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00:12 | So did anybody else get up out bed this morning? Really excited knowing |
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00:15 | this is the last time you got get up early on Tuesday or thursday |
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00:19 | a long time. Yeah. All , good. And I woke up |
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00:23 | I'm like, whoa, last day have to get up this early until |
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00:27 | fall, but I'll take it. I think is it can be a |
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00:33 | day talking about the autonomic nervous autonomic nervous system really, really |
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00:39 | You've learned about it at some your life, rest and digest versus |
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00:42 | or flight. Right, familiar with ? Heard about that? It's got |
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00:47 | when someone scares you. What do want to do you want to |
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00:51 | Don't wanna punch him in the I want to punch him in the |
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00:55 | , but the bear, I want run. Okay. I always say |
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00:58 | a little bit more about me than else. Right? So, what |
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01:02 | have up here, So that's that's what this is gonna be about. |
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01:04 | gonna see the parasympathetic system is very straightforward. All right. Um |
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01:11 | what we're gonna do is we're gonna that in the midst of all this |
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01:15 | gobbledygook of the autonomic nervous system that actually breaks down into this. It's |
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01:22 | this or it's that okay. That's of how you kind of kind of |
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01:25 | at it. All right, It's they're so different. These two halves |
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01:31 | the autonomic nervous system that it's easy to kind of just create a here's |
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01:34 | lift that this side here's a That's that side. All right. |
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01:39 | what we wanna do is we want put this all in context. All |
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01:41 | . And so, this is what been learning for the last two |
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01:45 | 12 lectures of nervous system. And the nervous system we said, remember |
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01:52 | of the central nervous system and the nervous system. So, here we |
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01:55 | peripheral nervous system, we said, peripheral nervous system deals with information going |
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01:59 | and information coming out, right? receive sensory input. We we create |
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02:04 | response. All the processing of what need to do takes place in the |
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02:07 | nervous system. So, we're ignoring for now. All right. And |
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02:12 | , if you're dealing with motor versus , that can be in one of |
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02:16 | places. If you're dealing with you're either dealing motor that's on the |
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02:21 | movement, right? Or you're dealing motor internally. That would be |
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02:27 | Alright, similarly, in sensory it's going to be the same |
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02:31 | I'm actually detecting things externally, which spend a lot of time talking |
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02:36 | or I'm dealing with things internally, that's where we're focused. Okay, |
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02:41 | so, you can see here, this is doing is it's gonna focus |
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02:45 | in on terms of the motor Alright. We're kind of working our |
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02:49 | here because we know this stuff that's . Alright. So, how do |
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02:54 | control my heart rate? How to my breathing rate. How do I |
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02:59 | whether my blood vessels dilate or right? I mean if, for |
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03:06 | , you see somebody that you're really to and they come up to you |
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03:11 | say, hey, how you What happens? You might be cool |
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03:14 | the outside, right? You're hey, whatever, I'm fine. |
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03:18 | going on in the inside, You can't control that. This is |
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03:25 | the autonomic nervous system is all All right. So, we have |
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03:30 | motor. That's what we've been talking . So, now we're dealing with |
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03:32 | here autonomic motor. So, when dealing with visceral sensory that's detecting what's |
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03:38 | on inside the body to make sure stasis is taking place and then the |
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03:42 | is going to be down here autonomic . And this is where the paris |
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03:46 | where the autonomic nervous system is, we divided up in the sympathetic and |
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03:50 | . All right. So, what we dealing with glance, smooth muscles |
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03:54 | cardiac muscles. Right? When someone you that warm fresh brownie, you |
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04:02 | help but your mouth starts watering, ? Because it already knows there's sugar |
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04:07 | and it's like, oh, I that sugar. Okay? You can't |
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04:12 | that. None of you can control heart rate, right? I mean |
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04:18 | you've watched friday the 13th, I it's friday the 13th, man. |
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04:21 | know, it's Halloween? Halloween is where mike Myers dies like 30 times |
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04:27 | . You know the end of the ? It's like, what's he |
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04:29 | He's faking it, His heart stops and then No, he can't fake |
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04:34 | your heart either beats or it You have no control over it. |
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04:41 | . So this is where we're gonna talking about is how do we go |
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04:44 | regulating things internally? Now to break two things down. You can you |
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04:49 | look at this and just kind of all right, what what's my target |
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04:52 | ? One of the responses. So here remember we said with skeletal |
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04:56 | it's always gonna be excitation because that's somatic is dealing with. We can |
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05:01 | inhibit or excite so that we're kind I'm gonna use this analogy but please |
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05:06 | careful with the analogy. It's like a gas and the brake acting on |
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05:10 | system. Okay. You're gonna see we're gonna need to be careful in |
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05:14 | a moment. All right. With muscles, you can tell skeletal muscles |
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05:18 | they move that's voluntary here. It's involuntary. It happens without you thinking |
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05:23 | it. Motor cortex versus brain my elation versus some violations. We're |
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05:30 | to see how it's divided up The neurotransmitter. We've we talked about |
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05:34 | skeletal muscle acetylcholine. We've got different neurotransmitters. We're going to walk through |
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05:39 | as well as what type of receptors going to be involved? Alright, |
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05:43 | this kind of list is kind of nice way to say All right, |
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05:46 | how is this different than the somatic . and so we can use a |
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05:51 | like this to help us really And so up here, this is |
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05:55 | . We already talked about this. the cell body in the somatic nervous |
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05:59 | . So that lower motor neuron where originate? Where in the spinal cord |
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06:03 | it originate? It's in the only person is going to shout this out |
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06:12 | horn. Right? That's where we're go. Right, ventral horn. |
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06:16 | if you want to say anterior that's fine. Alright. In the |
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06:20 | nervous system we said autonomic nerves originating horn? The lateral horn. |
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06:28 | so there's already there's that first When you look at that lower motor |
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06:32 | we said there's only one, There's only one lower motor neuron. |
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06:35 | goes onto the skeletal muscle. And it is. You can see with |
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06:37 | myelin, when you're dealing with the nervous system there are always two |
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06:43 | Alright. The first neuron that's exiting via the lateral horn is called the |
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06:48 | gangly oneK neuron. It's pre gangly it because it terminates on another neuron |
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06:54 | inside a ganglion. You can see nomenclature now pretty straightforward pre ganglion IQ |
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07:01 | the one that leaves the ganglion is post gangly oneK. So that is |
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07:04 | post ganglion neuron. Alright. The ganglion, it can be my Alani |
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07:08 | post ganglion, it will not be eliminated. So, there's that one |
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07:12 | we talked about of Myelin nation and in terms of their targets. We |
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07:16 | said skeletal muscle for somatic. And the targets will be smooth muscle, |
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07:21 | muscle of the glands. So anatomically different structures. Very different. All |
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07:29 | . So, this slide just basically you. So the second neuron, |
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07:33 | post ganglion neuron is the one that the defector. Alright, so 1 |
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07:40 | neuron change. Now. The two sympathetic and parasympathetic are different in terms |
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07:50 | how they behave. They innovate all same organs. Every textbooks has a |
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07:55 | like this. They're trying to show the origins of parasympathetic vs. |
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08:00 | But notice do you see any difference the sides over here? No. |
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08:04 | , they're all innovating the same They're organizing or they're innovating to do |
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08:10 | things. Now, here's an easy . All right. When we talk |
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08:13 | sympathetic, we're talking about fight or . That's that's the way we remember |
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08:18 | fight or flight simply says, when am confronted with something that requires |
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08:25 | exercise, excitement or emergency. The . Alright then my sympathetic is going |
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08:32 | be the dominant form of interview or . Alright? So, when someone |
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08:39 | you, what happens to your heart , it goes up? All |
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08:44 | So, you have a choice Your body is saying Something jumps out |
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08:48 | the bushes at me. What am gonna do? I'm either gonna fight |
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08:52 | to survive or I'm going to run from it. And again, what |
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08:56 | just do is kind of depending upon situation and kind of what person you |
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09:00 | , right, the bear jumps out the bushes. Are you going to |
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09:03 | the bear or you gonna run away the bear? Right? You don't |
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09:08 | to answer that. Okay. But it's the heart. All right. |
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09:14 | we're talking about here after I escape fight the bear, my heart is |
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09:22 | , what do I want to do I want to slow the heart |
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09:24 | I can't just let it slow So the parasympathetic is responsible for doing |
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09:30 | opposite. So in this particular pair or sympathetic is like a gas |
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09:35 | . Parasympathetic is like a break simple . Let's go to the digestive system |
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09:42 | I glorify 30 hamburgers. I'm the one that does that. Right, |
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09:49 | . Alright. When I eat a juicy hamburger, I like going to |
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09:52 | coma. You know, my food state. Right? Right? So |
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09:55 | I'm in that rest and digest That's the term we use. We're |
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09:59 | see it's all these other little So you can imagine what am I |
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10:03 | ? Am I accelerating the digestive Am I acting on the on the |
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10:07 | to increase my ability to digest after eaten a whole bunch of food. |
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10:12 | do you think? Yeah. So I'm doing is I'm gas peddling that |
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10:18 | structure those organs now, in this the gas pedal is parasympathetic. |
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10:26 | And so I'm not accelerating using sympathetic sympathetic acts as kind of a |
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10:34 | Right? So when I go run race alright or swimming a meat or |
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10:41 | it is, if I'm playing, not a good idea to eat because |
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10:45 | body doesn't want to digest that stuff it makes you feel nasty. And |
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10:48 | what you do is you end up up everything, let's just get out |
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10:51 | the system so I can do what's to get the job done. The |
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10:56 | part. Right? Yeah. So the idea here is that uh |
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11:03 | parasympathetic is the gas pedal right? digestion, then sympathetic would be |
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11:09 | And so what you're doing is like you eat a large meal before say |
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11:14 | , what's happening is you're now having things fight each other when you exercise |
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11:20 | is going to become dominant. And it's going to basically say stop |
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11:24 | right? And then you kind of food just kind of sits around and |
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11:27 | not digesting it. And it kind impedes your ability to do whatever the |
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11:32 | is. And so you always kind feel like afterwards and I'm not saying |
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11:36 | throwing up is sympathetic. It's it's just that might be the way |
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11:40 | body responds. Yeah. How you sympathetically embarrassed sympathetically is person dependent? |
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11:49 | I played high school football. I it's hard to believe with this |
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11:51 | right? You know, one of closest friends, he was a sinner |
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11:55 | a nose guard and when he played guard he'd go out in the field |
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11:59 | very first play, he was so . He'd be shaking you know and |
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12:03 | get down on all fours and get front of the ball and then you |
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12:07 | throw up. Now trust me when a sinner and someone throws up on |
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12:12 | , the last thing you're doing is about blocking but it's it's you |
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12:17 | that would be an example of just sympathetic response that probably is not particularly |
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12:22 | . But you can think of it terms of like fight or flight if |
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12:25 | a predator, right? And something up on you or poops on you |
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12:29 | pees on you. Are you going want to keep eating it or attacking |
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12:34 | or is that kind of shock you that happens? What do you think |
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12:38 | going to shock you? Actually? one of the ways that prey actually |
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12:42 | of escape from things as they release sorts of horrible things. But digestion |
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12:49 | one of them. Alright, so put this in perspective, sympathetic |
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12:54 | or flight, basically what we're gonna is we're gonna increase heart respiratory |
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12:58 | Blood flows cardiac muscle sweating. Because we're dealing with the ease exertion |
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13:04 | exercise, excitement, emergency. I'm increasing in these areas so that |
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13:11 | can mobilize the blood and the oxygen the fuel to get to those structures |
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13:16 | I can fight or escape when we're with parasympathetic, this is the time |
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13:22 | you what your body spends most of time in. Right? So these |
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13:25 | things are kind of fighting for each . Right? So right now your |
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13:30 | dominant, Right? You're barely staying because you're like, Okay, this |
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13:34 | cool. But when I say, , guess what? We have a |
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13:36 | quiz, it's 80% of your final . What's going to happen? Are |
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13:41 | sympathetic gonna become dominant? Yes. . So right now your parasympathetic |
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13:47 | So really what are we dealing Primarily maintenance? Body maintenance? We're |
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13:51 | uh in terms of the heart rate stuff that's going down, blood pressure |
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13:55 | going down and staying normalized. Uh we're mobilizing in these areas. In |
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14:02 | words where pushing materials towards um excretion lack, you know, you can |
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14:08 | up here the slud salivation lack formation your tears, urination, defecation, |
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14:14 | , I'm in maintenance mode. All . So what we wanna do is |
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14:19 | want to look now in those So we're gonna just keep these two |
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14:23 | are acting opposite to each other. that's kind of the easy thing and |
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14:27 | we can see then anatomically their actually of each other as well. All |
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14:34 | . So, in terms of the . All right, I'm gonna go |
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14:38 | to the previous picture if you look the pre ganglion cells. Remember they're |
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14:41 | out of the spinal cord or at in theory in the spinal cord. |
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14:46 | what they're doing is they're exiting out the central nervous system and they're uh |
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14:50 | going or they exist at a particular when you're dealing with the parasympathetic, |
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14:55 | cranial and sacral. Alright, when dealing with sympathetic, it's thoracic and |
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15:00 | . I'm gonna go back to that picture and you can see here, |
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15:04 | here we are cranial nerves cranial. here you can see the spinal |
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15:09 | So it's not even the brain stem I'm sorry, not even the spinal |
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15:13 | up here. It's cranial and then here they're sacred. So heads and |
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15:18 | for parasympathetic. And then in between of that, that's sympathetic. That's |
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15:23 | thoracic and the lumbar region. Alright there is nothing here in the cervical |
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15:29 | . We'll get to that y in a second. All right. In |
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15:33 | of the length of the pre ganglion , we've got two different ones. |
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15:36 | parasympathetic are long. All right there long. What they do is they |
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15:41 | out and they travel a long distance get to their gangling and then when |
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15:45 | get to their gangly and the ganglia nearly or closely located to the organ |
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15:50 | being innovated. Alright, so you've this long pre ganglion in fiber ganglion |
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15:56 | then you'll have a short post nick fiber and this is where your |
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16:00 | would be. Alright so long. the ganglion then short and then Oregon |
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16:06 | is the opposite sympathetically of this. exit out. Remember you're coming out |
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16:11 | the spinal cord and the thoracic or region you exit out and your ganglion |
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16:15 | right there. It says very, short region. So the pre ganglion |
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16:20 | fiber is very short. You have ganglion and then you have this long |
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16:24 | gangly optic fiber that travels to the . All right. If I go |
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16:28 | and look at the picture, it show real well, we'll see a |
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16:31 | picture a little bit later. so these three things right here kind |
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16:35 | go together in turn these two things of go together as well. |
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16:41 | The number of pre ganglion like And there are the branches that they |
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16:45 | is going to be different. All . So, the pre ganglion fiber |
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16:49 | out and there's a possibility of branching parasympathetic fibers. There's not a lot |
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16:54 | branching going on. It's like if can imagine one fiber, we're going |
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16:56 | say it can have like two It might have up to four |
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17:00 | Alright. And then innovating different post nerve fibers in that gangland With the |
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17:07 | system. It's the opposite here. we're going to have is we can |
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17:11 | as many as 20 or more uh . So you have this short |
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17:17 | And then it has all these branches go to all these other post gangly |
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17:20 | fibers. And those post gang economic go everywhere. All right. And |
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17:25 | the degree of response then means if don't have a lot of branches, |
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17:28 | means I'm directing my response to a specific location. So it's a very |
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17:34 | response response when we're dealing with when we're dealing with sympathetic. On |
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17:39 | other hand, because we're going to many different places, we're activating so |
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17:43 | different things at the same time. on top of that we have a |
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17:47 | that's going to be supported through a system that we're going to see at |
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17:52 | very end of class where the same , the same molecules that are responsible |
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17:57 | same neurotransmitters that are responsible for the response are actually released in the |
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18:02 | And so that travels around and that even a much larger response than what |
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18:07 | expect. Okay, so the degree responses depending upon the number of |
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18:14 | The lengths of all these things are of tied together. And you can |
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18:18 | here this is sympathetic versus parasympathetic. is short. There's long, there's |
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18:23 | they're short, really easy picture to at. So in terms of the |
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18:28 | itself, we said that the parasympathetic either in the cranial region or in |
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18:34 | sacral regions. And these are the structures. This is as easy as |
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18:39 | gets right? Cranial. You can there are 1234 cranial nerves. |
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18:45 | What are we innovating. Just think the structures you know your eyes, |
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18:49 | where you're secretive stuff. So you're all glands, mucus, mucosal glands |
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18:53 | the nose, salivary glands in the . So when I smell something I |
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18:58 | something, I see them that we're the amount of light going into the |
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19:02 | . And then you can think in of all my viscera are gonna be |
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19:07 | through cranial nerve number 10. All . And then down here at the |
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19:11 | very bottom, the sacral region is regulate the lower regions of the viscera |
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19:16 | include the gonads. Real simple. call these the splanchnic nerves of the |
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19:21 | . Splanchnic nerves were going to see sympathetic also has splanchnic nerves, But |
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19:27 | straightforward. Right? We got the motor, we've got the facial nerve |
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19:31 | then we said cranial nerve number When we looked at cranial nerves is |
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19:35 | for everything that's in the guts. this is the parasympathetic autonomic system. |
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19:42 | simple. The complexity comes in Alright. It's a little bit |
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19:51 | I'm going to use the word All right. A little bit more |
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19:58 | . All right now the rules are simple. Remember what we said is |
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20:02 | we're going to originate here in the and lumbar regions. Alright, so |
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20:08 | number one. They're gonna be in lateral horn which we've already learned |
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20:13 | And so what we're gonna do is gonna leave out from that lateral horn |
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20:19 | out of the spinal cord and we're go out here to what is called |
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20:22 | sympathetic trunk. Alright. Other books have different names for it. Sympathetic |
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20:28 | is a normal name. But you see uh para sympathy or para spinal |
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20:33 | para vertebral trunk. That's sometimes a that they'll use. All right. |
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20:40 | what we have here in this sympathetic are a series of ganglia that are |
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20:44 | side by side. We're talking just couple of millimeters outside of the spinal |
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20:49 | and it basically looks like a whole of bumps that have been kind of |
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20:52 | to each other. All right. so there's almost a 1-1 matching. |
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20:57 | even in the cervical region, you're to see the sympathetic ganglia. So |
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21:01 | the sympathetic ganglia in the cervical what you have is you have a |
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21:05 | that comes out and then travels upwards then down here in the lower |
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21:11 | And the sacred regions. What you're to have is you're gonna have a |
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21:14 | that comes out and then travels Alright. So that's how we are |
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21:18 | to cover all these different areas is have fibers that exit out and then |
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21:22 | travel up or down. So even they originate between T. one and |
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21:26 | . two. You've got the whole region covered. Alright. There is |
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21:31 | one sympathetic ganglia as per spinal nerve now, this is where it gets |
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21:39 | . All right. So, when think about the spy this sympathetic |
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21:45 | what we're going to see is that like this little tiny bulb. And |
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21:50 | I want you to envision with this is that there are two doors on |
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21:55 | side. Alright, well two passageways one passageway on the other side. |
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22:01 | how many passages are there? Okay. Two on one, one |
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22:07 | the other. All right. And what can happen is going to be |
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22:12 | upon which doors are available and where are. Right, But simply put |
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22:17 | going to happen Is that a fiber enter into that sympathetic ganglion right through |
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22:23 | of those doors and then it can one of three things. It can |
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22:27 | at that same level and then exit One of the other two doors. |
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22:32 | right. It can go up or can go down to another sympathetic gangland |
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22:37 | then exit out through one of the doors. Right. I mean it |
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22:41 | simply synapse in that one. Or it can do is it can go |
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22:44 | through one door and out the other without every synapse in which is a |
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22:48 | confusing. All right. Now, said that me vocalizing, it doesn't |
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22:53 | it easy to visualize. So we're to see stuff to visualize this in |
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22:57 | a second. All right. But happens is is if you kind of |
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23:02 | in understanding that there's a little bit complexity, but it's not hard to |
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23:06 | draw it out. There's only like things that can happen all right |
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23:11 | in terms of the actual anatomy, remember what we said that there's |
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23:16 | So when we when we're dealing with parasympathetic, the fiber comes out. |
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23:21 | this is sympathetic. But when we with the parasympathetic, cranial nerve, |
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23:25 | travels far out. It goes to the organs at and the gangland is |
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23:29 | the organs. So, you have the ganglion already kind of associated with |
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23:33 | organ. You're innovating? That's why never pointed him out. Right? |
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23:37 | if you're talking about the i it's , oh, the gangland for the |
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23:40 | systems over there by the eye. we don't worry about it. |
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23:43 | But when we're dealing with the sympathetic , what happens is we're gonna have |
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23:48 | structures that are going to kind of in the way because we have such |
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23:52 | short pre ganglion IQ fiber. So have the ganglia. And then we |
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23:56 | other stuff that's going on. The thing are the cervical ganglia. |
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24:01 | cervical ganglia basically existed. So that the cervical ganglia, right? There's |
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24:06 | of them. All right. We the superior cervical ganglia, the middle |
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24:10 | ganglion, the inferior. So And basically what they're gonna do is |
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24:15 | going to try to match up with upper regions. All right. |
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24:19 | you can see here, Right, going ahead and next, that would |
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24:23 | the Superior one. The next I'm kind of going to the thoracic |
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24:27 | . The next one. I'm going the thoracic syrup. Now, the |
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24:30 | news when you're thinking about this stuff it's just gonna organize along the length |
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24:34 | your body. So the highest cervical kind of deal with this region to |
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24:38 | the parasympathetic. The next highest one a little bit further down and the |
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24:43 | one high goes a little bit further . So, basically what you're doing |
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24:46 | you're saying I'm covering basically top middle then bottom of my body and I'm |
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24:53 | of going right back to their And since cervical, we're talking about |
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24:58 | region, that's what it's kind of . Alright, remember this word right |
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25:03 | , are those two words. You seeing those, right? So, |
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25:07 | just going to remind you, for who forgot, right, when we're |
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25:12 | about spinal nerves, spinal nerves, that the first fiber, the motor |
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25:17 | comes out of the spinal cord via ventral route, the ventral root joins |
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25:21 | with the dorsal root, right? , we have root. Let's to |
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25:24 | roots form spinal nerves, spinal nerves divide into three things. What are |
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25:30 | three things that divided into that hate in the front row? I forgot |
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25:35 | tell you, I think I told guys this is Seaworld, I'm Shamu |
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25:38 | you sit in the front row, gonna get splashed. Right. Do |
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25:43 | remember what happens to the spinal It splits into 3 3 paths dorsal |
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25:53 | . Remember that? What does dorsal innovate back in the neck. Then |
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26:00 | I heard you say it. You anterior or ventral is fine. That's |
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26:05 | deals with the spinal nerve. And we said, oh yeah. And |
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26:07 | there's the third one. The remote . I said don't worry about |
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26:10 | We'll get to it. Guess what is? It's get to it |
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26:15 | Alright, so this is the third . All right. Remember what I |
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26:20 | with the spine or with the sympathetic . We have three doors. |
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26:25 | So imagine here you have your three . You have two doors side by |
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26:29 | and one on the other side. said the two doors. I want |
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26:33 | focus on. R your ray. communications. Alright. One is called |
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26:37 | Gray one is called the White. right now, gray and white mean |
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26:43 | in anatomy when you're dealing with nervous . Right. So when we're talking |
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26:47 | white matter, what do we talk ? What what does white matter? |
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26:56 | with? What the with my Right. Gray is. Remember cell |
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27:06 | . Alright. Well these aren't cell here. This is fibers without |
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27:12 | Alright, so white refers to the of Myelin because it gives it a |
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27:18 | appearance. So, the gray communications the white communications referred to fibers that |
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27:24 | either Myelin or fibers that don't have own. All right. Two doors |
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27:30 | fibers, right fibers coming in. is going out. All right. |
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27:35 | flip back a couple slides which of two fibers pre or post has the |
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27:44 | go back and look, I mean got slides. I want to hear |
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27:47 | loud pre So the white ramus is indoor, the gray ramos must be |
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27:58 | outdoor. Okay. If you can't this think of a restaurant back in |
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28:04 | good old days, they'd have actually doors in front of restaurants so you |
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28:08 | see what's going on in the But nowadays they remove those doors. |
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28:12 | ? And you can see in the , But let's just go, we're |
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28:15 | to an old restaurant. We've got flappy doors. All right. You |
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28:19 | go through the indoor and you only out the outdoor. Right? Because |
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28:24 | you went in the indoor or if go out the indoor, you're gonna |
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28:27 | into somebody and there's gonna be the crash and it's gonna be bad and |
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28:30 | gonna clap in the restaurant and you're feel embarrassed and find another job working |
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28:35 | burger king or something. Okay, white ramos indoor into the sympathetic game |
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28:44 | alien gray ramos is the outdoor. we said there's a third door. |
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28:50 | ignore that for. Right. he doesn't have a name. It |
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28:53 | is all right. And then down . Okay, basically we have the |
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29:00 | splanchnic nerves. All right, we're to see this all put together. |
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29:03 | right now these nerves are going to in through the sympathetic trunk, |
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29:09 | So they're following through the white ramos they're not using the gray ramus. |
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29:14 | just gonna keep on going through that door and they form these sympathetic splanchnic |
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29:19 | and they typically are dealing with the in the abdominal region. And what |
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29:24 | do is they travel to a unique of gangland that's further down which is |
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29:28 | pre vertebral. Alright now, I a second ago that there's a name |
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29:33 | para vertebral. Do not confuse those things. So, if you see |
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29:37 | vertebral, which you shouldn't see in class, but in some future class |
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29:40 | , oh, there are two ganglia that I'm dealing with. Alright, |
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29:45 | Para is next to pre is far . Alright now, me saying this |
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29:51 | , doesn't let you see anything. going to see all this put together |
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29:54 | just a moment. All right, here you can see a little bit |
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30:00 | to a little bit detail using the cord. Right here is your lateral |
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30:05 | . Over here, you come out is your route lit there's your ventral |
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30:08 | there. You form the spinal nerves nerve splits. You can see over |
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30:12 | there's the dorsal ramus there's eventual ramus is the white Remy communications or community |
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30:19 | and then on the other side, the grave. I mean, they've |
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30:22 | it over there. Alright. White the grave. So gray lacks my |
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30:31 | . It's the outdoor. White has own pre ganglion fibers. Indoor |
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30:41 | he said. Splanchnic nerves are the that form on the other side of |
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30:46 | gangland. If you're not using the ramus. All right. And so |
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30:51 | we have is we have a whole of nerves and you can see here |
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|
30:54 | is actually a better picture than the that previously showed you. Here's the |
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30:58 | ganglion. This right here is the Mesen Terek ganglion. We're going to |
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31:03 | to these in just a second. here. That is the inferior |
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31:07 | Terek ganglion. All right. And nerves that are formed to remember up |
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31:13 | high, That would be the the , the inferior and medial cervical |
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31:22 | And that's where you're getting those nerves there. Said notice what we're doing |
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31:24 | we're now down in the thoracic we have fibers that are traveling directly |
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31:30 | and they're joining up to form larger . We have the greater thoracic |
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31:37 | If you have a greater, that you have to have a lesser. |
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31:41 | that we have a lesser thoracic And we have a special one. |
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31:46 | you have a lesser. And you to go smaller, you call it |
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31:48 | least. So greater. Lesser, . Alright. They're all thoracic, |
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31:53 | 123, so greater lesser least. . Notice the celiac ganglion gets the |
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32:03 | . The superior Mesen terry gets the in the least. All right then |
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32:08 | here we have the lumbar splanchnic They're going into the inferior mesons terry |
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32:15 | . Right? And then down here have sacred splanchnic nerves. Just like |
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32:19 | saw in the parasympathetic. All right in terms of their divisions, what |
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32:23 | can do is we can then just on the ganglia. Right? So |
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32:26 | say, okay, well the cilia primarily deals with the upper, working |
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32:32 | the stomach, the liver and working to the levels of the pancreas and |
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32:37 | the upper regions of the duodenum. basically you're working downward through the |
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32:44 | All right. Why isn't the heart the lungs on this one? Where |
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32:48 | the where were those innovated by? , there it's parasympathetic. But we're |
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32:54 | sympathetic right now. Remember what's this called? Cervical? Alright, so |
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33:01 | fibers from the cervical sympathetic ganglia. ? So we had the head, |
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33:11 | and the thoracic region by the cervical . So when we get down |
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33:16 | what we're dealing with is just basically , your abdomen and your pelvis. |
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33:22 | celiac is the upper regions of the . Alright, the superior Mesen |
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33:29 | This is referred to as your mesen . Really it's the fat in your |
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33:32 | . And your Mesen terry. And this region is Mesen terry. So |
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33:37 | working your way down through the superior Terek is going to be primarily |
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33:44 | And then when you get down here the inferior mesons, eric it's the |
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33:48 | intestines, plus all the gonads and bladder, etcetera. All right. |
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33:57 | how it's broken down. So head neck, thoracic, that's gonna be |
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34:04 | . All these We are going to through these pre vertebral ganglia. |
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34:09 | remember this is your sympathetic trunk These are those special pre vertebral ganglia |
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34:16 | sit further out. All right, it's still short. And then we |
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34:21 | these long fibers that are going all the place. Now, what I |
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34:27 | to do is I'm gonna show you pathways Once you see the pathways, |
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34:30 | think most of this stuff starts making . All right. So, the |
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34:38 | through which a sympathetic fiber travels can one of these four things. And |
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34:43 | , the fourth thing is kind of unique one. So, really, |
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34:46 | one of three things. And then got this weird thing that happens, |
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34:50 | special. Okay, the first one easiest called the spinal nerve pathway without |
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34:57 | looking at it. What do you it uses the spinal nerve. |
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35:03 | that should be straightforward. All And this is the easiest one to |
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|
35:07 | . All right. So, think about your ganglion, you can |
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35:10 | here, right? Here's your sympathetic there's the white ramos. There's a |
|
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35:13 | ramos. There's that back door that form a splanchnic nerve so far. |
|
|
35:18 | good. You got that? We a gangland. We have a white |
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35:23 | ramos ramos And we've got a back if it's there, it's going to |
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35:26 | a splanchnic nerve. All right. , we're looking at the spinal nerve |
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35:31 | . Spinal nerve pathway says in the I'm using or using the spinal |
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35:36 | So that means I'm gonna come out the lateral horn, ventral ventral route |
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35:42 | the spinal nerve, enter in via one wider grade white going into the |
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35:52 | . And then I can do one three things. Now I can synapse |
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35:56 | that gangland. I can go up synapse in the gangland above me or |
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36:00 | can go down and synapse in a below me. Alright? But what |
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36:05 | doing is I'm going in and I'm I'm going to synapse in one of |
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36:09 | ganglia. Alright. And then when send apps that post gangly oneK fiber |
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36:16 | exit out through the gray ramos at level. All right, so, |
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|
36:20 | can see here, right, this the easy one, you can see |
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|
36:23 | go in through the white. Here's synapse. I go out through the |
|
|
36:27 | and I go out via the spinal . See what happened. I'm staying |
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36:33 | the same level and I'm using the nerve as my path to where I'm |
|
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36:36 | to go. Innovate. All right . You can see I'm going |
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36:40 | I go down. I synapse. go out via the gray ramos and |
|
|
36:45 | stayed in my spinal nerve. over here I go I go out |
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36:50 | the spinal cord, ventral spinal White ramos go up synapse, exit |
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36:56 | through the gray ramos and integrate via spinal nerve. So you see in |
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37:02 | of these cases I go in through light, I'm either gonna synapse where |
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37:07 | at or I'm gonna go up or gonna down and I'm gonna synapse All |
|
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37:12 | . And then I exit where I and then I go out via the |
|
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37:16 | nerve. Okay, this is the simple of the pathways. Alright. |
|
|
37:23 | where am I going? Basically skin vessels in the skin as well as |
|
|
37:29 | pili muscles. Do you guys remember the erector pili muscle is? And |
|
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37:35 | skin when you get goose bumps, pili director stick up pili hair, |
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37:42 | stick up muscle number two spanish is in white synapse out gray. Stay |
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37:56 | the spinal nerve. Second one post getting on sympathetic nerve pathway. |
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38:01 | name. Alright, but again, tells you what you are doing |
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|
38:05 | Right? So, again, predating fiber comes out from the spinal cord |
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38:10 | in through the white. And what gonna do is it can go |
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38:13 | it can go down or stay at same level. All right. And |
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38:17 | gonna send apps in that ganglion and going to exit out through the splanchnic |
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|
38:25 | . Alright, So notice here instead going back out through the gray, |
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38:28 | going out through the back door kind makes sense and it tells you so |
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38:33 | know that your synapse sing. And the thing that's exiting is the post |
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38:38 | nick fiber and it's using a splanchnic to leave. All right, so |
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38:47 | one in through the white, out the grave. 2nd 1 in through |
|
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38:50 | white out through the back door. . And what are we innovating? |
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38:54 | our heart loans thoracic region. Some the eye muscles basically structures of the |
|
|
39:02 | . So which structures which sympathetic ganglia using this for the most part |
|
|
39:08 | Give you a big hint sir, . Hey, So number one spinal |
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39:15 | pathway in through the white, Out the great. Use spinal nerve number |
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|
39:19 | in through the white, out through back door to the structure of the |
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|
39:23 | in the thoracic region. Yeah. It's not really a spanking nerve at |
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|
39:31 | point. I'm just since I use term, I'm just sticking with |
|
|
39:34 | It's not a splanchnic nerve. That's a fair question. So don't call |
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|
39:38 | splanchnic nerve. Alright. Back door better I guess. Yeah. So |
|
|
39:45 | can see here that little spot they're it's coming out there showing you it's |
|
|
39:49 | up that one they just didn't do the lower one. Alright, so |
|
|
39:53 | going out the back door. Number . Now we're dealing with this plankton |
|
|
39:58 | . It's even in the name splanchnic pathways. All right, so you |
|
|
40:02 | look up at the slide here but don't even need to tell you which |
|
|
40:04 | is it going through white. I always go through the white. |
|
|
40:10 | . So here in the splanchnic nerve we go into the spinal gang or |
|
|
40:15 | go into the the sympathetic gangland. notice we don't synapse, we can |
|
|
40:21 | in and we can go down and in we can go up. |
|
|
40:23 | So notice all three cases you can up down or stay at the same |
|
|
40:27 | . Alright? But whatever you do you go up down you're gonna exit |
|
|
40:31 | . And so in this particular case gonna exit out here on the same |
|
|
40:35 | and I'm going out through my splanchnic . I am not synapses and I'm |
|
|
40:40 | keep going until I get to the vertebral ganglion and that's where I'm gonna |
|
|
40:46 | . Right? So again this is abdomen and pelvic regions. So spinal |
|
|
40:53 | pathway in through the white out through gray. Use a spinal nerve second |
|
|
40:58 | . Post ganglion ICC nerve pathway in the white, out through that back |
|
|
41:03 | right? Innovating head and thoracic Third pathway in through the white. |
|
|
41:09 | not send apps, keep going out the back door right? All the |
|
|
41:15 | to the pre vertebral gangling. We're synapse there and then go on to |
|
|
41:20 | organ. This is the admin in pelvic regions. Okay, Is that |
|
|
41:27 | confusing? Yeah. So you say . This one goes out the back |
|
|
41:33 | . So look at the picture you see here. Here's the backdoor |
|
|
41:36 | backdoor again, they're only using two the three. But remember you can |
|
|
41:40 | up or down, it doesn't You know, in this case you're |
|
|
41:44 | you can do either of those They're just trying to keep it simplified |
|
|
41:47 | you can see, so you go through the white, out through the |
|
|
41:52 | door without synapses. Right in the case, remember in the post ganglia |
|
|
41:57 | fiber, we went into the white inside the gangland and then went out |
|
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42:03 | back door. All right, Ready the Weird 1? The weird one |
|
|
42:14 | really more part of the endocrine system it is sympathetic. All right. |
|
|
42:21 | its origins are in the sympathetic nervous . And so what we have |
|
|
42:26 | we have a fiber that's going to just like what we just saw. |
|
|
42:29 | can see it comes out through the nerve, goes through the white |
|
|
42:32 | out through the back door, bypasses pre vertebral gangland. So completely ignores |
|
|
42:40 | and goes all the way over to adrenal medulla. Now, we've never |
|
|
42:44 | about the adrenal medulla because it really kind of belongs here. But the |
|
|
42:47 | gland is a little tiny dollop of cream that sits on top of your |
|
|
42:52 | to make it sweet and wonderful. if you take a slice through the |
|
|
42:58 | medulla, you're going to see that has two parts to it. Or |
|
|
43:01 | really the adrenaline to part is the cortex and it has the medulla. |
|
|
43:04 | adrenal cortex is responsible for producing a bunch of hormones. You do not |
|
|
43:08 | to know this for the exam. just trying to give you a sense |
|
|
43:10 | what this structure is. Alright. produces the mineral cord accords of glucocorticoids |
|
|
43:14 | the sex steroids. Not all of sex steroids, but it's the one |
|
|
43:18 | gets everything started very early on in . Okay, so you can imagine |
|
|
43:23 | the outside. So the inside the medulla, the middle part is |
|
|
43:28 | modified sympathetic ganglion. It was a ganglion at some point. And then |
|
|
43:35 | said well we don't need to make second half. We don't need to |
|
|
43:39 | other nerve fibers. So those cells shrunk down. And what they do |
|
|
43:43 | they release the same neurotransmitters that the ganglion excels in all the other sympathetic |
|
|
43:50 | would release. Now, I want to think for a second here, |
|
|
43:57 | , the information is up there when are running a race or someone scares |
|
|
44:05 | or you're in a fight or you're a video game and you're winning for |
|
|
44:09 | first time. What is the thing gets pumping through your system? What's |
|
|
44:16 | adrenaline, Right? It's adrenaline all , we're familiar with this. It |
|
|
44:23 | us that that high or those Right? Someone yells at you like |
|
|
44:28 | almost get hit by a car and just sitting there in the car and |
|
|
44:31 | can feel the shakes and you're just , you know, you don't know |
|
|
44:34 | to really do with yourself. It's . It's pumping through your body. |
|
|
44:40 | . Adrenaline actually has a different It's called epinephrine. Alright. Epinephrine |
|
|
44:48 | the hormone and neurotransmitter that is responsible that feeling. And when we |
|
|
44:56 | we have sympathetic innovation, sympathetic innovation to all those different places that we've |
|
|
45:01 | and talked about, but it's also out into the bloodstream just to make |
|
|
45:07 | that every system gets turned on. know, that is supposed to be |
|
|
45:12 | to a sympathetic response. Let me you an example here. No, |
|
|
45:17 | , I'll give you the example in a little bit. Alright. But |
|
|
45:19 | , so the adrenal medulla is responsible pumping out adrenaline. Epinephrine and it's |
|
|
45:29 | by these pre ganglion nerve fibers to so. So it's similar to what |
|
|
45:34 | saw over here. It's just bypassing vertebral and then the post game dynamic |
|
|
45:39 | just no longer really exists. I'm going to put those in quotes because |
|
|
45:44 | there's a cell there. But it's a neuron. All right. It's |
|
|
45:50 | job is to reinforce what the sympathetic is doing in those cases of |
|
|
45:58 | emergency and exertion? Alright. I'm gonna pause there. Yeah. |
|
|
46:08 | . That's correct. It just kind keeps on going and says, hey |
|
|
46:11 | is kind of a nice place. I've got to go over here. |
|
|
46:15 | ? So first case spinal nerve go through the white out through the |
|
|
46:19 | out using the spinal nerve. Second in through the white, go out |
|
|
46:23 | the back door. Innovating the you're synapse though inside the inside the the |
|
|
46:30 | trunk and what you're gonna do, gonna exit through the back door. |
|
|
46:34 | gonna be head, neck thoracic Third case in through the white keep |
|
|
46:39 | going. Do not synapse go all way to the pre vertebral synapse there |
|
|
46:43 | then off you go to your And then the fourth one is this |
|
|
46:47 | medulla pathway basically, you go in the white, pass out through the |
|
|
46:51 | door without synapse and go through the vertebral gangland without synapse and all the |
|
|
46:55 | to the adrenal medulla, that's where going to terminate on these cells that |
|
|
47:00 | epinephrine. Okay, so it sounds but all you're doing is you're making |
|
|
47:07 | modification in each step and if you out of here knowing this, you're |
|
|
47:15 | than all the other A. And students around the country because everyone gets |
|
|
47:19 | in this. Mhm marketer situation. . So. Right. But they're |
|
|
47:32 | specific for the regions that they're Right. Right. So they're not |
|
|
47:38 | to each other. They're just unique . Right? That why they developed |
|
|
47:44 | way or why they're made this I don't know. All right. |
|
|
47:48 | when you go and do the this is how it appears in humans |
|
|
47:52 | mammals. All right. So, getting down to the last couple of |
|
|
47:59 | . All right. Let's deal with neurotransmitters. Everybody's watched Sesame Street when |
|
|
48:06 | were kids. Do you remember One of these things is thank |
|
|
48:13 | The rest of you haven't you ever that everything you need to know in |
|
|
48:18 | you can learn at Sesame Street. . No. Okay, I'd get |
|
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48:25 | here and sing it for you. I sound like an angry pterodactyl. |
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48:29 | , um, what we got down is one of those little grids. |
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48:36 | , that says, we're going to what does the pre ganglion IQ fiber |
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48:40 | in terms of neurotransmitter for the sympathetic system for the parasympathetic system and then |
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48:46 | does the post ganglion fiber? And I said, it's easier to, |
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48:50 | , I didn't say this part, it's always easier in my mind to |
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48:54 | the thing that's different. And then know what, all the same |
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48:58 | Okay, that kind of makes In other words, if you have |
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49:01 | group of things that you have to and you know that one of them |
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49:04 | different. It's easier than memorizing all things that are the same and the |
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49:09 | that's different. Just figure out which is different. And then you |
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49:11 | all the other ones are the other . Does that make sense? Say |
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49:15 | space for other things like song You know. Lines from tv shows |
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49:22 | the only one. Right? I I'm the only one. All |
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49:27 | So two main neurotransmitter, norepinephrine and of calling, I just told you |
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49:34 | is epinephrine. Norepinephrine is adrenaline or near cousins. All right. They're |
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49:42 | , very closely related. It's just small molecular change. They do the |
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49:46 | same thing. All right. There as a sympathetic neuron or sympathetic |
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49:53 | All right. The neuron you'll always the neuron for the neurotransmitter they're |
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49:58 | So, if you see the word ergic colon ergic refers to the |
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50:03 | acetylcholine. So colon ergic neuron always acetylcholine Adra energetic. You can now |
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50:11 | the name adrenaline comes from adrenaline and ergic neuron releases norepinephrine. All |
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50:18 | So, when you're dealing with the ergic, you can see this gets |
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50:22 | complicated. All sympathetic and parasympathetic ganglion fibers. So, if you're playing |
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50:27 | this thing just put a seat of here in the seat of coal in |
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50:31 | . Right. All parasympathetic post gangly fibers. So you put a seed |
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50:36 | Killeen there all of a sudden. can see it's like well why can't |
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50:38 | just put norepinephrine there and learn that and then, you know, all |
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50:41 | other ones are acetylcholine and the answer have been. You should have. |
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50:44 | , so the only place that you're see norepinephrine is gonna be here in |
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50:49 | post ganglia ionic sympathetic fibers. Now kind of makes sense, right. |
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50:55 | sympathetic results in adrenaline pumping through your then wouldn't it be easy to remember |
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51:03 | the postgame Islamic fiber, the one actually innovates the tissue is releasing the |
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51:07 | substance that's circulating through your body. kind of makes sense. So, |
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51:12 | an easy way to remember that. right. That means on the receiving |
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51:18 | you're going to have to have a that responds to that particular neurotransmitter. |
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51:24 | , if I'm releasing acetylcholine here, means the post gangly oneK cell that's |
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51:30 | the signal has the colon ergic All right. And that's what the |
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51:36 | slide has to deal with. it deals with the question of which |
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51:40 | are found where now Colin ergic There are two basic types. We |
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51:46 | the nicotine and we have the mercury . Now, when you hear the |
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51:50 | nicotine or nicotine, you think of , right? Why do you think |
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51:55 | call nicotine receptors nicotine receptors? Not response but they do. All right |
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52:04 | , I don't know how many of guys know a lot about science but |
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52:08 | is not this idea like they taught in in high school. Right, |
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52:12 | you have your five steps of the hypothesis pathway. Right. It doesn't |
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52:18 | like that. You don't sit there go, hmm, I am going |
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52:22 | do this now. You very often will have a question in your head |
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52:26 | you kind of say what is the of me getting to this happening? |
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52:30 | generally speaking very often what you're doing you're just grabbing stuff on the show |
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52:34 | the shelf and you're hoping something works often. What you do is you |
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52:37 | something and you're like, wait, gotta figure out why this happens. |
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52:40 | then you go backwards and kind of already have the answer and you're now |
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52:43 | to figure out the solution of how got there. Alright. And this |
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52:47 | very much what's happened there. Like got these receptors, we want to |
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52:50 | what binds to them. So, start just dropping things on these receptors |
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52:54 | see what binds to them. for a nicotine receptor, they pulled |
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52:58 | off the shelf and the receptors bound the nicotine irreversibly. He was |
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53:04 | oh, okay, well these are nicotine receptors. So that's the nicotine |
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53:10 | . Now, nicotine receptors are going be activated by acetylcholine. They're found |
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53:16 | your post ganglion excel bodies. All . They're going to be found on |
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53:23 | adrenal medulla and they're going to be on your skeletal muscles. All |
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53:28 | So notice a little picture that we here. So notice we no longer |
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53:32 | preys. We have post and we target. So this would be your |
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53:37 | cell body. That's your target Alright, so where are you going |
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53:42 | find nicotine? It? You're gonna it here on your postgame jalonick cell |
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53:46 | . And you're gonna find it up with regard to the adrenal medulla and |
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53:51 | skeletal muscles. All right now, you bind and nicotine receptor, it |
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54:00 | always always always always excitatory. Now easy thing to do to remember this |
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54:06 | skeletal muscles now skeletal muscle isn't going be on this list, right? |
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54:11 | autonomic autonomic nervous system doesn't innovate skeletal . Do you remember that? |
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54:16 | And I'm nervousness and stuff you don't ? It's smooth muscles, cardiac muscle |
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54:20 | your glands, right? But if excite skeletal muscle, right? If |
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54:26 | send a signal onto a skeletal I'm gonna cause it to contract. |
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54:29 | only way I can get that muscle stop sending the signal. Alright, |
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54:36 | they're always excitatory. So it doesn't now that economic nervous system. If |
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54:41 | releasing acetylcholine onto the nicotine receptor, producing the E. P. |
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54:46 | Which will produce action potentials which will to signal downwards. So you can |
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54:52 | nicotine, nicotine and nicotine muscular on the other hand is a little |
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54:58 | different. All right now again, the same sort of thing. We're |
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55:02 | trying to find things to put on of these uh these receptors. See |
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55:06 | they're responding to and so there's a called muscular green. This toxin comes |
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55:12 | mushrooms. Remember you're when you're walking the forest, don't just eat any |
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55:17 | you come across. Why they'll kill . Why will it kill you? |
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55:21 | filled with mustering, mustering, binds receptors. Signal gets blocked you no |
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55:27 | have an ability to say breathe and fun stuff. All right. |
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55:33 | these are going to be found on effect our cells in the parasympathetic. |
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55:39 | they're going to be found down One of these things is not like |
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55:42 | others. Right? So, if know that musk urine is found on |
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55:47 | target cells downstream in the parasympathetic that means these three are the nicotine |
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55:53 | . Now, like all good There's always gonna be exceptions to the |
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55:57 | . There are some cells in the system that do have muscular tonic receptors |
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56:01 | we're going to ignore that. Okay. We'll let the nursing schools |
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56:05 | with that. All right. those are the ones that are sometimes |
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56:14 | now, the muscular nick receptors can excitatory inhibitory. So, when you're |
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56:22 | with acetylcholine binding the nicotine receptor always If you have acetylcholine binding to its |
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56:29 | neck. Aceptar it's either gonna be excitatory response or inhibitory response. It |
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56:35 | on what the target is. Finally drone ergic receptors. Please do not |
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56:47 | the list. All right. You good with that one thing I don't |
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56:54 | to learn. All right. What want to point out here is there's |
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56:57 | a bunch of types of these. you have the alpha the beta receptors |
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57:01 | can be bound either by epinephrine or . Remember epinephrine is gonna be circulating |
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57:06 | the blood as a result of stimulation the sympathetic system. Right. Depending |
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57:12 | where you're located, they can be or inhibitory. So you can kind |
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57:16 | look at this list and kind of all right. So for example when |
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57:19 | am frightened if I'm you know, jumps out at me and scares |
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57:25 | you know, what would I expect happen? Well, I expect for |
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57:30 | my blood pressure and my heart rate go up. Well that makes |
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57:33 | It's excitatory. Those would be those one receptors. You know, you |
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57:38 | release my bowels. No, because inhibitory. Right. My digestive system |
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57:44 | going to slow down in terms of it's gonna do. Right? So |
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57:48 | shows you that with regard to the we have these different systems that are |
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57:54 | play. So that's why we're able turn things on and turn things |
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57:58 | That's also true over here. Because we have excitatory inhibitory but it's |
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58:05 | easy to see because it's broken down class now these are all going to |
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58:10 | based on G protein coupled receptors. these I mean they're all G protein |
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58:14 | receptors you know, So they work this sort of system than the other |
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58:19 | do. Um I'd like to point out right here anyone have a family |
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58:29 | or you know somebody takes beta regular blood pressure. Yeah I mean |
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58:37 | may or may not it's basically you there's different classes of blood pressure |
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58:42 | So you may have heard the term blocker if you watch enough tv you'll |
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58:46 | an AD for beta blockers that's what blocking those receptors. All right home |
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59:00 | time. How we doing two slides slides should I slow down so you |
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59:09 | to get out of here? Okay I got a story to tell |
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59:15 | All right. First off it's very to think of the thing as being |
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59:22 | off. All right so we know know structurally. Now we know which |
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59:29 | which receptors are located where So now question is how does this all work |
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59:34 | the body? It is not an off system. It's basically two systems |
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59:38 | are in constant battle with each In other words each of them have |
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59:42 | certain degree of tone depending upon your . Parasympathetic is going to dominate or |
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59:48 | is going to dominate your basically you think of it as a seesaw that's |
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59:51 | balance and it's slightly tilting one way the other and you can really tilt |
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59:55 | one way, you can really tilt the other way but for the most |
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59:58 | during your regular daily activity you're kind sitting there doing this type of |
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60:03 | Right. So every both of these have a certain degree of activity or |
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60:08 | associated with them? All right. we have antagonistic effects. Alright. |
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60:15 | what that means is is when we at this picture, we see that |
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60:19 | the same systems are innovated together. when one system is dominating, it's |
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60:26 | activity. When the other system is , it may be inhibiting the |
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60:32 | So those they're antagonized one another. , there are some exceptions to this |
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60:37 | . For example, blood vessels only sympathetic innovation. All right. So |
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60:43 | is no parasympathetic for the blood for vasculature. It basically monitors itself solely |
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60:49 | the sympathetic system. Basically, I'm increase sympathetic activity. I'm decreasing sympathetic |
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60:54 | that causes blood vessels to relax or . But everything else for the most |
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60:59 | has this antagonistic activities. We refer this as dual reciprocal innovation. And |
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61:07 | becomes important in terms of regulating the that's going on. You know, |
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61:14 | terms of activating and energy management. right, So, I want you |
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61:18 | think about this as an example. use every year if you're in a |
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61:22 | driving down to Galveston's And you're driving there's nobody else on the road. |
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61:26 | right. So, we're gonna make a safe thing and you're doing 80 |
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61:31 | , but you don't have brakes, are you going to slow down or |
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61:36 | , Take your foot off the How long will it take you to |
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61:41 | ? I'm not asking like that. is not a math question. I |
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61:44 | , how long do you think it take you to stop like a |
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61:49 | It'll take you some time before you down. Right? When I take |
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61:52 | foot off the accelerator, the friction the on the road against my tires |
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61:56 | going to slow me down eventually. will come to a standstill. |
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62:01 | Wonderful. But there's a lot of that's being used in that. So |
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62:06 | want you to picture for a You know finals week is coming up |
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62:10 | ? Some of you are going to to the library and study and you're |
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62:12 | to stay there all night until it . I know during files it doesn't |
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62:17 | does it? The library doesn't But let's say you you you pull |
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62:20 | almost all nighter you're there till like a.m. All right. But you |
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62:26 | way out in B. F. . BF is the parking lot that's |
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62:31 | far away that it might as well Egypt right? And you left all |
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62:37 | friends behind and you're walking across campus in the dark and you cross over |
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62:43 | road to go to that parking Alright now it used to be that |
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62:47 | parking lots to the north here there actually shell parking lots and you'd walk |
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62:51 | you could hear the crunching right as step on the shelves. Well here |
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62:56 | is the middle of the night, o'clock in the morning pitch black, |
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63:00 | that one blue light on the far of the parking lot to tell you |
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63:03 | the police phone is, right and walking and you're you can hear you're |
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63:08 | your feet and then you hear that behind you, Crunch, crunch, |
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63:12 | , crunch, crunch now, what you do? Do you look behind |
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63:17 | ? No, because you know you've that movie, never ever look behind |
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63:21 | , you know that's that's that's just the right move. Alright, so |
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63:25 | do you do start walking a little faster. Crunch crunch crunch crunch |
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63:29 | crunch, crunch, crunch, crunch crunch crunch crunch and then the |
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63:32 | behind you, crunch crunch crunch crunch crunch crunch crunch crunch crunch crunch crunch |
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63:36 | now, what's going on with your ? Okay, now we're just talking |
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63:43 | your heart, right? You're now ready right, what did we |
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63:47 | Fight or flight, right, you're , okay, I'm gonna get ready |
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63:50 | murder the person behind me, whoever is, I've got to fight for |
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63:53 | life or I'm going to run as as I can or I'm gonna squeal |
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63:58 | getting a little puddle of juices, know, whatever the case may be |
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64:04 | , but all of a sudden now heart rate's going up, your breathing |
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64:07 | going up your eyes dilate, that's of the steps, eyes dilate, |
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64:11 | for a path of escape, You're starting to sweat, right? |
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64:18 | a couple of prayers going on. again you start walking a little bit |
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64:25 | and the crunch, crunch, crunch, crunch, crunch crunch is |
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64:28 | and all of a sudden that hand your shoulder. And what do you |
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64:32 | ? You roll around, you're I'm ready to go or you start |
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64:35 | but it's your friend said, you forgot your phone, I want |
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64:38 | make sure that you got it. all of a sudden now your whole |
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64:43 | is going bonkers, right? Your like write your sweat going everywhere. |
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64:52 | tears are just ready to go, . But you're now wasting tons and |
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64:58 | of energy for something that you no need to be concerned about. So |
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65:04 | we didn't have a parasympathetic system then everything would eventually slow down, |
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65:12 | ? Right, Everything would return back normal, but it's much better to |
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65:17 | by controlling the stop with a break it is to coast to a |
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65:23 | And that's what the parasympathetic is. , it's like, oh okay, |
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65:27 | will murder this person later. But , now I'm a little bit |
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65:31 | I'm gonna bring everything back into homo balance into the parasympathetic is working to |
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65:37 | things back to normal, Right? what that dual innovation is for is |
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65:44 | ensure that the systems are balanced to the needs at the time and to |
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65:49 | us to get there as quickly as to save energy. Now, there |
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65:58 | autonomic reflexes. Autonomic reflexes are similar regular reflexes. You don't have control |
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66:06 | them. They're just responsive. We to this as visceral reflexes. They |
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66:10 | the same sort of art that we've before. The difference being is we |
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66:15 | in the different chain one, right? Why do we have |
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66:20 | Well, because autonomic nervous system has neurons in the neuron chain. |
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66:26 | So these are some examples the cardiovascular is how we reduce our blood pressure |
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66:32 | reflex, basically how do we respond food in the body and the nutrition |
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66:38 | ? That's basically the need to go the restroom. And how is this |
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66:43 | controlled? Well, the top level the autonomic nervous system is the |
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66:51 | All right. Basically the hypothalamus is to send signals down to the brain |
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66:55 | . The brain stem is responsible then producing those reflexes and telling you what |
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67:00 | to be done Now, none of stuff works by itself. Right. |
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67:07 | hypothalamus is responding to our interpretation of environment. So the cortex is responsible |
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67:14 | providing that sort of input. So when you see that person that |
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67:20 | attracted to, right? And they know it and they come up and |
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67:24 | talking to you and your heart's doing little, you know, you're pitter |
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67:29 | , right? It's doing that fast path that's a function of because you |
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67:35 | put or elevated the importance of that coming in and having that conversation with |
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67:42 | . If it's just your brother? sister. You know, you're not |
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67:45 | to sit there and you're in a is not going to go up because |
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67:48 | coming to talk to you unless you're angry at them. And in which |
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67:51 | all bets are off. Alright. the cortex provides the input to the |
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67:57 | so that the hypothalamus can interpret how need to respond Viscerally does that kind |
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68:05 | makes sense? That's A&P. I don't think there's any other |
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68:11 | There's no, they're not on the . Hey, we're done. We're |
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68:15 | . Just a test to go. . All right. Well with that |
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68:22 | mind, I do not know if gonna have office hours next week. |
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68:26 | If you email me and say, , I'd like to meet, I |
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68:29 | be able to set something up but do it like on the day |
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68:31 | because I'm not driving up here on day, I have to meet with |
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68:34 | . Right? It's like, will come and meet with me right |
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68:36 | I'm on campus. No, I've got my feet in the pool |
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68:40 | not doing anything. What day is example? May 10th? Alright. |
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68:47 | 10th. You guys good luck on finals, Kick some butt. I |
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68:53 | all a's |
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