[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.15,0:00:01.82,Default,,0000,0000,0000,,Nuk do ta harroj kurrë atë ditë
Dialogue: 0,0:00:01.82,0:00:05.72,Default,,0000,0000,0000,,të pranverës së 2006-ës.
Dialogue: 0,0:00:05.72,0:00:07.30,Default,,0000,0000,0000,,Isha kirurg rezident
Dialogue: 0,0:00:07.30,0:00:09.73,Default,,0000,0000,0000,,në Spitalin Johns Hopkins
Dialogue: 0,0:00:09.73,0:00:11.51,Default,,0000,0000,0000,,në pranim të thirrjeve te urgjences.
Dialogue: 0,0:00:11.51,0:00:14.87,Default,,0000,0000,0000,,Rreth orës 2 të mëngjesit u njoftova nga E.R
Dialogue: 0,0:00:14.87,0:00:16.90,Default,,0000,0000,0000,,që të shkoj të shoh një grua me ulcerë diabetike
Dialogue: 0,0:00:16.90,0:00:18.69,Default,,0000,0000,0000,,në këmbën e saj.
Dialogue: 0,0:00:18.69,0:00:22.40,Default,,0000,0000,0000,,Ende e kujtoj atë lloj ere të gjakut të kalbur,
Dialogue: 0,0:00:22.40,0:00:26.02,Default,,0000,0000,0000,,tek po e tërhiqja perden që ta shoh atë.
Dialogue: 0,0:00:26.02,0:00:28.37,Default,,0000,0000,0000,,Të gjithë aty mendonim që ajo grua ishte shumë sëmurë
Dialogue: 0,0:00:28.37,0:00:29.72,Default,,0000,0000,0000,,dhe kishte nevojë të shtrohej në spital.
Dialogue: 0,0:00:29.72,0:00:31.32,Default,,0000,0000,0000,,Kjo nuk vihej në diskutim.
Dialogue: 0,0:00:31.32,0:00:33.46,Default,,0000,0000,0000,,Pyetja qe shtroja ishte një tjetër,
Dialogue: 0,0:00:33.46,0:00:37.39,Default,,0000,0000,0000,,a kishte ajo nevojë për amputim?
Dialogue: 0,0:00:37.39,0:00:40.36,Default,,0000,0000,0000,,Tani, duke kthyer koken pas ne atë natë
Dialogue: 0,0:00:40.36,0:00:45.52,Default,,0000,0000,0000,,do të doja dëshperimisht të besoja se e trajtova atë grua,
Dialogue: 0,0:00:45.52,0:00:48.66,Default,,0000,0000,0000,,atë natë, me empatinë dhe dhembshurinë e njëjtë
Dialogue: 0,0:00:48.66,0:00:52.89,Default,,0000,0000,0000,,që tregova ndaj 27 vjeçares së sapo martuar
Dialogue: 0,0:00:52.89,0:00:54.84,Default,,0000,0000,0000,,e cila erdhi në E.R tri ditë perpara
Dialogue: 0,0:00:54.84,0:00:56.45,Default,,0000,0000,0000,,me dhimbje mesi
Dialogue: 0,0:00:56.45,0:01:00.70,Default,,0000,0000,0000,,e cila doli të jetë kancer pankreatik i avancuar.
Dialogue: 0,0:01:00.70,0:01:02.86,Default,,0000,0000,0000,,Në rastin e saj, unë e dija se s'kishte asgjë që mund të bëja
Dialogue: 0,0:01:02.86,0:01:04.63,Default,,0000,0000,0000,,që do ti shpëtonte jetën.
Dialogue: 0,0:01:04.63,0:01:06.68,Default,,0000,0000,0000,,Kanceri ishte shumë i avancuar.
Dialogue: 0,0:01:06.68,0:01:09.36,Default,,0000,0000,0000,,Por isha i përkushtuar të sigurohesha që
Dialogue: 0,0:01:09.36,0:01:11.78,Default,,0000,0000,0000,,do bëja gjithçka të mundshme për ta bërë atë të ndihet
Dialogue: 0,0:01:11.78,0:01:14.21,Default,,0000,0000,0000,,më rehat. I solla një batanije të ngrohte
Dialogue: 0,0:01:14.21,0:01:16.93,Default,,0000,0000,0000,,dhe një filxhan kafe.
Dialogue: 0,0:01:16.93,0:01:19.11,Default,,0000,0000,0000,,Solla edhe për prindërit e saj.
Dialogue: 0,0:01:19.11,0:01:22.26,Default,,0000,0000,0000,,Por shikoni, më e rëndësishmja eshte qe unë nuk e paragjykova atë,
Dialogue: 0,0:01:22.26,0:01:24.16,Default,,0000,0000,0000,,sepse dukej qartë qe ajo s'kishte bërë gjë
Dialogue: 0,0:01:24.16,0:01:26.33,Default,,0000,0000,0000,,qe mund t'ia shkaktonte këtë vetes se saj.
Dialogue: 0,0:01:26.33,0:01:29.14,Default,,0000,0000,0000,,Atehere, si eshte e mundur qe disa nete me pas,
Dialogue: 0,0:01:29.14,0:01:32.30,Default,,0000,0000,0000,,tek qendroja ne te njejten dhome te urgjences dhe i vendosur
Dialogue: 0,0:01:32.30,0:01:35.71,Default,,0000,0000,0000,,qe pacientja ime diabetike kish nevoje per amputim,
Dialogue: 0,0:01:35.71,0:01:39.62,Default,,0000,0000,0000,,perse ja thashe kete ne nje menyre kaq te hidhur?
Dialogue: 0,0:01:39.62,0:01:42.08,Default,,0000,0000,0000,,Dallimi eshte qe ne ndryshim me gruan e nje nate me pare,
Dialogue: 0,0:01:42.08,0:01:44.48,Default,,0000,0000,0000,,kjo grua vuante nga diabeti i tipit 2.
Dialogue: 0,0:01:44.48,0:01:46.03,Default,,0000,0000,0000,,Ajo ishte e shendoshe.
Dialogue: 0,0:01:46.03,0:01:47.94,Default,,0000,0000,0000,,Dhe te gjithe e dime qe kjo vjen si rezultat i te ngrenit shume
Dialogue: 0,0:01:47.94,0:01:50.30,Default,,0000,0000,0000,,dhe mungeses se aktivitetit fizik, apo jo?
Dialogue: 0,0:01:50.30,0:01:52.98,Default,,0000,0000,0000,,Dua te them, sa e veshtire mund te jete?
Dialogue: 0,0:01:52.98,0:01:55.34,Default,,0000,0000,0000,,Teksa e shihja te shtrire mendoja me vete,
Dialogue: 0,0:01:55.34,0:01:58.23,Default,,0000,0000,0000,,sikur shume pak te te interesonte,
Dialogue: 0,0:01:58.23,0:02:01.22,Default,,0000,0000,0000,,nuk do te ishe ne kete gjendje tani
Dialogue: 0,0:02:01.22,0:02:02.100,Default,,0000,0000,0000,,me nje mjek qe nuk e kishe pare kurre me pare
Dialogue: 0,0:02:02.100,0:02:06.81,Default,,0000,0000,0000,,duke u pergatitur per te te prere kemben.
Dialogue: 0,0:02:06.81,0:02:10.46,Default,,0000,0000,0000,,Perse u ndjeva i justifikuar qe gjykoja ndaj saj?
Dialogue: 0,0:02:10.46,0:02:13.02,Default,,0000,0000,0000,,Do desha te thoja qe nuk e di.
Dialogue: 0,0:02:13.02,0:02:15.06,Default,,0000,0000,0000,,Por ja qe nuk eshte e vertete.
Dialogue: 0,0:02:15.06,0:02:17.39,Default,,0000,0000,0000,,Me kryelartesine e rinise sime,
Dialogue: 0,0:02:17.39,0:02:20.50,Default,,0000,0000,0000,,mendova se e kisha psikologjisur ate.
Dialogue: 0,0:02:20.50,0:02:22.33,Default,,0000,0000,0000,,Ajo ka ngrene shume. Ajo ka qene pa fat.
Dialogue: 0,0:02:22.33,0:02:25.70,Default,,0000,0000,0000,,U semur me diabet. Kaq qe puna.
Dialogue: 0,0:02:25.70,0:02:27.10,Default,,0000,0000,0000,,Cuditerisht, ne ate kohe,
Dialogue: 0,0:02:27.10,0:02:29.50,Default,,0000,0000,0000,,po hulumtoja rreth kancerit,
Dialogue: 0,0:02:29.50,0:02:31.84,Default,,0000,0000,0000,,terapite e sistemit imunitar per kancer te lekures, per te qene me ekzakt,
Dialogue: 0,0:02:31.84,0:02:35.81,Default,,0000,0000,0000,,nga kisha mesuar se duhej te kisha dyshime per gjithcka,
Dialogue: 0,0:02:35.81,0:02:37.85,Default,,0000,0000,0000,,te mos merrja te mireqene gje
Dialogue: 0,0:02:37.85,0:02:41.66,Default,,0000,0000,0000,,dhe ti masja me standardet me te larta shkencore.
Dialogue: 0,0:02:41.66,0:02:45.03,Default,,0000,0000,0000,,Nderkohe, kur vjen fjala tek diabeti
Dialogue: 0,0:02:45.03,0:02:48.58,Default,,0000,0000,0000,,i cili vret 8 here me shume amerikane se melanoma,
Dialogue: 0,0:02:48.58,0:02:52.01,Default,,0000,0000,0000,,nuk e vura kurre ne prove dijen e deri atehershme.
Dialogue: 0,0:02:52.01,0:02:55.06,Default,,0000,0000,0000,,Pranova te mireqene,
Dialogue: 0,0:02:55.06,0:02:57.64,Default,,0000,0000,0000,,cdo hallke te zinxhirit te shkaqeve patologjike qe te conte ne te.
Dialogue: 0,0:02:57.64,0:03:01.04,Default,,0000,0000,0000,,Tre vite me pas, zbulova se isha shume gabim.
Dialogue: 0,0:03:01.04,0:03:03.64,Default,,0000,0000,0000,,Por kete here, isha pacienti.
Dialogue: 0,0:03:03.64,0:03:07.47,Default,,0000,0000,0000,,Edhe pse beja ushtrime fizike 3-4 ore ne dite,
Dialogue: 0,0:03:07.47,0:03:10.04,Default,,0000,0000,0000,,dhe zbatimin i piramides ushqimore me perpikmeri,
Dialogue: 0,0:03:10.04,0:03:12.20,Default,,0000,0000,0000,,kisha shtuar shume ne peshe dhe kisha zhvilluar
Dialogue: 0,0:03:12.20,0:03:14.48,Default,,0000,0000,0000,,dicka te ashtuquajtur sindroma e metabolizmit.
Dialogue: 0,0:03:14.48,0:03:16.46,Default,,0000,0000,0000,,Disa nga ju mund edhe te kene degjuar per te.
Dialogue: 0,0:03:16.46,0:03:19.91,Default,,0000,0000,0000,,Isha bere imun ndaj insulines.
Dialogue: 0,0:03:19.91,0:03:22.36,Default,,0000,0000,0000,,Mund ta mendoni insulinen si ky hormon i gjithepushtetshem
Dialogue: 0,0:03:22.36,0:03:26.42,Default,,0000,0000,0000,,qe kontrollon se cfare ben trupi yne me ushqimet qe hame,
Dialogue: 0,0:03:26.42,0:03:28.54,Default,,0000,0000,0000,,nese i ruajme ose i djegim.
Dialogue: 0,0:03:28.54,0:03:31.35,Default,,0000,0000,0000,,Ne gjuhen mjekesore kjo quhet "ndarje e energjise".
Dialogue: 0,0:03:31.35,0:03:34.52,Default,,0000,0000,0000,,Mos prodhimi i mjaftueshem i insulines nuk pajtohet me jeten.
Dialogue: 0,0:03:34.52,0:03:37.18,Default,,0000,0000,0000,,Dhe rezistence ndaj insulines, sikunder sugjeron dhe emri,
Dialogue: 0,0:03:37.18,0:03:39.86,Default,,0000,0000,0000,,ndodh atehere kur qelizat behen gjithnje e me rezistente
Dialogue: 0,0:03:39.86,0:03:43.37,Default,,0000,0000,0000,,nga efektet e insulines qe perpiqet te beje punen e saj.
Dialogue: 0,0:03:43.37,0:03:45.55,Default,,0000,0000,0000,,Kur behesh rezistent ndaj insulines,
Dialogue: 0,0:03:45.55,0:03:46.92,Default,,0000,0000,0000,,kthehesh ne diabetik,
Dialogue: 0,0:03:46.92,0:03:48.99,Default,,0000,0000,0000,,c'ka ndodh kur pankreasi
Dialogue: 0,0:03:48.99,0:03:52.31,Default,,0000,0000,0000,,nuk mund te perballoje rezistencen dhe te prodhoje mjaftueshem insuline.
Dialogue: 0,0:03:52.31,0:03:54.94,Default,,0000,0000,0000,,FIllon ngritja e sasise se sheqerit ne gjak,
Dialogue: 0,0:03:54.94,0:03:57.57,Default,,0000,0000,0000,,dhe nje ujvare problemesh patologjike
Dialogue: 0,0:03:57.57,0:04:01.27,Default,,0000,0000,0000,,dalin jashte kontrolli, c'ka mund te cojne ne probleme me zemren,
Dialogue: 0,0:04:01.27,0:04:04.88,Default,,0000,0000,0000,,kancer, ose edhe Alzaimer,
Dialogue: 0,0:04:04.88,0:04:09.76,Default,,0000,0000,0000,,dhe amputim, pikerisht si ajo grua disa vite me pare.
Dialogue: 0,0:04:09.76,0:04:12.72,Default,,0000,0000,0000,,Me kete problem, nisa te ndryshoj dieten time ne menyre drastike,
Dialogue: 0,0:04:12.72,0:04:14.90,Default,,0000,0000,0000,,duke hequr e shtuar gjera qe ju do ti gjenit
Dialogue: 0,0:04:14.90,0:04:17.98,Default,,0000,0000,0000,,padyshim shokuese.
Dialogue: 0,0:04:17.98,0:04:21.86,Default,,0000,0000,0000,,Bera keshtu dhe humba 20 kg, ndonese beja me pak ushtrime fizike.
Dialogue: 0,0:04:21.86,0:04:24.90,Default,,0000,0000,0000,,Sikunder mund te shihni, nuk jam me mbipeshe.
Dialogue: 0,0:04:24.90,0:04:27.07,Default,,0000,0000,0000,,Cka eshte me e rendesishme eshte qe nuk kam me rezistence ndaj insulines.
Dialogue: 0,0:04:27.07,0:04:29.11,Default,,0000,0000,0000,,Por edhe me e rendesishme, jane keto tre pyetjet
Dialogue: 0,0:04:29.11,0:04:32.96,Default,,0000,0000,0000,,qe me kane mbetur dhe te cilat nuk duan te me hiqen:
Dialogue: 0,0:04:32.96,0:04:35.41,Default,,0000,0000,0000,,Si me ngjau kjo gje kur une mendohej
Dialogue: 0,0:04:35.41,0:04:38.11,Default,,0000,0000,0000,,se po beja gjithcka si duhej?
Dialogue: 0,0:04:38.11,0:04:41.14,Default,,0000,0000,0000,,Nese shkenca rreth te ushqyerit te shendetshem ka qene e rreme,
Dialogue: 0,0:04:41.14,0:04:44.93,Default,,0000,0000,0000,,a thua e tille ishte dhe per te tjere?
Dialogue: 0,0:04:44.93,0:04:46.83,Default,,0000,0000,0000,,Dhe ne analizimin e ketyre pyetjeve
Dialogue: 0,0:04:46.83,0:04:50.08,Default,,0000,0000,0000,,u bera pothuajse i fiksuar
Dialogue: 0,0:04:50.08,0:04:52.80,Default,,0000,0000,0000,,ne te perpjekurit per te kuptuar lidhjen e vertete
Dialogue: 0,0:04:52.80,0:04:56.43,Default,,0000,0000,0000,,midis obezitetit dhe rezistences se insulines.
Dialogue: 0,0:04:56.43,0:04:59.25,Default,,0000,0000,0000,,Tanime, shume hulumtues besojne se obeziteti
Dialogue: 0,0:04:59.25,0:05:02.64,Default,,0000,0000,0000,,eshte si rrjedhoje e resistences ndaj insulines.
Dialogue: 0,0:05:02.64,0:05:04.76,Default,,0000,0000,0000,,Logjikisht, kur do te trajtosh rezistencen ndaj insulines,
Dialogue: 0,0:05:04.76,0:05:06.65,Default,,0000,0000,0000,,i detyron njerezit te bien ne peshe, apo jo?
Dialogue: 0,0:05:06.65,0:05:09.41,Default,,0000,0000,0000,,Trajton obezitetin.
Dialogue: 0,0:05:09.41,0:05:12.12,Default,,0000,0000,0000,,Po sikur te jete pikerisht e kunderta?
Dialogue: 0,0:05:12.12,0:05:15.49,Default,,0000,0000,0000,,Po sikur obeziteti te mos jete shkaku i rezistences ndaj insulines?
Dialogue: 0,0:05:15.49,0:05:19.41,Default,,0000,0000,0000,,Ne fakt, po sikur te jete sintoma e nje problemi shume me te madh,
Dialogue: 0,0:05:19.41,0:05:22.23,Default,,0000,0000,0000,,maja e nje ajsbergu?
Dialogue: 0,0:05:22.23,0:05:24.87,Default,,0000,0000,0000,,E di qe tingellon pak e cuditshme, pasi jemi ne mesin
Dialogue: 0,0:05:24.87,0:05:28.09,Default,,0000,0000,0000,,e nje epidemie obeziteti, por me degjoni pak.
Dialogue: 0,0:05:28.09,0:05:31.31,Default,,0000,0000,0000,,Po sikur obeziteti te jete nje kamuflazh
Dialogue: 0,0:05:31.31,0:05:34.91,Default,,0000,0000,0000,,i nje problemi shume me te rende qe
Dialogue: 0,0:05:34.91,0:05:36.39,Default,,0000,0000,0000,,i ka rrenjet ne qelize?
Dialogue: 0,0:05:36.39,0:05:38.76,Default,,0000,0000,0000,,Nuk jam duke sugjeruar ketu qe obeziteti eshte beninj,
Dialogue: 0,0:05:38.76,0:05:41.06,Default,,0000,0000,0000,,por ate qe po sugjeroj eshte qe mund te jete e keqja me e vogel
Dialogue: 0,0:05:41.06,0:05:43.77,Default,,0000,0000,0000,,e dy te keqijave te metabolizmit.
Dialogue: 0,0:05:43.77,0:05:46.79,Default,,0000,0000,0000,,Mund ta mendoni rezistencen ndaj insulines si aftesia e limituar
Dialogue: 0,0:05:46.79,0:05:48.78,Default,,0000,0000,0000,,e vetes per te shperndare karburantin,
Dialogue: 0,0:05:48.78,0:05:51.07,Default,,0000,0000,0000,,sikunder iu referova para nje minute,
Dialogue: 0,0:05:51.07,0:05:52.99,Default,,0000,0000,0000,,te marresh kalorite qe sigurojme me ushqimin
Dialogue: 0,0:05:52.99,0:05:56.43,Default,,0000,0000,0000,,dhe ne menyre proporcionale te djegim nje pjese e te ruajme tjetren.
Dialogue: 0,0:05:56.43,0:05:58.07,Default,,0000,0000,0000,,Kur behemi rezistent ndaj insulines,
Dialogue: 0,0:05:58.07,0:06:01.44,Default,,0000,0000,0000,,homeostaza ne kete lloj ballancimi prishet.
Dialogue: 0,0:06:01.44,0:06:03.57,Default,,0000,0000,0000,,Pra tanime, kur insulina i thote qelizes,
Dialogue: 0,0:06:03.57,0:06:05.61,Default,,0000,0000,0000,,dua te djegesh me shume energji
Dialogue: 0,0:06:05.61,0:06:08.05,Default,,0000,0000,0000,,sesa qeliza e konsideron te sigurt, ne te vertete ajo pergjigjet,
Dialogue: 0,0:06:08.05,0:06:12.48,Default,,0000,0000,0000,,"Jo faleminderit, do ta ruaj kete energji."
Dialogue: 0,0:06:12.48,0:06:14.38,Default,,0000,0000,0000,,Dhe duke qene se ne qelizat e dhjamit nuk i gjen
Dialogue: 0,0:06:14.38,0:06:17.18,Default,,0000,0000,0000,,ato makineri komplekse qelizore qe gjendet ne qeliza te tjera,
Dialogue: 0,0:06:17.18,0:06:19.95,Default,,0000,0000,0000,,eshte vendi me i mire per ti ruajtur.
Dialogue: 0,0:06:19.95,0:06:24.92,Default,,0000,0000,0000,,Shume prej nesh, rreth 75 milion Amerikane,
Dialogue: 0,0:06:24.92,0:06:28.54,Default,,0000,0000,0000,,pergjigja e rezistences ndaj insulines
Dialogue: 0,0:06:28.54,0:06:33.47,Default,,0000,0000,0000,,mund te jete qe ta ruaj ne formen e dhjamit e jo e kunderta,
Dialogue: 0,0:06:33.47,0:06:38.81,Default,,0000,0000,0000,,te kesh rezistence insuline ne pergjigje te dhjamosjes.
Dialogue: 0,0:06:38.81,0:06:40.98,Default,,0000,0000,0000,,Kjo eshte ne te vertete nje ndryshim i vogel,
Dialogue: 0,0:06:40.98,0:06:44.35,Default,,0000,0000,0000,,por me pasoja te renda.
Dialogue: 0,0:06:44.35,0:06:46.85,Default,,0000,0000,0000,,Konsideroni analogjine e meposhtme:
Dialogue: 0,0:06:46.85,0:06:49.82,Default,,0000,0000,0000,,Mendoni per gerricjet qe pesoni ne lekure
Dialogue: 0,0:06:49.82,0:06:53.41,Default,,0000,0000,0000,,kur ne menyre rastesore perplasni gjurin ne tavolinen e kafes.
Dialogue: 0,0:06:53.41,0:06:56.30,Default,,0000,0000,0000,,Padyshim qe plaga dhemb shume dhe
Dialogue: 0,0:06:56.30,0:06:59.28,Default,,0000,0000,0000,,ju nuk e pelqeni faktin qe eshte nxire, por te gjithe e dime
Dialogue: 0,0:06:59.28,0:07:02.73,Default,,0000,0000,0000,,qe plaga ne vetvete nuk eshte problemi.
Dialogue: 0,0:07:02.73,0:07:06.47,Default,,0000,0000,0000,,Ne fakt, eshte e kunderta, eshte nje pergjigje e shendetshme ndaj nje traume,
Dialogue: 0,0:07:06.47,0:07:09.24,Default,,0000,0000,0000,,jane qelizat imunitare qe vrapojne aty ku ndodhi demtimi
Dialogue: 0,0:07:09.24,0:07:12.22,Default,,0000,0000,0000,,qe te ndihmojne qelizat e atyshme dhe te ndalojne
Dialogue: 0,0:07:12.22,0:07:14.92,Default,,0000,0000,0000,,perhapjen e infeksionit ne pjese te tjera te trupit.
Dialogue: 0,0:07:14.92,0:07:18.64,Default,,0000,0000,0000,,Tani, imagjinoni sikur ne te mendonim se plaga eshte faktikisht problemi,
Dialogue: 0,0:07:18.64,0:07:21.51,Default,,0000,0000,0000,,dhe zhvillojme cdo kerkim
Dialogue: 0,0:07:21.51,0:07:24.65,Default,,0000,0000,0000,,dhe kulture mjeksore rreth trajtimit te plageve:
Dialogue: 0,0:07:24.65,0:07:27.93,Default,,0000,0000,0000,,krem maskimi, ilace kunder dhimbjes, e shume te tjere,
Dialogue: 0,0:07:27.93,0:07:30.16,Default,,0000,0000,0000,,duke injoruar teresisht faktin qe njerezit
Dialogue: 0,0:07:30.16,0:07:33.78,Default,,0000,0000,0000,,jane ende duke perplasur kercirin ne tavolina kafeje.
Dialogue: 0,0:07:33.78,0:07:36.98,Default,,0000,0000,0000,,Sa me mire do te ish po te trajtonim shkaqet--
Dialogue: 0,0:07:36.98,0:07:38.54,Default,,0000,0000,0000,,duke i thene njerezve te jene me te kujdesshem
Dialogue: 0,0:07:38.54,0:07:40.15,Default,,0000,0000,0000,,teksa ecin neper sallon--
Dialogue: 0,0:07:40.15,0:07:43.42,Default,,0000,0000,0000,,ne vend te efektit qe krijohet?
Dialogue: 0,0:07:43.42,0:07:45.30,Default,,0000,0000,0000,,Te kuptosh shkakun dhe efektin,
Dialogue: 0,0:07:45.30,0:07:47.78,Default,,0000,0000,0000,,ben te gjithe diferencen e mundshme.
Dialogue: 0,0:07:47.78,0:07:50.86,Default,,0000,0000,0000,,Ta kesh gabim, industria farmaceutike
Dialogue: 0,0:07:50.86,0:07:53.54,Default,,0000,0000,0000,,mund te vazhdoje te jete fitimprurese per investuestit e saj
Dialogue: 0,0:07:53.54,0:07:57.45,Default,,0000,0000,0000,,por per njerezit me kerci te vrare nuk permiresohet asgje.
Dialogue: 0,0:07:57.45,0:08:00.30,Default,,0000,0000,0000,,Shkaku dhe efekti.
Dialogue: 0,0:08:00.30,0:08:02.13,Default,,0000,0000,0000,,Ajo c'ka jam duke sugjeruar eshte
Dialogue: 0,0:08:02.13,0:08:04.89,Default,,0000,0000,0000,,se ndoshta kemi shkakun dhe efektin e gabuar
Dialogue: 0,0:08:04.89,0:08:07.52,Default,,0000,0000,0000,,kur falsim per obezitet dhe rezistence ndaj insulines.
Dialogue: 0,0:08:07.52,0:08:09.30,Default,,0000,0000,0000,,Ndoshta duhet ta pyesim veten,
Dialogue: 0,0:08:09.30,0:08:13.18,Default,,0000,0000,0000,,a eshte e mundur qe rezistenca ndaj insulines shkakon rritje ne peshe
Dialogue: 0,0:08:13.18,0:08:15.25,Default,,0000,0000,0000,,dhe semundje qe lidhen me obezitetin,
Dialogue: 0,0:08:15.25,0:08:16.78,Default,,0000,0000,0000,,te pakten ne shumicen e njerezve?
Dialogue: 0,0:08:16.78,0:08:19.78,Default,,0000,0000,0000,,Po sikur te qenit obez eshte thjesht nje pergjigje e metabolizmit
Dialogue: 0,0:08:19.78,0:08:22.00,Default,,0000,0000,0000,,ndaj dickaje shume me teper kercenuese,
Dialogue: 0,0:08:22.00,0:08:24.21,Default,,0000,0000,0000,,nje epidemi e fshehur,
Dialogue: 0,0:08:24.21,0:08:26.77,Default,,0000,0000,0000,,ajo per cka duhet te shqetesohemi me shume?
Dialogue: 0,0:08:26.77,0:08:28.24,Default,,0000,0000,0000,,Le ti hedhim nje sy fakteve.
Dialogue: 0,0:08:28.24,0:08:30.73,Default,,0000,0000,0000,,E dime qe 30 milion amerikane obeze
Dialogue: 0,0:08:30.73,0:08:33.70,Default,,0000,0000,0000,,ne USA nuk vuajne nga rezistenca e insulines.
Dialogue: 0,0:08:33.70,0:08:35.64,Default,,0000,0000,0000,,Dhe meqenese ra fjala, ato nuk duket te jene ne
Dialogue: 0,0:08:35.64,0:08:38.72,Default,,0000,0000,0000,,ndonje rrezik me te madh per semundje se njerezit e dobet.
Dialogue: 0,0:08:38.72,0:08:41.60,Default,,0000,0000,0000,,Nderkohe, dime qe 6 milione njerez te dobet
Dialogue: 0,0:08:41.60,0:08:45.04,Default,,0000,0000,0000,,ne USA jane rezistent ndaj insulines,
Dialogue: 0,0:08:45.04,0:08:48.11,Default,,0000,0000,0000,,dhe meqenese ra fjala, ata mendohet te jene ne rrezik me te madh per
Dialogue: 0,0:08:48.11,0:08:50.26,Default,,0000,0000,0000,,ato semundje metabolike qe permenda me siper,
Dialogue: 0,0:08:50.26,0:08:52.08,Default,,0000,0000,0000,,ne dallim nga grupi i obezeve.
Dialogue: 0,0:08:52.08,0:08:54.32,Default,,0000,0000,0000,,Une nuk e di pse, por ndoshta kjo vjen si rezultat i faktit qe
Dialogue: 0,0:08:54.32,0:08:57.01,Default,,0000,0000,0000,,ne rastin e tyre, qelizat nuk e kane kuptuar ende
Dialogue: 0,0:08:57.01,0:09:00.30,Default,,0000,0000,0000,,se c'duhet te bejne me tepricen e energjise.
Dialogue: 0,0:09:00.30,0:09:03.61,Default,,0000,0000,0000,,Pra nqse nje njeri mund te jete obez dhe mund te mos kete rezistence ndaj insulines,
Dialogue: 0,0:09:03.61,0:09:05.48,Default,,0000,0000,0000,,ose mund te jete i dobet e ta kete,
Dialogue: 0,0:09:05.48,0:09:09.92,Default,,0000,0000,0000,,kjo tregon se obeziteti mund te jete nje kamuflazh
Dialogue: 0,0:09:09.92,0:09:12.94,Default,,0000,0000,0000,,per ate qe po ndodh.
Dialogue: 0,0:09:12.94,0:09:15.36,Default,,0000,0000,0000,,Pra, po sikur te jemi duke luftuar nje lufte te gabuar,
Dialogue: 0,0:09:15.36,0:09:19.16,Default,,0000,0000,0000,,te luftojme obezitetin ne vend te rezistences ndaj insulines?
Dialogue: 0,0:09:19.16,0:09:22.40,Default,,0000,0000,0000,,Edhe me keq, po sikur fajesimi i obezeve
Dialogue: 0,0:09:22.40,0:09:25.12,Default,,0000,0000,0000,,do te thote qe po fajesojme viktimat?
Dialogue: 0,0:09:25.12,0:09:28.84,Default,,0000,0000,0000,,Po sikur disa nga idete tona thelbesore mbi obezitetin
Dialogue: 0,0:09:28.84,0:09:30.70,Default,,0000,0000,0000,,jane gabim?
Dialogue: 0,0:09:30.70,0:09:34.82,Default,,0000,0000,0000,,Personalisht, nuk mund ta kem me luksin e arrogances
Dialogue: 0,0:09:34.82,0:09:37.41,Default,,0000,0000,0000,,mos flasim pastaj per luksin e sigurise se plote.
Dialogue: 0,0:09:37.41,0:09:40.25,Default,,0000,0000,0000,,Kam idete e mia te asaj c'ka mund te jete problemi,
Dialogue: 0,0:09:40.25,0:09:42.17,Default,,0000,0000,0000,,por jam e hapur per sugjerime.
Dialogue: 0,0:09:42.17,0:09:44.88,Default,,0000,0000,0000,,Hipoteza ime, sepse te gjithe me pyesin,
Dialogue: 0,0:09:44.88,0:09:46.50,Default,,0000,0000,0000,,eshte kjo.
Dialogue: 0,0:09:46.50,0:09:49.63,Default,,0000,0000,0000,,Nese e pyesni veten, se nga se perpiqet te mbrohet qeliza
Dialogue: 0,0:09:49.63,0:09:51.36,Default,,0000,0000,0000,,kur behet rezistente ndaj insulines,
Dialogue: 0,0:09:51.36,0:09:54.03,Default,,0000,0000,0000,,pergjigja ndoshta nuk eshte, teprice ushqimore.
Dialogue: 0,0:09:54.03,0:09:57.68,Default,,0000,0000,0000,,Por me gjasa, teprice glukoze: sheqeri ne gjak.
Dialogue: 0,0:09:57.68,0:09:59.98,Default,,0000,0000,0000,,E dime qe dritherat e perpunuara
Dialogue: 0,0:09:59.98,0:10:02.03,Default,,0000,0000,0000,,e ngrene nivelin e sheqerit ne gjak ne nje kohe afatshkurter,
Dialogue: 0,0:10:02.03,0:10:03.94,Default,,0000,0000,0000,,dhe ka edhe arsye per te besuar se sheqeri
Dialogue: 0,0:10:03.94,0:10:06.74,Default,,0000,0000,0000,,mund te coje direkt ne rezistence ndaj insulines.
Dialogue: 0,0:10:06.74,0:10:10.84,Default,,0000,0000,0000,,Nqse keto procese psikologjike vihen ne pune,
Dialogue: 0,0:10:10.84,0:10:14.31,Default,,0000,0000,0000,,hedh hipotezen qe mund te jete shkaku i marrjes se
Dialogue: 0,0:10:14.31,0:10:17.17,Default,,0000,0000,0000,,drithrave te perpunuara, sheqerit ne mase, ajo cka sjell
Dialogue: 0,0:10:17.17,0:10:21.82,Default,,0000,0000,0000,,epidemine e obezitetit dhe diabetit,
Dialogue: 0,0:10:21.82,0:10:23.66,Default,,0000,0000,0000,,por nepermjet rezistences ndaj insulines,
Dialogue: 0,0:10:23.66,0:10:27.57,Default,,0000,0000,0000,,dhe jo si efekt i mbingopjes ose mos berjes ushtrime fizike.
Dialogue: 0,0:10:27.57,0:10:30.16,Default,,0000,0000,0000,,Kur humba 20 kg disa vite me pare,
Dialogue: 0,0:10:30.16,0:10:32.76,Default,,0000,0000,0000,,e bera thjesht duke kufizuar keto gjera,
Dialogue: 0,0:10:32.76,0:10:36.22,Default,,0000,0000,0000,,cka sugjeron qe kam nje anesi
Dialogue: 0,0:10:36.22,0:10:38.58,Default,,0000,0000,0000,,bazuar ne eksperiencen time personale.
Dialogue: 0,0:10:38.58,0:10:41.23,Default,,0000,0000,0000,,Por kjo nuk do te thote qe anesia ime eshte e gabuar,
Dialogue: 0,0:10:41.23,0:10:45.18,Default,,0000,0000,0000,,dhe me e rendesishmja, te gjitha keto mund te provohen shkencerisht.
Dialogue: 0,0:10:45.18,0:10:48.29,Default,,0000,0000,0000,,Por, shkalla e pare eshte te pranosh mundesine
Dialogue: 0,0:10:48.29,0:10:50.66,Default,,0000,0000,0000,,se besimi yne rreth obezitetit,
Dialogue: 0,0:10:50.66,0:10:53.67,Default,,0000,0000,0000,,diabetit dhe rezistences ndaj insulines mund te jene te gabuara
Dialogue: 0,0:10:53.67,0:10:56.54,Default,,0000,0000,0000,,dhe si rrjedhoje duhen testuar.
Dialogue: 0,0:10:56.54,0:10:58.94,Default,,0000,0000,0000,,Ve bast karrieren time ne kete gje.
Dialogue: 0,0:10:58.94,0:11:03.06,Default,,0000,0000,0000,,Sot, ja dedikoj te gjithe kohen time punes mbi kete problem,
Dialogue: 0,0:11:03.06,0:11:06.23,Default,,0000,0000,0000,,dhe do te shkoj kudo te me coje shkenca.
Dialogue: 0,0:11:06.23,0:11:09.76,Default,,0000,0000,0000,,Kam vendosur qe ajo c'ka nuk mundem dhe nuk do te bej me
Dialogue: 0,0:11:09.76,0:11:12.81,Default,,0000,0000,0000,,eshte te pretendoj qe i kam pergjigjet kur nuk i kam ato.
Dialogue: 0,0:11:12.81,0:11:16.92,Default,,0000,0000,0000,,Kam qene i perulur per gjithcka nuk njoh
Dialogue: 0,0:11:16.92,0:11:19.07,Default,,0000,0000,0000,,Vitin e fundit, kam qene mjaf me fat
Dialogue: 0,0:11:19.07,0:11:22.49,Default,,0000,0000,0000,,qe kam punuar mbi kete problem me nje grup te mrekullueshem
Dialogue: 0,0:11:22.49,0:11:25.89,Default,,0000,0000,0000,,hulumtuesish te obezitetit dhe diabetit ne vend,
Dialogue: 0,0:11:25.89,0:11:27.20,Default,,0000,0000,0000,,dhe pjesa me e bukur eshte qe,
Dialogue: 0,0:11:27.20,0:11:31.09,Default,,0000,0000,0000,,sikunderse Abraham Lincoln e rrethoi veten me nje grup pune rivalesh,
Dialogue: 0,0:11:31.09,0:11:32.59,Default,,0000,0000,0000,,dhe ne kemi bere te njejten gje.
Dialogue: 0,0:11:32.59,0:11:35.85,Default,,0000,0000,0000,,Kemi rekrutuar nje grup pune me shkencetare rival,
Dialogue: 0,0:11:35.85,0:11:39.30,Default,,0000,0000,0000,,me te miret dhe me te ndriturit por qe te gjithe kane hipotezat e veta
Dialogue: 0,0:11:39.30,0:11:40.91,Default,,0000,0000,0000,,rreth asaj cka mund te jete ne zemer te epidemise.
Dialogue: 0,0:11:40.91,0:11:43.29,Default,,0000,0000,0000,,Disa mendojne qe eshte sasia e madhe e kalorive te konsumuara.
Dialogue: 0,0:11:43.29,0:11:45.67,Default,,0000,0000,0000,,Te tjere mendojne se eshte konsumi i madh i nje diete te yndyrshme.
Dialogue: 0,0:11:45.67,0:11:49.14,Default,,0000,0000,0000,,Per te tjere problemi qendron te konsumi i drithrave dhe niseshtese.
Dialogue: 0,0:11:49.14,0:11:51.75,Default,,0000,0000,0000,,Por ky grup pune i hulumtuesve multi disiplinor,
Dialogue: 0,0:11:51.75,0:11:54.73,Default,,0000,0000,0000,,mjaft te edukuar dhe mjaft te talentuar,
Dialogue: 0,0:11:54.73,0:11:57.02,Default,,0000,0000,0000,,jane dakort ne dy gjera.
Dialogue: 0,0:11:57.02,0:12:00.67,Default,,0000,0000,0000,,E para, ky problem eshte shume i rendesishem
Dialogue: 0,0:12:00.67,0:12:03.41,Default,,0000,0000,0000,,per te vazhduar ta injorojme thjesht sepse ne mendojme se i dime pergjigjet.
Dialogue: 0,0:12:03.41,0:12:06.20,Default,,0000,0000,0000,,Dhe e dyta, nese pranojme te jemi gabim,
Dialogue: 0,0:12:06.20,0:12:08.74,Default,,0000,0000,0000,,nese pranojme te sfidojme njohurine e deritanishme
Dialogue: 0,0:12:08.74,0:12:11.80,Default,,0000,0000,0000,,me eksperimentet me te mira ofruar nga shkenca,
Dialogue: 0,0:12:11.80,0:12:14.10,Default,,0000,0000,0000,,problemi mund te zgjidhet.
Dialogue: 0,0:12:14.10,0:12:17.16,Default,,0000,0000,0000,,E di qe eshte mjaft joshese te dashurit te mesosh pergjigjen qe tani,
Dialogue: 0,0:12:17.16,0:12:21.66,Default,,0000,0000,0000,,politikat dhe masat, rekomandimet dietike--
Dialogue: 0,0:12:21.66,0:12:23.38,Default,,0000,0000,0000,,ha kete, jo ate--
Dialogue: 0,0:12:23.38,0:12:25.06,Default,,0000,0000,0000,,por nese duam ta idenitfikojme ekzaktesisht,
Dialogue: 0,0:12:25.06,0:12:27.30,Default,,0000,0000,0000,,na duhet te bejme nje shkence mjaft rigoroze
Dialogue: 0,0:12:27.30,0:12:30.15,Default,,0000,0000,0000,,para se te nisim te japim rekomandime.
Dialogue: 0,0:12:30.15,0:12:32.75,Default,,0000,0000,0000,,Shkurtimisht, per te adresuar kete, programi yne i kerkimit
Dialogue: 0,0:12:32.75,0:12:35.99,Default,,0000,0000,0000,,eshte i fokusuar rreth tre temave ose pyetjeve kryesore.
Dialogue: 0,0:12:35.99,0:12:38.89,Default,,0000,0000,0000,,Se pari, si ndikojne ushqimet e ndryshme qe konsumojme
Dialogue: 0,0:12:38.89,0:12:41.69,Default,,0000,0000,0000,,ne metabolizem, hormone dhe enzima,
Dialogue: 0,0:12:41.69,0:12:44.51,Default,,0000,0000,0000,,dhe nepermjet cfare mekanizmi molekular?
Dialogue: 0,0:12:44.51,0:12:46.76,Default,,0000,0000,0000,,Se dyti, duke u bazuar ne keto te dhena,
Dialogue: 0,0:12:46.76,0:12:49.72,Default,,0000,0000,0000,,a munden njerezit te bejne ndryshimet e nevojshme ne dieten e tyre
Dialogue: 0,0:12:49.72,0:12:53.45,Default,,0000,0000,0000,,ne nje menyre qe te jete e sigurt dhe praktike implementimi?
Dialogue: 0,0:12:53.45,0:12:56.46,Default,,0000,0000,0000,,Dhe si perfundim, kur e identifikojme
Dialogue: 0,0:12:56.46,0:12:59.48,Default,,0000,0000,0000,,se cfare jane ndryshimet e sigurta dhe praktike qe njerezit mund ti bejne dietes se tyre,
Dialogue: 0,0:12:59.48,0:13:03.16,Default,,0000,0000,0000,,si mund ta drejtojme sjelljen e tyre drejt atij drejtimi
Dialogue: 0,0:13:03.16,0:13:05.41,Default,,0000,0000,0000,,qe te behet e perditshmja
Dialogue: 0,0:13:05.41,0:13:07.27,Default,,0000,0000,0000,,dhe jo perjashtimi?
Dialogue: 0,0:13:07.27,0:13:09.69,Default,,0000,0000,0000,,Te diturit se cfare duhet te besh nuk do te thote
Dialogue: 0,0:13:09.69,0:13:11.20,Default,,0000,0000,0000,,qe ti gjithomone do ta besh ate.
Dialogue: 0,0:13:11.20,0:13:13.32,Default,,0000,0000,0000,,Ndonjehere eshte e nevojshme te vendosim te dhena rreth njerezve
Dialogue: 0,0:13:13.32,0:13:15.63,Default,,0000,0000,0000,,per ta bere me te lehte, dhe besojeni ose jo,
Dialogue: 0,0:13:15.63,0:13:19.27,Default,,0000,0000,0000,,kjo gje mund te studjohet shkencerisht.
Dialogue: 0,0:13:19.27,0:13:21.85,Default,,0000,0000,0000,,Nuk e di se si do te perfundoje ky udhetim,
Dialogue: 0,0:13:21.85,0:13:26.07,Default,,0000,0000,0000,,por kaq gje me duket e qarte te pakten:
Dialogue: 0,0:13:26.07,0:13:31.06,Default,,0000,0000,0000,,Nuk mund te vazhdojme te fajesojme pacientet mbipeshe dhe diabetike
Dialogue: 0,0:13:31.06,0:13:33.97,Default,,0000,0000,0000,,sic bera une.
Dialogue: 0,0:13:33.97,0:13:36.25,Default,,0000,0000,0000,,Shumica prej tyre faktikisht duan te bejne gjene e duhur,
Dialogue: 0,0:13:36.25,0:13:39.62,Default,,0000,0000,0000,,por ata duhen te dine se cfare eshte kjo,
Dialogue: 0,0:13:39.62,0:13:42.67,Default,,0000,0000,0000,,dhe duhet te funksionoje.
Dialogue: 0,0:13:42.67,0:13:47.36,Default,,0000,0000,0000,,Enderroj per diten kur pacientet tane
Dialogue: 0,0:13:47.36,0:13:49.10,Default,,0000,0000,0000,,do mund te dobesohen
Dialogue: 0,0:13:49.10,0:13:51.91,Default,,0000,0000,0000,,dhe ta kurojne veten nga rezistenca e insulines,
Dialogue: 0,0:13:51.91,0:13:54.64,Default,,0000,0000,0000,,pasi si profesionist mjekesie,
Dialogue: 0,0:13:54.64,0:13:56.61,Default,,0000,0000,0000,,ne e kemi djersitur bagazhin tone mendor
Dialogue: 0,0:13:56.61,0:13:59.94,Default,,0000,0000,0000,,dhe e kemi sheruar veten nga rezistenca ndaj ideve mjaftueshem
Dialogue: 0,0:13:59.94,0:14:03.03,Default,,0000,0000,0000,,per t'ju kthyer idealeve tona te origjines:
Dialogue: 0,0:14:03.03,0:14:07.44,Default,,0000,0000,0000,,mendje hapur, me kurajon per te hedhur tutje idete e djeshme
Dialogue: 0,0:14:07.44,0:14:10.77,Default,,0000,0000,0000,,kur ato nuk japin rezultate,
Dialogue: 0,0:14:10.77,0:14:13.89,Default,,0000,0000,0000,,dhe te kuptuarit qe e verteta shkencore nuk eshte fjala e fundit,
Dialogue: 0,0:14:13.89,0:14:16.64,Default,,0000,0000,0000,,por ne evolim i vazhdueshem.
Dialogue: 0,0:14:16.64,0:14:19.93,Default,,0000,0000,0000,,Ti qendrosh besnik asaj rruge do jete me mire per pacientet tane
Dialogue: 0,0:14:19.93,0:14:23.18,Default,,0000,0000,0000,,dhe me mire per shkencen,
Dialogue: 0,0:14:23.18,0:14:26.17,Default,,0000,0000,0000,,Nese obeziteti nuk eshte gje tjeter vec kamuflazhi
Dialogue: 0,0:14:26.17,0:14:28.10,Default,,0000,0000,0000,,i semundjeve te metabolizmit,
Dialogue: 0,0:14:28.10,0:14:33.40,Default,,0000,0000,0000,,c'e mire na vjen duke i ndeshkuar ato qe vuajne prej saj?
Dialogue: 0,0:14:33.40,0:14:37.94,Default,,0000,0000,0000,,Me ndodh te mendoj per naten ne urgjence
Dialogue: 0,0:14:37.94,0:14:40.25,Default,,0000,0000,0000,,7 vite me pare.
Dialogue: 0,0:14:40.25,0:14:43.88,Default,,0000,0000,0000,,Do desha te mund te flisja serish me ate grua.
Dialogue: 0,0:14:43.88,0:14:47.13,Default,,0000,0000,0000,,Do te desha ti thoja se sa keq me vinte.
Dialogue: 0,0:14:47.13,0:14:50.02,Default,,0000,0000,0000,,Do ti thoja qe si mjeke, i dhashe
Dialogue: 0,0:14:50.02,0:14:53.68,Default,,0000,0000,0000,,sherbimin me te mire klinik qe munda,
Dialogue: 0,0:14:53.68,0:14:57.58,Default,,0000,0000,0000,,por si qenie njerezore,
Dialogue: 0,0:14:57.58,0:14:59.98,Default,,0000,0000,0000,,nuk e trajtova si duhej.
Dialogue: 0,0:14:59.98,0:15:04.23,Default,,0000,0000,0000,,Nuk kishe nevoje per gjykimin tim.
Dialogue: 0,0:15:04.23,0:15:08.73,Default,,0000,0000,0000,,Ti kishe nevoje per simpatine dhe keqardhjen time,
Dialogue: 0,0:15:08.73,0:15:10.72,Default,,0000,0000,0000,,dhe mbi te gjitha kishe nevoje per nje mjek
Dialogue: 0,0:15:10.72,0:15:13.35,Default,,0000,0000,0000,,i cili te ishte i gatshem te konsideronte
Dialogue: 0,0:15:13.35,0:15:16.42,Default,,0000,0000,0000,,faktin qe ti mund te ishe jashte kornizave te sistemit.
Dialogue: 0,0:15:16.42,0:15:19.63,Default,,0000,0000,0000,,Ndoshta sistemi, pjese e se cilit isha dhe une,
Dialogue: 0,0:15:19.63,0:15:22.07,Default,,0000,0000,0000,,nuk ju ndihmoi.
Dialogue: 0,0:15:22.07,0:15:24.87,Default,,0000,0000,0000,,Nese jeni duke e pare kete tani,
Dialogue: 0,0:15:24.87,0:15:29.11,Default,,0000,0000,0000,,shpresoj te mund te me falni.
Dialogue: 0,0:15:29.11,0:15:33.11,Default,,0000,0000,0000,,(Duartrokitje)