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00:06 | Um So what I'm gonna do for next couple of days starting today, |
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00:11 | going to now focus on the So what we've been doing for the |
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00:16 | uh two weeks, we've been one the last two lectures we've looked at |
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00:20 | uh neurons work. So the first we said, neurons and glial cells |
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00:24 | we said, all right. how do neurons work? We talked |
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00:26 | the great potentials and the action potentials now what we're doing is we're moving |
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00:30 | and doing that stuff that you're OK, this stuff I love, |
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00:34 | is gonna be uh there's, you know, quite a bit of |
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00:37 | here. Um This is ideal if draw pictures to help you understand what's |
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00:43 | on. And really, we're just to be kind of walking through the |
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00:48 | parts of the brain, pointing out different things that they do. So |
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00:51 | starting point here is uh the entire nervous system, the central nervous system |
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00:57 | is the brain and the spinal All right. And so when you |
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01:01 | of the brain, you really think this a big large structure, this |
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01:04 | large structure kind of look like like a mushroom, I guess. |
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01:09 | , just a small portion of All right. Technically, this is |
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01:13 | tele which you don't even know. making it easy for you, but |
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01:17 | is the cerebra. All right. so if you think of the |
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01:21 | it really has these four different It has a cerebrum, which is |
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01:24 | larger structure, cerebellum, which is small structure that pays off the back |
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01:29 | . We have the brain stem, is what is going to become uh |
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01:32 | spinal cord and then the area between brain stem and the cerebrum, which |
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01:36 | we slide from half, you can uh that is the die phal and |
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01:42 | gonna come back and we're gonna look these in more detail, but just |
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01:45 | kind of give you a sense of we're going, we're going to be |
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01:48 | of working from that larger structure of cerebrum. And we're gonna work downwards |
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01:52 | the spinal cord. So having said we can kind of say, all |
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01:59 | . Well, what does the brain like? What does this look |
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02:02 | Well, this room is divided into halves. And so we, what |
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02:05 | say is that there's these uh two , there's a left hemisphere in the |
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02:08 | hemisphere, not really easy to see from the view. Uh uh up |
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02:13 | , actually, that's a view of room from the bottom side. So |
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02:16 | can see the brain in the And then from the top, this |
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02:19 | what it looks like. And you literally see those two hemispheres fairly |
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02:24 | And then, of course, if look at the cerebrum itself, and |
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02:28 | look at each of the individual uh anatomists have uh broken down these |
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02:33 | these, these hemispheres into separate And so what we say is that |
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02:39 | are five lobes uh back when I it depends on actually who you talk |
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02:43 | . If you talk to an there's , uh most people just kind of |
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02:47 | say there's four, but we're going go with the five. And so |
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02:50 | are really, really easy. All , they named, except for the |
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02:54 | one, are named for the bones cover them. So we have the |
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02:56 | lobe, we have the parietal we have the occipital lobe, we |
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02:59 | the temporal lobes. And so there's on each half. And then if |
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03:02 | take the temporal lobe and you seating the frontal lobe, that's where you're |
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03:08 | find the insulate. It kind of inside and in between, which is |
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03:12 | it's kind of like not a real lobe. So the insula is the |
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03:16 | that's kind of hidden away uh in . We're gonna come back and we'll |
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03:20 | pictures of this a little bit So this is our organization, all |
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03:24 | , five lobes they represent where the that cover them, frontal parietal occipital |
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03:30 | and then the one that doesn't make , which is the insula, which |
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03:33 | hidden underneath structurally speaking, anatomies have at the brain and, oh, |
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03:40 | , they are landmarks. And so going to name the landmarks. The |
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03:43 | are uh uh in real simple terms these three basic structure, the |
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03:49 | the sulcus and the fissure. All . Uh the plural of gyri, |
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03:54 | plural or the and really what, you have done is as they're trying |
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03:59 | map the different parts of the they use these structures to help them |
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04:05 | their location with regard to the All right. So a gyro simply |
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04:10 | a bulge. So every time you at one of these things and you |
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04:13 | the bump portion that's a gyrus and between the bumps between the bulges are |
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04:19 | sulka. So these are just kind these depressions in between. And then |
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04:24 | they have these deeper poles which are to as the fissures. Now, |
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04:29 | distinguishes and how do you define, is which uh that's a harder |
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04:34 | I think initially they were just saying really, really deep ones are the |
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04:38 | and then some of the fissures, gone back and renamed the Sulka. |
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04:41 | just whatever they point to and but in a real general sense, |
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04:46 | in Sulka are the ones that go . The ones that bulge upward are |
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04:51 | Gyrus or the Gyri. Excuse me , we haven't used a lot of |
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04:59 | anatomical terms, but there is one specific for neuron anatomy, right? |
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05:04 | two terms that are specific for rostro versus pole we've talked about versus |
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05:11 | before we don't collect it. I tend to be very, very uh |
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05:15 | vernacular terminology here. But and are terms that should appear in uh uh |
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05:21 | atom issues. And really what they're to is location similar to an post |
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05:27 | versus dorsal. And it's uh towards nose would be rostral and coddle is |
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05:32 | the tail. And so you can about your brain is like, |
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05:36 | so the rostral portion is towards the and then this is back towards the |
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05:41 | end of your body. So that be coddled. So if you're doing |
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05:44 | or dissection, that's how you refer where um you know, these structures |
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05:51 | to each other. That's a rostral . That's a coddle structure. So |
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05:56 | familiar with those. I probably just it on there and say what is |
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05:59 | ? I'm not gonna ask you what rostral to this. Um But the |
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06:02 | is, can you use that So if you look at um if |
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06:10 | look at the brain, basically, divide it into two different areas, |
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06:14 | have gray matter and white matter. simply put gray matter um is where |
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06:21 | you going to find the cell bodies structures? Are the cell bodies and |
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06:26 | dendrites of cells. So when you're about neurons, really, that's where |
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06:31 | gonna find their cell bodies where light is, these areas where you're gonna |
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06:35 | axons traveling between points. And the white matter is white is because most |
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06:40 | our axons typically are covered by one glial cells, but specifically starts with |
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06:49 | M and with my, there you see. Um and so my is |
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06:54 | a cell that's wrapped itself. I , my is basically cell um structure |
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06:59 | wrapped around the Axon and basically it's . Have you ever been to a |
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07:04 | ? Well, probably not a Haven't even been to the grocery store |
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07:07 | looked at meat. All right. you go. That's the easy way |
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07:10 | , to get the butchers nowadays, ? When you go, look at |
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07:14 | nice piece of eye, rib, is very, very marbled. It |
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07:18 | lots of fat in it. What see if you have red meat and |
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07:22 | marbled with what color white. All , fat is white. Myelin is |
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07:30 | fat. So, white matter is because it's primarily fat. It's basically |
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07:36 | fossil lipids of those other cells. so that's why I'm saying that gray |
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07:40 | doesn't look really gray. It's really of a beige, but I guess |
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07:45 | didn't have a term for that. basically you have this beige area and |
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07:50 | whiter beige area. All right. so that's what these two areas |
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07:54 | gray matter represents um uh the cell , whereas the axons are going to |
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08:00 | represented by this white matter. if you look at the uh central |
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08:05 | system, what you're going to see that there's a high degree of organization |
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08:08 | to where you're gonna find cell bodies where you're gonna find axons. In |
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08:12 | words, the gray matter and the matter are in very specific locations. |
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08:16 | so what they've done right here, can see that they're trying to show |
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08:21 | different slices, right? So the V, so there's a slice of |
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08:27 | cerebra, there's a slice of the skin, there's a slice of the |
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08:30 | stem again and then here's a slice the spinal cord. And if you |
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08:36 | at this, you can see, example, here is the spinal cord |
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08:40 | out here you can see white matter the inside. That's where the gray |
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08:46 | . All right. So in this , co gray matter is found centrally |
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08:52 | then outside of that gray matter is white map. So you can imagine |
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08:56 | here is where cell bodies are So that means we're going to have |
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09:01 | of information white matter is where you're have a, so that's where information |
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09:06 | traveling. So this is where we're to apply the tracks. In other |
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09:09 | , the the the material that where information be sent up and down or |
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09:13 | and right in the as you move . So here we are in modulo |
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09:22 | you can see there is a great again. All right, this right |
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09:27 | is a, there's a central canal there. It's hard to see. |
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09:30 | then you see all this white matter then embedded in the white matter. |
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09:35 | , our areas of gray matter. even at the level when we do |
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09:40 | brain where we have gray matter that's central located with white matter on the |
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09:46 | . And then as you move up the cerebrum, you can see that |
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09:50 | gray matter so symmetrical, they kind paired in the center there and then |
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09:55 | see these of gray matter everywhere. that would be that internal, internal |
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10:00 | matter surrounded by white matter, which the lighter stuff. But then once |
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10:05 | look at the cerebrum on the you have another group of gray |
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10:09 | So it's kind of like the gray , white matter gray matter. And |
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10:13 | what's happened now is that we, needed more areas of process. So |
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10:19 | the street, we have lots and of processing to take place. And |
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10:22 | what's happened is is that we've reorganized great amount of conscious system that you've |
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10:27 | more cells on the outside. So more processing this is referred to as |
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10:31 | cortex. So when you think of cerebral cortex, you're thinking of that |
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10:36 | layer of gray matter inside would be matter and then you have these other |
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10:41 | of gray matter, those other areas gray matter are called nuclei. |
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10:46 | nuclei in the central nervous system refers areas of cell bodies where processing is |
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10:53 | place surrounded by brain matter or surrounded by black matters. I'm |
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10:59 | of course, cerebellum, the cerebellum kind of the same thing, gray |
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11:03 | , central white matter, gray matter the outside, you know, it |
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11:07 | cortex as well. All right. when you think gray matter, what |
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11:12 | you thinking, what do you think bodies processing information? Do you think |
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11:19 | white matter? What do you think Axons tracks, whatever. And then |
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11:24 | thinking of information traveling. All How do you guys with all the |
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11:39 | announcements? Like, you know, , your brain on drugs and stay |
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11:43 | from stuff? You did? Did do that? We had the frying |
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11:47 | with the eggs in it. You probably into the frying pans with the |
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11:51 | ? All right, you want to your brain, right? How many |
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11:55 | are to death of, of uh because of all of, you |
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12:02 | death, concussions. I mean, , I mean, when we were |
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12:05 | , when I was a kid, was no such thing as a |
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12:09 | You wore bicycle helmets if you're riding and only if you're doing stunts, |
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12:15 | ? Nowadays, you get on a , you have to wear your |
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12:18 | you have to put on your You have your mom right up to |
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12:22 | it's ok. Yeah. Sure it . Some people are smart. They |
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12:29 | the brain support, which are Yeah. Good news. Her body |
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12:34 | protects her brain does a really good of it too. There's actually multiple |
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12:39 | of protection. But what we say that there's four levels of protection. |
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12:43 | , the obvious one is gonna be bone. All right, we have |
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12:46 | uranium. We've already talked about it the, you have the and so |
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12:51 | , that protects it there and in of the spinal cord, you have |
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12:55 | OK. And so we have this hard shell that, that serves to |
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13:00 | the squishy inside. What kind how do you guys have a sense |
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13:09 | how soft the tissue of the brain ? Anyone have any idea? Anyone |
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13:13 | seen a brain? It's like That's actually a good way to put |
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13:18 | the way that I, the best I can describe it. It's |
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13:21 | uh, have you guys ever worked margarine or butter? All right. |
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13:26 | what it's like. I mean, literally is, it's, it's soft |
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13:31 | squishy. And you know, if , if you guys watch Big Bang |
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13:34 | , I mean, you'll see every and then Amy working on a sheep |
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13:38 | . She actually has a phd in . The actress does, she was |
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13:43 | , she was a teen actress and went on and got her P D |
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13:46 | neuroscience. And then they hired her the show, just like, on |
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13:50 | women. So that's how they kept on. But she actually had her |
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13:52 | D in neuroscience. And so whenever see her working on her brain, |
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13:56 | stuff that she actually did, you , kind of cool, I |
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14:00 | I don't know, maybe. All . But anyway, but when you |
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14:03 | the picture, I mean, when see them working on the brain, |
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14:05 | kind of hard and stiff and you think, well, why is |
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14:08 | Well, they fixed it in basically formal. It is, is |
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14:12 | they fix this tissue. And so hard and stiff. That's not what |
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14:15 | brain is like. It literally just apart like warm butter. And so |
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14:20 | need to have these structures to hold in place to make sure it doesn't |
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14:25 | kind of ooze everywhere. All So that's kind of the outer portion |
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14:30 | that crane that bone that serves to . All right. Now, surrounding |
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14:37 | actual tissue itself issue is what are three layers of, of? |
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14:45 | just I just call that they're called meninges. All right. Singular form |
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14:49 | Meninx M E N I N So if you see me say |
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14:52 | that's what you're referring to. So gonna have three protected membranes that, |
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14:57 | protect and then embedded between those membranes surrounding the brain itself. We're gonna |
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15:03 | cerebral spinal fluid, which is basically layer of fluid that surrounds and protects |
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15:09 | brain. And then we're gonna have third layer or sorry, 1/4 |
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15:14 | uh the form layer, which is to as the blood brain barrier. |
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15:18 | , the blood brain varies a little different. What we're doing here is |
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15:21 | so much of a physical barrier, it is a physical barrier, but |
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15:25 | not like the other ones with regard trauma, but it's a physical barrier |
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15:30 | prevent materials from moving from the blood the surreal stuff or into the uh |
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15:38 | tissue. And so it's not only , but it's also a barrier that |
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15:44 | kind of like a as a chemical . It prevents uh foreign substances like |
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15:49 | , viruses and other things, but just chemicals. Uh some very simple |
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15:55 | like water can be very damaging to brain tissue because now what you're doing |
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16:00 | you're altering ion concentrations and the cells properly behave. So we'll talk about |
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16:06 | of these, um as we go , but we're gonna ignore the |
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16:09 | just know that the bones are in outer layer. Um And that they |
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16:13 | as an a detective barrier. They're of your helmets. All right |
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16:19 | with regard to the meninges. Um easy way to think about this is |
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16:24 | there are three layers and from the or the outside based on their |
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16:28 | they create a path to protect. would say, working outside inside, |
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16:33 | that makes absolutely no sense. So inner layer is called the P A |
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16:38 | . The middle layer is called the matter. And then the outer layer |
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16:43 | the dura matter. All right. we're gonna be kind of working |
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16:47 | we're going to, to dura which going inside to outside. All |
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16:53 | So with regard to the P A , all right, I'm creating this |
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16:57 | , the matter is very, very , it's uh highly, highly |
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17:02 | In other words, it is the barrier um that covers the surface of |
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17:08 | brain. It is actually so thin so fine that you can actually follow |
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17:13 | gyro, the gyrus and the sulky you move up and down. So |
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17:18 | can imagine um with regard to this hard to see the color here. |
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17:24 | . If you look right there, that battery, there's a little Permal |
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17:28 | , the purple line goes down with surface, it comes out and just |
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17:32 | falling along and it comes down and back out. So that would be |
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17:37 | PM F that's closely adhered to the tissue. And this is what allows |
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17:42 | small blood vessels to stay very, close with the nervous tissue and ultimately |
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17:48 | into the nervous tissue so that the can be delivered to it. All |
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17:54 | . But this is that that right? And we say it's |
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17:57 | highly vascularized. So you're gonna have small blood vessels that are located |
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18:04 | Now, the layer that lies above is called the, why do you |
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18:09 | they call it the er, say , it's web like all right, |
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18:17 | spiders, right? Arachnids. This where the brain spiders live. One |
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18:24 | smiled at that. Anyone here have spiders? Well, let's find out |
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18:31 | see the cartoon, the right one also vascularized actually in between. This |
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18:38 | the matter Here. There is you see the space and then right |
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18:42 | is where the matter actually my work time I came. All right, |
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19:01 | a few. So right here, the erect, ok. This |
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19:08 | And you can see we have the in between inside the space. You |
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19:12 | all these little tiny trabi, little fibers that are holding these two things |
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19:18 | . This is why we make the uh uh uh matter because it had |
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19:23 | these trabi looks like a spider All right. So this was it |
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19:27 | the area where the brain spiders? right. Now, the space right |
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19:32 | is actually called the subarachnoid space. lies below the arachnoid. So if |
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19:36 | have the erect, you have the space, then you have the |
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19:42 | the rear space is gonna be filled spinal. And then as you can |
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19:48 | , we travel up and then we these penetrations right here that penetrate through |
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19:54 | dura matter and into what are called dual sinuses. Now, the neural |
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20:01 | , we'll get to in just a , but in essence, this is |
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20:03 | to be filled with blood that's going be returning back to the heart. |
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20:05 | blood that has come into the brain provide nutrients and stuff is now leaving |
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20:10 | going back to the heart. So can get its oxygen back in the |
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20:13 | and the nutrients that it travels through body. In essence, what's happening |
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20:17 | is we are penetrating into that so we, the certain fluid that we're |
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20:23 | can actually have a way to leave blood brain and be recycled. |
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20:29 | So this structure that's penetrated is called all right. So, so |
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20:36 | Space, there's the space, the tiny uh webs are the trabi. |
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20:47 | then finally, um uh this is you can see in here you can |
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20:52 | there's the vein, there's an these are the things that are going |
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20:56 | be dividing and again, the arteries getting smaller and smaller so that they |
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21:00 | penetrate through the P A matter. outer layer is the dura matter and |
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21:07 | actually two layers and this is something you can actually experience at home. |
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21:11 | , you have like, yeah, . Go pull one out and go |
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21:17 | with it, tug on it, on it, stretch it and stuff |
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21:20 | that. That's what the dura matter like. Very, very tough, |
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21:24 | elastic. Doesn't have a lot of to it. In essence, it's |
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21:28 | serves as this outer layer. There's layers to this. All right, |
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21:32 | can see the uh uh the outer which is gonna be the per ocular |
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21:38 | to next to the bone layer. then you have over here the men |
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21:43 | and you can see how it separates . But notice that it just kind |
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21:47 | covers the brain. It doesn't follow the, all the the soul and |
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21:51 | gyrus right here. This is a fissure. And so it's forming what |
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21:55 | is called the false ring, which get to in just a moment. |
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21:58 | in essence, it's otherwise, it kind of overlays the entire structure. |
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22:03 | right. Now, where are these layers separate right here. That's where |
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22:08 | gonna get the formations of the All right. And this structure now |
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22:15 | creates this large pulling area. This the sinus that allows for blood that's |
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22:21 | the brain to ultimately pull before it down through a vein back to the |
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22:27 | . All right. And as I with the erect vili once again right |
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22:39 | , that's how you're moving cerebral spinal from the subarachnoid space back into the |
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22:46 | . Now, the duo as this structure to help maintain the shape of |
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22:55 | brain to maintain the hemispheres so that brain doesn't move around all that |
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22:59 | And so what we end up with these structures, these extensions that allow |
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23:04 | brain to kind of sit. All . So partitions the brain and holds |
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23:09 | in place. All right. And are what I referred to as |
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23:12 | and there are four cranial dual that need to know. Uh you can |
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23:16 | their names up here, the, belly, the cera belly and the |
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23:23 | . All right. Now you're looking that, you're going, those are |
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23:25 | scary words and I don't know, don't even know my right. Let's |
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23:34 | this somewhere sri what do you think has to refer to Serero? |
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23:40 | there you go. There's the easy . And the cere belly cerebellum. |
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23:44 | right. So you already know that , the name is probably located. |
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23:49 | think the Bella Cerebella is located or with the cerebellum and the Cerebri is |
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23:56 | with? Ok. So, so we're halfway there. Now you're sitting |
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24:00 | looking at, I know Fox is . So whenever I don't know |
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24:05 | I just, you know, type in my computer pops up. Fox |
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24:09 | sickle. You guys know what Sickle . All right. It's Halloween |
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24:14 | You should know what Sickle is because of the main characters of Halloween is |
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24:18 | . This is a big black world that walks around with a sickle, |
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24:24 | ? That big whole thing. And he doing? The reaper is reaping |
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24:28 | the sickle to cut down well, the case of death. Life, |
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24:34 | basically to mow down wheat All And the shape of a sickle. |
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24:39 | did one in? And it gets and then at the other end, |
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24:45 | do you think the fox and the cere belly were named after? I |
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24:49 | , based on that, the shape gonna stare at you until you nod |
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24:55 | head one way or the other. . There we go. Ok. |
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24:58 | . All right. So you can there, it has this kind of |
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25:01 | like a, all right. So all right. What about tentorium? |
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25:05 | do you think? Tentorium has to with, if you had to guess |
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25:10 | I put a gun to your head said your life or death question here |
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25:14 | what do you think? Tentorium has do with? What would you |
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25:22 | Oh, this, here's the God, 10 Tory. Um |
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25:32 | 10 covering tents. And they look a tent. Where do you think |
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25:39 | came from? Some guys are sitting saying let's find a four letter word |
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25:43 | means camping, Tito to cover. right. And the last one diaphragm |
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25:51 | Sally. That's a little bit more . Diaphragm. It is something that |
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25:57 | a whole Sally seat. All Yeah. Do you do? I |
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26:04 | have a look of Latin literally never anything, but I don't, I |
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26:11 | up the dim. So we, gonna look here in just a |
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26:16 | basically shows there's a hole that allows indium of the anterior. So I |
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26:24 | want to point out the names are tell you what they do or what |
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26:26 | look like. And if you don't it just kind of look it up |
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26:28 | oh yeah. All right. So false Cerebri, you can see it |
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26:32 | here. It's a big structure. , it goes right down the central |
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26:36 | . And what you're doing is you're creating the division between the left and |
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26:39 | right hemisphere, right. So your and right hemisphere are defined by that |
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26:45 | cerebri. All right. Now, the false rumor, we have two |
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26:53 | that are important. All right, have the inferior and we have the |
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26:58 | sagittal sinus. Now sale should make because we've learned the term stale. |
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27:04 | so here we go, we got up here and one down there. |
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27:10 | are your two sinuses. Which one you think is superior? The one |
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27:15 | top, right? Because superior means . No, that means above. |
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27:21 | right. So we have the we have the inferior saul. And |
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27:27 | are the structure that are gonna ultimately blood away from the brain and join |
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27:31 | before they leave the tentorium. Cerebelli can see here, right? So |
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27:39 | , you can see right there. your cerebellum that right there is a |
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27:45 | cerebellum. All right. So notice it's doing. It's separating the cerebrum |
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27:50 | the cerebellum. All right, that's structure. Now, within the |
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27:56 | you can see here that we have transverse sign. So it's very easy |
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28:00 | . You can see right in there will be the. So what we're |
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28:06 | is we're bringing the Satur sinuses together a transverse sinus and they're gonna join |
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28:12 | and allow blood to escape together. we have the Falk cere belly right |
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28:21 | . They're showing you and, and can imagine it comes down to that |
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28:26 | , that'd be the air. And lastly is the diaphragm celli, which |
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28:32 | not an easy thing to see right here. See that big giant |
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28:40 | All right. That, sorry, should be there. That right there |
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28:45 | where the uh pituitary gland sits down that bone. Um I'm just gonna |
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28:51 | it right in there. Now, gonna come back to it later. |
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28:53 | is one of the most important glands your body and it sits about this |
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28:56 | . All right. Literally, it's little itsy bitsy tiny thing. It |
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28:59 | like a little tiny upside down button . All right. And you'll learn |
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29:03 | this a little bit later because it pumps out every single solitary important hormone |
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29:08 | your body. That's where it's located it actually hangs down and goes through |
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29:15 | diaphragm cell. Now, last thing have sinus, you can see it |
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29:21 | be, it would be coming down direction. You can see that in |
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29:28 | fall. So, structurally what we here is we've got four different dia |
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29:33 | not diaphragms, four different membranes that up the brain. All right, |
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29:39 | have a couple of sinuses that we to know and it shows how blood |
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29:43 | leaving out through the brain. Questions this so far. Do you think |
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29:50 | could draw these? You think you identify him? Hm. Yeah. |
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30:03 | . So during development development and this not so important in terms of you |
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30:11 | to know the development. But during , uh the brain actually forms as |
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30:16 | tube. All right, you create is called the neural tube and then |
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30:19 | develops on creates all these very interesting and because it forms as a |
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30:24 | what that means it has a hollow . All right, this hollow center |
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30:30 | what ultimately becomes the central canal in spinal cord and what becomes the ventricles |
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30:35 | the brain. Now, the ventricles the brain, their job is to |
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30:41 | CS f cerebral spinal fluid. All . And so we have these ventricles |
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30:46 | you can see in our little cartoons , that's the kind of thing that |
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30:49 | like these horns, it's centrally And within these structures, we have |
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30:54 | special glial cell called the cell. dial cell is what is responsible for |
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31:02 | the cerebral spinal fluid. All So they're closely associated with the uh |
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31:06 | the blood. Uh they, these , they take material of water and |
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31:11 | materials from the blood and that's why need the cerebral spinal fluid and they |
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31:15 | it into the ventricles. Now, are four ventricles, the four ventricles |
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31:20 | interconnected because this is one long tube has been kind of malformed to create |
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31:25 | structures. All right. And so easy way to look at this is |
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31:28 | kind of walk through them from top bottom. So we have both a |
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31:33 | and a right lateral ventricle. So the first one. So it's a |
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31:37 | structure and you can see here kind what it looks like from the front |
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31:42 | . All right. But from the , you can see it these longer |
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31:46 | . All right. And then between , you can see how they connect |
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31:51 | there. All right, they're gonna down and they're going to form this |
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31:56 | here. That is the third So between the third ventricle and the |
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32:01 | ventricles is the interpret ventricular for that's the connection between them. All |
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32:07 | . So Framan means whole inter between . So in interventricular para down to |
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32:14 | third ventricle, the third ventricle right continues down to the fourth ventricle that |
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32:22 | down is called the cerebral aqueduct. right. So third ventricle communicates with |
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32:29 | fourth ventricle via the cerebral aqueduct. , the fourth ventricle lies here between |
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32:36 | brain and uh uh cerebellum and there's couple of holes from which cerebral spinal |
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32:43 | can leave and go into the subarachnoid . These holes are called aperture. |
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32:50 | we have lateral apertures, lateral apertures be on the lateral side. So |
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32:54 | one on the left and one on right. And then we have a |
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32:57 | aperture that's right there. And that fluid to escape behind or below uh |
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33:04 | cerebellum. And then that, that for the ventricle continues downward as the |
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33:11 | canal just keeps going down and down down until it reaches the bottom of |
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33:14 | spinal cord. And now you're opened into the sub space. So what |
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33:21 | have here is a structure in which spinal fluid is going to be |
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33:25 | It goes from lateral ventricles to the ventricle, third ventricle to the fourth |
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33:29 | , fourth ventricle down out and And so we're dealing with the |
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33:33 | out and around is the subarachnoid So this is kind of putting it |
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33:42 | . Well, it actually you can the, the um the ventricles here |
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33:47 | this right there, that would be third ventricle. This right here is |
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33:51 | portion of the lateral ventricle and there the fourth and what you're looking at |
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33:57 | is that uh view where you can the sub in space, it goes |
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34:06 | the way around and it covers and the entire brain, it covers and |
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34:11 | the entire spinal cord. And so cerebral spinal fluid is simply a clear |
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34:18 | fluid. That's uh you know, arises from the ependymal cells fluid that |
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34:26 | been taken from the blood cause other that are and has been reduced in |
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34:32 | ventricles and ultimately filling and circulating around that space. It's constantly being reduced |
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34:40 | it's constantly being surrounding the brain. it kind of serves as a |
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34:45 | And what we say is that there more fun that provides buoyancy to the |
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34:51 | . It provides protection and it provides in terms of the environment for the |
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34:58 | . So let's kind of expand on and see what what we move by |
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35:05 | . With regard to buoyancy, the has all these materials in it that |
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35:10 | it density. And in fact, density of this fluid is roughly the |
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35:15 | as the brain. So when you the brain and you put it, |
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35:20 | put it right now, obviously, is just going to be kind of |
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35:26 | all the way around the brain. if you were to take a jug |
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35:29 | spinal fluid, I guess a I don't know the container of cerebral |
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35:32 | fluid and you put the brain and you put it on top, the |
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35:34 | would sit on top. If you that brain and put it at the |
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35:37 | , it would just sit there. you took the brain and suck in |
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35:39 | middle, it would just sit there that very reason because it has the |
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35:44 | and just hold and maintains the position the brain. All right. |
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35:49 | this is advantageous because remember the brain mass to it. And so if |
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35:55 | take something and it has the same of voice, the same sort of |
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35:59 | removes the weight, right? And what you've done is you basically effectively |
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36:04 | the weight of the brain by Now, this is beneficial because if |
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36:10 | brain has mass, gravity acts on and what what happened is is because |
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36:14 | told you the nature of the what kind of tissue it look |
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36:17 | It's like warm butter, right? remember if you can think about the |
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36:23 | , we have a big giant frame magnet back here in the back. |
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36:26 | it had weight, what would gravity ? It pulled the brain down a |
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36:31 | , right? And so basically your would end up at the bottom of |
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36:33 | back and it just be would be . So this helps support the |
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36:38 | it keeps it in place and no has weight, it serves as a |
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36:51 | . This is terrible as you have um liquid inside their structures. |
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37:02 | so what happens are your shock absorbers have liquid inside them? And so |
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37:05 | happens is is when you have a that is mostly water, it's |
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37:10 | And so what happens is is that can absorb energy very, very |
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37:15 | And that's what the the sock So part of the reason you run |
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37:20 | on and stuff, stuff and not completely damaged because that water absorbs a |
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37:25 | of that energy and disperses it outward around, right, in terms of |
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37:32 | stability, this is a little bit complex. And so there is this |
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37:39 | relationship between the spinal fluid and the fluid surrounding the nervous tissue. And |
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37:46 | this means is is that uh as neurons and stuff produce waste, it |
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37:50 | quickly shuttle that waste into that extracellular . And then from the extracellular |
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37:57 | it can quickly move in the rib from the brain and you can move |
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38:04 | very, very quickly. And as can imagine, if you're trying to |
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38:08 | stability, you want to have things . And so by removing waste, |
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38:13 | maintaining that normal environment. So that's of what this allows you to move |
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38:22 | very quickly to and from the tissue , the mechanisms that is doing. |
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38:29 | um I don't want to get it's a little bit complex and uh |
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38:34 | , it's, it's like I it's, it's, it's interesting but |
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38:37 | , it's just complex. Um The thing I'd say is that in terms |
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38:42 | chemical fluc fluctuation. So for when your cells are very, very |
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38:47 | , they actually by a small And so what happens is is that |
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38:53 | has an effect on the surrounding Basically, it reduces the amount of |
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38:59 | that's available around the cells, which you effectively increase osmolarity, which can |
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39:04 | detrimental to how the cells function And the cerebral spinal fluid helps to adjust |
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39:09 | those chemical fluctuations. That would be example of that. But like I |
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39:14 | , it's a little complex now how go about making this stuff. All |
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39:20 | , you can see in our little up here, there we go right |
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39:24 | there. That is inside, this our third vegetable. There's our later |
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39:29 | , begin with a later vegetable and can see it there and damp. |
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39:32 | the fourth for this structure is called plexus coro plexus is uh a specialized |
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39:41 | of the P A matter where you the blood vessels penetrating very, very |
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39:47 | to the surface of the ventricle and the PM matter in these areas are |
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39:54 | whole structure. But it this is those caps are located. And so |
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39:59 | happening is is that you're bringing the right next to where it needs to |
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40:04 | . So these are ependymal cells that be a capillary, this would be |
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40:09 | inside of a ventricle. And so happening is these ependymal cells are pulling |
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40:15 | and other nutrients and other solute out the blood and moving it out into |
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40:20 | ventricle forming the cerebral spinal fluid, ? That's the structure. That's what |
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40:28 | doing now, with regard to what woman loves response. It's very, |
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40:33 | similar to plasma. All right. it looks like the fluid that you |
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40:38 | in the blood. The difference is that we're being very, very selective |
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40:42 | terms of what we're pulling out. the ion concentrations are fluctuating. All |
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40:48 | . There's very few proteins just like expect but the ions and stuff, |
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40:51 | it doesn't look exactly like plasma. similar to plasma, but there are |
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40:56 | and stuff that have varying concentrations. right. So we're being made here |
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41:06 | the lads, we're being made here the third, in the third |
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41:10 | We're being made here in the fourth . So the flow of cerebral spinal |
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41:14 | would be from here, the lateral the interventricular down to the third ventricle |
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41:20 | through this uh uh cerebral AUC down the fourth ventricle, put it out |
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41:25 | the median or the lateral apertures and down through the central canal. And |
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41:31 | we're out of, of those either through the apertures or out, |
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41:35 | , that's the sub on space and are flowing away from the central area |
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41:42 | the dual sinuses. And you can there's a dual sinus and what we |
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41:47 | with those neural sinuses are those aid . So we're constantly producing the cerebral |
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41:53 | fluid. It's constantly being pushed away its uh side of of of production |
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41:59 | it's being pushed to where it can once again and join back to the |
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42:05 | . So the Arachnoid vili serve kind the exit point if the, if |
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42:09 | choroid plexus is the entry point to the uh cerebral spinal fluid the Arachnoid |
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42:15 | serve as the exit point for where cerebral spinal fluid goes back to the |
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42:22 | . Does that make sense? You're at me like no, well, |
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42:29 | kind of look through it again. , let's see. No, |
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42:35 | no, no. You make about and 20 or the total volume of |
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42:40 | 100 and 25 to 100 and 50 . Uh Anyone here have a |
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42:44 | a water bottle. You know, know my, well, my laser |
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42:53 | sucks. I can barely see it . Um We actually we here, |
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42:59 | , microphone. Yeah. How far did it die? Oh, just |
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43:12 | I just, when I talk. , great. All right. So |
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43:15 | up your bottle real quick. All . How much is this bottle? |
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43:21 | . That's, that's a good American . What's a good scientific answer? |
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43:27 | a liter, which is milk. body produces that much on a daily |
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43:34 | . How much do you have with to the things up there on the |
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43:39 | ? 125 to 100 and 50 mils . So at any given time is |
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43:44 | around that is one quarter of that that trip to you have, you |
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43:50 | literally replacing your triple. So on daily basis for time, right? |
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43:57 | that make sense? Good? So you're constantly producing the cerebral spinal |
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44:08 | , you're constantly making it as it from the lateral ventricle, from the |
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44:14 | ventricles into the third ventricle, it's made in the third ventricle along with |
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44:18 | ventricle, it's moving from the third down to the fourth ventricle from the |
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44:22 | ventricle to also being made. And it's going out through those apertures, |
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44:27 | into the subarachnoid space, down through central canal and out into the subarachnoid |
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44:32 | and it's exiting because if I'm constantly it, that means it's going to |
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44:36 | making more and more and more it's to be expanding outward, right? |
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44:39 | so I've got to get rid of because especially if I'm making enough to |
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44:43 | the amount of cerebral spinal fluid, have four times over on a daily |
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44:48 | . And so that's what the erect vili serve as it's the place where |
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44:51 | cerebral spinal fluid returns back to the . Now, how do we get |
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44:58 | go wherever? Well, pretty the ependymal cells they have silly on |
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45:04 | surface and because you have SIA, sit there and they eat it. |
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45:09 | they're pushing SPS in a particular Secondly, because you set up |
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45:17 | sit up straight, basically your posture in a particular direction. So postural |
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45:28 | play a role. The third thing plays a role we put, we're |
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45:33 | pressure. And so there's roughly a millimeters of mercury pressure gradient that drives |
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45:39 | from where it's being made to where exiting. It's not a lot of |
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45:43 | , but it's just enough. So why it's going in that particular |
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45:55 | Now, the blood rain here it the last level of protection. All |
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46:06 | . And the purpose of the blood barrier, as I mentioned, it's |
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46:09 | physical barrier, but it's also a barrier. And its purpose is to |
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46:16 | that material can cause damage to the . The nervous system in the nervous |
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46:21 | are not going to be allowed anywhere those cells. All right. |
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46:28 | what it does is that we're gonna um we're going to allow for this |
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46:32 | exchange of materials through these cells so we can selectively say this is something |
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46:37 | we need or this is something that don't want at all. So we're |
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46:40 | selective as to what's going to pass that barrier. And you can see |
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46:44 | the reason for this in the brain fluid is gonna be have effects. |
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46:51 | is where I that will make you nervous. OK. You guys remember |
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46:57 | the week came out, I I told you this story. No. |
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47:01 | . So the we came out what 2008, 2006, 2006 and it |
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47:07 | a sensation. No one expected how we would sell. I mean, |
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47:12 | I mean, you had P S SPS two was out at the same |
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47:15 | and, and everyone thought P S was going to be the dominant the |
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47:18 | xbox, whichever version at the Where they're fighting each other and the |
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47:22 | got released and no one expected how the wii was gonna be. You |
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47:27 | not find a wii in the country save your life unless you're sitting |
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47:31 | I could care less about video games whatnot. But it's important to the |
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|
47:36 | because, because of the popular of wii, there were contests and there |
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47:41 | giveaways and all sorts of things going And there was this particular contest in |
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47:46 | California that was taking place and it called the, I don't know what |
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47:50 | was called, but I always think as the Peaceful We Contest. Don't |
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47:55 | my story. Ok. See, already know this story. All |
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48:02 | but the rest of them don't. the purpose of this contest was drink |
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48:07 | bunch of water, hold your urine long as you can and the person |
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48:11 | holds it the longest gets to win weed. You've heard of these types |
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48:17 | contests, right? I mean, kind of like the big pickup |
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48:19 | everyone has to touch the truck, person touching the truck wins. And |
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48:23 | mean, these things can go on hours, you know, and part |
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48:26 | the strategy is figuring out ways to the person to, you know, |
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48:30 | up. So you're like sitting next the person and drink a bunch of |
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48:32 | . Think the waterfalls, think of water, showers, tinkle, |
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48:39 | tinkle, tinkle, tinkle, tinkle , you know, whatever it |
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48:41 | Right. And so what happened is , people have to go to the |
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48:45 | are gonna run. They don't get win the week. Well, in |
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48:48 | particular case, they had this small woman who was trying to get the |
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48:52 | and I don't know what the fluid they had to drink, but she |
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48:55 | all this water very, very quickly with everybody else, you know, |
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48:59 | for the contest. And of when you drink water, your body |
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49:03 | trying to find places to put All right. So it's going to |
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49:06 | throughout the entire body. All So remember when you drink it goes |
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49:10 | the digestive system from the digestive it goes to the cardiovascular, from |
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49:13 | cardiovascular. It gets distributed among all tissues. Well, the blood brain |
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49:19 | is not particularly effective against water because goes wherever there is a higher concentration |
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49:26 | solute, right? That's just typical . And one of the places it |
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49:30 | was to the brain and because it to the brain, it diluted out |
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49:35 | solute she needed in order to get heart to be properly, in order |
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49:38 | her to breathe properly. In what happened was she had heart |
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49:43 | congestive heart failure and she had respiratory because she drowned in the water in |
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49:48 | own body. The blood brain barrier to prevent things like that from |
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49:54 | But obviously, water is not one the things that it can stop the |
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49:59 | main barrier serves to protect you from that can cause you harm, could |
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50:06 | walk. So very, very very important structure. So we say |
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50:14 | it's an anatomical barrier that would be physical barrier. And we say it's |
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50:19 | physiological barrier. Now, you're all about the people of the contest and |
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50:24 | , oh, I better watch how drink my water. So what do |
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50:27 | mean that it's anatomical? Well, talking at a very small level. |
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50:31 | we're talking at the cellular level here that as the capillary, this is |
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50:36 | early on the development as caps run , what happens is astrocytes come along |
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50:41 | they connect with and attach to the surface of the capillaries. And what |
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50:47 | do is they communicate with each other astrocytes tell the capillaries. Hey, |
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50:52 | need you to tight tight junctions. so the capillaries do now throughout your |
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50:59 | body capillaries have junctions between the cells the epithelium, what we call endothelium |
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51:06 | the capillaries, but the tight junctions your body are fairly loose. |
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51:13 | In other words, they're leaky type , which is kind of an |
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51:18 | but that's just what we refer to as. All right. And so |
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51:21 | we say that they're leaky, that you allow materials to pass in between |
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51:25 | particular type junctions. You can think it like this if you were to |
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51:28 | water and put it in your hands put your fingers like so would water |
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51:32 | out? Yeah, because you don't tight points between all your fingers. |
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51:39 | , there are some places where water leak through. All right. So |
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51:43 | would be an example of what's going throughout the body in terms of |
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51:47 | But in the brain, what happens these astrocytes tell the capillaries, these |
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51:52 | cells make these junctions tight, so can leak through. And by doing |
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51:57 | now what you've done is you force that wants to pass in through, |
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52:02 | the, into the or leave the , it has to pass through the |
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52:07 | , the endothelium of the capillaries. other words, you have to go |
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52:12 | the cell, you can't go between cells. And the only way that's |
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52:15 | happen is if you have the right and the right uh carriers to move |
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52:20 | across the cell. Now, on of that, you have a very |
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52:25 | basement membrane, right? Remember basement is simply the glyco proteins that are |
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52:32 | by the cells, the epithelium and connective tissue behind them. And that's |
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52:37 | they connect to each other. So you have now is you don't have |
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52:40 | little tiny thin basement membrane, you a thick basement membrane, which means |
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52:45 | you pass through the cell, now have to wind your way through all |
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52:50 | material. And if you're too big going to get stuck and then you're |
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52:52 | going to get through. So it what actually can pass through. And |
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52:57 | on the other side of that basement is, are the astrocytes, which |
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53:01 | also close associated with what you see these pictures. And so you can |
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53:05 | of see here what you have to through. If you are a molecule |
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53:10 | the blood trying to get into the , you have to pass through the |
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53:13 | of capillary, you have to pass the base membrane, then you have |
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53:16 | pass through the astrocyte. And in for that to happen, you have |
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53:19 | have to have the right carrier, right molecule to grab you, move |
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53:23 | across each of those cells and eventually you to pass into the nervous |
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53:30 | So it's an anatomical barrier. It is a gauntlet of cell to cell |
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53:35 | cell in order to pass through. if there's nothing to allow you to |
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53:41 | , you're not getting in. the reason water can pass through is |
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53:46 | water can pass between cells and through without a carrier. And that's why |
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53:52 | , I like using the weak All right. How many of you |
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53:55 | are planning on pharmacology? In other , you're planning pharmacy school one, |
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54:00 | all liars. I know there's more one person in here planning on |
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54:04 | All right. So here's the question you're brave enough to raise your |
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54:08 | All right, if you're prescribing a not prescribing, but if you have |
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54:14 | drug that is gonna work on the , what type of drug do you |
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54:19 | it's gonna be? Do you think gonna be water soluble or lipid |
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54:25 | Lipid, soluble? Why if it's sub, is it ever going to |
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54:30 | through the, uh, the cell ? No, but if it's lipid |
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54:35 | , what's it gonna do? La , la la la, I can |
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54:38 | wherever I want. Yeah. So anything that's acting on the brain is |
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54:43 | look. So that's the anatomical And you can see the answer is |
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54:49 | there too. OK. Answers are on the board. All right, |
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54:56 | regard to physiological restriction. Now basically are you water soluble? Are you |
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55:01 | soluble? If you're water soluble, have to be transported, you have |
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55:05 | be carried from one cell of the and you have to be moved across |
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55:09 | barrier. All right, each lid each side of the plasma membrane, |
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55:14 | know. So asking for the you have to pass the plasma membrane |
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55:17 | go inside the cell and you have pass the plasma membrane to go to |
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55:21 | basement membrane, pass through the basement , you have to pass through a |
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55:33 | . So every time you pass one those, you need to have something |
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55:36 | transport you across. If your water soluble, if you're a little bit |
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55:42 | , you you can do that That's not a problem. But of |
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55:45 | , you have to survive the view . So the blood brain barrier serves |
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55:55 | this protective layer to ensure that the nutrients that you want or need can |
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56:01 | through and the stuff that you don't can't. Now, the way this |
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56:08 | , as I said, they are ones who do this work. They |
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56:11 | the ones talking to the, if weren't for the astrocytes coming along and |
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56:15 | , all right, I need you create these tax, then you'd be |
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56:19 | to pass in between themselves. And also play a role because you have |
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56:24 | actually exercise nervous tissue as well. , you do not have blood brain |
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56:31 | throughout the entire brain. There are areas in the brain where there is |
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56:37 | blood brain barrier and this is to benefit. First off, the hypothalamus |
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56:43 | a regulator of many different systems in body. And it needs to |
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56:50 | for example, what it needs to . All right. In other |
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56:56 | if I don't know what's in the , how do I know how to |
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56:59 | the things that are going on in rest of the body? So it |
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57:01 | to be able to sample the And if you had a blood brain |
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57:08 | in those particular locations, it wouldn't able to do that. It's not |
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57:11 | entire hypothalamus, there's just particular the penny on gland also puts hormone |
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57:18 | into the blood. So it has have an opportunity to do. |
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57:20 | So you're not gonna have a blood barrier there. The most likely way |
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57:25 | poison your body is basically putting something your digestive tract. Would you all |
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57:34 | with me on that? Did you put the in your mother person? |
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57:41 | , I, are you sure, you ever step and paid for |
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57:49 | You know? Have you ever played five second rule? It's ok. |
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57:58 | . Right. Ever just tried you know? Well, I'll give |
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58:04 | a whi right. Most common way get something bad in your body is |
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58:11 | consuming it. All right. That's most likely way that you're gonna get |
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58:15 | invasion. All right. And so your body starts detecting toxins in the |
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58:22 | , because the way that you're going detect them, they'll be circulating in |
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58:25 | blood is the body. The first it's gonna say is a, I |
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58:28 | where this came from. You consume you shouldn't have. And so what |
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58:33 | gonna do is I'm gonna just throw whatever's in the stomach and that will |
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58:37 | me get rid of whatever the toxin . So, the vomiting centers of |
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58:40 | brain are constantly monitoring the blood to sure you don't have horrible nasty toxins |
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58:47 | through. And then the choroid Also, here we have those ependymal |
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58:57 | , they're not the blood brain but what they're doing is they're acting |
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59:01 | the mediators as to what can come or be allowed in? Are there |
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59:11 | questions so far? Is this How do you protect the, what |
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59:19 | the four ways to protect? And then the memory. So and |
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59:29 | the it's very, pretty easy. all you gotta do is is when |
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59:38 | come back, that's when I get applause. Thanks will do that. |
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59:50 | at the when the work next. |
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