Spaces:
Sleeping
Sleeping
Commit
·
36215f6
1
Parent(s):
6671679
Chunking issue solved
Browse files- Data/yt_transcript.py +4 -4
- Rag/{rag.py → chunking.py} +40 -7
- Rag/transcripts/SjPJn4QP0dk_20250109191200.txt +932 -0
- requirements.txt +2 -1
Data/yt_transcript.py
CHANGED
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@@ -101,7 +101,7 @@ def all_video_transcript_pipeline():
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return video_transcripts
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if __name__ == '__main__':
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return video_transcripts
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# if __name__ == '__main__':
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# full_transcripts = all_video_transcript_pipeline()
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# print("this is full transcripts of all the youtube videos")
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# print(full_transcripts)
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Rag/{rag.py → chunking.py}
RENAMED
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@@ -3,6 +3,7 @@ from langchain.text_splitter import RecursiveCharacterTextSplitter
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from langchain_community.vectorstores import Chroma
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from langchain.chains import ConversationalRetrievalChain
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from langchain_community.document_loaders import TextLoader
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from langchain.memory import ConversationBufferMemory
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import google.generativeai as genai
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import os
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@@ -14,15 +15,47 @@ import google.generativeai as genai
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PROJECT_ROOT = os.path.abspath(os.path.dirname(os.path.abspath(__file__)))
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sys.path.append(PROJECT_ROOT)
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print("THIS IS PROJECT ROOT")
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print(PROJECT_ROOT)
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API_KEY = os.getenv("GOOGLE_API_KEY")
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if API_KEY:
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genai.configure(api_key=API_KEY)
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print(API_KEY)
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full_transcripts = all_video_transcript_pipeline()
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-
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-
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from langchain_community.vectorstores import Chroma
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from langchain.chains import ConversationalRetrievalChain
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from langchain_community.document_loaders import TextLoader
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from langchain.schema import Document
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from langchain.memory import ConversationBufferMemory
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import google.generativeai as genai
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import os
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PROJECT_ROOT = os.path.abspath(os.path.dirname(os.path.abspath(__file__)))
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sys.path.append(PROJECT_ROOT)
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API_KEY = os.getenv("GOOGLE_API_KEY")
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if API_KEY:
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genai.configure(api_key=API_KEY)
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full_transcripts = all_video_transcript_pipeline()
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loader = TextLoader(full_transcripts)
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import logging
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logging.basicConfig(level=logging.INFO)
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def prepare_documents(full_transcript):
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docs = []
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for key, value in full_transcript.items():
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if isinstance(value, dict) and "text" in value:
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content = " ".join(value["text"]) if isinstance(value["text"], list) else value["text"]
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docs.append(Document(page_content=content, metadata={"source": key}))
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return docs
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def split_text_to_chunks():
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try:
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docs = prepare_documents(full_transcripts)
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logging.info(f"{len(docs)} documents prepared")
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text_splitter = RecursiveCharacterTextSplitter(
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chunk_size=1000,
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chunk_overlap=200,
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separators=['\n\n', '.', '?', '!'])
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splits = text_splitter.split_documents(docs)
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return splits
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except Exception as e:
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logging.error(f"Error while splitting text: {str(e)}")
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# Optionally log the full traceback to a file
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import traceback
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with open("error_log.txt", "w") as f:
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traceback.print_exc(file=f)
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return None
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all_splits = split_text_to_chunks()
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if all_splits:
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print(f"Total chunks created: {len(all_splits)}")
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else:
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print("Splitting failed. Check logs for details.")
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Rag/transcripts/SjPJn4QP0dk_20250109191200.txt
ADDED
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@@ -0,0 +1,932 @@
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|
| 1 |
+
welcome to hubman lab Essentials where
|
| 2 |
+
we revisit past episodes for the most
|
| 3 |
+
potent and actionable science-based
|
| 4 |
+
tools for mental health physical health
|
| 5 |
+
and
|
| 6 |
+
performance I'm Andrew huberman and I'm
|
| 7 |
+
a professor of neurobiology and
|
| 8 |
+
Opthalmology at Stanford School of
|
| 9 |
+
Medicine let's continue our discussion
|
| 10 |
+
about
|
| 11 |
+
neuroplasticity this incredible feature
|
| 12 |
+
of our nervous system that allows it to
|
| 13 |
+
change itself in response to experience
|
| 14 |
+
and even in ways that we consciously and
|
| 15 |
+
deliberately decide to change it most
|
| 16 |
+
people don't know how to access
|
| 17 |
+
neuroplasticity and so that's what this
|
| 18 |
+
entire month of the huberman Lab podcast
|
| 19 |
+
has been about we've explored
|
| 20 |
+
neuroplasticity from a variety of
|
| 21 |
+
different perspectives we talked about
|
| 22 |
+
representational plasticity we talked
|
| 23 |
+
about the importance of focus and reward
|
| 24 |
+
we talked about this amazing and
|
| 25 |
+
somewhat surprising aspect of the
|
| 26 |
+
vestibular system how altering our
|
| 27 |
+
relationship to gravity and in addition
|
| 28 |
+
to that making error as we try and learn
|
| 29 |
+
can open up Windows to plasticity but we
|
| 30 |
+
have not really talked so much about
|
| 31 |
+
directing the plasticity toward
|
| 32 |
+
particular outcomes and thus far we
|
| 33 |
+
really haven't talked yet about how to
|
| 34 |
+
undo things that we don't want and so
|
| 35 |
+
today we are going to explore that
|
| 36 |
+
aspect of neuroplasticity and we are
|
| 37 |
+
going to do that in the context of a
|
| 38 |
+
very important and somewhat sensitive
|
| 39 |
+
topic which is pain and in some cases
|
| 40 |
+
injury to the nervous system we as
|
| 41 |
+
always here on this podcast are going to
|
| 42 |
+
discuss some of the science we get into
|
| 43 |
+
mechanism but we
|
| 44 |
+
also really get at principles principles
|
| 45 |
+
are far more important than any one
|
| 46 |
+
experiment or one description of
|
| 47 |
+
mechanism and certainly far more
|
| 48 |
+
important than any one protocol because
|
| 49 |
+
principles allow you to think about your
|
| 50 |
+
nervous system and work with it in ways
|
| 51 |
+
that best serve you so let's start our
|
| 52 |
+
discussion about pain and the somata
|
| 53 |
+
sensory system the somata sensory system
|
| 54 |
+
is as the name implies involved in
|
| 55 |
+
understanding touch physical feeling on
|
| 56 |
+
our body and the simplest way to think
|
| 57 |
+
about the somata sensory system is that
|
| 58 |
+
we have little sensors and Those sensors
|
| 59 |
+
come in the form of neurons nerve cells
|
| 60 |
+
that reside in our skin and in the
|
| 61 |
+
deeper layers below the skin we have
|
| 62 |
+
some that correspond to and we should
|
| 63 |
+
say respond to Mechanical touch so you
|
| 64 |
+
know pressure on the top of my hand or a
|
| 65 |
+
pinpoint or other sensors for instance
|
| 66 |
+
respond to heat to cold some respond to
|
| 67 |
+
vibration we have a huge number of
|
| 68 |
+
different receptors in our skin and they
|
| 69 |
+
take that information and send it down
|
| 70 |
+
these wires that we call axons in the
|
| 71 |
+
form of electrical signals to our spinal
|
| 72 |
+
cord and then up to the brain and within
|
| 73 |
+
the spinal cord andin brain we have
|
| 74 |
+
centers that interpret that information
|
| 75 |
+
that actually make sense of those
|
| 76 |
+
electrical signals and this is amazing
|
| 77 |
+
because none of those sensors has a
|
| 78 |
+
different unique form of information
|
| 79 |
+
that it uses it just sends electrical
|
| 80 |
+
potentials into the nervous system pain
|
| 81 |
+
and The Sensation of pain is Believe It
|
| 82 |
+
or Not A controversial word in the
|
| 83 |
+
Neuroscience field people prefer to use
|
| 84 |
+
the word no acception noors are the
|
| 85 |
+
sensors in the skin that detect
|
| 86 |
+
particular types of stimuli it actually
|
| 87 |
+
comes from the Latin word noera which
|
| 88 |
+
means to harm and why would neurosci
|
| 89 |
+
does not want to talk about pain well
|
| 90 |
+
it's very subjective it has a a mental
|
| 91 |
+
component and a physical component we
|
| 92 |
+
cannot say that pain is simply an
|
| 93 |
+
attempt to avoid physical harm to the
|
| 94 |
+
body and here's why they actually can be
|
| 95 |
+
dissociated from one another and there's
|
| 96 |
+
a famous case that was published in the
|
| 97 |
+
British Journal of Medicine where a
|
| 98 |
+
construction
|
| 99 |
+
worker I think he fell is how the story
|
| 100 |
+
went and a 14inch nail went through his
|
| 101 |
+
Boot and up through the boot and he was
|
| 102 |
+
in excruciating pain just beyond
|
| 103 |
+
anything he'd experienced he he reported
|
| 104 |
+
that he couldn't even move in any
|
| 105 |
+
Dimension even a tiny bit without
|
| 106 |
+
feeling excruciating pain they brought
|
| 107 |
+
him into the clinic into the hospital
|
| 108 |
+
they were able to cut away the boot and
|
| 109 |
+
they realized that the nail had gone
|
| 110 |
+
between two toes and it had actually not
|
| 111 |
+
imp impaled the skin at all his visual
|
| 112 |
+
image of the nail going through his boot
|
| 113 |
+
gave him the feeling the legitimate
|
| 114 |
+
feeling that he was experiencing the
|
| 115 |
+
pain of a nail going through his foot
|
| 116 |
+
which is incredible because it speaks to
|
| 117 |
+
the power of the Mind in this pain
|
| 118 |
+
scenario and it also speaks to the power
|
| 119 |
+
of the specificity it's not like he
|
| 120 |
+
thought that his foot was on fire he
|
| 121 |
+
thought because he saw a nail going
|
| 122 |
+
through his foot what it was going
|
| 123 |
+
through his boot but he thought it was
|
| 124 |
+
going through his foot that it was sharp
|
| 125 |
+
pain of the sort that a nail would
|
| 126 |
+
produce it really speaks to the
|
| 127 |
+
incredible capacity that these top down
|
| 128 |
+
these you know higher level cognitive
|
| 129 |
+
functions have in interpreting what
|
| 130 |
+
we're experiencing out in the periphery
|
| 131 |
+
even just on the basis of what we see so
|
| 132 |
+
why are we talking about pain during a
|
| 133 |
+
month on neuroplasticity Well turns out
|
| 134 |
+
that the pain system offers a a number
|
| 135 |
+
of different principles that we can
|
| 136 |
+
leverage to a ensure that if we are ever
|
| 137 |
+
injured we are able to understand the
|
| 138 |
+
difference between injury and pain
|
| 139 |
+
because there is a difference that if
|
| 140 |
+
we're ever in pain that we can
|
| 141 |
+
understand the difference between injury
|
| 142 |
+
and pain that we will be able to
|
| 143 |
+
interpret our pain and during the course
|
| 144 |
+
of today's podcast I'm going to cover
|
| 145 |
+
protocols that help eliminate pain from
|
| 146 |
+
both ends of the spectrum from the
|
| 147 |
+
periphery at the level of the injury and
|
| 148 |
+
through these top- down mental
|
| 149 |
+
mechanisms believe it or not we're going
|
| 150 |
+
to talk about love a colleague of mine
|
| 151 |
+
at Stanford who runs a major pain clinic
|
| 152 |
+
um is working on and has published
|
| 153 |
+
quality peer- rreview data on the role
|
| 154 |
+
of love in modulating the pain response
|
| 155 |
+
so what we're talking about today is
|
| 156 |
+
plasticity of perception which has
|
| 157 |
+
direct bearing on emotional pain and has
|
| 158 |
+
direct bearing on trauma so let's get
|
| 159 |
+
started in thinking about what happens
|
| 160 |
+
with pain and I will tell you just now
|
| 161 |
+
that there is a mutation a genetic
|
| 162 |
+
mutation in a particular sodium Channel
|
| 163 |
+
a sodium channel is uh one of these
|
| 164 |
+
little holes in neurons that allows them
|
| 165 |
+
to fire Action potentials it's important
|
| 166 |
+
to the function of the neuron it's also
|
| 167 |
+
important for the development of certain
|
| 168 |
+
neurons and there's a particular
|
| 169 |
+
mutation there are kids that are born
|
| 170 |
+
without this sodium Channel 1.7 if you
|
| 171 |
+
want to look it up those kids experience
|
| 172 |
+
no pain no pain whatsoever and it is a
|
| 173 |
+
terrible situation um they don't tend to
|
| 174 |
+
live very long due to accidents it's a
|
| 175 |
+
really terrible and unfortunate
|
| 176 |
+
circumstance in fact it's
|
| 177 |
+
reasonable to speculate that one of the
|
| 178 |
+
reasons not all but one of the reasons
|
| 179 |
+
why people might differ in their
|
| 180 |
+
sensitivity to pain is by way of genetic
|
| 181 |
+
variation in how many of these sorts of
|
| 182 |
+
receptors that they express people who
|
| 183 |
+
make too much of this receptor
|
| 184 |
+
experience extreme pain from even subtle
|
| 185 |
+
stimul
|
| 186 |
+
so let's talk about some of the features
|
| 187 |
+
of how we're built physically and how
|
| 188 |
+
that relates to pain and how we can
|
| 189 |
+
recover from injury so first of all we
|
| 190 |
+
have maps of our body surface in our
|
| 191 |
+
brain it's called a homunculus that
|
| 192 |
+
representation is scaled in a way that
|
| 193 |
+
matches sensitivity so the areas of your
|
| 194 |
+
body that are most sensitive have a lot
|
| 195 |
+
more brain real estate devoted to them
|
| 196 |
+
your back is an enormous piece of tissue
|
| 197 |
+
compared to your finger finger tip but
|
| 198 |
+
your back has fewer receptors devoted to
|
| 199 |
+
it and the representation of your back
|
| 200 |
+
in your brain is actually pretty small
|
| 201 |
+
whereas the representation of your
|
| 202 |
+
finger is enormous so the how big a
|
| 203 |
+
brain area is devoted to a given body
|
| 204 |
+
part is directly related to the density
|
| 205 |
+
of receptors in that body part not the
|
| 206 |
+
size of the body part you can actually
|
| 207 |
+
know how sensitive a given body part is
|
| 208 |
+
and how much brain area is devoted to it
|
| 209 |
+
through what's called twoo
|
| 210 |
+
discrimination you can do this
|
| 211 |
+
experiment if you want I think I've
|
| 212 |
+
described this once or twice before but
|
| 213 |
+
basically if you have someone put um
|
| 214 |
+
maybe take two pens and put them maybe 6
|
| 215 |
+
Ines apart on your back and and touch
|
| 216 |
+
while you're facing away and you they'll
|
| 217 |
+
ask you how many points they're touching
|
| 218 |
+
you and you say um two but if they move
|
| 219 |
+
those closer together say 3 in you're
|
| 220 |
+
likely to experience it as one point of
|
| 221 |
+
contact whereas on your finger you could
|
| 222 |
+
do play that game all day and as long as
|
| 223 |
+
there's a millimeter or so spacing you
|
| 224 |
+
will know that it's two points as
|
| 225 |
+
opposed to one and that's because
|
| 226 |
+
there's more pixels more density of
|
| 227 |
+
receptors this has direct bearing to
|
| 228 |
+
pain because it says that areas of the
|
| 229 |
+
body that have denser receptors are
|
| 230 |
+
going to be more sensitive to pain than
|
| 231 |
+
to others so just as a rule of thumb
|
| 232 |
+
areas of your body that are injured that
|
| 233 |
+
are large areas that have low
|
| 234 |
+
sensitivity before injury likely are
|
| 235 |
+
going to experience less pain
|
| 236 |
+
and the literature shows will heal more
|
| 237 |
+
slowly because they don't have as many
|
| 238 |
+
cells around to produce inflammation and
|
| 239 |
+
you might say wait I thought
|
| 240 |
+
inflammation is bad well one of the
|
| 241 |
+
things I really want to get across today
|
| 242 |
+
is that inflammation is not bad
|
| 243 |
+
inflammation out of control is bad but
|
| 244 |
+
inflammation is wonderful inflammation
|
| 245 |
+
is the tissue repair response I thought
|
| 246 |
+
it might be a nice time to just think
|
| 247 |
+
about the relationship between the
|
| 248 |
+
periphery and the central maps in a way
|
| 249 |
+
that many of you have probably heard
|
| 250 |
+
about before which will frame the
|
| 251 |
+
discussion a little bit better which is
|
| 252 |
+
Phantom limb pain now some of you are
|
| 253 |
+
probably familiar with this but for
|
| 254 |
+
people that have an arm or a leg or a
|
| 255 |
+
finger or some other portion of their
|
| 256 |
+
body amputated it's not uncommon for
|
| 257 |
+
those people to feel as if they still
|
| 258 |
+
have that limb or appendage or piece of
|
| 259 |
+
their body Inta and typically
|
| 260 |
+
unfortunately the sensation of that limb
|
| 261 |
+
is not one of the limb being nice and
|
| 262 |
+
relaxed and and you know and just there
|
| 263 |
+
the sensation is that the limb is
|
| 264 |
+
experiencing pain or is contorted in the
|
| 265 |
+
specific orientation that it was around
|
| 266 |
+
the time of the injury so if someone has
|
| 267 |
+
a you know a blunt force to the hand and
|
| 268 |
+
they end up having their hand amputated
|
| 269 |
+
typically they will continue to feel
|
| 270 |
+
pain in their Phantom hand which is
|
| 271 |
+
pretty wild and that's because the
|
| 272 |
+
representation of that hand is still
|
| 273 |
+
intact in the cortex in the brain
|
| 274 |
+
and it's trying to balance its levels of
|
| 275 |
+
activity normally it's getting what's
|
| 276 |
+
called proprioceptive feedback
|
| 277 |
+
proprioception is just our knowledge of
|
| 278 |
+
where our limbs are in space it's an
|
| 279 |
+
extremely important aspect of our somata
|
| 280 |
+
sensory system and there's no appropri
|
| 281 |
+
receptive feedback and so a lot of the
|
| 282 |
+
circuits start to ramp up their levels
|
| 283 |
+
of activity and they become very
|
| 284 |
+
conscious of the Phantom limb now um
|
| 285 |
+
before my lab was at Stanford I was at
|
| 286 |
+
UC San Diego and one of my colleagues
|
| 287 |
+
was a guy everyone just calls him by his
|
| 288 |
+
lap last name ramachandran who is famous
|
| 289 |
+
for understanding this Phantom limb
|
| 290 |
+
phenomenon and developing a very simple
|
| 291 |
+
but very powerful solution to it that
|
| 292 |
+
speaks to the incredible capacity of
|
| 293 |
+
top- down modulation and top- down
|
| 294 |
+
modulation the ability to use one's
|
| 295 |
+
brain cognition and senses to control
|
| 296 |
+
pain in the body is something that
|
| 297 |
+
everyone not just people missing limbs
|
| 298 |
+
or in chronic pain could learn to
|
| 299 |
+
benefit from because it is a way to tap
|
| 300 |
+
into the our ability to use our mind to
|
| 301 |
+
control perceptions of what's happening
|
| 302 |
+
in our body so what did ramachandran do
|
| 303 |
+
ramachandran had people who were missing
|
| 304 |
+
a limb put their intact limb into a box
|
| 305 |
+
that had mirrors in it such that when
|
| 306 |
+
they looked in the box and they moved
|
| 307 |
+
their intact limb the opposite limb
|
| 308 |
+
which was a reflection of the intact
|
| 309 |
+
limb because they're missing the
|
| 310 |
+
opposite limb they would see it as if it
|
| 311 |
+
was intact and as they would move their
|
| 312 |
+
intact limb they would visualize with
|
| 313 |
+
their eyes the the limb that's in the
|
| 314 |
+
place of the absent limb so this is all
|
| 315 |
+
by mirrors moving around and they would
|
| 316 |
+
feel immediate relief from the phantom
|
| 317 |
+
pain and he would tell them and they
|
| 318 |
+
would direct their hand toward a
|
| 319 |
+
orientation that felt comfortable to
|
| 320 |
+
them then they would exit the mirror box
|
| 321 |
+
they would take their their their hand
|
| 322 |
+
out and and they would feel as if the
|
| 323 |
+
hand was now in its relaxed normal
|
| 324 |
+
position so you could get real time in
|
| 325 |
+
moments remapping of the representation
|
| 326 |
+
of the hand now that's amazing this is
|
| 327 |
+
the kind of thing that all of us would
|
| 328 |
+
like to be able to do if we are in pain
|
| 329 |
+
because if you do anything for long
|
| 330 |
+
enough including live you're going to
|
| 331 |
+
experience pain of some sort and this
|
| 332 |
+
again I just want to remind you isn't
|
| 333 |
+
just about physical injuries and pain
|
| 334 |
+
this has direct relevance to emotional
|
| 335 |
+
pain as well which we of course we'll
|
| 336 |
+
talk talk about so the ramachandran
|
| 337 |
+
studies were really profound because
|
| 338 |
+
they said a couple of things one
|
| 339 |
+
plasticity can be very fast that it can
|
| 340 |
+
be driven by the experience of something
|
| 341 |
+
just the visual experience and so this
|
| 342 |
+
may come as a shock to some of you and
|
| 343 |
+
by no means it might trying to be
|
| 344 |
+
insensitive but pain is a perceptual
|
| 345 |
+
thing as much as it's a physical thing
|
| 346 |
+
it's a belief system about what you're
|
| 347 |
+
experiencing in your body and that has
|
| 348 |
+
important relevance for healing
|
| 349 |
+
different types of injury and the pain
|
| 350 |
+
associated with that injury now this
|
| 351 |
+
brings up another topic which is
|
| 352 |
+
definitely related to neuroplasticity
|
| 353 |
+
and injury but is a more General one
|
| 354 |
+
that I hear about a lot which is
|
| 355 |
+
traumatic brain injury many injuries are
|
| 356 |
+
not just about the limb and the the lack
|
| 357 |
+
of use of the limb but concussion and
|
| 358 |
+
head injury but I want to talk a little
|
| 359 |
+
bit about what is known about recovery
|
| 360 |
+
from concussion and this is very
|
| 361 |
+
important because it has implications
|
| 362 |
+
for just normal aging as well and offset
|
| 363 |
+
setting some of the cognitive decline
|
| 364 |
+
and physical decline that occurs with
|
| 365 |
+
normal aging typically after TBI there's
|
| 366 |
+
a constellation of symptoms that many
|
| 367 |
+
people if not all people with TBI report
|
| 368 |
+
which is headache photophobia that
|
| 369 |
+
lights become kind of aversive sleep
|
| 370 |
+
disruption trouble concentrating
|
| 371 |
+
sometimes mood issues there's you know a
|
| 372 |
+
huge range and of course the severity
|
| 373 |
+
will vary
|
| 374 |
+
Etc it's very clear that regardless of
|
| 375 |
+
whether or not there was a skull break
|
| 376 |
+
and regardless of when the TBI happened
|
| 377 |
+
and how many times it's happened that
|
| 378 |
+
the system that repairs the brain the
|
| 379 |
+
adult brain is mainly centered around
|
| 380 |
+
this lymphatic system that we call for
|
| 381 |
+
the brain the glymphatic system it's
|
| 382 |
+
sort of like a sewer system that clears
|
| 383 |
+
out the debris that surrounds neurons
|
| 384 |
+
especially injured neurons and the
|
| 385 |
+
glymphatic system is very active during
|
| 386 |
+
sleep and the glymphatic system is
|
| 387 |
+
something that you want very active
|
| 388 |
+
because it's going to clear away the
|
| 389 |
+
debris that sits between the neurons and
|
| 390 |
+
the cells that surround the connections
|
| 391 |
+
between the neurons called the glea
|
| 392 |
+
those cells are actively involved in
|
| 393 |
+
repairing the connections between
|
| 394 |
+
neurons when damaged so the glymphatic
|
| 395 |
+
system is so important that many people
|
| 396 |
+
if not all people who get TBI are told
|
| 397 |
+
get adequate rest you need to sleep and
|
| 398 |
+
that's kind of twofold advice on the one
|
| 399 |
+
hand it's telling you to get sleep
|
| 400 |
+
because all the good things happen in
|
| 401 |
+
sleep it's also about getting those
|
| 402 |
+
people to not continue to engage in
|
| 403 |
+
their activity fulltime or really try
|
| 404 |
+
and Hammer through it the glymphatic
|
| 405 |
+
system has been shown to be activated
|
| 406 |
+
further in two ways one is that sleeping
|
| 407 |
+
on one side not on back or stomach seems
|
| 408 |
+
to increase the amount of wash out or
|
| 409 |
+
wash through I should say of the
|
| 410 |
+
glymphatic system the other thing that
|
| 411 |
+
has been shown to improve the function
|
| 412 |
+
of the lymphatic system is a certain
|
| 413 |
+
form of exercise and I want to be very
|
| 414 |
+
very clear here I will never and I am
|
| 415 |
+
not suggesting that people exercise in
|
| 416 |
+
any way that aggravates their injury or
|
| 417 |
+
that goes against their Physician's
|
| 418 |
+
advice however there's some interesting
|
| 419 |
+
data that zone 2 cardio for 30 to 45
|
| 420 |
+
minutes three times a week seems to
|
| 421 |
+
improve the rates of clearance of some
|
| 422 |
+
of the
|
| 423 |
+
debris after injury and in general
|
| 424 |
+
injury or no to accelerate and improve
|
| 425 |
+
the rates of flow for the lymphatic
|
| 426 |
+
system it could be fast walking it could
|
| 427 |
+
be jogging if you can do that with your
|
| 428 |
+
injury safely could be cycling and this
|
| 429 |
+
is really interesting outside of TBI
|
| 430 |
+
because what we know from aging is that
|
| 431 |
+
aging is a nonlinear process it's not
|
| 432 |
+
like with every year of Life your brain
|
| 433 |
+
gets a little older it's a has sometimes
|
| 434 |
+
it follows what's more like a step
|
| 435 |
+
function you get these big jumps in in a
|
| 436 |
+
in markers of Aging I guess that we
|
| 437 |
+
could think of them as jumps down
|
| 438 |
+
because it's a negative thing for most
|
| 439 |
+
everybody would like to live longer and
|
| 440 |
+
be healthier in brain and body and so
|
| 441 |
+
the types of exercise I'm referring to
|
| 442 |
+
now are really more about brain
|
| 443 |
+
longevity and about keeping the brain
|
| 444 |
+
healthy than they are about physical
|
| 445 |
+
fitness so I think this is really
|
| 446 |
+
interesting and if some of you would
|
| 447 |
+
like to know the mechanism or at least
|
| 448 |
+
the hypothesize mechanism ISM there's a
|
| 449 |
+
a a molecule called aquaporin 4 that is
|
| 450 |
+
related to the gal system so Gia are the
|
| 451 |
+
it means glue and Latin are these are
|
| 452 |
+
these cells in the brain the most
|
| 453 |
+
numerous cells in the brain in fact that
|
| 454 |
+
in sheath synapses but they're very
|
| 455 |
+
Dynamic cells aquaporin 4 is mainly
|
| 456 |
+
expressed by the gal cell called the
|
| 457 |
+
astroy Astro looks like a little star
|
| 458 |
+
incredibly interesting cells and the the
|
| 459 |
+
thing to remember is that the asites
|
| 460 |
+
bridge the connection between the
|
| 461 |
+
neurons
|
| 462 |
+
the synapse the connections between them
|
| 463 |
+
and the vasculature the blood system and
|
| 464 |
+
the gimatic system so this glymphatic
|
| 465 |
+
system and the gal asroy system is a
|
| 466 |
+
system that we want chronically active
|
| 467 |
+
throughout the day as much as possible
|
| 468 |
+
so low-level walking Zone 2 cardio and
|
| 469 |
+
then at night during slow wave sleep is
|
| 470 |
+
then really when this lymphatic system
|
| 471 |
+
kicks in so that should hopefully be an
|
| 472 |
+
actionable takeaway provided that you
|
| 473 |
+
can do that kind of cardio safely
|
| 474 |
+
that I believe everybody should be doing
|
| 475 |
+
who cares about brain longevity not just
|
| 476 |
+
people who are trying to get over TBI
|
| 477 |
+
now I'd like to return a little bit to
|
| 478 |
+
some of the subjective aspects of pain
|
| 479 |
+
modulation because I think it's so
|
| 480 |
+
interesting and so actionable that
|
| 481 |
+
everyone should know about this our
|
| 482 |
+
interpretation our subjective
|
| 483 |
+
interpretation of a sensory event is
|
| 484 |
+
immensely powerful for dictating our
|
| 485 |
+
experience of the event the molecule
|
| 486 |
+
adrenaline when it's liberated into our
|
| 487 |
+
body truly blunts our experience of pain
|
| 488 |
+
we all know the stories of people you
|
| 489 |
+
know walking you know miles on stumped
|
| 490 |
+
legs um people doing all sorts of things
|
| 491 |
+
that were incredible
|
| 492 |
+
Feats that allowed them to move through
|
| 493 |
+
what would otherwise be pain and
|
| 494 |
+
afterward they do experience extreme
|
| 495 |
+
pain but during the event often times
|
| 496 |
+
they are not experiencing pain and
|
| 497 |
+
that's because of the pain blunting
|
| 498 |
+
effects of adrenaline adrenaline binding
|
| 499 |
+
to particular receptors actually shuts
|
| 500 |
+
down pain
|
| 501 |
+
Pathways people who anticipate an
|
| 502 |
+
injection of morphine immediately report
|
| 503 |
+
the feeling of loss of pain their pain
|
| 504 |
+
starts to diminish because they know
|
| 505 |
+
they're going to get pain relief and
|
| 506 |
+
it's a powerful effect now all of you
|
| 507 |
+
are probably saying placebo effect
|
| 508 |
+
Placebo effects are very real Placebo
|
| 509 |
+
effects and belief effects as they're
|
| 510 |
+
called have a profound effect on our
|
| 511 |
+
experience of noxious stimul like pain
|
| 512 |
+
and they can also have a profound effect
|
| 513 |
+
on positive stimuli and things that
|
| 514 |
+
we're looking forward to one study that
|
| 515 |
+
I think is particularly interesting here
|
| 516 |
+
from my colleague at Stanford Sean
|
| 517 |
+
Mackey they did a neuroimaging study
|
| 518 |
+
they subjected people to pain in this
|
| 519 |
+
case it was a a heat pain people have
|
| 520 |
+
very specific thresholds to heat at
|
| 521 |
+
which they cannot tolerate any more heat
|
| 522 |
+
but they explored the extent to which
|
| 523 |
+
looking at an image of somebody in this
|
| 524 |
+
case a romantic partner that the person
|
| 525 |
+
loved would allow them to adjust their
|
| 526 |
+
pain
|
| 527 |
+
response and it turns out it does they
|
| 528 |
+
could tolerate more pain and they
|
| 529 |
+
reported it as not as
|
| 530 |
+
painful that response that feeling of
|
| 531 |
+
Love internally can blunt the pain
|
| 532 |
+
experience to a significant degree these
|
| 533 |
+
are not small effects and not
|
| 534 |
+
surprisingly how early a relationship is
|
| 535 |
+
how new a relationship is directly
|
| 536 |
+
correlat with people's ability they
|
| 537 |
+
showed to use this love this internal
|
| 538 |
+
representation of love to blunt the pain
|
| 539 |
+
response so for those of you that have
|
| 540 |
+
been with your partners for many years
|
| 541 |
+
and you love them very much and you're
|
| 542 |
+
obsessed with them terrific you have a
|
| 543 |
+
pre-installed well I suppose it's not
|
| 544 |
+
pre-installed you had to do the work
|
| 545 |
+
because relationships are work but
|
| 546 |
+
you've got a installed mechanism for
|
| 547 |
+
blunting pain and again these are not
|
| 548 |
+
minor effects these are major effects
|
| 549 |
+
and it's all going to be through that
|
| 550 |
+
top down modulation that we talked about
|
| 551 |
+
not unlike the mirrorbox experiments
|
| 552 |
+
with Phantom limb that relieve phantom
|
| 553 |
+
pain or some other top- down modulation
|
| 554 |
+
in the opposite example is the nail
|
| 555 |
+
through the boot which is a visual image
|
| 556 |
+
that made the person think it was
|
| 557 |
+
painful when in fact it was painful even
|
| 558 |
+
though there was no tissue damage it was
|
| 559 |
+
all perceptual so the pain system is
|
| 560 |
+
really subject to these perceptual
|
| 561 |
+
influences which is remarkable because
|
| 562 |
+
really when we think about the somata
|
| 563 |
+
sensory system it has this cognitive
|
| 564 |
+
component it's got this peripheral
|
| 565 |
+
component but there's another component
|
| 566 |
+
which is the way in which our sensation
|
| 567 |
+
our somatos sensory system is woven in
|
| 568 |
+
with our autonomic nervous system
|
| 569 |
+
independent of love we're going to talk
|
| 570 |
+
about something quite different which is
|
| 571 |
+
putting needles and electricity in
|
| 572 |
+
different parts of the body so-called
|
| 573 |
+
acupuncture something that for many
|
| 574 |
+
people were it it's been viewed as a
|
| 575 |
+
kind of alternative medicine but now
|
| 576 |
+
there are excellent Laboratories
|
| 577 |
+
exploring what's called
|
| 578 |
+
electroacupuncture and acupuncture and I
|
| 579 |
+
think what you'll be interested in and
|
| 580 |
+
surprised to learn is that it does work
|
| 581 |
+
but sometimes it can exacerbate pain and
|
| 582 |
+
sometimes it can relieve pain and it all
|
| 583 |
+
does that through very discrete Pathways
|
| 584 |
+
for which we can really say this neuron
|
| 585 |
+
connects to that neuron connects to the
|
| 586 |
+
adrenals and we can tie this all back to
|
| 587 |
+
dopamine because in the end it's the
|
| 588 |
+
chemicals and neural circuits that are
|
| 589 |
+
giving rise to these perceptions or
|
| 590 |
+
these experiences rather of things that
|
| 591 |
+
we call pain love ET Etc there are
|
| 592 |
+
actually a lot of really good
|
| 593 |
+
peer-reviewed studies supporting the use
|
| 594 |
+
of acupuncture for in particular GI trct
|
| 595 |
+
issues in recent years there's been an
|
| 596 |
+
emphasis on trying to understand the
|
| 597 |
+
mechanism of things like acupuncture and
|
| 598 |
+
acupuncture itself but as a way to try
|
| 599 |
+
and understand how these sorts of
|
| 600 |
+
practices might actually benefit people
|
| 601 |
+
who are experiencing pain or for
|
| 602 |
+
changing the nervous system or brain
|
| 603 |
+
body relationship in general what I want
|
| 604 |
+
to talk about in terms of acup puncture
|
| 605 |
+
is the incredible way in which
|
| 606 |
+
acupuncture
|
| 607 |
+
illuminates the cross talk between the
|
| 608 |
+
somata sensory system our ability to
|
| 609 |
+
feel stuff externally exteroception
|
| 610 |
+
internally
|
| 611 |
+
interoception and how that somata
|
| 612 |
+
sensory system is wired in with and
|
| 613 |
+
communicating with our autonomic nervous
|
| 614 |
+
system that regulates our levels of
|
| 615 |
+
alertness or
|
| 616 |
+
calmness so this takes us all back to
|
| 617 |
+
the homunculus we have this
|
| 618 |
+
representation of our body surface in
|
| 619 |
+
our
|
| 620 |
+
brain that representation is what we
|
| 621 |
+
call
|
| 622 |
+
somatotopic and what somatotopy is is it
|
| 623 |
+
just means that areas of your body that
|
| 624 |
+
are near one another are represented by
|
| 625 |
+
neurons that are nearby each other in
|
| 626 |
+
the brain the connections from those
|
| 627 |
+
brain neurons are sent into the body and
|
| 628 |
+
they are synchronized with meaning they
|
| 629 |
+
Crosswire with and and form synapses
|
| 630 |
+
with some of the input from the viscera
|
| 631 |
+
from our guts from our diaphragm from
|
| 632 |
+
our stomach from our spleen from our
|
| 633 |
+
heart our internal organs are sending
|
| 634 |
+
information up to this map in our brain
|
| 635 |
+
of the body surface but it's about
|
| 636 |
+
internal information what we call
|
| 637 |
+
interoception our ability to look inside
|
| 638 |
+
or imagine inside and feel what we're
|
| 639 |
+
feeling inside so the way to think about
|
| 640 |
+
this accurately is that our
|
| 641 |
+
representation of our self is a
|
| 642 |
+
represent ation of our internal workings
|
| 643 |
+
our viscera our guts everything inside
|
| 644 |
+
our skin and the surface of our skin and
|
| 645 |
+
the external World those three things
|
| 646 |
+
are always being combined in a very
|
| 647 |
+
interesting complex but very seamless
|
| 648 |
+
way acupuncture involves taking needles
|
| 649 |
+
and sometimes electricity Andor heat as
|
| 650 |
+
well and stimulating particular
|
| 651 |
+
locations on the body and if somebody
|
| 652 |
+
has a gastrointestinal issue like their
|
| 653 |
+
their guts are moving too quick they
|
| 654 |
+
have diarrhea you stimulate this area
|
| 655 |
+
and it'll slow their gut motility down
|
| 656 |
+
or if their gut motility is too slow
|
| 657 |
+
they're constipated you stimulate
|
| 658 |
+
someplace else and it accelerates it and
|
| 659 |
+
you know hearing about this of it sounds
|
| 660 |
+
kind of to a Westerner who's not
|
| 661 |
+
thinking about the underlying neural
|
| 662 |
+
circuitry it could sound kind of wacky
|
| 663 |
+
but when you look at the neural
|
| 664 |
+
circuitry the neuro Anatomy it really
|
| 665 |
+
starts to make sense intense stimulation
|
| 666 |
+
of the abdomen however with these
|
| 667 |
+
electroacupuncture has a very strong
|
| 668 |
+
effect of an increasing inflammation in
|
| 669 |
+
the body body and this is important to
|
| 670 |
+
understand because it's not just that
|
| 671 |
+
stimulating the the gut does this
|
| 672 |
+
because you're activating the gut area
|
| 673 |
+
it activates a particular nerve pathway
|
| 674 |
+
for the afficionados it's the splenic
|
| 675 |
+
spinal sympathetic axis if you really
|
| 676 |
+
want to know and it's pro-inflammatory
|
| 677 |
+
under most conditions if for instance
|
| 678 |
+
the person is dealing with a particular
|
| 679 |
+
bacterial infection that can be
|
| 680 |
+
beneficial and this goes back to a much
|
| 681 |
+
earlier discussion that we had on a
|
| 682 |
+
previous podcast that we'll revisit
|
| 683 |
+
again and again which is that the stress
|
| 684 |
+
response was designed to combat
|
| 685 |
+
infection so it turns out that there are
|
| 686 |
+
certain patterns of stimulation on the
|
| 687 |
+
abdomen that can actually liberate
|
| 688 |
+
immune cells from our immune organs like
|
| 689 |
+
our spleen and counter infection when
|
| 690 |
+
you stimulate these Pathways that
|
| 691 |
+
activate in particular the adrenals the
|
| 692 |
+
adrenal gland liberates norepinephrine
|
| 693 |
+
and epinephrine and the brain does as
|
| 694 |
+
well it binds to what are called the
|
| 695 |
+
beta noradrenergic receptor okay so this
|
| 696 |
+
is really getting kind of down into the
|
| 697 |
+
weeds but the beta nuragic receptors
|
| 698 |
+
activate the spleen which liberate cells
|
| 699 |
+
that combat infection that's the
|
| 700 |
+
short-term quick
|
| 701 |
+
response the more intense stimulation of
|
| 702 |
+
the abdomen and other areas can be
|
| 703 |
+
pro-inflammatory because of the ways
|
| 704 |
+
that they trigger certain Loops that go
|
| 705 |
+
back to the brain and Trigger the sort
|
| 706 |
+
of anxiety Pathways that exacerbates
|
| 707 |
+
pain so one pathway stimulates
|
| 708 |
+
norepinephrine and blunts PL the other
|
| 709 |
+
one doesn't what does all this mean how
|
| 710 |
+
are we supposed to put all this together
|
| 711 |
+
well there's a paper that was published
|
| 712 |
+
in nature medicine in 2014 this is an
|
| 713 |
+
excellent Journal that describes how
|
| 714 |
+
dopamine can activate the Vegas
|
| 715 |
+
peripherally and nor norepinephrine can
|
| 716 |
+
activate the Vegas peripherally and
|
| 717 |
+
reduce inflammation what this means is
|
| 718 |
+
that there are real maps of our body
|
| 719 |
+
surface that when
|
| 720 |
+
stimulated communicate with our
|
| 721 |
+
autonomic nervous system the system
|
| 722 |
+
system that controls alertness or
|
| 723 |
+
calmness and thereby releases either
|
| 724 |
+
molecules like norepinephrine and
|
| 725 |
+
dopamine which make us more alert and
|
| 726 |
+
blunt our response to pain and they
|
| 727 |
+
reduce
|
| 728 |
+
inflammation but there are yet other
|
| 729 |
+
Pathways that when stimulated are
|
| 730 |
+
pro-inflammatory one of the things that
|
| 731 |
+
bothers me so much these days and I'm
|
| 732 |
+
not easily irritated but what really
|
| 733 |
+
bothers me is when people are talking
|
| 734 |
+
about inflammation like inflammation is
|
| 735 |
+
bad inflammation is terrific
|
| 736 |
+
inflammation is the reason why cells are
|
| 737 |
+
called to the site of injury to clear it
|
| 738 |
+
out inflammation is what's going to
|
| 739 |
+
allow you to heal from any injury
|
| 740 |
+
chronic inflammation is bad but acute
|
| 741 |
+
inflammation is absolutely essential
|
| 742 |
+
remember those kids that we talked about
|
| 743 |
+
earlier that have mutations in these
|
| 744 |
+
receptors that for sensing pain they
|
| 745 |
+
never get inflammation and that's why
|
| 746 |
+
their joints literally disintegrate it's
|
| 747 |
+
really horrible because they don't
|
| 748 |
+
actually have the inflammation response
|
| 749 |
+
because it was never triggered by the
|
| 750 |
+
pain response so I think that the data
|
| 751 |
+
on acupuncture turning out to be very
|
| 752 |
+
interesting before I continue I just
|
| 753 |
+
thought I'd answer a question that I get
|
| 754 |
+
a lot uh which is what about Wim Hoff
|
| 755 |
+
breathing Wim Hoff also called AKA The
|
| 756 |
+
Iceman um has his breathing that's
|
| 757 |
+
similar to uh Tumo breathing as it was
|
| 758 |
+
originally called involves basically
|
| 759 |
+
hyperventilating and then doing some
|
| 760 |
+
exhales and some breath holds a number
|
| 761 |
+
of people have asked me about it in uh
|
| 762 |
+
in relation to pain management the
|
| 763 |
+
effect of doing that kind of breathing
|
| 764 |
+
it's not a mysterious effect it
|
| 765 |
+
liberates adrenaline from the adrenals
|
| 766 |
+
when you have adrenaline in your system
|
| 767 |
+
and when the spleen is very
|
| 768 |
+
active that response is used to counter
|
| 769 |
+
infection and stress counters infection
|
| 770 |
+
by liberating killer cells in the body
|
| 771 |
+
you don't want the stress response to
|
| 772 |
+
stay on indefinitely however things like
|
| 773 |
+
Wim Hoff breathing like ice baz anything
|
| 774 |
+
that releases adrenaline will counter
|
| 775 |
+
the infection but you want to regulate
|
| 776 |
+
the duration of that adrenaline response
|
| 777 |
+
today we've talked about a variety of
|
| 778 |
+
tools but I want to Center in on a
|
| 779 |
+
particular sequence of tools that
|
| 780 |
+
hopefully you won't need but presumably
|
| 781 |
+
if you're a human being and you're
|
| 782 |
+
active you will need at some point it's
|
| 783 |
+
about managing injury and recovering and
|
| 784 |
+
healing fast or at least as fast as
|
| 785 |
+
possible it includes removing the pain
|
| 786 |
+
it includes getting Mobility back and
|
| 787 |
+
getting back to a normal life whatever
|
| 788 |
+
that means for you
|
| 789 |
+
I want to emphasize that what I'm about
|
| 790 |
+
to talk about next was developed in
|
| 791 |
+
close consultation with Kelly starett
|
| 792 |
+
who many of you probably have heard of
|
| 793 |
+
before Kelly can be found at the ready
|
| 794 |
+
State he's a formally trained so degreed
|
| 795 |
+
and educated exercise physiologist he's
|
| 796 |
+
a world expert in movement and tissue
|
| 797 |
+
Rehabilitation so I asked Kelly I made
|
| 798 |
+
it really simple I said okay let's say I
|
| 799 |
+
were to sprain my ankle or break my arm
|
| 800 |
+
or injure my knee or ACL tear or
|
| 801 |
+
something like that or shoulder injury
|
| 802 |
+
what are the absolute necessary things
|
| 803 |
+
to do regardless of situation so the
|
| 804 |
+
first one is a very basic one that now
|
| 805 |
+
you have a lot of information to act on
|
| 806 |
+
which is sleep is essential and so we
|
| 807 |
+
both agreed 8 hours of sleep would be
|
| 808 |
+
ideal but if not at least 8 hours
|
| 809 |
+
inmobile so that's a
|
| 810 |
+
non-negotiable in terms of getting the
|
| 811 |
+
foundation for allowing for glymphatic
|
| 812 |
+
clearance and tissue clearance Etc the
|
| 813 |
+
other is if possible unless it's
|
| 814 |
+
absolutely excruciating when you just
|
| 815 |
+
can't do it a 10-minute walk per day of
|
| 816 |
+
course you don't want to exacerbate the
|
| 817 |
+
injury at least a 10-minute walk per day
|
| 818 |
+
and probably longer this is where it
|
| 819 |
+
gets interesting I was taught I learned
|
| 820 |
+
that when you injure yourself you're
|
| 821 |
+
supposed to ice something you're
|
| 822 |
+
supposed to put ice on it but I didn't
|
| 823 |
+
realize this but when speaking to
|
| 824 |
+
exercise physiologists and some
|
| 825 |
+
Physicians they said that the ice is
|
| 826 |
+
really more of a placebo it numbs the
|
| 827 |
+
the environment of the injury which is
|
| 828 |
+
not surprising and will eliminate the
|
| 829 |
+
pain for a short while but it has some
|
| 830 |
+
negative effects that perhaps offset its
|
| 831 |
+
use it actually can create some like
|
| 832 |
+
clotting and sludging of the of the
|
| 833 |
+
tissue and fluids which is bad because
|
| 834 |
+
you want the macras and the other cell
|
| 835 |
+
types phagocytosing eating up the debris
|
| 836 |
+
and and injury and moving it out of
|
| 837 |
+
there so that it can repair so that was
|
| 838 |
+
surprising to me which made me ask well
|
| 839 |
+
then what about heat well it turns out
|
| 840 |
+
heat is actually quite beneficial the
|
| 841 |
+
major effects seem to be explained by
|
| 842 |
+
heat improving the viscosity of the
|
| 843 |
+
tissues and the clearance and the
|
| 844 |
+
profusion of of fluid blood lymph and
|
| 845 |
+
other fluids out of the injury area so
|
| 846 |
+
all of this might sound just like Common
|
| 847 |
+
Sense knowledge I always just thought
|
| 848 |
+
it's ice it's non-steroid
|
| 849 |
+
anti-inflammatory drugs it's things that
|
| 850 |
+
block block prostag gland and so things
|
| 851 |
+
like aspirin ibuprofen acetam Menin
|
| 852 |
+
those things generally work by blocking
|
| 853 |
+
things like the the they're called Co
|
| 854 |
+
the Cox uh prostag gland in blockers and
|
| 855 |
+
things of that sort things in that
|
| 856 |
+
pathway those sorts of treatments which
|
| 857 |
+
reduce inflammation may not be so great
|
| 858 |
+
at the beginning when you want
|
| 859 |
+
inflammation they may be important for
|
| 860 |
+
limiting pain so people can be
|
| 861 |
+
functional at all but the things that I
|
| 862 |
+
talked about today really are anchored
|
| 863 |
+
in three principles one is that the
|
| 864 |
+
inflammation response is a good one it
|
| 865 |
+
calls to the to the sight of injury
|
| 866 |
+
things that are going to clean up the
|
| 867 |
+
injury in bad cells
|
| 868 |
+
then there are going to be things that
|
| 869 |
+
are going to improve profusion like the
|
| 870 |
+
glymphatic system getting deep sleep
|
| 871 |
+
feet elevated sleeping on one side
|
| 872 |
+
low-level Zone 2 cardio three times a
|
| 873 |
+
week many people ask me about platelet
|
| 874 |
+
rich plasma so-called PRP they take
|
| 875 |
+
blood they enrich for platelets and they
|
| 876 |
+
re-inject it back into people here's the
|
| 877 |
+
deal it has never been shown whether or
|
| 878 |
+
not the injection itself is what's
|
| 879 |
+
actually creating the effect the claims
|
| 880 |
+
that PRP actually contains stem cells
|
| 881 |
+
are very very feeble and when you look
|
| 882 |
+
at the literature and you talk to anyone
|
| 883 |
+
expert in the stem cell field they will
|
| 884 |
+
tell you that it's the number of stem
|
| 885 |
+
cells in PRP is infinim small stem cells
|
| 886 |
+
are an exciting area of Technology
|
| 887 |
+
however there's a clinic down in Florida
|
| 888 |
+
that was shut down a couple years ago
|
| 889 |
+
for injecting stem cells harvested from
|
| 890 |
+
patients into the eye for immaculate
|
| 891 |
+
degener ation these were people that
|
| 892 |
+
were suffering from um poor vision and
|
| 893 |
+
very shortly after injecting uh these
|
| 894 |
+
stem cells into the eyes they went
|
| 895 |
+
completely blind and I'm not here to
|
| 896 |
+
tell you that you should or shouldn't do
|
| 897 |
+
something but I do think that anything
|
| 898 |
+
involving stem cells one should be very
|
| 899 |
+
cautious of the major issue with stem
|
| 900 |
+
cells that I think is concerning is that
|
| 901 |
+
stem cells are cells that want to become
|
| 902 |
+
lots of different things not just the
|
| 903 |
+
tissue that you're interested in so if
|
| 904 |
+
you damage your knee and you you inject
|
| 905 |
+
stem cells into your knee you need to
|
| 906 |
+
molecularly restrict those stem cells so
|
| 907 |
+
that they don't become tumor cells right
|
| 908 |
+
a tumor is a collection of stem cells
|
| 909 |
+
one needs to approach this with Extreme
|
| 910 |
+
Caution even if it's your own blood or
|
| 911 |
+
stem cells that you're re-injecting so
|
| 912 |
+
I'm going to close there I've talked
|
| 913 |
+
about a lot of tools today I've talked a
|
| 914 |
+
lot about somea sensation about
|
| 915 |
+
plasticity about pain about
|
| 916 |
+
acupuncture some of the Nuance of
|
| 917 |
+
acupuncture inflammation stress we even
|
| 918 |
+
talked a little bit about high-intensity
|
| 919 |
+
breathing so as always we take kind of a
|
| 920 |
+
whirlwind tour through a given topic lay
|
| 921 |
+
down some tools as we go hopefully the
|
| 922 |
+
principles that relate to pain and
|
| 923 |
+
injury but also neuroplasticity in
|
| 924 |
+
general today in the context of the
|
| 925 |
+
somata sensory system will be of use to
|
| 926 |
+
all of you I don't wish injury on any of
|
| 927 |
+
you but I do hope that you'll take the
|
| 928 |
+
information do with it what you will
|
| 929 |
+
once again thanks so much for your time
|
| 930 |
+
and attention today and as always thank
|
| 931 |
+
you for your interest in science
|
| 932 |
+
[Music]
|
requirements.txt
CHANGED
|
@@ -9,4 +9,5 @@ langchain_community
|
|
| 9 |
chromadb
|
| 10 |
pypdf
|
| 11 |
flask
|
| 12 |
-
flask_cors
|
|
|
|
|
|
| 9 |
chromadb
|
| 10 |
pypdf
|
| 11 |
flask
|
| 12 |
+
flask_cors
|
| 13 |
+
chromadb
|