1 00:00:08,179 --> 00:00:05,480 we're still waiting well I'm going to be 2 00:00:10,730 --> 00:00:08,189 talking about nested rhythms and and 3 00:00:13,700 --> 00:00:10,740 nested rhythms are a bit of a different 4 00:00:15,470 --> 00:00:13,710 approach to thinking of EEG instead of 5 00:00:17,300 --> 00:00:15,480 looking at one peak and where it's going 6 00:00:19,130 --> 00:00:17,310 or another peak and where it's going 7 00:00:21,800 --> 00:00:19,140 we're literally looking across the 8 00:00:25,670 --> 00:00:21,810 frequency spectrum for coupling between 9 00:00:27,710 --> 00:00:25,680 rhythms and and this can be viewed in a 10 00:00:31,659 --> 00:00:27,720 couple of different ways one is called a 11 00:00:33,740 --> 00:00:31,669 joint time-frequency analysis or jtf a 12 00:00:35,750 --> 00:00:33,750 and we'll show you some of that data 13 00:00:39,229 --> 00:00:35,760 assuming the computer comes back on and 14 00:00:42,610 --> 00:00:39,239 the other one is looking at it with the 15 00:00:46,970 --> 00:00:42,620 by spectral index and the by spectrum 16 00:00:50,600 --> 00:00:46,980 literally is a the x axis as a frequency 17 00:00:52,700 --> 00:00:50,610 from DC to 100 Hertz and the y-axis is 18 00:00:54,770 --> 00:00:52,710 the frequencies from zero to entered 19 00:00:57,260 --> 00:00:54,780 hurts and anything that's off the 20 00:00:59,720 --> 00:00:57,270 45-degree angle or not immediately on 21 00:01:03,070 --> 00:00:59,730 the axis ends up being across spectral 22 00:01:07,910 --> 00:01:03,080 coupling so if 10 and 20 are interacting 23 00:01:10,580 --> 00:01:07,920 you end up seeing off angle dots that 24 00:01:12,469 --> 00:01:10,590 correspond with with 10 on one axis and 25 00:01:15,080 --> 00:01:12,479 20 on the other so you'll end up seeing 26 00:01:18,200 --> 00:01:15,090 mirror image flares coming off the 45 27 00:01:20,749 --> 00:01:18,210 degree angle line this is important 28 00:01:25,789 --> 00:01:20,759 because we literally can predict 29 00:01:28,310 --> 00:01:25,799 consciousness based on this the DC field 30 00:01:31,190 --> 00:01:28,320 potentials since I've used the term 31 00:01:33,530 --> 00:01:31,200 nested rhythms the DC field potentials 32 00:01:36,230 --> 00:01:33,540 when they go negative which in EEG terms 33 00:01:39,679 --> 00:01:36,240 is up all of you that are electronic 34 00:01:42,080 --> 00:01:39,689 engineers go well that's wrong negative 35 00:01:44,120 --> 00:01:42,090 is down on the oscilloscope isn't it but 36 00:01:47,149 --> 00:01:44,130 eg people are upside down and backwards 37 00:01:49,429 --> 00:01:47,159 anyway so that this not that that 38 00:01:54,560 --> 00:01:49,439 difficult to understand let's look at 39 00:01:57,170 --> 00:01:54,570 nesting this is a set of recordings in 40 00:01:59,690 --> 00:01:57,180 the brain you see the spike train up at 41 00:02:03,230 --> 00:01:59,700 the top this is in the limbic system and 42 00:02:04,850 --> 00:02:03,240 it's generating a proximate ly six cycle 43 00:02:07,010 --> 00:02:04,860 per second excuse me about a five cycle 44 00:02:10,880 --> 00:02:07,020 per second wave a 200 millisecond 45 00:02:13,700 --> 00:02:10,890 periodicity and the other frequency is 46 00:02:16,370 --> 00:02:13,710 at a hundred cycles a second it's gamma 47 00:02:18,410 --> 00:02:16,380 and you'll notice that the gamma is 48 00:02:22,310 --> 00:02:18,420 literally as a wave shape being 49 00:02:25,100 --> 00:02:22,320 modulated by the theta the gamma sits in 50 00:02:26,990 --> 00:02:25,110 the theta nest when theta goes negative 51 00:02:30,560 --> 00:02:27,000 gamma can happen when theta goes 52 00:02:33,650 --> 00:02:30,570 positive gamma can't interestingly your 53 00:02:35,470 --> 00:02:33,660 digit span how many numbers you can 54 00:02:38,450 --> 00:02:35,480 remember in a number string is 55 00:02:41,480 --> 00:02:38,460 determined by how many gamma wavelets 56 00:02:43,670 --> 00:02:41,490 fit in a theta nest it's like a register 57 00:02:46,250 --> 00:02:43,680 on a computer how many little numbers 58 00:02:51,470 --> 00:02:46,260 can you hold in this register well if 59 00:02:53,720 --> 00:02:51,480 your gamma is nested well you end up 60 00:02:56,830 --> 00:02:53,730 with approximately 7 gamma wavelets in 61 00:03:01,130 --> 00:02:56,840 your theta frequency nest but the entire 62 00:03:03,100 --> 00:03:01,140 oscillatory EEG is in the DC nest the 63 00:03:05,660 --> 00:03:03,110 direct current field potential nest 64 00:03:08,380 --> 00:03:05,670 modulates on and off the entire 65 00:03:11,840 --> 00:03:08,390 alternating current EEG which is how the 66 00:03:15,310 --> 00:03:11,850 calc ami turned off his somatosensory 67 00:03:17,390 --> 00:03:15,320 strip he pulled the plug on the DC posit 68 00:03:19,910 --> 00:03:17,400 electronegativity it went positive and 69 00:03:22,790 --> 00:03:19,920 the alternating current EEG of the brain 70 00:03:26,690 --> 00:03:22,800 working literally was turned off in a 71 00:03:29,210 --> 00:03:26,700 somatosensory strip so the DC fields are 72 00:03:33,320 --> 00:03:29,220 the base nest which modulates the entire 73 00:03:36,890 --> 00:03:33,330 EEG if you look to the literature this 74 00:03:39,290 --> 00:03:36,900 is called infra slow EEG it's below a 75 00:03:41,750 --> 00:03:39,300 third of a Hertz or a half of hurts so 76 00:03:43,910 --> 00:03:41,760 it's it's extremely slow activity you 77 00:03:47,450 --> 00:03:43,920 might say well DC that's zero not like 78 00:03:50,330 --> 00:03:47,460 point three or point2 yeah but it drifts 79 00:03:52,130 --> 00:03:50,340 up and then down so it has an apparent 80 00:03:55,820 --> 00:03:52,140 frequency but it's really not a 81 00:04:02,350 --> 00:03:55,830 frequency it's simply the on and off of 82 00:04:06,500 --> 00:04:02,360 the DC signal DC and gamma are the basic 83 00:04:16,270 --> 00:04:06,510 heart of the biz index their secret 84 00:04:21,379 --> 00:04:19,190 yeah here we are the secret formula here 85 00:04:23,540 --> 00:04:21,389 for the biz index which is the surgical 86 00:04:25,700 --> 00:04:23,550 depth of anesthesia monitor is the 87 00:04:27,890 --> 00:04:25,710 mathematical relationship between point 88 00:04:30,710 --> 00:04:27,900 three eight and thirty eight Hertz well 89 00:04:35,600 --> 00:04:30,720 that's slow cortical potentials in gamma 90 00:04:38,300 --> 00:04:35,610 and that measures from conscious to 91 00:04:41,060 --> 00:04:38,310 unconscious their index has a few other 92 00:04:43,310 --> 00:04:41,070 tricks for measuring the too deep like a 93 00:04:44,840 --> 00:04:43,320 burst suppression detector telling you 94 00:04:46,970 --> 00:04:44,850 that your brain is going flat and then 95 00:04:50,390 --> 00:04:46,980 bursting it's not a good sign you're too 96 00:04:53,090 --> 00:04:50,400 deep and then also a flatline detector 97 00:04:55,490 --> 00:04:53,100 and if the anesthesiologist is created a 98 00:05:00,710 --> 00:04:55,500 flat EEG you're probably a bit too deep 99 00:05:02,690 --> 00:05:00,720 so theta nephs gamma again that controls 100 00:05:06,680 --> 00:05:02,700 digit span we've mentioned that let's 101 00:05:08,540 --> 00:05:06,690 take an example of a jtf a display here 102 00:05:11,210 --> 00:05:08,550 we have a normal high functioning and 103 00:05:14,690 --> 00:05:11,220 low functioning a DD here you go from 104 00:05:17,150 --> 00:05:14,700 slow to fast this is 74 cycles a second 105 00:05:20,540 --> 00:05:17,160 so gamma occurs in the generally from 106 00:05:22,310 --> 00:05:20,550 about 35 or so up that's the red sheets 107 00:05:25,690 --> 00:05:22,320 that are going up that you see there and 108 00:05:28,120 --> 00:05:25,700 this is a one thousand one hundred 109 00:05:30,650 --> 00:05:28,130 milliseconds this is an event-related 110 00:05:32,300 --> 00:05:30,660 synchronization d synchronization the 111 00:05:34,460 --> 00:05:32,310 first hundred milliseconds our baseline 112 00:05:36,770 --> 00:05:34,470 the next one the next thousand 113 00:05:39,380 --> 00:05:36,780 milliseconds end up being the one second 114 00:05:41,330 --> 00:05:39,390 of the brain responding to us to a 115 00:05:43,580 --> 00:05:41,340 stimulus a go/no-go stimulus and 116 00:05:45,110 --> 00:05:43,590 basically you can see here from the 117 00:05:49,279 --> 00:05:45,120 first center milliseconds you get a 118 00:05:53,380 --> 00:05:49,289 burst of gamma 1 2 3 4 5 just hit 6 119 00:05:55,700 --> 00:05:53,390 gamma is chirping it's nested in theta 120 00:05:57,680 --> 00:05:55,710 you can see in the healthy normal 121 00:06:00,770 --> 00:05:57,690 functioning brain gamma is occurring in 122 00:06:03,409 --> 00:06:00,780 brief bursts called chirps and those 123 00:06:06,230 --> 00:06:03,419 little chirps imagine that a nest and 124 00:06:07,940 --> 00:06:06,240 chirps but they called them chirps 125 00:06:12,800 --> 00:06:07,950 before they thought about nesting it 126 00:06:15,140 --> 00:06:12,810 just happened and now in the high 127 00:06:17,510 --> 00:06:15,150 functioning a DD you can see that we 128 00:06:20,000 --> 00:06:17,520 still have one two three four five six 129 00:06:22,570 --> 00:06:20,010 of them but boy are they weak and in low 130 00:06:25,219 --> 00:06:22,580 functioning a DD he's missing some nests 131 00:06:26,999 --> 00:06:25,229 there's some trooping not going on there 132 00:06:29,189 --> 00:06:27,009 so literally 133 00:06:33,869 --> 00:06:29,199 what we have here is conscious less 134 00:06:36,899 --> 00:06:33,879 conscious less conscious and literally 135 00:06:38,989 --> 00:06:36,909 on the biz index people that have a DD 136 00:06:44,309 --> 00:06:38,999 look like they're in stage one sleep 137 00:06:46,260 --> 00:06:44,319 there they're not fully conscious by the 138 00:06:51,269 --> 00:06:46,270 way a DD is very common to have sleep 139 00:06:53,670 --> 00:06:51,279 disturbances as well so the the actual 140 00:06:56,129 --> 00:06:53,680 original slide was looking only at the 141 00:06:57,719 --> 00:06:56,139 beta synchrony the beta synchrony takes 142 00:07:00,719 --> 00:06:57,729 about five hundred milliseconds although 143 00:07:03,329 --> 00:07:00,729 they called it here at 620 it actually 144 00:07:05,339 --> 00:07:03,339 occurs at about 500 and here in the high 145 00:07:07,409 --> 00:07:05,349 functioning a DD it's at 750 146 00:07:09,029 --> 00:07:07,419 milliseconds and here it just barely 147 00:07:11,719 --> 00:07:09,039 starts to happen at nine hundred 148 00:07:14,909 --> 00:07:11,729 milliseconds so the beta synchronization 149 00:07:16,379 --> 00:07:14,919 which is event related to the task it 150 00:07:21,719 --> 00:07:16,389 ends up being delayed further and 151 00:07:25,799 --> 00:07:21,729 further by being less conscious this is 152 00:07:29,579 --> 00:07:25,809 a by spectral index you can see on the 153 00:07:32,070 --> 00:07:29,589 upper right this is a Parkinson's 154 00:07:35,610 --> 00:07:32,080 patient when neural networks are bound 155 00:07:38,369 --> 00:07:35,620 and don't unlock gamma becomes 156 00:07:41,670 --> 00:07:38,379 persistent it doesn't occur in a dynamic 157 00:07:43,829 --> 00:07:41,680 chirp it's on so gamma is not 158 00:07:49,399 --> 00:07:43,839 necessarily a good thing it in fact 159 00:07:58,649 --> 00:07:49,409 occurs in pathology as well the off OOP 160 00:08:01,350 --> 00:07:58,659 let's go back if you go back here the 161 00:08:04,699 --> 00:08:01,360 non 45 degree angle line flares here 162 00:08:07,110 --> 00:08:04,709 this is a control a patient this is a 163 00:08:09,570 --> 00:08:07,120 Parkinson's patient with a bound neural 164 00:08:12,570 --> 00:08:09,580 network that's locked not just bound but 165 00:08:15,629 --> 00:08:12,580 locked and it loses the dynamic gammas 166 00:08:20,369 --> 00:08:15,639 on it just stays on that's pathological 167 00:08:23,399 --> 00:08:20,379 and as you can see if you gather not 168 00:08:26,579 --> 00:08:23,409 with respect to parkinsonism but all 169 00:08:29,009 --> 00:08:26,589 patients and you end up displaying all 170 00:08:31,709 --> 00:08:29,019 patients of all categories here the 171 00:08:33,899 --> 00:08:31,719 average of all patients you get off 45 172 00:08:35,600 --> 00:08:33,909 degree angle line flaring here the 173 00:08:40,409 --> 00:08:35,610 average of all controls you end up 174 00:08:44,100 --> 00:08:40,419 mimicking this display so when you have 175 00:08:46,019 --> 00:08:44,110 pathology it's extraordinarily common to 176 00:08:48,900 --> 00:08:46,029 end up seeing the lack of neural network 177 00:08:54,110 --> 00:08:48,910 dynamic shown as a by spectral index 178 00:08:57,300 --> 00:08:54,120 flare that's not appropriate so 179 00:09:02,100 --> 00:08:57,310 consciousness ends up being spawned by a 180 00:09:04,350 --> 00:09:02,110 cross spectral interaction between the 181 00:09:07,439 --> 00:09:04,360 slow cortical potentials or DC field 182 00:09:10,829 --> 00:09:07,449 potentials and neural network dynamics 183 00:09:15,110 --> 00:09:10,839 of gamma and when those two are related 184 00:09:19,680 --> 00:09:15,120 you're conscious the implication here 185 00:09:21,750 --> 00:09:19,690 for our next speaker is we actually did 186 00:09:24,840 --> 00:09:21,760 a recording on bill doing some healings 187 00:09:27,990 --> 00:09:24,850 and the implication for the model here 188 00:09:31,139 --> 00:09:28,000 is if you're looking for stuff that 189 00:09:34,560 --> 00:09:31,149 might be happening during these trance 190 00:09:37,980 --> 00:09:34,570 personal interactions look for cross 191 00:09:40,410 --> 00:09:37,990 spectral events that are associated with 192 00:09:43,470 --> 00:09:40,420 whatever these changes are that are 193 00:09:47,040 --> 00:09:43,480 happening during the healing and in fact 194 00:09:51,720 --> 00:09:47,050 using the by spectral approach we looked 195 00:09:53,790 --> 00:09:51,730 for harmonics suggesting that the neural 196 00:09:56,569 --> 00:09:53,800 networks were activated in a different