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  • - Hey friends, welcome back to the channel.

  • If you're new here, my name is Ali,

  • I'm a doctor working in Cambridge.

  • And in this video I wanna share with you

  • the study method, study

  • framework, that one of my closest friends used to rank

  • consistently in the top three in medical school,

  • and sometimes even rank one in certain subjects.

  • And he's a medical student at Cambridge University,

  • which is one of the most competitive

  • medical schools in the world.

  • We're gonna split this video up into three parts.

  • Firstly, I'll talk about what the method is

  • and how it works.

  • Then we'll talk a little bit about the evidence behind it,

  • like, why it works, the learning theory

  • behind why this method is amazing.

  • And finally, we'll go into the method in much more detail.

  • And I'll be showing you, using some examples

  • on different apps, about how you can incorporate this method

  • into your own study life.

  • (soft music)

  • Okay so,

  • the method is as follows.

  • Basically, instead of ever writing any notes,

  • instead of ever trying to summarize content

  • from lectures or textbooks, what my friend Aseyd did,

  • is that all he did was just write a ton of questions

  • for himself and then when he was revising,

  • he would just go over those questions over and over again.

  • And after a handful, maybe like three or four repetitions

  • of these questions, he pretty much knew everything

  • and every subject inside out.

  • So how does this work?

  • Let's hop into the laptop, as they say,

  • and I'll show you, these were the documents

  • that he made for each of the subjects.

  • So we've got HOM, which is physiology.

  • We've got MIMS, which is biochemistry.

  • And we've got anatomy, which is anatomy.

  • So let's start with HOM, which is physiology.

  • So essentially, he's gone through the lecture notes

  • and through a textbook alongside,

  • and he's basically converted everything into questions.

  • So the first lecture was about cell membranes and stuff,

  • so his question is,

  • what are some roles of the cell membrane?

  • Then it was about control systems.

  • When is ballistic control good and what's an example?

  • Let's scroll down a bit to, what's another topic?

  • So we've got muscles as another topic.

  • What does the size of a motor unit determine?

  • What is the kinetic state diagram for this?

  • Why is there a constant isometric force

  • below 2.2 to 2.0 microns?

  • Basically, a ton of questions, so 60 questions for muscles.

  • For cardiology, we've got, how many questions is this?

  • Wow, this is a lot of questions, my god.

  • This is how you rank first in medical school.

  • Whoa, 216 questions for cardiology,

  • he was a bit of a cardiology nerd.

  • So he kinda fleshed out the lecture notes

  • with some information from textbooks.

  • But again, never made any notes from the textbooks,

  • all he did was just write questions for himself.

  • More stuff, respiratory, questions from the lecture notes,

  • 100 plus, 158, quick questions about the kidneys.

  • And as you can see, he's basically got an entire,

  • like 37-page Google Doc/Word doc,

  • literally just filled with questions.

  • He hasn't wasted any time in making notes

  • and in summarizing, all he's done

  • is just write questions for himself.

  • And the idea is that he's done this for every subject,

  • and then when he's sitting down to study,

  • he decides in advance or like on the day,

  • what subject he wants to study that day.

  • So let's say he's doing, I don't know, anatomy,

  • and he wants to revise the upper limb.

  • Then what he's gonna do, he's gonna open up

  • his upper limb document, and all he's gonna do

  • is he's gonna go through the questions one-by-one

  • and ask himself if he can feasibly answer

  • those questions in his head.

  • He doesn't really write anything down, he just, sort of,

  • tries to answer them out loud or in his head.

  • So how does the median cubital vein run?

  • Oh god, I can't remember that at all.

  • What do the lucidum cells contain

  • and where are they foreign found?

  • No idea, I don't even know those are a thing.

  • Which two layers make up the dermis?

  • Ooh, I probably should know that,

  • but I really can't remember.

  • Anyway, this is essentially, like,

  • all of the stuff for anatomy.

  • Again, 34 pages of just questions.

  • And that's basically it.

  • The method is, going through the lecture notes,

  • going through textbooks.

  • But like, what we all like to do by default,

  • is we like to highlight and like, make notes.

  • For some reason we think it's useful to summarize

  • our lecture notes, or summarize a textbook,

  • or summarize a revision guide.

  • And then, I don't know, I think the theory is that

  • we all read over our summaries and maybe highlight stuff,

  • and maybe ask ourselves questions.

  • But this is a purely active recall-based method.

  • All he's literally doing is just asking questions

  • and answering them.

  • So, let's move on to why

  • this method works.

  • (soft music)

  • And this whole method

  • is based around the principle

  • of active recall.

  • I have been preaching about active recall

  • for literally the last two years,

  • and actually, even longer than that,

  • since before I got this YouTube channel,

  • just like in talks and lectures and stuff that I would give.

  • I'd be like, active recall is literally the best thing ever.

  • It's the best thing ever because active recall

  • is the single most efficient study technique

  • that's ever been discovered,

  • there is a mountain of evidence supporting it.

  • I've got a 25-minute long video, that I'll link

  • in the video description and in a card up there somewhere,

  • where I go through the evidence in much more detail.

  • But essentially, what active recall means

  • is testing yourself.

  • And the reason testing ourselves is so amazingly valuable

  • is because, the way the brain works,

  • it's all based around how many times and how,

  • how much you retrieve information from your brain.

  • So we all have this misconception that,

  • in order to study, we have to put stuff into our brains,

  • but actually it's flipped on its head

  • if you look at the evidence, the actual way

  • to remember anything and to make anything stick,

  • is by retrieving information from our brains

  • rather than trying to put it back in.

  • So let's say we read something once

  • and we've understood a topic, at that point

  • the most effective thing we can do with our time

  • is ask ourselves questions about that topic.

  • And they've done loads of studies whereby they've taken

  • a group of college students, or high school students,

  • or whatever, and they split them up into different groups.

  • And they'll teach all the groups exactly the same topic,

  • but for one of the groups they'll get them to reread it,

  • for one of the groups they'll get them to make a mind map,

  • for one of the groups they'll tell them

  • to read it four times, for another group they'll tell them

  • to make notes, and for one of the groups

  • they'll just give them a test on the subject.

  • And then if you look at the results afterwards,

  • like when they get tested maybe a week later,

  • you'll find that the people that get tested,

  • the people who did the active recall,

  • who actively tried to retrieve the information

  • rather than just reread it or make notes on it,

  • those were the people that performed

  • significantly better in their exams.

  • And again, much more evidence in my, like,

  • legit evidence-based revision tips video,

  • this is just kind of an introduction.

  • So, I don't think this can be stated enough.

  • I recently set up a Discord server,

  • I'll put a link down if you wanna kinda hang out

  • with me in the evenings on Discord.

  • And we've got like, a little study,

  • tips, chat thing on there.

  • And it baffles me as to

  • just how many people still ask the question,

  • how should I be studying for my exams?

  • It's just the only, like, it's such a good

  • revision technique to just test yourself on stuff,

  • that it still baffles me that despite even like,

  • watching some of my videos, and maybe reading a book

  • called "Make it Stick," really good book to,

  • how to effectively learn, and watching any of my friend's,

  • Thomas Frank's videos, like, all of the evidence

  • around study tips is basically that

  • active recall is the way forward.

  • And I'm waxing on

  • about this for absolutely ages

  • because, you know, they say that on average it takes

  • about seven repetitions, like, seven times hearing

  • the same concept to really fully internalize it.

  • And I think, like, the more people in the world hear

  • about active recall and kind of, hear about the good news

  • of active recall, the better human productivity

  • as a whole would be and the better our lives as students

  • would be because we'd have to spend less time studying

  • and more time doing the things that actually matter to us.

  • But, yeah, that's basically how the method works.

  • I'll stop droning on about this now.

  • Let's now talk about the method in a bit more detail,

  • and I'll show you how you can use various different apps

  • to achieve the same effect.

  • Before we do so, I just wanna tell you

  • a little bit about this video's sponsor,

  • and that is Brilliant.

  • Brilliant is an amazing, active learning,

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  • And we've also got things like probability,

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  • And the nice thing about these courses is that,

  • it's not just a passively educational video like this one.

  • What it does is that they guides you through the concepts

  • and then it forces you to use active recall

  • to apply those concepts to certain problems.

  • And recently they've introduced this new

  • daily challenges feature where,

  • it only takes about five or 10 minutes,

  • but everyday there's a new challenge,

  • based on maths, or physics, or computer science.

  • And what they do is that teach you a little bit

  • about the topic, and then they throw you into a problem,

  • and then you try and grapple with the concepts in the topic,

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  • And this is actually a similar format

  • to how the education system works

  • at universities like Oxford and Cambridge.

  • And as part of their interviews,

  • what the supervisor or the professor does,

  • is that they would give you a little snippet

  • of information, sort of, introduce you to a topic,

  • and then they'll ask you a question about it,

  • and then you have to, kind of, use your brain to figure out

  • and, sort of, kind of actively go from step A to B.

  • It's not the case that,

  • you just kind of get spoon-fed information

  • and then you have to regurgitate it back out.

  • So, I really like Brilliant, I've been going through

  • their computer science fundamentals course 'cause I can

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  • And this, there's a lot of stuff these days

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  • and Brilliant gives a really good, accessible introduction

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  • But yeah, Brilliant.org, thanks for sponsoring this video.

  • And let's move on.

  • (soft music)

  • All right, so let's talk about

  • this method in a bit more detail.

  • And one of the common questions about this method is,

  • you know, what do you do if you don't know the answer

  • to one of the questions that you've written?

  • So, at the start, we've gone through our lectures

  • and we've just converted everything into just questions,

  • we've gone through our textbook

  • and we've just written questions for ourselves.

  • But then when we're going through the questions,

  • obviously, there's gonna be stuff that we

  • don't remember the answer to.

  • So, for example if I read,

  • what is the capacitance of biomembranes?

  • You know, I might not remember that from the lecture notes.

  • But the key thing of Aseyd's method is that,

  • he never writes down the answer to these questions,

  • he trusts that he'll be able to find the information

  • in the lecture notes, or in the textbook, or on Google,

  • and therefore, he doesn't have to waste the time

  • to actually write down the answer for all of these.

  • And that's obviously a benefit because it means

  • we save time and it's a bit more efficient,

  • but obviously the drawback is that,

  • then when we're going through stuff,

  • it does take a little bit of time

  • to then find that information in the right place.

  • But this isn't necessarily a bad thing,

  • it's not necessarily a bad thing that in order

  • to get information we have to go back to our lecture notes.

  • Because, at least for us in Cambridge, the lecture notes

  • are usually quite well-structured and quite well-organized.

  • And so, the act of finding information in the lecture notes,

  • means that we'll be able to see what section

  • the information's in, be like, oh okay,

  • that's the capacitance of biomembranes

  • and we'll see where it fits into the bigger picture.

  • Equally if we're having to go into a textbook,

  • textbooks are usually very well written because,

  • you know, they've been around for years

  • and they're written by clever people and stuff.

  • And so, if we're finding information in the textbook,

  • again, we're gonna be getting that information in context,

  • in the context of the rest of the subject.

  • And then maybe, instead of just reading

  • about the capacitance of biomembranes,

  • we'll read a little bit more about biomembranes and,

  • kind of, understand the subject a little bit better.

  • And so, what Aseyd's doing is like, number one,

  • the first pass through the lecture,

  • he's just converting into questions.

  • And then the second time he comes around to revise

  • the subject, he's gonna go through the questions,

  • ask himself one-by-one.

  • And then what he does is that he's color-coding

  • in red, for example over here,

  • the questions that he didn't know the answer to.

  • So that the next time around if he's short on time,

  • he won't go through every single question,

  • he'll just go through the questions that he's marked red.

  • And then let's say the third time around,

  • if there are questions that he didn't get

  • in the second time, he'll mark them as blue,

  • and then the third time around he'll just go

  • with the blue questions.

  • So this becomes a very efficient way of only doing

  • the questions that we know we got wrong previously.

  • And obviously, before the exam and at some point,

  • we wanna be going through every single question

  • because one of the other concepts in effective studying

  • is called spaced repetition.

  • And again,

  • I'll link my video about that down here

  • and in a card up there, and you can check it out more.

  • But basically the idea is that, cramming isn't effective,

  • it obviously works in the short-term,

  • we've all done cramming for exams.

  • But actually if we want information to stick

  • over a very long-term period, we wanna be repeating

  • that information at spaced intervals to overcome

  • what's called the forgetting effect or the forgetting curve,

  • that was discovered by a guy called Ebbinghaus

  • in like, the 1800s, I think.

  • But yeah, more information in my spaced repetition video.

  • Basically, it's all about active recall,

  • and spaced repetition,

  • and this method really works in that sense.

  • And we can see here, he's even color-coded

  • some of them in purple, and I suspect those are

  • the questions that he was a little bit struggling with

  • on his fourth pass of doing these, doing these questions.

  • This isn't the sort of method that you

  • can just kinda do once and then forget about.

  • And then be like, oh, well I haven't done

  • any work for a year, therefore I'm gonna cram this

  • in two days before the exam.

  • You probably could, but it would be cramming,

  • it wouldn't be long-term knowledge that would stick.

  • Whereas doing this and applying spaced repetition to it

  • would really be magical.

  • And I'll just show you how I would

  • apply this method personally.

  • So, I've, you know, active recall

  • is the best thing ever so I've been using variants

  • of this method for a few years now.

  • I just haven't used them as well as Aseyd has

  • because I feel, you know, I get lazy and I'm not great,

  • but he is really good at, kind of, actually doing the work.

  • Anyway, the other day I was preparing for

  • a supervision where I'm teaching physiology.

  • And so, I was going through the heart and circulation

  • lecture notes and I was basically doing Aseyd's method

  • of going through them and writing out questions for myself.

  • So again, here I'm using the app Notion, link below,

  • I'll link to a few of my videos on that if you care.

  • But I think Notion is really good

  • because they've got this toggle feature.

  • Which means, what I can do is I can, for example,

  • if I go into fetal circulation,

  • what I've done is I've written questions for myself.

  • Why does the fetal circulation need to be special,

  • what does the oxygen dissociation curve look like?

  • Various adaptations, fetal shunts.

  • I've written these questions for myself,

  • but if I were Aseyd, I would just write

  • the questions and not the answer.

  • But because, like, at the moment, I'm not really

  • in the market for just memorizing information,

  • I've written the answer down to some of these as well.

  • Again, through a toggle box.

  • So, actually, I haven't written down

  • the answer to that because--

  • This is kind of weird, but like, what I do is that,

  • for questions that I know I know the answer to,

  • or that I know I can figure out the answer to,

  • or I know I can find the answer easy in the lecture notes,

  • then I won't bother writing it down.

  • So, why does the fetal circulation need to be special?

  • Clearly, that's because we need to overcome

  • the problem that when you're a fetus inside your mom,

  • you don't have any lungs that work.

  • Therefore, you need to get your oxygen

  • from the mother's placental blood flow and all that stuff.

  • Therefore, you need to be adapted,

  • and your hemoglobin needs to be adapted,

  • and your circulation needs to be adapted

  • to try and get oxygen out of the mother's blood.

  • And I know this.

  • So, I've written the question for myself,

  • but I don't need to waste the time writing the answer

  • 'cause I know I know.

  • And if I ever get to the point where I read that question

  • and think, oh, I don't know what the answer is,

  • then I will go back to the lecture notes.

  • But I'm just trying to be efficient in minimizing

  • the amount of information I'm having to put into my notes,

  • because as we've said and as all the evidence shows,

  • summarizing information, taking notes with the book open

  • is just not a very effective way of studying.

  • Anyway, this one, what does the oxygen dissociation curve

  • for hemoglobin look like, comparing maternal versus fetal.

  • I know what it looks like in my head,

  • and so when I see that question,

  • I'll be drawing it out in my head,

  • maybe I'll draw it out on paper if I feel like it,

  • but crucially, I have actually included

  • the oxygen dissociation curve in this toggle box.

  • And this is very easy to do.

  • So here is a screen cast of myself making these notes

  • 'cause I screen recorded myself just in case

  • I was gonna make one of these videos.

  • And you can see that on the left-hand side,

  • I've got the lecture notes open.

  • And on the right-hand side,

  • I'm creating this document in Notion.

  • And what I'm doing is that, for a lot of this stuff,

  • I'm just screen grabbing bits from the lecture notes.

  • I'm not copy and pasting, I'm rarely writing it out myself,

  • I'm just, kind of, using the screenshot,

  • screen grab shortcut on the Mac to select a particular area

  • of the screen, shoving it into Notion,

  • and then that makes it easier for me

  • to find this graph when I need to see it.

  • So yeah, I can immediately look at this graph now and think,

  • okay, that's what I thought this dissociation curve

  • for hemoglobin looked like.

  • And then I can untoggle this and move on.

  • What are the various adaptations of the fetal circulation?

  • So, number one, two, and three.

  • So these are, stuff that I wrote down,

  • because in the lecture notes this was

  • in a few different sections and so I just thought,

  • you know what, I'm gonna take 10 seconds

  • to just type out what these answers are.

  • But, for example, if I looked at,

  • fetal hemoglobin relinquishes

  • that oxygen at lower oxygen tensions.

  • If that sentence didn't make sense to me,

  • I wouldn't just take it at face value.

  • I would obviously go back to the lecture notes,

  • or go back to my textbook,

  • and figure out what I'm struggling with,

  • why this sentence doesn't make sense to me,

  • and work out, what, like, so,

  • try and understand what's going on.

  • And this all comes back to, like, it's all very well

  • doing active recall, it's all very well

  • doing spaced repetition, and doing all of this stuff.

  • But really, the thing that trumps all of these things

  • is to understand the content.

  • There is literally no point in just memorizing facts

  • if we don't understand the broad principles

  • that underlie them.

  • And so, as I'm going through these questions,

  • as any of my friends who do effective studying,

  • as we're going through our questions,

  • we're trying to understand the topic.

  • And if we ever get to a point where we're like,

  • ooh, I'm not quite sure what that means,

  • we will take the time to look it up.

  • Because, especially with effective learning, like,

  • there's this, again, there's this misconception

  • that learning should be easy.

  • That, you know, the best way to learn is by finding

  • a really condensed set of notes and just reading it,

  • and getting that information into our heads.

  • But again, it's sort of the other way around.

  • It's, the more effortful,

  • the more hard it feels to be learning something,

  • the more we're actually going to be learning it.

  • And there's, again, so much evidence where people

  • have done studies on students where they rate

  • how hard they found the subject,

  • and how hard it was to learn about it,

  • and you find that those students perform better

  • on the exam, and learn more consistently,

  • and have that knowledge for a longer period of time.

  • Because as we're grappling with stuff,

  • as we're putting effort into learning,

  • our brain is forming these connections.

  • And the way I think of it is sort of like going to the gym.

  • And it's like, you know, if I can bench press

  • 80 kilograms, I can't, I wish,

  • I can probably bench press about 70 kilograms.

  • But, you know, when I bench 70 kilograms that is effortful,

  • that is when my muscles are gonna grow.

  • Whereas when I bench 20 kilograms, then, you know,

  • basically nothing's gonna happen because it's easy.

  • So it's kind of the same with studying.

  • Like, when it's difficult, we are actively forming

  • connections in our brain, and then we sleep,

  • and then those connections get solidified.

  • When it feels easy, when we're just like, oh yeah, reading,

  • like, reading, and highlighting, and making notes

  • is really easy, that's why we love doing it

  • because it feels really productive.

  • We kind of go through, pretty colors,

  • and we write down stuff,

  • but we're not actually using our brains.

  • And the more we use our brains, the more effortful

  • learning is, the more information is gonna stick.

  • Anyway, next one.

  • What are fetal shunts and what do they do?

  • Again, I, kind of, wrote some brief notes here, you know,

  • foramen ovale, RA to LA 'cause fetal lungs don't work.

  • And this information like, makes, makes perfect sense to me.

  • But, for example, if you were a first year medical student,

  • studying this for the first time,

  • and looking at my notes, you'd see,

  • RA to LA because fetal lungs don't work.

  • Like, what the hell does that mean?

  • You know, it's the sort of information

  • that requires more context.

  • And note taking, okay, and I'm gonna make a video

  • about this, is sort of a balance

  • of compression versus context.

  • Textbooks and lecture notes have a lot of context,

  • they're very long, very broad, but they give you

  • the context, they help you understand the topic.

  • Whereas when we take notes,

  • we have compressed all that information down.

  • And so, when I see RA to LA 'cause fetal lungs don't work,

  • I know immediately exactly what that means,

  • I could explain it to a five-year-old if I wanted to.

  • But, if a first year medic,

  • who had never done the subject before,

  • were to see that, they wouldn't understand it.

  • And so, that would be a case of going into the textbook

  • and actually understanding what's going on,

  • going back to this idea of understanding.

  • And then I've just kind of done this for

  • all of the stuff within cardiology so far.

  • So, cardiac cycle, I've written about the phases,

  • intrinsic regulation.

  • What were Frank and Starling's famous experiments?

  • So at this point, I'd read the question, I'd think,

  • huh, okay, something about a dog heart preparation,

  • and then, yeah, experiment one, increased preload,

  • experiment two, there is, there should be something there.

  • But yeah, I've just literally screen grabbed stuff

  • from the lecture notes and a diagram,

  • just to save me a little bit of time.

  • But I think if I were actually studying the subject,

  • if I were actually taking exams,

  • I probably wouldn't even write down the answer.

  • I'd force myself to go into the lecture notes,

  • or go into the textbook, and find the answer.

  • So, long story short, basically,

  • this is Aseyd's magical method for active recall.

  • And the reason he actually came about this method

  • was that in 2015, I gave a talk at the university

  • about how to study for exams.

  • 'Cause in 2015, I was studying psychology for my third year,

  • and I'd been actively looking into all of this

  • evidence-based study tips and all that stuff.

  • And initially, I was supposed to be giving a talk

  • at the Islamic Society Prayer Room

  • for like five people because no one turns up.

  • But we made a Facebook event of it

  • and suddenly, like, people starting sharing it

  • amongst other members of the university.

  • And then I think at the end of it, like 20,000 people

  • had viewed that event according to the analytics,

  • instead of like seven.

  • And like, 100 and something people turned up to the event.

  • And so, we had to kind of, like, expand the venue,

  • and just kind of do it in one of the colleges.

  • But in this talk, I basically talked about the magic

  • of active recall, the magic with spaced repetition.

  • And when my friend Aseyd heard that,

  • he was like, all right, we're done.

  • And from that point onwards, like, for the next two months,

  • all he did was create these questions for himself.

  • And the cool thing is that he didn't do that much,

  • like, that much anal work for the rest of the year,

  • that sounds weird.

  • He, kind of, kept up with his essays,

  • and he kinda understood the subject,

  • and read a few textbooks and the lecture notes

  • just to keep on top of things.

  • But it was only two months before the exam,

  • in the Easter term, that he discovered this,

  • this magic of active recall and spent the rest

  • of the two months making these questions and answering them.

  • And so, if he were to have started that method from day one,

  • I suspect, you know, and wanted to put in the effort

  • over a very long-term period of time for the whole year,

  • I suspect that would've been even more efficient

  • and he would've even spent even less time studying.

  • Anyway, yeah, this has been a very long, very rambly video,

  • basically, explaining this concept of, you know,

  • if you wanna do really well on your exams,

  • it's really all about testing yourself.

  • And this is, sort of, testing yourself,

  • this is the concept of active recall

  • taken to its logical extreme,

  • where you're not spending any time at all writing notes,

  • 'cause that's a waste of time, you're spending 100%

  • of your time writing questions for yourself

  • and then answering those questions,

  • dredging up the information from our brains,

  • and then, sort of, solidifying those connections.

  • So thank you so much for watching.

  • If you liked the video, please give it a thumbs up.

  • If you haven't subscribed to the channel,

  • please consider doing so.

  • Links over here to some other

  • of my evidence-based study tips videos.

  • If you like this stuff, please leave any questions

  • in the comments, and I'll ask Aseyd,

  • and he'll kinda get back to you on that front.

  • Thanks for watching, and I'll see you

  • in the next video, buh-bye.

  • My mom always tells me, when I'm drinking coffee,

  • I shouldn't slurp.

  • (slurping)

  • She says that is really audible if you slurp.

  • So this is me slurping.

  • (slurping)

  • And this is me actively trying not to slurp.

  • I don't know, let me know in the comments

  • if you're this far.

  • And then maybe instead of just reading about

  • the capacitance of biomembranes, we'll read a little bit

  • more about (tripping over words).

  • (beeping)

  • I'd been actively looking into all of this evidence-based,

  • like, (tripping over words).

  • (beeping)

  • And the weird thing was that he didn't actually do

  • that much work, kind of, throughout the year beyond.

  • (phone dinging) Whoops.

- Hey friends, welcome back to the channel.

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