1
00:00:00,200 --> 00:00:03,440
Most people don't want to
spending time in a hospital,

2
00:00:03,460 --> 00:00:07,420
of course you will say, but perhaps you don't study
medicine like me and you don't have a doctor

3
00:00:07,420 --> 00:00:11,360
retired as an uncle. He knows everyone
and decided to help me choose the

4
00:00:11,360 --> 00:00:15,040
specialization. It's not a pill
morphine. And how he lets it pass for

5
00:00:15,040 --> 00:00:18,280
all the slices of the greatest show
medical television in the history of

6
00:00:18,280 --> 00:00:21,320
and advanced search, even if the
My uncle's hospital practice is

7
00:00:21,320 --> 00:00:22,460
decidedly experimental.

8
00:00:23,480 --> 00:00:26,340
Robert is charming, come down again
more.

9
00:00:26,700 --> 00:00:29,320
It's really too late to sign up for
jurisprudence?

10
00:00:39,999 --> 00:00:44,380
It's a very broad field. When you look
the human body is thought of as ears,

11
00:00:44,440 --> 00:00:48,180
the nose and throat are one area
restricted. But it's not like that, it's immense.

12
00:00:48,860 --> 00:00:53,020
There is a small part of the ear
medium and we also have three workshops. The

13
00:00:53,020 --> 00:00:57,660
nose is an extremely machine
efficient. Over the years, yes

14
00:00:57,660 --> 00:00:58,660
voice.

15
00:00:59,280 --> 00:01:02,520
You have to know where you are moving, not always there
answer is obvious.

16
00:01:04,040 --> 00:01:08,920
The ears, nose and throat. Today
let's talk about otolaryngology, called

17
00:01:08,920 --> 00:01:11,680
also NGOs. I have problems with my voice.

18
00:01:11,900 --> 00:01:13,980
For two weeks my blood pressure has been lowered
'hearing.

19
00:01:14,240 --> 00:01:17,920
The throat is always very dry. I have breasts
blocked nasal passages.

20
00:01:18,160 --> 00:01:23,400
I'm always doing... Over half of
disorders seen by a GP are

21
00:01:23,400 --> 00:01:24,980
related to ears, nose and throat.

22
00:01:25,240 --> 00:01:27,240
Small space, big complications.

23
00:01:29,160 --> 00:01:34,160
Behind this wonderful structure
there is a labyrinth in which no one

24
00:01:34,160 --> 00:01:35,300
can come in apart from us.

25
00:01:35,940 --> 00:01:40,680
Please try not to move now.
To be able to orient ourselves through these

26
00:01:40,680 --> 00:01:46,680
tunnels and dark passages we use l
endoscopy. And the stroboscopes and

27
00:01:46,680 --> 00:01:50,340
very high magnification. But he is not alone
a great technological soup.

28
00:01:50,900 --> 00:01:55,720
We are dealing above all with
senses, taste, hearing.

29
00:01:56,160 --> 00:01:57,160
The sense of smell.

30
00:01:57,400 --> 00:02:00,560
Just think for a moment about losing
one of these senses.

31
00:02:01,220 --> 00:02:05,420
What impact could it have on
our life every day?

32
00:02:10,660 --> 00:02:14,540
My uncle always encouraged me to quit
my cataleptic attitude with i

33
00:02:14,540 --> 00:02:15,540
patients.

34
00:02:16,100 --> 00:02:20,840
Blocked nasal sinuses are a real nuisance,
don't smell any scents. Yes, that's true.

35
00:02:21,310 --> 00:02:25,090
I miss the scents I used to smell
once, that of my rose garden, the smell

36
00:02:25,090 --> 00:02:27,770
of my baby's skin. Ah, i
children.

37
00:02:28,010 --> 00:02:32,110
What I remember about Robert
Baby it's the smell of diapers

38
00:02:32,430 --> 00:02:36,030
He was talking about flowers. Not now
change the subject, Robert.

39
00:02:36,310 --> 00:02:38,010
As a child you stunk.

40
00:02:41,870 --> 00:02:44,910
And that's okay, unpleasant odors are not
they forget.

41
00:02:45,110 --> 00:02:49,750
But the nose is not just a matter of
smell. The nose humidifies and warms the

42
00:02:49,750 --> 00:02:50,750
the air that is inspired.

43
00:02:51,470 --> 00:02:56,930
Even if it's winter outside and there
temperature is minus 10, the air that we

44
00:02:56,930 --> 00:03:02,050
it reaches our lungs at temperature
corporeal. Behind the nose are the

45
00:03:02,050 --> 00:03:07,530
turbinates. One of the three in particular,
thanks to the mucosa of erectile tissue,

46
00:03:07,630 --> 00:03:12,770
it can be reduced to the minimum terms or it can
become swollen like a balloon.

47
00:03:13,170 --> 00:03:17,510
In the cold the turbinates swell,
increasing blood supply e

48
00:03:17,510 --> 00:03:22,360
nasals. The nostrils turn into
fan heaters and heat the air

49
00:03:22,360 --> 00:03:23,360
that reaches the lungs.

50
00:03:23,600 --> 00:03:25,720
This is why we have noses in winter
broken.

51
00:03:26,140 --> 00:03:30,440
ENT laryngology is not alone
nose issue. They are there too

52
00:03:30,440 --> 00:03:31,440
to the ears.

53
00:03:32,000 --> 00:03:36,820
I visit him in the ear and what's there
do I find? A nice earwax plug. There is

54
00:03:36,820 --> 00:03:40,560
earwax in the ear. It surprises me that
still hear from this side.

55
00:03:41,280 --> 00:03:42,760
But what is a sculpture?

56
00:03:43,040 --> 00:03:45,340
Earwax blocks germs and dirt.

57
00:03:45,610 --> 00:03:49,710
But if it accumulates it can cause a
hearing loss By plugging the

58
00:03:49,710 --> 00:03:54,210
auditory like hair in a sink
It comes off with this thin forceps and

59
00:03:54,210 --> 00:04:01,010
then you aspire There's a lot to work on It's
It was very rewarding for both of us

60
00:04:01,010 --> 00:04:05,870
in five minutes his problem was
solved There was nothing serious Le

61
00:04:05,870 --> 00:04:09,570
ears usually clean themselves
The earwax moves towards the ear

62
00:04:09,570 --> 00:04:13,870
external And speaking and chewing comes
pushed out A recommendation

63
00:04:14,800 --> 00:04:19,459
Don't use the classic cotton swab. Not
you will have to put anything more in there

64
00:04:19,459 --> 00:04:20,459
smaller than an elbow.

65
00:04:22,480 --> 00:04:27,240
Then we have the rock concert,
identifiable by the classic buzz at

66
00:04:27,240 --> 00:04:28,240
after the concert.

67
00:04:29,320 --> 00:04:33,240
Many people at the end of a concert
your ears feel blocked or

68
00:04:33,240 --> 00:04:38,300
they feel a sort of internal rattling.
This is the result of a certain kind

69
00:04:38,300 --> 00:04:39,300
of trauma.

70
00:04:39,540 --> 00:04:43,160
Indicates trauma to the hair cells
located inside the ear.

71
00:04:43,600 --> 00:04:47,980
These cells detect vibration
sound and send a signal to the brain.

72
00:04:48,000 --> 00:04:51,920
But when they are exposed to a source
sound very loud and very long,

73
00:04:51,920 --> 00:04:52,920
suffer trauma.

74
00:04:53,240 --> 00:04:57,340
They start to vibrate constantly and not
they don't even stop when the sound is interrupted.

75
00:04:57,500 --> 00:05:02,020
This causes the rattling we hear
inside the ear and that i

76
00:05:02,020 --> 00:05:03,020
they call tinnitus.

77
00:05:03,420 --> 00:05:06,520
Remission of symptoms occurs after 24 hours
hours.

78
00:05:06,830 --> 00:05:10,910
And so your hearing should
get back to normal. In fact the

79
00:05:10,910 --> 00:05:14,310
part of the time it is like this. Unless
continue to submit yourself in such a way

80
00:05:14,310 --> 00:05:18,270
repeated to this type of trauma,
because it would turn into what

81
00:05:18,270 --> 00:05:20,430
doctors call it acoustic trauma.

82
00:05:20,670 --> 00:05:24,170
Permanent absorbency requires
permanent solutions.

83
00:05:24,890 --> 00:05:28,550
Soon, super hi-fi technology for
your ears.

84
00:05:33,710 --> 00:05:38,190
It was a shock to my uncle that I said this
the five senses taken for granted. For me it was

85
00:05:38,190 --> 00:05:41,070
a shock that he was totally without it
of the sense of modesty.

86
00:05:41,450 --> 00:05:43,250
As a child you whore.

87
00:05:46,410 --> 00:05:48,870
The truth must be proclaimed, never
whispered.

88
00:05:50,250 --> 00:05:55,190
One in six people between 40 and 50 years old
suffers from hearing loss. The doctors

89
00:05:55,190 --> 00:05:59,010
they blame noise pollution,
maybe the price to pay for those

90
00:05:59,010 --> 00:06:00,010
rock of the 70s.

91
00:06:00,620 --> 00:06:04,760
Today we have the mega portable concert.
Thanks to devices like this, it is possible

92
00:06:04,760 --> 00:06:06,800
damage your ears 24 hours a day.

93
00:06:09,420 --> 00:06:14,740
I suspect that in 10 -15 years to
maximum, when we will visit people who

94
00:06:14,740 --> 00:06:19,120
they used devices of this kind
for long periods of time, we should

95
00:06:19,120 --> 00:06:24,880
note that hearing loss in
many of them occurred well before

96
00:06:24,880 --> 00:06:26,180
than what was produced.

97
00:06:26,820 --> 00:06:29,180
But before understanding how you lose the
'hearing...

98
00:06:29,530 --> 00:06:34,290
It's time to learn how it works. The
this is the dynamic. Sound travels

99
00:06:34,290 --> 00:06:40,010
through the external auditory canal,
reaches the eardrum and emits in

100
00:06:40,010 --> 00:06:42,210
vibration these three little bones.

101
00:06:43,550 --> 00:06:45,510
On the left is the gable.

102
00:06:46,150 --> 00:06:51,170
The sound causes the membrane to vibrate. The
ossicles hit each other and

103
00:06:51,170 --> 00:06:54,910
vibration is transmitted to another
group of hollow bones called a snail.

104
00:06:56,110 --> 00:07:00,350
This fluid-filled structure places
moving hair cells that

105
00:07:00,350 --> 00:07:05,410
we have already seen. Vibration does
that the hair cells...

106
00:07:05,790 --> 00:07:10,770
They are arranged along the spirals and each
of these spirals is responsible for a

107
00:07:10,770 --> 00:07:16,150
certain type of sound frequency. Us
we know which spirals are wider

108
00:07:16,150 --> 00:07:20,970
assigned to the highest frequencies e
as the spirals of the snail

109
00:07:20,970 --> 00:07:25,810
shrink, the hair cells do
they specialize in more and more frequencies

110
00:07:25,890 --> 00:07:29,130
Every time he hears a sound he must
press the button.

111
00:07:29,840 --> 00:07:34,740
There may be injuries in any
point of the snail. It depends on the type

112
00:07:34,740 --> 00:07:37,960
of sound exposure to which the individual
he submitted.

113
00:07:39,340 --> 00:07:43,920
Nanotechnology has made it possible
development of hearing aids

114
00:07:43,960 --> 00:07:45,240
jewels like this.

115
00:07:45,640 --> 00:07:51,020
Why a digital hearing aid?
Because this tiny device can

116
00:07:51,020 --> 00:07:53,940
come programmed as a mini
computers.

117
00:07:55,180 --> 00:07:58,600
Some devices are context aware
in which you are located.

118
00:07:59,230 --> 00:08:03,010
For example, if you are on the phone or in the
half of a group, and adapt

119
00:08:03,010 --> 00:08:04,070
the volume automatically.

120
00:08:04,650 --> 00:08:08,430
Others have remote control
inserted into your watch. I'm not

121
00:08:08,430 --> 00:08:09,790
toys for 007.

122
00:08:10,070 --> 00:08:11,890
They are available to anyone.

123
00:08:12,710 --> 00:08:16,990
I didn't know about cell phones
interfere with hearing aids.

124
00:08:18,370 --> 00:08:22,310
When a sound becomes too much
strong? When it can damage the

125
00:08:22,550 --> 00:08:24,290
Uncle and I wanted to figure it out.

126
00:08:25,070 --> 00:08:29,210
We have discovered that deafness occurs
after prolonged exposure to sounds

127
00:08:29,210 --> 00:08:30,850
above 85 decibels.

128
00:08:31,370 --> 00:08:36,470
So be careful if you work in
construction sites, at airports or if you are

129
00:08:36,470 --> 00:08:37,449
at rock concerts.

130
00:08:37,450 --> 00:08:41,909
And eight hours with your children can
also destroy hearing, in addition to

131
00:08:41,909 --> 00:08:42,929
sanity.

132
00:08:43,610 --> 00:08:48,090
If your ears have problems, they aren't
just hearing problems. The disorders

133
00:08:48,090 --> 00:08:49,250
they can be different.

134
00:08:51,180 --> 00:08:54,840
Patients come to therapy because
suffer from dizziness or because they have

135
00:08:54,840 --> 00:08:55,880
balance problems.

136
00:08:56,380 --> 00:09:00,000
Doctors and physiotherapists diagnose
balance problems together

137
00:09:00,000 --> 00:09:02,100
linked to ear disorders
internal.

138
00:09:02,600 --> 00:09:08,000
The snail is filled with a fluid that
transmits sound vibrations, but

139
00:09:08,000 --> 00:09:11,900
also as a sort of level,
helping you stay in balance when

140
00:09:11,900 --> 00:09:16,580
the head. And if it doesn't work well it turns you on
your head, you have no balance, you

141
00:09:16,580 --> 00:09:18,040
of walking like drunks.

142
00:09:18,510 --> 00:09:22,770
The inner ear, the eyes and the
bone structure work to triangulate

143
00:09:22,770 --> 00:09:27,450
posture. If only one of the vertices of the
triangle doesn't work properly, yes

144
00:09:27,450 --> 00:09:31,910
'balance. To understand which one it is, i
physiotherapists put you through it

145
00:09:31,910 --> 00:09:32,910
'equitet.

146
00:09:33,150 --> 00:09:37,770
They lock you in this harness and the
the floor you are resting on rises and yes

147
00:09:37,770 --> 00:09:39,350
also lowers by 90 degrees.

148
00:09:40,050 --> 00:09:42,690
You must try to keep yourself in
balance.

149
00:09:43,370 --> 00:09:44,670
As soon as she moves...

150
00:09:45,130 --> 00:09:49,930
The machine records all of its
movements which are not many and this is

151
00:09:50,050 --> 00:09:54,750
The cubicle is full of sensors and chi
better than a sensor it gives meaning to

152
00:09:55,170 --> 00:09:59,630
The eyes are closed and the floor
begins to swing. The only one

153
00:09:59,630 --> 00:10:04,010
your position in space is l
inner ear. Now you understand how

154
00:10:04,010 --> 00:10:06,830
do. You keep moving like that and it will go
good. Agree.

155
00:10:09,770 --> 00:10:14,130
My balance? Perfect! I couldn't
resist such a fun exam,

156
00:10:14,190 --> 00:10:15,550
without needles or lasers.

157
00:10:15,850 --> 00:10:18,090
In short, nothing dangerous either
painful.

158
00:10:18,330 --> 00:10:21,430
Now, Robert, we're going to raise the bar
difficult, okay?

159
00:10:23,270 --> 00:10:25,030
So, Robert, great!

160
00:10:25,470 --> 00:10:30,570
A little more. Well, we're done.

161
00:10:30,790 --> 00:10:31,790
Perfect balance.

162
00:10:33,170 --> 00:10:34,170
Hear that, Robert?

163
00:10:34,430 --> 00:10:38,910
Perfect balance, my compliments.
This technology didn't exist when

164
00:10:38,910 --> 00:10:44,050
I still practiced. I know that
it was originally used by NASA for

165
00:10:44,050 --> 00:10:49,010
'balance of its astronauts because
was severely compromised by

166
00:10:49,010 --> 00:10:50,010
in the atmosphere.

167
00:10:50,070 --> 00:10:51,070
Didn't he know?

168
00:10:51,130 --> 00:10:54,590
Yes, yes, specialized personnel were needed
to use it.

169
00:10:56,890 --> 00:11:01,710
Have you ever suffered from dizziness?

170
00:11:02,700 --> 00:11:07,400
I wake up in the middle of the night and feel dizzy
head. Lasts for, well, 30 or so

171
00:11:07,400 --> 00:11:09,500
seconds or a minute and then it passes.

172
00:11:09,840 --> 00:11:13,760
The octorino-laryngologists take care of it
also a balance disorder

173
00:11:13,760 --> 00:11:18,180
It's called positional vertigo
benign paroxysmal, called vertigo.

174
00:11:19,000 --> 00:11:20,560
There's no need to go to the mountains.

175
00:11:21,340 --> 00:11:25,720
According to one theory, the turning of
head is caused by debris that

176
00:11:25,720 --> 00:11:29,780
in the inner ear. At the base of
at the snail there is the vestibule, inside the

177
00:11:29,780 --> 00:11:31,720
which contains calcium crystals.

178
00:11:32,140 --> 00:11:37,020
A quick movement of the head or a
any legion they can detach

179
00:11:37,020 --> 00:11:42,060
crystals sliding in the channels
semicircular stimulating endings

180
00:11:42,060 --> 00:11:46,360
which must not be stimulated e
creating the feeling of instability

181
00:11:46,360 --> 00:11:51,220
dizziness. The doctors' countermoves
they are a pair of high tech goggles and

182
00:11:51,220 --> 00:11:52,240
hint of kung fu.

183
00:11:52,900 --> 00:11:57,020
They film the involuntary movements of the
eyes, one of the symptoms of dizziness.

184
00:11:57,390 --> 00:12:01,990
The therapist induces an attack of
dizziness and superglasses record i

185
00:12:01,990 --> 00:12:05,770
eye movements. This way you can
find out if the crystals are in

186
00:12:05,770 --> 00:12:09,510
right or left ear. Then, thank you
to the vibrations of this instrument,

187
00:12:09,530 --> 00:12:14,330
are displaced and forced to leave the
auditory canal. Turn on your side,

188
00:12:14,390 --> 00:12:19,050
here it is. And now let's hope that all the
crystals have fallen into the vestibule. E

189
00:12:19,050 --> 00:12:21,750
it will be the body's job to absorb them
everyone.

190
00:12:22,050 --> 00:12:25,470
The crystals continue to shake
until they dissolve in the fluids of the

191
00:12:25,470 --> 00:12:26,470
inner ear.

192
00:12:27,050 --> 00:12:32,070
Soon, if inside the body yes
can call cosmetic surgery, in

193
00:12:32,070 --> 00:12:35,670
ENT laryngology gives injections
of collagen to the vocal cords.

194
00:12:40,610 --> 00:12:44,910
There's a lot going on between the ears, the
nose and throat, and doctors must

195
00:12:44,910 --> 00:12:45,910
take care of them all.

196
00:12:46,910 --> 00:12:50,570
To measure my balance, they had me
turned the curtain.

197
00:12:50,870 --> 00:12:54,110
Maybe to examine my vocal cords
they would have remained silent.

198
00:12:54,640 --> 00:12:58,220
They found something wrong with the
my larynx, but I'm not sure what

199
00:12:58,220 --> 00:13:02,400
what it is. I have a little one
growth on vocal cords, but not c

200
00:13:02,400 --> 00:13:03,400
precise diagnosis.

201
00:13:03,720 --> 00:13:07,120
Now I have to spray her throat with this,
is it okay? The cocktail?

202
00:13:07,340 --> 00:13:09,040
The cocktail, the one in the afternoon.

203
00:13:09,500 --> 00:13:10,560
Open your mouth.

204
00:13:10,940 --> 00:13:15,080
The doctor gives you xylocaine, a mild
anesthetic that blocks the reflex

205
00:13:15,080 --> 00:13:18,740
pharyngeal as they go down your throat.
Just a sprinkle, thanks.

206
00:13:19,680 --> 00:13:21,380
Was the dose sufficient?

207
00:13:21,630 --> 00:13:23,610
Yes, I think so, thank you. All right.

208
00:13:24,510 --> 00:13:28,030
The throat has many things to say and it tells you
he also sings.

209
00:13:29,590 --> 00:13:34,690
The vocal cords get sick, yes
they become inflamed, paralyzed.

210
00:13:35,790 --> 00:13:40,110
In the past, doctors had to cut the
throat to see what was wrong with

211
00:13:40,110 --> 00:13:44,550
duty. Now the ENT laryngologists
they use videostroboscopy.

212
00:13:44,970 --> 00:13:49,210
A rather particular way of
examine the vocal cords.

213
00:13:50,110 --> 00:13:54,490
Thanks to endoscopic technology, the
vocal cords are filmed and the

214
00:13:54,490 --> 00:13:57,050
enlarged images projected onto this
screen.

215
00:13:57,750 --> 00:14:03,130
Now I'm going to hold her tongue. She
always breathe through your mouth. The light

216
00:14:03,130 --> 00:14:07,910
projected at an angle of 90 degrees e
illuminates the vocal cords exactly

217
00:14:07,910 --> 00:14:08,910
it is necessary.

218
00:14:09,370 --> 00:14:14,850
The effect is stroboscopic and not why
we are in a nightclub. The strings vibrate

219
00:14:14,850 --> 00:14:17,710
at such a speed that it must be reproduced
slow motion images.

220
00:14:25,070 --> 00:14:29,930
The ability to see the vocal cords
revolutionized diagnostics. Here

221
00:14:29,930 --> 00:14:35,330
his vocal cords. The vocal cords
they are two muscle flaps. Here they are.

222
00:14:35,630 --> 00:14:40,830
When she breathes they open and
allow air to enter. Yes. And

223
00:14:40,830 --> 00:14:45,910
makes a sound they close. If not yes
they close, that is, if they do not adduce well, i

224
00:14:45,910 --> 00:14:50,350
doctors intervene with injections,
surgery or specific exercises.

225
00:14:50,830 --> 00:14:52,410
It's a work of art.

226
00:14:52,920 --> 00:14:58,780
Living art, which we see on one
screen every time you examine a

227
00:14:59,460 --> 00:15:03,100
Not even the most perfect Stradivarius can
match the vocal cords.

228
00:15:04,160 --> 00:15:09,120
Instead of owning many strings for
play many notes, we possess

229
00:15:09,120 --> 00:15:11,960
two strings and the reproduced range is
immense.

230
00:15:15,480 --> 00:15:20,220
The uncle wanted to attend the examination of
my vocal cords, but as usual c

231
00:15:20,220 --> 00:15:21,600
'there were problems of understanding.

232
00:15:22,060 --> 00:15:28,900
From here you can see what the vocal cords are
lubricated and work well Vedessi

233
00:15:28,900 --> 00:15:32,900
Robert, that's fascinating I know boy
mine, I know

234
00:15:32,900 --> 00:15:39,320
He is eager to navigate every frontier
of knowledge

235
00:15:39,320 --> 00:15:45,380
Come down even more He's one who doesn't
never satisfies

236
00:15:45,380 --> 00:15:50,480
I have polyps on both vocal cords
The voice is weak

237
00:15:51,570 --> 00:15:55,890
Hoarse. They spoke of it lightly,
but I knew it was quite a thing

238
00:15:55,890 --> 00:16:00,010
serious. My vocal cords are
perfect, but the strings can

239
00:16:00,010 --> 00:16:05,410
paralyze. The result is a volume
poor or tired voice. The doctors

240
00:16:05,410 --> 00:16:06,610
they see a lot of these cases.

241
00:16:06,830 --> 00:16:11,570
We see the problem here, its rope
left vowel, when the right goes

242
00:16:11,570 --> 00:16:14,830
towards the center to close, not
he can get along well.

243
00:16:15,590 --> 00:16:18,290
The solution? You wouldn't expect it
never.

244
00:16:19,020 --> 00:16:21,600
Collagen injections to strengthen
the voice.

245
00:16:21,840 --> 00:16:26,020
A nice swelling of the vocal cords,
similar to what tarti do to

246
00:16:26,020 --> 00:16:27,020
lips.

247
00:16:28,180 --> 00:16:29,079
Him again?

248
00:16:29,080 --> 00:16:31,140
Yes, it's a tube stuck in your nose.

249
00:16:31,480 --> 00:16:36,960
Another endoscopic probe equipped with
light and video camera. Dr. Kost

250
00:16:36,960 --> 00:16:40,940
use to monitor the inside of the throat
and see the precise point where to insert

251
00:16:40,940 --> 00:16:42,460
the needle with maximum accuracy.

252
00:16:43,680 --> 00:16:47,320
The vocalizations are used to quantify the
collagen to insert.

253
00:16:49,200 --> 00:16:51,260
It's like a piano tuner.

254
00:16:51,660 --> 00:16:55,440
He wants to break the strings until you
they will close and the voice will return to normal.

255
00:16:56,980 --> 00:16:59,440
Soon we will hear her singing at the theater
of the work.

256
00:16:59,860 --> 00:17:01,060
Now it's much better.

257
00:17:02,920 --> 00:17:06,500
In addition to weakening, the vocal cords
can develop polyps.

258
00:17:07,040 --> 00:17:09,760
If this is the case, work is needed
chisel.

259
00:17:10,000 --> 00:17:11,440
Yes, the procedure...

260
00:17:11,790 --> 00:17:16,430
It's simple, but there's a part that doesn't
I don't like it at all, it's having to be without it

261
00:17:16,430 --> 00:17:20,970
talk for a week after you have
the surgery was done. I don't like it

262
00:17:20,970 --> 00:17:25,150
Shut up, I like to talk. I could
go on a spiritual retreat one

263
00:17:25,150 --> 00:17:26,150
it's an idea.

264
00:17:26,349 --> 00:17:30,290
Nowadays one of the trends of
surgery is the so-called surgery

265
00:17:30,290 --> 00:17:31,630
minimally invasive.

266
00:17:32,430 --> 00:17:37,630
In practice the same type of execution is performed
intervention but without extensive incisions.

267
00:17:39,090 --> 00:17:40,930
We use microinstruments.

268
00:17:41,610 --> 00:17:45,230
We use special scalpels with long blades
millimetres.

269
00:17:45,610 --> 00:17:49,910
This allows us maximum precision
and the removal of what must

270
00:17:49,910 --> 00:17:52,470
be removed without any damage to the
other fabrics.

271
00:17:53,750 --> 00:17:56,790
Here they are removing a big city
as much as a pita.

272
00:17:57,740 --> 00:18:01,720
This little thing made the rope stiff
and not flexible to vibration. It is

273
00:18:01,760 --> 00:18:04,220
benign, but still causes problems
voice.

274
00:18:04,940 --> 00:18:10,080
Probably what we call abuse
vocals are one of the most motivations

275
00:18:10,080 --> 00:18:11,120
frequent modules.

276
00:18:11,380 --> 00:18:16,660
Soon, another way to make yourself
bad, vocal abuse. What do you think

277
00:18:16,660 --> 00:18:19,900
uncle? Sometimes keeping your voice down can
help you protect it.

278
00:18:24,330 --> 00:18:27,890
He had a camera shoved down his throat
concluded my active interest in

279
00:18:27,890 --> 00:18:32,910
ENT laryngology, but the uncle wanted
learn more. A good ENT specialist is in

280
00:18:32,910 --> 00:18:34,410
can also tell you how you live.

281
00:18:36,950 --> 00:18:40,810
I understand patients' lifestyle
even if they don't tell me about it.

282
00:18:41,450 --> 00:18:45,250
This test tells me that you don't drink
enough water.

283
00:18:45,450 --> 00:18:49,510
Not drinking enough water or taking
alcohol can irritate mucous membranes.

284
00:18:49,790 --> 00:18:52,870
When you drink alcohol and have the
feeling...

285
00:18:53,150 --> 00:18:58,330
that something burns or becomes irritated is why
really burns or gets irritated. Le

286
00:18:58,330 --> 00:19:03,170
sensations are not wrong. The ropes
can be damaged by abuse and

287
00:19:03,170 --> 00:19:04,350
'excess extension.

288
00:19:04,550 --> 00:19:09,330
This also promotes the growth of
polyps and nodules. The treatment of

289
00:19:09,330 --> 00:19:11,250
it is not done with a scalpel, but with volume.

290
00:19:12,130 --> 00:19:17,370
The bile, confidential tone of voice,
normal conversational tone, voice

291
00:19:17,370 --> 00:19:20,130
loud and clear, probably too much
strong.

292
00:19:20,940 --> 00:19:24,700
The authorized laryngologist can send you
by a speech therapist, a

293
00:19:24,700 --> 00:19:25,740
voice teacher.

294
00:19:26,240 --> 00:19:28,240
We start with a microphone test.

295
00:19:31,420 --> 00:19:32,980
The extension is short.

296
00:19:33,220 --> 00:19:35,200
She would like to start singing again, she has me
said.

297
00:19:35,540 --> 00:19:37,480
Both cautious and still quite raspy.

298
00:19:38,660 --> 00:19:43,720
We re-educate the patient's voice,
relating to the problem he had.

299
00:19:43,740 --> 00:19:45,980
14, 15, 16, 17.

300
00:19:46,780 --> 00:19:50,980
We keep in constant contact with
ENT laryngologists to check

301
00:19:50,980 --> 00:19:52,760
that the treatment is effective.

302
00:19:53,200 --> 00:19:55,800
They tell you how to best use yours
voice.

303
00:19:56,960 --> 00:19:59,960
We teach people how to speak to
loud voice in a healthy way.

304
00:20:00,280 --> 00:20:04,660
This is good for the voice, this is the
best place for resonance.

305
00:20:05,100 --> 00:20:07,400
It must not resonate inside the throat.

306
00:20:08,460 --> 00:20:12,220
Did you know that when we talk on the phone
we instinctively turn the tone up by 10

307
00:20:12,220 --> 00:20:16,800
decibels? The fact of the whole is unconscious,
because not seeing the person with whom

308
00:20:16,800 --> 00:20:21,660
you are talking and wanting to be sure
that I hear you, you try to get the

309
00:20:21,660 --> 00:20:24,000
result by speaking louder than
normal.

310
00:20:24,380 --> 00:20:26,860
Ellen! So yelling is not okay!

311
00:20:27,380 --> 00:20:29,160
But don't even whisper!

312
00:20:29,620 --> 00:20:33,580
In fact it is not as many believe,
whispering is not a good thing for

313
00:20:33,580 --> 00:20:37,420
voice. Much better to choose than
lower the volume, lower pressure

314
00:20:37,420 --> 00:20:38,520
strings as you speak.

315
00:20:38,830 --> 00:20:43,530
This will give them more time to heal.
We call it confidential voice.

316
00:20:47,130 --> 00:20:51,710
My uncle had learned so much and was
anxious to protect my strings

317
00:20:51,710 --> 00:20:52,710
myself.

318
00:20:52,870 --> 00:20:53,870
Ready?

319
00:20:54,510 --> 00:20:58,710
Check the voice. It's a private thing.
Private or not private, you make the effort

320
00:20:58,790 --> 00:21:00,970
Turn the volume down and use your aperture.

321
00:21:03,010 --> 00:21:04,010
Ready?

322
00:21:05,990 --> 00:21:11,180
Hanged up. This was a very rumor
private Not

323
00:21:11,180 --> 00:21:17,840
it's just about mobile phones O
of mega

324
00:21:17,840 --> 00:21:22,580
sporting events Protect the voice is
protect your ears And if you live in

325
00:21:22,580 --> 00:21:29,040
you are under constant threat If
let's look at some areas of Africa

326
00:21:29,040 --> 00:21:34,510
civilization has not fully arrived There not
sirens or noises are heard

327
00:21:34,510 --> 00:21:39,830
traffic. There are no beeps in the
ears, there are no phones

328
00:21:39,830 --> 00:21:44,470
it's not at all unusual to find people
80 or 90 year olds who feel that way

329
00:21:44,470 --> 00:21:45,470
perfect.

330
00:21:46,510 --> 00:21:50,390
Let's face it, most of us don't
he moves to Africa to save himself

331
00:21:50,390 --> 00:21:51,390
the ears.

332
00:21:51,470 --> 00:21:55,450
We will become a continent of prosthetics
acoustic? Luckily the army of

333
00:21:55,450 --> 00:21:59,610
United States created the ear
tactical 3, a device capable of

334
00:21:59,610 --> 00:22:02,950
amplify sounds up to 9 times
capacity of the human ear.

335
00:22:03,290 --> 00:22:07,770
Think, a sound like this,
amplified nine times.

336
00:22:08,950 --> 00:22:14,390
Jokes aside, ears, nose and
throat are very important and we

337
00:22:14,390 --> 00:22:15,390
to underestimate them.

338
00:22:15,830 --> 00:22:18,630
Even the doctors in the sector are a little
underestimated.

339
00:22:19,730 --> 00:22:24,790
When I get home my husband tells me,
hi dear, how many earwax plugs do you have

340
00:22:24,790 --> 00:22:25,870
removed today?

341
00:22:29,610 --> 00:22:30,610
Ready?

342
00:22:31,050 --> 00:22:34,610
I practiced using my low voice to
call the woman he had before

343
00:22:34,610 --> 00:22:39,050
hung up the phone. More than a
exercise for the voice, it seemed like a

344
00:22:39,050 --> 00:22:40,490
exercise for patience.

345
00:22:40,770 --> 00:22:41,770
Yes, that's fine.

346
00:22:42,570 --> 00:22:44,930
Of course I pressed two, yes, I'm staying in
line.

347
00:22:45,570 --> 00:22:50,290
As well as worrying about hearing, sometimes
we should care about listening.

348
00:22:51,690 --> 00:22:55,530
I... Do you ever get the feeling that
Does anyone know the difference?