跟讀練習: Decision-making in complex aneurysms: Guilherme Dabus on tools, techniques and safe strategy - 通過影片學習英語口語

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Dr. Davos, thank you to be here sharing with us all your knowledge with the faculty,

達沃斯博士，感謝您來到這裡，與全體教職員工分享您的學識。

giving solutions for the treatment of complex cases,

how to use the different tools in the management of complex cases.

So how do you think about the evolution of the newest tools and techniques for treating complex cases?

I mean, I think, you know,

if you think about their field for the last 30 years,

I mean, I've been in practice for almost 20 years,

and you see the evolution just doesn't stop,

which is a great thing.

I mean, you see the device that we have now to treat,

for example, brain aneurysms or acute stroke from large vasococlusions,

and also like other areas like the liquid embolix carotid stents

which also has evolved i mean it's it's just has been an unbelievable journey

and i think it's been great

because it really is benefiting the patients i mean it makes our life easier too you know

which is great but in

that you know we need to always to think about what is being the best for the patient

and i think these new tools are really increasing the chance of those patients having a good outcome

which in the end it's really what we care for.

Yes.

How do you feel about the...

or what do you think about the.. using flower diverters in bifurcation aneurysms?

Also, as a young neurosurgeon,

I am afraid about that.

Yeah, I mean, I think that's still a topic of debate.

We don't have a clear answer for that.

I think the most important thing,

and I tell this to my fellows,

and I think when I have conferences like this where there's people that have not had a lot of experience yet,

right like we had it's important to understand that those are tools

and again you need to look into the aneurysm

and understand what is going to be the best tool to treat the aneurysm what

so what's going to be the most effications or effective tool to treat

that aneurysm in a ratio

that is also like the safest procedure for the device right for

that patient right so i think that's the important thing

that we need to always think about there is a bifurcation aneurysm are are there potentially other options?

Yeah.

I mean, is this patient young?

Is this patient someone that can benefit from other endovascular or even surgical strategy?

Or there's no other option,

and maybe putting in flow diverter is the best option.

We don't have a lot of the clear answer for that.

I mean, I think we may have some better idea with some further on studies looking to specifically flow diverter into bifurcation,

but at this point, we don't have actually that answer.

So I think we need to see those as tools

that could be used to improve the patient outcome to treat the aneurysm.

But we don't have the clear answer for that,

so we need to understand where all the tools are,

all the possible strategies, and really decide what's going to be the best for that patient.

So in the case that you are using the cloud diverters in bifurcations,

what do you think are the key points to avoid the thrombosis of the side branch?

Yeah, I think, you know,

again, first of all, you need to see if that's the best strategy for that patient.

In our practice, we try to refrain from that.

So we do maybe a stent assisted co-embolization.

Now, if you can't because of whatever,

it's a fusiform aneurysm that may be better suited for a flutiver,

then we would do it.

And basically in terms like,

you know,

side branches usually in our experience what we can do is

increase a little bit the blood pressure make sure they remain

patent we usually do delayed angiogram after the flow diver display to make sure

that branch is still feeling in a normal time

if not you can use you know different strategies you can give uh glucopoing 2b3 inhibitors for example you know

that can improve because could be a clot

that is forming the surface of the stent

so there are things you can do also like try to put your flow diver on the dominant branch of

that bifurcation right so you decrease the risk of of having like an important schemic symptom.

So I think those are important things.

But again, I guess the key message here is that understanding the bifurcation endos,

see if there's other possible alternatives to that.

And if they're not, because of fusiform and you think the flow divert is the best treatment,

make sure you have a good execution of that

and make sure you do maybe a 15 minute delayed angiogram

to make sure the flow is completely along on to the side branches.

I think that's very helpful.

Okay.

So, there were any particular case that you consider particularly educational for young neurosurgeons?

I think, you know, to be quite honest,

all the cases are very educational.

Even for people to understand that maybe

that should not be what they should try if they're not experienced with a specific device.

Some of the cases here are difficult and some of the cases are done with people that have a really,

like, probably some of the maximal level of expertise with a certain device.

So I think it's very important the person needs to see,

okay, what is my limitation to do a case like this?

There are other strategies.

There's always other strategies.

So I think if you look into all the kids that were presented,

I think that's a key lesson to be learned.

You know, understand what's your strengths and what can you do that actually will help the patient achieve a good outcome.

But understanding that you have limitations and if you don't have a great expertise of specific device,

you shouldn't try them difficult case.

Okay.

And what's your opinion about the Latin American community in this meeting?

I mean, the Latin community,

like when you have like Link Americas, is always great.

100

There's always a lot of people from Central and South America.

101

There's a lot of people that come from the meeting that live in the U.S and practice here who are,

102

you know, South American or Central American.

103

So I think that's really enriches a lot like the discussion.

104

I think we have different realities that we all learn to live with.

105

And, you know, it's great to have discussions and debate about those cases.

106

And if you look into the cases and the case that people present,

107

I mean, you know, great work is done all over the world.

108

So I think that's important that we recognize that as well.

109

Yes.

110

Thank you, Dr. Davos, to be here.

111

You're very welcome.

112

My pleasure.

113

Thank you very much.

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為何要通過這個影片練習口語？

在這段影片中，專家討論了複雜動脈瘤的處理及其最新工具的應用。這不僅僅是醫學知識的分享，更是對於如何在複雜情況下做出決策的一次深刻分析。觀看這類影片可以幫助學員在真實語境中練習英語口語，尤其是在面對醫學術語和專業對話時，通過看YouTube學英語，可以習得許多表達和技巧。在這種互動性強的學習環境中，學員能夠更好地理解語境，同時提升自信心，加速英語口語練習的程序。

語法與表達的語境分析

使用時間狀語從句：例如，“如果你考慮他們的領域在過去的30年”。這表明了說話者在分析時已經形成的時間框架，為表達提供了更多的上下文。
被動語態的運用：如“這些新工具正在增加患者擁有良好結果的機會”。這種結構在醫學領域相當常見，精簡了句子，同時突出了工具對結果的影響。
條件句的使用：在討論治療方案時經常用到，如“如果這名患者年輕”。這幫助表明了治療方案的可變性和適應性。
反覆加強的重述：說話者為了強調而重複某些觀點，例如“我們不知道清晰的答案”，這在教育和公共演講中是有效的說話策略，有助於加深聽眾的印象。

常見發音陷阱

在影片中，有些醫學術語可能對非母語者造成發音困難。例如，“aneurysm（動脈瘤）”和“diverters（分流器）”這兩個詞的發音可能會讓學習者感到挑戰。此外，某些地域口音也可能影響理解，比如說話者在提及“intervention（介入）”時的發音，可能會有所不同。在進行英語影子跟讀時，注意這些細節非常重要，它們不僅影響溝通效果，更是提升個人發音精準度的關鍵。

總之，在觀看這類影片時，通過shadow speech練習發音、語法及其在語境裡的使用，可以幫助學習者更好地掌握專業英語。在這個過程中，結合英語口語練習，將對提升自我表達能力有極大幫助。

影片中的語法

說話人最常用的結構，並附上影片中的原話：

結構	影片中的用法
現在完成時 have/has + 過去分詞 — 過去發生但與現在仍有關聯的事	I've been · has evolved · it's been
被動語態 be + 過去分詞 — 強調發生了什麼，而不是誰做的	were presented · be learned

什麼是跟讀法？

跟讀法 (Shadowing) 是一種有科學依據的語言學習技巧，最初開發用於專業口譯員的培訓，並由多語言者Alexander Arguelles博士普及。這個方法簡單而強大：您在聽英語母語原聲的同時立即大聲重複——就像是一個延遲1-2秒緊跟說話者的影子。與被動聽力或語法練習不同，跟讀法強迫您的大腦和口腔肌肉同時處理並模模擬實的講話模式。研究表明它能顯著提高發音準確性，語調，節奏，連讀，聽力理解和口語流利度——使其成為雅思口語備考和真實英語交流最有效的方法之一。

影子跟讀法: 閱讀完整分步指南 →

跟讀練習: Decision-making in complex aneurysms: Guilherme Dabus on tools, techniques and safe strategy - 通過影片學習英語口語

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為何要通過這個影片練習口語？

語法與表達的語境分析

常見發音陷阱

影片中的語法

什麼是跟讀法？