WEBVTT - How Cerebral Palsy Works 0:00:00.120 --> 0:00:02.000 This episode of Stuff you Should Know is brought to 0:00:02.000 --> 0:00:04.760 you by square Space. Whether you need a landing page, 0:00:04.800 --> 0:00:08.119 a beautiful gallery, a professional blog, or an online store, 0:00:08.480 --> 0:00:11.200 it's all possible with a square Space website. And right now, 0:00:11.240 --> 0:00:13.000 listeners to Stuff you Should Know can start a free 0:00:13.000 --> 0:00:16.000 trial today. Just go to squarespace dot com and enter 0:00:16.040 --> 0:00:18.600 the offer code s t U f F and you'll 0:00:18.640 --> 0:00:21.640 get ten percent off your first purchase. Squarespace set your 0:00:21.720 --> 0:00:26.520 website apart. Welcome to you Stuff you Should Know from 0:00:26.600 --> 0:00:35.240 House Stuff Works dot com. Hey, and welcome to the podcast. 0:00:35.280 --> 0:00:38.560 I'm Josh Clark. There's Charles W. Chuck Bryan over there, 0:00:38.840 --> 0:00:42.520 and we've got guest producer Noel in the house. Uh 0:00:42.960 --> 0:00:49.559 throwing a sound effect? Noel, wait to go? Yeah? Um, 0:00:49.680 --> 0:00:52.880 I'm assuming he'll do that in post right, Uh yeah? 0:00:52.960 --> 0:00:57.000 Or maybe the sound effect is silence. Okay, that's a 0:00:57.160 --> 0:01:01.320 lack of sound effect. We'll find Know. It's like when 0:01:01.360 --> 0:01:03.320 you're a little kid and you'd have just a blank canvas. 0:01:03.360 --> 0:01:04.880 You'd be like, look, I did a picture of a 0:01:04.880 --> 0:01:09.039 snowman in a snowstorm. I never did that. Smarty smart, 0:01:08.920 --> 0:01:11.600 a little smart alec kid gets what's coming to him, 0:01:12.959 --> 0:01:17.440 you know, So, Chuck, do you remember we did a 0:01:17.480 --> 0:01:21.280 trivia night like years ago on the roof of Five 0:01:21.360 --> 0:01:25.440 Seasons Brewery in Atlanta. Yeah, I remember. Hodgman was there, 0:01:25.560 --> 0:01:29.960 Buddy Joe Randazzo, Dave Willis was on our All Star team. 0:01:30.480 --> 0:01:32.800 David just looking around like, what's going on? Who are 0:01:32.800 --> 0:01:35.400 you guys? Why do they care about you? My publicist 0:01:35.440 --> 0:01:38.640 said I should come to this. Um that was fun night. 0:01:38.800 --> 0:01:43.200 It was. There's a dude there and he had cerebral palsy. 0:01:43.480 --> 0:01:46.039 His name was Kyle pas I remember him. You remember 0:01:46.080 --> 0:01:49.639 Kyle kps is what he goes by. And and again 0:01:49.680 --> 0:01:52.600 this is what maybe like five years ago, four years ago, 0:01:52.760 --> 0:01:56.240 maybe six six, Okay, it was a while ago. Um. Well, 0:01:56.400 --> 0:01:58.280 Kyle was like, you guys should totally do one on 0:01:58.320 --> 0:02:02.400 cerebral policy. We're like, we totally he should, and we didn't. Well, 0:02:02.400 --> 0:02:05.280 I ran into Kyle again when you, me and I 0:02:05.360 --> 0:02:08.919 were going to visit a Laurel and Braden's baby at 0:02:08.919 --> 0:02:13.720 the hospital because he volunteers at Pimont Hospital. Yes, and 0:02:13.760 --> 0:02:15.960 I was like, you look really familiar and he's like, 0:02:16.040 --> 0:02:18.600 so do you, and I remembered we'd never done one 0:02:18.600 --> 0:02:21.000 on cerebral palsy. Even though we totally said we would. 0:02:21.080 --> 0:02:23.760 So I was like, he was like, yeah, he didn't 0:02:23.760 --> 0:02:27.640 even say anything. He just looked at me his head. Um. No, 0:02:27.800 --> 0:02:29.960 he was super cool about it. He's a cool cat. 0:02:30.000 --> 0:02:34.320 Actually he's he's he's a cool guy. Kyle Um actually 0:02:34.360 --> 0:02:39.080 does iron Man competitions with his brother who like wheels 0:02:39.120 --> 0:02:41.839 them along and his wheelchair. They did the New York 0:02:41.880 --> 0:02:45.760 Marathon Um and one of the wheels came off of 0:02:45.840 --> 0:02:50.760 Kyle's wheelchair and yeah, like the wheel right, So his 0:02:50.880 --> 0:02:53.960 brother is like this kind of like helping move along 0:02:53.960 --> 0:02:57.399 and think holding up the axle and U some other 0:02:57.480 --> 0:03:00.640 people said, you know what, we don't need to make time, 0:03:00.639 --> 0:03:03.120 will just help with this. So like a bunch of 0:03:03.160 --> 0:03:06.800 like strangers helped get Kyle across the finish line with 0:03:06.840 --> 0:03:08.400 his brother. That would have been me. I would have 0:03:08.400 --> 0:03:11.200 been like, why am I running with anything? Anyway, I'll 0:03:11.200 --> 0:03:15.440 just be a good guy. Uh. That is amazing. And 0:03:15.480 --> 0:03:17.400 you see that. You saw it recently in the Olympics 0:03:17.880 --> 0:03:24.680 when athletes will forego their own race to help another. Yeah, 0:03:24.919 --> 0:03:27.760 that stuff just slays me. Or if they're qualifying and 0:03:27.880 --> 0:03:29.959 like the first three or the first five across the 0:03:30.000 --> 0:03:33.799 finish line, um go on to the next race. Um, 0:03:34.160 --> 0:03:37.080 they'll slow up and like finish at the same time 0:03:38.240 --> 0:03:42.520 Jerky noses out in front, right, So yeah, yeah, it's 0:03:42.560 --> 0:03:45.560 pretty cool to see that that kind of spirit, right yeah. Man. 0:03:45.760 --> 0:03:49.040 So anyway, Kyle Peas, it's got his own foundation. I 0:03:49.120 --> 0:03:51.640 think it's Kyle Peas dot org or Kyle Peace Foundation. 0:03:51.840 --> 0:03:54.839 Probably should looked it up, but this one's for Kyle. Yeah, 0:03:54.920 --> 0:03:56.680 and you can google that if you want to look 0:03:56.720 --> 0:03:59.920 into his foundation more. Yeah. So we're talking cerebral paul 0:04:00.040 --> 0:04:03.240 you right, Yes, And it's something that like I've always 0:04:03.360 --> 0:04:07.120 known about. I've known people with cerebral palsy like I 0:04:07.400 --> 0:04:09.640 I it's just something you know about. But I had 0:04:09.720 --> 0:04:12.680 no idea what was going on with the condition, and 0:04:12.720 --> 0:04:14.280 as a matter of fact, I just assumed it was 0:04:14.320 --> 0:04:18.120 one specific thing. But it turns out that cerebral palsy 0:04:18.560 --> 0:04:22.279 is actually UM basically an umbrella term for a bunch 0:04:22.320 --> 0:04:25.920 of different conditions that stem from a bunch of different 0:04:26.800 --> 0:04:31.800 um origins. I guess, yeah, causes causes, that was the 0:04:31.800 --> 0:04:35.920 word I was looking for. It's not a disease, UM, 0:04:36.000 --> 0:04:40.160 and the cause is always a brain injury of some 0:04:40.240 --> 0:04:43.039 kind that affects your movement. Yeah, but there can be 0:04:43.080 --> 0:04:45.200 all kinds of ways, and we're going to get into 0:04:45.240 --> 0:04:49.000 all that obviously. And actually you can develop cerebral palsy 0:04:49.160 --> 0:04:52.159 from a disease, but like you said, cerebral p itself 0:04:52.240 --> 0:04:56.000 is not a disease. H. If you just off the cuff, 0:04:56.160 --> 0:05:00.880 not off the cuff, but at the outset cause stats 0:05:03.480 --> 0:05:05.719 about eight Well I was I was gonna say off, 0:05:05.960 --> 0:05:08.239 you know it, just starting out with some stats instead 0:05:08.240 --> 0:05:10.560 of finishing out but off the cuff. Something makes it 0:05:10.560 --> 0:05:13.320 sound like I'm making this up right, right, it's not 0:05:13.360 --> 0:05:17.000 true about eight thousand children a year or born with 0:05:17.040 --> 0:05:21.800 it every year. Yeah, and I got this from a 0:05:21.839 --> 0:05:25.359 Canadian sight, so you know that's good. Yeah, there's legit. Uh. 0:05:25.520 --> 0:05:29.479 They say it's the most common childhood physical disability, affecting 0:05:29.800 --> 0:05:33.359 about two point five of every one thousand live term 0:05:33.360 --> 0:05:37.040 births in twenty two out of every one thousand live 0:05:37.240 --> 0:05:40.880 premature births, and it affects more boys than girls. Yeah. 0:05:40.880 --> 0:05:45.040 I saw premature births in particular um have a higher 0:05:45.080 --> 0:05:48.640 incidence of cerebral palsy. And I didn't know if it 0:05:48.720 --> 0:05:51.080 was the cerebral palsy caused premature birth, but then I 0:05:51.120 --> 0:05:52.800 read it a little more in depth and saw that 0:05:53.240 --> 0:06:00.839 actually premature birth is a risk factor for developing cerebral policy. Yes, exactly. Uh, 0:06:01.160 --> 0:06:03.440 but with that broadly defined, let's you want to jump 0:06:03.480 --> 0:06:06.920 back into a little bit of history. Let's go back 0:06:07.600 --> 0:06:18.440 way back in yeah, way back to eighteen fifty three 0:06:18.480 --> 0:06:23.479 in fact, with Dr John Little Ums it's hard at work. Yeah, 0:06:23.680 --> 0:06:27.120 in the same country as Dr Little Doctor Little This 0:06:27.160 --> 0:06:30.760 guy was a good dude. He was as a kid, 0:06:30.880 --> 0:06:33.240 he was afflicted with a lot of illnesses and he 0:06:33.279 --> 0:06:34.880 basically grew up to say, like, you know what, that 0:06:35.080 --> 0:06:37.760 was no fun, and so what I'm gonna do is 0:06:37.760 --> 0:06:40.640 dedicate my life to to discovering the causes of some 0:06:40.680 --> 0:06:44.200 of these things. Although he didn't have some reberal palsy. Um. 0:06:44.240 --> 0:06:47.359 He started working in the eighteen thirties, uh, in his 0:06:47.480 --> 0:06:51.880 first kind of UM. I guess the first way that 0:06:51.880 --> 0:06:53.760 he was actually on the really the right track was 0:06:53.800 --> 0:06:58.640 he started doing lectures on birth injuries, which will find out, 0:06:58.720 --> 0:07:01.120 as you know, birth injury can be a way that 0:07:01.160 --> 0:07:03.640 you can get cerebral palsy. So that's where he was 0:07:03.680 --> 0:07:06.559 on the right track at first. But to him, birth 0:07:06.600 --> 0:07:09.680 injury was the only way to get cerebral palsy. And 0:07:09.720 --> 0:07:12.960 the only way that you could get cerebral palsy from 0:07:12.960 --> 0:07:16.040 a birth injury was if you were asphyxiated while you 0:07:16.080 --> 0:07:19.720 were being born, correct, which happened and happens right, So 0:07:19.760 --> 0:07:22.400 he was right, right. But it turns that the um 0:07:22.560 --> 0:07:24.760 that was too narrow of an umbrella that he came 0:07:24.840 --> 0:07:27.520 up with. Yeah, and he did these lectures, these really 0:07:27.560 --> 0:07:31.119 influential lectures that he later published called on the Nature 0:07:31.160 --> 0:07:34.840 and Treatment of the Deformities of the Human Frame, and 0:07:35.000 --> 0:07:38.000 um it wasn't called cerebral palsy at the time though, 0:07:38.040 --> 0:07:44.040 in fact, they called it Little's disease. He was like, oh, yeah, okay. 0:07:44.080 --> 0:07:46.360 A lot of the diseases originally had the doctor's name, 0:07:46.360 --> 0:07:49.920 and some of them kept those yeah, you know, like 0:07:50.520 --> 0:07:55.160 cop Cross syndrome, remember that one? Yeah, was that named 0:07:55.160 --> 0:07:58.520 after Arnold Copcross? Did you just make that up? I 0:07:58.600 --> 0:08:01.440 made up the first name, but it was the name. 0:08:02.880 --> 0:08:07.840 And morgellons more Gelan's which way do you say it? 0:08:07.880 --> 0:08:10.040 You just confused to say you can't even remember now, 0:08:10.280 --> 0:08:13.840 Morglon sounds right, but you were saying it because you 0:08:13.880 --> 0:08:17.200 were poking fun at me. I think perhaps you don't 0:08:17.200 --> 0:08:19.320 even remember now I think I do. I'll just have 0:08:19.400 --> 0:08:21.640 to go back and listen the episode because it's documented. 0:08:22.560 --> 0:08:26.160 Uh seven is when the term was actually coined by 0:08:26.400 --> 0:08:30.360 Sir William Ostler, who wrote Cerebral Policies of the Children. 0:08:30.360 --> 0:08:32.240 It was a book and he used a lot of 0:08:32.320 --> 0:08:36.600 Little's work UM or built upon Little's work and finally 0:08:36.600 --> 0:08:41.080 gave it you know, that lasting name. Yeah, but he 0:08:41.160 --> 0:08:46.200 was the only one that was very famous Austrian. Yeah, 0:08:46.400 --> 0:08:50.160 doctor Freud, Yeah, Freud got it right. Freud had some 0:08:50.280 --> 0:08:55.599 theories that UM, that cerebral palsy could be developed or 0:08:55.640 --> 0:08:59.000 it could be the result of something that happened during 0:08:59.720 --> 0:09:03.920 UM before birth in the mood. Yeah, during development, that's 0:09:03.960 --> 0:09:07.800 what I was looking for. UM. And everyone's like, Freud, 0:09:08.000 --> 0:09:11.280 go back to your cigars and your mother fixation and 0:09:11.320 --> 0:09:14.480 all that. Just leave this to us, including Little. Like 0:09:14.520 --> 0:09:17.000 they got a little contentious at times. Yeah, a lot 0:09:17.160 --> 0:09:21.400 of contentious for two doctors, that is. Yeah, UM and 0:09:21.559 --> 0:09:24.640 uh Freud said, do you take the cigar and you 0:09:24.679 --> 0:09:28.080 stick it where the sun don't shine? Maybe so. Uh 0:09:28.160 --> 0:09:31.240 So it turns out Freud was right the UM, but 0:09:31.360 --> 0:09:35.520 everyone just kind of ignored him until like the first 0:09:35.559 --> 0:09:40.480 study that really looked at cerebral palsy and the development 0:09:40.520 --> 0:09:44.240 of cerebral palsy from a birth injury, an injury that 0:09:44.320 --> 0:09:48.840 occurred during birth. So would that be perinatal. Isn't that 0:09:49.000 --> 0:09:53.400 during birth? Neo natal's right after birth, perinatals during right, 0:09:53.600 --> 0:09:58.120 So a perinatal injury developing cerebral palsy. Everyone thought it 0:09:58.120 --> 0:10:00.840 was a of the cause. It's turns out it's like 0:10:00.880 --> 0:10:04.560 ten percent or less, something like five to of births 0:10:04.640 --> 0:10:08.360 or of cases of cerebral palsy come from being injured 0:10:08.400 --> 0:10:11.080 while you're you're being born. And there's all sorts of 0:10:11.080 --> 0:10:13.320 ways you can be injured. Some can happen naturally, like 0:10:13.360 --> 0:10:16.000 if you come out breached, UM, if you get stuck 0:10:16.000 --> 0:10:18.920 in the birth canal too long, if the doctor is 0:10:18.960 --> 0:10:21.200 a little too heavy handed with the four steps, which 0:10:21.240 --> 0:10:24.720 is like a horrific thing that can happen. UM. You 0:10:25.000 --> 0:10:28.480 can also have a prolapsed umbilical cord where it comes 0:10:28.480 --> 0:10:31.320 out before the baby. UM. You can have the umbilical 0:10:31.360 --> 0:10:34.320 cord wrap around your neck, and any one of these 0:10:34.360 --> 0:10:37.199 things can cut off the blood supply to your brain 0:10:37.720 --> 0:10:40.840 or the oxygens supply to your brain, which are effectively 0:10:40.920 --> 0:10:43.920 one and the same and either way, your little tiny 0:10:43.960 --> 0:10:47.040 brain is like, oh, well, this region's going down because 0:10:47.320 --> 0:10:50.720 I was just as fixiated for a little while. Yeah. 0:10:50.800 --> 0:10:54.760 So his work was later, you know, verified, um after 0:10:54.840 --> 0:11:00.160 his death. When did Freud die? Uh? Yeah, it was 0:11:02.160 --> 0:11:05.840 that'd be pretty cool c Freud and a member's only jacket. Yeah. 0:11:06.640 --> 0:11:08.640 I could see him really living it up in the 0:11:08.679 --> 0:11:12.880 Disco area, so he would have been at Studio fifty four. Yeah. Yeah, 0:11:13.040 --> 0:11:16.559 and like yeah, uh. A couple of other folks who 0:11:16.559 --> 0:11:19.200 have made a name for themselves by doing a lot 0:11:19.200 --> 0:11:23.199 of great work. Leonard and Isabel Goldenson. Their daughter had 0:11:23.200 --> 0:11:27.880 cerebral palsy and uh she uh they basically dedicated their 0:11:27.880 --> 0:11:30.000 life to it for that reason, to learn more about it, 0:11:30.600 --> 0:11:33.200 and um, sadly she passed away at the age of 0:11:33.200 --> 0:11:36.720 twenty nine. And they founded co founded the United uh 0:11:36.840 --> 0:11:41.600 Cerebral Palsy Association in ninety and they are a really 0:11:41.600 --> 0:11:45.200 big organization now s this year the fifth largest health 0:11:45.480 --> 0:11:49.960 agency in the United States. Uh. And then in the jeez, 0:11:50.000 --> 0:11:52.560 I don't remember the year, but there were some very 0:11:52.600 --> 0:11:57.559 famous books written by a woman named Marie uh Khalilia. 0:11:58.840 --> 0:12:02.000 So how we're going to say it. I would have said, Kilalia, 0:12:02.120 --> 0:12:06.880 but Killala if you want to go Hawaiian, gotcha? Uh. 0:12:06.920 --> 0:12:09.680 They she wrote a book, a couple of very famous 0:12:09.679 --> 0:12:12.679 books on the bestseller list, one called Karen and one 0:12:12.720 --> 0:12:16.480 called With Love from Karen that really captured the attention 0:12:16.480 --> 0:12:18.920 of uh, the United States at large. And they were 0:12:18.920 --> 0:12:23.840 about her daughter's struggle with cerebral palsy. Yeah, and um, 0:12:23.960 --> 0:12:29.440 she Karen is still alive today. Oh yeah, She's in 0:12:29.440 --> 0:12:31.800 her seventies and is very private and I think works 0:12:31.840 --> 0:12:36.319 as as a secretary at a monastery or something that 0:12:36.440 --> 0:12:38.719 is extremely private, something like that you want to you 0:12:38.760 --> 0:12:41.280 want to keep to yourself. I'd have to put up 0:12:41.280 --> 0:12:43.760 with any chitch at work. That is where you can 0:12:43.800 --> 0:12:48.960 get a job probably, so um secluded existence. Right, So 0:12:49.280 --> 0:12:52.760 the those I guess you'd call him civilians, non doctors, 0:12:53.280 --> 0:12:56.600 UM helped to really kind of expand public awareness of 0:12:56.640 --> 0:12:59.199 cerebral policy. Is the impression I have, right, Yeah, and 0:12:59.240 --> 0:13:03.880 those books especially, Um, should we take a break. Let's 0:13:03.880 --> 0:13:05.680 take a break, man, all right, We'll take a break 0:13:05.679 --> 0:13:08.240 and we'll get into some of the causes right after this. 0:13:26.559 --> 0:13:29.280 All right, before we broke, you said we were talking 0:13:29.280 --> 0:13:32.920 about Freud and his um while we were talking about 0:13:33.800 --> 0:13:38.200 childbirth injuries being actually accounting for a fairly small amount. 0:13:39.360 --> 0:13:41.959 But they used to think because of Dr John Little, 0:13:42.000 --> 0:13:44.240 that it was like that was the cause of ceret 0:13:45.080 --> 0:13:49.080 uh secent at the time. Freud was right, yeah. And 0:13:49.120 --> 0:13:55.479 you would think also that doctors, especially um pediatric doctors, 0:13:56.240 --> 0:13:59.079 the ones who are doing the deliveries, would be like, yeah, yeah, 0:13:59.160 --> 0:14:03.880 Freud's right, it's definitely not birth injury, like the obstitrician right. 0:14:04.559 --> 0:14:07.280 They'd like, it's something else that's happening during pregny. It's 0:14:07.280 --> 0:14:13.400 not us. But they didn't. They took it. You never know, well, 0:14:13.440 --> 0:14:16.160 at the very least it didn't. It didn't happen. And 0:14:16.160 --> 0:14:20.200 if you look up, if you look up cerebral palsy 0:14:20.400 --> 0:14:24.600 caused by doctor error, like the first eight pages of 0:14:24.600 --> 0:14:28.920 Google are nothing but articles on law firm sites, like 0:14:29.000 --> 0:14:32.760 every single one. Some of them seem like pretty like 0:14:32.840 --> 0:14:37.240 well researched articles, well written, but all of them are 0:14:37.600 --> 0:14:40.120 law firm sites. So like and and by the way, 0:14:40.200 --> 0:14:43.280 give us a call. Well it's funny later we'll talk 0:14:43.320 --> 0:14:48.280 about this later. But with uh stem cell therapy, I 0:14:48.320 --> 0:14:50.080 looked into that some more because it's hard to get 0:14:50.120 --> 0:14:53.480 accurate information on that, because the first five pages of 0:14:53.520 --> 0:14:58.480 Google are all about companies that offer trying to get 0:14:58.520 --> 0:15:01.240 money to do stem cell therapy. You kind of had 0:15:01.240 --> 0:15:05.680 to wade through that to get to actual facts. So 0:15:06.000 --> 0:15:08.040 I just I have so many questions that well, we'll 0:15:08.040 --> 0:15:11.920 get to that later on. Um. And then the remaining 0:15:12.040 --> 0:15:17.120 what do we say is during pregnancy, five, during child 0:15:17.120 --> 0:15:21.120 birth injury wise, and then the remaining cases, as we'll 0:15:21.120 --> 0:15:23.880 see are after birth up to the age of two 0:15:23.960 --> 0:15:27.400 or three. Well, we'll get to the reasons why. So 0:15:27.600 --> 0:15:30.480 during pregnancy, there's a lot of stuff that can happen, 0:15:30.560 --> 0:15:35.600 but typically, um, you're you. You are either the baby 0:15:35.720 --> 0:15:41.080 comes down with a disease or an injury, or um, 0:15:41.120 --> 0:15:46.120 the mother has a disease that affects the baby's development. Right. Yeah, 0:15:46.200 --> 0:15:49.280 it could be a condition and infection and disease. We've 0:15:49.280 --> 0:15:53.240 talked about toxoplasmosis. Yeah, why you shouldn't change out the 0:15:53.240 --> 0:15:56.960 cat litter if you're pregnant, right. Uh, toxoplasmosis can lead 0:15:57.000 --> 0:16:00.600 to your baby being born with three bow policy. Uh 0:16:00.640 --> 0:16:04.360 and uh. Rubella used to be a big problem and 0:16:04.400 --> 0:16:08.520 a huge cause of um cerebral palsy until they developed 0:16:08.520 --> 0:16:10.880 the vaccine for it, that's right? What is it? Musle 0:16:11.040 --> 0:16:14.160 momps rubella MMR. Wasn't there a good band like that 0:16:14.280 --> 0:16:18.120 called m m R? No, you would know. I think 0:16:18.160 --> 0:16:20.120 there was. As a matter of fact, I know there was. 0:16:20.480 --> 0:16:22.920 I'm just not that familiar with His eyes darted at 0:16:22.960 --> 0:16:28.840 you as if to say, did he just say my name? Uh? 0:16:29.320 --> 0:16:35.360 He still hasn't acknowledged us. That's all right? Um? What else? Epilepsy? Um, 0:16:35.480 --> 0:16:37.800 diabetes and epilepsy. If your mother has that, they have 0:16:38.120 --> 0:16:40.840 higher chance, higher risk of having a baby with the 0:16:40.960 --> 0:16:44.960 CP right, and all of these things have um a 0:16:45.000 --> 0:16:49.160 couple of different effects like or there's different different effects 0:16:49.160 --> 0:16:54.400 that these diseases or injuries can have on the baby's development. 0:16:54.840 --> 0:16:58.760 For for starters, when you are building your tiny little 0:16:58.760 --> 0:17:01.960 brain in the womb, it starts out as you start out, 0:17:02.080 --> 0:17:06.240 is just a single cell, right, that starts dividing fertilized 0:17:06.280 --> 0:17:11.600 cell that starts going haywire, but not haywire, haywire in 0:17:11.600 --> 0:17:15.560 a very structured manner. Okay, Um, Well, eventually it gets 0:17:15.600 --> 0:17:18.760 to the neural tube. And the neural tube is this 0:17:18.880 --> 0:17:23.080 little uh roly poly cluster of cells that on one 0:17:23.160 --> 0:17:25.399 end develops into the brain. And then the other end 0:17:25.440 --> 0:17:28.440 develops into the spinal cord. And then as it's developing, 0:17:28.680 --> 0:17:31.560 the cells divide more and more and they actually become specialized, 0:17:31.560 --> 0:17:34.600 and they migrate to the root, to these different areas 0:17:34.640 --> 0:17:37.160 of the brain and make up different parts of the brain, 0:17:37.520 --> 0:17:40.680 different reasons of the brain. Right if at any point 0:17:41.080 --> 0:17:44.040 any of that gets messed up, where there's like a 0:17:44.200 --> 0:17:47.360 problem with the migration or some of the cells don't 0:17:47.400 --> 0:17:51.760 develop correctly, they there seems to be a pattern that 0:17:51.840 --> 0:17:56.520 they can follow where parts of the brain that direct 0:17:57.040 --> 0:18:01.360 movement in the muscles have they they tend to cluster 0:18:01.960 --> 0:18:04.280 in a um in a in a way that that 0:18:04.359 --> 0:18:07.520 gets affected with another place more than other ways. And 0:18:07.600 --> 0:18:09.680 that's and they don't know when policy, No, they don't, 0:18:09.760 --> 0:18:11.719 which is a pretty big mystery. You'd think would be 0:18:11.760 --> 0:18:15.280 like just a random roll of the dice, what you know, 0:18:15.400 --> 0:18:18.879 what was affected by these different conditions and diseases and injuries. 0:18:18.960 --> 0:18:21.159 But it does seem to kind of fall on the 0:18:21.160 --> 0:18:26.320 spectrum toward um the conditions that make up cerebral palsy. 0:18:26.520 --> 0:18:28.760 It's really interesting, it is, it's it's odd and and 0:18:28.760 --> 0:18:31.399 again they have no idea why. Hopefully they will one 0:18:31.480 --> 0:18:34.720 day well, I wonder if it you know, there would 0:18:34.720 --> 0:18:36.280 just be a different condition if it was in a 0:18:36.320 --> 0:18:39.719 different area to bring though, you know, you know that mean, 0:18:39.720 --> 0:18:41.800 does that make any sense? Yeah, no, it does. But 0:18:43.359 --> 0:18:45.399 and then maybe there are conditions out there there we 0:18:45.520 --> 0:18:48.239 just aren't aware of, but everybody else knows about that. 0:18:48.400 --> 0:18:51.400 It is like, oh, if you're if you're um, your 0:18:51.480 --> 0:18:54.720 neurons don't migrate in this way, you have this condition. 0:18:54.760 --> 0:18:56.959 If they don't migrate in this way, you have cerebral palsy. 0:18:57.320 --> 0:18:59.679 I see what you're saying. Uh, So there are some 0:18:59.720 --> 0:19:03.960 pre that see specific conditions that can cause cp UM 0:19:04.000 --> 0:19:08.280 once called uh preclampsia, and that's when you it's a 0:19:08.320 --> 0:19:11.440 disorder that causes high blood pressure and the mother that's 0:19:11.480 --> 0:19:13.720 going to affect the blood flow to the umbilical cord. 0:19:13.920 --> 0:19:16.639 And again all this goes it all goes back to 0:19:16.680 --> 0:19:20.440 the same problem, which is the baby are developing fetus 0:19:20.480 --> 0:19:25.320 not getting enough blood and oxygen. Yeah, or the neurons 0:19:25.320 --> 0:19:27.919 didn't migrate to the right way there was either a 0:19:27.920 --> 0:19:32.080 problem with development or the developed cells were starved of oxygen. 0:19:32.640 --> 0:19:35.399 And then apparently when that happens, they form holes in 0:19:35.440 --> 0:19:38.760 the brain holes fill with water. And then get covered 0:19:38.760 --> 0:19:42.640 over and they become cysts. Yeah that's allegion, man. Yeah, 0:19:42.800 --> 0:19:48.080 so sad. We talked about our h factor and compatibility 0:19:48.080 --> 0:19:52.680 in our blood podcasts, which is one of our good ones. Yeah, 0:19:52.960 --> 0:19:54.920 the blood one. Yeah, oh yeah, I love that one. 0:19:54.960 --> 0:19:57.399 But um, if that happens when the mother's blood type 0:19:57.480 --> 0:20:01.399 is uh not compatible with the with the babies, uh, 0:20:01.520 --> 0:20:04.520 that can result in jaundice. Jaundice can lead if it's 0:20:04.560 --> 0:20:07.159 severe enough and they don't get the good treatment, that 0:20:07.200 --> 0:20:10.159 can lead to a certain kind of brain damage that 0:20:10.200 --> 0:20:15.960 we're called uh cause CP, it's called cronic terrorists. I'm 0:20:15.960 --> 0:20:18.479 gonna go with a silent C on that one. I'm 0:20:18.520 --> 0:20:22.440 gonna make it a hard see cronic. I know we 0:20:22.440 --> 0:20:26.240 we sometimes look these things up. I don't want to, no, 0:20:26.720 --> 0:20:29.160 I'm just saying, uh, I've tried to get better about 0:20:29.160 --> 0:20:33.679 looking at pronunciations. Um. And we've had offers from people 0:20:33.680 --> 0:20:36.160 in the medical field. Ye like give me an email, 0:20:36.200 --> 0:20:39.520 I'll let you know. But it's become part of our show. 0:20:39.600 --> 0:20:45.879 No disrespect intended. Uh. And we already talked about birth injury, 0:20:45.920 --> 0:20:50.639 which is one of the in the five percent range. Yeah, 0:20:50.760 --> 0:20:52.840 five five to ten percent, right, Yeah, what I say. 0:20:54.200 --> 0:20:58.040 I mean, you're in there part about fifty of all 0:20:58.160 --> 0:21:03.480 kids was born with ribal palsy were born prematurely. Right, 0:21:03.520 --> 0:21:08.280 there's that premature birth being a risk factor for cerebral policy. Yeah, exactly, 0:21:08.520 --> 0:21:10.560 it's so. Yeah, it's not the other way around, right, 0:21:10.560 --> 0:21:13.680 But the article on the site makes it. It seems 0:21:13.720 --> 0:21:15.600 like it's it is the other way around the way 0:21:15.600 --> 0:21:21.360 the sentence is structured. Yeah, I agree. Um, but you can, 0:21:21.600 --> 0:21:25.080 like we mentioned, um and and it's all very sad, 0:21:25.119 --> 0:21:28.919 but you can have a great birth, completely healthy baby, 0:21:29.000 --> 0:21:31.880 and then you can get cerebral palsy due to an 0:21:31.880 --> 0:21:36.359 injury at the age of like two, or if you 0:21:36.400 --> 0:21:39.159 almost drowned, or if you choke on something that that 0:21:39.240 --> 0:21:44.760 oxygen is interrupted, you can acquire I guess it's a quire. Yeah, 0:21:44.840 --> 0:21:47.679 it would that would be a choir uh CP, you know, 0:21:47.800 --> 0:21:52.480 as late as three years old. And the reason why 0:21:52.520 --> 0:21:56.480 it doesn't you can't acquire cerebral palsy at age twenty 0:21:56.600 --> 0:22:00.000 or something like that because your brain's developed by that. Yeah. 0:22:00.000 --> 0:22:02.720 I think your brain is fully developed by three to 0:22:02.800 --> 0:22:06.520 five years after you're born, so you wouldn't. You would 0:22:06.600 --> 0:22:10.520 just have I guess a certain level of brain damage, 0:22:10.520 --> 0:22:13.440 it wouldn't qualify as cerebral palsy. And the reason why 0:22:13.520 --> 0:22:19.800 it wouldn't qualify cerebral policies because cerebral palsy describes the 0:22:19.840 --> 0:22:24.879 symptoms basically of a specific type of brain damage that 0:22:25.000 --> 0:22:29.280 occurs during the brain's development, and again it affects the 0:22:29.359 --> 0:22:32.040 muscles in their movement and control of it. Yeah. The 0:22:32.080 --> 0:22:34.359 other couple of ways, um that you can get it 0:22:34.440 --> 0:22:40.480 through injury after birth or meningitis. And then the satising 0:22:40.560 --> 0:22:43.880 on earth shaking baby syndrome, which we need to do 0:22:44.040 --> 0:22:49.040 a whole episode on that. That's a very controversial, UM thing. 0:22:49.840 --> 0:22:52.479 Controversial how there's there's a lot of people out there 0:22:52.560 --> 0:22:55.120 say it's not a real thing, that people are being 0:22:55.119 --> 0:22:58.720 put in prison for something based on junk science. Interesting, Yeah, 0:22:58.800 --> 0:23:02.880 there's a um some somebody, some group of people made 0:23:02.880 --> 0:23:05.800 a documentary about it, and they offered to send us 0:23:05.840 --> 0:23:09.239 a link to it to watch it privately. What I mean, 0:23:09.280 --> 0:23:11.840 obviously they're not saying shaking her baby is fine. They're 0:23:11.840 --> 0:23:14.159 just saying it doesn't lead to brain damage. No. I 0:23:14.160 --> 0:23:16.880 think they're saying like there isn't a there isn't so, yeah, 0:23:16.920 --> 0:23:19.240 there isn't such a thing. As this shaking baby syndrome. 0:23:19.359 --> 0:23:21.200 I don't know what the documentarians are saying because I 0:23:21.200 --> 0:23:23.720 haven't seen the documentary, but I have read other articles 0:23:23.720 --> 0:23:26.440 about it. Um Man, I wish I could remember the 0:23:26.520 --> 0:23:29.119 name of it. I'll tweet it or something like that. 0:23:29.160 --> 0:23:33.879 But there there's this um really great long form article 0:23:33.960 --> 0:23:38.000 about this couple I think in Dallas who's baby like 0:23:38.720 --> 0:23:42.960 injured himself and the dad just the E M. T. 0:23:43.119 --> 0:23:45.440 S came in and thought that the house the scene 0:23:45.440 --> 0:23:47.520 looked kind of weird and didn't like the way the 0:23:47.600 --> 0:23:49.280 dad was acting, and all of a sudden, the guys 0:23:49.320 --> 0:23:56.480 in prison now for years because he was convicted of right. 0:23:56.560 --> 0:23:59.520 I thought you were saying that people contend to contend 0:23:59.640 --> 0:24:02.639 that shaking your baby like that can't lead to uh, 0:24:02.840 --> 0:24:06.360 these kinds of injuries and brain damage. I think some 0:24:06.400 --> 0:24:11.040 people do. I think some people are saying, like, like, weird, 0:24:11.520 --> 0:24:16.919 shaking baby syndrome is not an actual thing. Interesting. Yeah, 0:24:17.040 --> 0:24:18.720 well that's what I'm saying. We need to do a 0:24:18.760 --> 0:24:20.280 whole episode. I have to look in at that. My 0:24:20.280 --> 0:24:24.400 gut reaction is it's child abuse. Affecting the baby's head 0:24:25.320 --> 0:24:34.520