(OFF) Thanks very much...

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

It was originally 25 minutes,
last night it was 23,

now it's 22.

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

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

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

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

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

which kind of went OK, 
got rid of the tumor,

But when the colon got reconnected,
it sprung a leak

and I got a thing called sepsis, 
which I later discovered,

is fatal in 60% of the cases.

What essentially happens with sepsis is

the organs start to pack in, 
one after the other, so

my heart was fibrillating, I lost --
kidneys stopped working,

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

And my wife Claire (check)
who is here somewhere

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

to get through the week-end.

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

since I was in intensive care.

I was in intensive care for a week.

So, when a sick -- no, no honest
(Applause)

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

(laughter)

I'm talking existentially 
rather than conversationally.

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

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

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

So I interviewed some people 
in the Netherlands

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

They are lay people, computer technicians

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

they said there is nothing more we can do,

so they're administering 
endovenous cocktails of drugs.

some of which are approved, 
some of which are off-patent,

some of which are off-label (check).

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

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

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

is that this is a phenomenon 
which is happening

in all kinds of areas of public life.

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

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

So, why is it important?

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

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

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

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

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

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

educators and human resource people. 3:05