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It's not about technology, it's about people and stories.
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I could show you what recently was
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on television as a high quality video:
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60 Minutes, many of you may have seen it.
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And it was the now director of the entire piece of the
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veteran's administration--
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who, himself, had lost an arm 39 years ago in Vietnam--
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who was adamantly opposed to these crazy devices that don't work.
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And it turns out that with 60 Minutes cameras rolling in the background,
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after he pretty much made his position clear on this --
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he had his hook and he had his --
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he wore this arm for less than two hours
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and was able to pour himself a drink and got quite emotional over the fact that, quote --
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his quote --
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it's the first time he's felt like he's had an arm in 39 years.
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But that would sort of be jumping to the middle of the story,
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and I'm not going to show you that polished video.
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I'm going to, instead, in a minute or two,
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show you an early, crude video
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because I think it's a better way to tell a story.
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A few years ago I was visited by the guy that runs DARPA,
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the people that fund all the advanced technologies that
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businesses and universities probably wouldn't take the risk of doing.
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They have a particular interest in ones that will help our soldiers.
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I get this sort of unrequested -- by me anyway -- visit,
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and sitting in my conference room is a very senior surgeon
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from the military and the guy that runs DARPA.
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They proceed to tell me a story
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which comes down to basically the following.
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We have used such advanced technologies now
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and made them available in the most remote places that we put soldiers:
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hills of Afghanistan, Iraq ...
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They were quite proud of the fact that you know,
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before the dust clears,
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if some soldier has been hurt they will have collected him or her,
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they will have brought him back,
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they will be getting world-class triage emergency care faster than you and I would be getting it
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if we were hurt in a car accident in a major city in the United States.
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That's the good news.
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The bad news is
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if they've collected this person and he or she is missing an arm or
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leg, part of the face, it's probably not coming back.
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So, they started giving me the statistics on how many of these kids had lost an arm.
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And then the surgeon pointed out, with a lot of anger,
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he said, "Why is it?
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At the end of the Civil War, they were shooting each other with muskets.
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If somebody lost an arm,
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we gave them a wooden stick with a hook on it.
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Now we've got F18s and F22s, and if somebody loses an arm,
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we give them a plastic stick with a hook on it."
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And they basically said, "This is unacceptable,"
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and then the punchline:
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"So, Dean, we're here because you make medical stuff.
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You're going to give us an arm."
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And I was waiting for the 500 pages of bureaucracy, paperwork and DODs.
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No, the guy says,
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"We're going to bring a guy into this conference room,
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and wearing the arm you're going to give us,
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he or she is going to pick up a raisin or a grape off this table.
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If it's the grape, they won't break it."
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Great he needs efferent, afferent, haptic response sensors.
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"If it's the raisin, they won't drop it."
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So he wants fine motor control:
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flex at the wrist, flex at the elbow, abduct and flex at the shoulder.
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Either way they were going to eat it.
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"Oh, by the way Dean.
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It's going to fit on a 50th percentile female frame --
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namely 32 inches from the long finger -- and weigh less than nine pounds.
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" 50th percentile female frame."
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"And it's going to be completely self contained including all its power.
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So, they finished that. And I, as you can tell, am a bashful guy.
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I told them they're nuts.
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(Laughter)
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They've been watching too much "Terminator." (Laughter)
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Then, the surgeon says to me,
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"Dean, you need to know more than two dozen of these kids have come back bilateral.
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"Now, I cannot imagine -- I'm sorry, you may have a better
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imagination than I do -- I can't imagine losing my arm,
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and typically at 22 years old.
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But compared to that, losing two?
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Seems like that would be an inconvenience.
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Anyway, I went home that night. I thought about it. I literally could not sleep
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thinking about, "I wonder how you'd roll over with no shoulders."
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So, I decided we've got to do this.
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And trust me, I've got a day job, I've got a lot of day jobs.
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Most of my day job keeps me busy funding my fantasies like FIRST and water and power ....
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And I've got a lot of day jobs.
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But I figured I gotta do this.
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Did a little investigation, went down to Washington, told them
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I still think they're nuts but we're going to do it.
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And I told them I'd build them an arm.
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I told them it would probably take five years to get through the FDA,
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and probably 10 years to be reasonably functional.
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Look what it takes to make things like iPods.
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"Great," he said, "You got two years."
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I said, "I'll tell you what.
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I'll build you an arm that's under nine pounds that has all that capability in one year.
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It will take the other nine to make it functional and useful.
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" We sort of agreed to disagree.
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I went back and I started putting a team together,
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the best guys I could find with a passion to do this.
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At the end of exactly one year we had a device with 14 degrees of freedom,
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all the sensors, all the microprocessors, all the stuff inside.
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I could show you it with a cosmesis on it that's so real it's eerie,
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but then you wouldn't see all this cool stuff.
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I then thought it would be years before we'd
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be able to make it really, really useful.
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It turned out, as I think you could see in Aimee's capabilities and attitudes,
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people with a desire to do something are quite remarkable and nature is quite adaptable.
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Anyway, with less than 10 hours of use, two guys -- one that's bilateral.
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He's literally, he's got no shoulder on one side,
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and he's high trans-humeral on the other. And that's Chuck and Randy together,
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after 10 hours -- were playing in our office.
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And we took some pretty cruddy home movies.
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At the end of the one I'm going to show,
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it's only about a minute and a couple of seconds long,
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Chuck does something that to this day I'm jealous of, I can't do it.
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He picks up a spoon, picks it up,
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scoops out some Shredded Wheat and milk,
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holds the spoon level as he translates it, moving all these joints simultaneously, to his mouth,
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and he doesn't drop any milk.
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(Laughter)
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I cannot do that.
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(Laughter)
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His wife was standing behind me.
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She's standing behind me at the time and she says, "Dean,
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Chuck hasn't fed himself in 19 years.
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So, you've got a choice:
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We keep the arm, or you keep Chuck."
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(Laughter)
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(Applause)
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So, can we see that?
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This is Chuck showing simultaneous control of all the joints.
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He's punching our controls guy.
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The guy behind him is our engineer/surgeon,
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which is a convenient guy to have around.
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There's Randy, these guys are passing a rubber little puck between them.
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And just as in the spirit of FIRST, gracious professionalism, they are quite proud of this,
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so they decide to share a drink.
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This is a non-trivial thing to do, by the way.
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Imagine doing that with a wooden stick and a hook on the end of it, doing either of those.
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Now Chuck is doing something quite extraordinary,
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at least for my limited physical skill.
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And now he's going to do what DARPA asked me for.
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He's going to pick up a grape -- he didn't drop it, he didn't break it -- and he's going to eat it.
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So, that's where we were at the end of about 15 months.
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(Applause)
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But, as I've learned from Richard,
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the technology, the processors, the sensors, the motors, is not the story.
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I hadn't dealt with this kind of problem or frankly,
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this whole segment of the medical world.
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I'll give you some astounding things that have happened as we started this.
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After we were pretty much convinced we had a good design,
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and we'd have to make all the standard engineering trade-offs you always make --
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you can always get three out of four
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of anything you want; the weight, the size, the cost, the functionality --
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I put a bunch of guys in my plane and I said,
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"We're flying down to Walter Reed, and we're going talk to these kids,
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because frankly it doesn't matter whether we like this arm.
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It doesn't matter whether the Department of Defense likes this arm.
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"When I told them that they weren't entirely enthusiastic, but
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I told them, "It really doesn't matter what their opinion is.
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There is only one opinion that matters, the kids that are either going to use it or not."
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I told a bunch of my engineers, "Look we're going to walk into Walter Reed,
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and you're going to see people, lots of them, missing major body parts.
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They're probably going to be angry, depressed, frustrated.
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We're probably going to have to give them support, encouragement.
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But we've got to extract from them enough information to make sure we're doing the right thing."
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We walked into Walter Reed and I could not have been more wrong.
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We did see a bunch of people, a lot of them missing a lot of body parts,
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and parts they had left were burned; half a face gone, an ear burned off.
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They were sitting at a table.
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They were brought together for us.
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And we started asking them all questions.
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"Look," I'd say to them, "We're not quite as good as nature yet.
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I could give you fine motor control, or I could let you curl 40 pounds;
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I probably can't do both.
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I can give you fast control with low reduction ratios in these gears,
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or I can give you power; I can't give you both.
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And we were trying to get them to all help us know what to give them.
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Not only were they enthusiastic, they kept thinking
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they're there to help us.
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"Well, would it help if I ..."
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"Guys, and woman, you've given enough.
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We're here to help you. We need data. We need to know what you need."
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After a half an hour, maybe, there was one guy at the far end of the table who wasn't saying much.
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You could see he was missing an arm.
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He was leaning on his other arm.
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I called down to the end,
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"Hey, you haven't said much.
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If we needed this or this, what would you want?"
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And he said, "You know, I'm the lucky guy at this table.
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I lost my right arm, but I'm a lefty."
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(Laughter)
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So, he wouldn't say much.
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He had a great spirit, like all the rest of them had great spirits.
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And he made a few comments.
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And then the meeting ended.
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We said goodbye to all these guys.
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And that guy pushed himself back from the table ... he has no legs.
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So, we left.
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And I was thinking,
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"We didn't give them support and encouragement;
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they gave it to us.
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They're not finished giving yet."
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It was astounding.
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So, we went back.
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And I started working harder, faster.
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Then we went out to Brooke Army Medical Center.
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And we saw lots of these kids,
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lots of them. And it was astounding
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how positive they are.
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So, we went back,
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and we've been working harder yet.
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We're in clinical trials, we've got five of them on people.
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We're screaming along.
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And I get a call and we go back to Washington.
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We go back to Walter Reed,
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and a kid, literally,
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20 some-odd days before that was blown up.
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And they shipped him to Germany
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and 24 hours later they shipped him from Germany to Walter Reed.
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And he was there,
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and they said we needed to come.
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And I went down and they rolled him into a room.
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He's got no legs.
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He's got no arms.
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He's got a small residual limb on one side.
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Half of his face is gone,
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but they said his vision is coming back.
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He had one good eye.
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His name is Brandon Marrocco.
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And he said,
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"I need your arms, but I need two of them."
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"You'll get them."
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This kid was from Staten Island.
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And he said,
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"I had a truck, before I went over there, and it had a stick.
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You think I'll be able to drive it?"
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"Sure."