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kmud-170317-endocrinology-part1-parkinsons.vtt
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WEBVTT
00:00:00.000 --> 00:00:06.420
Well there we go from the Middle East to Ireland. It's this evening's Ask Your
00:00:06.420 --> 00:00:11.320
Herb Doctor. My name's Andrew Murray. My name's Sarah Johanneson Murray. For those of
00:00:11.320 --> 00:00:15.560
you who perhaps have never listened to the shows they run every Friday, every
00:00:15.560 --> 00:00:21.240
third Friday, sorry, from 7.30 to 8 p.m. we have callers but they run from 7 to
00:00:21.240 --> 00:00:25.880
8 o'clock on the third Friday of every month. We've been for a long time now
00:00:25.880 --> 00:00:30.120
being very pleased to have Dr. Raymond Peat joining us with various different
00:00:30.120 --> 00:00:38.560
topics. This month will be no exception. I wanted to try and do some kind of a
00:00:38.560 --> 00:00:44.400
gosh I don't know, introduction or some kind of an outline, a basis, something in which I
00:00:44.400 --> 00:00:48.880
know that people listening to these podcasts who I get emails from
00:00:48.880 --> 00:00:54.800
regularly all over the world, not just the States, who've been listening to them,
00:00:54.800 --> 00:00:57.920
have found them interesting and informative and it's led them to read
00:00:57.920 --> 00:01:01.560
research from people that Dr. Peat's mentioned on the show or they've had
00:01:01.560 --> 00:01:06.360
conditions and illnesses and they've recovered, listening to Dr. Peat's advice
00:01:06.360 --> 00:01:12.120
etc etc. So I'm very much aware that this is a real resource with which people are
00:01:12.120 --> 00:01:16.440
being reached and there will always be those people who are looking for
00:01:16.440 --> 00:01:19.960
something different, something alternative, as well as those people who
00:01:19.960 --> 00:01:23.360
are not looking and they won't listen and they've already got their
00:01:23.360 --> 00:01:27.400
path set out but there's plenty of people who are looking for alternatives
00:01:27.400 --> 00:01:31.840
and so that's what the thrust of this show has been for the last 12 years
00:01:31.840 --> 00:01:36.680
probably. So as I said we're very pleased to have Dr. Raymond Peat to join
00:01:36.680 --> 00:01:42.200
us and I wanted to do an outline starting this month with endocrinology
00:01:42.200 --> 00:01:49.520
as the subject and I wanted to just to outline the nervous system as a whole
00:01:49.520 --> 00:01:54.320
and then we're going to get into Parkinson's disease and Parkinsonism
00:01:54.320 --> 00:02:00.480
and a few of the other little subsets that are similar as an introduction to
00:02:00.480 --> 00:02:04.680
the endocrine system and then maybe next month we'll get into the pituitary. I
00:02:04.680 --> 00:02:08.400
know we've mentioned a lot about thyroid hormones and Dr. Peat's main
00:02:08.400 --> 00:02:14.880
speciality is hormone, hormone physiology so and then the thymus and the adrenals,
00:02:14.880 --> 00:02:20.320
pancreas, ovaries and testes as other sources of hormones and how they affect
00:02:20.320 --> 00:02:26.440
health and how everything that we do can consciously interact for good or bad
00:02:26.440 --> 00:02:32.440
with our health. We're not at the mercy of anything in particular, we make
00:02:32.440 --> 00:02:38.760
choices and so each one of us just by hearing and listening and then going
00:02:38.760 --> 00:02:43.200
ahead and reading and seeing the facts and the science people can find
00:02:43.200 --> 00:02:47.320
further information to support everything Dr. Peat's been shouting from
00:02:47.320 --> 00:02:53.560
the rooftops for for the last 30-40 years. So you there Dr. Peat? Yes. Well thanks so
00:02:53.560 --> 00:02:58.280
much for joining us. So I wanted to try to explore the endocrine system in a
00:02:58.280 --> 00:03:02.220
large topic I know but one I feel will be a useful exercise in understanding
00:03:02.220 --> 00:03:06.480
physiology from your perspective Dr. Peat and you make regular mention of
00:03:06.480 --> 00:03:10.680
pioneering scientists whose works give a better appreciation of the physiological
00:03:10.680 --> 00:03:15.200
processes occurring in the body and often provide a new direction away from
00:03:15.200 --> 00:03:19.720
the hijacked modern scientific theories we're cultured to accept a lot of which
00:03:19.720 --> 00:03:24.240
are a pandora's box of ever-increasing drug dependencies and conspiracies
00:03:24.240 --> 00:03:30.280
abound along with that train of thought. Given we are truly complex organisms
00:03:30.280 --> 00:03:34.440
with a network of communication systems and feedback either positive or negative
00:03:34.440 --> 00:03:39.480
to that input, the pathways through which these signals travel as well as the
00:03:39.480 --> 00:03:43.560
structures which respond to the signals and the signals which ultimately affect
00:03:43.560 --> 00:03:49.440
another system all need to be cohesively organized. So any deficit however small
00:03:49.440 --> 00:03:53.520
can have far-reaching and dramatic consequences and it is true that the
00:03:53.520 --> 00:03:56.800
organism will do everything possible to correct or mitigate disease before
00:03:56.800 --> 00:04:01.320
failing sometimes resulting in disease processes that take decades to end in
00:04:01.320 --> 00:04:05.240
death and so communication systems and appropriate responses are key to good
00:04:05.240 --> 00:04:09.000
health and functioning and this is the role of the endocrine system I want to
00:04:09.000 --> 00:04:13.080
explore with you Dr. Peat. The earliest records of recognizing the role and it
00:04:13.080 --> 00:04:16.640
may be earlier than this but the earliest records that I found during my
00:04:16.640 --> 00:04:20.400
last two days or so getting material together for the show was the Chinese
00:04:20.400 --> 00:04:26.360
pulling out isolated sex and pituitary hormones from human urine in 200 BC for
00:04:26.360 --> 00:04:31.040
crying out loud. So that's true that's certainly food for thought when we think
00:04:31.040 --> 00:04:36.880
we know everything that we know now with ICP-MS and other mass spectrometry being
00:04:36.880 --> 00:04:43.320
the kind of leading investigative machinery so and then obviously the
00:04:43.320 --> 00:04:48.240
ancient Greeks and Romans from Aristotle Hippocrates and Galen and where we get
00:04:48.240 --> 00:04:52.240
our herbal medicine background from until the emergence of the germ theory.
00:04:52.240 --> 00:04:57.080
I know you mentioned this a lot in the 19th century then and this is I think is
00:04:57.080 --> 00:05:04.120
perhaps where it's veered off of normality and and common sense and it's
00:05:04.120 --> 00:05:08.520
real true scientific endeavor that's where it kind of just veered off the
00:05:08.520 --> 00:05:12.720
rails and I think we've carried on in that vein ever since and I know that
00:05:12.720 --> 00:05:19.120
your whole philosophy has been about challenging mainstream science for
00:05:19.120 --> 00:05:25.280
science's sake because it's not very scientific and I think in that in that
00:05:25.280 --> 00:05:30.880
regard Dr. Peat would you mind giving an overview of the basis of understanding
00:05:30.880 --> 00:05:36.520
disease past the present and how this has formed our approach to its management
00:05:36.520 --> 00:05:49.680
and how your rationale differs? I see it as a deviation from from the Chinese and
00:05:49.680 --> 00:05:58.680
the Greeks who had a pretty unified picture of what an organism is.
00:05:58.680 --> 00:06:08.760
Aristotle actually was pretty much an organicist in his understanding of the
00:06:08.760 --> 00:06:15.560
organism and it was really around the time of Descartes middle of the early
00:06:15.560 --> 00:06:26.120
part of the 17th century when the things really got formalized on the wrong track.
00:06:26.120 --> 00:06:34.480
Descartes described the organism as a machine completely separate from
00:06:34.480 --> 00:06:41.680
consciousness. Consciousness was guiding the machine possibly from
00:06:41.680 --> 00:06:53.920
some contact point in the brain but under the ground mostly of people
00:06:53.920 --> 00:07:01.160
who were persecuted by the monarchies and such they continued to think along
00:07:01.160 --> 00:07:10.960
the organic unified understanding of what an animal or a person is but
00:07:10.960 --> 00:07:19.680
following Descartes the organism was seen as made up of parts just like a
00:07:19.680 --> 00:07:28.120
steam engine or a clock. Each part could be defined and understood and
00:07:28.120 --> 00:07:33.960
mechanically interlocked with the other parts and the consciousness or the soul
00:07:33.960 --> 00:07:41.440
was seen as something completely separate from this machine and could
00:07:41.440 --> 00:07:51.480
somehow sometimes interfere with its operation but mostly it was out of our
00:07:51.480 --> 00:08:01.000
control simply running according to causal determinism and when the idea of
00:08:01.000 --> 00:08:08.520
infection something from the environment causing a disease came in it happened
00:08:08.520 --> 00:08:16.280
that the use of the microscope had developed to the point that people had
00:08:16.280 --> 00:08:26.040
seen the compartments in plants and they called the compartments cells when the
00:08:26.040 --> 00:08:32.000
plant dried up and left the cellulose framework empty little chambers which
00:08:32.000 --> 00:08:40.640
they called cells and well a more underground approach looked at
00:08:40.640 --> 00:08:45.840
particles like red blood cells and called the units corpuscles little
00:08:45.840 --> 00:08:56.040
bodies rather than empty compartments and this idea of breaking the organism
00:08:56.040 --> 00:09:06.520
down into cells and seeing those as parts of a machine made up of material
00:09:06.520 --> 00:09:19.400
without consciousness or spirit this became the background for seeing a
00:09:19.400 --> 00:09:30.000
disease as a particular mechanical interference with the operation of the
00:09:30.000 --> 00:09:33.400
machine. And this is where the term reductionism came from right or
00:09:33.400 --> 00:09:40.360
reductionist medicine? Yeah and the disease one line of thinking was that it
00:09:40.360 --> 00:09:48.800
was a particular little particle of evil material a germ cell analogous to the
00:09:48.800 --> 00:09:56.120
cells that make up the machine so it was a material particle interfering with our
00:09:56.120 --> 00:10:04.160
material particles that became identified as a disease a very concrete
00:10:04.160 --> 00:10:14.120
specific interference with the machine and as people look more closely at
00:10:14.120 --> 00:10:20.960
tumors they saw really it was a matter of organization rather than some
00:10:20.960 --> 00:10:30.320
particular concrete change or substance but this idea of organization took about
00:10:30.320 --> 00:10:40.000
a hundred and fifty years to finally catch on right up until the beginning of
00:10:40.000 --> 00:10:47.360
this century people were still stuck on Descartes picture of a mechanical
00:10:47.360 --> 00:10:54.920
organism being interrupted by something right down on the cellular level or even
00:10:54.920 --> 00:11:03.240
smaller the molecular level so that cancer was defined as an evil cell a
00:11:03.240 --> 00:11:13.080
mutant cell containing bad genetic material defective DNA and so all you
00:11:13.080 --> 00:11:19.560
had to do in the case of a germ-caused disease all you had to do was kill the
00:11:19.560 --> 00:11:26.680
germ and you were cured in the case of the cancer interpreted as a mutant cell
00:11:26.680 --> 00:11:35.440
all you had to do was eliminate every single individual mutant cell and the
00:11:35.440 --> 00:11:40.440
disease would be cured. I mean that's still how they treat cancer now isn't it?
00:11:40.440 --> 00:11:48.160
I mean to some degree. Almost everyone is still stuck in this 17th century idea of
00:11:48.160 --> 00:11:55.880
what an organism is and what a disease is and Parkinson's disease even though
00:11:55.880 --> 00:12:04.160
in the 19th century people recognized all the symptoms of the disease
00:12:04.160 --> 00:12:13.360
stiffness generally the older a person is the more Parkinson's traits they have
00:12:13.360 --> 00:12:27.720
stiffness wobbly tremor and slowness of movement all of the extreme old age
00:12:27.720 --> 00:12:33.040
symptoms are simply coming on stronger and earlier when they call it
00:12:33.040 --> 00:12:40.480
Parkinson's disease but in by the latter part of the 19th century people had
00:12:40.480 --> 00:12:48.280
noticed that people suffering from this so-called disease if they took a long
00:12:48.280 --> 00:12:54.400
train ride to get to the doctor their symptoms might disappear or if they came
00:12:54.400 --> 00:13:01.640
on a carriage or rode a horse their symptoms were greatly alleviated by
00:13:01.640 --> 00:13:09.200
just moving around through space and so some people proposed a vibration
00:13:09.200 --> 00:13:16.720
therapy about 40 years ago someone noticed that swimming alleviated the
00:13:16.720 --> 00:13:25.720
symptoms so simply a different kind of stimulation could reverse the symptoms
00:13:25.720 --> 00:13:32.000
and it turns out that in animals that you can create the disease by poisoning
00:13:32.000 --> 00:13:40.560
them and by giving them an enriched environment you can reverse the actual
00:13:40.560 --> 00:13:45.760
anatomical chemical changes of their nervous system. So in the poisoned animals
00:13:45.760 --> 00:13:48.720
if you place them in an enriched environment you're saying that they no
00:13:48.720 --> 00:13:54.040
longer display the... yeah similar to what they noticed in people who took a long
00:13:54.040 --> 00:13:59.840
train ride. All right you're listening to AskUrob Dr. K. A. D. Garboville
00:13:59.840 --> 00:14:06.200
91.1 FM at 715 now so from 730 to the end of the show at 8 o'clock you're
00:14:06.200 --> 00:14:09.920
invited to call in with questions either related hopefully related to the
00:14:09.920 --> 00:14:14.640
question subject matter of the endocrine system and Parkinson's if you have any
00:14:14.640 --> 00:14:18.800
other endocrine based questions that would be fine too. If you're in the area
00:14:18.800 --> 00:14:26.480
seems like there's still a temporary call-in number which is 707 383 9007 so
00:14:26.480 --> 00:14:33.440
383 9007 the toll-free numbers should still be the same here 1-800-KMUD-RAD
00:14:33.440 --> 00:14:39.680
that's 800-568-3723 and the engineer I think you're gonna read some things out.
00:14:39.680 --> 00:14:43.120
Yeah thanks Andrew I actually should have done this at the top of the hour we
00:14:43.120 --> 00:14:47.440
would not have this show without the support of Chautauqua Natural Foods in
00:14:47.440 --> 00:14:52.160
Garboville locally owned for 34 years they specialize in local and organic
00:14:52.160 --> 00:14:57.320
produce natural groceries nutritional supplements and body care products now
00:14:57.320 --> 00:15:01.960
announcing every day is senior day Chautauqua Natural Foods open Monday
00:15:01.960 --> 00:15:08.000
through Saturday 9 till 7 Sundays 10 till 5 just off the town square more
00:15:08.000 --> 00:15:14.000
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viewpoints thank you so much for joining us. Okay so to continue Dr. Peat I wanted to
00:16:01.000 --> 00:16:05.520
explore Parkinson's disease and Parkinsonism as there's several
00:16:05.520 --> 00:16:11.160
different similar related type situations that may not necessarily be
00:16:11.160 --> 00:16:16.240
Parkinson's per se but it does actually seem to be a fairly woolly kind of
00:16:16.240 --> 00:16:21.360
construct in terms of the multitude of various symptoms that can be expressed
00:16:21.360 --> 00:16:26.000
some of which may start early some of which may just be late onset but
00:16:26.000 --> 00:16:29.840
basically they go over the mechanism that's discussed today about the disease
00:16:29.840 --> 00:16:34.160
and its treatment and highlight your approach to this condition later on to
00:16:34.160 --> 00:16:39.880
understand it the way you do so the terms used to describe long-term
00:16:39.880 --> 00:16:44.400
degenerative disorder of the central nervous system affecting mainly the
00:16:44.400 --> 00:16:49.160
motor system but which can involve the sensory system with cognitive and sleep
00:16:49.160 --> 00:16:54.360
and mood disturbances also noted as part of the picture there's a compound here
00:16:54.360 --> 00:16:58.800
and I know we talked about this the other day alpha-synuclein a compound
00:16:58.800 --> 00:17:02.960
present in these so-called Lewy bodies that are present under microscopic
00:17:02.960 --> 00:17:08.160
examination found within the substantia nigra in the brain yeah as well as
00:17:08.160 --> 00:17:14.360
several other brain regions and they are diagnostic for Parkinson's disease
00:17:15.360 --> 00:17:21.080
okay so several Parkinson's genes are involved and they've been high been
00:17:21.080 --> 00:17:24.560
highlighted here I'd like to pick your brains about some of those as we go on
00:17:24.560 --> 00:17:29.520
through this but so far as the functioning of waste product digesting
00:17:29.520 --> 00:17:34.320
lysosomes that may be linked to the inability to break down alpha-synuclein
00:17:34.320 --> 00:17:40.600
there's a protein also called Dardarin now the primary symptoms of Parkinson's
00:17:40.600 --> 00:17:45.040
result from the loss of dopamine secreting cells within the substantia
00:17:45.040 --> 00:17:49.800
nigra and there are five major pathways in the brain that we know now there may
00:17:49.800 --> 00:17:53.480
be more but there were five when I was studying connecting other brain areas
00:17:53.480 --> 00:17:58.320
with the basal ganglia these are the motor so this is a movement ocular motor
00:17:58.320 --> 00:18:03.760
where the eyes will track the hands or the eyes the eye movement will track the
00:18:03.760 --> 00:18:10.280
movement externally the associative the limbic and the orbitofrontal circuits
00:18:10.280 --> 00:18:13.280
now all of them are disrupted essentially and this disruption
00:18:13.280 --> 00:18:20.080
explains the many varied presentations of the disease so in terms of how you
00:18:20.080 --> 00:18:26.480
understand the nervous system and physiology just to start with the motor
00:18:26.480 --> 00:18:33.200
circuit and how higher brain stem functions interact through nerves to
00:18:33.200 --> 00:18:38.480
elicit muscular contraction for example because we will talk about the tremor of
00:18:38.480 --> 00:18:43.760
Parkinson's disease and we'll go on later to describe some of the drugs and
00:18:43.760 --> 00:18:49.600
treatments that can be used but they are also responsible chronically for the
00:18:49.600 --> 00:18:54.080
same symptoms such that it's almost a worse outcome than the initial outcome
00:18:54.080 --> 00:18:58.000
so it's not a particularly successful treatment but in terms of the motor
00:18:58.000 --> 00:19:05.440
system of the nervous system and the various drugs second messengers etc that
00:19:05.440 --> 00:19:11.680
exert those controls how did how do you see this motor circuit working in the
00:19:11.680 --> 00:19:18.600
body and how would you perhaps be able to rationalize an alternative approach
00:19:18.600 --> 00:19:24.880
to the treatment of Parkinson's disease given given how you know my orientation
00:19:24.880 --> 00:19:34.640
is very similar to Pavlov's who saw the motor system as subordinate to the
00:19:34.640 --> 00:19:40.840
sensory system he saw the cortex of the brain as primarily an extension of the
00:19:40.840 --> 00:19:50.840
sense organs and that this formed the environment for the motor reflexes and
00:19:50.840 --> 00:19:56.960
the idea of a reflex is another thing that originated with Descartes and the
00:19:56.960 --> 00:20:04.200
simply wrong that the the cells aren't mechanically connected in in
00:20:04.200 --> 00:20:12.480
reflex patterns one of the first people in the West to analyze this carefully
00:20:12.480 --> 00:20:19.760
was the French existentialist so-called philosopher Merleau-Ponty Maurice
00:20:19.760 --> 00:20:28.560
Merleau-Ponty who analyzed the meaning of reflexes and he clearly shows that
00:20:28.560 --> 00:20:38.520
there are no reflexes in the Cartesian sense and if you attend a neurology
00:20:38.520 --> 00:20:47.600
course you'll probably find people still arguing that there are simple innate
00:20:47.600 --> 00:20:55.320
mechanical reflexes in the Descartes sense and for example the linguistics
00:20:55.320 --> 00:21:05.600
system of Noam Chomsky is based entirely on this primitive false idea of the
00:21:05.600 --> 00:21:10.840
brain function based on mechanical reflexes and it simply doesn't work
00:21:10.840 --> 00:21:18.000
Merleau-Ponty is probably the person who most clearly explains the problems with
00:21:18.000 --> 00:21:26.960
it but in the Pavlovian picture as especially developed through the 1950s
00:21:26.960 --> 00:21:39.640
and 60s by his student P.K. Anokin the sensory system is fluid and
00:21:39.640 --> 00:21:48.080
continuously being revised as the organism explores its environment and so
00:21:48.080 --> 00:21:57.720
the sense of exploring and being stimulated by newness the idea of
00:21:57.720 --> 00:22:06.120
traveling through time and space is in charge over overriding defects in the
00:22:06.120 --> 00:22:13.320
motor system that's a relevant picture I think for seeing disease
00:22:13.320 --> 00:22:20.320
especially Parkinson's disease in a non-mechanical way the protein you
00:22:20.320 --> 00:22:28.200
mentioned dargarin yeah the interesting thing about it is that it shows up as a
00:22:28.200 --> 00:22:34.280
defect in Crohn's disease in the intestine as well as in Parkinson's
00:22:34.280 --> 00:22:43.480
disease and Parkinson's typically starts with constipation and in 19th century
00:22:43.480 --> 00:22:51.760
medicine people remembered the intestine as well as the brain in treating disease
00:22:51.760 --> 00:22:58.040
it was very common to diagnose death as a result of inflammation of the bowel
00:22:58.040 --> 00:23:07.240
which a pathologist typically overlook as just a side issue but the intestine
00:23:07.240 --> 00:23:14.240
was recognized as very important and the brain as the other end of the organism
00:23:14.240 --> 00:23:18.760
that sort of the two dimensions and now doctors are taught that if you have a
00:23:18.760 --> 00:23:24.480
bowel movement three times a day or once every three days it's all normal yeah
00:23:24.480 --> 00:23:31.760
and when you trace out the the chemical links between what's going wrong with in
00:23:31.760 --> 00:23:38.360
the intestine and in the the rest of the motor system the behavioral system and
00:23:38.360 --> 00:23:47.560
so on you can see links but they're they're always contextually working
00:23:47.560 --> 00:23:55.760
there is no simple pathogenic chemical in the intestine but the the bacteria
00:23:55.760 --> 00:24:01.400
living in the intestine the food you eat and the way your intestine responds to
00:24:01.400 --> 00:24:11.920
it and the stress you're exposed to yeah these act in in the the activating part
00:24:11.920 --> 00:24:19.880
of the brain around 1950 a part of the brain called the reticular activating
00:24:19.880 --> 00:24:27.400
system was identified and this includes the region where the substantia nigra
00:24:27.400 --> 00:24:37.880
and the basal ganglia are and this is where sensory input is dished out to
00:24:37.880 --> 00:24:45.440
activate the upper parts of the brain and when that's happening it tends to go
00:24:45.440 --> 00:24:53.720
with an inhibitory effect on the body so the stronger your mentality is dreaming
00:24:53.720 --> 00:25:02.600
for example the more relaxed your body tends to be and in Parkinson's the
00:25:02.600 --> 00:25:11.080
system it really tends to be over activated unable to relax properly and
00:25:11.080 --> 00:25:18.280
so a characteristic thing is that during sleep and dreams the person who is
00:25:18.280 --> 00:25:24.840
developing Parkinson's disease doesn't relax properly the body if they have a
00:25:24.840 --> 00:25:33.120
dream they might scream and thrash around and hit people so there's a
00:25:33.120 --> 00:25:41.920
failure of consciousness to override and relax the body. Can I take you back to
00:25:41.920 --> 00:25:46.400
what you said a moment ago about reminds me of inescapable stress and the rat
00:25:46.400 --> 00:25:53.240
experiments and that being countered by the environmental enrichment that you
00:25:53.240 --> 00:26:01.360
said could totally restore a Parkinson's created or induced effect in a mouse
00:26:01.360 --> 00:26:05.280
that was put into a environmental enrichment situation naturally lost the
00:26:05.280 --> 00:26:12.480
symptoms. I know that one does not directly causatively cure the other
00:26:12.480 --> 00:26:18.600
but you were saying here that there's a link between environmental enrichment
00:26:18.600 --> 00:26:25.400
and the progressive replacement of gosh what can we call it something
00:26:25.400 --> 00:26:30.920
substantially good that offsets the negative effects of the inflammation the
00:26:30.920 --> 00:26:37.080
degradation the slowing of the bowel endotoxin release etc etc reabsorption
00:26:37.080 --> 00:26:43.280
and and that this is this is a definite key feature if you think that you think
00:26:43.280 --> 00:26:46.920
it could be all definitely as part of a holistic program sure I can understand
00:26:46.920 --> 00:26:52.080
that would be very plausible to suggest something like that but is that where
00:26:52.080 --> 00:27:01.080
you were going to? Yes, P.K. Anokin and all of the people in the Pavlovian
00:27:01.080 --> 00:27:10.880
tradition see a global evander process in the brain that they called the
00:27:10.880 --> 00:27:22.840
acceptor of action it's our intention and expectation in the world and this is
00:27:22.840 --> 00:27:32.120
what is integrating not only the motor system and dominating the so-called
00:27:32.120 --> 00:27:40.400
reflexes but this process which is like a model of everything we know and intend
00:27:40.400 --> 00:27:50.200
to do in the world this is supported in the organism not just in the brain but
00:27:50.200 --> 00:28:02.320
it's a process involving sensory nerves from the whole body and this process in
00:28:02.320 --> 00:28:12.160
the brain it's sort of during during daytime at least it's based on our inner
00:28:12.160 --> 00:28:25.120
ear balance system the vestibular system and this it's a unified picture of the
00:28:25.120 --> 00:28:33.720
world and the organism and this process itself of being conscious is involved in
00:28:33.720 --> 00:28:39.800
the activation of not only the endocrine glands throughout the body but
00:28:39.800 --> 00:28:50.160
in the nerves themselves as they are supporting this model of the world or
00:28:50.160 --> 00:28:56.720
acceptor of action in the process of metabolizing to be conscious they are
00:28:56.720 --> 00:29:06.880
making changes internally that involves for example synthesizing turning energy
00:29:06.880 --> 00:29:13.480
substances sugar for example into cholesterol and turning cholesterol into
00:29:13.480 --> 00:29:20.840
pregnenolone right in the nerves for example of the substantia nigra this
00:29:20.840 --> 00:29:28.200
process is going on energy sugar cholesterol pregnenolone progesterone
00:29:28.200 --> 00:29:38.960
and the endocrine process which is then stabilizing the structure and the
00:29:38.960 --> 00:29:46.400
consciousness so that the flavor of your consciousness when it's successful is
00:29:46.400 --> 00:29:53.520
modified by the balance you have between your progesterone the ATA and other
00:29:53.520 --> 00:30:01.400
steroids and the energy processes so can you try to explain like the personality
00:30:01.400 --> 00:30:07.960
that you're saying in people that develop Parkinson's they're not and you
00:30:07.960 --> 00:30:15.080
know they're experiencing learned helplessness I think the way they live
00:30:15.080 --> 00:30:24.480
they have incorporated duties obligations and and such that they they
00:30:24.480 --> 00:30:31.480
can manage very well but they aren't overcoming the stress adequately
00:30:31.480 --> 00:30:35.560
because they're not exploring new things or they're not they don't have new input
00:30:35.560 --> 00:30:38.960
to their brain it's just the same old like a treadmill they're on or yeah
00:30:38.960 --> 00:30:44.680
they're stuck in a way so that they aren't getting enough stimulation that's
00:30:44.680 --> 00:30:50.840
so interesting because I think when you read the regular texts medical texts
00:30:50.840 --> 00:30:56.720
about Parkinson's and they go through the plethora of symptoms one of them was
00:30:56.720 --> 00:31:03.360
symptom most characteristic I think is fairly emotionless expressions on the
00:31:03.360 --> 00:31:12.520
patients with Parkinson's not infused difficult to engage don't don't have any
00:31:12.520 --> 00:31:19.120
kind of what can I say any kind of joy de vivre I don't know how to say it
00:31:19.120 --> 00:31:23.560
apart from the French way you know kind of joy of life but that's very much part
00:31:23.560 --> 00:31:31.160
of a learned helplessness type construct that would cause an organism then to
00:31:31.160 --> 00:31:34.680
just see things just within the boundaries of what they have and then
00:31:34.680 --> 00:31:38.560
not be anything new and stimulating them and that stimulation you're saying is
00:31:38.560 --> 00:31:44.200
very much part of switching on what is a totally holistic approach to
00:31:44.200 --> 00:31:48.120
Parkinson's outside of the mechanistic view that the regular science has and
00:31:48.120 --> 00:31:50.920
we'll go through the drugs because the drugs are really not effective at all
00:31:50.920 --> 00:31:56.200
and they work very mechanistically and actually cause typically more problems
00:31:56.200 --> 00:32:01.080
than they're seeking to address so you're saying new sensory output will
00:32:01.080 --> 00:32:06.640
for example I mean sorry new sensory input will for example increase the
00:32:06.640 --> 00:32:10.220
dopamine output from the substantia nigra in the brain or the protective
00:32:10.220 --> 00:32:13.920
progesterone pregnenolone or the hormones that protect against those
00:32:13.920 --> 00:32:22.040
cells degrading not producing dopamine yeah the dopamine theory it's really
00:32:22.040 --> 00:32:29.360
part you have to look at it in in the history of at the beginning of the 20th
00:32:29.360 --> 00:32:38.600
century with the mechanistic view they were seeing the brain as a mechanical
00:32:38.600 --> 00:32:46.000
thing which was having defects causing the tremor and they actually started
00:32:46.000 --> 00:32:51.160
cutting out parts of the brain to remove the tremor oh yeah sounds like a good
00:32:51.160 --> 00:32:57.600
idea doesn't it the man who invented the word cybernetics Norbert Wiener uh-huh
00:32:57.600 --> 00:33:06.640
yeah he proposed the best surgery up to that time instead of cutting out parts
00:33:06.640 --> 00:33:13.560
of the cortex which they had been doing in the 1930s they were focusing on the
00:33:13.560 --> 00:33:23.600
brainstem and he designed the the radar searching self-control systems that
00:33:23.600 --> 00:33:35.280
would focus on an airplane and aim a gun this feedback system he saw the brain
00:33:35.280 --> 00:33:45.880
having tremors his radar gun aiming system if it was poorly aligned would
00:33:45.880 --> 00:33:54.760
have a tremor of a searching movement back and forth so he saw the tremor as a
00:33:54.760 --> 00:34:02.960
feedback searching process and so he suggested what you would do to his radar
00:34:02.960 --> 00:34:11.280
apparatus was to knock out part of the sensitivity so he suggested the surgery
00:34:11.280 --> 00:34:19.000
to cut out as part of the searching feedback apparatus and it actually worked
00:34:19.000 --> 00:34:27.960
better than the grocer surgeries and that it's been done right down to the
00:34:27.960 --> 00:34:33.440
70s and 80s they were still simply ablating or destroying part of the brain
00:34:33.440 --> 00:34:43.560
then they got a little more refined and started stimulating it but sometimes
00:34:43.560 --> 00:34:50.280
that didn't work like Michael Fox yeah he wasn't going to have any more
00:34:50.280 --> 00:34:57.160
surgical treatments because instead of stopping the tremor of his left side it
00:34:57.160 --> 00:35:01.520
started the tremor in the right side yeah well that's that that's the issue
00:35:01.520 --> 00:35:05.720
isn't it well I guess we'll get into some of the medications now just to
00:35:05.720 --> 00:35:12.280
bring them out and to explain the mechanistic view that was constructed to
00:35:12.280 --> 00:35:19.280
support the use of these drugs but okay so the substantia nigra is part of the
00:35:19.280 --> 00:35:25.920
brain here that we're focusing on in Parkinson's that is the site of dopamine
00:35:25.920 --> 00:35:32.320
production now dopamine excuse me dopamine is I think I understand this
00:35:32.320 --> 00:35:37.880
right but I think the nervous system is pretty much wanting to be firing fairly
00:35:37.880 --> 00:35:41.960
constantly and dopamine actually controls that from happening ad hoc so
00:35:41.960 --> 00:35:47.600
that you don't get these sudden jerks etc and that dopamine allows through this
00:35:47.600 --> 00:35:54.320
inhibition the ordered movement of muscles in coordinated patterns it's not
00:35:54.320 --> 00:36:03.080
a stimulant per se and it's it's integrated with the inhibiting systems
00:36:03.080 --> 00:36:09.880
so much more of a relaxant yeah in itself it is an activator but it runs
00:36:09.880 --> 00:36:17.240
into nerves that feedback with an inhibition right so when when somebody
00:36:17.240 --> 00:36:22.000
for example I think L-DOPA is supposedly the gold standard for want of a better
00:36:22.000 --> 00:36:29.000
word of treatment and that within five years most patients using L-DOPA as the
00:36:29.000 --> 00:36:32.760
replacement for dopamine because L-DOPA dopamine doesn't cross the blood-brain