Advice – Page 4 – The Procrastination Pen

Sleeping With ASMR

In the drive to create the perfect night-time companion (I mean the Procrastination Pen playlist rather than any other type of companion that might have sprung to mind), I sometimes weed out so many videos that it all looks like a roadside verge when the strimmer operator has been a little too enthusiastic.

Added to this is a high rate of attrition, which shows that as fast as I write about videos, people are then taking them down. Given that some of them might be being taken down due to legal reasons (such as copyright offences), it would be unwise of me to keep copies of such videos to re-upload them again (or I might find the entire Procrastination Pen YouTube channel quietly disappears).

One day I may tire of maintaining the blog, and the YouTube channel, (and the Facebook page, and so on and so forth) but I’d rather like that decision to be mine, not imposed by a copyright official at YouTube.

I’ve been weeding the playlist recently, such that the Procrastination Pen archive playlist is quite healthy in size and the Procrastination Pen main playlist (the reason we’re all here I assume) is a bit smaller. Quite enough to act as a restful companion, perhaps not quite long enough to sustain many more YouTube video take-downs.

To this end, I need to get ahead and post a few more blog posts and fill that playlist up again. Apologies if on such occasions you are notified of more blog posts than you are keen to read in the timescale. If you are short of time, scroll right to the end of this blog post and find the Procrastination Pen playlist there. Flit over to YouTube, pull up the playlist, engage shuffle, lay back, and relax.

If you’re still reading, this is today’s video:

Abdominal Examination – Explanation

It is from a university and so one assumes a professional video. As such it has notes:

“768,069 views 14 Dec 2011 Clinical Examinations

A second video can be found at; http://www2.le.ac.uk/departments/msce…

This is a detailed explanation of the abdominal examination illustrating technique and patient interaction.

The film was produced by practising clinicians to aid the teaching of clinical examination skills. It starts at the point when the clinician has finished taking the medical history and begins the clinical examination.

Presented by Mr Adam Scott MS FRCS (Edin) FRCS (Eng) Consultant General and Colorectal Surgeon. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears.

More Clinical Examination materials can be found at; http://www2.le.ac.uk/departments/msce…”

I love it when we get details about participants – it makes the video so much more believable i.e. less likely the participants are making a professional ASMR video and masquerading as medical professionals to do so.

Mr Adam Scott is referenced in several websites and so unless those ASMR professionals are getting really great at subterfuge we can be very happy that this is the real thing.

Sadly, the URL that purports to lead to further videos leads just to the University of Leicester website so I am guessing the page, where those videos were, has now gone.

The video itself is just less than eight and a half minutes and so not huge in terms of videos that we are used to.

The patient is introduced as “Debbie”. Immediately Mr Scott is quiet, methodical, patient and not overly energetic. All-in-all what we would look for in a presenter of relaxing night-time videos.

There is a background noise (perhaps air conditioning) but not as terrible as some we have heard.

The channel on which this video appears: University of Leicester is huge, it has twelve hundred videos at the time I am looking at it. It seems very unlikely that it will be feasible to ferret out the gold from amongst all the other videos. Those promoting the university, covering other disciplines taught by the university, students wanting to try their hand at video-making, and so on.

I think the approach here is to look for Adam Scott MS FRCS (Edin) FRCS (Eng) Consultant General and Colorectal Surgeon (I would search for “Adam Scott” but sadly this is not an uncommon name).

The results of such a specific search on YouTube is that we have only five videos of which in overview only one more is suitable for our purposes:

Abdominal Examination – Demonstration

This is four- and three-quarter minutes so even shorter than the last one and is pretty much the same in all respects. One of the great things is the lack of introductory music, which is not missed in any sense whatsoever.

It would be even more great if there was an absence of background noise.

There are notes: “1,206,417 views 14 May 2012 Clinical Examinations

This is a real-time demonstration illustrating technique and patient interaction involved in the Abdominal Examination. The film was produced by practising clinicians to aid the teaching of clinical examination skills. It starts at the point when the clinician has finished taking the medical history and begins the clinical examination. Presented by Dr Adam Scott MS FRCS (Edin) FRCS (Eng) Consultant General and Colorectal Surgeon. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears. More Clinical Examination materials can be found at; http://www2.le.ac.uk/departments/msce…”

The video basically covers much of the ground of the previous video so it isn’t new material.

Then there are three videos whose descriptions lead me to suspect that they are promotional in nature:

Bowel Cancer Signs and Symptoms

This appears on the channel: Spire Leicester Hospital.

This has just twenty subscribers so a lot more niche than we are used to.

The notes here are: “416 views 19 Apr 2018

Spire Leicester Hospital Colorectal surgeon Mr Adam Scott talks about bowel cancer, the signs and symptoms, bowel screening and when to visit your GP. https://www.spirehealthcare.com/spire…”

Although this is a presentation, Mr Scott has a great voice and I would be tempted to include this video in the playlist. However, I suspect that people may well find this off-putting (it is a scary subject).

The URL referenced in the notes simply redirects to Spire Leicester Hospital.

The Channel has only five videos and it does not appear to have any material that we can use for night-time relaxation.

The next video (and the one after that) both appear on a channel: PPM Software. This has one subscriber and three videos of which Mr Adam Scott makes up two of those – to me this appears to be promotional material.

The first video is just half a minute:

‘PPM’ Software, Client Testimonial

There is funky music – uuurrrgh.

The recording is loud with loud background music and of course it is very short, not the sort of thing we’re looking for at all.

The next video is more of the same:

‘PPM’ Software, What our Clients say

This repeats the above almost exactly but is twice as long. It is designed to sell a product and I do not think we can make use of it at all. This one isn’t for the Procrastination Pen playlist.

So, two videos for the playlist. Just enough to create a playlist for Leicester University.

However, if the quality is this good, I think we’ll be back with Leicester university again in the near future.

The University of Leicester playlist on the Procrastination Pen is here:

The overall playlist of videos covered so far on the Procrastination Pen is here:

The videos weeded out because over time they are just not as good as the others is in this archive list:

I keep this in case subscribers to the Procrastination Pen have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening experience to log on, this interrupts the listening experience. You may not mind this in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of sleep.

If you liked this blog article why not follow this blog.

Until next time.

Photo by Vera Barus on Unsplash

Sleeping With ASMR

As the search for YouTube videos with relaxing content continues, I have begun to build up a bit of a backlog. There are a great many more articles in the draft stage than you have actually seen. There are also many YouTube URLs which I have seen in passing and noted, in case they might be worthy of future investigation.

I am hopeful that if any life disasters happen this will mean that you still get regular content. If I disappear suddenly, you know that I was wrong.

It is sometimes good to come back to the more formal approach of educational institution videos. In general, these have slightly higher (sometimes much higher) sound quality. They frequently have less extraneous noises and, given they are part of a course of education, there is sometimes a nice helpful playlist for evaluation. Many of the members of which may prove to be suitable for our purposes.

Today’s is from a university and as with previous university videos covered by the Procrastination Pen, I have high hopes. It was Warwick where we found the excellent Dr James Gill, for example.

Neurological Examination of the Limbs – Explanation

Judging by the comments, a number of ASMR fans have happened upon this one before.

Posted eleven years ago, the actual video quality is not exactly HD. However, the comments indicate that it is highly relaxing.

As we have seen, professionally prepared videos frequently have very informative notes associated with them and so it is here:

“8 May 2012 Clinical Examinations

This is a detailed explanation of the Neurological Examination of the Limbs illustrating technique and patient interaction.

Presented by Dr Peter Critchley MD FRCP Consultant Neurologist. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears.

More Clinical Examination materials can be found at; http://www2.le.ac.uk/departments/msce…”

Sadly, the link to further clinical examination videos appears not to work. Otherwise, I can imagine it might have been a resource for future review in this blog.

At twenty and three-quarter minutes it is longer than many we have featured of late.

It starts without music (which is a cause for much celebration) – simply a title page. Dr Peter Critchley has a good voice for our purposes. The approach is methodical and quiet. It is broken into sections with educational notes in the video itself at intervals. It is doubtful that you will profit from this if you are using the video in order to fall asleep. The “patient” is Jake.

The channel is University of Leicester. There are one thousand two hundred videos so it is hard to see how to review them, filter them or otherwise manage them. There are eighty five playlists, some of them containing a great many videos.

This seems to be a channel that is worthy of future attention.

In this case though, I felt we would focus on the medical professional and searched for Dr Peter Critchley (via YouTube search). A number of irrelevant videos were located this way. However, there is one other (closely related) Dr Peter Critchley video:

Neurological Examination of the Limbs – Demonstration

Again, this has a healthy set of comments and it is the first time in which I have seen the person in the video himself leave a comment. He is Jake Albon. And of course, he has a channel. Jake may be the subject of future review perhaps.

The video also has a healthy set of notes:

“14 Dec 2011 Clinical Examinations

This is a real-time demonstration illustrating technique and patient interaction involved in the Neurological Examination of the Limbs.

Presented by Dr Peter Critchley MD FRCP Consultant Neurologist. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears.

For further information visit our Leicester Medical School (link https://le.ac.uk/medicine)”

The above URL is functional but it is not obviously a source of further videos.

The video is just over nine and a half minutes, so somewhat shorter than the first one in this article. It follows exactly the same material and so the comments for the first video in this blog article still apply including the lack of funky music. Please, more video recording persons do this.

I’ll include this one in the Procrastination Pen playlist, but if you play that list in order this could become rather dull. I therefore strongly recommend that you use the shuffle function on YouTube. However, should this video annoy you, by all means feedback and I will consider removing it from the playlist.

The University of Leicester playlist on the Procrastination Pen is here:

The Procrastination Pen playlist (which is no-doubt what you have all been reading this in order to locate) is found here:

I have been listening to this playlist most nights and some of the videos that were members have now been removed. If any of your favourites are missing from that main playlist you can find them here in the archive list:

Quite often the videos getting removed have no faults other than occasional intrusive noises.

The playlist of items that are great for ASMR (but contain an age verification function), usually a great way to interrupt your listening in the middle of the night, is here:

I hope that you find the playlists restful and that you get a good night’s sleep.

Hope to see you again back here for the next blog article.

If you liked this blog item, why not subscribe to this blog.

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

I’ve mainly been editing older material of late because I had (have) developed quite a backlog of articles on an ASMR theme. It is therefore good to be writing something new for a change.

Welcome to the Procrastination Pen, which for several months now has been the home to a blog about ASMR, ASMR videos and ASMR playlists. However, I appreciate that only some people have any ASMR feelings at all. For this reason, from the outset, my emphasis has been on calming videos that anyone could use to relax and perhaps to drift off to sleep.

I have focused on ASMR videos that were designed to do something entirely different, rather than the ASMR videos produced professionally by ASMR artists. That is not to say that I may not write the odd article about such videos but I have limited experience of them as it stands (and there seem to be a vast great number to choose from).

The outcome of this endeavour has been a large playlist consisting of the videos I have reviewed so far that were worth listening to. There is also a set of playlists relating to each channel I have reviewed (if you like a particular channel).

I always include the details of the latest playlists at the end of each blog article, so if you’re not keen to read about the review process, you can scroll straight to the end and pick them up there.

The theme has tended to be about medical videos mainly because medical professionals seem to take a calm approach to their work and often therefore speak slowly and quietly, which is I believe fundamental to a good voice for ASMR.

This week an institution which we have featured before, and I have no doubt will be featuring again.

At that time, I picked up a video directly from the Stanford Medicine Channel on YouTube. This time I have come across the page in which they embed all of their videos, which is this one:

https://stanfordmedicine25.stanford.edu/videos.html.

As we can see there is a range of videos separated logically into subject areas and all referencing a location on YouTube. However, for our purposes logical is all very well but are they any good ASMR-wise.

Choosing at random we can see that Dermatology Exam is a subject area that has just four videos, which seems a nice small number to review in a concise Blog post, so let’s see what they have to offer.

The first video is this one:

Approach to the Dermatology Exam (Stanford Medicine 25)

which is just shy of eight minutes in length.

In common with a number of professional videos this one has notes, a précis of which is:

“22 Jan 2016

From our dermatology series, this video covers all the basics you need to accurately describe and diagnose any skin lesion.

The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.”

From memory of the last article the notes tend to get a bit repetitive, so I will only feature elements which might be of interest.

Bravely they are permitting comments and as expected not all of the comments are positive. There are no obvious comments from ASMR fans which given how effective ASMR fans are at finding videos is possibly not a good sign.

The video starts with the bugbear of any ASMR video devotee, the peppy start up music, applied I’m sure more through branding or marketing considerations than anything to do with quiet relaxation.

The medical professional is Dr Justin Ko, (which the automatic subtitles render as “Justin Cohen”!). Straight away we realise we are not dealing with any Dr James Gill in terms of voice but the introductory piece is relatively muted. However it gets louder, I mean a whole lot louder. In addition the background music continues and persists throughout the rest of the video. In addition the subject matter is a bit distracting.

I think this prohibits this one from becoming a member of the Procrastination Pen playlist.

Approach to Multiple Rashes (Stanford Medicine 25)

The relevant part of the notes are: “22 Jan 2016

From our dermatology series, this video covers all the basics you need to accurately describe complex and multiple skin lesions.”

This is very short at a bit over four and a half minutes. Again, with the music, sigh. This time Bernice Kwong who is a Clinical Assistant Professor of Dermatology.

The video starts quietly and Bernice seems to have quite a good voice, relatively quiet and calm. However, again, the music persists throughout the video – why, why, why? This video is also not useful for us.

Approach to Nevi (Moles) – Stanford Medicine 25

At four and three quarter minutes it still isn’t a long video. The relevant notes are “22 Jan 2016

From our dermatology series, this video covers all the basics you need to accurately describe complex and multiple skin lesions.”

Again, the comments are not at all helpful. So far, so YouTube. The start-up music remains. This time Jennifer Chen is the medical Professional; a Clinical Assistant Professor.

The start is promising, a quiet beginning but again continuous background music – how frustrating. This video is just not for us.

Diagnosing Acne vs. Rosacea (Stanford Medicine 25)

Just over three minutes so the shortest so far and featuring Jennifer Chen as in the previous video. The relevant part of the notes is: “22 Jan 2016

From our dermatology series, this video covers all the basics you need to accurately differentiate between regular acne and acne rosacea.”

The comments are nearly totally irrelevant or unhelpful but there are clues that some of the listeners are ASMR fans. mostly, it turns out, frustrated ASMR fans due to the background music.

So we know what is coming sadly. Unfortunately, Dermatology is a strike-out ASMR wise despite some great presenters. The decision to have music throughout is really very distracting.

However, all is not lost – there are those other videos to draw on, of course.

I think a visit of the Ankle Brachial Index category is worth a try particularly as it contains only two videos.

Ankle Brachial Index (ABI) Test: How to Perform

For once, the comments appear to be universally upbeat, positive and supportive (wonders will never cease). The video is close to seven- and three-quarter minutes and sadly still incorporates that music at the start. This time the medical Professional is John Cooke who actually seems to have a good voice and a very relaxed style of presentation – heaven be praised.

In addition, the muppet with the music mania has not decorated this with background noises. In fact it is marvellously quiet and calm. Unfortunately, there are some additional noises coming from an handheld doppler device, employed as part of the video. I don’t think these will exclude this video from the Procrastination Pen playlist, but it might mean that the video gets dropped to the archive list on subsequent review.

Venous Testing

This is just over five minutes so not long. It starts with the familiar music (spit spit). John Cooke and again he starts with a good delivery well measured and low toned. The doppler device is heard as before. I’m not certain if that might not prove noisy of a night time. I’ll include the video in the playlist but it may suffer transfer to archive if it proves excessively distracting.

So the Ankle Brachial Index category came to the rescue, (marginally).

The Stanford Medicine playlist on the Procrastination Pen is here:

The Procrastination Pen playlist (which is no-doubt what you have all been reading this in order to locate) is found here:

Quite often the videos getting removed have no faults other than occasional intrusive noises.

The playlist of items that are great for ASMR (but contain an age verification function), usually a great way to interrupt your listening in the middle of the night, is here:

I hope that you find the playlists restful and that you get a good night’s sleep.

Hope to see you again back here for the next blog article.

If you liked this blog item, why not subscribe to this blog.

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

Recently I have noticed that the videos available in The Procrastination Pen playlist have started to reduce. I haven’t commenced any new weeding activity so the videos have not been jettisoned into the Procrastination Pen archive playlist. Nonetheless the number of videos is going down.

Looking at the Procrastination Pen playlist, I find that ten unavailable videos are hidden at the current moment. It is tempting to conclude that because an extra spotlight has been shone on them by The Procrastination Pen blog, people have rushed to hide them from view. More realistically, I think this is the natural process of attrition. Two of the videos are now showing as marked private and eight have been deleted.

It would appear there is a race on to getting the material listed on this blog before the featured video disappears.

It would be great to create an archive of ASMR videos so that they would be permanently available. However, I am no legal expert and I suspect that there maybe a whole argument about original ownership of videos, permissions, fees and so on. The upshot is that unless the blog keeps on rolling forwards, the playlist is going to continue to diminish in terms of the number of videos it contains.

It also means that you need to get listening to the featured videos soon after I publish the blog article, as videos are obviously being removed and you may be left with a small subset of those featured.

Another undesirable outcome is that some of the blog items are going to have blank spaces where videos used to be. I can’t see how to avoid that, other than to keep deleting old blog items. That may, ultimately, be the approach that I have to take.

I’ll keep rolling forwards with articles, unless it becomes obvious that simply by documenting videos in this blog causes the videos to be removed. In which case, the blog will have become a Jonah of ASMR and I will desist with it. (However, given the statistics on this blog I think that is unlikely and extremely unlucky if it turns out to be the case.)

And so, to today’s video:

The Full Neurological Examination

This begins with the kind of funky music that we have become used to. How much nicer it is when we find a video that does not employ music. This one is narrated and the narrator has a good voice. Immediately it seems that we are in safe hands.

Definition:

Romberg’s test – a test of balance involving a person standing with feet together and eyes closed.

The voice of the medical professional, which we hear briefly at intervals, is also a good voice and better still there is little background noise.

Just examining the comments, reveals that a number of other listeners have discovered its relaxing effects.

The channel is UCL Clinical Skills which as at today’s date includes thirty-nine videos. That is quite a few to document in one blog post (and I’m sure that you’re in a hurry to get to the Procrastination Pen playlist).

There are no playlists on this channel, so the habitual mechanism of thinning down the number of videos to a size that can be readily dealt with in one post by focusing on a playlist on the channel is not going to work.

The backup method is to look for videos where the same medical professional is involved or the same patient.

In this case, there is more than one video involving the same patient. I’ll focus on just those videos this time.

Abdominal examination (basic for Y1 & Y2 students).

There is more funky start up music (oh dear) and a different narrator. The sound quality is not so great but no less relaxing. There is now evidence of background noise on some of the narration tracks.

There is also a variability in volume which is undesirable when listening and trying to get to sleep.

However, it is still a good one to include in The Procrastination Pen playlist, I think.

Neurological sensory examination of the lower limb (basic for Y1 & 2 students).

Here we have the same narrator as in the last video and the same start up music. It would be great to edit that startup music out.

The volume of the narrator seems to be lower which will make inter-video volume an issue if you are listening to the playlist. The background noise in the examination parts of the video seems a bit higher. There are hardly any comments, so it is possible that this is not getting as much ASMR listening time as the previous videos (let’s hope The Procrastination Pen can change that).

Neurological motor examination of the lower limbs (basic for Year 1 & 2 students).

The self-same intro and narrator. The narrator used in the first video (who had a better voice) has obviously packed his bags and headed for the beach which is a shame for us but probably great for him.

Definition

Clonus a rhythmic stretch reflex.

An introduction to examining the cardiovascular system; Y1 & Y2

We’re now well used to the start-up music. The narration sound quality is not that amazing on this video. It sounds like the narrator is at some distance from the microphone (or the microphone hails from 1958).

Definition:

Peripheral cyanosis: extremities having a blue colour.

An Introduction to the Abdominal Examination – Y1 and Y2

We are ringing the changes with the narrator here although not with the introductory music. It would be delightful if that music would just go for a walk somewhere rather than play at the start of a relaxing video. The narrator’s voice is really too deep in this video to be properly relaxing and comes as a bit of a shock after what has gone before.

However, it is not sufficiently off-putting to deny it membership of the Procrastination Pen playlist. (Although it may be weeded out in the future).

Fortunately, the delivery is well paced and spaced. Which soon allows relaxation to return, although this isn’t a top ASMR candidate by any means.

Definition

Epigastrium upper area of the abdomen.

Cardiovascular Examination

We’re back to the peppy music. This time the narrator sets off as if she has to speak to an auditorium, loud and a bit clipped. Perhaps that auditorium is full of misbehaving children.

It is not a relaxing presentation.

Although we have the same patient it is not as chilled as previous videos in this set. I do not think that it can sneak into The Procrastination Pen playlist.

This set of videos must be excellent for instruction, I’ve seen a few medical examination videos now but I am still learning a great deal by watching. However, that is not the purpose of this set of blog posts.

Abdominal Examination

We’re back to the deep voice we heard in “An Introduction to the Abdominal Examination – Y1 and Y2” above. It isn’t marvellous ASMR-wise however not enough to discount it from the Procrastination Pen playlist. It might be dropped on future review though.

Definitions

Glossitis

Inflammation of the tongue

GALS Screen (Gait Arms Legs Spine) examination – real time

There is no narration on this one which is actually rather refreshing. The medical professional is relatively quiet. In fact, this is a great video for ASMR purposes. His tone is good and his approach methodical, everything that we have been looking for thus far.

Some of the videos do repeat some of the material from previous videos in the same series. I am assuming that this will not be too off-putting of you follow my advice to play the playlist on shuffle so that you do not just get them one after the other.

That’s it for now.

However, the channel has been good for us so I intend to return here to look at some of the other videos it contains.

The UCL Clinical Skills playlist on The Procrastination Pen is here:

The overall playlist of videos covered so far on the Procrastination Pen is here:

The archive playlist of videos that were in the above playlist but found after repeated review not to make the grade, is here:

I keep this in case subscribers to the Procrastination Pen have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening experience to log on, this interrupts the listening experience. You may not mind in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of sleep.

If you liked this blog article why not follow this blog.

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

The first thing that strikes me about today’s video is the very quiet start. What a change to some of the canned music that usual precedes videos on YouTube. There is also the absence of oppressive air conditioning noises that plague so many of these.

The patient “Natalie” (possibly misspelled) announces that she was born 10/15/98 and the medical professional states “so you’re 20”. 10/15/98 is 15/10/1998 (UK Format i.e. October). We can assume that this is filmed 2018 which given it was posted four years ago seems to indicate that it was filmed and posted around the same time.

Head to Toe Health Assessment

The patient states that she attends Colby Sawyer college https://colby-sawyer.edu/ which is a school of nursing and so potentially where this video was filmed. Colby Sawyer, as expected, has its own YouTube channel with one hundred and thirty-eight videos, four hundred and one subscribers and three playlists. A brief check seems to indicate that sporting videos are quite important on this channel but, probably unsurprisingly, these turn out not to be videos suitable for a blog about ASMR.

For today’s video the channel is Marissa Nance and consists of this one video and no playlists.

I’ll make the assumption that this was for an assessment in that year and I’ll assume the medical professional here was Marissa.

It remains wonderfully calm and, judging by the comments, I am not the only one to think so. Many ASMR fans have checked this one out previously. Although sadly, the negative not to say nasty, comments are here as we have seen in the past.

This one is distinguished in that both Natalie and Marissa have calm voices, that is a rare (if not unique so far) find.

It seems over rather too soon, given there are no alarming noises throughout the entire video (something we have not always been able to say).

So that’s it, just the one for you today but I am certain more will be coming very soon. The overall playlist of videos covered so far on the Procrastination Pen is here:

(and now it includes the Marissa video).

The archive playlist of videos that were in the above playlist but found after repeated review not to make the grade, is here:

I keep this in case subscribers to the Procrastination Pen have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening experience to log on, this interrupts the listening experience. You may not mind this in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of sleep.

If you liked this blog article why not follow this blog.

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

Having a bad day at work? Just want it to be over? Despair that you’ll ever chill enough to actually get any real sleep tonight? Welcome to The Procrastination Pen. Here the finest in inadvertent ASMR material is reviewed at intervals. Even better there is an ever-growing playlist of curated items for your delectation. And if after all that you’re still plotting ways to murder the boss in an undetectable fashion, at least you’ll get to listen to a relaxing video whilst you are doing it.

Today we have a video from a channel dedicated to health. Nothing could be more medical than that I am thinking and therefore any ASMR effects must be purely down to chance. So far so much the aim of this sequence of blog posts.

The Lung and Thorax Exam

The notes are helpful, which we often do not find: “Jessica Nishikawa demonstrates some of the techniques of the Lung and Thorax assessment.”.

We know who the professional is before we start. Comments are turned off which is a breath of fresh air after some of the nasty stuff that you sometimes see.

We start with Jessica Nishikawa DNP, FNP-BC. DNP appears to be Doctor of Nursing Practice. FNP-BC is Family Nurse Practitioner – Board Certification

Unless you follow nursing, you, like I, may not have been aware these qualifications existed.

Suffice to say a highly qualified person then, but this is not why we are here.

The background hiss which we have heard often before is present here as well. Initially I thought I was going to exclude this video from the Procrastination Pen playlist, but it soon settles down to be less obtrusive than in some of the videos I have reviewed of late.

The “patient” is McConnaugh (probably nothing like the spelling). A quick search of YouTube determines that McConnaugh appears elsewhere such that he might crop up in a future blog post.

At intervals Jessica looks off video to her right. I’m not sure if there is a person there or if she has notes about what she wishes to cover. However, you’re likely to be listening rather than watching, so it is unlikely to affect you.

This is moderately good – no Hollie Berry but still worthy of a place in the playlist I think.

The channel BilderbackHealth surprisingly has only eight videos (including the above one), so we can comfortably cover this off in one blog post.

The majority of the videos feature Jessica – there’s a couple that look like they are not going to be on theme including one on Log Cabins so it might be that six is the total we’re going to be looking at today.

The HEENT Exam Video.mov

The “patient” is Miley (the spelling may well be incorrect).

HEENT head, eyes, ears, nose, and throat.

Sclera the white of the eye.

It is great to have a medical video from a medical facility (not someone’s front room) and for the noise of air conditioning to be absent. Having got used to background noises of late, it is fantastic what a difference silence makes. I may be weeding some of the more air condition-y (new technical term) videos from the playlist going forwards.

The presentation is lovely and quiet. Positively gentle at intervals.

Definitely a Procrastination Pen playlist member I think

The Cardio Vascular / Peripheral Vascular Exam Video.mov

McConnaugh is the “patient” again

JVP – Jugular venous pressure – used to diagnose types of heart and lung disease.

Thrill – a vibration felt whilst palpating a blood vessel.

This remains consistent with the first video we looked at.

The Abdominal Exam Video.mov

Miley returns as the “patient”.

I’m not sure if this is bias but the videos featuring Miley sound to me moderately more-gentle than those featuring McConnaugh. In any case this one is consistent with the HEENT video featured previously.

The Neurological Exam

Connie is the “patient” here – somebody new. Interesting that cranial nerve one is generally not tested and yet how many of these videos have we seen in which people test coffee or even alcohol to verify that this nerve is functional (its function is for smell perception).

This is a bit more of an instructive tone than the ones that have gone before. However, it is probably indicative of the consistency of this set of videos that I even bring this up. Usually in a group of videos that I review we are lucky to have one or possibly two videos included in the playlist. In this case we very likely will include the majority of them. We have not seen that since Dr James Gill.

The Musculo Skeletal Exam

Chris is the patient this time (I’m a bit more comfortable with that spelling)

The best demonstration of abduction and adduction I’ve seen so far.

I’ve watched a number of these and have just realised that Jessica does her nursing in a set of high-heeled shoes, I have pity for her poor feet and respect for her endurance standing on her feet all day in those shoes.

Anyway, this will probably be the last time I actually watch the video (listening being the more usual approach) so this will be of no concern to me (and likely to you either).

I love the pronunciation of buttocks probably the first time I have heard it pronounced that way.

Another video the equal of the ones we have seen in this post previously.

It’s worth noting that Jessica has her own channel, which given the nature of these videos is very likely going to be the subject of an upcoming blog post.

Hand Hygiene

The guitar music is good, but in other respects this is just not the quality of those that have gone before. This is not going to be in the Procrastination Pen playlist.

It also goes all funky subsequently which is just not conducive to great relaxation. (Entertaining though I’m sure it is).

Outside Log Cabins 1.16.21 with Jamie O’Brien and friends

Funky music from the outset, charming images but that isn’t why we are here. This is a poor fit for the Procrastination Pen playlist.

In general, an excellent set of videos and the largest consistent set of videos for the Procrastination Pen playlist we have seen in a while. This gives me more ammunition for ongoing weeding activity to perfect that playlist.

The Bilderback Health playlist on the Procrastination Pen is here:

The Procrastination Pen playlist (which is no-doubt what you have all been reading this in order to locate) is found here:

I have been working through that playlist repeatedly and some of the videos that were members have now fallen from favour. If any of your favourites are in there you can find them here in the archive list:

Quite often the videos getting removed have no faults other than excessive background noise.

The playlist of items that are great for ASMR (but contain an age verification function), usually a great way to interrupt your listening in the middle of the night, is here:

I hope that you find the playlists restful and that you get a good night’s sleep.

Hope to see you again back here for the next blog article.

If you liked this blog item why not subscribe to this blog.

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

We are back to fairly safe ground this time. Firstly, this video is not found in a channel dedicated to ASMR (this blog focuses on unintentional ASMR videos for review material). Secondly, we are back to a Cranial Nerve exam which has featured before.

Neuro PACES is the channel and it is fairly easy to cover as it contains in total five videos none of which is longer than ten minutes (in fact all are quite a bit shorter than that).

The Cranial Nerve Examination is this one:

Cranial Nerve Examination Example

A nice calm start but progress through the video does seem to be quite hurried. Dr Michael is the medical professional, Mr Foot is the “patient”

I would guess that in order to get the entire exam completed within five minutes Dr Michael really needs to be motoring along.

The video is quite a bit different to the Vicki Scott one in this respect.

As the video progresses, if anything, it gets even quieter but the pace never seems to slow down much. To me that is not too distracting and it is a good video for the Procrastination Pen playlist I think.

The patient here states that the sensation in his face is unequal. This is the first time we have come across this in any of the videos covered so far. Surprisingly there is no mechanism here for noting that concern, that seems unusual. In addition, the medical professional here does not echo back the concern. Reflecting the concern has been more typical in the videos we have covered so far.

The link at the end of the video links back to Liverpool university neurosciences research.

A number of the videos seem to have been set up specifically for the neuropaces course organised by:

Professor Benedict Michael, Professor in Neuroscience, MRC Clinician Scientist and Honorary Consultant Neurologist

Professor Tom Solomon, Chair of Neurological Science and Honorary Consultant Neurologist

Dr Viraj Bharambe, Neurology Consultant

Dr Rosie Heartshorne, Neurology Registrar

I’ll make a guess that Dr Michael and Professor Michael are the same person.

Investigating the rest of the Neuro PACES channel we find that there are no playlists. Without a playlist order to guide the sequence of videos to review let’s begin with those videos dedicated to medical examination:

Lower Limb Examination Example

This features Dr Michael again, this time with Mr Jamieson. Again, this is a very gentle presentation. This one is pretty nigh ideal for our purposes and is a definite candidate for the Procrastination Pen playlist.

The patient here seems to be really struggling, the first time I’ve seen this featured in a medical examination video. The videos reviewed to date have always featured healthy people. I’m guessing these are usually student volunteers. This is quite a good vindication of what the process is supposed to be for i.e., verifying an unwell person’s condition.

For our purposes though it is a good ASMR candidate and like the previous one merely five minutes long. I’d say Dr Michael is as good here ASMR-wise as Dr James Gill which is quite a statement to make.

Neurology Lower Limb Examination for MRCP PACES. NeuroPACES.mov

The patient isn’t introduced in this video and Dr Michael starts off in much more robust fashion than in the previous two videos, (it’s quite a bit louder, as if he is trying to enunciate for a distant audience). There is a consistent background hubbub as if it is being filmed in a public area.

However, it still has its quiet and attentive moments which brings it back into a candidate for the Procrastination Pen playlist for me. It is still not quite as good as Shane Brun though.

In common with the other videos in this article it really motors though and is all over in five minutes. Overall therefore this one is not a great Procrastination Pen playlist candidate.

The Solomon System- NeuroPACES

This time the medical professional is flagged at the beginning Professor Tom Solomon PhD. FRCP of the Walton Neuro Centre NHS Foundation Trust & University of Liverpool

The “patient” is quite quickly introduced as Simon.

This is a longer video at eight minutes fifty seconds (though that is still not long in terms of the many videos we’ve reviewed in the past).

Professor Solomon has not got quite such a calm voice as Dr Michael sadly. I think again the problem is that he is presenting to a wider audience so his voice is louder. But at least there isn’t the background hubbub in this video.

There is quite a good description as to why some of the tests are actually performed and how to do these tests in the minimal time.

I’m not going to add this one to the Procrastination Pen playlist though.

NeuroPACES: The Walton Centre Neurology MRCP PACES Course

Another calm start, however it is just an intro video to the neuro PACES course. We get promotional material including funky music. This is not the kind of thing you want when you’re attempting to doze off.

This one is not going into the Procrastination Pen playlist.

The NeuroPaces playlist on the Procrastination Pen channel is here:

The overall Procrastination Pen Checklist (featuring all videos covered in the blog so far) is here:

The archive playlist of videos that were in the above playlist but found after lengthy review not to make the grade, is here:

I keep this in case people have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I dislike these as they require me to stop listening and login to verify my age. You may find that you have more patience than I do in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of relaxation as a result.

If you liked this blog article why not follow this blog.

Till next time.

Photo by Shona Macrae

Sleeping With ASMR

As before, I should provide a brief introduction for those who do not know anything about:

a) this blog

b) this subject.

I’ve written on this before and it might be worthwhile reviewing that post for details.

In brief though, this section of the blog involves reviewing ASMR videos, or indeed any video that could be relaxing enough that when you are desperate for sleep it might encourage you to get some.

The result is a playlist of such videos and the opportunity to feedback as to whether my choices were appropriate that week.

The YouTube Channel this time does not have many subscribers two hundred and seventy subscribers in fact, so it is almost an unknown channel. Is this an ASMR find? Possibly…

The video is:

Head to Toe

This has a reasonably high level of background noise, possibly an open space perhaps (although the part we get to see is enclosed by curtains). The nurse is Keisha whose channel this is (more of that in a moment). The “patient” does announce her name which I think is “Mallory Myers” – that looks wrong to me but it is what it sounds like.

The comments as usual are a bit off the wall, even brutal, but fortunately if you came for the sleep then you will not be reading those (or even watching the video). It is all about the sound.

The video has the hallmarks of one of those we’ve seen previously i.e. created as part of an assessment process. For example this one includes the fake washing of hands and the insistence on drawing curtains for privacy that are already drawn.

I’ve concluded that somewhere there is a checklist that student assessment videos are unthinkingly adhering to.

These videos have a feeling of being “busy” i.e. trying to cram everything in that the assessor wants to see. This includes a number of technical terms I imagine very few patients would be bothered to hear about.

There’s also a long period of more-or-less nothing at the end when Keisha is doing the paperwork, presumably this is again a requirement.

The examination is lovely and calm, the background noise quickly stops being distracting. There are moments of shared humour and there seems to be reasonable rapport. This is a good Procrastination Pen playlist candidate.

It may have been recorded at Valdosta State University – the nurse’s shoulder badge at one stage appears to indicate this location. This university of course has a YouTube channel, with three hundred and four videos as at today’s date but it does not include any of those listed on Keisha’s channel.

The channel is Keisha CoxKelly.

There are seven videos as at today’s date with the above one being the most obvious candidate for ASMR. There are no playlists. However, with only seven videos we can probably take the time to review them all. (Well I can, and you can scroll to the end to listen to the playlist).

There are no videos posted more recently than eight years ago presumably that is how long ago Keisha was a student.

NG Tube

One thing that we can be absolutely clear about here is that there will be zero patient interaction. The patient appears to be plastic.

There is background noise, more insistence on fake privacy and cleanliness measures.

It is quite surreal watching the one-sided interactions in this video.

The notes state it is VSU college of nursing which seems to confirm my earlier guess about the location.

Nonetheless Keisha retains the quiet voice of the previous video and the procedures appear calm and measured. Even if it is apparent that a plastic model cannot actually swallow a tube.

There’s also an amusing point where the person videoing films their own fingers.

This video is a bit borderline. I’ll add it to the Procrastination Pen playlist but it may fall victim to a future weeding process.

FOLEY Cath insertion/removal

This time the video notes confirm that it is Valdosta State University College of Nursing. There was no need to go investigating shoulder badges after all.

The background noise seems worse because Keisha seems very quiet on this. The microphone is presumably not fully up to the task.

The “patient” has no legs which is almost as distracting as people talking and laughing in the background. The patient is plastic, which is a bit of a relief given the subject area. (I’d probably get some kind of YouTube content warning otherwise).

The camera-holding person is a bit of a fidget but given we’re here to listen (and to sleep) that is not such a concern. The sound isn’t amazing but it is unlikely to cause you to wake up in a hurry at 3am (unlike some YouTube adverts I can mention). Therefore, on-balance I think we can include it in the Procrastination Pen playlist (with the emphasis on potential future weeding activity).

Insulin Mixing

This also suffers from low volume. However, I am not so clear this will matter late at night when, necessarily, the volume will be way down in any case. (To ensure that you are not woken by the very playlist you were using to fall asleep in the first place). There is no patient in this video so it does not really qualify as an exam as such.

Keisha seems to be admirably measured in approach. I’m sure there must be classes on Zen meditation or something similar happening in the background to generate so many medical trainees this calm.

I’ll put this one in the Procrastination Pen playlist (even if only temporarily).

Wound Care

The one-sided conversation is nearly as surreal as the virtual door which you can neither knock upon nor close to “provide privacy”. The sound is slightly better apart from the traffic noise which makes itself felt. Once again this includes a plastic “patient”. At least he/she isn’t loud.

The snapping gloves noises are a bit of a wake-up though.

At nearly thirteen minutes it is amazingly long for a one-way interaction but I suppose the great thing about it is that it is quiet. Another video that’s on the Procrastination Pen playlist (possibly pending a future cull).

IM and SQ injections

I would guess this features two student nurses, our favourite, Keisha, and what sounds like “Sky Voss” but probably isn’t. This is filmed in a public area with minimal screening. So far so normal student assessment video.

At just over seven minutes it doesn’t hang around. As injections are not my favourite thing I’ll be watching from behind the sofa.

There is fake privacy and cleanliness again. There is also quite a lot of technical terminology, (as we saw previously). I’m presuming no standard patient would comprehend, let alone request this.

Fracturing the ampule was a bit of a shock (it is loud) but not as bad as the gloves snapping in the previous video. I’ll feature this video on the Procrastination Pen playlist for now.

I’ll schedule a playlist review shortly and remove any that no longer seem up to the desired quality.

IV administration

This is positively whacky; on this occasion the “patient” is a plastic arm.

The sound quality starts bad and seems to get a lot worse. It is like someone is trying to record the video with the microphone actually inside their pocket. There is almost no reception of what Keisha is saying. The presentation could be excellent but sadly it can’t be heard.

Hence this one needs to be rejected from the Procrastination Pen playlist.

The playlist for Keisha is here:

The overall playlist of every video that made the grade after a review on this blog is here:

The archive playlist of videos that were in the above playlist but found after lengthy review not to make the grade, is here:

I keep this in case people have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I dislike these as they require me to stop and login to verify my age. You may find that you have more patience than I do and so are prepared to give it a listen.

I hope that you find the playlists restful and I hope you get plenty of sleep as a result.

If you liked this blog article why not follow this blog.

Till next time.

Photo by Shona Macrae

Sleeping With ASMR

As promised in a previous blog post we are back again at the Merck Manuals channel. Last time we were covering the Ortho Exam playlist.

Relevant videos from this playlist/channel have already been added to the Merck Manuals playlist on The Procrastination Pen YouTube channel.

And into the overall The Procrastination Pen playlist:

There are twenty-two playlists in this channel some of which are extremely large. (The “Merck Manual Consumer Version” contains ninety videos for example. If I attempted to cover all of those it would not be not so much a blog post as a book on ASMR).

Since my last blog post they have changed elements of the Merck Manuals channel to state that it is not available outside the United States.

I hope it wasn’t something that I said.

If like me you’re not in the United States I am afraid that you are left with whatever remaining crumbs there are in terms of videos that are still available.

Parts of some playlists remain accessible.

The playlist:

The Neuro Exam – Merck Manual Professional Version

Contains seven videos which are still visible outside of the US. (Who knows how long you’ll be able to see even these. I suggest you go listen to them before it is too late).

How to do the Mental Status Exam | Merck Manual Professional Version

This is another video with funky start up music. I mean, really, don’t they know I’m trying to sleep?

The narrator here is way too loud sadly. Fortunately, that doesn’t last very long. The “patient” states that she is in Philadelphia in the Einstein Medical Centre. It’s not your standard ASMR stuff in that it is a little bit loud even in the medical exam portion.

I also notice that the medical professional asks how many nickels there are in a dollar and I realised that I did not know (in case you’re also not located in the US the answer is twenty apparently).

Some of these tests are a bit tough. It made me wonder about my own memory as I’m not sure I’d be able to pass such tests.

The video is just a bit loud I think and not great ASMR material so not one for the Procrastination Pen playlist.

How to do the Cranial Nerve Examination | Merck Manual Professional Version

It looks like startup funky music for videos in this playlist is going to be a theme.

Here the narrator is more muted and much more in keeping with what we’re looking for, I think. The video is designed to be for teaching/instruction so although there is an examination of a patient the actually dialogue between medical professional and “patient” does not feature in the video.

However, I think this one will make it to the Procrastination Pen playlist.

Cerebellar Examination: How to Assess Gait, Stance, and Coordination | Merck Manual

There is music at the start as before. Maybe eventually I will find a way to edit videos for their ASMR effects but that currently is not the purpose of this blog/playlist.

The narrator has learned his lesson after the somewhat loud presentation of the first video in this list. He is quite calm and reasonably quiet.

The exam proper appears without audio – the narrator is filling in what the stages in the exam mean. It is an instruction video that is also quite good for ASMR. This video will also be in the Procrastination Pen playlist.

How to do the Motor Examination | Merck Manual Professional Version

I notice that comments for these videos are turned off. Turning off comments stops some of the crazier contributions that we’ve seen of late but it also stops us working out if others are using these videos for their ASMR effects.

To me they seem a good find, this one included.

How to do the Sensory Exam | Merck Manual Professional Version

This is the longest video of the set, but it follows the format of the other videos seen so far. We’re entirely reliant upon the quality of the narrator here (especially to distract us from the music interludes). Fortunately, he has a good voice.

There are intrusions of parts of the genuine exam here. The only distraction with these interludes is the background noise. This is almost certainly the air-conditioning noise which we have become used to from other videos.

In this playlist whilst the medical professionals have changed between videos the “patient” remains the same.

Another good video for the Procrastination Pen playlist, I think.

How to Test Reflexes | Merck Manual Professional Version

Apart from the first video these have been consistent. Quite a good find this series and this particular video is worth making part of the Procrastination Pen playlist.

How to do a 4-Minute Neurologic Exam | Merck Manual Professional Version

This is exactly the same format as the other videos covered in this article. They were all posted six years ago. I notice that the notes tell me something about the Merck Manual:

“First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world’s most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional”

I’m guessing that there is some financial consideration involved in its use. If it produces videos of this quality, I’m in favour (well until they totally remove my ability to see the videos in any case).

However, if the video recording guys are reading, please quieten down the funky music at the beginning (or better still go for a silent intro).

This is another one for the Procrastination Pen playlist, I think.

The Merck Manuals playlist has been updated with these videos.

The overall playlist containing all the videos featured so far is here.

The above playlist has now grown quite large so I have started to weed out some of the less effective ones. However I realise that some people may consider them favourites so I have added the removed videos to an archive playlist.

However, if people who post videos keep taking those videos down again, or making them unavailable to a person writing a blog in the UK, then I may find the weeding is being done for me behind the scenes.

There is also the playlist for the small number of videos I have covered that require age verification. There has been limited demand for these so I doubt I will cover many more (unless I do so by accident).

I hope that you find them restful (and that you get some great sleep).

If you liked this blog item why not subscribe to this blog

Photo by Shona Macrae

Sleeping With ASMR

There comes a point where I’ve been checking for ASMR videos for so long that I start to come back to items that I have covered before.

This one concerns me because I have seen it in my suggested videos list quite often so I am not certain that it has not featured somewhere previously in this blog.

If it has, then I apologise and I’ll ensure any duplications in the playlist are removed – I can imagine that would prove to be very irritating.

ASMR🏥🩺Unintentional – Physical Examination

I think a number of channels are carrying this video, at least it seems to come around in YouTube recommendations rather often. However, finding a duplicate with such scant information (I just have the first names of the participants) might be interesting.

Twenty-nine minutes of medical exam and the title calls it “Full Physical Examination” not only that but it tells us who originally supplied it i.e. Prohealthsys.

The “patient” in this one is Courtney, the medical professional is James. The location seems to be a gym. Courtney’s voice seems a little peppy for ASMR. James’ voice is better. Be warned though this isn’t going to be a James Gill. However at intervals it is quite gentle, which is better for us.

This is the first time I’ve seen the gown-held-like-a bikini-approach, although it is referred to in other videos as a technique to preserve privacy.

The Channel is A Quiet Place this has one hundred and seventy one videos and one hundred and thirty four subscribers on the day I’m looking at it. There are quite a few videos in here which I recognise and have featured previously elsewhere on this blog. There is also any number which I have not previously featured and so will probably crop up in future blog items.

Prohealthsys have their own channel this has four hundred and twenty eight videos but not the one above. Most appear to be featuring a Dr Vizniak who is not the medical professional in this video.

I would guess this is a Prohealthsys video which is an older one and has now been removed from the main Prohealthsys site.

Checking for “Prohealthsys exam” (via YouTube search) I find that there is the one above and a reversal of the roles in this one:

30 min Full Physical Exam Flow

This is on channel SuninSavannah which appears to have only this video on it.

This video also appears on Roos but with the title:

Unintentional ASMR | Full Medical Exam | Med School

It comes up so frequently in YouTube recommendations that I suspect it also crops up on other channels.

Courtney’s voice here is just way too loud, I mean talking to a football stadium loud. For some reason the air conditioning now sounds like it is supplying a blast furnace and there is a sound like a background trickle of water as well.

The presentation is also fast. If I’m wanting something for sleep, slow and measured is the way to go.

I have to confess to disappointment as following the James’ presentation I really wanted to like this video. But it wouldn’t be fair to add this to a playlist.

So one video only. There is no need to create a playlist for that.

The overall playlist for the videos covered so far in this blog is here:

The archive playlist of videos that were in the above playlist but found after lengthy review not to make the grade, is here:

I keep this in case people have personal favourites that they want to hear.

The playlist of videos regarding age verification is here:

I dislike these as they require me to stop and login to verify my age. You may find that you have more patience than I do.

I hope that you find the playlists restful and I hope you get plenty of a result.

If you liked this blog article why not follow this blog.

Till next time.

Photo by Ryunosuke Kikuno on Unsplash