good afternoon everybody it’s a pleasure to be here thank you to
it’s a pleasure to be here thank you to
it’s a pleasure to be here thank you to Ted and the phenomenal team they have
Ted and the phenomenal team they have
Ted and the phenomenal team they have for inviting me before I bore you with
for inviting me before I bore you with
for inviting me before I bore you with some science I have to tell you the
some science I have to tell you the
some science I have to tell you the first moment since the theme of today is
first moment since the theme of today is
first moment since the theme of today is moments how I got to be here at TEDx
moments how I got to be here at TEDx
moments how I got to be here at TEDx Patras two weeks ago I was giving a
Patras two weeks ago I was giving a
Patras two weeks ago I was giving a lecture at a scientific meeting in
lecture at a scientific meeting in
lecture at a scientific meeting in Athens and I was walking back from the
Athens and I was walking back from the
Athens and I was walking back from the meeting down Vasily Sofia’s Avenue and I
meeting down Vasily Sofia’s Avenue and I
meeting down Vasily Sofia’s Avenue and I passed the car and there were two
passed the car and there were two
passed the car and there were two gentlemen sitting one was sitting in the
gentlemen sitting one was sitting in the
gentlemen sitting one was sitting in the seat of the car with the door open and
seat of the car with the door open and
seat of the car with the door open and one was sitting outside and they had
one was sitting outside and they had
one was sitting outside and they had tags like this but I didn’t read the
tags like this but I didn’t read the
tags like this but I didn’t read the tags they looked at me I looked at them
tags they looked at me I looked at them
tags they looked at me I looked at them they looked at me funny I looked at them
they looked at me funny I looked at them
they looked at me funny I looked at them back funny and I started walking down
back funny and I started walking down
back funny and I started walking down the street and being somebody who grew
the street and being somebody who grew
the street and being somebody who grew up in New York City I’m always conscious
up in New York City I’m always conscious
up in New York City I’m always conscious of who’s behind you so these two people
of who’s behind you so these two people
of who’s behind you so these two people are following me so I keep looking back
are following me so I keep looking back
are following me so I keep looking back now I’m starting to think I have a
now I’m starting to think I have a
now I’m starting to think I have a backpack with a computer if I swing the
backpack with a computer if I swing the
backpack with a computer if I swing the backpack I’m gonna hurt them this is
backpack I’m gonna hurt them this is
backpack I’m gonna hurt them this is maybe I can fight them off it’s not
maybe I can fight them off it’s not
maybe I can fight them off it’s not going to be so bad if I kick one then I
going to be so bad if I kick one then I
going to be so bad if I kick one then I can punch the other one and so I stopped
can punch the other one and so I stopped
can punch the other one and so I stopped at the light I stopped at the light and
at the light I stopped at the light and
at the light I stopped at the light and they come up to me and say and Mister
they come up to me and say and Mister
they come up to me and say and Mister Saudis and I said yes and they said we
Saudis and I said yes and they said we
Saudis and I said yes and they said we know you we know you and I said okay I
know you we know you and I said okay I
know you we know you and I said okay I don’t know you and they said we have
don’t know you and they said we have
don’t know you and they said we have been sending emails and we want to
been sending emails and we want to
been sending emails and we want to invite you to TEDx Patris because we’ve
invite you to TEDx Patris because we’ve
invite you to TEDx Patris because we’ve seen your picture and you walk down the
seen your picture and you walk down the
seen your picture and you walk down the street and we recognized you I said okay
street and we recognized you I said okay
street and we recognized you I said okay and they said can we buy you a cup of
and they said can we buy you a cup of
and they said can we buy you a cup of coffee and I said where and they said we
coffee and I said where and they said we
coffee and I said where and they said we could go there down the street I said
could go there down the street I said
could go there down the street I said okay we can go there that’s how I got
okay we can go there that’s how I got
okay we can go there that’s how I got the TEDx Patras today that was my first
the TEDx Patras today that was my first
the TEDx Patras today that was my first moment
so thank you to both of the gentlemen
so thank you to both of the gentlemen who didn’t mug me and take my wallet and
who didn’t mug me and take my wallet and
who didn’t mug me and take my wallet and take my money so I I feel a little
take my money so I I feel a little
take my money so I I feel a little intimidated because we heard so many
intimidated because we heard so many
intimidated because we heard so many great philosophers people talk about
great philosophers people talk about
great philosophers people talk about life stories and I’m going to bring it
life stories and I’m going to bring it
life stories and I’m going to bring it down to some more basic science today I
down to some more basic science today I
down to some more basic science today I want to know what kills 3000 Greek
want to know what kills 3000 Greek
want to know what kills 3000 Greek citizens a year infections acquired in
citizens a year infections acquired in
citizens a year infections acquired in hospitals 3000 Greek citizens a year and
hospitals 3000 Greek citizens a year and
hospitals 3000 Greek citizens a year and many many more worldwide but Greece has
many many more worldwide but Greece has
many many more worldwide but Greece has specifically a pretty significant
specifically a pretty significant
specifically a pretty significant problem with what we call hospital
problem with what we call hospital
problem with what we call hospital acquired infections so you go into the
acquired infections so you go into the
acquired infections so you go into the hospital like the dirty said and you
hospital like the dirty said and you
hospital like the dirty said and you come out with either you don’t come out
come out with either you don’t come out
come out with either you don’t come out or you come out with multiple problems
or you come out with multiple problems
or you come out with multiple problems due to something you caught in the
due to something you caught in the
due to something you caught in the hospital you go to the operating room
hospital you go to the operating room
hospital you go to the operating room and you come up with a complication
and you come up with a complication
and you come up with a complication related to the to your operation more
related to the to your operation more
related to the to your operation more importantly the majority of these
importantly the majority of these
importantly the majority of these infections and I’ll get back to telling
infections and I’ll get back to telling
infections and I’ll get back to telling you a little bit more about those are
you a little bit more about those are
you a little bit more about those are caused by antibiotic resistant bacteria
caused by antibiotic resistant bacteria
caused by antibiotic resistant bacteria bacteria for which the currently the
bacteria for which the currently the
bacteria for which the currently the antibiotics we currently have are no
antibiotics we currently have are no
antibiotics we currently have are no longer effective we are about to enter
longer effective we are about to enter
longer effective we are about to enter something called the post-antibiotic era
something called the post-antibiotic era
something called the post-antibiotic era an era that will take us back to the
an era that will take us back to the
an era that will take us back to the time before World War two before Fleming
time before World War two before Fleming
time before World War two before Fleming develop penicillin we are running out of
develop penicillin we are running out of
develop penicillin we are running out of antibiotics the World Health
antibiotics the World Health
antibiotics the World Health Organization has listed antibiotic
Organization has listed antibiotic
Organization has listed antibiotic resistance and antibiotic resistant
resistance and antibiotic resistant
resistance and antibiotic resistant infections as three as number three in
infections as three as number three in
infections as three as number three in the global threats to health to public
the global threats to health to public
the global threats to health to public health so little biology we and I know
health so little biology we and I know
health so little biology we and I know you’re sitting there I’m gonna scare you
you’re sitting there I’m gonna scare you
you’re sitting there I’m gonna scare you a little bit we we humans are about 37
a little bit we we humans are about 37
a little bit we we humans are about 37 trillion cells I want you to feel a
trillion cells I want you to feel a
trillion cells I want you to feel a little icky now there are about 39
little icky now there are about 39
little icky now there are about 39 trillion bacterial cells crawling on you
trillion bacterial cells crawling on you
trillion bacterial cells crawling on you inside of you and and in all our
inside of you and and in all our
inside of you and and in all our orifices we are more bacteria than we
orifices we are more bacteria than we
orifices we are more bacteria than we are human cells
are human cells
are human cells when you expose those bacteria to
when you expose those bacteria to
when you expose those bacteria to antibiotics they are much smarter than
antibiotics they are much smarter than
antibiotics they are much smarter than we are we’ve evolved over generations
we are we’ve evolved over generations
we are we’ve evolved over generations and ages bacteria evolve over hours and
and ages bacteria evolve over hours and
and ages bacteria evolve over hours and days so they evolved to become resistant
days so they evolved to become resistant
days so they evolved to become resistant to antibiotics very very quickly they’re
to antibiotics very very quickly they’re
to antibiotics very very quickly they’re much smarter than we are so the more we
much smarter than we are so the more we
much smarter than we are so the more we use antibiotics and the more we use them
use antibiotics and the more we use them
use antibiotics and the more we use them inappropriately because actually myself
inappropriately because actually myself
inappropriately because actually myself included I’m a physician most doctors
included I’m a physician most doctors
included I’m a physician most doctors about 50% of the antibiotics we
about 50% of the antibiotics we
about 50% of the antibiotics we prescribe are inappropriate or
prescribe are inappropriate or
prescribe are inappropriate or unnecessary so we’ve created this
unnecessary so we’ve created this
unnecessary so we’ve created this problem now and Greece particularly has
problem now and Greece particularly has
problem now and Greece particularly has a very big problem with this and many
a very big problem with this and many
a very big problem with this and many other southern European countries I’m
other southern European countries I’m
other southern European countries I’m looking at my Italian and French friends
looking at my Italian and French friends
looking at my Italian and French friends there have this problem with abuse of
there have this problem with abuse of
there have this problem with abuse of any accent the Greece has the highest
any accent the Greece has the highest
any accent the Greece has the highest rate of antibiotic consumption in the
rate of antibiotic consumption in the
rate of antibiotic consumption in the European Union and the highest rate of
European Union and the highest rate of
European Union and the highest rate of antibiotic resistance in the European
antibiotic resistance in the European
antibiotic resistance in the European Union and among many of the developed
Union and among many of the developed
Union and among many of the developed countries so we have to think about how
countries so we have to think about how
countries so we have to think about how we’re going to break this this
we’re going to break this this
we’re going to break this this antibiotic habit I mentioned earlier I
antibiotic habit I mentioned earlier I
antibiotic habit I mentioned earlier I started off talking about infections
started off talking about infections
started off talking about infections that happen in the hospital I said most
that happen in the hospital I said most
that happen in the hospital I said most of these are antibiotic resistant so
of these are antibiotic resistant so
of these are antibiotic resistant so let’s take a step back I want to tell
let’s take a step back I want to tell
let’s take a step back I want to tell you a little bit about these healthcare
you a little bit about these healthcare
you a little bit about these healthcare acquired infections and why it’s so
acquired infections and why it’s so
acquired infections and why it’s so important that we do something about
important that we do something about
important that we do something about them so what are they what happens
them so what are they what happens
them so what are they what happens literally what happens when you go in
literally what happens when you go in
literally what happens when you go in the hospital you go in the hospital and
the hospital you go in the hospital and
the hospital you go in the hospital and doctors and I think have some doctor
doctors and I think have some doctor
doctors and I think have some doctor colleagues here place tubes in us or in
colleagues here place tubes in us or in
colleagues here place tubes in us or in our relatives or our family members
our relatives or our family members
our relatives or our family members tubes that are needed to deliver
tubes that are needed to deliver
tubes that are needed to deliver medicines that could save our lives
medicines that could save our lives
medicines that could save our lives tubes that help us breathe every time we
tubes that help us breathe every time we
tubes that help us breathe every time we breach the natural barrier our skin and
breach the natural barrier our skin and
breach the natural barrier our skin and put tubes in it in ourselves we expose
put tubes in it in ourselves we expose
put tubes in it in ourselves we expose ourselves to the risk of getting an
ourselves to the risk of getting an
ourselves to the risk of getting an infection our natural state is not to
infection our natural state is not to
infection our natural state is not to have tubes in our bodies so the you
have tubes in our bodies so the you
have tubes in our bodies so the you increase the risk and then if those
increase the risk and then if those
increase the risk and then if those tubes are not handled properly and what
tubes are not handled properly and what
tubes are not handled properly and what do I mean handle properly hands and
do I mean handle properly hands and
do I mean handle properly hands and practices what are the practices around
practices what are the practices around
practices what are the practices around the appropriate handling of those tubes
the appropriate handling of those tubes
the appropriate handling of those tubes one guess
one guess
one guess an infection especially when there are a
an infection especially when there are a
an infection especially when there are a lot of germs hanging around which which
lot of germs hanging around which which
lot of germs hanging around which which it happens in hospitals the other way
it happens in hospitals the other way
it happens in hospitals the other way you get healthcare acquired infections
you get healthcare acquired infections
you get healthcare acquired infections is by transmitting infections from one
is by transmitting infections from one
is by transmitting infections from one person to the other you’re laying in the
person to the other you’re laying in the
person to the other you’re laying in the hospital and the person next door has a
hospital and the person next door has a
hospital and the person next door has a cold or has diarrhea the physician
cold or has diarrhea the physician
cold or has diarrhea the physician doesn’t wash their hand or their nurse
doesn’t wash their hand or their nurse
doesn’t wash their hand or their nurse doesn’t wash your hand and all of a
doesn’t wash your hand and all of a
doesn’t wash your hand and all of a sudden you came in for your broken leg
sudden you came in for your broken leg
sudden you came in for your broken leg and now you have diarrhea and pneumonia
and now you have diarrhea and pneumonia
and now you have diarrhea and pneumonia so just transmission of germs amongst us
so just transmission of germs amongst us
so just transmission of germs amongst us and then finally a surgical infection so
and then finally a surgical infection so
and then finally a surgical infection so you go into the operating room if best
you go into the operating room if best
you go into the operating room if best practices are not adhere to you come out
practices are not adhere to you come out
practices are not adhere to you come out with an infection that complicates what
with an infection that complicates what
with an infection that complicates what should have been a very simple surgery
should have been a very simple surgery
should have been a very simple surgery which brings me to the next moments the
which brings me to the next moments the
which brings me to the next moments the World Health Organization has put out
World Health Organization has put out
World Health Organization has put out there are five moments of hand hygiene
there are five moments of hand hygiene
there are five moments of hand hygiene there are literally five moments that’s
there are literally five moments that’s
there are literally five moments that’s what the campaign is the five moments of
what the campaign is the five moments of
what the campaign is the five moments of hand hygiene
hand hygiene
hand hygiene how we should wash our hands
how we should wash our hands
how we should wash our hands appropriately we as health care
appropriately we as health care
appropriately we as health care professionals cannot seem to wash our
professionals cannot seem to wash our
professionals cannot seem to wash our hands I don’t know what it is is it
hands I don’t know what it is is it
hands I don’t know what it is is it because it’s so simple that we think
because it’s so simple that we think
because it’s so simple that we think it’s ridiculous
it’s ridiculous
it’s ridiculous but if you read the scientific
but if you read the scientific
but if you read the scientific literature it is the most effective way
literature it is the most effective way
literature it is the most effective way to prevent infections why should we
to prevent infections why should we
to prevent infections why should we present prevent them beyond the 3,000
present prevent them beyond the 3,000
present prevent them beyond the 3,000 that’s like we needed another reason
that’s like we needed another reason
that’s like we needed another reason beyond 3,000 dead people a year in this
beyond 3,000 dead people a year in this
beyond 3,000 dead people a year in this country it costs the Greek healthcare
country it costs the Greek healthcare
country it costs the Greek healthcare system 1.2 billion euro a year so I want
system 1.2 billion euro a year so I want
system 1.2 billion euro a year so I want you to think about that for a minute a
you to think about that for a minute a
you to think about that for a minute a country in the financial crisis that
country in the financial crisis that
country in the financial crisis that Greece is in right now pays 1.2 billion
Greece is in right now pays 1.2 billion
Greece is in right now pays 1.2 billion for to manage these healthcare acquired
for to manage these healthcare acquired
for to manage these healthcare acquired infections many cynics will say that
infections many cynics will say that
infections many cynics will say that this is part of doing business this is
this is part of doing business this is
this is part of doing business this is what happens if you go to a hospital
what happens if you go to a hospital
what happens if you go to a hospital this is what happens this is unavoidable
this is what happens this is unavoidable
this is what happens this is unavoidable the most important thing to take away
the most important thing to take away
the most important thing to take away from all this is that about 70 percent
from all this is that about 70 percent
from all this is that about 70 percent of these infections are preventable so
of these infections are preventable so
of these infections are preventable so this has happened across the world
this has happened across the world
this has happened across the world preventable there are countries that
preventable there are countries that
preventable there are countries that have gotten too
have gotten too
have gotten too infections in their hospitals and I
infections in their hospitals and I
infections in their hospitals and I start off by saying hand hygiene but
start off by saying hand hygiene but
start off by saying hand hygiene but there are other very simple basic
there are other very simple basic
there are other very simple basic practices that could be followed but we
practices that could be followed but we
practices that could be followed but we Greeks don’t like to follow rules we
Greeks don’t like to follow rules we
Greeks don’t like to follow rules we don’t like to follow guidelines we don’t
don’t like to follow guidelines we don’t
don’t like to follow guidelines we don’t like to follow algorithms and hence
like to follow algorithms and hence
like to follow algorithms and hence we’ve created this very large problem
we’ve created this very large problem
we’ve created this very large problem that is preventable in terms of both
that is preventable in terms of both
that is preventable in terms of both lives lost and money safe for a system
lives lost and money safe for a system
lives lost and money safe for a system that could use that money for something
that could use that money for something
that could use that money for something else
else
else my personal moment and why I’m here
my personal moment and why I’m here
my personal moment and why I’m here talking about this I was sitting in my
talking about this I was sitting in my
talking about this I was sitting in my office at the University of Pennsylvania
office at the University of Pennsylvania
office at the University of Pennsylvania had been just promoted to professor at a
had been just promoted to professor at a
had been just promoted to professor at a reasonably young age and I was thinking
reasonably young age and I was thinking
reasonably young age and I was thinking about what what do I want to do what do
about what what do I want to do what do
about what what do I want to do what do I want to do with my life what’s next I
I want to do with my life what’s next I
I want to do with my life what’s next I need I wanted something beyond writing
need I wanted something beyond writing
need I wanted something beyond writing another research paper or presenting at
another research paper or presenting at
another research paper or presenting at another scientific meeting and what I
another scientific meeting and what I
another scientific meeting and what I tell people is that I’m bipolar I don’t
tell people is that I’m bipolar I don’t
tell people is that I’m bipolar I don’t mean bipolar as in really mentally ill
mean bipolar as in really mentally ill
mean bipolar as in really mentally ill although I may be but that I’m half
although I may be but that I’m half
although I may be but that I’m half Greek half American and the the Greek
Greek half American and the the Greek
Greek half American and the the Greek side of me started really pulling at me
side of me started really pulling at me
side of me started really pulling at me and that it was at the time of the
and that it was at the time of the
and that it was at the time of the financial crisis and I said what do I
financial crisis and I said what do I
financial crisis and I said what do I know how to do I know how to do
know how to do I know how to do
know how to do I know how to do infectious diseases this is what I’ve
infectious diseases this is what I’ve
infectious diseases this is what I’ve been trained to do in the States this is
been trained to do in the States this is
been trained to do in the States this is what I could do so how can I contribute
what I could do so how can I contribute
what I could do so how can I contribute and try to help in this time of crisis
and try to help in this time of crisis
and try to help in this time of crisis and at a time when the health care
and at a time when the health care
and at a time when the health care system was really feeling the burden of
system was really feeling the burden of
system was really feeling the burden of these hospital-acquired infections my
these hospital-acquired infections my
these hospital-acquired infections my colleague Nico’s talked about nikos
colleague Nico’s talked about nikos
colleague Nico’s talked about nikos kazantzakis who’s one of my favorite
kazantzakis who’s one of my favorite
kazantzakis who’s one of my favorite authors as well and I thought about
authors as well and I thought about
authors as well and I thought about report to Greco and I thought what do I
report to Greco and I thought what do I
report to Greco and I thought what do I want a report to Greco when I get to
want a report to Greco when I get to
want a report to Greco when I get to sort of the end of my career in my life
sort of the end of my career in my life
sort of the end of my career in my life so I came to Greece and and I started a
so I came to Greece and and I started a
so I came to Greece and and I started a non-governmental organization called
non-governmental organization called
non-governmental organization called Clio which is dedicated to preventing
Clio which is dedicated to preventing
Clio which is dedicated to preventing hospital-acquired infections reducing
hospital-acquired infections reducing
hospital-acquired infections reducing antibiotic resistance and improving our
antibiotic resistance and improving our
antibiotic resistance and improving our use of antibiotics and we got together a
use of antibiotics and we got together a
use of antibiotics and we got together a bunch of young people like ourselves who
bunch of young people like ourselves who
bunch of young people like ourselves who either didn’t have jobs or wanted
either didn’t have jobs or wanted
either didn’t have jobs or wanted something more important to do
something more important to do
something more important to do and we came together in as an NGO that’s
and we came together in as an NGO that’s
and we came together in as an NGO that’s been funded with help of the Stavros
been funded with help of the Stavros
been funded with help of the Stavros Niarchos foundation which has invested
Niarchos foundation which has invested
Niarchos foundation which has invested in this what I think they perceive as
in this what I think they perceive as
in this what I think they perceive as important work what do we do we do a lot
important work what do we do we do a lot
important work what do we do we do a lot of really simple things and I love the
of really simple things and I love the
of really simple things and I love the simplicity of what we’re doing right now
simplicity of what we’re doing right now
simplicity of what we’re doing right now trying to first of all we try to measure
trying to first of all we try to measure
trying to first of all we try to measure the problem one of the things that was
the problem one of the things that was
the problem one of the things that was missing is how big is the problem how
missing is how big is the problem how
missing is how big is the problem how big isn’t in that problem in hospital a
big isn’t in that problem in hospital a
big isn’t in that problem in hospital a hospital B hospital C and actually just
hospital B hospital C and actually just
hospital B hospital C and actually just measuring the problem sometimes helps
measuring the problem sometimes helps
measuring the problem sometimes helps because people start comparing
because people start comparing
because people start comparing themselves to each other and say why do
themselves to each other and say why do
themselves to each other and say why do I have a bigger problem than you maybe I
I have a bigger problem than you maybe I
I have a bigger problem than you maybe I should do something better maybe I
should do something better maybe I
should do something better maybe I should try to improve myself and then
should try to improve myself and then
should try to improve myself and then just like the Research Institute or the
just like the Research Institute or the
just like the Research Institute or the Institute that’s working on car injury
Institute that’s working on car injury
Institute that’s working on car injury we implement interventions very simple
we implement interventions very simple
we implement interventions very simple interventions how do we educate people
interventions how do we educate people
interventions how do we educate people on proper hand-washing how do we get and
on proper hand-washing how do we get and
on proper hand-washing how do we get and motivate them to wash their hands more
motivate them to wash their hands more
motivate them to wash their hands more frequently and most of the interventions
frequently and most of the interventions
frequently and most of the interventions are I hate to say not they don’t require
are I hate to say not they don’t require
are I hate to say not they don’t require a lot of technology the airline industry
a lot of technology the airline industry
a lot of technology the airline industry is the safest industry in the world do
is the safest industry in the world do
is the safest industry in the world do you know why they use checklists that
you know why they use checklists that
you know why they use checklists that you safety checklist they don’t leave it
you safety checklist they don’t leave it
you safety checklist they don’t leave it to the pilot to think about whether
to the pilot to think about whether
to the pilot to think about whether before takeoff or before landing they’ve
before takeoff or before landing they’ve
before takeoff or before landing they’ve created a safe environment for the plane
created a safe environment for the plane
created a safe environment for the plane to take in medicine now we’ve begun to
to take in medicine now we’ve begun to
to take in medicine now we’ve begun to use these checklists as well this is
use these checklists as well this is
use these checklists as well this is what I have to do as a doctor and if I
what I have to do as a doctor and if I
what I have to do as a doctor and if I check all the boxes chances are my
check all the boxes chances are my
check all the boxes chances are my patient will do well we as physicians
patient will do well we as physicians
patient will do well we as physicians and in general don’t like to be told
and in general don’t like to be told
and in general don’t like to be told what to do we don’t like to think that
what to do we don’t like to think that
what to do we don’t like to think that medicine is not magic and following a
medicine is not magic and following a
medicine is not magic and following a guideline or a checklist is something
guideline or a checklist is something
guideline or a checklist is something that we don’t like to do but we need to
that we don’t like to do but we need to
that we don’t like to do but we need to do more of it if we want to create a
do more of it if we want to create a
do more of it if we want to create a better environment in terms of patient
better environment in terms of patient
better environment in terms of patient safety and quality specifically around
safety and quality specifically around
safety and quality specifically around infections but I would say even more
infections but I would say even more
infections but I would say even more broadly
broadly
broadly that the the final moments and I don’t
that the the final moments and I don’t
that the the final moments and I don’t want to talk about negative moments but
want to talk about negative moments but
want to talk about negative moments but I think you’ve heard some of these
I think you’ve heard some of these
I think you’ve heard some of these things and you’ve probably known what I
things and you’ve probably known what I
things and you’ve probably known what I heard the moments that I kept hearing
heard the moments that I kept hearing
heard the moments that I kept hearing things like the borromini tokonoma we
things like the borromini tokonoma we
things like the borromini tokonoma we can’t do it we can’t do it here you
can’t do it we can’t do it here you
can’t do it we can’t do it here you can’t do this in Greece after seeing
can’t do this in Greece after seeing
can’t do this in Greece after seeing America yes they come from the United
America yes they come from the United
America yes they come from the United States you can’t do that here this is
States you can’t do that here this is
States you can’t do that here this is impossible the infections are part of
impossible the infections are part of
impossible the infections are part of doing business and you know I that
doing business and you know I that
doing business and you know I that hasn’t seemed to to stop this I think
hasn’t seemed to to stop this I think
hasn’t seemed to to stop this I think we’re still fighting this battle and I
we’re still fighting this battle and I
we’re still fighting this battle and I encourage you to learn more about this
encourage you to learn more about this
encourage you to learn more about this problem because I think 3,000 dead
problem because I think 3,000 dead
problem because I think 3,000 dead people a year is pretty important and if
people a year is pretty important and if
people a year is pretty important and if you can prevent those I want what I
you can prevent those I want what I
you can prevent those I want what I would ask you as young people in the
would ask you as young people in the
would ask you as young people in the audience and others is just to raise
audience and others is just to raise
audience and others is just to raise awareness read about this a little bit
awareness read about this a little bit
awareness read about this a little bit more and also hold your physicians
more and also hold your physicians
more and also hold your physicians accountable when you go to the doctor
accountable when you go to the doctor
accountable when you go to the doctor and they’re going to give you an
and they’re going to give you an
and they’re going to give you an antibiotic ask them do I really need
antibiotic ask them do I really need
antibiotic ask them do I really need that antibiotic is it going to make me
that antibiotic is it going to make me
that antibiotic is it going to make me better in Greece we have
better in Greece we have
better in Greece we have over-the-counter antibiotics where you
over-the-counter antibiotics where you
over-the-counter antibiotics where you can get it at the pharmacy which is not
can get it at the pharmacy which is not
can get it at the pharmacy which is not the pattern in most other countries at
the pattern in most other countries at
the pattern in most other countries at least more so most other developed
least more so most other developed
least more so most other developed countries why what do we know we as the
countries why what do we know we as the
countries why what do we know we as the lay public in terms of what antibiotic
lay public in terms of what antibiotic
lay public in terms of what antibiotic we should get or whether we should get
we should get or whether we should get
we should get or whether we should get an antibiotic and I also encourage you
an antibiotic and I also encourage you
an antibiotic and I also encourage you if you’re in a hospital unfortunate
if you’re in a hospital unfortunate
if you’re in a hospital unfortunate enough to be in a hospital whether it’s
enough to be in a hospital whether it’s
enough to be in a hospital whether it’s you or your relatives or somebody else
you or your relatives or somebody else
you or your relatives or somebody else hold your doctors accountable tell them
hold your doctors accountable tell them
hold your doctors accountable tell them to wash their hands before they do
to wash their hands before they do
to wash their hands before they do something to you tell them to wash their
something to you tell them to wash their
something to you tell them to wash their hands before they touch your yaga your
hands before they touch your yaga your
hands before they touch your yaga your Popple your children your mother your
Popple your children your mother your
Popple your children your mother your father and ask them are they following
father and ask them are they following
father and ask them are they following best practices what are the practices
best practices what are the practices
best practices what are the practices that you’re following to keep me safe
that you’re following to keep me safe
that you’re following to keep me safe and to keep me from being one of those
and to keep me from being one of those
and to keep me from being one of those one in 10 one in 10 Greek Greek citizens
one in 10 one in 10 Greek Greek citizens
one in 10 one in 10 Greek Greek citizens who enter a hospital get a
who enter a hospital get a
who enter a hospital get a hospital-acquired infection
finally just on a personal note when
finally just on a personal note when they asked me to give this talk they
they asked me to give this talk they
they asked me to give this talk they told me that I have 18 minutes to give
told me that I have 18 minutes to give
told me that I have 18 minutes to give this talk and it was a particularly
this talk and it was a particularly
this talk and it was a particularly difficult problem for me
difficult problem for me
difficult problem for me I am from Acharya how many of you’ve
I am from Acharya how many of you’ve
I am from Acharya how many of you’ve intake area good what is the sense of
intake area good what is the sense of
intake area good what is the sense of time in Acharya so when they told me 18
time in Acharya so when they told me 18
time in Acharya so when they told me 18 minutes I said so you mean 3540 not
minutes I said so you mean 3540 not
minutes I said so you mean 3540 not Obama me out it’s uh there’s no clocks
Obama me out it’s uh there’s no clocks
Obama me out it’s uh there’s no clocks in Greece so this is very disconcerting
in Greece so this is very disconcerting
in Greece so this is very disconcerting upsetting to me to see a clock here
upsetting to me to see a clock here
upsetting to me to see a clock here that’s ticking and saying that you need
that’s ticking and saying that you need
that’s ticking and saying that you need to sit to move forward thank you very
to sit to move forward thank you very
to sit to move forward thank you very much
much
much [Applause]
you
you [Music]
”
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