Category: Cardiovascular Examination

Sleeping With ASMR

We came across Michael Koller in a previous blog post.

At the time I pointed out that he had a page dedicated to videos i.e. this one.

So far I have not tried reviewing videos which have been linked to from a web page. This is a venture into the unknown. It is not possible to add them into a playlist so this entire blog post will buck the trend of all previous blog posts on ASMR and ASMR-related videos.

The organisation of the page is impeccable, a series of links in a table. I’d guess that they are designed for education purposes.

The first video is:

Head to Toe: Male; Dr Michael Koller

There is a link to the main video entitled “Complete Video”. The video has also been divided into four parts (I’m not sure what the point of that is).

There is also a link called “Text”, this turns out to be a fourteen-page checklist. Students have a much greater memory than I have if they can memorise and utilise all of that.

The “Complete Video” link is to this video

https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=BF738033-A33B-4485-BB64-D1EA41DA0C73

the quality doesn’t seem to be great and it duplicates one that we’ve already seen on YouTube so not really worthy of additional review

The “part” videos are as follows:

https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=CC577FB7-1AC2-4F94-A378-726E60ED48D9
https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=CACF20C8-9029-4CB3-A3BF-FBFF8B24B259
https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=C063B402-0B69-4EF8-8F01-5B2C2DF81062
https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=2C87865E-268E-449F-8B4A-3387936DC6E6

The quality doesn’t improve just because they are a component of the main video above. These are also quite loud for what we want.

If the tone was a bit quieter, then these might have been ideal.

I was considering asking Dr Michael Koller if he would permit me to upload the videos to YouTube so that they could be enjoyed in the normal way. However sadly he has died so I am unable to do that. As such I cannot upload them to YouTube and therefore, I cannot add them to the Procrastination Pen playlist.

I very much suspect that this is a lost branch of a website which will one day be rediscovered by the Stritch school of medicine and taken down.

For that reason, if you want to see the videos, now is probably the time to do that.

Head to Toe: Female; Dr Michael Koller

For these the only videos available are the Part1, Part 2, Part 3, Part 4 videos rather than a complete video.

Parts 1, 2 and 3 are secured by a Stritch logon leaving only part 4 for us to see. There is no associated text file as there is for the Head-to-Toe Male video. The reason is not obvious.

https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=8B72BEC6-895D-41FC-B762-38DFA47E5121

This video is much better than any of the Head-to-Toe Male videos in that it is substantially quieter. If this video was on YouTube, it would be in the playlist. I suspect that one cannot just take other people’s videos and upload them to YouTube so I’m sorry for ASMR video fans out there who would like this to be in the Procrastination Pen playlist.

Head and Neck; Dr Michael Koller

https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=89C34E15-DC2A-40FD-AAF2-6221B3E19EC5

In contrast to the above this video does not come in parts -only the complete video is available. In addition, the above video does not have a “Text” link but for this video a link to the text file is provided.

The text file is four pages long and is again a checklist to go with the video.

At least the music used to start this is gentle, a bit of classic guitar music. Dr Koller introduces Nancy Grecko (assuming that is how you spell that).

The sound for the video is not great – a constant background noise. It is as if the sound track had been lifted from an ancient cassette tape. We have heard background noise like this before.

Given the track is not on YouTube it will not be in a playlist, however I may have considered it if it had been.

I have made an email request to a general contact address at Stritch to see if permission will be granted for me to upload these videos to YouTube. Assuming permission is granted I will upload the videos to my channel in the future and create a playlist as I would normally do. If no such list appears you can assume no such permission was given.

At intervals there are brief snatches of narration which do not have the background noise and this is distracting in that the noise is only emphasised as a consequence.

Thorax; Dr Michael Koller

There is an associated text file, which is again a four-page checklist. There is a bit of a theme developing.

This time there is a complete video

https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=F015545E-1879-46B6-B402-F389825ACB95

and two “part” videos

https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=F1DBD183-D5D0-4713-AF6C-098E76C2DB1D
https://vault.lumc.edu/videos/videojump.cfm?hd=1&ID=12AE3142-6A52-4F1D-A067-2F98F5B62AD2

The complete video has funky start music (thanks but no thanks). The background noise is still there but just less pronounced than with the “Head and Neck” Video.

Dr Koller refers to “IPM1” in the intro this now seems to redirect to “Patient Centred Medicine 1”. I’m not clear what the Original Acronym was for although it does still form part of the URL in some cases like here: https://www.stritch.luc.edu/lumen/meded/ipm/ipm1/geninfo.htm

Dr Koller refers to this being a composite video composed of videos that are found elsewhere – my apologies if you notice some overlap (I have not done so).

This is a reasonable video. It is not truly quiet, but it could be said to be quite calm and methodical, not as good as Dr James Gill however.

Part way through, though, Dr Koller starts whacking a tambour which cannot be said to be properly restful.

The outro indicates the “patient” was Thad, assuming that is how you spell that.

A review of the “part” videos indicates that, as expected, they replicate the content of the complete video.

Pulmonary; Dr Michael Koller

Having established with reasonable assurance what the expected behaviour is i.e., the “part” videos are just bits of the complete video, I’m going to limit myself to reviewing the complete video in each case.

In this case there is a text file as before, as expected it is a checklist – this time three pages long. I think we’ve probably satisfied our curiosity about the checklists now and we can cease to review them. The complete video is here http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=F6FD6842-E2D0-46EF-8A56-1CF6D17BE36F

The two “part” videos are http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=DEA8DD0B-6C75-4FF9-B53C-8784425AA7FF and http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=75C0B723-E226-43DC-BEB4-B04050DD47D5

We are back to the classical guitar music approach to video introductions although it seems to be a bit louder than before, the inter-video volume problem reasserting itself

Dr Koller and Thad appear again. (Apologies to Thad if I am misspelling your name, happy to correct this if you let me know).

The sound is strange like there is a slight metallic tone to the voice (as if the microphone was inside a metal box). Thankfully we lack that awful background noise in this video though.

There is a set of breathing sounds on the track but (to me) these were not excessively loud and did not distract from the track in anyway. Your mileage may vary.

Again, we see the definition of egophony which we have seen before.

Heart; Dr Michael Koller

The obligatory text file (which I think we can assume now is a checklist) and the complete video supplemented with 2 “part” videos.

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=A04A60F2-B7F4-46B1-9512-3075A42A99E2

Part 1: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=04E8B771-92D5-405F-97CA-796A9295DAEF

Part 2: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=128F2A83-7ECB-43E2-8F33-32DA6F6C3F36

The complete video starts with the classical guitar music again (a bit loud this time). This video still features Dr Koller and Thad. Again, we have a slightly metallic edge to the sound.

This is very much of the quality of the previous video.

Atrial fibrillation – an irregular heartbeat.

Mediastinum an area between the lungs

Epigastrium upper central region of the abdomen

Towards the end there are various heart beat sounds but I did not find then distracting. You may have a different reaction.

Abdomen; Dr Michael Koller

This video begins with far-too-loud start music, no restful guitar music this time. It has the metallic sounding vocal track, Dr Koller and Thad as we have heard in previous videos. This really needs a better microphone, I think. If it wasn’t for this aggravating metallic echo I think this would have been quite a good video.

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=36FFE14E-6DDE-4186-93F5-17E239D611DB

Part 1: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=9A6B1293-A7AC-4BE1-B5F0-882773806144

Part 2: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=32693A4A-A3E7-4EA1-B2E7-53B8AD91DA63

Part 3: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=F1A2F47E-302F-4A18-AC24-45C935050300

This is the last Dr Michael Koller video on the site. However, there are a lot more videos with other participants.

I’ll return here in a future blog post to review the others assuming the page stays up.

Sadly, I have not created a playlist this time (I may get permission to create one in the future from Stritch perhaps).

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

The archive playlist (videos which were in the overall playlist but after repeated playings it turns out that was a mistake) is here:

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 them restful

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

Until next time.

Photo by FOYN on Unsplash

Sleeping With ASMR

If you’ve wandered into the blog via a search engine then you may not have read any other articles in this series. A brief background to explain what this blog is about. The plan is to review videos for their potential for ASMR or at the very least the ability to soothe you off to sleep.

The main output is an ever-growing playlist and my unwritten contract is that this will always appear at the end of each article. The assumption is that if you just want to hear the playlist you can scroll completely through the article and take up the link at the end.

Today’s video comes from a channel that we have seen before.

The channel is MDforAll, it contains no playlists. I use playlists habitually for filtering down content (i.e., limiting the number of videos covered in any one blog post). The channel also has a large number of videos, at today’s date sixty-seven videos in fact.

In the previous blog article I decided to adopt the mechanism of featuring only those videos which all contained the same medical professional and patient together in each one. On that occasion it resulted in nine videos which was a more workable number for you to read about in that one post.

This is therefore a sensible mechanism for arriving at a sensible length blog post on this occasion as well.

A scan through the videos on this channel indicates that a number of them are way too loud for our purposes. They are designed as instruction videos and the participating medical professionals are obviously trying to project themselves. Fair enough, the videos were not designed for the purpose to which we are putting them.

Eye, Ear, Nose, & Throat Examination

In contrast this video is a nice fit. The person presenting (unnamed) is quiet throughout. The patient has little to say. The video quality isn’t exactly HD but, given we’re using it to sleep, then it is probably of little consequence. The sound is pretty good but of course accompanied by air conditioning noise. This is something we expect by now.

The video has notes but they do not tell us very much we don’t already know: “Physical Examination of The Eyes, Ears, Nose, And Throat.”

The comments reveal that other people have happened across this video for ASMR purposes, so we are certainly not the first here.

Having selected this medical professional, the number of videos featuring this person (on this channel) is now limited, to just three videos in fact.

Neck & Cardiac Examination

This continues in the same vein as the previous video. It is equally quiet and the background noise (which we are probably getting used to by now) is limited to air conditioning noises.

One of the comments indicates that this is from MSU CHM. Assuming this is accurate, this refers to Michigan State University College of Human Medicine. This has a channel on YouTube with forty-five videos in it. This channel might be worthy of future review.

At least the medical professional asks the “patient” to hold his breath rather than “stop breathing” which we have seen before this. As I commented previously slavish obedience to this instruction (if it were possible) could have very final consequences.

The heart sounds at one point in the video might prove to be a little distracting. Not least, that I think my heart beats a bit faster than this guy and yours might as well.

On balance though, I think this video is worthy of inclusion in The Procrastination Pen playlist.

Lymph Nodes & Thyroid Examination

This video is slightly louder at the start but that still does not exclude it from the Procrastination Pen playlist. The notes tell us nothing we didn’t know: “Examination of the lymph nodes”. But at least there are notes. The video fades out even as the medical professional is talking. This makes me think there was/is a longer version of this video out there somewhere.

Again, there is no identity for the medical professional listed so there is no way to check where this originated. For all we know there could be more of these. Unless a random YouTube search turns them up though, I’m afraid that this is it.

These videos have been consistent. They all belong in The Procrastination Pen playlist.

These are the only ones on the channel that feature this medical professional and this patient. From the review, I think this channel might be getting mined-out for ASMR related content but I may review it one more time to be certain.

The playlist for MDForAll (On The Procrastination Pen channel) is here:

The playlist which contains every video reviewed so far on the blog is here: (less any that have subsequently been weeded)

The playlist of videos that initially made the above playlist but after much review it was determined they didn’t really make the grade is here:

(I’ve kept them in that list in case you still find them helpful)

The playlist of videos requiring age verification is here:

I can’t be bothered to stop listening to log on, this interrupts the flow. You may not find this to be the case 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.

Any feedback is welcome.

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

For newbies to the blog, a quick guide. As an old codger I am finding it increasingly difficult to sleep. After messing about for a while with different solutions, I found that a number of YouTube videos were relaxing. Even if I could not get off to sleep, they distracted me from the anxiety of realising I would be tired in the morning.

Sometimes this was enough to get to sleep. Sometimes if I woke up in the night, it was enough to get back off to sleep again. Sometimes I could content myself with lying there just watching the video.

I came across the “unintentional ASMR” category whilst searching YouTube and discovered there is a whole resource of videos which engender ASMR effects in those who are fortunate enough to feel them.

This started an idea, what if I went in search of videos that might be suitable for ASMR or at the very least be relaxing enough for sleep. What if I tried to find videos that did not appear to be listed on existing ASMR channels. I would then have a long playlist of relaxing videos and maybe some of them would not have been found by some people looking for ASMR videos.

I thought that my research may help other people – those who perhaps do not want to spend time finding relaxing videos but just want to get some sleep for goodness sake.

As I come across more videos I review them, post them up here and add the good ones to an ever-expanding playlist. Every so often I review the playlist and archive those that have not stood the test of time. Hopefully, eventually, the playlist will just consist of quality ASMR videos. I always welcome suggestions for membership/deletions.

Today’s was covered previously but in that case consisted of a compilation video (which was the following three videos somehow welded up into one. I usually dismiss these compilation videos but in this case the join was largely unrecognisable so I let it pass. After this blog article I may well be weeding out the compilation video in favour of the following (On the assumption that they are any good of course)).

NEU_General Exam – Part 1

Those who read the previous blog article will be familiar with the participants. If you haven’t read the previous blog article, I’m pleased that you are a new reader and why not go take a look.

As usual we look at the video and we look at the YouTube channel where it is found (in the hope other juicy ASMR videos might be discovered).

The channel is redbreadproductions it has fifteen videos as at today’s date and it would appear that we have snaffled the only three worthy of greater attention. Yay us and onto the review.

This video is Part One of a three-part video series

The intro helpfully tells us it is the Northeastern Physician Assistant Program 2010, which appears to be this one.

Northeastern has its own channel replete with the kind of self-promotional videos which regular readers will now be familiar with.

However I was amazed to find this one amongst them:

It is not exactly a positive endorsement but hey it is early days yet – some ASMR videos have only been up for 5 years for example.

Our video has a rather too funky intro music track – it’s a shame but not the first time we have seen this.

The intro then goes on to say “The General Physical Examination”.

The whole video is only six minutes and twenty seven seconds.

It suffers with a humongous amount of background hubbub. It seems to be extremely loud and the weighing scales even more so. Clang, bang wallop and so on.

It sounds like the examination is next to a staff canteen in which some truly hot gossip item is doing the rounds. The kind of thing where it would be tempting to open the door and yell “shut up” quite offensively only the lull would last all of half a second and then resume even more loudly.

In any case, for our purposes, this is a tad distracting especially when the background discussion descends into laughter.

The rapport between medical professional and patient is excellent so the associated noise is even more distressing.

NEU_General Exam – Part 2

Thank (pick deity of choice) the background gossiping has abated – perhaps between videos the participants went out with some duct tape and taped their mouths up. The video is just over nine minutes, so a bit longer than previously, and is so much quieter and more attentive it is like we’ve started a whole new series.

The aircon is of course a constant companion but it is almost welcome after the unwelcome additional noise of that first video.

I also like the noise of the tuning fork in this one which I have never noted before despite watching a large number of similar videos.

NEU_General Exam – Part 3

Some of the conversation has returned – a little more muted like a room full of children a fraction of a second after an adult has really screamed at them. (Just like that event – expect the noise to build and build).

However, the medical professional’s voice is truly excellent. It would be great to find further instructional videos in which she features (preferably in a quieter room). However, I have not been able to do so.

I notice she says “doing good”. I assume this must be correct although I would have thought “doing good” was being saintly and in this context I would have thought it was “doing well” i.e. in good health. I am obviously too awake whilst writing this else I would not notice things like that.

Right at the end we get thanks to Rebecca Scott, Ph.D, PA-C (I assume she was the medical professional) and Rebekah Saunders, PA-SI (I assume she was the patient)

That’s all folks. A brief one this time, so you can get back to work and stop procrastinating. More next time.

These three just barely squeeze into the playlist as the quality isn’t amazing – they may well be subject to a future weeding process.

I’ve created a NorthEastern playlist for them here:

The overall playlist of 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 verify my age, I cannot be bothered to do this when I am trying to sleep. You may differ, in which case this playlist is for you.

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

Photo by Joe Cleary on Unsplash

Sleeping With ASMR

As I’m exploring the world of ASMR I keep stumbling upon areas that I did not know existed. This time I am exploring a new area for this sequence of blog articles.

It would appear that on some nursing courses (presumably as part of the assessment process) the students have to produce videos. I’m guessing that the course team then view these to determine how the education process has progressed. Sadly, these are not produced for ASMR purposes. However, on the upside, this does mean that there is a constant supply of them.

It merely leaves the process of trawling through them all to determine if any might make for gentle listening. Alternatively, you could leave that up to me (with your task merely being to browse a blog article once in a while).

If the browsing of a blog item is too much work, simply scroll to the end of any one of these articles to find the playlists, open one in YouTube, select shuffle, put on a set of sleep-safe headphones, lie back and let the unconsciousness take hold.

This one is from the nursing world – in fact the students featured here also feature in videos by other students. This is a rich field of material which I have no doubt will crop up numerous times in this blog.

Head-to-toe physical assessment – Sterling Freeman

Sterling Freeman here the “nurse” and Olivia Rabone the “patient”. Howard College 2019 apparently. Background air conditioning noise is something that regular readers will have come across before. It seems a hazard in a lot of medical examination videos.

I love that Sterling refers to providing “privacy” when no obvious measures were taken. This speaks of someone slavishly following some kind of checklist.

At five minutes fourteen seconds someone butts in on them – I have no idea what he says but it does interrupt the flow a bit. It’s brief though, so I’m disposed to ignore it.

This is a lovely calm medical exam, definitely Procrastination Pen playlist-eligible, I think.

The channel Sterling Luna has only six videos of which none are more recent than two years ago. There are no playlists. However with only six videos I suspect we can review them all and determine if they are playlist-worthy.

Four of the videos (including the one above) seem to feature Olivia so perhaps we will start with the remaining three of those four.

CN’s and musculoskeletal assessment – Sterling Freeman

If you’ve been reading these ASMR-based articles for a while then the process for a medical examination video is already familiar. (I wonder if ASMR fans would be able to perform one of these assessments based solely upon their viewing history).

This is equally good ASMR-wise as the last one and is going into that playlist.

Respiratory and Cardiac Assessment – Sterling Freeman

By this stage both participants seem a little tired of the steps they need to take. Olivia for example is bored with the date-of-birth question (assuming this video is in the correct order, in which case this is the third such video).

This has such a gentle approach to an exam, it is another for the Procrastination Pen playlist I think.

HEENT – Sterling Freeman

This one has the air conditioning that used to play base for Motörhead. My goodness, it is loud. However even though the video is brief you still get time to get used to the noise so I’m going to include this video in the Procrastination Pen playlist. Let me know if you disagree and I’ll remove it. It may well be subject to a future weeding process however.

NG tube insertion; enteral & parenteral complications

Olivia again. This time in somebody’s house which has the advantage that the air conditioning isn’t playing a lead role.

There isn’t much medical examination in this one. The dog decides to photo bomb at six minutes thirty nine seconds and continues to feature until six minutes fifty one seconds. I don’t see his name in the credits though which is rather unfair. Unfortunately, this one just isn’t there ASMR-wise so it will not be in the playlist.

Explaining GCS; CN, Neurovascular, and Musculoskeletal assessments

The medical exam does not kick off until four minutes thirty-one seconds the volume is all wrong – too loud. This is not a playlist candidate.

The playlist for Sterling Luna (on theprocrastinationpen channel) is here

The complete playlist of every item featured so far on this blog is here:

The archive list (containing videos which were in the main Procrastination Pen playlist but, after careful examination, were found to not be as great as when first reviewed) is here:

If you like this blog item why not follow this blog.

Photo by Christopher Ryan on Unsplash

Sleeping With ASMR

Continuing the mission to identify videos with possible ASMR effects (or at the very least ones that can lull you off to sleep) I have come across today’s video.

This one is acronym city – I doubt you’ll need to understand much of them to enjoy the video. However, if, like me, you find it annoying that you do not understand what things mean, here are a few of those that came up:

OSPE – office of standardised patient education

UAB the University of Alabama at Birmingham

HEENT Head Eyes Ears Nose and Throat

(Knees and toes, knees and toes)

Ahem, so with the preliminaries out of the way, let’s progress to the video and what it does for ASMR.

This is todays’ video:

The HEENT Physical Examination

Mark has an excellent voice, if a little nervous in this one. In fact, at intervals, he seems to be looking to the student for reassurance.

The channel (unsurprisingly) is Mark Pepin, MD, PhD (The photo on the channel indicates that this video was recorded some time ago – he’s older on the photo than he is in the video). In fact, the video was posted in February 2018.

The channel has fifteen videos in total and only some of these are to do with medical exams. This is probably a number of videos that might prove tedious to read about in a single blog post (attention spans being what they are at the current time).

There are seven playlists and to be honest, different ones appear appealing from our perspective. (This is another channel to return to I suspect). However, the playlist Clinical Physical Examinations

includes the one selected. There are ten videos in this playlist which does not seem excessive to cover here. (If you’re bored already scroll to the end of this blog post where you will find the relevant playlists).

The Cardiovascular Examination

Mark with Erin again, this time Erin is a clinical skills trainer. Mark is still good in this video, whilst Erin again doesn’t get to say anything.

It is going in the Procrastination Pen playlist.

The Pulmonary Physical Examination

I notice that Erin has an escalating involvement in these films – now she is helping with filming and editing. Heather Hallman PA and Shawn Galin MD are presenting in this one.

If anything, Heather Hallman has a better voice than Mark Pepin. Slightly energetic in places perhaps (for the purpose of getting off to sleep) but excellent for relaxation. There appears to be a background click playing in the video which is initially a bit distracting but is significantly better than some of the air conditioning noises we’ve had previously. Shawn’s voice is not the greatest fit for ASMR but he doesn’t get to say a lot here (thankfully for us).

This one is going in the Procrastination Pen playlist.

The HEENT Physical Examination

This is where we came in of course. Made at the University of Alabama at Birmingham they have a channel with a very large number of videos, thirty-three playlists – at least one of which is seventy-four videos long. This may be worthy of exploration in a future article.

At intervals the video is really deeply restful. As before it is Procrastination Pen playlist bound.

The Neurologic Physical Examination

Dr. Victor Sung and Erin returns. Sadly, Dr Sung is not so great in ASMR terms. I’m sure it’s a very instructive video but that isn’t why we are here.

It is also the longest one we have encountered so far, in excess of fifty-nine minutes.

If you persist with it, Dr Sung has a much gentler voice at intervals. So, the default voice must be Dr Sung in instruction mode. I’m not sure how I would subdivide the video to isolate only those moments. What we’re looking for is an exam video for Dr Sung which would also be a lot shorter.

This video is not going to make the Procrastination Pen playlist.

The GI/Abdominal Physical Examination

Erin again but with M. Tosi Gilford this time.

M. Tosi Gilford is not as good as Heather Hallman in terms of voice. However, the video isn’t loud or shouty. It is definitely an instruction video rather than a true examination and that is probably why the tone is different.

Once the actual examination proper commences it is a lot better. On balance I’ll include this in the Procrastination Pen playlist – although it might suffer archiving in a future weeding process.

Gastrointestinal H&P (Part 1/3): Taking the History

This feels a bit odd here and in fact is from another playlist in the Mark Pepin Channel i.e. this one:

This is Mark Pepin with Corey Duke. It’s got some kind of overlay happening in that the side of Mark Pepin is cut off entirely by the scenery in places. However, hopefully you will have your head on the pillow and you will not notice this.

It is remarkably calm given the subject matter (Corey in particular has a very good voice). Unfortunately, Corey does not seem to have his own YouTube channel because that would be one worthy of further exploration.

It’s shorter than the ones so far at seven minutes fourteen seconds.

The concluding sounds though are not at all restful.

Gastrointestinal H&P (Part 2/3) – Physical Examination

Introductory noises are rather familiar from other medical videos we have so far seen. But thankfully that is soon over. Then it gets very gentle, which is pretty well ideal for us. At four minutes thirty-three seconds it is regrettably brief (not that atypical) but is a very good Procrastination Pen playlist candidate.

Again, it concludes with a loud noise which it would be great to do without.

Gastrointestinal H&P (Part 3/3) – Presenting the Patient

This is more of a presentation. It is not loud though and there are no objectional background noises.

Until the end – when it gets all funky. I’ll put it in the Procrastination Pen playlist for now, but it might become a fatality at a future playlist review.

The Musculoskeletal Physical Examination: Part 1 – Upper Extremity

Mark returns with Erin Dorman again. We are back on form as for the first video of this article.

It is eighteen minutes thirty-four seconds long and so it is a more thorough exam. The background noise (air conditioning again) is none too intrusive.

This is very calm; not loud, and seems a good fit for the Procrastination Pen playlist.

The Musculoskeletal MSK Physical Examination: Part 2 Lower Extremity

This is a follow on from the previous video but this time with Mark and Erin standing.

As in the previous video the tone is great in this one.

There’s rather a lot of information in these. Usually when I am awake enough to take in the video content I learn something. In this case I felt a bit swamped. If you’re like me and the purpose is to use it to get to sleep, the approach seems to let all the technical terms wash over you. However, perhaps after a number of plays you may even learn something.

At just over nine minutes police sirens start, that is a shame but I still think I’ll keep this in the Procrastination Pen playlist – at least for now.

I notice that the list is flagged as last being updated four years ago, this seems a shame for our purposes as more contributions from Mark would definitely be appreciated. The Mark Pepin Playlist is here:

The playlist of all videos reviewed on the blog so far is here:

The archive playlist (of videos previously in the above list but which eventually were found to be less great than hoped – retained in case you still find them useful) – is here:

I hope that you find the videos restful.

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Photo by Caleb Woods on Unsplash

Sleeping With ASMR

Recently I had a comment on one of these blog items: “Head, Shoulders, Knees and Toes” and I realised that is the theme I have unconsciously been following with recent blog items. The rhyme follows on “and Eyes and Ears and Mouth and Nose”. I have of course covered eyes before for example in the Moran Core blog item.

However, ears – that’s more of a challenge. So to this item which is – you guessed it – an ears exam specifically:

Ears & Nose Examination

This starts a bit louder than I usually like, the patient looks really quite anxious for some reason. This is another one with a dull background throb echoing constantly through the track – I’ll guess air conditioning. The comments indicate that I’m not the first to explore this in terms of ASMR though.

No clues as to where it comes from or to the participants either.

More terms that require defining:

Patent, in this context it means open unobstructed.

Gingiva gums.

It’s only two minutes fifty five seconds and ends abruptly. So lets see what the channel has to offer.

MDforAll is the channel which states that the videos have been obtained from elsewhere, so presumably the content can be a bit random.

The channel contains sixty-seven videos as at today’s date some of which are non-medical. With this many videos we can afford to be a bit choosy about them. There are no playlists and so thinning these down to a handful may take some arbitrary choices.

Searching the videos, it would appear that there are some that feature the same professional and the same “patient” so perhaps we could stick with those. But given the channel is such a resource, perhaps we will be back in the near future to sample some of those other videos.

Pulmonary Examination

This one requires an age verification. At one time I used to include these in the Procrastination Pen playlist until I found that the playlist can occasionally be playing away and then abruptly stop and ask me to sign in to verify my age. Naff that effectively. So this one will not be in the playlist.

At three minutes and eight seconds it is a short one again. The voice is much better here I think so a shame it isn’t going to be included. However I have been debating creating an archive list of items that were in the Procrastination Pen playlist but on reflection didn’t make it. I think this is a natural candidate for that list.

Having watched the video I’m not quite clear what the fuss is about age-verification wise but I’m not about to go questioning YouTube’s policy – life is too short.

Neurological Examination

I notice that the professional here has a badge on her tunic but the visibility is so poor I can’t make it out.

However, the patient states that she is at “Mid Western University” the badge could be similar to the one on the medical professional but I cannot be certain.

The website seems to indicate it should look like this.

Midwestern University has its own YouTube Channel. Two hundred and thirty-three videos at the time I am looking at it but none of them seem to include these two people.

However, it looks a nicely populated channel and maybe worthy of a future visit for ASMR – applicable videos.

George Bush is the president at the time of filming so we know that this is filmed between 2001 and 2009.

Babinski:

(It seemed easier than a definition).

Neck Examination

The patient here is very relaxed. If it wasn’t for the background noise this would be ideal.

It’s only two minutes sixteen seconds and I think in this case it can be included in the Procrastination Pen playlist.

Upper Extremities Examination

This continues in the same way as those seen before. I have often reflected when reviewing videos that if there was a sound filter that worked against forced air systems (such as air conditioning) on the video sound track the quality of many of the videos we’ve seen (and heard) would be so much the better.

PIP Joint (Proximal interphalangeal joints) the second joint of each finger when counting downwards from the finger end.

The medical professional is a bit loud here for me, but I don’t think it’s one to dismiss from the Procrastination Pen playlist. However, it might be one that gets weeded in the future.

General Physical Examination

Wow this is loud! We find that the medical professional is Karen Myers and she is a PA student. I think she says the “patient” is Mrs Dewer but it is quite fast and right at the start of the video so that might well not be correct. I think “PA Student” is a student Physician Assistant.

Nystagmus – eye movement sometimes termed “dancing eyes”.

The video settles down sound-wise (but you may still want to mute the volume a little bit). One of the problems of a playlist is that sometimes the inter-video volume isn’t that normalised – if you’re asleep when this happens it can give you a bit of a start.

Lower Extremities Examination

This starts a little quieter and is quite a good beginning.

Calcaneus – the heel.

If anything with time it becomes calmer – possibly the best one of the set so far. Definitely one for the Procrastination Pen playlist, I think.

Ears & Nose Examination

This is where we came in so eyes, ears and mouth we have covered and nose is covered here.

Cardiovascular Examination

Another one that asks for an age verification so it will not be in the Procrastination Pen playlist. There’s nothing particularly adventurous in this video so I’m not sure why. But as I’ve mentioned it is frustrating to encounter the age verification prompt if you’re half asleep at the time.

It is a shame because this isn’t bad in terms of sound so it might have made the playlist in other circumstances.

Abdomen Examination

Very short at two minutes fifty nine seconds. Perversely there is easily as much flesh on display here but no age verification prompt. Not that we’ll be watching in any case because it is the sound we’re after.

This is quiet – easily good enough for the playlist I think.

Given the age verification issue has begun to bite I have created a procrastination pen playlist for any that we encounter with that prompt. |(Some people reading might be bothered to try to watch them). I regard it as a pain in the progress of night-time listening.

The videos requiring Age verification playlist is here:

(I have moved any from the main Procrastination Pen playlist that I have noticed require this into the above list.)

The archive playlist of videos that were once in the main Procrastination Pen playlist but have been found (after repeated review) to not exactly meet that high standard is here:

I only maintain that list in case I archive one of your favourites.

The MDforAll playlist on the Procrastination Pen channel is here:

The playlist of all videos covered so far in this blog is here:

I hope that you find it relaxing.

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Photo by Kaiwen Sun on Unsplash