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These are the user uploaded subtitles that are being translated: 1 00:00:03,487 --> 00:00:07,560 There is nothing more familiar or more mysterious... 2 00:00:10,687 --> 00:00:12,678 more breathtaking in its action... 3 00:00:14,607 --> 00:00:16,484 marvellous in its mechanics... 4 00:00:17,687 --> 00:00:19,882 exquisite in its range of senses... 5 00:00:21,807 --> 00:00:24,765 and staggering in its ability to understand. 6 00:00:27,327 --> 00:00:30,285 On a fantastic voyage through a single day, 7 00:00:30,807 --> 00:00:34,117 we plunge deep into the routine miracles of the human body. 8 00:00:35,807 --> 00:00:37,763 Dream on, dream on... 9 00:00:37,807 --> 00:00:39,445 Our instruments, 10 00:00:40,167 --> 00:00:41,725 engines, 11 00:00:41,767 --> 00:00:43,598 infrastructure, 12 00:00:43,647 --> 00:00:45,638 roadways and circuitry. 13 00:00:46,207 --> 00:00:48,198 Through 1 0,000 blinks, 14 00:00:49,527 --> 00:00:51,358 20,000 breaths, 15 00:00:52,607 --> 00:00:54,279 1 00,000 beats... 16 00:00:54,327 --> 00:00:56,318 Hello. 17 00:00:57,567 --> 00:01:00,525 ..today is an ordinary, extraordinary day 18 00:01:00,567 --> 00:01:03,035 in the life of the incredible human machine. 19 00:01:16,967 --> 00:01:19,800 Bits of stardust is really all we are. 20 00:01:21,767 --> 00:01:24,839 Oxygen, carbon, hydrogen 21 00:01:25,287 --> 00:01:29,883 and a handful of elements that would cost very little at any chemical supply shop. 22 00:01:32,127 --> 00:01:34,277 But get these chemicals together, 23 00:01:34,327 --> 00:01:38,320 marinate in a hospitable place for about 3.8 billion years 24 00:01:38,367 --> 00:01:41,484 and the mundane mix of molecules becomes precious. 25 00:01:46,087 --> 00:01:49,477 There are more than six billion human bodies living on Earth 26 00:01:49,727 --> 00:01:54,437 and each of us is the amalgamation of some 1 00 trillion microscopic cells. 27 00:01:55,887 --> 00:01:59,800 While the blueprint for each individual are 99.9 per cent identical, 28 00:02:00,327 --> 00:02:02,795 no two of us are exactly the same. 29 00:02:07,047 --> 00:02:08,878 As a new day dawns, 30 00:02:08,927 --> 00:02:11,043 each human machine begins the succession of miracles 31 00:02:11,087 --> 00:02:13,476 that will take it from morning to midnight. 32 00:02:21,847 --> 00:02:23,838 Cells, senses, 33 00:02:24,367 --> 00:02:26,358 muscles, bones, 34 00:02:26,927 --> 00:02:29,316 hearts, brains, 35 00:02:29,727 --> 00:02:33,481 all must marshal their forces and unite just to wake us up. 36 00:02:33,527 --> 00:02:35,518 (Alarm beeps) 37 00:02:36,447 --> 00:02:38,438 (Sighs) 38 00:02:46,287 --> 00:02:48,278 At the surface of it all, 39 00:02:48,327 --> 00:02:51,478 a velvety overcoat of cells and protein keeps us in 40 00:02:52,247 --> 00:02:54,238 and the rest of the world out. 41 00:02:57,007 --> 00:02:58,520 lt's our armour, 42 00:02:58,567 --> 00:03:00,558 our radiator, 43 00:03:01,887 --> 00:03:03,878 our entree to pain and pleasure. 44 00:03:06,687 --> 00:03:09,406 lt is the body's largest organ - 45 00:03:09,447 --> 00:03:11,005 our skin. 46 00:03:13,567 --> 00:03:16,127 Smooth and silky to the eyes and touch 47 00:03:17,327 --> 00:03:20,239 a closer look presents a very different landscape. 48 00:03:21,167 --> 00:03:26,002 Magnified 600 times, our outermost skin is nothing but dead cells, 49 00:03:26,047 --> 00:03:28,038 riddled with ridges and grooves 50 00:03:28,087 --> 00:03:30,555 and pocked with countless bumps and holes. 51 00:03:32,767 --> 00:03:36,760 Look closer still and we find hundreds of thousands of bacteria 52 00:03:36,807 --> 00:03:38,798 inhabit every square inch of us. 53 00:03:49,607 --> 00:03:53,077 With every tick of the clock, our dead skin gets sloughed off. 54 00:03:55,647 --> 00:03:59,322 We shed at least 600,000 particles of skin an hour- 55 00:03:59,367 --> 00:04:01,961 about a pound-and-a-half's-worth each year, 56 00:04:02,487 --> 00:04:06,162 which accounts for as much as 80 per cent of the dust in our houses. 57 00:04:16,607 --> 00:04:18,996 But there's plenty of skin to go around. 58 00:04:21,567 --> 00:04:24,161 lf we could peel it off and lay it out flat, 59 00:04:24,207 --> 00:04:27,438 the average person's skin would cover some 1 8 square feet. 60 00:04:29,887 --> 00:04:31,843 Though just millimetres thick, 61 00:04:31,887 --> 00:04:34,037 it would weigh about 6lb. 62 00:04:35,407 --> 00:04:37,284 And we're constantly making more. 63 00:04:38,647 --> 00:04:42,242 Just wait a month or so and you'll have a shiny new coat. 64 00:04:44,647 --> 00:04:47,366 Which means skin can't be all dead. 65 00:04:51,047 --> 00:04:54,483 Dip below the surface and you find cells continuously dividing 66 00:04:54,527 --> 00:04:56,438 to replace those dead cells above. 67 00:04:59,927 --> 00:05:03,636 Kilometres of blood vessels pulse to skin's connective tissues. 68 00:05:06,767 --> 00:05:09,361 Not forgetting all those precious nerve endings. 69 00:05:15,767 --> 00:05:19,885 45 miles-worth of nerves stretch from our heads down to our toes, 70 00:05:20,567 --> 00:05:22,558 and many reach to our skin. 71 00:05:25,527 --> 00:05:27,518 Some parts more than others. 72 00:05:30,287 --> 00:05:34,405 lf sensitivity were size-dependent, we would look something like this. 73 00:05:37,687 --> 00:05:41,726 Our supersensitive hands, feet, tongue and lips, 74 00:05:41,767 --> 00:05:45,442 each packed with touch receptors, would swell enormously. 75 00:05:47,367 --> 00:05:50,165 Our legs, on the other hand, would resemble a chicken's. 76 00:05:53,327 --> 00:05:57,081 Good thing for us there is more to this organ than touch. 77 00:05:58,727 --> 00:06:01,685 Skin is also our heating and cooling system. 78 00:06:02,807 --> 00:06:07,278 And by helping maintain that comfy 98.6 degrees Fahrenheit 79 00:06:07,847 --> 00:06:09,838 it keeps us alive. 80 00:06:11,567 --> 00:06:13,683 Through its network of blood vessels, 81 00:06:14,207 --> 00:06:18,519 skin carries as much as one-third of the heart's hot, freshly-pumped blood. 82 00:06:20,647 --> 00:06:25,163 Get too hot and these vessels can widen to release heat from our bodies. 83 00:06:27,567 --> 00:06:29,558 But sometimes that's not enough. 84 00:06:36,127 --> 00:06:40,598 A good workout can raise the body's temperature several degrees above normal - 85 00:06:40,647 --> 00:06:44,560 a potentially deadly state if it weren't for skin's slick safety net.. 86 00:06:46,407 --> 00:06:48,363 sweat. 87 00:06:49,207 --> 00:06:51,357 More than two million holes across our skin 88 00:06:51,407 --> 00:06:54,479 can produce up to half a gallon of the liquid in an hour. 89 00:07:00,167 --> 00:07:04,046 The heated droplets evaporate into the air, and leave the body cool. 90 00:07:07,607 --> 00:07:10,565 Through a special camera that images heat, not light, 91 00:07:10,607 --> 00:07:13,326 we can see this air-conditioning system at work. 92 00:07:15,127 --> 00:07:17,641 The hotter the body, the deeper the red. 93 00:07:22,407 --> 00:07:25,399 No surprise, some of the warmest parts of our bodies - 94 00:07:25,567 --> 00:07:27,797 our foreheads, palms, and armpits - 95 00:07:27,847 --> 00:07:31,317 correlate with the greatest concentration of sweat glands. 96 00:07:38,727 --> 00:07:43,243 But we're more likely to encounter the opposite extreme in our morning routine. 97 00:07:47,767 --> 00:07:51,760 Exposed to a chill, tiny musclesjerk our hairs to attention, 98 00:07:51,807 --> 00:07:53,763 bulging the skin around them. 99 00:07:56,927 --> 00:07:58,918 We call them goose bumps. 100 00:08:04,247 --> 00:08:06,681 Scientists have dubbed us ''the naked ape''. 101 00:08:06,727 --> 00:08:08,319 But look closely 102 00:08:08,367 --> 00:08:10,437 and we find we're anything but naked. 103 00:08:14,607 --> 00:08:17,519 Some of our skin cells form tubes that produce hair. 104 00:08:18,407 --> 00:08:21,319 And we have as many of these follicles punctuating our skin 105 00:08:21,367 --> 00:08:23,358 as do our hairy relatives. 106 00:08:23,407 --> 00:08:25,238 Some five million of them. 107 00:08:29,967 --> 00:08:31,958 As the new hair cells divide, 108 00:08:32,007 --> 00:08:33,998 they push old ones up and out. 109 00:08:35,327 --> 00:08:39,081 By the time our hair breaches the surface, it's dead. 110 00:08:41,167 --> 00:08:44,045 Which is why we don't feel pain with every haircut. 111 00:08:47,967 --> 00:08:51,676 Cleaned and groomed, we venture into the bustling morning world. 112 00:08:55,687 --> 00:08:58,724 Around us, other incredible human machines greet the day, 113 00:08:58,767 --> 00:09:01,156 in all different sizes and shapes, 114 00:09:01,207 --> 00:09:03,198 colours and textures. 115 00:09:04,607 --> 00:09:08,236 But on some level, we all inhabit the same skin. 116 00:09:10,967 --> 00:09:15,438 Below the surface, each of us has about the same number of melanocytes, 117 00:09:15,487 --> 00:09:19,526 the cells that pump the dark pigment melanin into our hair and skin 118 00:09:19,567 --> 00:09:21,558 and give them colour. 119 00:09:23,007 --> 00:09:25,726 lt'sjust the amount of melanin these cells produce 120 00:09:25,767 --> 00:09:30,363 that determines whether we are black or white, brunette or blonde. 121 00:09:32,167 --> 00:09:35,443 Generally speaking, the more melanin, the darker. 122 00:09:37,527 --> 00:09:41,236 That same chemical adds colour to a very different sensory organ. 123 00:09:42,687 --> 00:09:44,564 Blue or brown, 124 00:09:44,607 --> 00:09:46,882 green or hazel, 125 00:09:46,927 --> 00:09:50,920 they are the most vital sensory organ that the incredible machine has. 126 00:09:53,607 --> 00:09:55,325 Our day hasjust begun, 127 00:09:55,367 --> 00:09:58,279 and the magnificent miracle of sight leads the way. 128 00:10:04,407 --> 00:10:10,323 Navigating the morning rush hour is something most human machines do on autopilot, 129 00:10:10,367 --> 00:10:14,280 oblivious to the staggering task we leave to two gelatinous orbs. 130 00:10:21,567 --> 00:10:24,684 Eyes sit squarely on the front of our faces for a reason. 131 00:10:27,567 --> 00:10:31,446 Peering forward, and set apartjust enough to let us gauge distance, 132 00:10:31,487 --> 00:10:34,001 they let us spot and track whatever we desire. 133 00:10:42,727 --> 00:10:46,561 ln microseconds, our eyes sight, follow, 134 00:10:46,607 --> 00:10:50,077 focus and process images fractions of an inch long 135 00:10:50,247 --> 00:10:52,363 or moving at hundreds of miles per hour 136 00:10:52,727 --> 00:10:57,801 enabling us to assess and appreciate the world around us more than any other sense. 137 00:11:08,247 --> 00:11:10,238 They may be the windows to our souls, 138 00:11:10,727 --> 00:11:14,959 but on a less poetic level, eyes are just hungry harvesters of light, 139 00:11:15,647 --> 00:11:20,243 trapping and translating it into electrical impulses the brain can understand. 140 00:11:25,807 --> 00:11:27,798 Light hits the cornea first. 141 00:11:29,687 --> 00:11:34,920 This transparent layer, cleansed and lubricated about 1 0 times a minute with every blink, 142 00:11:34,967 --> 00:11:37,845 admits and directs incoming light rays. 143 00:11:41,087 --> 00:11:44,477 From there, they pass through the dark opening of the pupil, 144 00:11:44,527 --> 00:11:46,518 then a transparent protein lens. 145 00:11:50,847 --> 00:11:55,602 Gatekeepers of light, the muscles of the colourful iris squeeze the pupil closed 146 00:11:55,647 --> 00:11:57,399 against too much light. 147 00:11:58,127 --> 00:12:02,678 Not enough, the iris relaxes and the pupil opens. 148 00:12:05,327 --> 00:12:10,162 And in just a fraction of a second, it can slide back and forth between the two. 149 00:12:12,847 --> 00:12:14,838 Focused by cornea and lens, 150 00:12:15,367 --> 00:12:19,758 light then flies through the jelly-like bulk of the eye and onto its rear wall. 151 00:12:21,087 --> 00:12:24,397 Just about a hundredth of an inch thick, this is the retina, 152 00:12:25,367 --> 00:12:30,236 where more than 1 20 million photoreceptors convert light into electrical impulses, 153 00:12:30,647 --> 00:12:33,719 before processing and shipping them off to the brain. 154 00:12:38,527 --> 00:12:42,805 ln a mind-boggling feat that soaks up about a third of our brain power, 155 00:12:42,847 --> 00:12:48,558 our brains continually compare new data with information processed a split second before. 156 00:12:49,607 --> 00:12:52,440 Combine that with what they already expect to be there 157 00:12:52,487 --> 00:12:54,478 and vision is born. 158 00:12:56,127 --> 00:12:58,516 At least, that's how it's supposed to work. 159 00:13:02,127 --> 00:13:05,005 When it doesn't, the world can look more like this. 160 00:13:08,047 --> 00:13:13,041 62-year-old Linda Morfoot has a genetic disease called retinitis pigmentosa. 161 00:13:13,607 --> 00:13:18,317 which has been gradually degrading her eyes'photoreceptors for the past 40 years. 162 00:13:20,127 --> 00:13:23,199 They haven't turned light into sight for the last ten. 163 00:13:24,007 --> 00:13:27,124 lt's frustrating to lose your sight 164 00:13:27,167 --> 00:13:29,886 because you run into things, you run into people. 165 00:13:29,927 --> 00:13:31,565 And it can be depressing. 166 00:13:31,607 --> 00:13:33,598 Just open up real wide. 167 00:13:33,647 --> 00:13:34,966 Very good. 168 00:13:35,007 --> 00:13:38,920 Now, thanks to Dr Mark Humayun of the University of Southern California, 169 00:13:38,967 --> 00:13:40,400 she may see again. 170 00:13:40,447 --> 00:13:45,077 All along we've been told it's impossible, it's science fiction, it can't happen. 171 00:13:45,127 --> 00:13:46,799 Look up. 172 00:13:47,367 --> 00:13:51,599 Humayun has implanted an ingenious little device at the back of Linda's eye. 173 00:13:51,647 --> 00:13:55,196 Just 1 6 electrodes that should act as a simple retina, 174 00:13:55,647 --> 00:13:58,923 turning light into impulses that can be sent to the brain. 175 00:14:01,367 --> 00:14:03,642 We lay it right on the retina 176 00:14:03,687 --> 00:14:06,565 and the current stimulates the underlying nerve cells. 177 00:14:06,607 --> 00:14:09,917 When this information is received by the brain, you see a spot of light. 178 00:14:12,407 --> 00:14:17,879 To perceive those spots, Linda had to first wear a special pair of sunglasses that capture light, 179 00:14:17,927 --> 00:14:20,236 convert it into electrical signals, 180 00:14:20,287 --> 00:14:22,278 and fire up the implants in her eyes. 181 00:14:27,967 --> 00:14:30,686 As the doctors activated the electrodes one by one, 182 00:14:30,727 --> 00:14:32,718 it started to work. 183 00:14:33,967 --> 00:14:37,642 lt was crude, but Linda could now see light and movement. 184 00:14:39,127 --> 00:14:42,085 As they turned more and more electrodes on, 185 00:14:42,127 --> 00:14:45,437 l could see the lights on or the doorway. 186 00:14:46,167 --> 00:14:49,159 l could tell the difference between black and white. 187 00:14:49,207 --> 00:14:50,925 lt was exciting. Yes, it was. 188 00:14:52,967 --> 00:14:57,757 1 6 signals hardly compares to the million or so a working retina transmits. 189 00:15:00,927 --> 00:15:04,078 But with each passing day, her brain compensates, 190 00:15:04,127 --> 00:15:06,118 and Linda sees more detail. 191 00:15:11,287 --> 00:15:16,486 We thought that 1 6 electrodes would never ever give Linda or any other patients 192 00:15:16,527 --> 00:15:18,882 the level of vision they have been able to attain. 193 00:15:19,727 --> 00:15:21,718 The brain fills in the missing gaps. 194 00:15:23,687 --> 00:15:25,678 From simple flashes of light 195 00:15:25,727 --> 00:15:28,639 our brains can somehow conjure meaningful images. 196 00:15:31,367 --> 00:15:34,086 So, now, after 1 0 years of blindness, 197 00:15:34,127 --> 00:15:37,199 Linda can see the grandchildren she never saw before. 198 00:15:38,087 --> 00:15:41,682 They like to run in front of me. ''Where am l, Grandma? Where am l?'' 199 00:15:46,527 --> 00:15:48,518 l'm more connected to them, 200 00:15:50,647 --> 00:15:54,162 a little more part of their lives, you know. 201 00:15:59,207 --> 00:16:01,926 Even for those of us lucky enough to see 20/20 202 00:16:02,407 --> 00:16:06,400 the sense of sight does not work alone in the incredible human machine. 203 00:16:11,607 --> 00:16:16,806 On either side of our heads are the body's microphones - ears. 204 00:16:18,847 --> 00:16:20,838 But ears do much more than hear. 205 00:16:21,407 --> 00:16:26,401 They give us balance, telling us where we are in space at any given moment. 206 00:16:30,647 --> 00:16:33,081 Riding a bike, landing, 207 00:16:34,087 --> 00:16:36,078 perfecting a dive, 208 00:16:36,127 --> 00:16:37,958 even taking a baby step, 209 00:16:38,007 --> 00:16:42,398 all would be impossible without the intricate gadgetry deep inside our ears. 210 00:16:49,447 --> 00:16:54,362 Here, three fluid-filled tubes work like carpenters'levels to help keep us balanced. 211 00:16:57,967 --> 00:17:02,199 When we turn our heads, the fluids move, stimulating nerve cells, 212 00:17:02,247 --> 00:17:04,761 and orienting the brain in three dimensions. 213 00:17:05,167 --> 00:17:07,362 Up-down, left-right, 214 00:17:07,967 --> 00:17:09,958 forward-backward. 215 00:17:11,327 --> 00:17:15,320 lt's a powerful little mechanism that we can stimulate artificially. 216 00:17:18,287 --> 00:17:20,482 Welcome to the weird world of tomorrow. 217 00:17:23,927 --> 00:17:25,804 With a special electrified headset, 218 00:17:25,847 --> 00:17:29,362 scientists in Japan have taken hold of our balancing centres. 219 00:17:32,007 --> 00:17:35,204 By sending current down to those nerves in our inner ears 220 00:17:35,247 --> 00:17:38,159 they've created remote-controlled human beings. 221 00:17:46,567 --> 00:17:49,798 TRANSLATOR: l've never experienced such a sensation. 222 00:17:49,847 --> 00:17:53,442 lt was like being drunk on the deck of a boat rocking in the waves. 223 00:17:58,087 --> 00:18:00,237 The current is low voltage, 224 00:18:00,287 --> 00:18:05,042 just enough to throw people off balance and compel them to walk left, right, 225 00:18:05,087 --> 00:18:07,840 even trace the shape of a giant pretzel. 226 00:18:10,607 --> 00:18:13,075 TRANSLATOR: My body was out of control. 227 00:18:13,127 --> 00:18:16,119 lt was swaying to the left and to the right. 228 00:18:19,087 --> 00:18:21,203 We can even remote control ourselves. 229 00:18:26,527 --> 00:18:28,518 We're not trying to control people 230 00:18:29,607 --> 00:18:31,598 or manipulate their actions. 231 00:18:33,807 --> 00:18:35,798 Rather, we want to help them, 232 00:18:35,847 --> 00:18:37,519 help guide them. 233 00:18:39,487 --> 00:18:43,241 Especially people with balance problems or dizziness. 234 00:18:44,887 --> 00:18:49,881 The researchers say one day it may even help navigational devices, like GPS, 235 00:18:49,927 --> 00:18:52,236 to physically guide us to our destinations, 236 00:18:52,287 --> 00:18:55,085 or make a video game feel more like a rollercoaster. 237 00:19:02,967 --> 00:19:06,562 Our ears provide another powerful sensation to enrich our day. 238 00:19:09,367 --> 00:19:12,120 Every time we, or anything else for that matter, 239 00:19:12,167 --> 00:19:15,284 make a move or vibrate, we create ripples in the air. 240 00:19:16,007 --> 00:19:19,158 Distinct waves all travelling at different frequencies, 241 00:19:19,207 --> 00:19:23,485 which waft into our ears at some 750mph 242 00:19:23,527 --> 00:19:25,518 and produce sound. 243 00:19:31,767 --> 00:19:36,318 Like radar dishes, our ears channel the sound waves deep into our skulls. 244 00:19:38,207 --> 00:19:41,643 Our eardrums vibrate in tune to the frequencies, 245 00:19:41,687 --> 00:19:45,157 moving three tiny bones, each about as long as a grain of rice. 246 00:19:50,567 --> 00:19:54,480 Magnified 20 times we can see the ear hear, 247 00:19:55,127 --> 00:19:56,116 inside... 248 00:19:57,327 --> 00:19:59,318 ..and out. 249 00:20:00,047 --> 00:20:02,038 Love in an elevator 250 00:20:02,247 --> 00:20:04,681 Livin' it up when l'm going down 251 00:20:04,727 --> 00:20:06,718 Love in an elevator 252 00:20:07,407 --> 00:20:09,762 Turnin' it up till l'm upside down... 253 00:20:10,567 --> 00:20:13,798 The bones'movements get converted to pulses of pressure 254 00:20:13,847 --> 00:20:15,599 which vibrates fluid 255 00:20:15,647 --> 00:20:17,638 which disturbs tiny hairs 256 00:20:17,687 --> 00:20:19,166 which excite nerve cells 257 00:20:19,207 --> 00:20:21,482 which translate all of this to the brain. 258 00:20:28,247 --> 00:20:31,922 One sound perhaps more than any other is music to our ears - 259 00:20:31,967 --> 00:20:33,605 the human voice. 260 00:20:37,527 --> 00:20:41,406 lt's an astonishingly versatile instrument, but it's vulnerable. 261 00:20:44,807 --> 00:20:46,798 As lead singer for Aerosmith, 262 00:20:46,847 --> 00:20:49,520 Steven Tyler's work depends on his vocal cords. 263 00:20:50,167 --> 00:20:52,158 l need a girl like an open book 264 00:20:52,207 --> 00:20:54,198 To read between the lines 265 00:20:59,527 --> 00:21:04,681 Few of us think about the trauma we generate in our voice boxes when we talk, sing, laugh 266 00:21:04,727 --> 00:21:06,524 or scream. 267 00:21:07,127 --> 00:21:10,085 But if you were to look down the gullet of Steven Tyler, 268 00:21:10,127 --> 00:21:12,687 it would show why he, and millions of others, 269 00:21:12,727 --> 00:21:15,241 are wreaking havoc on a delicate instrument. 270 00:21:15,807 --> 00:21:17,559 Thank you! 271 00:21:25,087 --> 00:21:26,839 Tonight, as Aerosmith perform, 272 00:21:26,887 --> 00:21:30,516 Dr Steven Zeitels and his team from Massachusetts General Hospital 273 00:21:30,567 --> 00:21:32,558 will get a rare treat. 274 00:21:34,607 --> 00:21:37,075 With the help of special monitoring equipment 275 00:21:37,127 --> 00:21:41,245 they'll see how this famous pair of vocal cords holds up to such extremes. 276 00:21:42,567 --> 00:21:46,480 Dr Zeitels, one time for my kids, what is this monitoring? 277 00:21:47,287 --> 00:21:51,678 What we're going to be doing is looking at the vibrations on the skin of your neck, 278 00:21:51,727 --> 00:21:54,639 which is going to pick up the intensity of your voice, 279 00:21:54,687 --> 00:21:57,679 it's going to be picking up the loudness of your voice. 280 00:21:57,727 --> 00:21:59,445 Thank you, Doctor. 281 00:21:59,487 --> 00:22:01,478 lnto the abyss. 282 00:22:01,527 --> 00:22:04,485 lnto the great beyond with Dr Zeitels. 283 00:22:06,367 --> 00:22:08,722 Backstage throughout tonight's concert, 284 00:22:08,767 --> 00:22:12,646 Zeitels will use an endoscope to examine Tyler's voice box up close. 285 00:22:15,967 --> 00:22:17,958 Try not to touch the sides. 286 00:22:19,287 --> 00:22:21,278 Stick your tongue out for me. 287 00:22:21,327 --> 00:22:23,318 Just breathe. Say ''Ah''. 288 00:22:23,967 --> 00:22:25,320 Ahhh! 289 00:22:25,367 --> 00:22:29,804 lt's a rare insight into what goes on in a high-performance singer. 290 00:22:31,727 --> 00:22:34,605 Real time measures of a performer 291 00:22:34,647 --> 00:22:36,638 who is at the top of his game 292 00:22:37,367 --> 00:22:40,040 doing a live performance in front of thousands of people - 293 00:22:40,087 --> 00:22:41,964 that's a first, hasn't been done before. 294 00:22:42,327 --> 00:22:44,921 (Sings high note) 295 00:22:52,567 --> 00:22:54,523 (Laughs) 296 00:22:55,647 --> 00:22:57,638 To produce these kinds of sounds, 297 00:22:57,687 --> 00:23:02,397 Tyler's vocal cords are slamming together an average of 1 70 times a second. 298 00:23:05,087 --> 00:23:08,284 That's more than half a million times during the course of a concert 299 00:23:08,327 --> 00:23:12,923 and nearly a billion times during the course of his 30-year professional career. 300 00:23:16,127 --> 00:23:18,004 There's no part of the human body 301 00:23:18,047 --> 00:23:22,279 that likely sees these kinds of collision forces and shearing stresses, 302 00:23:22,327 --> 00:23:24,887 which is why vocal folds essentially wear out over time. 303 00:23:27,167 --> 00:23:32,287 lt's also why just months earlier damaged vocal cords cancelled much of Aerosmith's tour. 304 00:23:33,767 --> 00:23:35,758 Tyler could barely sing... 305 00:23:36,727 --> 00:23:38,524 (Sings high note) 306 00:23:38,567 --> 00:23:40,558 Just breathe. 307 00:23:42,007 --> 00:23:44,123 ..forcing him to undergo Zeitels'knife, 308 00:23:44,167 --> 00:23:46,158 or laser, in this case. 309 00:23:47,087 --> 00:23:52,798 Steven basically had a vocal bleed, which is very common in performers. 310 00:23:53,607 --> 00:23:56,360 Common, in fact, to many with the gift of gab, 311 00:23:56,407 --> 00:23:58,398 from attorneys to telemarketers. 312 00:24:02,407 --> 00:24:06,320 The laser surgery, which Zeitels and his team pioneered, 313 00:24:06,367 --> 00:24:09,677 works by sealing off damaged vessels to stop the bleeding. 314 00:24:12,287 --> 00:24:14,278 This is Steven Tyler's voice box 315 00:24:14,687 --> 00:24:17,804 and these are his fragile blood vessels disappearing. 316 00:24:20,607 --> 00:24:23,485 He was able to just zap those blood vessels 317 00:24:24,087 --> 00:24:27,557 so l go out there and sing and hope for the best. 318 00:24:31,767 --> 00:24:36,921 Now, as Steven heads on stage, his finely tuned vocal cords spring into action. 319 00:24:37,567 --> 00:24:39,558 (Guitar intro) 320 00:24:42,527 --> 00:24:44,518 This is Steven Tyler outside... 321 00:24:44,847 --> 00:24:49,762 Every time that l look in the mirror 322 00:24:50,807 --> 00:24:54,356 - ..and in. - Every time that l look in the mirror 323 00:24:55,527 --> 00:25:00,806 All these lines on my face getting clearer 324 00:25:02,127 --> 00:25:03,958 Every time we exhale, 325 00:25:04,007 --> 00:25:06,999 we force air through our two membranous vocal cords. 326 00:25:09,007 --> 00:25:11,396 When we bring them together, they vibrate. 327 00:25:12,167 --> 00:25:14,158 Dream on... 328 00:25:14,407 --> 00:25:16,398 These vibrations produce sound, 329 00:25:16,447 --> 00:25:19,245 much like a guitar string after it's been plucked. 330 00:25:21,447 --> 00:25:22,800 Dream on... 331 00:25:22,847 --> 00:25:26,442 Muscles open and close the chords and change the sound's pitch. 332 00:25:29,767 --> 00:25:33,362 During low notes, the chords are loose and vibrate more slowly. 333 00:25:34,127 --> 00:25:37,961 Dream on, dream on, dream on... 334 00:25:38,007 --> 00:25:40,043 But for those falsettos... 335 00:25:40,087 --> 00:25:42,362 (High-pitched) Dream on, dream on 336 00:25:42,407 --> 00:25:44,398 His chords stretch to the limit 337 00:25:44,447 --> 00:25:46,563 and vibrate virtually off the charts. 338 00:25:46,607 --> 00:25:48,598 (Holds high note) 339 00:25:52,647 --> 00:25:56,401 A surprisingly simple feat for Tyler's pliable chords. 340 00:25:59,687 --> 00:26:01,086 l mean, to go from, 341 00:26:01,127 --> 00:26:04,437 (Gruffly) ''l woke up this morning on the wrong side of the bed 342 00:26:04,487 --> 00:26:07,365 And how l got to thinking And all them things l said'' 343 00:26:07,407 --> 00:26:09,363 but it's in that voice. 344 00:26:09,407 --> 00:26:13,195 And then, you know, of course... (Higher) ''And l don't want to miss a thing'' 345 00:26:13,247 --> 00:26:14,521 is in that voice. 346 00:26:14,567 --> 00:26:17,320 And then Dream On is: (Falsetto) ''Dream on, dream on'' 347 00:26:17,367 --> 00:26:20,882 and they've asked me before, ''How do you sing that song every night?'' 348 00:26:20,927 --> 00:26:23,236 That's one of the easiest ones for me to sing. 349 00:26:23,287 --> 00:26:24,242 Go. 350 00:26:24,287 --> 00:26:26,278 (Rising pitch) 351 00:26:28,647 --> 00:26:31,764 As for what translates these vocal vibrations into song 352 00:26:31,807 --> 00:26:33,798 that happens much further up 353 00:26:33,847 --> 00:26:37,123 in the throat, the mouth, the tongue, and the nose. 354 00:26:40,407 --> 00:26:43,285 These are what put the stamp on human sound, 355 00:26:43,807 --> 00:26:47,516 distinguishing the likes of Steven Tyler from just about anyone else. 356 00:26:50,047 --> 00:26:52,686 After some two hours of vocal gymnastics, 357 00:26:52,727 --> 00:26:57,847 initial data reveal that Tyler's chords crashed together more than half a million times, 358 00:26:57,887 --> 00:27:00,765 and covered the equivalent of more than six miles. 359 00:27:01,927 --> 00:27:03,918 To read between the lines 360 00:27:03,967 --> 00:27:05,320 (Wild cheering) 361 00:27:05,367 --> 00:27:08,962 And there's no indication they'll be wearing out anytime soon. 362 00:27:10,447 --> 00:27:12,039 Thank you! 363 00:27:16,127 --> 00:27:20,962 Dramatic as it may be, singing is a side effect of a much more crucial process. 364 00:27:23,287 --> 00:27:26,882 The real reason why air passes through our mouths is breathing. 365 00:27:30,687 --> 00:27:33,997 We wouldn't survive much more than a couple of minutes if we didn't. 366 00:27:37,367 --> 00:27:42,236 With every inhalation our noses or mouths suck in about a pint of air 367 00:27:42,287 --> 00:27:44,676 some 20,000 times a day. 368 00:27:46,247 --> 00:27:49,683 We can follow it on itsjourney down the throat 369 00:27:49,727 --> 00:27:51,365 past the voice box 370 00:27:51,407 --> 00:27:53,398 and into the windpipe or trachea. 371 00:27:55,327 --> 00:27:57,204 As it approaches the lungs, 372 00:27:57,247 --> 00:27:59,807 air has a choice - left or right, 373 00:28:00,247 --> 00:28:02,238 but both lungs lead to the same end. 374 00:28:04,327 --> 00:28:09,082 The lungs'bronchi divide and divide into thousands of smaller and smaller branches, 375 00:28:09,127 --> 00:28:12,722 progressively filtering chemicals, dust and smoke in the air, 376 00:28:13,087 --> 00:28:15,078 until finally they come to an end 377 00:28:15,407 --> 00:28:18,843 in this pouch-like ball called an alveolus. 378 00:28:22,447 --> 00:28:26,235 More than 300 million of them spread across each lung 379 00:28:26,807 --> 00:28:30,800 with a combined surface area roughly a third the size of a tennis court. 380 00:28:33,687 --> 00:28:37,680 ln less than a second, oxygen molecules exit the lungs here 381 00:28:37,727 --> 00:28:39,718 through wallsjust one cell thick. 382 00:28:41,487 --> 00:28:43,921 They'll then cross into a surging bloodstream, 383 00:28:43,967 --> 00:28:45,719 be whisked throughout the body 384 00:28:45,767 --> 00:28:49,760 and provide precious resources to every one of our trillions of cells, 385 00:28:50,447 --> 00:28:52,438 assuming air gets to this point. 386 00:28:55,567 --> 00:28:59,845 The blue here shows how a healthy lung empties oxygen into the bloodstream. 387 00:29:01,847 --> 00:29:06,045 ln this smoker's lung, oxygen can't empty nearly as well. 388 00:29:08,847 --> 00:29:10,838 Then there's the exhalation. 389 00:29:11,247 --> 00:29:12,805 Carbon dioxide. 390 00:29:12,847 --> 00:29:17,318 The waste product of breathing makes the opposite journey back out. 391 00:29:20,647 --> 00:29:24,845 Another inhalation and our breathing apparatus offers yet another gift, 392 00:29:25,847 --> 00:29:28,122 with delightful or disgusting results. 393 00:29:32,287 --> 00:29:37,964 With every new breath, our noses can distinguish as many as 1 0,000 different odours. 394 00:29:38,607 --> 00:29:40,165 Some pleasing... 395 00:29:41,407 --> 00:29:43,125 ..some not. 396 00:29:44,687 --> 00:29:48,202 They can calm, caution, or make our mouths water. 397 00:29:50,367 --> 00:29:54,918 But the essence of any aroma, from a day at the beach to fresh baked bread, 398 00:29:54,967 --> 00:29:56,798 is pure chemistry. 399 00:29:58,207 --> 00:30:03,520 lsobutyl acetate, vanillic acid and more than 300 different chemicals, for example, 400 00:30:03,567 --> 00:30:06,957 come together to give chocolate its unmistakable bouquet. 401 00:30:09,807 --> 00:30:13,402 A rose by any other name might be phenyl ethyl alcohol. 402 00:30:15,207 --> 00:30:17,482 And once fish is past its prime, 403 00:30:17,527 --> 00:30:19,643 it owes its stench to trimethylamine, 404 00:30:19,687 --> 00:30:22,804 a by-product of the bacteria growing inside it. 405 00:30:25,687 --> 00:30:27,678 Whatever the chemical 406 00:30:27,727 --> 00:30:32,403 deep inside our noses, there is a small patch of about 1 0 million cells 407 00:30:32,447 --> 00:30:34,438 waiting to sniff it out. 408 00:30:36,927 --> 00:30:41,637 These cells carry about a thousand different kinds of receptors on their surfaces. 409 00:30:43,727 --> 00:30:46,878 When the right odour chemical meets up with the right receptor 410 00:30:46,927 --> 00:30:49,395 an electrical signal gets sent to the brain, 411 00:30:49,447 --> 00:30:52,484 and, finally, the incredible machine smells. 412 00:30:56,287 --> 00:31:00,121 All in all, our respiratory systems are ingenious multi-taskers, 413 00:31:00,167 --> 00:31:03,079 sorting thousands of smells at each intake, 414 00:31:03,127 --> 00:31:06,119 capable of making thousands of sounds on the way out. 415 00:31:08,887 --> 00:31:10,684 (Laughter) 416 00:31:13,047 --> 00:31:15,561 But no matter how pleasant the by-product, 417 00:31:15,607 --> 00:31:17,882 there is a higher calling to breathing. 418 00:31:19,887 --> 00:31:24,597 Every breath we take delivers oxygen to our trillions of power-hungry cells 419 00:31:24,647 --> 00:31:26,603 and gets our hearts to pump. 420 00:31:26,647 --> 00:31:28,638 (Heartbeats) 421 00:31:34,927 --> 00:31:36,883 Every second of every day, 422 00:31:36,927 --> 00:31:41,000 every cell in our body needs oxygen to power its activities and survive. 423 00:31:45,527 --> 00:31:50,521 More than a gallon of blood needs to travel through some 60,000 miles-worth of arteries, 424 00:31:50,567 --> 00:31:52,558 veins and capillaries. 425 00:31:56,767 --> 00:32:01,363 And one little 1 0-ounce heart has the Herculean task of driving the whole system. 426 00:32:04,447 --> 00:32:06,836 lt begins with a heartbeat 427 00:32:06,887 --> 00:32:11,278 which sends fresh, oxygenated blood from the lungs streaming into the heart. 428 00:32:18,247 --> 00:32:22,035 lf you stored up the power from all the heartbeats in a day, 429 00:32:22,087 --> 00:32:24,920 it could lift a car some 30 feet into the air. 430 00:32:29,967 --> 00:32:32,481 The heart is a muscular pump to its core. 431 00:32:33,927 --> 00:32:37,476 Even if it's removed, it can still function all on its own. 432 00:32:40,047 --> 00:32:43,198 lts genius lies in its cardiac cells - 433 00:32:43,247 --> 00:32:45,317 millions of them all beating in tune. 434 00:32:48,407 --> 00:32:51,922 But heart cells don't necessarily have to be born in the heart. 435 00:32:55,527 --> 00:32:59,440 These are stem cells coaxed into beating by Dr Amit Patel 436 00:32:59,487 --> 00:33:03,036 and his colleagues from the University of Pittsburgh Medical Center. 437 00:33:05,327 --> 00:33:08,239 Those cells had nothing to do with becoming heart muscle. 438 00:33:08,287 --> 00:33:10,084 But within less than a week, 439 00:33:10,127 --> 00:33:12,766 we were able to train them to become heart muscle. 440 00:33:15,047 --> 00:33:17,322 Stem cells live in many tissues in our bodies, 441 00:33:17,887 --> 00:33:20,526 standing by for maintenance and repair. 442 00:33:22,727 --> 00:33:27,198 Unlike our other cells, stem cells can develop into just about any kind of cell - 443 00:33:28,047 --> 00:33:30,880 brain, muscle, bone, fat. 444 00:33:32,487 --> 00:33:35,638 Almost anything you could possibly think of in the body, 445 00:33:35,687 --> 00:33:38,565 over 220 different cell types, 446 00:33:38,607 --> 00:33:40,404 all come from stem cells. 447 00:33:43,727 --> 00:33:48,960 49-year-old Michael Carlat desperately hopes that stem cells can turn into heart cells 448 00:33:49,007 --> 00:33:50,520 in his own body. 449 00:33:52,407 --> 00:33:55,205 A few years ago, his heart started to give out. 450 00:33:55,247 --> 00:33:57,238 Catastrophically. 451 00:33:57,607 --> 00:33:59,723 Mr Carlat's heart is very sick. 452 00:33:59,767 --> 00:34:01,758 He had a very large heart attack. 453 00:34:02,327 --> 00:34:04,443 When you look at the heart, it's a pump. 454 00:34:04,487 --> 00:34:08,958 Normally, 60% of what goes into the heart should come out with every heartbeat. 455 00:34:09,647 --> 00:34:13,196 ln Mr Carlat, only 30% comes out. 456 00:34:13,247 --> 00:34:15,602 l was put on this heart transplant list 457 00:34:15,647 --> 00:34:18,844 and waited over a year for something to happen. 458 00:34:19,527 --> 00:34:21,245 There's 4,500 people on the list. 459 00:34:21,287 --> 00:34:24,006 l'm 275lb. l'm 6'4''. 460 00:34:24,047 --> 00:34:26,038 lt's hard to find a match for me. 461 00:34:26,567 --> 00:34:31,960 Waiting on that list would have been waiting to play out the last couple of years and that'll be it. 462 00:34:33,447 --> 00:34:35,039 With few other options, 463 00:34:35,087 --> 00:34:38,397 Michael enrolled in a highly-experimental clinical trial, 464 00:34:38,447 --> 00:34:42,235 in which Patel performs a risky bypass on his heart's damaged area, 465 00:34:42,287 --> 00:34:44,323 extracts stem cells from his hip bone, 466 00:34:44,367 --> 00:34:47,040 and injects them back into Michael's heart. 467 00:34:56,207 --> 00:34:58,641 lt's not clear what these cells will do there. 468 00:34:58,687 --> 00:35:00,643 Help grow new blood vessels? 469 00:35:00,687 --> 00:35:02,803 lncrease the number of muscle fibres? 470 00:35:03,567 --> 00:35:07,640 The hope is that they'll help coax Michael's heart into healing itself. 471 00:35:08,327 --> 00:35:11,603 We don't know what they do, but they seem to know what's required. 472 00:35:14,207 --> 00:35:18,439 And though it's early, in Michael's case they already seem to be working. 473 00:35:21,247 --> 00:35:23,636 Just three months after his surgery, 474 00:35:23,687 --> 00:35:26,884 Michael's heart pumps 25% more blood than it did before. 475 00:35:30,447 --> 00:35:33,325 The difference between barely climbing a flight of stairs 476 00:35:33,367 --> 00:35:35,358 and playing basketball. 477 00:35:37,407 --> 00:35:40,365 lt's working, so l'm not going to ask why, how, what. 478 00:35:40,407 --> 00:35:44,116 He saved my life. lf l didn't go to him, l probably would have just... 479 00:35:44,167 --> 00:35:45,964 ..not been around today. 480 00:35:47,967 --> 00:35:52,995 Of course, it takes more than just a good pump to give life-giving liquids around the body. 481 00:35:53,047 --> 00:35:55,038 lt takes good plumbing. 482 00:35:58,447 --> 00:36:00,244 Once out of the heart, 483 00:36:00,287 --> 00:36:04,166 blood carries our vital oxygen supply through smaller and smaller arteries, 484 00:36:04,207 --> 00:36:07,802 eventually reaching an even narrower network of capillaries. 485 00:36:11,207 --> 00:36:16,361 These tubes are so thin that red blood cells thousandths of an inch across, 486 00:36:16,407 --> 00:36:18,398 must squeeze through single file. 487 00:36:24,407 --> 00:36:26,967 Ten billion capillaries fan throughout the body 488 00:36:27,007 --> 00:36:31,125 so that our organs and tissues are never far from a fresh supply of oxygen. 489 00:36:35,727 --> 00:36:38,480 Carbon dioxide and other toxins need to get out 490 00:36:38,527 --> 00:36:42,600 and veins are crucial drainpipes carrying the blood back to the heart, 491 00:36:42,647 --> 00:36:44,638 then to the lungs for cleaning. 492 00:36:46,487 --> 00:36:49,718 Blood travels through more than 60,000 miles of vessels - 493 00:36:49,767 --> 00:36:51,758 more than twice around the Earth. 494 00:36:56,367 --> 00:36:59,564 lt circulates all around the body in less than a minute, 495 00:36:59,607 --> 00:37:01,598 every minute of our lives. 496 00:37:04,447 --> 00:37:06,642 And sometimes blood moves even faster. 497 00:37:08,887 --> 00:37:10,605 The more oxygen our cells burn, 498 00:37:10,647 --> 00:37:14,435 the harder our heart and blood vessels have to work to deliver more. 499 00:37:16,567 --> 00:37:18,683 When we eat, it rushes to our stomachs. 500 00:37:18,967 --> 00:37:20,958 When we run, to our muscles. 501 00:37:25,407 --> 00:37:29,116 Even when we read, more oxygen must get to our brains. 502 00:37:32,967 --> 00:37:35,845 As efficient as this blood delivery system is, though, 503 00:37:35,887 --> 00:37:37,605 it has its limits. 504 00:37:39,047 --> 00:37:42,039 Limits experienced by pilots in the US Navy. 505 00:37:45,327 --> 00:37:47,397 These are the Blue Angels, 506 00:37:47,447 --> 00:37:49,915 the US Navy's elite flight exhibition team. 507 00:37:53,327 --> 00:37:58,162 Experiencing up to 9Gs at times - nine times the force of gravity - 508 00:37:58,207 --> 00:38:01,324 these pilots routinely push their bodies to extremes. 509 00:38:01,927 --> 00:38:06,125 Well, 9Gs to me squashes me in the seat pretty hard. 510 00:38:06,407 --> 00:38:08,921 l weigh about 1 80lb, so it's nine times that. 511 00:38:08,967 --> 00:38:11,162 l'm not going to do the math for you right now 512 00:38:11,207 --> 00:38:12,879 but it squashes me pretty hard. 513 00:38:15,287 --> 00:38:19,041 Some 1,600lb of pressure on solo pilot Ted Steelman 514 00:38:19,087 --> 00:38:23,399 is enough to push the precious oxygen-carrying blood right out of his brain. 515 00:38:25,367 --> 00:38:28,245 Same thing as if somebody strangles you or anything like that. 516 00:38:28,287 --> 00:38:31,677 You're going to lose blood to your brain and you're going to pass out. 517 00:38:33,127 --> 00:38:37,643 To counteract this fighter pilots typically wear gravity or G suits, 518 00:38:37,687 --> 00:38:41,396 which automatically inflate to squeeze blood where it's needed. 519 00:38:43,407 --> 00:38:45,967 Flying a mere foot-and-a-half apart, 520 00:38:46,007 --> 00:38:47,998 the Blue Angels can't chance it. 521 00:38:48,727 --> 00:38:52,766 The slightest jolt from a G suit on the stick could be disastrous. 522 00:38:53,287 --> 00:38:58,486 When you're talking about stick inputs of as much as a sixteenth of an inch, 523 00:38:58,527 --> 00:39:02,725 when you're doing 400mph a mere 1 8 inches from the guy next to you, 524 00:39:02,767 --> 00:39:05,361 it actually has huge ramifications. 525 00:39:05,407 --> 00:39:09,480 So, no movement of the stick unless intended is what you're looking for. 526 00:39:10,407 --> 00:39:12,841 Which means that these pilots must use their muscle 527 00:39:12,887 --> 00:39:14,878 to force blood up to their brains. 528 00:39:15,527 --> 00:39:17,757 What l do is what we call a hick manoeuvre. 529 00:39:17,807 --> 00:39:20,196 lt's a culmination of breathing technique 530 00:39:20,247 --> 00:39:23,796 in that you contract the chest with a ''hick-k'' 531 00:39:23,847 --> 00:39:27,157 to keep the overall pressure within the chest cavity high 532 00:39:27,207 --> 00:39:29,004 in about 3-4 second intervals 533 00:39:29,047 --> 00:39:32,164 as well as isometric contractions from the waist down. 534 00:39:35,527 --> 00:39:38,280 By simply breathing and contracting muscles 535 00:39:38,327 --> 00:39:41,319 the body can be trained to withstand extreme forces. 536 00:39:43,687 --> 00:39:47,760 To do it, pilots must face this - the centrifuge. 537 00:39:48,567 --> 00:39:52,606 Like an extreme amusement park ride that spins blood from brains to toes 538 00:39:52,647 --> 00:39:55,036 and tests how long a pilot is able to resist. 539 00:39:57,367 --> 00:40:00,325 They train their bodies, like a marathoner will train their body 540 00:40:00,367 --> 00:40:03,643 to go out and run 26 miles at five-minute miles. 541 00:40:04,047 --> 00:40:06,925 These guys train their bodies to respond to the Gs. 542 00:40:08,287 --> 00:40:10,278 Legs and glutes, keep them in. 543 00:40:10,767 --> 00:40:16,080 But even highly-trained specialists like Steelman can only defy physics for so long. 544 00:40:22,767 --> 00:40:24,997 lt happened right at the very end of the run. 545 00:40:25,047 --> 00:40:28,244 l expected a G release, so what did l do? l relaxed my body. 546 00:40:29,087 --> 00:40:32,079 The moment you relax, the absolute moment you relax, 547 00:40:32,127 --> 00:40:35,119 every single time you're going to pass out under G like that. 548 00:40:36,607 --> 00:40:39,075 Now, when Steelman takes to the skies, 549 00:40:39,127 --> 00:40:42,005 he knows the warning signs and takes evasive action. 550 00:40:46,927 --> 00:40:49,999 Passengers, on the other hand, are a different story. 551 00:40:51,727 --> 00:40:56,323 You'll hear them executing the hick manoeuvre, working hard, 552 00:40:56,367 --> 00:41:00,440 and suddenly it gets quiet, and you look back in the mirror and they just do this. 553 00:41:00,487 --> 00:41:02,921 Their heads are down to their chest. 554 00:41:05,527 --> 00:41:07,882 Fortunately, the effects are only temporary. 555 00:41:07,927 --> 00:41:11,044 Whoa! Did we do it? 556 00:41:12,207 --> 00:41:15,756 Blood is something our brains, and the rest of our organs for that matter, 557 00:41:15,807 --> 00:41:17,798 never want to be without. 558 00:41:20,927 --> 00:41:23,395 But there's more to this liquid than oxygen. 559 00:41:28,287 --> 00:41:30,084 ln a single drop of blood, 560 00:41:30,127 --> 00:41:34,643 up to 400,000 infection-fighting white blood cells are constantly patrolling 561 00:41:34,687 --> 00:41:38,236 and seeking out foreign agents, like viruses and bacteria, 562 00:41:38,287 --> 00:41:40,278 and internal threats like cancer, 563 00:41:40,687 --> 00:41:42,678 and attacking them. 564 00:41:46,287 --> 00:41:49,040 Unfortunately, they don't always win. 565 00:41:50,487 --> 00:41:52,318 And when that happens, 566 00:41:52,367 --> 00:41:56,246 aggressors like these rogue melanoma cells can grow out of control. 567 00:42:01,967 --> 00:42:04,800 Whether our cells work with us or against us, 568 00:42:04,847 --> 00:42:06,803 one thing is certain - 569 00:42:06,847 --> 00:42:08,838 we are tirelessly working for them. 570 00:42:12,767 --> 00:42:17,124 Since we woke up, our heart has beaten more than 20,000 times, 571 00:42:17,167 --> 00:42:21,206 bringing vital oxygen to a hundred billion microscopic masters. 572 00:42:24,007 --> 00:42:26,521 But it takes more than air to feed the machine. 573 00:42:29,207 --> 00:42:31,198 lt takes fuel. 574 00:42:39,087 --> 00:42:41,362 Every time we swallow a morsel of food, 575 00:42:41,967 --> 00:42:45,676 we set it on a journey designed to suck everything useful out of it. 576 00:42:51,087 --> 00:42:57,117 Sit down to lunch, and in the 30 or so hours and 20-plus feet it takes to digest it, 577 00:42:57,167 --> 00:43:00,045 we convert plants or animals into energy 578 00:43:00,087 --> 00:43:03,443 and absorb their chemical building blocks into our own flesh and blood. 579 00:43:09,527 --> 00:43:13,805 Carbohydrates, proteins, fats, vitamins, and minerals - 580 00:43:13,847 --> 00:43:16,566 all of our nutrients come from what we eat. 581 00:43:23,447 --> 00:43:26,883 Digestion actually starts before food crosses our lips. 582 00:43:28,367 --> 00:43:31,677 Just the idea of food can get our mouths to water. 583 00:43:33,767 --> 00:43:35,837 We salivate roughly a pint every day. 584 00:43:38,567 --> 00:43:42,321 And in that saliva are enzymes that, along with our teeth, 585 00:43:42,367 --> 00:43:44,562 begin to break down the food that we eat. 586 00:43:49,567 --> 00:43:51,762 But not before we get to savour it first. 587 00:43:55,927 --> 00:43:58,487 Some 1 0,000 taste buds line our tongues, 588 00:43:59,207 --> 00:44:03,917 each one home to about 50 taste receptor cells that tell the brain what we're eating. 589 00:44:11,047 --> 00:44:14,119 And if some of those precious receptors are scorched off, 590 00:44:14,167 --> 00:44:18,001 it will only take a week to 1 0 days to grow back a brand-new set. 591 00:44:24,727 --> 00:44:29,437 Once the muscular tongue manoeuvres food into our oesophagus, we're on autopilot. 592 00:44:38,367 --> 00:44:43,043 When we eat, a flap of skin called the epiglottis seals off our windpipes. 593 00:44:45,327 --> 00:44:47,124 Except when it doesn't. 594 00:44:56,447 --> 00:44:57,721 l'm OK. 595 00:44:57,767 --> 00:44:59,758 Then it's back to the beginning. 596 00:45:01,927 --> 00:45:05,715 A typical journey down the oesophagus takes about five seconds. 597 00:45:07,447 --> 00:45:10,041 From here it's squeezed, like toothpaste. 598 00:45:14,047 --> 00:45:20,361 Once it passes into the stomach as it's doing here it's time to slow down a bit and digest. 599 00:45:22,967 --> 00:45:26,676 Normally this stretchy, J-shaped bag isn't much bigger than a fist. 600 00:45:27,567 --> 00:45:28,556 (Groan) 601 00:45:28,607 --> 00:45:32,680 But after a big meal, it can expand to more than 20 times that size. 602 00:45:34,767 --> 00:45:40,160 For the next several hours highly acidic gastric juices spew from the stomach's walls, 603 00:45:40,207 --> 00:45:45,645 breaking down proteins in our food while muscle contractions knead and churn it into a pulp. 604 00:45:49,687 --> 00:45:54,238 The acid here is so strong the stomach must continuously secrete a layer of protective mucus 605 00:45:54,287 --> 00:45:56,278 so that it doesn't digest itself. 606 00:46:00,687 --> 00:46:02,882 lt absorbs very few nutrients, though. 607 00:46:07,287 --> 00:46:11,917 For that we pass into the 20-foot ''dis-assembly'' line of the small intestine 608 00:46:11,967 --> 00:46:14,606 with the help of a specialised camera pill. 609 00:46:17,167 --> 00:46:20,955 For about five hours, food's building blocks are pushed, prodded, 610 00:46:21,007 --> 00:46:24,636 sprayed with digestive juices and wrung like a rag here, 611 00:46:24,687 --> 00:46:28,362 until its vital elements are forced through the intestinal wall 612 00:46:28,407 --> 00:46:30,398 and into the bloodstream. 613 00:46:33,447 --> 00:46:38,202 From here, most of our meal's nutrients will flow directly to the liver, 614 00:46:38,247 --> 00:46:40,238 the body's largest internal organ. 615 00:46:43,127 --> 00:46:47,803 The liver breaks down, repackages and delivers nutrients to our cells for growth and power. 616 00:46:51,567 --> 00:46:54,559 Our bodies ultimately try to balance energy intake. 617 00:46:56,447 --> 00:46:59,120 But sometimes more goes in than out. 618 00:47:00,287 --> 00:47:02,801 The result.. fat. 619 00:47:03,647 --> 00:47:07,879 This is how fat looks on the inside... and on the outside. 620 00:47:12,967 --> 00:47:16,562 lt doesn't take a lot of excess calories to make you gain weight. 621 00:47:17,207 --> 00:47:21,997 Just 1 5 more a day than you need - about the amount in four pistachio nuts - 622 00:47:22,047 --> 00:47:24,436 will add a pound and a half of fat over a year. 623 00:47:28,447 --> 00:47:32,156 Once the small intestine has taken in everything worth ingesting, 624 00:47:32,207 --> 00:47:34,721 the rest is pushed along to the large intestine. 625 00:47:38,767 --> 00:47:43,045 For another 20 hours or so, the last of the water is absorbed, 626 00:47:43,087 --> 00:47:46,636 and billions of bacteria work to break down the remaining contents. 627 00:47:48,847 --> 00:47:52,635 ln the end, anything we can't digest gets flushed... 628 00:47:53,327 --> 00:47:55,283 (Toilet flushing) 629 00:47:55,327 --> 00:47:57,318 ..out of our bodies. 630 00:48:02,607 --> 00:48:05,326 Food's complicated journey has a larger purpose. 631 00:48:06,727 --> 00:48:10,003 Once we've extracted what we need to feed the incredible machine 632 00:48:10,047 --> 00:48:12,436 and gotten our cellular engines humming, 633 00:48:12,487 --> 00:48:15,604 it's nothing short of astounding what we can do with them, 634 00:48:15,647 --> 00:48:18,241 thanks to amazing contraptions called muscle. 635 00:48:29,687 --> 00:48:31,962 The incredible human machine in action. 636 00:48:36,047 --> 00:48:39,198 Just about every body part, from our skin receptors 637 00:48:39,247 --> 00:48:41,363 to the balance centre in our inner ears, 638 00:48:41,407 --> 00:48:46,117 help to make these amazing complexities of movement seem almost effortless, 639 00:48:46,167 --> 00:48:48,158 automatic even. 640 00:48:57,767 --> 00:49:00,281 But if we peer beneath our skin, 641 00:49:00,327 --> 00:49:04,843 we see that one tissue above all propels us into a thousand different positions. 642 00:49:09,647 --> 00:49:14,880 From the soles of our feet to the tips of our fingers some 650 muscles, 643 00:49:14,927 --> 00:49:18,761 about 40% of our body mass, power every move we make. 644 00:49:24,727 --> 00:49:26,319 As our day pushes on, 645 00:49:26,367 --> 00:49:30,963 these skeletal muscles lift us through it usually without our thinking about it. 646 00:49:35,007 --> 00:49:39,683 Without them we couldn't run or blink, smile or speak for that matter. 647 00:49:40,487 --> 00:49:42,318 Hello? 648 00:49:42,367 --> 00:49:44,198 Just muttering a single word... 649 00:49:44,247 --> 00:49:45,236 Hello? 650 00:49:45,287 --> 00:49:48,120 (Prolonged) Hello? 651 00:49:48,167 --> 00:49:54,686 ..involves muscles in the face, lips, tongue, jaw, larynx - as many as 1 00 muscles. 652 00:49:56,287 --> 00:49:58,676 Many of the same muscles let us form a frown. 653 00:50:00,647 --> 00:50:05,562 Turn them upside down and all 34 muscles in the face let us deliver a kiss. 654 00:50:10,607 --> 00:50:13,519 Walking,. a highly coordinated series of falls 655 00:50:13,567 --> 00:50:16,445 that we've taken for granted since we were toddlers 656 00:50:16,487 --> 00:50:21,163 requires no fewer than 200 skeletal muscles. 657 00:50:21,207 --> 00:50:23,880 Back muscles to keep you from falling forward, 658 00:50:23,927 --> 00:50:26,487 abdominal muscles to keep you from falling back. 659 00:50:29,247 --> 00:50:32,956 lt takes 40 or so musclesjust to raise one leg and move it forward. 660 00:50:34,847 --> 00:50:36,360 Now, add into that running, 661 00:50:36,407 --> 00:50:37,556 swimming, 662 00:50:37,607 --> 00:50:39,484 shooting, riding, 663 00:50:39,527 --> 00:50:41,563 and fencing, 664 00:50:41,607 --> 00:50:45,805 and you get an idea of how many different muscles are at work inside Eli Bremer, 665 00:50:45,847 --> 00:50:48,441 top-seeded US Olympic pentathlete. 666 00:50:51,167 --> 00:50:54,955 l think what l do is very normal and someone will ask what a typical training day is. 667 00:50:55,007 --> 00:50:58,124 And l'll tell them, ''Swim about four miles and run about ten miles.'' 668 00:50:58,167 --> 00:51:00,158 You know, it's not that big of a deal. 669 00:51:00,207 --> 00:51:01,925 l mean, l think anybody could do it. 670 00:51:01,967 --> 00:51:05,198 And then l get this weird look like, ''You must be crazy.'' 671 00:51:06,607 --> 00:51:08,598 So, what propels him? 672 00:51:11,007 --> 00:51:13,475 lf we zoom in on one of these muscles in motion 673 00:51:15,327 --> 00:51:18,842 and closer still at the hundreds of muscle fibres that run its length, 674 00:51:20,567 --> 00:51:24,355 we find two proteins, actin and myosin. 675 00:51:25,367 --> 00:51:27,562 And their actions couldn't be simpler. 676 00:51:28,447 --> 00:51:31,564 They link up, squeezing together like cogs on a wheel. 677 00:51:32,847 --> 00:51:36,635 And then they relax, releasing their grip and going back to normal. 678 00:51:39,687 --> 00:51:43,043 lf during a fencing bout Eli wants to strike an opponent 679 00:51:43,967 --> 00:51:46,162 the actin and myosin in his tricep bind, 680 00:51:46,207 --> 00:51:48,721 while in his biceps they release. 681 00:51:51,887 --> 00:51:55,004 When he winds up for another blow the opposite happens. 682 00:51:55,047 --> 00:51:58,483 Now his biceps bind and his triceps release. 683 00:52:00,367 --> 00:52:02,881 By binding and releasing all our skeletal muscles 684 00:52:02,927 --> 00:52:05,805 we get our every motion. 685 00:52:05,847 --> 00:52:08,441 And 3, 2, 1 ...go! 686 00:52:09,367 --> 00:52:12,439 The more we work our muscles the more actin and myosin we make, 687 00:52:13,807 --> 00:52:16,116 the bulkier our skeletal muscles become, 688 00:52:16,647 --> 00:52:19,559 as Olympic hopeful Doreen Fullhart demonstrates. 689 00:52:22,847 --> 00:52:27,477 To lift, her brain sends electrical impulses down nerves to muscle fibres 690 00:52:27,527 --> 00:52:29,722 telling the actin and myosin to bind... 691 00:52:31,607 --> 00:52:33,404 ..and release. 692 00:52:36,047 --> 00:52:40,086 But for our muscles to work, that signal from the brain must get through. 693 00:52:44,567 --> 00:52:47,320 That requires an intricate but delicate wiring system. 694 00:52:47,367 --> 00:52:49,119 (Monitor beeps) 695 00:52:49,167 --> 00:52:51,522 - Have you met Dr Redett? - Good to see you again. 696 00:52:51,567 --> 00:52:53,558 Good to see you. 697 00:52:53,607 --> 00:52:58,965 34-year-old Jason Keck severed some nerves in a logging accident three months ago 698 00:52:59,007 --> 00:53:01,123 and he hasn't moved his left arm since. 699 00:53:04,607 --> 00:53:08,680 Just a few years ago, doctors could do virtually nothing to fix this kind of damage. 700 00:53:10,727 --> 00:53:14,845 Today Doctor Dr Allan Belzberg and his team at Johns Hopkins School of Medicine 701 00:53:14,887 --> 00:53:17,879 will try to get Jason's wiring system working again. 702 00:53:21,567 --> 00:53:24,445 The nerve is just an electric cable, when all is said and done. 703 00:53:24,487 --> 00:53:28,036 A very sophisticated one, but nonetheless an electrical cable. 704 00:53:28,087 --> 00:53:31,875 We have a nerve that's been broken, that's been stretched and snapped. 705 00:53:31,927 --> 00:53:34,202 We can bring the ends together and fix it. 706 00:53:34,247 --> 00:53:38,843 lf we can't get the ends together we can fill the gap in and splice in some material. 707 00:53:40,047 --> 00:53:43,926 And if we can't do that then again we go to this nerve transfer concept 708 00:53:43,967 --> 00:53:46,242 of robbing Peter to pay Paul. 709 00:53:46,967 --> 00:53:49,276 Anything? Nothing? 710 00:53:50,087 --> 00:53:52,555 Paul in this case is Jason's arm. 711 00:53:54,087 --> 00:53:58,717 To find a suitable Peter to rob, Belzberg zaps various nerves with electricity 712 00:53:58,767 --> 00:54:00,758 to see where current is being lost. 713 00:54:00,807 --> 00:54:03,605 Not unlike an electrician checking wires in a house. 714 00:54:07,727 --> 00:54:11,356 What makes this interesting is everybody's wired just a little bit differently. 715 00:54:13,647 --> 00:54:16,639 The hope is that at least some wires are still plugged in. 716 00:54:19,967 --> 00:54:23,676 Sadly, Belzberg discovers this isn't the case with Jason. 717 00:54:23,727 --> 00:54:25,240 Just terrible. 718 00:54:25,287 --> 00:54:29,280 Unfortunately, all five of the major nerves that leave the spinal cord 719 00:54:29,327 --> 00:54:32,160 that go to control the arm and the hand have been ripped right out. 720 00:54:32,207 --> 00:54:34,038 There is no connection with the brain. 721 00:54:36,567 --> 00:54:41,402 So far, no-one has figured out how to plug nerves back into the spinal cord. 722 00:54:44,367 --> 00:54:46,881 The team will need to patch in somewhere else. 723 00:54:48,287 --> 00:54:51,199 This looks fairly scarred in here as well. 724 00:54:51,247 --> 00:54:55,399 So we do a somewhat heroic manoeuvre where we go down 725 00:54:55,447 --> 00:54:58,519 and we take some of the nerves that normally feed the ribs, 726 00:54:58,567 --> 00:55:01,764 normally feed the muscles in-between the ribs and help you breathe. 727 00:55:01,807 --> 00:55:05,322 We're using those nerves now to eventually make his arm move. 728 00:55:07,847 --> 00:55:10,759 Jason's nerves don't reach from his ribs to his arms 729 00:55:10,807 --> 00:55:13,879 so first they'll have to get extra wiring from his leg. 730 00:55:14,687 --> 00:55:18,885 So l'm harvesting the splicing wire now from his leg that we're gonna use. 731 00:55:20,407 --> 00:55:24,923 Trading what will become a scar and a numb patch on his foot for a bend at his elbow. 732 00:55:28,567 --> 00:55:32,242 lf the nerves take his left arm's only connection to his brain 733 00:55:32,287 --> 00:55:35,085 will be through the breathing muscles in his ribs. 734 00:55:38,367 --> 00:55:41,677 That means with every breath Jason takes his arm will bend. 735 00:55:42,927 --> 00:55:46,715 Every breath. That will only last perhaps six months. 736 00:55:46,767 --> 00:55:49,645 Then the brain will relearn and stop doing that. 737 00:55:51,167 --> 00:55:55,285 lt will take time before we know how much movement Jason will get back. 738 00:55:57,567 --> 00:56:02,083 Axons,. the fibres extending from the nerve cells that carry electrical signals 739 00:56:02,127 --> 00:56:04,118 grow about an inch a month. 740 00:56:05,567 --> 00:56:08,035 Jason is receiving about nine inches worth. 741 00:56:08,887 --> 00:56:13,244 So if all goes well, he'll have some feeling and motion return within the year. 742 00:56:13,287 --> 00:56:15,403 He went through a heck of an operation. 743 00:56:15,447 --> 00:56:18,837 l'm sure he's going to have a lot of pain from it, a lot of expense from it. 744 00:56:18,887 --> 00:56:22,243 But to him, if this works, l suspect it will be worth it. 745 00:56:24,687 --> 00:56:28,043 Nerves to muscles - the system is a marvel to behold. 746 00:56:31,127 --> 00:56:33,118 But whether we're competing at the Olympic level 747 00:56:33,167 --> 00:56:36,443 or simply making dinner plans and picking up groceries, 748 00:56:36,487 --> 00:56:40,605 the whole thing would be absolutely useless without an infrastructure. 749 00:56:51,447 --> 00:56:57,044 Follow any muscle to its base, through a bundle of strong, flexible fibres called tendons, 750 00:56:57,087 --> 00:56:59,726 down to the very point where it's anchored 751 00:56:59,767 --> 00:57:04,079 and you'll find one of the world's most remarkable materials - bone. 752 00:57:08,527 --> 00:57:12,520 Some 206 of these engineering marvels are strewn throughout the body. 753 00:57:14,727 --> 00:57:17,878 Strong enough to support up to 20 times our body weight, 754 00:57:17,927 --> 00:57:21,078 light enough to defy gravity - however briefly, 755 00:57:21,127 --> 00:57:24,119 flexible enough to absorb unfathomable impacts 756 00:57:24,167 --> 00:57:28,763 and connected in such a way as to provide a seemingly endless range of movement. 757 00:57:34,607 --> 00:57:37,679 Accounting for some 1 5 percent of our body mass, 758 00:57:37,727 --> 00:57:39,319 bones are what give us our shape. 759 00:57:39,367 --> 00:57:40,959 (Squelching) 760 00:57:41,007 --> 00:57:43,316 Without them, we would all look like this. 761 00:57:51,007 --> 00:57:55,239 But despite the amazing strength and support our inner frameworks provide, 762 00:57:55,887 --> 00:57:58,355 they're usually portrayed in a more sinister manner. 763 00:58:02,647 --> 00:58:07,163 Descend 60 feet under the streets of Paris to its catacombs hundreds of years old 764 00:58:08,007 --> 00:58:10,396 and we get the stereotypical image of bone. 765 00:58:10,807 --> 00:58:13,321 Dry, sterile, 766 00:58:14,087 --> 00:58:15,156 white, 767 00:58:16,367 --> 00:58:18,164 dead. 768 00:58:19,047 --> 00:58:20,958 That's not exactly surprising. 769 00:58:21,007 --> 00:58:23,885 This is the only way most of us ever to get see bones. 770 00:58:28,167 --> 00:58:31,318 And these are the only bits of us that are going to be left. 771 00:58:38,087 --> 00:58:42,444 This was the world's first glimpse of bone inside a living human body. 772 00:58:43,367 --> 00:58:45,437 The left hand of Frau Bertha Roentgen 773 00:58:46,967 --> 00:58:52,678 as imaged in 1 895 by her husband Wilhelm Roentgen, discoverer of the X-ray. 774 00:58:52,727 --> 00:58:58,962 We've come a long way since then and it turns out bones are anything but dry. 775 00:59:03,567 --> 00:59:07,640 Deep in the centre of many bones, in this tissue called the marrow, 776 00:59:07,687 --> 00:59:11,805 some 1 20 million oxygen-carrying red blood cells 777 00:59:11,847 --> 00:59:16,557 and seven million microbe-fighting white blood cells are born every minute 778 00:59:16,607 --> 00:59:18,723 and shipped off to the rest of the body. 779 00:59:19,527 --> 00:59:24,043 Toward the surface, specialised cells continually lay down new bone 780 00:59:24,087 --> 00:59:27,318 while others do the opposite and whisk away old layers. 781 00:59:32,447 --> 00:59:35,405 This is how bone grows with us throughout our youth 782 00:59:35,447 --> 00:59:38,439 and keeps itself strong long after we're grown. 783 00:59:42,127 --> 00:59:47,520 lf we suck away all that marrow, we see bone is mainly a blend of two substances - 784 00:59:47,567 --> 00:59:51,162 the mineral calcium phosphate and the protein collagen. 785 00:59:54,087 --> 00:59:56,078 lt's a match made in heaven. 786 00:59:58,167 --> 01:00:01,603 Without flexible collagen, bone would be as brittle as glass. 787 01:00:04,327 --> 01:00:08,639 Without calcium phosphate, it would be as unstructured as rubber. 788 01:00:09,967 --> 01:00:12,037 Together they're light enough to manoeuvre, 789 01:00:12,087 --> 01:00:15,477 strong enough to shelter our most delicate inner organs 790 01:00:15,527 --> 01:00:17,882 and resilient enough to last a lifetime. 791 01:00:21,807 --> 01:00:23,604 Go! 792 01:00:25,807 --> 01:00:30,927 Champion gymnasts like Joey Hagerty routinely push the limits of bone. 793 01:00:32,847 --> 01:00:35,680 They train them to grow and adapt to extremes. 794 01:00:35,727 --> 01:00:37,206 OK, Joe. Ready? Three... 795 01:00:37,247 --> 01:00:42,162 Sports physiologist Bill Sands tries to ensure this isn't past the breaking point. 796 01:00:43,167 --> 01:00:47,797 Bone are living tissue like all other living tissues, so the things we ask the tissue to do, 797 01:00:47,847 --> 01:00:53,479 as long as we provide those stimuli carefully, slowly, progressively, 798 01:00:53,527 --> 01:00:56,325 we can usually get tissues to withstand astonishing things. 799 01:00:57,727 --> 01:01:04,075 lt is this adaptive property of bone that allows a martial arts expert to punch through concrete. 800 01:01:04,127 --> 01:01:06,357 SANDS: You don't do that the first day, of course. 801 01:01:06,407 --> 01:01:09,763 You have to build them up more and more and more over multiple years. 802 01:01:11,407 --> 01:01:15,685 The same goes for gymnasts whose bones absorb a tremendous amount of shock. 803 01:01:17,247 --> 01:01:19,636 Yeah, don't hook your toes. 804 01:01:19,687 --> 01:01:23,077 Sands uses a variety of apparatuses to measure this,. 805 01:01:23,127 --> 01:01:26,915 like these inserts that measure the forces on Joey's feet, 806 01:01:26,967 --> 01:01:29,162 and high-speed cameras to record the impact. 807 01:01:29,207 --> 01:01:31,926 Ready? Three, two, one. 808 01:01:31,967 --> 01:01:33,878 Go. 809 01:01:38,367 --> 01:01:41,803 Well, right here he's over 1 50lbs per square inch. 810 01:01:41,847 --> 01:01:43,803 Trust me, that's a big force. 811 01:01:43,847 --> 01:01:48,523 The forces generally seen in gymnastics are the biggest forces we've had recorded so far. 812 01:01:48,567 --> 01:01:50,558 1 4 to 20 times body weight. 813 01:01:53,287 --> 01:01:58,884 The unsung heroes of all this movement are not our bones, but what brings them together. 814 01:01:58,927 --> 01:02:00,918 lngenious devices called joints. 815 01:02:04,247 --> 01:02:06,715 From our knees to our knuckles, 816 01:02:06,767 --> 01:02:10,726 some 1 87 separate joints allow our bones to slide back and forth, 817 01:02:10,767 --> 01:02:13,235 side to side, up, down, 818 01:02:13,287 --> 01:02:15,881 and round and round like a well-oiled machine. 819 01:02:22,407 --> 01:02:25,604 While bones have an almost miraculous tendency to heal, 820 01:02:25,647 --> 01:02:27,683 joints are prone to break down. 821 01:02:30,047 --> 01:02:31,799 Hey, Mark, how you doing? 822 01:02:31,847 --> 01:02:35,522 The surgery that we're going to be doing today is to go through... 823 01:02:35,567 --> 01:02:38,877 Whether it's due to football, weight-lifting or biking, 824 01:02:38,927 --> 01:02:41,964 45-year-old Mark Kramer has had eight shoulder operations 825 01:02:42,007 --> 01:02:43,998 over the last decade and a half. 826 01:02:44,927 --> 01:02:45,996 Pretty easy. 827 01:02:46,047 --> 01:02:50,325 Today, Dr Carl Basamania and his team at the Duke University Medical Center 828 01:02:50,367 --> 01:02:53,404 will give him his ninth. 829 01:02:53,447 --> 01:02:55,438 Number one: l hope to be out of pain. 830 01:02:56,567 --> 01:03:00,446 When you live with pain every day it makes life challenging. 831 01:03:00,487 --> 01:03:02,478 (Monitor beeps) 832 01:03:02,527 --> 01:03:06,998 Basamania first assesses the damage to Mark's shoulder with an arthroscopic camera. 833 01:03:13,647 --> 01:03:15,239 He discovers one of the tendons 834 01:03:15,287 --> 01:03:19,838 that is supposed to hold the ball and socket joint of Mark's shoulder in place is eroding, 835 01:03:19,887 --> 01:03:21,878 causing Mark intense pain. 836 01:03:24,007 --> 01:03:27,317 l can show you on the X-ray, but the ball is sitting quite a way forward now, 837 01:03:27,367 --> 01:03:30,598 because there's nothing to really hold it in place. 838 01:03:30,647 --> 01:03:34,765 Basamania wants more than to simply pop Mark's shoulder back into place. 839 01:03:35,487 --> 01:03:37,478 He wants to keep it there. 840 01:03:40,887 --> 01:03:43,447 And to do that he'll turn to this - 841 01:03:43,487 --> 01:03:49,323 a specially engineered biological material called extracellular matrix, or ECM, 842 01:03:49,367 --> 01:03:51,801 that has the power to regenerate tissue. 843 01:03:56,207 --> 01:03:59,756 Suck away the cells from just about any tissue in the body 844 01:03:59,807 --> 01:04:01,798 and ECM is what will be left. 845 01:04:06,487 --> 01:04:11,322 Mother Nature's done a really good job of bringing this material together. 846 01:04:12,407 --> 01:04:16,798 Stephen Badylak of Pittsburgh's McGowan lnstitute for Regenerative Medicine 847 01:04:16,847 --> 01:04:19,361 helped discover ECM's power, 848 01:04:19,407 --> 01:04:23,480 which, like stem cells, has the potential to heal many tissues in the body. 849 01:04:25,367 --> 01:04:28,962 The real magic of the material, if you wanna call it magic, 850 01:04:29,007 --> 01:04:32,522 is that this is loaded with signalling molecules 851 01:04:32,567 --> 01:04:37,641 that instruct the surrounding cells and tissues to heal in a specific way. 852 01:04:37,967 --> 01:04:39,878 So if we examine... 853 01:04:39,927 --> 01:04:44,921 The best part is that extracellular matrix is found in all animals. 854 01:04:46,487 --> 01:04:50,400 Pig ECM, for example, is not that different from human ECM. 855 01:04:52,167 --> 01:04:56,160 lt's not that much different than a mouse or a dinosaur's as far as that goes. 856 01:04:56,207 --> 01:05:00,678 Therefore, when we take ECM from one species and put it in another, 857 01:05:00,727 --> 01:05:03,480 it tends to be accepted as self. 858 01:05:05,087 --> 01:05:09,205 We can even extract the material from one tissue, like pig's small intestine, 859 01:05:09,247 --> 01:05:12,159 and put it into another like Mark Kramer's shoulder. 860 01:05:13,167 --> 01:05:16,239 We're going to have graft, tendon and then more graft. 861 01:05:16,927 --> 01:05:20,840 This is what l refer to as a taco repair, simply cos it looks like a taco. 862 01:05:22,527 --> 01:05:25,883 Basamania simply wraps the material around Mark's damaged tendon 863 01:05:25,927 --> 01:05:27,918 and sutures it into place. 864 01:05:30,447 --> 01:05:32,517 Mark's own cells will then attach to the graft 865 01:05:32,567 --> 01:05:36,480 and then within weeks his own body will reconstruct the tissue and heal itself. 866 01:05:39,847 --> 01:05:44,045 For me this is very satisfying to go from a flimsy material 867 01:05:44,087 --> 01:05:49,241 to now he has what looks like a very nice healthy-looking tendon. 868 01:05:49,287 --> 01:05:51,960 Oh, he'll be back in the gym before too long. 869 01:05:53,887 --> 01:05:57,766 Extracellular matrix has already been used to grow and treat things 870 01:05:57,807 --> 01:06:00,241 like the oesophagus, skin, bladder. 871 01:06:00,287 --> 01:06:03,006 Even to heal the damaged dorsal fin of a dolphin. 872 01:06:05,647 --> 01:06:10,357 This idea of coaxing the body to fix itself may offer a whole new way to treat disease. 873 01:06:12,087 --> 01:06:16,922 Salamanders and newts and starfish can regrow entire legs. Why can't we do it? 874 01:06:17,887 --> 01:06:23,086 Our goal is to tell the body, ''We don't want you to just heal this tissue again. 875 01:06:23,127 --> 01:06:25,083 We want you to reconstruct this tissue.'' 876 01:06:27,487 --> 01:06:32,083 Perhaps one day we will grow a new arm or leg as easily as a wounded starfish does. 877 01:06:34,567 --> 01:06:37,798 For now, we're stuck with the limbs our parents gave us. 878 01:06:41,927 --> 01:06:43,758 And as the sun sets on our day, 879 01:06:43,807 --> 01:06:48,278 just getting two incredible machines to reproduce at all is challenge enough. 880 01:06:53,007 --> 01:06:54,998 ( Violin plays a tango) 881 01:06:58,247 --> 01:07:00,397 lt's a simple biological function. 882 01:07:00,447 --> 01:07:04,838 The swapping of genetic material to improve the adaptability of the species. 883 01:07:07,287 --> 01:07:10,006 But getting together is anything but easy. 884 01:07:13,447 --> 01:07:15,324 The seduction. 885 01:07:15,367 --> 01:07:17,642 The courtship. 886 01:07:17,687 --> 01:07:19,120 The commitment. 887 01:07:24,567 --> 01:07:27,877 lt's all part of an intricate dance originated millions of years ago 888 01:07:27,927 --> 01:07:30,646 and choreographed over countless generations. 889 01:07:35,607 --> 01:07:37,598 So why all the fuss? 890 01:07:40,607 --> 01:07:43,121 Why don't humans simply do as an amoeba does? 891 01:07:43,967 --> 01:07:45,958 Just split in two. 892 01:07:51,167 --> 01:07:56,241 lf all we wanted was to make exact copies of ourselves that is exactly what we would do. 893 01:07:59,967 --> 01:08:03,403 But humans, along with practically the entire animal kingdom, 894 01:08:03,447 --> 01:08:05,915 want more out of life than to simply survive. 895 01:08:07,687 --> 01:08:09,200 We're built to thrive 896 01:08:09,247 --> 01:08:12,796 and mixing up genes through sexual reproduction is the best way to do it. 897 01:08:16,767 --> 01:08:19,122 The dance may begin with an attractive sight. 898 01:08:19,727 --> 01:08:21,718 A smell, a touch. 899 01:08:24,407 --> 01:08:27,524 Soon enough the heart beats faster, blood pressure rises. 900 01:08:28,087 --> 01:08:29,600 Breathing accelerates. 901 01:08:29,647 --> 01:08:31,000 Skin gets flushed. 902 01:08:31,047 --> 01:08:34,562 And whether or not baby-making is on the agenda tonight, 903 01:08:34,607 --> 01:08:36,996 the baby-making machinery is raring to go. 904 01:08:45,887 --> 01:08:49,675 Every second of every day, a man produces more than 1,000 sperm. 905 01:08:53,727 --> 01:08:58,881 That's 60,000 sperm per minute or 1 4 million during the course of an evening. 906 01:09:03,887 --> 01:09:06,560 They may only be about two-thousandths of an inch long, 907 01:09:06,607 --> 01:09:10,680 but 300 million are always ready to fulfil their life's mission - 908 01:09:10,727 --> 01:09:13,082 to fertilise...one of these. 909 01:09:14,807 --> 01:09:19,676 Unlike a man, a woman is born with her allotment of sex cells, about one million of them. 910 01:09:23,967 --> 01:09:27,084 Only about 400 eggs will ever get released, 911 01:09:27,127 --> 01:09:30,517 less than half the sperm cells a man produces every second. 912 01:09:34,487 --> 01:09:37,240 Once the egg is pushed out of the ovary each month, 913 01:09:37,287 --> 01:09:40,245 it's swooped into the fallopian tube for about a day,. 914 01:09:40,287 --> 01:09:42,357 life's window of opportunity. 915 01:09:45,527 --> 01:09:47,961 lf no suitor appears the egg dissolves. 916 01:09:52,487 --> 01:09:55,604 But far more interesting is what happens when one does. 917 01:09:57,847 --> 01:10:01,123 Of the millions of sperm engaged in this genetic race 918 01:10:01,167 --> 01:10:04,557 only a few will defy all the odds and glimpse the finish line. 919 01:10:07,647 --> 01:10:12,675 And as the body's smallest cells meet the largest, only one will make it across. 920 01:10:15,527 --> 01:10:17,802 There was a time just a few centuries ago, 921 01:10:17,847 --> 01:10:22,796 when some scholars believed that every sperm cell had a fully-formed miniature person inside 922 01:10:22,847 --> 01:10:24,838 called a homunculus. 923 01:10:24,887 --> 01:10:27,720 (Babies laugh and gurgle) 924 01:10:29,287 --> 01:10:31,755 We now confidently know this is not the case. 925 01:10:33,887 --> 01:10:37,038 Deep within each of the body's 1 00 trillion cells 926 01:10:37,087 --> 01:10:40,716 is a complete blueprint for a human being - a genome. 927 01:10:43,727 --> 01:10:48,039 Here our DNA molecules are tightly packaged into bundles called chromosomes. 928 01:10:49,767 --> 01:10:52,327 Each cell has 23 pairs of chromosomes. 929 01:10:54,567 --> 01:10:58,162 Sperm and egg cells, though, only have half a blueprint each. 930 01:10:59,687 --> 01:11:01,484 They need each other. 931 01:11:02,687 --> 01:11:06,396 And during that fateful meeting, their DNA fuses, 932 01:11:06,447 --> 01:11:09,200 mingling the mother and the father's genetic traits. 933 01:11:10,647 --> 01:11:15,277 For several days, the fertilised egg journeys through the fallopian tube towards the uterus, 934 01:11:15,327 --> 01:11:17,318 growing and dividing along the way. 935 01:11:20,727 --> 01:11:25,517 About 20 hours after fertilisation, it divides into two cells. 936 01:11:25,567 --> 01:11:30,163 ln 48 hours, four. 1 2 hours later, it's eight cells. 937 01:11:30,207 --> 01:11:33,165 And by 72 hours, it's 1 6. 938 01:11:34,887 --> 01:11:38,482 Each of the new cells is genetically identical to the original. 939 01:11:40,767 --> 01:11:44,282 At this stage everything from eye and hair colour, gender, 940 01:11:44,327 --> 01:11:49,765 and even to some extent height, weight, intelligence, sense of humour and personality, 941 01:11:49,807 --> 01:11:51,798 are all pre-determined. 942 01:11:54,607 --> 01:11:58,885 ln fact, scientists can even sift through a dish of embryos to choose gender 943 01:11:58,927 --> 01:12:01,441 or identify genetic defects and remove them. 944 01:12:05,887 --> 01:12:09,004 But not if couples have a baby the old-fashioned way. 945 01:12:11,527 --> 01:12:16,157 By the end of the first week, the free-floating ball of cells, now known as a blastocyst, 946 01:12:16,207 --> 01:12:17,925 has entered the uterus. 947 01:12:19,087 --> 01:12:22,762 Cells continue to divide here before they find a place to settle. 948 01:12:25,847 --> 01:12:27,997 lt's official,. she is pregnant. 949 01:12:30,527 --> 01:12:35,476 As the weeks pass, cells start to specialise and forms begin to take shape. 950 01:12:38,567 --> 01:12:42,401 At three weeks a groove marks the beginning of a nervous system, 951 01:12:42,447 --> 01:12:47,123 the top of the tube destined to become a brain and the lower portion the spinal cord. 952 01:12:51,207 --> 01:12:54,165 By eight weeks, almost all of the organs and systems 953 01:12:54,207 --> 01:13:00,999 in this walnut-sized embryo are in place, earning it by week nine the official title of foetus. 954 01:13:02,887 --> 01:13:04,878 And now growth really kicks in. 955 01:13:07,767 --> 01:13:13,046 By 1 2 weeks, just as expectant parents get their first glimpse into the watery womb, 956 01:13:13,087 --> 01:13:17,683 the foetus may practise breathing, taking in amniotic fluid instead of air. 957 01:13:22,287 --> 01:13:25,245 Already it can punch and kick. 958 01:13:27,087 --> 01:13:29,965 At 1 4 weeks, it can swallow and suck its thumb. 959 01:13:30,007 --> 01:13:31,156 (Woman laughs) 960 01:13:31,967 --> 01:13:33,958 By 24, it can hear. 961 01:13:35,687 --> 01:13:38,565 By 32, it responds to music, voices. 962 01:13:38,607 --> 01:13:41,519 OK, so that's... Oh, there's her eyes. 963 01:13:41,567 --> 01:13:42,966 That's eyes, nose, mouth. 964 01:13:43,007 --> 01:13:45,043 Now her mouth is wide open. 965 01:13:45,087 --> 01:13:48,966 And at 40 weeks, give or take, it's ready to enter the world. 966 01:13:49,207 --> 01:13:50,765 Push. 967 01:13:52,447 --> 01:13:54,915 - Ten, nine. Ten. - (Exhales heavily) 968 01:13:54,967 --> 01:13:56,400 - That's it. - Now push. 969 01:13:56,447 --> 01:13:58,642 Great, great. Great, honey. 970 01:13:59,887 --> 01:14:01,684 Another push. 971 01:14:03,487 --> 01:14:05,478 - Oh, my God. - There's your baby. 972 01:14:05,527 --> 01:14:07,802 Good job! 973 01:14:07,847 --> 01:14:09,883 22:30. 974 01:14:09,927 --> 01:14:12,122 - Oh, my God. - Good job. 975 01:14:12,167 --> 01:14:14,158 - 1 0:31 . - There you go. 976 01:14:14,887 --> 01:14:16,878 Oh, my gosh. 977 01:14:19,647 --> 01:14:21,638 (Air hisses) 978 01:14:23,207 --> 01:14:25,198 (Cries) 979 01:14:32,847 --> 01:14:34,838 - lt's a big girl. - lt's a big girl. 980 01:14:37,927 --> 01:14:42,842 ln the nine months it takes her to go from fertilised egg to fully formed human baby 981 01:14:42,887 --> 01:14:46,084 she will have grown more than 5,000 times bigger. 982 01:14:52,007 --> 01:14:56,285 As women around the globe can attest, getting to this point is no easy task. 983 01:14:58,127 --> 01:15:02,245 And yet some 260 humans are born this way every minute. 984 01:15:02,927 --> 01:15:08,957 That's 37 4,000 every day and more than 1 36 million every year. 985 01:15:15,567 --> 01:15:17,125 (Laughter) 986 01:15:17,167 --> 01:15:21,240 Why evolve such a painful and risky way to keep a species going? 987 01:15:23,007 --> 01:15:25,441 lt's the price we pay for our giant brains. 988 01:15:25,487 --> 01:15:27,478 Hi. 989 01:15:28,087 --> 01:15:31,204 Billions of neurons are buzzing around in that head of hers, 990 01:15:31,247 --> 01:15:34,557 virtually all the nerve cells her brain will ever need. 991 01:15:36,047 --> 01:15:39,517 Throughout her childhood they'll be reaching out to other neurons, 992 01:15:39,567 --> 01:15:42,479 making more connections with each new experience. 993 01:15:48,447 --> 01:15:52,406 With each connection mind and body fuse to form the thing that is us. 994 01:15:54,367 --> 01:15:58,440 And at the helm, the most remarkable command centre in the world. 995 01:16:04,767 --> 01:16:10,205 Every system in the body is complex, but there is only one presiding over everything we do. 996 01:16:13,607 --> 01:16:15,837 Every second since our day began, 997 01:16:15,887 --> 01:16:19,357 our brains have been guiding, guarding and giving orders. 998 01:16:20,007 --> 01:16:22,202 Defining nothing less than what we are. 999 01:16:27,367 --> 01:16:31,724 Through an information superhighway of nerves fanning throughout our bodies 1000 01:16:31,767 --> 01:16:34,440 our brains keep tabs on every part of us - 1001 01:16:34,487 --> 01:16:37,923 eyes and ears, skin and bones, heart and muscles. 1002 01:16:41,327 --> 01:16:44,558 Through a hundred billion specialised cells called neurons 1003 01:16:44,607 --> 01:16:49,476 zapping millions of electrical and chemical signals at up to 200 miles per hour 1004 01:16:49,527 --> 01:16:56,399 these three-pound blobs of fat and water let us think, feel, want, remember and react. 1005 01:16:58,767 --> 01:17:00,758 lt really is what makes us human, 1006 01:17:00,807 --> 01:17:04,925 because it encapsulates everything from our ability to paint a beautiful picture 1007 01:17:04,967 --> 01:17:07,037 to construct a building, 1008 01:17:07,087 --> 01:17:09,806 to render violence on somebody else. 1009 01:17:09,847 --> 01:17:13,283 lf l transplant your heart, for example, you're still you. 1010 01:17:13,327 --> 01:17:15,795 But if we do something that damages your brain, 1011 01:17:15,847 --> 01:17:19,044 the very character, your very personality may change. 1012 01:17:19,727 --> 01:17:21,718 And so the brain is you. 1013 01:17:22,567 --> 01:17:25,877 And when this unremarkable-looking organ is under assault, 1014 01:17:25,927 --> 01:17:28,122 everything that defines you is at risk. 1015 01:17:31,687 --> 01:17:35,441 Hi, Brandon. This is Dr Liau. They're gonna be putting you to sleep now, OK? 1016 01:17:35,487 --> 01:17:38,320 - OK. - l'll see you when you wake up. 1017 01:17:38,367 --> 01:17:44,556 Everyone in this UCLA operating room is acutely aware of the brain's vulnerability. 1018 01:17:47,407 --> 01:17:50,683 23-year-old Brandon Carson has a large cancerous tumour 1019 01:17:50,727 --> 01:17:53,958 near a region of his brain critical for language. 1020 01:17:54,007 --> 01:17:57,636 His tumour is very close to Broca's area. 1021 01:17:57,687 --> 01:17:58,563 (Whirring) 1022 01:17:58,607 --> 01:18:01,075 lt's probably one of the closer ones l've seen. 1023 01:18:01,927 --> 01:18:05,715 The challenge to Dr Linda Liau and the team of doctors 1024 01:18:05,767 --> 01:18:09,442 is to remove the tumour whilst keeping Brandon's speech intact. 1025 01:18:10,527 --> 01:18:12,518 Brandon, wake up. 1026 01:18:13,527 --> 01:18:16,997 Which is why once they've opened his skull and revealed his brain 1027 01:18:17,047 --> 01:18:19,959 the doctors do their best to keep Brandon awake. 1028 01:18:23,127 --> 01:18:25,118 Brandon, open your eyes. 1029 01:18:26,487 --> 01:18:31,003 The brain doesn't have pain receptors, so Brandon doesn't feel anything, 1030 01:18:31,047 --> 01:18:32,639 even when they do wake him up. 1031 01:18:32,687 --> 01:18:35,155 - Give it a try. - Brandon. 1032 01:18:35,607 --> 01:18:37,598 (Low conversation) 1033 01:18:37,647 --> 01:18:39,319 - No, no. - No, you can't. 1034 01:18:39,367 --> 01:18:41,835 Don't sit up. 1035 01:18:41,887 --> 01:18:43,718 Can we do this test real quick? 1036 01:18:43,767 --> 01:18:47,999 DR LlAU: Language is a function we can't map when a patient is asleep. 1037 01:18:48,047 --> 01:18:50,436 We can measure muscle and things like that, 1038 01:18:50,487 --> 01:18:55,038 but we can't really with a 1 00% certainty know where his language areas are 1039 01:18:55,087 --> 01:18:58,921 unless we wake him up and stimulate those particular areas. 1040 01:18:58,967 --> 01:19:00,719 OK. What's this? 1041 01:19:00,767 --> 01:19:03,520 Good. And this one? 1042 01:19:03,567 --> 01:19:08,925 Using easily-identifiable flash cards, a psychologist tests Brandon's language capacity. 1043 01:19:10,607 --> 01:19:16,204 Simultaneously, Liau disrupts tiny areas of his language centre with a mild electric shock. 1044 01:19:16,247 --> 01:19:18,602 Let's try that same area again. 1045 01:19:19,407 --> 01:19:24,276 lf Brandon has trouble recognising these images while the shock is being delivered, 1046 01:19:24,327 --> 01:19:28,525 the team then knows this is a critical area and makes sure to work around it. 1047 01:19:31,007 --> 01:19:34,602 Jessica, there's an area that l think is safe. 1048 01:19:34,647 --> 01:19:38,765 l'm going to start there and you just keep talking to him. 1049 01:19:41,607 --> 01:19:47,079 By imaging the brain before and during surgery, something she couldn't do just ten years ago, 1050 01:19:47,127 --> 01:19:49,595 Liau can cut out the tumour with confidence. 1051 01:19:52,647 --> 01:19:56,322 And with a living, functioning, awake brain exposed, 1052 01:19:56,367 --> 01:20:02,397 neuroscientists get a rare opportunity to peer inside down to individual blood vessels 1053 01:20:02,447 --> 01:20:04,915 and glimpse the mysterious organ in action. 1054 01:20:07,327 --> 01:20:10,603 Mapping the human brain is a Holy Grail - we all want to do it. 1055 01:20:10,647 --> 01:20:14,083 We want to create a map where we know what structures are where 1056 01:20:14,127 --> 01:20:17,005 and what the function is in those structures. 1057 01:20:17,047 --> 01:20:21,199 But unlike the map of the Earth where there's latitude and longitude and so forth, 1058 01:20:21,247 --> 01:20:23,602 the human brain is individualised. 1059 01:20:23,647 --> 01:20:27,037 Each is different from the other; it's what makes us unique. 1060 01:20:29,367 --> 01:20:32,200 At UCLA's Laboratory of Neuro lmaging, 1061 01:20:32,247 --> 01:20:35,717 Dr Arthur Toga isjust beginning to understand these differences 1062 01:20:35,767 --> 01:20:37,758 with what is called the Brain Atlas. 1063 01:20:39,807 --> 01:20:43,356 lt's a collection of thousands and thousands of scans of human subjects. 1064 01:20:43,407 --> 01:20:46,877 Various ages, various groups, various genders. 1065 01:20:48,287 --> 01:20:52,166 With it, we can watch a brain develop from five years old to 90 1066 01:20:52,967 --> 01:20:55,561 and see it start to degrade during middle age. 1067 01:20:59,647 --> 01:21:01,638 Comparing a man and a woman's brain. 1068 01:21:03,487 --> 01:21:06,957 His may have more volume but hers has added surface area. 1069 01:21:08,367 --> 01:21:13,395 Here's the brain activity of someone who speaks one language, and someone who speaks two. 1070 01:21:14,087 --> 01:21:16,123 A right-hander and a left. 1071 01:21:18,967 --> 01:21:23,085 The Brain Atlas looks at our master organ from a variety of perspectives, 1072 01:21:23,127 --> 01:21:25,118 right down to individual neurons. 1073 01:21:27,287 --> 01:21:31,166 Through functional magnetic resonance imaging, or FMRl, 1074 01:21:32,087 --> 01:21:36,365 we can see the exact spots where conscious thoughts originate as they form. 1075 01:21:36,887 --> 01:21:42,678 Navigating a map, listening to music, experiencing fear and laughter. 1076 01:21:43,367 --> 01:21:45,358 This is remarkable. 1077 01:21:45,407 --> 01:21:48,763 You can watch the human brain function in a normal, living individual. 1078 01:21:51,287 --> 01:21:55,405 FMRl also allows us to watch the brain as it malfunctions. 1079 01:21:58,487 --> 01:22:02,719 Two years ago a severe car crash left 22-year-old Kimberlee Lizarraga 1080 01:22:02,767 --> 01:22:06,885 crippled by pain in her neck and shoulders, and she feels it to this day. 1081 01:22:10,127 --> 01:22:13,915 Just picking up groceries or driving a car can be excruciating. 1082 01:22:14,847 --> 01:22:20,126 The pain that l felt was so unexplainable. l can't even explain the pain that l felt. 1083 01:22:20,167 --> 01:22:23,921 lt affects my job, it affects my whole life tremendously. 1084 01:22:25,607 --> 01:22:29,998 Kimberlee suffered no brain trauma in the accident and her injuries are completely healed. 1085 01:22:31,767 --> 01:22:33,758 Her pain lives only in her brain. 1086 01:22:39,127 --> 01:22:45,157 And with the help of Stanford's Dr Sean Mackey and an FMRl, Kimberlee is learning to control it. 1087 01:22:46,207 --> 01:22:47,686 Pain doesn't live in one region. 1088 01:22:47,727 --> 01:22:53,962 We believe it is ultimately a flow of information, a flow of neural activity 1089 01:22:54,007 --> 01:22:56,475 between a multitude of regions within the brain. 1090 01:22:56,527 --> 01:23:01,601 What we're working on now is actually trying to control the volume on... the faucet, 1091 01:23:01,647 --> 01:23:04,366 so to speak, on information flowing back and forth. 1092 01:23:05,687 --> 01:23:08,565 Mackey doesn't want to stop that flow completely. 1093 01:23:11,007 --> 01:23:12,998 Pain does have its place. 1094 01:23:15,967 --> 01:23:19,039 What's wonderful about pain is that it's so terrible. 1095 01:23:19,087 --> 01:23:22,159 My son only had to touch a hot stove once to learn not to do it. 1096 01:23:23,927 --> 01:23:26,236 The problem is when pain becomes chronic. 1097 01:23:26,687 --> 01:23:31,602 When it lasts beyond the time you would expect for the tissue to have healed after an injury. 1098 01:23:31,647 --> 01:23:35,606 lt's persistent. lt robs our soul, it robs of who we are. 1099 01:23:35,647 --> 01:23:39,162 All right, Kimberlee, we're going to take anatomical images of your brain. 1100 01:23:39,207 --> 01:23:41,357 This is gonna take about two minutes. 1101 01:23:41,407 --> 01:23:46,117 Which explains why Kimberlee submits to the confines of this claustrophobic machine. 1102 01:23:47,847 --> 01:23:51,078 While she's in there the Stanford team gives her a real-time picture 1103 01:23:51,127 --> 01:23:53,436 of the activity in her brain's pain areas. 1104 01:23:55,047 --> 01:23:57,561 Represented by either a line graph or a flame. 1105 01:23:59,887 --> 01:24:02,799 By simply thinking about putting those flames out, 1106 01:24:02,847 --> 01:24:06,283 Kimberlee is, for the first time, putting her pain out. 1107 01:24:07,487 --> 01:24:10,604 The idea is to drive the activity down. 1108 01:24:10,647 --> 01:24:13,957 And in doing so, we also hope to see that the flame goes down. 1109 01:24:14,687 --> 01:24:17,565 We still don't understand how the brain does this. 1110 01:24:19,087 --> 01:24:21,157 But one thing is clear,. 1111 01:24:21,207 --> 01:24:26,201 we can physically change the activity in our brains and the FMRl lets us watch. 1112 01:24:32,207 --> 01:24:37,076 What we showed here is that you can actually focus on a particular region, 1113 01:24:37,127 --> 01:24:39,800 a particular area, and learn to control that. 1114 01:24:39,847 --> 01:24:41,997 And that's the first time this has been done. 1115 01:24:45,327 --> 01:24:49,684 This new-found power over our brains has applications well beyond pain 1116 01:24:49,727 --> 01:24:53,561 to mental illnesses like depression, phobias and addiction. 1117 01:24:55,487 --> 01:24:59,082 Our brains are highly malleable, plastic, changeable. 1118 01:25:00,607 --> 01:25:04,680 We really can control and change our brain. 1119 01:25:04,727 --> 01:25:07,366 And so the opportunities are truly limitless, 1120 01:25:07,407 --> 01:25:10,877 because there's no area of the brain that we can't now tap into 1121 01:25:12,887 --> 01:25:15,082 and have somebody learn how to control it. 1122 01:25:18,807 --> 01:25:23,597 What's news to neuroscientists has been practised by others for thousands of years. 1123 01:25:25,687 --> 01:25:31,239 Using nothing but simple meditation, some of us have already learned how to control the brain. 1124 01:25:37,287 --> 01:25:40,279 Our brains enable us to do extraordinary things, 1125 01:25:40,327 --> 01:25:43,797 but some are much better than others at harnessing its power. 1126 01:25:47,727 --> 01:25:51,879 Buddhist monks have used their brains to dry wet sheets on their backs, 1127 01:25:51,927 --> 01:25:55,636 slow their heart rates, or be incredibly resistant to pain. 1128 01:26:00,527 --> 01:26:05,647 For Souei Sakamoto, a Shingon Buddhist, it's meditating half an hour a day 1129 01:26:05,687 --> 01:26:08,406 under a frigid waterfall in Toyama, Japan. 1130 01:26:08,447 --> 01:26:10,836 A ritual that dates back hundreds of years. 1131 01:26:15,087 --> 01:26:16,281 (Speaks Japanese) 1132 01:26:16,327 --> 01:26:18,557 TRANSLATOR: We have an old saying in Japan; 1133 01:26:18,607 --> 01:26:23,442 ''Clear your mind of all mundane thoughts and you'll find that even fire is cool.'' 1134 01:26:26,087 --> 01:26:31,115 When you learn to control your brain it may be possible to use the brain 1135 01:26:31,167 --> 01:26:34,159 to influence the body in very unusual ways. 1136 01:26:37,247 --> 01:26:39,363 To understand the brain's power 1137 01:26:39,407 --> 01:26:42,444 Richard Davidson of the University of Wisconsin-Madison 1138 01:26:42,487 --> 01:26:45,524 studies the effects of meditation on Buddhist monks. 1139 01:26:45,567 --> 01:26:50,800 Specifically, measuring how their ancient practices physically change their brains. 1140 01:26:50,847 --> 01:26:56,444 These are individuals who we can think of as the Olympic athletes of meditation. 1141 01:26:56,487 --> 01:27:01,242 They have spent years cultivating certain qualities of mind 1142 01:27:01,287 --> 01:27:05,599 and they are virtuosos in many respects. 1143 01:27:06,087 --> 01:27:09,841 This is just to keep any water that might drip down from getting on your clothing. 1144 01:27:09,887 --> 01:27:12,447 - Oh. - A little bit of water might drip on you. 1145 01:27:12,487 --> 01:27:15,320 East meets West in Davidson's lab 1146 01:27:15,367 --> 01:27:20,600 as FMRls, PETscans and electroencephalograms, or EEGs, 1147 01:27:20,647 --> 01:27:22,922 which involve this unusual contraption, 1148 01:27:22,967 --> 01:27:25,879 are all aimed at monks deep in meditation. 1149 01:27:28,247 --> 01:27:31,364 Today it's 84-year-old Geshe Lhundab Sopa, 1150 01:27:31,407 --> 01:27:34,558 who's been an ordained Tibetan monk since 1 932. 1151 01:27:37,407 --> 01:27:41,525 You have an interesting new hat, Geshe. You look very futuristic. 1152 01:27:43,287 --> 01:27:47,803 By attaching these 1 28 wire-laden sponges to Geshe Sopa's head, 1153 01:27:47,847 --> 01:27:51,396 the Wisconsin team can record the tiny electrical currents 1154 01:27:51,447 --> 01:27:53,881 that continuously emanate through his scalp. 1155 01:27:53,927 --> 01:27:58,443 A measure of the millions of neurons firing away in his brain at any given moment. 1156 01:28:00,167 --> 01:28:03,364 He'll begin with a traditional compassion meditation. 1157 01:28:03,407 --> 01:28:05,557 So we'll begin in the neutral state, Geshe, 1158 01:28:05,607 --> 01:28:09,122 and l'll let you know when to begin the compassion meditation. 1159 01:28:10,727 --> 01:28:16,120 Experienced meditators can enter a deep, meditative state in less than 20 seconds 1160 01:28:16,167 --> 01:28:18,920 and with the EEG we can watch as it happens. 1161 01:28:20,527 --> 01:28:22,404 Compassion, compassion. 1162 01:28:23,967 --> 01:28:28,836 Just at the start of the transition when a practitioner begins to meditate 1163 01:28:28,887 --> 01:28:34,803 there is a very discernible change in these brain signals. 1164 01:28:38,207 --> 01:28:40,437 And together with FMRl data, 1165 01:28:40,487 --> 01:28:44,162 Davidson has located these changes in several areas of the brain 1166 01:28:44,207 --> 01:28:46,198 including the prefrontal cortex. 1167 01:28:47,287 --> 01:28:52,725 So this is an area here that is in the left prefrontal cortex, 1168 01:28:52,767 --> 01:28:55,565 that we find more activated in the practitioners, 1169 01:28:55,607 --> 01:28:58,758 particularly when they're generating this compassion meditation. 1170 01:29:00,287 --> 01:29:05,042 Left activity in this region is associated with enthusiasm and happiness, 1171 01:29:05,087 --> 01:29:07,555 right with negativity and stress. 1172 01:29:10,207 --> 01:29:15,839 By meditating these monks are able to shift their neurons'activity from right to left. 1173 01:29:15,887 --> 01:29:20,119 DAVlDSON: These changes are changes that have not been seen before 1174 01:29:20,167 --> 01:29:25,924 and so this opens up whole vistas of new possibilities 1175 01:29:25,967 --> 01:29:29,357 that we're only just beginning to scratch the surface with. 1176 01:29:31,007 --> 01:29:35,637 Already, Davidson and others have found that meditation's effects on brain activity 1177 01:29:35,687 --> 01:29:39,282 can lower levels of stress hormones and boost immune function. 1178 01:29:43,407 --> 01:29:46,240 And for as little as two minutes three times a day 1179 01:29:46,287 --> 01:29:51,361 he believes even those on a much lower plane of enlightenment can reap these benefits too. 1180 01:29:59,487 --> 01:30:02,126 Whether we control them or they control us, 1181 01:30:02,167 --> 01:30:05,842 our brains more than anything else set us apart from all other species, 1182 01:30:07,167 --> 01:30:09,158 and one another. 1183 01:30:10,367 --> 01:30:13,723 But thought, feeling and selfhood are fragile. 1184 01:30:16,687 --> 01:30:21,841 Though it's only about 2% of our body weight, the brain exhausts 20% of our oxygen. 1185 01:30:23,407 --> 01:30:27,605 lf the brain is without oxygen for just ten seconds we lose consciousness. 1186 01:30:27,647 --> 01:30:30,320 Four minutes, and the damage can be permanent. 1187 01:30:33,647 --> 01:30:35,842 And unlike other cells in the body, 1188 01:30:35,887 --> 01:30:39,163 when neurons get badly damaged they cannot be replaced. 1189 01:30:40,327 --> 01:30:43,683 WOMAN: (over speakerphone) OK, this is the result for patient Carson, Brandon. 1190 01:30:43,727 --> 01:30:46,799 For section No.1 left frontal tumour, the diagnosis is... 1191 01:30:46,847 --> 01:30:52,205 At UCLA Dr Linda Liau continues to work on 23-year-old Brandon Carson. 1192 01:30:54,167 --> 01:30:59,036 After mapping the speech areas of his brain, she's ready to remove a cancerous tumour. 1193 01:30:59,687 --> 01:31:01,678 That darkened mass, yes. 1194 01:31:02,767 --> 01:31:05,076 What l'm trying to do is dissect around it. 1195 01:31:06,487 --> 01:31:11,800 As an electronic scalpel cuts into his brain Brandon is still responding to those flash cards. 1196 01:31:15,727 --> 01:31:18,400 Not a scrap of cancerous tissue can stay. 1197 01:31:19,567 --> 01:31:22,286 And just the tiniest sliver of brain can be removed. 1198 01:31:22,327 --> 01:31:26,206 There's some deeper parts of the tumour that are near blood vessels, 1199 01:31:26,247 --> 01:31:29,523 and, obviously, we don't want to take out any necessary blood vessels. 1200 01:31:29,567 --> 01:31:32,957 The only way we could see that is through the microscope. 1201 01:31:34,367 --> 01:31:36,756 This is the hole where the tumour used to be. 1202 01:31:38,167 --> 01:31:42,046 Thanks to these new real-time glimpses into the brain 1203 01:31:42,887 --> 01:31:47,165 Brandon will soon wake up from his surgery, tumour-free and speech intact. 1204 01:31:50,287 --> 01:31:53,677 We inch one step closer to understanding how it all works 1205 01:31:55,647 --> 01:31:57,638 and how far we still have to go. 1206 01:31:58,727 --> 01:32:01,719 l think that as you learn, you know, where vision is 1207 01:32:01,767 --> 01:32:05,362 and where l control my hand from and where my speech is located, 1208 01:32:05,407 --> 01:32:08,479 you begin to feel like, ''l'm understanding this circuitry. 1209 01:32:08,527 --> 01:32:10,518 l think l understand how the brain works.'' 1210 01:32:10,567 --> 01:32:12,956 And then you get into it a little more deeply 1211 01:32:13,007 --> 01:32:15,362 and you realise you don't know very much at all. 1212 01:32:15,407 --> 01:32:20,401 That the wonder of the human brain is sort of one of these great frontiers. That's the truth. 1213 01:32:20,447 --> 01:32:22,915 The more you learn the dumber you realise you are. 1214 01:32:26,607 --> 01:32:29,804 The same applies to all parts of the incredible machine. 1215 01:32:33,287 --> 01:32:36,723 Whether it's our control centre or pumping station, 1216 01:32:37,807 --> 01:32:39,798 our security or exhaust system, 1217 01:32:41,447 --> 01:32:43,563 our power plants or copying machines, 1218 01:32:44,807 --> 01:32:49,005 the human body has been a marvel of complexity for more than 1 00,000 years. 1219 01:32:51,207 --> 01:32:55,359 From its surface to its core, amongst its trillions of cells, 1220 01:32:55,407 --> 01:32:57,875 and throughout its roadways and circuitry, 1221 01:32:58,807 --> 01:33:00,365 at the end of the day, 1222 01:33:00,407 --> 01:33:04,798 somehow all of these systems converge into one truly incredible design. 1223 01:33:09,607 --> 01:33:15,637 Even while we sleep, our bodies are always working, always breathing, always beating, 1224 01:33:15,687 --> 01:33:17,678 always ready to begin another day. 1225 01:33:22,007 --> 01:33:25,477 And though there may be an infinite number of species born of stars long gone, 1226 01:33:26,647 --> 01:33:32,358 we can all rest easy knowing there is nothing quite like the incredible human machine. 110152

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