Shadowing Practice: Aneurysm Coiling - Learn English Speaking with Video
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New devices have broadened our ability to treat aneurysms from an endovascular perspective allowing us to avoid an operation
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that needs to go through the skin and skull.
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70-80% of patients with aneurysms can be treated with endovascular techniques.
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The mainstay of therapy from an endovascular standpoint is coiling of aneurysms.
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The day of the procedure you would come to the hospital in the morning,
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an IV would be placed
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and then you'd be brought into the treatment suite where the angiography machine or x-ray machines would be located.
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These procedures are done with you under general anesthesia, meaning you're fully asleep.
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We gain access to the aneurysm through the right leg
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and then we can pass catheters through your body and directly place these inside the aneurysm.
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This is done using fluoroscopic control for visualization.
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So there is a small amount of x-ray exposure during this procedure that's carefully monitored at all times.
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We insert small soft platinum metal coils into the aneurysm.
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You are usually awake immediately afterward and within about six
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or seven hours of the procedure you can get up into a chair
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and begin to walk around your room and most patients go home the next day.
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Patients usually return to full activity within one to two days
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with limitations of lifting less than 20 pounds for 24 to 48 hours afterward.
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Just like any other surgical procedure there are some risks associated with this.
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Little blood clots can form on the coils themselves and that could lead to stroke.
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Occasionally these coils can actually puncture the aneurysm and cause bleeding
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and we of course can take quick action to mitigate the amount of bleeding.
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There's a small risk, somewhere between maybe 5 and 15 percent,
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that the aneurysm may recur or the aneurysm may grow around the coils.
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To monitor the situation,
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we will keep an eye on you every six to nine
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months afterward for a period of about two to three years to check on your aneurysm,
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usually with an MRA scan.
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If you fall in the group where the aneurysm may recur or grow,
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then we would most likely offer a second treatment that frequently can be done exactly the same way.
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The principal advantages of the endovascular treatment of aneurysm is that it's a very short hospitalization.
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Patients are able to return to work in a very short period of time.
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And for most patients, there's really no or very minimal pain or discomfort associated with the procedure.
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Vocabulario y notas de pronunciación para esta lección
Este vídeo tiene 33 frases y 414 palabras para practicar shadowing. La parte hablada dura 2:11. El hablante habla rápido, unas 190 palabras por minuto, así que espera sonidos enlazados y reducidos. Solo el 81 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.
Vocabulario clave de este vídeo
15 palabras menos comunes del vídeo, con su pronunciación y significado:
- procedure /pɹəˈsiː.d͡ʒə/ (sustantivo) — procedimiento. A particular method for performing a task.
- coil /kɔɪl/ (sustantivo) — espiral, hélice. Something wound in the form of a helix or spiral.
- afterwards /ˈæf.tɚ.wɚdz/ (adverbio) — después, consecuentemente. At a later or succeeding time; after that;
- associate /əˈsoʊʃi.ət/ (sustantivo) — asociado. A person united with another or others in an act, enterprise, or business; a partner or employee.
- monitor /ˈmɑ.nɪ.tɚ/ (sustantivo) — monitor. Someone who watches over something; a person in charge of something or someone.
- bleed /ˈbliːd/ (verbo) — desangrar. To shed blood through an injured blood vessel.
- technique /tɛkˈniːk/ (sustantivo) — técnica. The practical aspects of a given art, occupation etc.; formal requirements.
- carefully /ˈkɛɹf(ə)li/ (adverbio) — cuidadosamente. With care; attentively, circumspectly.
- exposure /ɪkˈspəʊ.ʒə(ɹ)/ (sustantivo) — exposición. The condition of being exposed, uncovered, or unprotected.
- occasionally /əˈkeɪʒənəli/ (adverbio) — ocasionalmente, de vez en cuando. On occasion: at relatively infrequent intervals, from time to time, sometimes.
- asleep /əˈsliːp/ (adjetivo) — dormido, jato. In a state of sleep; also, broadly, resting.
- suite /swiːt/ (sustantivo) — séquito. A group or train of attendants, servants etc.; a retinue.
- awake /əˈweɪk/ (verbo) — despertarse. To become conscious after having slept.
- minimal /ˈmɪn.ə.məl/ (adjetivo) — mínimo. The smallest possible amount, quantity, or degree.
- scan /skæn/ (verbo) — escrutar. To examine sequentially, carefully, or critically; to scrutinize; to behold closely.
Phrasal verbs que vas a escuchar
- go through (verbo) — atravesar. To travel from one end of something to the other.
- walk around (verbo) — deambular. To walk with no planned destination; to meander.
Pronunciación a tener en cuenta
- Los sonidos de “th”: anesthesia /ˌæn.əsˈθi.ʒə/, catheter /ˈkæθɪtɚ/
- Los sonidos de “sh” y “zh”: associate /əˈsoʊʃi.ət/, exposure /ɪkˈspəʊ.ʒə(ɹ)/, occasionally /əˈkeɪʒənəli/, limitation /lɪmɪˈteɪʃən/, anesthesia /ˌæn.əsˈθi.ʒə/
- Palabras largas — cuida el acento: associate /əˈsoʊʃi.ət/, occasionally /əˈkeɪʒənəli/, limitation /lɪmɪˈteɪʃən/, aneurysm /ˈæn.jəɹ.ɪz.əm/, anesthesia /ˌæn.əsˈθi.ʒə/
Cómo practicar con este vídeo
- Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
- Empieza a velocidad 0,75×, haz shadowing frase por frase y vuelve a la velocidad normal cuando te resulte fácil.
- Grábate y compara con el original, prestando atención a palabras como procedure, coil, afterwards.
¿Qué es la Técnica de Shadowing?
Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.