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02:02 | there. That's probably little more isn't it? Okay, Now, |
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02:05 | you hear me? So I guess can't use all my jokes, but |
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02:09 | the gist of it. You have test on November 3rd. You need |
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02:12 | get your peer reviews done. last day to drop the class is |
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02:16 | 3rd. If you're thinking about talk to me. That summarize it |
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02:20 | . Does that everything I just said a nutshell. Great. Okay, |
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02:25 | with that being said, um, sorry I didn't record. That's That's |
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02:30 | 2.5 minutes of silence before we get here on Tuesday. I don't think |
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02:35 | mentioned anything about anemia. Do you know what anemia is? Have |
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02:39 | I mean, I think you read it in the textbook. Do you |
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02:41 | what anemia is? Alright. Anemia definition, in very simple terms. |
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02:47 | right is a drop in the red cell count. In other words, |
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02:54 | hematocrit is lower than normal. So was the hematocrit supposed to be? |
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02:58 | you remember you want Remember those man, It is hard. It's |
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03:06 | 45%. So if you're dramatic drops the normal range. You are said |
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03:11 | be anemic and really, what anemia is the, uh in or a |
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03:19 | in the oxygen carrying capacity of the ? All right. And there's lots |
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03:23 | different ways to get anemia. You one you're most familiar with, the |
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03:27 | cell, which is a disease of red blood cell, which we're not |
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03:31 | go into. I don't ask any , but I was working on your |
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03:35 | , getting it already and stuff, I think there was an anemia |
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03:38 | I don't know if it asked if question was anemia, but I saw |
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03:41 | anemia was in there. I saw word anemia. I'm like, |
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03:44 | maybe, just maybe they should probably what that ISS so anemia is a |
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03:51 | in the auction carrying capacity of the . Another word you may see. |
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03:55 | I don't know if this is on test. All this what I teach |
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03:57 | MP students so likely is that you're gonna see it. But the other |
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04:01 | , this policy theme. Mia, used it in class on Tuesday, |
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04:06 | I didn't talk about it. policies, theme. Mia is an |
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04:12 | in the auction carrying capacity of the . So we described, for |
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04:16 | when, uh, the Olympic athletes to Colorado, right? And they |
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04:20 | through a process of natural blood It's basically increasing number of red blood |
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04:25 | so that they can carry more oxygen volume of blood. All right, |
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04:30 | would be Polly Sistine Mia. It's increase in red blood cell count, |
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04:34 | I don't know if that's gonna be the test, but just in case |
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04:36 | two words come up and you're I don't know what these are now |
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04:39 | know what they are and what that's do that allows us to kind of |
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04:43 | away from blood and enter into our talk about the cardiovascular system. Aren't |
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04:49 | guys getting tired of the part and blood and all that, or is |
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04:53 | cool? I got one shrug. shrug is not encouraged. All |
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05:00 | What we're gonna talk about today is gonna talk about the vascular tree. |
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05:05 | right? We've got a question, course. Yes. Places, |
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05:11 | it can. So there is what would call natural or normal policy. |
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05:17 | A. So, for example, you went from Houston, Colorado spent |
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05:20 | weeks there. You would have policy as a result of the lower oxygen |
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05:26 | that higher altitude. Alright. But your body is over, producing policies |
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05:31 | over. Producing red blood cells secondary some other condition. So, for |
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05:36 | , if you have a tumor that's you to make Maurin red blood |
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05:40 | that is a bad thing. It's overwork your heart, because now what's |
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05:44 | to the viscosity of the blood? is something we did learn what happened |
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05:46 | the viscosity of blood. If I increases and if so, my viscosity |
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05:51 | . Is my heart going toe work to push that thicker blood? |
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05:56 | All right. So it can can those issues. Yes, All |
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06:04 | Vascular tree. Today, what we're do is we're gonna just kind of |
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06:08 | through the vast country. And then gonna look at how is material moved |
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06:13 | the capital Aries? Because remember the areas or the Onley vessel of exchange |
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06:18 | the interstitial fluid and back again. right, we're gonna basically be covering |
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06:23 | just dynamics of how the vasculature All right? And so this is |
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06:27 | big picture of the vascular tree that looking at up here. We've mentioned |
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06:30 | already. Arteries carry blood away from heart veins carrying blood towards the heart |
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06:35 | . Areas of the vessels exchange. very, very small. But there's |
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06:38 | little bit of detail in there. you can see what this little cartoon |
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06:41 | there's different levels of arteries and there's levels of veins and capillaries. We're |
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06:46 | to see there's different types of Aries. Alright, But really, |
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06:51 | ? I want to understand those first major, um, ideas. All |
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06:56 | , so when we're looking at an were always carrying blood away from the |
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07:00 | . Now there are three levels of . We're gonna go through it. |
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07:04 | have the elastic arteries. These are ones that have a lot of elastic |
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07:08 | in them. They're the ones nearest heart, all right. And so |
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07:11 | happens is when blood push is pushed the heart into the elastic arteries like |
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07:15 | aorta, the elastic artery expands. so what we've done now is we've |
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07:21 | the energy of the heart to cause artery to expand. And now that |
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07:26 | is stored in the walls of that . And so the while the heart |
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07:30 | at rest, going through diastolic, elastic of that artery is now using |
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07:37 | is now pushing the blood forward through rest of the body. Right? |
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07:41 | , in essence, what we're doing we're transferring energy from the organ that |
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07:46 | the pumping to another structure. That's like a rubber band, right? |
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07:51 | in essence, what the elastic arteries . Muscular arteries on the other hand |
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07:56 | the distributing arteries use the ones when think of an artery, like if |
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07:59 | going Oh, the renal artery or hepatic artery. You know, the |
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08:03 | arteries of the bodies typically are the arteries. All right, they're distributing |
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08:08 | or distributing blood to those specific organs to those specific places. All |
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08:14 | when we think of as a constriction Oh, dilation. This is the |
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08:19 | place where this is taking place. right, So the elastic arteries stretching |
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08:24 | and, uh, getting smaller in to the amount of pressure to the |
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08:28 | was reservoir. The muscular arteries were are gonna be under control of the |
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08:34 | system to go through visa constriction Oh, dilation. And this is |
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08:39 | true for the arteries are Excuse The arterials, which is the lowest |
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08:43 | three arterials are really small. but they regulate blood flow into the |
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08:50 | Aries. Alright, so they're also be under control. The sympathetic nervous |
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08:54 | in terms of whether or not they constricted vezo dilated. But what they're |
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08:58 | is they're deciding where the blood is going. Whereas the muscular arteries are |
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09:04 | creating resistance or losing resistance in response sympathetic activity. Cap Hillary's vessels of |
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09:13 | . When we're talking about vessels of , we're talking between the blood in |
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09:17 | air and blood in the cells. , if you did your biology |
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09:21 | you learned very early on about simple like sponges, right? And |
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09:28 | uh, I'm not gonna remember all names, but basically those very, |
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09:32 | simple organelles or organisms that don't have really complex, um, organ |
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09:39 | right? And so what they're doing they're exchanging, for example, directly |
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09:44 | their environment because they don't have a system. They don't have a digestive |
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09:49 | , right? They may be multi in nature like hydro's. Remember learning |
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09:53 | Hydra s right there, multicellular. they don't have an organ system. |
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09:58 | so what they do is they directly with their environment. All right, |
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10:02 | we're really, really complex organisms, ? We've been going through these systems |
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10:06 | by one, and one of the that we need to remember is that |
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10:10 | of the individual cells that we have our bodies need oxygen and they need |
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10:14 | and they produce waste. The difference , is we've organized our bodies, |
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10:19 | individually, but over millions and millions years of evolution. We become the |
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10:25 | of creatures we are. And still simple cells have to do those simple |
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10:30 | . But it does so through these systems. So when you're thinking |
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10:34 | how does my big toe the cells my big toe get oxygen? |
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10:38 | there's a middleman, right? Auction into my lungs, right. And |
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10:45 | that air is passed into the blood then transferred down to the cells. |
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10:51 | the only way that can happen is you have a passage to do |
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10:54 | And that's where the capital Aries come . So they serve as that exchange |
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10:59 | arteries do not do any sort of or a fuel exchange or waste exchange |
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11:05 | do not those air larger conduits. whenever you think of exchange, it's |
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11:09 | at the level of the capital, itsy bitsy, teeny, tiny |
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11:13 | We're gonna get into more detail. , last one of the veins. |
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11:17 | we're doing is the blood that has through the categories are now going to |
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11:21 | , capitalize. They're converging and they small veins and they become larger |
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11:25 | So we really don't have any sort distinctions between the different sizes of |
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11:31 | Now, granted, we call the nearest the capital. His venue |
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11:35 | They're kind of the counterpart of the , but then after that you have |
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11:39 | . You have veins, and they're small veins versus large veins. All |
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11:43 | , now what? I wanna point with the vein. So we talk |
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11:47 | there about the elastic artery being the reservoir. The veins are blood |
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11:54 | Alright. So instead of when when blood enters into that elastic artery, |
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12:01 | stretches and then that elasticity or that inside that artery wall basically causes the |
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12:08 | to be pushed out because it wants get back to its original shape in |
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12:12 | vain. When blood injures into the wall of the vein relaxes. |
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12:19 | kind of like bad pantyhose or bad with guys who wear socks, not |
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12:25 | , right. They just stretch and stay stretched out. They always just |
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12:28 | of relax. And so, in , most of your blood in your |
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12:32 | . How much blood do we have our body? You have five |
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12:36 | right? About 60% of your blood found on the Venus side of the |
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12:42 | system. And what that means is holding it in reserve because right now |
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12:46 | guys doing anything active right now. than thinking now, many of you |
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12:50 | barely holding your eyes open, And so what's happening is your body |
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12:55 | saying, You know, I don't my blood racing through my body. |
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13:00 | need to just kind of set it . It's always in motion, but |
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13:04 | moving slowly. I'm providing all the I need, all the oxygen I |
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13:09 | . I'm moving all the waste I to do for the time being. |
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13:14 | when emergency or excitation or something else , I have a reserve of blood |
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13:21 | I could start circulating faster to get those systems that need the more oxygen |
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13:26 | the more nutrients that kind of makes , right? In other words, |
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13:31 | now you have in your wallets right? That's reserve, right, |
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13:37 | you're not spending second. That's kind that's the idea is you know, |
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13:42 | have it here just in case something . Maybe it's the emergency credit card |
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13:46 | you have in your wallet that you in every case instead of just |
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13:50 | I'm just kidding. All right, those that's kind of where we're going |
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13:56 | . Eso, uh, in terms things that you should know about the |
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13:59 | vessels. All right there. When talk about the blood vessels, the |
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14:03 | cells that line the inside of the vessels called Indo feel Liam. All |
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14:08 | vessels have a certain degree of smooth , right? And what this is |
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14:14 | trying to show you is the relative of the smooth muscle, um, |
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14:19 | each other. So you can see . So where the white is, |
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14:22 | trying to show you the relative amount smooth muscles. So obviously those vessels |
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14:26 | the same size you can see up . There's the internal radius of the |
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14:30 | . Is 12 millimeters versus the internal of the pre capitalist sphincter over there |
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14:35 | the right. That's 15 microns. obviously these air not to scale, |
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14:40 | they're trying to show you if they the same size. Look how thick |
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14:43 | muscle is. Right now we see . Alright. This allows the vessel |
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14:49 | stretch. But what's interesting is we have on the outside we have a |
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14:55 | layer to prevent overstretching. All And the relative concentrations of each of |
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15:00 | different things is gonna be different for each different types of vessels we just |
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15:04 | . So you can see right here the middle. Look a cap, |
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15:07 | . Right? What is the capital have? The only thing you can |
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15:10 | there is it has enough helium. doesn't have smooth muscle. So is |
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15:14 | cap Ilary regulated to Veysel constrictor. dilate muscle being the thing that causes |
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15:20 | to constrict into and to dilate. cap players do that? If all |
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15:25 | has in a helium? No. it's solely a vessel of exchange. |
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15:30 | look at everything else. Does everything have smooth muscle? You can see |
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15:35 | . Smooth muscles, smooth muscles Muscle up. Well, the manuals |
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15:37 | , but that's okay. Smooth smooth muscle. All right. Do |
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15:42 | all have fibers? Connective tissue, the most part, except for the |
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15:45 | in the capital areas. Do they have elastic fibers? Yes. Where |
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15:49 | you see the most elastic fibers, ? On the order right, which |
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15:55 | an elastic artery. So this is artery that plays the biggest role in |
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16:00 | . And then you see here, terms of relative side, look at |
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16:03 | smooth muscle is highest right over here the arterials in the pre capitalist |
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16:08 | And they're talking about the arteries, muscular arteries themselves. It's just showing |
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16:13 | , you know, there's they're stronger relative for the relative size. |
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16:21 | as I mentioned, this is just be kind of be a repeat. |
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16:24 | arteries serve as a transit between the and the tissues. Alright, it's |
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16:30 | pressure reservoir when we're talking about the arteries and then it becomes a resistance |
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16:36 | . When you're talking about, the the muscular arteries is ultimately when |
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16:42 | get down to the arterials. All , so this is where the level |
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16:46 | as a construction vaso dilation is gonna taking place. Now, we're looking |
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16:52 | the arterials here as the major resistance . All right, so if you |
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16:56 | back and look at those graphs that you pressure, right, we remember |
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17:00 | lectures ago we had pressure. And in the aorta, the pressure was |
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17:04 | , really high. And then down the Vienna Kaveh, the pressure was |
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17:07 | low. And it had this kind slope that went with it like |
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17:10 | When you see that slope go you're looking at the muscular arteries and |
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17:15 | arterials. In other words, what basically doing is saying here I've got |
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17:19 | big, giant conduit, this big vessel that then gets split up into |
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17:24 | vessels and those smaller vessels are basically I'm itsy bitsy, teeny tiny. |
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17:29 | hard to get through me, So creating resistance, which basically, |
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17:34 | uh, serves to drop the pressure these vessels. All right, so |
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17:43 | pressure drop gets rid of the A tile pressure, right? |
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17:48 | the heart was going up and up and down the order. What's |
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17:51 | and down? Up and down. a little bit smaller, right was |
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17:54 | . 22 80 versus 122 0. then as you go through them, |
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17:58 | don't get put post to tell Instead, Now you get smooth flow |
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18:03 | them. All right, so that get a space smooth flowing because you |
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18:08 | this massive drop. Remember, things from an area of high pressure to |
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18:12 | area of low pressure then that's gonna blood to move down stream. In |
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18:19 | , that pressure Grady int helps the move. The radius can change so |
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18:25 | can change the amount of pressure that producing that's going to depend upon the |
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18:29 | system. Um, and then the thing is, you can decide where |
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18:33 | want the blood to go, depending your needs, which we'll talk about |
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18:35 | little bit later. Meta arterials are little bit unique. They're part of |
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18:42 | cap Ilary bed. All right. not quite arteries. They're not quite |
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18:46 | is. They sit someplace in All right, so there's actually two |
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18:51 | to this vessel that you're looking So this right here represents the meta |
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18:57 | . This right here is referred to a thoroughfare channel. I'll never mention |
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19:00 | word again in the class. All , so we're focusing on this part |
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19:05 | there. The meta arterial. It's like an arty but not |
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19:09 | It has very little smooth muscle instead it has has pre capital Aries |
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19:16 | All right, so you can see in the little cartoon if you'll excuse |
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19:23 | , you see right there there's one there. There's one right there and |
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19:27 | essence, they're trying to show you right there. The artist did a |
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19:30 | poor job in this picture. What what you want to think of is |
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19:34 | the blood would travel through out into capital Aries. But that pre capitalist |
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19:40 | stirs as a regulator as to decide blood is gonna actually go. So |
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19:46 | it's sphincters, close blood can't travel this sphincter. So blood is just |
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19:50 | through the meta arterial down through the channel. But when the sphincters |
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19:55 | blood travels out from the metal arterial into the capillary bed. So the |
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20:00 | arterial serves as a regulator to to blood goes to where it's needed in |
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20:07 | to metabolic change. Okay, terms you views already. But just in |
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20:14 | you don't know vessel constriction simply means of the vessel vase. Odil dilation |
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20:20 | to enlargement of the vessel. All , so the dilation of that vessel |
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20:26 | . All right. Now, your , your veins, your arterials, |
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20:32 | capital areas they all have to them certain degree of vascular tone on what |
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20:38 | tone simply means is there's a certain of construction already. Your body already |
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20:43 | toned to it. All right, you exist and you move. All |
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20:48 | . Now, if you exercise a , do you have better tone or |
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20:51 | or less tone? Better tone, ? We're all attracted to people who |
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20:57 | , ah, high degree of muscular to them, whether they be male |
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21:00 | female. We look at the they're in good shape. That's tone |
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21:07 | . Your blood vessels have that They're already in a state of semi |
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21:13 | . And what this means then, that they're able to move to |
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21:16 | or contracted state or to a more state. If you're in a semi |
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21:21 | state. And that's what vessel constriction Asia dilation is basic constructionism or contracted |
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21:26 | . The smooth muscle contracts makes the smaller. So now you have less |
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21:32 | contractual through, and so you're creating resistance. Basil dilation, on the |
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21:37 | hand, means the vessels relaxed. created more space, more volume. |
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21:42 | blood has less resistance to travel through . All right, now, how |
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21:47 | happens is because of two different What we call Maya genic activity. |
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21:51 | I were to come up to you push on your shoulder, would you |
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21:54 | over? No. Why? You back into me, right? That's |
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22:00 | right. You push back in, not gonna let me push you |
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22:03 | are you? You better all nod head and say no. You have |
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22:08 | business pushing me around. I'm gonna back. I'm gonna lean in when |
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22:12 | push against me. That's what muscle . Alright. Smooth muscle does the |
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22:17 | thing. The vessel says this is degree of stretch I'm supposed tohave. |
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22:21 | mawr blood starts pushing through creating greater , it's gonna start stretching in the |
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22:27 | . Says no. That's not I'm going to resist against that. |
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22:32 | inherent biogenic activity that's going on or induced biogenic activity. It's responding to |
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22:38 | pressure in that vessel. It does need the, uh, nervous system |
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22:44 | tell it what to do, so natural. That's inherent in the in |
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22:48 | in the cells themselves. The second in response to the nervous system and |
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22:53 | through circulating hormones. What we just to as Nora Ephron reference to these |
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22:57 | adrenal hormones. All right, so you have a sympathetic response notice there's |
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23:04 | parasympathetic here. When there's a sympathetic that's going to increase the amount of |
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23:10 | , right, so sympathetic activity causes constriction. Loss of sympathetic activity causes |
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23:16 | dilation. All right, so those the two basic ways we can change |
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23:25 | shape of the vessel Now. I a question earlier today during office hours |
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23:31 | , Well, is there any parasympathetic ? The only thing theano sir, |
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23:35 | no, but in very specific which you don't need to worry |
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23:40 | all right, the parasympathetic system is for reproductive vascular congestion. That's a |
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23:51 | way for saying in male erection and arousal and erection. All right, |
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23:57 | that's really the only place where you're see parasympathetic, but outside of that |
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24:03 | out the wazoo. All right, just think, Sympathetic. Now we're |
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24:09 | come, and we're going to deal the question That's a little bit confusing |
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24:12 | it has to do with the amount Recep Tor which receptors are available. |
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24:16 | if I'm if I'm creating vezo congestion an artery, I'm increasing what |
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24:26 | So if I am exercising, why I want to increase resistance? |
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24:33 | What? That's right. That's actually good. The answer to that is |
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24:37 | want to increase the speed at which fluid flows through the body. And |
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24:42 | happens is because of the type of that are available in the tissue where |
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24:45 | blood needs to be. We have different type of receptor that causes Bezos |
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24:50 | . And so what happens is when blood races through your arteries to get |
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24:55 | the tissue. Then it's in the where there's visa dilation and then it |
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24:59 | down so that you could get the in the oxygen you need got a |
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25:04 | same hormone, different receptor. norepinephrine, both cases. We're gonna |
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25:12 | to that in just second now I mentioned this a little bit. Your |
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25:18 | is found in your, um, on the vascular side of the circulatory |
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25:25 | . Alright, What I tend to is I tend to point to |
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25:28 | this side of the Arctic artery This is the this is the Venus |
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25:31 | of your body. That's not the . Notice. I didn't say left |
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25:34 | right, because I don't want people hear that right. The truth |
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25:38 | is for every artery there's a the side by side. So it's |
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25:42 | trying to, you know, you of circulation as a circle. All |
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25:46 | , now, when you exercise, gonna happen is your heart starts beating |
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|
25:51 | and faster. We're all familiar with . Alright, Maybe not in the |
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|
25:55 | couple months. But, you generally speaking, we know that when |
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25:59 | exercise my heart work harder, And so what's gonna happen is is |
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26:04 | as your heart rate goes up, moving blood more quickly. And |
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26:08 | like I said, you have five of blood. If it's already going |
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26:13 | fast as they can and you now this increase in heart activity, then |
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26:19 | basically out of luck. There's nothing could do. So the body already |
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26:22 | that blood in reserve in the specifically on the Venus side, the |
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26:29 | place. The other thing that it is it moves the blood into what |
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26:33 | called recon or keeps blood in what called reconditioning organs. Simply put, |
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26:39 | organs are our organs that get more than they actually need during rest. |
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|
26:46 | right, so you have a lot blood going to your kidneys. A |
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26:49 | of blood going to your digestive Ah, lot of blood going through |
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26:53 | organs of your body because who right? It's just well, you |
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26:59 | , we'll just keep sending stuff You know, it's it's not a |
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27:02 | deal. You'll take out what you or you'll put back in what you |
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27:05 | , and that's that's fine. Then move the blood over to the vasculature |
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27:09 | the Venus side of the vasculature, it'll take its sweet time getting back |
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27:12 | the heart. Alright, it's still to the art, but it's just |
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27:16 | wandering right when you exercise. All a sudden Now your muscles are |
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27:22 | Wait, wait, wait. I a greater need than I used |
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27:26 | I need more blood because there's more , more glucose. I need it |
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27:29 | because the tigers chasing me, Or that cougar on the on the |
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27:34 | for that person in Utah, You think you think you that person |
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27:38 | needed that blood? Yeah, And if so, what happens is |
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27:43 | the brain says, All right, going to shunt, or I'm gonna |
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27:47 | sending all that excessive blood from the the reconditioning organs. I'm gonna send |
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27:52 | to where it needs to go. to the skeletal muscle, right? |
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27:57 | , and by the way, all blood that's sitting over there in the |
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28:00 | , What I'm gonna do is I'm Veysel constrict the veins. I'm gonna |
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28:03 | the veins and get them smaller. now what is blood do? It |
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28:07 | faster through the vein. It arrives the heart because of remember which |
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28:14 | Mm. Well, we're getting Do you remember what ISS Frank |
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28:21 | Do you remember Frank Starling? Two like the heart came up with the |
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28:26 | . What does the rule do? the heart pumps what it's given, |
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28:33 | ? And so now all that blood kind of hanging out in the |
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28:36 | The Venus side is now getting to heart. The heart beats harder, |
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28:40 | harder and gets that blood moving That's what this picture is trying to |
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|
28:44 | you up here in the top. showing you where the blood is kind |
|
|
28:46 | going when you're at rest. And what happens when you start moving right |
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|
28:51 | here is the stuff where you're Wow, I really need it. |
|
|
28:54 | at skeletal muscles. They went from mils per minute to almost 13,000 mils |
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29:00 | minute. Right. As you're muscles are burning through the fuel. |
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29:07 | my kidneys need a lot of blood ? Just keep sending an extra |
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29:11 | Wyatt rest. Oh, now we're . Okay, Now you'll get what |
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29:15 | actually need. We're just gonna take from you, All right? That's |
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29:20 | idea behind, uh, managing blood . And the reason this all works |
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|
29:26 | because of something that you've learned in to Now, how many of the |
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29:30 | people here? I took physics Great. You all know your |
|
|
29:36 | right in Syria's versus in parallel. ? All that stuff. You have |
|
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29:40 | learn that you have to do all horrible equations and do these circuits. |
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|
29:43 | you're like, Well, I don't why I have to learn this |
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29:45 | This is so stupid. You remember ? I know you were sitting there |
|
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29:49 | night before the exam going. This so stupid. Well, here's why |
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29:53 | had to learn it, right? is basically showing you how blood |
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29:58 | Like if four leaders go into a vessel in that blood vessel spits in |
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30:02 | four vessels, that flow has to equal to the flow into those four |
|
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30:08 | . Now, in this particular those four vessels are of equal |
|
|
30:11 | and they're equally because they're of equal . That means each one of them |
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|
30:15 | gonna carry a quarter of whatever the flow wasn't because this is a simple |
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30:19 | . Four leaders into four vessels as leader per mil per minute into the |
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|
30:23 | simple vessels. All right. very simple. Thes air vessels moving |
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30:29 | parallel. Right we went from It's serious, but it became four vessels |
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|
30:33 | parallel. Now, if one of vessels happens to constrict, right, |
|
|
30:40 | That's what you're seeing down here at E. Alright, It's constricted to |
|
|
30:45 | quarter basically a quarter of its It can now Onley carry a quarter |
|
|
30:50 | a leader per mil. You're still four liters of blood into those four |
|
|
30:56 | . That means the other three have take over. And that's what they |
|
|
31:01 | is they dilate and they take in greater amount. Or if they're incapable |
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|
31:05 | dilating than the blood moves faster through , right, so that we can |
|
|
31:11 | that flow remains constant. In other , your body is trying to do |
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|
31:16 | trying to maintain constant flow. All , Does this kind of make |
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|
31:25 | Yeah. Put another way. You're a lab with three of your best |
|
|
31:31 | . One of your lab mates gets . You still have to get the |
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|
31:34 | done. Are you guys gonna pick the mantle and work a little bit |
|
|
31:38 | while the other one gets better? , There. See? You already |
|
|
31:43 | how this works. I mean, like it, but that's in |
|
|
31:49 | what's going on? Correct. So blood vessels work. It can work |
|
|
31:55 | of each other to accomplish the broader of ensuring that flow remains constant. |
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|
32:03 | into the capital Aries, the most type of capital, is called a |
|
|
32:08 | capital ary. All right, these the pictures that you can see. |
|
|
32:12 | you look at this, you can there's an end of feeling and it's |
|
|
32:14 | of wrapped around by this layer of , uh, well, it's a |
|
|
32:21 | membrane is really what it is. here it is, right there. |
|
|
32:24 | a base membrane they cut away. can see if you look very closely |
|
|
32:27 | you hear your yourselves. There's one right there. I'm not sure where |
|
|
32:32 | ends. Can't see. Maybe it's there. I can't tell. |
|
|
32:38 | probably shouldn't have drawn over it. anyway, so what we have |
|
|
32:45 | What? This what we have here basically in death ilium with cells that |
|
|
32:52 | loosely connected to each other. They you ready for the biggest oxymoron |
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|
32:59 | Leaky tight junctions. Or that's an . Right? Tight junctions. You'd |
|
|
33:07 | to be tight. So let me you out here. Have you ever |
|
|
33:13 | to scoop up water with your Right? You pulled your hands |
|
|
33:16 | scoop up water. And even though can hold water, is it Is |
|
|
33:21 | leaky? Right? So basically, water can sneak between the little tiny |
|
|
33:26 | in your fingers. That's what we here. When we're talking about a |
|
|
33:30 | capital area, there's also you can here, some little tiny pores that |
|
|
33:34 | trying to demonstrate their not actual They're basically Calvi Oli. The cab |
|
|
33:38 | basically forms. Take something from the from the capital. Larry moves across |
|
|
33:44 | a process of trans psychosis and empties out on the other side, or |
|
|
33:47 | versa. Alright, most common type simple things to pass through. Bigger |
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|
33:56 | can pass in between the cells if if, depending on the size of |
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|
34:00 | of the of the substance. Small are really large. Things have to |
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|
34:05 | moved through via trans site ASUs, so you're regulating. And then, |
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|
34:09 | course, you have the basement membrane prevent even. I mean certain things |
|
|
34:13 | passing through the next type. It's little bit mawr. Permissible is the |
|
|
34:19 | rated here. Now it's called finished because it's more like Swiss Swiss |
|
|
34:25 | Or there's there's holes or pores that found in the surface of the |
|
|
34:29 | All right, so up there, can kind of see It's like, |
|
|
34:32 | , there's an opening. It's called finesse tra. Alright, so it's |
|
|
34:36 | saying, Look, I can pass directly through the sell through these |
|
|
34:41 | and there you can see they're just to show you kinda look like a |
|
|
34:44 | of freckles here. Still have a membrane. Typically, you're gonna find |
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|
34:49 | wherever you're gonna have lots of infiltration taking place. All right, |
|
|
34:54 | what you're doing is you're allowing mawr to move more easily, right? |
|
|
34:59 | continuous capital is most common. They're everywhere throughout the body, leaky tight |
|
|
35:04 | in the brain. We had continuous areas that were modified to be non |
|
|
35:11 | , right? We had that that blood brain barrier. Then we |
|
|
35:14 | the Sinus oId, and these are basically, uh their mess is really |
|
|
35:21 | they look like. They're very You can see there's no basement membrane |
|
|
35:24 | the cartoon. Uh, the gaps between or the leaky junctions. Leaky |
|
|
35:31 | junctions are even leakier. In other , you leave big, gaping holes |
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|
35:35 | places. For example, you can here, there's a big gaping |
|
|
35:39 | The finesse tra are not quite even . You might actually have an actual |
|
|
35:45 | in the cell. Big, giant . And so this allows things to |
|
|
35:49 | back and forth. Very easy even cells to escape back and |
|
|
35:54 | And you're gonna find these primarily in that do major filtering of the |
|
|
36:00 | So the liver and the spleen have in the spleen, for example. |
|
|
36:05 | you're doing is you're looking for large like pathogens or dead cells that you |
|
|
36:11 | then pick up and destroy. So what a sign you're. So it |
|
|
36:15 | . It's just just a even your type of capital area. So |
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|
36:21 | said capillaries are the major side of . Uh, they have very, |
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|
36:26 | short distances, and it allows, um, when I say short |
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|
36:31 | what I'm saying is allows material to from the capital very into the cell |
|
|
36:36 | of where they're located. In other , all you have is that in |
|
|
36:39 | feely, um, and so if can pass back and forth across that |
|
|
36:43 | feeling it's very quickly, it's very to move both nutrients and or waste |
|
|
36:49 | and forth across so very, very , walled, very narrow. We |
|
|
36:54 | about that. When we talk about red blood cells, they're they're small |
|
|
36:57 | that you really only allow red blood to kind of pass through. White |
|
|
37:01 | cells are a little bit smaller, they moved just fine. But basically |
|
|
37:05 | not big. They're just large I'm so glad I don't have the |
|
|
37:10 | to show you. A couple of ago, I took the family on |
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|
37:13 | trip out west to all of national when the kids were in fourth |
|
|
37:17 | because back then it was free for . If you have fourth graders, |
|
|
37:22 | we're just like we're gonna hit every national park from Colorado from New |
|
|
37:27 | Basically Thio Arizona and New Mexico, , Colorado, Utah. So we |
|
|
37:31 | to Mesa Verde. You guys don't severity is it's basically a bunch of |
|
|
37:37 | ruins, and so you get to up these cliff faces. You climb |
|
|
37:41 | these old rickety ladders, you go the ruins, you kind of see |
|
|
37:43 | is where they live and then you toe move through their their doorways |
|
|
37:49 | the Indians at the built These were very big people. They're only |
|
|
37:54 | you know, 5 ft tall And you had to get through these |
|
|
37:58 | once you got up there and you see my body, right? I |
|
|
38:03 | to crawl through that door. It it was I have a picture where |
|
|
38:08 | look like poo stuck in the hole Rabbit House. Alright, that wasn't |
|
|
38:13 | . I had toe drag myself through because that's how small it waas. |
|
|
38:18 | what a capital areas like you can through them, but you're gonna have |
|
|
38:21 | work. And that's basically they're built to allow red blood cells to just |
|
|
38:26 | their way through lots of branching. mentioned this or I have mentioned this |
|
|
38:31 | times. Your there's not a cell your body that's more than Mike runs |
|
|
38:35 | from a from a cap. All right, so the idea is |
|
|
38:38 | every cell is given the nutrients it . Now what happens is because of |
|
|
38:42 | branching. What you end up with this massive network of cap players in |
|
|
38:46 | body. All right? I don't know how many miles of blood vessels |
|
|
38:50 | have in your body. But as result of its basically primarily the result |
|
|
38:56 | all the capital Aries, it increases of the number it increases the surface |
|
|
39:03 | all right, And so by increasing surface area and increasing them or |
|
|
39:07 | what you do is you're also slowing the rate at which blood flows through |
|
|
39:12 | body. All right, so it's the flow rate in liters per |
|
|
39:15 | It's actually the spa. All so I want you to think about |
|
|
39:19 | right. We've all been in Houston it's rained right? You watch the |
|
|
39:24 | bios, the the water is going , very quickly, right? But |
|
|
39:29 | it hits those retaining, uh, , right at the you know, |
|
|
39:34 | places in the volume where it kind widens out. And what happens to |
|
|
39:38 | flow, the speed at which the is moving. It slows down, |
|
|
39:42 | ? It comes in fascinating. It down. Now it's the same volume |
|
|
39:50 | fluid that's moving, but because it a wider spans, it slows |
|
|
39:56 | and this allows for at least with to blood in the capital areas, |
|
|
40:00 | basically you're racing to get the blood the tissue. And when it arrives |
|
|
40:04 | the capital area, that's when it gonna slow down so that exchange can |
|
|
40:09 | place, and I'm gonna enter back the venue ALS. And then what |
|
|
40:12 | I doing? I'm speeding up back the heart. That's what these graphs |
|
|
40:16 | basically trying to show you. This this is showing you the cross |
|
|
40:21 | um, area of the blood Right. So you can think |
|
|
40:27 | I've got my aorta, right. order is about this big about the |
|
|
40:31 | of half dollar for the view who online. Think of a capital areas |
|
|
40:35 | bitsy, teeny tiny. But you thousands upon thousands of them. And |
|
|
40:38 | if you put all that area it would basically equal what your graph |
|
|
40:43 | showing you right there. And so is the speed here? You can |
|
|
40:47 | in the bottom graph. The speed fast. When you get into the |
|
|
40:50 | areas, it basically slows down to nothing. Allows exchange to take |
|
|
40:55 | get back into the venue. ALS goes right back up. Obviously, |
|
|
41:00 | is going through both systems that referring the systemic circulation and the pulmonary |
|
|
41:05 | So you can see fast, fast, slow, fast again, |
|
|
41:10 | p how I lost anybody so Are we all good? Yes, |
|
|
41:17 | following. That's one place where you're to see finished rations. But it's |
|
|
41:23 | necessarily the only place. So uh, finished rated capital areas have |
|
|
41:28 | specific areas where re absorption and filtration going to occur, So you might |
|
|
41:32 | see him in the digestive track. any place where you're gonna have to |
|
|
41:36 | a lot of things coming from the and going back into the blood. |
|
|
41:42 | right, we'll see this. We'll about not so much identifying where they |
|
|
41:49 | , but we'll see how in the where we see these ministrations and why |
|
|
41:52 | important won't talk about them in any place that I can think of off |
|
|
41:56 | top of my head. But I that's not the only place that they |
|
|
42:00 | . Okay, so I've already kind mentioned this in terms of blood flow |
|
|
42:07 | the Met arterial. You can see . There's the Met arterial in the |
|
|
42:10 | Channel. Oops. I said it . I told you I wasn't going |
|
|
42:12 | say the word again. Right? that there's that vessel that travels between |
|
|
42:16 | arterial in the venue. All that's that Meta art here on the |
|
|
42:19 | channel. That's the third time I it. I'm so sorry. And |
|
|
42:23 | you could see the capital area Blood flowed through. Capital is dependent |
|
|
42:27 | the needs of the tissue in that , Alright or needs of the cells |
|
|
42:32 | that tissue. So I want you picture my hand. Put your hand |
|
|
42:35 | front of you if you're online. right. And I want you to |
|
|
42:38 | of your fingers. Is being individual areas within a capital R E |
|
|
42:42 | Alright, what's gonna happen is is normal circumstances, like right now when |
|
|
42:46 | sitting there listening to me, blood flowing to just to one area within |
|
|
42:52 | cap Hillary bed. So let's use thumb, for example. So their |
|
|
42:56 | surrounding this thumb that this capital is , it's obviously going to go back |
|
|
43:00 | join up to a venue. But I'm doing is I'm sending blood specifically |
|
|
43:04 | the cells that that thumb is feeding and then once those cells were |
|
|
43:11 | In other words, they've gotten their nutrients. They basically say I'm good |
|
|
43:14 | that's gonna signal to the Capitol reef to basically close and allow other capital |
|
|
43:22 | say for my, uh, index to open up. So then the |
|
|
43:28 | goes up through the capital that's represented my index finger and feeds that group |
|
|
43:33 | cells around that, and then onto dirty bird finger onto the ring finger |
|
|
43:38 | then onto the pinky, and it kind of circulates basically between each of |
|
|
43:42 | different things. So, in what I'm doing is I'm regulating where |
|
|
43:46 | is flowing based upon metabolic need. my the cells around my thumb or |
|
|
43:50 | Wait, I'm starved of oxygen, gonna open up that pre capillary |
|
|
43:54 | right? And if you're at you close the other ones because they're |
|
|
43:57 | all getting what they need. That's this is kind of showing you just |
|
|
44:00 | basically saying, Look, I'm closing off because this the cells in this |
|
|
44:07 | right here got what they need, ? Oh, they're missing oxygen and |
|
|
44:14 | . Okay, well, let's go and and do it So we basically |
|
|
44:18 | between these two states. All At any given time on Lee, |
|
|
44:24 | 10% of your cap players air All right. Why? Well, |
|
|
44:30 | don't need them. You're sitting around nothing. Where's your blood? For |
|
|
44:34 | most part in the Venus side. , you start exercising. What's gonna |
|
|
44:40 | yourselves are gonna go increase your metabolic . So you're gonna start open up |
|
|
44:45 | . What is one of the characteristics you see in people who are exercising |
|
|
44:51 | , their muscles and criticized. But ? You know, you've been doing |
|
|
44:55 | Zumba. What do you look like the end of your Zuma exercises? |
|
|
45:01 | and sweaty. Those two. Those two good things, right? Your |
|
|
45:05 | , because you basically yourselves air burning fuel and you're producing tons and tons |
|
|
45:10 | heat. All right. As a of that metabolic activity, because you're |
|
|
45:15 | fuel and you're increasing the metabolic Your body is producing tons of |
|
|
45:19 | Well, the best way to get of heat is too take up, |
|
|
45:22 | the water to absorb the heat and moved to the surface. Right. |
|
|
45:28 | that heat is transferred. Sweat on surface of your skin, which is |
|
|
45:31 | dissipated out into the environment. So readiness is a function of capillaries dilating |
|
|
45:39 | allowing all the blood to move towards surface. It's not the only place |
|
|
45:44 | it's going, but it's showing you example of this. Is that as |
|
|
45:48 | result of this increase metabolic activity. opening up capital areas to ensure that |
|
|
45:53 | needs of the cells are being at right. So that's basically during the |
|
|
45:59 | . That sort of saying now, is local factors as well as sympathetic |
|
|
46:04 | . So local factors would be the talking to the capital areas and saying |
|
|
46:09 | is or really to the to the arterials in the pre capillary sphincters. |
|
|
46:12 | is what I need. I need to give me oxygen and nutrients or |
|
|
46:16 | gonna die. If you felt like at lunch, feed me now Chick |
|
|
46:22 | a. I'm gonna die. I you have Just think about Chick fil |
|
|
46:29 | right now. Your body is starting have a little shakes, aren't they |
|
|
46:36 | thing with sympathetic activity? Increase your rate increase your act sympathetic are a |
|
|
46:41 | result of exercise. What Not That's increase in sympathetic activity. Venus and |
|
|
46:48 | are very basic. Alright, They the blood to return back to the |
|
|
46:53 | . So once the heart, the travels through the capital Aries. The |
|
|
46:56 | are converging under the venue ALS, are basically the equivalent of the |
|
|
47:01 | And they're they're collecting the blood. right. Now the arterials, the |
|
|
47:07 | ALS are talking to each other. , you're connected by that vessel, |
|
|
47:10 | is the main arterial. Plus the thing. I'm not gonna say again |
|
|
47:12 | I don't want you know that Thoroughfare Channel, part time, |
|
|
47:17 | So if I'm dilating my arterial, means there's more blood troubling through the |
|
|
47:22 | arterial. So the venue all needs be dilated as well, so it |
|
|
47:26 | receive if I constrict the arterial. means left blood flowing through the metal |
|
|
47:31 | means the visual doesn't need to be , can return back to a more |
|
|
47:36 | state. All right, so that's or more of a constricted state. |
|
|
47:41 | basically it's not being stimulated to The venue is converge on veins and |
|
|
47:47 | keep getting bigger and bigger and bigger you move towards the heart and |
|
|
47:50 | as I said, this is your reservoir. Alright, there. Dispense |
|
|
47:55 | . In other words, they The more fluid you put into |
|
|
47:58 | the more they relaxed. Whereas with arteries arteries, they push into |
|
|
48:03 | They fight when the pressure gets Veins relax, all right. As |
|
|
48:13 | result of that, relax ation, never stopping blood flow. Blood flow |
|
|
48:17 | always the blood is always moving. just spending more time. They're moving |
|
|
48:22 | than it was previously. Now all have within them one way valves. |
|
|
48:28 | I mentioned this, uh, while when we mentioned valves there about 2 |
|
|
48:32 | 4 centimeters apart. And their purpose to counter act the effect of |
|
|
48:36 | In other words, as blood moves towards the heart, gravity is pulling |
|
|
48:41 | on it. So the best thing do is to break up that |
|
|
48:44 | because now what you're doing is that volume of blood has a mass to |
|
|
48:49 | , and the greater that column the more master you gotta move. |
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48:53 | if I break up that column, little tiny units, then all I've |
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48:56 | to do is move one unit up that unit is gonna cause the next |
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49:01 | to move up and so on and forth. And so it's in the |
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49:03 | way to, uh, ensure blood back towards the heart. The second |
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49:09 | is that it counters the backward All right, so once stuff moves |
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49:16 | , one step, it can't go because the valve is a one way |
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49:20 | . Online question. It's true. ? Yes. So? So The |
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49:29 | is, there's no Veysel construction or dilation of Very in? No, |
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49:36 | the house. Oh, that happens the veins. Eso The answer |
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49:41 | is there is the construction of a . Dilation is just not as |
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49:45 | um, the word I'm looking for as dramatic. In other words, |
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49:52 | an arterial or an artery. What doing is we already have high pressure |
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49:57 | is driving the blood flow forward. vessel constriction of visa dilation has a |
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50:03 | result on the speed of that. , they both have a direct |
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50:07 | but it's more dramatic. You can it, right? So you can |
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50:10 | about this If I'm going from 1 to say about 40 millimeters of |
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50:15 | which is the drop in pressure over artery side of the vasculature. Any |
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50:21 | of changes you. You're gonna be to see that because that's about 80 |
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50:25 | of mercury. Drop in that moving from the cap Ilary to back |
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50:30 | the vena cava, the entire that pressure difference in pressure is about 20 |
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50:37 | of mercury, so it's already a slope. Now, if it's a |
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50:42 | slope, you could increase it or it. But if you're not gonna |
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50:45 | that all that much so it has different role in the veins. Pressure |
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50:53 | the veins helps determine the speed at the blood is gonna return back to |
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50:57 | heart. It's just not gonna be dramatic as you see in the artery |
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51:01 | that kind of makes sense? I'm just confuse the hell out of everybody |
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51:05 | . Go ahead from fooling nothing. not actual pulling right. It's It's |
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51:15 | the vessel, when you start filling up, relaxes as a result of |
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51:19 | blood arriving in the vessel. All , so, in other words, |
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51:24 | doesn't have a smooth muscle that resists the same degree that you'd see an |
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51:32 | artery or a muscular artery. All , so it's This is why I |
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51:38 | the pantyhose. I mean, it's a great analogy, but pantyhose has |
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51:42 | natural shape. When you put something the pantyhose, what does it |
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51:46 | It naturally stretches, but it doesn't . That's more like spandex. Spandex |
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51:52 | spandex. Makes things look good, it, Right? I mean, |
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51:58 | were honest here, right? I , way all have certain things that |
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52:02 | like to hide. Imagine if I a spandex shirt. I mean, |
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52:08 | the shape I could I would be Batman, your soy Batman. You |
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52:13 | that, right? Have you ever that out? You guys have Don't |
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52:17 | anyone I'm Batman. This starting to it out, like Dr Wayne. |
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52:26 | , yeah. All right. But idea here is that what I'm trying |
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52:30 | get at is that as fluid flows the veins, it relaxes as fluid |
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52:36 | into the arteries, it resists. so what happens is that fluid through |
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52:42 | artery side move fast. Fluid through Venus side. Moves slow because of |
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52:48 | . Relax, ation. Okay, more. Wow. Really confused. |
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52:54 | hell out of people. What? , spider veins. Spider veins are |
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53:01 | same thing that we're kind of looking here in terms of varicose veins, |
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53:04 | they're they're small blood vessels near the . And so what you're basically doing |
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53:10 | they're staying in a dilated state, that's visible on. No one likes |
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53:14 | , and that's why we don't like . So are you guys digging the |
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53:18 | veins online? You guys digging Because now you're not Okay. Go |
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53:25 | . Third question. Second question. blood flow is correlated it iss that |
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53:32 | . But if you're not, if don't have skeletal muscle movement, what's |
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53:35 | happen? Is blood still gonna move to the heart? Yes, it |
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53:42 | , right? I mean, if me. All right again, think |
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53:47 | the graph. All right. I you guys haven't thought about the graph |
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53:50 | , but here is the blood pressure the, um uh, sorry. |
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53:55 | ventricle. Here's the blood pressure in , uh, the atria, |
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54:02 | Remember what we did? It goes of like this, right? |
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54:07 | if this is your venue away, this is the the, um whatever |
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54:12 | atria. Excuse me or whatever That's really helpful answer, isn't it? |
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54:17 | , what you're doing is you still a slope. I know. |
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54:21 | my drawing sucks, but just still a slope there. It's just not |
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54:25 | very steep slope, But look at slope, right? The slope from |
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54:30 | to there is much, much And so this is what's happening in |
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54:34 | arteries. This is what's happening in veins. If the slope goes |
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54:39 | does the fluid still flow downhill? , it's just slower. And so |
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54:46 | really what we're trying to get at that the blood naturally returns back to |
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54:50 | heart because there is a difference in from here to there. All |
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54:55 | it naturally returns to the heart because a difference in pressure from from here |
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55:00 | here, the difference is has to with speed. All right, so |
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55:05 | do the skeletal muscles do? What the respiratory pump do? What does |
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55:09 | retrograde pumping of the heart do? speeds up that rate. Alright. |
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55:15 | is a normal rate? It actually how quickly the blood back returns back |
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55:20 | the heart. So if I flex calf, for example, I just |
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55:23 | blood faster to my heart. All , does that kind of makes up |
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55:32 | them as well? So America's as I mentioned, I didn't |
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55:40 | But varicose vein is when the valve of these valves fails. And so |
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55:44 | I fail here, that means the of this blood there is going to |
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55:50 | be pressed upon the next valve. means it's working harder to hold that |
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55:55 | and push that blood forward, which cause that wouldn't fail and cause all |
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55:59 | on, so forth. And so in essence, what America is saying |
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56:02 | again these air surface level veins. aren't veins that air deep to the |
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56:06 | . And so we see them just the spider veins and they're unsightly. |
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56:11 | make us go do it and way to get rid of them? |
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56:16 | it's a heavier load in the vein . Alright, so women who are |
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56:23 | are basically pumping blood for two. know you guys think about I eat |
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56:27 | two, but you also p for you poop for to you breathe for |
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56:31 | and you pump blood for two. you have twins, it's for three |
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56:35 | if it's quads 45 and so on so on, so on. Just |
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56:38 | adding in right. But your heart's the work for as many organisms as |
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56:44 | are carrying, plus yourself. And that heavier load results in higher blood |
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56:51 | and so that higher blood pressure can whether or not those valves will |
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57:00 | So you typically see varicose veins first women when they get pregnant. But |
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57:06 | in all people, both males and , when they have high blood pressure |
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57:11 | they're carrying greater pressure in their in vessels. I'm gonna move on because |
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57:19 | got to deal with this topic. is the part that everyone gets confused |
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57:23 | . All right deals with the question exchange. So we've got our three |
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57:29 | way basically understand our vessels, capillaries, veins. Okay, so |
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57:35 | capital areas where exchange takes place. right, how to exchange trans psychosis |
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57:43 | basically moving back and forth across have have a vessel that's moving things back |
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57:48 | forth across membranes. So these typically the large proteins that can't pass |
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57:52 | between the vessels. Alright, if lipid, nothing can hold you back |
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|
57:57 | , because plasma membrane. So basically trans cellular as well. If you're |
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58:02 | gas, well, you can pass the junctions or you can pass through |
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58:06 | cells. That would be transfer your your lipid, you can pass in |
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58:08 | the cells to, but typically you a carrier to move you around. |
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58:12 | have these pores, all right, so you can actually see. They're |
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58:16 | to show you how poor is actually . Basically, you get two |
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58:20 | They converge because these things they're small . You can get two vessels convergent |
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58:25 | a poor through the cell. And is one way that things can pass |
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58:30 | . But also you have the Not really the gap. So I'm |
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58:32 | gonna call the leaky tight junctions as . And so if your water |
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58:36 | you can pass right through either poor through these, uh, spaces in |
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58:41 | themselves themselves. Now the rules are always gonna follow fixed laws of |
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58:46 | So remember, way back when we fixed law, right rules apply. |
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58:50 | just basically, things are gonna move their concentration ingredients. Besides, the |
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58:54 | themselves are obviously gonna be different from to tissue, and they can be |
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59:00 | as well. So, histamine we about history causing visa dilation. It |
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59:05 | cause these pores to become larger, allows more fluid and all the salutes |
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59:10 | them to travel outward of the Aries. So that's kind of one |
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59:14 | the effects of histamine does way back we talked about there being different types |
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59:23 | exchange. All right, so when talking about cells getting nutrients from the |
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59:29 | , remember those nutrients whether the auction something else is traveling from the blood |
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59:34 | the interstitial fluid from the plasma to interstitial fluid before it ever gets to |
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59:38 | cell. There's always a middleman. never direct, all right? And |
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59:43 | gonna be passive. One way and the other. There's always gonna be |
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59:47 | upstream in a downstream. All let's see here. What have I |
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59:53 | up here? I went to this out. Um, yeah. So |
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59:59 | about properties. Apply the membrane. , moving between the blood and interstitial |
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60:04 | . Primarily passive because you're just moving the flow of the fluid. You |
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60:08 | look at individual salutes, so we do that. We want to know |
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60:13 | way is carbon dioxide moving? It's , obviously, from the cells out |
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60:17 | the plasma via the interstitial fluid. talking about oxygen auctions moving from the |
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60:22 | into the interstitial fluid to the So that's real easy to see, |
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60:25 | ? I mean, if you know the concentrations are, you can figure |
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60:29 | which direction things are moving pretty pretty , all right. But that's not |
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60:36 | fluid exchange actually occurs. This is bulk flow comes into into play. |
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60:40 | , we talked about bulk flow way in Unit one. We said, |
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60:43 | , bulk flow is when we look what everything is doing together. |
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60:47 | for example, remember, we have blood traveling towards the cells. But |
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60:53 | the blood 100% oxygen, or are other gasses in that? The answer |
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60:58 | there's other gasses. There's a little of carbon dioxide. Do the cells |
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61:02 | carbon dioxide? No, but they have a choice. Carbon dioxide is |
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61:07 | because there is always gonna be a bit of carbon dioxide. All |
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61:13 | um, the Venus side, our is de oxygenated, right? Is |
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61:18 | gonna be some oxygen in that Yeah, because we don't use up |
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61:22 | our oxygen. If we did, would be, like, right on |
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61:25 | edge of death all the time. ? So the idea is that we're |
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61:30 | at the movement or the flow in . What's the general flow when the |
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61:36 | is arriving at the tissues or leaving the tissues arriving at the lungs are |
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61:40 | at the lungs. And what is carrying with it? And this includes |
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61:43 | just the oxygen and carbon dioxide, all the other nutrients. And so |
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|
61:48 | we're looking at bulk flow, there four things that we're gonna be looking |
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|
61:52 | . All right. Now, this important because we're gonna be using these |
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61:56 | of formulas again when we look in kidneys, all right, and it |
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62:00 | us to kind of see what is movement. All right, so there's |
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62:05 | basic pressures that we have to deal , All right? And they're paired |
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|
62:10 | . We have pressure inside the Capitol . All right, this is the |
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|
62:13 | pressure. It's the pressure of the inside the Capitol, and it's pushing |
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62:17 | . It's driving the fluid from Wait. Yeah, very all right |
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|
62:23 | , depending upon where you are in capital, or it's gonna be different |
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|
62:25 | the arterial side of a capital, about 35 millimeters of mercury. Do |
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|
62:29 | memorize the numbers just for our sake do a little bit of math. |
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|
62:32 | right, on the Venus side, pressure's lower. Why is it |
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|
62:37 | Because blood is leaving out of the areas, and every time a molecule |
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|
62:41 | fluid leaves that's going to drop the right. And also blood is leaving |
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62:46 | of the vent or the capital removing the venue so blood is moving or |
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|
62:50 | is moving in two directions out of capital, in and out of the |
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|
62:53 | ary, either through the capillary wall out through the exit towards the |
|
|
62:59 | All all right. Now, the hydrostatic pressure is the hydrostatic pressure found |
|
|
63:05 | interstitial fluid. This is the pressure into the Capitol area. So the |
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|
63:11 | between these two would be that trans pressure were describing right? And so |
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|
63:15 | can imagine. I got fluid in interstitial fluid right, and it's trying |
|
|
63:19 | get in. So there's a hydrostatic there. That pressure is, |
|
|
63:24 | equal to or very close to, pressure. How do I know |
|
|
63:29 | Well, if I take a pin stick it into your body and don't |
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|
63:32 | a blood vessel does fluid flowing out your body like a cartoon? |
|
|
63:40 | it stays there because the pressure in environment is the same as the pressure |
|
|
63:44 | here. So it's close to zero of mercury. One atmosphere would be |
|
|
63:49 | 60 millimeters of mercury. But we're at relative to that, right? |
|
|
63:55 | the hydrostatic pressure in the interstitial fluids equal to zero. It doesn't matter |
|
|
63:59 | you are in the body, it's roughly the same. Okay, and |
|
|
64:03 | we have within the plasma. We plasma proteins. We call this Kalle |
|
|
64:09 | as collectively with all the other All right in the interstitial fluid. |
|
|
64:14 | you have plasma proteins? Let's think that. What's the name of the |
|
|
64:20 | protein plasma protein? Do you have in the interstitial fluids? No, |
|
|
64:27 | , you don't. Alright, so got stuff that's unique to the plasma |
|
|
64:33 | not found in the interstitial fluid. means I'm or solitude in the |
|
|
64:37 | And so I have a pressure that water into the blood vessel. |
|
|
64:44 | so we refer to this as the Caucasoid osmotic pressure. It's a long |
|
|
64:49 | in the interstitial fluid. We also a colloids osmotic pressure. The difference |
|
|
64:54 | we have no plasma proteins. So plasma approach or the interstitial fluid colloids |
|
|
65:01 | pressures roughly equal to zero millimeters of . And what we can do is |
|
|
65:06 | can do some math, weaken, basically figure out what's Thean versus what's |
|
|
65:10 | out. And that's really the kind the big picture here is. If |
|
|
65:14 | try to figure out how does what the relationship? What is the net |
|
|
65:18 | pressure? In other words, what does fluid flow as a result of |
|
|
65:21 | pressure? All we gotta do is the math to figure out which one |
|
|
65:25 | greater, and it's gonna tell us direction. All right, so the |
|
|
65:28 | exchange pressure okay, there's different ways could do this. I think this |
|
|
65:32 | the easiest is you just take which is the pressure out of the |
|
|
65:36 | minus the pressure into the best. we just got to figure out which |
|
|
65:40 | in and out. Right? And really if the pressure is positive using |
|
|
65:45 | equation, it basically saying, the pressure is greater on inside the |
|
|
65:50 | area, so it's gonna drive fluid . But if the pressure is |
|
|
65:53 | that means it's gonna drive the fluid . And so what I wanna do |
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|
65:57 | I wanted I didn't give you this . But I figured if I'm gonna |
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|
66:01 | this, I might as well draw out. Okay? So I'm just |
|
|
66:05 | do this. Which the plasma column ? Sorry. The hydrostatic capillary pressure |
|
|
66:10 | the PC. Which direction is Is it in or out? It's |
|
|
66:14 | . Okay. The, uh, Lloyd, up the plaza NCAA, |
|
|
66:19 | . Osmotic pressures and interact. You look. It's on the other. |
|
|
66:26 | the draw water in or does it water out? I couldn't hear |
|
|
66:33 | It doesn't push out. It pulls . It draws fluid back in. |
|
|
66:41 | , What about the hydrostatic? Pressure the interstitial fluid. In or |
|
|
66:47 | It pushes inward. Right? And the car, Lloyd, osmotic pressure |
|
|
66:53 | the interstitial fluid in around. it's gonna pull water out. So |
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|
66:58 | gotta do then if you want to this stuff out is just add the |
|
|
67:02 | . Remember what we said. I'm use this if this is 35 here |
|
|
67:06 | down here, that's 15 for right? All I got to do |
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|
67:11 | say, Okay, here's my, oh, and this pressure right here |
|
|
67:14 | roughly equal. 25. This is equal to zero. That's roughly equal |
|
|
67:17 | zero. So I got to do in versus out. Right. So |
|
|
67:21 | my out. Right. So I 35. Plus, Here's my out |
|
|
67:29 | . I'm gonna take away from 25. Right. Um, and |
|
|
67:39 | . So, on this side, the arterial side, it's roughly equal |
|
|
67:43 | 10. Do you guys see how did that math? So which way |
|
|
67:47 | the fluid gonna go on? The side is gonna go this way. |
|
|
67:50 | we can come over here and look here where that pressure is a little |
|
|
67:53 | lower. Just do the same Sorry again. My math. What |
|
|
67:59 | have is negative. 10. Which is the fluid gonna go? Going |
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|
68:04 | go back in So you can see what's fluid doing that's flowing out? |
|
|
68:10 | with the interstitial fluid and it's flowing in. So what am I |
|
|
68:14 | I'm delivering oxygen and nutrients. And what am I doing is I'm picking |
|
|
68:19 | carbon dioxide and waste and that allows to move materials. That's what the |
|
|
68:25 | because of these rules allows that to . Now there's this mixing again. |
|
|
68:30 | gonna take away oxygen. I'm gonna in carbon dioxide, but that's a |
|
|
68:36 | flow issue. I'm walking away with auction, and I'm walking away with |
|
|
68:40 | carbon dioxide. I'm walking away with nutrients, and I'm walking away with |
|
|
68:43 | waste if I'm blood. This slide exactly the same as the previous |
|
|
68:50 | just showing you how that pressure drops eventually what ended up happening is as |
|
|
68:56 | or fluid is moving out. But gets less and less, and ultimately |
|
|
69:01 | starts moving in, and it gets and greater just because of the the |
|
|
69:06 | mathematical, the mathematical values and again mathematical values represent. What's happening was |
|
|
69:12 | blood leaving on the blood leaving. what's going on now. We've got |
|
|
69:19 | 10 minutes here, and I know not gonna get through everything, so |
|
|
69:22 | try to find a nice stopping right? What I wanna point out |
|
|
69:26 | is that when you're dealing with the cellular fluid, there are three different |
|
|
69:31 | of convicted loops. We've already seen . This is the cardiac output. |
|
|
69:36 | pumps. You move about five liters minute or roughly 7200 liters of fluid |
|
|
69:40 | day. That is one heck of pump you have in the middle of |
|
|
69:43 | chest. Pretty impressive. Alright, second loop is the trans vascular, |
|
|
69:49 | is what we just looked at, ? This is across the capital, |
|
|
69:52 | it's the floor that goes out of capitals and comes back in. We're |
|
|
69:55 | about 12 20 leaders filtered per per . Alright, so about 20 leaders |
|
|
70:02 | out and then filters back in is little bit less. Uh huh. |
|
|
70:10 | if I'm putting more fluid in to space and getting less fluid out, |
|
|
70:14 | blood is becoming a thicker and thicker thicker over the course of the |
|
|
70:19 | But it doesn't because if that would over time, eventually my my blood |
|
|
70:24 | would be filled with sludge. And my heart wouldn't be ableto work and |
|
|
70:28 | I would die. So this is that third loop comes in. We |
|
|
70:32 | this extra fluid about 2 to 4 , and this is where the lymphatic |
|
|
70:38 | in. You've heard about lymphatic your lymph nodes. There's lymph vessels |
|
|
70:42 | go with those. The lymphatic allows to pick up this extra cellular fluid |
|
|
70:48 | gets stuck in the interstitial fluid right extra fluid and move it back into |
|
|
70:54 | circulatory system so that we have or that. All right, So in |
|
|
71:04 | words, you deliver 20 leaders, only get 18 leaders back. So |
|
|
71:10 | have to find that those two leaders you left behind you have to return |
|
|
71:14 | through a different mechanism. That's what is doing. So the lymphatic |
|
|
71:18 | it's the same sort of organization. have small vessels. You have larger |
|
|
71:22 | than you have. Large lymphatic sits like the veins. Right? The |
|
|
71:27 | emphatic There, the small ones. like the capital Aries. Alright. |
|
|
71:31 | collecting them fax or like small Large lymphatic. They're like large |
|
|
71:36 | and they drain into the left and . Subclavian is you don't need to |
|
|
71:40 | which veins air draining into. But essence, what I do is I |
|
|
71:43 | collected all this fluid through this and I'm returning it right back to |
|
|
71:49 | it started. Family. Now they're in place. And what's unique about |
|
|
71:58 | ? You know, I'm coming down the end. Here is how the |
|
|
72:01 | areas look. Now, everyone, want you to put your hands together |
|
|
72:03 | . I want you do this to if you put your hands together like |
|
|
72:07 | trying to cut water. This is the Indo, Theo Liam, in |
|
|
72:11 | capital areas work. Now I want take your right hand and I want |
|
|
72:14 | to put it over the middle of left hand halfway right. And so |
|
|
72:19 | can see here. There's an It's kind of like a shingle, |
|
|
72:22 | ? You see how that works By over this way? It's like a |
|
|
72:25 | , right? If I have fluid the inside, what that's going to |
|
|
72:31 | is it's gonna create pressure and push the inside shingle so it doesn't open |
|
|
72:36 | two hands, right? If I here, it seals. Right. |
|
|
72:41 | the in death e liam, serves kind of as a valve, |
|
|
72:46 | it's actually it's a one way just like we saw the other |
|
|
72:49 | Because if I push on this hand , I'll let you push on my |
|
|
72:52 | . Don't worry, I don't have push on my hand. See, |
|
|
72:55 | doesn't open that way to push on other one. Look at that. |
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72:59 | if there becomes greater pressure inside the fluid she couldn't see over there, |
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73:04 | can't push there right now. Push the other one. Right. So |
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73:09 | flows in when the pressure increases. as you have great and greater pressure |
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73:15 | the interstitial fluid, that fluid opens the of the initial lymphatic. The |
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73:21 | flows inward, carrying with it any of pathogen, any sort of |
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73:25 | um, protein. Anything that's in fluid is going to go back into |
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73:29 | lymphatic, all right. And then the pressure as a fluid flows |
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73:33 | builds up, it actually seals the , the other direction and what |
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73:39 | Fluid is now stuck in the and it now has to flow back |
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73:43 | the lymphatic system back to get to vein. And this is where you'll |
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73:47 | across lymph nodes and so on, forth. So you confined pathogens and |
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73:51 | sorts of other fun stuff. All , these air, one way structures |
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73:58 | the cardiovascular system. You have a system, right? Artery capital to |
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74:04 | . Here you start at the every level. That's the initial |
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74:08 | You go to a larger, larger and return to the vein. |
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74:10 | it's basically the one way system starting the Capitol. Aries. So that's |
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74:15 | I was trying to put here Is drives function alright? It doesn't have |
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74:20 | sort of pump systems. Instead, basically the blood itself in the surrounding |
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74:26 | helps kind of push it forward to valves, just like you have in |
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74:28 | veins so you don't get retrograde Uh, there's my genic activity of |
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74:33 | muscle that surrounds it does a little of squeezing to kinda help things |
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74:36 | And, of course, you still the skeleton respiratory prompt that helps drive |
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74:40 | fluid forward. Now, the big here is this. This is the |
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74:47 | functional lymphatic system. In a We could spend three days talking about |
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74:51 | , but I'm just gonna boil it to these four points. First, |
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74:55 | deals with that issue of the escape . All right, that escaped fluid |
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75:00 | has to go through. All it basically comes back and we return |
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75:04 | back to the cardiovascular system because of lymph nodes and because of the flow |
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75:09 | the fluid through the lymph nodes, that is pathogenic is gonna get picked |
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75:14 | , and it's gonna be delivered to , uh, immune structures that help |
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75:17 | with dealing with those pathogens. Our also uses this the digestive system to |
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75:24 | fats. Fats aren't transported by They don't like being a water. |
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75:28 | they're package into these larger structures called microns. Kyle omicron is basically all |
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75:33 | of different types of fat molecules. a bunch of proteins and get very |
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75:37 | . And so you cannot move them of the of the digestive tract and |
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75:42 | the cells of the the the epithelium the digestive tract. There, too |
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75:48 | . So what you have to do you use vesicles and you transport them |
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75:52 | , and they get picked up or into the interstitial fluid and they get |
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75:56 | up in the lymphatic. Six. lymphatic sehr called lacked eels because the |
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76:00 | in them is milky from all the that's in it. That's why they |
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76:04 | their not actual milk. But it white and clear. That's why they |
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76:07 | to it. And lastly, this how we get protein escaped from the |
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76:13 | plasma protein stuff. We can return back. I think that's where I'm |
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76:19 | stop. I have a lot of fun stuff that will deal with when |
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76:23 | get back. I went a little long talking about arteries and veins and |
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76:27 | really excited about them. When we back, what I'll do is I'll |
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76:31 | about how we regulate them, all , what is the role of sympathetic |
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76:36 | and and how we cause contraction and to really deal with regulating this |
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76:43 | That's about five or six slides, think, and then we'll jump in |
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76:46 | respiration and respiration is easy. Like said, we're landing the plane. |
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76:51 | hardest thing from here on out is the next unit, which is renal |
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76:54 | . And like I said, it's one little thing that kind of gets |
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76:58 | . Everything else is just easy What do we have do today? |
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77:05 | , You keep forgetting in what's gonna . You're gonna lose all your points |
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77:09 | your papers. Get the peer reviews . They'll take you 30 minutes of |
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77:12 | life to do all five of That's not hard. All right, |
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77:16 | 32 minutes. All right, So guys have a great day and a |
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77:25 | weekend finish. Europe, I'll have for you on |
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