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00:00 questions. So the way we're gonna questions a little bit different, I'm

00:03 gonna have to talk a little find a break, and then I'll

00:06 for questions which will probably slow things a little bit. Here.

00:11 I've I'm sorry. I'm still trying find all my on my windows because

00:17 only have one device here. what we're gonna do today first,

00:23 , I hope everyone I saw that posted the video regarding the grades and

00:28 distribution and stuff, and at the of class, if you wanted to

00:31 what asked me questions about that, happy to take it. But what

00:34 wanna do, just kind of start here is I just want to introduce

00:38 concept of how to use that reading . Um, that's that's kind of

00:43 first step. And then from we're gonna go jump into the

00:46 We're gonna be looking at how the system is protected, and we'll look

00:50 the organization of the autonomic nervous But this is a picture of what

00:56 looking at is a picture of that assignment list and and, you

01:00 a lot of you kind of just of look at it and go,

01:02 , what pages do I have to ? And then you kind of get

01:05 those pages and stuff. But what want to do is I want to

01:07 out something about this because I could just given you the pages, the

01:10 on the page number, but you'll . But I give you a lot

01:13 than that. And part of that those are the titles of the sections

01:18 subsections that you're gonna be reading. they're also, um, really kind

01:25 the learning objectives of the course. so I want to kind of point

01:28 this one right here, this first the CNS consists of the town

01:32 etcetera, etcetera. And if you at that one particular one, if

01:36 go and you look at the you'll see that that is actually what

01:41 lecture waas. And so when you confused trying to figure out what it

01:45 I'm trying to learn, one of things that you can do is you

01:47 go and use this reading list as guide to figure out what it is

01:53 need to know. And this is . Just in general. You

01:56 when you're assigned of reading assignment, , look at what those sections.

02:01 sections are. They tell you what is that you need to know.

02:05 not just a Siris of of you know, there's actual organization to

02:11 . And if you learn how to or understand organization, it will

02:15 You kind of figure out how to this information. All right, So

02:21 you're sitting there struggling, going I know how to study, I am

02:25 confused. I am completely lost. don't know what it is I'm doing

02:28 this class. This is a starting , all right? The organization is

02:33 there for you. You just have access it. All right, so

02:37 number one. Now what we're gonna for the rest of class,

02:42 I'll pause here for a second. gonna have to again forgive me.

02:45 gotta jump between multiple women. Are any questions about the guide real

02:50 Yes or no? No. All . I like this. All

02:57 So what we're gonna do once again we're going Thio. Look at this

03:04 of the nervous system. And so had talked about central nervous system.

03:08 introduced ourselves to the peripheral nervous And what I want to point out

03:11 is a question about nerves. All , nerves and neurons are not the

03:16 thing, all right, although you'll the language sometimes being used like,

03:20 know, nervous tissue or you'll hear fibers, right. But really,

03:25 a a nerve is is simply a of no relax ions. And what

03:31 doing is they're thes axons, either to or from the central nervous

03:39 All right, so you can think it like this. Nerves are specific

03:42 the pianist peripheral nervous system, and you'll have your acts on so you

03:48 see the acts on there and you see that it's wrapped with Schwann

03:53 So it's gonna expedite or speed the rate of which, uh,

03:58 potential travel up and down. you won't always have Schwann cells,

04:02 you know typically they'll be there. not always there, but, you

04:06 , for a grand majority of our our neurons, they are nerves.

04:11 exists. And then what you're gonna is you're going to isolate that neuron

04:17 acts on with connective tissue. In words, what you want to do

04:22 you want to make sure that the neuron that acts on is not affecting

04:32 behavior or activity of the ones that next to it. So put it

04:36 way. Imagine you have two wires insulation. Alright, if you put

04:41 two wires together right next to one , then the ions that are being

04:45 back and forth the electrical current is to jump back and forth between those

04:51 wires. And so what we do we insulate wires with usually,

04:56 rubber, and that prevents the signal jumping between the two. And that's

05:02 the connective tissue does and you can there's kind of this organization to

05:06 We have the individual neuron, all , or I keep saying, you're

05:11 , but I want you to think terms of the acts on all

05:13 so it's the individual acts on, it's wrapped by its connective tissue that

05:18 tissues called the Indo Nouri. and then you get a bunch of

05:22 and you wrap them together and that tissues refer to as the para

05:27 Um, the collective group of these called fast ical. So little tiny

05:32 . And then you take a bunch these little fast coles and you group

05:35 together and you wrap them around again connective tissue. And that's EP in

05:41 , all right? And so you see the prefix just kind of tells

05:44 what level you're at, all And so this is when you see

05:48 , you just need to think about this a nervous simply a bunch of

05:51 on that have been wrapped up and traveling between these two points. Now

05:58 might see cell bodies. We mentioned already in our previous election when we're

06:03 at the root ganglia. All so in the peripheral nervous system,

06:08 might see neuron is come together, they will be bundles where the cell

06:13 are and the actions are leaving as where we see these bundles. This

06:17 what we first has a ganglia, right? And so we looked at

06:22 particular one that is dorsal root ganglia has those a parent neurons neurons.

06:26 traveling from the periphery into the spinal . But this will see in just

06:31 moment is not the only ganglia that actually found Now. Nerves themselves are

06:35 be classified for either their structure, functions. So in terms of

06:39 where do they arrive? Do they from the cranium? In other

06:44 do they extend from the brain, do they extend from the spinal

06:47 And that's where those two names come cranial or spinal nerve? That's the

06:51 distinction. Is that where they originate in terms of structure? And then

06:56 other thing we could do is we look at it. It's okay.

06:58 sort of fibers are being carried inside nerve? If it's all sensory,

07:03 we refer to the nervous being a nerve. If it's all motor,

07:07 we refer to as being motor. typically we have mixed ones, and

07:12 we'll have. Um, some nerves have both the sensory and the motor

07:17 Now to be clear here. When see that, remember sensory neurons can

07:22 transmit sensory information. Motor neurons, , transmit motor. So when you're

07:28 that it's a mixed nerve. That you have both sensory neurons and both

07:33 neurons. It's not that the neuron could do both. That's kind of

07:37 , important fact. All right, if we go back and we start

07:42 in terms of our organization, remember had our spinal cord. Sorry.

07:46 art is terrible. We had our , Let's and our roots came together

07:52 formed a nerve. All right, it goes from the spinal cord.

07:55 got root. Let's to root, to nerve. And what happens is

07:59 the nerve the spinal nerve branches in different ways. All right. And

08:05 What you're getting in these branches are are called Raymond. Now, there

08:11 these three. Raymond, we're not be looking at all three of

08:14 We're going to see one that's called rain, my community, and a

08:17 bit later, when we look at autonomic nervous system, but then you

08:21 what is called the anterior. I have just done this backwards, and

08:24 the posterior that should have been post . That should have been the

08:27 My community, Conte's so that That's a C. That's a p

08:33 , So generally speaking, that posterior my, they innovate the skin and

08:37 muscles of the back. So it's of easy, Ray my the interior

08:41 my they're the ones that give rise the name nerves of the body.

08:45 what happens is, is that the , my come together and they collect

08:52 these structures called plexus is so again kind of going through it. You

08:59 your spinal cord, your route. to the root root forms, a

09:03 nerve. Then you get the My and it's the interior Ramos that

09:09 to the plexus, all right, from the plexus should get crisscrossing of

09:16 . So it's kind of like a interchange where fibers crisscross. And this

09:21 for, uh, information to have means to get back to the spinal

09:28 . So, for example, if damage this, that doesn't mean that's

09:32 end of all and sensory information. into the body, they may actually

09:37 another pathway through which they can All right, in a way,

09:41 can think about this is like how you get you can think of the

09:45 way you get from your house to university or vice versa. And what

09:48 if there's flooding like today? Is another way to get to your

09:52 Or is there another way to get the university? And the answer should

09:54 yes, and so it's kind of same thing. Same way. It's

09:57 way to divert some of the signal different paths so that information and still

10:03 it to the point between the two . Now, ultimately, what's going

10:07 rise out of the plexus are your nerves? And so that's what this

10:11 showing you. So that's kind of general organization of the peripheral nervous

10:16 Right? We go route. Let's root, root spinal nerve and tear

10:20 to plexus plexus too. The the nerves and just thio let you know

10:29 plexus could be very, very complicated has its own terminology within it.

10:34 because this is an anatomy class, not gonna worry about that so

10:38 And then these spinal nerves end up to different parts of the body.

10:41 can see here this is the organization the spinal cord, and you can

10:45 what this is trying to show you the areas where the, uh,

10:50 neurons go. And so there's this this organization that matches the organization of

10:58 body or your body organ is organized matches. What's your spinal cord looks

11:03 . So these are what are called derma tones. And so the Dermot

11:06 in this particular case, when you dermatologic refers to sensory input from the

11:12 and you can see Oh, if am touching this part of my

11:16 it's gonna be sending information to t right here. If I'm touching the

11:22 of my leg, that information is sent through the sacral nerve roughly at

11:27 one. Since my handwriting is All right, so you can see

11:32 There's a distinct organization, and this true throughout the entire nervous system is

11:38 it's highly highly organized with the way body is organized. All right,

11:44 there is some overlap, Alright? that different regions have, uh,

11:51 kind of overlapped just because of the that we described how the But how

11:55 have the plexus and the nerves coming of it. So I'm gonna pause

12:00 does this stuff make sense with regard the nerves? I want to

12:13 All right. Kyle was giving me thumbs up. I like the thumbs

12:17 and explain. Ray, My Okay, So what a rama simply

12:21 is just a criss crossing of the fibers from Oh, excuse me.

12:26 a plexus. The Ramos is simply the nerves of the spinal nerve

12:30 So there are three, um three splits. So if you are

12:37 , if you count the spinal nerve say, Okay, I'm moving away

12:39 the spinal cord. You have three . You have what is called the

12:42 Ramus goes to the back in the of the back. You have the

12:47 arraignments, which makes up all the nerves of the body for the most

12:50 . And then you have this other that's called the Rain. My community

12:53 , which is important for the autonomic , is so you just think of

12:56 just a division of the spinal nerve different areas. That's an easy way

13:01 think about it. And then it's anti ramos that then crisscrosses,

13:06 in the plexus, so you'll have the anti Ramos from C one of

13:10 anti aromas from sea to the anti from C three. They're all intermingling

13:16 . And again, I'm just going show you what? The picture?

13:19 I think the picture is a little easier to see this. Um,

13:22 that you have to memorize it. , so let me just take the

13:26 . Right, So you can see . Here's C one our Sorry,

13:30 five c 67 c eight there's t , and you can see these orange

13:36 represent the anti a ramos from those nerves. And then you can see

13:42 they start crossing, and then they . And then they split again.

13:47 this particular case, down here, can see that they crisscrossed and split

13:51 so on and so forth. So Ramos is simply that portion of the

13:56 nerve that will ultimately enter into a and become the name nerves of the

14:04 . All right, eso The question , Are there any Are there three

14:10 my for each region. The spinal ? Yes. So the ramos is

14:14 , the spinal nerve is one. for each one of those foreigners.

14:18 going to split Posterior Ramus. All , that goes to the back in

14:23 skin, All right. And you , on the slide, it

14:26 It's not named or shown here. ? The second one is the anterior

14:31 . Alright. That's what we're seeing the pictures. The third one is

14:34 the Remote Community Counties, and it's shown in this picture. We're gonna

14:37 with that later. So the three my our post here and here and

14:41 community Conte's. Yes. All we're ready to move on. Going

14:51 . Going twice. All right, we are. So next question we

14:59 to answer is how does the brain itself? All right. And it

15:05 so in a couple of different All right. The first way is

15:09 it uses bone on. We don't to talk about bone because,

15:13 I think you're all familiar with You have a skull and vertebrae vertebral

15:18 that basically covers and protects that. right, so we don't even worry

15:22 that. What I want to talk is I want to talk about cerebral

15:26 fluid first. All right? And we're also going to see is that

15:30 these layers what are called the which kind of separates the bone from

15:35 tissue. And the last thing we're talk about is gonna be what is

15:40 the blood brain barrier. So with to cerebral spinal fluid, all

15:45 it is a fluid that is made a structure called the core oId

15:50 In our little cartoon here, you see that it's been, uh,

15:55 coded to kind of match blood. , it's kind of a very vascular

16:00 . It's in close opposition to blood . And so you have a Siris

16:05 EP Endemol cells, which are type glial cell, um that are near

16:10 , uh, where the blood thes vessels use. Calculators come near and

16:15 able to take materials out of the and make the cerebral spinal fluid from

16:20 structure. Now, how you make , it's very, very specified because

16:26 cerebral spinal fluid has to have a characteristic to help it do its

16:31 which is one regulate the blood extra fluid or excuse me, brain B

16:38 for brain here. Brain extra cellular . Uh, by directly mixing

16:43 providing nutrients and taking waste away. to understand where this is, we

16:48 to kind of understand what we're looking . So we have in the

16:52 these ventricles, and so I want to think very early on underdevelopment.

16:56 are a tube, right? Just a worm. That's how you started

17:00 . And then what happens is is the course of your development, your

17:04 starts bending and twisting. And in so, it actually bends and twists

17:09 too. And so the ventricles are of that tube that you started off

17:15 . All right, so it's a compartment, but you can see here

17:19 we have these structures, so these are actually internal to the brain.

17:23 right. And there's four ventricles. right. We have two lateral

17:30 We have what is called the third , and then what is called the

17:34 ventricle. Alright. And so if look at this picture, I mean

17:38 picture that we saw previously, A bit better, but this is the

17:41 sort of thing. So here's your laterals. You can see that they're

17:44 within the either hemisphere of the Um, and so rather than

17:50 you could refer to one of the and one of them right lateral

17:54 But collectively, just lateral ventricles. connected to one another. You can

18:00 up here is that connection, and both going down into that third

18:06 All right, so there you can it. But where I put the

18:09 crisscross, that's where they're kind of together. All right, These

18:14 uh, channels coming in is referred as the inter ventricular. Sorry,

18:19 ventricular for Raymond. For Raymond. you don't know, your terminology means

18:24 . So inter between the ventricle hole it goes into the third ventricle,

18:29 is found with the Diane Cephalon. when we looked at that picture of

18:33 thalamus, the hypothalamus, it's right , uh, in the middle of

18:38 that stuff and from there in that that third ventricle, so you can

18:42 there it is structurally and it's very thin. It then goes down

18:48 the fourth ventricle. That passage to fourth ventricle, which is easy to

18:52 right there is what is referred to the cerebral aqueduct again how very clever

18:59 them to name that. Basically water from the fourth venture. Cole.

19:05 is where we connect to the surrounding , space that surrounds the brain.

19:12 right, so the fourth ventricle is . The brain's damaged between the ponds

19:16 the cerebellum on, but actually has exits. When we're trying to see

19:21 we can see this on the you can see there's one on this

19:23 over there. One outside over Then there's one. Uh oh.

19:29 . Right. They're very hard to , so there's three exits, so

19:33 have to lateral or medium. But you're not going is not just exiting

19:37 . What we have is we have space, a compartment that completely surrounds

19:42 brain, all right. And so we're doing is we're opening up to

19:47 compartment, so the fluid is basically all the ventricles and either exiting out

19:54 those apertures into that space, or traveling down what is called the central

20:02 of the spinal cord. And at very base of the Central Canal,

20:06 now opening up into this space. again, this space is what is

20:10 the subarachnoid space, and we'll get that in a couple slides. All

20:15 , so we're gonna pause with the spinal fluid for just a moment and

20:19 we can understand structurally what we're looking . Alright, So in our cartoon

20:24 , this is your brain tissue out outside the green, you know,

20:29 adhered to the green. That would your skull. All right,

20:34 I want you to get a sense how soft your brain tissue actually

20:38 All right, if you were to and take butter out of the refrigerator

20:43 let it sit on the counter for little while, you know, probably

20:46 30 minutes to an hour, and put your finger on it, your

20:50 would sink right into the butter. . That is how soft the brain

20:55 is. If you've ever been in lab like anatomy lab and play with

20:59 tissue, that tissue has been It's very, very tough.

21:04 and and you know, it's held a place that has been pickled.

21:07 used, um, you know, like formalin to set the tissue.

21:14 you can imagine with my heart brain my buttery soft, my or my

21:19 school, my buttery soft brain that need some protection between them and this

21:24 what the meninges do. Alright, meninges is a plural, the singular

21:29 of meninges Esma niks. But you'll never, ever see that so working

21:34 the outside to the inside the outermost and that's what's green. And our

21:39 here is called the Dura Matter. again, you want to see what

21:43 is like. Go into your find yourself a, uh, a

21:49 gallon Ziploc bag, and that's kind the thickness and the toughness that it

21:53 . It's burying elastic. It's pretty and it's and it's tough and it

21:58 as this outer layer, and there's two layers of this. Alright,

22:03 can kind of see here there's another and an inner layer, and there

22:07 certain places where these two layers separate other and what you where you see

22:12 separation? This is called a dural and they serve as a blood sign

22:18 kind of like a vein. are very large. Vein is really

22:21 you wanna look at that and so blood that is leaving from the capital

22:27 , um, into the veins and away from the brain are gonna empty

22:31 this dural Sinus and then ultimately join with the vein or exit as a

22:36 as it returns back to the All right, now the other thing

22:40 this does, as you can see , here's another structure that kind of

22:45 into that space. And that's part the Iraq. No matter what,

22:48 get two interesting. All right, spinal fluid is taken. Remember,

22:53 making several spinal fluid from the The FN Dimel cells take nutrients from

22:58 blood, and then it pumps. makes the cerebral spinal fluid.

23:01 the cerebral spinal fluid is gonna be back to the blood via these little

23:07 . Alright, so that's what we're at. Is that little penetration?

23:11 that penetration is called a granule Alright, smaller ones are referred to

23:17 the ally. All right, so those were the two structures and so

23:23 spinal would be pushing through them. part of the Iraq noid matter.

23:26 right, So, um, if have a blood vessel like you see

23:32 here those blood vessels are outside of is called the blood brain barrier,

23:38 we'll get to in just a So outermost layer two layers is the

23:42 matter. Underlying that is the Iraq matter. When you see the word

23:45 annoyed, you think? Probably spiders I do. And the reason they

23:48 the Iraq annoyed matter is because underlying Iraq annoyed matter is what is called

23:53 sub Iraq noid space. All so that's what all this yellow space

23:58 . The little brown line is the , no matter. All right,

24:03 then on the other side of that space is the next structure, which

24:07 called the P A matter. so all this yellow in here represents

24:12 spinal fluid. And what holds the annoyed matter in position relative to the

24:17 matter are these little tiny, tissues. These little extensions from the

24:24 noid matter. All right, and what you're seeing here is they're trying

24:27 show you these tra bic you lie are basically holding, so you can

24:34 you fill up the space with cerebral fluid, and it's tries to push

24:38 two things away. And so that's keeping them there, preventing that from

24:43 . Alright, so cerebral spinal fluid the subarachnoid space is being pushed out

24:48 the dura. So coming back, now looking at the PM matter.

24:53 PM matter is the thinnest layer. one nearest the actual nervous tissue.

25:01 , it actually has underlying it a of tissue called the glia Limit

25:07 And really, what the Glia LTD's that this is the PM matter what

25:11 have. I have Astra sites that their, um, feet up right

25:18 to it. And so what you up with is this kind of layer

25:24 the actual connective tissue, plus a of Astro sites that collectively are referred

25:30 as the Well, um, the limitations is really this portion of

25:35 right? That's what underlies that PM , all right? And so what

25:40 have now is just kind of, , thickening of that layer now.

25:44 , you could take three Iraq noid . So this thing right here,

25:48 layer right there and those were referred as left him and Ng's on.

25:51 what sandwiches or or holds or bounds subarachnoid space. So what we have

25:59 is we basically defined a barrier between bones and the nervous tissue, but

26:04 only doesn't serve as a barrier between bones of the nervous tissue. These

26:08 also serve as a barrier to other getting into the nervous tissue. All

26:15 , so the dura matter, the annoyed matter. The subarachnoid space in

26:19 P a matter along with the glee hands creates a physical barrier with the

26:25 environment. So outside environments outside of central nervous system. Now we're coming

26:31 to cerebral spinal fluid. We're gonna of put it all together here.

26:34 right, So the cerebral spinal fluid have about 125 150 mils of

26:40 and your body produces four times So think of a soda can write

26:45 soda can hold roughly. Actually, even a soda can. It would

26:50 a a 16 ounce bottle. So you go buy a 16 ounce bottle

26:54 of of a drink, that's roughly medals. But you Onley hold about

26:59 quarter of that, um, in space. So what you find in

27:04 ventricles. What's found out here in subarachnoid space is Onley equal to about

27:13 250. So you basically recycle four the volume of cerebral spinal fluid than

27:22 body actually can hold. So you're recycling it four times a day.

27:27 so that's what the EPA Donald cells doing. It's basically located here and

27:35 . Right? Um, this is The structures that are responsible for producing

27:43 we call the core oId plexus are for producing cerebrospinal fluid. You,

27:49 . From the lateral ventricles to the ventricle from the third ventricle to the

27:53 ventricle from the fourth ventricle, you exit out via the lateral or the

27:59 apertures, or you exit out down the central canal, and then once

28:07 exit out, you're now in the space, and then the flow is

28:11 up towards where these granule ations they're be located. And so the fluid

28:16 you took out is returning, took from the blood, is returning back

28:20 the blood. That's the whole This is all accomplished primarily because you're

28:27 this stuff and that creates pressure to the fluid forward to this location.

28:34 ? And then you have cilia, air sitting on top of the upend

28:38 sell that kind of push it and just your general posture and the pull

28:43 gravity helps move the fluid around. that's how the fluid flows. We

28:51 it was the F nd most These are specialized form of of,

28:59 , glial cells. What they do they play the role of producing this

29:05 . If we're looking a little bit , we can see now. So

29:08 represents your ventricles. It's terrible There you go. So that's your

29:13 and third ventricle right there is what trying toe show you. It's

29:17 look right here and these core oId where this is located. This is

29:24 it looks like. And so here can see the upend. Deimel cells

29:27 the surface of the cord plexus, underneath the karate plexus are the little

29:32 blood vessels called capillaries. And so is flowing out of the capital.

29:38 . The, um fn Deimel cells and choose what it is that it

29:43 , and it transported out into that and that ventricle contains now cerebral spinal

29:53 . Now, in this area, we have are very leaky capital

29:58 Now, we haven't talked about the lecture, so you're gonna have to

30:02 bear me forth with me for a . All right? Throughout your

30:06 Capital Aries are generally leaky. that's how material moves back and forth

30:11 the blood and your tissue. So a general rule throughout the entire

30:16 The exception to that rule is primarily the nervous system here. These capital

30:21 are more or less sealed to prevent from moving back and forth from the

30:26 into the surrounding brain tissue. You to regulate that? So you don't

30:32 these leaky capital Aries? Instead, have thes cap. Hillary's here to

30:38 you to do this type of Now, how we make it really

30:43 it is gonna be dependent upon the nervous system. It appears that the

30:47 system appears to inhibit the production of . So the idea you could imagine

30:51 is that as I'm exerting myself, basically slowing down how I present a

30:58 , um, cerebral spinal fluid. don't wanna produce too much while I'm

31:02 myself. So it just basically reverses on the type of activity that I'm

31:09 . We're almost done with this, then we'll try to answer some

31:13 This is not a chart for you remember or memorized. I throw this

31:17 here to just show you. So , we are making CSF from

31:23 all right? And so there is comparison between the two. This is

31:26 your plasma has in it. This what the CSF has in it.

31:29 so if you look at that, very, very similar to one

31:33 with some exceptions, which I've just here. And what I'm just trying

31:37 show you is that there is a . And so the unique characters to

31:42 CSF are governed by what the brain . And that's why you include mawr

31:48 or exclude mawr of whatever is on list. Do not memorize it.

31:54 not gonna ask you what the difference the potassium levels are or the amino

31:59 levels and so on, so So last thing about the the cerebral

32:07 fluid in the space, um in the brain is I really like

32:12 picture. This, I believe, from your textbook. And what it

32:15 you is, um really the relationship the cells and how dense the brain

32:22 is. All right. And so blue you can see here they have

32:26 it with the A s A s for Astra site, then stands for

32:31 a X you can see there stands Exxon's on DSO on and so on

32:37 so on. And so what? doing the essence for Soma. So

32:40 part of the cell body on What this is trying to show you

32:45 Look how close everything is. There's real space. Everything is densely packed

32:50 here. And so this extra cellular , remember, there is extra cellular

32:55 surrounding all cells is found in those itsy bitsy, teeny tiny spaces between

33:01 the cells. So that's where this so you can imagine it doesn't make

33:07 a lot of the brain and so can imagine anything that I do to

33:12 changes in the CCF can have a effect with how the brain works.

33:18 what's interesting is that your CCF actually , depending upon the concentration of the

33:23 changes with how much neural activity you're when you are active, your cells

33:29 of swell up, so it increases amount of easy F. But when

33:32 sleep your brain, your yourselves kind shrink down as they become inactive and

33:38 you actually produce more more fluid. it's this e C F. All

33:45 , there's brainy CF. That's how cells get their nutrients and materials.

33:51 right, so you can imagine if trying to feed my cells. You

33:55 , I have to have a way that nutrient to get there to that

34:00 , so it's very, very So that's why it's very highly

34:05 Alright, so how cells talk to other is primarily through the e c

34:09 . This is true in the brain the CSF, which we find in

34:14 several rock noise space can diffuse. here's your Iraq matter. Here's your

34:19 a matter. There's the glial This is CSF. This is B

34:25 C F. So you can imagine is communication between those two spaces.

34:36 , so what you do to this a profound effect on that, and

34:40 versa. I'm gonna pause. We'll you guys asking questions. E.

34:46 was kind of running through all The big picture here, if you're

34:50 getting the big picture, is that have a fluid that is made in

34:55 brain that allows us to change the or change the materials of the

34:59 uh, the brain. Extra cellular . All right, so bcf is

35:06 extra cellular fluid. Iman. And you can imagine why abbreviate all these

35:11 CSF is cerebral spinal fluid. It's too long to write on a slide

35:15 and over again. So brain, cellular fluid. So it's just it's

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

35:45 , Well, so remember, wherever have barriers, right that you're creating

35:51 , and so we have here is have a compartment of nervous tissue that

35:55 very little space. That's the Okay, serial spinal fluid is being

36:01 in completely surrounds the brain. Now has multiple functions, one of which

36:07 to to communicate in past materials back forth between the bcf. But one

36:12 the other functions of the cerebral spinal is literally to serve as kind of

36:18 , uh, like a brake You know, it basically fills up

36:21 space so your brain doesn't rattle rattle in the cranial cavity. Right?

36:27 you can imagine I've got bone. I'm gonna do this on the slide

36:35 mhm, um, I have my , then right up next to

36:43 adhered to it. That would be dura matter and then adhered right up

36:48 to that Is the Iraq annoyed Then I actually have a space which

36:53 to try to represent like that that's with CSF. And then I have

36:58 P a matter, right? And I have my Clio limit tins.

37:04 then underlying that this is now my tissue. So there's my nervous

37:09 And so if I have a force hits my skull, right, so

37:15 my skull, right. That's what bone represents. Then it's not going

37:19 cause my brain to rattle up and . That's not gonna happen. The

37:24 serves as a shock absorber for So That's one reason why we have

37:29 there, right? But at a level, the other reason we have

37:33 there is so that we can make stuff because you can imagine this is

37:38 up with lots and lots of cells a terrible job during cells. So

37:43 my cells, right? And they're their, uh, undergoing their normal

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

37:59 and add materials in through the I don't have to wait for

38:04 The other thing I could do is could get rid of waste fairly easily

38:06 do so. So the reason we a CSF is that we have an

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

38:26 you know? So having this protective became unique. So let me show

38:32 what the next step is, what next generation is. All right.

38:35 another way that the brain protects itself what is called the blood brain

38:41 Alright. And so here the blood barrier is simply a barrier between the

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

38:58 we have an extra cellular fluid compartment made up of interstitial fluid and made

39:04 of plasma and the very between those things where the cap Hillary walls.

39:08 we have easy exchange between those two . Alright, so the blood brain

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

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

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

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

42:01 have the right receptors. And this what this larger picture is trying to

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

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

46:01 way in your body and kills right? And so your brain your

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

48:56 the vesicles wall as well. It just needs to find a lipid

49:02 . That's what it's gonna prefer to in. But if you want to

49:06 it quickly, you have carriers. a molecule, for example, called

49:10 S t a r. Steroid. , I cannot remember what it is

49:15 now. The top my head but and it binds up and helps move

49:20 around cells, you know, So the steroid or anything, that's a

49:26 . Once it's finding its way into lipid, it can literally leapt from

49:31 toe lipid, you know, So you can basically go one so

49:35 next. Because once you migrate out that lipid environment, you're like,

49:39 don't wanna be here, so you jump into the next lipid environment.

49:43 when you're really close like that, very easy for lipid side material.

49:47 , move around. There you Excellent. Yeah. All right,

49:58 move on, then. And let's about the autonomic nervous system, which

50:01 not that hard, actually. I , there are aspects of it that

50:04 could be pretty pretty complicated. But you understand that there are some simple

50:09 to follow once you learn the rules everything kind of falls into place.

50:13 the autonomic nervous system basically is responsible regulating those things which you cannot voluntarily

50:20 . And I know that's kind of backwards definition, but it's an easy

50:23 to think about it. Right. we're talking about cardiac muscles, smooth

50:26 , lands and anything that secretes, know? So, secretary apathy,

50:31 . All right. So you can't your heart beat faster or slower.

50:34 responding to your environment. You can't your digestive system move faster. It

50:41 does relative to the input that it's . And so what we say.

50:46 , we've always said there's just too. That's what we refer to

50:49 a sympathetic and the parasympathetic. But recently we've separated out what is called

50:55 Interior, which is responsible for the of the G I tract. All

51:00 . And so here in the G tract and the interior, this is

51:03 I'm gonna mention about it. So is the extent of it. It's

51:07 the, uh a fair neurons, inter neurons in the motor neurons.

51:11 you can imagine if the text chemicals and it will actually start its own

51:19 . In other words, telling the neurons what to do independent of the

51:24 nervous system. In other words, if you eat a piece of

51:29 your stomach doesn't have to tell the I have steak. Can I go

51:33 and start digesting it now it does independently, but there is control also

51:39 the sympathetic and parasympathetic. So this why it was initially thought that way

51:44 it was, you know, two and then once you they saw that

51:47 independently. That's why they set it . And but there is still communication

51:54 the sympathetic between the central nervous system the interior. All right, so

51:59 other two divisions air sympathetic and parasympathetic air structures that have found both in

52:04 central nervous system and the personal nervous . Right. So the central nervous

52:09 , this would would be where processing occurring, the peripheral your primarily dealing

52:14 with pathways to and from something. of your viscera. Your viscera are

52:21 guts. This is what we're all right? And so one of

52:25 things that we're gonna see, what that really kind of stands out is

52:28 unique structural thing. Is that to E Farrant portion has two neurons in

52:34 pathway. All right, we'll see in the next slide, but in

52:38 put into perspective in the somatic nervous . All right, so in the

52:43 neurons, you only have one. you have a neuron that leaves from

52:48 spinal cord, travels down to your it is that you're innovating. It's

52:52 one neuron. When you're dealing with nervous system, you leave the spinal

52:57 and then you you synapse with another that then travels to the destination.

53:04 that's one of the key anatomical features his to neuron chain and generally

53:11 but not always, because it wouldn't biology if it was always. But

53:14 speaking, the sympathetic nervous system and parasympathetic nervous system are opposed to the

53:22 . All right, so if the up regulates something parasympathetic down regulates,

53:28 99% of the time it's sympathetic, regulates and parasympathetic up regulates notice.

53:34 not. One is gas, and is break is that they oppose one

53:39 in whatever system that you're looking I'm gonna see what we got

53:43 So the question from Jonah's is the on Lee PNS? Yes, because

53:48 will Onley. ITT's considered independent in viscera of the gut, so it's

53:53 innovate your digestive system, which is of the central nervous system. All

54:03 , so here's our first thing. said the auto nerve pathway consists of

54:06 neuron chains. All right, so the central nervous system, this is

54:11 you're going to see the initial So this is neuron number one.

54:14 refers to you refer to it as pre ganglia Nick Neuron, because what

54:19 doing is you're going to a That's basically a bunch of cell bodies

54:26 the neurons that air coming in, acts on from the neurons that are

54:30 Leon. Then the neurons that leave ganglion are referred to as being post

54:35 army. All right, so this true for both sympathetic and parasympathetic

54:41 I presume. It's also true for enteric, but we never hear about

54:46 any further than what we just like this. Like I said,

54:49 interior was kind of set apart within last couple of years. All

54:54 so that's during that Z. That's number one. All right,

55:02 the sympathetic anatomy is rather complicated. , Parasympathetic is rather easy. But

55:10 we're gonna see is we're gonna put two side by side. We're gonna

55:13 All right, So the pre gangly fibers remember, we have those two

55:17 . The pre ganglia nick fibers are be found within the spinal cord between

55:24 one and L three. So they're within the thumb bar and and the

55:29 and lumbar regions of the spinal and then you exit out the

55:33 Eventually. Remember, we said that nervous system and s is in the

55:38 horn. Remember, if we draw out and do our little butterfly

55:42 we had those until things we said here in the lateral horns, that's

55:49 those fibers originate. So there's a Gangel Janek fibers, and I remember

55:53 always exit out through the ventral Right? So this entering through the

55:59 exit out through the ventral. So pre gang Janek fibers originate in the

56:04 horn exit out through the ventral, they're going to someplace outside of the

56:12 cord. All right, they're going what is referred to as a

56:18 Now there are different ganglia. All , we have this large structure that

56:23 just outside. It's just a few outside the spinal cord, all

56:28 and this is called the sympathetic It's a Siris of of ganglia,

56:34 a line on the outside so you kind of see these ganglia and it

56:41 is kind of large structure. When saw the incumbent slide seat seat.

56:46 right, so that would be the trunk and the way that you get

56:50 , that is via those one of ray mind. So remember we said

56:54 spinal nerve exits and it goes one do splits, and then it does

56:59 third split. So there's the posterior goes to the back. Here's the

57:03 that forms all the nerves, And then we have this thing called

57:07 community. Conte's alright, we'll see this looks in the next slide.

57:12 so you're exiting out to go to big giant ganglia. And it's here

57:17 this ganglia where the pre ganglia nick typically, um um um innovates the

57:26 gangly Janek fiber. Now, there some really weird rules. We're going

57:30 see these in just seconds. Like said, sympathetic is the most

57:33 So glad I get phone calls. , and it's one of those fake

57:41 where they copy your own phone Anyway, sorry about that. All

57:53 . Anyway, eso What we have is we are leaving. The lateral

57:58 is presenting a pre gangling on fiber we're going to this, um,

58:05 sympathetic trunk. Now, this is of a better representation of this.

58:09 so you can kind of see Here's a spinal nerve. The spinal

58:13 hasn't its's saying, Look, I'm split this way. I'm gonna split

58:17 way. And this represents the third . You can see it right

58:21 You can see it right there. that third splintering my community Contes.

58:25 there's actually two split. So that split all right? And really what

58:30 is is one is an indoor one an outdoor. Alright, The indoor

58:34 what we refer to as the wife . All right? The white Ramos

58:39 carrying the pregame genomic fibers in to ganglia. Alright, So here,

58:47 is representing the ganglia. This entire is referred to as the gangly,

58:51 sympathetic trunk. All right, so is moving in. All right,

59:00 gray is sending the fibers out. right. Now it's called white because

59:08 have pre gangland fibers that are primarily with milon. So you get these

59:13 signals gray because they lack milon so don't have all that white to

59:19 So that's where the two names come . Now here's the complicated. All

59:25 ? It's not as complicated you think just different? All right, So

59:29 the easy one. You can see . I'm starting my lateral horn.

59:33 go out through the ventral route. joined up with the nerve, And

59:37 from that nerve, I go in the white, and then I can

59:43 with a post gang Janek fiber in ganglia and I exit out through the

59:49 and I keep traveling down the spinal . All right, that's pretty

59:53 All right. So fairly, fairly . Um, now, the word

60:00 we're using from our text is para ganglia. All right, so here

60:05 the, um um are should be a ventricular. Excuse me, pere

60:11 . Uh, terrible. So pair vertebral. All right, write it

60:16 so that you can see it. vertebral. All right, so that's

60:25 we're doing. These air in the trunk. That's easy. Number one

60:30 synapse out. The second thing I do using that same starting points,

60:36 could go in. But instead of at that level, I can travel

60:42 or I can travel down to another of vertebral gangland where Aiken synapse and

60:48 I exit out through the Gray Raymond . Conte's all right. That's number

60:56 . The third one is where it weird. All right, The third

60:59 says I'm gonna go in. But of going up or down or synapse

61:03 , I'm gonna use a back door I'm gonna travel out to a different

61:09 . Alright? This gangly is referred as the pre vertebral ganglia. All

61:14 ? And so it's off to the someplace, someplace further on. So

61:20 I'm not synapse ing within the pair vertebral. I'm moving onward to the

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

61:34 so here we can see. All . There's our para vertebra role over

61:42 . Being represented by the things that circling are the Previti rules.

61:48 So the pair of vertebral is We the superior cervical gaining them because we're

61:53 in through t one and so And what we do is we go

61:59 , right? So here is a cervical gangland right over there. That's

62:04 medical middle cervical. There's the inferior ganglion. Right? So the way

62:09 get there is I moved up that using a sample or example. Number

62:16 . Right. That's how I got . Similarly, down over here,

62:19 can see I'm coming out through l . And then down I go to

62:26 the sympathetic chain that's associate with this , Nick nerves. All right,

62:31 again, what am I doing? air those air further down. All

62:36 . So those would be examples of up or traveling down, and then

62:42 other things just kind of pass on . Just so we describe going in

62:46 the white, out through the gray the same level, the pre

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,

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

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

63:45 it's organization. If you look at the sympathetic trunk works the highest

63:51 we're going to the highest points in body. The lowest fibers are going

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

64:02 , what are they innovating? They're trying to show you. And here

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

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

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

74:51 receptors? Specifically. All right. we have two types of what are

74:55 to as an academic or muscular nick IQ fibers alright are responsive to nicotine

75:01 . Their name must guarantee car responsive bind up a toxin from from a

75:07 . That's why they're called muscular All right, so this is

75:13 Nick, That is nicotine, that is muscular Rennick And then with

75:19 to Adrianne urge ICS. Well, on what you're looking at, you

75:23 different classes. Alright, there, and Betas. And then you have

75:27 ones and altitudes, Beta ones, threes. There's actually even beta twos

75:32 we break them down and I don't ask this question of what's inhibitory.

75:37 exciting story? It is kind of to know that they're all metal.

75:41 trophic. Now I know we're in wind down mode. You guys were

75:45 . I'm tired of talking. So me just kind of show you this

75:48 little bit here. This is a , simple way to do the

75:52 Alright, where are things? And it's just parasympathetic were sympathetic. We've

75:57 seen this cranial versus sacral for parasympathetic versus lumbar. So those were for

76:03 pre ganglia nick fibers, where the while we said parasympathetic are right there

76:07 to the target. Whereas the sympathetic near the spinal cord. Right.

76:11 would be that pair of vertebral. uh, palm what's your type of

76:18 ? Well, parasympathetic, we have few fibers. And so what ends

76:22 happening is you're innovating. Very specific . So you get very localized responses

76:28 . You have more widespread innovation, you get larger responses. But we

76:33 get what is called mass activation. what we're doing is we're gonna support

76:38 through the release of norepinephrine into our system. Not as a neurotransmitter but

76:46 as a hormone. The last little here is in terms of length and

76:53 of these fibers. So again, regard to the pre gangly Tomic

76:59 Well, remember, we're going way to the organs. So those air

77:02 , we only have to go right to the pair of vertebral sympathetic,

77:08 um, trunk. So those fibers be short? And then the converse

77:13 gonna be true for the post angle fibers. And then, as I

77:17 , we have for parasympathetic in terms branching. There's very few branches,

77:23 you can see this an example. . There's no branches. And so

77:27 only innovating a couple of post gangly fibers. Whereas when you're dealing with

77:33 sympathetic, this is why we get of a more widespread responses. We

77:36 lots and lots of branches, so means downstream the post ganglion fibers.

77:42 got lots of that. And then terms of my own nation, you

77:46 just kind of look at the pictures , pre gangling fibers, you get

77:49 Nation. So yes and yes, the fibers? Not so much.

77:57 it's a nice little chart that you kind of create. So the last

78:02 bit here, this is it. do we control all this stuff?

78:05 , the ultimate or the highest level control is the hypothalamus, right in

78:10 hypothalamus. This is where you're integrating about what's going on the body,

78:15 you send that information out through the stem in the spinal cord via the

78:20 sympathetic and the parasympathetic. Uh, ganglia of the nuclei that are found

78:28 the brain stone. All right, , having said that, you know

78:33 don't have any cortical control. I , you can't tell the brain can't

78:39 the hypothalamus what to do. But that does mean is that there is

78:43 cortex above that can respond to that . So, for example, when

78:49 watching a scary movie, your heart could go up right. And you're

78:54 that cause you're responding to what you're . But if you start telling

78:59 Oh, this is just a it's not that big of a

79:03 You know, you could basically control responsiveness to that particular stimuli. All

79:10 , that's an easy way to do . Or I can tell you the

79:12 now of what I usually tell students class. You're leaving the library.

79:17 two o'clock in the morning because you're awesome. Study. But you cut

79:20 way out in the furthest parking what's in on campus? And as

79:26 walking to that parking lot in the , you start crossing. You

79:30 you start hearing the crunching of your and then you hear crunching behind you

79:35 gonna happen, right? Well, know, because you've seen enough scary

79:39 , you never turn around because that's sure way to die. So what

79:42 do is you start walking a little faster. And then the steps behind

79:47 start walking faster. And so what's happen? Your heart rate goes

79:51 your breathing goes up, your blood goes up and you're now getting

79:56 You're getting ready for what's gonna You're gonna either fight whatever is gonna

80:01 you or you're going to run. you may actually curl into a ball

80:06 start crying and say, Please don't me. One of those three things

80:09 really gonna happen. Eventually, the reaches out and grabs you on your

80:14 , all right? And you turn ready for that. And it's your

80:18 that you've been studying with. All , so now all of a

80:21 now your system is your heart's going . You're going nut, you

80:26 But it's not a dangerous situation. do you do? Well, this

80:31 where the parasympathetic comes into play. recognizes the situation. Now your cortex

80:38 . And so what that does. allows for you to quickly return the

80:42 back to normal. All right. way, you can think about this

80:45 you're driving in a car down 45 Galveston doing 75 miles an hour.

80:50 do you stop if you have no ? How do you stop? Will

80:53 take your foot off the gas and eventually coast to a stop. But

80:57 takes too long. So that's why put a break in. And so

81:01 sympathetic in this particular instance is acting the gas pedal to get you ready

81:06 the fight or flight, the parasympathetic you back down to normal so that

81:11 not wasting energy or fuel. That's because the cortex is allowing you to

81:18 what's going on in your environment. that's where I'm gonna stop today.

81:23 gonna allow you guys start asking and if you need to go,

81:27 . But we're done. So ask . So Riva asked for the third

81:45 of sympathetic nervous system. Is there change in the sympathetic Trump like the

81:49 switching in a different trunk? so not it's a little bit

81:53 which is, I try to avoid for this particular class because it's there's

81:58 for these types of pathways. you can actually synapse and actually leave

82:04 through that pathway as well. So idea here is that typically what you

82:09 is your passing down and through and to get to the pair of

82:14 Our sorry, the pre vertebral. the goal is just It's just how

82:19 body kind of design itself over So it's not so much a rule

82:23 well. Um, I'm gonna have switch down to another trunk. Or

82:26 I just come out the same The idea is is that I'm either

82:30 ing in the trunk that I'm going go into. That's number one.

82:35 go up or down, and then or the third is is I passed

82:40 the trunks to the pre vertebral. , so that third pass was just

82:44 through the trunks. Notice we're not . Do I have to? Can

82:47 go up? Where can I go ? Because that is possible. We're

82:50 not talking about the specifics, all ? I hope that's helpful. And

82:59 , the goal here is to understand it's it's complicated. Um, John

83:05 asking about the writing assignment says your should be mostly from after. That

83:09 post 2010. That means 2011 2012 on and so on. In other

83:13 , you're supposed to be looking at that isn't in the text books at

83:17 point, right? The idea is have a deeper or better understanding of

83:22 going on. So the older your is, the more likely that it's

83:28 under. It's understood the newer it the least understood. It is generally

83:35 , and that's what you're shooting is you. I want you to

83:38 to me the complexities that we've been in more recent years. So after

83:46 is post 2010. Can't change that you to see a post 22.

83:53 that mean you can't use stuff prior 2010? No, it just means

83:58 you know a good paper is gonna significantly more articles from Andi. I'm

84:04 making up a number like 2015 through . All right, but you may

84:08 working on a subject where a lot work hasn't been done, and so

84:13 may actually have to dip further Yeah, So join There might be

84:18 that you wanna look at that are on what Not that will kind of

84:22 you a general understanding. But the thing that a paper could do is

84:28 it will not only show you what, where the research is being

84:31 , but it allows you to go and see whether or not they interpreted

84:35 results correctly. That's that's kind of important thing. It's the. The

84:40 here is that secondary literature is not accurate. Sometimes they make mistakes.

84:47 misinterpret. So your job is really kind of go back and look at

84:50 original papers that maybe in these reviews you're looking at and actually saying,

84:57 , what they said was this this what's really going on versus what these

85:02 said, you know? So you'll all the time. I mean,

85:05 as an example. You know, is good for you. Then the

85:09 week. Wine is bad for you next week. Wine is good for

85:12 . It's like, Well, I really know. So go back and

85:14 at the original source and see what actually saying, and then you interpret

85:19 that data actually means or what they're to tell you. That's kind of

85:23 goal, the help and to actually little bit. Yes, it's just

85:37 the basics you're gonna find in your . It's the groundbreaking new research that's

85:42 to be primarily your body. The is to answer the questions.

85:55 for example, if you went into textbook right now, you'd probably be

85:58 to find a general answer to your , all right, but it's far

86:03 complex or detailed than that. That's I'm trying to get you to do

86:06 figure out the details. That's that's of the key. Any other

86:20 Only once. Yeah, Going All right, Yes, The George

86:32 should be as direct as possible. should always be direct in and you're

86:37 , all right, So if you beat around the Bush, it's It's

86:42 be very difficult for your reader to what you're trying to get across,

86:46 that really means you're trying to hide , whether you're trying to hide an

86:50 fact, or it could be that just don't you're trying to hide that

86:53 don't understand some. So when you're out a mechanism, try to make

86:58 as clear as possible. You know say, for example, item A

87:03 molecule A is responsible for turning on B molecule B, you know,

87:10 an inhibitor, a molecule C. when molecule a gets up regulated,

87:16 down regulating molecule C. So it keep it simple and basic, so

87:22 you can better understand for yourself, also for your readers, not get

87:26 in the mechanism. Yes, and is true. So Georgia,

87:32 And so you'll need to look on and decide whether or not some of

87:36 mechanisms are important to include. You say, for example, Wow,

87:41 this other mechanism that seems to run , but it's not directly responsible for

87:46 looking at. So you may mention and say that might be something that

87:49 to be looked at under, you , investigated further or something like,

87:54 don't need to hit every single solitary . What you need to do is

87:58 need to make a coherent or tell coherent story, right? So leaving

88:03 important stuff is bad. Hitting everything equally as bad because you'll make it

88:09 confusing anyone else. All right, , happy hour starts in about an

88:30 and a half in most places. you can get out of your house

88:33 aren't worried about getting stuck someplace, out and have some fun, you

88:38 , right? No. You're all go study. I know. All

88:42 , You guys have a great I'm gonna go ahead and kill

88:45 Um um, we will see you Thursday. Hopefully, I will be

88:50 class again, but in the event something like this gets canceled, we'll

88:54 do it online. Like like so really kind of theory. Easy way

88:58 do it. So All right. hitting the stop cord, and we're

89:05 to

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