Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

CSF is soap for your brain

Jason Lee, TCRN, CCRN
Conditions
May 31, 2017
Share
Tweet
Share

Recently after pulling a couple 20-hour shifts, people kept encouraging me to sleep on my break. They were obviously concerned for my well-being but it got me thinking more about the role sleep plays in our lives. If the average life expectancy is 78 then we spend 30 percent of our lives asleep which is also the same amount we spend in our cars commuting, and a meager 0.16 percent making love.

We all know sleep refreshes and restores us, and in particular phases of sleep, our memories are reorganized and consolidated. But recent research has shown that during sleep our brains go into a self-cleaning mode.

For the body, waste clearance is handled by a second set of plumbing called the lymphatic system, a network of vessels which carries waste and byproducts from the tissue to the blood to be metabolized by the liver and eliminated. But the brain is so densely packed with cells and laced with a protective blood-brain-barrier that lymphatic system can’t penetrate and fit within the confines of the brain.

But then, how does the amazing and greedy organ such as the brain, which accounts for 25 percent of the body’s total energy consumption and is about 2 percent of the total body weight, clean its house?

Researchers discovered that during sleep the brain flushes out waste products via CSF and dumps them into blood vessels for removal. This is maximized during sleep. Typically CSF has been thought to hang out within the ventricular system inside the brain and spinal cord as well as the subarachnoid space.

But in sleep, CSF acts like draino, whereby it flushes out waste products between brain cells and goes deep into the brain parenchyma, not just pooling in the ventricles. And only during sleep, do glia cells, which support neurons, shrink, creating greater spaces between cells, allowing for greater fluid clearance and cleaning. This intricate cleaning design has been called the “gymphatic system.”  What’s even more supernatural is that CSF goes deep into brain tissue hugging and following the brain blood vessels where the waste can be exchanged for removal. Since real estate is limited in the brain parenchyma, the brain’s blood vessels are our body’s form of minimalism because they perform double duty and save space: as a pathway to deliver nutrients to brain cells but also facilitate waste removal.

So the morals of the story are to have great sex since it’s so scarce in our lives and don’t judge people who drive fancy cars or those who’d rather sleep than party Friday night since a good chunk of our lives are attached to those activities and sleep is uber critical for health.

Jason Lee is a trauma and critical care nurse.

Image credit: Shutterstock.com

Prev

Doctors grow up so fast, don't they?

May 31, 2017 Kevin 1
…
Next

A different perspective of the SOAP

May 31, 2017 Kevin 2
…

Tagged as: Neurology

Post navigation

< Previous Post
Doctors grow up so fast, don't they?
Next Post >
A different perspective of the SOAP

ADVERTISEMENT

More by Jason Lee, TCRN, CCRN

  • The question you will be asked after the pandemic

    Jason Lee, TCRN, CCRN
  • How nurses and law enforcement can work together

    Jason Lee, TCRN, CCRN

Related Posts

  • Qualifying conditions for medical marijuana

    Patricia Frye
  • Settlements in the opioid cases need these non-negotiable conditions

    Rosanne Aulino, RN
  • What does Kelly Loeffler’s health plan do to coverage for preexisting conditions?

    Robert Laszewski
  • How COVID is exposing poor working conditions in the U.S.

    Irene Martinez, MD
  • School vaccine exemptions must be for medical conditions only

    Shetal Shah, MD
  • Beware of food sensitivity tests on Facebook

    Roy Benaroch, MD

More in Conditions

  • The ethics of mandatory Tay-Sachs testing

    Sheryl J. Nicholson
  • Why toys matter in the exam room

    Diego R. Hijano, MD
  • Glioblastoma immunotherapy trial: a new breakthrough

    Hoag Memorial Hospital Presbyterian
  • New autism treatment guidelines expand options for families

    Carrie Friedman, NP
  • Is white coat hypertension harmless?

    Monzur Morshed, MD and Kaysan Morshed
  • Gen Z, ADHD, and divided attention in therapy

    Ronke Lawal
  • Most Popular

  • Past Week

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The burnout crisis in long-term care

      Carole A. Estabrooks, PhD, RN and Janice M. Keefe, PhD | Conditions
    • Why the media ignores healing and science

      Ronald L. Lindsay, MD | Physician
    • How to reduce unnecessary medications

      Donald J. Murphy, MD | Physician
    • Understanding the hidden weight bias that harms patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why patients delay seeking care

      Rida Ghani | Conditions
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Silicon Valley’s primary care doctor shortage

      George F. Smith, MD | Physician
  • Recent Posts

    • Understanding the hidden weight bias that harms patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The ethics of mandatory Tay-Sachs testing

      Sheryl J. Nicholson | Conditions
    • The geometry of communication in medicine

      Patrick Hudson, MD | Physician
    • Why I became a pediatrician: a doctor’s story

      Jamie S. Hutton, MD | Physician
    • Why toys matter in the exam room

      Diego R. Hijano, MD | Conditions
    • Why bad math (not ideology) is killing DPC clinics [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The burnout crisis in long-term care

      Carole A. Estabrooks, PhD, RN and Janice M. Keefe, PhD | Conditions
    • Why the media ignores healing and science

      Ronald L. Lindsay, MD | Physician
    • How to reduce unnecessary medications

      Donald J. Murphy, MD | Physician
    • Understanding the hidden weight bias that harms patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why patients delay seeking care

      Rida Ghani | Conditions
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Silicon Valley’s primary care doctor shortage

      George F. Smith, MD | Physician
  • Recent Posts

    • Understanding the hidden weight bias that harms patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The ethics of mandatory Tay-Sachs testing

      Sheryl J. Nicholson | Conditions
    • The geometry of communication in medicine

      Patrick Hudson, MD | Physician
    • Why I became a pediatrician: a doctor’s story

      Jamie S. Hutton, MD | Physician
    • Why toys matter in the exam room

      Diego R. Hijano, MD | Conditions
    • Why bad math (not ideology) is killing DPC clinics [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

CSF is soap for your brain
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...