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00:04 | All right. Y'all? Today? going to do what I think is |
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00:08 | the easiest lecture. Yeah. No, there's not exaggerate. I |
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00:15 | do think this is. I think whole unit is uh as a whole |
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00:19 | kind of one of the easiest to . It's not the nervous system where |
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00:23 | like and just drop stuff on This is I think a little bit |
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00:29 | simple to understand. Um So, gonna start here. And what we're |
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00:34 | about is we're talking about the So, you can kind of see |
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00:37 | did heart. We did blood. , we're moving the vasculature and it |
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00:40 | of all works together. And on first lecture I said, we've got |
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00:45 | different types of vessels. We have . Capillaries and veins. I said |
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00:48 | coming back to them. So, we are. Coming back to |
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00:50 | All right? So, just to you, arteries are are the vast |
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00:56 | the vessels that carry blood away from heart? Uh They are going to |
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01:01 | uh come down onto the capillaries. are very, very small. They |
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01:06 | a role in exchange caterpillars. Whenever this is sometimes a concept that some |
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01:11 | don't always grasp. It's like this the only place where exchanges taking |
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01:15 | This is where blood is mixed in the interstitial fluid. All right. |
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01:20 | at the level of capillaries outside of capillaries. You're just moving stuff. |
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01:24 | . So highways versus neighborhoods. All . And then finally the veins. |
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01:29 | is blood moving from You start from capital and you're moving back towards the |
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01:34 | . All right. Um In terms their organization, we have different levels |
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01:39 | organization. This is where it gets little bit deeper. All right. |
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01:43 | , you have what are called elastic . The last card it would be |
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01:46 | the aorta. Alright. These service reservoirs. And so I've highlighted this |
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01:51 | kind of point out, you know you're thinking about these structures, this |
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01:55 | what you should be thinking about. is the heart pumps. It creates |
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01:59 | , pushes the blood into the The aorta because it's elastic expands and |
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02:05 | it has uh energy that can then the pressure for the duration of |
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02:11 | Alright, that's the pressure reservoir. we have the muscular arteries. This |
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02:16 | moving down. These are really your arteries. Can someone give me a |
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02:20 | artery? Yeah. Say it Yeah. There you go, femoral |
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02:25 | . Alright. Any artery you can that has a kind of a name |
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02:28 | an organ is the named artery. . So renal artery, that sort |
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02:32 | stuff named arteries. And then they a little bit smaller than that. |
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02:35 | right. What they serve as are distribute or distributing arteries. Right? |
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02:39 | , they're the ones taking the blood moving into different organs. They play |
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02:43 | role invades a constriction dilation. When talking about blood pressure and blood pressure |
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02:48 | through the radi i of a This is what we're referring to. |
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02:53 | the size is beyond that. And , So that's like the arterials. |
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02:57 | arterials are like the Itsy bitsy It even says so in the |
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03:00 | Alright. Itsy bitsy artery I O . E. Isn't it? Itsy |
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03:06 | . Oh come on. Someone have with me today. They're the |
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03:10 | tiny things right there, slightly bigger capillaries. We're going to see this |
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03:14 | bit later. This plays a role regulating minute to minute blood flow into |
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03:17 | capillaries. All right, we're going see this when we look deeper at |
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03:20 | capillaries, capillaries, just vessels So, you can think of where |
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03:24 | gonna find capillaries, Where are you to do any sort of exchange? |
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03:28 | then, moving from the capillaries and , we're gonna spend a lot of |
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03:31 | talking about those. All right. and then uh when we deal with |
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03:35 | veins again, we're moving stuff. so while we have all these different |
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03:39 | of organization, there's fewer levels of for the veins, vineyards are like |
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03:44 | equivalent of arterials on the opposite there just a small veins that are |
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03:48 | from the capillary beds. And then you become a vein we don't really |
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03:53 | him any beyond that other than it's small vein or a big vein. |
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03:58 | , so these veins, however, the key thing here is if this |
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04:03 | a pressure reservoir up here in the artery. The veins serve as blood |
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04:08 | . All right now. Again, , I want you to understand blood |
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04:13 | in constant motion all the time. you hear a reservoir, you typically |
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04:17 | a place where you contain something, ? And so when we talk about |
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04:22 | veins, you'll hear me refer to the blood being held on this side |
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04:26 | the body. First off, blood not held on one side of the |
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04:29 | , it's all over the body. veins everywhere, everywhere. You have |
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04:32 | artery of a vein right next to for the most part. And |
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04:36 | the blood is still moving through the . It's just that when blood goes |
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04:40 | a vein, it relaxes and so create more volume so blood moves slower |
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04:46 | it. So, that's why it's reservoir. That's where the majority of |
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04:49 | blood is going to be found in body. All right? And we're |
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04:53 | to see why all this stuff comes this comes together. But those two |
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04:56 | pressure reservoir and blood reservoir become very valuable. All right. All |
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05:08 | vessels have different degrees of tissue associated them. All right. So, |
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05:17 | off, all blood vessels have an depth helium. That's an epithelium. |
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05:20 | That's the cell layer that makes up internal side. Alright, the loom |
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05:26 | of the blood vessel. All You also have connective tissue. You |
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05:31 | elastic connective tissue and you have connective tissue that are associated with these |
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05:35 | vessels. And then you also have muscle, The smooth muscles, what |
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05:39 | you to regulate the diameter. Now on where you're located and depending on |
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05:43 | side of the vessel, you'll see the relative ratios of these four components |
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05:50 | . All right. So the easiest to look at is the capillary capillary |
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05:55 | zero elastic. Sure. Got zero zero fibrous and zero smooth muscle. |
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06:01 | still part of the ratio. But basically what is a capillary? |
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06:06 | empathy, legal rights, basically just layer of cells that makes the |
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06:10 | All right. Which is why we have served as a vessel of |
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06:13 | There's really nothing there other than that . Look out here over here at |
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06:18 | aorta. Alright. The aorta has simple air. You can see everyone |
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06:23 | that basic layer. But look at terms in terms of elastic fibers relative |
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06:27 | the others. Lots and lots of . Right? So, can you |
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06:31 | why this would be a pressure reservoir a lot of rubber bands involved in |
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06:37 | structure, relatively speaking, in the of smooth muscles. There is a |
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06:41 | lower relative to the arteries and the . Now, obviously the orders like |
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06:47 | this big. Well not that but you know, it's like |
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06:51 | Would you agree just nod your And of course I know my anatomy |
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06:55 | well. So it's about this big arterial is like this. Alright. |
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07:00 | size wise, they're very very But if you're doing a cross section |
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07:04 | measure out the relative sizes based on vessel. You see that there's a |
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07:08 | more muscle with the arterial. So can see how there's a great deal |
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07:12 | resistance because I can contract and relax muscle so much more than I could |
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07:16 | the aorta because there's much less do kind of makes sense. Yeah. |
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07:27 | . This is also going to be over here in the venus side as |
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07:30 | . So, the amount of Alaska the amount of fibers connective tissue, |
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07:34 | amount of muscle is going to vary upon where you're located. Now, |
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07:37 | purpose of the fibers, connective tissue simply there to resist stretch. All |
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07:43 | . You can stretch elastin for quite distance and then if you keep stretching |
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07:47 | far thinking rubber bands keep stretching the band. What's that rubber band gonna |
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07:51 | ? Going to rip pop? So the fibers, connective tissue sits |
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07:55 | the outside so that there's a point you can't take it any further. |
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07:59 | right. And that's really the purpose that fiber is connected. All |
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08:03 | So, arteries, two basic We've already learned the first one right |
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08:08 | to the heart to the organs. from the heart to the organs. |
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08:12 | always always always doesn't answer the question whether the blood is oxygenated. |
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08:16 | It's from the heart to the That's the definition the big arteries serve |
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08:22 | that pressure reservoir and this ensures blood to be continuous during the period of |
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08:28 | . Alright, so, I've already this. I just kind of jumped |
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08:30 | of my slides. All right. , that's the second function. Blood |
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08:35 | the heart to the organs. But we have Sicily contraction diastolic relaxation, |
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08:40 | we didn't have this pressure reservoir, the blood flow would be interrupted |
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08:45 | Right? Would be like uh Uh . Mhm. So there'd be periods |
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08:50 | time where you're not getting blood to capillaries, which means you're not getting |
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08:55 | . Which would mean you're not getting and fluids and materials or like |
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09:00 | I said oxygen. So uh say . And so your cells would |
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09:05 | really be sad. You'd be really because you'd be dead. Okay. |
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09:12 | right. The arterials are the resistance . All right. So, if |
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09:17 | go back and remember that graphic that showed and I'm just gonna just drop |
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09:21 | because they left me big fat. never written with one of these. |
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09:27 | a beast. Remember this graph? looks like this. It's like all |
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09:32 | . Dude. Remember that one. all Mhm. It said over |
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09:38 | Aorta and sit over here. Right . Remember this craft now had the |
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09:46 | arterial pressure mean arterial pressure was like . And then what did it do |
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09:52 | that? All right. Remember that and then. Of course they had |
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09:57 | e showing Sicily and diocesan it slowly . All right. Reason system and |
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10:02 | actually disappear resistance. Right. The between the system and di asti is |
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10:08 | result of the difference in the resistance the length of that blood vessel. |
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10:13 | . That's what the purpose of the are for is to create that resistance |
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10:18 | that the blood pressure doesn't have that a tile activity instead. What it |
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10:23 | is the pressure drops. It's still than in the area that it's going |
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10:28 | . So blood flow becomes smoother and to flow into the areas that it's |
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10:34 | that is supposed to go into. right. What we're doing here is |
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10:39 | regulating blood pressure. All right. we talk about regulating and monitoring peripheral |
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10:46 | pressure, we're talking about the work the arterials. All right. They |
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10:52 | are responsible for directing the blood into capillaries. Now, here you can |
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10:58 | here is an arterial you can see degree of smooth muscles very very |
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11:02 | But it's there over here is the is so this would be a capillary |
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11:08 | . Okay, so blood enters into capillary bed via the arterial. Except |
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11:15 | have another structure in here. And this nice big fat structure right here |
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11:19 | this side. This is referred to the met arterial. It's not quite |
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11:23 | arterial. It's not quite a capillary kind of in between. Hence the |
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11:27 | That arterial the purpose of this is kind of direct blood to where it |
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11:33 | to go. When it needs to . You start. But anatomical differences |
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11:43 | Yeah, we all have a moral that. Mhm. Yes, Probably |
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11:48 | that arterial and capillary level. Even not a lot of variation. All |
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11:53 | . I mean Yeah, I it's like okay, here's capital going |
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11:57 | way for you might be going that . You know when the things stopped |
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12:03 | named is I'm sitting. Thing is yeah, when I start naming |
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12:07 | I just call it the capillary. right. Now notice and again, |
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12:14 | is the artist doing all sorts of stuff. Notice here on the edges |
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12:18 | the metal material. We have a of sphincters. Okay. And what |
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12:23 | features do is they regulate the flow the capillary bed, depended upon |
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12:29 | Alright. Now, pretend it wasn't pandemic. For moment. When do |
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12:33 | eat? When do you eat? ? Right? Why? Why |
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12:41 | Because you're hungry right? Your body's time to feed me. I need |
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12:46 | . Now in the pandemic. We follow those rules. What do we |
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12:48 | we eat? Because we're bored, ? We're eat because Yeah, come |
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12:54 | . Is that how you ate? how I ate. Be sitting at |
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12:57 | would be like I've been sit in chair long enough to go to go |
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13:00 | the kitchen. Got to get some . Got to get those 10 |
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13:05 | Is it gotta do a couple No, that wasn't you lucky for |
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13:13 | rest of humanity. The rest of , eight, whenever we felt like |
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13:19 | . Now, obviously, if the just fed everybody all the time, |
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13:23 | be burning through fuel far too And that might be a good thing |
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13:27 | terms of fat. But that's not the body works. Body is |
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13:30 | Body says I'm going to send energy energy is wanted. Actually, it's |
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13:35 | where it's wanted, where it's Okay, so what these capillaries |
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13:39 | It regulates the flow of blood into capillaries to feed the cells that are |
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13:48 | around those capillaries based on metabolic All right, we're going to go |
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13:54 | little bit further that when we start about the caterpillars. All right. |
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13:59 | that our material very little elastic connective . If you went back and looked |
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14:03 | slide, what we have is we that thick layer of smooth muscle. |
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14:06 | the vessel. Constriction and dilation muscles for making those vessels big or |
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14:11 | All your vessels have a certain degree tone to them. All right. |
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14:16 | what that means is is that there's a signal going from the brain that |
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14:20 | , hey, I want you to a certain amount of contraction there and |
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14:24 | can then move from that. If always a certain amount of contraction. |
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14:28 | I can always do less. But I can always do more if |
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14:32 | was always at the most relaxed point then I can always do more. |
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14:35 | then I could never do less. that's why we have this vascular tone |
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14:38 | that we can dilate or constrict dependent need. All right now, how |
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14:44 | we do this first? Self induced activity? Which is a very very |
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14:49 | word. Self induced means Exactly. . Come on. What is self |
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15:01 | me again. There's nothing is telling to do it. I'm doing it |
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15:06 | I have an intrinsic ability to do . All right, Maya genic just |
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15:11 | case you don't know my own whenever see Mile means muscle. So intrinsic |
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15:18 | activity. Okay, so we don't some sort of external influence. In |
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15:24 | . What happens is is when I up against the wall, when the |
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15:28 | is traveling in that wall it's going create that pressure that's outward. You're |
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15:33 | . That trans moral pressure was is and it's going to push on that |
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15:38 | vessel. That blood vessel doesn't like be pushed around. Just like you |
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15:42 | like to be pushed around. And what it does is it leans into |
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15:46 | constrict in response to the pressure within . That makes sense. So the |
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15:51 | the pressure, the more constricts, ? Just in response to maintain its |
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15:56 | size. All right. The other of activity is just gonna be that |
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16:01 | and that's going to be that constant that creates town. If I slow |
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16:07 | sympathetic activity, I reduced the degree tone by increased sympathetic activity, increased |
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16:16 | noticed? Is there any parasympathetic? on the slide. It's an on |
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16:22 | slide. It doesn't exist. All now, that's not entirely true. |
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16:27 | the truth is, is that your vessels are predominantly regulated through the sympathetic |
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16:32 | system. It is not regulated at through the parasympathetic. All right, |
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16:43 | . All right. Let's deal with pressure or this This blood reservoir. |
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16:49 | , how much blood I see you in your body? About five liters |
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16:54 | for males. About 4.5 on average females. And again, that's a |
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16:58 | thing. All right. So, have a certain amount of blood in |
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17:02 | body in circulation? In fact, 5l is in circulation. All |
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17:07 | But let's say you start running. right. If you start running, |
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17:12 | blood is gonna start moving faster and trying to provide the nutrients needed |
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17:18 | glucose to allow those muscles to get they need. Right, So, |
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17:25 | can imagine when the blood speeds there's got to be a source where |
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17:30 | can actually draw more blood to make blood, or more glucose and more |
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17:35 | to ride with those tissues. But have a finite amount of blood in |
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17:39 | body. It's always in circulation. , what do I really have |
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17:43 | Well, when you're at rest, are several organs that actually receive more |
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17:49 | than they actually need. We call reconditioning organs. What are the reconditioning |
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17:53 | ? Well, kidney, for reconditioning organ in the abdomen. Gut |
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17:58 | are reconditioning organs. Um, let's if there's any other that kind of |
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18:03 | out. Nothing really stands out. , So, basically organs in the |
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18:08 | . So, they're getting more blood they normally should. All right, |
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18:12 | ? Well, if I shift blood the kidney, all the kidney is |
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18:15 | is just kind of going through oh, you don't need that. |
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18:18 | do need this. You don't need . You do need this is just |
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18:20 | of sorting through the stuff to figure what becomes your right digestive system. |
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18:26 | goes through. It's like, all . You got anything to give me |
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18:28 | you eat all day like you did ? You didn't Okay, well, |
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18:31 | just keep going. All right. just kind of flowing through. But |
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18:35 | you start exercising all of a now, your skeletal muscles need a |
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18:39 | more oxygen. They need a lot glucose. Now. They can start |
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18:43 | with what they started within the muscle . But they're going to start requesting |
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18:47 | auction from the external environment. So, you need you're gonna start |
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18:52 | harder. That auction needs to go . So, you need more blood |
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18:56 | get that auction to where it needs go. That kind of makes |
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18:59 | So, what's happening here is we where that blood is going. |
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19:04 | I'm just gonna use this example So, the kidney gets about 1100 |
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19:07 | per minute when you're exercising the amount goes to the kidney in a lot |
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19:12 | , about half. Look what's getting lot more. 1100 when you're at |
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19:18 | 1250 or 12,500 when you're running So, what have I done? |
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19:24 | shifted the direction in which blood is going. It's still going through the |
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19:29 | . But if I reduce the diameter the blood vessels going to move faster |
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19:33 | it. All right, The other that's going to happen, I think |
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19:36 | is not on the next slide at . It's going to be a couple |
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19:40 | . The second thing I'm gonna do I'm going to constrict the veins so |
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19:43 | blood starts returning to the heart lot . All right. So, remember |
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19:48 | we talked about. Pre load. , pre load, That horrible |
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19:53 | Yeah. So, what we're going be a horrible word, what we're |
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19:56 | do is we're going to not let blood hang out in the veins as |
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20:01 | as they are right now while you're here listening to me, slowly falling |
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20:07 | . There's blood slowing down in your . All right. Your veins are |
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20:12 | this as my soothing voice echoes from stage. Your body slowly relaxes and |
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20:21 | do your veins How many guys took ? All right, Great physics |
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20:30 | Right. Was in physics to awesome and electronics. And you're going, |
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20:36 | the hell do I need to know for the M cat? Right. |
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20:40 | I reading your minds? This is you needed to know it. All |
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20:44 | . Because the principle of electronics of and series and circuits in parallel is |
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20:51 | to how the blood vessels work. right. So, picture your |
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20:57 | It's the only big blood vessel that out of the heart on the systemic |
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21:01 | . Right. And then from the that divides in a multiple named |
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21:08 | Right? You just have to take word for this is an anatomy |
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21:13 | All right, now, we're going pretend for a moment that each of |
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21:16 | vessels are the exact same size. right. And if you're pumping to |
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21:21 | up here, Yeah, about four per minute. And you have four |
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21:25 | and they're all the same size. four leaders have to be equally divided |
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21:29 | the four vessels that are exiting I mean, that are being divided |
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21:34 | that aorta. Does that make They go this way? If I'm |
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21:38 | the highway and there's four lanes, can carry four cars at the same |
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21:44 | in the same space. Right? I've got four lanes, I can |
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21:47 | one car in each of those four . If that highway splits into four |
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21:54 | of equal size, each one of can carry one car. Right, |
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22:01 | even changing speed. Right? Why traffic back up and become problematic |
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22:07 | 59 45 interchange. Why? Because take four lanes and we turn them |
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22:13 | one lane. Right? So everyone's to jam into that. All |
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22:19 | So, in your body, what have is we have arteries that are |
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22:25 | of a larger artery that is moving at a certain rate. Actually, |
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22:30 | is the flow, not the flow . four L per minute, for |
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22:35 | . And if I have four they're all going to take that a |
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22:39 | . So, four vessels. Four permitted divide by four. Each of |
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22:42 | can receive a volume of basically one every minute. Okay, that's what |
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22:48 | first example of saying All right, . But blood vessels are going to |
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22:54 | sides dependent upon need. Right? just saw that the previous slide when |
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22:58 | start exercising, I'm going to beso the kidney. All right. The |
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23:05 | artery, but I'm going to open , say, the femoral artery so |
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23:09 | can deliver blood to my blood to legs. Right? And so, |
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23:14 | going to happen is that same? leaders is leaving the heart presuming our |
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23:18 | doesn't change and our stroke volume doesn't . So, in other words, |
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23:21 | our cardiac output stays the same compensation take place, and all the parallel |
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23:30 | in that group. Right? So , I've restricted down to a |
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23:34 | That means there's no longer three quarters a leader passing through here. That |
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23:38 | the other vessels have to take that three quarters in this particular example, |
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23:43 | all dilate enough to allow or basically another quarter leader to pass through. |
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23:51 | when you learned about electronics and do you remember circuits in series and |
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23:56 | in parallel? Right. So this an example of is it a |
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24:01 | It's parallel. Yeah. Yeah. 1, 2, 3 4. |
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24:07 | all next to each other. so as the resistance of one vessel |
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24:13 | the flow through, the remaining vessel increase to accommodate the fluid going |
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24:19 | Just like you learned, if I resistance in a circuit here, then |
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24:25 | things have to compensate for that When you arrive in a capillary. |
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24:32 | one of three types of capillaries. going to see the one that's most |
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24:37 | is continuous. When you think about capital B. That's what you think |
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24:40 | . All right. They're everywhere. you think about a capillary, |
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24:44 | this is what you're thinking about. right. So here's a continuous |
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24:47 | You can see here it's there's your E. Um it's surrounded by a |
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24:51 | very thin basement membrane material is moving and out of that. Capital is |
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24:56 | , very simple. It doesn't have junctions. It has leaky tight |
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25:00 | One of the first oxymorons you ever about in biology. Right, leaky |
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25:04 | tight. Do not go together. you want to envision this. What |
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25:07 | can do is you can think about bucket filled with marbles and water. |
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25:12 | you picture the bucket with marbles and ? Take your hands go in and |
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25:16 | the marbles, pull out the marbles stay in your hand, the |
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25:22 | leaks through your fingers. Okay? if your itsy bitsy teeny tiny small |
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25:27 | to leak through those leaky tight that's how the capillary allows for exchange |
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25:33 | take place. Big things are still in the capillaries. If I want |
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25:39 | get them across the epithelial wall of capillary, I have to transport |
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25:44 | So there has to be a mechanism transport for whatever I need that's still |
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25:47 | in the capillary. Now there are tissues that are what are referred to |
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25:53 | finished rated. And you can think administrative is simply this. It's |
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25:56 | oh, instead of having a singular moving back and forth, instead vesicles |
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26:03 | of merged together and create a poor allows for materials to pass back and |
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26:09 | through. So in other words, can allow bigger things. Still not |
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26:12 | blood vessel but a blood cell but bigger. Alright, you're typically gonna |
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26:18 | this where you need incredibly active absorption place or incredibly active filtration taking |
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26:26 | An example of this would be the or the kidney. Okay, and |
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26:32 | really this is more the spleen. me. That would be more kidney |
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26:36 | ? Here is the sinews. It looks like a wreck of a |
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26:41 | , doesn't it? Alright, looks swiss cheese. That's a good way |
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26:46 | think about it. Look, there's basement membrane, so nothing to hold |
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26:52 | back. There are literal major holes the cell's All right. In other |
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26:58 | , it allows for these large gaps things can actually leak out. These |
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27:02 | so large that you can actually have blood cells and platelets and stuff leak |
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27:09 | . All right now, you're probably , why would I want that to |
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27:11 | ? That's what the job of the is. Spleen is an immunological organ |
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27:15 | basically cleans up old and aging red cells and uh excuse me. And |
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27:22 | as part of this job. And you go in there and it's kind |
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27:26 | like this roller coaster where things are up and crashing around and so you |
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27:30 | destroyed. And the material is kind just go out and then you have |
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27:33 | cells that go look stuff that we recycle choo choo choo choo choo. |
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27:38 | right, So discontinuous in terms of structure large uh allows the formed elements |
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27:47 | the plasma proteins to leak out. when you think of capillaries, this |
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27:53 | primarily what you're thinking about. primary side of material exchange. It |
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28:00 | for a short duration or a short for substance travel between the blood and |
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28:04 | surrounding cells and I think I mentioned couple of weeks ago. There's not |
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28:07 | cell in your body. That is than 10 microns away from a |
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28:12 | So basically You can provide nutrients to all your cells. Once you start |
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28:18 | away further than about 10 microns cells to die off. Okay, so |
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28:24 | why we haven't like that. Very thin walls. Like what we saw |
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28:28 | the previous slide there it is very walls, single cell of epithelium, |
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28:33 | very narrow. We saw pictures of when we looked at red blood |
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28:36 | we saw the rule. Oh So they're kind of lined up and |
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28:39 | the 10 microns. Alright, what we have here is we have |
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28:43 | massive amount of surface area because of massive amount of capillaries. So remember |
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28:48 | we're talking about pascal's law, we look, you know, one of |
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28:52 | ways that we can regulate blood pressure we can adjust radius. That's a |
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28:56 | easy thing to do. But if really want to regulate blood pressure for |
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29:00 | periods of time, what do we to adjust? What's the thing that |
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29:05 | want to get rid of length? want to work through length. And |
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29:09 | reason is because we have so many , the more weight we gain, |
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29:13 | more tissue we have, the more we have, the more capillaries we |
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29:16 | to have to provide nutrients to all cells. So the larger we get |
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29:21 | hire our blood pressure because we have much capillary. What this graph shows |
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29:29 | is the cross sectional area. So are your capillaries here? Your |
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29:33 | This is your aorta for example, the cross section. Take me or |
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29:39 | slice through it four cm squared. ? Take all the capillaries. Everybody |
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29:44 | a cross section. You're looking about cm squared. That's all the |
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29:50 | So remember, your entire vasculature is structure in parallel. Right? |
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29:58 | Their series there you're going aorta arteries smaller arteries, arterials to capillaries. |
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30:06 | You can think of it as One becomes two becomes four becomes eight |
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30:11 | 16 becomes 64. To get right , becomes 2 56. No 1 |
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30:18 | to 56 5, 12. My was testing me on this the other |
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30:21 | and it was really embarrassing that I forgot. Do you see this? |
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30:26 | , it's good. Yeah. People who are really, really in |
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30:35 | of Westboro church. Well, so musculature. So the question is, |
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30:41 | if they if you gain weight, have lots of muscles, do you |
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30:44 | the same issues? And the answer no. What happens when you work |
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30:47 | and have large muscles? I think answering your think I'm answering the question |
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30:52 | asking right. Yeah. So when work out what you do is you |
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30:56 | more tone? That tone is also in the tone of the blood |
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31:01 | So they are able to regulate blood a lot better. Right. What's |
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31:05 | heart rate of someone who's is in health fairly low, what's their blood |
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31:10 | ? It's usually fairly low as It's like 1 20/80 but it's prettier |
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31:15 | nicer. And the and the nurses the doctors come in singing praises and |
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31:21 | flowers at them, not like me they start wondering why I'm still |
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31:29 | So, see that's funny, isn't ? Just It's a miracle of modern |
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31:38 | . All right. Now, what also translates into when you have this |
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31:43 | area. It's again, it's like example is trying to use on Tuesday |
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31:46 | I would say think about a right in the area where the bayou |
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31:51 | thin, the water moves quickly. when it spreads out, what happens |
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31:55 | the flow, what happens to the at which things move? It's |
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32:00 | very slow. Right? Think about this. All right. Yeah. |
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32:05 | see if I can think about it this. Trying to get an example |
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32:13 | really easy to understand. I was to do cars here for a |
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32:16 | but that's not going to be Um You can imagine cars going single |
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32:22 | right in like the express lane. we're doing what 75 in Houston in |
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32:26 | express line. I don't know. I don't I don't pay to drive |
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32:30 | highways already. Do I pay my ? I'm not going to pay for |
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32:34 | toll roads. But if you look those two roads, there's one lane |
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32:38 | the cars going fast. Yeah, fast. It depends. All |
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32:45 | I presume there isn't an accident and not Yeah, About 80 mph. |
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32:52 | ? 60. You're never gonna get at 60 mph. You're you're you're |
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32:58 | . That's probably the speed. They be going all right. They're going |
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33:02 | . But then when you get out the open road, you don't have |
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33:05 | person in front of your trying to in front of, right, you |
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33:07 | of slow down a little bit. don't feel that competition. There's space |
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33:12 | you to move right now. That's terrible analogy. It says why didn't |
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33:16 | to use it? Right. But idea is if I'm gonna shoot |
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33:21 | things go very, very quickly. when it expands that we're having more |
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33:24 | , more space. So that same spreads out over that I'm gonna have |
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33:30 | draw this. I'm not gonna explain . Well, just Yeah. All |
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33:41 | . If I have a unit of specific size, so that's a |
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33:46 | right? There's there's this way and that way, right? There's a |
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33:51 | understand there's a volume. So we'll call that unit one, right? |
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33:55 | I go out to a bigger That same volume has that. But |
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34:04 | is a lot smaller. All So that volume still fills up |
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34:09 | but to move this volume in that , I have to go faster here |
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34:14 | I go there. You want me do the opposite. Which is probably |
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34:17 | to understand. Think about the chemistry you've been in right? Remember the |
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34:23 | lab, It has that sink in middle between everybody, the one that |
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34:27 | not supposed to turn on, but all do you know what I'm talking |
|
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34:31 | ? Right? It's like this has little thing. Here's the thing. |
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34:35 | not supposed to turn that because what they put on there? They put |
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34:39 | little nozzle on the top, recognize nozzle. How fast did the water |
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34:45 | out of that nozzle fast, But if I took that nozzle |
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34:49 | I'd have a specific rate at which flowing out. Right? But because |
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34:53 | put a nozzle, that same volume fluid that's coming out over here has |
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34:58 | get out of that space because the bottom is behind it. So, |
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35:02 | has to move faster so smaller volume moves faster than in bigger |
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35:10 | Is that helpful? Going backwards to forwards? Yeah. Mhm. I |
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35:20 | know when it's going to rain I really don't. It's not going |
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35:24 | be before the next exam. It be nice if it were because then |
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35:28 | say your homework is to go out the bio and watch the water in |
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35:31 | body value where it's thin water goes when it expands out over there by |
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35:38 | airport. Right? That's when you'll it goes. It slows down water |
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35:43 | rivers go fast. Water as it into a bay slows down wider |
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|
35:50 | All right. So, this is of flow. This is millimeters per |
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35:56 | . Not the flow that we've been about, which is leaders per |
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|
35:59 | All right, Well, you can about this again. This is the |
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36:04 | of the car. This is the of cars. Right? You can |
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36:08 | to the highway. You can look on the highway. You can say |
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|
36:11 | are a lot of cars out You don't care about how fast they're |
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36:14 | . But you can see I'm going count this many cars that are passing |
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36:18 | me in a certain number of Right? Say 50 cars in a |
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36:23 | . But then you can go out and you can put a radar gun |
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36:25 | one of those cars and you can how fast is that car going? |
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|
36:31 | . That would be the rate. right. So velocity of flow, |
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|
36:38 | you cross off rate here, just it versus flow. Well, we've |
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36:42 | talking about all this time has been flow. We're just adding in this |
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36:46 | little component here. Flow rate. speed at which the blood is moving |
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36:52 | where blood flows into capillaries depended As I said, the degree of |
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36:56 | and dependent upon which capillaries are open where we're going to have metabolic |
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37:02 | All right. Let's see if I a toy in here to play |
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37:07 | I don't think I do. Mhm. I guess I'll do it |
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37:15 | this. You want to have a band on him by chance? |
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37:20 | you're gonna give me your hair. man, this is gonna be a |
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37:22 | of fun. All right, Try do this. Well, if I |
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37:28 | this, I'll bring you 20 of . All right, here's my |
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37:34 | It's a capillary bed. Doesn't it like a capillary bed to you? |
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|
37:38 | I got one capillary over here. they're they're they're each going to different |
|
|
37:41 | . All right. The way that flow works. It basically says, |
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|
37:44 | , I'm going to send blood to it's needed. So I'm going to |
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37:47 | blood, for example, over here I'm gonna supply nutrients and stuff. |
|
|
37:50 | by the way, all those cells there, you're fine. Just let |
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37:53 | know when you're thirsty or hungry or . So basically blood is going in |
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|
37:57 | particular direction. Okay, after these getting nutrients, you might get a |
|
|
38:02 | that says, hey, I need over here. So what's going to |
|
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38:06 | is you're going to include the flow blood through the capillary, just as |
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38:09 | included the flow through those and then gonna open up this blood vessel. |
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38:13 | capillary. So blood flows into this until it gets its nutrients and so |
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38:17 | and so on and so on and just kind of rotate. So the |
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38:20 | of blood flowing into the capillary bed dependent solely upon need. And that's |
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|
38:24 | basically all this stuff says At any time. Only about 10% of your |
|
|
38:28 | are open. All right. Doesn't you don't get blood to everything you |
|
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38:33 | eventually. It's only when you have change in your metabolic need to increase |
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|
38:39 | factor. All right. Now, are local factors as well as sympathetic |
|
|
38:43 | that can actually have an effect. don't need this right this second, |
|
|
38:46 | I will need it about a couple lines. All right. So, |
|
|
38:50 | during activity of course, where you be burning through more fuel. More |
|
|
38:55 | need stuff. And so that's when start seeing more capillaries open. Can |
|
|
38:59 | think of a time when your skin flush exercise? Thank you. That's |
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|
39:05 | word I was looking for. I very nervous there after I said that |
|
|
39:09 | right, when you exercise, Why? Because all the cells are |
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|
39:15 | nutrients. Plus what's the other We need to burn off heat. |
|
|
39:20 | ? And have heat leave. that's when you're gonna start seeing capillaries |
|
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39:24 | up so that we can move more closer to the surface. And that's |
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|
39:27 | you flush. All right, Meeting needs. Now, moving around the |
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|
39:34 | from capillaries were going down in the and the vineyards vineyards are basically slightly |
|
|
39:39 | than capillaries. They look like arterials they don't have a lot of |
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39:43 | They don't have a lot of But they do communicate across the capillary |
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39:47 | with the arterial to match need with , right? So if the arterials |
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39:52 | then visuals are going to dilate. can strict than vineyards constrict so that |
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39:58 | blood that's going in can be met the vessel on the, on the |
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|
40:03 | so that blood doesn't get backed up the capillary veins have very, very |
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40:09 | radi I and they have very little to flow. And this is what |
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|
40:13 | was referring to earlier when blood goes a blood vessel and you press up |
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40:17 | those walls instead of acting like an , which says no, I'm going |
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40:21 | resist you. And the pressure inside . What I'm gonna do is I'm |
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40:25 | relax. Uh All right there like shorts that you've had for a long |
|
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40:32 | . Alright, waistband doesn't work quite well, You should put them |
|
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40:35 | And she's like, oh you want keep eating, eating, relax with |
|
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40:40 | And that's what a blood vessel does this is what serves as the blood |
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|
40:44 | . So if blood returns from from the capillary system faster than |
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40:49 | what will happen is is the reservoir ? The venus side will go mm |
|
|
40:55 | it slows down the flow of blood to the heart. Is the blood |
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41:00 | . No, it's still moving, just slowing down because we've gone from |
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|
41:05 | to wider. So that same volume moving. It's just moving a lot |
|
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41:11 | . So blood ends up spending more in the vein. And the transit |
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41:15 | is going to be reduced actually. going to be lengthened. It spent |
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|
41:22 | time there Now. If we look the pressure, I don't think that |
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41:27 | doesn't have it. If we look the pressure inside the veins, there's |
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|
41:30 | a lot. My graph is terrible here, especially since I did that |
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|
41:33 | instead of coming down like this. down over here on the veins we |
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|
41:38 | have a lot of pressure to drive forward, right? And we talked |
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|
41:43 | say the skeletal pump. We talked the respiratory pump and those are aids |
|
|
41:46 | mechanism to help move the blood back the heart. But still there's still |
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|
41:51 | slope there. All right. If was on a skateboard, would the |
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|
41:54 | still move on a slope like Yeah. Just wouldn't move that |
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|
41:59 | What if it was like this would move Yeah, just not that |
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42:06 | All right. We like to think absolutes we like binary systems, |
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42:10 | We like things that are on and . So we want this. |
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42:12 | it's like I move fast or I move at all. All right. |
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42:16 | the truth is is if I'm in vain I have more pressure inside that |
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42:20 | than I do in the atrium. blood will be moving towards the atrium |
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42:26 | not very fast. And of course also has to overcome gravity. Gravity |
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|
42:31 | very helpful. What's gravity doing? it down? Right. So I |
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|
42:36 | to use the example of the vein from my foot up to my heart |
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|
42:40 | you can imagine I've got almost four a blood vessel holding blood over the |
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|
42:47 | that's sitting in my foot. Would agree? It's almost four ft. |
|
|
42:52 | ? So you can imagine that's a of downward pressure to prevent blood |
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|
42:56 | So to help that along and to up the weight of the blood, |
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|
43:00 | why we have valves, right? are ugly, aren't they? One |
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|
43:11 | valve basically prevent retrograde flow there about 2 to 4 centimeters are there to |
|
|
43:16 | the effect of gravity and to ensure of that low blood pressure, that |
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|
43:22 | difference in pressure that blood is flowing towards the heart. Now, I |
|
|
43:27 | this up here, one because it's to show you gross pictures. Something |
|
|
43:31 | look forward to. Alright, varicose . What is varicose veins, varicose |
|
|
43:36 | is simply when that valve fails. here you can see here is a |
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|
43:39 | valve there's a normal valve. So volume of blood right here would be |
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|
43:44 | from that volume of blood below it so on and so on, and |
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|
43:46 | on. Right. But if this fails right here or this valve fails |
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43:51 | that volume of blood will then now joined with that one it becomes a |
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|
43:56 | mass. That means these valves down have to not only hold that blood |
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44:00 | have to hold the blood on top it. They're not designed to do |
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44:03 | . So what's going to happen It's going to fail and so on |
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|
44:07 | so forth. And remember what is purpose of a blood vessel is to |
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44:10 | as a blood reservoir. So when gets greater force or resistance on the |
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|
44:15 | it's going to relax and then you permanent distension and then you get the |
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|
44:21 | vein. Now most of your veins not most of you but many of |
|
|
44:25 | veins are superficial there on the So if you have varicose studies like |
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|
44:30 | this is why you get these appearances varicose veins. Are they dangerous, |
|
|
44:35 | bad. No it just makes it for your blood to return back to |
|
|
44:40 | heart. But it's still doing so That's where you get those happening. |
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|
44:46 | right and I just looked for the pictures I could find. Yes thanks |
|
|
44:54 | look forward to as you age. by the way pregnancy is where many |
|
|
44:58 | get those. Yeah you're you Yeah you can cut it out. |
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|
45:07 | it cut them out. You also the spider veins. What they can |
|
|
45:10 | is spider veins they can go in and inject like silicon and clog up |
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|
45:13 | capillary or arterial and basically it gets of that too. They're just kind |
|
|
45:19 | ugly looking look if you exercise this the main issue. If you sit |
|
|
45:25 | all day zooming you know watching youtube's instagram things, we'll catch up with |
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|
45:37 | you're young. You don't worry about stuff yet. About 10 years. |
|
|
45:45 | , aging is fun. All Now we get to the difficult |
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|
45:52 | Not hard. Just relative the stuff we saw. It's like a little |
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|
45:57 | higher. All right. When we're with the question of capillary exchange materials |
|
|
46:04 | gonna move in between the cells or going to move through the cells. |
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|
46:07 | you're moving through the cell. This would be the trans cellular |
|
|
46:11 | So you can imagine basically I'm moving this direction. Right. Or I |
|
|
46:16 | do Transito Sis which is moving in the cells. Right. That might |
|
|
46:21 | , that's particular transport. So moving between the cells is yes. Say |
|
|
46:29 | again. Yes. Yeah. Thank . Para it's para celular is what |
|
|
46:35 | looking for this parasite. Asus so where have a leaky junctions? |
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46:40 | where most stuff is going to go but I can also move things |
|
|
46:46 | So here's an example of Transito sis that are big. They can't pass |
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|
46:50 | between the cells. So I'm gonna it up with the vesicles and I |
|
|
46:53 | that stuff across. So if I'm in with the vesicles. What do |
|
|
46:56 | need do I need to be able recognize this material? Probably All |
|
|
47:04 | So, that's one way. All . Gasses. They can move easily |
|
|
47:10 | the plant. I mean through the membrane, they can move easily through |
|
|
47:13 | cell to the other side. They're to be simply following uh there. |
|
|
47:17 | Uh huh. They're partial pressure gradient his word I'm looking for here and |
|
|
47:23 | with regard to lipids. Well, membranes can't stop them so, they'll |
|
|
47:27 | go again moving down there. Uh concentration gradient. All right. But |
|
|
47:34 | I have pores or whatnot, there's be some rules that we follow |
|
|
47:38 | This is for those water soluble fixed law of diffusion. What we've |
|
|
47:41 | already before. The size of the , which is going to bury from |
|
|
47:45 | to tissue to the bigger the The more that can move and um |
|
|
47:49 | can adjust the size of those pores factors that are extrinsic to the capillary |
|
|
47:56 | . So, we talked a little about histamine from what does histamine do |
|
|
48:03 | ? Oh, did you see Dilation? Right. Vaso dilation increase |
|
|
48:08 | the pore fluid flows in to the . So, you get localized |
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48:13 | All right. So, that's why using the example of histamine. All |
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48:19 | . When we're thinking about exchange in blood or exchange with the blood. |
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48:24 | ? It's not the stele exchanging with blood? What we're doing is we're |
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48:27 | material between the plasma and the interstitial that's in the surrounding area? If |
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48:32 | talking about the sell the sell is with the interstitial fluid. So we |
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48:36 | a three member process here. plasma interstitial fluid cell. So, |
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48:42 | I want to get something from the to the cell, it has to |
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48:45 | that intermediary of the interest of the fluid. Generally speaking, two different |
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48:53 | . Right. Is we're gonna use or we're going to use something active |
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48:56 | vesicular transport. That should be pretty . But we basically can do it |
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49:01 | one of two ways. We can at individual substances, right? |
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49:04 | I can look here at glucose and , alright, glucose will need to |
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49:08 | transported across the membrane to get Or it can diffuse between between the |
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49:14 | . So I can look at the oxygen going to diffuse because it's able |
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49:19 | go through plasma membranes just fine. doesn't have any sort of carries. |
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49:23 | , it's completely passive. It's just be moving down its partial pressure |
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49:27 | This will be moving down its concentration . But generally speaking, when we're |
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49:33 | about exchange of capillary exchange. We're looking at the individual salutes. We |
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49:38 | ask that question. But generally we're looking at everything. What's the |
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49:44 | of flow? Right. Which direction the fluid going? And what's it |
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49:49 | with it? All right. do you always have carbon dioxide in |
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49:52 | blood? Thank you for nodding your . Yes. Yes. It's always |
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49:59 | ? It's more on which side of body. The arterial side or the |
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50:03 | side, venus side? All But it's always there. Right. |
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50:08 | is always in your blood. Where is it more arterial side of |
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50:12 | venus site? Arterial side. Is glucose always in your blood? |
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50:17 | . Alright. On which side would expect to see more of it on |
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50:20 | venus side? Or the arterial Our serial side. Right. |
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50:24 | you see what we're looking at here we're looking at all the factors, |
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50:27 | the materials that are gonna be in . And we're gonna be asking the |
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50:30 | of which direction does movement of all this material occur? Does it occur |
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50:37 | the blood to the interstitial fluid? plan into the interstitial fluid? Or |
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50:42 | it occur from the interstitial fluid to plasma? All right. This is |
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50:45 | we refer to as both flow. , there are four forces. This |
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50:50 | the part that I said. That's to be a little bit more |
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50:53 | Kind of hard sometimes it's hard to your mind around this stuff, but |
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50:56 | want you to understand that once you this, you're gonna understand the kidneys |
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50:59 | basically everything else that we're going to about from here on out. All |
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51:03 | . So, when we're looking at capillary? Yeah. Speak to |
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51:10 | This just isn't gonna get any is it? I think I'm gonna |
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51:13 | blew up there just to make it worse. Yeah. Yes. Flow |
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51:32 | blood is in this direction. What is this? Arterial side? What |
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51:41 | is this then? Manual side so ? We're good with the capital of |
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51:47 | dry. All right. There are different pressures we have to contend |
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51:57 | There is pressure inside the capillary. . The fluid inside the capillary in |
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52:04 | of pressure. Which direction does that work? Do the work to push |
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52:09 | out or to the pull fluid in . C I'm going with the easy |
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52:12 | right now. Alright. Just gotta sure how we abbreviated them up |
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52:15 | because every book does it differently. right. So, this is the |
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52:20 | of the capillary. Right. And pushing fluid out. Okay, out |
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52:27 | , we have a pressure. All . That's fluid as well. That's |
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52:32 | interstitial fluid. All right. Which does this pressure to push out of |
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52:40 | interstitial space? Or does it pull the interstitial space? It pushes out |
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52:45 | out of the interstitial space is what trying to say. All right. |
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52:49 | , it's it's pushing fluid away from interstitial space into the capillaries. |
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52:56 | then we have osmotic pressures that we to contend with. We call them |
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53:00 | osmotic pressures. You're usually abbreviated with . Okay. There's one for the |
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53:07 | fluid. There's one for the capillary ? Remember with automatic pressure. These |
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53:11 | the result of the presence of plasma . All right, Where do we |
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53:15 | plasma proteins? Not a trick Say again. And I did. |
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53:25 | , it's plasma proteins are present in plasma. Okay. Now remember, |
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53:32 | are attractive to what water? So direction does the colloidal osmotic pressure direct |
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53:44 | the caterpillar? So do we have proteins out here in the is |
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53:53 | very little to the point that it's . If there's no proteins out |
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54:00 | then we're not going to see a of pressure. But if there were |
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54:02 | proteins, which direction would it would water to it or push water away |
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54:06 | it? Draw water to it. , when we are considering the movement |
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54:13 | fluid in a capillary into the interstitial or from the interstitial base to the |
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54:18 | . We have to consider all four those pressures. All right. And |
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54:22 | we can do is we can do in one of two different ways. |
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54:24 | I have numbers up here. on the Venus side. Uh this |
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54:28 | right here is about 35. I'm gonna put it over here. PC |
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54:32 | about 15. Um the the college pressure is a constant. It really |
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54:39 | . But for our purposes it is you say about 25 Roughly. About |
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54:48 | . Making sure I got all my . Right. I'm just taking them |
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54:50 | your book. Alright, the uh fluid pressure. So, remember those |
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54:56 | mm of mercury. And so uh regard to the interstitial fluid of pressure |
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55:02 | here. It's roughly zero. I -2. But I'm just gonna call |
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55:05 | zero because zero's easier math. And then because there's so few plasma |
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55:13 | osmotic pressure or plasma proteins out in interstitial fluid, this is roughly equal |
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55:18 | zero as well. Okay, now isn't zero. All right. It's |
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55:25 | of mercury. But what's atmospheric Come on you guys? What's happening |
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55:31 | pressure? One atmosphere. But what's atmospheric co two of Mercury. |
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55:40 | All right. Easy way to remember . All right. Take a needle |
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55:45 | it in your arm, avoiding all vessels, pull it out. Does |
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55:50 | come squirting out of your body like cartoon? No. So, atmospheric |
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55:58 | , interstitial fluid pressure have to be if they weren't equal, water would |
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56:03 | squirting out like a cartoon. All . That's not happen. So, |
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56:09 | how we can kind of remember zero. All right. Ready for |
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56:15 | horrible slide. Yes, sir. . It says close to 0 |
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56:22 | It's approximately equal to one atmosphere. it actually 760 of mercury today? |
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56:28 | don't know. We don't have a . Anyone here. A barometer on |
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56:32 | . You do. I'd be Atmospheric pressure goes up and down a |
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56:38 | bit. But so does the pressure our body goes up and down a |
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56:41 | bit. I'm just it's very Be really interesting if you actually imploded |
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56:47 | yourself. All right. Lots of words. Very scary picture. A |
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56:54 | of it doesn't make sense. Two ways to calculate the net exchange pressure |
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56:59 | exchange pressure is what helps us to which direction the flow is. |
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57:04 | one way we can do is we ask the question. What's the pressure |
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57:07 | versus pressure in? So what's the in the hydrostatic pressure? So just |
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57:11 | these two Right. Or and then can do the absorption. Alright. |
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|
57:18 | don't think that's always the easiest way do things. All right. I |
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57:22 | the easiest thing is just to do what's going on here versus what's going |
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57:28 | there? All right. Not necessarily this. Which is what that's showing |
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57:33 | . Okay so let me show you this works over here at the arterial |
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57:40 | . Oh we have a pressure that's out So we have an outward pressure |
|
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57:47 | ? And we also have a pressure and that's an inward pressure. But |
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57:50 | have to take into consider consideration all those things. So what's pressure |
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|
57:56 | That's pc Plus the pressure out You know the mask? I used |
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58:11 | teach math have to show all the long time ago. Talk what's the |
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58:16 | in that one and that one. so we've got P. I. |
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58:24 | . Plus pissy pf zero. That 25. Does two together. And |
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58:36 | we're doing is taking one from the . So 35 -25 is 10. |
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58:41 | , what we have here over on side Is a pressure of 10 of |
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58:48 | . Driving the pressure out because it's positive number. Right? So on |
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58:55 | arterial side you expect pressure to drive away from the capillary. Now. |
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59:02 | here, if fluid is leaving the , what's happening to the capillary pressure |
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59:07 | the inside? What's happened? That getting lower. It's getting lower is |
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59:12 | lower and getting low and getting lower get lower as more water leaves pressure |
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59:15 | here gets lower technically the pressure out is getting bigger but we're ignoring |
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59:20 | Right? But over here we know the measure is. So we can |
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59:24 | the same exact thing. We go minus in. Right, do the |
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59:29 | pc. All the same thing. just not gonna rewrite it all. |
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59:32 | over here is 15 plus zero minus in zero plus 25. We got |
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59:42 | -25. We have negative 10 millimeters mercury. Sorry. So what is |
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59:49 | telling you? Over here? Pressure the inside is lower. So, |
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59:54 | from the interstitial fluid flows to the . All right, you're sitting there |
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60:00 | , why did you waste my time wayne. Why are you thinking |
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60:06 | Oh, don't lie to me. thinking it. People in the back |
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60:09 | thinking it? No, I like . Thank you. I'm not wasting |
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60:15 | time. All right, So why this important? Well, because what |
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60:19 | kind of shows us is the forces are driving fluid. So what happens |
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60:25 | I increase here if I open up capital? What's going to happen is |
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60:31 | this pressure goes up and so fluid out faster out of the capital? |
|
|
60:37 | ? What if I squeeze here, going to build up, It's going |
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60:42 | slow down the rate at which interstitial flows out of the interstitial space and |
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60:49 | into the plasma, basically by modifying values, I can change the direction |
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60:56 | flow or at least how much how fluid is actually moving. That kind |
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61:02 | makes sense. What we're going to when we look at the kidneys were |
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61:07 | to see the exact same values in of how the kidney regulates itself and |
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61:12 | fluid to pass into the kidneys so it can be processed. So, |
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61:18 | this is showing you is how the uses pressures to drive materials from the |
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|
61:26 | into the interstitial space on this side that you can deliver oxygen and glucose |
|
|
61:32 | other fun stuff to the cells. because pressure gradients swap on the other |
|
|
61:38 | , it allows me to take up fluid with the carbon dioxide and water |
|
|
61:43 | the other waste and take it I don't have to do anything active |
|
|
61:49 | do that. That kind of It's all about pressure gradients. |
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|
61:58 | the problem is, is if you at a capillary, you'll see that |
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|
62:02 | fluid leaves and actually returns. You five L of blood and a small |
|
|
62:08 | of it gets stuck behind. And the way, this picture is the |
|
|
62:13 | same thing. All right. With things being equal. If water is |
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62:21 | leaving the blood and not coming what's gonna end up happening to your |
|
|
62:28 | ? It's going to get really isn't it? Is it going to |
|
|
62:30 | ? It's gonna be like ketchup. , you guys didn't grow up with |
|
|
62:34 | commercial where they turn the bottle of over and it's like slowly moving |
|
|
62:42 | basically, your blood would turn into right as water leaves and you'd have |
|
|
62:46 | DM all over your body because water be stuck. So, to counter |
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|
62:53 | problem, we have another system that responsible for returning water that has escaped |
|
|
63:00 | of the blood back to the So, Here's the first loop. |
|
|
63:05 | is the easy one right? That's cardiac loop. That's what we've been |
|
|
63:10 | about. Five liters of blood pumped minute. How much blood you have |
|
|
63:14 | body, five liters? So your blood is pumped through your body every |
|
|
63:21 | . Yeah, That's about 7200 L day. The trans vascular loop is |
|
|
63:27 | we just talked about basically. That's all your capillaries, that's about 20 |
|
|
63:31 | filtered per day. All right, of the 70 200. Oh, |
|
|
63:38 | . Out of this. Right, that's 20 liters. And basically you |
|
|
63:41 | back 16 or 18. All so moving out, you get 20 |
|
|
63:47 | per day and then 16-18 come back . So that means you're leaving behind |
|
|
63:53 | in the neighborhood of 02 - four . How much blood you have anybody |
|
|
63:58 | five liters? It's kind of doesn't it? It sounds this is |
|
|
64:02 | problem that needs to be solved in for me to survive the rest of |
|
|
64:05 | day. I've got to figure this . And this is where the third |
|
|
64:08 | . Is this your lymphatic system? system is there to pick up that |
|
|
64:14 | fluid and return it back to the . All right. It takes that |
|
|
64:20 | cellular fluid that gets lost and returns back every day. Yeah, I've |
|
|
64:27 | talking an awful lot today. Not in this class, That's why I'm |
|
|
64:31 | to get All Yes. All So this is the lymphatic sol |
|
|
64:34 | Lymphatic are have the same kind of that we saw when we talk about |
|
|
64:39 | vasculature. You have small vessels like . Alright. We refer to these |
|
|
64:44 | the initial M. Fanatics. They're kind of interesting because while they're |
|
|
64:49 | to capillaries, they're not entirely the . So, they basically started capillary |
|
|
64:54 | . So they're blunt ended. Like fingers blunt ended. So, you |
|
|
64:57 | imagine this is a capillary bed. ? I still haven't forgot about your |
|
|
65:02 | thing. I'm going to use I promise. All right. |
|
|
65:06 | they're found in the capillary beds and just blunt ended. And so they're |
|
|
65:10 | to receive all that extra fluid. what they do is they joined larger |
|
|
65:14 | and larger vessels and larger vessels. , you have collecting lymphatic, ultimately |
|
|
65:18 | large lymphatic that then re enter into larger blood vessels near the heart. |
|
|
65:25 | , with regard to the initial And this is why they're kind of |
|
|
65:29 | . We talked about the capillaries, said the end of thallium is kind |
|
|
65:33 | like holding your hands together, And you can see in between the |
|
|
65:36 | holes and stuff. Alright, with initial emphatic, the cells are not |
|
|
65:41 | by side like this. They overlap this. Okay. It's easier if |
|
|
65:45 | do it like that kind of like . All right? So, if |
|
|
65:49 | press on this shingle, what happens on that? Nothing. Right? |
|
|
65:54 | see, I'm actually forcing the to space in between close so the pressure |
|
|
66:00 | this side forces it close. But happens if you push on the other |
|
|
66:04 | ? Not that one shingle. it opens. So as pressure |
|
|
66:09 | what happens is I create my own create a door fluid flows in and |
|
|
66:16 | it gets trapped inside the initial All right. Let's say you scrape |
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|
66:20 | knee for example, we're going to a lot of things that the initial |
|
|
66:24 | does. But I'm just gonna say scrape your knee. We've all scraped |
|
|
66:26 | knee, right? They were scraped knee on the playground. Like at |
|
|
66:31 | where all the horrible nasty tarmac where all the bums hang out and |
|
|
66:37 | on the ground and drink their No, I I went to school |
|
|
66:42 | a in an urban area when I young And there are always empty MD |
|
|
66:48 | bottles, You know, Mad 2020, right? The proper name |
|
|
66:54 | Magen David 2020. It's a fortified . It's basically welch's grape fruit or |
|
|
66:59 | grape juice with rubbing alcohol in I swear that's that's all it is |
|
|
67:04 | , love it because it's really, cheap. All right. And then |
|
|
67:08 | pee all over the thing and then fall scrape your knee and then now |
|
|
67:10 | have sepsis. No, we don't sepsis. Why don't we have |
|
|
67:17 | What have you guys all been doing what immune systems, immune systems, |
|
|
67:24 | everything, bum, urine to Little bacteria finds its way into your |
|
|
67:32 | from scraping on one of these horrible tarmacs, right? It gets into |
|
|
67:37 | interstitial space. It's like, I like this space. The space |
|
|
67:41 | awesome. It's warm. There's water there's food everywhere and it's like, |
|
|
67:47 | just gonna hang out and I'm just go with the flow and it's kind |
|
|
67:50 | cruising along, we're going with the and all of a sudden here comes |
|
|
67:54 | little emphatic and you open the gate who it's kind of like a water |
|
|
67:59 | and now you're stuck in the lymphatic where every immune cell is sitting there |
|
|
68:04 | I surveil you, I surveil I surveil you you're not supposed to |
|
|
68:07 | here nuke it from orbit. Just be sure lymphatic system is very, |
|
|
68:14 | valuable. So one thing that it returns fluid to where it needs to |
|
|
68:20 | right. The second thing that it is it plays a role in |
|
|
68:25 | So with the lymphatic pressures driving its right? So the interstitial fluid is |
|
|
68:31 | fluid in there. You have valves prevent backflow. So fluid is gonna |
|
|
68:36 | in the right direction. We have that surround these things as well as |
|
|
68:43 | vessels like arteries that are have that of that pulse of tile. Uh |
|
|
68:48 | already raised the chart but basically have pulse pressure and that's going to be |
|
|
68:53 | the fluid back towards the heart. it basically and also respiratory pump as |
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|
69:01 | . So all this stuff is promoting and making sure that the flow is |
|
|
69:06 | towards the heart. Now, like said, turns the excess fluid basically |
|
|
69:12 | against disease. This thing doesn't show . But this is where your lymphatic |
|
|
69:15 | your lymph nodes are ever gotten sick you felt your glands, right? |
|
|
69:20 | call it your glands. Yeah, not a glance other lymph nodes. |
|
|
69:25 | lymph nodes are located in very specific . And massive clumps all over your |
|
|
69:30 | . But there's some massive clumps there , right here underneath the jaw, |
|
|
69:34 | there in your armpit there in your area. Why would they be in |
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|
69:39 | particular areas in particular all around your ? Why those areas? What do |
|
|
69:44 | think those four things have in common , mouth, armpit gut. This |
|
|
69:53 | bacteria gloves. What did I Lots of blood? What else? |
|
|
70:00 | , bacterial growth obviously armpits and groin that kind of works right gut. |
|
|
70:05 | got stuff in your gut but that's necessarily but you're you're on the right |
|
|
70:10 | . All right. Let me ask question. You don't hear. Live |
|
|
70:13 | the 5 2nd rule. Yeah. your oreo on the ground. Just |
|
|
70:18 | it up, pop it in. blow on it because that always makes |
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|
70:21 | better. You've done that. The one way to get toxins in your |
|
|
70:27 | is consumption. Right? What do have? Living under armpits bacteria why |
|
|
70:37 | live in under the armpits 2nd dark moist. I like that. You |
|
|
70:44 | dark and moist. And our sweat in our pitch produced tons and tons |
|
|
70:50 | proteins which the bacteria grow food and consume it but it's very very close |
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70:55 | the surface where these these glands And so bacteria can work their way |
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|
71:00 | the uh into your body through the . What about growing? No you're |
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|
71:08 | enough to say it in the physiology , are you? Yeah. All |
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|
71:13 | . We have our digestive track We have our reproductive structures and we |
|
|
71:19 | our renal system exit. I'm being . There are those three mechanisms. |
|
|
71:25 | places where bacteria can find their way your body. Oh heck. |
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|
71:30 | All right. So I've just pointed these are basically entrances for the |
|
|
71:35 | So what do you have? You lymph nodes in these areas where you |
|
|
71:38 | collect bacteria very very easily. I that. You have your thing there |
|
|
71:42 | tell me how much time I Okay we also have them around the |
|
|
71:49 | . All right. And why? basically the lymphatic are are localized as |
|
|
71:54 | mechanism to move fats from the digestive into the body. So weigh the |
|
|
71:59 | . Work. We're going to do when you talk about digestion. But |
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|
72:02 | you take fat. You package them a couple of proteins. You create |
|
|
72:05 | structures called kyla microns far too big transport across the digestive epithelium. So |
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|
72:11 | you do is you release them into and then they are too big to |
|
|
72:13 | into the bloodstream. So you have lymphatic that serve as the mechanism to |
|
|
72:18 | them into the lymph and then from lymph they go to the blood. |
|
|
72:22 | it's kind of a kind of back way to get things there. Um |
|
|
72:26 | then anything that escapes through the process filtration over here is going to be |
|
|
72:33 | through this mechanism. All right. do we influence arterial resistance? |
|
|
72:40 | that was the extent That's the other of the immune system. I just |
|
|
72:44 | just spent cells in the last lecture six minutes and then far too long |
|
|
72:50 | lymphatic to me in talks that you good. All right. Local |
|
|
72:57 | We've already kind of mentioned this match blood flow metabolic needs. All |
|
|
73:01 | Pero cranes as well. Mediagenic All which we talked about sympathetic reflex is |
|
|
73:07 | allow the sympathetic system to regulate And finally, hormones which is going |
|
|
73:11 | carry. We're gonna introduce it but really deal with the topic when |
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|
73:14 | get to the kidneys now we get play with a rubber band. All |
|
|
73:28 | . I want you to bear Since this is your reprimand. I |
|
|
73:30 | you to bear witness. Okay, do you think of that figure? |
|
|
73:36 | color is that turning turning purple? , just making sure active hyperthermia is |
|
|
73:45 | we increase blood flow in response to need. What are the signals that |
|
|
73:51 | active hyperthermia? Well, basically, presence of oxygen when it goes down |
|
|
73:55 | increase in carbon dioxide is the primary as well as the increase of |
|
|
73:59 | These are indicators of metabolic activity. right. And so when the cells |
|
|
74:05 | too little oxygen or too much carbon than what they're going to do is |
|
|
74:09 | going to release perricone factors that cause dilation so far so good. All |
|
|
74:19 | , reactive hyperthermia is a little bit . All right. Now, what |
|
|
74:24 | is my finger now still purple? a little darker, still purple. |
|
|
74:30 | . Usually do this for about five , but we're running towards in the |
|
|
74:33 | so, it's gonna be a little slower. But would you all agree |
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74:35 | maybe I'm not getting the blood to finger? Does that make anyone |
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74:40 | Some people makes nervous? All I'm gonna wait a little bit so |
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74:45 | can use a little bit more All right, So, I'm burning |
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74:49 | some oxygen here. Those cells are of starting to get a little |
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74:52 | All right. And so you can it going um Austin dropping carbon dioxide |
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74:56 | open up. Vaso dilator, basil occurs. Blood still not flowing |
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75:02 | Why? Because I've included my blood . All right there. Getting a |
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75:06 | bit more nervous. They start releasing perricone factors. More Visa dilation. |
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75:11 | blood flow. Oh, what are going to do? We're starving to |
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75:14 | . Oh, noes. Oh, . Help. Help. Help. |
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75:17 | . Alright, we remove the All right, come on. This |
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75:26 | why the class is fun. all right, now, my |
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75:32 | These blood vessels Arvizo dilated. Is are those cells being washing oxygen |
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75:37 | glucose And are they happy now? answer is yes. Of course they |
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75:41 | . But because they don't know when gonna get occluded again, they're going |
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75:44 | maintain and keep those blood vessels open longer periods of time. It's a |
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75:50 | response to the occlusion of blood So it's no longer just a function |
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75:55 | oxygen. Carbon dioxide and all those things. It's like, oh |
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75:59 | we may not be able to get again. So we're going to maintain |
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76:03 | wash ourselves in excessive blood flow so we can ensure that we get all |
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76:09 | nutrients we need in order to survive a longer period of time. That |
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76:12 | be reactive high premium here. Cryogenic regulations we've already mentioned. We basically |
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76:17 | a constrictor beso dilate depending upon That's all based on metabolic needs. |
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76:26 | , what are these peregrine factors? , we have nitric oxide. We |
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76:30 | into filling, for example. Nitric is a Visa dilator. In the |
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76:35 | is a vase of constrictor, basically using through calcium and all you're doing |
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76:40 | basically you're causing the vessel to widen constrict depending upon that metabolic need. |
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76:45 | right, other factors, temperature, is an incredibly good indicator of increased |
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76:52 | activity, shear stresses. Another basically, if you increase shear |
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76:56 | you're gonna start releasing nitric ossified. going to cause you a Visa |
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76:59 | So you have left resistance. All terms of autonomic controls only two more |
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77:07 | . All right. The neuro reflex basically the release of norepinephrine to act |
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77:14 | smooth muscles and what they do is act on the agin ergic receptors. |
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77:18 | right. So, if I increase activity, I'm going to beso |
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77:25 | Right. We talked about this If I drop norepinephrine, I'm going |
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77:30 | beso dilate. In other words, decreasing sympathetic activity. All right |
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77:39 | this is in response to circulate But you're capable of overriding sympathetic activity |
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77:48 | on metabolic needs. In other your cells are not going to die |
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77:53 | because sympathetic nervous system says this must if your cells are saying I need |
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77:59 | , they get they get to get fuel. All right. So, |
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78:03 | you're besar constricting to prevent blood flow locally it says no, no, |
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78:07 | need you to Visa dilate. Then dilation is going to occur. All |
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78:11 | . There's no suicide packs in the . Last slide. I think it's |
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78:16 | last slide. Yes, it Generally speaking when we're dealing with uh |
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78:27 | adrenal glands and producing epi and nor . What they're doing is they're acting |
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78:31 | these um, a genetic receptors. , alpha one is generally vessel constriction |
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78:36 | typically localized in the organs of the . Whereas beta tools are typically reinforcing |
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78:41 | Visa dilation. Alright, So, this is hormonal, This is not |
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78:46 | innovation? This is a hormone in . And so what are we doing |
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78:51 | you release epinephrine and norepinephrine. When you releasing? Those under what circumstances |
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78:56 | as a hormone, what circumstances would be doing that exercise? That's the |
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79:02 | one. You can always say exercise the easy answer. So, when |
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79:05 | exercising your blood pressure is rising, ? And you're trying to put uh |
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79:13 | blood to your muscles, Do you blood to go to your stomach so |
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79:16 | can continue digesting? No. what do you expect to do you |
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79:20 | ? Constriction? There's an easy way remember that alpha one's there's a constriction |
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79:26 | response to sympathetic activity. What about muscles? I want a Visa |
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79:31 | Right. So, what am I ? I'm opening up the blood vessels |
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79:34 | so that I can get more More nutrients to what I need. |
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79:39 | , Vice President Angiotensin two. We're to talk about these a lot when |
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79:42 | get to the kidneys, these are hormones that are responsible for water |
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79:48 | All right. And what they do they are trying to increase blood |
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79:53 | All right, says so, in name viso his blood vessel pressing |
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79:59 | All right. So, what I'm is I'm increasing blood pressure by Visa |
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80:05 | . All right, Angiotensin two. a vase. A constrictor. |
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80:11 | there's other aspects of this that we're covering right now. That will do |
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80:14 | the kidney that deals with the water part. All right. But I |
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80:19 | to point out here that these two of water in your body also play |
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80:23 | role in regulating the size of the vessels. All right, here's the |
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80:28 | news. Respiratory system is even easier this. Yeah. So when we |
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80:36 | back to lectures respiratory system, Oh , reminder what to do tonight? |
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80:41 | reviews. What happens if you don't your peer reviews? Little. Tiny |
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80:46 | will haunt you for the rest of days and poke you with sharp |
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80:51 | Plus you'll get a zero on the . Oh, thank you. Thank |
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80:57 | . I'm glad you played with. . Mhm. |
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