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Resilience Collecting | Amado Alejandro Baez | TEDxSantoDomingo


[Applause]
well this is intimidating a little red
dot your in the middle over a red dot
so I’m Alejandro Weiss I chose to do
this in English because I’m gonna be
talking about a topic that’s deeply
personal and I think it’s easier for me
to say it in English and say it in my
so the so Who am I I’m an emergency
medicine and trauma critical care doc I
am born and raised Dominican some people
say that I’m an academic month I’m born
and raised Dominican at age 24
I was the National chief of the Sasser
operations for the Red Cross here in the
Dominican Republic addressing the
aftermath of Hurricane George’s in 1999
I went to the US and I was blessed with
a lot of great opportunities I will in
2005 I became the first international
doctor to graduate from emergency
medicine at the Mayo Clinic for those
are not medical Mayo Clinic is the
number one Hospital in the US after Mayo
Clinic I went on to complete a trauma
critical care fellowship with the
Harvard system and then I stayed at the
Harvard system as faculty of the Harvard
Medical School and associate director of
emergency medical services of the
Brigham and Women’s Hospital in Boston
by the way at the expense of saying go
Red Sox because I now work in New York
[Laughter]
so I hope this gets a little edited
before I lose my job the so why why am I
here I’m an academic doc I’ve published
three books I have completed and polish
about a hundred different studies
none of which relate to the topic I’m
gonna be covering today so you can see
that this is clearly intimidating for me
and deeply personal they say that when
you’re in a position like this you have
to imagine everyone being naked I’m
afraid I’m not gonna do that because
some of you guys I really don’t want to
see you naked so here’s the thing Jose
he never told me Alejandro you need to
connect people need to know why talking
about resilience is important to you
people need to know that you’re doing
Marisa medicine you do trauma critical
care you’ve worked in disasters and then
he said this a couple of hours ago he
said Alejandro you absorb pain and and I
never heard that before well that’s kind
of what we do right and for the most
part you create a barrier you want to be
empathetic where you want to be
objective you want to be able to be a
good doctor but you also want to be able
to connect but not too much right
because every day we see a lot of bad
every day and that stuff gets to
you so let me fast forward after the
Harvard system I got a job here in the
Dominican Republic romanticizing about
coming back home in 2009 I came back
August of 2009 I came back and I was the
chair of emergency medicine critical
care at a major hospital here in Santo
Domingo in January of 2010 and seriously
I’m not making this up I was in Miami
doing a disaster management instructor
course January 12
of 2010 I had finished the course and I
was on a plane at the Miami
International Airport tarmac when my
blackberry
you know blackberries were in back then
started going crazy over an earthquake
not knowing if the urk earthquake was in
Santo Domingo or if it was in Haiti we
took flight and it was I can attest that
this is the longest this was the longest
one hour and 40 minutes of my life
we landed we took care of business
treated a lot of medevacs and then at
the request of the Dominican government
I deployed to him money on the dominican
Haiti border and I’ll be honest I wanted
to go back home it was either that or
curling into a corner sucking my thumb
and asking for my mommy and then one of
my mentors an imagined I’m a 250-pound
guy it was not gonna be nice
me asking for mommy while sucking my
thumb so in the framework of all this
one thought stuck and it was a concept
that my mentor dr. Chopra sanjeev chopra
told me I said Alejandro the softest
pillow is a clear conscience so by
seeing all the stuff that we saw and all
the damage and all the suffering how
could I go back so I put together my
team five of my teammates and colleagues
from Boston we operated a unit and
Institute called the operational
medicine Institute we gather a couple of
colleagues from the Harvard humanitarian
initiative and we did a lot of good we
open a field hospital in Himani called
it once a marathon oh we open a field
hospital on foam party scene on the
Haiti side at the love a child compound
and I didn’t think about it you know
there’s some pictures of this and at one
point I invited Mike Monroe and the
director of the Harvard humanitarian
initiative he took a tour brought his
own photographer from Harvard took a
bunch of pictures and a lot of people
celebrated the stuff that we did one of
the things that happened was a lot of
people took notice of the stuff that we
did in Haiti have you made it to the
Harvard School of Public Health catalog
I was a cover model for the Harvard
School of Public Health catalog pro-bono
and the best thing about that is that
when my cousin Clark who I had not
connected with in a couple decades maybe
he saw this he said look at my cousin
coming out of that helo like a rapper
like a badass rapper so that was really
cool and all but this is what happened
while organizations and governments and
NGOs were celebrating and rewarding
awarding us with recognition for the
question popped in my head and like
DiCaprio right in Inception let me go
back let’s see if we can go back can we
go back to the other like DiCaprio and
Inception they thought is like a virus
resilient and contagious and that
thought if God is all-powerful then is
he or she for the feminists truly all
loving how could Haiti happen if God is
all-powerful and truly all loving so the
thought kept perseverating kept going on
and on in my head and then all turned
black but trust me this wasn’t often on
so in a case of what I called bitter
irony while we were being celebrated for
the great work that we did in Haiti I
had a deep existential crisis
bear in mind he said a little something
a little something people don’t know
about me I grew up as a little preacher
boy I went 13 years to a Catholic school
but I was evangelical that was my big
secret Bible in hand under the arm my
mission was to convert those Catholics
into evangelicals and I succeeded I
converted my fifth grade teacher and
they took her out of teaching
so she became administrative so
apparently it worked
but keep in mind how can I have that
crisis right how can I ask is God
all-powerful and all-loving at the same
time with all my convictions that I had
deeply rooted in decades so needless to
say it was difficult slow and painful it
so I looked at that picture let’s see if
we can go back I don’t seem to be
controlling this thing so I looked at
that picture and it was random I was
browsing the wave and that’s a
photographer that we took from the
Harvard system and I remember that guy
he lived in our camp in full policy in
Haiti and I saw a picture and I thought
to myself look at this guy no clothes no
home no family no leg
and there he is waking up every day with
hope so immediately what happened to me
is that bad concept that picture that I
saw online and part of if I if I curse
they say I should say the research says
that those of us that curse we are more
transparent and honest so that’s that’s
the justification for the censorship
there so that one concept of that one
thought resilient viral perseverating
shifted into this one there is a God the
universe is his body and God is in all
of us so by grabbing my roots and
turning one concept one thought into
another one I was able to move forward
push forward today I’m the chief of
emergency medicine at one of the busiest
trauma centers adherence to the forum is
in New York City today I can stand here
and talk about deeply personal in
English deeply deeply deeply personal
but not in my native tongue issues right
so that concert was almost like a scene
from The Godfather how many of you guys
like Godfather movies so Godfather 3
wasn’t really Mario Puzo right but I
still like Godfather 3 that scene where
the Cardinal who was later to become the
Pope who was later to be assassinated is
at the Vatican with Michael Corleone II
and he looks at this fountain
and says Michael this fountain is Rome
the water is Christ this rock is you or
the people of Rome pulls up the rock
breaks it in half and says look at it
it’s dry inside so that was for me that
worked for me I’m not gonna talk about
religion though so I’m gonna talk about
a few other things so here’s the thing
this connector be disconnected Freddie
he never when when we were growing some
ideas in terms of what to do here
he said Alejandro this is a great topic
but you need to put a little bit of
science and data so this is my effort to
put a little bit of science and data by
the way that I say I’m a geek I’m a geek
I am an absolute geek so this is my
attempt at science resilience plasticity
stoicism great these are all concepts
that I think are somewhat related right
they talk about resilience you talk
about strength they talk about emotional
strength so let’s go to the neuro basis
of this so these are brain scans these
are PET scans of the brain functional
scans recent studies show that in post
traumatic stress your brain changes it
doesn’t change just functionally it
changed it changes structurally you
actually have different anatomical areas
of the brain compared to normal brains
you have the basal ganglia that looks
different you have receptors for
neurotransmitters that specifically in
blue are five which are receptors that
work with the neurotransmitter called
glutamine you have more of those
interestingly glutamine and specifically
the M blue are five receptors associated
obsessive-compulsive disorder and
learning are you guys connecting some of
these thoughts a thought being viral
being resilient obsessively / separated
in a brain there’s actually
physiological data that explains why
so here’s the thing neuroplasticity what
is new for the plasticity it’s the
ability of the brain to actually adapt
and change functionally and even
structurally and one of things that we
know about neuroplasticity is that
learning and repetitive learning creates
that so my thought is this if bad
changes your brain right then the
question is does good also change
your brain right makes sense
repetition for separating thoughts is
this the anti OCD is this like a good
kind of OCD and guess what some really
smart Doc’s at the University of
Michigan looked at this they looked at
PTSD vets and their brains and they
started doing mindfulness right
mindfulness very fancy term meditation
praying same thing thinking learning and
they found that being mindful meditating
actually changes your brain functionally
with data with pictures like this one
there’s actually a lot of research that
says that not only changes the way you
process thoughts but it also changes the
way your brain looks great matter white
matter so it does work so I’m gonna talk
a little bit about a concept that I call
resilience collecting the by the way to
Don Freddy he never I got this concept
out of something that he told me a few
years ago he told me I collect friends
and I thought to myself with friends you
collect stories and thoughts and you
learn from each other so the question is
can we be better can we get stronger by
sharing stories of resilience and
learning how people dealt with during
difficult times so this is by the way I
gotta apologize to all my research
mentors this is a sad
attempt at doing research so I thought
you know Frannie wanted data something
like I’m gonna get this great date I’m
gonna ask three questions I’m gonna ask
people whether whether external life
events affect them I’m gonna ask people
whether they actually use external life
events inside to actually be better or
get stronger and ultimately the geeky me
went a little west world and as a
question have certain life events make
you question the nature of your reality
and what I got is this I put a poll
three questions on Facebook about five
people answered out of thousands I put
it on Twitter I said well Facebook is
open right so if you answer people are
gonna know what you answered up so I’m
gonna put it on Twitter six people
answered one question eight and then
twelve another so my conclusion out of
that is people really don’t want to talk
about this people prefer to talk about
corruption and crime and adultery and
insects and whatnot but they don’t want
to talk about mental health so that kind
of created an issue right if talking and
learning and listening and passing and
disconnecting is what you need to
understand and get better then how come
people are not talking about this how
come people don’t want to talk about
this so one of the things that I do I’m
the national chair in the u.s. of what
we call tactical and police medicine so
I chair a committee that gathers docs
that work with Security Agency’s police
departments and every year something I
do is that I get a doctor that was
exposed experienced and worked at a
major tragic event I get them to show up
at our meeting and share some thoughts
so a lot of people talk about resilience
in cases and this is Ross Berkeley SWAT
physician for Las Vegas he responded to
the Vegas murders the thing that stuck
the most with Ross is that he said
Alejandro I was awake for 36 hours and
the following day I had to work as if
nothing
happened because life had to go back to
life as usual so a few things that are
highlight he describes as being part of
an unfortunate growing fraternity of
mass shooting the mass shooting club he
talks about things that he did was talk
learn to listen connecting and he said
that the more he talked the more he
listened the better he got my friend ali
raja ali raja and i worked together we
actually shared an office when I was in
Boston great guy
he had to respond to the Boston Marathon
bombing not only that he was at the
Brigham and Women’s Hospital
when dr. Davidson a cardiovascular
surgeon got shot and killed by the son
of a patient so I asked Ali the same
question how did you keep moving forward
he says well at the time it’s all about
running scenarios in your head preparing
for the worst so in a way this is like
mental simulation right this is like
simulating if something happens you go
run it through your brain and then you
come up with the answers as to what you
would do and he also talked about
talking and listening and said that that
worked the other person that I talked to
was Jeff Metzger from Dallas Police he’s
a medical director for Dallas Dallas
police and he said the same he said
initial there was a little maybe
resistant to talking certainly didn’t
talk to my family family wouldn’t
understand
what he talked to colleagues and police
officers and and talking helped him
listening helped him understanding what
others were feeling helped him so this
is a concept that a really really smart
friend of mine came up with when I was
presenting this concept basically the
notion of is this herd immunity by the
way I have two political statements to
use and I failed to do that on the
original one Haiti and the Dominican
Dominican Republic was the first country
and after the Haiti earthquake and 2017
was still there 2017 were still there so
be fair herd immunity this is my
anti-vaxxers statement cut the
or dying but let’s not talk about
vaccinations and talk about emotional
immunity herd immunity says that the
more people who get vaccinated the
better they do even the ones that don’t
get vaccinated because you’re not
transmitting disease so the concept here
is by sharing stories by resilience
collecting do we all get better do we
all get stronger by listening by
disconnecting in a world that’s not
thinking fast and thinking slow we’re
actually thinking ultra fast we need to
do this I love that guy so wish I had
time to tell my Obama’s story but we are
the change that we seek change is inside
all of us so this is a little something
I wish it would look better it it just
came to my came to me that I was
preparing this talk using TED Talks so I
was preparing to do a TED talk using TED
Talks and learning what other people
were doing and learning about resilience
in other folks and other brains in other
places and it came to me that this it’s
almost like an Escher painting we’re
learning to be stronger by listening to
others and we’re sharing that knowledge
someone’s like the hand painting the
hand or the hand fixing the hand so this
is my conclusion you have to take a
pause you have to disconnect life is
full of bitter trials and I believe they
are purposefully and perhaps
intelligently designed to make you
stronger but you need to take a pause
you need to listen you need to learn
from what other people have experienced
so you can be stronger and you can be
better so thank you very much I’m already over time but thank you so much
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