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And, if that wasn't bad enough, of course,
如果這還不算太糟糕的話，當然
all of this is rapidly progressing towards the fact that
我們很快可以看到另一個數據
many of you, in fact, about one in 10 of you at this point,
很多人，事實上，大約10個人當中就有1個
will die in intensive care.
會死在ICU中。
In the U.S., it's one in five.
而在美國，這個數字是每5個人當中有1個。
In Miami, it's three out of five people die in intensive care.
在邁阿密，這個數字是每5個人當中有3個。
So this is the sort of momentum
這就是我們目前所看到的
that we've got at the moment.
發展勢頭。
The reason why this is all happening is due to this,
事情會變成這個樣子主要是因為這個。
and I do have to take you through what this is about.
而我要帶領大家去一起探討一下其原因。
These are the four ways to go.
21世紀主要有四種死亡形式。
So one of these will happen to all of us.
我們所有人都會以其中的一種形式死去。
The ones you may know most about are the ones
人們最熟知的死亡方式
that are becoming increasingly of historical interest:
也是越來越引起我們關注的一種死亡方式
sudden death.
猝死。
It's quite likely in an audience this size
在我們這樣的觀眾群中，
this won't happen to anybody here.
可能不會有這種死亡。
Sudden death has become very rare.
猝死現在已經很少見了。
The death of Little Nell and Cordelia and all that sort of stuff
像Little Nell或Condelia那樣猝死的案例
just doesn't happen anymore.
現在已經很少了。
The dying process of those with terminal illness
現在因為患絕癥而死亡的病人
that we've just seen
正如我們剛才看到的一樣，
occurs to younger people.
在年輕人中的發病率越來越高了。
By the time you've reached 80, this is unlikely to happen to you.
到你80歲，這也不可能發生在你身上。
Only one in 10 people who are over 80 will die of cancer.
現在80歲年齡層中只有10%的人死于癌癥。
The big growth industry are these.
而造成死亡最多的因素主要在以下幾個方面。
What you die of is increasing organ failure,
越來越多的人死于器官功能衰竭
with your respiratory, cardiac, renal,
如呼吸和心、腎功能衰竭等等。
whatever organs packing up. Each of these
不管以上那個器官出了問題
would be an admission to an acute care hospital,
病人都要緊急送院治療，
at the end of which, or at some point during which,
到最后，或者在治療過程中的某一時間上
somebody says, enough is enough, and we stop.
直到有人對我們說不用治了，我們才放棄。
And this one's the biggest growth industry of all,
這是我們見得最多的案例，
and at least six out of 10 of the people in this room
每10個在這里聽演講的人中就會有6個
will die in this form, which is
將會以這種方式結束我們的一生，
the dwindling of capacity
這是因為功能的缺失
with increasing frailty,
造成的生命的脆弱，
and frailty's an inevitable part of aging,
而脆弱是老齡化不可避免的進程，
and increasing frailty is in fact the main thing
而脆弱事實上就是
that people die of now,
現代人死亡的主要原因，
and the last few years, or the last year of your life
你生命的最后一年或幾年時間
is spent with a great deal of disability, unfortunately.
你都會在能力缺失中度過，這太不幸了。
Enjoying it so far?
你們還承受得住么？
Sorry, I just feel such a, I feel such a Cassandra here.
對不起，我怎么成了一個卡珊德拉式的預言家了呢。
What can I say that's positive? What's positive is
但積極的一面是
that this is happening at very great age, now.
這只發生在老年人當中。
We are all, most of us, living to reach this point.
我們大家也都會經歷這一時期的。
You know, historically, we didn't do that.
要知道，以住要活到這么長的人不多的。
This is what happens to you
這種死亡方式
when you live to be a great age,
只會發生在那些高齡人身上，
and unfortunately, increasing longevity does mean
不幸的是，壽命的延長
more old age, not more youth.
延長的不是青春，而是老年的時光。
I'm sorry to say that.
很遺憾這樣說。
What we did, anyway, look, what we did,
不管怎么說，我們所做的
we didn't just take this lying down
我們并不僅僅指那些
at John Hunter Hospital and elsewhere.
在John Hunter醫院逝去的人或在其它地方死去的人。
We've started a whole series of projects
我們已經開始一系列的項目
to try and look about whether we could, in fact, involve
嘗試去了解我們能否讓更多的人
people much more in the way that things happen to them.
參與到那些可能發生到他們身上去的事。
But we realized, of course, that we are dealing
然而，我們當然意識到
with cultural issues,
我們要應對一些文化層面的問題，
and this is, I love this Klimt painting,
我喜歡這張克里姆特的畫，
because the more you look at it, the more you kind of get
這是因為，你越看它，
the whole issue that's going on here,
你越能了解發生在這里的一切，
which is clearly the separation of death from the living,
而這明顯是一種死與生，
and the fear.Like, if you actually look,
和恐懼的分隔。比如說，如果你仔細看的話，
there's one woman there
你會發現有個女人
who has her eyes open.
她的眼睛是睜著的。
She's the one he's looking at,
他在看著她，
and she's the one he's coming for. Can you see that?
他就是沖著她來的。你們看到了嗎？
She looks terrified.
她看起來很驚恐。
It's an amazing picture.
這是一幅很不錯的畫。
Anyway, we had a major cultural issue.
另外，我們還有一個主要的文化層面的問題。
