Bill Ackman: The Biggest Fight of His Life

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The Knowledge Project 1h 16m 1 speaker 8 chapters transcribed 4 hours ago
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How did Bill Ackman’s daughter survive a sudden brain hemorrhage?

Bill Ackman 0:00
So the thing that you need to think through is the risk of disruption. And what AI has done is massively increase the risk of disruptions.
Shane Parrish 0:13
You've had a challenging year this year with Lucy. What happened?
Bill Ackman 0:16
You know, otherwise healthy child. What happened was uh she had unbeknownst to us a what's called an arterial venous malformation, which is a kind of structure in the brain where the The the way the d doctors describe it is the arteries you know, typically blood flows into the arteries and then to the capillaries, and then to the veins. And when you go from arteries where there's a huge amount of blood flow to capillaries, the blood flow slows down and then to the veins. So they the um in her case, she had what they like a bridge that went from the artery directly to the vein. So over time there was too much pressure going into the this um these uh veins in her brain and one of those veins burst. And then a large amount of blood, you know, filled her brain, which is a confined volume.
Bill Ackman 1:04
And so it you know, it's a bit like a balloon blowing up inside your brain, and that put pressure on the surrounding brain and the and the skull. And obviously the skull doesn't move, so the pressure goes downward, it puts pressure on the midbrain. The midbrain is, you know, what keeps you breathing. Keeps your heart beating. And the really unfortunate thing, we believe this happened around nine in the morning, based on her aura. She lived you know, young woman lives alone on in Williamsburg. And I texted her at four o'clock that day. I had called her another time that day. Other family members had done the same, but only when she hadn't picked up her luggage. She was you know, she was leaving for Abu Dhabi for a wedding.
Bill Ackman 1:42
A friend of hers was getting married the following day and she was picking up her luggage from her mom's house. And she didn't show a couple when she was two hours late and no one could reach her that we uh I was I was sleeping at the time, but uh my oldest daughter went to find her and they f and they found her lying she found her lying on the floor of her apartment, barely breathing. uh you know face down on the right side. So and she thought she was dead. Called nine one one. She could hear her breathing in a very labored way. And then uh I don't sleep next to my cell phone. My daughter doesn't know the landline number for my house. So she was able to call someone in the building. Guy in the building knocked on the door.
Bill Ackman 2:22
You know, pounded on the door and uh handed me the phone with my daughter on it. And then hopped in a cab. The EMT didn't know which hospital to take her because they didn't know what had happened to her. One of the big problems, uh, sometimes you know the EMT thinks someone's just drunk, and that's why they fell. And the the way you treat a drunk person is you just let time go by. Right? Time going by for a a person with a brain hemorrhage is very, you know, the more time the brain's under pressure, the more damage that can take place. Got to the hospital at twelve oh five, uh, and th she was just, you know, sitting on a gurney there while they were trying to figure out what she had. Eventually they gave her a a CT.
Bill Ackman 2:57
They figured out she had a hemorrhage. They called the surgeon. Um and and the what you need to do is you need to release the pressure on the brain as quickly as possible. And the way you do that is you remove about forty percent of the skull to allow the brain to expand beyond the skull. And uh we moved her from um you know, Elmhurst Hospital. Uh by the way, uh very pleased with how they cared for her there. City Hospital uh in Queens. We moved her to Mount Sinai where, you know, we uh Neri and I spent some time helping Mount Sinai, so we got we knew the team there. And uh they also have very good neurosurgeons and and a and a neuroscience uh brain practice. And you know, she was on a breathing tube. Um
Bill Ackman 3:39
You know, she was wearing some she had a bandage of course on her head and it said no bone, right, to make sure that nurses knew not to to be careful.

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