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

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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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Context & Background

In the video titled "Latest Advances in AVM Treatment," Uday Limaye, a seasoned practitioner from Mumbai, India, shares his extensive experience in the treatment of arteriovenous malformations (AVMs). As a long-time student of the LINC course, Limaye reflects on the evolution of AVM treatment over the last 25 years. His focus is on the advancements in technology and strategies that have made the treatment process safer and more effective. He emphasizes the importance of addressing unruptured AVMs proactively to prevent future complications for young patients.

Top 5 Phrases for Daily Communication

  • "Right philosophy and strategy" - This phrase highlights the importance of a thoughtful approach in any process.
  • "Treat them safely" - A reminder that safety should always be a priority in healthcare and treatment.
  • "Achieve cure" - A powerful expression of the goal many medical professionals strive for.
  • "Natural history of unruptured AVMs" - This phrase refers to the typical progression of a medical condition over time, emphasizing the need for awareness.
  • "Not be denied treatment" - A motivational reminder to advocate for necessary interventions in health care.

Step-by-step Shadowing Guide

To enhance your English speaking skills and improve your pronunciation using the shadowing technique with this video, follow these steps:

  1. Watch the video without subtitles: This will allow you to focus on the sounds and intonations rather than relying on written text.
  2. Listen to a segment: Select a 20-30 second segment of the video that contains clear dialogue from Uday Limaye.
  3. Replay and repeat: Play the segment multiple times. Pause after each sentence and attempt to repeat it aloud. This is where you will focus on improving your English pronunciation.
  4. Utilize a shadowing app: Consider using a shadowing app that allows you to record your voice and compare it to the original. This can greatly aid in mastering the nuances of speech.
  5. Engage in conversation: After practicing, discuss the video’s themes with a partner or tutor, using the new vocabulary and phrases you've learned to reinforce your skills.

Incorporating these steps into your routine can significantly boost your IELTS speaking practice and overall fluency. Shadowing remains a powerful tool for mastering language—commit to it daily for the best results!

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.

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