[Music] my talk today is about cycles and
my talk today is about cycles and
my talk today is about cycles and t-shirts specifically about three cycles
t-shirts specifically about three cycles
t-shirts specifically about three cycles and for t-shirts the first cycle that I
and for t-shirts the first cycle that I
and for t-shirts the first cycle that I will talk about today is that of
will talk about today is that of
will talk about today is that of children’s mental illnesses children are
children’s mental illnesses children are
children’s mental illnesses children are happy are carefree and that’s how we
happy are carefree and that’s how we
happy are carefree and that’s how we think of our own childhood and the
think of our own childhood and the
think of our own childhood and the childhood of those around us and yet
childhood of those around us and yet
childhood of those around us and yet children’s mental illnesses are real are
children’s mental illnesses are real are
children’s mental illnesses are real are common in our treatable conditions let
common in our treatable conditions let
common in our treatable conditions let me start with a real part anxiety
me start with a real part anxiety
me start with a real part anxiety disorders addiction autism those are
disorders addiction autism those are
disorders addiction autism those are just three within the letter a and I
just three within the letter a and I
just three within the letter a and I could continue through the 32 letters of
could continue through the 32 letters of
could continue through the 32 letters of the alphabet telling you the enormous
the alphabet telling you the enormous
the alphabet telling you the enormous amount and diversity of these disorders
amount and diversity of these disorders
amount and diversity of these disorders the toll that they take on children and
the toll that they take on children and
the toll that they take on children and their families they are quite real and
their families they are quite real and
their families they are quite real and they have a lifelong impact they are
they have a lifelong impact they are
they have a lifelong impact they are common again we tend to think of the
common again we tend to think of the
common again we tend to think of the part of the rainbow when we think of
part of the rainbow when we think of
part of the rainbow when we think of childhood of sunny days of carefree
childhood of sunny days of carefree
childhood of sunny days of carefree wonderful days and yet we know that
wonderful days and yet we know that
wonderful days and yet we know that approximately one in five children in
approximately one in five children in
approximately one in five children in New Haven in America and across the
New Haven in America and across the
New Haven in America and across the world have some form of the serious and
world have some form of the serious and
world have some form of the serious and impairing mental illness
impairing mental illness
impairing mental illness one in five these are our children these
one in five these are our children these
one in five these are our children these are the children in our communities so
are the children in our communities so
are the children in our communities so these are not rare conditions even
these are not rare conditions even
these are not rare conditions even though many tons are unspoken they’re
though many tons are unspoken they’re
though many tons are unspoken they’re not visible but they’re there they’re
not visible but they’re there they’re
not visible but they’re there they’re very palpable now I’m not here to talk
very palpable now I’m not here to talk
very palpable now I’m not here to talk about the rainy day and rain on your
about the rainy day and rain on your
about the rainy day and rain on your parade this is a day of celebration and
parade this is a day of celebration and
parade this is a day of celebration and excitement so I’m here to talk also
excitement so I’m here to talk also
excitement so I’m here to talk also about the fact that they’re not only
about the fact that they’re not only
about the fact that they’re not only real and they’re common but indeed
real and they’re common but indeed
real and they’re common but indeed they’re treatable there’s a lot that we
they’re treatable there’s a lot that we
they’re treatable there’s a lot that we can do for these conditions and what we
can do for these conditions and what we
can do for these conditions and what we have in our toolkit today as mental
have in our toolkit today as mental
have in our toolkit today as mental health professional
health professional
health professional he’s really extraordinary I personally
he’s really extraordinary I personally
he’s really extraordinary I personally have had the privilege of dedicating my
have had the privilege of dedicating my
have had the privilege of dedicating my professional career to diagnosing
professional career to diagnosing
professional career to diagnosing treating these conditions and to helping
treating these conditions and to helping
treating these conditions and to helping individuals and their families affected
individuals and their families affected
individuals and their families affected by let me tell you a little bit about
by let me tell you a little bit about
by let me tell you a little bit about myself before I do so I’ve already
myself before I do so I’ve already
myself before I do so I’ve already covered the first cycle and that’s a
covered the first cycle and that’s a
covered the first cycle and that’s a cycle of children’s mental illnesses now
cycle of children’s mental illnesses now
cycle of children’s mental illnesses now let me tell you a little bit about
let me tell you a little bit about
let me tell you a little bit about myself as I mentioned I am a child and
myself as I mentioned I am a child and
myself as I mentioned I am a child and adolescent psychiatrist I was born and
adolescent psychiatrist I was born and
adolescent psychiatrist I was born and raised in Mexico where I went to medical
raised in Mexico where I went to medical
raised in Mexico where I went to medical school and I have been privileged in my
school and I have been privileged in my
school and I have been privileged in my training and education after University
training and education after University
training and education after University in Mexico I had postgraduate training in
in Mexico I had postgraduate training in
in Mexico I had postgraduate training in Miami at Harvard and then 20 years ago I
Miami at Harvard and then 20 years ago I
Miami at Harvard and then 20 years ago I came for my first and only job out of
came for my first and only job out of
came for my first and only job out of training here at Yale I’ve been very
training here at Yale I’ve been very
training here at Yale I’ve been very fortunate Yale has been a wonderful
fortunate Yale has been a wonderful
fortunate Yale has been a wonderful community and as I have grown
community and as I have grown
community and as I have grown professionally my day job I direct an
professionally my day job I direct an
professionally my day job I direct an inpatient unit for some of the most ill
inpatient unit for some of the most ill
inpatient unit for some of the most ill children the proverbial tip of the
children the proverbial tip of the
children the proverbial tip of the iceberg when we think about the severity
iceberg when we think about the severity
iceberg when we think about the severity of these disorders not only have I been
of these disorders not only have I been
of these disorders not only have I been able to do this as a clinician taking
able to do this as a clinician taking
able to do this as a clinician taking care of in divet individual children and
care of in divet individual children and
care of in divet individual children and families but my blessings have been many
families but my blessings have been many
families but my blessings have been many my cup virtually has veritably runneth
my cup virtually has veritably runneth
my cup virtually has veritably runneth over I have been able to be the editor
over I have been able to be the editor
over I have been able to be the editor of a leading journal I have edited
of a leading journal I have edited
of a leading journal I have edited textbooks both in English and in Spanish
textbooks both in English and in Spanish
textbooks both in English and in Spanish I have been able to be involved at the
I have been able to be involved at the
I have been able to be involved at the American level at the international
American level at the international
American level at the international level traveling the world to help
level traveling the world to help
level traveling the world to help children and their families with mental
children and their families with mental
children and their families with mental illness but the time that I was 45 I had
illness but the time that I was 45 I had
illness but the time that I was 45 I had an endowed chair I was a full professor
an endowed chair I was a full professor
an endowed chair I was a full professor of this magnificent institution by the
of this magnificent institution by the
of this magnificent institution by the age of 45 I had arrived I was here my
age of 45 I had arrived I was here my
age of 45 I had arrived I was here my life was full I was counting my many
life was full I was counting my many
life was full I was counting my many blessings what could possibly be wrong
blessings what could possibly be wrong
blessings what could possibly be wrong and yet
and yet
and yet there was something there was something
there was something there was something
there was something there was something that I couldn’t put my finger on but I
that I couldn’t put my finger on but I
that I couldn’t put my finger on but I found out at that time that my t-shirts
found out at that time that my t-shirts
found out at that time that my t-shirts didn’t fit and these are the first two
didn’t fit and these are the first two
didn’t fit and these are the first two t-shirts that I mentioned I knew that
t-shirts that I mentioned I knew that
t-shirts that I mentioned I knew that something was not right because of my
something was not right because of my
something was not right because of my t-shirts now in some sense I am talking
t-shirts now in some sense I am talking
t-shirts now in some sense I am talking about actual t-shirts but more
about actual t-shirts but more
about actual t-shirts but more importantly I’m talking about
importantly I’m talking about
importantly I’m talking about metaphorical t-shirts you see as an
metaphorical t-shirts you see as an
metaphorical t-shirts you see as an academic in a medical school of this
academic in a medical school of this
academic in a medical school of this great university I was commonly asked
great university I was commonly asked
great university I was commonly asked what t-shirt do you wear now that
what t-shirt do you wear now that
what t-shirt do you wear now that question came from well-meaning friends
question came from well-meaning friends
question came from well-meaning friends and colleagues who are trying to say
and colleagues who are trying to say
and colleagues who are trying to say what is the focus of your career
what is the focus of your career
what is the focus of your career what are you specializing in yes we know
what are you specializing in yes we know
what are you specializing in yes we know that you’re a child psychiatrist fill in
that you’re a child psychiatrist fill in
that you’re a child psychiatrist fill in here engineer architect musician you’re
here engineer architect musician you’re
here engineer architect musician you’re a child psychiatrist but what is your
a child psychiatrist but what is your
a child psychiatrist but what is your specialty and what they meant by that is
specialty and what they meant by that is
specialty and what they meant by that is one of two t-shirts what is your focus
one of two t-shirts what is your focus
one of two t-shirts what is your focus what is the what that you are studying
what is the what that you are studying
what is the what that you are studying or what is the how what is the method
or what is the how what is the method
or what is the how what is the method through which you’re studying it and you
through which you’re studying it and you
through which you’re studying it and you see these t-shirts didn’t fit right
see these t-shirts didn’t fit right
see these t-shirts didn’t fit right first of all because I liked everything
first of all because I liked everything
first of all because I liked everything and when you like everything you can’t
and when you like everything you can’t
and when you like everything you can’t focus on something narrow and academics
focus on something narrow and academics
focus on something narrow and academics force you in some way to focus on
force you in some way to focus on
force you in some way to focus on something that that didn’t get right so
something that that didn’t get right so
something that that didn’t get right so throughout my career have worn many an
throughout my career have worn many an
throughout my career have worn many an ill-fitting t-shirt trying this
ill-fitting t-shirt trying this
ill-fitting t-shirt trying this diagnosis and that diagnosis this
diagnosis and that diagnosis this
diagnosis and that diagnosis this condition that condition didn’t feel
condition that condition didn’t feel
condition that condition didn’t feel right similarly that of a method of how
right similarly that of a method of how
right similarly that of a method of how you do that how do you approach a
you do that how do you approach a
you do that how do you approach a condition I tried things like crunching
condition I tried things like crunching
condition I tried things like crunching big datasets
big datasets
big datasets I dabbled in brain image in genetics in
I dabbled in brain image in genetics in
I dabbled in brain image in genetics in some of the many medical wonderful tools
some of the many medical wonderful tools
some of the many medical wonderful tools that we have our disposition today to
that we have our disposition today to
that we have our disposition today to treat this illnesses that I mentioned we
treat this illnesses that I mentioned we
treat this illnesses that I mentioned we don’t only or don’t just use medication
don’t only or don’t just use medication
don’t only or don’t just use medication and talk therapy the two main things in
and talk therapy the two main things in
and talk therapy the two main things in our toolkit but we also have the power
our toolkit but we also have the power
our toolkit but we also have the power of the genome of brain imaging
of the genome of brain imaging
of the genome of brain imaging big data artificial intelligence I
big data artificial intelligence I
big data artificial intelligence I couldn’t bring any one of those I like
couldn’t bring any one of those I like
couldn’t bring any one of those I like them all and of course this made me feel
them all and of course this made me feel
them all and of course this made me feel like a dilettante like wanna be like an
like a dilettante like wanna be like an
like a dilettante like wanna be like an imposter I found out that I was in good
imposter I found out that I was in good
imposter I found out that I was in good company and it wasn’t the only person
company and it wasn’t the only person
company and it wasn’t the only person feeling imposter syndrome at this August
feeling imposter syndrome at this August
feeling imposter syndrome at this August University he was a pretty common
University he was a pretty common
University he was a pretty common condition and here I was diagnosed
condition and here I was diagnosed
condition and here I was diagnosed Titian that I am after all my doctor
Titian that I am after all my doctor
Titian that I am after all my doctor making diagnosis and I felt that I had
making diagnosis and I felt that I had
making diagnosis and I felt that I had arrived at the diagnosis my t-shirts do
arrived at the diagnosis my t-shirts do
arrived at the diagnosis my t-shirts do not fit I was in an uncharted part of my
not fit I was in an uncharted part of my
not fit I was in an uncharted part of my life indeed I was lost I couldn’t find
life indeed I was lost I couldn’t find
life indeed I was lost I couldn’t find the coordinates in my career those
the coordinates in my career those
the coordinates in my career those coordinates that put the what and the
coordinates that put the what and the
coordinates that put the what and the how the focus and the method you know
how the focus and the method you know
how the focus and the method you know was really lost uncharted that was my
was really lost uncharted that was my
was really lost uncharted that was my diagnosis however that didn’t quite tell
diagnosis however that didn’t quite tell
diagnosis however that didn’t quite tell this story because having figured that
this story because having figured that
this story because having figured that out and come to peace with it being
out and come to peace with it being
out and come to peace with it being comfortable with that there was still
comfortable with that there was still
comfortable with that there was still something wrong there was still
something wrong there was still
something wrong there was still something ill-fitting and I realized
something ill-fitting and I realized
something ill-fitting and I realized that that sense of Uncharted was not
that that sense of Uncharted was not
that that sense of Uncharted was not only a geographic being lost but it was
only a geographic being lost but it was
only a geographic being lost but it was a physical being on unease the symptoms
a physical being on unease the symptoms
a physical being on unease the symptoms that I identified first of all were
that I identified first of all were
that I identified first of all were these reverberating loops of thinking
these reverberating loops of thinking
these reverberating loops of thinking that went nowhere
that went nowhere
that went nowhere thinking cul-de-sacs not particularly
thinking cul-de-sacs not particularly
thinking cul-de-sacs not particularly grim thoughts just thoughts that didn’t
grim thoughts just thoughts that didn’t
grim thoughts just thoughts that didn’t go anywhere and kept on repeating
go anywhere and kept on repeating
go anywhere and kept on repeating themselves another symptom is that I
themselves another symptom is that I
themselves another symptom is that I couldn’t clear my mind I couldn’t just
couldn’t clear my mind I couldn’t just
couldn’t clear my mind I couldn’t just think of nothing and get into that
think of nothing and get into that
think of nothing and get into that proverbial Zen quiet space I couldn’t do
proverbial Zen quiet space I couldn’t do
proverbial Zen quiet space I couldn’t do it and the third symptom was an unease
it and the third symptom was an unease
it and the third symptom was an unease that then became an ache that became a
that then became an ache that became a
that then became an ache that became a pain it was somewhere around here was
pain it was somewhere around here was
pain it was somewhere around here was somewhere in my chest somewhere in my
somewhere in my chest somewhere in my
somewhere in my chest somewhere in my abdomen I didn’t know what it was but it
abdomen I didn’t know what it was but it
abdomen I didn’t know what it was but it was with me day in and day out things
was with me day in and day out things
was with me day in and day out things started to feel and move slowly and I
started to feel and move slowly and I
started to feel and move slowly and I didn’t know what was going on
didn’t know what was going on
didn’t know what was going on now in some ways I should have been able
now in some ways I should have been able
now in some ways I should have been able to diagnosis right away not only because
to diagnosis right away not only because
to diagnosis right away not only because my professional career is dedicated to
my professional career is dedicated to
my professional career is dedicated to diagnosing these very conditions not
diagnosing these very conditions not
diagnosing these very conditions not only because I have lectured and talked
only because I have lectured and talked
only because I have lectured and talked about these conditions but because these
about these conditions but because these
about these conditions but because these conditions are ripe in my own family and
conditions are ripe in my own family and
conditions are ripe in my own family and indeed in myself
indeed in myself
indeed in myself they have been years before my family
they have been years before my family
they have been years before my family tree lights up with people’s dealing
tree lights up with people’s dealing
tree lights up with people’s dealing with these conditions and I recognized
with these conditions and I recognized
with these conditions and I recognized that many years ago I had as well but it
that many years ago I had as well but it
that many years ago I had as well but it took me more than a year to actually
took me more than a year to actually
took me more than a year to actually recognize these symptoms and to put them
recognize these symptoms and to put them
recognize these symptoms and to put them together I was depressed I had
together I was depressed I had
together I was depressed I had depression and I haven’t been able to
depression and I haven’t been able to
depression and I haven’t been able to diagnose it from the time that I made
diagnose it from the time that I made
diagnose it from the time that I made that diagnosis till the time that I
that diagnosis till the time that I
that diagnosis till the time that I picked up the phone to get treatment was
picked up the phone to get treatment was
picked up the phone to get treatment was another interminable time and picking up
another interminable time and picking up
another interminable time and picking up that phone call that phone to make that
that phone call that phone to make that
that phone call that phone to make that first call was one of the hardest things
first call was one of the hardest things
first call was one of the hardest things that I’ve ever done but I did and I’m
that I’ve ever done but I did and I’m
that I’ve ever done but I did and I’m happy to tell you that Here I am the
happy to tell you that Here I am the
happy to tell you that Here I am the happy recipient of the very pills that I
happy recipient of the very pills that I
happy recipient of the very pills that I prescribed the happy recipient of the
prescribed the happy recipient of the
prescribed the happy recipient of the talk therapy that I give and I’m fully
talk therapy that I give and I’m fully
talk therapy that I give and I’m fully recovered and I’m happy and I’m doing
recovered and I’m happy and I’m doing
recovered and I’m happy and I’m doing well and depression is way back in the
well and depression is way back in the
well and depression is way back in the rearview mirror of my life and it’s a
rearview mirror of my life and it’s a
rearview mirror of my life and it’s a wonderful thing so that’s a second cycle
wonderful thing so that’s a second cycle
wonderful thing so that’s a second cycle the cycle of my own mental illness the
the cycle of my own mental illness the
the cycle of my own mental illness the cycle of my own depression the cycle of
cycle of my own depression the cycle of
cycle of my own depression the cycle of me now there was a third thing that held
me now there was a third thing that held
me now there was a third thing that held me in addition to medication and talk
me in addition to medication and talk
me in addition to medication and talk therapy and that was a bike a cycle
therapy and that was a bike a cycle
therapy and that was a bike a cycle before I tell you that let me go back in
before I tell you that let me go back in
before I tell you that let me go back in time a little bit I was born in Mexico
time a little bit I was born in Mexico
time a little bit I was born in Mexico City as I mentioned I was born in 1966
City as I mentioned I was born in 1966
City as I mentioned I was born in 1966 and by 1970s you can see the swinging
and by 1970s you can see the swinging
and by 1970s you can see the swinging Columbia this was a bicycle and for
Columbia this was a bicycle and for
Columbia this was a bicycle and for those of you who are not familiar that
those of you who are not familiar that
those of you who are not familiar that is a banana seat that’s how I learned to
is a banana seat that’s how I learned to
is a banana seat that’s how I learned to ride a bike in a banana seat and this
ride a bike in a banana seat and this
ride a bike in a banana seat and this next photograph is not of me personally
next photograph is not of me personally
next photograph is not of me personally but by the high fashion statement of the
but by the high fashion statement of the
but by the high fashion statement of the color you can see that it could have
color you can see that it could have
color you can see that it could have been me
been me
been me 1970s vintage bell-bottoms this was a
1970s vintage bell-bottoms this was a
1970s vintage bell-bottoms this was a time a great time to be alive and this
time a great time to be alive and this
time a great time to be alive and this was a great banana seat to ride now I
was a great banana seat to ride now I
was a great banana seat to ride now I remember I remember viscerally the first
remember I remember viscerally the first
remember I remember viscerally the first time that I got this bicycle my first
time that I got this bicycle my first
time that I got this bicycle my first bike without little wheels and I
bike without little wheels and I
bike without little wheels and I remember my father who was not
remember my father who was not
remember my father who was not particularly athletic I don’t know that
particularly athletic I don’t know that
particularly athletic I don’t know that he knew how to ride a bicycle but he
he knew how to ride a bicycle but he
he knew how to ride a bicycle but he gave me this gift and I was so excited
gave me this gift and I was so excited
gave me this gift and I was so excited and I can remember getting unto that
and I can remember getting unto that
and I can remember getting unto that banana seat and my father pushing me am
banana seat and my father pushing me am
banana seat and my father pushing me am I saying poppy poppy don’t let me go
I saying poppy poppy don’t let me go
I saying poppy poppy don’t let me go don’t let me go I can do this I can do
don’t let me go I can do this I can do
don’t let me go I can do this I can do this
this
this and as I turn around guess what he had
and as I turn around guess what he had
and as I turn around guess what he had let me go and I was moving I was flying
let me go and I was moving I was flying
let me go and I was moving I was flying in that sense of independence of being
in that sense of independence of being
in that sense of independence of being in two wheels untethered wonderful it’s
in two wheels untethered wonderful it’s
in two wheels untethered wonderful it’s one of the strongest memories that I
one of the strongest memories that I
one of the strongest memories that I have my childhood that sense of
have my childhood that sense of
have my childhood that sense of independence I didn’t become a great
independence I didn’t become a great
independence I didn’t become a great cyclist in fact it took almost 40 years
cyclist in fact it took almost 40 years
cyclist in fact it took almost 40 years so I wrote a bicycle again but I did and
so I wrote a bicycle again but I did and
so I wrote a bicycle again but I did and this is the third cycle I’ve talked
this is the third cycle I’ve talked
this is the third cycle I’ve talked about the cycle of mental illness and
about the cycle of mental illness and
about the cycle of mental illness and children about the cycle of my own
children about the cycle of my own
children about the cycle of my own mental health and this was a third cycle
mental health and this was a third cycle
mental health and this was a third cycle in fact it was about breaking the cycle
in fact it was about breaking the cycle
in fact it was about breaking the cycle I tried to find a way of breaking those
I tried to find a way of breaking those
I tried to find a way of breaking those two cycles for children for myself
two cycles for children for myself
two cycles for children for myself through this cycle in with all through
through this cycle in with all through
through this cycle in with all through serendipity a friend of mine Michael had
serendipity a friend of mine Michael had
serendipity a friend of mine Michael had bought himself a big bike as part of his
bought himself a big bike as part of his
bought himself a big bike as part of his midlife crisis and he said come let’s go
midlife crisis and he said come let’s go
midlife crisis and he said come let’s go I hadn’t ridden a bike in 40 years but
I hadn’t ridden a bike in 40 years but
I hadn’t ridden a bike in 40 years but as soon as I got there I felt that I was
as soon as I got there I felt that I was
as soon as I got there I felt that I was a seven-year-old boy in Mexico City
a seven-year-old boy in Mexico City
a seven-year-old boy in Mexico City riding again I was hooked I was in love
riding again I was hooked I was in love
riding again I was hooked I was in love and that was a great part of what helped
and that was a great part of what helped
and that was a great part of what helped me to get out of this cycle of my own
me to get out of this cycle of my own
me to get out of this cycle of my own depression and I would say that it’s the
depression and I would say that it’s the
depression and I would say that it’s the strongest part that keeps me afloat
strongest part that keeps me afloat
strongest part that keeps me afloat these days now I wanted to put all of
these days now I wanted to put all of
these days now I wanted to put all of this together and I didn’t know how to
this together and I didn’t know how to
this together and I didn’t know how to do it but I thought that there was a way
do it but I thought that there was a way
do it but I thought that there was a way and this leads to the third shirt
and this leads to the third shirt
and this leads to the third shirt t-shirts are something that you wear
t-shirts are something that you wear
t-shirts are something that you wear underneath but a jersey is something
underneath but a jersey is something
underneath but a jersey is something that you put out that you fill something
that you put out that you fill something
that you put out that you fill something that tells a bit of your affiliation to
that tells a bit of your affiliation to
that tells a bit of your affiliation to a team and here we move from a t-shirt
a team and here we move from a t-shirt
a team and here we move from a t-shirt to a Jersey
to a Jersey
to a Jersey because he sees we tell our young people
because he sees we tell our young people
because he sees we tell our young people to focus on what it is that you want to
to focus on what it is that you want to
to focus on what it is that you want to learn what technique the what and the
learn what technique the what and the
learn what technique the what and the how what we don’t tell them what hadn’t
how what we don’t tell them what hadn’t
how what we don’t tell them what hadn’t been told to me but what I came to learn
been told to me but what I came to learn
been told to me but what I came to learn is that it’s not only about that that
is that it’s not only about that that
is that it’s not only about that that that you want to do but that if you open
that you want to do but that if you open
that you want to do but that if you open your ears you will call you will hear
your ears you will call you will hear
your ears you will call you will hear the calling of your team you will listen
the calling of your team you will listen
the calling of your team you will listen and find that there’s something to be
and find that there’s something to be
and find that there’s something to be given now the team that I’m talking
given now the team that I’m talking
given now the team that I’m talking about here was a team of child
about here was a team of child
about here was a team of child psychiatry children’s mental health but
psychiatry children’s mental health but
psychiatry children’s mental health but it was also very concretely Team USA see
it was also very concretely Team USA see
it was also very concretely Team USA see I’m originally from Mexico but I became
I’m originally from Mexico but I became
I’m originally from Mexico but I became a naturalized citizen I love this
a naturalized citizen I love this
a naturalized citizen I love this country and I wanted to embrace this
country and I wanted to embrace this
country and I wanted to embrace this country in what it had given back to me
country in what it had given back to me
country in what it had given back to me in us how you listened and I listened I
in us how you listened and I listened I
in us how you listened and I listened I knew that there was a big need out there
knew that there was a big need out there
knew that there was a big need out there and need to give back to children and
and need to give back to children and
and need to give back to children and need for me to give back to my country
need for me to give back to my country
need for me to give back to my country to understand it and this is the effort
to understand it and this is the effort
to understand it and this is the effort through which I put it together
[Music]
[Music] over the span of two and a half months I
over the span of two and a half months I
over the span of two and a half months I covered fifty two hundred miles
covered fifty two hundred miles
covered fifty two hundred miles I just turned 52 so that seemed to be
I just turned 52 so that seemed to be
I just turned 52 so that seemed to be fortuitous about a hundred miles a day I
fortuitous about a hundred miles a day I
fortuitous about a hundred miles a day I climbed over two hundred and twenty
climbed over two hundred and twenty
climbed over two hundred and twenty thousand feet of vertical elevation and
thousand feet of vertical elevation and
thousand feet of vertical elevation and I’m happy to tell you that we raced over
I’m happy to tell you that we raced over
I’m happy to tell you that we raced over a quarter of a million dollars
a quarter of a million dollars
a quarter of a million dollars so about $1 per foot money that will go
so about $1 per foot money that will go
so about $1 per foot money that will go to Children’s Mental Illness these are
to Children’s Mental Illness these are
to Children’s Mental Illness these are some of the statistics of this wonderful
some of the statistics of this wonderful
some of the statistics of this wonderful bike ride through which I got to know
bike ride through which I got to know
bike ride through which I got to know this wonderful land through which I was
this wonderful land through which I was
this wonderful land through which I was able to give back and I guess that as I
able to give back and I guess that as I
able to give back and I guess that as I think of that third jersey I think of
think of that third jersey I think of
think of that third jersey I think of this iconic photograph iconic as part of
this iconic photograph iconic as part of
this iconic photograph iconic as part of my trip Here I am at the country’s first
my trip Here I am at the country’s first
my trip Here I am at the country’s first National Monument that’s a Devil’s Tower
National Monument that’s a Devil’s Tower
National Monument that’s a Devil’s Tower monument the Theodore Roosevelt
monument the Theodore Roosevelt
monument the Theodore Roosevelt inaugurated as a First National Monument
inaugurated as a First National Monument
inaugurated as a First National Monument so it certainly is fitting for my USA
so it certainly is fitting for my USA
so it certainly is fitting for my USA Jersey to be in this beautiful special
Jersey to be in this beautiful special
Jersey to be in this beautiful special place but I’m also wearing my Yale
place but I’m also wearing my Yale
place but I’m also wearing my Yale Jersey and I feel very proud to be part
Jersey and I feel very proud to be part
Jersey and I feel very proud to be part of this community so I had heard some
of this community so I had heard some
of this community so I had heard some calling from Yale from the u.s. from
calling from Yale from the u.s. from
calling from Yale from the u.s. from child psychiatry that was wonderful
child psychiatry that was wonderful
child psychiatry that was wonderful this photograph in some ways is iconic
this photograph in some ways is iconic
this photograph in some ways is iconic to me because my children tell me poppy
to me because my children tell me poppy
to me because my children tell me poppy you never smile showing your teeth in
you never smile showing your teeth in
you never smile showing your teeth in fact you’re a very bad smiler you might
fact you’re a very bad smiler you might
fact you’re a very bad smiler you might be a good child psychiatrist but you
be a good child psychiatrist but you
be a good child psychiatrist but you don’t know how to smile people smile
don’t know how to smile people smile
don’t know how to smile people smile showing your teeth and that and yet you
showing your teeth and that and yet you
showing your teeth and that and yet you smile like this that’s not a real smile
smile like this that’s not a real smile
smile like this that’s not a real smile but when we look at the photographs of
but when we look at the photographs of
but when we look at the photographs of your trip across the country there’s
your trip across the country there’s
your trip across the country there’s perma-grin all over you such as here and
perma-grin all over you such as here and
perma-grin all over you such as here and that is wonderful now it’s great to be
that is wonderful now it’s great to be
that is wonderful now it’s great to be able toward this Jersey this third
able toward this Jersey this third
able toward this Jersey this third jersey there were the first two t-shirts
jersey there were the first two t-shirts
jersey there were the first two t-shirts there’s the t jersey of the where and
there’s the t jersey of the where and
there’s the t jersey of the where and the whom are gonna be the people you
the whom are gonna be the people you
the whom are gonna be the people you surround yourself with and yet there’s a
surround yourself with and yet there’s a
surround yourself with and yet there’s a fourth and final jersey because there’s
fourth and final jersey because there’s
fourth and final jersey because there’s something wrong with this at the end of
something wrong with this at the end of
something wrong with this at the end of the day this jersey existed before I
the day this jersey existed before I
the day this jersey existed before I came along
came along
came along Yale University existed before I came
Yale University existed before I came
Yale University existed before I came along
along
along and that yellow jersey certainly was
and that yellow jersey certainly was
and that yellow jersey certainly was around so I would say in closing that as
around so I would say in closing that as
around so I would say in closing that as you think of your own career and you
you think of your own career and you
you think of your own career and you think of your what is your focus your
think of your what is your focus your
think of your what is your focus your how you’re gonna do it you’re where and
how you’re gonna do it you’re where and
how you’re gonna do it you’re where and whom is gonna be your team those are the
whom is gonna be your team those are the
whom is gonna be your team those are the three t-shirts that you need to figure
three t-shirts that you need to figure
three t-shirts that you need to figure out but there’s a fourth one and it’s a
out but there’s a fourth one and it’s a
out but there’s a fourth one and it’s a fourth one that we’re not told much
fourth one that we’re not told much
fourth one that we’re not told much about and of course that’s the t-shirt
about and of course that’s the t-shirt
about and of course that’s the t-shirt or the jersey that doesn’t yet exist
or the jersey that doesn’t yet exist
or the jersey that doesn’t yet exist it’s a Jersey is a t-shirt that you will
it’s a Jersey is a t-shirt that you will
it’s a Jersey is a t-shirt that you will create for your own self I was very
create for your own self I was very
create for your own self I was very fortunate to be able to put this one in
fortunate to be able to put this one in
fortunate to be able to put this one in literally to create a shirt of my own
literally to create a shirt of my own
literally to create a shirt of my own I’ll break the cycle that was wonderful
I’ll break the cycle that was wonderful
I’ll break the cycle that was wonderful this is not your Jersey this is probably
this is not your Jersey this is probably
this is not your Jersey this is probably not my last Jersey but it’s something
not my last Jersey but it’s something
not my last Jersey but it’s something that I created and I invite you all to
that I created and I invite you all to
that I created and I invite you all to think of that now if you feel uncharted
think of that now if you feel uncharted
think of that now if you feel uncharted and lost and you don’t know how to do it
and lost and you don’t know how to do it
and lost and you don’t know how to do it I would give you two prescriptions first
I would give you two prescriptions first
I would give you two prescriptions first tried to find out where your skill set
tried to find out where your skill set
tried to find out where your skill set is and intersected with service and that
is and intersected with service and that
is and intersected with service and that is probably a good place it certainly
is probably a good place it certainly
is probably a good place it certainly was for me the skill set of child
was for me the skill set of child
was for me the skill set of child psychiatry and the skill set of service
psychiatry and the skill set of service
psychiatry and the skill set of service of giving back to my community
of giving back to my community
of giving back to my community or in the words of the Christian
or in the words of the Christian
or in the words of the Christian theologian crystal power
theologian crystal power
theologian crystal power think about your deep gladness the deep
think about your deep gladness the deep
think about your deep gladness the deep gladness that I had in my banana seat
gladness that I had in my banana seat
gladness that I had in my banana seat for example and the deep hunger out
for example and the deep hunger out
for example and the deep hunger out there in the world try to intersect that
there in the world try to intersect that
there in the world try to intersect that deep gladness with that deep hunger in
deep gladness with that deep hunger in
deep gladness with that deep hunger in that is where your vocation lies and
that is where your vocation lies and
that is where your vocation lies and there I would suggest is where your own
there I would suggest is where your own
there I would suggest is where your own very t-shirt may be thank you very much
very t-shirt may be thank you very much
very t-shirt may be thank you very much [Applause]
[Applause]
[Applause] [Music]
[Music]
[Music] you
”
Be First to Comment