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(OFF) Thanks very much...

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(David Price) This is the [br]........ - shrinking (check) presentation.

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It was originally 25 minutes,[br]last night it was 23,

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now it's 22.

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I've got a 45-minute presentation,[br]I'm just going to speak twice as quickly.

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No, I'm only kidding, it's only [br]20 -- 22 minutes.

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And I've got to think of the time [br]to make sure I don't go over.

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About four moths ago, I was diagnosed[br]with cancer of the colon.

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And what was it? Seven weeks ago,[br]I had the operation

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which kind of went OK, [br]got rid of the tumor,

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But when the colon got reconnected,[br]it sprung a leak

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and I got a thing called sepsis, [br]which I later discovered,

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is fatal in 60% of the cases.

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What essentially happens with sepsis is

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the organs start to pack in, [br]one after the other, so

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my heart was fibrillating, I lost --[br]kidneys stopped working,

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lungs stopped working, so they[br]pumped me on a ventilator.

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And my wife Claire (check)[br]who is here somewhere

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was told to bring the family around, [br]because they didn't expect me

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to get through the week-end.

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As you can see, I survived, and this is[br]actually the first talk I've given

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since I was in intensive care.

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I was in intensive care for a week.

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So, when a sick -- no, no honest[br](Applause)

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But when I say I'm delighted to be here,[br]I'm not just being polite.

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(laughter)

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I'm talking existentially [br]rather than conversationally.

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But I wanted to start with that story[br]because, in that process of the journey

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from diagnosis to operation,[br]I met with some remarkable people:

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on forums and ingress (check) groups,[br]but I also visited and interviewed people.

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So I interviewed some people [br]in the Netherlands

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who are treating their loved ones,[br]who've got end-stage cancer.

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They are lay people, computer technicians

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who, frankly, conventional medicine[br]has given up, they're stage 4,

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they said there is nothing more we can do,

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so they're administering [br]endovenous cocktails of drugs.

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some of which are approved, [br]some of which are off-patent,

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some of which are off-label (check).

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I visited a clinic, here in Germany,[br]which I can't name, because

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they kind of operate in the shadows[br]in fear that they'll be closed down.

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And what it seemed to me,[br]once I looked beyond health

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is that this is a phenomenon [br]which is happening

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in all kinds of areas of public life.

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That we're seeing what I call [br]people-powered innovation.

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And I think it's a real challenge for[br]institutions and organizations.

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So, why is it important?

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I think it's important because it's[br]kind of a natural consequence

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of the issues I talk about [br]in my book "Open".

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where, now that we're able to share[br]and exchange knowledge,

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we're now at a point where [br]we want to do something about it,

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we want now to be more in control[br]of our own lives.

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But I think it's particularly important[br]for the people who are in this room today:

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educators and human resource people. 3:05