Shadowing Practice: Bitch Spay Video Uterine Disaster vet cpd® 28 - Learn English Speaking with Video

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58 sentences
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1
Thank you.
2
Thank you.
3
Slide down the suspensory with your left index going around the kidney
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and press down at insertion or hook under suspensory and push up.
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Check you have good clearance of the ovary.
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Now separate the uterus for better exposure.
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Form the first millers, nudge down, tighten and then raise the clamp, place the second ligature, which can either be a miller's or a surgeon's.
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Thank you.
9
Thank you.
10
Release top clamp, mop up any blood and then raise ovarian clamp clamp.
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As we no longer have the pressure in the ovarian artery, either a millers or surgeons can be placed.
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Rotate this clamp by placing forceps in the handle.
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You can visualize the knot and see the tightness.
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Thank you.
15
This is great.
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We can check for bleeding and if any concerns, replace the clamp and add an extra ligature.
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Easy peasy.
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Better than the conventional way of hanging onto a thread of the pedicle.
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This is the scary traditional way to check for bleeding, not easy peasy, to reapply the clamp and add a ligation.
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Swab removed, and now ligation of the broad ligament, but this one has no fat or vessels, so is just torn.
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Watching this carefully will help you with deeper ovaries, push down on the abdominal wall with your left hand and pinch the ovary.
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Once you have pinched the ovary, you can pull hard on it, as the vessels are protected by the suspensory and renal ligament.
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The ovary is a slippery sucker, hence the swab.
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Hold the ovary with your right hand, slide down the suspensory ligament with your left index finger near the insertion, hook your finger under and push the ligament upwards.
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There are two ligaments, suspensory and renal.
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Obviously, the renal runs to the cadenet knot break this as this protects the vessel.
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Walk the clamp down rather than forcing it.
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Clamp and separate the uterus.
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Thank you.
30
Thank you.
31
Thank you.
32
Thank you.
33
Thank you.
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Thank you.
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But this is the way you are taught to check for bleeding.
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Exteriorizing the pedicle from this position is very difficult.
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The first ligature is a surgeon's, as this is less likely to cut through the uterus and than I usually follow with a Miller's.
38
Thank you.
39
Yep, that's not good.
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It's cut clean through the uterus, but I will still use the knot to ligate the uterine vessels as it will not cut through these.
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I feel I need something a little extra for the vessels, so just place an extra surgeon's.
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I am just checking there is no visual bleeding from the user uterine stump, the swab I send in returns with minimum blood.
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So all good.
44
Thank you.
45
Thank you.
46
A simple interrupted was enough to finish the muscle layer, but to spice things up, I ran this into the fat.
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The advantage of this is the dead space closure.
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Also, when closing the fat, I will take a nick of the muscle, again to close the dead space, removing any chance of a seroma.
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I will be unable to tie off and run the this into the skin as the needle is too large.
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The only problem I am going to have is a large knot to cover.
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As we are starting with a new suture, the subdermal anchor is made above the large fat knot so as to hide it.
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I went straight into the intradermals as I felt the skin knot would sit cordially before the intradermal entry point.
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I usually say two steps forward, one step back.
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Thank you.
55
Thank you.
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To help burial, pull with some force on the suture, but mainly push the skin over the knot with forceps.
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You're looking for that tug.
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If it doesn't bury, retrace the needle out and try again.

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Vocabulary and speaking notes for this lesson

This C1 speaking lesson is built on the video “Bitch Spay Video Uterine Disaster vet cpd® 28”. The speaker keeps coming back to these words: clamp, knot, ligament, ovary, suspensory. This video has 58 sentences and 636 words to shadow. The speech runs for 18:57. Only 74% of the words are among the 3,000 most common in English, so the vocabulary is demanding.

Key vocabulary in this video

The 15 most advanced words in the video, with pronunciation and meaning:

WordPronunciationMeaning
clamp noun/ˈklæmp/A brace, band, or clasp for strengthening or holding things that are apart together.
knot noun/nɑt/A looping of a piece of string or of any other long, flexible material that cannot be untangled without passing one or both ends of the material through its…
ligament noun/ˈlɪɡəmənt/A band of strong tissue that connects bones to other bones.
ovary noun/ˈoʊvəɹi/A female reproductive organ, often paired, that produces ova in most animals, and in mammals, secretes the hormones estrogen and progesterone.
suspensory nounThe suspensory ligament.
uterus noun/ˈjuː.tə.ɹəs/A reproductive organ of therian mammals in which the young are conceived and develop until birth.
bleed verb/ˈbliːd/To shed blood through an injured blood vessel.
ligature noun/ˈlɪɡət͡ʃɚ/The act of tying or binding something.
renal adjective/ˈɹi.nəl/Pertaining to the kidneys.
swab noun/swɒb/A small piece of soft, absorbent material, such as gauze, used to clean wounds, apply medicine, or take samples of body fluids. Often attached to a stick or…
forceps noun/ˈfoɹsɛps/An instrument used in surgery or medical procedures for grasping and holding objects, similar to tongs or pincers.
insertion noun/ɪnˈsɝʃən/The act of inserting, or something inserted.
intradermal adjectiveWithin the skin.
ligation noun/lɪˈɡeɪʃən/Something that ties, a ligature.
ovarian adjective/oʊˈvɛɹi.ən/Relating to the ovaries.

Phrasal verbs you will hear

WordPronunciationMeaning
cut through verbTo take a shortcut through.
go around verbTo move or spread from person to person.
push up verbTo make (something) higher; to increase.
step back verb/stɛp ˈbæk/To stop what one is doing and evaluate the current situation.
step forward verbto take one or more steps forward, especially in response to a request for identification
tie off verbTo close, seal, or end something by tying a knot.

Pronunciation to watch

  • The “sh” and “zh” sounds: insertion /ɪnˈsɝʃən/, ligation /lɪˈɡeɪʃən/, visualize /ˈvɪʒuəˌlaɪz/
  • Long words — get the stress right: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/

How to practise with this video

  1. Listen to the whole video once without speaking and note the words you do not know.
  2. Shadow it sentence by sentence at normal speed, repeating each one until your rhythm matches the speaker.
  3. Record yourself and compare with the original, paying attention to words like clamp, knot, ligament.

What is the Shadowing Technique?

Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.

Shadowing technique: read the full step-by-step guide →