业内顶级眼科医生分享护眼知识、眼袋黑眼圈成因

发布于 2026-10-22 · 时长 1:42:38

字幕摘录

时间	英文	中文
0:00	There's a lot of misconceptions around how we get bags under our eyes.	有很多误解我们如何得到袋在我们的眼睛。
0:02	I always assume it's that stress that they haven't been sleeping.	我总是认为他们一直没睡
0:05	So I did research to look into this, and a lot of people don't know this, but it's actually...	所以我做了研究调查这件事, 很多人不知道这一点, 但实际上...
0:11	So if I never want to get bags under my eyes again, what is the natural, easy solution?	所以,如果我再也不想得到袋在我的眼里, 什么是自然的,简单的解决方案?
0:15	Try this.	试试这个
0:16	Dr. Joseph Allen is the board-certified eye doctor...	约瑟夫博士艾伦是董事会认证的眼科医生...
0:19	...helping millions of people understand eye health and unlocking the secrets behind achieving sharper and healthier vision.	...帮助数百万人理解眼睛健康解开背后的秘密实现更清晰更健康的愿景
0:24	I really want to talk to you about so many misconceptions, because I don't know what's true.	我真的想和你谈谈这么多的误解, 因为我不知道什么是真的。
0:28	Sure.	当然
0:29	Okay, so my vision loss being inevitable, is that true?	好吧,所以我的视力丧失是不可避免的,这是真的吗?

展开字幕全文（1639 条）

序号	英文	中文
1	There's a lot of misconceptions around how we get bags under our eyes.	有很多误解我们如何得到袋在我们的眼睛。
2	I always assume it's that stress that they haven't been sleeping.	我总是认为他们一直没睡
3	So I did research to look into this, and a lot of people don't know this, but it's actually...	所以我做了研究调查这件事, 很多人不知道这一点, 但实际上...
4	So if I never want to get bags under my eyes again, what is the natural, easy solution?	所以,如果我再也不想得到袋在我的眼里, 什么是自然的,简单的解决方案?
5	Try this.	试试这个
6	Dr. Joseph Allen is the board-certified eye doctor...	约瑟夫博士艾伦是董事会认证的眼科医生...
7	...helping millions of people understand eye health and unlocking the secrets behind achieving sharper and healthier vision.	...帮助数百万人理解眼睛健康解开背后的秘密实现更清晰更健康的愿景
8	I really want to talk to you about so many misconceptions, because I don't know what's true.	我真的想和你谈谈这么多的误解, 因为我不知道什么是真的。
9	Sure.	当然
10	Okay, so my vision loss being inevitable, is that true?	好吧,所以我的视力丧失是不可避免的,这是真的吗?
11	Unfortunately, there are changes that occur with age that will change your eyesight and vision.	不幸的是,随着年龄的变化将会改变你的视力和视力
12	But there's a lot of things that can help prevent and slow down progression, and we'll go into them.	但有很多东西可以帮助阻止和减缓进展,我们会进入它们.
13	And then every once in a while, my eyelid starts twitching.	然后偶尔我的眼皮会开始抽搐
14	What is that?	这是什么?
15	Eyelid myokymia.	眼皮肌动脉.
16	So that is your threshold of your stress.	这就是你压力的门槛
17	You get more sleep and stop drinking so much caffeine.	你多睡一会喝这么多咖啡因
18	What about blue light?	那蓝光呢?
19	Is that harmful?	有害吗?
20	The blue light that comes from your digital screens has consistently shown in research to not increase the risk of aging eye diseases.	你的数字屏幕发出的蓝光在研究中一直显示眼睛老化的风险不会增加
21	And research on using blue light glasses shows that it could just be placebo effect.	而使用蓝光眼镜的研究表明它可能只是安慰剂效应.
22	But if you're worried about how blue light's affecting you, just moving your phone back twice as far will decrease your blue light exposure by 75%.	但是如果你担心蓝光如何影响你, 仅仅移动你的手机的两倍远,会降低你的蓝光曝光率75%。
23	And more people are starting to care about their eye health than ever before.	越来越多的人开始关心自己的眼睛健康, 比以往任何时候。
24	But is our eye health getting better or worse?	但我们的眼睛健康是好还是坏?
25	Worse.	更惨
26	For example, right now about 30% of the world's population is near sighted.	例如,目前世界人口的30%是近视的。
27	But by about 2050, we will have about 50% of you near sighted because of our lifestyle.	但到2050年左右,我们将会有大约50%的你们因为我们的生活方式而近视。
28	So how much screen time being indoors reading books up close is okay?	所以,有多少屏幕时间在室内近距离阅读书籍是好吗?
29	It depends on age.	这取决于年龄。
30	So question, if you could sit at a table with any four guests from the Dyer of a CEO, who would you choose?	那么,问,如果你可以坐在一个桌子上与任何四个客人从Dyer的首席执行官, 你会选择谁?
31	Here's a challenge for the entire Dyer of a CEO community.	这里有一个挑战一个CEO社区的整个戴尔。
32	If we hit 10 million subscribers by the end of 2024, you will get to pick four guests for your dream conversation and you can make it weird or you can make it wonderful.	如果到2024年底我们有1000万订户,你就可以挑选四位客人来做你的梦幻对话,你可以让它变得怪异,也可以让它变得美妙.
33	And here is the best part.	这是最好的部分。
34	3,000 of you that subscribe will be invited to join this conversation live in person and for free.	3000名订户将应邀亲自免费参加这次对话。
35	Subscribe now and let's make this happen together.	现在订户,我们一起办
36	Who are you?	你是谁?
37	What you do?	你们做什么的?
38	And I think most importantly of all, why is it so important that you do it?	我认为最重要的是,为什么你这样做如此重要?
39	I am a doctor of optometry.	我是光度学的医生
40	I am a fellow of the American Academy of Optometry and I'm a diplomat of the American Board of Optometry.	我是美国光电学研究院的研究员也是美国光电学委员会的外交官
41	So I practice eye care here in the US and I see patients for all sorts of eye conditions, whether that be diagnosing, managing, anything from vision problems simply is like nearsightedness or a stigmatism to fitting contact lenses,	所以我在美国做眼科护理并且我看到病人各种各样的眼状况, 无论是诊断,管理, 任何从视觉问题只是像近视或污名化安装隐形眼镜,
42	to diagnosing different diseases in the back of the eye and then prescribing medications or therapy to try and prevent that from getting worse or to help treat it.	诊断眼后部的不同疾病,然后开药或治疗,试图防止病情恶化或帮助治疗。
43	On top of all of this, I also host on various social media channels an educational website about helping people learn about the eyes, their vision and finding the best vision products.	除了这些之外,我还在各种社交媒体上主持一个教育网站,介绍如何帮助人们了解眼睛、他们的愿景和寻找最佳的愿景产品。
44	And that really falls back to my mission of just helping people see their very best today, but also keeping them see their best tomorrow.	这真的要回到我的使命, 就是帮助人们看到今天的最好, 同时也让他们看到明天的最好。
45	And when you think about where we are as humans, as it relates to our eye health, like what's the macro picture?	当你想到我们作为人类所处的位置, 它关系到我们的眼睛健康, 就像宏观的画面?
46	Like what's going on?	喜欢发生了什么事?
47	I don't know whether it's just because I'm getting older, but I'm wondering if more people are starting to care about their eye health than ever before.	我不知道这是否只是因为我变老了,但我想知道是否有更多的人开始关心自己的眼睛健康,这比以往任何时候都重要.
48	And if they are, why?	如果是,为什么?
49	And is our eye health getting better or worse?	我们眼睛的健康状况是好还是坏?
50	I want to say that I think people generally are being more interested in eyes and vision.	我想说的是,我认为人们一般对眼睛和视觉更感兴趣.
51	Unfortunately, part of that is probably because they're noticing more problems.	不幸的是,其中一部分可能因为他们注意到更多的问题。
52	People are starting to notice dysfunctions or more problems with their eye strain.	人们开始注意到功能障碍或更多的问题他们的眼睛紧张。
53	They're noticing more problems with dry eye.	他们注意到更多的问题与干眼。
54	Children are starting to become nearsighted faster and to greater degrees.	儿童开始更快、更深入地近视。
55	And because of those factors, we're also seeing a lot more eye health conditions in the back of the eye that also is reflected with other metabolic diseases like diabetes.	由于这些因素,我们也看到眼后部的眼部健康状况也与糖尿病等其他新陈代谢疾病相呼应。
56	Significantly causes damage and leads to potential blindness inside the eye.	严重地造成损伤并导致眼睛内的潜在失明.
57	So there's a lot of factors to it.	故因缘多.
58	What's changing?	有什么变化?
59	You know, you referred to some of the situations there as becoming more or worse, etc.	你知道,你提到一些情况在那里变得或多或少,等等。
60	That would suggest that there's something environmental or within our lifestyle that's having an impact on that.	这表明我们的生活环境或生活方式中有一些东西会对此产生影响。
61	So again, there's many factors that go into it.	因此,其中有许多因素。
62	Certainly just having an aging population, our population, a lot of people are starting to move into older age groups.	当然,人口老化了,我们的人口,很多人开始进入老年组。
63	We also have aftermath of poor diet.	我们也有不良饮食的后果。
64	A lot of people with diabetes, high blood pressure and other conditions that cause ripple effects down the road.	很多人患有糖尿病,高血压和其他导致沿途波及效应的疾病.
65	And then our society has changed, especially in the form of lifestyle, beyond diet, also what we do throughout the day.	然后,我们的社会发生了变化, 特别是在生活方式方面, 超越了饮食, 也改变了我们日常的工作。
66	How much time do we spend on devices up close?	我们花了多少时间在设备上接近?
67	How much of our society is focused on education?	我们社会有多少人关注教育?
68	And how much time do we spend indoors?	我们有多少时间在室内?
69	All of these things are pushing us to, as a society, to have different changes within the eye and increase our risk for diseases and	所有这些事情都促使我们作为一个社会,在眼中进行不同的改变,增加我们疾病和疾病的风险。
70	potential vision loss.	潜在的视力损失。
71	Why does it matter?	这有什么关系?
72	You know, I ask that question because I think for people to spend time listening to all the education you give out,	你知道,我问这个问题因为我想人们花时间听你提供的所有教育,
73	they first have to really believe that their eyes matter.	他们首先必须真正相信他们的眼睛很重要。
74	And I know this sounds like a bit of a crazy question because we all can understand that seeing things is useful.	我知道这听起来像一个有点疯狂的问题,因为我们都能理解看到的东西是有用的。
75	But sometimes in life, I think we don't appreciate things until we lose them.	但有时在生活中,我觉得我们不欣赏事物直到失去它们.
76	I think in your line of work, you must see that more than ever.	我认为在你的工作里,你必须比以往更清楚地看到这一点。
77	No pun intended.	没有双关语的意思。
78	Right.	对
79	No, you're absolutely correct.	不,你绝对是对的。
80	And it's so frustrating as an eye care provider of how many patients or how many people just come in because they finally notice	和它是如此令人沮丧,作为一个眼护理提供者多少病人或多少人刚刚进来因为他们终于注意到
81	something's wrong.	有点不对劲
82	And usually by the time something's wrong, they notice it, it's already too late.	通常,当事情出问题的时候, 他们注意到了,已经太晚了。
83	And so one of the best things I can recommend for anybody is to, whether you think you have a problem with your vision,	所以,最好的一件事我可以向任何人推荐是,如果你认为你有一个问题你的愿景,
84	because a lot of people are like, I see great.	因为很多人都喜欢,我看到了伟大的。
85	I see fine.	我看见了
86	I don't need to see an eye doctor.	我不需要看眼科医生
87	It's like, no, you absolutely need to.	这就像,不,你绝对需要。
88	There are so many different, not only just problems with your eyesight that we can catch,	有这么多不同的, 不只是你的视力问题我们可以赶上,
89	but there's so many, there's over 270 different conditions, systemic and vision conditions,	但有很多, 270多个不同的条件, 系统和视觉条件,
90	that an eye doctor can diagnose from just one of the simplest non-invasive medical evaluations.	眼科医生只能从最简单的非侵入性医学评估中诊断
91	And that's just getting an eye exam every year.	而这只是每年的眼科检查。
92	Give me some examples of conditions you've spotted by doing an eye exam.	给我一些你通过眼科检查发现的情况的例子
93	So patients who don't know they're diabetic will catch diabetes by looking inside the eye because diabetes will cause damage to the blood vessels.	所以不知道自己有糖尿病的病人会通过眼睛内视而感染糖尿病,因为糖尿病会对血管造成损害.
94	And we can see bleeding happening in the retinal tissue.	我们可以看到视网膜组织中出现出血。
95	We can see high blood pressure, high cholesterol.	可见高血压,高胆固醇.
96	I've had patients where I've caught that they've technically had little strokes already inside,	我曾经有病人在那里我发现, 他们技术上已经做了小中风已经在里面,
97	because just looking inside the eye, the eye itself can have a stroke.	因为只要看着眼睛,眼睛本身就可以中风.
98	We can see cholesterol plaques stuck in the arteries within the eye.	可以看到胆固醇板卡在眼内的动脉中.
99	Autoimmune conditions, we'll catch those from doing an eye exam.	自动免疫条件,我们会抓住那些通过眼科检查。
100	Unfortunately, things like brain tumors and conditions like multiple sclerosis will catch those.	不幸的是,像脑瘤和多发性硬化症之类的病症会感染这些疾病。
101	I've, I had a, one story I'll share.	我有一个故事要分享
102	I have one patient who was, she was young.	我有一个病人她当时很年轻
103	She was 20 years old, college student.	她当时20岁,大学生.
104	She came in for just getting new glasses, contact lenses.	她进来是为了买新眼镜隐形眼镜
105	She has to go to school, she has to see well.	她必须去上学,她必须看清楚。
106	And during that very routine exam, she has no other problems.	在例行考试期间她没有其他问题
107	I'm looking inside the eye and I can see a hemorrhage, a blood spot.	我看着眼睛里,我可以看到出血,一个血点。
108	But there's different types of hemorrhaging that occurs in the back of the eye.	但眼后出现不同种类的出血.
109	This specific type of hemorrhage is called a Roth spot.	这种特定的出血类型被称为罗斯斑点.
110	And typically we only see Roth spots if somebody has a more serious condition going on.	通常我们只看到罗斯斑点如果有人有更严重的情况发生。
111	Can you show me on that, where you saw it, sorry.	你能给我看看吗?
112	So.	所以说 So.
113	So we, for people that aren't watching and just listening on audio, we have a model of an eye here.	所以,对于那些不看和不听音频的人来说, 我们有一个眼睛模型。
114	So with the model of the eyeball, during the exam we of course look through the cornea,	所以用眼球的模型, 在测试期间,我们当然看角膜,
115	through the pupil, usually we dilate the pupils.	通过学生,通常我们扩大学生。
116	If I was to open up the inside of the eye, the orange part that you see here, that's the retinal tissue.	如果我打开眼睛的内脏, 你在这里看到的橙色部分, 那就是视网膜组织。
117	And you can see the little red lines, those are blood vessels.	你可以看到小红线, 那些是血管。
118	The retina is really, the eyeball is kind of beautiful because it has a dual blood supply.	视网膜真的,眼球有点美丽,因为它有双重血液供应.
119	So it actually has blood that comes through the back and supplies the retina from the backside.	因此它实际上有血液从背部流出,从背面供给视网膜.
120	But then it has blood vessels that go within the retina and supply nutrients within the retina from the front side.	但随后它有血管在视网膜内,并从前侧的视网膜内提供营养.
121	So this type of bleeding spot was occurring just right here in the back of the eye,	所以这种出血的斑点发生在眼睛后面
122	a little bit off angle, but it was occurring there.	角度有点偏差,但发生在那里。
123	And I was like, this should not be there.	我当时想,这不应该在那里。
124	Especially for somebody that was healthy, had no other issues.	特别是对于一个健康的人来说没有其他问题
125	What sort of age?	什么样的年龄?
126	She was 20 year old female college student.	她当时是20岁的女大学生.
127	And usually again we see Roth spots in more serious conditions, whether somebody is extremely diabetic or they have HIV.	通常我们再次看到罗斯的斑点在更严重的条件下, 无论某人是极度糖尿病还是他们有艾滋病毒。
128	Something is going on.	有事发生
129	So I said, this is not right.	所以我说,这不对。
130	We need to do blood work.	我们得做血检
131	So I ended up referring her, basically requested a blood panel and she didn't have like a family doctor.	于是我转诊她, 基本上要求一个血面板她没有像一个家庭医生。
132	So I'm like, OK, we need to refer you.	所以我想,好吧,我们需要你。
133	But she's heading out to college.	但是她要上大学了
134	So I'm like, I'm going to give you my full report.	所以我想,我要给你我的完整报告。
135	I need you to go get this done.	我需要你去完成这个。
136	And then COVID happened.	后来COVID也发生了.
137	So I didn't hear anything.	所以我什么也没听到
138	And so finally, a few weeks later, they finally allowed doctors to go back into clinics for emergency care.	最后,几周后,他们终于允许医生回到诊所接受急诊。
139	In case I had an emergency.	以防我出现紧急情况
140	And I called up that patient.	我打电话给那个病人。
141	I'm like, I just want to check on her, see, hey, what's going on?	我只是想看看她,看,嘿,发生了什么事?
142	Did you ever get that blood work?	你做过血液检查吗?
143	And she's like, you saved my life.	她喜欢,你救了我的命。
144	And I was like, what?	我当时想,什么?
145	She's like, yeah, a few days later, I started feeling really tired and not feeling well.	她喜欢,是的,几天后, 我开始觉得真的累了,不觉得好。
146	So I went into the doctor and I brought your report.	于是我去找医生把你的报告带来了
147	They did blood work.	他们做血检
148	They found out I had they put her in intensive care unit for three days because they were worried she was going to bleed out.	他们发现我把她关进重症监护室三天因为他们担心她会流血
149	Her platelets were so low that she could have just bled there from doing the blood work.	她的血小板太低了她本可以从血液中流出血来
150	She had an immunothrombocytopenic purpura.	她有一个免疫栓塞细胞开关purura。
151	So her immune system, because probably a virus, but her immune system was attacking her platelets.	所以她的免疫系统因为可能是病毒但是她的免疫系统正在攻击她的血小板
152	Platelets are the thing that sort of clogs the blood, right?	板子是那种堵住血液的东西,对不对?
153	Correct.	没错
154	And that ended up manifesting in the eye.	这最终表现在眼睛里。
155	So it was one of the few cases where I was like, wow.	所以这是少数我喜欢的情况之一,哇。
156	Otherwise, if she hadn't come in, what could have happened?	否则,如果她没有进来,会发生什么事?
157	So I just use that as a good demonstration because there are so many things that we catch on even a daily, weekly basis.	所以,我用它来做一个很好的演示, 因为有许多东西,我们每天,每周都能捕捉到。
158	There's so many misconceptions around vision in the eye.	眼中围绕视觉的误解很多.
159	I think one of the misconceptions I think I found myself living under is that my vision loss is inevitable, really irrespective of what I do.	我认为我发现自己生活在其中的一个误解是,我的视力丧失是不可避免的,而不管我做什么。
160	And the minute you start to believe that story, then it kind of disempowers you.	一旦你开始相信这个故事, 就会失去你的能力。
161	But it takes away your motivation to do anything about your vision.	但是,这占用了你的动机做任何关于你的视觉。
162	Now, is that true?	是真的吗?
163	There is changes that occur with age that will change your eyesight and vision.	年龄的变化会改变你的视力和视力
164	Some just fundamental facts that you don't really have supreme control over.	一些根本的事实,你并不真正控制。
165	It's like your hair growing gray.	就像你的头发变灰了
166	It's going to happen.	将至.
167	It's kind of accepted.	这是一种接受。
168	With older age, you're going to have gray hair.	年纪越大,头发就会变灰
169	With the eye, there's conditions like that, like cataracts, age-related cataracts, eventually will develop.	用眼睛,有这样的条件,比如白内障,与年龄有关的白内障,最终会发展.
170	Press biopia, that's the condition where people are in their 40s and early 50s.	按Biopia,这就是人们在40岁和50年代初的状况.
171	They start having a hard time seeing up close and they have to push things further back and they start wearing bifocals or verifocals.	他们开始很难近距离看他们必须把事情往后推然后他们开始穿双簧管或病毒
172	So those sort of conditions inevitably do happen.	所以这些条件是不可避免的。
173	But there are, thankfully, a lot of things in our lifestyle that research is paying more attention to that can help prevent,	但幸运的是,我们生活方式中有很多东西研究更加关注这些可以帮助预防,
174	hopefully prevent and even slow down the progression of more devastating blinding eye diseases.	希望能预防甚至减缓更具有破坏性的眼疾的蔓延。
175	So there are things you can do and be aware of and happy to go into that.	所以有一些事情你可以做, 并意识到和高兴去。
176	So global eye health and the statistics, one of the really sort of shocking stats I read is that most of us are going to develop neocitedness when you go into sort of 2050, 2060.	因此,全球眼科健康和统计, 我读到的一个真正令人震惊的数据是, 当我们进入2050年,2060年的时候,我们大多数人会发展出新刺激。
177	Is that true?	是吗?
178	What are the stats around that?	这里面有什么数据?
179	So a publication came out in 2016, an ophthalmology author of Holden.	于是2016年出版,霍顿的眼科作者.
180	They looked at the statistics of myopia or neocidedness.	他们研究了近视或新死症的统计数据.
181	Even going further back, we've known that neocidedness does, is progressing.	即使在更远的回溯,我们都知道新死是,正在进步。
182	And now between around 20th, it's estimated that right now, about 30% of the world's population is neocided.	而现在大约在20日之间, 据估计,现在, 约30%的世界人口是新杀的。
183	But by about 2050, we will have about 50% of the entire world's population being neocided.	但是,到2050年,我们将有全世界50%的人口被新杀。
184	In the US right now, for kids aged 5 to 19, they were already about 42%.	现在在美国,对于5到19岁的孩子来说,他们已经占了42%左右.
185	And by 2030, so in just a few years, it's expected in the US will be about that 50% mark.	到2030年,所以在短短几年内,美国预计会达到50%左右。
186	And then other parts of the world like East Asia, like in Japan, it's closer to 80 to 90% people are already neocided.	然后,世界其他地方,如东亚,如日本, 接近80%到90%的人已经被新杀。
187	Really?	真的吗?
188	How come?	为什么?
189	There's certainly genetics plays a role.	肯定有遗传学的作用.
190	As more research has come out, we know that genetics maybe only plays maybe up to about 30% of the factor.	随着更多研究的出现, 我们知道遗传学可能只发挥大约30%的因素。
191	So if your parents are neocided or if somebody's severely neocided, like if your mom's severely neocided, you are a much higher risk of developing it.	所以如果你的父母是新杀的或者有人是严重杀的就像你妈妈是严重杀的一样
192	But the key other factors of lifestyle falls down to urbanization, really the fact that if you go outside in a big city that has streets really close to each other, you're not really an open field, right?	但生活方式的其他关键因素归根结底是城市化, 真正的事实是,如果你出去在一个大城市有街道真正接近对方,
193	You have big tall buildings right next to you.	你旁边有高大的建筑
194	And then you go inside and you're inside of a smaller building, a smaller apartment.	然后你进去,你进入一个小楼,一个小公寓。
195	Then there's the fact that we spend so much emphasis in our society on education, on being up close beings, right?	然后我们社会上就把重心放在教育上放在亲近的人身上,对吧?
196	Kids now are not only pushed to excel in education and being introduced to education earlier and to spend more time studying and learning, but parents are giving their kids digital devices as the babysitter 2.0, right?	现在孩子们不仅被推向在教育方面表现优异,被更早地教育教育,并花费更多的时间学习和学习,父母还给孩子数字设备作为保姆2.0,对吧?
197	So kids are staring at tablets even from a very young age.	孩子们从小就盯着牌匾看
198	And then it's the amount of time we're spending indoors.	然后是我们花在室内的时间。
199	It's interesting because I don't even think most people realize that the way we live our lives, the things we stare at being indoors can change the eye.	这很有趣,因为我甚至不认为大多数人意识到我们的生活方式, 我们盯着室内的东西可以改变眼睛。
200	I think we all kind of operate under this assumption that our eyes are just our eyes.	我认为我们都是在这样的假设下行动我们的眼睛只是我们的眼睛。
201	And we think of muscles as being trainable and exercisable.	我们认为肌肉是可训练的和可执行的。
202	You know, I can go to the gym, I lift a weight, my muscle changes.	我可以去健身房,举重,肌肉会变
203	But my eye changing is something that I think is quite a surprising concept to most people.	但我认为,我改变眼睛对大多数人来说是一个令人惊讶的概念。
204	How do we know this?	我们怎么知道?
205	So statistically, we've watched and data collected for many decades, watching people gradually become more and more nearsighted.	所以统计学上,我们观察和收集了几十年的数据, 观察人们逐渐变得越来越近视。
206	And there's been those theories of why that could happen.	也曾有过这些理论说明为什么会这样
207	The evidence of what changes physiologically with the eyeball is that the eye, as you grow and go through adolescence and your body's growing, the eyeball actually grows.	眼球生理变化的证据是眼球在成长和成长过程中身体在成长,眼球在成长
208	Backward, toward the brain, into the orbit eye socket a little bit, and it doesn't need to change much.	向后,向着大脑, 进入轨道眼套座一点点, 它不需要改变很多。
209	The eye growing one millimeter, just one millimeter, will change your prescription for glasses by about three diopters, which is a high amount.	眼睛长出一毫米,只有一毫米, 将改变你对眼镜的处方大约3个二极管,这是很高的量。
210	So if somebody gets two millimeters of change, that is already into what we classify as severe myopia,	所以,如果有人得到两毫米的变化, 这已经进入了我们归类为严重眼球,
211	which carries a high risk for eye diseases like glaucoma, cataracts, having a retinal detachment where the retina in the back of the eye peels off the back of the globe.	它具有很高的风险眼部疾病,如青光眼,白内障, 具有视网膜分离在那里,视网膜在后部从全球后部剥离。
212	And then what's called myopic maculopathy, which is a form of macular degeneration that typically occurs with later age.	然后叫做肌动性乳腺病, 这是一种乳腺退化, 通常发生在晚年。
213	And that one millimeter, two millimeter growth is linked to lifestyle?	而那一毫米,两毫米的生长与生活方式有关?
214	The vast majority of it.	其绝大多数.
215	How much screen time, how much being indoors, how much reading books up close is OK?	有多少屏幕时间,有多少在室内, 有多少阅读书籍接近是OK?
216	Is there like a recommended daily allowance?	是否有推荐的每日津贴?
217	So there are some recommendations put forth by like the American Academy of Pediatrics.	所以有些建议是像美国小儿学院那样提出的。
218	And it depends a little bit on age, especially for young kids.	这有点取决于年龄, 特别是对于年轻的孩子。
219	I think for the first few years of life, they don't recommend kids look at screens at all.	我想在生命的最初几年里他们不建议孩子们看屏幕
220	And then why?	为什么?
221	Because again, there's research showing that not just for eye development, but also neurological development.	因为有研究显示这不仅是为了眼睛的发育也是为了神经的发育
222	And I'm not a specialist on that form of pediatric brain development, so I can't really opine on that.	我也不是那种儿科脑发育的专家, 所以我不能真的对此有看法。
223	But we do there are recommendations for it.	但我们确实有这方面的建议。
224	And I encourage anybody who's listening, if you have a young child, if you're thinking about having a child,	我鼓励任何在听话的人如果你有小孩如果你想生孩子
225	definitely look into those recommendations because it has impacts on your child's development and growth.	肯定要研究这些建议,因为它影响到你孩子的成长和成长。
226	As far as like adults, like you and I are both in our 30s.	就像成年人一样你和我都30多岁了
227	How much time is spending on like looking up close?	花了多少时间像近距离看一样?
228	Once you're past the age of like 20, 25, the rate of myopia development thankfully slows down.	一旦你过了20,25岁, 近视发展的速度感恩而缓。
229	That's near sightedness.	这是近视。
230	Near sightedness, correct.	近视度,正确.
231	That does slow down.	这的确慢下来。
232	But about 10% of the population can still develop a stronger and stronger prescription.	但是,大约10%的人口仍然可以发展出更强壮的处方.
233	And part of that, again, is your education and how much time you're spending indoors and on your devices.	这其中的一部分,也是你的教育, 以及你在室内和你的设备上花费的时间。
234	There have been numerous studies looking at outdoor time and that spending more time outside	有很多研究研究室外时间以及更多外出时间
235	can offset the onset and progression of near sightedness.	可以抵消近视力的出现和进步。
236	Most studies are quoting somewhere around 90 minutes to two hours a day can kind of offset	大部分研究都在引用大约90分钟到2小时的一天可以抵消
237	all the near work that children are using.	所有接近工作的儿童正在使用。
238	So spending sort of 90 minutes to two hours a day outside looking far.	所以每天要花90分钟到2小时在外面寻找远处。
239	That's a part of it.	这是它的一部分。
240	The various studies do look at, you know, are they doing things up close while they're outside?	各种研究确实在研究, 你知道,他们是不是在外边做近距离的事情?
241	Or is it just being outside?	还是只是在外面?
242	It's not fully understood.	亦未完全领悟.
243	Is it sunlight?	是阳光吗?
244	Is it the brightness of light outside?	是外面的光亮吗?
245	Is it the specific wavelengths of sunlight that are somehow communicating to the back	是日光的特定波长不知何故与背面沟通
246	of the eye to grow or not?	眼睛长不长?
247	There's also the thought that the way the world around us focuses on the retina when	还有一种想法是,我们周围的世界专注于视网膜,当
248	we're outside may send a different signal to the back of the eye.	我们在外面可能会给眼睛的背部发出不同的信号
249	Because one of the areas that they've done so much research on in terms of how myopia	因为其中一个领域他们做了如此多的研究如何近视
250	progresses has to do with how light is focusing on different parts of the retina.	进步与光线如何聚焦视网膜的不同部分有关.
251	I do want to just step back when it comes to all the spending time outside.	我确实想退一步当它涉及到所有的时间外面。
252	It's, again, that research is largely based on surveys.	同样,研究主要基于调查。
253	And so they aren't 100% sure how much light outdoor time people are really getting.	所以他们不能百分之百地确定室外的光线时间是多少。
254	So now they're utilizing health trackers and giving it to kids for those studies.	所以现在他们正在使用健康追踪器, 并给孩子们做这些研究。
255	So they can track truly how much light they're getting when they're stepping outside versus	这样他们就能真正追踪当他们走出去时他们得到多少光度
256	So they can have a better objective data to really understand the risk of myopia	这样他们就能有更好的客观数据来真正理解眼球的风险
257	progression based on that.	根据这个进展
258	I was wondering if vitamin D plays a role at all there.	我在想维他命D会不会在那里发挥作用
259	That's also theorized and looked at in some studies.	这在有些研究中也是理论化的和看的.
260	Also just athletics and getting more motion in the daily activities.	而且只是运动和得到更多的运动在日常活动。
261	So there's many different studies in those regards.	因此在这些方面有许多不同的研究。
262	But right now, even a study out of Taiwan, they've been implementing a policy.	但是,现在,即使是在台湾的研究, 他们一直在执行一个政策。
263	It's like, hey, you have to get at least 90 to two hours, 90 minutes to two hours outside	这就像,嘿,你必须至少得到 90到2小时,90分钟到2小时外
264	every single day.	每一天都这样
265	And they have noticed over the last decade, there has been a decrease in childhood myopia	过去十年来,他们注意到童年时期的视力有所降低
266	development.	发展。
267	There's still some debate if it helps slow down progression because even a more recent	如果它能帮助减慢进度还会有争论因为最近
268	meta-analysis said it wasn't statistically significant for the progression of myopia.	元分析说,对于眼球的发展来说,这在统计学上并不重要。
269	But it does delay onset of myopia.	但它确实延缓了眼球的发作
270	Can you reverse myopia?	你能扭转眼球吗?
271	No.	没有
272	OK.	摆
273	So if I become nearsighted because of my lifestyle or some other reason, I can't then just spend	所以,如果我近视因为我的生活方式或其他原因, 我不能只是花
274	loads of time outside and reverse it and start gazing off into the distance, et cetera.	外加时间逆向开始观察距离等等
275	So there's the understanding of what true myopia is.	故知真眼观者何为.
276	And again, that has to do with the elongation of the eyeball.	这跟眼球的延展有关
277	So if you were to somehow find a way to truly reverse myopia, you would have to find a way	所以,如果你想方设法真正扭转视网膜, 你会找到一个方法
278	to somehow shift that part of the eye forward, which we have not been able to do.	以某种方式将那部分眼线向前进,我们未能做到这一点。
279	There are, I know just being in the world of social media, there are people who will	我知道在社交媒体的世界里有些人会
280	claim that they've done this using various things.	声称他们利用了各种手段
281	Usually these people who are claiming this are selling something that is not based on	通常这些人声称这是卖的东西不是基于
282	science.	科学。
283	And doing a research study to prove that would be very easy to do.	并做一个研究来证明这很容易做到。
284	And it just doesn't show.	它只是不显示。
285	Most people, if they are spending more time outside or they are doing eye exercises of	大多数人,如果他们花更多的时间在外面或者他们正在做眼锻炼
286	any form to try and reverse their nearsightedness, what they're going through is that they have	任何试图扭转他们的近视的形态, 他们正在经历的是,他们有
287	something called pseudo-myopia, which is where they've overused their eye muscles so much	一种叫伪美容的药,就是他们过度使用眼肌的地方
288	that they're more or less having a spasm and their muscle is making them think that they	他们或多或少有痉挛而他们的肌肉让他们认为他们
289	are nearsightedness.	是近视的。
290	But then finally going outside, spending more time outside, stop staring at their phone	但最后还是出去了在外面花更多的时间别盯着他们的手机看
291	so much, they learn to relax their eye muscles and all of a sudden now they can see better	如此之多,他们学会放松眼睛肌肉,突然间,他们可以看到更好的
292	again.	再来
293	Well, this is in part one of my personal concerns because sometimes, very rare occasions, I'll	这是我个人关切的一部分因为有时,非常罕见,我会
294	spend, you know, maybe 9, 10, 12 hours in this studio and, you know, I'm doing research	花了9、10、12个小时在这个工作室里我在做研究
295	on the guest before the guest arrives and then we're sitting at this sort of distance	在客人到来之前我们坐在这种距离
296	and I'm very intently focused and it's a dark room, etc.	我非常专注它是一个黑暗的房间,等等。
297	And then when I walk outside, it's like I can't see a bloody number plate and I think	然后当我走出去, 它就像我看不到一个血腥的号码盘我想
298	I'm losing my vision.	我失去了我的视觉。
299	But from what you're saying there, it sounds like I'm going through a bit of pseudo-myopia.	但从你刚才说的话来看我好像在经历一些伪美食症
300	You could be.	你会的
301	Of course, I haven't done an eye exam on you.	当然,我没有对你做眼科检查。
302	I don't know where you're at.	不知所处.
303	Can I ask, when was the last time you had your eyes checked?	我能问一下你最后一次检查眼睛是什么时候吗?
304	Oh, no comment.	哦,没有评论。
305	It was a long time ago and the reason for that is, again, because I just, I always assume	那是很久以前的事了原因也是因为我一直认为
306	my eyes were fine, so it would have been, gosh, that's such a good question.	我的眼睛很好,所以它会是, 天, 这是一个很好的问题。
307	Maybe seven years ago or something.	也许七年前什么的。
308	So it's tough to say.	故难说.
309	You know, there is possibility that maybe there's a little bit of nearsightedness there.	你知道,也许有一点点的近视。
310	It could be that you've used your eye muscles so much indoors that you're just, you're used	可能是你用过很多眼肌以至于你只是被利用了
311	to lifting it.	把它抬起来。
312	Think of it like lifting a five-pound weight, right?	想想它像举起5磅重,对不对?
313	You've held it there all day long and most people can.	你整天都拿着它大多数人可以
314	Eventually, if you hold it there long enough, you can have some eye strain and people will	最终,如果你在那里坚持足够长的时间, 你可以有一些眼睛紧张,人们会
315	feel that at the end of the day.	感觉在最后一天。
316	But then you step outside and you're just used to holding that five-pound weight at	但是,然后你走出去你只是习惯持有5磅的重量在
317	arms level.	武器水平。
318	So you have to learn to, hey, I can relax this and put it back down.	所以,你必须学会,嘿,我可以放松并把它放回。
319	So that is a component of the internal eye muscle called the ciliary body, which unfortunately	这是内眼肌肉的一个成分叫做阴道体很不幸
320	is not the same type of muscle as your skeletal muscle.	和你的骨骼肌肉不一样
321	And so even with eye exercises, you can't strengthen that muscle.	所以,即使用眼睛练习, 你也无法加强肌肉。
322	So eye exercises don't work?	所以眼睛运动不起作用?
323	Eye exercises in the form of what's called vision therapy or orthoptics can work, but	视力疗法或矫形能起作用的眼运动
324	they're not building the muscle.	他们不会建立肌肉。
325	They are improving the, really the coordination of your brain, communicating that information	他们正在改善你的大脑的协调传递信息
326	{\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}让这些肌肉互相配合
327	And so there's some certain binocular vision disorders, like people who have convergence	因此,有一些某些望远镜视觉障碍, 像那些有趋同的人
328	insufficiency, they can't move their eyes to bring them forward to keep a page in front	不够,他们不能移动眼睛带他们向前保持一页在前面
329	of them single, or some people have loss of their accommodative ability, their ability	他们中的单身,或者有些人失去了他们的适应能力,他们的能力
330	to change focus to keep something up close clear.	改变焦点保持近距离清晰。
331	Those type of binocular vision issues can be trained, again, through the training of	这些类型的望远镜视觉问题也可通过培训加以培训。
332	the communication between the brain and those muscles.	大脑和肌肉之间的交流
333	Should I be looking for clues as to what the future of my vision is going to be like from	我是否该寻找线索了解我未来愿景将是什么样子
334	my parents?	我的父母吗?
335	Because my parents are, they hold everything at like one meter length from their face.	因为我的父母是, 他们把一切像一个米长从他们的脸。
336	And I, when I was younger, used to take the piss out of them thinking like, that's so	我年轻的时候经常从他们身上撒尿
337	ridiculous.	荒谬
338	And I would show them that I could read from like one centimeter away and they're reading	我会告诉他们,我可以读从像一厘米外,他们正在阅读
339	arms length, but I think they're going to have the last laugh when I get to 50, 60 years	手臂的长度, 但我想,他们会有最后的笑声当我得到50,60年
340	old because of genetics or whatever.	因为遗传学什么的
341	So again, even without genetics, just the way the eye ages, the lens inside of your	因此,再次,即使没有遗传学, 只是方式的眼睛年龄, 镜头在你的内心
342	eye will change, which is, so if I open up the eye model here, let me try not to spill	眼睛会变,所以如果我在这里打开眼睛模型让我尽量不要溢出来
343	everything from the inside of the eye.	一切从眼内.
344	In the front portion of the eye, you have the cornea, which is the, is that the very	在眼睛的前部,你有角膜,这就是, 也就是,最
345	front piece?	前一块?
346	It's the clear window to the eye.	是清净眼窗.
347	Behind it, of course, you have the iris, the colored part of the eye.	后面,当然,你有虹膜, 眼睛的彩色部分。
348	So brown eyes, blue eyes.	棕色的眼睛,蓝色的眼睛。
349	Behind that, you have a lens.	后面有个镜头
350	It's called the crystalline lens.	名为结晶镜.
351	And this has got a couple of different pieces also close to the side, but this crystalline	这上面有几块不同的片段靠近侧面,但是这个结晶线
352	lens is actually about the size of an M&M.	镜片其实是一个M&M的大小.
353	I put these together.	这些是我整理的
354	It's kind of that shape.	其形类也.
355	When you're born, this lens is clear and thin.	生时此镜清净薄.
356	And so the muscle inside the eye actually pulls on this lens to change its shape.	因此眼内的肌肉实际上拉着这个镜头来改变它的形状.
357	And that's what helps you as a little kid see all the way toward the front of your nose.	这是帮助你作为一个小孩子看到一路到你的前鼻。
358	As you get older, this lens gains an extra layer basically every year of your life.	随着你变老,这个镜头基本上每年增加一层。
359	And so as you get older, if you ever look up on images online, you can actually see	当你长大了如果你在网上浏览图像你就能看见
360	rings or these little lines, and it's like looking at the rings of a tree.	环或这些小线, 它就像看着树的环。
361	So you can basically count those and be like, oh, look how old this person is.	所以你基本上可以数这些,然后, 哦,看看这个人多大了。
362	So by the time everybody's about in their early 40s, there's algorithms that predict	到了40年代初每个人都有算法预测
363	this with high accuracy.	这非常准确。
364	And in school, I had memorized them.	在学校,我记住了他们。
365	I don't really need to use them as much anymore, so I haven't thought about it for a while.	我不用再用这么多了所以我很久没考虑过了
366	As this lens gets thicker, it basically gets thicker every year.	随着这个镜头越来越厚,基本上每年都会变厚.
367	It gets to a point where the lens starts to – the crystals within that lens start to	它到达一个镜头开始的地方—— 镜头中的晶体开始
368	change shape.	改变形状。
369	They become more crystallized, rigid.	它们变得更加结晶,僵硬.
370	And so even though the muscle inside the eye is still pulling on this lens, it's like	所以即使眼睛里的肌肉仍然拉着这个镜头,它就像
371	pulling on a hard, stiff marble.	拉上坚硬的弹珠
372	It doesn't want to change shape anymore.	它不想改变形状了
373	And so that's why people can gradually be like, I can't quite keep things as clear	这就是为什么人们可以渐渐地像, 我不能相当地保持事情的清晰
374	anymore.	现在。
375	And so it's gradually getting worse and worse.	因此,病情逐渐恶化.
376	Okay.	摆
377	Eventually, once you get closer to the ages of 50, 60, 70, 80, this lens continues to	一旦你接近50岁、60岁、70岁、80岁镜头就会继续
378	get thicker, harder.	更厚,更难。
379	But then the crystals start to change color.	但后来晶体开始改变颜色.
380	They go from being clear to being more of a faint yellow color to a darker yellow whitish	他们从明亮到淡黄色变暗的黄色
381	color.	颜色
382	And that's what we call a cataract.	这就是所谓的白内障。
383	And so people lose vision because that cataract is such a dense color that light does not	所以人们失去了视力因为白内障是如此密集的颜色光线不会
384	– it's not passing through to getting to the retina in the back of the eye anymore.	——它不再通过到眼后视网膜.
385	So what do you do?	那你怎么办?
386	Cut it out?	别闹了?
387	So there is – thankfully cataract surgery is an amazing surgery.	因此有 — — 幸好白内障手术是惊人的手术。
388	I think it's probably one of the more fascinating surgeries that's out there.	我认为这可能是最迷人的手术之一在那里。
389	What modern cataract surgery does, they either use a laser or they physically have to open	现代的白内障手术要么是用激光要么是必须打开
390	up parts of the eye, but they use a procedure called FACO emulsification.	眼睛上方,但他们使用一种叫做FACO乳化的程序。
391	It's basically using ultrasound to shatter the lens into dust.	它基本上使用超声波将镜头粉碎成灰尘.
392	And then they have a small vacuum tube that sucks up all the particles out of the eye.	然后它们有一个小的真空管吸出眼睛的所有颗粒
393	But then a new plastic lens is inserted into the eye, into that place, and that new plastic	但是,然后,一个新的塑料镜头插入到眼睛, 在那里,和新的塑料
394	lens can be made to account for any glasses prescription that you need.	镜片可以用来解释你需要的任何眼镜处方.
395	Okay.	摆
396	And what's fascinating for you and I is that – so this form of cataract surgery has been	你和我的魅力在于 - 所以这种形式的白内障手术
397	evolving and getting better and better over generations, but the new lens implants that	但是新镜头植入到
398	they've been engineering are just outstanding, even right now.	他们一直以来的工程都是杰出的, 即使现在。
399	Because now they can make multifocal lenses, they can have lenses that change shape based	因为现在他们可以制作多焦镜头, 他们可以有透镜改变形状
400	on how you're using your eyes, and then it's basically not needing bifocals, not	你如何使用你的眼睛, 然后基本上它不需要双焦,不是
401	needing glasses as much, in some cases if at all.	需要的眼镜一样多, 在某些情况下,如果有的话。
402	And so I keep on thinking like, wow, where this technology is right now, where is it	所以我一直想,哇哇, 这个技术现在在哪里,它在哪里
403	are getting to that point where we might need to think about it.	到了我们可能需要考虑的地步。
404	Who knows what we're going to have.	谁知得个甚么.
405	I reckon we'll have cameras.	我想我们会有摄像头。
406	I hope so.	我希望是这样。
407	Are people working on that kind of thing?	有人在做这种事吗?
408	I bet someone's working on some kind of camera electric eyeball.	我敢打赌,有人在工作某种相机电眼球。
409	You know, I did hear of some research maybe about five, six years ago of somebody talking	你知道,我确实听说过一些研究也许大约5,6年前有人说话
410	about it, but since then things have kind of gone quiet.	但从那时起事情就变得平静了
411	They are probably in the last year, one of the last few years, there's been interest	他们可能在去年, 过去的几年之一, 有人感兴趣
412	and research into making like augmented reality contact lenses that are quite fascinating.	并研究制作像增强现实隐形眼镜相当迷人。
413	And then there is the kind of one of the newest things is the first whole eye transplant.	还有一种最新的东西是第一个整个眼睛移植。
414	That was one of the kind of the coolest things that have come up recently.	这是最近出现的最酷的东西之一。
415	There was an eye transplant.	有一个眼睛移植。
416	So a gentleman was injured, he was US military, but something happened on the job, electrical	有个绅士受伤了他是美国军人但工作上发生了一些事电气
417	damage to his face, his eye.	他的脸和眼睛都受损了
418	He ended up having partial face transplant and then a whole eye transplant.	他最终进行了部分面部移植,然后是整个眼部移植.
419	And at this time, it was the first one ever done.	此时,这是第一次这样做。
420	The eye is so unique and so complex that when they finally do this transplant, it's sort	眼睛是如此独特和复杂当他们终于做了这个移植,它是排序
421	of shaken the eye care role a little bit.	稍微震撼了一下眼睛护理的作用
422	I just read like a one-year publication in JAMA that was basically summarizing what it's	我只是在JAMA读了一年的刊物基本上总结了它是什么
423	been like after this last year.	就像去年之后一样
424	And it's amazing because the eye did connect to the optic nerve, because the eye again	这很神奇,因为眼睛确实连接到视神经因为眼睛再次连接
425	is so complex.	如此复杂。
426	So they had to not only connect muscles to the eyeball, but they had to connect the optic	所以他们不仅要把肌肉和眼球连接起来还要把光学连接起来
427	nerve from the donor tissue to the host.	神经从捐献组织到宿主
428	And keeping that the right amount of blood supply, having it so it didn't reject, is	保持正确的血液供应量, 让它不拒绝,是
429	a really tough feat.	一个非常艰难的功绩。
430	And what they have now, they find that the last paper I just read, that the eye is still	他们发现,我刚刚读的最后一篇论文, 眼睛仍然
431	doing well.	做得不错。
432	It's still got blood flow.	仍有血脉.
433	It's making aqueous humor, the kind of the clear blood within the eye.	它在制造水的幽默, 那种眼中清晰的血液。
434	And through functional MRIs and electroretinograms that we can do in the clinic, they have been	通过功能性核磁共振和电视图,我们可以在诊所做,
435	able to show that there is electrical activity going to the patient's brain.	能够显示患者大脑有电动活动
436	Unfortunately, he does not have any eyesight or he cannot detect light with it.	不幸的是,他没有任何视力或无法用它探测光线。
437	But I think just this is the first step of showing like, wow, we actually can try this.	但我认为这只是展示的第一步就像,哇,我们实际上可以尝试这个。
438	We can get it so it actually is safe.	我们可以得到它所以它实际上是安全的。
439	So it's pretty fascinating.	因此,这是相当迷人的。
440	God, it's only going to be a matter of time, isn't it?	上帝,这只是时间问题,不是吗?
441	You said that the eye is complex.	你说眼睛很复杂
442	I was reading some stats around the eye.	我在看一些有关眼睛的数据
443	That blew my mind.	这让我心碎。
444	The eye contains over two million working parts and is considered the second most complex	眼睛有两百万个工作部件被认为是第二复杂的
445	organ in the body.	器官在体内。
446	I guess the brain is the first.	我想大脑是第一个
447	The eyeball is really an extension of the brain.	眼球是大脑的延伸
448	The retina in the back of the eye communicates directly through the optic nerve to many parts	眼后视网膜通过视神经直接沟通到许多部分
449	of the brain.	大脑。
450	Your eyes are capable of processing 36,000 pieces of information an hour.	你的眼睛能够处理每小时36,000件信息。
451	Your eyes will process 24 million images throughout your lifetime, contributing to 85% of your	你的眼睛将处理2400万的图像在整个一生,贡献了85%的你
452	total knowledge.	完全知识。
453	And there's a common saying that the eye is a window to your soul, showing how the eyes	一种常见的说法是眼睛是一个窗口你的灵魂,显示的眼睛是如何
454	are so expressive that they can reveal a lot about a person's inner state, which we talked	表现得如此明显他们可以透露很多关于一个人的内在状态
455	about a second ago.	大约一秒钟前。
456	It's just crazy that that particular stat around 85% of my total knowledge will basically	这太疯狂了,我总知识的85% 将基本上
457	come from my eye.	从我的眼睛。
458	When you say it, I kind of understand it because, OK, I'm reading, I'm seeing, I'm learning	当你说,我有点理解它因为,好吧,我在读,我在看,我在学习
459	through my eyeballs, but it is cause for protecting our eyes.	穿过眼球,但它是保护我们眼睛的原因。
460	And the things you described there, cataracts and these other sort of eye conditions.	你在那里描述的东西,白内障和其他的眼病。
461	Cataracts in particular, is that something that I can stave off by making better choices	特别是仙人掌,就是通过更好的选择,我可以避免的东西
462	with my life?	与我的生活吗?
463	So people who do smoke, people who drink more, that increases their oxidation.	所以吸烟者,多饮酒者,会增加其氧化.
464	So the cataract formation mostly occurs due to oxidative stress within the eye.	因此,白内障的形成主要是由于眼睛内的氧化应力所致.
465	In fact, the most vitamin C in the body is within the eye, and it bathes, it's in a solution	事实上,体内最维他命的C就在眼里, 它在洗澡,在溶液中
466	that bathes around that lens and helps prevent it from oxidizing.	在镜头周围沐浴并且有助于防止它氧化
467	So best things is try not to smoke, drinking, not to do too much.	所以最好的事情是尽量不要抽烟,喝酒,不要做太多.
468	The sunlight does play a role in aging of the lens, and so there's epidemiological studies	阳光确实在镜头老化中起作用所以有流行病学研究
469	on age-related eye diseases that have found that people who spend more time outdoors without	在与年龄有关的眼科疾病中发现,在户外度过更多时间的人没有
470	sunlight protection, without wide-brim hats, without sunglasses, they are more likely to	阳光的保护,没有宽边的帽子, 没有太阳镜,他们更有可能
471	develop conditions like cataracts.	发展白内障等条件.
472	There is a specific, there's different types of cataracts.	有特定的,有不同种类的白内障.
473	There's one specific type of cataract called a cortical cataract that kind of looks like	有一种特定的白内障叫做皮质白内障看起来像
474	bicycle spokes.	自行车说话。
475	If you're looking in the eye like I do in the exam room, you can see these bicycle spokes,	如果你像我一样在考试室看眼睛你可以看到这些自行车说话声
476	and those have been found to be more related to UV light exposure.	并且发现这些与紫外线照射有关
477	And then as far as taking supplements, vitamins, those sort of things, because things like	然后到吃补充品,维生素, 那种东西,因为事情喜欢
478	vitamin C are a water-soluble vitamin, once you have enough vitamin C in your body, you	维生素 C是一种水溶性维生素,一旦你体内有足够的维生素C,你
479	just urinate out everything else.	只是小便其他一切。
480	So there have been studies on people who are malnourished and don't get enough vitamin	对营养不良且得不到足够维生素的人进行了研究
481	C that giving them vitamin C can help slow or delay the onset of cataracts, but if you	给它们维生素C的C可以帮助减速或延缓白内障的发作,但如果你
482	already are getting proper nutrition, taking additional vitamin C, it's probably not going	已经得到了适当的营养, 服用额外的维生素C, 它可能不会去
483	to delay your onset of cataracts specifically.	专门推迟你患白内障的时间
484	I learned something from you, actually, from your Instagram, which I think is really going	我从你的Instagram那里学到了一些东西, 我认为这真的会
485	to do me a lot of favors, because I'm someone that spends a lot of time on my phone instantly,	帮了我很多忙因为我是花很多时间在手机上的人
486	and you alerted me to the fact that there's actually a feature in the iPhone which will	你提醒我,事实上 iPhone中有一个功能
487	help me stave off my myopia potentially.	帮我阻止我的眼球
488	Perhaps.	也许吧
489	So thankfully, again, the eye care community is not the only people who are aware of these	幸好眼科社区不是唯一知道这些的人
490	issues with using devices up close, but thankfully, whether it be Apple specifically with their	是否是苹果公司
491	iPhone, but also the other phone manufacturers, people who are making these devices now have	iPhone,但其他的电话制造商, 制作这些设备的人现在
492	software that tracks, hey, you're holding this really close to your face.	软件跟踪,嘿, 你拿着这个非常接近你的脸。
493	We want you to push it further back.	我们要你把它推得更远
494	So thankfully, they do have those sort of notifications that people can turn on.	幸好,他们确实有那种人们可以打开的通知。
495	I'll admit that I turned mine on for a while, and I eventually got so annoyed with it that	我会承认,我打开了一段时间, 我最终变得很烦恼
496	I wanted to push it further back.	我想把它推得更远
497	So I kept it on for a while.	所以我保持了一段时间。
498	I eventually took it off, but maybe I'll have to put it back on again to serve a good example.	我最终把它脱下来了,但也许我必须重新穿上它,以做一个好的例子.
499	So it was a feature release in 2023, and it essentially sends you a notification whenever	因此,这是2023年的特辑发布, 它基本上给你一个通知,只要
500	your phone is, is it what, 12 inches or something?	你的手机是12英寸还是什么的?
501	I don't remember exactly how close it is, but we do know that on average, people hold	我不记得到底有多近但我们知道平均来说人会坚持
502	their phones and devices around eight inches away from their face.	他们的手机和装置离脸八英寸远
503	So pretty close.	这么近
504	And it's important to consider moving things further back.	考虑把事情往后推很重要。
505	And part of that can be because certainly eye strain relationships, possibly myopia,	部分原因可能是眼睛紧张的关系可能是眼球
506	and then even blue light.	然后甚至蓝光。
507	I know people get really concerned and interested around the blue light world, especially since	我知道人们对蓝光世界很感兴趣特别是因为
508	COVID that really blew up at that time.	当时真的爆炸的COVID
509	But just moving your phone back twice as far will decrease your blue light exposure by	但是只要把手机调回两倍就能减少你的蓝光曝光
510	like a full 75%.	像一个完整的75%。
511	So if you're worried about how blue light's affecting you, it's like just move your phone	如果你担心蓝光会影响你就像移动你的手机
512	back a few inches, and that's automatically going to decrease your blue light exposure	后退几英寸, 这自然会减少你的蓝光照射
513	from that device.	从那个装置。
514	I don't think most people know that this feature even exists because I don't think	我不认为大多数人知道这个特征甚至存在因为我不认为
515	Apple really ever announced it or did a marketing campaign around it.	苹果公司曾经宣布过或围绕它开展了营销活动
516	But in the settings section of your phone or your iPad, et cetera, it's under screen	但是在你的手机或iPad等的设置部分, 它在屏幕下
517	time, and under screen time, there's a button called screen distance.	时间,在屏幕时间下,有一个叫屏幕距离的按钮.
518	And it says to reduce eye strain and risk of myopia in children, screen distance will	它说,为了减少眼睛的紧张和孩子的肌肤风险, 屏幕距离会
519	alert you to hold an iPhone or iPad with face ID at a recommended distance.	提醒您在推荐的距离上持有带有面部ID的iPhone或iPad.
520	And in the small print, it says screen distance works by measuring the distance between the	在小字迹中,它说屏幕距离通过测量距离来工作
521	screen and your eyes.	屏幕和你的眼睛。
522	The camera is not capturing images or your face, and the data collected remains on the	摄像头没有捕捉到图像或你的脸, 收集的数据仍然留在
523	device.	设备。
524	So if I click continue, it then says this is how screen distance works.	所以,如果我点击继续,它就会说,这就是屏幕距离的作用。
525	Screen distance encourages you to move your iPhone and iPad further away to support your	屏幕距离鼓励您将您的 iPhone 和 iPad 移动到更远处以支持您
526	vision health.	视力健康。
527	The next section says vision distance or viewing distance.	下一节说视距或视距.
528	iPhone or iPad should be held at a suggested distance of 30 centimeters from your eyes.	iPhone 或 iPad 应与你的眼睛相距30厘米。
529	Interesting.	有意思,这很有趣
530	Those are recommendations, but how many people actually follow that?	这些是建议,但有多少人真正遵循这些建议?
531	No one.	没有人。
532	Yeah, it's tough.	是啊,这是艰难的。
533	I mean, you'll see people do that, and it just gradually over time gets closer and closer.	我的意思是,你会看到人们这样做, 它只是逐渐地越来越接近。
534	And kids probably are even worse because they automatically have smaller arms, right?	孩子们可能更糟糕因为他们有更小的手臂,对不对?
535	But then they just bring it right up close, right?	但后来他们就把它贴近了对吧?
536	They want that phone screen to take up all of their visual field.	他们希望那个电话屏幕占据他们所有的视觉领域。
537	And so I think it's a good habit.	所以我觉得这是一个很好的习惯。
538	I think it's something...	我觉得这是...
539	Tell me, have you turned it on?	告诉我,你打开了吗?
540	Has it something that you've utilized?	你用过它吗?
541	I turned it on when I was in preparation for you coming here today.	我今天准备你来的时候就打开了
542	So I didn't know it existed until I was researching you.	所以我不知道它的存在直到我在研究你。
543	And so I've had it on for about a day.	所以我已经穿了大约一天。
544	Frankly, I haven't actually got the notification yet, but it's not been on long enough, I don't	老实说,我还没收到通知,但时间不够长,我没有
545	think, for me to have an opinion on it just yet.	想想看,我还需要有意见
546	But you said it was annoying you, so it's definitely going to annoy me if it annoyed you.	但你说这让你很烦所以如果它惹恼了你我肯定会生气的
547	So my challenge was that in the evenings, I wear contacts most of the time, and I take	所以,我的挑战是晚上,我穿接触大部分时间,我采取
548	my contact lenses out in the evening, and I go back to glasses.	我的隐形眼镜在晚上出来, 我回到眼镜。
549	And sometimes I'll lay down and I'll take my glasses off because I'm so nearsighted,	有时候我会躺下摘下眼镜因为我太近视
550	I have to see my...	我必须看看我的...
551	I want to see the screen, but I have to hold the screen just a few centimeters in front	我想看屏幕,但我得把屏幕在前面几厘米
552	of my face because I'm that nearsighted.	我的脸因为我是近视。
553	And then it would just give me that warning the whole time.	然后它只会给我警告整个时间。
554	And it delays, it has like a few seconds of a delay once I pull it back before it actually	一旦我把它拉回来就会延迟几秒钟
555	shows me the screen again.	再次显示屏幕。
556	So I was doing it so much, I'm like, I know that I should pull the screen away and I should	所以我做了这么多,我觉得, 我知道我应该拉开屏幕,我应该
557	just take a break, but it was delaying my productivity.	休息一会,但会推迟我的生产力
558	So that's why, but again, to set a good example, I'll probably turn it back on and see how	┮и砛穦秨 
559	it goes.	它会去。
560	And if you have kids, you can always, you know, they're not probably doing much, that's	如果你有孩子,你总是可以,你知道, 他们可能没有做很多,这就是
561	productive.	生产。
562	You can always turn it on their devices, I guess.	我猜你随时可以打开他们的设备
563	Yeah, I think so.	是的,我想是这样。
564	I think it's also a good habit to lead by example for kids and try to be aware of how	我觉得也是一种很好的习惯, 以学生为榜样并努力意识到如何
565	much time you're spending on your phone in front of your kids, because your kids are	你花很多时间在孩子面前的电话上因为你的孩子是
566	going to see that and they're going to probably mimic that same behavior.	他们可能会模仿同样的行为
567	I want to talk to you about bags under my eyes, a subject that I know a lot of people	我想和你谈谈我眼皮底下的包这个话题我知道很多人
568	are interested in.	有兴趣。
569	And there's a lot of misconceptions around how we get bags under our eyes.	有很多误解我们如何在眼皮底下得到袋子。
570	I think most people think bags under their eyes are because they're tied or something.	我认为大多数人认为眼皮底下的袋子是因为它们是捆绑的什么的.
571	And is there a difference between having bags under my eyes and having sort of dark circles	我眼皮底下的袋子和黑暗的圆圈之间有区别吗?
572	under my eyes?	在我眼皮底下吗?
573	So when it comes to having dark circles under eye bags, dark circles is something that people	所以说在眼袋里黑圈子的时候黑圈子是人们喜欢的东西
574	are definitely concerned about.	绝对关心。
575	It's a huge topic online.	这是一个巨大的话题在线。
576	I see all the time people ask about it in the eye clinic.	我看到人们在眼科诊所问起过
577	Having dark circles under the eyes is technically different than having under eye bags.	眼睛下有深色圆圈在技术上与眼袋下有不同.
578	But if you have under eye bags, it'll make the appearance of dark circles worse.	但是如果你有眼袋, 它会让黑暗圆圈的外观更糟糕。
579	So dark circles in the clinic, we think first, what's somebody's skin pigmentation like?	诊所的黑圈子,我们首先想, 某人的皮肤色素是什么样?
580	Is the dark circle just because they have more pigmentation?	黑暗的圆圈是不是仅仅因为它们有更多的色素?
581	And if you're somebody who spends a lot of time in the sunlight, you are more likely	如果你是在阳光下花很多时间你更有可能
582	to develop darker skin complexion around the eyelids.	使眼皮周围的皮肤更暗
583	The eyelids are some of the thinnest, most delicate tissue of skin on your body.	眼皮是身体上最薄,最细腻的皮肤组织.
584	And in fact, a lot of people who don't know this, but having skin cancer on your lower	事实上,很多人不知道这一点, 但有皮肤癌在你下层
585	eyelids is actually pretty high.	眼皮实际上相当高。
586	So it's good to be wearing either a wide-brim hat or sunglasses to protect the eyes from	戴着宽边的帽子或墨镜来保护眼睛
587	sunlight damage.	阳光破坏。
588	The other kind of components is that if you have vascular changes, so myself, I have a	另一种成分是,如果你有血管变化, 所以,我自己,我有
589	really pale complexion.	脸色苍白
590	If I have bad allergies, that can cause the blood vessels around my eyelids to dilate.	如果我有不良过敏, 那会让我眼皮周围的血管扩张。
591	And so you'll see that color of just the blood vessels coming through the skin a lot easier.	所以,你会看到只有血管的颜色进入皮肤更容易。
592	And then there's orbital shadow effects.	然后出现轨道阴影效应.
593	Because some people's orbits, they have more prominent brow.	因为有些人的轨道,他们的眉毛比较突出.
594	It may kind of cast a shadow onto the lower eyelid.	它可能在下眼皮上投下阴影
595	And that's where having under-eye bags can also make the eyelids seem like they have	眼皮也能让眼皮看起来像
596	kind of dark circles, because the eyelids are puffy.	那种黑暗的圆圈, 因为眼皮是蓬勃的。
597	And you can have puffiness of the eyelids for multiple reasons.	而且由于多种原因,你可以有眼皮的浮肿.
598	Allergies are a big one.	过敏是件大事
599	Salt content of the tear film, and even in your body, can make some of those changes.	撕裂胶片的盐含量,甚至你体内的盐含量,可以做一些这些改变.
600	I know for myself, if I have a cheat day and I eat a bunch of greasy, delicious pizza,	我自己知道,如果我有一个欺骗的一天我吃一堆油腻,美味的披萨,
601	the next morning, I can feel that my skin and my face is maybe a little bit more puffy.	第二天早上,我感觉我的皮肤和脸可能有点浮肿。
602	Thankfully, that goes away within a few hours.	谢天谢地,几个小时内就结束了。
603	But that's why a lot of times, even just doing cold compresses, right?	但这就是为什么很多时候, 即使只是做冷压缩,对不对?
604	You see people put cucumbers on their eyes.	汝见人以黄瓜涂其眼.
605	A lot of that is more have to do with just the cooling temperature.	其中许多都和冷却温度有关。
606	Doing a cold compress for 10 at max 15 minutes can bring some of that puffiness down.	最多15分钟做10分钟的冷压缩可以把一些浮肿降下来
607	And that can at least help improve the appearance.	这至少可以帮助改善外观。
608	So if I have a really salty diet the night before,	所以,如果我有一个真的很咸的饮食前一晚,
609	there's a greater probability I'll wake up with bags under my eyes?	我醒来时,眼睛下还有袋子吗?
610	Possibly.	也许吧
611	I've tried to research this to find any real publications to see if it's really there.	我试图研究这个找到任何真正的出版物看看它是否真的存在。
612	And I couldn't find anything.	我找不到任何东西。
613	But I know from just my own anecdotal experience that if I eat a really high salt diet,	但我从我自己的传闻中知道如果我吃一个非常高的盐食
614	and I've done over the last eight years, I've really done a better job.	过去八年里,我做得更好
615	Thinking about my diet, how that affects me, how my body feels after I eat something.	想想我的饮食,那对我有什么影响, 想想我吃东西后身体的感受。
616	And so I've noticed if I have a cheat day, that sort of thing can happen.	所以我注意到如果我有一个欺骗的日子, 那种事情可能会发生。
617	And what's the sort of physiological rationale for salt playing a role?	食盐扮演角色的生理原理是什么?
618	So your tear film, for example.	比如你的泪片
619	I know some people will say, hey, if I watch a sad movie and I cry at night time,	我知道有些人会说,嘿, 如果我看一部悲伤的电影,我晚上哭,
620	the next morning my eyes are super puffy.	第二天早上,我的眼睛是超级浮肿。
621	So your tears have salt in them.	你的眼泪里有盐
622	And because if you ever cried and tasted your tears, they taste salty, right?	因为如果你曾哭过并尝过你的眼泪, 他们味道咸,对不对?
623	So the challenge is that when you have salt, it'll draw fluid into the tissues.	所以挑战在于,当你有盐的时候, 它会把液体引入组织。
624	And so if people cry the night before, the salt remaining in the tears,	所以,如果人们哭前夜, 盐留在眼泪中,
625	basically get into the tear ducts and sit on the surface of the eye and the eyelids,	基本上进入泪水管道坐在眼睛和眼皮表面,
626	and then that can draw fluid into those tissues.	然后可以把液体引向那些组织。
627	Does hydration play a role?	水合作用吗?
628	That's also something that's been looked at in research.	这也是在研究中被研究过的东西.
629	It's not really conclusive.	这不是真的结论。
630	I think hydration is still something we need to...	我认为水合仍然是我们需要...
631	I do encourage people to at least be aware of their hydration.	我确实鼓励人们至少意识到他们的水合作用。
632	For dry eye, there is some research that indicates that people who drink more water	对于干眼,有一些研究表明, 人谁喝更多的水。
633	tend to have less severe symptoms of dry eye.	往往有较不严重的干眼症状.
634	When I see some with bags under their eyes, I used to think,	当我看到一些有包在他们的眼睛,我曾经想,
635	well, I still kind of do think that it just means that they haven't slept.	好吧,我还是觉得那只是表示他们没有睡觉。
636	That, again, I recently did a live stream where I did research first and tried to look into this.	再说一遍,我最近做了一次现场直播在那里,我首先做了研究并试图调查这件事。
637	And they have looked at quality of sleep, time of sleep,	他们观察睡眠的质量,睡眠的时间,
638	and both the subjective and objective appearance of dark circles under the eyes.	以及眼下黑圈的主观和客观外观。
639	And they find that it is...	他们发现...
640	If you have not been getting good sleep, objectively your under eye dark circles do not change.	如果你睡得不好的话客观上你的眼暗圈是不会改变的
641	But your subjective appearance of your own image will go down.	但你自己形象的主观外表会下降
642	They find that for both sleep and stress.	他们发现,无论是睡眠还是压力。
643	So you believe that you've got bigger sort of dark circles or patches under your eyes,	所以,你相信你有更大的种类黑暗的圆圈或补丁在你的眼睛,
644	but objectively, in reality, you haven't.	但客观上,实际上,你没有。
645	Yeah, because they can measure the type of light being reflected off the surface of your skin	是啊,因为他们可以测量光的类型从你的皮肤表面反射
646	so they can see how much pigment and what type of light is being reflected.	这样他们就能看到有多少色素和什么样的光线被反射。
647	And so they've been able to find, oh, that it's purely just	所以他们找到了, 哦,这纯粹是
648	your subjective opinion of your own self-image seems worse when you're tired.	你对自我形象的主观看法在你累了的时候似乎更糟
649	What about stress?	压力呢?
650	Because I'm thinking about people that I've seen that have big bags under their eyes.	因为我在想那些我见过的人眼皮底下有大袋子
651	And their eyes kind of look dark.	他们的眼睛看起来很黑
652	I always assume it's their stress and they haven't been sleeping.	我总是认为是他们的压力他们一直没睡觉
653	But you're saying that that's not accurate necessarily.	但你说那不一定准确
654	So at least in the few studies that I've been able to read	至少我读过几本书
655	that were published in the last five years don't seem to find that conclusive.	在过去五年中出版的似乎没有找到结论
656	There are other physiological changes that happen when people don't sleep or under stress, right?	当人们不睡觉或紧张时,还有其他生理变化,对吧?
657	Cortisol releases, inflammation in the body will change, hormones can change.	科蒂索尔释放,体内的炎症会改变,激素会改变.
658	So they may all play a role there.	所以他们都可以在那里发挥作用。
659	But right now it seems to have a less effect on the true pigmentation of the eyelids.	但是现在它似乎对眼皮的真色影响较小.
660	Okay.	摆
661	And the cucumber and the cold compress and all that kind of stuff,	和黄瓜和冷压缩和所有这些东西,
662	does that stuff work in changing the appearance of dark circles in bags under my eyes?	那东西能改变我眼皮袋里黑暗圆圈的外观吗?
663	Because when I filmed Dragon's Den, a TV show in the UK,	因为当我拍摄《龙穴》时英国的电视剧
664	if I sometimes...	如果我有时...
665	It's weird because sometimes when I'm under slept,	这很奇怪因为有时当我睡不着的时候
666	I come into the studio and the makeup artist,	我来到工作室和化妆师,
667	she won't say anything to me, but she'll just put the cucumber on.	她什么都不会跟我说但她会把黄瓜穿上的
668	And I know what she's saying.	我知道她在说什么
669	She's saying, you look like shit, but she doesn't say it.	她说,你看起来像狗屎, 但她不说。
670	And it's always when I haven't slept.	我总是睡不着
671	So I put two and two together and thought, okay, well,	所以我把两个和两个一起想,好吧,好吧,
672	she knows that my eyes don't look great today.	她知道我的眼睛今天看起来不太好
673	But is it actually doing anything, the cucumber?	但是它真的做什么了吗,黄瓜?
674	The coolness effect, I believe, is going to be causing constriction of blood vessels.	我认为,冷却效应将会导致血管收缩。
675	It's going to be helping the tissue come down and swelling.	它会帮助组织降下并肿胀.
676	Just like if you bend your knee or elbow really hard on something, it swells.	就像你弯下膝盖或肘部真的很硬的东西, 它膨胀。
677	There's a little bit of inflammation.	有少阴之炎.
678	And so putting cold on there can help momentarily,	所以在那里放冷可以暂时帮助,
679	but I wouldn't do it longer than 15 minutes.	但我不会做超过15分钟。
680	The reason why is because if you do it longer than 15 minutes,	原因是如果你这样做超过15分钟,
681	your blood vessels can go the opposite way and cause more inflammation.	你的血管会相反引起更多的炎症
682	There's other things like eye creams.	亦有别物如眼霜.
683	There's a plethora of different eye creams on the market.	市面上有大量不同的眼霜.
684	Some of those do work to help constriction.	其中一些确实有助于收缩。
685	Some of those are to help truly remove pigmentation.	有些是为了帮助真正去除颜料。
686	And a lot of those products can have effect,	很多这些产品可以产生效果,
687	but it takes months to truly remove the pigment.	但真正去除颜料需要几个月时间
688	So you're using that two, three times a day for like 14, 15 weeks.	你每天使用两三次,大概14,15周。
689	But outside of that, if somebody has tried all those other avenues,	但除此之外如果有人尝试了其他所有途径
690	talked with their dermatologist or an eye care provider of any kind,	和皮肤科医生或任何眼科医生谈过
691	and things still aren't getting better,	事情还没有好转,
692	there are some surgical procedures that can be done	有一些手术可以做
693	to help people with the appearance of under eye bags and some dark circles.	帮助人们出现眼袋和一些黑暗的圈子。
694	What do those surgeries do?	这些手术是做什么的?
695	They either use various forms of light or light therapies to help remove pigmentation.	它们或者使用各种形式的光疗法或者光疗法来帮助去除颜料.
696	You have to be careful around the eyes when it comes to those sort of therapies,	在那些治疗时,你必须小心眼睛
697	but they do exist.	但它们确实存在。
698	And then there's fillers, like they'll do hyaluronic acid fillers	然后有填充器, 就像他们会做酸填充器
699	to change the shadowing effects around the eye.	改变眼睛周围的阴影效应
700	之后还有被称为blephaloplastic的形态,
701	which are true eyelid surgeries.	这是真正的眼皮手术。
702	And for that, you would want to see an ophthalmologist	为此,你会想看眼科医生
703	who specializes in those type of therapies or those type of surgeries.	专门从事这类治疗或这类手术的人。
704	So if I never want to get dark circles, bags and demise again,	所以,如果我再也不想得到黑暗的圆圈, 袋和死亡,
705	what is the natural, easy solution?	什么是自然的,简单的解决方案?
706	I do still encourage good sleep, eating healthy, staying hydrated.	我仍然鼓励良好的睡眠, 吃健康,保持水分。
707	I think all of those things are good habits to have	我认为所有这些东西都是好习惯
708	because we know they affect the body in so many other ways.	因为我们知道它们会以许多其他方式影响身体。
709	If somebody is truly struggling with it,	如果有人真的在挣扎
710	then you can look at those various creams.	然后你可以看看这些各种奶油。
711	But I definitely encourage people talk to a medical provider	但我绝对鼓励人们跟医护人员交谈
712	or whether a dermatologist or an eye care provider who specializes in that area.	无论是皮肤科医生还是专门从事这方面工作的眼科医生。
713	What about red light therapy?	那红灯疗法呢?
714	So red light, there's so much in red light.	故红光,红光中多.
715	And this is, I'm glad you brought that up	我很高兴你提起这个
716	because this is something I've been diving kind of headfirst into	因为这是我第一次跳进水里
717	into the research for many things in the eyes.	进入研究有很多东西在眼睛。
718	With the eye bag specifically,	专门用眼袋
719	I'll say that there is some newer publications showing that red light therapy	我想说有些新出版物显示红光疗法
720	can help with depigmentation around the eyelids	帮助在眼皮周围消散
721	and giving the eyelids more of a youthful appearance.	并给眼皮更多的年轻外表。
722	I do wave caution though, because there's a lot of products that are online	我确实警告过,因为网上有很多产品
723	that offer red light therapy for various reasons.	提供红灯治疗各种原因。
724	But they're not really standardized very well.	但是它们并不非常标准化。
725	And so there are also publications showing people who've had damage to the eyes	还有一些出版物显示眼睛受损的人
726	because they've used these various forms of red light therapies,	因为他们使用了这些各种形式的红光疗法,
727	the devices they bought online.	他们在网上购买的设备。
728	Because what the manufacturer states isn't actually what's being measured	因为制造厂商所说的其实不是被测量的
729	when they do it in the research and find out,	当他们这样做在研究和发现,
730	hey, what type of wavelength is this?	嘿,这是哪一种波长?
731	How much energy is being produced by the device?	该装置正在产生多少能量?
732	Because it's not the specific wavelength.	因为它不是特定的波长。
733	The wavelength is important, but the amount of energy in the red light	波长很重要,但红光下的能量量
734	also is super important.	这一点也非常重要。
735	And if you have too much energy, you can go through the eyelid	如果你有太多的能量,你可以穿过眼皮
736	and go into the eye and cause damage.	进入眼睛,造成伤害。
737	And so I think it's really important.	所以我认为这很重要。
738	This is still a very early area of research when it comes to the eye.	这在眼界上仍然是一个非常早期的研究领域.
739	And so I think I just urge caution to make sure whoever's listening,	所以我想,我只是敦促谨慎以确保谁在听,
740	if you're thinking about red light therapy,	如果你在考虑红灯疗法
741	you're thinking about getting a red light device specifically for eye care,	你想买个红灯装置专门用来照顾眼睛
742	definitely talk to a specialist who works in that area.	肯定跟那个领域的专家谈谈
743	But red light, have you heard much about red light in different areas?	但是红灯,你听说过红灯在不同的地方吗?
744	I've heard a lot about it.	常闻此经.
745	I don't know a huge amount about it.	我对它一无所知
746	And I have two red light panels at home, which were given to me as a gift.	我家里有两块红灯板是送给我的礼物
747	My partner has one, I have one.	我的搭档有,我也有
748	We basically got each other the same Christmas present one year.	我们基本上有相同的圣诞礼物一年。
749	But we did ask ourselves, we sat in front of it one day and said,	但我们确实问自己, 我们坐在它前面有一天说,
750	like, what does this do in terms of our health?	这对我们的健康有什么影响?
751	And are we allowed to stare at it?	我们可以盯着它看吗?
752	The devices you come that you got, do they come with goggles?	你得到的装置他们有护目镜吗?
753	No.	没有
754	Okay.	摆
755	So that is sort of the concern I have is again,	所以这就是我再次关心的问题
756	what energy is really not just what wavelengths of light is it emitting,	能量不是光的波长而是它释放出来的光
757	but what's the energy and also how far away from the device are you sitting?	但是,什么是能量,还有多远设备你坐?
758	What's the recommendations?	建议是什么?
759	And specifically with the eye, there is evidence that red light therapy	特别是眼睛,有证据表明红光疗法
760	can help with dry eyes, that red light therapy can help with macular degeneration.	红光疗法能帮助乳腺退化
761	So age-related macular degeneration is one of the leading causes of blindness	所以与年龄有关的乳腺退化是导致失明的主要原因之一
762	for older age adults.	年龄较大的成年人。
763	So 50 plus.	故五十加时.
764	50 plus.	50加仑.
765	In fact, if you're over the age of 40 and somebody's legally blind,	事实上,如果你超过40岁并且有人合法失明
766	50% of them it's due to macular degeneration.	其中50%是由于乳腺退化所致.
767	And so probably some of the best research on red light in the eyes	所以也许一些最好的研究红光的眼睛
768	is on macular degeneration.	正在变质
769	In fact, it's currently approved and being used in Europe.	事实上,它目前被批准并在欧洲使用.
770	It's not approved in the US just yet, but it is going through FDA trials.	美国还没有批准,但它正在经历FDA试验。
771	But that is a form of red light therapy.	但这是一种红光疗法。
772	It doesn't just use red light, it uses some near-infrared light	它不光是红灯,还用近红灯
773	and a little bit of kind of a yellow light.	和一点黄光。
774	But they shine that in the eye in intervals	但是它们每隔一段时间就会照亮眼睛
775	and they do it for a few weeks and then a few months you do it again.	他们做了几个星期然后几个月你又做了
776	And for macular degeneration, they've been able to show that not only can	对于男性的退化, 他们已经能够显示,不仅可以
777	the protein that builds up in the back of the eye in that condition diminish,	在眼后部积聚的蛋白质在这种条件下会减少,
778	but they can slow down and slow down the progression of macular degeneration	但是他们可以减速减速减慢乳腺退化的进度
779	and for some people even restore eyesight.	对有些人,甚至恢复视力。
780	It can actually help people see better.	它可以帮助人们看到更好的。
781	Using red light.	使用红灯.
782	Using that form of red light therapy.	使用这种形式的红光疗法.
783	So again, very early research right now.	再说一遍,现在非常早的研究。
784	The challenge with all these at-home devices, whether it be for dry eye,	所有这些家用装置的挑战无论是干眼
785	whether it be for macular degeneration, there's again concern about the power density	不管是对乳腺退化来说还是对能量密度的担忧
786	and about the potential change in temperature within the eye	以及眼内温度的潜在变化
787	because it could cause damage.	因为它会造成损害。
788	There's also red light being utilized and investigated in Asia	亚洲也有红灯被利用和调查
789	and in Australia for myopia for children.	在澳大利亚,儿童有眼球。
790	And so it's something that is really fascinating	所以这是真正令人着迷的东西
791	and I am looking forward to as more information comes out.	我期待着有更多的信息出来。
792	But I personally, from digging into it and trying to understand it,	但我个人,从挖掘并试图理解它,
793	it does make me concerned of how I think there's just not as good a standardization	这确实让我担心我认为没有那么好的标准化
794	or understanding of really how it works and which devices are safe	或了解它的真正运作方式和哪些装置是安全的
795	and which ones are more medically something that you should see a medical provider for.	哪些是更医学的东西你应该看到医疗提供者。
796	I read in the Nature publication that a 2022 study with 20 participants	我在《自然》杂志上读到一项2022年的研究有20人参加
797	receiving red light therapy twice a week for three weeks	每周两次接受红灯治疗,为期三周
798	found that they had improved tear reduction.	发现他们已改善了减少眼泪的工作。
799	Tear reduction.	减泪.
800	And other dry eye symptoms compared to the placebo group.	和安慰剂组相比还有其他干眼症状.
801	Tear reduction.	减泪.
802	What does that mean?	这是什么意思?
803	So dry eye again is an area where red light therapy is being utilized in right now.	所以,干眼又是一个红光疗法正在使用的地区。
804	There's several studies on red light on its benefits for dry eye.	关于红光对干眼的好处,有几种研究.
805	But the two areas where it's believed to help the most	但这两个地区被认为最有帮助
806	is in helping you produce more of your own natural tears	帮助你创造更多的自然的眼泪
807	because the red light can shut down inflammation within the tissues	因为红灯可以关闭组织内的炎症
808	and help you produce, basically it helps the cell read more energized.	并且帮助你生产, 基本上它帮助细胞读取更多的活力。
809	The mitochondria within the cell can be activated by forms of red light	细胞内的线粒体可以通过红光形式激活
810	and nitric oxide is also produced and then you have higher amounts of antioxidants.	氧化氮也会被制得然后,你的抗氧化剂含量会更高
811	And so these cellular components in mice and then now in humans,	所以这些细胞成分在小鼠,然后现在在人类,
812	they're finding that tear production can be improved.	他们发现泪水生产可以改进
813	Which helps with dry eyes.	这能帮助干眼睛。
814	But then also the red light can help with the mibomian glands in the eyelids.	但之后红光也能帮助眼皮中的米波米亚腺.
815	Your eyelids have about 25 to 30 glands, both the bottom and the top part of the eyelid.	你的眼皮有大约25到30个腺体,既包括眼皮的底部,也包括顶部.
816	Can you show me on that?	你能给我看看吗?
817	So it's actually in the eyelids, but the eyelids would be...	所以,它实际上在眼皮, 但是眼皮是...
818	Oh, in front.	哦,在前面。哦,在前面。
819	They're in front, yeah.	他们在前面,是的。
820	So my top eyelids have about 30 mibomian glands in them	我的顶部眼皮有大约30个微波腺
821	and my bottom eyelid has like 25 to 30.	我的眼皮有25到30个
822	And every time you blink, these glands have to release a little bit of oil	每次你眨眼这些腺体都要放点油
823	that prevents your tear film from evaporating.	防止你的泪片蒸发
824	And so there's a lot of implications that go into this,	因此,有很多影响涉及到这一点,
825	but what happens is as we get older, age is a big factor,	但是随着年龄的增长年龄是一大因素
826	but then you also have more we can talk about with device use	但是,你还有更多的我们可以谈论设备使用
827	and the fact that when we're staring at devices, we don't blink as often	而事实上,当我们盯着设备, 我们不眨眼一样频繁
828	and we don't blink as completely when we're staring at a device.	我们不会完全眨眼当我们盯着一个设备。
829	And so for that, along with diet and other inflammatory things,	因此,除了饮食和其他煽动性的东西,
830	the glands stop producing oil as well.	腺体也停止生产石油。
831	They become inflamed.	他们变得火热。
832	The oils go from being a clear liquid to being a thick wax.	油从清液变为厚蜡.
833	They become yellow, they become cloudy,	它们变黄,变云
834	and they stop releasing oils into your tear film.	他们停止释放油在你的泪片。
835	And so with red light therapy, along with other therapies,	所以红光疗法以及其他疗法
836	but red light has been found to help with getting those oils	但红灯被找到帮助得到这些油
837	to produce at least a little bit better.	至少生产得更好一点
838	I think the research on red light and mibomian gland dysfunction	我觉得红光和米博米亚腺功能障碍的研究
839	is still in its infancy, but we have a different form of therapy	但是我们有不同的治疗方式
840	called IPL or Intense Pulse Light, which has been even FDA approved	被称为 IPL 或强烈脉冲光, 甚至已经得到林业发展局的批准
841	for mibomian gland dysfunction in treating dry eye.	对米博米亚腺体的功能障碍治疗干眼。
842	Is there any research being done on red light and myopia,	是否正在研究红光和眼球
843	i.e.	即说.
844	red light and short-sightedness?	红光和短视?
845	If I look at those red light panels I have at home,	如果我看我家里的红灯板
846	is that going to help with my progressive short-sightedness?	这会帮助我进步短视?
847	So there is research going into red light and myopia.	所以有研究研究红光和眼球。
848	It's being done in children.	这是在孩子身上做的。
849	When it comes to the device you have at home,	关于你家里的装置
850	I have no idea what wavelength that is.	我不知道是什么波长。
851	I have no idea what power that is.	我不知道这是什么力量
852	The devices that are being researched and used in research	正在研究和用于研究的装置
853	are usually at home desk-mounted device	通常在家办公桌挂载设备中
854	that kids will stare into for about three minutes,	孩子们会凝视约三分钟,
855	twice a day, morning and then night.	每天两次,早上和晚上
856	And they are showing in those publications	他们正在那些出版物上展示
857	that they're able to slow down the rate of progression of myopia.	他们能减慢视线的发展速度
858	And even for kids who haven't developed myopia,	即使对于还没有发展出眼球的孩子来说
859	they're able to prevent them from developing myopia,	它们能防止它们发展出眼球
860	which is really fascinating.	这真的很有趣。
861	There is at least one study that looked at those devices	至少有一项研究研究了这些装置
862	and there is some concern that perhaps the power density	并有一些担心也许电力密度
863	is too high and could be at risk of causing damage	高度太高,有可能造成损害
864	to children's eyes.	对孩子们的眼睛。
865	So again, it's still something heavily in research	再说一遍研究还是很深入的
866	and I wouldn't recommend people go	我不会建议别人去
867	and purposely stare into a red light	专注在红灯下
868	unless their doctor is prescribing it for something.	除非他们的医生在开药
869	And just because I'm an idiot,	就因为我是白痴
870	the red light is basically stimulating	红灯很刺激
871	the mitochondria in the cell,	细胞里的线粒体,
872	which is kind of like the engine in the cell.	有点像手机里的引擎
873	And that's making it produce more of the good stuff.	这使得它产生更多的好东西。
874	Specifically ATP, adenosine triphosphate,	特别是ATP 三磷酸腺苷
875	the cell uses for energy.	细胞用能量。
876	What about gazing at the sun?	看着太阳怎么样?
877	Because I've been told so many things.	因为我被告知很多事情
878	When I was younger, it was like, never look at the sun.	当我年轻的时候,它就像, 从不看太阳。
879	And then I got older and people are like,	后来我变老了人们会说
880	stare at the sun and now I don't know what's true.	盯着太阳,现在我不知道什么是真实的。
881	Yeah, don't stare at the sun.	是啊,不要盯着太阳。
882	Even for like a second?	哪怕一秒钟?
883	Don't.	别
884	So the challenge is sunlight is good for the eyes,	所以挑战就是阳光对眼睛有好处
885	especially early on in the day	特别是很早的时候
886	and of course toward the end of the day,	当然,最后一天,
887	just so that you're getting the signals to your brain	只是让你得到信号到你的大脑
888	to hey, the sun is coming up, the sun is going down,	太阳要升起,太阳要下山了
889	made it to kind of influence your melatonin production.	来影响你的蛋白素生产
890	The staring directly into the sun though,	直视太阳的人,
891	the sun is so powerful,	太阳是如此强大,
892	it can very quickly burn holes inside your retina.	它能很快烧掉你视网膜里的洞
893	The sun is so powerful, it can very quickly burn holes inside your retina.	太阳非常强大它能很快烧穿你视网膜内的洞
894	And I have a patient right now who, she just comes in, her vision is not getting to 2020,	我有一个病人,她刚刚进来她的视力没有到2020年,
895	we look inside the eye and she has burn holes, a burned hole in her retina that is, we diagnose	我们看着她的眼睛她的视网膜上有一个烧伤的洞
896	as solar retinopathy.	就像太阳复健疗法一样
897	And so, and I'm like, have you been staring at the sun?	所以,我很喜欢, 你一直盯着太阳?
898	She's like, yeah, I've been sun gazing since I was little.	她喜欢,是的,我一直太阳凝视,从我小。
899	I was in Florida recently and I stared at the sun and I was doing this for how many	我最近在佛罗里达州,我看着太阳,我这样做是为了多少
900	minutes.	几分钟
901	And now she has permanent little blind spots where she cannot see 2020 anymore.	现在她有了永久性的小盲点她再也看不到2020年了
902	Where in there?	在那里吗?
903	Is that the colored part of the eye?	那是眼睛的颜色吗?
904	No, so the colored part is the iris, but the light going through the eye is magnified so	不,所以彩色的部分是虹膜, 但光穿过眼睛被放大这样
905	strongly by the cornea and the lens inside the eye that ends up focusing on the part	强烈的角膜和眼睛的镜片最终聚焦于部分
906	眼睛中称为fovea或macula。
907	Which is at the back of the...	是在后面的...
908	It's in the back part of the eye.	于后眼处.
909	Imagine if we were going to play darts, we're going to go to the pub, I'm going to throw	想象一下,如果我们要玩飞镖, 我们要去酒吧,我要扔
910	darts, the center bullseye of the eye called the macula, that part is your reason you see	飞镖,眼睛的公牛眼叫做macula, 这部分是你看到的原因
911	so sharply, is the reason that it's the part of the eye that you're using when you're reading	如此尖锐,是因为它的一部分眼睛,当你在阅读
912	words, when you're studying, when you're looking at your friends and family in the face.	语,学时,视亲友于面.
913	You're using that bullseye in the back of the eye.	你用那头牛眼在眼睛后面
914	So when someone looks at the sun, they're putting all of that light energy focused right	所以,当有人看太阳, 他们把所有的光能量聚焦右
915	in that area and then just a few seconds you can overwhelm that tissue causing chemical	在那个区域,然后仅仅几秒钟你可以克服组织引起化学
916	damage to the retina.	视网膜受损。
917	Because people, this phrase sun gazing, is this like a spiritual thing?	因为人们,这个短语太阳凝视, 这是精神的东西吗?
918	Like I think I was in Bali and people were like, no you can, you can sun gaze, you should	就像我在巴厘岛人们会说,不,你可以,你可以阳光凝视,你应该
919	sun gaze because it's good for you.	太阳凝视是因为它对你有好处
920	Sun gazing, what is this term?	太阳凝视,这是什么术语?
921	That is usually in some sort of either religious or spiritual practice, people will gaze toward	这通常在某种宗教或精神的实践中,人们会注视着
922	the sun.	太阳。
923	Usually from my understanding it's people doing it in the early morning or late afternoon	根据我的理解通常是人们在清晨或午后做
924	when the sun is largely going down the horizon.	当太阳大致在地平线下行进的时候。
925	And because the light is indirectly being bent, perhaps it's not giving as much energy	因为光线被间接弯曲, 也许它没有给多少能量
926	to cause thermochemical damage to the back of the eye, but there is still a high risk	对眼睛的后部造成热化学损害,但仍有很高的风险
927	and so it's always best to not stare directly into the sun or try to look off center from	所以最好不要直接盯着太阳看或者试着从中央看
928	it and especially during the high UV times of the day, 10 to 4 p.m. usually, it's good	特别是在白天的紫外线时段通常晚上10点到4点
929	to be wearing UV light protection.	戴着紫外线防护罩
930	Not just because UV can penetrate into the eye, but because UV light damages the skin	不仅因为紫外线能穿透眼睛而且还因为紫外线轻伤皮肤
931	of the eyelid, it can cause changes to the front surface of the eye, you can get sunburn	在眼皮上,它可以引起眼睛前表面的变化,你可以被晒伤
932	on the surface of the eye.	在眼睛的表面。
933	Okay, that's good to know, I'm not going to look at the sun.	好吧很高兴知道我不会看太阳的
934	I was being torn because I've got a friend who told me that sun gazing is good for you	我被撕裂是因为我有个朋友跟我说看太阳对你有好处
935	and you should do it and stuff, but I'll take your word for it.	你应该这么做但我会接受你的承诺
936	You mentioned blue light a second ago, which is the light that comes off our devices.	你刚才提到蓝光是从我们设备上发出的光
937	Is that harmful for my eyes?	这对我的眼睛有害吗?
938	There's blue light that comes from the sun, really high energy, that could potentially	有来自太阳的蓝光, 真正的高能量,有可能
939	cause aging changes inside the eye.	导致眼睛内部老化
940	The blue light that comes from your digital screens does not have enough power and has	蓝光来自你的数字屏幕没有足够的力量,有
941	consistently shown in research to not increase the risk of aging eye diseases.	在研究中一致表明,眼睛老化的风险不会增加。
942	It just impacts my sleep potentially.	它只会影响我的睡眠
943	Impacts your sleep.	影响你的睡眠。
944	There's also some claims that blue light can affect your eye strain, but again, research	也有说法认为蓝光会影响你眼部的紧张但还是研究
945	on blue light glasses, on using devices, shows that blue light does not impact eye strain.	在蓝光眼镜上,在使用设备时,显示蓝光不会影响眼睛的紧张.
946	A lot of people will claim that they will.	很多人会声称他们会的。
947	I have a lot of patients who come in and anecdotally are like, oh, my eyes feel so much better	我有很多病人他们进来和传闻喜欢,哦,我的眼睛感觉好多了
948	from getting the blue light glasses and that could just be placebo effect.	从得到蓝光眼镜, 而这可能是安慰剂效应。
949	It could potentially be the fact that a lot of blue light glasses will have anti-glare	可能是很多蓝光眼镜会反光
950	or glare-free protection put onto it and the anti-glare is probably improving their focus	或者是无光的保护反光可能正在改善他们的焦点
951	and they're not having as much glare issues when staring at the device, but right now	他们看设备时没有那么多闪光问题但是现在
952	there's still just no concrete evidence showing that blue light is contributing to eye strain.	还没有具体证据表明蓝光会增加眼压
953	But then the sleep cycle, we do know that blue light can influence your sleep.	但随后的睡眠周期,我们确实知道蓝光可以影响你的睡眠.
954	What kind of gadgets do you have?	你有什么样的装置?
955	I don't know why, but I assume as someone who is an eye doctor, you must have loads	我不知道为什么但我假设你是个眼科医生你一定有货
956	of gadgets around your house that you use to, because you know all of the information	在你家周围的装置,你用来, 因为你知道所有的信息
957	about eyes and vision and stuff.	关于眼睛和视觉之类的
958	Is that, am I wrong?	我错了吗?
959	I mean, yeah, I have multiple computer screens open.	我的意思是,是的,我有多个计算机屏幕打开。
960	I have my phone screen open all day.	我整天都开着手机屏幕
961	The other day I was texting a friend and I'm like, I've got two laptops open at a coffee	那天我给一个朋友发了短信,我说,我有两个手提电脑开着咖啡
962	shop.	商店。
963	You know, I'm like, I'm doubling down on the blue light here.	你知道,我就像, 我翻倍下来在这里的蓝光。
964	So there's a lot going on there, but yeah.	所以那里发生了很多事,但是是的。
965	All practices, are there any practices that you've been disciplined with because you're	所有练习,有没有任何练习你曾经受到纪律约束因为你是
966	aware of the impacts it will have on your eye?	知道它会影响你的眼睛吗?
967	Specifically on blue light?	特别是蓝光?
968	No, all of it.	不,所有这一切。
969	Just your overall eye health?	只是你的整个眼睛健康?
970	So the biggest things for myself is diet.	所以对于我自己来说最大的事情是饮食。
971	Okay, let's talk about diet then.	好吧,让我们谈谈节食。
972	What do I need to know in terms of what I'm eating and drinking to make sure that my eye	我要知道什么,我吃什么喝什么确保我的眼睛
973	health stays optimal?	健康保持最佳状态?
974	So they've been looking at lifestyle factors on aging eye diseases for a long time, many	因此,他们一直在研究生活方式因素在老眼科疾病很长时间,很多
975	decades.	数十年。
976	The biggest one thing when it comes to diet, and they even have more recent publications,	在饮食方面最大的一件事他们甚至有更近期的出版物
977	我的导师Julie Poteet 她曾经是Ocular Well
978	Society, which I'm a member of, she even brought my attention to a publication just	社会,我是一个成员, 她甚至提请我注意一个出版物
979	this year from the American Journal of Nutrition.	今年的美国营养杂志
980	They looked at the original publication of AREDs, the Age-Related Eye Disease Study,	他们研究了AREDs的原著与年龄有关的眼疾研究
981	that has a large cohort of people, like 4,000 people they watched over nine years, tracking	有一大群人像4000人他们监视了9年,跟踪
982	their diet, tracking their eye health and how things were changing.	他们的饮食, 跟踪他们的眼睛健康和事情是如何变化的。
983	And they find that just eating a Mediterranean diet, green leafy vegetables, oily fish, reduces	他们发现只要吃地中海的饮食绿叶蔬菜油味鱼就会减少
984	your risk of developing conditions like macular degeneration, specifically slowing down the	你可能发展条件如乳腺退化, 特别减慢
985	progression of that condition.	病情的发展。
986	In that specific study, this publication that just came out, they showed that just having	在刚刚出版的这份具体研究报告中,他们表明,
987	2.7 servings of green leafy vegetables in a week, not a day, but just even a week, right?	2.7 一周内提供绿叶蔬菜,不是一天,而是一周,对吧?
988	We're supposed to have more than that in a day, but just 2.7 servings or more can slow	我们一天内应该不止这些但只要2.7个服务或更多就可以慢一点
989	down your risk of progression of that condition, macular degeneration, by 25% from going from	降低你患上这种疾病的风险, 乳腺衰老, 25%来自
990	early to more of an advanced stage.	早期到更高级的阶段。
991	And macular degeneration leads to blindness.	而乳腺退化会导致失明.
992	It can, yeah.	它可以,对。
993	Especially as we get older.	特别是我们变老了
994	Because that condition, and we can go into it, but that condition has a lot to do with	因为那个条件,我们可以进入它, 但那个条件与很多
995	your inflammation.	你的炎症发作
996	It has to do with metabolism and oxidative stress that occur within the eye.	它与眼内发生的新陈代谢和氧化应力有关.
997	But green leafy vegetables, at least 2.7 servings a week, that's that specific study, they	但绿色的叶子蔬菜,至少每周2.7种, 这就是具体的研究,他们
998	find that oily fish, eating 2 servings of oily fish a week slowed it down by 21%.	一周吃两片油性鱼令它减速21%
999	And then they found a synergistic effect for people who ate both.	然后他们发现了一个协同效应对于吃两者。
1000	It was a 41% reduced risk of progressing in that disease.	艾滋病发病率下降了41%。
1001	So and that's not just the only study they find that people who eat diets that have more	所以,这不是唯一的研究他们发现, 吃饮食的人有更多的
1002	fruits and vegetables, that have oily fish, reduced risk of developing conditions like	水果和蔬菜有油性鱼,减少了发展诸如
1003	macular degeneration, reduced risk of things like diabetic retinopathy.	乳腺衰变降低糖尿病肾上腺病的风险
1004	And so I try to focus on eating a good healthy diet.	所以我试着专注于吃一个良好的健康饮食。
1005	I mean, the thing that I heard growing up was that you need to eat lots of carrots,	我的意思是,我听到的东西长大是,你需要吃很多胡萝卜,
1006	and then carrots will help your vision.	然后胡萝卜会帮助你的视觉。
1007	So carrots, do you know where that came from?	胡萝卜,你知道这是从哪里来的吗?
1008	No.	没有
1009	That's actually a propaganda started in the UK by Great Britain.	这实际上是大不列颠在英国开始的宣传.
1010	From what I understand, I'm sure there's like a historian out there who's just like grumbling	根据我的理解,我敢肯定,有一个像历史学家在那里,他就像抱怨
1011	at me.	对我
1012	But from what I have read and studied is that I believe it was World War Two, that Britain	但从我读到和研究的来看我认为是二战英国
1013	had was being attacked by the Germans and they were worried about German warplanes dropping	被德国人袭击他们担心德国战机会坠落
1014	bombs on them, especially at nighttime.	炸弹在他们身上,特别是在晚上。
1015	And they had already established radar to detect warplanes coming, but they didn't want	他们已经建立了雷达来侦测战机的到来,但他们不希望
1016	Germany to know that.	德国知道这一点。
1017	So they put out their own propaganda saying, hey, our scouts can detect German warplanes	所以他们发表自己的宣传说,嘿,我们的侦察员可以探测德国战机
1018	better because they eat their carrots, because carrots have beta carotene, which your body	他们吃胡萝卜会更好因为胡萝卜有β胡萝卜你的身体
1019	can convert to vitamin A, which is essential for nighttime vision and retinal health.	维生素A对夜视和视网膜健康至关重要。
1020	Oh, OK.	哦,没事。
1021	Because I also used to hear that if you ate carrots, you could see in the dark.	因为我也曾经听到,如果你吃胡萝卜, 你可以在黑暗中看到。
1022	So it's, I mean, it is based on some, like vitamin A is essential for photoreceptors	所以,我的意思是,它是基于一些, 像维生素A 是必需的光受体
1023	in the back of the eye, but most people are not vitamin A deficient by far.	在眼睛的后面, 但大多数人不是维生素A 不足到现在。
1024	And so it's pretty rare that we see vitamin A deficiency in the eye clinic, unless you	所以,我们很少看到维生素A缺乏在眼科,除非你
1025	happen to live in a place that's pretty malnourished.	恰好住在一个营养不良的地方
1026	You mentioned oily fish.	你提到油炸鱼。
1027	I was on your YouTube channel, and I saw that you did an experiment where you took omega	我在你的YouTube频道上,我看到你做了一个实验, 在那里你带了欧米加。
1028	3 for 90 days, I guess because there's some kind of implications for vision with omega 3?	3个90天,我猜因为有某种影响视觉与omega 3?
1029	Omega 3 does play a role in the eyes for two rays.	Omega 3的确在双射线眼中扮演了角色.
1030	That specific video, I was really looking at omega 3s and its relationship to my own	这段录像,我真的在看 omega 3s 和它与我自己的关系
1031	dry eye symptoms, because there's a lot of studies looking at omega 3 and its dry eye.	干眼症状,因为有很多研究关注蛋白3及其干眼.
1032	And the research is still a bit all over the place.	研究还是有点多。
1033	Most eye care providers who specialize in dry eye will say that, you know, there is	大部分专攻干眼科的眼科护理人员会说,你知道,有
1034	a role for omega 3s in helping reduce inflammation that contributes to dry eye, because a lot	欧米茄3在帮助减少炎症的作用有助于干眼,因为很多
1035	of dry eye disease has to do with inflammation.	干眼病与炎症有关
1036	And so there is a large belief that it does work.	因此人们大都相信它确实有效。
1037	There are some publications, of course, that say, no, it doesn't, it's just the same	有些出版物,当然, 说,不,它没有,它只是一样
1038	as placebo, and so there's still some debate.	作为安慰剂, 所以还有一些争论。
1039	But omega 3s also play a huge role in the retina in the back of the eye.	但omega 3s在眼后视网膜中也扮演着巨大角色.
1040	The photoreceptors in the back of the eye, within the retina, this, again, this kind	眼后视网膜内的光受体又是这种
1041	of orange-pink tissue in the back, that picks up all the light that you see, the colors	背面的橙色粉红色组织, 取出你看到的光,颜色
1042	that you see, it sends those signals through the optic nerve to the brain.	它通过视神经向大脑发出信号
1043	So the retina is essential.	所以视网膜是不可或缺的。
1044	So the photoreceptors, about 50 to 60% of the fatty acid content of the photoreceptor	因此,光受体, 大约50%到60%的脂肪酸含有光受体
1045	这是DHA omega 3.
1046	And so there have been, interestingly enough, research showing that diets that have more	因此,有趣的是,有研究表明, 饮食有更多的
1047	oily fish, those people are less likely to develop macular degeneration, and they're	油腻的鱼,那些人不太可能发展乳腺退化,他们是
1048	less likely to have problems with diabetic retinopathy if they happen to be diabetic.	如果糖尿病是糖尿病,则不太可能出现糖尿病复发性问题。
1049	But then a lot of the publications on using omega 3s supplements have not seen the same	但很多关于使用 omega 3s 的副刊却没有看到同样的
1050	results in terms of this form of retinal health.	导致这种视网膜健康。
1051	And there is some insight, they're thinking they've kind of figured this out, and this	有一些洞察力,他们认为他们已经发现了,这个
1052	is still very early research, but so there is a transporter called the MFSD2A.	仍然是很早期的研究, 但有一个运输器叫做MFSD2A。
1053	This transporter helps transport specific forms of DHA omega 3 through the blood-brain	这个运输器通过血液脑来运送特定的DHA omega 3
1054	barrier into neural tissue, and they're finding that that same transporter works with a blood	进入神经组织时发现同一运输器能用血液
1055	retinal barrier as well.	视网膜屏障也.
1056	And so newer studies, looking mainly at Alzheimer's disease, but they're doing it on mice, and	所以比较新的研究,主要研究阿尔茨海默症, 但他们做的是老鼠,
1057	they're formulating a specific type of DHA called lysophospholipid DHA that binds to	它们正在形成一种特定的DHA类型,叫做淋巴磷脂DHA,它与
1058	that transporter and helps that get into neural tissue.	那个传送器帮助它进入神经组织
1059	And the current research is showing that with mice at least, I haven't found anything in	目前的研究显示至少对老鼠来说我还没有发现任何东西
1060	humans, but at least with mice, that the retinal health is improving, they're having better	人类,但至少与小鼠, 视网膜健康正在改善, 他们有更好的
1061	signals through the retina, as well as less risk of things like retinopathy.	通过视网膜发出的信号, 以及较少的风险像视网膜病。
1062	So still very early research, but-	所以还是很早的研究,但是...
1063	So the omega 3 that I've got in my cupboard at home is probably not going to help, but	我家里柜子里的蛋白酱3可能帮不上忙但是
1064	the new versions of omega 3 that they're working on probably will.	他们正在研究的新版本的 OMEGA 3, 很可能会。
1065	Might.	也许
1066	And the reason why the current omega 3s don't seem to have that effect on the retina is	而现在的omega 3s 似乎对视网膜没有这种影响的原因是
1067	because omega 3 fish oils are in the form of what is called a triacylglycerol, which	因为蛋白3鱼油的形态叫做三联甘油
1068	your body can convert in the liver to get to neural tissue, but it's not very efficient.	你的身体可以在肝脏中转换到神经组织,但效率并不高.
1069	There are some forms of, so if you are eating fish, fish, krill, and then like fish eggs,	有一些形式,所以如果你吃鱼,鱼,磷虾, 然后像鱼蛋,
1070	do you like sushi?	你喜欢寿司吗?
1071	Yeah.	对
1072	So fish eggs are often on sushi, fish roe.	因此鱼蛋常在寿司上,鱼ro上.
1073	Those types, like salmon, I've read it has like up to 1 to 1.7% of these phospholipid	这些种类,如鲑鱼,我读过,这些磷脂的含量高达1%到1.7%
1074	type of DHA, so not very much, but krill can be up to about 30%, fish eggs can be somewhere	DHA类型,所以不是很多, 但是磷虾可以达到30%左右,鱼蛋可以在某个地方
1075	between 35 up to like 70% of these phospholipid DHAs, and your body is able to either turn	这些磷酸DHA有35到70%左右, 你的身体可以转动
1076	those into triacylglycerol, which is similar to the omega 3 fatty acid supplements, or	与蛋白质3脂肪酸补充物类似,
1077	it can turn that into this lysophospholipid DHA, which your body can transport into neural	它会变成这种淋巴磷脂DHA, 你的身体可以运输成神经
1078	tissue at a better biofailability.	组织在更好的生物失效。
1079	What did you discover when you started taking omega 3 for 90 days as part of that experiment?	作为实验的一部分你开始服用蛋白质3 90天时发现了什么?
1080	So that was, again, looking more at dry eye, and specifically I took, first I just looked	所以,这是,再次, 更看干眼, 具体地说,我采取了, 首先,我只是看
1081	at, hey, what's my blood level of omega 3s right now?	at, hey, 我现在的血水平是多少?
1082	Just by diet, and it was pretty	只是通过饮食, 它是美丽的
1083	low at that time.	那时低。
1084	It was like 4.7 or something like that, which you want between 8 and 12%.	它像4.7或者类似的东西, 你想要在8%到12%之间。
1085	Then I started taking, I also did measurements of my dry eye symptoms.	然后我开始做,我还做了我的干眼症状的测量。
1086	My dry eye symptoms,	我眼睛干燥的症状
1087	I took dry eye measurements that we do in the clinic to diagnose objectively what's	我在诊所做了干眼量测定客观诊断什么是
1088	going on with the dry eye, the dryness components, and then I took it for 90 days, and then I	继续用干眼,干燥的成分, 然后我把它90天,然后我
1089	also tested my blood again at the end, and I found that after taking those omega 3s,	临Τ程代刚и〉礛и祇瞷 êㄇ 3
1090	that specific formula, that it ended up getting to about 9.5% omega 3.	那个特定的配方, 它最终得到大约9.5% omega 3.
1091	It's like more than 100% increase.	如增百余载.
1092	So it was a dramatic increase in the omega 3 in my blood, and my dry eye symptoms also	我血液中的蛋白质3 和眼部干燥的症状急剧增加
1093	improved.	改进。
1094	Now again, that's just an N of one.	现在再说一遍,这只是一个N。
1095	I'm just one person.	我只是一个人
1096	There's a lot of, dry	还有很多,干
1097	eye is really complicated too.	眼睛也很复杂
1098	What is dry eye?	干眼是什麽?
1099	I don't think I've ever had dry eye.	未尝有干眼.
1100	So dry eye disease is a disease of the eye.	故干眼病为眼病.
1101	I think everybody can have symptoms of dry	我想每个人都会有干燥的症状
1102	eye just if you walk outside, it's a windy day, maybe you're sitting around a bonfire	眼睛,如果你走出去, 这是一个风的一天, 也许你坐在一个篝火
1103	or something, smoke hits your eye, your eyes can feel a little dry, you blink a few times.	或者什么,烟击中你的眼睛, 你的眼睛可以感觉有点干燥, 你眨眼几次。
1104	But dry eye disease enters a whole different state, and dry eye disease occurs when not	但干眼病进入了一个完全不同的状态,干眼病在不发生时发生.
1105	only is there, there could be a reduced amount of production of tears, it could be that your	只有这样流泪量可能会减少可能是你的
1106	tears evaporate too quickly.	泪水蒸发太快。
1107	That's a lot of people.	谓众曰.
1108	And then what happens is that there's a little bit of damage on the surface of the eye because	然后发生的情况是,眼睛表面有一点损伤,因为
1109	the tear film has to stay stable to protect the tissue underneath.	泪片必须保持稳定才能保护下面的组织
1110	If the tears are gone,	如果眼泪没了
1111	the tissue underneath gets exposed to air and salt content of your tears ends up going	你泪水里含的盐最终会流出来
1112	up, what we call hyperosmolarity of the tears.	起来,我们称之为眼泪的超感冒。
1113	That higher salt content irritates the surface	盐含量高会刺激表面
1114	of the cells on the surface of the eye here on the cornea.	眼睛表面的细胞这里的角膜。
1115	It then has little micro damage	然后微小的损坏
1116	which your body tries to heal.	你的身体试图治愈。
1117	Inflammatory proteins come out to try and heal that.	炎症蛋白质出来试图治愈.
1118	Now	现在
1119	again, if it's just a small episode, you're walking on the street, wind comes up, dry,	再说一次,如果只是小插曲, 你走在街上,风来,干,
1120	your body heals it.	你的身体能治愈它。
1121	But if it's a chronic condition, you're dealing with dryness all	但是如果这是慢性病, 你处理所有干燥
1122	day long, every day, for weeks, months, the inflammatory proteins never go away.	每天,每天, 几个星期,几个月, 炎症蛋白永远不会消失。
1123	And the	还有
1124	inflammatory proteins start signaling your lacrimal gland to stop producing as much tears.	炎症蛋白质开始发出信号让你的乳腺停止产生同样多的眼泪
1125	The inflammation prevents your eye from healing.	炎症使眼睛无法愈合.
1126	And then the inflammation can cause the oil	然后炎症会引发油
1127	glands of the eyelids to start to basically cause more irritation and stop producing as	眼皮的腺体开始引起更多的刺激并停止生产作为
1128	well.	不错
1129	Is there one food in particular that is, in your view, the top food for good eye health?	你是否认为有一种食物是眼科健康的顶级食物?
1130	So green leafy vegetables.	故绿叶菜.
1131	What about sweet potatoes?	甜薯怎么样?
1132	Sweet potatoes can certainly help you with things like vitamin A.	甜薯当然可以帮助你维他命A。
1133	They've got other	他们有其他的
1134	nutrients in them I think are really good.	里面的养分,我觉得真的很好。
1135	Sweet potatoes technically have beta-carotene,	甜薯有β-胡萝卜素
1136	same thing as carrots.	跟胡萝卜一样
1137	If you're deficient in vitamin A, your body will convert that	如果你缺乏维生素A, 你的身体会改变
1138	beta-carotene to vitamin A, which is good.	β-胡萝卜烯对维生素A,这是很好的.
1139	But mainly in green leafy vegetables, you	但主要在绿叶蔬菜,你
1140	can not only get things like beta-carotene, but you can get lutein and zeaxanthin, which	不仅可以得到β-胡萝卜素还可以得到Lutein和Zeaxanthin,这些
1141	are amazing for eye health in many ways.	在许多方面对眼睛健康来说是惊人的。
1142	Not just eye health, but also brain health.	不仅是眼睛健康,还有脑部健康
1143	What about sugar?	糖怎么样?
1144	What impact does it have?	它有什么影响?
1145	Because you mentioned diabetes earlier I think.	因为你刚才提到糖尿病我想
1146	If I'm having a lot of sugar in my diet, will that have an impact on my eye health?	如果我的饮食中含有很多糖,那会影响我的眼部健康吗?
1147	It can.	它会的。
1148	For patients who don't, or for people who are diabetic or have elevated blood sugars,	对于没有糖尿病或血糖升高的病人来说
1149	when you have too much sugar in your blood, it can enter into the eye, it can cause the	当你的血液中含有过多的糖, 它可以进入眼睛, 它可以引起
1150	lens inside the eye to swell.	眼睛里面的镜片膨胀。
1151	And so with that swelling, you can see a refractive change.	因此,随着这种肿胀,你可以看到一个反射变化。
1152	The power of your glasses, contact lenses, that can shift.	你的眼镜隐形眼镜的威力可以改变
1153	And so that can sometimes	所以有时可以
1154	be a tip-off if you were to see me in the clinic and I notice your prescription suddenly	如果你在诊所见到我我突然注意到你的处方
1155	changed like two steps.	变化如两步.
1156	I'm like, why is it making this big of a change?	我很喜欢,为什么它做这么大的变化?
1157	It may be	也许是
1158	a tip-off that, hey, maybe the blood sugar's off, we have to send you in for like a diabetic	一个小消息,嘿,也许血糖的关闭, 我们必须让你进来像糖尿病患者
1159	workup.	检查。
1160	Do people with diabetes suffer more with that vision?	糖尿病患者有这种视力吗?
1161	They can.	他们可以。
1162	Diabetes is devastating for the health of the eye.	糖尿病对眼睛的健康造成毁灭性的影响。
1163	Because with diabetes,	因为糖尿病
1164	when your blood sugar's elevated, it causes damage to the endothelium of the blood vessels	当你的血糖升高时它会对血管内膜造成伤害
1165	in the arteries in the back of the eye.	在眼后动脉中。
1166	The things at the back of those things there.	那些东西后面的东西
1167	Yeah, because the back of the eye is one of the most highly vascularized area of your	是的,因为眼睛的背部是您最高度血管化的地区之一
1168	body.	躯体。
1169	So as we can, because you have blood vessels again on the inside of the retina,	因此,我们能做到, 因为你有血管再次在视网膜内部,
1170	you have blood vessels on the backside of the retina.	视网膜后面有血管
1171	And so when people have damage	所以当人们受到伤害时
1172	to those blood vessels, the blood, the vessels can start to hemorrhage.	血管,血液,血管可以开始出血。
1173	They can start to	他们可以开始
1174	have little aneurysms.	有小动脉瘤。
1175	They start to bleed in the back of the eye.	眼睛后部开始流血
1176	And then the function	然后这个功能
1177	of the retinal tissue is the retinal tissue's not getting the nutrients, the oxygen and	视网膜组织中视网膜组织得不到养分氧气和血液
1178	the nutrients it needs to stay alive.	维持生命所需的营养
1179	And so then people's vision can deteriorate.	这样人们的视觉就会恶化。
1180	You can have a swelling in the back of the eye in the retinal tissue itself.	你可以在视网膜组织本身的眼后部出现肿胀.
1181	We call	我们打电话
1182	macular edema.	马氏水肿.
1183	And ultimately, if people, unfortunately, are diabetic, they don't know	归根结底如果人们不幸患有糖尿病他们不知道
1184	it or they're poorly controlled, they can bleed so much in the back of the eye that	要么控制不良眼后流血过多
1185	fibrous scar tissue starts to form and it can even pull on the retina and create a retinal	纤维疤痕组织开始形成甚至可以拉在视网膜上形成视网膜
1186	detachment.	分遣队
1187	Let's pause for a minute and talk about today's sponsor, Whoop.	让我们暂停一分钟,谈谈今天的赞助商,呼呼.
1188	What do you have planned for	你的计划是什么
1189	the next 31 days?	接下来的31天?
1190	If this month is shaping up to look similar to the last month, I want	如果这个月的形成与上个月相似,我想
1191	to challenge you to try something new.	挑战你尝试一些新事物。
1192	This October, Whoop is encouraging all of its members	今年10月,Whoop鼓励所有成员
1193	to embrace sobriety.	拥抱清醒
1194	They want you to experience all of the mental and physical changes that	他们希望你经历所有的身心变化
1195	come as a result of abstaining for just 31 days from drinking.	31天后戒酒而来
1196	And I firmly firmly firmly	我坚决地
1197	believe that this is a good thing.	相信这是好事
1198	I haven't drunk for more than a year now.	我已经一年多没喝酒了
1199	I quit drinking	我戒酒了我戒酒了我戒酒了
1200	because of Whoop.	因为胡奥普。
1201	I firmly believe in the power of information and the agency it gives	我坚信信息的力量和它给予的代理
1202	you to make better informed choices in your life, especially ones around your health.	在你的生活中做出更明智的选择特别是你的健康
1203	So if you're already part of the Whoop community, keep your eye on the app this month for the	所以,如果你已经加入呼喊社区, 注意本月的应用
1204	Sober October Challenge.	索伯十月挑战赛.
1205	If you haven't joined yet, now's a great time to join.	如果你还没有加入, 现在是一个伟大的时间加入。
1206	Just head	只是头
1207	加入.whoop.com slash CEO 开始你的自由审判今天。
1208	这是加入.whoop.com的斜线
1209	CEO.	总裁
1210	Now is the time to transform your life.	现在是改变你生活的时候了。
1211	You are going to want to hear this message from a brand sponsor.	你会想听到这个消息从品牌赞助商。
1212	Spoiler, someone's going	捣蛋鬼,有人走了
1213	to have the opportunity to win £10,000.	有机会赢得一万英镑。
1214	You've heard me ask over 300 guests about their purpose.	汝闻我问三百余名宾主宗旨.
1215	You've heard me ask them what is your why and how they're building their lives and	你听到我问他们为什么和他们是如何建立自己的生活
1216	businesses around it.	商业围绕它。
1217	But how are you building yours?	但是,你是如何建造你的?
1218	If you're not living according to	如果你没有按照
1219	your own why, you're probably living according to someone else's.	你自己的原因,你可能住在别人的。
1220	I designed the manifesto	我设计了宣言
1221	method with Adobe Express to help people, especially business owners, reconnect with	与 Adobe Express 一起帮助人们,特别是企业所有者重新连接
1222	their values.	他们的价值观。
1223	A lot of people, including myself for most of my life, aren't clear on what	很多人,包括我大部分时间都不清楚什么
1224	our why is.	我们为什么是。
1225	But we all know that it's so important because it's the North Star.	但我们都知道这很重要因为那是北极星
1226	It's our compass.	这是我们的指南针。
1227	It's our guide through this chaos that we call life.	这是我们通过混乱的指南我们称之为生命。
1228	Click the link in the description	单击描述中的链接
1229	to find an introduction to this method and some easy to use templates to create your	查找此方法的介绍, 有些则容易使用模板创建您
1230	own personal manifesto.	自己的个人宣言。
1231	I'll select my favourite to receive £10,000 and an invite to an exclusive	我选我最喜欢的一万英镑和邀请单
1232	event with me.	与我一起举行的活动。
1233	Your why done your way.	你为何如此行事
1234	And I'm excited to see it.	我很高兴看到它。
1235	Every once in a while, my eyelid starts twitching.	偶尔我的眼皮会开始抽搐
1236	What is that?	这是什么?
1237	Eyelid myokymia.	眼皮肌动脉.
1238	Is that what it's called?	这就是所谓的吗?
1239	That's the medical definition for it.	这是医学的定义
1240	Twitching eye, I call it.	颤抖的眼睛,我叫它。
1241	witch动眼.
1242	Twitching eyelid, like the eyelid starts	扭动眼皮,就像眼皮开始
1243	What is that?	这是什么?
1244	So that is your threshold of your eyelids to blink is your level of stress.	这就是你眼皮眨眼的门槛也就是你的压力程度
1245	You're like	碞钩
1246	holding really tight muscles.	肌肉很紧
1247	And so they find, and this is historically, even in textbooks,	因此,他们发现, 这是历史上,甚至教科书,
1248	they call it basically the meds medical student twitching eye, because it's usually people	他们基本上称之为药医学学生抽搐的眼睛, 因为通常是人
1249	who are stressed out, people who are not sleeping very well, they're fatigued.	压力很大,睡不好的人都累了
1250	And then people	然后人们
1251	are drinking way too many stimulants like drinking caffeine.	像喝咖啡因一样喝太多兴奋剂了
1252	So I have a lot of patients	┮иΤ痜
1253	who come in, they're like, I'm having my eyelid twitch.	谁进来,他们喜欢, 我得到了我的眼皮抽搐。
1254	And I look over on the counter	我看着柜台
1255	and they sure enough have a have an energy drink with them.	和他们一起喝杯能量饮料就够了
1256	And I'm like, okay.	而我喜欢,好吧。
1257	So that	这样
1258	that is largely what it is.	这基本上是事实。
1259	Some people can have a true blepharospasm, where the eyelids	有些人可以有一个真正的blepharospasm, 在那里眼皮
1260	close involuntarily.	接近非自愿。
1261	And that's more of an advanced medical condition.	这更是一个先进的医疗条件。
1262	So I think if	所以我认为如果
1263	people are having just a little flutter on their eyelids, usually not a concern.	人们的眼皮只是有点颤抖, 通常不关心。
1264	It's	这是
1265	just get more sleep, stop drinking so much caffeine, try to look at your stress levels.	只要多睡一觉,停止喝这么多咖啡因, 试着看看你的压力水平。
1266	And that's a tough thing.	这是件很难的事
1267	Because even myself, I remember in college, I remember saying the	因为连我自己,我记得在大学, 我记得说
1268	same thing to my doctor is like, you're just too stressed.	对我的医生来说,你太紧张了
1269	And I'm like, I'm not	而我喜欢,我不是
1270	stressed.	压力很大。
1271	I'm doing great.	我做得不错。
1272	Then I go home and I start making a list of everything I'm	然后回家,我开始做一个列表我的一切
1273	trying to control in my life.	试图控制我的生活。
1274	I'm trying to control this for grades, trying to do this	我试图控制这个成绩,试图做到这一点
1275	and excel in athletics.	并且擅长运动。
1276	I'm trying to do this at home.	我试图在家里做到这一点。
1277	I'm trying to manage this with	我试图管理这个与
1278	my friends.	朋友们
1279	And at you know, halfway through, I look at the list, I'm like, Whoa, there's	你知道,半途而废, 我看着名单,我像,哇,有
1280	so much going on in my life.	我生命中发生了很多事
1281	No wonder I actually am stressed.	难怪我压力很大
1282	I've just I've come so accustomed	我刚习惯了
1283	to it.	对它。
1284	I haven't I didn't realize it.	我没有意识到。
1285	I haven't been that self aware.	我还没意识到
1286	Glycoma.	葛力科马.
1287	Now, Glycoma is something that people over 60 typically get.	现在,Glycoma是60岁以上的人通常得到的东西。
1288	From what I've understood,	据我所知,
1289	is that preventable at all?	这是完全可以预防的吗?
1290	Or is that just a consequence of aging?	还是只是衰老的后果?
1291	And what is Glycoma?	格里科马是什么?
1292	So Glycoma is where the nerve, the nerve in the back here that connects the eyeball to	因此,Glycoma是在那里的神经, 后面的神经在这里,连接眼球与
1293	the brain.	大脑
1294	So this thing here?	这东西在这里?
1295	Yes.	对
1296	So the nerve that all of the retinal cells converge	所以所有视网膜细胞的神经会凝聚
1297	onto the ganglion cells, which are essentially sending the information from the eye to the	将信息从眼中传送到眼中
1298	brain.	大脑。
1299	因此,Glycoma有不同种类的Glycoma.
1300	But the nerves die for some reason.	但是神经会因为某种原因而死
1301	So the nerves at the back here?	那后面的神经呢?
1302	
1303	those nerves go send the information back toward the brain so that you can see.	这些神经会把信息传回大脑这样你就能看见
1304	The	那个
1305	challenge is that that nerve, if it gets damaged, the nerves die off.	挑战在于,如果神经受损,神经就会消失。
1306	And when they die, you	当他们死了,你
1307	can't get them back.	不能让他们回来。
1308	So Glycoma, again, there's different types of them.	因此,Glycoma,再一次,它们有不同的类型.
1309	The most common one	最常见的
1310	that people think about is what's called primary open angle Glycoma.	人们所想到的就是所谓的主要开放角度Glycoma。
1311	And this is where pressure	这就是压力
1312	inside of the eye builds up.	眼睛内部积聚。
1313	And if you think of a bike tire, if you fill that full of air,	如果你想到一个自行车轮胎, 如果你充满了空气,
1314	and it gets to a point where it's so filled, the weakest part of the bike tire blows out.	车胎里最弱的部分就爆炸了
1315	And that basically happens with the eye.	这基本上发生在眼睛上。
1316	But the weakest part of the eye is the nerve in the back.	但眼睛最弱的部分是后面的神经.
1317	So that increased pressure pushes on the nerve and slowly pinches it, each of the ganglion cells,	所以,增加的压力推动神经并慢慢地捏它, 每个结膜细胞,
1318	to a point where it starts to die off.	以至于它开始死亡
1319	That's not reversible, is it?	这不是可逆的,是吗?
1320	Unfortunately, no.	不幸的是没有
1321	When you lose the ganglion cells, they die.	当你失去断层细胞,它们就会死。
1322	We know that pressure plays a role in it,	我们知道压力的作用
1323	the internal pressure of the eye.	眼睛的内压
1324	And so most treatments right now for Glycoma are focused	所以现在对Glycoma的大多数治疗都集中在
1325	on treating the pressure.	治疗压力。
1326	But more publications and research right now are also going into how	但现在更多的出版物和研究也正在研究
1327	do we better support the health of the nerve in the back, whether that be through blood flow,	我们是否更好地支持神经在后面的健康, 无论是通过血液流动,
1328	is it better for us to have some sort of nutrients getting to the optic nerve to give it more	我们最好有某种营养进入视神经给予它更多
1329	of a robust health and structure to withstand the pressure?	是否具有强大的健康和结构来承受压力?
1330	So there's more research going into it.	所以还有更多的研究。
1331	And the other thing that I heard about when I was researching your work is this term eye floaters.	我研究你的工作时听到的另外一件事就是眼球漂浮器。
1332	I'd never heard about this before.	我从来没有听说过这个。
1333	What is an eye floater?	什么是眼球漂浮器?
1334	So floaters inside the eye are, so many people have these issues.	因此,眼中漂浮物是, 所以很多人都有这些问题。
1335	And do you see them at all?	你看见他们了吗?
1336	Do you see little black specks when you look left and right?	你看到左边和右边的小黑斑了吗?
1337	Do you see little things?	你看到小东西了吗?
1338	Probably, I'm going to say that maybe sometimes, but I can't recall a time.	可能吧,我有时会这么说但我不记得有一次
1339	As we get older, floaters do naturally start to occur.	随着我们变老,漂浮物自然开始出现。
1340	These are the gel inside the eye	这些是眼睛里的凝胶
1341	called the vitreous, the vitreous humor.	被称为优雅的幽默
1342	So opening up the eye again, this large area that	因此再次打开眼睛, 这个大的区域,
1343	holds the shape of the eye, this is the vitreous humor.	保持眼睛的形状, 这是伟大的幽默。
1344	大部分是水,collagen,还有...
1345	little bit of hyaluronic acid, but it's like a jelly.	微小的hy酸,但类似果冻.
1346	But as we get older, this gel starts	但随着我们变老,这个凝胶开始
1347	to break down, and the collagen begins to clump.	破解, 焦糖开始凝结。
1348	And it sits there suspended in whatever's gel or	它坐在那里悬浮在任何凝胶或
1349	fluids left.	流体还剩。
1350	And so when people go outside, it's a bright sunny day.	所以,当人们出去, 这是一个阳光灿烂的一天。
1351	They look at the computer	他们看电脑
1352	screen.	屏幕。
1353	It's a bright backlight.	光辉背光.
1354	They'll see these little specks floating around, and they'll shift	它们会看到这些小斑点漂浮在四周它们会移动
1355	their eyes left and right, and you'll see it continue to drift.	他们的眼睛左右, 你会看到它继续漂移。
1356	And it gets really annoying.	它变得真的很烦人。
1357	It's like looking at a gnat or a little bug flying around.	如观涅盘或小虫飞绕.
1358	And really what's happening is the light	真正发生的事情是光
1359	正在打那些collagen clumps。
1360	It's casting a shadow on the retina, and you see those floating	它在视网膜上投下阴影你看到那些漂浮
1361	spots.	斑点。
1362	The concern is that some people develop suddenly a whole bunch of floaters.	担心是有些人突然发展了一大堆漂浮物.
1363	And if you	狦
1364	have a whole bunch of floaters, that could be because the gel, which is attached to the retina	有一整组浮标这可能是因为凝胶,它附着在视网膜上
1365	in the back of the eye, that gel can tug on the retina and create a small tear, or it can create	在眼后部,凝胶可以拖动视网膜并产生小的泪水,或者它可以产生
1366	a full detachment of the retina.	整个视网膜的分裂
1367	It can pull the retina off from the back of the eye.	它能从眼后拉开视网膜.
1368	Usually, though, if you ever have symptoms of a flash of light, like a lightning bolt	通常,如果你有闪光的症状就像闪电一样
1369	is going off somewhere in your vision that no one else saw, or you're having a dark shadow coming	在你视线的某个地方,没有人看到, 或者你有一个黑暗的阴影来了。
1370	down from the top of your vision, or rising up from the floor or from the side, that would be	或从地板上或从侧面升起
1371	an indication that perhaps a sudden change has happened, and you should see a doctor as soon as	可能发生了突变,你应该尽快去看医生
1372	But otherwise, the development of those small little floating spots, those gradually occur	但是,要不然,这些小小浮点的发展, 这些逐渐发生
1373	with age.	与年龄。
1374	And is there a way to treat them?	有没有办法治疗他们?
1375	So there are two surgical procedures to try to	所以,有两个手术尝试
1376	get rid of them.	摆脱他们。
1377	However, most surgeons won't want to do them, because there's always a higher risk	不过,大多数外科医生都不愿意做因为风险总是很高
1378	of causing damage or other complications in the eye.	导致眼睛受损或其他并发症。
1379	How many people are likely to experience	有多少人可能经历
1380	these eye floaters in their lifetime?	这些眼睛漂浮在他们的一生?
1381	Basically, every decade of life, you gain another 10% chance	基本上,生命的每一十年,你又得到10%的机会
1382	of having these floaters.	拥有这些漂浮器。
1383	So by the time you're 80 years old, you have an 80% chance of having	所以当你80岁的时候你有80%的机会
1384	these floaters.	这些漂浮物。
1385	Most people that I see coming in because of a complaint of floaters are usually	大部分人,我看到进来因为抱怨浮标者通常
1386	in their 40s, 50s.	在他们的40,50。
1387	I've heard you talk about pineapple helping to cure floaters.	我听说过你讲菠萝帮助治病
1388	So there	就这样
1389	is a study that came out several years ago that looked at using a type of supplement called bromelain	是几年前发表的一项研究研究用一种叫"青铜"的补品
1390	and that's found in pineapple.	在菠萝里找到的
1391	And that was a study that looked to see if people eating pineapple	这是一份研究,看人们是否吃菠萝
1392	could reduce their floaters.	可以减少他们的漂浮器。
1393	That study was not the best study ever done.	这项研究并不是有史以来最好的研究。
1394	It was kind of a,	这是种,
1395	I think it makes me excited that at least there's researchers looking into, hey, is there a way we	我觉得这让我兴奋至少有研究人员在调查,嘿,有办法吗?
1396	can get rid of these floaters?	可以摆脱这些漂浮器?
1397	Because they can be really annoying.	因为他们会很烦人
1398	If they're really large,	如果它们真的很大,
1399	they can obstruct people's vision.	他们可以阻碍人们的视觉。
1400	A more recent publication from 2021 looked at a different	2021年的一篇最新出版物研究了一个不同的
1401	formulation of different enzymes and vitamin supplements that include vitamin C, a lysine,	配制不同的酶和维生素补充剂,包括维生素C,一种赖氨酸,
1402	zinc.	锌.
1403	These can help preventing the glycation of collagen and specifically within the vitreous of	这些可以帮助防止铬化物的甘化,具体地说,可以防止高氯化物的甘化。
1404	the eye.	双眼
1405	And they did find after six months of supplementation that people's symptoms of	六个月后他们发现人们的症状
1406	floaters reduced.	浮筒减.
1407	It's only one study and I want to see more, but that right now is probably the	这只是一个研究,我想看到更多的, 但是现在可能是
1408	only supplement on the market that has probably the best research behind it, being it was a placebo	只有在市场上才有最好的研究因为那是安慰剂
1409	control trial.	控制审判。
1410	The pineapple study was in 2019 in the Journal of American Science.	菠萝研究于2019年在"美国科学杂志"上发表.
1411	The study said	研究说
1412	that people who had three slices of pineapple a day had a 75% eye floater improvement.	一天吃三片菠萝的人视力有75%的改善
1413	But you're	但你还是
1414	the medical community, the eye care community, we don't look at that with having the most	医疗界,眼科护理界, 我们并不以拥有最多
1415	scientific validity.	科学有效性。
1416	We do want to see more research in that area.	我们确实希望看到在这一领域进行更多的研究。
1417	Anecdotally, I've had people	传闻中,我有过人
1418	certainly message me on email and on YouTube and on Instagram saying that it did help them,	当然,在电子邮件、YouTube和Instagram上给我发信息说这对他们有帮助,
1419	but it's hard to say if it's truly placebo or not.	但很难说是不是真正的安慰剂
1420	I just one day saw it come in.	我只是一天看到它进来。
1421	What you need to do is you need to get the pineapple.	你需要做的是得到菠萝。
1422	Why is it there?	为什么?
1423	You have it constantly.	你总是有它。
1424	I remember one day it came in and it really freaked me out.	我记得有一天它进来了它真的吓到我了
1425	I didn't know what it was.	我不知道这是什么。
1426	I thought I was getting some sort of disease or something.	我以为我得到了某种疾病什么的。
1427	It went in a line and it was quite	它走在一条线,它是相当
1428	normal.	寻常.
1429	But yeah, I came in and it did come and I kind of shifted around.	但是,是的,我进来了,它确实来了,我有点转动。
1430	I can look at it and	我可以看着它
1431	shift it around by looking in a certain direction.	换个方向
1432	But it's not there all the time.	却不常有.
1433	It just all suddenly just drifted into my side.	它只是突然漂到我身边。
1434	I think if somebody even, especially for anybody who's having floaters or seeing a spot like that,	我认为如果有人甚至, 特别是任何人谁有浮点或看到这样的地方,
1435	I think it's still really important to have it evaluated because there is a chance,	我认为评价它仍然很重要因为有机会
1436	it's not a huge chance, but it's like a 5% that you could have a small tear or a hole in the	这不是一个巨大的机会, 但就像5% 你可以有一个小泪水或一个洞在
1437	far edge of the eye when the gel separated.	当凝胶分离时眼睛的边缘很深
1438	And in those cases, then if it's needed,	在这种情况下如果需要的话
1439	they can use a laser to just zap it and tack it down so that you don't develop a retinal	他们可以用激光把它扎下来这样你就不会发展视网膜
1440	detachment.	分遣队
1441	Because if you get a retinal detachment, it's an urgent procedure where	因为如果你得到一个视网膜隔离, 这是一个紧急的程序,在那里
1442	they need to repair the retina and get it back into place because it can otherwise lead to	他们需要修复视网膜,使其恢复原位,因为否则会导致
1443	permanent loss.	永久损失。
1444	You know, when you get something in your eye and it gets annoying, I had it the	你知道,当你得到的东西在你的眼睛,它变得烦人,我有它
1445	other day when I was in bed in LA, I had something in my eye and I could just feel it and you look	那天我在洛杉矶睡觉时我眼睛里有东西我能感觉到它你看着
1446	in the mirror and you can't see it and someone tries to blow in your eye and get it out and	在镜子里,你看不到它和有人试图吹在你的眼睛,得到它出来,
1447	that doesn't work either and you can feel it for maybe like 30 minutes, an hour.	那也行不通,你可以感觉到它也许30分钟,一个小时。
1448	What's the	怎么样
1449	best thing to do in that situation to get rid of that feeling in your opinion?	在那种情况下最好能摆脱那种感觉?
1450	Is it like a	就像一个
1451	hallucination?	幻觉?
1452	Because I can't see anything there.	因为我什么都看不见
1453	So the eyeball, it has some of the most nerve	所以,眼球,它有一些最神经
1454	endings on your body.	结束在你的身体。
1455	So even just something small piece of dust gets on your tear film,	所以即使只是一些小尘埃得到你的泪片,
1456	you can feel that and it can really irritate the eyes.	你可以感觉到它它会真的刺激眼睛。
1457	Some of the easiest things to do are using	一些最简单的事情是使用
1458	eye drops.	双眼滴水.
1459	Get even just over the counter eye drops, using those to rinse the eye.	刚刚通过柜台的眼滴, 使用这些洗净眼睛。
1460	If somebody	狦Τ
1461	gets a chemical in the eye, then you really want to rinse the eye really good with just even tap	在眼里得到一种化学物质,然后你真的想用水龙头来洗眼
1462	water水.
1463	You want to get water to flush it out.	你想得到水来冲出来。
1464	Obviously, you're at a workplace, they have wash	很明显,你在工作场所,他们洗过澡
1465	{\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}那些东西的站台
1466	So that's going to be the most important.	所以,这将是最重要的。
1467	If the eye remains red,	如果眼睛还红
1468	irritated, the body will produce more mucus to try and fix the problem.	受到刺激,身体会产生更多的黏液来尝试解决问题.
1469	And so a lot of people,	所以,很多人,
1470	if you get a little irritation, it just never seems to go away.	如果你得到一点点刺激, 它只是似乎永远不会消失。
1471	It's because somehow there's	因为不知何故
1472	inflammation developing on the surface, your body's producing more mucus, things your body can sense	发炎在表面发展身体产生更多的黏液身体能感觉到的东西
1473	that there's more swelling there.	那里还有更多的肿胀。
1474	So the best thing to do is rinse it out and go see the eye	所以最好的办法就是洗净它,去看看眼睛
1475	doctor, especially if it's not getting better.	医生,特别是如果它没有变得更好。
1476	So how often do you think I should get my eyes	所以,你认为我应该多久得到我的眼睛
1477	tested?	测试?
1478	年ly.
1479	Every year?	每年?
1480	You should.	你应该。
1481	I say that because they've had multidisciplinary	我这么说是因为他们有多学科的
1482	of different eye care professionals, not just eye care, but different medical professionals	不同眼科专业人员, 不只是眼科, 不同的医学专业人员
1483	in different fields look at the statistics.	不同领域的统计。
1484	And again, it's the fact that it is one of the easiest	再说一遍,这是最简单的
1485	least invasive medical procedures you can do to detect the most medical conditions	最少的入侵性医疗程序,你可以做检测最健康的情况
1486	that can potentially prevent you from having more serious comorbidities later in life.	有可能防止你晚年患上更严重的病症
1487	Dr. Joseph, what's the most important thing we didn't talk about that maybe we should have	约瑟夫博士,什么是最重要的我们没有谈论也许我们应该有
1488	talked about?	谈了?
1489	I think probably one of the biggest things that I personally really like to reflect	我想可能是我个人真正喜欢反映的最大的事情之一
1490	on, we've touched on diet a little bit, but I think diet and lifestyle, paying attention to	我们接触过一些饮食但我认为饮食和生活方式
1491	how much, not only what you eat, how much you eat, exercise, sleep, hydration, focusing on	多少,不只是你吃什么, 你吃多少,锻炼,睡眠,水分,集中注意
1492	these sort of things can have a ripple effect on the eyeball, but so many other parts of the body.	这些东西可以对眼球产生波纹效应, 但身体的许多其他部分。
1493	And that the eyes are an extension of your brain.	眼睛是大脑的延伸
1494	And what's good for the eyes is also good for the	眼睛好的东西也好
1495	heart.	心脏。
1496	It's also good for your brain.	这对大脑也有好处
1497	And so I think we need to be really aware of that and	所以我认为我们需要真正意识到这一点和
1498	how important the eyes are for your learning, for your development, for your risk.	眼睛对你的学习、发展、风险有多重要。
1499	If you have	如果你有的话
1500	poor vision, your risk of developing dementia and Alzheimer's in later years is greater.	视力不好你晚年患痴呆症和老年痴呆症的风险更大
1501	That vision and eyesight is really important for the development for children and their minds.	这种远见和视力对儿童及其思想的发展确实很重要。
1502	And so we need to be aware of how all of that is connected and how our lifestyles on devices	所以我们需要知道这一切是如何联系在一起的以及我们如何在装置上的生活方式
1503	all the time and being indoors so much can also have an impact.	如此多的时间和在室内也会产生影响
1504	So seeing an eye doctor on a	所以去看眼科医生
1505	regular basis is really important, even if you feel like your vision is great and you see fine.	即使你觉得你的视力很好也看得清清楚楚
1506	You don't want to lose that.	你不想失去这个。
1507	We have a closing tradition on this podcast where the last guest	我们有一个封闭的传统在这个播客最后的客人
1508	leaves a question for the next guest, not knowing who they're going to be leaving it for.	给下一个客人留了个问题不知道他们要留给谁
1509	And the question that has been left for you is,	剩下的问题是,
1510	what is your most important early memory that you've ever had ever?	你曾经有过的最重要的早期记忆是什么?
1511	One that does impact me on a regular basis is just making friends.	经常影响我的只是交朋友
1512	When I was a kid,	我小时候,
1513	I didn't have many friends.	我没有很多朋友
1514	And I remember finally making friends from sports and just	我记得我终于在体育界交了朋友
1515	having people over to play, have sleepovers, and finally feeling like I had companionship	有别人来玩,有宿醉, 最后感觉像我有伴侣
1516	of some kind.	某种类型的。
1517	I think it kind of proved that I mattered, that I had value, or being seen,	我认为这证明了我很重要, 我的价值,或被人看见,
1518	being that I had a role in this world beyond just me being on my own.	因为我在这个世界上扮演的角色不只是我自己
1519	Did your childhood tell you otherwise?	你童年时没告诉你吗?
1520	I have a memory that I've shared mainly with my therapist, where I was in trouble.	我有一个记忆,我分享主要与我的治疗师, 在那里我遇到了麻烦。
1521	I was grounded	我被禁闭了
1522	to my bedroom.	去我的卧室
1523	I didn't feel safe leaving my bedroom because my older brother bullied me	因为我哥哥欺负我离开我的卧室我感到不安全
1524	at that age.	在那个年龄。
1525	And I felt that I did not matter, that I was not wanted, that I was only in the way.	而我觉得,我并不重要,我没有被通缉,我只是在阻碍。
1526	And I think over the course of my life, that feeling that I needed to perform,	我想在我的一生中, 那种我需要表现的感觉,
1527	excel, was the only way for me to get attention to prove that I had value and worth.	优秀,是我唯一能引起关注证明我有价值和价值的方法
1528	And so I think that's driven me to excel in academics, to excel in extracurriculars.	所以我认为这促使我在学术方面表现优异, 在课外学习方面表现优异。
1529	It was a very subconscious thing, something I was not aware of.	这是一个非常潜意识的事情, 一些我不知道。
1530	And not only recently,	不仅最近
1531	in the last year, have come more to terms with those early experiences in my life and how they	在过去一年中,我对早期经历和他们如何
1532	have driven me.	已经驱赶了我。
1533	And it goes through a lot of work to reflect on those experiences and make	它经过大量的工作思考这些经验,并做出
1534	friends with that part of your life and come to terms that like, no, I've grown up.	朋友与你生活的一部分并说,不,我已经长大了。
1535	I do matter.	我确实很重要。
1536	I do bring value.	我带来了价值。
1537	I am worthy of friendship and love.	我值得友谊和爱
1538	Those are tough, real things	这些是艰难的,真实的
1539	that I think internally we battle and sometimes don't even realise.	我认为我们内部作战有时甚至不知道
1540	How much of that early experience inspired you to pursue the line of work that you do?	早期的经验多少激励你追求你的工作?
1541	Now,	现在,
1542	I know that you said it pushed you to excel, but specifically focusing on the eyes.	我知道你说这促使你表现出色但特别专注于眼睛
1543	Somewhat connected.	有点关联
1544	When I was a kid, again, I was lonely.	小时候,我又寂寞了
1545	I was an indoors kid.	我是一个室内的孩子。
1546	I'd played	我玩过
1547	a lot of video games, watched movies.	很多电子游戏,看电影。
1548	My brother, he was the fisherman outdoors kid.	我哥哥他是户外的渔民
1549	When I turned 13, entering into junior high, my mother wanted me to pick a sport.	13岁时,进入初中,母亲希望我挑一个运动.
1550	And so I did the manly thing.	所以我做了一个男人的事情。
1551	I want to play football.	我想打橄榄球
1552	American football, I'm going to tackle	美式足球,我要对付
1553	people.	人们
1554	It's hard to play tackle football with thick glasses on.	戴着厚眼镜很难踢球
1555	You had thick glasses?	你有厚的眼镜?
1556	I was a nerdy kid.	我是一个书呆子。
1557	Sat inside all day.	整天坐在屋内
1558	Again, I was inside, thick glasses because I was myopic.	再说一次,我在里面, 厚的眼镜,因为我是视线。
1559	I went to the eye doctor.	我去了眼科医生那里
1560	I got fit for contacts.	我适应接触。
1561	And being fit in contacts changed me because	和适合接触改变了我,因为
1562	suddenly I could play sports, making friends for the first time in a long time to having	突然间,我可以玩运动, 在很长一段时间里第一次交朋友
1563	self-confidence because of that.	自信是因为这个
1564	And having that level of self-confidence, I started to	有了这种自信,我开始
1565	attract the attention of the opposite sex.	吸引异性关注.
1566	Girls start paying attention to me.	女孩们开始关注我。
1567	And at age of 13,	13岁时,
1568	that was like the most important thing in the world.	这就像世界上最重要的事情。
1569	And so continuing to grow up, I was always	继续成长,我一直
1570	fascinated with eyes, with contact lenses.	着迷于眼睛,有隐形眼镜.
1571	And I knew in later high school when people were like,	我知道在后来的高中人们喜欢,
1572	what are you going to do when you grow up?	长大后怎么办?
1573	What are you going to do for college?	你上大学要做什么?
1574	I'm like, I don't really know.	我觉得,我真的不知道。
1575	But when I see the dentist, I don't like that guy.	但当我看到牙医的时候我不喜欢那个家伙
1576	He pokes in prods	他插进球杆
1577	and makes my gums bleed.	并让我的口香糖流血。
1578	But when I see the eye doctor, that guy's cool.	但当我看到眼科医生,那家伙很酷。
1579	Every part of the eye	眼睛的每一个部分
1580	exam is like black magic.	考试就像黑魔法
1581	And I thought, you know what?	我想,你知道吗?
1582	I could be that guy.	我可能是那个家伙。
1583	And so that definitely	绝对如此
1584	influenced my, that amazing experience influenced me.	那惊人的经历影响了我
1585	And I think most eye doctors have some	我觉得大多数眼科医生都有
1586	experience like that where their life was changed by what an amazing eye doctor they had before.	那种经历他们的生活被他们之前的一位惊人的眼科医生所改变
1587	And they just want to pass that on.	他们只想传下去
1588	I want to help people have an amazing experience with their	我想帮助人们有一个惊人的经验他们的
1589	eyesight and experience the world and have more freedom in their life to pursue education, to	视力和体验世界,在生活中有更多的自由去追求教育,
1590	experience and see just the beauty of color, nature, really to experience the world.	体验和看到颜色,自然的美丽, 真正地体验世界。
1591	And so I	所以我才会
1592	really want to just give that as a gift to as many people as I can.	真的很想把它当作礼物送给尽可能多的人
1593	And I guess the confidence that it gives those people as well as it did for you at a young age	我想它给那些人带来的信心与你年轻时一样
1594	isn't to be underrated.	不会被低估。
1595	Well, thank God you did.	谢天谢地
1596	Because you've helped many millions of people with	因为你帮助了数百万人
1597	a wide variety of eye related issues and conditions and helping them understand both the	各种与眼睛有关的问题和条件,并帮助他们了解
1598	more superficial elements of their eyes, but also the more sort of deeper progressive diseases that	更肤浅的目光, 同时也是更深层次的渐进性疾病
1599	might risk taking away their freedom in the way that you've described just there.	可能冒着冒着被你描述的方式夺走自由的风险
1600	But I just want	不过,我只是想
1601	to say a big thank you for let me think of a nice eye related pun, allowing me to see more clearly	非常感谢你让我想出一个和眼睛有关的双关语让我更清楚地看到
1602	as it relates to the subject of eye health and vision and everything that's interconnected.	因为它涉及到眼睛健康和视觉以及一切相互关联的话题
1603	So	这么说
1604	thank you so much, Joseph.	非常感谢,约瑟夫。
1605	Thank you, Stephen.	谢谢你,斯蒂芬。
1606	Appreciate you, man.	谢谢你,伙计。
1607	This is great.	这是伟大的。
1608	I don't know how to say this in a way that you're going to understand, but Perfect Ted is	我不知道该怎么用你会明白的方式说, 但完美泰德是
1609	banging.	敲门
1610	I'm an investor in the company.	我是公司的投资人
1611	I drink here every day.	我每天都在这里喝酒
1612	The whole team drinks	全队喝酒
1613	Perfect Ted every day.	不错特德天天都这样
1614	We have a Perfect Ted fridge in the office.	我们在办公室里有个完美的Ted冰箱
1615	Here's why I like Perfect	这就是为什么我喜欢完美
1616	{\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}Ted {\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}泰德 {\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}你觉得呢
1617	Typical energy drinks used to give me these crashes.	典型的能量饮料用来给我这些碰撞。
1618	And as a podcaster, the last thing you	作为脚踏车,你最后一件事
1619	want to do is be crashing in a conversation.	想要做的就是在谈话中崩溃
1620	The founders of Perfect Ted wanted to create an energy	完美泰德的创始人想创造能量
1621	drink that wouldn't create that horrible crash cycle that many of us go through.	饮料不会造成我们很多人经历的可怕的坠机循环
1622	So they used	所以他们用
1623	matcha as the energy source and somehow they also made it really, really delicious.	火柴是能量来源不知何故,他们也使它非常,非常美味。
1624	They've just	他们只是
1625	come out with this new flavor called juicy peach and it is banging.	发出这种新味道,叫"多汁桃" 它正在爆炸。
1626	If you try Perfect Ted's juicy	如果你尝试完美泰德的汁
1627	peach and it's not banging, feel free to get in my DMs and cuss me out.	桃子和它不是敲, 感觉自由进入我的DMs 并骂我出去。
1628	You can pick it up at Tesco's	你可以在特斯科那里捡起来
1629	or Waitrose or you can get it online.	或者Waitrose 或者你可以在网上找到它
1630	And here's a secret that you've got to keep to yourself.	这是你必须保守的秘密
1631	I'm going to give you 40% off Perfect Ted, just so you can try juicy peach yourself.	我要给你40%的"完美泰德" 让你自己尝尝多汁的桃子
1632	Go to	转到
1633	perfectted.com和在退票时,输入代码Diary 40.
1634	I'm going to leave that up for some time,	我要离开它一段时间,
1635	not forever.	不是永远。
1636	That's perfectted.com and then use code Diary 40 at checkout.	这是完美化的.com,然后使用代码Diary 40在离职时。
1637	When you try it,	当你尝试它,
1638	make sure you tag me on Instagram and say, Steve, you were right.	确保你在Instagram上标记我然后说,史蒂夫,你是对的。
1639	It's banging.	其响.

该视频共有字幕 1640 条。解锁更多字幕为会员功能，请移动到价格

下载安装