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00:00 | All right. So what you guys looking at up here is the |
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00:04 | uh, current uh, distribution of exam scores. I still have six |
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00:09 | , four people, I can't remember who needed to take the exam. |
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00:12 | average is about 61. A high , uh, perfect score, low |
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00:17 | 18. Uh, the median is 62. So that's, that's actually |
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00:21 | . You can see the curve is pretty standardized standard deviation to 15.8. |
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00:27 | you're wondering what that means, it means that it's very wide. We |
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00:30 | it around 13, I think would a better, better standard deviation. |
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00:36 | So this, this will change again like I said, there's gonna be |
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00:39 | people, but it won't change that . So, it kind of gives |
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00:42 | an idea of, uh what the was and this is not atypical. |
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00:45 | is, uh, uh, I'd it to be a little bit higher |
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00:49 | to COVID averages were around 65 through and, and to date, it's |
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00:55 | to about a 60. Um I'm it will eventually move up, |
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00:58 | uh, it just kind of gives an idea of, of uh of |
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01:01 | performance in general. But this uh you know, it's just a |
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01:07 | . So what we do is we at it and say, OK, |
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01:10 | , let's see, what does this mean? And so this is probably |
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01:13 | graph that's a little bit more important you all because it kind of tells |
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01:16 | where you stand in the class. . So the way you can think |
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01:19 | this is if I got a grade and I, and this was my |
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01:23 | grade, what would my grade look ? And this shows you what the |
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01:26 | is without extra credit. Remember, don't do extra credit until the end |
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01:29 | the semester after I figured everything And so what I would do is |
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01:33 | the, the semester I'd come up this curve and then I'd add your |
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01:36 | credit on top of that. So it doesn't change the curve, |
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01:40 | extra credit actually is added to whatever grade is. Ok? And, |
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01:44 | the curve stays the same, but kind of gives you a sense of |
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01:47 | things are. So again, you , there's no pluses and minuses up |
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01:50 | . I just went flat and I do this until the end of the |
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01:54 | because it does matter what a plus a minus is until the end of |
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01:57 | semester. But it kind of gives a sense of what's going on. |
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02:00 | A begins around 89.3. Um A begins around A 74 AC begins around |
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02:07 | and then D is at 50 it is at 50. If the curve |
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02:11 | that direction, we lose DS and gain CSS, we don't move that |
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02:17 | . Uh, this stuff down these represent students who, uh, |
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02:20 | taken the exam yet. So that's those grades are low. And |
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02:23 | that has an effect but not a big effect on this. Um, |
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02:27 | you find yourself in a place that don't like, which should be everybody |
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02:31 | for this group right here. And then I know some of them are |
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02:34 | upset that they're where they are, , all is not lost. |
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02:40 | it's not a time to panic. not a time to worry. What |
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02:42 | need to do is you first need adjust how you think about numbers, |
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02:46 | ? So you look at your number you're saying, um, because I've |
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02:49 | , I get lots of emails, . So I had one email was |
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02:52 | , I'm panicking. My grade is and I look it up and it's |
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02:55 | , no, you've got to you know, but because they look |
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02:58 | a number that normally would be ac freaking out. So first thing is |
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03:03 | that the scale that you're used to not the scale that we use, |
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03:08 | ? It's a curve. This is it works in the sciences for the |
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03:11 | part. Right. I don't like . And the reason I don't like |
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03:15 | , it doesn't tell me anything about . All right. Hundreds. Tell |
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03:18 | the test is too easy. That we got 100 on one of |
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03:23 | tests. I'm, I'm happy, at the same time I'm like, |
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03:26 | it not hard enough? Yeah. didn't really say that. I did |
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03:31 | to my wife. I'm like, , maybe that means I need to |
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03:33 | an a harder exam. I I know. I know. I'm |
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03:38 | pulling your leg. All right. gonna make it any harder. It's |
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03:42 | same exam I've given all uh since beginning of time. All right. |
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03:47 | you look at this and you find where you don't want to be if |
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03:50 | are up here. OK. great. But if you're down |
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03:54 | it's not the end of the Don't say, oh no, I'm |
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03:56 | going to nursing school. I need change my major and go to law |
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04:03 | . That's not the, that's not proper response. The proper response |
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04:06 | is ok. Why did that? did? And so the extra to |
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04:12 | a question? And what was that ? Am I ready? Have I |
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04:18 | ? Have I done everything I can achieve the goal that I'm trying to |
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04:23 | ? All right. And that's not easy thing to answer sometimes. And |
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04:27 | what you're going to do is extra should open up on Thursday after everyone's |
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04:30 | the exam, and again, we people who are taking exams today. |
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04:34 | my expectation is that exams should be on Thursday to look at on |
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04:39 | Not Thursdays. Right. And you'll a new extra credit. The extra |
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04:42 | now is like, all right, , so you did and you know |
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04:46 | you did. So what are the that you're going to do differently? |
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04:51 | are you going to adjust, Because if you keep doing the same |
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04:55 | over and over again, do you change? What do you think if |
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05:00 | do the same thing? Am I to see a change? No. |
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05:04 | . So that means you've got to some adjustments and you got to know |
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05:08 | . All right. So first I'm gonna say this is the big |
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05:11 | that you need to be thinking about . What's number one on the |
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05:15 | Don't panic right now. For the , red Hitchhiker's Guide. You know |
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05:20 | we're talking about here for the rest y'all. You need to read Hitchhiker's |
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05:24 | because one, it's funny as See, I even kept it clean |
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05:28 | . Well, it's funny but it the first thing you need to do |
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05:31 | don't panic, right? Panic leads destruction, it leads to ruin |
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05:36 | Things that are become irreversible. Imagine driving between two semis, right? |
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05:43 | in your little tiny car, whatever happens to be, let's put you |
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05:45 | a smart car and your car starts . If you panic, what are |
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05:49 | going to do? You're going to under the wheels of one of those |
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05:52 | and you're going to be a pancake 45. So, we don't |
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05:56 | What we do is we maintain or we adjust what we're doing. |
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06:00 | down, let the two semis speed up, do something that's not |
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06:05 | . All right. So, what some of the things that you should |
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06:09 | ? All right. Well, the thing I'd point out is this is |
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06:11 | class of 400 students. You remember first day of class? And everyone |
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06:15 | , all the seats were taken up it was hard to find a |
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06:18 | Look for how many people are not up. About a quarter of the |
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06:23 | is not showing up. Right. , if you're listening online, you're |
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06:27 | learning, you cannot learn on your . Being online for the rest of |
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06:32 | all good job sucks. Getting up dark 30. I know I can't |
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06:38 | it either. I am not a person. Right. And they're doing |
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06:42 | on my highway. So I have find alternate routes. Those alternate routes |
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06:46 | . It all sucks. I got work today. They wouldn't let me |
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06:49 | my garage. I got to my . My, I'm telling you this |
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06:54 | the worst morning ever. I, got my one drive wasn't working, |
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06:58 | had all the grades and everything I to talk about, including the slides |
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07:01 | going to present today. I was to just call class, say, |
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07:05 | it, just go home. I know we're not doing all |
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07:08 | But anyway, the point is you to class, why there's something about |
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07:13 | in a classroom where you're more alert you, you start associating behavior or |
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07:19 | I say to things that you've Right. So there is something about |
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07:24 | interaction here, even though this is lecture and it's very boring to sit |
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07:28 | and you fall asleep half the time see this in every single solitary class |
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07:34 | matters. I don't take attendance because all our adults and you should know |
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07:38 | to come and when you shouldn't the answer is you always come to |
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07:41 | unless you're really, really sick. ? Or if you have some other |
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07:45 | that is more important to do. . For example, if you have |
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07:50 | interview with a program, you or if you're an athlete and you |
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07:55 | , uh, a competition that's paying you to come to school here. |
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07:58 | , those are more important. We that all right. So that's the |
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08:01 | thing. Second thing is do your . I went through and I |
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08:04 | generally speaking, most of you all doing all your assignments, but there's |
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08:09 | population of, aren't doing their Why? Well, I forgot, |
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08:16 | , I didn't feel like doing I you know, there's all these |
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08:19 | excuses. But let me explain Those assignments aren't there because of busy |
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08:23 | . Right. When I first started this class, I came in, |
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08:26 | lectured, I gave a test. was it. There was no |
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08:28 | You just did what you did. . And that's how college has been |
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08:32 | almost. Oh, I don't 150 years, it's only within the |
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08:36 | 20 years we've started giving homework because now have technology that allows us to |
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08:40 | write almost an infinite number of questions you guys to work with. |
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08:44 | The purpose of this is practice, ? You all have all done stuff |
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08:49 | your entire academic careers where there's sports some sort of music or acting or |
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08:54 | of something. And the only way get better at anything is if you |
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08:58 | it right. You, you, , you give somebody like my son |
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09:04 | keys and say, go drive. , he had to practice before we |
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09:10 | him a license. So part of is the exercise of doing things so |
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09:16 | you are learning along the way. I know I'm saying something that you |
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09:20 | know, but you'd be surprised how people don't do it. Right. |
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09:26 | too much of a pain. I don't want to spend the time |
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09:29 | it. Oh, I'll do it . I mean, how many of |
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09:31 | are procrastinators? I'm a procrastinator. . I, I'm proud to be |
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09:35 | procrastinator, but I get my stuff . Right. Don't, you |
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09:40 | I attach a grade to it because the little stick to get you going |
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09:43 | the little carrot, whichever way it for you. Right. But in |
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09:47 | grand scheme of things, if you an assignment, it's not a big |
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09:50 | . I get so many emails. missed this assignment. The reason you |
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09:53 | to do the assignment. Do you keep talking that loud ladies? I |
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09:58 | hear you up here and everybody over can hear you. All right. |
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10:05 | idea here is when you do these , you're actually teaching yourself the |
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10:11 | the score in the homework is less than doing the work in the, |
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10:15 | the assignment, right? So treat as what it's supposed to be the |
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10:20 | to launch you forward and get you . How many of you hate |
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10:26 | Yeah. And you have to read you're like, man, I don't |
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10:29 | to read and then you blow the up and you, that gets you |
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10:33 | . It's the, it's the, the juice or the pilot light that |
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10:36 | you moving into the, into the . So the idea behind all of |
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10:41 | assignments are not because I'm just I wanna make you work harder, |
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10:45 | know, I don't, I want to learn the information. All |
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10:49 | I want you to achieve your I want every one of you who |
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10:53 | planning on nursing school to get in nursing school. I don't want you |
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10:57 | be the person who sits there and , I don't know what I learned |
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11:00 | the class, you know. So the assignments. Now, this middle |
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11:06 | studied for exams differently. I realized the first day of class I didn't |
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11:11 | actually tell you guys how to We ran out of time and I |
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11:14 | like, uh, exams, 90% you are gonna come to my office |
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11:20 | this class. Let's get this over real quick because this is what I'm |
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11:24 | ask every single one of you. did you study and every one of |
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11:27 | are gonna answer for the most Oh, I read my notes. |
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11:31 | , I wrote quiz letts. I went back and listened to your |
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11:34 | four times. Oh, I went youtube and watch videos of people that |
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11:38 | know who put videos on youtube. . And they're not bad. Trust |
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11:42 | . These are all good things but not study what they are, are |
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11:47 | to keep you from studying. They like study but they're not study. |
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11:51 | ? You want to know how to really good in the classroom and actually |
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11:55 | less work and get good grades and more. Do you want that? |
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11:59 | . That's what I want to Every one of you should have |
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12:02 | Yes. Show me, tell look, I've been in school for |
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12:05 | long time. Right. And I a crappy student. I got a |
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12:09 | grade. I was a crappy I was the type of student you |
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12:13 | . B plus is no study. didn't I get a minuses? That |
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12:18 | too much effort. It wasn't until school until I figured this out. |
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12:23 | I'm just going to tell you, going to cut through it all |
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12:26 | When you study, this is what do right after class, when you're |
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12:30 | and you're dealing with this stuff and is true for every class. When |
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12:33 | brain is putting, what you do you say I am going to go |
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12:37 | this information now because it's all fresh my brain and solidified it in my |
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12:43 | . So the first thing you do you have some free time after |
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12:47 | So if it's directly after class or it's after the next class, whatever |
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12:50 | is, you sit down and you all your notes. All right. |
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12:55 | , what you're doing is you're taking slides of information and what you're doing |
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13:00 | you're organizing it so that it makes to you. You're putting it in |
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13:04 | order and you're identifying the things that the most sense. You're looking for |
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13:09 | learning objectives. Well, I don't what the learning objectives are, Dr |
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13:12 | . Yeah. Remember I created those hat assignments where you says, what |
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13:16 | this? What about that? Can explain this. Can you compare these |
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13:19 | things that helps you with the learning ? Right? The idea here is |
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13:24 | is it? I'm trying to That's what the question is. You're |
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13:27 | to answer every class, not just , every class. What am I |
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13:30 | to learn here? If you write that information out, you'll end up |
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13:34 | about 1 to 3 pages worth of . Now, in the grand scheme |
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13:38 | things, what's the difference between 30 and three pages in my brain? |
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13:43 | 27 pages. But the truth it's the exact same amount of |
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13:47 | The difference is that you've organized I didn't organize it. My notes |
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13:52 | for me, your note should be you. Right. Does that make |
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13:56 | so far? So, what you're doing is you're actually creating the notes |
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13:59 | you're going to use to study for exam. But by writing it out |
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14:04 | time you're actually already starting to When's our next exam? Do you |
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14:08 | know? It's three weeks away? . It's six classes. Every one |
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14:13 | like every six classes. So, now today you're actually starting to study |
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14:17 | that exam. You do? I told you all right. Now you |
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14:21 | this after every class it's gonna take 30 minutes. That's 30 minutes to |
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14:25 | hours. You don't have to study night before the exam. All |
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14:30 | And you'll see why here in just second. All right. You do |
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14:33 | after every class and now you have little stack of notes. How many |
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14:36 | depends on how big you write and much information you put down. But |
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14:39 | idea here is I'm trying to learn information. I'm trying to understand what |
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14:43 | is. It is that I'm but I've got my notes and what |
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14:46 | don't want to do is I don't to go and do what all of |
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14:49 | do, which is to go through read those notes over and over and |
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14:52 | again. Because what you're trying to , you're trying to memorize information, |
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14:56 | not trying to learn it and your gets overwhelmed. One and two, |
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15:00 | says, oh, I've seen this . So instead of focusing here on |
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15:03 | I'm looking at, what I'm going do is I'm going to start thinking |
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15:06 | all the other things in my life I'm more interested in? All |
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15:09 | And so you might be flipping through . Have you noticed that when you |
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15:13 | , you kind of go, what I just learn? What did I |
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15:15 | read? Yeah, because your brain against you. It doesn't want to |
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15:19 | there more than you do. So have to be the mean person in |
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15:22 | life and you have to make yourself , right? So what you do |
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15:27 | you take those notes and send them here to the side, don't look |
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15:29 | them this is scary. All you wrote them, you know what's |
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15:33 | them now prove to yourself that you what's in them? Blank piece of |
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15:38 | . Lecture? One. What did learn today? We're talking about the |
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15:42 | . Hm. We're actually the So, what did I learn? |
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15:46 | . Well, I learned about the and the dermis. So, that's |
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15:49 | of the skin. I learned about . I learned about nails. I |
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15:51 | about glands. Oh, I got things I gotta learn about. |
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15:55 | Well, great. Well, what I need to know about the |
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15:58 | What do I need to know about dermis? What do I need to |
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16:01 | about? You? See how it and what you do is you start |
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16:04 | out all the information after you've written out for each lecture back, you |
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16:08 | at your notes and you do a . All right. Everything you wrote |
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16:12 | over here should match what's over If it doesn't, that's something you |
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16:19 | . That's something you missed on the . Everything you wrote down over here |
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16:23 | matches over here is something, you , pat yourself on the back. |
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16:26 | right. Now, how many times I do this? Well, you |
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16:29 | through, you write all your go through correct. Anything that you |
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16:33 | write down or wrote down wrong, it, you know, punish |
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16:36 | Oh, I forgot this. So writing it out. Oh, I |
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16:39 | it down wrong scratch it out. right. If you do this twice |
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16:44 | night, like three or four nights the exam, by the time you |
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16:49 | the night before the exam, you have, be able to create all |
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16:52 | notes from scratch from now. Some , it's gonna be less, some |
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16:56 | , it's gonna be more right. you don't have to do a lot |
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16:59 | doesn't take that much time. if you're a person who likes to |
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17:02 | really slow and big, it's going be a little bit longer if you |
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17:05 | 30 colors to do your notes. ? That's gonna take a little bit |
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17:09 | . But if you're like me and all about chicken scratch and drawing pictures |
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17:13 | abbreviations, it's gonna go by quicker remember who are the notes for |
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17:19 | Yeah. Not me. You I know, I know you |
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17:23 | So no one's gonna look at them for you, you know your own |
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17:26 | , you know what your picture represents as you're doing it, you're gonna |
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17:30 | and you're talking to yourself a whole , right? You'll be like, |
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17:34 | , it is and that's good because what you're doing is you're doing the |
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17:38 | of explaining to yourself. Now, you have to study in groups, |
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17:42 | do the same thing. It's let me explain to you what's going |
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17:46 | . Let me describe this process. me walk through and explain everything. |
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17:50 | be the teacher being a teacher is of the best ways to actually learn |
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17:56 | . But if you're by yourself, yourself, just repeat this process the |
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18:00 | time you do it, it's going suck because you're going to see that |
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18:02 | don't know anything. The second time do it, you're going to see |
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18:05 | you're going to see improvement third time it's going to encourage you and you |
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18:08 | doing this until you prove to yourself you've learned it all. Once you |
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18:11 | yourself that, you know, all information you can stop studying, which |
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18:15 | a foreign concept to many, many . How many have you got to |
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18:18 | till you're tired? Yeah. Doesn't suck? You're like four o'clock in |
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18:23 | morning, eyes one open and it's , ok, maybe I should go |
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18:26 | bed now. All right. And you're in bed because of all the |
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18:29 | and you're shaking. You can't go sleep, imagine the night before the |
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18:34 | becoming a normal night where you can out with your friends, right? |
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18:39 | you can do the things that you do because all you need to do |
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18:43 | prove yourself. I know this information I know the information I can go |
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18:47 | take the exam and here's the right? And I know that none |
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18:51 | you guys believe it because you just the exam. I don't write trick |
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18:55 | . It doesn't know, you if he feels like it go back |
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18:57 | watch the exam. 00, She good. She agreed with |
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19:00 | Good. I don't write trick I'm not trying to figure out ways |
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19:03 | fail you. All right. I'm to show you what you don't |
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19:07 | All right, that's all this is . I'm shooting for a specific average |
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19:13 | I already told you what do I ? I want you guys to achieve |
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19:16 | goals. I want you to be best that there is. And so |
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19:19 | got to be pushed a little bit make that happen. By the end |
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19:22 | the semester, most of you guys be just cruising along just fine. |
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19:25 | have a very, very, a smaller failure rate than what that last |
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19:29 | kind of showed you. All But you gotta change. All |
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19:34 | you gotta study for those exams Don't just read your notes. If |
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19:39 | read your notes, you're gonna get that you're not happy with. All |
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19:43 | , you have to be proactive, passive in your learning. I mentioned |
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19:49 | evaluating your exams. So, like said, look at your exams, |
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19:52 | the reason why did I miss this ? Did I not know the |
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19:55 | Did I not study it or did read the question too fast? What |
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19:59 | ? All right. I, I see how much time each of you |
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20:03 | took on the exam. Some of . It's crazy. 14 minutes, |
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20:07 | minutes to take the full exam, , you know, it's not, |
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20:15 | mean, it's time to get you of there. Right. I |
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20:18 | you should be able to get through exam roughly in about 30 minutes and |
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20:21 | gives you about another 30 minutes to review and make sure you made, |
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20:25 | the right choices and stuff. Read questions. But yeah. Did |
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20:29 | did you rush through the exam and questions? Did you not know |
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20:33 | adjust how you're taking the exam accordingly on that? Right? And then |
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20:38 | , if none of this stuff makes or if you're truly panicking, come |
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20:41 | see me, I would wait till look for at your exam. Don't |
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20:44 | rushing to me today. I you can, I'm here. I'm |
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20:48 | gonna kick you away, kick you of my office and say go |
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20:50 | All right. But right now there's lot of emotion about how you, |
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20:55 | you perform on the exams, I mean, you feel something, |
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20:59 | angry, I'm some, you really good grade. I'm happy, |
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21:04 | ? But don't let the emotion control look at it and go through it |
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21:08 | an analytical way and ask that How can I be better at what |
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21:11 | trying to accomplish here because you're all of doing it. You got to |
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21:15 | . That's the first, that's the step. The rest of this is |
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21:18 | changing habits so that you can do . But if you're struggling and you |
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21:23 | see why you're struggling. Come, see me, we can walk through |
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21:26 | exam, we can look at some the questions that you missed. Not |
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21:29 | one of them. There's like I , there's 400. If we go |
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21:31 | every test, uh we will be on that first exam till the end |
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21:35 | next semester. It takes a long . All right. So does all |
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21:41 | stuff kind of make sense. All . It should be, I |
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21:44 | you should be encouraged and, and shouldn't feel like who is me if |
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21:50 | not happy with your grade, we three exams. We have a long |
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21:54 | to go. I've seen people bomb exams and actually do well in the |
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21:57 | one and actually get a satisfying Right. Yeah, it's possible. |
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22:02 | know you're like, I don't it's a curved class. I |
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22:06 | it's not, it's not static The curve that I showed you here |
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22:10 | going to change on the second exam it'll change on the third exam and |
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22:13 | change for the fourth exam because we're in 400 plus variables per exam. |
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22:19 | right. So we're gonna see some , we might see it move a |
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22:22 | bit down, we might see this a little bit up. I don't |
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22:25 | yet. Typically the same type of year after year. So, |
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22:29 | usually we'll end up with around an average for an A, we'll end |
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22:33 | around a 55 or to a 60 that c and the number in the |
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22:39 | changes too. So I don't know it's gonna look like. Hopefully everything |
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22:43 | the other direction. Everyone gets a and we can have our cake or |
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22:47 | kegs. I, there's a lot these so we might need to. |
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22:51 | right. Any questions so far. , ma'am. Yeah. Mhm. |
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22:59 | , yeah. So, the, a, there's a question, you |
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23:01 | , I got a couple of like, hey, is there an |
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23:04 | exam that I can study? The is no. But what happened |
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23:07 | is that previously when I taught this ? 121212 over and over again, |
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23:12 | know, you have a friend who the class previous semester. If you're |
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23:16 | a fraternity sorority or something else, might actually have an old exam. |
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23:19 | so it's just a question I hey, did you use an old |
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23:22 | to help you study? I'm I don't release them but, you |
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23:26 | , students get a hold of I'm not gonna pretend like they |
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23:29 | you know, and if you I'm not, I don't look at |
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23:32 | answers because one, I'm lazy and , it's none of my business how |
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23:37 | studied. Right. But I, , it's, again, it's not |
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23:40 | strong way to study. There I, I'm, I'm just, |
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23:46 | was, this was like 10 12 ago back. So there used to |
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23:50 | that when textbooks and everything was not , they would actually send out test |
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23:54 | , like book books full like this . And there was a student who |
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23:58 | every question in the test bank and and took the test and got a |
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24:02 | score. And they, it it was clear that she didn't know |
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24:07 | she was doing, but she had the test bank and it's like, |
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24:11 | , this is a resource and they trying to, you know, it |
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24:13 | an academic dishonesty thing. It's like is a resource. If she got |
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24:16 | hands on one, it's not illegal her to do so she didn't steal |
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24:20 | exam. She memorized 800 questions for 50 question test. Yeah. So |
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24:29 | , so what I would suggest is is not a strong way to study |
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24:33 | it does. It shows you what of questions are, how I ask |
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24:36 | question at this point. You now how I ask questions. So, |
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24:40 | know, hippie. All right. other questions about this? Because I |
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24:48 | I'm going along here, we're going catch up. We're probably not going |
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24:51 | get through everything today, but we play, we have plenty of room |
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24:54 | play, catch up, especially when talk about joints and stuff. You'll |
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24:57 | that this unit has a lot of to it, right? It's because |
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25:01 | changing subjects over and over again, each lecture is basically one thing and |
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25:04 | we slow down again. All And what we're gonna do is we're |
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25:07 | basically going through the skin. We're go through the bones and the joints |
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25:12 | we're gonna look at muscles and we're gonna cover this over this unit |
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25:17 | What we're doing is we're talking about in which is a fancy word for |
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25:20 | the skin and, and its All right. So that's kind of |
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25:24 | we're looking at. Our starting point going to be the skin. And |
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25:29 | reason we're talking about the skin first because once we understand the skin, |
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25:33 | other ones kind of fall into And when we say that these are |
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25:36 | , what we're really saying is that , these structures originate from the same |
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25:42 | material during development. So your glands going to develop from the same structure |
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25:48 | give rise to skin and same thing the hair and the nails. Those |
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25:52 | the big ones that we're talking about . Um If you look at the |
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25:56 | and this is our picture that we're look at, we have two basic |
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26:00 | , we have the epidermis and When you see the word or the |
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26:03 | epi, what does mean high or , right? So your epidermis is |
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26:09 | your dermis and that's as simple as is right socios layer, this is |
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26:14 | epithelium and if it's epithelium, it it's a vascular, what it also |
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26:18 | is that we can see that it's layers. So it's a protective layer |
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26:22 | that is the dermis. The dermis where you see all the blood |
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26:25 | This is where you see the, nervous tissue. It's gonna be a |
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26:29 | of, of, of connective Um We're gonna see that there's some |
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26:33 | in there. Um It's the stuff everything is attached to and is held |
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26:37 | by it. All right. Um is gonna be some smooth muscle associated |
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26:44 | affiliated you can see in our little here, there is a smooth muscle |
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26:47 | that's associated with the hair follicle, it's, it's different. It's a |
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26:51 | tissue relative to the epithelium. depending on who you read and how |
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26:56 | want to define it. There is third layer that's really sometimes considered to |
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27:00 | part of the dermis. But in case, your authors are saying |
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27:03 | no, it's below. So it's hypodermis. It's primarily fat tissue, |
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27:08 | blood vessels in it as well. so it's like it's, it's just |
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27:13 | as and we we're mentioning it, I don't know how to count |
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27:17 | You know, like I said, authors use different things. So we're |
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27:20 | going to say hypodermis, we're going use your book air is basically just |
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27:24 | connective tissue. So it lies underneath dermis. It's a shock absorber, |
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27:28 | serves as an insulator. It's that layer that basically serves as another protective |
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27:35 | between the dermis and the rest of body. Now, we're gonna look |
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27:41 | some of these in more detail, I just want to show you when |
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27:44 | think of skin, we think of and there are different types of |
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27:48 | Here. We have chemical barrier, physical barrier, a biological barrier. |
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27:52 | have bacteria and all sorts of horrible crawling around in your bodies right |
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27:56 | Um It's just part of life. think you learned this or I might |
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27:59 | said that you have more bacteria cells your, in your body than you |
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28:03 | actual cell that your body created, is crazy to think about. All |
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28:08 | , um temperature barrier, radiation Um So basically anything, it's basically |
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28:14 | as the boundary between the outside environment the internal environment. Uh it is |
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28:19 | resistant, you don't absorb water, are not a sponge, you do |
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28:23 | leak water out, you, you water. So it's a purposeful |
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28:28 | Uh It plays a major metabolic activity we think about metabolic here, we're |
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28:34 | thinking about vitamin D but there's other uh processes that are involved. Uh |
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28:40 | can secrete material, we can absorb materials in terms of absorption. It's |
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28:44 | , very selective. All right. we're talking about basically lipid soluble materials |
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28:49 | be absorbed through. So some organic are capable of absorbing through the skin |
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28:55 | they're lipid soluble uh in terms of , it plays an important role in |
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29:01 | you against all the things that are here trying to come inside your |
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29:05 | And again, I'd remind you you're doughnut. So when we talk about |
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29:09 | structures that are internal, that are to the external environment that is part |
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29:13 | the surface of the body. It's material in between the outside skin surface |
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29:18 | the inside body that we're trying to . All right. So when we |
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29:23 | about immunity, we're talking about things are trying to penetrate through the outside |
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29:27 | surface skin. All right, with to the dermis plays a role in |
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29:32 | regulation. So again, this is all the blood vessels are. So |
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29:35 | you get hot, they dilate more goes in there, heat moves to |
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29:39 | surface and then uh you secrete uh . And so when you secrete the |
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29:43 | that heats up and it wicks away evaporates and that carries the heat |
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29:48 | So, temperature regulation, when you're , you got adipose tissue as |
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29:51 | There's also a whole bunch of different . These are the mechanical receptors, |
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29:56 | touch receptors, there's some chemical receptors well. I am, let's see |
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30:02 | pain receptors as well, chemical When you itch, that's a combination |
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30:07 | touch and chemical and meca there's all of crazy things in there. All |
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30:12 | . But the idea is that I detect the things that are going on |
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30:15 | the external environment. So the two cell types that we are concerned with |
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30:21 | the carno sites, the melanocytes, Caratti sites are the majority population. |
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30:29 | name tells you everything you need to about them. They produce Carotin. |
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30:32 | so when they produce Carotin, that's makes them tough. That's a tough |
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30:37 | filament. It's the thing that provides protective properties. And so in this |
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30:41 | here, everything you're seeing um other that one little brown cell, those |
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30:46 | representing the Carroo sites in different The melanocytes on the other hand, |
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30:53 | in between the Carroo sites. So can see its cell body in the |
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30:58 | and you can see that it has little processes that penetrate through uh and |
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31:02 | between the cells. Now, the of the melanocyte is to produce |
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31:06 | Melanin is a pigment that is used the Carroo sites to protect themselves from |
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31:12 | . Light. We'll see how that's in just a moment. So the |
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31:16 | produce the melanin, it releases the , the carotenoids pick it up and |
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31:21 | they place it in such a way the UV does not go to the |
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31:24 | and damage the cell itself. whenever you see different names, we've |
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31:32 | this already, there's a reason those are named differently. In this |
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31:35 | they're named differently because of what they like, but they have these unique |
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31:39 | . So when we look at the . What we're going to see is |
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31:42 | are five layers to the epidermis and of these layers are doing something slightly |
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31:47 | . Now, this is the original name, but you can just see |
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31:51 | the, it's the basal uh um layer. Then we have the spin |
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31:57 | spiny layer, then we have the layer, then we have the clear |
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32:02 | and then we have the corny layer the corneum. So it's basically bali |
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32:06 | granulosa lucidum and then finally, those are the five layers working from |
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32:12 | the lowest layer upward. All Now, when you look at |
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32:18 | what you're gonna see is that these layers here from the basal up to |
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32:23 | um the uh granulosa, those are layers of cells. Once you get |
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32:30 | the granulosa, the cells begin to . And so the latter two |
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32:34 | the lucidum and the corneum are dead . All right. So the outer |
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32:40 | of your skin, you've heard it cells and you can do this and |
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32:43 | can flake them off and that's the and all that fun stuff that we're |
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32:46 | is other people's skin cells, mm just gonna kind of walk through. |
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32:53 | when we look at the bali, a single layer of cells. So |
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32:57 | nice and simple. This is the layer. It's like the layer of |
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33:00 | cells that give rise to all the layers. So it's in a constant |
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33:04 | of division. All right. And can see pattern wise, what we |
|
|
33:10 | is we kind of go up and . All right. Now, it |
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33:13 | connected by a basement membrane to the . And this up and down pattern |
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33:17 | you see here is going to be on the surface as well. All |
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|
33:22 | , it's not as deep or as looking, but you will see that |
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|
33:26 | that's actually what gives rise to All right, those are called epidermal |
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|
33:31 | or this is called an epidermal ridge gives rise to those things on your |
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|
33:36 | . And this is what allows you grip stuff. All right, those |
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|
33:39 | basically create points of friction for All right. Now, if you |
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33:44 | here, you'll see these are mostly sites, but every now and then |
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33:48 | might see a melanocyte and then every and then you may see a another |
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33:52 | of cell that we're gonna get to little bit later. All right. |
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33:56 | the dividing carotenoids producing the carino sites gonna be filling up the next group |
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|
34:03 | cells or group or next uh So when we get to the |
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|
34:09 | why do you think they call it spinosa? It's spiny looking, |
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|
34:13 | So they're, all these cells are by desmosome with each other and they're |
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34:18 | kind of in that state of But what you're doing is you're dividing |
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|
34:21 | , you're pushing them up and what do is they start differentiating into a |
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34:27 | uh cell. So what they're doing you start moving up, they stop |
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34:31 | and they're starting to differentiate from the layers and they have this appearance because |
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34:36 | this, of these desmond, they pulling and so they start looking like |
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|
34:41 | have a spiky appearance. All And so there's several layers thick and |
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34:48 | on where you're looking at, it's be a different thickness, then you |
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34:51 | up here and it's not very This is the granulosa. And what |
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34:54 | now done is that the cells have pretty far away from the sources |
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35:00 | of, of nutrients and, and that they need in order to |
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35:05 | And so this serves kind of as signal to start differentiating even further, |
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|
35:10 | start producing a type of carrot that creating a granular appearance. So it |
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35:17 | like there's a little tiny dots in . So that's the granulosa, all |
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|
35:21 | little Granules, all right. And this point because they're lacking all those |
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|
35:27 | and those cells begin to differentiate and , they lose their organelles, they |
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|
35:31 | their nucleus, some of the organelles they have begin to dissolve and |
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|
35:36 | And then what happens is you start the cells getting thinner and thinner and |
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35:40 | as they start getting pressed or pushed . All right. So this process |
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35:46 | , is ongoing and as they move away, then that's when you're gonna |
|
|
35:51 | getting to completion. So the granulosa quite dead yet. They are on |
|
|
35:56 | way to dying. All right. we're seeing this major shift from not |
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|
36:02 | as much carrot to producing more carrot getting thicker as they go. Lucidum |
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|
36:11 | a weird one because it's only found what is called thick skin. All |
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|
36:15 | . And we have a picture a bit later. But I'm just gonna |
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|
36:17 | you if you look at the palms your hand, that's thick skin, |
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|
36:20 | you look at the back of your , that's thin skin. So you |
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|
36:23 | kind of tell the difference. It different. It's thicker, right? |
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|
36:26 | we fall down, we want to down on this side. We don't |
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36:28 | to fall down on that side because gonna scrape everything away. All |
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|
36:33 | Part of the reason this thick layer there is because we get this unique |
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|
36:38 | of carrot that's formed. It's called . All right. Now, the |
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|
36:43 | is unique in that it is not a protective uh material. Um but |
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|
36:49 | also is protective against UV light that matter the uh the color of your |
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|
36:56 | . But if you kind of look your palms versus the back of your |
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|
36:59 | , you'll notice that your palms and soles of your feet are lighter, |
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|
37:04 | ? The darker skin, the more it is for me, it's a |
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|
37:07 | bit harder, right? But if look closely, you can kind of |
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|
37:10 | , oh yeah, this is kind more of an olive color. That's |
|
|
37:12 | of a peachy color. You see , right? And that's because that |
|
|
37:17 | and absorbs the UV light, the that causes melanocytes to produce melanin is |
|
|
37:23 | . The more UV you have, more melon you're gonna produce, we'll |
|
|
37:32 | to the more complex complexity of All right. But think of it |
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|
37:37 | this in the summer when you're out the pool and you're having fun, |
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|
37:40 | tan up a little bit. that's because more UV light in the |
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|
37:44 | when you're inside and it's gross and and you never go outside ever |
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37:48 | You know, put the blankets on . All right, you lighten up |
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37:54 | . All right. Now. Uh else have I said here? Um |
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|
37:58 | , it's thick, protects against of . So you can start seeing that |
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|
38:03 | starting to see these changes and finally get to the very end. So |
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|
38:07 | you can imagine again, that lucidum not present in most of your |
|
|
38:11 | it's only present in that thick So if you're in the granulosa, |
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|
38:16 | either going through that stage of creative if you're in the sts or the |
|
|
38:21 | . But are you gonna move on into this last little layer? And |
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|
38:25 | last layer is that corneum and cornia scaly? All right. When I |
|
|
38:30 | , you know, think, think grandma, if she has corns, |
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|
38:34 | know, it's not a term we recognize as young. I'm gonna just |
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38:38 | as you guys are young, I'm longer young. All right. But |
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|
38:41 | have corns on your feet. If wear high heels all the time, |
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|
38:45 | get those really pointy ones, you'll getting that, that really weird |
|
|
38:49 | That's a corn. All right. it's, it's kind of the scaly |
|
|
38:56 | . So the corneum has that scaly , right? Which is why it |
|
|
39:02 | its name. All right. Now , what's happened is is that that |
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|
39:07 | that was going through that transition of Carotin gets and losing its organelles is |
|
|
39:12 | dead. And what's happened is is getting pancaked and the materials that fill |
|
|
39:18 | now is primarily that carrot protein and the fatty layers of the plasma membrane |
|
|
39:25 | basically are pancaking this hard protective And so what you end up with |
|
|
39:29 | basically a layer of protein and protein and fat, protein and |
|
|
39:33 | And you get as many as 30 of this stuff. So this is |
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|
39:37 | outer surface of your skin that serves an incredibly protective structure. Now, |
|
|
39:43 | will flake off. There are pieces look flake off over time and this |
|
|
39:48 | called desquamation. Say it, Desquamation. I want to put a |
|
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39:53 | in there. So disco and what doing is that's just, it's, |
|
|
39:57 | just normally flaking off just over the of your normal life and you're slowly |
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40:01 | those layers. If you ever gotten and started peeling. That's an example |
|
|
40:06 | declamation right here. You're dealing with cells. So you're actually producing more |
|
|
40:11 | . So it pushes it up All right. But it's just an |
|
|
40:13 | layer. All right. So they're , very tightly packed. You don't |
|
|
40:17 | nuclei, they're just squished together like bunch of pancakes. And what we |
|
|
40:22 | is because of the presence of those . All right, what you're doing |
|
|
40:27 | you're actually creating a water protective So you have basically water protective |
|
|
40:32 | That's 30 cells thick because of all platinum membrane that's been squished close |
|
|
40:38 | So you can hit it with all of horrible things. All right. |
|
|
40:44 | , you had done a K lab accidentally poured something on yourself. |
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|
40:47 | uh, you know, one OK. I did hydrochloric acid one |
|
|
40:50 | sulfuric acid in a, in a thing. I'm, I'm, I'm |
|
|
40:54 | in the laboratory. Just, let's , just pour it all over |
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|
40:57 | I didn't know about the sulfuric acid I went home because then I did |
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|
41:00 | little laundry and I took my shirt and it was nothing but holes on |
|
|
41:03 | because it didn't do anything until after had the water. Terrible. |
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41:09 | it was my favorite shirt too. was really bummed. But, you |
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41:12 | , but like hydrochloric Acid, it's like a movie where it's like you |
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41:15 | the acid on, you're like running and I'm melting, your skin is |
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41:20 | pretty resilient against most chemical insult. , there are things that will eat |
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41:25 | skin like that. Right. But the bacteria get in your body? |
|
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41:30 | , you have to create a hole them to pass through. So, |
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41:34 | have a hard time breaking through. . Have a hard time breaking |
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41:38 | What else do I have up Uh Yeah, physical, I |
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41:41 | it takes a lot of effort to through the skin, right? I |
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41:44 | , fingernails are pretty sharp, You know, it's not cutting through |
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41:52 | . I mean, I you're gonna this a little bit, it's gonna |
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41:56 | all nice and red in a little . OK? But now it's tough |
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42:02 | . It takes a lot of physical to get through. This is what's |
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42:07 | you. Basically squish cells, proteins fats. So here's the thick and |
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42:13 | thin skin, the difference between them skin, five layers versus thin |
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42:18 | four layers. It's a really easy to look at this, right? |
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42:22 | This covers most of your body. whenever you think of skin, you're |
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42:25 | thinking of thin skin thick is just of hand soles of feet. We |
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42:29 | sweat glands, anyone anywhere here and like public speaking. I mean, |
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42:32 | that most of y'all like, what's of the things you do when you |
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42:35 | up there is your hands start right? So that's the sweaty |
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42:39 | Ok. So we do have sweat , but you don't have hair on |
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42:43 | hand, hair, no hair on palms of your hand. You don't |
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42:46 | sebaceous glands which are the oily You don't produce sebum on the palms |
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|
42:50 | your hand. It's just that wet, um type of ari type |
|
|
42:55 | sweat. All right here, you'll have sweat glands, you'll have |
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43:00 | follicles, you have sebaceous glands. just think of your face, that's |
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43:04 | oil seba or sebum. So the difference is right? This one has |
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43:12 | , this one is wet, but one doesn't have the hair follicles or |
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43:15 | sebaceous glands. So know those So this is kind of going through |
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43:25 | next couple of slides or to kind look at, you know, |
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43:30 | One of the roles as we said that the epidermis plays a role in |
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43:34 | . So it protects against foreign And so one of the ways that |
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43:37 | does this is not simply by being physical barrier but hiding inside and or |
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43:43 | kind of hanging out inside the layers the epidermis. Primarily in this ban |
|
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43:48 | these cells called Langerhans cells named after guy who discovered them. They're now |
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|
43:53 | epidermal dendritic cells. So you may either of those two terms. I |
|
|
43:58 | when I put them on the I put both terms because I'm |
|
|
44:01 | I like the old term, the term is what you guys will mostly |
|
|
44:05 | . And this is a type of , it's a resident macrophage. And |
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44:09 | it does is just kind of hangs and it waits for something to be |
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44:13 | to it that is foreign. And something that is foreign is presented to |
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44:17 | , that activates this cell and it signaling for the rest of the immune |
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44:22 | to become alerted to whatever that pathogen to be. All right, it |
|
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44:28 | capable of migrating. It doesn't just there, it can migrate around and |
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|
44:31 | to sites of damage. But typically see them kind of just localized in |
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44:36 | single spot because they just kind of out because very rarely do you get |
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44:40 | penetrating through the skin, right? pigment. Um There are more than |
|
|
44:48 | two types of pigments that are found the skin. Um So for |
|
|
44:53 | um one pigment is hem in blood you your skin kind of flushes, |
|
|
44:59 | is an example of a pigment And so we all have that pigment |
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|
45:03 | our bodies. We all have different of melanin. Everyone has melanin and |
|
|
45:08 | are different types. We have a type and a lighter type. So |
|
|
45:12 | melanin is more of a black whereas the melanin is more of a |
|
|
45:15 | , yellow and so you can produce types in different quantities and kind of |
|
|
45:21 | the unique colors that we all All right. But really the whole |
|
|
45:25 | of melanin is simply to protect the sites. All right. So this |
|
|
45:31 | a pigment. It's a means it's light absorbing material. And what it |
|
|
45:36 | is that the melanocytes, which are the same number for everybody, it |
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|
45:41 | matter the color of your skin, has roughly the same number of |
|
|
45:45 | It's how much melanin they're producing and more or less genetically determined. And |
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|
45:50 | again, the type of melanin. so what it does is it starts |
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45:54 | these Granules and then the carno sites them up. And if it's uh |
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|
45:58 | to be a lot of UV that's going to stimulate the melanocyte to |
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46:02 | more and more and more of the . And then the melanin is absorbed |
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46:07 | these uh carino sites. And what do is they arrange it like an |
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|
46:12 | on the light facing side of their . So it's, you have your |
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|
46:17 | and it's out here and the site all. And so it kind of |
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46:21 | as a protective barrier to absorb that light so that the UV light doesn't |
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|
46:25 | down and get absorbed by the DNA UV hits DNA. Whenever you find |
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|
46:31 | uh thymine or thymine, what it do is if you have two side |
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46:35 | side, they'll cause them to uh um rearrange themselves so that they get |
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46:41 | weird dimer and then, then the reading, uh, you |
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46:46 | the polymerase and whatnot, they see and it's like, no, |
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46:48 | this shouldn't be like that and they back and try to fix it, |
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|
46:51 | they're really, really bad at, making fixes. And so this is |
|
|
46:55 | of the ways we get mutations in DNA is simply through UV light. |
|
|
47:00 | right. So this is how we ourselves. We have Melo. |
|
|
47:16 | All right. So, Carrot is little bit different, right? So |
|
|
47:21 | here ever watch the Jersey Shore? guys know what the Jersey Shore |
|
|
47:25 | OK. Right. All right. you remember Snooky? Do you remember |
|
|
47:29 | she had that color? That special of the loa color, right? |
|
|
47:32 | know I'm making fun of her because can and she made millions and I |
|
|
47:35 | . So. All right, that , that orange color is a function |
|
|
47:42 | , uh, it's a, it's a spray on, but you can |
|
|
47:45 | rub it on. All right. there is a tanning cream. You've |
|
|
47:50 | heard of it? Ban De right? You can go to your |
|
|
47:54 | and usually in the summer you can , just grab a tube of that |
|
|
47:57 | . And what you can do is just rub it on and it kind |
|
|
47:59 | gives you the color as if it's a bronzing cream is another way |
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48:04 | you can do it. And so kero, it is the, the |
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|
48:07 | that's found in carrots, right? so blush is simply something you put |
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|
48:13 | the surface. Carrot gets absorbed in stays in the fatty layers of, |
|
|
48:18 | like the Hypodermic. And so that is reflecting outward. That's that |
|
|
48:25 | Yeah. So not blush, blush just a color you put on your |
|
|
48:29 | like chalk. Like you could literally and get pool chalk and like for |
|
|
48:35 | pool view or sidewalk chalk. Imagine little blue. Yeah. Ok. |
|
|
48:46 | . All right. One of the that we can do is we can |
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|
48:50 | the external surface. Now, most the nerve fibers you're going to see |
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|
48:53 | we're going to talk about are found the dermis. But there are two |
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|
48:56 | move or work their way into the . All right. So we have |
|
|
49:00 | that are called tactile discs or their name is the Merkel disc named after |
|
|
49:04 | guy discovered it. And so these going to be found in the strata |
|
|
49:08 | . And again, there's not a picture. I thought that they had |
|
|
49:12 | but they don't. But it would like it would be one of these |
|
|
49:15 | instead of it being a carno site be a Merkel disc. All |
|
|
49:19 | That's the idea um with this. then they, so again, they're |
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|
49:24 | to say, oh, look those little ends, right? There |
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49:27 | supposed to be associated with that Merkel and what they are is they're a |
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|
49:31 | of mechanoreceptor and they detect light touch the epidermis. All right. |
|
|
49:38 | they have very, very small receptive . A receptive field is simply the |
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|
49:41 | in which you're able to detect something other type of cell are going to |
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|
49:45 | the free nerve endings. You can up here, here is the |
|
|
49:47 | it's penetrated into the epidermis, it's all out. And so those are |
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|
49:51 | dendritic endings and again, small receptive , but they're detecting things in the |
|
|
49:56 | . Things that are going on at surface of the cell or surface of |
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|
50:00 | skin, right? So what type things tickling, for example, or |
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|
50:05 | would be like touch, itching, again, chemical and touch and a |
|
|
50:10 | bunch of other fun stuff. So are the basic types of receptors that |
|
|
50:14 | going to find in epidermis. But the picture, I just want |
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|
50:17 | I'm going to note it now and going to come back to it. |
|
|
50:19 | notice we have all these other things are here down in the dermis. |
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|
50:24 | right. So most of the nerves the neurons that you're going to be |
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|
50:28 | about are going to be located in dermal regions. Another thing we |
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|
50:33 | we said, hey, there's metabolic . Vitamin D is one of the |
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|
50:38 | that we produce through the skin and depended upon UV light when I was |
|
|
50:44 | . Actually, I was a post , I was working in a lab |
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|
50:47 | you do an experiment and you usually these long wait times between, you |
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|
50:51 | , when you start something, when in something. And I would |
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|
50:54 | II, I was in El Paso doing my post back work and I |
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|
50:57 | go and say, hey, I'm go make some UV, light or |
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51:00 | UV, I was gonna go make vitamin D and so it got in |
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51:05 | lab. I mean, he just , he was working hard but he's |
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51:10 | not a smart guy and he's I can watch, you make vitamin |
|
|
51:14 | . Ok. Sure. So we up and there was like this place |
|
|
51:19 | sit up out on the, like had a breezeway near the roof and |
|
|
51:22 | just sat out there and, you , it's a nice hot summer, |
|
|
51:25 | degrees or something. I'm just sitting there and he's like, when are |
|
|
51:27 | gonna go make vitamin D? I'm , um, we're, we're doing |
|
|
51:30 | . You just, I'm being a . I'm, we're sitting around and |
|
|
51:34 | doing anything. So why is it to go outside? Vitamin D? |
|
|
51:41 | is just showing you the pathway you need to know it. But you |
|
|
51:44 | see, um, you have from skin, you take cholesterol, you |
|
|
51:49 | it into vitamin D and it goes a whole bunch of different steps and |
|
|
51:52 | that stuff becomes the stuff that strengthens , et cetera. You can notice |
|
|
51:59 | name out there? Um, what , what vitamin D does, it |
|
|
52:05 | you to absorb calcium and phosphate, strengthens the bones. Have you ever |
|
|
52:09 | why we have it in our What's in milk besides? Well, |
|
|
52:15 | do we fortify? We fortify with , we fortify with vitamin A. |
|
|
52:18 | what do you find in milk? does it make, uh, |
|
|
52:22 | So, if you put it with and it's gonna help you absorb the |
|
|
52:24 | fairly quickly. Oh It's phosphate. . So calcium and phosphate. These |
|
|
52:31 | the two substances to uh molecules that make bone. All right, any |
|
|
52:41 | about epidermis. So if you're trying follow along saying, all right, |
|
|
52:45 | just, I'm just gonna give you hand here. What is my learning |
|
|
52:48 | here? Well, what does What are, what is its |
|
|
52:51 | What are the five layers and how they different from each other? |
|
|
52:54 | That's, that's really what we just . And so it's when you're |
|
|
52:59 | that's kind of how, that's how would organize it. I am |
|
|
53:02 | what am I trying to learn about ? And we're just gonna do the |
|
|
53:05 | thing with the dermis. We're gonna the same thing with the hair, |
|
|
53:07 | nails, so on and so All right. So dermis. All |
|
|
53:11 | . So this is the layer underneath epidermis. You can see it actually |
|
|
53:15 | two layers to it. You can see in this picture. This is |
|
|
53:20 | a cartoon, although it looks like , it's colorized. But you can |
|
|
53:24 | there's kind of this dividing line. so we can see up here we |
|
|
53:26 | a papillary layer and reticular layer, . When you see that, that |
|
|
53:31 | fingerlike, the kind of like Yeah. OK. So again, |
|
|
53:36 | like we said, there's lots of vessels, there's nerves that are found |
|
|
53:40 | . It's a type of connective you know. So what we expect |
|
|
53:44 | find in connective tissue would be So we're going to see lots of |
|
|
53:47 | . We'll see all sorts of immune , all sorts of fun stuff like |
|
|
53:51 | . Now, the upper layer is of aerio or connective tissue. All |
|
|
53:57 | , if you're wondering why we had memorize all those stupid definitions or why |
|
|
54:01 | because we're going to see them over over again. And it just immediately |
|
|
54:03 | say, oh, this is kind its characteristic. So it's an aerial |
|
|
54:07 | connective tissue. It has these dermal , right? So we also refer |
|
|
54:13 | that up and down process as those ridges because this is the epidermal |
|
|
54:18 | But on the dermal side, that's pail. All right. So we |
|
|
54:24 | these paille and really we're looking at two D image, but you have |
|
|
54:28 | imagine this is three dimensional. And you can imagine it's kind of like |
|
|
54:32 | cartons, right? Like fingers on egg carton. You have like an |
|
|
54:36 | carton mattress. You know what I'm about? Ok. I need, |
|
|
54:41 | don't want to feel like I'm that . So, you know, a |
|
|
54:44 | mattress be just ok. Yeah. . So that's kind of what it |
|
|
54:48 | and it grips everything and that's one the reasons why the dermis and the |
|
|
54:51 | don't slide against each other. they're connected to each other via that |
|
|
54:55 | of membrane. But you also have these pail so nothing can slide |
|
|
55:00 | All right, they're attached very Now, up in this region, |
|
|
55:04 | gonna see capillaries move up. Capillaries the smallest blood vessels. This is |
|
|
55:08 | you're gonna see material exchange and it the nutrients as close as possible to |
|
|
55:13 | epidermal layer. Right? You'll see these free nerve endings. You'll see |
|
|
55:18 | pain receptors, you'll see touch Um It's, it's basically as close |
|
|
55:25 | you can get to the uh to dermis to hold everything in place. |
|
|
55:29 | all that is the reticular layer on other hand, is a dense irregular |
|
|
55:35 | tissue. Remember how I said that going to see that there's a variety |
|
|
55:38 | types here. So the upper layer reticular damn lower. It's a dense |
|
|
55:44 | . All right. So again, gonna see more fibers, but they're |
|
|
55:47 | gonna be all going in the same . All right. So these are |
|
|
55:50 | collagen fibers and they typically run parallel the skin. And so you can |
|
|
55:55 | of see here. This is an of what that would look like and |
|
|
55:59 | form what are called cleavage lines. cleavage line is beneficial because, |
|
|
56:05 | I mean, in the, in field of medicine because it shows you |
|
|
56:08 | way we should cut if we're doing surgery. So, I mean, |
|
|
56:12 | you had an appendectomy? I'm the one you lucky people. All |
|
|
56:20 | So an appendectomy is they take out appendix. Your appendix is located in |
|
|
56:23 | region. Which way do you think cut, did they cut this way |
|
|
56:26 | did they cut that way? Added ? No, it's just one |
|
|
56:31 | That's all right. No, that's . That's fine. Why? One |
|
|
56:35 | ? Because the, if you look , the cleavage lines go like |
|
|
56:40 | and what that does is when you along a cleavage line, the, |
|
|
56:44 | wound that you create is like But if I cut perpendicular to the |
|
|
56:50 | line, then those collagen fibers pull then pull this way and then you |
|
|
56:54 | up with this big gaping horrible hole much harder to repair. So you |
|
|
57:01 | tearing and cutting along the cleavage you don't want against it, that's |
|
|
57:05 | , much more difficult to repair. right. So we mentioned highly vascular |
|
|
57:10 | . So you can see up here lots of blood vessels, they're working |
|
|
57:13 | way up to the papillary region, ? We got big old nerves, |
|
|
57:18 | all over the place those nerves are to be of different types, they're |
|
|
57:21 | to detect different types of stimulation. The other thing that we have is |
|
|
57:29 | have points of attachment that are referred as flexure lines, right? So |
|
|
57:34 | can look at the palm of your , that's the easy one. And |
|
|
57:36 | can see flexure lines. And what's here is that the connective tissue is |
|
|
57:41 | downward and attaching inwards so that when bend in a specific way, your |
|
|
57:45 | doesn't fold up. All funny. right. So like here you can |
|
|
57:50 | there's flexure lines, right? Or the wrist, flexure lines. All |
|
|
57:54 | . So they, they, they as a way to fold the skin |
|
|
57:59 | movement to ensure that the skin doesn't in the way of the movement. |
|
|
58:03 | probably the best way to think about . We're gonna come back to |
|
|
58:11 | This is our first introduction to We're gonna come back to it again |
|
|
58:15 | the second unit. All right. I want to introduce this idea. |
|
|
58:19 | again, we have these different names on uh on who discovered it. |
|
|
58:24 | right. And then they've tried to the names out. And what I |
|
|
58:27 | you to do is I want you look at the positioning of these different |
|
|
58:31 | of receptors and where they're located because of where they're located kind of tells |
|
|
58:36 | what they're doing. There are three types here. We have the tactile |
|
|
58:41 | Mesner core puzzle. We have the or a Pacinian core puzzle and then |
|
|
58:47 | have Ruffini. So here's Mesner, Pacini, right? And there's |
|
|
58:54 | All right. And you can see kind of have different shapes and |
|
|
58:56 | And again, we'll go into more of these at another date, but |
|
|
59:00 | just want to kind of point it because what are they doing? Well |
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|
59:03 | here at the top where I'm near surface, I'm going to be dealing |
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|
59:07 | light touch, light pressure and simple . It tells me what I'm grabbing |
|
|
59:12 | . It's up in the Popil. like if you run your fingers across |
|
|
59:16 | table, you can feel that movement of the presence of these core |
|
|
59:21 | Miser core puzzles down deep. You the laminated core puzzles. These are |
|
|
59:27 | Pacinian. All right. So if deeper, how do you get, |
|
|
59:31 | do you detect something that far What do you think? Would it |
|
|
59:37 | to be light? It'd be right. So that's it. So |
|
|
59:41 | we're dealing with these, we're gonna dealing with deep pressure and deeper |
|
|
59:46 | right? So like when you grap and you can feel something, you |
|
|
59:51 | , or something hits you hard, what these are doing. And then |
|
|
59:54 | we have the Ruffini and you can here the shape, it kind of |
|
|
59:56 | like Sty's head, you all. Yeah, I remember that show Family |
|
|
60:03 | . So it looks like Sty's right. So here what we |
|
|
60:06 | we have a different structure and this more about distortion. So when your |
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|
60:10 | twists and turns, what you're doing you're pulling on these collagen fibers and |
|
|
60:15 | can detect the movement in those collagen . So it's detecting kind of in |
|
|
60:20 | mid-range pressures. All right. So we have different types of receptors located |
|
|
60:26 | different depths in the dermis to detect degrees of pressure and different degrees of |
|
|
60:40 | . Any questions about the Dermot, straightforward stuff. Yeah. All |
|
|
60:50 | Just looking at the time here here got hair. Very flexible, |
|
|
60:59 | But it's a bunch. It's just the skin, it's dead uh |
|
|
61:04 | All right. They have a layer living cells that are way down |
|
|
61:08 | And what you're doing is you're producing dead cells. They are producing |
|
|
61:11 | So they are Carroo sites. All . But it's a different type of |
|
|
61:15 | than what's found in skin. Uh they're much, much more durable and |
|
|
61:19 | way that they're arranged CRE uh creates way that they don't flake off, |
|
|
61:25 | don't, you know, move off skin or, you know, they'll |
|
|
61:29 | away from the hair as easy as falls off the in. All |
|
|
61:34 | So you can kind of see it's of an overlapping shingle like structure. |
|
|
61:40 | right. Now, I give this , these pictures up here because one |
|
|
61:46 | AAA horrible exaggeration. Which is this right here. This is Phil |
|
|
61:52 | You guys know who Phil specter No, I wouldn't expect you guys |
|
|
61:56 | . Phil Specter was the Beatles He produced several of their albums and |
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|
62:01 | was in California and he was very and girls would like flock to his |
|
|
62:05 | and he was a sociopath. And of the things he did was he |
|
|
62:09 | threatened um a model or something like , that was over there. I |
|
|
62:13 | a gun to her head and she away and actually they went and arrested |
|
|
62:16 | . This is his trial and he up like this, but his hair |
|
|
62:21 | this big. It was like this someone you, you know, had |
|
|
62:24 | with Photoshop, right? So I this as an exaggeration because it's an |
|
|
62:30 | picture. So what does hair Well, it protects. All |
|
|
62:33 | And so in terms of protecting sunburn injury, um I went to a |
|
|
62:38 | , I went to one of Stevie VNS, one of his last concerts |
|
|
62:41 | he died. And it was again near El Paso in the middle of |
|
|
62:44 | desert. We showed up at 6 or 8 a.m. and started drinking and |
|
|
62:48 | concert wasn't until four and we sat there all day long until the concert |
|
|
62:52 | when I got home, I actually sunburn on my scalp. Yeah, |
|
|
62:55 | was awful, awful. You it was not the best concert I've |
|
|
63:00 | to Stevie was great, but everything sucked. All right. Um, |
|
|
63:05 | your nose you'll, you'll notice that time your hairs will get longer and |
|
|
63:09 | . Especially you men, it'll get and your wives will complain, |
|
|
63:14 | Um, but this is there to material and particles from going in your |
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63:18 | and into your ears. Um, your eyes, you have eyebrows. |
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63:22 | talked about this, the eyebrows are sweat bands. They direct water to |
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63:27 | away from your eyes. So that doesn't directly drip in your eyes or |
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63:30 | , it doesn't directly drip in your plays a role in heat retention |
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63:35 | Uh, sensory, uh, ever spider crawling on your arm. |
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63:39 | So that's because they're touching the hairs there's, there's actual receptors associated with |
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63:44 | hairs. And so that's how, know, I have, I told |
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63:47 | guys the Scorpions story yet. Ok. This is awesome. So |
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63:51 | were at a girls health, eighth . I remember this is back in |
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63:54 | early eighties. So I'm already, already telling you how old I am |
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63:58 | they were shag carpet from the seventies the house because they hadn't changed it |
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64:01 | yet. And I'm sitting there watching . She's up on the couch, |
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64:04 | on, I'm on the floor watching it was and I kept feeling something |
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64:10 | to crawl on my arm because you , the hairs I'd feel I'd brush |
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64:13 | feel it on my arm and brush . Finally turned over to look and |
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64:16 | was a scorpion trying to crawl up arm. Yeah. Yeah, |
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64:23 | you know, there's fun out Right. So, that's why I |
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64:26 | this. That's not a scorpion. , I like the jumping spider |
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64:29 | uh, visual identification. Um, of the things in looking at, |
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64:32 | , a person's hair, you can kind of determine age, right, |
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64:36 | I've got that salt and pepper, know that I'm older than you. |
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64:39 | . Right. Uh Sex, you , I know that there are unis |
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64:44 | style hairs, but generally speaking, can look at somebody's hairstyle and most |
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64:49 | 95% of the time you can determine sex simply by looking at them, |
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64:53 | . It's also a way that we identify people. You have, you |
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64:57 | like when someone gets a haircut and like, I don't recognize you because |
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65:01 | brain puts that hair, you as a way to kind of |
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65:06 | All right, it also plays a to identify um uh I, I |
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65:11 | say uh is through pheromones, This is one of the ways to |
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65:16 | um uh chemical signals. And there's a lot of things around pheromones |
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65:21 | we're not going to get to. uh basically the axillary region. So |
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65:26 | in the pits and in the pubic , basically that hair kind of grabs |
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65:30 | and holds two chemicals and So it's way that we can actually send signals |
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65:35 | to partners or potential mates and so . And whenever I say this, |
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65:40 | what I'm saying, that is that very subtle in humans. It's, |
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65:43 | not dogs, we're not cats. mean, you know, dogs and |
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65:47 | and heat can detect each other miles . Humans, we can look at |
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65:51 | other and have no clue. um, anyway, but that's part |
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65:56 | the reason why we have hair appear puberty is because it's one of the |
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66:01 | to signal that we're sexually mature and it appears where it does. All |
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66:07 | . Now, in terms of hair is very basic, we're gonna |
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66:11 | it very basic. All right, have the shaft. All right. |
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66:14 | the shaft is the portion that sits the skin. So above the the |
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66:19 | the epidermis, everything below the surface the epidermis is considered the root right |
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66:25 | . All this stuff in the hair the way down. That's all dead |
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66:29 | . All right. It's only down is where you're gonna find in the |
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66:34 | where you're gonna find the living All right. So this region is |
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66:39 | bulb. So you can see that's bulb. This whole thing is the |
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66:43 | . It has the paille here. paille is where you're gonna have nerve |
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66:48 | and you have blood vessels come So it's just like in the pail |
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66:51 | the dermis coming right. Up to uh to the layers of the epidermis |
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66:56 | up there in the basal or the . They're not the same, but |
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67:00 | very similar. And then, so are the living cells of the |
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67:05 | right? So that's the matrix and matrix is what is producing the cells |
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67:09 | are dying off and then forming the in the shaft. Ok. Did |
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67:16 | kind of make sense? So you living cells but they're dying off just |
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67:21 | we saw in the skin, we living cells at the bottom and we're |
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67:24 | upward towards the dead cells. You see outer layer, we have a |
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67:33 | surface layer and then we have an surface. So the outer layer is |
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67:36 | is what we call the cuticle. , the cells are overlapping each |
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67:40 | They are dead cells, but they're like shingles, they overlap each |
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67:43 | So it's very, very hard for to flake off or get away from |
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67:46 | another. The region of dead cells are underneath the cuticle moving inward, |
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67:51 | would be the cortex. So that's near surface. Um These are flat |
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67:56 | , they're made, they have within carrot. So they're most equivalent to |
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68:00 | corneum. Um And then we have medulla, the medulla, again, |
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68:06 | are dead cells, but they're not squish, they're much, much less |
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68:12 | . So that gives hair flexibility. the fact that your hair can stand |
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68:16 | and then kind of fall on itself because that inner portion is soft |
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68:22 | or not as dense, whereas the portion is hard and dense. So |
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68:26 | have strength on the outside, you less strength on the inside. When |
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68:34 | look at the follicle and we're gonna focused here. I think this is |
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68:38 | really good picture because you can see this yellow portion, what do, |
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68:41 | do we call this yellow portion, in this pink portion? Do you |
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68:47 | what we have here? Is we the epidermis fold down inward. So |
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68:52 | hair follicle is formed by the outer of the intent. In other |
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68:56 | the epiderm is folding inward. And what that means is is that the |
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69:00 | follicle actually has two parts to It has an inward epidermal portion and |
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69:06 | surrounded by an outward dermal portion and hard to see here. But if |
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69:10 | look in your book, you can it. So the dark purple here |
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69:14 | be epidermal but those the one layer cells just outside that is dermal in |
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69:20 | . All right. So we refer it as the connective tissue root |
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69:26 | that's the dermal portion. And then have the epithelial root sheath, which |
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69:31 | epidermal in origin. Ok. So two layers there. We can see |
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69:40 | there's a smooth muscle associated with that . All right, it's called the |
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69:47 | py muscle. So each one of hair follicles has one of this. |
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69:51 | right. Now in mammals that are human. One of the purposes this |
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69:58 | is to actually cause the hair to up for two reasons. One to |
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70:03 | other animals away to say, I'm bigger than I am and I'm |
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70:06 | more dangerous. Don't mess with So usually it's a sympathetic response or |
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70:11 | second thing that it could be used is to lift itself up to trap |
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70:16 | air near the body. So if notice like your cat, when it's |
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70:19 | or your dog, when it's it's hair kind of puffs out. |
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70:23 | what they're doing is that heat that's generated at the skin is being |
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70:28 | near the body through that meshwork of . Now you get cold. Do |
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70:33 | get goose bumps? Yeah, you . But is your hair thick enough |
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70:38 | trap heat next to your body? . So what we're seeing is a |
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70:43 | feature of what the skin on the is supposed to be doing the hair |
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70:48 | our skin. It just can't do because we don't have thick hair, |
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70:53 | our dogs and our cats and bears other things. The other time is |
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70:56 | someone, like, if you're watching movie and you get that, that |
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71:00 | feeling what happens, you get the bumps. Right. Right. So |
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71:06 | a, but your little thin here make you look bigger and tougher. |
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71:12 | right. But it's the same response these are remnant responses in mammals that |
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71:18 | have retained because we still have skin hair on our skin. It's just |
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71:24 | and others. Now, if you look into the drain of your, |
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71:34 | , at home and you see a bunch of hair and you're like, |
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71:37 | out like my hair is falling Uh It's always falling out. Your |
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71:40 | actually has a pattern of growth and and then replacement. Ok. So |
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71:47 | you see hair in the drain, panic unless it's like excessive. Like |
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71:51 | you like do this and hair falls , that might be some sort of |
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71:58 | . What this is just trying to you here are the three stages. |
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72:01 | we have an anogenic phase. We a cato GIC phase and a telegenic |
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72:05 | . So anogenic is a growth Cata GIC is a, is a |
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72:10 | of a resting phase or it's not resting phase, but it's a phase |
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72:12 | we're kind of like, all we've done what we need to |
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72:15 | So it's kind of an active phase holding things in place. But then |
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72:20 | a while it's like, ok, get rid of it. And so |
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72:22 | would be the telegenic phase where the gets released and then you rinse and |
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72:26 | the cycle over and over again. at any given time, your hair |
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72:31 | is going to be one of these phases. All right. Uh This |
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72:35 | here is the club hair. This the hair follicle that has become |
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72:39 | And so there is your club hair falls out and then you replace it |
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72:43 | you shave. What are you You're cutting it here at the |
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72:48 | And so you still have an active that comes out and it's still that |
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72:51 | , really long, scary looking I'm gonna finish with these last two |
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72:59 | and then we're gonna just call it and we'll deal with nails and glands |
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73:02 | . All right. But when it to hair, there are three different |
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73:05 | of hair. All right, when are in the womb developing, all |
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73:09 | , you have hair on the surface your skin that's being formed. It's |
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73:13 | la Sorry Leo hair. It's very thin, it's very soft. |
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73:19 | when a baby is first born, , they're just like covered in |
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73:22 | It's like a, it's almost like matty fur, but it's very, |
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73:26 | thin and very, very light. then it slowly gets replaced by this |
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73:30 | that's called vela hair. So if think about a baby, a baby |
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73:34 | covered in vela hair. All Now, you all have Vella hair |
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73:39 | you as well right now. All . So like if you look on |
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73:42 | belly, right, you'll see little hairs. That's Vella hair, |
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73:48 | Some of you on your arms have hair. Many of you don't if |
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73:53 | don't have this thin light hair, you might have a thicker hair. |
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73:57 | actually the terminal hair that's a little differently. All right. So the |
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74:01 | type is the terminal hair and this kind of shows you terminal hair. |
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74:06 | kind of different types. We have hair on our heads. So that's |
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74:11 | gets replaced by terminal. Uh and as we go through puberty, that's |
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74:14 | you're going to start seeing the male , the female pattern of hair |
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74:18 | which is primarily on our legs and arms. So you can see down |
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74:22 | and up there, you can see here and up there. So that |
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74:25 | terminal hair. So some of this might be Vella in nature, but |
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74:29 | the most part that's terminal, it's this stuff over here that might be |
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74:32 | Vella in nature. But then you uh ax or sorry pubic hair. |
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74:38 | then over here a men, we more hair on our chest because I |
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74:42 | we're lions or something. I don't , it's just, it's, it's |
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74:45 | sign of sexual maturity, right? that would be terminal hair. So |
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74:49 | the hair that you start getting later , that's terminal hair. Finally, |
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74:55 | in terms of, of of hair , they're not, it's not just |
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74:59 | round structures. Actually, hair comes different shapes. And again, we |
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75:04 | like ribbon hair. So that would like kinky. So this is more |
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75:08 | a ribbon uh uh shape structure. when we say that, let's see |
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75:13 | this works. So a ribbon is like this, right? And then |
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75:19 | have a shaft that can be shaped kind of oval like and then you |
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75:24 | have a shaft that's round. All . So this would be more of |
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75:27 | kinky type hair. This would be wavy type of hair. This would |
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75:31 | more of a straight hair. All . So how your hair is, |
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75:37 | dependent upon the shape of the And the last thing I'd point out |
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75:40 | is pigment. Uh There are melanocytes , remember we said there are different |
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75:46 | of melanin that are being produced, melanin that are being give rise to |
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75:51 | color of your hair. So I picked the cla alls and so you |
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75:55 | see different clas there's many different colors hair. Um But I would just |
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76:00 | out that if you have gray hair me, when I was a young |
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76:04 | , I had blonde hair and then through puberty and then that was brown |
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76:08 | and then now it's gray, which great. It's pouring gray. That's |
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76:16 | going on. I got the salt pepper. So I'm losing my melon |
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76:19 | production white, no melanin. So you have white hair, that's what's |
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76:26 | . All right, when we come , we will start with nails and |
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76:30 | finish up with glands and then move from there like I |
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