[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:22.36,0:00:26.00,Default,,0000,0000,0000,,My name is Dr. Moses deGraft-Johnson.
Dialogue: 0,0:00:26.00,0:00:28.36,Default,,0000,0000,0000,,The term “assistive technology” is defined
Dialogue: 0,0:00:28.36,0:00:31.56,Default,,0000,0000,0000,,by the World Health Organization (WHO)
Dialogue: 0,0:00:31.56,0:00:35.00,Default,,0000,0000,0000,,as an umbrella term that covers
Dialogue: 0,0:00:35.00,0:00:37.44,Default,,0000,0000,0000,,systems and services that are related to
Dialogue: 0,0:00:37.44,0:00:40.23,Default,,0000,0000,0000,,the delivery of assistive products and
Dialogue: 0,0:00:40.23,0:00:42.55,Default,,0000,0000,0000,,services, and the whole purpose
Dialogue: 0,0:00:42.55,0:00:44.76,Default,,0000,0000,0000,,of this is to aid an individual by giving
Dialogue: 0,0:00:44.76,0:00:46.88,Default,,0000,0000,0000,,them independence and promoting their
Dialogue: 0,0:00:46.88,0:00:50.35,Default,,0000,0000,0000,,overall well-being.
Dialogue: 0,0:00:50.35,0:00:53.45,Default,,0000,0000,0000,,Now, as my colleague here just showed us
Dialogue: 0,0:00:53.45,0:00:57.04,Default,,0000,0000,0000,,some very cool innovations,
Dialogue: 0,0:00:57.04,0:01:00.05,Default,,0000,0000,0000,,some of the innovations that we
Dialogue: 0,0:01:00.05,0:01:02.49,Default,,0000,0000,0000,,are very familiar with are the simplest
Dialogue: 0,0:01:02.49,0:01:04.86,Default,,0000,0000,0000,,things such as the hearing aids,
Dialogue: 0,0:01:04.86,0:01:07.03,Default,,0000,0000,0000,,wheelchairs, and the prosthesis. Even
Dialogue: 0,0:01:07.03,0:01:09.29,Default,,0000,0000,0000,,something as simple as pill organizers,
Dialogue: 0,0:01:09.29,0:01:11.65,Default,,0000,0000,0000,,because this is something even people
Dialogue: 0,0:01:11.65,0:01:14.67,Default,,0000,0000,0000,,without a true disability utilize, you
Dialogue: 0,0:01:14.67,0:01:19.60,Default,,0000,0000,0000,,know? My mother utilizes pill organizers.
Dialogue: 0,0:01:19.60,0:01:21.43,Default,,0000,0000,0000,,So we find that there are certain
Dialogue: 0,0:01:21.43,0:01:23.49,Default,,0000,0000,0000,,assistive technologies that even
Dialogue: 0,0:01:23.49,0:01:25.49,Default,,0000,0000,0000,,individuals who do not have a true
Dialogue: 0,0:01:25.49,0:01:29.49,Default,,0000,0000,0000,,disability also utilize in their daily
Dialogue: 0,0:01:29.49,0:01:32.12,Default,,0000,0000,0000,,lives. And we’re seeing more and more
Dialogue: 0,0:01:32.12,0:01:33.70,Default,,0000,0000,0000,,of that globally; more than
Dialogue: 0,0:01:33.70,0:01:35.48,Default,,0000,0000,0000,,one billion people need one or more
Dialogue: 0,0:01:35.48,0:01:39.48,Default,,0000,0000,0000,,assistive products.
Dialogue: 0,0:01:40.02,0:01:42.19,Default,,0000,0000,0000,,Now this is the part that I really want to
Dialogue: 0,0:01:42.19,0:01:48.63,Default,,0000,0000,0000,,get into, because this really talks about
Dialogue: 0,0:01:48.63,0:01:50.47,Default,,0000,0000,0000,,what I do for a living,
Dialogue: 0,0:01:50.47,0:01:52.93,Default,,0000,0000,0000,,and recently what we’ve seen is that the
Dialogue: 0,0:01:52.93,0:01:55.26,Default,,0000,0000,0000,,World Health Organization released some
Dialogue: 0,0:01:55.26,0:01:58.61,Default,,0000,0000,0000,,data, and what we see is a rise in
Dialogue: 0,0:01:58.61,0:02:01.43,Default,,0000,0000,0000,,non-communicable diseases that are
Dialogue: 0,0:02:01.43,0:02:06.06,Default,,0000,0000,0000,,causing persons with disability.
Dialogue: 0,0:02:06.06,0:02:09.33,Default,,0000,0000,0000,,And one of the most common ones that was
Dialogue: 0,0:02:09.33,0:02:12.52,Default,,0000,0000,0000,,mentioned was diabetes. But also, along
Dialogue: 0,0:02:12.52,0:02:15.91,Default,,0000,0000,0000,,with diabetes was hypertension and
Dialogue: 0,0:02:15.91,0:02:17.91,Default,,0000,0000,0000,,hyperlipidemia, also known simply
Dialogue: 0,0:02:17.91,0:02:22.03,Default,,0000,0000,0000,,as high cholesterol, obesity, and smoking.
Dialogue: 0,0:02:22.03,0:02:25.17,Default,,0000,0000,0000,,Now what’s interesting is that these five
Dialogue: 0,0:02:25.17,0:02:29.70,Default,,0000,0000,0000,,variables are also known in cardiovascular
Dialogue: 0,0:02:29.70,0:02:33.81,Default,,0000,0000,0000,,medicine as the five major risk factors
Dialogue: 0,0:02:33.81,0:02:36.47,Default,,0000,0000,0000,,for a major cardiovascular event
Dialogue: 0,0:02:36.47,0:02:41.03,Default,,0000,0000,0000,,They lead to something called \Natheromatous plaque.
Dialogue: 0,0:02:41.03,0:02:43.87,Default,,0000,0000,0000,,This is plaque formation of buildup in
Dialogue: 0,0:02:43.87,0:02:47.87,Default,,0000,0000,0000,,our blood vessels. This is an example of a
Dialogue: 0,0:02:47.87,0:02:51.23,Default,,0000,0000,0000,,normal coronary artery in the heart,
Dialogue: 0,0:02:51.23,0:02:55.23,Default,,0000,0000,0000,,and as we see, over time we get damages,
Dialogue: 0,0:02:55.23,0:02:58.09,Default,,0000,0000,0000,,buildups, and eventually we have lack of
Dialogue: 0,0:02:58.09,0:03:00.50,Default,,0000,0000,0000,,perfusion, or lack of blood flow.
Dialogue: 0,0:03:00.50,0:03:02.49,Default,,0000,0000,0000,,And that’s what eventually leads to heart
Dialogue: 0,0:03:02.49,0:03:04.71,Default,,0000,0000,0000,,attacks, strokes, and poor circulation,
Dialogue: 0,0:03:04.71,0:03:07.26,Default,,0000,0000,0000,,commonly known as “P-A-D.”
Dialogue: 0,0:03:07.26,0:03:09.46,Default,,0000,0000,0000,,Now, at the Heart and Vascular Institute,
Dialogue: 0,0:03:09.46,0:03:11.22,Default,,0000,0000,0000,,what we have done is we have an
Dialogue: 0,0:03:11.22,0:03:16.06,Default,,0000,0000,0000,,initiative called the \N"Save a Limb Initiative."
Dialogue: 0,0:03:16.06,0:03:19.46,Default,,0000,0000,0000,,One of the things that my goal was was to
Dialogue: 0,0:03:19.46,0:03:21.98,Default,,0000,0000,0000,,at least limit the amount of amputations
Dialogue: 0,0:03:21.98,0:03:25.96,Default,,0000,0000,0000,,that were occurring in that community.
Dialogue: 0,0:03:26.02,0:03:28.27,Default,,0000,0000,0000,,When we see patients who have these
Dialogue: 0,0:03:28.27,0:03:30.31,Default,,0000,0000,0000,,sorts of problems, the first thing we
Dialogue: 0,0:03:30.31,0:03:32.70,Default,,0000,0000,0000,,do after we’ve assessed them is called
Dialogue: 0,0:03:32.70,0:03:34.66,Default,,0000,0000,0000,,acute limb ischemia. We take them
Dialogue: 0,0:03:34.66,0:03:36.72,Default,,0000,0000,0000,,into the operating room and utilize a
Dialogue: 0,0:03:36.72,0:03:40.72,Default,,0000,0000,0000,,GE system called a C-ARM.
Dialogue: 0,0:03:41.77,0:03:44.18,Default,,0000,0000,0000,,What it does is it’s an X-ray that takes
Dialogue: 0,0:03:44.18,0:03:46.58,Default,,0000,0000,0000,,pictures of the legs from the bellybutton
Dialogue: 0,0:03:46.58,0:03:49.30,Default,,0000,0000,0000,,all the way down to the feet.
Dialogue: 0,0:03:49.30,0:03:52.84,Default,,0000,0000,0000,,We use contrast dye to inject into the
Dialogue: 0,0:03:52.84,0:03:56.69,Default,,0000,0000,0000,,patients so it will allow us to give us an
Dialogue: 0,0:03:56.69,0:03:59.15,Default,,0000,0000,0000,,image, sort of like this.
Dialogue: 0,0:03:59.15,0:04:00.91,Default,,0000,0000,0000,,So this first picture here… clearly you
Dialogue: 0,0:04:00.91,0:04:02.81,Default,,0000,0000,0000,,don’t need to be a doctor to see there’s a
Dialogue: 0,0:04:02.81,0:04:06.49,Default,,0000,0000,0000,,significant problem here. This is called
Dialogue: 0,0:04:06.49,0:04:08.47,Default,,0000,0000,0000,,This is called the superficial femoral
Dialogue: 0,0:04:08.47,0:04:10.59,Default,,0000,0000,0000,,artery. this is the big vessel that lies
Dialogue: 0,0:04:10.59,0:04:13.37,Default,,0000,0000,0000,,between your hip and your knee.
Dialogue: 0,0:04:13.37,0:04:15.81,Default,,0000,0000,0000,,It’s like a highway that’s not complete
Dialogue: 0,0:04:15.81,0:04:19.14,Default,,0000,0000,0000,,because there’s something missing here,
Dialogue: 0,0:04:19.14,0:04:20.64,Default,,0000,0000,0000,,right in the middle.
Dialogue: 0,0:04:20.64,0:04:22.75,Default,,0000,0000,0000,,So this individual has developed a
Dialogue: 0,0:04:22.75,0:04:25.35,Default,,0000,0000,0000,,blockage in that blood vessel that has
Dialogue: 0,0:04:25.35,0:04:27.96,Default,,0000,0000,0000,,definitely caused a total occlusion of
Dialogue: 0,0:04:27.96,0:04:30.47,Default,,0000,0000,0000,,blood flow flowing from this part,
Dialogue: 0,0:04:30.47,0:04:32.73,Default,,0000,0000,0000,,which is coming from the belly button area
Dialogue: 0,0:04:32.73,0:04:34.98,Default,,0000,0000,0000,,going down to the knee.
Dialogue: 0,0:04:34.98,0:04:37.30,Default,,0000,0000,0000,,So once we take that picture with that GE
Dialogue: 0,0:04:37.30,0:04:39.74,Default,,0000,0000,0000,,system, I’m able to see this and initial,
Dialogue: 0,0:04:39.74,0:04:43.90,Default,,0000,0000,0000,,and right here I’m able to, just like a
Dialogue: 0,0:04:43.90,0:04:47.90,Default,,0000,0000,0000,,plumber does, you know, you \Nsnake the pipes.
Dialogue: 0,0:04:47.90,0:04:51.29,Default,,0000,0000,0000,,So here you have a specific type of water
Dialogue: 0,0:04:51.29,0:04:54.88,Default,,0000,0000,0000,,system that I use to cross the artery.
Dialogue: 0,0:04:54.88,0:04:57.57,Default,,0000,0000,0000,,And once I cross the water system, on this
Dialogue: 0,0:04:57.57,0:05:01.88,Default,,0000,0000,0000,,side… I’m going to show you this picture
Dialogue: 0,0:05:01.88,0:05:03.97,Default,,0000,0000,0000,,here… I use a system called
Dialogue: 0,0:05:03.97,0:05:05.61,Default,,0000,0000,0000,,a jetstream atherectomy device.
Dialogue: 0,0:05:05.61,0:05:08.69,Default,,0000,0000,0000,,Now this system is a system that is made
Dialogue: 0,0:05:08.69,0:05:10.66,Default,,0000,0000,0000,,by a company called Boston Scientific.
Dialogue: 0,0:05:10.66,0:05:12.75,Default,,0000,0000,0000,,Boston Scientific is a medical device
Dialogue: 0,0:05:12.75,0:05:14.68,Default,,0000,0000,0000,,company based out of
Dialogue: 0,0:05:14.68,0:05:19.09,Default,,0000,0000,0000,,Maple Grove Minneapolis, in Minnesota.
Dialogue: 0,0:05:19.09,0:05:21.28,Default,,0000,0000,0000,,And what it is is that basically we use
Dialogue: 0,0:05:21.28,0:05:23.46,Default,,0000,0000,0000,,this device, it’s like a drilling system.
Dialogue: 0,0:05:23.46,0:05:27.46,Default,,0000,0000,0000,,Just like in the oil fields, they drill
Dialogue: 0,0:05:27.46,0:05:30.12,Default,,0000,0000,0000,,the ground. We use this system over that
Dialogue: 0,0:05:30.12,0:05:32.56,Default,,0000,0000,0000,,wire that I’ve put into the system and
Dialogue: 0,0:05:32.56,0:05:35.79,Default,,0000,0000,0000,,we’re able to go over the wire and clean
Dialogue: 0,0:05:35.79,0:05:39.77,Default,,0000,0000,0000,,out the plaques that have formed.
Dialogue: 0,0:05:39.77,0:05:41.94,Default,,0000,0000,0000,,Once that plaque is cleaned out, we use a
Dialogue: 0,0:05:41.94,0:05:44.63,Default,,0000,0000,0000,,balloon system to stretch out the
Dialogue: 0,0:05:44.63,0:05:46.69,Default,,0000,0000,0000,,blood vessels to really give it a wide
Dialogue: 0,0:05:46.69,0:05:50.69,Default,,0000,0000,0000,,opening, and sometimes once it stays open,
Dialogue: 0,0:05:50.69,0:05:52.94,Default,,0000,0000,0000,,if it stays open it’s fine but if it
Dialogue: 0,0:05:52.94,0:05:55.02,Default,,0000,0000,0000,,doesn’t stay open, it has a tendency
Dialogue: 0,0:05:55.02,0:05:57.41,Default,,0000,0000,0000,,to constrict again, and that’s when
Dialogue: 0,0:05:57.41,0:05:59.89,Default,,0000,0000,0000,,we have a tendency to put in a stent
Dialogue: 0,0:05:59.89,0:06:04.62,Default,,0000,0000,0000,,to keep it open. So in this picture right
Dialogue: 0,0:06:04.62,0:06:07.64,Default,,0000,0000,0000,,here, this diagram, you see that we were
Dialogue: 0,0:06:07.64,0:06:12.49,Default,,0000,0000,0000,,successful opening up this total occlusion
Dialogue: 0,0:06:12.49,0:06:14.67,Default,,0000,0000,0000,,here, and opening it up and restoring
Dialogue: 0,0:06:14.67,0:06:18.94,Default,,0000,0000,0000,,blood flow back to the limb.
Dialogue: 0,0:06:22.99,0:06:26.12,Default,,0000,0000,0000,,This is an actual photograph of one of my
Dialogue: 0,0:06:26.12,0:06:30.94,Default,,0000,0000,0000,,patients. Unfortunately, this was a
Dialogue: 0,0:06:30.94,0:06:33.14,Default,,0000,0000,0000,,gentleman that we were not able to save
Dialogue: 0,0:06:33.14,0:06:35.66,Default,,0000,0000,0000,,his leg. So this is six weeks
Dialogue: 0,0:06:35.66,0:06:38.73,Default,,0000,0000,0000,,after surgery after I amputated.
Dialogue: 0,0:06:38.73,0:06:40.86,Default,,0000,0000,0000,,This is called a BKA, a below the knee
Dialogue: 0,0:06:40.86,0:06:45.92,Default,,0000,0000,0000,,amputation. And I often say that if
Dialogue: 0,0:06:45.92,0:06:48.62,Default,,0000,0000,0000,,you’re not fortunate enough for me to save
Dialogue: 0,0:06:48.62,0:06:50.28,Default,,0000,0000,0000,,the limb, I’d rather you have a
Dialogue: 0,0:06:50.28,0:06:53.17,Default,,0000,0000,0000,,below the knee amputation versus
Dialogue: 0,0:06:53.17,0:06:56.71,Default,,0000,0000,0000,,above the knee amputation, because
Dialogue: 0,0:06:56.71,0:07:00.23,Default,,0000,0000,0000,,functionality-wise it’s better for the
Dialogue: 0,0:07:00.23,0:07:02.30,Default,,0000,0000,0000,,individual because we’re able to really
Dialogue: 0,0:07:02.30,0:07:04.43,Default,,0000,0000,0000,,fit him very well with a good prosthesis,
Dialogue: 0,0:07:04.43,0:07:06.52,Default,,0000,0000,0000,,that they can go back and handle it and
Dialogue: 0,0:07:06.52,0:07:08.93,Default,,0000,0000,0000,,walk as if nothing ever happened.
Dialogue: 0,0:07:08.93,0:07:11.49,Default,,0000,0000,0000,,But it becomes a huge challenge once you
Dialogue: 0,0:07:11.49,0:07:14.70,Default,,0000,0000,0000,,go above the knee. It’s very hard to fit
Dialogue: 0,0:07:14.70,0:07:17.14,Default,,0000,0000,0000,,someone for any good prosthesis,
Dialogue: 0,0:07:17.14,0:07:20.76,Default,,0000,0000,0000,,for them to bear weight.
Dialogue: 0,0:07:20.76,0:07:23.46,Default,,0000,0000,0000,,We call this the “stump line.”
Dialogue: 0,0:07:23.46,0:07:25.49,Default,,0000,0000,0000,,And we have a tendency to have a lot of
Dialogue: 0,0:07:25.49,0:07:27.16,Default,,0000,0000,0000,,breakdown on this stump line.
Dialogue: 0,0:07:27.16,0:07:29.47,Default,,0000,0000,0000,,So it just makes things a little bit
Dialogue: 0,0:07:29.47,0:07:31.44,Default,,0000,0000,0000,,difficult. So unfortunately, I was not
Dialogue: 0,0:07:31.44,0:07:34.10,Default,,0000,0000,0000,,able to save this man’s leg sine we had
Dialogue: 0,0:07:34.10,0:07:38.68,Default,,0000,0000,0000,,the surgery, and this is him and his wife
Dialogue: 0,0:07:38.68,0:07:41.67,Default,,0000,0000,0000,,after surgery.
Dialogue: 0,0:07:41.67,0:07:43.47,Default,,0000,0000,0000,,So this is the sort of assistive
Dialogue: 0,0:07:43.47,0:07:46.90,Default,,0000,0000,0000,,technology we’re used to seeing.
Dialogue: 0,0:07:46.90,0:07:49.26,Default,,0000,0000,0000,,And in the past, I have to admit,
Dialogue: 0,0:07:49.26,0:07:51.50,Default,,0000,0000,0000,,I have to be clear and be honest with you,
Dialogue: 0,0:07:51.50,0:07:53.34,Default,,0000,0000,0000,,I never really paid attention to a lot of
Dialogue: 0,0:07:53.34,0:07:55.12,Default,,0000,0000,0000,,this stuff until I met Chet Cooper.
Dialogue: 0,0:07:55.12,0:07:57.10,Default,,0000,0000,0000,,That’s when I started to really focus and
Dialogue: 0,0:07:57.10,0:07:58.43,Default,,0000,0000,0000,,pay attention to these things.
Dialogue: 0,0:07:58.43,0:08:00.59,Default,,0000,0000,0000,,They’re right in front of us, they’re
Dialogue: 0,0:08:00.59,0:08:02.75,Default,,0000,0000,0000,,right around us, but we’re so busy with
Dialogue: 0,0:08:02.75,0:08:04.77,Default,,0000,0000,0000,,our daily lives we don’t pay attention to
Dialogue: 0,0:08:04.77,0:08:07.48,Default,,0000,0000,0000,,things that are happening.
Dialogue: 0,0:08:07.48,0:08:10.22,Default,,0000,0000,0000,,But this is now a big problem and a part
Dialogue: 0,0:08:10.22,0:08:13.57,Default,,0000,0000,0000,,of my practice right now, of what I do.
Dialogue: 0,0:08:13.57,0:08:16.24,Default,,0000,0000,0000,,So once we have saved the limb,
Dialogue: 0,0:08:16.24,0:08:18.48,Default,,0000,0000,0000,,the question is then how do you prevent
Dialogue: 0,0:08:18.48,0:08:21.20,Default,,0000,0000,0000,,them from ending up like this gentleman.
Dialogue: 0,0:08:21.20,0:08:25.73,Default,,0000,0000,0000,,So we have a technology called the SPY.
Dialogue: 0,0:08:25.73,0:08:28.17,Default,,0000,0000,0000,,The SPY was developed by a company
Dialogue: 0,0:08:28.17,0:08:30.42,Default,,0000,0000,0000,,called Novadaq and then they sold it off
Dialogue: 0,0:08:30.42,0:08:31.96,Default,,0000,0000,0000,,to a company called Stryker.
Dialogue: 0,0:08:31.96,0:08:34.24,Default,,0000,0000,0000,,Stryker is a big medical device company
Dialogue: 0,0:08:34.24,0:08:36.14,Default,,0000,0000,0000,,that does a lot of spine surgery for
Dialogue: 0,0:08:36.14,0:08:38.23,Default,,0000,0000,0000,,people with back problems and this sort
Dialogue: 0,0:08:38.23,0:08:40.32,Default,,0000,0000,0000,,of thing. So it’s kind of shocking why
Dialogue: 0,0:08:40.32,0:08:42.43,Default,,0000,0000,0000,,they got into the vascular business. But
Dialogue: 0,0:08:42.43,0:08:45.89,Default,,0000,0000,0000,,anyway, with SPY technology, what it does
Dialogue: 0,0:08:45.89,0:08:48.59,Default,,0000,0000,0000,,is that it utilizes a fluorescent agent
Dialogue: 0,0:08:48.59,0:08:50.74,Default,,0000,0000,0000,,that we inject into the patient, so after
Dialogue: 0,0:08:50.74,0:08:54.74,Default,,0000,0000,0000,,the patient has had the \Nrevascularization procedure,
Dialogue: 0,0:08:54.74,0:08:56.72,Default,,0000,0000,0000,,they follow up at the office, we inject
Dialogue: 0,0:08:56.72,0:08:58.70,Default,,0000,0000,0000,,them with the fluorescent agent,
Dialogue: 0,0:08:58.70,0:09:00.81,Default,,0000,0000,0000,,and what it does is that we’re able to put
Dialogue: 0,0:09:00.81,0:09:02.91,Default,,0000,0000,0000,,this camera right on their feet, right
Dialogue: 0,0:09:02.91,0:09:08.38,Default,,0000,0000,0000,,overhead, and it gives us \Nthis thermal imaging.
Dialogue: 0,0:09:08.38,0:09:10.97,Default,,0000,0000,0000,,So when you see this right here, that’s
Dialogue: 0,0:09:10.97,0:09:14.47,Default,,0000,0000,0000,,good news. Actually the redder, the more
Dialogue: 0,0:09:14.47,0:09:17.54,Default,,0000,0000,0000,,red it is, the better it is. It means you
Dialogue: 0,0:09:17.54,0:09:18.98,Default,,0000,0000,0000,,have really good flow.
Dialogue: 0,0:09:18.98,0:09:21.09,Default,,0000,0000,0000,,And as the area gets a little bit blue,
Dialogue: 0,0:09:21.09,0:09:24.28,Default,,0000,0000,0000,,that means you have diminishing blood
Dialogue: 0,0:09:24.28,0:09:27.43,Default,,0000,0000,0000,,flow in that area. And when it gets to be
Dialogue: 0,0:09:27.43,0:09:31.29,Default,,0000,0000,0000,,like this, you know you have a serious
Dialogue: 0,0:09:31.29,0:09:37.93,Default,,0000,0000,0000,,problem. So this type of stuff is what
Dialogue: 0,0:09:37.93,0:09:40.44,Default,,0000,0000,0000,,we’ve been doing for people in Miami,
Dialogue: 0,0:09:40.44,0:09:43.68,Default,,0000,0000,0000,,for people in the Florida region.
Dialogue: 0,0:09:43.68,0:09:47.35,Default,,0000,0000,0000,,And so I started to take this type of
Dialogue: 0,0:09:47.35,0:09:50.38,Default,,0000,0000,0000,,practice back to Ghana.
Dialogue: 0,0:09:50.38,0:09:53.68,Default,,0000,0000,0000,,Ghana is very interesting to me, not only
Dialogue: 0,0:09:53.68,0:09:56.99,Default,,0000,0000,0000,,because I’m from Ghana,
Dialogue: 0,0:09:56.99,0:09:59.41,Default,,0000,0000,0000,,but I’ve been very impressed with the
Dialogue: 0,0:09:59.41,0:10:01.49,Default,,0000,0000,0000,,government of Ghana in terms of their
Dialogue: 0,0:10:01.49,0:10:05.22,Default,,0000,0000,0000,,initiatives, which is a little bit
Dialogue: 0,0:10:05.22,0:10:08.37,Default,,0000,0000,0000,,surprising to me because in those parts
Dialogue: 0,0:10:08.37,0:10:11.95,Default,,0000,0000,0000,,of the world there’s a stigma that is
Dialogue: 0,0:10:11.95,0:10:14.31,Default,,0000,0000,0000,,associated with individuals or persons
Dialogue: 0,0:10:14.31,0:10:16.13,Default,,0000,0000,0000,,with disability.
Dialogue: 0,0:10:16.13,0:10:18.25,Default,,0000,0000,0000,,Ghana is a small country in West Africa,
Dialogue: 0,0:10:18.25,0:10:20.55,Default,,0000,0000,0000,,the population is about 28 million.
Dialogue: 0,0:10:20.55,0:10:24.55,Default,,0000,0000,0000,,The GDP is about $130 billion. That puts
Dialogue: 0,0:10:24.55,0:10:27.48,Default,,0000,0000,0000,,them at number 12 out of 52 of African
Dialogue: 0,0:10:27.48,0:10:30.11,Default,,0000,0000,0000,,countries, and it’s actually the blueprint
Dialogue: 0,0:10:30.11,0:10:31.77,Default,,0000,0000,0000,,for African democracy. It’s a
Dialogue: 0,0:10:31.77,0:10:34.01,Default,,0000,0000,0000,,constitutional republic.
Dialogue: 0,0:10:34.01,0:10:39.10,Default,,0000,0000,0000,,And English is the official language\Nof the country.
Dialogue: 0,0:10:39.10,0:10:41.79,Default,,0000,0000,0000,,About 15 percent of the Ghana population
Dialogue: 0,0:10:41.79,0:10:43.56,Default,,0000,0000,0000,,are persons with disability.
Dialogue: 0,0:10:43.56,0:10:47.42,Default,,0000,0000,0000,,In 2006, the country passed a disability
Dialogue: 0,0:10:47.42,0:10:50.71,Default,,0000,0000,0000,,law, and the purpose for this was to end
Dialogue: 0,0:10:50.71,0:10:54.57,Default,,0000,0000,0000,,discrimination against individuals with
Dialogue: 0,0:10:54.57,0:10:57.77,Default,,0000,0000,0000,,disability in the country.
Dialogue: 0,0:10:57.77,0:11:00.63,Default,,0000,0000,0000,,The country has been working very very
Dialogue: 0,0:11:00.63,0:11:03.42,Default,,0000,0000,0000,,hard to improve the living conditions
Dialogue: 0,0:11:03.42,0:11:05.40,Default,,0000,0000,0000,,of individuals that live there.
Dialogue: 0,0:11:05.40,0:11:09.06,Default,,0000,0000,0000,,My foundation, what we’ve done is that,
Dialogue: 0,0:11:09.06,0:11:12.50,Default,,0000,0000,0000,,we’re really focusing on, because
Dialogue: 0,0:11:12.50,0:11:15.07,Default,,0000,0000,0000,,disabilities, there are so many causes of
Dialogue: 0,0:11:15.07,0:11:19.52,Default,,0000,0000,0000,,disabilities, from congenital diseases to
Dialogue: 0,0:11:19.52,0:11:23.42,Default,,0000,0000,0000,,hereditary diseases and also acquired
Dialogue: 0,0:11:23.42,0:11:26.30,Default,,0000,0000,0000,,diseases. With the acquired diseases,
Dialogue: 0,0:11:26.30,0:11:27.77,Default,,0000,0000,0000,,my focus is really on the
Dialogue: 0,0:11:27.77,0:11:29.98,Default,,0000,0000,0000,,noncommunicable diseases, because it
Dialogue: 0,0:11:29.98,0:11:31.99,Default,,0000,0000,0000,,really falls in line with something we
Dialogue: 0,0:11:31.99,0:11:34.54,Default,,0000,0000,0000,,have knowledge on. So what I've done is
Dialogue: 0,0:11:34.54,0:11:36.69,Default,,0000,0000,0000,,that I’ve invested my own money into
Dialogue: 0,0:11:36.69,0:11:40.77,Default,,0000,0000,0000,,building a hospital. This is a rendering,
Dialogue: 0,0:11:40.77,0:11:44.77,Default,,0000,0000,0000,,a rendition, of the hospital,\Nthe deGraft Research Hospital,
Dialogue: 0,0:11:44.77,0:11:46.55,Default,,0000,0000,0000,,and the purpose of this hospital
Dialogue: 0,0:11:46.55,0:11:48.33,Default,,0000,0000,0000,,is to facilitate the work that we
Dialogue: 0,0:11:48.33,0:11:51.53,Default,,0000,0000,0000,,have done very successfully in Florida.
Dialogue: 0,0:11:51.53,0:11:54.83,Default,,0000,0000,0000,,This is more images, and this is the
Dialogue: 0,0:11:54.83,0:11:56.64,Default,,0000,0000,0000,,current progress of the hospital.
Dialogue: 0,0:11:56.64,0:11:58.68,Default,,0000,0000,0000,,So hopefully by the end of next year
Dialogue: 0,0:11:58.68,0:12:00.24,Default,,0000,0000,0000,,we will complete this project,
Dialogue: 0,0:12:00.24,0:12:02.58,Default,,0000,0000,0000,,and then we will be able to offer the same
Dialogue: 0,0:12:02.58,0:12:06.58,Default,,0000,0000,0000,,things we offer the people of Florida,
Dialogue: 0,0:12:06.58,0:12:10.58,Default,,0000,0000,0000,,in Ghana. Thank you.