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00:00 | questions. So the way we're gonna questions a little bit different, I'm |
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00:03 | gonna have to talk a little find a break, and then I'll |
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00:06 | for questions which will probably slow things a little bit. Here. |
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00:11 | I've I'm sorry. I'm still trying find all my on my windows because |
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00:17 | only have one device here. what we're gonna do today first, |
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00:23 | , I hope everyone I saw that posted the video regarding the grades and |
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00:28 | distribution and stuff, and at the of class, if you wanted to |
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00:31 | what asked me questions about that, happy to take it. But what |
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00:34 | wanna do, just kind of start here is I just want to introduce |
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00:38 | concept of how to use that reading . Um, that's that's kind of |
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00:43 | first step. And then from we're gonna go jump into the |
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00:46 | We're gonna be looking at how the system is protected, and we'll look |
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00:50 | the organization of the autonomic nervous But this is a picture of what |
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00:56 | looking at is a picture of that assignment list and and, you |
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01:00 | a lot of you kind of just of look at it and go, |
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01:02 | , what pages do I have to ? And then you kind of get |
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01:05 | those pages and stuff. But what want to do is I want to |
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01:07 | out something about this because I could just given you the pages, the |
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01:10 | on the page number, but you'll . But I give you a lot |
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01:13 | than that. And part of that those are the titles of the sections |
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01:18 | subsections that you're gonna be reading. they're also, um, really kind |
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01:25 | the learning objectives of the course. so I want to kind of point |
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01:28 | this one right here, this first the CNS consists of the town |
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01:32 | etcetera, etcetera. And if you at that one particular one, if |
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01:36 | go and you look at the you'll see that that is actually what |
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01:41 | lecture waas. And so when you confused trying to figure out what it |
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01:45 | I'm trying to learn, one of things that you can do is you |
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01:47 | go and use this reading list as guide to figure out what it is |
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01:53 | need to know. And this is . Just in general. You |
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01:56 | when you're assigned of reading assignment, , look at what those sections. |
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02:01 | sections are. They tell you what is that you need to know. |
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02:05 | not just a Siris of of you know, there's actual organization to |
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02:11 | . And if you learn how to or understand organization, it will |
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02:15 | You kind of figure out how to this information. All right, So |
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02:21 | you're sitting there struggling, going I know how to study, I am |
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02:25 | confused. I am completely lost. don't know what it is I'm doing |
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02:28 | this class. This is a starting , all right? The organization is |
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02:33 | there for you. You just have access it. All right, so |
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02:37 | number one. Now what we're gonna for the rest of class, |
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02:42 | I'll pause here for a second. gonna have to again forgive me. |
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02:45 | gotta jump between multiple women. Are any questions about the guide real |
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02:50 | Yes or no? No. All . I like this. All |
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02:57 | So what we're gonna do once again we're going Thio. Look at this |
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03:04 | of the nervous system. And so had talked about central nervous system. |
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03:08 | introduced ourselves to the peripheral nervous And what I want to point out |
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03:11 | is a question about nerves. All , nerves and neurons are not the |
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03:16 | thing, all right, although you'll the language sometimes being used like, |
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03:20 | know, nervous tissue or you'll hear fibers, right. But really, |
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03:25 | a a nerve is is simply a of no relax ions. And what |
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03:31 | doing is they're thes axons, either to or from the central nervous |
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03:39 | All right, so you can think it like this. Nerves are specific |
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03:42 | the pianist peripheral nervous system, and you'll have your acts on so you |
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03:48 | see the acts on there and you see that it's wrapped with Schwann |
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03:53 | So it's gonna expedite or speed the rate of which, uh, |
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03:58 | potential travel up and down. you won't always have Schwann cells, |
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04:02 | you know typically they'll be there. not always there, but, you |
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04:06 | , for a grand majority of our our neurons, they are nerves. |
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04:11 | exists. And then what you're gonna is you're going to isolate that neuron |
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04:17 | acts on with connective tissue. In words, what you want to do |
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04:22 | you want to make sure that the neuron that acts on is not affecting |
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04:32 | behavior or activity of the ones that next to it. So put it |
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04:36 | way. Imagine you have two wires insulation. Alright, if you put |
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04:41 | two wires together right next to one , then the ions that are being |
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04:45 | back and forth the electrical current is to jump back and forth between those |
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04:51 | wires. And so what we do we insulate wires with usually, |
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04:56 | rubber, and that prevents the signal jumping between the two. And that's |
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05:02 | the connective tissue does and you can there's kind of this organization to |
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05:06 | We have the individual neuron, all , or I keep saying, you're |
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05:11 | , but I want you to think terms of the acts on all |
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05:13 | so it's the individual acts on, it's wrapped by its connective tissue that |
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05:18 | tissues called the Indo Nouri. and then you get a bunch of |
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05:22 | and you wrap them together and that tissues refer to as the para |
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05:27 | Um, the collective group of these called fast ical. So little tiny |
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05:32 | . And then you take a bunch these little fast coles and you group |
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05:35 | together and you wrap them around again connective tissue. And that's EP in |
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05:41 | , all right? And so you see the prefix just kind of tells |
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05:44 | what level you're at, all And so this is when you see |
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05:48 | , you just need to think about this a nervous simply a bunch of |
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05:51 | on that have been wrapped up and traveling between these two points. Now |
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05:58 | might see cell bodies. We mentioned already in our previous election when we're |
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06:03 | at the root ganglia. All so in the peripheral nervous system, |
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06:08 | might see neuron is come together, they will be bundles where the cell |
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06:13 | are and the actions are leaving as where we see these bundles. This |
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06:17 | what we first has a ganglia, right? And so we looked at |
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06:22 | particular one that is dorsal root ganglia has those a parent neurons neurons. |
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06:26 | traveling from the periphery into the spinal . But this will see in just |
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06:31 | moment is not the only ganglia that actually found Now. Nerves themselves are |
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06:35 | be classified for either their structure, functions. So in terms of |
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06:39 | where do they arrive? Do they from the cranium? In other |
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06:44 | do they extend from the brain, do they extend from the spinal |
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06:47 | And that's where those two names come cranial or spinal nerve? That's the |
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06:51 | distinction. Is that where they originate in terms of structure? And then |
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06:56 | other thing we could do is we look at it. It's okay. |
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06:58 | sort of fibers are being carried inside nerve? If it's all sensory, |
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07:03 | we refer to the nervous being a nerve. If it's all motor, |
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07:07 | we refer to as being motor. typically we have mixed ones, and |
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07:12 | we'll have. Um, some nerves have both the sensory and the motor |
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07:17 | Now to be clear here. When see that, remember sensory neurons can |
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07:22 | transmit sensory information. Motor neurons, , transmit motor. So when you're |
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07:28 | that it's a mixed nerve. That you have both sensory neurons and both |
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07:33 | neurons. It's not that the neuron could do both. That's kind of |
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07:37 | , important fact. All right, if we go back and we start |
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07:42 | in terms of our organization, remember had our spinal cord. Sorry. |
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07:46 | art is terrible. We had our , Let's and our roots came together |
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07:52 | formed a nerve. All right, it goes from the spinal cord. |
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07:55 | got root. Let's to root, to nerve. And what happens is |
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07:59 | the nerve the spinal nerve branches in different ways. All right. And |
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08:05 | What you're getting in these branches are are called Raymond. Now, there |
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08:11 | these three. Raymond, we're not be looking at all three of |
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08:14 | We're going to see one that's called rain, my community, and a |
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08:17 | bit later, when we look at autonomic nervous system, but then you |
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08:21 | what is called the anterior. I have just done this backwards, and |
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08:24 | the posterior that should have been post . That should have been the |
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08:27 | My community, Conte's so that That's a C. That's a p |
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08:33 | , So generally speaking, that posterior my, they innovate the skin and |
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08:37 | muscles of the back. So it's of easy, Ray my the interior |
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08:41 | my they're the ones that give rise the name nerves of the body. |
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08:45 | what happens is, is that the , my come together and they collect |
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08:52 | these structures called plexus is so again kind of going through it. You |
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08:59 | your spinal cord, your route. to the root root forms, a |
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09:03 | nerve. Then you get the My and it's the interior Ramos that |
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09:09 | to the plexus, all right, from the plexus should get crisscrossing of |
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09:16 | . So it's kind of like a interchange where fibers crisscross. And this |
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09:21 | for, uh, information to have means to get back to the spinal |
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09:28 | . So, for example, if damage this, that doesn't mean that's |
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09:32 | end of all and sensory information. into the body, they may actually |
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09:37 | another pathway through which they can All right, in a way, |
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09:41 | can think about this is like how you get you can think of the |
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09:45 | way you get from your house to university or vice versa. And what |
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09:48 | if there's flooding like today? Is another way to get to your |
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09:52 | Or is there another way to get the university? And the answer should |
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09:54 | yes, and so it's kind of same thing. Same way. It's |
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09:57 | way to divert some of the signal different paths so that information and still |
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10:03 | it to the point between the two . Now, ultimately, what's going |
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10:07 | rise out of the plexus are your nerves? And so that's what this |
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10:11 | showing you. So that's kind of general organization of the peripheral nervous |
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10:16 | Right? We go route. Let's root, root spinal nerve and tear |
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10:20 | to plexus plexus too. The the nerves and just thio let you know |
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10:29 | plexus could be very, very complicated has its own terminology within it. |
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10:34 | because this is an anatomy class, not gonna worry about that so |
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10:38 | And then these spinal nerves end up to different parts of the body. |
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10:41 | can see here this is the organization the spinal cord, and you can |
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10:45 | what this is trying to show you the areas where the, uh, |
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10:50 | neurons go. And so there's this this organization that matches the organization of |
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10:58 | body or your body organ is organized matches. What's your spinal cord looks |
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11:03 | . So these are what are called derma tones. And so the Dermot |
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11:06 | in this particular case, when you dermatologic refers to sensory input from the |
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11:12 | and you can see Oh, if am touching this part of my |
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11:16 | it's gonna be sending information to t right here. If I'm touching the |
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11:22 | of my leg, that information is sent through the sacral nerve roughly at |
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11:27 | one. Since my handwriting is All right, so you can see |
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11:32 | There's a distinct organization, and this true throughout the entire nervous system is |
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11:38 | it's highly highly organized with the way body is organized. All right, |
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11:44 | there is some overlap, Alright? that different regions have, uh, |
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11:51 | kind of overlapped just because of the that we described how the But how |
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11:55 | have the plexus and the nerves coming of it. So I'm gonna pause |
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12:00 | does this stuff make sense with regard the nerves? I want to |
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12:13 | All right. Kyle was giving me thumbs up. I like the thumbs |
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12:17 | and explain. Ray, My Okay, So what a rama simply |
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12:21 | is just a criss crossing of the fibers from Oh, excuse me. |
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12:26 | a plexus. The Ramos is simply the nerves of the spinal nerve |
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12:30 | So there are three, um three splits. So if you are |
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12:37 | , if you count the spinal nerve say, Okay, I'm moving away |
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12:39 | the spinal cord. You have three . You have what is called the |
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12:42 | Ramus goes to the back in the of the back. You have the |
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12:47 | arraignments, which makes up all the nerves of the body for the most |
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12:50 | . And then you have this other that's called the Rain. My community |
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12:53 | , which is important for the autonomic , is so you just think of |
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12:56 | just a division of the spinal nerve different areas. That's an easy way |
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13:01 | think about it. And then it's anti ramos that then crisscrosses, |
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13:06 | in the plexus, so you'll have the anti Ramos from C one of |
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13:10 | anti aromas from sea to the anti from C three. They're all intermingling |
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13:16 | . And again, I'm just going show you what? The picture? |
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13:19 | I think the picture is a little easier to see this. Um, |
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13:22 | that you have to memorize it. , so let me just take the |
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13:26 | . Right, So you can see . Here's C one our Sorry, |
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13:30 | five c 67 c eight there's t , and you can see these orange |
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13:36 | represent the anti a ramos from those nerves. And then you can see |
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13:42 | they start crossing, and then they . And then they split again. |
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13:47 | this particular case, down here, can see that they crisscrossed and split |
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13:51 | so on and so forth. So Ramos is simply that portion of the |
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13:56 | nerve that will ultimately enter into a and become the name nerves of the |
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14:04 | . All right, eso The question , Are there any Are there three |
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14:10 | my for each region. The spinal ? Yes. So the ramos is |
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14:14 | , the spinal nerve is one. for each one of those foreigners. |
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14:18 | going to split Posterior Ramus. All , that goes to the back in |
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14:23 | skin, All right. And you , on the slide, it |
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14:26 | It's not named or shown here. ? The second one is the anterior |
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14:31 | . Alright. That's what we're seeing the pictures. The third one is |
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14:34 | the Remote Community Counties, and it's shown in this picture. We're gonna |
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14:37 | with that later. So the three my our post here and here and |
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14:41 | community Conte's. Yes. All we're ready to move on. Going |
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14:51 | . Going twice. All right, we are. So next question we |
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14:59 | to answer is how does the brain itself? All right. And it |
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15:05 | so in a couple of different All right. The first way is |
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15:09 | it uses bone on. We don't to talk about bone because, |
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15:13 | I think you're all familiar with You have a skull and vertebrae vertebral |
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15:18 | that basically covers and protects that. right, so we don't even worry |
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15:22 | that. What I want to talk is I want to talk about cerebral |
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15:26 | fluid first. All right? And we're also going to see is that |
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15:30 | these layers what are called the which kind of separates the bone from |
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15:35 | tissue. And the last thing we're talk about is gonna be what is |
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15:40 | the blood brain barrier. So with to cerebral spinal fluid, all |
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15:45 | it is a fluid that is made a structure called the core oId |
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15:50 | In our little cartoon here, you see that it's been, uh, |
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15:55 | coded to kind of match blood. , it's kind of a very vascular |
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16:00 | . It's in close opposition to blood . And so you have a Siris |
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16:05 | EP Endemol cells, which are type glial cell, um that are near |
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16:10 | , uh, where the blood thes vessels use. Calculators come near and |
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16:15 | able to take materials out of the and make the cerebral spinal fluid from |
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16:20 | structure. Now, how you make , it's very, very specified because |
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16:26 | cerebral spinal fluid has to have a characteristic to help it do its |
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16:31 | which is one regulate the blood extra fluid or excuse me, brain B |
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16:38 | for brain here. Brain extra cellular . Uh, by directly mixing |
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16:43 | providing nutrients and taking waste away. to understand where this is, we |
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16:48 | to kind of understand what we're looking . So we have in the |
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16:52 | these ventricles, and so I want to think very early on underdevelopment. |
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16:56 | are a tube, right? Just a worm. That's how you started |
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17:00 | . And then what happens is is the course of your development, your |
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17:04 | starts bending and twisting. And in so, it actually bends and twists |
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17:09 | too. And so the ventricles are of that tube that you started off |
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17:15 | . All right, so it's a compartment, but you can see here |
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17:19 | we have these structures, so these are actually internal to the brain. |
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17:23 | right. And there's four ventricles. right. We have two lateral |
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17:30 | We have what is called the third , and then what is called the |
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17:34 | ventricle. Alright. And so if look at this picture, I mean |
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17:38 | picture that we saw previously, A bit better, but this is the |
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17:41 | sort of thing. So here's your laterals. You can see that they're |
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17:44 | within the either hemisphere of the Um, and so rather than |
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17:50 | you could refer to one of the and one of them right lateral |
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17:54 | But collectively, just lateral ventricles. connected to one another. You can |
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18:00 | up here is that connection, and both going down into that third |
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18:06 | All right, so there you can it. But where I put the |
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18:09 | crisscross, that's where they're kind of together. All right, These |
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18:14 | uh, channels coming in is referred as the inter ventricular. Sorry, |
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18:19 | ventricular for Raymond. For Raymond. you don't know, your terminology means |
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18:24 | . So inter between the ventricle hole it goes into the third ventricle, |
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18:29 | is found with the Diane Cephalon. when we looked at that picture of |
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18:33 | thalamus, the hypothalamus, it's right , uh, in the middle of |
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18:38 | that stuff and from there in that that third ventricle, so you can |
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18:42 | there it is structurally and it's very thin. It then goes down |
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18:48 | the fourth ventricle. That passage to fourth ventricle, which is easy to |
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18:52 | right there is what is referred to the cerebral aqueduct again how very clever |
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18:59 | them to name that. Basically water from the fourth venture. Cole. |
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19:05 | is where we connect to the surrounding , space that surrounds the brain. |
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19:12 | right, so the fourth ventricle is . The brain's damaged between the ponds |
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19:16 | the cerebellum on, but actually has exits. When we're trying to see |
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19:21 | we can see this on the you can see there's one on this |
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19:23 | over there. One outside over Then there's one. Uh oh. |
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19:29 | . Right. They're very hard to , so there's three exits, so |
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19:33 | have to lateral or medium. But you're not going is not just exiting |
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19:37 | . What we have is we have space, a compartment that completely surrounds |
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19:42 | brain, all right. And so we're doing is we're opening up to |
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19:47 | compartment, so the fluid is basically all the ventricles and either exiting out |
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19:54 | those apertures into that space, or traveling down what is called the central |
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20:02 | of the spinal cord. And at very base of the Central Canal, |
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20:06 | now opening up into this space. again, this space is what is |
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20:10 | the subarachnoid space, and we'll get that in a couple slides. All |
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20:15 | , so we're gonna pause with the spinal fluid for just a moment and |
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20:19 | we can understand structurally what we're looking . Alright, So in our cartoon |
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20:24 | , this is your brain tissue out outside the green, you know, |
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20:29 | adhered to the green. That would your skull. All right, |
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20:34 | I want you to get a sense how soft your brain tissue actually |
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20:38 | All right, if you were to and take butter out of the refrigerator |
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20:43 | let it sit on the counter for little while, you know, probably |
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20:46 | 30 minutes to an hour, and put your finger on it, your |
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20:50 | would sink right into the butter. . That is how soft the brain |
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20:55 | is. If you've ever been in lab like anatomy lab and play with |
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20:59 | tissue, that tissue has been It's very, very tough. |
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21:04 | and and you know, it's held a place that has been pickled. |
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21:07 | used, um, you know, like formalin to set the tissue. |
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21:14 | you can imagine with my heart brain my buttery soft, my or my |
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21:19 | school, my buttery soft brain that need some protection between them and this |
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21:24 | what the meninges do. Alright, meninges is a plural, the singular |
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21:29 | of meninges Esma niks. But you'll never, ever see that so working |
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21:34 | the outside to the inside the outermost and that's what's green. And our |
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21:39 | here is called the Dura Matter. again, you want to see what |
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21:43 | is like. Go into your find yourself a, uh, a |
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21:49 | gallon Ziploc bag, and that's kind the thickness and the toughness that it |
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21:53 | . It's burying elastic. It's pretty and it's and it's tough and it |
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21:58 | as this outer layer, and there's two layers of this. Alright, |
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22:03 | can kind of see here there's another and an inner layer, and there |
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22:07 | certain places where these two layers separate other and what you where you see |
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22:12 | separation? This is called a dural and they serve as a blood sign |
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22:18 | kind of like a vein. are very large. Vein is really |
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22:21 | you wanna look at that and so blood that is leaving from the capital |
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22:27 | , um, into the veins and away from the brain are gonna empty |
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22:31 | this dural Sinus and then ultimately join with the vein or exit as a |
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22:36 | as it returns back to the All right, now the other thing |
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22:40 | this does, as you can see , here's another structure that kind of |
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22:45 | into that space. And that's part the Iraq. No matter what, |
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22:48 | get two interesting. All right, spinal fluid is taken. Remember, |
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22:53 | making several spinal fluid from the The FN Dimel cells take nutrients from |
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22:58 | blood, and then it pumps. makes the cerebral spinal fluid. |
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23:01 | the cerebral spinal fluid is gonna be back to the blood via these little |
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23:07 | . Alright, so that's what we're at. Is that little penetration? |
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23:11 | that penetration is called a granule Alright, smaller ones are referred to |
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23:17 | the ally. All right, so those were the two structures and so |
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23:23 | spinal would be pushing through them. part of the Iraq noid matter. |
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23:26 | right, So, um, if have a blood vessel like you see |
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23:32 | here those blood vessels are outside of is called the blood brain barrier, |
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23:38 | we'll get to in just a So outermost layer two layers is the |
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23:42 | matter. Underlying that is the Iraq matter. When you see the word |
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23:45 | annoyed, you think? Probably spiders I do. And the reason they |
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23:48 | the Iraq annoyed matter is because underlying Iraq annoyed matter is what is called |
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23:53 | sub Iraq noid space. All so that's what all this yellow space |
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23:58 | . The little brown line is the , no matter. All right, |
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24:03 | then on the other side of that space is the next structure, which |
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24:07 | called the P A matter. so all this yellow in here represents |
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24:12 | spinal fluid. And what holds the annoyed matter in position relative to the |
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24:17 | matter are these little tiny, tissues. These little extensions from the |
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24:24 | noid matter. All right, and what you're seeing here is they're trying |
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24:27 | show you these tra bic you lie are basically holding, so you can |
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24:34 | you fill up the space with cerebral fluid, and it's tries to push |
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24:38 | two things away. And so that's keeping them there, preventing that from |
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24:43 | . Alright, so cerebral spinal fluid the subarachnoid space is being pushed out |
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24:48 | the dura. So coming back, now looking at the PM matter. |
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24:53 | PM matter is the thinnest layer. one nearest the actual nervous tissue. |
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25:01 | , it actually has underlying it a of tissue called the glia Limit |
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25:07 | And really, what the Glia LTD's that this is the PM matter what |
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25:11 | have. I have Astra sites that their, um, feet up right |
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25:18 | to it. And so what you up with is this kind of layer |
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25:24 | the actual connective tissue, plus a of Astro sites that collectively are referred |
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25:30 | as the Well, um, the limitations is really this portion of |
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25:35 | right? That's what underlies that PM , all right? And so what |
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25:40 | have now is just kind of, , thickening of that layer now. |
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25:44 | , you could take three Iraq noid . So this thing right here, |
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25:48 | layer right there and those were referred as left him and Ng's on. |
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25:51 | what sandwiches or or holds or bounds subarachnoid space. So what we have |
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25:59 | is we basically defined a barrier between bones and the nervous tissue, but |
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26:04 | only doesn't serve as a barrier between bones of the nervous tissue. These |
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26:08 | also serve as a barrier to other getting into the nervous tissue. All |
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26:15 | , so the dura matter, the annoyed matter. The subarachnoid space in |
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26:19 | P a matter along with the glee hands creates a physical barrier with the |
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26:25 | environment. So outside environments outside of central nervous system. Now we're coming |
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26:31 | to cerebral spinal fluid. We're gonna of put it all together here. |
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26:34 | right, So the cerebral spinal fluid have about 125 150 mils of |
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26:40 | and your body produces four times So think of a soda can write |
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26:45 | soda can hold roughly. Actually, even a soda can. It would |
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26:50 | a a 16 ounce bottle. So you go buy a 16 ounce bottle |
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26:54 | of of a drink, that's roughly medals. But you Onley hold about |
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26:59 | quarter of that, um, in space. So what you find in |
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27:04 | ventricles. What's found out here in subarachnoid space is Onley equal to about |
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27:13 | 250. So you basically recycle four the volume of cerebral spinal fluid than |
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27:22 | body actually can hold. So you're recycling it four times a day. |
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27:27 | so that's what the EPA Donald cells doing. It's basically located here and |
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27:35 | . Right? Um, this is The structures that are responsible for producing |
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27:43 | we call the core oId plexus are for producing cerebrospinal fluid. You, |
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27:49 | . From the lateral ventricles to the ventricle from the third ventricle to the |
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27:53 | ventricle from the fourth ventricle, you exit out via the lateral or the |
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27:59 | apertures, or you exit out down the central canal, and then once |
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28:07 | exit out, you're now in the space, and then the flow is |
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28:11 | up towards where these granule ations they're be located. And so the fluid |
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28:16 | you took out is returning, took from the blood, is returning back |
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28:20 | the blood. That's the whole This is all accomplished primarily because you're |
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28:27 | this stuff and that creates pressure to the fluid forward to this location. |
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28:34 | ? And then you have cilia, air sitting on top of the upend |
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28:38 | sell that kind of push it and just your general posture and the pull |
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28:43 | gravity helps move the fluid around. that's how the fluid flows. We |
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28:51 | it was the F nd most These are specialized form of of, |
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28:59 | , glial cells. What they do they play the role of producing this |
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29:05 | . If we're looking a little bit , we can see now. So |
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29:08 | represents your ventricles. It's terrible There you go. So that's your |
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29:13 | and third ventricle right there is what trying toe show you. It's |
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29:17 | look right here and these core oId where this is located. This is |
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29:24 | it looks like. And so here can see the upend. Deimel cells |
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29:27 | the surface of the cord plexus, underneath the karate plexus are the little |
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29:32 | blood vessels called capillaries. And so is flowing out of the capital. |
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29:38 | . The, um fn Deimel cells and choose what it is that it |
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29:43 | , and it transported out into that and that ventricle contains now cerebral spinal |
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29:53 | . Now, in this area, we have are very leaky capital |
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29:58 | Now, we haven't talked about the lecture, so you're gonna have to |
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30:02 | bear me forth with me for a . All right? Throughout your |
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30:06 | Capital Aries are generally leaky. that's how material moves back and forth |
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30:11 | the blood and your tissue. So a general rule throughout the entire |
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30:16 | The exception to that rule is primarily the nervous system here. These capital |
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30:21 | are more or less sealed to prevent from moving back and forth from the |
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30:26 | into the surrounding brain tissue. You to regulate that? So you don't |
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30:32 | these leaky capital Aries? Instead, have thes cap. Hillary's here to |
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30:38 | you to do this type of Now, how we make it really |
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30:43 | it is gonna be dependent upon the nervous system. It appears that the |
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30:47 | system appears to inhibit the production of . So the idea you could imagine |
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30:51 | is that as I'm exerting myself, basically slowing down how I present a |
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30:58 | , um, cerebral spinal fluid. don't wanna produce too much while I'm |
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31:02 | myself. So it just basically reverses on the type of activity that I'm |
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31:09 | . We're almost done with this, then we'll try to answer some |
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31:13 | This is not a chart for you remember or memorized. I throw this |
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31:17 | here to just show you. So , we are making CSF from |
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31:23 | all right? And so there is comparison between the two. This is |
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31:26 | your plasma has in it. This what the CSF has in it. |
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31:29 | so if you look at that, very, very similar to one |
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31:33 | with some exceptions, which I've just here. And what I'm just trying |
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31:37 | show you is that there is a . And so the unique characters to |
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31:42 | CSF are governed by what the brain . And that's why you include mawr |
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31:48 | or exclude mawr of whatever is on list. Do not memorize it. |
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31:54 | not gonna ask you what the difference the potassium levels are or the amino |
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31:59 | levels and so on, so So last thing about the the cerebral |
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32:07 | fluid in the space, um in the brain is I really like |
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32:12 | picture. This, I believe, from your textbook. And what it |
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32:15 | you is, um really the relationship the cells and how dense the brain |
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32:22 | is. All right. And so blue you can see here they have |
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32:26 | it with the A s A s for Astra site, then stands for |
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32:31 | a X you can see there stands Exxon's on DSO on and so on |
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32:37 | so on. And so what? doing the essence for Soma. So |
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32:40 | part of the cell body on What this is trying to show you |
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32:45 | Look how close everything is. There's real space. Everything is densely packed |
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32:50 | here. And so this extra cellular , remember, there is extra cellular |
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32:55 | surrounding all cells is found in those itsy bitsy, teeny tiny spaces between |
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33:01 | the cells. So that's where this so you can imagine it doesn't make |
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33:07 | a lot of the brain and so can imagine anything that I do to |
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33:12 | changes in the CCF can have a effect with how the brain works. |
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33:18 | what's interesting is that your CCF actually , depending upon the concentration of the |
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33:23 | changes with how much neural activity you're when you are active, your cells |
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33:29 | of swell up, so it increases amount of easy F. But when |
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33:32 | sleep your brain, your yourselves kind shrink down as they become inactive and |
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33:38 | you actually produce more more fluid. it's this e C F. All |
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33:45 | , there's brainy CF. That's how cells get their nutrients and materials. |
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33:51 | right, so you can imagine if trying to feed my cells. You |
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33:55 | , I have to have a way that nutrient to get there to that |
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34:00 | , so it's very, very So that's why it's very highly |
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34:05 | Alright, so how cells talk to other is primarily through the e c |
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34:09 | . This is true in the brain the CSF, which we find in |
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34:14 | several rock noise space can diffuse. here's your Iraq matter. Here's your |
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34:19 | a matter. There's the glial This is CSF. This is B |
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34:25 | C F. So you can imagine is communication between those two spaces. |
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34:36 | , so what you do to this a profound effect on that, and |
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34:40 | versa. I'm gonna pause. We'll you guys asking questions. E. |
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34:46 | was kind of running through all The big picture here, if you're |
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34:50 | getting the big picture, is that have a fluid that is made in |
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34:55 | brain that allows us to change the or change the materials of the |
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34:59 | uh, the brain. Extra cellular . All right, so bcf is |
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35:06 | extra cellular fluid. Iman. And you can imagine why abbreviate all these |
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35:11 | CSF is cerebral spinal fluid. It's too long to write on a slide |
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|
35:15 | and over again. So brain, cellular fluid. So it's just it's |
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35:20 | localizing. The c F to the is you're welcome. Any other questions |
|
|
35:35 | ? Don't don't understand the difference. mean, yes and okay. Seems |
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35:45 | , Well, so remember, wherever have barriers, right that you're creating |
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35:51 | , and so we have here is have a compartment of nervous tissue that |
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35:55 | very little space. That's the Okay, serial spinal fluid is being |
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36:01 | in completely surrounds the brain. Now has multiple functions, one of which |
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36:07 | to to communicate in past materials back forth between the bcf. But one |
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36:12 | the other functions of the cerebral spinal is literally to serve as kind of |
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36:18 | , uh, like a brake You know, it basically fills up |
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36:21 | space so your brain doesn't rattle rattle in the cranial cavity. Right? |
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36:27 | you can imagine I've got bone. I'm gonna do this on the slide |
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|
36:35 | mhm, um, I have my , then right up next to |
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36:43 | adhered to it. That would be dura matter and then adhered right up |
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36:48 | to that Is the Iraq annoyed Then I actually have a space which |
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36:53 | to try to represent like that that's with CSF. And then I have |
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36:58 | P a matter, right? And I have my Clio limit tins. |
|
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37:04 | then underlying that this is now my tissue. So there's my nervous |
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37:09 | And so if I have a force hits my skull, right, so |
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37:15 | my skull, right. That's what bone represents. Then it's not going |
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37:19 | cause my brain to rattle up and . That's not gonna happen. The |
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37:24 | serves as a shock absorber for So That's one reason why we have |
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37:29 | there, right? But at a level, the other reason we have |
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37:33 | there is so that we can make stuff because you can imagine this is |
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|
37:38 | up with lots and lots of cells a terrible job during cells. So |
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37:43 | my cells, right? And they're their, uh, undergoing their normal |
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37:48 | activity, which means that they're exchanging and forth between those two environment. |
|
|
37:53 | so the surrounding environment, it's depleted materials. Well, I can take |
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37:59 | and add materials in through the I don't have to wait for |
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38:04 | The other thing I could do is could get rid of waste fairly easily |
|
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38:06 | do so. So the reason we a CSF is that we have an |
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38:12 | where materials can pass back and forth do that kind of makes sense. |
|
|
38:22 | , you know, now again, , these things came about over |
|
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38:26 | you know? So having this protective became unique. So let me show |
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38:32 | what the next step is, what next generation is. All right. |
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|
38:35 | another way that the brain protects itself what is called the blood brain |
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|
38:41 | Alright. And so here the blood barrier is simply a barrier between the |
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38:47 | vessels and the blood, right? where the blood is and the brain |
|
|
38:51 | cellular fluid. And so how do How do we separate out these two |
|
|
38:55 | ? Well, we've talked about In very first lecture, we said |
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38:58 | we have an extra cellular fluid compartment made up of interstitial fluid and made |
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39:04 | of plasma and the very between those things where the cap Hillary walls. |
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|
39:08 | we have easy exchange between those two . Alright, so the blood brain |
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39:14 | serves as a way to inhibit that exchange. In other words, what |
|
|
39:20 | doing now is we're creating what is to as an anatomical barrier between those |
|
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39:25 | points. So all the nutrients that need all the ways that you need |
|
|
39:29 | get rid of all the communication between brain and the rest of the body |
|
|
39:33 | vice versa, that is chemical is be done through the brain are sure |
|
|
39:39 | through the bloodstream, not through the through the bloodstream. It's not gonna |
|
|
39:42 | done through necessarily through neurons, but want to ensure that the brain |
|
|
39:50 | because it's so important, doesn't get . With that, we're gonna |
|
|
39:54 | highly regulated. All right, that's the whole purpose of the blood brain |
|
|
39:58 | and you can kind of see in picture what it kind of looks |
|
|
40:00 | right. So here's our cap Right there, there capillary wall, |
|
|
40:05 | at the feeling of the capital, . And then what we have here |
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|
40:09 | we take Astra sites and we wrap those capital areas so that we create |
|
|
40:13 | secondary layer that inhibits the free flow materials between those two environments. All |
|
|
40:20 | , so when I say we have anatomical barrier were literally describing this |
|
|
40:25 | All right, so this is a good picture to demonstrate this. What |
|
|
40:28 | normal Kappler looks like You can see this represents to, um to |
|
|
40:34 | maybe one cell with the whole through . Right. And look, there's |
|
|
40:39 | , gaping holes. And so when have big, giant, gaping holes |
|
|
40:43 | that, materials of various sizes can rather easily. They just moved down |
|
|
40:48 | concentration, radiant, right there, driven by force out of into down |
|
|
40:54 | path of least resistance. All And so you can imagine there's really |
|
|
40:59 | easy exchange that's going on, but an anatomical barrier. Look what I've |
|
|
41:04 | . Now. Not only do I up those gaps, all right, |
|
|
41:09 | is a signal that actually causes that happen from the Astra sites. The |
|
|
41:13 | sites now serve as a secondary All right, so if I'm a |
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|
41:18 | that needs to get here, I've a pass through the wall of the |
|
|
41:22 | . I've got a pass through a membrane which probably didn't exist before in |
|
|
41:26 | normal systemic capillary. And then I to have the right receptors located on |
|
|
41:31 | Astra sites that then decide whether or they're going to pick it up and |
|
|
41:36 | it to the other side. All , so this is the anatomical barrier |
|
|
41:42 | the blood brain barrier represents. Got junctions and capital areas that are now |
|
|
41:48 | , so it's no longer leaky. have this basement membrane or basil |
|
|
41:52 | and then you have Astra sites. then not only do you have |
|
|
41:56 | but remember, if I'm water there's a physiological barrier. I have |
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|
42:01 | have the right receptors. And this what this larger picture is trying to |
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|
42:04 | you. It's like, Look, I am. This is my |
|
|
42:07 | enough helium. Okay, I can all the transport I want, but |
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|
42:11 | I get over here, I better the right carriers to move me into |
|
|
42:16 | cell and then back out into the cellular fluid that surrounds the century. |
|
|
42:23 | know, in the brain, extra fluid is really one of the things |
|
|
42:26 | be B e c f over Right? So if I'm water |
|
|
42:32 | you know, I have to have character characters, right? If I'm |
|
|
42:37 | soluble, nothing is going to stop now. I usually pause here for |
|
|
42:43 | second. I tell you a story occurred a long time ago, I |
|
|
42:47 | I mentioned already to you guys. was the peak of the week |
|
|
42:50 | Already mentioned that one elections back may nt is a neuro transmitter. |
|
|
43:02 | Um, so about the time you were probably eight years old or |
|
|
43:09 | when the intended first came out, , there was a contest called P |
|
|
43:15 | I call people the way you can this up. This happened in |
|
|
43:18 | It was the year that Nintendo Wii came out on DSO. What happened |
|
|
43:23 | is they had a drink, a bunch of water. And the contestants |
|
|
43:27 | had to hold their P to see long make the last last person have |
|
|
43:31 | gets with weak. And there was smaller petite woman who was in the |
|
|
43:36 | and she drank her gallon of water that water basically had to defuse itself |
|
|
43:42 | her entire body. And then ultimately diffused because the blood brain barrier doesn't |
|
|
43:48 | the flow of water diffused into the system because it had thio equally distribute |
|
|
43:53 | out following the rules that we laid in that first unit. And |
|
|
43:57 | in essence, her neurons couldn't fire because you diluted out all the, |
|
|
44:03 | , the ions, basically the study the potassium that she needed to get |
|
|
44:06 | action potentials. And so basically, parts of her brain that regulated her |
|
|
44:11 | and heart rate failed because the Duran's firing and so she basically died because |
|
|
44:18 | drowned in the flood of her own . All right, when you take |
|
|
44:25 | for your brain, right? So you are doing something that's gonna mess |
|
|
44:29 | the neural chemistry in order for it get there, you need to have |
|
|
44:33 | proper receptor to pass you along. your water soluble or the likelier |
|
|
44:38 | they're the better choice for pharmacy. design is to create something that's lipid |
|
|
44:44 | that will work its way into the room. Leave easily, all |
|
|
44:48 | because you follow the rules of, know, physiology. Water needs transporters |
|
|
44:56 | get across the cells. Lipids do . All right, so with that |
|
|
45:03 | mind, knowing that you have these brain barriers, there are some regions |
|
|
45:09 | don't have the blood brain barrier. right, So, for example, |
|
|
45:12 | hypothalamus you know, it needs to out what's going on the body. |
|
|
45:15 | it needs to have access to the so that it can determine what needs |
|
|
45:19 | . So it sits outside of the brain barrier. Now, these structures |
|
|
45:24 | kind of sit outside the blood brain are what are referred to circum |
|
|
45:28 | which means found around the ventricles. that's why they're mean. All |
|
|
45:33 | so you got the Peniel gland, pituitary. They also play a role |
|
|
45:37 | , uh, producing hormones or releasing there outside. But this is my |
|
|
45:42 | one to mention the class of the center. Most likely way that you're |
|
|
45:46 | get poisoned in your life is not being victimized. In other words, |
|
|
45:51 | not gonna be invented aimed by a snake or a frog. Typically, |
|
|
45:56 | you do is you put something into mouth that's poisonous. That then works |
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|
46:01 | way in your body and kills right? And so your brain your |
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|
46:06 | stem. There's a center called the center that's looking for things that shouldn't |
|
|
46:10 | there. And when something binds to receptors in that region, it's |
|
|
46:14 | Okay, we must have put something our body. We aurally. So |
|
|
46:18 | need to vomit that poison out of body. And so that's why it's |
|
|
46:24 | you're always throwing up when you're kind feeling sick. It's the vomiting center |
|
|
46:28 | basically there to ensure that poisonous ingestion kill you, and so that gives |
|
|
46:35 | outside as well. And then we mentioned the Cory plexus being outside the |
|
|
46:40 | the, um, the BBB because has to produce the cerebral spinal |
|
|
46:47 | So we protect ourselves before he started on economic nervous system and all |
|
|
46:52 | we protect ourselves with the blood brain , right? We protect ourselves with |
|
|
46:58 | spinal fluid being made as kind of shock absorbent, but also way to |
|
|
47:03 | materials. Right? And we have 33 meninges dura direct on matter and |
|
|
47:08 | PM matter. So with that, gonna pause for a second and look |
|
|
47:12 | any questions that you guys might have I take a sip of water. |
|
|
47:22 | guys must be anxious to go outside play in the water. Don't blame |
|
|
47:29 | . Looks like it's getting cloudy in neighborhood again. So maybe storms |
|
|
47:32 | Uh, yeah, let's see Alex says I have a question. |
|
|
47:38 | limits. I wouldn't need to carry trans verse. Um, so, |
|
|
47:42 | speaking, yes, but the idea that it can incorporate self in the |
|
|
47:46 | membrane, and then it there are cellular carriers that can help it migrate |
|
|
47:52 | . So, typically speaking, anything that's lipid soluble can work its |
|
|
47:57 | through, um, you know, easily, as opposed to being dependent |
|
|
48:03 | transporters. to move between compartments. that's really kind of the idea. |
|
|
48:13 | . Alex Not getting a response? , let's see here. Uh, |
|
|
48:29 | . So in the context of blackberry , No. So think of something |
|
|
48:32 | a steroid. Alright? Steroids needs want to think about all right, |
|
|
48:36 | the steroid while while it needs to carried or to be to be, |
|
|
48:42 | , less, uh, problematic in watery environment which would be inside the |
|
|
48:48 | , it's gonna bind up to other . But one of things that a |
|
|
48:51 | can do is it can mask itself hide itself within a plasma membrane also |
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48:56 | the vesicles wall as well. It just needs to find a lipid |
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49:02 | . That's what it's gonna prefer to in. But if you want to |
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49:06 | it quickly, you have carriers. a molecule, for example, called |
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49:10 | S t a r. Steroid. , I cannot remember what it is |
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49:15 | now. The top my head but and it binds up and helps move |
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49:20 | around cells, you know, So the steroid or anything, that's a |
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49:26 | . Once it's finding its way into lipid, it can literally leapt from |
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49:31 | toe lipid, you know, So you can basically go one so |
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49:35 | next. Because once you migrate out that lipid environment, you're like, |
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49:39 | don't wanna be here, so you jump into the next lipid environment. |
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49:43 | when you're really close like that, very easy for lipid side material. |
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49:47 | , move around. There you Excellent. Yeah. All right, |
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49:58 | move on, then. And let's about the autonomic nervous system, which |
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50:01 | not that hard, actually. I , there are aspects of it that |
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50:04 | could be pretty pretty complicated. But you understand that there are some simple |
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50:09 | to follow once you learn the rules everything kind of falls into place. |
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50:13 | the autonomic nervous system basically is responsible regulating those things which you cannot voluntarily |
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50:20 | . And I know that's kind of backwards definition, but it's an easy |
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50:23 | to think about it. Right. we're talking about cardiac muscles, smooth |
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50:26 | , lands and anything that secretes, know? So, secretary apathy, |
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50:31 | . All right. So you can't your heart beat faster or slower. |
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50:34 | responding to your environment. You can't your digestive system move faster. It |
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50:41 | does relative to the input that it's . And so what we say. |
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50:46 | , we've always said there's just too. That's what we refer to |
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50:49 | a sympathetic and the parasympathetic. But recently we've separated out what is called |
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50:55 | Interior, which is responsible for the of the G I tract. All |
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51:00 | . And so here in the G tract and the interior, this is |
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51:03 | I'm gonna mention about it. So is the extent of it. It's |
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51:07 | the, uh a fair neurons, inter neurons in the motor neurons. |
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51:11 | you can imagine if the text chemicals and it will actually start its own |
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51:19 | . In other words, telling the neurons what to do independent of the |
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51:24 | nervous system. In other words, if you eat a piece of |
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51:29 | your stomach doesn't have to tell the I have steak. Can I go |
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51:33 | and start digesting it now it does independently, but there is control also |
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51:39 | the sympathetic and parasympathetic. So this why it was initially thought that way |
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51:44 | it was, you know, two and then once you they saw that |
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51:47 | independently. That's why they set it . And but there is still communication |
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51:54 | the sympathetic between the central nervous system the interior. All right, so |
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51:59 | other two divisions air sympathetic and parasympathetic air structures that have found both in |
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|
52:04 | central nervous system and the personal nervous . Right. So the central nervous |
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52:09 | , this would would be where processing occurring, the peripheral your primarily dealing |
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52:14 | with pathways to and from something. of your viscera. Your viscera are |
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52:21 | guts. This is what we're all right? And so one of |
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52:25 | things that we're gonna see, what that really kind of stands out is |
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|
52:28 | unique structural thing. Is that to E Farrant portion has two neurons in |
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52:34 | pathway. All right, we'll see in the next slide, but in |
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52:38 | put into perspective in the somatic nervous . All right, so in the |
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52:43 | neurons, you only have one. you have a neuron that leaves from |
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52:48 | spinal cord, travels down to your it is that you're innovating. It's |
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|
52:52 | one neuron. When you're dealing with nervous system, you leave the spinal |
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52:57 | and then you you synapse with another that then travels to the destination. |
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53:04 | that's one of the key anatomical features his to neuron chain and generally |
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53:11 | but not always, because it wouldn't biology if it was always. But |
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53:14 | speaking, the sympathetic nervous system and parasympathetic nervous system are opposed to the |
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53:22 | . All right, so if the up regulates something parasympathetic down regulates, |
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53:28 | 99% of the time it's sympathetic, regulates and parasympathetic up regulates notice. |
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53:34 | not. One is gas, and is break is that they oppose one |
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53:39 | in whatever system that you're looking I'm gonna see what we got |
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53:43 | So the question from Jonah's is the on Lee PNS? Yes, because |
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53:48 | will Onley. ITT's considered independent in viscera of the gut, so it's |
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53:53 | innovate your digestive system, which is of the central nervous system. All |
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54:03 | , so here's our first thing. said the auto nerve pathway consists of |
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54:06 | neuron chains. All right, so the central nervous system, this is |
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54:11 | you're going to see the initial So this is neuron number one. |
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54:14 | refers to you refer to it as pre ganglia Nick Neuron, because what |
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54:19 | doing is you're going to a That's basically a bunch of cell bodies |
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54:26 | the neurons that air coming in, acts on from the neurons that are |
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54:30 | Leon. Then the neurons that leave ganglion are referred to as being post |
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54:35 | army. All right, so this true for both sympathetic and parasympathetic |
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54:41 | I presume. It's also true for enteric, but we never hear about |
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54:46 | any further than what we just like this. Like I said, |
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54:49 | interior was kind of set apart within last couple of years. All |
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|
54:54 | so that's during that Z. That's number one. All right, |
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55:02 | the sympathetic anatomy is rather complicated. , Parasympathetic is rather easy. But |
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55:10 | we're gonna see is we're gonna put two side by side. We're gonna |
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55:13 | All right, So the pre gangly fibers remember, we have those two |
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55:17 | . The pre ganglia nick fibers are be found within the spinal cord between |
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55:24 | one and L three. So they're within the thumb bar and and the |
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55:29 | and lumbar regions of the spinal and then you exit out the |
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55:33 | Eventually. Remember, we said that nervous system and s is in the |
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55:38 | horn. Remember, if we draw out and do our little butterfly |
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|
55:42 | we had those until things we said here in the lateral horns, that's |
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55:49 | those fibers originate. So there's a Gangel Janek fibers, and I remember |
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|
55:53 | always exit out through the ventral Right? So this entering through the |
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55:59 | exit out through the ventral. So pre gang Janek fibers originate in the |
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56:04 | horn exit out through the ventral, they're going to someplace outside of the |
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56:12 | cord. All right, they're going what is referred to as a |
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56:18 | Now there are different ganglia. All , we have this large structure that |
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56:23 | just outside. It's just a few outside the spinal cord, all |
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56:28 | and this is called the sympathetic It's a Siris of of ganglia, |
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56:34 | a line on the outside so you kind of see these ganglia and it |
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56:41 | is kind of large structure. When saw the incumbent slide seat seat. |
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56:46 | right, so that would be the trunk and the way that you get |
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|
56:50 | , that is via those one of ray mind. So remember we said |
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|
56:54 | spinal nerve exits and it goes one do splits, and then it does |
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56:59 | third split. So there's the posterior goes to the back. Here's the |
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57:03 | that forms all the nerves, And then we have this thing called |
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57:07 | community. Conte's alright, we'll see this looks in the next slide. |
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|
57:12 | so you're exiting out to go to big giant ganglia. And it's here |
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57:17 | this ganglia where the pre ganglia nick typically, um um um innovates the |
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57:26 | gangly Janek fiber. Now, there some really weird rules. We're going |
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57:30 | see these in just seconds. Like said, sympathetic is the most |
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|
57:33 | So glad I get phone calls. , and it's one of those fake |
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57:41 | where they copy your own phone Anyway, sorry about that. All |
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57:53 | . Anyway, eso What we have is we are leaving. The lateral |
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57:58 | is presenting a pre gangling on fiber we're going to this, um, |
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58:05 | sympathetic trunk. Now, this is of a better representation of this. |
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|
58:09 | so you can kind of see Here's a spinal nerve. The spinal |
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58:13 | hasn't its's saying, Look, I'm split this way. I'm gonna split |
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58:17 | way. And this represents the third . You can see it right |
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58:21 | You can see it right there. that third splintering my community Contes. |
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58:25 | there's actually two split. So that split all right? And really what |
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58:30 | is is one is an indoor one an outdoor. Alright, The indoor |
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58:34 | what we refer to as the wife . All right? The white Ramos |
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58:39 | carrying the pregame genomic fibers in to ganglia. Alright, So here, |
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58:47 | is representing the ganglia. This entire is referred to as the gangly, |
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58:51 | sympathetic trunk. All right, so is moving in. All right, |
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59:00 | gray is sending the fibers out. right. Now it's called white because |
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59:08 | have pre gangland fibers that are primarily with milon. So you get these |
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59:13 | signals gray because they lack milon so don't have all that white to |
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59:19 | So that's where the two names come . Now here's the complicated. All |
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59:25 | ? It's not as complicated you think just different? All right, So |
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59:29 | the easy one. You can see . I'm starting my lateral horn. |
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59:33 | go out through the ventral route. joined up with the nerve, And |
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59:37 | from that nerve, I go in the white, and then I can |
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59:43 | with a post gang Janek fiber in ganglia and I exit out through the |
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59:49 | and I keep traveling down the spinal . All right, that's pretty |
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59:53 | All right. So fairly, fairly . Um, now, the word |
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60:00 | we're using from our text is para ganglia. All right, so here |
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60:05 | the, um um are should be a ventricular. Excuse me, pere |
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60:11 | . Uh, terrible. So pair vertebral. All right, write it |
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60:16 | so that you can see it. vertebral. All right, so that's |
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60:25 | we're doing. These air in the trunk. That's easy. Number one |
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60:30 | synapse out. The second thing I do using that same starting points, |
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60:36 | could go in. But instead of at that level, I can travel |
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60:42 | or I can travel down to another of vertebral gangland where Aiken synapse and |
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60:48 | I exit out through the Gray Raymond . Conte's all right. That's number |
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60:56 | . The third one is where it weird. All right, The third |
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60:59 | says I'm gonna go in. But of going up or down or synapse |
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61:03 | , I'm gonna use a back door I'm gonna travel out to a different |
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61:09 | . Alright? This gangly is referred as the pre vertebral ganglia. All |
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|
61:14 | ? And so it's off to the someplace, someplace further on. So |
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61:20 | I'm not synapse ing within the pair vertebral. I'm moving onward to the |
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61:25 | vertebral. And so to see, of a better view of this. |
|
|
61:28 | gonna come back. We're gonna look this particular particular image. All |
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|
61:34 | so here we can see. All . There's our para vertebra role over |
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61:42 | . Being represented by the things that circling are the Previti rules. |
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|
61:48 | So the pair of vertebral is We the superior cervical gaining them because we're |
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61:53 | in through t one and so And what we do is we go |
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|
61:59 | , right? So here is a cervical gangland right over there. That's |
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62:04 | medical middle cervical. There's the inferior ganglion. Right? So the way |
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62:09 | get there is I moved up that using a sample or example. Number |
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62:16 | . Right. That's how I got . Similarly, down over here, |
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62:19 | can see I'm coming out through l . And then down I go to |
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62:26 | the sympathetic chain that's associate with this , Nick nerves. All right, |
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62:31 | again, what am I doing? air those air further down. All |
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62:36 | . So those would be examples of up or traveling down, and then |
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62:42 | other things just kind of pass on . Just so we describe going in |
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62:46 | the white, out through the gray the same level, the pre |
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|
62:52 | There's three of them that you should aware of, But again, it |
|
|
62:56 | demonstrates this idea. Um, we straight on through, straight on, |
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63:02 | , straight on through, over and again. We're going to have celiac |
|
|
63:06 | superior Mesen. Terek. I'm That's superior. Peasant. There's the |
|
|
63:11 | medicine, Terry. All right, . What out of mhm? They |
|
|
63:18 | Arenal Ingla want to circle there? celiac superior Mesen Terek inferior Messan |
|
|
63:28 | And you can see all I'm doing I'm going to a gangling that's further |
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|
63:31 | the road before I go on That's where my where I am. |
|
|
63:36 | , that's where my gangling on and eyes connecting the pre ganglia Nick in |
|
|
63:41 | post ganglia Nick fibers. Now, again, I just want to show |
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|
63:45 | it's organization. If you look at the sympathetic trunk works the highest |
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|
63:51 | we're going to the highest points in body. The lowest fibers are going |
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|
63:54 | the lowest parts of the body in of the viscera. So there is |
|
|
63:58 | organization that goes with them. So you went back a slide and looked |
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|
64:02 | , what are they innovating? They're trying to show you. And here |
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|
64:06 | we're dealing primarily with the viscera of gut, you can see if you |
|
|
64:10 | these, you can see I start the top and work my way down |
|
|
64:13 | to the duodenum. Then from here the Guatemalan on down, and then |
|
|
64:18 | , from down here, it's basically lower portions of the digestive tract as |
|
|
64:24 | as the renal system. So take from all of this. The big |
|
|
64:30 | is a little bit more complicated in of organization. Pre gangling fibers originate |
|
|
64:37 | T 12 l three. The pregame fiber travels out to a ganglia that's |
|
|
64:44 | be either in sympathetic trunk or out to the pre vertebral ganglia. All |
|
|
64:53 | , that's the key. Take then. You should know, at |
|
|
64:56 | by name what the three are and of the general things that they're gonna |
|
|
65:01 | doing. Higher Lower Middle Harris sympathetic . Our anatomy is so much |
|
|
65:09 | All right, so the fibers originate or two areas. It's either gonna |
|
|
65:14 | in the the cranial regions or it's be in the sacred regions. So |
|
|
65:20 | head or but versus your back is you can kind of think about it |
|
|
65:25 | . Organization is the same way you see here. It's from I down |
|
|
65:28 | genitals, right? The highest ones . Well, uh, with the |
|
|
65:35 | of the optic nerve, basically It's also the olfactory nerve basing begin |
|
|
65:41 | the brain stem. And so what doing is we're dealing primarily with the |
|
|
65:45 | nerves. For parasympathetic, the big nerve you should know is the vagus |
|
|
65:50 | . Always always know the vagus It's basically everything right. You can |
|
|
65:55 | here basically from your lungs and heart through your guts. All right. |
|
|
66:03 | then download the sacral give rise to parasympathetic splaining nerves. What would be |
|
|
66:08 | genitals? Your reproductive system? and, uh, you know, |
|
|
66:14 | bladder, your renal system. So different are their ganglia. Yes. |
|
|
66:22 | right. But the ganglia are typically , located either on, so you |
|
|
66:28 | see on or next to the tissue you're innovating. All right, So |
|
|
66:35 | that means is that there's some some that we're just gonna kind of look |
|
|
66:39 | here. And just second that we do some comparison. This is just |
|
|
66:42 | of show you where these cranial nerves in the brain stem. Please don't |
|
|
66:47 | this. It z not helpful, does show you where these nuclear are |
|
|
66:54 | . All right, um, so regard to the fibers, remember, |
|
|
67:01 | we're dealing with sympathetic, sympathetic and , there are gonna be autonomic a |
|
|
67:06 | fibers that were sensory input. All . Your are detecting sensory information so |
|
|
67:12 | you can get an una gnomic Now, I need to make a |
|
|
67:16 | here that I think is important autonomic not mean automatic. If I hit |
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|
67:21 | need and I get that the knee reflex that is not an autonomic |
|
|
67:26 | That's a somatic response. Not a response is something you cannot control or |
|
|
67:31 | at the level of the central nervous . It's being regulated outside of your |
|
|
67:38 | responsiveness. All right, So, example, I have no see sectors |
|
|
67:44 | located within my gut. I have see scepters and other sorts of receptors |
|
|
67:48 | are located in my heart, all , and so they respond to various |
|
|
67:53 | of stimuli. But when you get information sent in, you may actually |
|
|
67:59 | a a sensation that your brain recognizes being found within a certain Dermot on |
|
|
68:07 | is what is referred to as a pain. And so you're probably familiar |
|
|
68:12 | , like the heart when you feel . If your heart is you're undergoing |
|
|
68:16 | heart attack and your heart is constricted going through tetanus, you get the |
|
|
68:22 | of pain, not where your heart , but basically up and down your |
|
|
68:27 | . And the reason for that is it appears to be that there is |
|
|
68:30 | shared ascending track. And so that's you have a perception of the |
|
|
68:35 | Not so much as, um, using a a somatic pathway. All |
|
|
68:44 | , so there are a fair fibers . You don't need to memorize this |
|
|
68:47 | . This just kind of shows. usually ask the question in the actual |
|
|
68:52 | . Anyone ever had appendicitis. Where it hurt? I had. It |
|
|
68:55 | on the sixth grade, and it like my whole side was gonna explode |
|
|
68:59 | there. And so what did they ? Is they help paid around the |
|
|
69:02 | , and it's like, You it feels like someone stabbing you with |
|
|
69:06 | hot swords, and it's like, , yeah, you got appendicitis if |
|
|
69:10 | had it. You know what I'm about again? This is just to |
|
|
69:16 | what the enteric is. It's found within the peripheral nervous system. There |
|
|
69:20 | actually two nerve plexus that are associated it. There's a sub mucosal in |
|
|
69:25 | Mayan Terek, right? So what doing is it's getting input from the |
|
|
69:31 | so your Vegas system can control. we look at digestion a little bit |
|
|
69:35 | , we'll see this in, in greater detail. The impact that |
|
|
69:40 | can have on regulating this. But it responds to local stimuli, and |
|
|
69:47 | controls its own activity. Doesn't require from the N s via the vagus |
|
|
69:58 | . So coming back to the N and just kind of putting things into |
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|
70:01 | here, I like to put the in the break here just because it |
|
|
70:04 | you to see how these two systems or less oppose one another. All |
|
|
70:09 | , what we refer to this system is dual reciprocal innovation. All |
|
|
70:14 | Now, the hazard here is to of sympathetic, always being an activator |
|
|
70:20 | thinking of parasympathetic always as an inhibitor . That's where the problem comes. |
|
|
70:25 | I don't like using, I should break appropriately. Um um, so |
|
|
70:32 | give myself a minus one there. , what we're trying to say here |
|
|
70:38 | that these two systems oppose one another terms of their activity. So, |
|
|
70:43 | example, with sympathetic dominance, you're with fighter flight, and so you're |
|
|
70:47 | to deal with what we refer to the e so that stressors that are |
|
|
70:52 | emergencies or exertion or exercise your That type of activity is going to |
|
|
71:00 | have a need to increase activity like rate and blood pressure and respiratory |
|
|
71:06 | But at the same time, it as a negative regulator of state. |
|
|
71:11 | example, Digestion para sympathetic, on other hand, deals primarily with general |
|
|
71:17 | . So it's what we refer to rest and digest response. And so |
|
|
71:22 | normal circumstance when you're resting it might the digestive rate or when you eating |
|
|
71:27 | , your digestive activity that increase. see, this is where we say |
|
|
71:31 | acting like a gas pedal. so whereas on digestion sympathetic is acting |
|
|
71:37 | a brake, Parasympathetic is acting as gas pedal to push that process. |
|
|
71:43 | when you're talking about your heart rate exercise, sympathetic would be acting as |
|
|
71:47 | gas pedal, whereas parasympathetic serves as brake to slow down heart rate. |
|
|
71:54 | , so this is why we say two systems are antagonistic to one |
|
|
71:59 | There are some exceptions to this but I might make him a little |
|
|
72:04 | later here in a second. But the most part, I want you |
|
|
72:08 | kind of keep that in mind. again, it's easy to try to |
|
|
72:13 | everything. But I think the easiest to do when you're trying to memorize |
|
|
72:17 | is find the one thing that stands as being different and then recognizing that |
|
|
72:21 | the others are the same. And if you guys remember Sesame Street way |
|
|
72:25 | when we got these little charts of of these things is not like the |
|
|
72:29 | . And so if you use this you have pre versus Post, this |
|
|
72:32 | be pre sympathy or pre ganglia. Post, gangly Janek and the Sympathetic |
|
|
72:37 | parasympathetic. And so, within these , what we're asking is what type |
|
|
72:42 | neurotransmitter Dupri sympathetic and post sympathetic pre post ganglion our post sympathetic Anglo Janek |
|
|
72:50 | produced. And so the answer to is that all sympathetic, right? |
|
|
72:56 | both pre and post released a Seattle right? All sympathetic posts are |
|
|
73:04 | Leah. Five released See the calling parasympathetic post gangly Onyx released to seal |
|
|
73:11 | coleene. And then here's the weird is that sympathetic post ganglia fibers from |
|
|
73:17 | skin and the blood vessels. This is the exception, right? So |
|
|
73:22 | Onley one that's different. Our post get sympathetic nor e post gangling |
|
|
73:29 | Sympathetic fibers release Nori. All They're agin ergic now. How'd |
|
|
73:36 | I remember this? Well, a Ervik comes from adrenaline. And when |
|
|
73:44 | am scared or angry or whatnot, system that dominates is sympathetic. That's |
|
|
73:52 | Nori. And so this is the transmitter. So the neuron Zehr named |
|
|
73:59 | There is the names for the neuro they synthesize. And that's what they're |
|
|
74:03 | what this is trying to show So see the Colleen, the |
|
|
74:07 | Colleen Norepinephrine calling. Now, let's in terms of receptors. Noticed that |
|
|
74:15 | have shifted down. So this is post Gangel Janek cell. That's the |
|
|
74:20 | sell. This is the target All right? So if the sympathetic |
|
|
74:26 | pregame it receives our sins since I the Colleen, then the type of |
|
|
74:32 | I need tohave is in acetylcholine Right? So it's a colon |
|
|
74:39 | That's easier. Way to get So this is a colon ergic. |
|
|
74:45 | is a colon ergic. This is adrianne ergic receptor. Now what type |
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74:51 | receptors? Specifically. All right. we have two types of what are |
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74:55 | to as an academic or muscular nick IQ fibers alright are responsive to nicotine |
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75:01 | . Their name must guarantee car responsive bind up a toxin from from a |
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75:07 | . That's why they're called muscular All right, so this is |
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75:13 | Nick, That is nicotine, that is muscular Rennick And then with |
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75:19 | to Adrianne urge ICS. Well, on what you're looking at, you |
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75:23 | different classes. Alright, there, and Betas. And then you have |
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75:27 | ones and altitudes, Beta ones, threes. There's actually even beta twos |
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75:32 | we break them down and I don't ask this question of what's inhibitory. |
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75:37 | exciting story? It is kind of to know that they're all metal. |
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75:41 | trophic. Now I know we're in wind down mode. You guys were |
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75:45 | . I'm tired of talking. So me just kind of show you this |
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75:48 | little bit here. This is a , simple way to do the |
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75:52 | Alright, where are things? And it's just parasympathetic were sympathetic. We've |
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75:57 | seen this cranial versus sacral for parasympathetic versus lumbar. So those were for |
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76:03 | pre ganglia nick fibers, where the while we said parasympathetic are right there |
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76:07 | to the target. Whereas the sympathetic near the spinal cord. Right. |
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76:11 | would be that pair of vertebral. uh, palm what's your type of |
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76:18 | ? Well, parasympathetic, we have few fibers. And so what ends |
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76:22 | happening is you're innovating. Very specific . So you get very localized responses |
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76:28 | . You have more widespread innovation, you get larger responses. But we |
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76:33 | get what is called mass activation. what we're doing is we're gonna support |
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76:38 | through the release of norepinephrine into our system. Not as a neurotransmitter but |
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76:46 | as a hormone. The last little here is in terms of length and |
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76:53 | of these fibers. So again, regard to the pre gangly Tomic |
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76:59 | Well, remember, we're going way to the organs. So those air |
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77:02 | , we only have to go right to the pair of vertebral sympathetic, |
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77:08 | um, trunk. So those fibers be short? And then the converse |
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77:13 | gonna be true for the post angle fibers. And then, as I |
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77:17 | , we have for parasympathetic in terms branching. There's very few branches, |
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77:23 | you can see this an example. . There's no branches. And so |
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77:27 | only innovating a couple of post gangly fibers. Whereas when you're dealing with |
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77:33 | sympathetic, this is why we get of a more widespread responses. We |
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77:36 | lots and lots of branches, so means downstream the post ganglion fibers. |
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77:42 | got lots of that. And then terms of my own nation, you |
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77:46 | just kind of look at the pictures , pre gangling fibers, you get |
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77:49 | Nation. So yes and yes, the fibers? Not so much. |
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77:57 | it's a nice little chart that you kind of create. So the last |
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78:02 | bit here, this is it. do we control all this stuff? |
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78:05 | , the ultimate or the highest level control is the hypothalamus, right in |
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78:10 | hypothalamus. This is where you're integrating about what's going on the body, |
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78:15 | you send that information out through the stem in the spinal cord via the |
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78:20 | sympathetic and the parasympathetic. Uh, ganglia of the nuclei that are found |
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78:28 | the brain stone. All right, , having said that, you know |
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78:33 | don't have any cortical control. I , you can't tell the brain can't |
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78:39 | the hypothalamus what to do. But that does mean is that there is |
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78:43 | cortex above that can respond to that . So, for example, when |
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78:49 | watching a scary movie, your heart could go up right. And you're |
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78:54 | that cause you're responding to what you're . But if you start telling |
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78:59 | Oh, this is just a it's not that big of a |
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79:03 | You know, you could basically control responsiveness to that particular stimuli. All |
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79:10 | , that's an easy way to do . Or I can tell you the |
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79:12 | now of what I usually tell students class. You're leaving the library. |
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79:17 | two o'clock in the morning because you're awesome. Study. But you cut |
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79:20 | way out in the furthest parking what's in on campus? And as |
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79:26 | walking to that parking lot in the , you start crossing. You |
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79:30 | you start hearing the crunching of your and then you hear crunching behind you |
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79:35 | gonna happen, right? Well, know, because you've seen enough scary |
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79:39 | , you never turn around because that's sure way to die. So what |
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79:42 | do is you start walking a little faster. And then the steps behind |
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79:47 | start walking faster. And so what's happen? Your heart rate goes |
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79:51 | your breathing goes up, your blood goes up and you're now getting |
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79:56 | You're getting ready for what's gonna You're gonna either fight whatever is gonna |
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80:01 | you or you're going to run. you may actually curl into a ball |
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80:06 | start crying and say, Please don't me. One of those three things |
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80:09 | really gonna happen. Eventually, the reaches out and grabs you on your |
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80:14 | , all right? And you turn ready for that. And it's your |
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80:18 | that you've been studying with. All , so now all of a |
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80:21 | now your system is your heart's going . You're going nut, you |
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80:26 | But it's not a dangerous situation. do you do? Well, this |
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80:31 | where the parasympathetic comes into play. recognizes the situation. Now your cortex |
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80:38 | . And so what that does. allows for you to quickly return the |
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80:42 | back to normal. All right. way, you can think about this |
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80:45 | you're driving in a car down 45 Galveston doing 75 miles an hour. |
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80:50 | do you stop if you have no ? How do you stop? Will |
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80:53 | take your foot off the gas and eventually coast to a stop. But |
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80:57 | takes too long. So that's why put a break in. And so |
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81:01 | sympathetic in this particular instance is acting the gas pedal to get you ready |
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81:06 | the fight or flight, the parasympathetic you back down to normal so that |
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81:11 | not wasting energy or fuel. That's because the cortex is allowing you to |
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81:18 | what's going on in your environment. that's where I'm gonna stop today. |
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81:23 | gonna allow you guys start asking and if you need to go, |
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81:27 | . But we're done. So ask . So Riva asked for the third |
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81:45 | of sympathetic nervous system. Is there change in the sympathetic Trump like the |
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81:49 | switching in a different trunk? so not it's a little bit |
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81:53 | which is, I try to avoid for this particular class because it's there's |
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81:58 | for these types of pathways. you can actually synapse and actually leave |
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82:04 | through that pathway as well. So idea here is that typically what you |
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82:09 | is your passing down and through and to get to the pair of |
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82:14 | Our sorry, the pre vertebral. the goal is just It's just how |
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82:19 | body kind of design itself over So it's not so much a rule |
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82:23 | well. Um, I'm gonna have switch down to another trunk. Or |
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82:26 | I just come out the same The idea is is that I'm either |
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82:30 | ing in the trunk that I'm going go into. That's number one. |
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82:35 | go up or down, and then or the third is is I passed |
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82:40 | the trunks to the pre vertebral. , so that third pass was just |
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82:44 | through the trunks. Notice we're not . Do I have to? Can |
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82:47 | go up? Where can I go ? Because that is possible. We're |
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82:50 | not talking about the specifics, all ? I hope that's helpful. And |
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82:59 | , the goal here is to understand it's it's complicated. Um, John |
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83:05 | asking about the writing assignment says your should be mostly from after. That |
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83:09 | post 2010. That means 2011 2012 on and so on. In other |
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83:13 | , you're supposed to be looking at that isn't in the text books at |
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83:17 | point, right? The idea is have a deeper or better understanding of |
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83:22 | going on. So the older your is, the more likely that it's |
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83:28 | under. It's understood the newer it the least understood. It is generally |
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83:35 | , and that's what you're shooting is you. I want you to |
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83:38 | to me the complexities that we've been in more recent years. So after |
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83:46 | is post 2010. Can't change that you to see a post 22. |
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83:53 | that mean you can't use stuff prior 2010? No, it just means |
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83:58 | you know a good paper is gonna significantly more articles from Andi. I'm |
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84:04 | making up a number like 2015 through . All right, but you may |
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84:08 | working on a subject where a lot work hasn't been done, and so |
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84:13 | may actually have to dip further Yeah, So join There might be |
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84:18 | that you wanna look at that are on what Not that will kind of |
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84:22 | you a general understanding. But the thing that a paper could do is |
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84:28 | it will not only show you what, where the research is being |
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84:31 | , but it allows you to go and see whether or not they interpreted |
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84:35 | results correctly. That's that's kind of important thing. It's the. The |
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84:40 | here is that secondary literature is not accurate. Sometimes they make mistakes. |
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84:47 | misinterpret. So your job is really kind of go back and look at |
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84:50 | original papers that maybe in these reviews you're looking at and actually saying, |
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84:57 | , what they said was this this what's really going on versus what these |
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85:02 | said, you know? So you'll all the time. I mean, |
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85:05 | as an example. You know, is good for you. Then the |
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85:09 | week. Wine is bad for you next week. Wine is good for |
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85:12 | . It's like, Well, I really know. So go back and |
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85:14 | at the original source and see what actually saying, and then you interpret |
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85:19 | that data actually means or what they're to tell you. That's kind of |
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85:23 | goal, the help and to actually little bit. Yes, it's just |
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85:37 | the basics you're gonna find in your . It's the groundbreaking new research that's |
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85:42 | to be primarily your body. The is to answer the questions. |
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85:55 | for example, if you went into textbook right now, you'd probably be |
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85:58 | to find a general answer to your , all right, but it's far |
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86:03 | complex or detailed than that. That's I'm trying to get you to do |
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86:06 | figure out the details. That's that's of the key. Any other |
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86:20 | Only once. Yeah, Going All right, Yes, The George |
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86:32 | should be as direct as possible. should always be direct in and you're |
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86:37 | , all right, So if you beat around the Bush, it's It's |
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86:42 | be very difficult for your reader to what you're trying to get across, |
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86:46 | that really means you're trying to hide , whether you're trying to hide an |
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86:50 | fact, or it could be that just don't you're trying to hide that |
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86:53 | don't understand some. So when you're out a mechanism, try to make |
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86:58 | as clear as possible. You know say, for example, item A |
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87:03 | molecule A is responsible for turning on B molecule B, you know, |
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87:10 | an inhibitor, a molecule C. when molecule a gets up regulated, |
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87:16 | down regulating molecule C. So it keep it simple and basic, so |
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87:22 | you can better understand for yourself, also for your readers, not get |
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87:26 | in the mechanism. Yes, and is true. So Georgia, |
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87:32 | And so you'll need to look on and decide whether or not some of |
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87:36 | mechanisms are important to include. You say, for example, Wow, |
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87:41 | this other mechanism that seems to run , but it's not directly responsible for |
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87:46 | looking at. So you may mention and say that might be something that |
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87:49 | to be looked at under, you , investigated further or something like, |
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87:54 | don't need to hit every single solitary . What you need to do is |
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87:58 | need to make a coherent or tell coherent story, right? So leaving |
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88:03 | important stuff is bad. Hitting everything equally as bad because you'll make it |
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88:09 | confusing anyone else. All right, , happy hour starts in about an |
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88:30 | and a half in most places. you can get out of your house |
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88:33 | aren't worried about getting stuck someplace, out and have some fun, you |
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88:38 | , right? No. You're all go study. I know. All |
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88:42 | , You guys have a great I'm gonna go ahead and kill |
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88:45 | Um um, we will see you Thursday. Hopefully, I will be |
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88:50 | class again, but in the event something like this gets canceled, we'll |
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88:54 | do it online. Like like so really kind of theory. Easy way |
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88:58 | do it. So All right. hitting the stop cord, and we're |
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89:05 | to |
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