शैडोइंग अभ्यास: Anterior Cervical Diskectomy & Fusion - वीडियो के साथ अंग्रेजी बोलना सीखें

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78 वाक्य

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I have a lot of patients who come and see me with neck pain that is radiating down the arm.

This condition is called cervical radiculopathy.

It is usually because of a pinched nerve in the neck, either due to a bone spur or a herniated disc.

There's an excellent surgery for this condition.

This is called anterior cervical discectomy infusion.

Basically, through this surgery, we unpinch the nerve by removing a disc in the neck, and we stabilize that level by fusing it.

And today, I'm going to show you how this surgery is done step by step.

I'm making this video for my patients who want to know more about the surgery, see how it's done.

So I'll take you through it step by step.

And also for patients out there who are dealing with a similar problem

and are debating whether or not they should have the surgery.

So today I'm going to show you the case of a patient who had a pinched nerve between the C6

and the C7 vertebrae in the neck, pinching the C7 nerve.

The C7 nerve comes out of the neck

and goes all the way down into the forearm and the hand and can cause some severe pain, numbness, and tingling.

So without further ado, let's get started.

The first step is to place the patient on the operating room table after they've been intubated and they've received anesthesia.

And we check an x-ray from the side

and we put a marker on the skin and make sure that we know where the C7 vertebrae is.

So we mark the skin. And similarly, we put another probe on the skin to mark where the

c6 level is after we figure out where the c6

and the c7 vertebra are we make a small incision between

those two points we get down deeper on the spine

and very carefully we take a tiny needle

and we put it into the c7 vertebra

and check another rectifier from the side now it's very important to make sure

that you are the correct vertebral level

because of course you don't want to remove the wrong level

disc now after you've confirmed your level you focus all of your attention at the c6

and c7 level so the next step is to create some space between the c6

and the c7 bones and how do you do

that well the first step is to take a small threaded pin

and put it into the c7 vertebra similarly you take a second pin

and you insert it into the c6 vertebra next you slide a distractor over these pins

and apply a very minimal distraction maybe one

or two millimeters to gently open up this disk space this allows you more space to work

and this also allows you to open up the nerve so it is no longer pinched

next using a series of different instruments we remove the degenerated disk between c6

and c7 and and we remove it all the way to the back of the vertebral body.

It's very important to remove all the discs because the nerve lives all the way in the back, right over here at this point.

After you have removed the disc, we use special instruments to unpinch the nerve and remove the bone spurs that are pinching the nerve.

So at this point, the C7 nerve has been freed up on both sides.

Now you're left with an empty space where the disc used to be.

So the question is, what do you do about it?

Well, you have to put a spacer over here, otherwise the two levels are going to collapse.

And you have to put a spacer of the correct size.

So the way we do that is we have a series of spacers, trial spacers, that we put in sequentially, and we see how snug the fit is.

When you finally find the correct fit, that is the size of the spacer that you need to put in there.

So in the case of this patient, we used a 6mm spacer

that gave us a very good snug fit both by tactile feel

and by looking at it from the side by the x-ray

so next we remove the trial

and we select a piece of bone a cadaver bone graft called the allograft

and just gently tamp it into place until

that bone is in the center of the disc space

and at this point you check another x-ray make sure everything

looks good you remove the distraction pins the threaded pins

that you put in earlier

and the next step is to put a plate in the front so that you can stabilize this whole construct.

It's very important to select a plate that's neither too long nor too short.

So you take the plate that you think is going to work, put it in the front of the neck, and put it on top of the vertebrae, and secure it temporarily with a temporary fixation pin.

You check an x-ray, make sure it's of the correct length.

Next, we take a drill and drill into the C7 bone.

Take a small screw and put it through the plate and secure the plate against C7.

We put a second screw into the C7 vertebra.

And similarly, we put two more screws into the C6.

At this point, you fight and tighten all the screws.

Make sure that the whole construct is nice and tight.

You look around to make sure that there's no bleeding.

And after checking everything to make sure it's okay, you close up the incision.

After waking the patient up and reversing anesthesia, the patient will be probably in the hospital either overnight or discharge home the same day, depending on how they're doing.

They're wearing a soft collar

and recovery in general for patients who have an anterior cervical discectomy infusion surgery is very rapid and very successful.

So I hope you enjoyed watching this video.

If you have any questions, please feel free to share in the comments below.

I always enjoy hearing from my viewers.

If you like this video, I would appreciate it if you could give it a like and subscribe to my channel.

Thank you for watching and see you next time.

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Professional Interview: Dr. Gregory Zipfel & Dr. Chad Washington | Neurosurgery Insights

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इस क्लिप के लिए बोलने के लक्ष्य

इस वीडियो में, आप गर्दन के दर्द और इसके इलाज की प्रक्रिया के बारे में जानेंगे। यह एक महत्वपूर्ण अवसर है, जहाँ आप "अंग्रेजी बोलने का अभ्यास" करते हुए चिकित्सा शब्दावली और स्थिति स्पष्ट करने के लिए आवश्यक वाक्य संरचना सीख सकते हैं। इस संवाद में न केवल विशिष्ट चिकित्सा शब्दों का उपयोग किया गया है, बल्कि यह भी दिखाया गया है कि कैसे एक स्थिति के बारे में स्पष्टता से बात की जा सकती है। उदाहरण के लिए, "cervical radiculopathy" जैसे शब्दों का सही उच्चारण और उपयोग, आपको चिकित्सा विषयों पर अधिक आत्मविश्वास से बोलने में मदद करेगा।

वाक्य बैंक

गर्दन में दर्द
एक निचोड़ते हुए नस के कारण
सर्जरी के लिए तैयार करना
एक छोटी चीरा बनाना
नस को मुक्त करना
सपेसर डालना
स्थिति को स्थिर करना

अपने कमजोर स्थानों को सुधारें

इस वीडियो का एक प्रमुख लाभ यह है कि यह "shadow speak" तकनीक के माध्यम से आपकी उच्चारण में सुधार करने में मदद करता है। वीडियो में प्रस्तुत उच्चारण और ध्वनि की लहरियाँ आपके लिए सही लय और ताल सीखने का एक बेहतरीन मौका हैं। जब आप इन वाक्यों का अभ्यास करते हैं, तो आप न केवल शब्दों को सही तरीके से बोलना सीखेंगे, बल्कि अपने संवाद में आत्मविश्वास भी बढ़ाएंगे। "अंग्रेजी शैडोइंग" के इस अभ्यास के माध्यम से, आप अपने भाषा कौशल में सुधार कर सकते हैं और अधिक प्रभावशाली तरीके से संवाद कर सकते हैं।

याद रखें कि नियमित अभ्यास से ही आपके बोलने की क्षमता में सुधार होगा। अपने कमजोर क्षेत्रों पर ध्यान केंद्रित करें और वीडियो में दिखाए गए वाक्यांशों का बार-बार अभ्यास करें। इससे न केवल आपकी समझ बढ़ेगी, बल्कि आप धाराप्रवाह बोलने में भी सक्षम होंगे।

इस वीडियो का व्याकरण

वक्ता जिन संरचनाओं का सबसे अधिक प्रयोग करता है, वीडियो के असली शब्दों के साथ:

संरचना	वीडियो में
Present perfect have/has + past participle — बीता हुआ काम जिसका असर अभी भी है	they've been intubated · you've confirmed · have removed
Passive voice be + past participle — ज़ोर इस पर कि क्या होता है, न कि कौन करता है	is called · they've been intubated · has been freed

शैडोइंग तकनीक क्या है?

शैडोइंग (Shadowing) एक विज्ञान-समर्थित भाषा सीखने की तकनीक है जो मूल रूप से पेशेवर दुभाषिया प्रशिक्षण के लिए विकसित की गई थी। विधि सरल लेकिन शक्तिशाली है: आप मूल अंग्रेज़ी ऑडियो सुनते हैं और तुरंत इसे ज़ोर से दोहराते हैं — जैसे वक्ता की छाया 1-2 सेकंड की देरी से। शोध से पता चलता है कि यह उच्चारण सटीकता, स्वर, लय, जुड़ी हुई ध्वनियाँ, सुनने की समझ और बोलने की प्रवाहशीलता में काफ़ी सुधार करता है।

शैडोइंग तकनीक: पूरी चरण-दर-चरण गाइड पढ़ें →

शैडोइंग अभ्यास: Anterior Cervical Diskectomy & Fusion - वीडियो के साथ अंग्रेजी बोलना सीखें

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