Prática de Shadowing: Bitch Spay Video Uterine Disaster vet cpd® 28 - Aprenda a falar inglês com vídeo
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58 frases
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1
Thank you.
2
Thank you.
3
Slide down the suspensory with your left index going around the kidney
4
and press down at insertion or hook under suspensory and push up.
5
Check you have good clearance of the ovary.
6
Now separate the uterus for better exposure.
7
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.
8
Thank you.
9
Thank you.
10
Release top clamp, mop up any blood and then raise ovarian clamp clamp.
11
As we no longer have the pressure in the ovarian artery, either a millers or surgeons can be placed.
12
Rotate this clamp by placing forceps in the handle.
13
You can visualize the knot and see the tightness.
14
Thank you.
15
This is great.
16
We can check for bleeding and if any concerns, replace the clamp and add an extra ligature.
17
Easy peasy.
18
Better than the conventional way of hanging onto a thread of the pedicle.
19
This is the scary traditional way to check for bleeding, not easy peasy, to reapply the clamp and add a ligation.
20
Swab removed, and now ligation of the broad ligament, but this one has no fat or vessels, so is just torn.
21
Watching this carefully will help you with deeper ovaries, push down on the abdominal wall with your left hand and pinch the ovary.
22
Once you have pinched the ovary, you can pull hard on it, as the vessels are protected by the suspensory and renal ligament.
23
The ovary is a slippery sucker, hence the swab.
24
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.
25
There are two ligaments, suspensory and renal.
26
Obviously, the renal runs to the cadenet knot break this as this protects the vessel.
27
Walk the clamp down rather than forcing it.
28
Clamp and separate the uterus.
29
Thank you.
30
Thank you.
31
Thank you.
32
Thank you.
33
Thank you.
34
Thank you.
35
But this is the way you are taught to check for bleeding.
36
Exteriorizing the pedicle from this position is very difficult.
37
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.
40
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.
41
I feel I need something a little extra for the vessels, so just place an extra surgeon's.
42
I am just checking there is no visual bleeding from the user uterine stump, the swab I send in returns with minimum blood.
43
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.
47
The advantage of this is the dead space closure.
48
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.
49
I will be unable to tie off and run the this into the skin as the needle is too large.
50
The only problem I am going to have is a large knot to cover.
51
As we are starting with a new suture, the subdermal anchor is made above the large fat knot so as to hide it.
52
I went straight into the intradermals as I felt the skin knot would sit cordially before the intradermal entry point.
53
I usually say two steps forward, one step back.
54
Thank you.
55
Thank you.
56
To help burial, pull with some force on the suture, but mainly push the skin over the knot with forceps.
57
You're looking for that tug.
58
If it doesn't bury, retrace the needle out and try again.
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Vocabulário e dicas de fala para esta lição
Esta aula de conversação de nível C1 usa o vídeo “Bitch Spay Video Uterine Disaster vet cpd® 28”. As palavras que mais se repetem: clamp, knot, ligament, ovary, suspensory. Este vídeo tem 58 frases e 636 palavras para praticar shadowing. A fala dura 18:57. Apenas 74% das palavras estão entre as 3.000 mais comuns do inglês, por isso o vocabulário é exigente.
Vocabulário principal deste vídeo
As 15 palavras mais avançadas do vídeo, com pronúncia e significado:
| Palavra | Pronúncia | Significado |
|---|---|---|
| clamp substantivo | /ˈklæmp/ | grampo, braçadeira |
| knot substantivo | /nɑt/ | nó |
| ligament substantivo | /ˈlɪɡəmənt/ | ligamento |
| ovary substantivo | /ˈoʊvəɹi/ | ovário |
| bleed verbo | /ˈbliːd/ | sangrar |
| ligature substantivo | /ˈlɪɡət͡ʃɚ/ | ligação |
| renal adjetivo | /ˈɹi.nəl/ | renal |
| forceps substantivo | /ˈfoɹsɛps/ | fórceps |
| insertion substantivo | /ɪnˈsɝʃən/ | inserção |
| ovarian adjetivo | /oʊˈvɛɹi.ən/ | ovárico, ovariano |
| suture substantivo | /ˈsu.t͡ʃɚ/ | sutura, ponto |
| pinch verbo | /pɪnt͡ʃ/ | beliscar |
| needle substantivo | /ˈniː.dəl/ | agulha |
| cordially advérbio | /ˈkɔɹd͡ʒəli/ | cordialmente |
| visualize verbo | /ˈvɪʒuəˌlaɪz/ | visualizar |
Pronúncia para ficar de olho
- Os sons de “sh” e “zh”: insertion /ɪnˈsɝʃən/, ligation /lɪˈɡeɪʃən/, visualize /ˈvɪʒuəˌlaɪz/
- Palavras longas — acerte a sílaba tônica: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/
Sons difíceis para falantes de português:
- Consoante final — sem acrescentar um “i” depois: clamp /ˈklæmp/, knot /nɑt/, ligament /ˈlɪɡəmənt/, bleed /ˈbliːd/, swab /swɒb/
- /l/ final — a língua toca o céu da boca, não vira “u”: renal /ˈɹi.nəl/, pedicle /ˈpɛd.ɪ.kəl/, needle /ˈniː.dəl/, burial /ˈbɛɹi.əl/
- s + consoante no início — sem um “i” antes: swab /swɒb/, slippery /ˈslɪpəɹi/, spouse /spaʊ̯s/
Como praticar com este vídeo
- Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
- Faça shadowing frase por frase na velocidade normal, repetindo cada uma até o seu ritmo ficar igual ao do falante.
- Grave a sua voz e compare com o original, prestando atenção a palavras como clamp, knot, ligament.
O que é a Técnica de Shadowing?
Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.