Shadowing Practice: Bitch Spay Video Uterine Disaster vet cpd® 28 - Learn English Speaking with Video
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58 oraciones
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1
Thank you.
2
Thank you.
3
Slide down the suspensory with your left index going around the kidney
4
and press down at insertion or hook under suspensory and push up.
5
Check you have good clearance of the ovary.
6
Now separate the uterus for better exposure.
7
Form the first millers, nudge down, tighten and then raise the clamp, place the second ligature, which can either be a miller's or a surgeon's.
8
Thank you.
9
Thank you.
10
Release top clamp, mop up any blood and then raise ovarian clamp clamp.
11
As we no longer have the pressure in the ovarian artery, either a millers or surgeons can be placed.
12
Rotate this clamp by placing forceps in the handle.
13
You can visualize the knot and see the tightness.
14
Thank you.
15
This is great.
16
We can check for bleeding and if any concerns, replace the clamp and add an extra ligature.
17
Easy peasy.
18
Better than the conventional way of hanging onto a thread of the pedicle.
19
This is the scary traditional way to check for bleeding, not easy peasy, to reapply the clamp and add a ligation.
20
Swab removed, and now ligation of the broad ligament, but this one has no fat or vessels, so is just torn.
21
Watching this carefully will help you with deeper ovaries, push down on the abdominal wall with your left hand and pinch the ovary.
22
Once you have pinched the ovary, you can pull hard on it, as the vessels are protected by the suspensory and renal ligament.
23
The ovary is a slippery sucker, hence the swab.
24
Hold the ovary with your right hand, slide down the suspensory ligament with your left index finger near the insertion, hook your finger under and push the ligament upwards.
25
There are two ligaments, suspensory and renal.
26
Obviously, the renal runs to the cadenet knot break this as this protects the vessel.
27
Walk the clamp down rather than forcing it.
28
Clamp and separate the uterus.
29
Thank you.
30
Thank you.
31
Thank you.
32
Thank you.
33
Thank you.
34
Thank you.
35
But this is the way you are taught to check for bleeding.
36
Exteriorizing the pedicle from this position is very difficult.
37
The first ligature is a surgeon's, as this is less likely to cut through the uterus and than I usually follow with a Miller's.
38
Thank you.
39
Yep, that's not good.
40
It's cut clean through the uterus, but I will still use the knot to ligate the uterine vessels as it will not cut through these.
41
I feel I need something a little extra for the vessels, so just place an extra surgeon's.
42
I am just checking there is no visual bleeding from the user uterine stump, the swab I send in returns with minimum blood.
43
So all good.
44
Thank you.
45
Thank you.
46
A simple interrupted was enough to finish the muscle layer, but to spice things up, I ran this into the fat.
47
The advantage of this is the dead space closure.
48
Also, when closing the fat, I will take a nick of the muscle, again to close the dead space, removing any chance of a seroma.
49
I will be unable to tie off and run the this into the skin as the needle is too large.
50
The only problem I am going to have is a large knot to cover.
51
As we are starting with a new suture, the subdermal anchor is made above the large fat knot so as to hide it.
52
I went straight into the intradermals as I felt the skin knot would sit cordially before the intradermal entry point.
53
I usually say two steps forward, one step back.
54
Thank you.
55
Thank you.
56
To help burial, pull with some force on the suture, but mainly push the skin over the knot with forceps.
57
You're looking for that tug.
58
If it doesn't bury, retrace the needle out and try again.
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Vocabulario y notas de pronunciación para esta lección
Esta lección de conversación de nivel C1 se basa en el vídeo “Bitch Spay Video Uterine Disaster vet cpd® 28”. Las palabras que más se repiten: clamp, knot, ligament, ovary, suspensory. Este vídeo tiene 58 frases y 636 palabras para practicar shadowing. La parte hablada dura 18:57. Solo el 74 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.
Vocabulario clave de este vídeo
Las 15 palabras más avanzadas del vídeo, con su pronunciación y significado:
| Palabra | Pronunciación | Significado |
|---|---|---|
| clamp sustantivo | /ˈklæmp/ | sargento, mordaza |
| knot sustantivo | /nɑt/ | nudo, ñudo |
| ligament sustantivo | /ˈlɪɡəmənt/ | ligamento |
| ovary sustantivo | /ˈoʊvəɹi/ | ovario |
| uterus sustantivo | /ˈjuː.tə.ɹəs/ | útero |
| bleed verbo | /ˈbliːd/ | desangrar |
| renal adjetivo | /ˈɹi.nəl/ | renal, nefrítico |
| swab sustantivo | /swɒb/ | hisopo (Arg., Mex., Ur. y Ven.) |
| forceps sustantivo | /ˈfoɹsɛps/ | fórceps |
| insertion sustantivo | /ɪnˈsɝʃən/ | inserción |
| ligation sustantivo | /lɪˈɡeɪʃən/ | ligación |
| ovarian adjetivo | /oʊˈvɛɹi.ən/ | ovárico |
| suture sustantivo | /ˈsu.t͡ʃɚ/ | sutura |
| uterine adjetivo | /ˈjutəɹaɪn/ | uterino |
| pinch verbo | /pɪnt͡ʃ/ | pellizcar, repizcar |
Phrasal verbs que vas a escuchar
| Palabra | Significado |
|---|---|
| go around verbo | cundir |
Pronunciación a tener en cuenta
- Los sonidos de “sh” y “zh”: insertion /ɪnˈsɝʃən/, ligation /lɪˈɡeɪʃən/, visualize /ˈvɪʒuəˌlaɪz/
- Palabras largas — cuida el acento: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/
Sonidos difíciles para hispanohablantes:
- s + consonante al inicio — sin añadir una “e” delante: swab /swɒb/, slippery /ˈslɪpəɹi/, spouse /spaʊ̯s/
- /v/ — no es /b/: los dientes tocan el labio inferior: ovary /ˈoʊvəɹi/, ovarian /oʊˈvɛɹi.ən/, visualize /ˈvɪʒuəˌlaɪz/
- /z/ — sonora, no /s/: exteriorize /ɪkˈstɪɹi.əˌɹaɪz/, visualize /ˈvɪʒuəˌlaɪz/, upwards /ˈʌpwɚdz/
Cómo practicar con este vídeo
- Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
- Haz shadowing frase por frase a velocidad normal, repitiendo cada una hasta que tu ritmo coincida con el del hablante.
- Grábate y compara con el original, prestando atención a palabras como clamp, knot, ligament.
¿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.