worse but not because it’s isolated and
just your body that’s sick
it’s you who are bad in all
countries we have studied more than
10,000 people we interviewed
the family was always the facilitator
Substantially, I like to call all those
caregiver I met in my 30
years of work as a neurologist i
revolutionaries of tenderness a
very famous ted speaker who has
used this expression two weeks
ago called revolution of the
tenderness saying something a daddy o
a mom when they talk to their child
using the voice as a child is not less
because they use this voice as children
they are tender they use tenderness
he then rightly said when god
he went down and spoke
a man has done less because
He used tenderness and I liked it
when I heard this thing because I have
thought I know a lot of
revolutionary mothers who for 5 10
20 years are close to their son who
he is 18 years old and left home in the evening
greeting him he remained in a coma
wives who stay close to the owners
I liked it before sorry I owe it
to say all those revolutionaries
technologically not nearly all males
Well, I know a lot about me instead
revolutionary females because the
revolutionaries of tenderness are
predominantly of women are gods
women who are really not have a
gram less because they are lowered
to stay twenty years without ever leaving
because they had no help around
they were at their home
revolutionize of tenderness because
they were there and they did not go away
I know these revolutionaries of the
tenderness who knows how many there are
room here
and then human dignity belongs
integrally to man despite himself
sick
despite being unaware of their own
ability despite being fragile despite
lack of dignity and things
rights are basically only
in its pure quality of being a man
and then even when we are invested by
a tsunami from an illness the time
of the disease is the time of life
It is not another time for many
people who live that long
disease at the time of the disease is the
life
and then in spite of what someone tells us
remember that what we owe
leave to design this time are
of significant relationships in
despite then he teaches us that it is time
to be a giuseppe
five years ago I was called by the MS for
go to the Philippines immediately after
Tsunamis asked me to go for one
evaluation of disability in
population that had been completely
devastated by a tsunami that is known
like the tsunami that followed the most
strong of foehn and of history a wind a
300 kilometers per hour that swept
away everything
he comes to pick up my colleague in this
half destroyed airport I get on the
drive with him and let’s start going
in the middle of the tacloban scenario
this city of the Filipinas and this
let my eyes show up
this is the shed where the municipality
he said everyone went to the shed
that you save yourself
this is what’s left of this
it is the ship that has been moved by one
kilometer for those who are so strong
the tsunami and london so high it has
put this ship one kilometer from
right bank in the people they were looking for
to eat because it was all destroyed
there was nothing more there was help
and then suddenly Giuseppe arrives
all destroyed around me I see Giuseppe
Filipino Italian restaurant b with mine
colleague but what’s in the evening we go there
at dinner
okay let’s go to dinner by admin
evening I see giuseppe dico giuseppe
good morning, where do you come from?
napoli like rico and what he does as never before
in his if nothing to the tsunami says there
no I had everything destroyed there was more
anything
so I thought I called all of them
my waiters I called the pizza chef
called all I said there is no more
anything
go home bury your dead
put your families safe then
come here here in five days
help arrives aid must
eat if we rebuild everyone
together this pizzeria
we make it back to do the
Money you rebuilt your homes
however, you have been together
joseph then assigned me a thing
that many say it’s really true that
even when you’re in total darkness
a single candle makes light and that often and
I believe deeply in them
situations even a single man does the
difference
everyone always hopes to be that man
there but even if one does not hear
to the height if one feels inadequate
there is always hope that there is
around someone who can be
that candle because somehow
when you are in any tsunami
be the tsunami you live that you have
lived that you are living living i
your friends
I believe it is essential to be
facilitators for each other
I think it’s fundamental to know
ask for help and also fundamental
know how to receive I believe it is
fundamental to have courage and not
lose hope because some
candle around there is then necessary
give yourself a goal together with whom
he loves you and with calls
in short, for me it is time to be one
joseph
[Applause]
”
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