1 00:00:01,316 --> 00:00:04,899 Let’'s say that this is you. You’'re enjoying a nice sunny day 2 00:00:04,899 --> 00:00:09,768 and you decided to take a nice long deep breath of air. 3 00:00:09,768 --> 00:00:15,910 And of course when I say air the part that you probably care the most about is just the oxygen, 4 00:00:15,910 --> 00:00:21,134 part of that air, that'’s the part that we as humans need to survive. 5 00:00:21,134 --> 00:00:24,618 So you take a deep breath. Let'’s say you take it through your mouth, 6 00:00:24,618 --> 00:00:26,953 you take a deep breath through your mouth. 7 00:00:26,953 --> 00:00:30,095 And then let’s say you take one more deep breath, a second deep breath, 8 00:00:30,095 --> 00:00:31,904 and then you take that one through your nose. 9 00:00:31,904 --> 00:00:36,707 And you might think, "Well, these are two totally different ways of getting in air." 10 00:00:36,707 --> 00:00:40,183 That’'s certainly how it looks when you look at the mouth and nose. 11 00:00:40,183 --> 00:00:42,177 They don'’t look like they have much in common. 12 00:00:42,177 --> 00:00:45,428 But the truth is that actually if you follow the air, 13 00:00:45,428 --> 00:00:50,011 it almost follows an identical path. 14 00:00:50,011 --> 00:00:56,030 The air is gonna go into the back of the throat really regardless of how you took it in. 15 00:00:56,030 --> 00:00:59,598 So here we have air coming in from the nose, 16 00:00:59,598 --> 00:01:03,916 in here yet air coming in from the mouth and they meet up in the back of throat. 17 00:01:03,916 --> 00:01:10,402 And then they go down down down, they go towards this thing that we call the Adam’'s apple. 18 00:01:10,402 --> 00:01:14,542 I'’m gonna bring it up a little bit, you can see it more easily. 19 00:01:14,542 --> 00:01:19,030 But basically you bring up this, you see this Adam’'s apple right there. 20 00:01:19,030 --> 00:01:22,705 And actually you can go ahead and take a feel of you own Adam’'s apple. 21 00:01:22,705 --> 00:01:27,146 It’'s a pretty cool structure in the middle of your throat 22 00:01:27,146 --> 00:01:30,565 and everybody has it, that'’s the first thing I want to tell you, 23 00:01:30,565 --> 00:01:34,416 that everybody has it, not just men, women have it too. 24 00:01:34,416 --> 00:01:41,847 And the reason it’'s called an Adam’'s apple is because "Adam" is generally a boy'’s name. 25 00:01:41,847 --> 00:01:49,432 And so it'’s to remind us that usually men or boys have larger Adam'’s apples than girls. 26 00:01:49,432 --> 00:01:54,139 And if you’'re trying to find it, I also want to point that it'’s a notch here. 27 00:01:54,139 --> 00:01:57,129 And you if you can feel the notch with your fingers, 28 00:01:57,129 --> 00:02:00,467 in that case you have a nice clue as to where it is located. 29 00:02:00,467 --> 00:02:06,526 This is Adam’'s apple and what it does is, it helps you control your voice. 30 00:02:06,526 --> 00:02:08,893 And actually there’'s another name for Adam’'s apple. 31 00:02:08,893 --> 00:02:13,693 Another name for it, sometimes people call it the voice box. The voice box. 32 00:02:13,693 --> 00:02:21,553 And of course air is passing through the voice box in this kind of the entry way into the trachea. 33 00:02:21,553 --> 00:02:28,471 And so it actually allows me to make my voice very high or make my voice very low, 34 00:02:28,471 --> 00:02:34,096 depending on how you change the muscles around in that Adam'’s apple. 35 00:02:34,096 --> 00:02:39,254 So that'’s actually kind of a first cool thing I want to point out to you, that you can actually control your voice. 36 00:02:39,254 --> 00:02:44,220 I’'m sure you knew this already but what you’'re using is the Adam’'s apple, your voice box. 37 00:02:44,220 --> 00:02:49,236 Now air keeps going, air is just gonna keeps making its journey down and 38 00:02:49,236 --> 00:02:54,204 specifically of course the part of air I said, you know, we care about is the oxygen. 39 00:02:54,204 --> 00:02:58,063 It’'s gonna keep making its journey down into the lung areas, 40 00:02:58,063 --> 00:03:05,283 now the lung areas, it's gone down the trachea and it goes into the two lungs, the right and left lungs. 41 00:03:05,283 --> 00:03:11,365 This is the left lung, I'’m gonna put L for left and this is the right lung, I'’ll put R for right. 42 00:03:11,365 --> 00:03:14,889 And immediately you’'ll think, "Wait a second, aren'’t they switched?" 43 00:03:14,889 --> 00:03:19,487 Now I want you to remember that this is from the perspective of the person who owns the lungs. 44 00:03:19,487 --> 00:03:23,132 So that'’s why I put it in left where I put it, in right where I put it. 45 00:03:23,132 --> 00:03:26,841 Now we should probably go ahead and start labelling some of these. 46 00:03:26,841 --> 00:03:30,476 You can see that the lungs actually don'’t look identical, right? 47 00:03:30,476 --> 00:03:34,712 They look slightly different, for example, this one has three lobes. 48 00:03:34,712 --> 00:03:40,827 The right side has three lobes called the upper lobe, middle lobe and lower lobe. 49 00:03:40,827 --> 00:03:45,279 And the left one only has two lobes, that'’s the first kind of a big difference. 50 00:03:45,279 --> 00:03:53,809 And the other difference is that you actually have this thing in the middle that we call a cardiac notch. 51 00:03:53,809 --> 00:03:57,166 This thing right here, this is called the cardiac notch. 52 00:03:57,166 --> 00:04:03,163 And the reason we call it that is that it'’s a little spot that gets formed 53 00:04:03,163 --> 00:04:07,714 because the heart is literally kind of peeking out here. 54 00:04:07,714 --> 00:04:11,874 And as a result it’'s kind of makes a notch in the lung where it develops. 55 00:04:11,874 --> 00:04:15,632 So the heart takes a little space here, this is the heart. 56 00:04:15,632 --> 00:04:22,201 And as a result, it takes or makes that notch. So this is our heart space there. 57 00:04:22,201 --> 00:04:27,144 So on the other side you'’ve got of course your two lobes, your upper and lower lobes. 58 00:04:27,144 --> 00:04:31,934 And these are exclusive, you see a lung that's kind of sitting by itself. 59 00:04:31,934 --> 00:04:36,008 And you want to figure out whether it’'s the left lung or the right lung, 60 00:04:36,008 --> 00:04:40,767 you can look for the lobes, the number of lobes, or you can look for that cardiac notch. 61 00:04:40,767 --> 00:04:45,719 Now around here, around these lungs, you'’ve got ribs. 62 00:04:45,719 --> 00:04:52,120 You’'ve got ribs here and between the ribs you'’ve got rib muscles and of course on both sides. 63 00:04:52,120 --> 00:04:59,351 And below the lungs and below the heart, you’'ve got a muscle, a big muscle. 64 00:04:59,351 --> 00:05:05,798 Actually it'’s gonna come through here, I'’m just gonna kind of go through the word “heart”, 65 00:05:05,798 --> 00:05:08,399 and it basically becomes the floor. 66 00:05:08,399 --> 00:05:14,405 So the heart and the two lungs sit on this floor that made up of this muscle 67 00:05:14,405 --> 00:05:21,763 and this muscle is the diaphragm muscle. So this diaphragm muscle makes up the floor; 68 00:05:21,763 --> 00:05:26,822 the ribs make up the walls. So what do we have? 69 00:05:26,822 --> 00:05:32,696 We have basically a room, we have a giant room with walls and the floor. 70 00:05:32,696 --> 00:05:36,331 And this entire room we actually call the thorax. 71 00:05:36,331 --> 00:05:40,453 So within this room then you have your two lungs and your heart. 72 00:05:40,453 --> 00:05:46,269 So, so far so good, but I haven'’t done a very nice job of actually showing you where the air goes. 73 00:05:46,269 --> 00:05:51,164 I just kind of pointed that it goes to the two lungs, we don’'t have to get to see where it goes after that. 74 00:05:51,164 --> 00:05:53,851 So let me actually, I’'m gonna erase a lot of these. 75 00:05:53,851 --> 00:05:59,763 I’m gonna reveal to you what it would look like. If you could slip on some X-ray glasses 76 00:05:59,763 --> 00:06:03,185 and look into your two lungs, this is kind of what it would look like. 77 00:06:03,185 --> 00:06:11,253 You’'ve got all these interesting architecture and the easiest way to kind of think about this, 78 00:06:11,253 --> 00:06:14,631 probably the simplest way to think about this, is to imagine a tree, 79 00:06:14,631 --> 00:06:19,420 to imagine a tree, and that tree has been flipped upside down, 80 00:06:19,420 --> 00:06:24,976 so you'’ve got all these branches of that tree and they are branching and branching. 81 00:06:24,976 --> 00:06:31,421 And if you flip this tree upside down, you start seeing that it looks a lot like what we have in our lungs. 82 00:06:31,421 --> 00:06:37,654 Our lungs basically look like a flipped up or a flipped upside down tree and we even call that, 83 00:06:37,654 --> 00:06:42,025 we even call this entire structure, we call it a bronchial tree. 84 00:06:42,025 --> 00:06:47,336 So when you look at the lungs and they look kind of messier and complicated. 85 00:06:47,336 --> 00:06:52,145 Just think of them as an upside down bronchial tree and all of a sudden 86 00:06:52,145 --> 00:06:57,809 it’'ll look much simpler with basically in the middle you’'ve got this nice trunk, 87 00:06:57,809 --> 00:07:01,518 this is our trunk, and then it'’s kind of branching from there. 88 00:07:01,518 --> 00:07:06,057 So air goes down this main trunk, this trachea, and they kind of start splitting up. 89 00:07:06,057 --> 00:07:12,983 And each of this kind of colored regions, the green region and the purple region serve a different lobe. 90 00:07:12,983 --> 00:07:18,844 So this green region serves the lower lobe down here, the purple serves the upper lobe. 91 00:07:18,844 --> 00:07:23,446 And on this side, you've got an upper, a middle and a lower lobe. 92 00:07:23,446 --> 00:07:25,851 Now I know it looks a little bit strange because 93 00:07:25,851 --> 00:07:30,268 you’ve got some green branches in what should be the middle lobe like right here; 94 00:07:30,268 --> 00:07:34,173 you’'ve got some orange branches in what looks like the upper lobe like right there. 95 00:07:34,173 --> 00:07:39,251 But what you have to remember, this is kind of tricky, just try to play it in you head, 96 00:07:39,251 --> 00:07:45,467 what you have to remember is that, what you have is basically a three dimensional lung. 97 00:07:45,467 --> 00:07:48,718 So you have to imagine that we are literally looking at the front side, 98 00:07:48,718 --> 00:07:52,008 but of course that middle lobe does go back. 99 00:07:52,008 --> 00:07:57,677 And if you went back then you'’d make perfect sense why the orange branches are where they are at. 100 00:07:57,677 --> 00:08:01,761 Now let me continue the air journey because I wanna make sure we finish it off. 101 00:08:01,761 --> 00:08:05,740 So let'’s say we take a little branch like that, we expand it. 102 00:08:05,740 --> 00:08:09,585 We keep zooming into it, zooming into it, zooming into it, 103 00:08:09,585 --> 00:08:12,422 until it'’s microscopic, you can’t see it with your eyes any more; 104 00:08:12,422 --> 00:08:16,191 but you could see it under a microscope. It would look like this. 105 00:08:16,191 --> 00:08:21,649 It would basically in a microscope, it would look like a bunch of little sacs like these. 106 00:08:21,649 --> 00:08:27,214 And these sacs, we call these alveoli. Alveoli. 107 00:08:27,214 --> 00:08:30,702 And the air, it actually kind of runs into the alveoli. 108 00:08:30,702 --> 00:08:34,078 It has a dead end and then it comes back around. 109 00:08:34,078 --> 00:08:37,418 And then you breathe it out. So that'’s how breathing works. 110 00:08:37,418 --> 00:08:42,251 The air goes all the way from the mouth down to the alveoli, takes a U-turn and it goes back out. 111 00:08:42,251 --> 00:08:49,394 But before it does that, before it leaves- Very close to the alveoli is blood. 112 00:08:49,394 --> 00:08:55,330 Let’'s say blood is coming this way and going that way, and what will happen is that, 113 00:08:55,330 --> 00:08:58,507 actually out of the or into the blood, let'’s do that first. 114 00:08:58,507 --> 00:09:05,256 We'’ve got oxygen, oxygen will actually go into the blood, and out of the blood will be waste. 115 00:09:05,256 --> 00:09:09,206 So you'’ll have some carbon dioxide waste that your cells have been making. 116 00:09:09,206 --> 00:09:14,897 And that waste actually then gets thrown back into the alveoli. 117 00:09:14,897 --> 00:09:18,569 So now you can see how oxygen gets from the outside world, 118 00:09:18,569 --> 00:09:21,223 gets breathed into the lungs when you inhale, 119 00:09:21,223 --> 00:09:25,203 gets down into the alveoli, exchanges with the blood; 120 00:09:25,203 --> 00:09:28,402 and then you exhale and let all that carbon dioxide out.