Shadowing Practice: How can we make AVM endovascular treatment great again? - Learn English Speaking with Video
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Hello, here we are for Lincoln Line.
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Today we are a very special guest.
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It's Professor René Chapeau from Alpha Group ESL at MNESEN.
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Professor Chapeau, I saw you wearing a cap some months ago that says let's make AVM great again.
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Yes, hello.
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The cap was offered to me to Fatsala that I just said hello to.
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He stayed one year with us, says bye bye gift.
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Okay, it's really a bit trumpy,
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so that's not the goal.
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But indeed the text passage is good because AVM is now the pathology,
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disease which is less treated and an AVM,
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our field is exploding in AVM,
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we've never been able to do so many things
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that we can do now so there's really a huge ability to transform today's way of treating AVMs.
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And what do you think have been the advances
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that allow us a better treatment for AVM from the endovascular point of view?
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On many things.
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First of all, I would say understanding.
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Understanding is based on images.
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MR is not possible to understand an AVM on MR. ANGEL,
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yes, but ANGEL, either we see through the guiding catheter,
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we see all vessels together,
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or we take a micro catheter and everything is so much diluted that we don't see it.
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And we're doing what we call 6D,
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which is a fusion of different volumes and different colors.
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And suddenly we had the impression to be able to see inside,
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to understand how the so-called nidus is organized,
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how all those veins come together.
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Because we can say it in a very simple way,
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an AVM is a connection of veins that all come together to the same vein,
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with a lot of arteries around around.
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It's not much more than this and the problem is how to understand this and it takes time,
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it takes effort, but we can do so.
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This is one thing.
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The other thing is transvenous symbolization has been pushed forward by Yitzvan Houdak,
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by Charbel, who are contributing to
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the way to understand AVM by the vein is completely different and this you realize
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whenever you start to do so that when you block your vein
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and when you push the embolic agent you see
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that you push from the trunk to all primary veins
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and you understand something that you cannot understand how you get it by the arteries
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so not only understanding but the ability to cure AVMs by the artery is not
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so good I mean
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if it would be good we would know AVMs will all be cured by embolization
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and the question of surgery or radiosurgery would not be as prominent as it is today.
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So we've got a lot to improve but by handling techniques like pressure cooker or let's call it plug technique,
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by avoiding liquid embolic to go backwards but to be pushed inside,
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that you determine whenever you stop or not and not the technical limitation
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which is more reflux limited we can gain much more
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but this together with access by the veins
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and occlusion by the veins enables to treat AVMs
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that are not surgical and not radiosurgical so if we can treat AVMs that are too difficult for surgery and for radiosurgery,
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then no doubt that you can also treat the ones
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that are more easy and can be treated by surgery or radiosurgery or not.
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And do you think that the difficulty or the potential difficulty of AVM,
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should we concentrate experiences of AVM or should we democratize a little bit more?
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At a good point, AVM treatment is not simple.
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The first time you see an AVM,
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you see vessels everywhere and you wonder what is this.
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Trying to understand an AVM is trying to understand the plate of spaghetti
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and to understand how each spaghetti is connected to the other ones.
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It's not exactly this, but it takes a lot of time to invest for training,
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for learning, but also for each procedure.
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if you train it for many years and be doing it for many years,
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each procedure is a long procedure.
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There's nothing to do about quickie aspiration for a stroke,
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fast slow diversion or web for an aneurysm.
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You must think on the opposite to take as long as you need to take hours,
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three, four, five, six, must be completely secondary aspect to invest enough time until you have a given understanding
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and once you have understood how it looks like then you
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have to find a way to proceed to get what you want
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what do you foresee for the up for the upcoming future in the in reine bmt it's a it's
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so what changes are going to be first of all this treatment is progressively enlarging there are more
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and more persons that are wondering whether it should not be done
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which is good take care it's not something to be done
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when you've got a large AVM so better you select education
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when you start so less there will be discussions on having a complication where someone else
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and they've been able able to treat AVM on a better way.
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But I think that the technical evolutions from point of view of imaging with the Siemens 6D,
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9D, I mean, the fusion of different volumes is an important thing.
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Obviously, liquid embolix, which radio opacity disappear with time, is fabulous.
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Not only that when we reduce the radiation dose,
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but once we've been treating a lot,
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it becomes very difficult to understand,
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and then we can understand it.
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And this is probably a way to make treatment more democratic,
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because if it's to be understandable because it's visible,
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then it will enlarge this field, which is our goal.
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Professor Jabal, thank you for your time.
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Thank you.
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Thank you.
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you
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Vocabulario y notas de pronunciación para esta lección
Esta lección de conversación de nivel C2 se basa en el vídeo “How can we make AVM endovascular treatment great again?”. Las palabras que más se repiten: Avm, vein, treat, understanding, treatment. Este vídeo tiene 92 frases y 973 palabras para practicar shadowing. La parte hablada dura 6:48. El hablante mantiene un ritmo constante de unas 143 palabras por minuto, cómodo para el shadowing. El 82 % de las palabras está entre las 3.000 más comunes del inglés; conviene repasar el resto antes de empezar.
Vocabulario clave de este vídeo
Las 15 palabras más avanzadas del vídeo, con su pronunciación y significado:
| Palabra | Pronunciación | Significado |
|---|---|---|
| vein sustantivo | /veɪn/ | vena |
| radiosurgery sustantivo | radiocirugía | |
| artery sustantivo | /ˈɑɹ.təɹ.i/ | arteria |
| catheter sustantivo | /ˈkæθɪtɚ/ | catéter |
| enlarge verbo | /ɪnˈlɑɹd͡ʒ/ | ampliar, agrandar |
| fusion sustantivo | /ˈfjuː.ʒən/ | fusión |
| aneurysm sustantivo | /ˈæn.jəɹ.ɪz.əm/ | aneurisma, neurisma |
| aspiration sustantivo | /ˌæspəˈɹeɪʃən/ | aspiración |
| complication sustantivo | /ˌkɑm.pləˈkeɪ.ʃən/ | complicación |
| cooker sustantivo | /ˈkʊkɚ/ | cocina, estufa |
| democratize verbo | /dɪˈmɑkɹətaɪz/ | democratizar |
| dilute verbo | /daɪˈljuːt/ | diluir |
| embolization sustantivo | embolización | |
| endovascular adjetivo | endovascular | |
| foresee verbo | /fɔɹˈsi/ | prever, antever |
Phrasal verbs que vas a escuchar
| Palabra | Pronunciación | Significado |
|---|---|---|
| come together verbo | /ˈkʌm tʊˈɡɛðɚ/ | juntarse, concitarse |
| see through verbo | ver a través |
Gramática en este vídeo
Las estructuras que más usa el hablante, con las palabras exactas del vídeo:
| Estructura | En el vídeo |
|---|---|
| Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace | was offered · is based · is organized |
| Present perfect have/has + participio pasado — una acción pasada que sigue importando ahora | we've never been · have been · has been pushed |
| Oraciones de relativo who / which + oración — información extra sobre una persona o cosa | disease which is · field, which is |
Pronunciación a tener en cuenta
El hablante usa 7 contracciones y formas reducidas, como we've, don't, they've. Dilas en su forma corta, tal como las oyes.
- Los sonidos de “th”: catheter /ˈkæθɪtɚ/, pathology /pəˈθɒləd͡ʒi/
- Los sonidos de “sh” y “zh”: fusion /ˈfjuː.ʒən/, aspiration /ˌæspəˈɹeɪʃən/, complication /ˌkɑm.pləˈkeɪ.ʃən/, occlusion /əˈkluː.ʒən/, diversion /dɪˈvɝ.ʒən/
- Palabras largas — cuida el acento: aneurysm /ˈæn.jəɹ.ɪz.əm/, aspiration /ˌæspəˈɹeɪʃən/, complication /ˌkɑm.pləˈkeɪ.ʃən/, democratize /dɪˈmɑkɹətaɪz/, opacity /oʊˈpæsɪti/
Sonidos difíciles para hispanohablantes:
- /v/ — no es /b/: los dientes tocan el labio inferior: vein /veɪn/, progressively /pɹəˈɡɹɛsɪvli/, diversion /dɪˈvɝ.ʒən/, microwave /ˈmaɪkɹoʊˌweɪv/
- /z/ — sonora, no /s/: aneurysm /ˈæn.jəɹ.ɪz.əm/, democratize /dɪˈmɑkɹətaɪz/, organize /ˈɔɹɡənaɪz/
- /dʒ/ — no es la “y” ni la “ch”: enlarge /ɪnˈlɑɹd͡ʒ/, pathology /pəˈθɒləd͡ʒi/, surgical /ˈsɝd͡ʒɪkəl/
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 vein, radiosurgery, artery.
¿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.