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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Woordenschat en spreektips bij deze les
Deze spreekles op niveau C2 is gebaseerd op de video “How can we make AVM endovascular treatment great again?”. Deze woorden komen het vaakst terug: Avm, vein, treat, understanding, treatment. Deze video bevat 92 zinnen en 973 woorden om na te spreken. Het gesproken deel duurt 6:48. De spreker praat in een gelijkmatig tempo van ongeveer 143 woorden per minuut, prettig om te shadowen. 82% van de woorden hoort bij de 3.000 meest gebruikte Engelse woorden; de rest kun je beter vooraf bekijken.
Belangrijke woorden in deze video
De 15 moeilijkste woorden uit de video, met uitspraak en betekenis:
| Woord | Uitspraak | Betekenis |
|---|---|---|
| vein zelfstandig naamwoord | /veɪn/ | ader |
| artery zelfstandig naamwoord | /ˈɑɹ.təɹ.i/ | slagader, arterie |
| catheter zelfstandig naamwoord | /ˈkæθɪtɚ/ | katheter |
| enlarge werkwoord | /ɪnˈlɑɹd͡ʒ/ | uitvergroten, vergroten |
| fusion zelfstandig naamwoord | /ˈfjuː.ʒən/ | fusie, samensmelting |
| aneurysm zelfstandig naamwoord | /ˈæn.jəɹ.ɪz.əm/ | aneurysma, aderverwijding |
| democratize werkwoord | /dɪˈmɑkɹətaɪz/ | democratiseren |
| dilute werkwoord | /daɪˈljuːt/ | verdunnen |
| endovascular bijvoeglijk naamwoord | endovasculair | |
| foresee werkwoord | /fɔɹˈsi/ | voorzien |
| quickie zelfstandig naamwoord | /ˈkwɪki/ | vluggertje |
| diversion zelfstandig naamwoord | /dɪˈvɝ.ʒən/ | afleidingsmanoeuvre, misleiding |
| pathology zelfstandig naamwoord | /pəˈθɒləd͡ʒi/ | pathologie |
| limitation zelfstandig naamwoord | /lɪmɪˈteɪʃən/ | begrenzing, beperking |
| backward bijvoeglijk naamwoord | /ˈbækwɚd/ | achteruit, naar achteren |
Phrasal verbs die je zult horen
| Woord | Uitspraak | Betekenis |
|---|---|---|
| come together werkwoord | /ˈkʌm tʊˈɡɛðɚ/ | bijeenkomen, samenkomen |
| see through werkwoord | doorheen zien |
Grammatica in deze video
De structuren die de spreker het meest gebruikt, met de exacte woorden uit de video:
| Structuur | In de video |
|---|---|
| Lijdende vorm be + voltooid deelwoord — het gaat om wat er gebeurt, niet om wie het doet | was offered · is based · is organized |
| Present perfect have/has + voltooid deelwoord — iets uit het verleden dat nu nog telt | we've never been · have been · has been pushed |
| Betrekkelijke bijzinnen who / which + zin — extra informatie over een persoon of ding | disease which is · field, which is |
Uitspraak om op te letten
De spreker gebruikt 7 samentrekkingen en verkorte vormen, zoals we've, don't, they've. Spreek ze kort uit, zoals je ze hoort.
- De “th”-klanken: catheter /ˈkæθɪtɚ/, pathology /pəˈθɒləd͡ʒi/
- De klanken “sh” en “zh”: fusion /ˈfjuː.ʒən/, aspiration /ˌæspəˈɹeɪʃən/, complication /ˌkɑm.pləˈkeɪ.ʃən/, occlusion /əˈkluː.ʒən/, diversion /dɪˈvɝ.ʒən/
- Lange woorden — let op de klemtoon: aneurysm /ˈæn.jəɹ.ɪz.əm/, aspiration /ˌæspəˈɹeɪʃən/, complication /ˌkɑm.pləˈkeɪ.ʃən/, democratize /dɪˈmɑkɹətaɪz/, opacity /oʊˈpæsɪti/
Klanken die Nederlandstaligen lastig vinden:
- Stemhebbende eindmedeklinker — /b/, /d/, /g/, /z/, /v/ niet verscherpen: enlarge /ɪnˈlɑɹd͡ʒ/, democratize /dɪˈmɑkɹətaɪz/, backward /ˈbækwɚd/, microwave /ˈmaɪkɹoʊˌweɪv/, explode /ɪkˈsploʊd/
- /æ/ — opener dan de Nederlandse “e”: catheter /ˈkæθɪtɚ/, aneurysm /ˈæn.jəɹ.ɪz.əm/, aspiration /ˌæspəˈɹeɪʃən/, opacity /oʊˈpæsɪti/, backward /ˈbækwɚd/
- /g/ — een harde plofklank, geen Nederlandse “g”: progressively /pɹəˈɡɹɛsɪvli/, organize /ˈɔɹɡənaɪz/
Zo oefen je met deze video
- Luister de hele video één keer zonder te spreken en noteer de woorden die je niet kent.
- Spreek zin voor zin na op normale snelheid en herhaal elke zin tot je ritme gelijk is aan dat van de spreker.
- Neem jezelf op en vergelijk met het origineel; let daarbij op woorden als vein, artery, catheter.
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.