Практика Shadowing: How to Avoid Common Mistakes During Insertion in Colonoscopy (Using the Olympus CM-15 Colon Phantom) - Изучайте разговорный английский по видео

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Forbidden movements Let's move on to forbidden movements.
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One common problem in colonoscopy is the air issue.
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The air button is easily available,
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So it's quite easy to get into it and just hold the fingertip on it.
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And you want to have a good view of the lumen, so you just blow air so you can continue.
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And you want to have an almost clear view of the colon.
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But by doing this, you get into trouble.
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So you have a very nice view so that you can continue.
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But look at the sigmoid colon.
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Even if I try hard, I cannot pull it down.
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It's impossible because of the air and this confined cage which is the abdomen.
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So the only way to continue is to decrease the air
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if you get into this situation so that you can really reduce this.
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So please take care of the air button.
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Typical mistake seen with right and left movements using the shaft of the endoscope.
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Okay, this right and left shaft movement that people think that work,
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as you can see, does not do anything inside the colon.
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So this is movement that should be forbidden.
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Twisting your wrist at the control body is crucial for a rotational effect at the tip of the endoscope.
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Improper way to control angulation.
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Okay, another forbidden movement.
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Don't use your right hand to do the right and left angling.
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To manipulate the endoscope, you want to use up and down angulation with the joint of your thumb.
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Up, down, and with the tip of your thumb,
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left, right, and now you can combine these movements, like this.
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Improper way of reducing a loop.
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A common problem in colonoscopy is to get a loop outside the colon at the shaft of the instrument.
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The common recommendation is that you send that loop to the umbilicus.
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But by doing that, sending it, you shorten the umbilicus and you reduce the mobility of the instrument.
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So movements at this level become more difficult.
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So you reduce your movements.
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The correct way to reduce it is by rotating the shaft of the instrument like this.
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Slowly and...
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And lastly, don't push the colonoscope too much.
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You see...
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the inside of the lumen is not moving, but you still try to push.
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What is happening is you're making a huge loop inside the abdomen,
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and this is very painful for the patient.
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When you see this movement in the colon, you should not push further.

Об этом уроке

Вы практикуете английский с "How to Avoid Common Mistakes During Insertion in Colonoscopy (Using the Olympus CM-15 Colon Phantom)" с помощью техники Shadowing — метода, разработанного для подготовки профессиональных переводчиков.

Слушайте каждое предложение, обращайте внимание на ударения и связывание звуков, затем повторяйте вслух уверенно. 15–30 минут ежедневной практики дадут заметные результаты.

Что такое техника Shadowing?

Shadowing — это научно обоснованная техника изучения языка, изначально разработанная для подготовки профессиональных переводчиков и популяризированная полиглотом доктором Александром Аргуэльесом. Метод прост, но эффективен: вы слушаете аудио на английском от носителей языка и немедленно повторяете вслух — как тень, следующая за говорящим с задержкой в 1–2 секунды. В отличие от пассивного прослушивания или грамматических упражнений, Shadowing заставляет мозг и мышцы рта одновременно обрабатывать и воспроизводить реальные речевые паттерны. Исследования показывают, что это значительно улучшает точность произношения, интонацию, ритм, связную речь, понимание на слух и беглость речи — что делает его одним из самых эффективных методов для подготовки к IELTS Speaking и реального общения на английском.