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00:02 | This is lecture 22 of neuroscience, hmm. This is lecture 22 of |
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00:17 | . We developed this concept of brain when we talked about multiple things in |
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00:24 | course. But we talked about maps calcium fluctuations at the synapse. And |
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00:31 | talked about synaptic transmission and we talked barrel cortex and somatosensory barrel cortex and |
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00:40 | . And how you when you activate whisker you see a map of |
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00:45 | So there's a structure that represents that barrel and there's activity within that barrel |
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00:52 | represents a matter of sensory or touch on that single whisker. And we |
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00:59 | that these maps and some out of cortex if they start from a single |
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01:04 | those maps of activity. They spread the adjacent interconnected brain regions. The |
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01:12 | of activity can be described as a wave or a wave of traveling electrochemical |
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01:21 | through the interconnected neuronal networks. We looked at the examples of brain maps |
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01:32 | the olfactory system and what happens when is proceeding certain smiles. We saw |
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01:40 | certain structure of the olfactory epithelium. had a variety of receptor cells. |
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01:49 | receptor cells that all expressed a slightly receptor protein and that receptor protein was |
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02:02 | to certain odors in the environment. we have a variety of these specific |
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02:11 | protein receptor cells. In fact we cells that process these olfactory stimuli. |
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02:21 | talked about how Alana bell factors stimuli Turpin's and they can be synthetic molecules |
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02:30 | most of our environments. Most of experiences we encounter a lot of organic |
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02:37 | nature produced our beans and that there a whole map and that map exists |
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02:44 | the level of bill factory, both the glimmering light where you will have |
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02:51 | sense, producing a different map of minty versus fruity within the olfactory evolved |
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03:00 | the glamorous life. That information is throughout the cortex. Mhm. And |
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03:09 | the interconnected brain regions. And that's we talked about how smells. Although |
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03:17 | will say it's a psychological effect of smell, you're clearly seeing that there's |
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03:22 | physiological effect on the brain activity which further influence your mood will influence your |
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03:32 | . We'll tell you I'm going to this and we'll tell you maybe I |
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03:36 | this person or not. So it not just psychological, it actually will |
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03:42 | a lot of new motor output physiology the brain which is intertwined with physiology |
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03:50 | the body. So we have this maps or smell maps and when we |
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04:02 | in the olfactory evolves here. The technique that was used was calcium |
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04:10 | And that's an important technique especially within olfactory evolved because most of the deep |
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04:16 | and the olfactory receptor cells comes from dependent chloride channels. And when you |
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04:24 | calcium, you measure activity. So measure calcium in this case you measure |
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04:32 | only increases in calcium but you're also the deep polarization of the membrane |
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04:43 | So these maps that are created and waves in which they travel are similar |
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04:54 | they're unique in all of us. smells and how we perceive the smells |
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04:59 | dependent upon what we've learned. Not the structure that we have built |
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05:05 | but also the environments that we have exposed. Two. And I was |
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05:12 | telling you about the smell maps of city, which is an artistic |
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05:21 | But I challenge the class yesterday saying if blind people had an additional map |
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05:32 | their environments of their community, of city? And those were the smell |
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05:40 | maps that they could read in So what maps do blind people read |
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05:51 | ? Oh there is no sound map , there is no tape that I |
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05:59 | up or recording or app that tells this is the sound, the map |
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06:04 | you of age, it doesn't So there is braille maps but braille |
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06:14 | are pretty complicated. There's a lot things in there and this is a |
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06:20 | simplified smell map that could be laid the city braille map also in |
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06:26 | So when we talk about these things you think, oh it's just fun |
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06:30 | , that could be really serious signs it could be helping another tool for |
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06:36 | people. For example, if they a smell map of the building, |
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06:40 | they could also rely in addition to spatial map because maybe they're special orientation |
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06:47 | upset. So they are not sure direction they really turn and with those |
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06:55 | then smelling, having another sense and on that is another tool that they |
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07:02 | basically live by. So yeah, what is the threat of the wind |
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07:08 | ? That's a great point. So the direction of minimal change and |
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07:16 | you're inside, you know, sometimes heater will kick in and sometimes |
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07:20 | C. And this will change maybe the smell. So the way |
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07:24 | move through the vans. Yeah, there will be variability for sure. |
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07:30 | then at the same time, you that you have the locations of sewage |
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07:36 | and those typically don't change. And this is this is there permanently. |
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07:42 | some infrastructural things that have strong gardens and maybe you could say in |
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07:49 | springtime this will smell like flowers and the fall of this will smell like |
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07:55 | , you know, something like So I think there's there's something to |
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08:00 | . I'm just throwing all of these out there for you guys because you're |
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08:04 | future of this world and you're gonna doing all of these things in the |
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08:08 | . Now. Go away, please you. Yeah. Alright, so |
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08:16 | we're going to look at another very technique that also allows you to experimentally |
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08:24 | activity, neuronal activity, neuronal number deep polarization, hyper polarization. And |
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08:33 | technique is called voltage sensitive dye And before I explained to you this |
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08:40 | , I wanted to tell you that general when we talk about imaging, |
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08:45 | talking about multiple levels at which this can be imaged. So when we're |
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08:52 | about macroscopic level, we're talking about Primary Somatosensory Cortex S one Activity And |
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09:06 | Visual Cortex V one Activity. This macroscopic. Or if you may holistic |
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09:14 | of the large area swats of the that are activated, then if you |
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09:22 | into one region like the one you now at this mezza SKOp IQ |
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09:31 | And if you know and recall the of B1, there's a certain structure |
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09:37 | the cortex recall that cortex is a layer structure so laminar and also it |
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09:44 | columns so it's columnar laminar and columnar . And within the cortex you also |
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09:52 | a certain circuit and arrangement. 80-90% the cells in the new cortex are |
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10:01 | to Graham in all cells, 10-20% inhibitory into neurons. But you've also |
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10:08 | early in this course that the diversity the cellular subtype population comes from the |
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10:16 | cells. So excited to results are excited to re long range production cells |
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10:25 | interconnect different regions of the brain and cells are locally controlling these excitatory cells |
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10:34 | there is a variety of these inhibitory and how they can control the excitatory |
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10:39 | and how that output is going to communicated. This approach is circuits |
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10:45 | so for circuit centric approach, you to know the players that are involved |
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10:51 | subtypes that are involved connectivity and the by which that circuit functions a rule |
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11:00 | example of feedback inhibition. When there a lot of excitation, there's unsanitary |
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11:08 | will activate inhibitory cells and the inhibitory will inhibit the same excitatory cells. |
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11:15 | there is arrangement, cellular arrangement, in that circuit. And there are |
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11:23 | by which these circuits function. There's ultimate, there's inhibition, gaba, |
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11:31 | color laura been Afrin serotonin and there rules by which these circuits function. |
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11:39 | you can get to the circuit centric and understanding understanding what understanding what these |
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11:48 | do during a particular phenomenon. Let's your visual cortex is activated by an |
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11:57 | and you want to know what are inhibitory subtypes of cells doing when they're |
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12:04 | when they're silent, What are they ourselves doing at what time and when |
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12:09 | that information being communicated and propagated into adjacent interconnected brain regions. If you |
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12:19 | that level of understanding on a circuit , the connectivity, the communication between |
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12:25 | cells. You can now go down the cellular level. So there are |
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12:33 | techniques that will allow you to go to a single cell level that is |
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12:41 | because you can image activity in one and unlike recording electrically from two or |
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12:51 | maximum, I think the record is simultaneously wholesale recordings individual and the slides |
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12:58 | eight cells simultaneously is the record. believe in the world. Although it's |
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13:02 | in the Guinness world records. If are doing imaging when you're imaging circuits |
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13:10 | you get down to cellular level with imaging techniques you have capability of tracking |
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13:16 | and hundreds of cells at the same and thousands of cells at the same |
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13:21 | . That's something that the recording electrode do. You simply cannot stick 200 |
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13:28 | underneath a small objective and you certainly do it in vivo. You cannot |
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13:35 | so many electrodes to pick up intracellular . I'm not talking that there is |
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13:41 | electrode erase of going to the If you follow some of the multi |
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13:47 | eraser called it would be implanted. will have hundreds of electrodes for experimental |
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13:53 | . But here we're talking imaging imaging and hundreds of thousands of units if |
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14:03 | even have greater resolution. And if have certain dyes certain tools and you |
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14:12 | certain dyes and certain tools you can to the sub cellular level you can |
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14:18 | to a level of a single synapse a synaptic button, of the synapse |
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14:27 | a dumb drive of a dendritic spine you can get to that sub cellular |
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14:35 | . So you need to use really microscopes. If on the macro side |
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14:42 | don't really need to magnify you know talking about four x four times magnifying |
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14:50 | signal that you're looking at. So magnification on this sub cellular side. |
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14:57 | you have to have really powerful microscopes can have very high spatial resolution. |
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15:08 | so when you talk about functional neural imaging, you will often hear this |
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15:16 | of space or temporal resolution or spatial pattern of activity special and temporal. |
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15:28 | you're talking about resolution, spatial temporal , you're looking at resolution in |
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15:35 | How powerful are these microscopes? How are the cameras connected to the |
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15:44 | It's not only the microscope that image through a camera, a digital camera |
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15:50 | is connected to a computer so that can visualize these beautiful images on the |
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15:57 | . So how powerful is the How many pixels does the camera |
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16:03 | In other words, how powerful is objective is on the microscope? You're |
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16:10 | right? It's an objective your magnifying times your magnifying 100 times your magnifying |
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16:16 | times now you're getting down into the cellular level. But how good is |
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16:22 | camera? How many pixels? The mounted on your microscope? How many |
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16:27 | does it have? Is it about pixels. What does it mean if |
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16:31 | camera has 10 pixels there is an of an apple and it has like |
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16:38 | interesting things here and some color blah blah blah. Maybe this is like |
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16:46 | , Some image. Right? And you have your camera that has |
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16:57 | 10, 11, 12 pixels. means whatever is in this pixel is |
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17:02 | get averaged over and you're not gonna much of the detail that was buried |
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17:09 | have a camera that has a lot pixels. You will get much higher |
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17:18 | resolution. So how many megapixels does iphone have anybody bothered to know? |
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17:26 | not the last five years. Nobody . But you used to buy these |
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17:31 | expensive cameras like Canon pay $500,000 To like 12 megapixels and things like |
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17:44 | And it has been replaced by cell cameras that approximately the same resolution. |
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17:51 | way of thinking it is the less resolution that has the blurrier than the |
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17:55 | gets, The more spatial resolution the more detail you can see. |
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18:01 | that's for spatial resolution. Now this that is processing the spatial information also |
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18:10 | to have speed sampling speed. What what is your video camera sample on |
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18:17 | phone? Phone has like 2000 We only use three, we don't |
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18:24 | know what it does. So um 30 frames per second. You will |
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18:30 | 30 FPs that stands 30 frames per . What does that mean? That |
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18:36 | that whatever happens in one second of is segmented into 30 windows. So |
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18:45 | I'm reaching over one second alright, will be segmented into 30 samples of |
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18:53 | image like that and very slow. have a 60 frames per second is |
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19:01 | to be twice as fast you have T. V. Maybe you |
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19:08 | What's some things there's this program, mythbusters. It's somewhat scientific but they |
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19:14 | different myths and they have super fast resolution cameras so they can show you |
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19:20 | plumes of smoke or explosions of breaking . Can you see that with 30 |
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19:27 | per second? No, you need super fast cameras. So the things |
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19:34 | have to match if you're imaging fast , if you're imaging fast activity on |
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19:40 | single cell level, you better have really powerful microscope. You better have |
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19:44 | good spatial resolution If you want to electrical activity, actual potentials. |
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19:50 | P. S. P. What's the duration of an action |
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19:54 | Mm hmm millisecond to milliseconds. How is that? A second? One |
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20:03 | is 1001 1000s of a second. means if you wanted to capture that |
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20:11 | millisecond. Long action potential, you to have at least twice at |
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20:19 | You have to take two samples of action potential. And that would be |
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20:25 | samples. So two kilohertz. if you wanted to see all of |
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20:29 | details as many points along this action . If you just took two |
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20:35 | it might be here in here, on your speed. This is your |
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20:41 | rate. If you increase the sampling . Now you can track the action |
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20:47 | . It's every. What are these . Okay now now you will have |
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20:54 | really beautiful representation. So you have match that whatever you're gonna put in |
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21:00 | system whenever dies you're gonna use that dyes can track as fast with |
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21:09 | electrical activity in the movement of the . That the cameras can pick it |
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21:13 | and the cameras can process it. the other thing that happens is that |
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21:18 | you collected the data and a lot these experiments are very difficult and 10 |
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21:24 | and you have to have die. these dyes are genetically expressed in |
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21:31 | You have to have tissue prepared You know, it's usually 23 people |
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21:36 | hours of work to get there. know, another eight hours to get |
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21:41 | done. We're going home exhausted. have four hours of data. It's |
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21:48 | probably take you five times as long analyze that data at least to extract |
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21:56 | most meaningful information. So after you , after you matched everything up there |
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22:01 | post experimental processing of data. You want to filter the noise out in |
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22:08 | signals. You may want to filter noise out in optical signals. You |
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22:11 | want to zoom in on an area interest and zoom in on another area |
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22:16 | interest. If you zoom in, you want to go down to single |
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22:20 | resolution, if you have that data and the speeds that are necessary for |
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22:27 | to understand that date. Yeah. these are different levels of imaging. |
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22:33 | this is one advantage of genetically encoded indicators imaging is that it can cover |
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22:42 | spatial scales, resolution coverage raging from whole brain to dendritic spines. So |
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22:49 | are certain dies. And in this it's genetically expressed voltage die. |
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22:55 | so let's let's understand. What are voltage dies and how they work. |
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23:01 | these voltage dies are really great for cortical dynamics. And you can image |
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23:09 | cortical dynamics in vivo, which is the whole animal. And in vitro |
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23:15 | you're imaging activity using these voltage sensitive , you're still typically imaging activity from |
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23:24 | 100 to 200 micro meters off the after activity. Now you will say |
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23:32 | . But what if I had a powerful microscope and that microscope can go |
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23:39 | and image deeper? Well, if had come focal microscopy you could go |
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23:44 | a little bit deeper and you can in on a certain focal plane. |
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23:49 | called in the microscope a little bit . But still, most of the |
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23:53 | that you're going to observe is going be on the surface. And so |
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23:58 | when we saw these beautiful orientation, columns and their colors blue, |
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24:05 | yellow. And I said that these all of the different styles reacting to |
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24:09 | orientations in the optical columns in the cortex. Those experiments were done with |
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24:15 | imaging with imaging voltage sensitive dyes. the way this works is these |
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24:21 | they can be genetically expressed within the or in this example in this |
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24:28 | And another one that I will show . These dyes are embedded into the |
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24:32 | membrane. So you can apply the on the surface of the cortex so |
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24:36 | can apply the dye on the surface beautician. And those guys are like |
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24:40 | little squiggly warms and they will penetrate the plasma membranes of the cells and |
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24:47 | squiggly worms, they have a certain to them and they have certain reflective |
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24:54 | absorptive properties. That means that if shine a light on it like a |
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24:58 | light, it's gonna reflect at a wavelength which indicates it's confirmation all |
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25:05 | Now, once voltage crosses through the channels and there is deep polarization across |
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25:13 | membrane, these dies in the plasma will change their confirmation. The warm |
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25:20 | gonna bend in a different direction. as they change their confirmation, the |
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25:26 | properties are going to change. So deep polarization they will change their confirmation |
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25:32 | one direction and the reflected is going increase. So the areas where there's |
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25:38 | polarization and the conformational change are going be indicated optically as active areas. |
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25:46 | then when the cell hyper polarizes this dies will change into a different |
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25:53 | And as you shine the light they reflect it in a different way, |
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25:58 | that there's cu essence or silence or in those particular areas. So the |
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26:07 | thing here that has shown is that is a blue trace and the red |
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26:15 | in this diagram here and the blue the red traits are virtually indistinguishable. |
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26:23 | , one of these traces is an potential recording with an electrode. Just |
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26:29 | we studied traditional electro physiological recordings of . P. S. P. |
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26:34 | . And action potentials throughout this The second color recording is an optical |
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26:40 | that is picked up by this very camera. So what that tells you |
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26:48 | and I'm not gonna ask him to which one is which, because I |
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26:50 | remember which one is which. The is that both its sensitive died imaging |
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26:59 | directly correlated to the changes of the member and potential. And it's very |
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27:10 | . So it can pick up a PS. It can even pick up |
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27:15 | potentials, individual action potentials. And this is a an image where you |
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27:21 | a macroscopic. So you're not really it that much. In this case |
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27:26 | not as much worried about a single resolution. But you want to see |
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27:31 | pinwheel cortical Structures and neurons that are to one Orientation vs the other. |
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27:39 | now you have a window, you an electrode. This is your electrical |
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27:45 | into the tissue into neuron and you the microscope which is only a portion |
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27:53 | the microscope that has shown here that imaging inside this window here and the |
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28:00 | that is being collected by this fast . So those cameras to capture action |
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28:07 | activity again. Think about the speed the scales would be in kilohertz. |
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28:13 | want to have four kilohertz, 10 of optical imaging. You want to |
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28:20 | thousands of pixels of resolution in that data files thousands of pixels, 10 |
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28:30 | of imaging data for two minutes. like a two GB of data. |
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28:37 | running an experiment for four hours. can you can you can count how |
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28:41 | data storage you need in the computers files and transfers and backups and things |
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28:47 | that. So it's a lot of . But so now this is an |
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28:52 | and you have a visual stimulator for animal. And instead of just recording |
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28:58 | an individual cell like you would in orientation columns, spoke in one |
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29:03 | What is this cell responsive to this of that orientation? Okay. The |
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29:08 | day I'm gonna poke another cell. me eight hours to get there. |
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29:12 | orientation without orientation. So this was evolution of understanding the primary visual cortex |
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29:18 | understanding orientation columns. Is literally poking by cell one by one until we |
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29:25 | imaging techniques until the intrinsic optical signal the ocular dominance columns. Until you |
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29:32 | more spatial resolution in the microscopes and cameras and faster dies that we're able |
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29:37 | reveal the orientation column structure and the that we saw in the visual |
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29:43 | And so this is the precise experiments these are the multi sensitive dyes that |
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29:49 | talking about. Let me make sure have. So now we're going to |
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29:59 | Movie number one as I call. and Movie number one is called epileptic |
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30:03 | waves. And these are the recordings were done in the movie that was |
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30:07 | by me and my students. And will comment as we watch this movie |
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30:11 | you should be able to recognize some the structures like the hippocampus stimulation of |
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30:19 | and you can read along. Thank you. 40 Hz stimulation of |
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30:38 | . This black thing is a stimulating will produce currents of stimulus rather than |
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30:53 | . Okay okay so it travels in certain despise what we call the temporal |
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31:02 | . Green is like clumps of cells don't have a single resolution err So |
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31:07 | little mountains represent to too few cells per pixel. Now it's the same |
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31:13 | but it's apoplectic condition, it's the stimulus that gets produced. But the |
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31:20 | the environment of the tissue has been the chemical e convulsive pro epileptic bro |
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31:28 | same stimulus. Now you can see first of all you're seeing a lot |
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31:35 | red which is a lot of signal lot of activity here. That signal |
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31:44 | massive. It's huge. It's no very precise. It's spatially temporally has |
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31:50 | recognized reorganized into a big med puddle activity. This is electrical activity looking |
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31:57 | have and it's persistent that way to there, the stimulus was the same |
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32:05 | stimulus is in the first image. now you can see this persistent epileptic |
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32:11 | of activity standing, this is without . Without stimulation. You can observe |
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32:19 | activity. You will see that there's burst of activity that generates right there |
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32:27 | it propagates over there. This is hippocampus, this is dente gyros, |
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32:34 | is C. A. Three and is C A C A one area |
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32:37 | we looked at earlier in the course we studied the diversity of the |
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32:41 | this is individual cortex. You guys the structure of the cortex? Let |
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32:47 | remind you. This is the superficial . So this would be layer one |
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32:52 | is the most deep layers. This be layer six. What happens here |
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32:57 | activity comes from sub cortical layers and moves up the column because you have |
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33:03 | column of structures, if you recall have inter cortical loops and it will |
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33:08 | activity coming into four going into What happens in 23. Activity spreads |
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33:15 | . Okay, it spreads laterally. can then travel back into the |
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33:19 | Can get communicated back into the This is an epileptic form condition but |
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33:24 | highlights the cortical connectivity that we talked the course. And so now you |
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33:30 | this burst originating deep, it's traveling the column, It's spreading laterally through |
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33:37 | 23. This activity it's going back the column. Okay? And as |
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33:44 | goes back into the column, it up into little pieces. So if |
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33:50 | is a map or smell or different , there's also a map for regular |
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33:57 | . There's a map for thoughts, a map for emotions and there's a |
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34:03 | for epilepsy and seizures. And this a map of epilepsy and seizures. |
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34:11 | can be a lot of mathematical studying can be done on these maps. |
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34:17 | example, you can overlay the contours activity over the structure. This is |
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34:26 | the contours of that previous activity and traveled the most dominant activity. You |
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34:32 | make a drawing underneath it of the structures of the layers and the |
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34:37 | You can mathematically reduce, Deduce these . There are very fast waves of |
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34:46 | . Excitatory and inhibitory activity that travel ? Mhm. Red blue, red |
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35:03 | excitation inhibition, excitation inhibition, excitation . These waves are passing and finally |
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35:12 | is a little bit of artistic chaotic orchestra of ripples, ripples are |
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35:20 | very fast waves of activity That happened 200 Hz per second. But we |
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35:27 | different rhythms of activity. We have slower waves of activity and faster waves |
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35:32 | activity depending on whatever you're processing whatever thought pattern maybe or the output |
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35:38 | Well just imagine that these are your and these are your brain maps in |
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35:44 | artistic rendition as you listen to this , this would be our auditory neurons |
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36:09 | activated auditory cortex being activated. These being translated swished around between different areas |
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36:17 | the brain. So that's the end this and I have to give credit |
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36:31 | uh mostly to my graduate student who these experiments in Newcomb has ra he |
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36:38 | his PhD in my lab here using . And these fast voltage imaging sensitive |
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36:46 | sensitive dyes, they're called voltage sensitive because they're sensitive to voltage. So |
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36:51 | imaging the voltage because these dyes are to voltage. So he perfected and |
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36:58 | these techniques here that you have a then did his postdoc at thomas Jefferson |
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37:04 | and moved back to India where he originally from as a faculty. |
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37:11 | so this is uh the aluminum knows still playing this video to to the |
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37:20 | . So thank you very much. you very much. Um This video |
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37:27 | the third place here at U. H. For three dimensional renditions of |
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37:32 | data. So we we we came with this video because we wanted to |
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37:38 | in the competition and we won the place with it, which was really |
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37:43 | and it was completely different from everybody's else's three dimensional graphs and models that |
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37:50 | presented and I think maybe the music does get the third place. |
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37:57 | so we're we're venturing into this really understanding of the brain connectivity of the |
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38:04 | maps. We already talked about We already talked about development. Critical |
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38:11 | of development. We talked about tonight sensory information. We talked about learned |
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38:19 | that you learned during the plasticity. we're gonna watch today to talk. |
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38:23 | about 20 minutes longer. 25 23 minutes long. So it may |
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38:28 | talk much during the talk. I review what we watch today but it's |
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38:34 | three symptoms syndromes and I will write down the step as he discusses |
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38:40 | Perhaps one of the best ted talks neuroscience today by dr Ramachandran. Mm |
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38:50 | . Mhm. Um what is um pointed out, I study the human |
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38:55 | the functions and structure of the human and I just want you to think |
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39:02 | um chris pointed out, I study human brain the functions and structure of |
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39:06 | human brain and I just want you think for a minute about what this |
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39:11 | Here is this Mass of Jelly, of Jelly, you can hold in |
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39:17 | palm of your hand and it can the vastness of interstellar space. It |
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39:22 | contemplate the meaning of infinity and it contemplate itself contemplating on the meaning of |
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39:29 | . And there is this peculiar recursive that we call self awareness which I |
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39:34 | is the holy Grail of neuroscience of and hopefully someday we'll understand how that |
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39:42 | . Okay, so how do you this mysterious organ? I mean, |
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39:45 | have 100 billion nerve cells, little of protoplasm interacting with each other and |
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39:52 | this activity emerges the whole spectrum of that we call human nature and human |
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39:57 | . How does this happen? there are many ways of approaching the |
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40:02 | of the human brain. One approach one we use mainly is to look |
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40:06 | patients who have sustained damage to a region of the brain. There's been |
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40:10 | genetic change in a small region of brain. What then happens is not |
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40:15 | across the board, reduction in all mental capacities, that sort of blunting |
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40:19 | your cognitive ability. What you get a highly selective loss of one function |
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40:24 | other functions being preserved intact. And gives you some confidence in asserting that |
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40:29 | part of the brain is somehow involved mediating that function. So you can |
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40:32 | map function onto structure and then find what the circuitry is doing to generate |
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40:38 | particular function. So that's what we're to do. So let me give |
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40:42 | a few striking examples of this. fact, I'm giving you three examples |
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40:46 | minutes each during this talk. The example is an extraordinary syndrome called cop |
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40:51 | syndrome. If you look at the slide then that's the temporal lobes, |
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40:56 | lobes, parietal lobes, ok. lobes that constitute the brain. And |
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41:01 | you look tucked away inside the inner of the temporal lobes, you can't |
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41:06 | that is a little structure called the to form gyros and that's been called |
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41:10 | face area in the brain because when damaged, you can no longer recognize |
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41:14 | faces, you can still recognize them their voice. Say, oh |
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41:18 | that's joe. But you can't look their face and know who it is |
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41:22 | you can't even recognize yourself in the . I mean, you know, |
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41:25 | is, it's you because when you it may winks and you know, |
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41:27 | a mirror, but you don't really yourself as as yourself. Okay, |
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41:33 | that syndrome is well known is caused damage to the face of interest. |
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41:36 | there's another rare syndrome, so rare fact that very few physicians have heard |
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41:41 | it, Not even neurologists, this called the cab graph delusion and that |
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41:46 | a patient who's otherwise completely normal to a head injury comes out of |
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41:51 | otherwise completely normal. He looks at mother and says, this looks exactly |
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41:56 | my mother, this woman, but an impostor, she's some other woman |
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42:00 | to be my mother. Now, does this happen? Why would somebody |
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42:04 | this person is perfectly lucid and intelligent all other respects. But when he |
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42:07 | his mother, his delusion kicks and it's not mother. Now, the |
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42:11 | common interpretation of this, which you in older psychiatry textbooks is a Freudian |
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42:17 | and that is that this chap and same argument applies to women by the |
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42:21 | . But I'll just talk about guys you were a little baby, when |
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42:25 | young baby, you had a strong attraction to your mother, This is |
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42:28 | so called Oedipus complex of Freud. not saying I believe this, but |
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42:32 | is the starting standard Freudian view. then as you grow up, the |
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42:37 | develops and inhibits these latent sexual urges your mother. Thank God. Otherwise |
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42:42 | all be sexually aroused when you saw mother. And then what happens is |
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42:47 | a blow to your head, damaging cortex, allowing these latent sexual urges |
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42:53 | emerge flaming to the surface. And and inexplicably you find yourself being sexually |
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42:58 | by your mother. He said, God, if this is my |
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43:00 | how come I'm being sexually turned She's some other woman. She's an |
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43:05 | . It's the only interpretation that makes to your damaged brain. This never |
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43:10 | much sense to me this argument, very ingenious as all Freudian arguments are |
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43:16 | hmm. It didn't make money Much sense. Because I have seen |
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43:20 | same delusion, A patient having the delusion about his pet poodle. He'll |
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43:26 | doctor, this is not Fifi. looks exactly like Fifi. But it's |
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43:30 | other dog. Right now you try the Freudian explanation that you have. |
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43:35 | have to start talking about the latent and all humans or some such |
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43:40 | which is quite absurd, of Now, what's really going on? |
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43:44 | , to explain this curious disorder. you look at the structure and functions |
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43:48 | the normal visual pathways in the Normally, visual signals come in into |
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43:52 | eyeballs, go to the visual areas the brain that are in fact 30 |
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43:56 | in the back of your brain concerned just vision. And after processing all |
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44:00 | , the message goes to a small called effusive form gyros um where you |
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44:06 | faces. There are neurons there that sensitive to faces. You can call |
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44:09 | the face area of the brain. ? I talked about that earlier. |
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44:13 | , when that area's damaged, you the ability to see faces, |
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44:17 | But from that area, the message into a structure called the amygdala in |
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44:22 | limbic system, the emotional core of brain, and that structure called the |
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44:26 | gauges the emotional significance of what you're at. Is it prey? Is |
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44:31 | predator? Is it mate? Or it something absolutely trivial? Like a |
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44:35 | of lint or a piece of Or or I don't want to point |
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44:38 | that, but or a shoe or like that. Okay. Which you |
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44:41 | completely ignore. So, if the is excited and this is something |
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44:46 | the messages then cascade into the autonomic system. Your heart starts beating |
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44:50 | You start sweating to dissipate the heat you're going to create from exerting muscular |
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44:57 | . And that's fortunate because you can two electrodes on your palm and measure |
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45:00 | skin change in skin resistance produced by . So I can determine when you're |
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45:05 | at something, whether you're excited or you're aroused or not. Ok. |
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45:09 | I'll get to that in a So my idea was when this chap |
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45:14 | at an object when he looks at any object for that matter, it |
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45:18 | to the visual areas and however and processed in the future from the |
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45:22 | And you recognize it as a pea or a table or your mother for |
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45:27 | matter. Okay. And then the cascades into the amygdala and then goes |
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45:32 | the autonomic nervous system. But maybe this chap, that wire that goes |
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45:36 | the amygdala to the limbic system, emotional core of the brain is cut |
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45:40 | the accident. So because the future intact, the chap can still recognize |
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45:45 | mother and says, oh yeah this like my mother. But because the |
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45:49 | is cut to the emotional centers is how come it was my mother? |
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45:53 | don't experience a warmth or terror as case may be right. And therefore |
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46:01 | says, how do I account for inexplicable lack of emotions. This can't |
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46:04 | my mother. It's some strange woman to be my mother. How do |
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46:08 | test this? Well what you do you if you take any one of |
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46:11 | here and put you in front of screen and measure your galvanic skin response |
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46:16 | show pictures on the screen. I measure how you sweat when you see |
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46:20 | object like a table or an Of course you don't sweat. If |
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46:23 | show you a picture of a lion a tiger or a pinup, you |
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46:26 | sweating right and believe it or if I show you a picture of |
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46:30 | mother, I'm talking about normal you start sweating. You don't even |
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46:34 | to be jewish. Now. What ? What happens if you show this |
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46:42 | ? You take the patient and show pictures on the screen and measure his |
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46:45 | skin response tables and chairs and Nothing happens as in normal people. |
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46:52 | when you show him a picture of mother, the galvanic skin response is |
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46:56 | . There's no emotional reaction to his because that wire going from the visual |
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47:01 | to the emotional centers is cut so vision is normal because the visual areas |
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47:05 | normal. His emotions are normal. laugh, he'll cry so on and |
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47:09 | forth. But the wire from vision emotions is cut. And therefore he |
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47:13 | this delusion that his mother is an . It's a lovely example of what |
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47:16 | sort of thing we do take a , seemingly incomprehensible neuro psychiatrist syndrome and |
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47:22 | that the standard Freudian view is That in fact you can come up |
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47:26 | a precise explanation in terms of the neuro anatomy of the brain. By |
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47:30 | way, If this patient then goes mother phones from an adjacent room, |
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47:36 | him and he picks up the phone says, wow, mom, how |
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47:39 | you? Where are you? There's delusion through the phone. Then she |
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47:44 | him after an hour he says, are you? You look just like |
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47:46 | mother. Okay. The reason is a separate pathway going from the hearing |
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47:51 | in the brain to the emotional centers that's not being cut by the |
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47:55 | So this explains why with the he recognizes his mother. No |
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48:00 | When he sees it in person. says it's a he says it's an |
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48:03 | . Ok, how is all this circuitry set up in the brain? |
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48:08 | it nature genes or is it And we approach this problem by considering |
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48:12 | curious syndrome called phantom limb. And all know what a phantom limb is |
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48:18 | an arm is amputated or a leg amputated for gangrene or you lose it |
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48:22 | war. For example, in the war, it's now a serious |
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48:26 | You continue to vividly feel the presence that missing arm and that's called a |
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48:30 | arm or a phantom leg. In , you can get a phantom with |
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48:33 | any part of the body, believe or not even with internal viscera? |
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48:37 | had patients with the uterus removed hysterectomy have a phantom uterus including phantom menstrual |
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48:46 | at the appropriate time of the And in fact, one student asked |
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48:50 | the other day do they get phantom subject ripe for scientific inquiry but we |
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48:56 | pursued that. Okay, now, next question is, what can you |
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49:01 | about phantom limbs By doing experiments? of the things we found was about |
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49:05 | the patients with phantom limbs claim that can move the phantom. It'll pat |
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49:09 | brother on the shoulder. It'll answer phone when it rings it'll wave |
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49:13 | These are very compelling, vivid Patient's not delusional. He knows that |
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49:17 | arm is not there. But nevertheless a compelling sensory experience for the |
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49:22 | But however, about half the this doesn't happen. The phantom limb |
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49:27 | say. But doctor the phantom limb paralyzed. It's fixed in a clenched |
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49:31 | . It is excruciatingly painful. If I could move it, maybe the |
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49:35 | will be relieved. Now why would phantom limb be paralyzed? It sounds |
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49:39 | an oxymoron When we look at the sheets. What we found was these |
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49:44 | with the paralyzed phantom limbs. The arm was paralyzed because of the peripheral |
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49:50 | injury. The actual nerve supplying the was severed was cut by say, |
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49:54 | motorcycle accident. So the patient had actual arm which is painful in a |
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50:00 | for a few months or a And then in a misguided attempt to |
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50:03 | rid of the pain and the The surgeon amputated the arm and then |
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50:07 | get a phantom arm with the same right and this is a serious clinical |
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50:13 | patients become depressed. Some of them driven to suicide. Okay so how |
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50:18 | you treat this syndrome now? Why you get a paralyzed phantom limb? |
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50:21 | I looked at the case sheet. found that they had an actual arm |
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50:25 | the nerves supplying the arm had been and the actual arm had been paralyzed |
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50:31 | lying in a sling for several months the amputation. And this pain then |
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50:37 | carried over into the phantom itself. does this happen when the arm was |
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50:43 | but paralyzed? The brain sends commands the arm, the front of the |
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50:47 | saying move. But it's getting visual saying no move, no move, |
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50:53 | move, No. And this gets into the circuitry of the brain and |
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50:57 | call this learned paralysis. Okay. brain learns because of this heavy in |
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51:03 | link that the comeere command to move arm creates a sensation of a paralyzed |
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51:09 | . And then when you rotate the , this learned paralysis carries over into |
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51:14 | into your body image and into your . Okay now how do you help |
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51:20 | patients? How do you unlearn the paralysis so you can relieve him of |
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51:24 | excruciating clenching spasm of the phantom Well we said what if you now |
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51:32 | the command to the phantom but give visual feedback that it's obeying his command |
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51:37 | ? Maybe you can relieve the phantom . The phantom cramp, How do |
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51:40 | do that? Well, virtual reality that costs millions of dollars. So |
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51:44 | hit on a way of doing this $3. But don't tell my funding |
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51:50 | okay. What you do is you what I call a mirror box. |
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51:54 | have a cardboard box with a mirror the middle and then you put the |
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51:58 | . So my first patient Derek came . He had his arm amputated 10 |
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52:02 | ago. He had a break in . So the nerves were cut and |
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52:06 | arm was paralyzed lying in a sling a year and then the arm was |
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52:10 | . He had a phantom arm excruciatingly and he couldn't move. It was |
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52:13 | paralyzed phantom limb. So he came and I gave him a mirror like |
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52:17 | in a box okay? Which I the mirror box right? And the |
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52:22 | puts his phantom left arm which is and in spasm on the left side |
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52:26 | the mirror and the normal hand on right side of the mirror and makes |
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52:30 | same posture. The clenched posture and inside the mirror. And what is |
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52:35 | experience? He he looks at the being resurrected because he's looking at the |
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52:40 | of the normal arm in the mirror it looks like this phantom has been |
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52:45 | . Now I said now look wiggle phantom your real fingers or move your |
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52:49 | fingers while looking in the mirror. going to get the visual impression that |
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52:53 | phantom is moving, right, that's . But the astonishing thing is the |
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52:58 | then says, oh my God, phantom is moving again. And the |
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53:01 | , the clenching spasm is relieved. remember my first patient who came |
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53:07 | my first patient came in and he in the mirror and I said, |
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53:14 | at your reflection of your phantom. and he started giggling so I can |
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53:17 | my phantom, but he's not He knows it's not real, he |
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53:21 | it's a mirror reflection, but it's vivid sensory experience. Now, I |
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53:25 | , move your normal hand and he said, oh, I can't |
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53:28 | my phantom, you know that it's . I said move your normal |
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53:31 | And he says, oh my my phantom is moving again. I |
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53:33 | believe this. And my pain is relieved, OK? And then I |
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53:37 | close your eyes and close his eyes move your normal hand. Oh, |
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53:41 | ! It's clenched again, Okay, your eyes ! Oh my God ! |
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53:44 | my God, it's moving again. it was like a kid in a |
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53:46 | store. So I said, this proves my theory about learned paralysis |
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53:52 | the critical role of visual input, I'm not going to get a nobel |
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53:55 | for getting somebody to move his phantom completely useless ability if you think about |
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54:03 | . But then I started realizing maybe kinds of paralysis that you see in |
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54:09 | in in neurology, like stroke focal . So there may be a learned |
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54:14 | to this which you can overcome with simple device of using a mirror. |
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54:18 | I said, look Derek. first of all, the guy can't |
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54:20 | go around carrying a mirror to alleviate pain. I said, look, |
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54:24 | take it home and practice with it a week or two, maybe after |
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54:27 | practice, you can dispense with the , unlearn the paralysis and start moving |
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54:31 | paralyzed arm and then relieve yourself of . So he said, OK. |
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54:36 | he took it home. I Look, it's after all, $2 |
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54:38 | it home. So he took it and after two weeks he phones me |
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54:41 | he said doctor, you're not gonna this? I said what? He |
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54:45 | , it's gone. I said, gone? I thought maybe the mirror |
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54:48 | was gone. Okay. He said , No, No. You know |
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54:51 | phantom I've had for the last 10 it's disappeared. And I said, |
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54:56 | got worried. I said, my , I mean, I've changed this |
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54:59 | body image. What about human ethics and all of that? And |
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55:02 | said, Derek, does this bother ? He said no. Last three |
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|
55:05 | . I've not had a phantom arm therefore no phantom elbow pain. No |
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55:11 | no phantom forearm pain. All those are gone away. But the problem |
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55:15 | I still have my phantom fingers dangling the shoulder and your box doesn't |
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55:20 | So can you change the design and it on my forehead so I can |
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|
55:24 | know, do this and eliminate my fingers. He thought it was some |
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55:28 | of magician. Does this happen? because the brain is faced with tremendous |
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55:32 | conflict. It's getting messages from vision the phantom is back. On the |
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55:37 | hand, there's no appropriate reception, signals, saying that there is no |
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55:41 | , right? And your motor command there is an arm. And because |
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55:44 | this conflict, the brain says to with it, there is no |
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55:48 | there is no arm, right? goes into a sort of denial. |
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55:50 | gates the signals and when the arm , the bonus is the pain disappears |
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55:56 | you can't have disembodied pain floating out in space. So, that's the |
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56:00 | . Now, this technique has been on dozens of patients by other groups |
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56:03 | Helsinki. So it may prove to valuable as a treatment for phantom |
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56:08 | And indeed people have tried it for rehabilitation stroke you normally think of as |
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56:12 | to the fibers, nothing you can about it. But it turns out |
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56:16 | component of stroke paralysis is also learned and maybe that component can be overcome |
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56:23 | mirrors. This has also gone through trials helping lots and lots of |
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56:28 | Okay, let me switch gears now the third part of my talk, |
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56:31 | is about another curious phenomenon called synesthesia discovered by Francis Galton in the 19th |
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56:38 | . He was a cousin of Charles . He pointed out that certain people |
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56:42 | the population who are otherwise completely normal the following peculiarity. Every time they |
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56:47 | a number. It's colored, five blue, seven is yellow, Eight |
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56:52 | chartreuse, Nine is indigo. bear in mind these people are completely |
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56:57 | in other respects. Okay, Or Sharp. Sometimes tones evoke color. |
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57:02 | sharp is blue. F Sharp is . Another tone might be yellow. |
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|
57:08 | ? Why does this happen? It's synesthesia Galton called it synesthesia a mingling |
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57:12 | the senses in us? All the are distinct. These people muddle up |
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57:16 | senses. Why does this happen? two aspects of this problem, A |
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57:20 | intriguing synesthesia runs in families. So said, this is a hereditary |
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|
57:24 | A genetic basis, secondly, synesthesia about. And this is what gets |
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|
57:28 | too. My point about the main of this election, which is about |
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57:32 | . Synesthesia is eight times more common artists, poets, novelists, and |
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|
57:37 | creative people than in the general Why would that be? I'm going |
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|
57:41 | answer that question has never been answered . Okay, what is synesthesia? |
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57:46 | causes it? Well, one, are many theories. One theory is |
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57:48 | just crazy. Now, that's not a scientific theory. So you can |
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57:52 | about it. Okay, another theory there acid junkies and potheads. |
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57:56 | There may be some truth to this it's much more common here in the |
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57:59 | Area than in san Diego. now the third theory is that? |
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58:06 | , let's ask ourselves what's really going in synesthesia. Alright. But the |
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58:11 | area and the number area right next each other in the brain in the |
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58:14 | form Gyros. So we said there's accidental cross wiring between color and numbers |
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58:20 | the brain. So every time you a number you see a corresponding |
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58:24 | And that's why you get synesthesia. remember it. Why does this |
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58:28 | Why would there be crossed wires? some people remember I said it runs |
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58:31 | families that gives you the clue and is there is an abnormal gene and |
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58:36 | the gene that causes this abnormal cross in all of us, it turns |
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58:41 | we are born with everything wired to else. So every brain region is |
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58:46 | to every other region. And these trimmed down to create the characteristic modular |
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58:51 | of the adult brain. So there's gene causing this trimming. And if |
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58:55 | gene mutates then you get deficient trimming adjacent brain areas. And if it's |
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59:00 | number and color, you get number synesthesia. If it's been tone and |
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59:04 | , you get tone color synesthesia so so good. Now what if this |
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59:08 | is expressed everywhere in the brain. everything is cross connected. Well, |
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59:12 | about what artists, novelists and poets in common the the ability to engage |
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59:18 | metaphorical thinking, linking seemingly unrelated Such as it is the east and |
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59:24 | is the sun. But you don't Juliet is the sun. Does that |
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59:27 | she's a glowing ball of fire? mean schizophrenics do that but it's a |
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59:31 | story, right? Normal people say warm like the sun. She's radiant |
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59:35 | the sun. She's nurturing like the instantly form the links. Now if |
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59:39 | assume that this greater cross wiring and are also in different parts of the |
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59:44 | , then it's going to create a propensity towards metaphorical thinking and creativity in |
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59:51 | with synesthesia and hence the eight times common incidence of synesthesia among poets, |
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59:56 | and novelists. Ok. It's a friendly logical view of synesthesia. The |
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60:00 | demonstration cannot take one minute. Okay all sinister deeds but you're in denial |
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60:09 | it. Here's what I call martian . Just like your alphabet. |
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60:13 | Is A B. S. C. Is C. Different shapes |
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60:17 | different phonemes. Right here you've got alphabet. One of them is |
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60:22 | One of them is bouba which one kiki and which one is about how |
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60:25 | of you think that's kiki? And buba raise your hands? Well it's |
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60:28 | or two mutants. How many of think that's bouba that's kiki raise your |
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60:33 | 99% of you now none of you a martian. How did you do |
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60:37 | ? It's because you're all doing a model synesthesia, tick abstraction meaning. |
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60:42 | saying that that sharp inflection ki in auditory cortex, the hair cells being |
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60:48 | , kiki mimics the visual inflection, inflection of that jagged shape. Now |
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60:54 | is very important because what it's telling is your brain is engaging in a |
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60:59 | just it looks like a silly But these photons in your eye are |
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61:04 | this shape and hair cells in your are exciting the auditory pattern. But |
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61:08 | brain is able to extract the common . It's a primitive form of |
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61:14 | And we now know this happens in refusal form gyrus of the brain because |
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61:19 | that's damaged these people lose the ability engage in bouba kiki. But they |
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61:25 | lose the ability to engage in If you ask this guy what all |
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61:29 | glitters is not gold. What does mean? The patient says Well if |
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61:33 | metallic and shiny it doesn't mean it's . You have to measure its specific |
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61:37 | . Okay, so they completely miss metaphorical meaning. So this area is |
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61:42 | eight times the size in higher, in humans as in lower primates. |
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61:46 | very interesting is going on here in angular gyrus because it's the crossroads between |
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61:51 | , vision and touch enormous in humans something very interesting is going on. |
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61:56 | I think it's the basis of many human abilities like abstraction, metaphor and |
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62:03 | . All of these questions that philosophers been studying for millennia we scientists can |
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62:07 | to explore by doing brain imaging and studying patients and asking the right |
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62:12 | Thank you. Sorry about |
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