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  • "We only use 10% of our brains."

  • So, this is not true.

  • "The bigger the brain, the smarter the creature."

  • [laughing]

  • Size doesn't matter.

  • "You can't prevent a stroke."

  • No.

  • No, that's not true.

  • That's very not true, actually.

  • Hi, I'm Dr. Santoshi Billakota.

  • I'm a clinical assistant professor in neurology

  • at the NYU Grossman School of Medicine.

  • I'm Dr. Brad Kamitaki.

  • I'm a neurologist and assistant professor

  • at Rutgers Robert Wood Johnson Medical School.

  • And today we'll be debunking myths about the human brain.

  • "The bigger the brain, the smarter the creature."

  • [laughing]

  • Size actually does not matter when it comes to the brain,

  • because there are creatures out there

  • with bigger brains than us, but probably not as complex.

  • Your brain is really determined

  • by your body proportion, right?

  • So when you think of, like, a big brown bear

  • that's way bigger than us,

  • their brain is going to be bigger,

  • but that doesn't necessarily mean

  • that they are smarter than us.

  • We don't know that for sure

  • because it hasn't been fully studied,

  • but we've seen that in instances such as chimpanzees.

  • They do have smaller brains, but we do know for a fact

  • that chimpanzees are probably as smart as we are.

  • Certainly it's not the size of the brain that matters,

  • but probably how complex it is

  • and how well developed certain areas are.

  • Certain areas in humans are,

  • for example, our language centers

  • are just much more developed than a cow

  • or a bear, things like that. Billakota: Even a chimpanzee.

  • Yeah. That's important in determining intelligence

  • rather than the size itself.

  • And also, how do we measure intelligence?

  • That also becomes tricky,

  • because not everyone is intelligent in the same way.

  • Noncognitive factors also play a role.

  • Like, what's your social intelligence?

  • What's your emotional intelligence?

  • All of that, I think, is very complex

  • and really difficult to measure.

  • "IQ tests are always an accurate measure of intelligence."

  • So, this is false.

  • There's so much that goes into intelligence.

  • Normal intelligence tests might measure things

  • like executive function or planning,

  • verbal skills, reading skills, things like that,

  • but it's only an approximation of what you can do

  • and highly influenced by the conditions of the test,

  • how you're feeling at the time of the test,

  • your educational level.

  • It would be nice to say that there's one test or one way

  • that we can determine how intelligent someone is,

  • but there's so much that goes into intelligence

  • that one test or even multiple different tests

  • can't measure that very well.

  • So, the popular IQ test was developed in the early 1900s,

  • and it was a way to determine

  • which French students were cognitively delayed

  • so we could offer them better resources.

  • That got adopted in America at Stanford.

  • But for all the reasons Brad laid out,

  • it doesn't take all of those things into account.

  • So I think although it is nice to say,

  • "Hey, I am smart, I did well on an IQ test,"

  • I really don't think that means too much.

  • Neither of us were born being doctors, right?

  • We had to learn and develop those skills

  • under many years of training.

  • I think that education is the best way

  • to kind of make that happen, education very broadly.

  • That might not necessarily be school for everyone.

  • Definitely some people are savants.

  • Some people are prodigies.

  • It's really hard to say what determines that.

  • They might be better at certain things

  • but not necessarily good at others.

  • We're all individuals. We all have different talents

  • and different aptitudes for different things.

  • So IQ tests just kind of measure your intelligence

  • in that one specific area,

  • not how overall intelligent you are.

  • "We only use 10% of our brains."

  • So, this is not true.

  • We actually use all of our brain.

  • Not all of the time, but most of the time,

  • we're using some percentage of our brain.

  • This myth came into fruition

  • I think in the early 1800s

  • where people were trying to figure out

  • why injuring different parts of the brain

  • caused disabilities in people.

  • So a bunch of psychologists came up with a theory

  • that we only use about 10% of our brains

  • versus people who are smarter, who use more.

  • Now we simply know that that is not the case.

  • We know that because we have something called a PET/MRI

  • and a functional MRI study.

  • Kamitaki: We have the frontal lobe, which we use

  • for a lot of different purposes,

  • motor function, language function,

  • executive functioning, or planning activities.

  • Behind that, our parietal lobe, here,

  • which is our sensory cortex.

  • In the back of the brain, we have the occipital lobe,

  • which is our visual processing center.

  • And then here on the side,

  • we have the temporal lobe, which is involved

  • in memory, language comprehension, on the left side.

  • Billakota: So to give you an example,

  • if you are reading something, you're going to be

  • using your temporal lobes for comprehension.

  • You're going to be using your frontal lobes

  • for comprehension. You'll also be using

  • the back of your head, where your visual cortex sits,

  • because that's where information from your eyeballs travel

  • and your body kind of makes sense of it that way.

  • Kamitaki: And then also, if we take the brain apart

  • a little bit, we have our brain stem over here,

  • which is kind of our lizard brain.

  • It's our primitive brain that controls things

  • like level of arousal, breathing, respirations,

  • heart rate, blood pressure.

  • We have some deep motor functions here in the brain as well.

  • Another part of the brain that we have

  • is our cerebellum, kind of on the bottom,

  • which is also involved in motor control and motor planning.

  • In doing one task,

  • you could be using multiple parts of your brain,

  • but you're not using everything at the same time.

  • "Video games rot your brain."

  • So, this is a myth.

  • Video games in and of themselves

  • don't actually rot your brain.

  • That's something that I definitely heard a lot

  • when I was younger from my grandma and my mom.

  • Billakota: A lot of our literature

  • has shown that video games,

  • especially the ones that focus on team building,

  • on solving riddles, solving puzzles,

  • building strategy, are actually pretty good for you.

  • They actually do build up those centers of your brain,

  • especially when you're a child.

  • You know, games can be used for other purposes.

  • For example, our colleagues in surgery,

  • when they do scopes, they practice those skills

  • with things like video-game simulators.

  • Looking at the trials,

  • no one has actually defined what too much video games is.

  • Every literature study that I've looked at

  • quotes between 12 hours to 90 hours a week is OK.

  • I feel like 90 hours might be a little excessive.

  • But I think in reality, the bigger signs

  • of someone withdrawing from social activities

  • and wanting to just stay at home and play video games

  • and they'd prefer to do that than do other things,

  • that's more of a red flag.

  • I always say, everything in moderation.

  • Like, if it's affecting your social life,

  • if you're just stuck in front of the TV all day,

  • that's not good psychologically.

  • "Memory gets worse as you age."

  • So, this is false.

  • In fact, there are some types of memory

  • that improve as you get older.

  • For example, things like semantic memory:

  • your vocabulary, reading.

  • Procedural memory. For example, people that are very good

  • at musical instruments, like, can play the piano,

  • often will retain those skills.

  • Some people will notice some change in memory.

  • That's often things like episodic memory,

  • which is kind of our memory of recent events.

  • Episodic memory is basically the who, what, where, and when,

  • so, "Where did I put my keys?

  • Where did I park my car?"

  • Those kind of things do tend to decline,

  • and I think a lot of it is because

  • we just aren't as focused on things.

  • It's not necessarily something that's pathological

  • or suggests dementia.

  • Kamitaki: Not everyone will get dementia,

  • but that risk does increase as you get older.

  • Right now, we don't have any medications

  • or treatments that can prevent someone

  • from getting Alzheimer's disease,

  • but there are some environmental risk factors

  • that if you address can prevent you from getting dementia

  • or at least prevent your memory from getting worse.

  • So some of those things include just general health,

  • eating healthy foods, taking care of your heart,

  • moderate exercise, making sure

  • that you stay healthy cardiovascularly,

  • which is also going to help your brain.

  • "Left-brained people are logical,

  • and right-brained people are creative."

  • I think the myth came from the 1800s

  • when, as neurologists were trying

  • to figure out different functions of the brain,

  • they discovered that the left side of our brain

  • in most people is dominant for language, verbal memory,

  • whereas the right brain was much more

  • of our visual-spatial functions.

  • But there's no structural brain difference in people

  • who are more logical versus more creative.

  • Rather, it's more their environment,

  • the way that they were raised.

  • In neurology, when we talk about

  • brain hemispheric dominance, we typically are talking

  • about language and verbal memory dominance.

  • Where does that live? And for most people,

  • that's on the left side of the brain.

  • Billakota: So if you're right-handed,

  • about 90% of the time,

  • you're going to be left-hemisphere-dominant,

  • which means a lot of your memory and speech production

  • and understanding, comprehension,

  • that kind of stuff's going to sit

  • on the left side of your brain,

  • whereas if you're left-handed,

  • it can kind of go both ways.

  • So I think the reality is,

  • we say that someone is left-brain-dominant

  • or right-brain-dominant, and it doesn't really mean

  • that one person is more creative

  • and the other one is more logical.

  • These are just talents and sort of skills

  • that people develop, whether inherently

  • or through their personalities,

  • but it really has nothing to do

  • with the side of their brain that they use more.

  • "You can't prevent a stroke." No.

  • That's not true.

  • That's very not true, actually.

  • You can definitely prevent a stroke.

  • How to do that is by really addressing

  • all of the factors that could result in a stroke.

  • We know very clearly that things

  • like high blood pressure, smoking, high cholesterol,

  • diabetes unfortunately increase your risk for a stroke,

  • which is basically when there's not enough blood flow

  • going to your brain because of a blood clot

  • or bleeding in the brain.

  • There's no quick and easy fix.

  • Again, it's about maintaining your cardiovascular

  • and brain health over time so that you never

  • get into a situation where a stroke will occur.

  • If you do ever have symptoms of a stroke,

  • and we often tell people this FAST mnemonic,

  • so facial droop, arm weakness,

  • slurred speech or language problems,

  • and then T is time.

  • Call 911 and get to the hospital right away

  • so emergency medicine physicians

  • can give you clot-busting medications

  • to break up the clot that's causing the stroke.

  • So there's things that we can do to address it

  • and prevent it from getting worse.

  • And I think there's a misconception

  • that stroke is an old person's disease.

  • We know this isn't true.

  • Anyone of any age can have a stroke.

  • The reason why you're going to have it

  • is going to be different if you're older

  • versus when you're younger,

  • but a big cause of stroke in young people is brain bleeds.

  • If you have a family history of aneurysm,

  • you should definitely get screened.

  • I think that's actually recommended.

  • "Eating fish makes you smarter."

  • So, I actually don't know where this one came from,

  • but maybe it's, like, an immigrant-household thing,

  • but I heard this a lot. Kamitaki: Yeah, yeah, yeah.

  • Yeah, yeah. I mean, in Asian households, for sure.

  • This is tricky because fish doesn't necessarily

  • make you smarter, but it is good for you,

  • and some fish more than others have omega-3s,

  • which we know are good for heart health,

  • good for brain health,

  • and just good for your overall body health.

  • So I think maybe that's why this one came into place,

  • but I don't think it makes you smarter. What do you think?

  • Yeah, no. I think it was my parents' way

  • of getting us to eat more fish.

  • You do have to be careful of eating too much fish.

  • We know that certain types of fish

  • have more mercury than others, like tuna.

  • You don't want to overdo it.

  • I should add that fish is part of a Mediterranean diet,

  • which we advocate for all of our patients.

  • Mediterranean diets are diets that are rich in good fats,

  • like fish, for example, olive oils,

  • vegetables, healthy grains,

  • and that is going to be helpful for stroke prevention.

  • It's going to be good for cholesterol,

  • for hypertension, for diabetes, all kinds of stuff.

  • So fish as part of a healthy diet is good for you,

  • but it will not make you smarter.

  • "You can always trust your senses."

  • I would say that's a myth.

  • So, our senses can play tricks on us and cause things

  • like illusions or even sometimes hallucinations.

  • For example, people with schizophrenia might hear voices

  • of people talking that aren't actually there.

  • Our senses are not 100% objective.

  • They're dependent on how well our brains

  • and eyes, ears are functioning at that time.

  • Everyone is different.

  • My pain tolerance might be lower than Brad's or vice versa.

  • I don't think we have a really good neurological way

  • of explaining why that might be.

  • That's still something that we don't fully understand.

  • And also, your senses can be a little influenced

  • by emotions and memories, I think.

  • If you see something that reminds you of someone,

  • the way you're going to react to it

  • might be a little different.

  • I don't know if what I'm seeing is the same thing

  • that everyone else is seeing. Like, how can we ever

  • know that for certain? Billakota: It's like when they

  • had that blue dress and the black dress

  • and people were seeing different things.

  • "Different sexes have different brains."

  • So, no, that's not true, and I'm going to rip it again,

  • 'cause that was less funny.

  • I should start with saying

  • that we're all born with the same brain,

  • regardless of what your gender identity is,

  • regardless of what your sexual orientation is.

  • There's really no structural differences.

  • So if a neurosurgeon was looking at two different brains,

  • they wouldn't know who was assigned male at birth

  • and who was assigned female at birth.

  • There have been studies out there that have shown

  • that those who have been assigned female at birth

  • might have more robust emotional pathways,

  • whereas those who have been assigned male at birth

  • are more executive thinkers.

  • We now know that that's not true.

  • As you get older,

  • if you've been exposed to different things,

  • how you relate to the outside world,

  • that's what develops the structures

  • of your brain and the connectivity.

  • It has really nothing to do

  • with what gender you were assigned at birth.

  • It's more nurture.

  • It's not necessarily nature and how you're made.

  • "If you have a seizure, you have epilepsy."

  • No!

  • I'm going to rip this a few times

  • because I want to make my point.

  • What a seizure is, is hypersynchronization of brain cells.

  • So what is that? Your brain talks to itself

  • using electricity. If something goes wrong

  • with the electricity in your brain, you have a seizure.

  • Basically, when all your neurons freak out and fire at once,

  • your body hypersynchronizes, and we have a seizure.

  • Seizures can be due to a lot of things,

  • not necessarily epilepsy,

  • which is a lifelong neurological condition.

  • You have to have multiple unprovoked seizures,

  • and that's the difference between a seizure and epilepsy.

  • Also, if you have epilepsy,

  • you have to take daily medication

  • to keep your brain from having seizures.

  • So if you have had your first seizure of lifetime

  • or if you're someone with seizures,

  • there are a few things that you should do.

  • One, definitely get checked out by a neurologist.

  • There are tests that we can order

  • that can be helpful for you.

  • One of them is an EEG.

  • We put stickers on your head, look at your brainwaves,

  • and see where the abnormalities are.

  • And the second one is the imaging that we have.

  • MRIs and PET/MRIs are both used.

  • And if a diagnosis of epilepsy is made,

  • the most important thing for you to do

  • is take your medications.

  • And lastly, keep communicating with your doctor,

  • because you're not going to get

  • to that period of seizure freedom

  • unless you communicate with your doctor.

  • You only get one brain.

  • You're born with all the brain cells

  • that you are going to have,

  • and it's up to you to take care of them.

  • There's a grain of truth in a lot of these myths,

  • but they're just not fully accurate.

  • Just make sure that you do your research

  • and take care of yourself.

"We only use 10% of our brains."

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