[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:05.46,0:00:10.25,Default,,0000,0000,0000,,Today, I'd like to talk about\Nturning around an epidemic. Dialogue: 0,0:00:10.25,0:00:14.96,Default,,0000,0000,0000,,One hundred million Americans right now\Ndo have either diabetes or pre-diabetes, Dialogue: 0,0:00:14.96,0:00:18.29,Default,,0000,0000,0000,,and that puts them\Nat risk for amputations, Dialogue: 0,0:00:18.29,0:00:20.83,Default,,0000,0000,0000,,for heart disease, for blindness. Dialogue: 0,0:00:20.83,0:00:24.61,Default,,0000,0000,0000,,and we're exporting\Nthis epidemic overseas. Dialogue: 0,0:00:24.61,0:00:27.75,Default,,0000,0000,0000,,The word "epidemic" comes from Old Greek: Dialogue: 0,0:00:27.75,0:00:32.53,Default,,0000,0000,0000,,'epi' means 'on', 'demos' means 'people', Dialogue: 0,0:00:32.53,0:00:37.27,Default,,0000,0000,0000,,so an epidemic is something we study with\Nsterile statistics, and maps, and graphs, Dialogue: 0,0:00:37.27,0:00:38.88,Default,,0000,0000,0000,,but the truth is, it's something Dialogue: 0,0:00:38.89,0:00:44.47,Default,,0000,0000,0000,,that impinges directly on people,\Non living, breathing human-beings. Dialogue: 0,0:00:45.15,0:00:48.92,Default,,0000,0000,0000,,But my story actually starts\Nin the basement of a Minneapolis hospital. Dialogue: 0,0:00:48.92,0:00:53.21,Default,,0000,0000,0000,,The year before I went to medical school,\NI was the morgue attendant, Dialogue: 0,0:00:53.21,0:00:55.51,Default,,0000,0000,0000,,or as I'd like to say,\N"the autopsy assistant". Dialogue: 0,0:00:55.51,0:00:56.56,Default,,0000,0000,0000,,What that meant was, Dialogue: 0,0:00:56.56,0:00:59.63,Default,,0000,0000,0000,,whenever anybody died,\NI would bring the body out of the cooler, Dialogue: 0,0:00:59.63,0:01:02.05,Default,,0000,0000,0000,,and put the body on\Nan examination table, Dialogue: 0,0:01:02.05,0:01:04.86,Default,,0000,0000,0000,,and the pathologist\Nwould come into the room. Dialogue: 0,0:01:04.86,0:01:08.76,Default,,0000,0000,0000,,And one day, a person died\Nin a hospital of a massive heart attack. Dialogue: 0,0:01:08.76,0:01:11.69,Default,,0000,0000,0000,,Probably from eating hospital food,\Nbut that's another story. Dialogue: 0,0:01:11.69,0:01:13.08,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:01:13.08,0:01:16.62,Default,,0000,0000,0000,,To examine the heart,\Nyou have to remove a section of ribs, Dialogue: 0,0:01:16.63,0:01:18.86,Default,,0000,0000,0000,,and this is not done with great delicacy: Dialogue: 0,0:01:18.86,0:01:21.67,Default,,0000,0000,0000,,you take what looks like a garden clipper, Dialogue: 0,0:01:21.67,0:01:25.29,Default,,0000,0000,0000,,and you go crunch, crunch, crunch,\Nthrough the ribs on this side, Dialogue: 0,0:01:25.29,0:01:28.90,Default,,0000,0000,0000,,and crunch, crunch, crunch,\Nthrough the ribs on this side. Dialogue: 0,0:01:28.90,0:01:33.30,Default,,0000,0000,0000,,And the pathologist pulled\Nthis big high wedge of ribs off the chest, Dialogue: 0,0:01:33.30,0:01:34.80,Default,,0000,0000,0000,,set it on the table. Dialogue: 0,0:01:34.80,0:01:37.39,Default,,0000,0000,0000,,And he knew I was going to be\Ngoing to medical school, Dialogue: 0,0:01:37.39,0:01:40.13,Default,,0000,0000,0000,,so he wanted to make sure\Nthat I saw everything. Dialogue: 0,0:01:40.13,0:01:43.63,Default,,0000,0000,0000,,And he would say, "Neal, look at this.\NThese are the coronary arteries," Dialogue: 0,0:01:43.63,0:01:46.29,Default,,0000,0000,0000,,- we call them coronary\Nbecause they crown the heart - Dialogue: 0,0:01:46.29,0:01:50.10,Default,,0000,0000,0000,,and he sliced one open,\Nand he said, "Look inside." Dialogue: 0,0:01:50.10,0:01:55.78,Default,,0000,0000,0000,,With my gloved finger, I poked around,\Nand it wasn't a wide open artery, Dialogue: 0,0:01:55.78,0:01:58.87,Default,,0000,0000,0000,,it had what was sort\Nof like chewing gum inside, Dialogue: 0,0:01:58.87,0:02:01.34,Default,,0000,0000,0000,,except that it was hard\Nlike a rock, and he said, Dialogue: 0,0:02:01.34,0:02:04.29,Default,,0000,0000,0000,,"That's your bacon and eggs,\NNeal, that's atherosclerosis." Dialogue: 0,0:02:04.29,0:02:07.13,Default,,0000,0000,0000,,And we looked at the carotid arteries\Ngoing to the brain, Dialogue: 0,0:02:07.13,0:02:10.38,Default,,0000,0000,0000,,the arteries going to the legs,\Nthe arteries going to the kidneys. Dialogue: 0,0:02:10.38,0:02:13.88,Default,,0000,0000,0000,,They all had this hardening\Nof the arteries, that's atherosclerosis. Dialogue: 0,0:02:13.88,0:02:19.08,Default,,0000,0000,0000,,He said, "We see the beginnings of this\Nin two thirds of people by age 23, Dialogue: 0,0:02:19.08,0:02:21.83,Default,,0000,0000,0000,,which happened to be the exact age\Nthat I was at the time. Dialogue: 0,0:02:21.83,0:02:22.91,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:02:22.91,0:02:24.92,Default,,0000,0000,0000,,So, anyway, he writes up his findings, Dialogue: 0,0:02:24.92,0:02:28.46,Default,,0000,0000,0000,,"massive atherosclerosis,\Nacute myocardial infarction," Dialogue: 0,0:02:28.47,0:02:30.58,Default,,0000,0000,0000,,and he leaves the room. Dialogue: 0,0:02:30.58,0:02:34.44,Default,,0000,0000,0000,,So, I picked up the ribs\Nand put them back in the chest, Dialogue: 0,0:02:34.45,0:02:36.78,Default,,0000,0000,0000,,tried to make them fit\Nright with the other ribs, Dialogue: 0,0:02:36.78,0:02:38.78,Default,,0000,0000,0000,,and I sewed up the skin, and cleaned up, Dialogue: 0,0:02:38.78,0:02:41.47,Default,,0000,0000,0000,,and then I went out\Nand went up to the cafeteria, Dialogue: 0,0:02:41.47,0:02:44.97,Default,,0000,0000,0000,,where turned out\Nthey were serving ribs for lunch. Dialogue: 0,0:02:44.97,0:02:46.54,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:02:48.96,0:02:51.75,Default,,0000,0000,0000,,Now, let me tell you something,\NI knew about ribs. Dialogue: 0,0:02:51.75,0:02:55.54,Default,,0000,0000,0000,,I grew up in Fargo, North Dakota,\NI come from a long line of cattle ranchers Dialogue: 0,0:02:55.54,0:02:58.79,Default,,0000,0000,0000,,and I remember the smell\Nof the cows out in the field, Dialogue: 0,0:02:58.79,0:03:01.73,Default,,0000,0000,0000,,I remember the smell of the cows\Nin my grandpa's barn Dialogue: 0,0:03:01.73,0:03:04.79,Default,,0000,0000,0000,,and driving a load of cattle\Nwith my uncle to East Saint Louis, Dialogue: 0,0:03:04.79,0:03:06.13,Default,,0000,0000,0000,,to the National Stockyards, Dialogue: 0,0:03:06.13,0:03:09.38,Default,,0000,0000,0000,,and I remember the National\NStockyards hotel, two dollars a night, Dialogue: 0,0:03:09.38,0:03:11.17,Default,,0000,0000,0000,,and the smell of that room. Dialogue: 0,0:03:11.17,0:03:12.32,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:03:12.32,0:03:14.29,Default,,0000,0000,0000,,And I have to say, everyday in my life, Dialogue: 0,0:03:14.29,0:03:16.69,Default,,0000,0000,0000,,it was roast beef,\Nbaked potatoes, and corn. Dialogue: 0,0:03:16.69,0:03:20.48,Default,,0000,0000,0000,,Except for special occasions, when it was\Nroast beef, baked potatoes, and peas. Dialogue: 0,0:03:20.48,0:03:21.48,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:03:21.49,0:03:23.30,Default,,0000,0000,0000,,And that's the sort of the way we ate, Dialogue: 0,0:03:23.30,0:03:26.92,Default,,0000,0000,0000,,but my father did not like\Nthe cattle business, so he left, Dialogue: 0,0:03:26.92,0:03:29.79,Default,,0000,0000,0000,,left the family farm,\Nand he went to medical school. Dialogue: 0,0:03:29.80,0:03:34.46,Default,,0000,0000,0000,,And he spent his life at the Fargo clinic\Ntreating diabetes, Dialogue: 0,0:03:34.46,0:03:37.04,Default,,0000,0000,0000,,he became a diabetes expert\Nfor the whole region. Dialogue: 0,0:03:37.04,0:03:42.33,Default,,0000,0000,0000,,And I have to say\Nmy father really was frustrated Dialogue: 0,0:03:42.33,0:03:45.71,Default,,0000,0000,0000,,because patients were given diets\Nthat they did not like. Dialogue: 0,0:03:45.71,0:03:48.20,Default,,0000,0000,0000,,What we would say is,\Nor what they would say, Dialogue: 0,0:03:48.20,0:03:52.00,Default,,0000,0000,0000,,is diabetes is a condition\Nwhere it's too much sugar in your blood, Dialogue: 0,0:03:52.00,0:03:56.46,Default,,0000,0000,0000,,so don't eat anything that turns to sugar,\Nso don't eat bread, don't eat fruit, Dialogue: 0,0:03:56.46,0:03:58.86,Default,,0000,0000,0000,,don't eat pasta, rice, sweet potatoes, Dialogue: 0,0:03:58.86,0:04:01.36,Default,,0000,0000,0000,,don't eat regular potatoes,\Nbeans, don't eat carrots; Dialogue: 0,0:04:01.37,0:04:04.81,Default,,0000,0000,0000,,all these things had to be limited\Nand while you are at it, cut calories, Dialogue: 0,0:04:04.82,0:04:08.16,Default,,0000,0000,0000,,and that's what people had to adhere to,\Nthat's gets old by Wednesday. Dialogue: 0,0:04:08.16,0:04:12.14,Default,,0000,0000,0000,,Patients were also given medicines,\Nand they were given needles, Dialogue: 0,0:04:12.14,0:04:15.79,Default,,0000,0000,0000,,and instructions on how to stick\Ntheir fingers and how to inject insulin. Dialogue: 0,0:04:15.79,0:04:21.08,Default,,0000,0000,0000,,And despite all of this,\Ndiabetes never got better, Dialogue: 0,0:04:21.08,0:04:23.08,Default,,0000,0000,0000,,it always progressed, Dialogue: 0,0:04:23.08,0:04:26.83,Default,,0000,0000,0000,,and it then became something\Nthat we're exporting overseas. Dialogue: 0,0:04:26.83,0:04:29.70,Default,,0000,0000,0000,,And when I got out of medical school,\Nwe had more medicines, Dialogue: 0,0:04:29.70,0:04:32.75,Default,,0000,0000,0000,,and I think we had sharper needles,\Nbut to tell you the truth, Dialogue: 0,0:04:32.75,0:04:35.54,Default,,0000,0000,0000,,it was the same sort of result,\Nwe had unhappy patients, Dialogue: 0,0:04:35.54,0:04:39.00,Default,,0000,0000,0000,,and we've never ever cured\Nthis disease, it never turned around, Dialogue: 0,0:04:39.00,0:04:42.26,Default,,0000,0000,0000,,it was always considered\Na progressive disease. Dialogue: 0,0:04:43.71,0:04:48.29,Default,,0000,0000,0000,,But there are two scientific discoveries\Nthat really turned all this around. Dialogue: 0,0:04:48.29,0:04:50.94,Default,,0000,0000,0000,,And the first one was taking\Nthe widest possible lens. Dialogue: 0,0:04:50.94,0:04:52.54,Default,,0000,0000,0000,,If you look around the world, Dialogue: 0,0:04:52.54,0:04:56.92,Default,,0000,0000,0000,,at those countries that have the least\Ndiabetes, like Japan, for example, Dialogue: 0,0:04:56.92,0:04:59.13,Default,,0000,0000,0000,,they weren't following anything Dialogue: 0,0:04:59.13,0:05:01.50,Default,,0000,0000,0000,,like the diet we were given\Nto diabetic patients. Dialogue: 0,0:05:01.50,0:05:04.80,Default,,0000,0000,0000,,They weren't saying, "I'm not going\Nto eat rice, I won't eat noodles," Dialogue: 0,0:05:04.80,0:05:09.01,Default,,0000,0000,0000,,they eat this kind of food all the time,\Nit's front and center on their plate. Dialogue: 0,0:05:10.12,0:05:14.29,Default,,0000,0000,0000,,And the second discovery\Ncame from looking inside the cell, Dialogue: 0,0:05:14.29,0:05:15.98,Default,,0000,0000,0000,,especially the muscle cell. Dialogue: 0,0:05:15.98,0:05:18.84,Default,,0000,0000,0000,,And the reason we look\Nat muscle cells in particular Dialogue: 0,0:05:18.84,0:05:22.34,Default,,0000,0000,0000,,is that's where glucose is going,\Nthat's where blood sugar is going, Dialogue: 0,0:05:22.34,0:05:25.71,Default,,0000,0000,0000,,that's the fuel that powers your movement. Dialogue: 0,0:05:25.71,0:05:28.17,Default,,0000,0000,0000,,Do you know about a person\Nwho's running a marathon? Dialogue: 0,0:05:28.17,0:05:31.75,Default,,0000,0000,0000,,What are they doing in the weeks leading\Nup for it? They're carbo-loading. Dialogue: 0,0:05:31.75,0:05:33.97,Default,,0000,0000,0000,,So they're eating pasta,\Nthey're eating bread Dialogue: 0,0:05:33.97,0:05:37.04,Default,,0000,0000,0000,,to try to get that glucose\Ninto the cell for energy. Dialogue: 0,0:05:37.04,0:05:40.38,Default,,0000,0000,0000,,And that is the problem in diabetes, Dialogue: 0,0:05:40.38,0:05:44.82,Default,,0000,0000,0000,,because glucose, glucose is there,\Noutside the cell, trying get inside. Dialogue: 0,0:05:44.82,0:05:48.41,Default,,0000,0000,0000,,In order to get in, it needs a key.\NAnd that key is insulin. Dialogue: 0,0:05:48.41,0:05:53.67,Default,,0000,0000,0000,,Now, what if I get home,\Nand I'm getting up to my front door Dialogue: 0,0:05:53.67,0:05:57.05,Default,,0000,0000,0000,,and take my key out of the pocket,\NI put it in the front door-- Dialogue: 0,0:05:57.05,0:05:59.29,Default,,0000,0000,0000,,Wait a minute, it's not working. Dialogue: 0,0:06:00.38,0:06:04.29,Default,,0000,0000,0000,,And there's nothing wrong\Nwith my key, but I look in the lock, Dialogue: 0,0:06:04.29,0:06:07.37,Default,,0000,0000,0000,,and while I was gone,\Nsomebody put chewing gum in my lock. Dialogue: 0,0:06:07.38,0:06:10.25,Default,,0000,0000,0000,,So what am I going to do?\NCrawling in and out the window? No. Dialogue: 0,0:06:10.25,0:06:12.42,Default,,0000,0000,0000,,I'm going to clean out the lock. Dialogue: 0,0:06:12.42,0:06:16.43,Default,,0000,0000,0000,,Well, when a person has diabetes,\Ntheir insulin key is not working. Dialogue: 0,0:06:16.43,0:06:19.38,Default,,0000,0000,0000,,Why would that be?\NWhy could insulin not signal? Dialogue: 0,0:06:19.38,0:06:23.41,Default,,0000,0000,0000,,What supposed to happen is the glucose\Nis supposed to enter into the cell. Dialogue: 0,0:06:23.41,0:06:25.66,Default,,0000,0000,0000,,And [insulin] is the key\Nthat makes that happen. Dialogue: 0,0:06:25.66,0:06:27.73,Default,,0000,0000,0000,,But the reason it doesn't happen Dialogue: 0,0:06:27.73,0:06:30.25,Default,,0000,0000,0000,,it's not that there's\Nchewing gum inside the cell. Dialogue: 0,0:06:30.25,0:06:34.81,Default,,0000,0000,0000,,What there is, is fat.\NFat, little globules of fat. Dialogue: 0,0:06:34.81,0:06:40.04,Default,,0000,0000,0000,,I have to say, doctors hate\Nwords like "fat",it has one syllable. Dialogue: 0,0:06:40.04,0:06:41.12,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:06:41.12,0:06:45.38,Default,,0000,0000,0000,,So we want to call it\Nintramyocellular lipid. Dialogue: 0,0:06:45.38,0:06:47.37,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:06:47.38,0:06:53.29,Default,,0000,0000,0000,,'Intra' means' inside', 'myo' means\N'muscle', 'cellular' means 'cellular' Dialogue: 0,0:06:53.29,0:06:54.62,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:06:54.62,0:06:56.50,Default,,0000,0000,0000,,'lipid' means 'fat'. Dialogue: 0,0:06:56.50,0:06:59.92,Default,,0000,0000,0000,,Intramyocellular lipid is fat\Ninside your muscle cells, Dialogue: 0,0:06:59.92,0:07:01.63,Default,,0000,0000,0000,,and that is what interferes Dialogue: 0,0:07:01.63,0:07:06.47,Default,,0000,0000,0000,,with insulin's ability to work\Nlike a key to signal glucose coming in. Dialogue: 0,0:07:07.29,0:07:09.69,Default,,0000,0000,0000,,In 2003, Dialogue: 0,0:07:09.69,0:07:13.99,Default,,0000,0000,0000,,The National Institute of Health\Ngave my research team a grant and said, Dialogue: 0,0:07:13.99,0:07:16.54,Default,,0000,0000,0000,,"Let's test something\Ncompletely different. Dialogue: 0,0:07:16.54,0:07:20.68,Default,,0000,0000,0000,,Instead of limiting breads\Nand all these kinds of things, Dialogue: 0,0:07:20.68,0:07:25.29,Default,,0000,0000,0000,,if fat is the issue, what if we have\Na diet that has effectively no fat in it?" Dialogue: 0,0:07:25.29,0:07:26.88,Default,,0000,0000,0000,,Well, where does fat come from? Dialogue: 0,0:07:26.88,0:07:28.17,Default,,0000,0000,0000,,It comes from two sources: Dialogue: 0,0:07:28.17,0:07:31.58,Default,,0000,0000,0000,,animal products, animal fat,\Nand vegetable oils. Dialogue: 0,0:07:31.58,0:07:35.79,Default,,0000,0000,0000,,So we brought in 99 people,\Nand we asked them to do two things: Dialogue: 0,0:07:35.79,0:07:38.83,Default,,0000,0000,0000,,to really eat a bounty of food\Nand not worrying about quantity, Dialogue: 0,0:07:38.83,0:07:40.83,Default,,0000,0000,0000,,we're not counting calories here, Dialogue: 0,0:07:40.83,0:07:44.08,Default,,0000,0000,0000,,we're not counting carb grams\Nor anything like that. Dialogue: 0,0:07:44.08,0:07:45.36,Default,,0000,0000,0000,,What we're doing instead, Dialogue: 0,0:07:45.36,0:07:49.08,Default,,0000,0000,0000,,is we're setting the animal products aside\Nkeeping the vegetable oils low. Dialogue: 0,0:07:49.08,0:07:50.25,Default,,0000,0000,0000,,Very simple. Dialogue: 0,0:07:50.25,0:07:53.48,Default,,0000,0000,0000,,One of our participants\Nwas a man named Vance, Dialogue: 0,0:07:53.48,0:07:57.09,Default,,0000,0000,0000,,and Vance's father was dead by age 30. Dialogue: 0,0:07:57.09,0:08:00.12,Default,,0000,0000,0000,,Vance was 31 when he was\Ndiagnosed with diabetes, Dialogue: 0,0:08:00.13,0:08:02.62,Default,,0000,0000,0000,,he was in his late 30s\Nwhen he came to see us. Dialogue: 0,0:08:02.63,0:08:04.100,Default,,0000,0000,0000,,And he said, "This is not hard!" Dialogue: 0,0:08:05.79,0:08:09.46,Default,,0000,0000,0000,,Unlike every other diet he'd been on,\Nwe didn't care how many carbs he ate, Dialogue: 0,0:08:09.47,0:08:11.67,Default,,0000,0000,0000,,or how many calories,\Nor how many portions. Dialogue: 0,0:08:11.67,0:08:14.12,Default,,0000,0000,0000,,If he was having chilli,\Nnot a meat chilli, Dialogue: 0,0:08:14.12,0:08:16.41,Default,,0000,0000,0000,,would be a bean chilli,\Nchunky vegetable chilli. Dialogue: 0,0:08:16.41,0:08:18.98,Default,,0000,0000,0000,,If he was having spaghetti,\Ninstead of a meat topping, Dialogue: 0,0:08:18.98,0:08:20.88,Default,,0000,0000,0000,,it would be topped\Nwith artichoke hearts Dialogue: 0,0:08:20.88,0:08:22.96,Default,,0000,0000,0000,,and wild mushrooms,\Nand chunky tomato sauce. Dialogue: 0,0:08:22.96,0:08:25.48,Default,,0000,0000,0000,,So that kind of thing; very, very easy. Dialogue: 0,0:08:25.48,0:08:29.54,Default,,0000,0000,0000,,Over the course\Nof about a year, he lost 60 pounds, Dialogue: 0,0:08:29.54,0:08:31.88,Default,,0000,0000,0000,,his blood sugar came down\Nand down, and down, Dialogue: 0,0:08:31.88,0:08:33.99,Default,,0000,0000,0000,,and one day his doctor\Nsat him down and said, Dialogue: 0,0:08:36.25,0:08:40.42,Default,,0000,0000,0000,,"Vance, I know you've had\Nfamily members die of this disease." Dialogue: 0,0:08:40.42,0:08:45.79,Default,,0000,0000,0000,,But he said, "I look at your blood tests;\Nyou don't have it anymore." Dialogue: 0,0:08:45.79,0:08:49.40,Default,,0000,0000,0000,,And can you imagine what that feels like\Nto have family members who felt Dialogue: 0,0:08:49.40,0:08:53.41,Default,,0000,0000,0000,,there's this absolutely one way street\Nand have this disease just turn around? Dialogue: 0,0:08:53.41,0:08:56.87,Default,,0000,0000,0000,,And when I asked Vance's permission\Nto tell you about his story, he said, Dialogue: 0,0:08:56.87,0:09:00.37,Default,,0000,0000,0000,,"Make sure you tell everybody that\Nmy erectile dysfunction went away too." Dialogue: 0,0:09:00.37,0:09:01.43,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:09:01.43,0:09:02.84,Default,,0000,0000,0000,,Write that down. Dialogue: 0,0:09:02.84,0:09:03.85,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:09:03.86,0:09:06.74,Default,,0000,0000,0000,,So, we published our findings\Nin peer-reviewed journals, Dialogue: 0,0:09:06.75,0:09:11.73,Default,,0000,0000,0000,,the American Diabetes Association cites it\Nand accepts this as an effective approach. Dialogue: 0,0:09:11.73,0:09:13.99,Default,,0000,0000,0000,,And people around the world\Nstarted using this Dialogue: 0,0:09:13.99,0:09:16.25,Default,,0000,0000,0000,,and I heard from a man in England, Dialogue: 0,0:09:16.25,0:09:18.55,Default,,0000,0000,0000,,who wanted to let me know\Nabout his experience. Dialogue: 0,0:09:18.55,0:09:20.10,Default,,0000,0000,0000,,He had had diabetes, Dialogue: 0,0:09:20.10,0:09:22.60,Default,,0000,0000,0000,,tried all kinds of diets\Nwithout a lot of success. Dialogue: 0,0:09:22.60,0:09:25.74,Default,,0000,0000,0000,,And then he heard about our approach,\Ntried it for several weeks, Dialogue: 0,0:09:25.74,0:09:28.64,Default,,0000,0000,0000,,went to the doctor,\Nthe doctor drew a number of blood tests. Dialogue: 0,0:09:28.64,0:09:30.26,Default,,0000,0000,0000,,And he got home. Dialogue: 0,0:09:30.26,0:09:32.100,Default,,0000,0000,0000,,The phone rang,\N"This is the doctor's office. Dialogue: 0,0:09:32.100,0:09:36.08,Default,,0000,0000,0000,,Could you come back right now? Dialogue: 0,0:09:36.08,0:09:39.62,Default,,0000,0000,0000,,So he [goes], "Good heavens!\NWhat's in my blood test? Dialogue: 0,0:09:39.62,0:09:42.16,Default,,0000,0000,0000,,He races into his car,\Nhe's driving to doctor's office Dialogue: 0,0:09:42.16,0:09:46.11,Default,,0000,0000,0000,,thinking what disease did they discover\Non my blood test, what did they find ..." Dialogue: 0,0:09:46.11,0:09:47.16,Default,,0000,0000,0000,,And he runs into. Dialogue: 0,0:09:47.16,0:09:50.84,Default,,0000,0000,0000,,They say,"We need you to sit down.\NExplain exactly what you've been doing." Dialogue: 0,0:09:50.84,0:09:53.17,Default,,0000,0000,0000,,All traces of his diabetes were gone. Dialogue: 0,0:09:53.17,0:09:55.81,Default,,0000,0000,0000,,The doctor said,\N"Your blood tests are better than mine, Dialogue: 0,0:09:55.81,0:09:58.15,Default,,0000,0000,0000,,and I don't have diabetes,\Nhow is this possible?" Dialogue: 0,0:09:58.15,0:10:02.08,Default,,0000,0000,0000,,The doctor explained to him, "We can never\Nsay a person has been cured of diabetes Dialogue: 0,0:10:02.08,0:10:06.64,Default,,0000,0000,0000,,because we all know that's not possible,\Nbut technically, it's not there. Dialogue: 0,0:10:06.64,0:10:08.14,Default,,0000,0000,0000,,And the doctor was skeptical, Dialogue: 0,0:10:08.14,0:10:11.06,Default,,0000,0000,0000,,he said, "Come back in two months,\NI want to test you again." Dialogue: 0,0:10:11.06,0:10:12.30,Default,,0000,0000,0000,,Never came back. Dialogue: 0,0:10:12.30,0:10:14.06,Default,,0000,0000,0000,,Now, wait a minute. Dialogue: 0,0:10:14.06,0:10:16.30,Default,,0000,0000,0000,,Diabetes is genetic, right? Dialogue: 0,0:10:16.30,0:10:17.73,Default,,0000,0000,0000,,It runs in families. Dialogue: 0,0:10:17.74,0:10:20.30,Default,,0000,0000,0000,,And there, in fact,\Nare genes for diabetes, Dialogue: 0,0:10:20.30,0:10:22.64,Default,,0000,0000,0000,,but this is an important thing\Nto remember, Dialogue: 0,0:10:22.64,0:10:25.37,Default,,0000,0000,0000,,genes are in two categories. Dialogue: 0,0:10:25.37,0:10:28.09,Default,,0000,0000,0000,,Certain genes are dictators, Dialogue: 0,0:10:28.09,0:10:32.56,Default,,0000,0000,0000,,I'm talking about the genes that say,\N'blue eyes' or 'brown hair'. Dialogue: 0,0:10:32.56,0:10:35.87,Default,,0000,0000,0000,,They are dictators,\Nthey give orders, you can't argue. Dialogue: 0,0:10:35.87,0:10:40.13,Default,,0000,0000,0000,,But the genes for diabetes are committees. Dialogue: 0,0:10:40.13,0:10:42.64,Default,,0000,0000,0000,,They're making suggestions. Dialogue: 0,0:10:42.65,0:10:44.87,Default,,0000,0000,0000,,And you can say, "Wait a minute, Dialogue: 0,0:10:44.87,0:10:47.74,Default,,0000,0000,0000,,I don't really think\NI want to have diabetes." Dialogue: 0,0:10:47.74,0:10:51.16,Default,,0000,0000,0000,,And, in fact, most disease genes,\Nwhether it's for heart disease, Dialogue: 0,0:10:51.16,0:10:54.57,Default,,0000,0000,0000,,or diabetes, or hypertension,\Ncertain forms of cancer, Dialogue: 0,0:10:54.57,0:10:57.02,Default,,0000,0000,0000,,even Alzheimer's disease, Dialogue: 0,0:10:57.02,0:10:59.58,Default,,0000,0000,0000,,they're not dictators, they're committees. Dialogue: 0,0:10:59.58,0:11:05.20,Default,,0000,0000,0000,,And their activity depends on\Nwhat we put into our bodies. Dialogue: 0,0:11:05.20,0:11:08.28,Default,,0000,0000,0000,,So, what I'm saying is Dialogue: 0,0:11:08.28,0:11:14.12,Default,,0000,0000,0000,,that we're putting into our bodies\Nfoods that we're really not designed for. Dialogue: 0,0:11:15.23,0:11:18.37,Default,,0000,0000,0000,,Which raises the question:\Nwhat foods are we really designed for? Dialogue: 0,0:11:18.37,0:11:20.50,Default,,0000,0000,0000,,There are different ways\Nof looking at this. Dialogue: 0,0:11:20.50,0:11:24.58,Default,,0000,0000,0000,,And one is called the dental test.\NDo you know the dental test? Dialogue: 0,0:11:24.58,0:11:28.68,Default,,0000,0000,0000,,What you do is you wait\Nfor your cat to yawn, Dialogue: 0,0:11:28.68,0:11:31.26,Default,,0000,0000,0000,,and you look in your cat's mouth\Nand what you notice is Dialogue: 0,0:11:31.26,0:11:35.28,Default,,0000,0000,0000,,in its mouth are these very, very long\Nprotruding canine teeth, Dialogue: 0,0:11:35.28,0:11:38.24,Default,,0000,0000,0000,,and on each side of its mouth,\Nit's just like a pitchfork Dialogue: 0,0:11:38.24,0:11:42.70,Default,,0000,0000,0000,,that's really good for capturing pray,\Nkilling small animals, Dialogue: 0,0:11:42.70,0:11:46.05,Default,,0000,0000,0000,,and ripping the hide off the flesh\Nand eating meat. Dialogue: 0,0:11:46.05,0:11:48.09,Default,,0000,0000,0000,,So now look at your own mouth. Dialogue: 0,0:11:48.09,0:11:49.73,Default,,0000,0000,0000,,What you discover Dialogue: 0,0:11:49.73,0:11:53.64,Default,,0000,0000,0000,,is that your canine teeth\Nare no longer than your incisors. Dialogue: 0,0:11:53.65,0:11:56.76,Default,,0000,0000,0000,,And that change occurred\Nat least 3,5 million years ago. Dialogue: 0,0:11:56.76,0:11:59.47,Default,,0000,0000,0000,,So our molars are really good\Nfor crunching on an apple, Dialogue: 0,0:11:59.47,0:12:01.96,Default,,0000,0000,0000,,they're not so hot for handling roadkill. Dialogue: 0,0:12:01.96,0:12:05.00,Default,,0000,0000,0000,,There's the bunny test.\NDo you know the bunny test? Dialogue: 0,0:12:05.01,0:12:06.19,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:12:06.19,0:12:07.94,Default,,0000,0000,0000,,You take a bunny, Dialogue: 0,0:12:07.94,0:12:11.23,Default,,0000,0000,0000,,and you put the bunny\Nin front of your cat Dialogue: 0,0:12:11.23,0:12:13.46,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:12:14.50,0:12:16.10,Default,,0000,0000,0000,,what you discover, Dialogue: 0,0:12:16.10,0:12:20.06,Default,,0000,0000,0000,,no matter how young your cat is,\Nthe cat has this irrepressible desire Dialogue: 0,0:12:20.06,0:12:24.51,Default,,0000,0000,0000,,to capture, attack, kill,\Nand swallow that bunny. Dialogue: 0,0:12:24.51,0:12:28.01,Default,,0000,0000,0000,,Now, you put the very same bunny\Nin front of a toddler or baby. (Laughter) Dialogue: 0,0:12:28.01,0:12:30.73,Default,,0000,0000,0000,,And what you discover is\Nthe toddler say, "Bunny, bunny!" Dialogue: 0,0:12:30.73,0:12:33.56,Default,,0000,0000,0000,,They want to play and the baby\Nis just absolutely delighted, Dialogue: 0,0:12:33.56,0:12:36.39,Default,,0000,0000,0000,,the idea of killing and eating him\Nwould never occur to him Dialogue: 0,0:12:36.39,0:12:37.60,Default,,0000,0000,0000,,in a million years. Dialogue: 0,0:12:37.60,0:12:39.20,Default,,0000,0000,0000,,We're learning something here. Dialogue: 0,0:12:39.20,0:12:41.33,Default,,0000,0000,0000,,Do you know the box test?\N(Laughter) Dialogue: 0,0:12:41.33,0:12:44.93,Default,,0000,0000,0000,,You take a box that it was used\Nto carry electronic equipment, Dialogue: 0,0:12:44.93,0:12:49.77,Default,,0000,0000,0000,,and you look around at the bottom\Nand what you find is silica gel. Dialogue: 0,0:12:49.77,0:12:54.50,Default,,0000,0000,0000,,And silica gel is there\Nto take moisture out of the box. Dialogue: 0,0:12:54.50,0:12:58.74,Default,,0000,0000,0000,,And apparently, the manufacturers\Nof silica gel have realized Dialogue: 0,0:12:58.74,0:13:02.39,Default,,0000,0000,0000,,that human-beings are so indiscriminate\Nin their eating habits, Dialogue: 0,0:13:02.39,0:13:07.79,Default,,0000,0000,0000,,that they have to put\Nthese words on it, "Do not eat". Dialogue: 0,0:13:07.79,0:13:10.13,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:13:10.13,0:13:13.22,Default,,0000,0000,0000,,So, here's how I put this together: Dialogue: 0,0:13:13.22,0:13:18.42,Default,,0000,0000,0000,,human-beings are naturally herbivores,\Nbut we're really easily thrown off track. Dialogue: 0,0:13:18.42,0:13:20.31,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:13:20.31,0:13:24.25,Default,,0000,0000,0000,,The fact of the matter is,\Nbefore the Stone Age, Dialogue: 0,0:13:24.26,0:13:27.72,Default,,0000,0000,0000,,people would have been\Njust terrible hunters, really. Dialogue: 0,0:13:27.72,0:13:30.12,Default,,0000,0000,0000,,You know this is true\Nbecause we're not very quick. Dialogue: 0,0:13:30.12,0:13:32.06,Default,,0000,0000,0000,,A lion, a lion is quick, Dialogue: 0,0:13:34.36,0:13:37.35,Default,,0000,0000,0000,,in the forest,\Na lion can easily catch a gazelle. Dialogue: 0,0:13:37.36,0:13:40.45,Default,,0000,0000,0000,,A hawk or a falcon\Ncan easily catch a mouse. Dialogue: 0,0:13:40.45,0:13:43.39,Default,,0000,0000,0000,,Humans, we sort of catch cold.\NThat's like it. (Laughter) Dialogue: 0,0:13:43.39,0:13:47.28,Default,,0000,0000,0000,,We don't really detect pray very well,\Nwe don't have sensitive noses. Dialogue: 0,0:13:47.28,0:13:48.58,Default,,0000,0000,0000,,If you look at the dog, Dialogue: 0,0:13:48.58,0:13:51.78,Default,,0000,0000,0000,,a dog has a very highly\Ndeveloped sense of smell, Dialogue: 0,0:13:51.79,0:13:54.05,Default,,0000,0000,0000,,they can detect pray at long distances, Dialogue: 0,0:13:54.05,0:13:56.78,Default,,0000,0000,0000,,which is why they are used in airports Dialogue: 0,0:13:56.79,0:14:00.35,Default,,0000,0000,0000,,to detect bombs, and drugs,\Nand that kind of things. Dialogue: 0,0:14:00.35,0:14:02.51,Default,,0000,0000,0000,,And their sense of hearing\Nfar outstrips ours, Dialogue: 0,0:14:02.51,0:14:04.71,Default,,0000,0000,0000,,they are outfitted\Nto be able to detect pray. Dialogue: 0,0:14:04.71,0:14:08.92,Default,,0000,0000,0000,,Now, human-beings, we have\Ncute noses and we have cute ears, Dialogue: 0,0:14:08.92,0:14:12.41,Default,,0000,0000,0000,,but we really are pathetic as hunters. Dialogue: 0,0:14:12.41,0:14:15.55,Default,,0000,0000,0000,,And if you're going to succeed\Nas a carnivore, Dialogue: 0,0:14:15.55,0:14:18.52,Default,,0000,0000,0000,,you need good sharp claws,\Ngood sharp teeth, Dialogue: 0,0:14:18.53,0:14:20.47,Default,,0000,0000,0000,,you need to be very, very quick, Dialogue: 0,0:14:20.47,0:14:24.91,Default,,0000,0000,0000,,and you need to have sensitive hearing,\Nsensitive smell, sensitive vision. Dialogue: 0,0:14:24.91,0:14:27.32,Default,,0000,0000,0000,,Which actually raises the question: Dialogue: 0,0:14:27.32,0:14:30.46,Default,,0000,0000,0000,,what is the most sensitive part\Nof the human body? Dialogue: 0,0:14:31.77,0:14:33.34,Default,,0000,0000,0000,,What do you think? Dialogue: 0,0:14:34.29,0:14:36.04,Default,,0000,0000,0000,,Well, I actually learned the answer. Dialogue: 0,0:14:36.04,0:14:38.05,Default,,0000,0000,0000,,As I was coming here,\NI was at the airport. Dialogue: 0,0:14:38.05,0:14:41.76,Default,,0000,0000,0000,,And the TSA agent pulled me aside\Nand said, "I got to do a pat down, Dialogue: 0,0:14:41.76,0:14:44.09,Default,,0000,0000,0000,,and when I get to a sensitive part\Nof your body, Dialogue: 0,0:14:44.09,0:14:45.68,Default,,0000,0000,0000,,I'll use the back of my hand." Dialogue: 0,0:14:45.68,0:14:47.30,Default,,0000,0000,0000,,And I realized that apparently, Dialogue: 0,0:14:47.30,0:14:51.96,Default,,0000,0000,0000,,the most sensitive part of the human body\Nmust be our back side, I guess. Dialogue: 0,0:14:51.96,0:14:56.98,Default,,0000,0000,0000,,So, anyway, what I take from this\Nis that meat eating began somehow. Dialogue: 0,0:14:56.98,0:14:58.24,Default,,0000,0000,0000,,How did it begin? Dialogue: 0,0:14:58.24,0:15:00.90,Default,,0000,0000,0000,,I put that question to Richard Leakey. Dialogue: 0,0:15:00.90,0:15:04.02,Default,,0000,0000,0000,,- Richard Leakey,\Nthe famous paleoanthropologist - Dialogue: 0,0:15:04.03,0:15:05.17,Default,,0000,0000,0000,,and what he said was, Dialogue: 0,0:15:05.17,0:15:08.95,Default,,0000,0000,0000,,"You know, human-beings as herbivores,\Nyou don't have to be quick, Dialogue: 0,0:15:08.95,0:15:11.44,Default,,0000,0000,0000,,you don't have to be\Nparticularly sharp or sensitive Dialogue: 0,0:15:11.44,0:15:14.32,Default,,0000,0000,0000,,because you don't really have\Nto sneak up on a strawberry, Dialogue: 0,0:15:14.32,0:15:16.39,Default,,0000,0000,0000,,it's just sitting, not doing anything. Dialogue: 0,0:15:16.40,0:15:20.12,Default,,0000,0000,0000,,But to become carnivores\Nreally took some work. Dialogue: 0,0:15:20.12,0:15:23.19,Default,,0000,0000,0000,,And it probably started as scavenging." Dialogue: 0,0:15:23.19,0:15:25.55,Default,,0000,0000,0000,,In other words,\Na lion doesn't eat everything. Dialogue: 0,0:15:25.55,0:15:28.52,Default,,0000,0000,0000,,When they walk away\Nfrom the little pile of bones they've left Dialogue: 0,0:15:28.52,0:15:29.86,Default,,0000,0000,0000,,there's a little meat there, Dialogue: 0,0:15:29.86,0:15:32.27,Default,,0000,0000,0000,,and humans could\Nrelatively easily sneak in Dialogue: 0,0:15:32.27,0:15:34.93,Default,,0000,0000,0000,,and cut some of that off and take it back. Dialogue: 0,0:15:34.93,0:15:37.84,Default,,0000,0000,0000,,Now, that requires having\Nsome tools to do that with. Dialogue: 0,0:15:37.84,0:15:40.95,Default,,0000,0000,0000,,So once the Stone Age arrived, Dialogue: 0,0:15:40.95,0:15:44.11,Default,,0000,0000,0000,,then we had the possibility\Nof actually doing that. Dialogue: 0,0:15:44.11,0:15:47.05,Default,,0000,0000,0000,,And once we had arrowheads,\Nand axes, and that sort of thing, Dialogue: 0,0:15:47.05,0:15:48.78,Default,,0000,0000,0000,,then we were really on to something. Dialogue: 0,0:15:48.78,0:15:53.44,Default,,0000,0000,0000,,Meat eating really became a big thing.\NBut, we have pre-stone age bodies. Dialogue: 0,0:15:53.44,0:15:57.76,Default,,0000,0000,0000,,To this day, when a person puts\Ninto their body plant foods, Dialogue: 0,0:15:57.76,0:16:00.87,Default,,0000,0000,0000,,their arteries open up again,\Ntheir diabetes starts to get better, Dialogue: 0,0:16:00.87,0:16:04.80,Default,,0000,0000,0000,,their weight starts to come off,\Ntheir bodies start to recover. Dialogue: 0,0:16:10.72,0:16:15.91,Default,,0000,0000,0000,,Americans, unfortunately, are\Nreally not on a diabetes reversal diet. Dialogue: 0,0:16:15.91,0:16:19.37,Default,,0000,0000,0000,,Americans today eat more\Nthan a million animals per hour. Dialogue: 0,0:16:19.38,0:16:21.96,Default,,0000,0000,0000,,And the Centers for Disease Control\Nand Prevention say Dialogue: 0,0:16:21.96,0:16:25.12,Default,,0000,0000,0000,,that one of three kids born\Nin the year 2000 and in the years since Dialogue: 0,0:16:25.12,0:16:28.10,Default,,0000,0000,0000,,is going to get diabetes\Nat some point in their life. Dialogue: 0,0:16:28.10,0:16:30.89,Default,,0000,0000,0000,,And you see the truth of it,\Nturn on the television: Dialogue: 0,0:16:30.89,0:16:35.33,Default,,0000,0000,0000,,half the commercials are for burgers,\Nchicken wings, snack foods, Dialogue: 0,0:16:35.33,0:16:38.34,Default,,0000,0000,0000,,the other half of the commercials\Nare for medicines Dialogue: 0,0:16:38.34,0:16:41.76,Default,,0000,0000,0000,,to undue the effects\Nof all the foods that we're eating. Dialogue: 0,0:16:41.76,0:16:43.21,Default,,0000,0000,0000,,So, that's where we are. Dialogue: 0,0:16:43.21,0:16:44.35,Default,,0000,0000,0000,,And what if it happened Dialogue: 0,0:16:44.35,0:16:46.56,Default,,0000,0000,0000,,that instead\Nof a hundred million Americans Dialogue: 0,0:16:46.56,0:16:48.90,Default,,0000,0000,0000,,having diabetes or pre-diabetes, Dialogue: 0,0:16:48.90,0:16:51.50,Default,,0000,0000,0000,,what if all hundred million\Nhad diabetes itself? Dialogue: 0,0:16:51.50,0:16:53.19,Default,,0000,0000,0000,,Or more people than that? Dialogue: 0,0:16:53.19,0:16:57.13,Default,,0000,0000,0000,,All of them need medicines, and testing,\Nand hospital care, and so forth. Dialogue: 0,0:16:57.13,0:16:59.73,Default,,0000,0000,0000,,Financially, it's a disaster. Dialogue: 0,0:16:59.73,0:17:03.82,Default,,0000,0000,0000,,But, personally,\Nthe personal cost is just incalculable. Dialogue: 0,0:17:03.82,0:17:06.50,Default,,0000,0000,0000,,I think we're starting\Nto turn the corner: Dialogue: 0,0:17:06.50,0:17:10.20,Default,,0000,0000,0000,,my family has promoted me for generation\Nafter generation, after generation. Dialogue: 0,0:17:10.20,0:17:11.18,Default,,0000,0000,0000,,However, Dialogue: 0,0:17:11.18,0:17:16.48,Default,,0000,0000,0000,,in 2004, we reached the peak\Nat 201,5 pounds of meat. Dialogue: 0,0:17:16.48,0:17:18.97,Default,,0000,0000,0000,,That's what the average person\Nconsumed in that year. Dialogue: 0,0:17:18.97,0:17:21.51,Default,,0000,0000,0000,,And in the subsequent years,\Nit's dropped and dropped, Dialogue: 0,0:17:21.51,0:17:23.05,Default,,0000,0000,0000,,and we're now under 190, Dialogue: 0,0:17:23.05,0:17:26.35,Default,,0000,0000,0000,,and hopefully,\Nthat downward trend will continue. Dialogue: 0,0:17:26.35,0:17:30.39,Default,,0000,0000,0000,,But to this day, doctors,\Ndieticians, nurses will say, Dialogue: 0,0:17:30.39,0:17:33.56,Default,,0000,0000,0000,,"Diabetes is a one way street,\Nit never goes away." Dialogue: 0,0:17:33.56,0:17:35.79,Default,,0000,0000,0000,,But that was before\Nwe looked around the world Dialogue: 0,0:17:35.79,0:17:39.07,Default,,0000,0000,0000,,and saw, you know, there are\Ndietary patterns that are more helpful. Dialogue: 0,0:17:39.07,0:17:42.73,Default,,0000,0000,0000,,And that was before we realized\Nthat looking inside the cell, Dialogue: 0,0:17:42.73,0:17:44.77,Default,,0000,0000,0000,,we can understand how this occurs, Dialogue: 0,0:17:44.78,0:17:47.40,Default,,0000,0000,0000,,and we can understand\Nhow to reverse this process. Dialogue: 0,0:17:47.40,0:17:49.07,Default,,0000,0000,0000,,And it was before we realized Dialogue: 0,0:17:49.07,0:17:54.06,Default,,0000,0000,0000,,that patients will make bigger changes\Nthan we gave them credit for. Dialogue: 0,0:17:54.06,0:17:55.65,Default,,0000,0000,0000,,So, families like mine, Dialogue: 0,0:17:55.65,0:17:57.78,Default,,0000,0000,0000,,that have been selling meat\Nfor generations, Dialogue: 0,0:17:57.78,0:18:02.10,Default,,0000,0000,0000,,instead, maybe could sell carrots,\Nasparagus, sweet potatoes, and beans, Dialogue: 0,0:18:02.10,0:18:05.42,Default,,0000,0000,0000,,and hopefully, the autopsy room\Nwill more neglected than ever, Dialogue: 0,0:18:05.42,0:18:08.15,Default,,0000,0000,0000,,because people are going to live longer,\Nand look better, Dialogue: 0,0:18:08.15,0:18:10.90,Default,,0000,0000,0000,,and maybe the hospital cafeteria,\Ninstead of serving ribs, Dialogue: 0,0:18:10.90,0:18:13.26,Default,,0000,0000,0000,,could serve a bounty of helpful foods, Dialogue: 0,0:18:13.26,0:18:16.10,Default,,0000,0000,0000,,and instead of studying epidemics, Dialogue: 0,0:18:16.10,0:18:18.52,Default,,0000,0000,0000,,maybe we could celebrate\Na resurgence of health. Dialogue: 0,0:18:18.52,0:18:19.55,Default,,0000,0000,0000,,Thank you very much. Dialogue: 0,0:18:19.55,0:18:20.60,Default,,0000,0000,0000,,(Applause)