Shadowing Practice: Latest advances in AVM treatment - Uday LIMAYE - Learn English Speaking with Video

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Music
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I'm Uday Limay, I'm from Mumbai, India.
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And I have, I'm a student of JAG.
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He's my teacher.
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And I have been coming to the LINC course right from its inception in 1997.
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And because this is my region,
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I have been coming to the LINC Asia last year as well as this year.
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And this year is bigger,
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better, and I hope that this continues in future.
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Now, given that my topic of interest that I would like to talk a little bit about is AVMs.
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We have been doing AVM embolizations in all its evolution for the last 25 years.
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And right now where we stand with the liquid embolics that we have,
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and especially because of the advent of detachable microcatheters,
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I think the AVM treatment has become very safe.
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As long as you have the right philosophy and the right strategy and the right machines to work on,
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The equipment that we use or the material that we use is really,
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really much better than before.
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Going inside the brain is easier.
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Looking at vessels because of the machines is better.
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And we have a detachable tip microcatheter.
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So including all this, you can devise your own strategy.
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If it's a large AVM or a small AVM,
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whether you want to stage the treatment or go at it one shot.
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There are different techniques all of us
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Are doing that but you know we are well aversed with the recent advances
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and so what point I want to make is
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Just because an AVM is unruptured and it's giving patient some symptoms maybe headaches epilepsy
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There has been a trend recently which says that AVM's Unruptured should not be treated and left alone
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But we know from natural history of unruptured AVMs that during the course of time,
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generally these patients are very young.
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So during the course of time,
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in the next 10 or 15 years,
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these patients are going to rupture.
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And if we can treat them safely,
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the key is that we can treat them safely.
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And once we begin treatment,
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we should go for cure.
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Either full M-book cure or we have to follow it up with gamma knife radiosurgery.
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In rare cases some patients may require surgical excision but
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if the AVM is small to medium sized
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and you may go at it in one session
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or two three sessions if we can cure the AVM safely then I feel
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that we should not neglect it till the patient had a bleed which he would in the next five or ten years.
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So this is my take on unruptured AVMs.
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If you think you can do it,
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if you think you can do it safely.
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If you can achieve cure either by your own techniques
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or by combined treatment then these patients should not be denied treatment just because they are unruptured.
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That's my take and I hope that there are more people like me like-minded who would think the same.
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Thank you.

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Vocabulario y notas de pronunciación para esta lección

Esta lección de conversación de nivel C1 se basa en el vídeo “Latest advances in AVM treatment - Uday LIMAYE”. Las palabras que más se repiten: Avm, patient, unruptured, treatment, safely. Este vídeo tiene 50 frases y 501 palabras para practicar shadowing. La parte hablada dura 3:29. El hablante mantiene un ritmo constante de unas 144 palabras por minuto, cómodo para el shadowing. El 84 % 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:

PalabraPronunciaciónSignificado
detachable adjetivo/dəˈtætʃəbl̩/separable, de quita y pon
averse adjetivo/əˈvɜː(ɹ)s/opuesto, reacio
devise verbo/dɪˈvaɪz/concebir, inventar
embolization sustantivoembolización
epilepsy sustantivo/ˈɛpɪˌlɛpsi/epilepsia, gota caduca
excision sustantivo/ɪkˈsɪʒən/escisión
radiosurgery sustantivoradiocirugía
rupture sustantivo/ˈɹʌpt͡ʃɚ/rotura
symptom sustantivo/ˈsɪm(p)təm/síntoma
inception sustantivo/ɪnˈsɛpʃən/comienzo, inicio
advent verbo/ˈæd.vɛnt/advenimiento
gamma sustantivo/ˈɡæ.mə/gamma
bleed verbo/ˈbliːd/desangrar
neglect verbo/nɪˈɡlɛkt/descuidar, negligir
headache sustantivo/ˈhɛdeɪk/dolor de cabeza, cefalea

Gramática en este vídeo

Las estructuras que más usa el hablante, con las palabras exactas del vídeo:

EstructuraEn el vídeo
Present perfect continuous have/has been + -ing — una acción que empezó antes y continúahave been coming · have been doing
Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo haceis unruptured · should not be treated · should not be denied
Present perfect have/has + participio pasado — una acción pasada que sigue importando ahorahas become · has been

Pronunciación a tener en cuenta

El hablante usa 3 contracciones y formas reducidas, como I'm. Dilas en su forma corta, tal como las oyes.

  • Los sonidos de “sh” y “zh”: excision /ɪkˈsɪʒən/, inception /ɪnˈsɛpʃən/

Sonidos difíciles para hispanohablantes:

  • /v/ — no es /b/: los dientes tocan el labio inferior: averse /əˈvɜː(ɹ)s/, devise /dɪˈvaɪz/, advent /ˈæd.vɛnt/

Cómo practicar con este vídeo

  1. Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
  2. Haz shadowing frase por frase a velocidad normal, repitiendo cada una hasta que tu ritmo coincida con el del hablante.
  3. Grábate y compara con el original, prestando atención a palabras como detachable, averse, devise.

¿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.

Técnica de shadowing: lee la guía completa paso a paso →