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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Bu dersin kelimeleri ve konuşma notları
Bu C2 seviyesindeki konuşma dersi “How can we make AVM endovascular treatment great again?” videosuna dayanıyor. En çok tekrarlanan kelimeler: Avm, vein, treat, understanding, treatment. Bu videoda gölgeleme çalışması için 92 cümle ve 973 kelime var. Konuşma bölümü 6:48 sürüyor. Konuşmacı dakikada yaklaşık 143 kelimelik dengeli bir hızla konuşuyor; gölgeleme için rahat bir tempo. Kelimelerin %82’i İngilizcede en sık kullanılan 3.000 kelime arasında; geri kalanına başlamadan önce bakmakta fayda var.
Bu videodaki önemli kelimeler
Videodaki en ileri düzey 15 kelime, telaffuzu ve anlamıyla:
| Kelime | Telaffuz | Anlam |
|---|---|---|
| vein isim | /veɪn/ | damar |
| radiosurgery isim | radyocerrahi | |
| artery isim | /ˈɑɹ.təɹ.i/ | arter, atardamar |
| catheter isim | /ˈkæθɪtɚ/ | sonda, kateter |
| aneurysm isim | /ˈæn.jəɹ.ɪz.əm/ | anevrizma |
| democratize fiil | /dɪˈmɑkɹətaɪz/ | demokratikleştirmek |
| foresee fiil | /fɔɹˈsi/ | öngörmek |
| progressively zarf | /pɹəˈɡɹɛsɪvli/ | basamak basamak, derece derece |
| quickie isim | /ˈkwɪki/ | cup cup |
| pathology isim | /pəˈθɒləd͡ʒi/ | patoloji |
| backward sıfat | /ˈbækwɚd/ | geri |
| understandable sıfat | anlaşılabilir, kavranabilir | |
| microwave isim | /ˈmaɪkɹoʊˌweɪv/ | mikrodalga |
| explode fiil | /ɪkˈsploʊd/ | patlamak |
| trunk isim | /tɹʌŋk/ | gövde, ağaç gövdesi |
Bu videodaki dil bilgisi
Konuşmacının en çok kullandığı yapılar, videodaki sözcüklerin aynısıyla:
| Yapı | Videoda |
|---|---|
| Edilgen yapı be + fiilin üçüncü hâli — kimin yaptığı değil, ne olduğu önemli | was offered · is based · is organized |
| Present perfect have/has + fiilin üçüncü hâli — geçmişte olan ama şimdi de önemli olan bir eylem | we've never been · have been · has been pushed |
| İlgi cümlecikleri who / which + cümle — bir kişi ya da şey hakkında ek bilgi | disease which is · field, which is |
Dikkat edilecek telaffuzlar
Konuşmacı we've, don't, they've gibi kısaltılmış biçimleri 7 kez kullanıyor. Bunları duyduğunuz gibi kısa söyleyin.
- “th” sesleri: catheter /ˈkæθɪtɚ/, pathology /pəˈθɒləd͡ʒi/
- “sh” ve “zh” sesleri: fusion /ˈfjuː.ʒən/, aspiration /ˌæspəˈɹeɪʃən/, complication /ˌkɑm.pləˈkeɪ.ʃən/, occlusion /əˈkluː.ʒən/, diversion /dɪˈvɝ.ʒən/
- Uzun kelimeler — vurguyu doğru yere koyun: aneurysm /ˈæn.jəɹ.ɪz.əm/, aspiration /ˌæspəˈɹeɪʃən/, complication /ˌkɑm.pləˈkeɪ.ʃən/, democratize /dɪˈmɑkɹətaɪz/, opacity /oʊˈpæsɪti/
Türkçe konuşanların zorlandığı sesler:
- /w/ — dudaklar yuvarlak, /v/ değil: quickie /ˈkwɪki/, backward /ˈbækwɚd/, microwave /ˈmaɪkɹoʊˌweɪv/
- Kelime başındaki ünsüz kümesi — araya ünlü eklemeyin: fusion /ˈfjuː.ʒən/, progressively /pɹəˈɡɹɛsɪvli/, quickie /ˈkwɪki/, trunk /tɹʌŋk/, transform /tɹænsˈfɔɹm/
- /æ/ — “e”den daha açık: catheter /ˈkæθɪtɚ/, aneurysm /ˈæn.jəɹ.ɪz.əm/, aspiration /ˌæspəˈɹeɪʃən/, opacity /oʊˈpæsɪti/, backward /ˈbækwɚd/
Bu videoyla nasıl çalışılır
- Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
- Normal hızda cümle cümle tekrar edin; ritminiz konuşmacıyla aynı olana kadar her cümleyi yineleyin.
- Kendinizi kaydedin ve orijinaliyle karşılaştırın; vein, radiosurgery, artery gibi kelimelere özellikle dikkat edin.
Gölgeleme Tekniği Nedir?
Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.