[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,As a kid I've always loved information Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that I could get from data Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and the stories that could be told with numbers Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I remember growing up I'd be frustrated on Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,how my own parents would lie to me Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,using numbers you know. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,[?] "I've told you once I've told you a thousand times." Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,No dad, you've only told me 17 times and twice it wasn't my fault. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I think that's one of the reasons I got a PhD in statistics. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You know I always wanted to know, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,what are people trying to hide with numbers? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,As a statistician, I want people to show me the data Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,so I can decide for myself. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Donald and I were pregnant with our third child Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and we were at about 41 and a half weeks, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,what some of you may refer to as been overdue. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Statisticians we call that being within the 95% confidence interval. [Laughter] Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And, at this point in the process Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we had to come in every couple of days Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to do a stress test on the baby, and this is just routine, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,it tests whether the baby is feeling any type of undo stress. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And you are rarely, if ever, seen by your actual Doctor, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just whoever happens to be working at the hospital that day. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So we go in for a stress test and after 20 minutes Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,the Doctor comes out and he says, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,"your baby is on distress, we need to induce you". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Now, as a statistician, what's my response? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Show me the data! Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So he proceeds to tell us the baby's heart rate trace went from 18 minutes, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,the baby's heart rate was on the normal zone Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and for 2 minutes it was in what appeared to be Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,my heart rate zone and I said, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,"well, is it possible that maybe this was my heart rate"? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You know, I was moving around a little bit... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,it's hard to lay still on your back, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,41 weeks pregnant for 20 minutes... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you know, maybe it was shifting around. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,He said "well... we don't want to take any chances". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I said okay..."what if I was at 36 weeks with the same data, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,would you decision be to induce"? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Well, no, no I would wait until you were at least 38 weeks Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but you are almost 42, there is no reason to leave Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that baby inside let's get you a room. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I said... well... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,why don't we just do it again? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We can collect more data, I can try to be really still for 20 minutes, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we can sort of average the two and see .... you know, what that means ... (laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and.. he goes, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,"Ma'm,I just don't want you to have a miscarriage". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,That makes 3 of us. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And he says, "your chances of having a miscarriage double Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,when you go past your due date, let's get you a room". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Wow. So now as a statistician, what's my response? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Show me the data! Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Dude you're talking chances, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I do chances all day long, tell me all about chances. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Let's talk chances. (Laugher) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Let's talk chances. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So I say, ok, do I go from like a 30% chance to a 60% chance? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Like, where are we here with this miscarriage thing? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And he goes..."not quite but it doubles Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and we really just want what's best for the baby". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Undaunted, I try a different angle. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I say ok out of 1000 full term pregnant woman, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,how many of them are going to miscarry Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just before their due date? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And then he looks at me, and looks at Donald then he goes, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,"about 1 in a thousand". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I said Ok, Ok, and so of those thousand women, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,how many are going to miscarry Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just after their due date? ..."About two". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I said ok, so you are telling me that my chances Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,go from 0.1% chance Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to a 0.2% chance. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Ok, so at this ppoint the data is not convincing us Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that we need to be induced Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and so then we need to have a conversation Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,about how inductions leads to a higher rate Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of cesarean sections and if at all possible we'd like to avoid that. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And then I said, you know, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and I really don't think my due date is accurate. (Laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so this really stunned him Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and he looks sort of puzzled Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and I said, well you may not know this Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but pregnancy due dates are calculated Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,assuming that you have a standard 28 cycle Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and my cycle ranges, sometimes it's 27 Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,sometimes is up to 38, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and I have been collecting the data to prove it. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so we ended up leaving the hospital that day Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,without being induced, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we actually had to sign a waiver to walk out of the hospital. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And I'm not advocating that you not listen to your Doctors, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,because even with our first child Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we were induced at 38 weeks, cervical fluid was low, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'm not anti-medical intervention. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But why we were confident to leave that day? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We had data that told a different story. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We had been collecting data for 6 years. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I had this temperature data, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and it told a different story. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,In fact, we could probably pretty accurately estimate conception. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Yeah, that's a story you want to tell Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,at your kid's wedding reception... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I remember like it was yesterday ... (Laugher)... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,my temperature was a sizzling 97.8 degrees Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,as I stared into your father's eyes, oh yeah, (Laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,22 more years we're telling that story. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But we were confident to leave because Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we had been collecting data. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Now what does that data look like? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Here's a standard chart Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of a woman's waking body temperature Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,during the course of a cycle. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So from the beginning of the menstrual cycle Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,until the beginning of the next. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You'll see that the temperature is not random. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Right, there clearly there is a low pattern Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,at the beginning of her cycle Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and then you see this jump and then a higher Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,set of temperatures at the end of her cycle. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So what's happening here? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,What is that data telling you? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Well ladies, at the beginning of our cycle, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,the hormone estrogen is dominant and that estrogen Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,causes a suppression of your body temperature. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And at ovulation, your body releases an egg Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and progesterone takes over, pro-gestation. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so your body heats up in anticipation Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of housing this new little fertilized egg. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So why this temperature jump? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Well, think about when a bird sits on her eggs... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,why is she sitting on them? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,She wants to keep them warm, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,protect them and keep them warm. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Ladies, this is exactly what our bodies do every month, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,they heat up in anticipation Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of keeping a new little life form. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And if nothing happens, if you are not pregnant, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,then estrogen takes back over and that cycle starts all over again. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But if you do get pregnant, sometime you Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,actually see another shift in your temperatures Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and it stays elevated for those whole 9 months, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that's why you see those pregnant woman Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just sweating and hot, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,because their temperatures are high. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Here is a chart that we had about 3 or 4 years ago Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we were really very excited about this chart, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you'll se the low temperature level Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and then a shift and for about 5 days, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that's about the time it takes for the egg to travel Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,down the fallopian tube and implant, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and then you see those temperature charts go up a little bit. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And in fact, we had a second temperature shift Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,confirmed with a pregnancy test that were indeed pregnant Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,with our fist child, very exciting. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Until a couple of days later Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I saw some spotting and then I noticed heavy blood flow, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and we had in fact had an early stage miscarriage. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Had I not been taking my temperature Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I really just thought my period was late that month. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But we actually had data to show Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that we had miscarried this baby, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and even though this data revealed a really Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,unfortunate event in our lives, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,it was information that we can then take to our doctor. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So if there was a fertility issue or some problem Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I had data to show, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we got pregnant, our temperature shifted, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we somehow lost this baby... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,what is it that we can do to help prevent this problem? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And it's not just about temperatures Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and it is not just about fertility, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we can use data about our bodies to tell us a lot of things. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,For instance, did you know that taking your Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,temperature can tell you a lot Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,about the condition of your thyroid? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So your thyroid works a lot like the thermostat in your house. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,There is an optimal temperature that you want in your house, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you set your thermostat, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,when it gets too cold in the house your thermostat kicks in Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and says, "hey we need to blow some heat around", Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or if it gets too hot your thermostat Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,sort of registers turn the AC on, cool us off Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that's exactly how your thyroid works in your body. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Your thyroid tries to keep an optimal temperature Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,for your body. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,If it get too cold your thyroid says we need to heat up, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,if it gets too hot, your thyroid cools you down. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But what happens when your thyroid is not functioning well? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But when it doesn't function then it shows up Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,in your body temperatures, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,they tend to be lower than normal and very erratic. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So by collecting this data Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you can find out information about your thyroid. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Now, what is it, if you had a thyroid problem and you went to the doctor, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,your doctor would actually test the amount of Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,thyroid stimulating hormone in your blood. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But the problem with that test is Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,it doesn't tell you how active the hormone is in your body. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So you may have a lot of hormone present Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but it might not be actively working to regulate Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,your body temperature. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So just by collecting your temperature every day Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you get information about the condition of your thyroid. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So what if you don't want to take your temperature every day? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I advocate that you do Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but there's tons of other things you can take. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You can take your blood pressure, you can take your weight... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,yeah, who's excited about Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,taking your weight every day. (Laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Early on in our marriage Donald had a stuffy nose Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and he had been taking a slu of medications Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to try to relieve his stuffy nose to no avail. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so that night he comes and he wakes me up and he says Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,"honey, I can't breath out of my nose". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And I sort of roll over and I look, and I said, well can you breath out of your mouth? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And he goes, "yes, but I cant breath out of my nose"! Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so like any good wife, I rushed him Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to the emergency room Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,at 2 o'clock in the morning. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And the whole time I'm driving and I'm thinking Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you can't die on my now. (Laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We just got married Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,people would think I killed you! Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so, we get to the ER and the nurse sees us Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and he can't breath out of his nose and so Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,she brings us to the back and the doctor say, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,what seems to be the problem and he goes, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,," I can't breath out of my nose". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And he said, you can't breath out of your nose? "No"... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but he can breath out of his mouth...(laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,OK, he takes a step back and looks at both of us Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and he says sir, I think I know the problem, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you're having a heart attack, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'm going to order an EKG and a CAT scan Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,for you immediately. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And we are thinking, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,no no no, it's not a heart attack he can breathe Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just out of his mouth...no, no, no, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and so we go back and forth with this doctor Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,because we think it is the incorrect diagnosis Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and he's like no really, it'll be fine, just calm down. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And I'm thinking, how do you calm down... I don't think he's having a heart attack. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Fortunately for us, this doctor was at the end of the shift. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,This new doctor comes in he sees us clearly Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,distrust with a husband who can't breath Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,out of his nose. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,He starts asking us questions. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,He says well, do you two exercise? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We ride our bikes, we go to the gym... occasionally. (Laughter) Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We move around. And he says, what were you doing Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just before you came here? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'm thinking, I was sleeping, honestly, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But OK, so Donald goes into the slu of medications Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,he was taking and he lists, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,"I took this decongestant, and then I took this nasal spray"... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and then all of a sudden the light bulb goes off Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and he says, "oh, you should never mix Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,this decongestant with this nasal spray Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,clogs you up every time. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Here, take this one instead", gives us a prescription Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,We're looking at each other and I looked at the doctor Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and I said why is it that it seems you Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,were able to accurately diagnose his condition Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but this previous doctor wanted to order Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,an EKG and a CAT scan? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And he looks at us and says, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,when a 350 pound man walks in the ER Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and says he can't breath, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you assume he's having a heart attack Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and you ask questions later". Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,ER doctors are trained to make decisions quickly, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but not always accurately. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so had we had some information Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,about our heart health to share with him Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,maybe we would have gotten a better diagnosis Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,the first time. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I want you to consider the following chart, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of systolic blood pressure measurements Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,from October 2010 to July 2012. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You'll see that these measurements start Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,in the prehypertension/Hypertension zone, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but over about the course of a year and a half Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,they move into the normal zone. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,This is about the hear rate of a healthy 16 year old. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,What story is this data telling you? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Obviously is the data from someone Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,who's made a drastic transformation Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and fortunately for us, that person happens to be here today. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,So that 350 pound guy that walked into the ER with me Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,is now an even sexier and healthier Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,225 pound guy, and that's his blood pressure trace. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Over the course of that year and a half Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Donald's eating changed Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and his exercise regimen changed and Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,his heart rate responded, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,his blood pressure responded to that change Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that he made in his body. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,What's the take home message Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that I want you to leave with today? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,By taking ownership of your data just like we've done, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,just by taking this daily measurements about yourself, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you become the expert of your body, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you become the authority. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,It's not hard to do. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You don't have to have a PhD in statistics Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to be an expert in yourself. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,You don't have to have a medical degree Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to be your body's expert. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Medical doctors, they're experts on the population, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but you are the expert on yourself. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,And so when the two of you come together, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,when two experts come together Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,the two of you are able to make a better decision Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,than just your doctor alone. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Now that you understand the power of information Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that you can get through personal data collection, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'd like you all to stand and raise your right hand. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Yes, get it up. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I challenge you to take ownership of your data Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and today, I hereby confer upon you Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a TEDx associate's degree in elementary statistics Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,with a concentration in time dependent data analysis Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,with all the rights and privileges adverteining there to Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and the next time you are in your doctor's office. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,As newly inducted statisticians, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,what should always be your response? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Show me the data! I can't hear you... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Show me the data! One more time... Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Show me the data! Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Show me the data. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Thank you.