[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,,10 years ago, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I got a phone call\Nthat changed my life. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,At the time, I was\Na cardiologist Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,at UCLA, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,specializing in cardiac imaging techniques. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,The call came from a veterinarian Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,at the Los Angeles Zoo Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,An elderly female chimpanzee Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,had woken up with a facial droop Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and the veterinarians were worried\Nthat she had had a stroke Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,They asked if I could come \Nto the zoo Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and image the animal's heart Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to look for a possible cardiac cause Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,now, to be clear Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,North American Zoos are staffed Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,by highly qualified, board certified veterinarians Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,who take outstanding care of animal patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but occasionally, they do reach into the human medical community Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,particularly for some speciality consultation Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and i was one of the lucky physicians Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,who was invited to help Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I had a chance to rule out Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,a stroke in this chimpanzee Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and make sure that this gorilla \Ndidn't have a torn aorta Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Evaluate this macaw for a heart murmur Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,make sure that this californian sea lion's\Nparacardium wasn't inflammed Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and in this picture, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'm listening to the heart of a lion Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,after a lifesaving collaborative procedure with \Nveteranarians and physicians Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we drained 700 cc's of fluid Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,from the sack in which Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,this lion's heart was contained Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and this procedure, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,which i have done on many human patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,was identical with the exception of that paw and that tail Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,now, most of the time Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i was working at ucla medical center Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,with physicians, discussing Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,symptoms, and diagnoses and treatments Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,for my human patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but some of the time Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i was working at the \NLos Angeles Zoo with veteranarians Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,discussing symptoms, diagnoses and treatments Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,for their animal patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and occasionally, on the very same day Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i went on rounds at ucla medical center Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and at the los angeles zoo Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and here's what started coming Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,into very clear focus for me Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,physicians and veterinarians were essentially Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,taking care of the same disorders in their animal and human patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,congestive heart failutre, brain tumors, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,lukemia, diabetes, arthritis, ALS Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,breast cancer, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,even psychiatric symptoms like depression, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,anxiety, compulsions, eating disoders Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and self injury Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,now, I've got a confession to make Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,even though i studied comparative physiology\Nand evolutionary biology, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,as an undergrad, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i had even written my senior thesis\Non darwinian theory, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,learning about the significant \Noverlap between Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,the disorders of animals and humans Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,it came as a much needed wake up call for me Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,so i started wondering, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,with all of these overlaps, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,how was it that i had never Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,thought to ask a veteranarian Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or consult the veterinary literature Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,for insights into one \Nof my human patients?\N Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,why had i never, nor \Nhad any of my physicians friends Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and colleagues, who i asked, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,ever attended a veterinary conference? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,for that matter, why was any of this a surprise? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i mean look, every single physicians Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,accepts some biological connection Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,between animals and huamns Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,every medication that we perscribe Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or that we've taken ourselves Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or we've given to our families Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,has first been tested on an animal Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but there's something very different about Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,giving an animal a medication or a human disease Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and the animal developing congestive heart failure Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or diabetes or breats cancer on their own Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,now maybe some of the surprise Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,comes from the increasing Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,separation in our world Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,between the urban and the non-urban Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,you know, we hear about these city kids who Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,think that wool grows on trees Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or that cheese comes from a plant Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,well today's human hospitals Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,are turning into increasingly Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,these gleaming cathedrals Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of technology Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and this creates a psychological Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,distance between the human\Npatients who are being treated there Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and animal patients who\Nare living in oceans Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and farms and jungles. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but i think there's an even deeper reason Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,physicians and scientists, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we accept intellectually that our species, \Nhomo sapiens Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,is merely one species, no more unique Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or special than any other Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but in our hearts, we don't completely BELIEVE THAT Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I feel it myself when I'm listening to motzart Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,or looking at pictures of\Nthe Mars Rover Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,on my macbook Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i feel that tug of human exceptionalism Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,even as i recognize the Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,scientifically isolating cost Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of seeing ourselves as a Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,superior species apart Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,well, I'm trying these days Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,when i see a human patient now, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,i always ask, "what do the animal\Ndoctors know about this problem Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that I don't know?" Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and "might i be taking better care Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of my human patient if I saw\Nthem as a human animal patient?" Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,here are a few examples of the kind\Nof exciting connections\N Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that this kind of thinking \Nhas led me to Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,fear induced heart fialure Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,around the year 2000, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,human cardiologists discovered\Nemotionally induced heart failure Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,it was described in a gambling father \Nwho had lost his life's savings Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,with the roll of a dice Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,in a bride who had \Nbeen left at the alter Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but it turns out that this \N"new human diagnosis" Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,was neither new, nor\Nwas it uniquely human Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,veteranarians had been diagnosing Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,treating, and even preventing emotinally Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,induced symptoms in animals Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,ranging from monkeys to flamingos Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to deer to rabits Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,since the 1970s Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,how many human lives might have been saved Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,if this veterinary knowledge had been Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,put into the hands of ER docs and cardiologists? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,self injury Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,some human patients harm themselves Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,some pluck out patches of hair Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,others actually cut themselves Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,some animal patients also harm themselves Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,there are birds that pluck out feathers Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,there are stallions that repetitively\Nbite their flanks till they bleed Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but veterinarians have very specific Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and very effective ways of treating and even preventing self injury Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,in their self injuring animals Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,shouldn't this veterinary knowledge be Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,put into the hands of psychotherapists Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and parents and patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,struggling with self injury Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,post pardem depression and post pardem psychosis Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,sometimes, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,soon after giving birth, some women Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,become depressed and sometimes Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,they become seriously depressed and sometimes Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,psychotic Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,they may neglect ehri newborn Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and in some extreme cases, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,even harm the child Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,Equine veteranarians also Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,know that a mare, soon \Nafter giving birth Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,will neglect the foul Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,refusing to nurture it Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and in some instances Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,kick the foul even to death. Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,But veterinarians have divised Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,an intervention to deal with Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,this foul rejection syndrom Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,that involves increasing oxytocin in the mare Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,oxytocin is the bonding hormone Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and this leads to renewed interest Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,on the part of the mare in her foul Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,shouldn't this information Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,be put into the hands of OBGYNs Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and family doctors and patients Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,who are struggling with post pardem depression Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and psychosis? Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,well despite all of this promise Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,unfortunately, the gulf between our fields Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,remains large Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to explain it, I'm afraid Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'm going to have to air \Nsome dirty laundry Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,some physicians can be \Nreal snobs Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,about doctors who are not MDs Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,I'm talking about dentists Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and optomitrists and psychologists Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,but maybe especially, animal doctors Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,of course, most physicians Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,don't realize that it's harder Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,to get into vet school these days Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,than medical school Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,and that when we go to medical school, Dialogue: 0,9:59:59.99,9:59:59.99,Default,,0000,0000,0000,,we learn