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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Woordenschat en spreektips bij deze les
Deze video bevat 33 zinnen en 414 woorden om na te spreken. Het gesproken deel duurt 2:11. De spreker praat snel, ongeveer 190 woorden per minuut, dus reken op verbonden en ingeslikte klanken. Slechts 81% van de woorden hoort bij de 3.000 meest gebruikte Engelse woorden, dus de woordenschat is pittig.
Belangrijke woorden in deze video
15 minder gangbare woorden uit de video, met uitspraak en betekenis:
- procedure /pɹəˈsiː.d͡ʒə/ (zelfstandig naamwoord) — procedure. A particular method for performing a task.
- coil /kɔɪl/ (zelfstandig naamwoord) — spiraal, veer. Something wound in the form of a helix or spiral.
- afterwards /ˈæf.tɚ.wɚdz/ (bijwoord) — nadien, achteraf. At a later or succeeding time; after that;
- monitor /ˈmɑ.nɪ.tɚ/ (zelfstandig naamwoord) — toezichthouder. Someone who watches over something; a person in charge of something or someone.
- bleed /ˈbliːd/ (werkwoord) — bloeden. To shed blood through an injured blood vessel.
- technique /tɛkˈniːk/ (zelfstandig naamwoord) — techniek. The practical aspects of a given art, occupation etc.; formal requirements.
- carefully /ˈkɛɹf(ə)li/ (bijwoord) — voorzichtig. With care; attentively, circumspectly.
- exposure /ɪkˈspəʊ.ʒə(ɹ)/ (zelfstandig naamwoord) — blootstelling, contact. The condition of being exposed, uncovered, or unprotected.
- occasionally /əˈkeɪʒənəli/ (bijwoord) — af en toe, wel eens. On occasion: at relatively infrequent intervals, from time to time, sometimes.
- asleep /əˈsliːp/ (bijvoeglijk naamwoord) — slapend. In a state of sleep; also, broadly, resting.
- suite /swiːt/ (zelfstandig naamwoord) — reeks. A group or train of attendants, servants etc.; a retinue.
- awake /əˈweɪk/ (werkwoord) — ontwaken. To become conscious after having slept.
- minimal /ˈmɪn.ə.məl/ (bijvoeglijk naamwoord) — minimaal. The smallest possible amount, quantity, or degree.
- scan /skæn/ (werkwoord) — afspeuren. To examine sequentially, carefully, or critically; to scrutinize; to behold closely.
- platinum /ˈplæt.ɪn.əm/ (zelfstandig naamwoord) — platina. The chemical element with atomic number 78 and symbol Pt; a dense, malleable, ductile, highly unreactive, silverish-white transition metal of great value.
Uitspraak om op te letten
- De “th”-klanken: anesthesia /ˌæn.əsˈθi.ʒə/, catheter /ˈkæθɪtɚ/
- De klanken “sh” en “zh”: associate /əˈsoʊʃi.ət/, exposure /ɪkˈspəʊ.ʒə(ɹ)/, occasionally /əˈkeɪʒənəli/, limitation /lɪmɪˈteɪʃən/, anesthesia /ˌæn.əsˈθi.ʒə/
- Lange woorden — let op de klemtoon: associate /əˈsoʊʃi.ət/, occasionally /əˈkeɪʒənəli/, limitation /lɪmɪˈteɪʃən/, aneurysm /ˈæn.jəɹ.ɪz.əm/, anesthesia /ˌæn.əsˈθi.ʒə/
Zo oefen je met deze video
- Luister de hele video één keer zonder te spreken en noteer de woorden die je niet kent.
- Begin op 0,75× snelheid, spreek zin voor zin na en ga terug naar normale snelheid zodra het makkelijk gaat.
- Neem jezelf op en vergelijk met het origineel; let daarbij op woorden als procedure, coil, afterwards.
Wat is de Shadowing-techniek?
Shadowing is een wetenschappelijk onderbouwde taalleermethode die oorspronkelijk is ontwikkeld voor professionele tolkentraining en gepopulariseerd door polyglot Dr. Alexander Arguelles. De methode is eenvoudig maar krachtig: je luistert naar native Engelse audio en herhaalt het onmiddellijk hardop — als een schaduw die de spreker volgt met slechts 1–2 seconden vertraging. In tegenstelling tot passief luisteren of grammaticadrills, dwingt shadowing je hersenen en mondspieren om echte spraakpatronen tegelijkertijd te verwerken en te reproduceren. Onderzoek toont aan dat het de uitspraaknauwkeurigheid, intonatie, ritme, verbonden spraak, luisterbegrip en spreekvaardigheid aanzienlijk verbetert — waardoor het een van de meest effectieve methoden is voor IELTS Speaking-voorbereiding en echte Engelse communicatie.