Doctor – Page 2 – The Procrastination Pen

Sleeping With ASMR

Recently I have been thinking about the various ways that I have tried to assist sleep over the years. Some of those have, of course, been chemical and only one of those was truly effective.

For the briefest of occasions, I did receive genuine-prescribed-by-a-doctor sleeping pills. These definitely work and I seemed to have none of the side effects detailed in the included pieces of paper. However, I suspect they are addictive as the prescription covered a bare few days and then it was back to one’s own devices.

The night before days in the office, I commonly have problems sleeping. For that I have often taken Nytol. Nytol is odd stuff. Some nights I take it and I barely make it upstairs before my eyes are closing. Then I am zonko. Some nights it is as if I have taken a sugar pill and I am laid there counting the marks on the ceiling. I have often wondered if there is some circulation problem in the manufacturing plant and the odd pill has zero active ingredient in it. No doubt the manufacturers of Nytol would have a completely different take on it.

Some years ago, I saw a YouTube presentation by a UK sleep expert who recommended popping a melatonin pill about half an hour before sleep and there would be no need for counting sheep.

The problem being it is almost impossible to get in the UK. I have taken some when travelling in either North or South America (where it is widely available). I found it rather like the Nytol. Sometimes it is as if the doors of sleep have wanged shut all of a sudden and somedays it is as if I had an unhealthy caffeine habit. It has been recommended to take it in association with 5-HTP and I did try that. I’d say the efficacy is improved but marginally in my experience.

I have tried standard Kalms and night-time Kalms, Bach Rescue Remedy and the herbal version of Nytol. These seem to have limited effects other than sometimes the nature of my nightmares were much more vivid and therefore more nightmarish… (However, if you love a good nightmare, it is as nothing compared to St John’s Wort which could win records).

The issue with all such remedies to my mind (and was not shared by the genuine sleeping pills) is that they get you to sleep but do not keep you there. Marvellous being in zzzs land at 9pm. Not so marvellous when you spring wide awake at 3am despite feeling that you have done so from the bed of a river. Worse that, having thus sprung awake, no other remedy is available to get you back off to sleep before the inevitable alarm at 5am.

It was for this reason that I went in search of a soothing backtrack. If I have to lie awake in the early hours of the morning, better to do so calmly and in as relaxed state as I can possibly accomplish than to lie fretting about all the sleep I am not getting.

Most recently I have been using Calm, for this to a greater or lesser degree of efficiency. I am going to start making recommendations from there. I have hesitated only because it is a paid-for option and I hate to leverage people into paying for anything. I am no salesperson and have no ambitions to become one.

Of late, I am making the odd foray into professional ASMR artists in these articles, if only to contrast with the inadvertent ASMR that this blog has specialised in for so long. I haven’t been featuring the many that are frankly awful. (There seem to be a fair few of these). I have the bias that if you set yourself up as a professional ASMR artist, then your offerings should be excellent. At the very least, they should be consistently restful.

Of course, YouTube now has adverts shoehorned into every corner and most of them are about as restful as a thoroughgoing slap.

This video is a foray away from the medical theme that I have stuck with for a long time. Mainly because I am having trouble finding a good one on the medical theme. I thought the tone of this video rather good; you may not share my opinion on it.

ASMR | Night massage with gua sha, herbs, natural oils (soft spoken)

I am always nervous about anything massage in case that is a euphemism for some other kind of video (which hopefully I don’t need to define). Both participants have clothing, excessive skin does not seem to be exposed and there are no offers to see more on an OnlyFans site somewhere.

This is a bit breathy for me but at least it does not seem to involve fingernails on fabric, strange vocal intonations into a microphone or bizarre squelching noises coming from who knows where.

It eschews music (hurrah) but there are some noises coming from brushing hair. (Perhaps that is even your thing, who knows).

Itsblitzz is the channel and it has 840K subscribers and three hundred and eighty videos. I see that there are three playlists. However, beware, some of these videos actively promote certain products. I have made this an attribute which embargoes a video from featuring in this blog. They will start with “the sponsor of the video this week…”. At which point I just move on.

The video is a little over forty-two minutes in length (hopefully enough to get you nodding off) and contains notes:

“29 Jan 2019 #guasha #massage #ASMR

In tonight’s video, I have brought back one of my favorite humans to experiment with some new techniques and tools (our other video can be found here: ASMR | Head massage and energy healin… ). This was a spur of the moment session, and I am happy that Elizabeth was free to come over. She is such an easy person to be around, and everything felt very natural and relaxed. I use some gua sha tools in our session as well as some natural sprays and oils. Gua sha is a skin scraping technique used in traditional East Asian medicine that can also be performed with a spoon or other smooth object. Typically, it leaves marks (petechiae) but tonight I will just be using the tools to aid in massage. I am using light to medium pressure to avoid abrasions. I will demonstrate and discuss other gua sha techniques in the very near future on my channel.”

There are of course comments, and as we have noted, where comments are permitted there shall ye find less than helpful comments. So here too.

Anyway, that was the distraction of the week, onto the main feature which takes us back to the world of YouTube medical videos.

MRCP Paces: Station 1, Neurology section (Upper Limbs)

This is fifteen- and three-quarter minutes long and surprisingly for a video from a hospital has no notes. Less surprisingly it has no comments either. I can probably by now guarantee that if it has ASMR content then ASMR fans have already discovered it.

It features Dr Shuja Punekar who straight away has a good voice. It also features air conditioning noises which are less welcome. It does not have start up music which is great.

The feedback section of the video which occurs at eleven minutes has air conditioning noises akin to the sound of the M25 at rush hour. It is actually loud and would have discounted the video had it been there from the start of the video. It also serves to partially mask the voices of the participants.

This one is from Blackpool Teaching Hospitals NHS Foundation Trust YouTube channel. There are five hundred and fourteen videos, twenty-six playlists (one with one hundred and eight videos in it). So, there is hope that this channel might be an ASMR resource for us for a lengthy period of time.

MRCP Paces History

Again, this features Dr Punekar and is very similar at the start as the last video. If anything the background noise is higher and the voices of the participants sound more distant than in the previous video.

There are various background noises which sound rather like doors opening and closing (possibly in an adjacent room).

The participants voices are calm and measured, with just the air conditioning for company.

This time the post-mortem phase in which progress of the student is discussed does not appear to have any higher participation by the air conditioning.

MRCP Paces Station 4: Communication and Ethics

This is a bit over nineteen and a quarter minutes and features Dr Punekar again. Again, the introduction is calm and quiet. The air conditioning’s participation is not excessive.

However, this is really quite stressful, not the kind of video that I think we will want in the Procrastination Pen playlist.

There are a lot of videos in the MRCP Paces series and so I use this as a whet your appetite introduction and we can return in the future and hopefully do a few more.

The Blackpool Teaching Hospitals 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 to log on, this interrupts the 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.

Picture DeepAI.org

Sleeping With ASMR

Recently, I have noticed that YouTube is just not cracking it on the nights when I am really fearsomely awake. In fact, it is just wise on those nights to get up again, pad downstairs, and watch some late-night nonsense whilst listening with the headphones.

Fortunately, TV now seems well supplied with some barely-watchable early morning viewing. (It’s almost as if they realise that a group of insomniacs are the only people awake in the early hours and that the last thing such people need is something actually interesting).

Sadly, those who turn their channels over to teleshopping are not so enlightened. My advice (if you are forced to resort to similar tactics due to sleeplessness) is to avoid at all costs surfing channels. There is a real risk that you will you happen upon channels trying to keep you awake in order to drive the purchases of mattresses, power washes or strange pruning devices.

You may also wish to give thought to the shape of your spine. For, if you do happen to drop off to some 1980s B movie, it is likely that the sofa will not turn out to be the most comfortable of resting places.

If you are intending to persist with the YouTube playlist as the source of restfulness however, I think I can be confident that you have come to the right place.

Regular readers will recognise the channel N Sight, because of course we have been here before.

Today’s video has a set of notes which are thankfully brief but which indicate that this is a professionally-produced video.

“13,274 views 2 Feb 2017

Michael Stone, MD demonstrates correct technique for blood pressure measurement with automatic and manual BP cuffs, and when to use each type of cuff. He also demonstrates simultaneous BP measurement (to assess autonomic dysfunction), and supine arm and leg BPs (for the ankle-arm index). N Sight is presented by the Institute for Functional Medicine. Learn more at nsight.org.”

Comments are thankfully not permitted – no requests for free medical advice, no disparaging remarks about the participants but sadly no indication as to whether other ASMR fans have been here before.

I would guess that they have.

The video is this one:

Blood Pressure: Demo Exam, Part 1

It is a little shy of eleven minutes long and so it is not going to be your nighttime companion for very long.

Sadly, it starts with some loud and rather too energetic music – so far, so normal, we have found. Sigh.

The patient is introduced as “Steve” the medical professional is not introduced (well outside of those notes anyway). However, we do find that he (the medical professional) has a great voice, very calming and measured.

Today was the first time I tried the transcript facility in YouTube, and it is so very useful for me. Now I can get a visual check for things like the spelling of people’s names, which I am often convinced I have got wrong.

The medical professional seems quite happy with a reading of 128 (systolic) when I was pretty certain that 128 was pretty high…

The video then repeats the blood pressure test but this time manually, rather than with a machine. It is a little quieter but sadly, it means there is yet more music (as an introduction to this section). Comparatively the cuff looks like something unearthed from a Victorian sanitorium but as you’ll be lying down trying to get some sleep I very much doubt that you will notice this.

Yet more upbeat music and then there is a blood pressure test in both arms simultaneously (this is a test I have never seen). This time the automatic machines are in use and so there is the sound of the cuffs being inflated.

Upbeat music again and back to the manual cuff. I do prefer the sound of this being manually pumped vs the electric pump sound on the automatic machine. However, your preference might vary.

Yet more upbeat music and this time the blood pressure cuff is around Steve’s leg. Again, I have never seen this in use before this.

More upbeat music and then the video concludes. And cues straight into the next video which is this one:

Blood Pressure: Demo Exam, Part 2

There are notes “6,172 views 2 Feb 2017

Michael Stone, MD, demonstrates the correct techniques for measuring the ankle-arm index, dorsalis pedis & posterior tibial pulses. He then performs the raised leg oxygen saturation test, followed by carotid and radial pulse comparison. Finally, he concludes with the appropriate orthostatic hypotension exam. N Sight is presented by the Institute for Functional Medicine. Learn more at nsight.org.”

This follows the same scheme of the previous one, same music, same participants. It is a little shorter at just less than nine and a half minutes. The sound of the doppler at the start of this video may be a little off-putting to some people (I didn’t find it so).

Straight into funky music again and this time the pulse is checked in Steve’s feet.

More music, then a check on the carotid pulse.

Music again, then a check inside the mouth. With emphasis on strong dental hygiene.

Music, and a check as Steve changes position from lying down to standing up. And onto tail end music again.

These two form part of a playlist on N Sight Blood Pressure Exam.

They appear mid-way through the playlist which consists of six videos in total.

The first video is this one:

Blood Pressure: Introduction, Equipment, and Patient Positioning

In which we find that the medical professional is Dr Michael Stone. Initially it is not a medical examination as such but a monologue. Despite this his voice is not elevated. Some people in this situation become a tad “shouty” as if projecting to a room. Dr Michael Stone does not fall into this trap.

The video is a little over sixteen and a half minutes so the longest we have seen so far.

However, the chance to punctuate the video with the same music track is not to be missed apparently. perhaps they paid a lot for it and want to feature it as frequently as possible.

It’s a shame as Dr Stone really has a very good voice for our purposes.

The notes have follow the same theme as the others: “3,422 views 2 Feb 2017

Michael Stone, MD, introduces this blood pressure measurement series, including key nutritional considerations for treating patients with abnormal blood pressure. He describes the necessary equipment, calibration needs, and changes in BP measurement over time. He then demonstrates appropriate patient positioning for sitting and supine blood pressure exams.

N Sight is presented by the Institute for Functional Medicine. Learn more at nsight.org.”

As we are not learning to take blood pressure, I will discontinue including them as I’m sure they are of partial interest.

Blood Pressure: Demo Exam, Part 1

Blood Pressure: Demo Exam, Part 2

These two are where we came in.

Blood Pressure: Teaching Exam, Part 1

Like a number of professionally produced videos these turn out to be consistent. This can be great if the first one is marvellous. Less great if it was less than perfect. In this case it means continuation of that annoying music. Set against this, it means the continued exposure to the great intonation and measured delivery of Dr Michael Stone. Not for the first time I am lamenting that I cannot isolate this and remove the little musical interludes.

This one is just under sixteen and a half minutes, so one of the longer ones we’ve seen and in all other respects is similar, same doctor, same patient, same approach, similar notes, same approach to comments and so on.

Definition:

Insufflation: is the act of blowing something (such as a gas, powder, or vapor) into a body cavity

Blood Pressure: Teaching Exam, Part 2

Consistent with those we have seen, nuclear blast needed for the music track, embrace needed for the quiet voice of Dr Michael Stone. This one is nearly twenty minutes in length which is the longest so far. It has some unsettling doppler noises which might be off-putting to some people. There are also some loud car-related sounds indicating that a nearby road can’t be far outside of the building where this was recorded (or someone has a really loud exhaust). Long videos are also an excuse for YouTube to insert an annoying advert and they seem to have made good use of that facility here.

Blood Pressure: Nutritional Factors and Conclusion

This one is a bit less than six minutes and otherwise has little to distinguish it from those that have gone before. I just wish that Dr Michael Stone could produce a music-free version of each of these videos. That and drop some of the louder doppler noises. However, I still maintain that these are all worthwhile trialling in the Procrastination Pen playlist. (However, as you know, every once in a while I’ll get tired of the ones with irritating noises and drop them into the archive list. There is some chance one, some, or all of these may suffer that fate.

The N Sight 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 to log on, this interrupts the 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

For those people who actually read my blog articles at intervals, yay, welcome readers. You will notice that I am drawing again at the well of a popular channel for this blog. This site is designed for education purposes. However, it turns out to be pretty good in terms of relaxation as well.

Judging by the comments I am confident that I am not the only one to think so.

The video is this one:

Examination of the Spleen (Stanford Medicine 25)

The great advantage is that it already comes as part of a playlist i.e. this one

Stanford Medicine 25: Abdominal Exam

I also notice that all of the videos in this playlist are short ones, so this is not going to keep you for very long.

This first video is just over three and a half minutes long so blink and you’ll miss it, in comparison to some we have covered.

Initially the video starts quietly but just when I was ready to give thanks for the lack of startup music, some startup music begins. Fortunately, it is brief.

The person giving the examination (and commenting at the same time) has an excellent voice for our purposes. In this case it is Dr Verghese – who we have encountered before.

The next video in the same playlist is this one:

Percussion of the Spleen (Stanford Medicine 25)

The notes for these videos are very similar to those for the Stanford Medicine 25 videos that we have previously featured:

“17 Mar 2014

This Stanford Medicine 25 video was created in conjunction with Stanford’s AIM lab teaching the percussion of the spleen.

The Stanford Medicine 25 is a Stanford School of Medicine initiative to teach and promote the bedside physical exam. Here you will find videos teaching bedside physical exam techniques.

Please subscribe, like and visit our websites:

Main Website: http://stanfordmedicine25.stanford.edu/

Blog: http://stanford25blog.stanford.edu/

Facebook: https://www.facebook.com/StanfordMedi…

Twitter: https://twitter.com/StanfordMed25

Google+: http://goo.gl/UBM7SP”

It is an advantage of professionally produced videos that they tend to have notes and, in a number of cases, the notes are even helpful.

Again, we have startup and tail end music, which I’d prefer wasn’t there, but isn’t hugely intrusive.

The last video in this playlist is this one:

Diagnosis Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) with Carnett’s Sign – Abdominal Pain

This time narrated by Dr George Meyer Gastroenterology the University of California, Davis.

This time the startup music has a life all its own and just will not be suppressed. It is louder, longer and more energetic than previous videos in this article. There’s also an introductory narrator who is too loud and therefore not at all restful. In an ideal world this front part of the video would be cropped right off. The reason it is worth persisting with is that Dr Meyer’s voice is every bit as good as that of Dr Verghese.

The video is just over three and a half minutes so you haven’t got a great deal of time to enjoy the experience.

It’s quiet, methodical, instructive (should you want that) and then goes and spoils it all by having the peppy startup music repeat at the end and to top it all that loud narration, followed by a jarring copyright announcement as well.

Despite that I like Dr Meyer’s voice so I am going to give all three of these a try in the playlist.

The Stanford Medicine 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 to log on, this interrupts the 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 Luiza Sayfullina on Unsplash

Sleeping With ASMR

A minor deviation in terms of videos this week. Still on a medical theme, so I have not wandered too far from the fold. However, this one is for people involved in sports. Presumably an area with a great propensity towards injury, given there is an entire discipline dedicated to it.

The video is this one:

Examining The Wrist: A Guide for Sports Physicians and Physiotherapists

As we have established previously professional videos have a higher tendency towards having associated notes. We’ve also established that within a playlist on a channel of this type all the notes have a tendency to follow a theme.

The notes with this video state “

199,898 views 10 Dec 2013

Roger Hawkes, Chief Medical Officer, European Tour Performance Institute, and Doug Campbell, Wrist and Hand Surgeon, Leeds Teaching hospitals NHS Trust, guide you through examining the wrist.

Having studied the wrist on the European Tour (golf) for the last four years, they show the simple tests to use in day-to-day practice, and the common pathological findings.

For further resources, see the BJSM special edition on the wrist: http://bjsm.bmj.com/content/47/17.toc

Chapters:

– Taking the history (1.26)

– Initial inspection of the wrist (3.00)

– Assessing the range of movement (5.00)

– Anatomy (5.55)

– Assessing flexibility (7.16)

– Locating pain (8.12)

– Assessing stability of the distal radial ulnar joint (9.22)

– The extensor carpi ulnaris tendon (10.27)

– De Quervain’s tendonitis (13.00)”

The video permits comments and there are a number of those. As expected, ASMR fans are here well before me. I wonder if there is some secret channel where all of these videos are already listed and I am merely repeating in an amateur fashion the indexing work of some ASMR-associated professional.

The video is slightly over fifteen minutes, so not huge, and it has the bugbear of all ASMR fans, startup music. Worse, energetic startup music. This is not immediately a video designated to assist you off to sleep. The first presenter Roger Hawkes Chief Medical Officer European Tour Performance Institute starts off a bit loud. Whilst he is talking the music is still hanging in there like yesterday’s intransigent flu symptoms.

The second Presenter is Doug Campbell Consultant Hand and Wrist Surgeon Leeds Teaching Hospitals NHS Trust.

As soon as Doug starts to speak, we feel we are on a surer footing ASMR-wise as he has a substantially more gentle voice. If only the start of the video hadn’t been ambushed by marketing and brand identity.

Still, we have given videos a try with more challenging beginnings.

At one and a half minutes into the video the examination begins and for me the entire video should have begun here. It would then have been much more suitable for ASMR. However, so far I have not found a setting for truncating videos so that the startup nonsense can be dispensed with.

As expected, the portion of the video in which Doug appears is much more relaxing than the portion in which Roger presents.

For ASMR purposes it would be great to take the video and chop out of it the extraneous loud bits. However, I do not own it, and so sadly we’ll have to run with it as is.

Including the equally jarring tail-end music.

The channel is British Journal of Sports Medicine (BJSM), which has one hundred and thirty five videos – a fair number to cover I’m sure you’ll agree.

There are twelve playlists and a number of those contain only one video.

Our video is contained in one of these, a playlist called Examining the wrist.

Checking through the remaining one hundred and thirty four videos we find that neither Doug, Roger nor the “patient” appear in any further videos on the site, so it appears this is the only one this week.

Why not use the time to get some more sleep.

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 to log on, this interrupts the 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 Ray ZHUANG on Unsplash

Sleeping With ASMR

In a previous blog post I pointed out that there was a whole page of videos on the Internet that had no affiliation (that I could determine) to YouTube, and that therefore I was unable to embed in a WordPress page for viewing.

In addition, I felt that the videos could be better shown to you if I took them and uploaded them to YouTube on my channel. However, I am not a copyright expert, and in my amateur way rather thought some very well-paid people in threatening clothing might send me a formally-written letter if I tried it.

So I looked out for a contact email and found that the owner Dr Michael Koller had died. This is not only very sad but very regrettable in that I could not ask him if I could upload these videos to my channel on YouTube. I have approached Stritch via email, but each time I look at the website there seems to be another email to try and so to date I have not received permission (or a flat refusal) to use them.

The upshot is that the blog posts on this page tend to be a little dry as they are not dotted with friendly-looking embedded videos. However, given I habitually recommend that you go to YouTube to play the videos in my usual posts, and in this case, you simply have to go to the page to play the videos, there isn’t a great deal of difference.

I would feel that I wasn’t doing my part in telling you about the material that is out there if I simply limited myself to YouTube.

However, I don’t want to dwell too long on material that cannot be actively linked to (other than via URL) so although it will make this blog post a long one, I intend to cover off the remaining videos on that page in this blog post.

The complete page is here: https://www.stritch.luc.edu/lumen/meded/medicine/pulmonar/pdself/menu_videos4.htm

This has now been covered in two prior blog posts.

As part of this process, we satisfied ourselves that where there were complete and part videos under the same title. That the part videos were simply parts of that complete one. That is, you could get the material from all the part videos simply by watching the complete one. This will save time here; I can link the part videos for interest but cover only the complete videos. In addition, the included text files seem to only be of academic interest to those on the course for whom it was intended, so we have no need to review those.

15 Minute Screening Neuro Exam; Dr Michael Merchut

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=63316618-E354-4810-B165-86F5BE921595

This starts quietly and thankfully devoid of startup music. The video is just over twelve minutes in length. Dr Merchut turns out to have a great ASMR voice, and had this been available on YouTube it would have been in the Procrastination Pen playlist. This is a loss to the list and to the ASMR community.

Detailed Neurological Exam; Dr Michael Merchut

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=9E4CE1F3-C34F-47FB-BD71-0CABC3072A8E

Part 1: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=AA8922F6-F798-4142-A821-42882B67E091

Part 2: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=E979142A-9E74-4F3A-B3A4-A78945B1C703

Part 3: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=6F820BDB-82F2-4B7E-ADD6-652AE7FEAFCA

Part 4: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=45E2AD3F-AEC4-4E01-88D4-0749FFA55142

Part 5: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=0C5B819B-57E5-4EC5-BA2E-9E4D26DD5A41

Part 6: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=9EF4F8DD-CC9B-4B21-A4AA-456863FC34E8

I’ll ignore the part videos as they have nothing extra to contribute. The complete video starts with startup music, which fortunately is neither too long nor too loud. Dr Merchut returns and gives a reasonably lengthy introductory speech. The entire video is a little over forty seven and a half minutes.

His voice is not quite so excellent in this one, but this is in comparison with the last one which was actually rather good.

Nancy again the “patient”. She featured in our previous blog post.

Again, I think if this video had been on YouTube, then it would have already been in the Procrastination Pen playlist.

Oral Presentation; Dr Michael Koller

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=3EFE23F8-8960-4AC6-8A37-F1EFBD73B302

Part 1: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=0247721D-D980-446B-B786-C69B70D641F2

Part 2: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=861669A7-1548-4E51-AA41-BB2834464384

Part 3: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=8F822DBB-08A6-4FB7-B957-F6CEE834FFD2

Again, I’ll focus on the complete video only. In this case it features Dr Koller. We know that we are on safe ground with Dr Koller, in fact we have already added one of his videos to the Procrastination Pen playlist from YouTube.

This also begins with startup music but this time it is really going for it. The video quality is also on the abysmal side of poor. The sound has the normal background we would expect by now (air conditioning again).

The video is a little less than twenty-three and a half minutes. The initial presentation style is a little halting and, although this is the point of the video, it proves to be distracting.

Dr Koller is doing the narration which is great but somewhat intermittent (more narration by Dr Koller would be welcome as he has a good voice).

The music then kicks in again at breaks in the video. The sound has a metallic edge to it.

Although Dr Koller is as good as we are used to, the way the video is structured makes it more stimulating than anyone really needs when they are trying to get to sleep. Even if it were possible, I do not think that this one would be finding its way into the Procrastination Pen playlist.

Definition:

HPI – History of Present Illness.

PCM Gowning and Draping; Dr Michael Koller

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=08522D70-D724-4F3E-8BB1-39914783108E

This time just one video available, again with Dr Koller. This is just less than twenty-five and a quarter minutes and thank goodness there is no startup music. There is an ever-present air conditioning background drone though.

Dr Koller still has a good voice for our purposes. In this case though, I’m not certain the subject matter is that fascinating to anyone who isn’t in the medical profession. However fascinating is not that useful in getting off to sleep so this video might be a great fit.

Part way through we have loud clunks due to equipment noises (metal drawers being pushed in and out), just the kind of noise to stir someone from sleep as they were dozing off.

A great deal of thought has gone into the positioning of gowns and drapes in this video and apart from equipment noises, it is a good video for us. It’s a shame about the equipment as otherwise it would have been a great Procrastination Pen playlist candidate (well had it been on YouTube in any case).

Full Body Skin Exam; Estelle Kahn MS4 and Dr Anthony Peterson

In this case there is no “complete” video, so no choice other than to review each in turn.

Introduction: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=19CBA75E-0AF6-4B70-87E3-390A01173012

Unfortunately, there is start up music and it is really dynamic stuff too. Estelle initially does not have a true ASMR voice, sometimes this happens when the person is presenting rather than examining someone however.

This introduction is a little over four minutes in length. If you are watching it is slightly distracting that Estelle seems to be reading a script which is slightly off camera.

I’m pretty sure that even had I the opportunity, this one would not be in the Procrastination Pen playlist.

Exam: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=2C6965B5-F2BC-4EED-A2B4-52E185A77EE1

It starts with door opening noises which are a little distracting. We see this in student assessment videos of course, soft-close not being a thing in medical establishments.

Dr Peterson has an excellent voice. He might be worth checking for elsewhere in case there is other material available. As expected, Estelle’s voice is much more muted during the examination. The examination is gentle and methodical and the whole video lasts only a little under nine and a quarter minutes. There are occasional equipment noises, equipment not having been designed to slide quietly in use apparently. All-in-all it is quite a good video. If it had been on YouTube this would be a strong Procrastination Pen playlist candidate.

Conclusion: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=75C54DF8-09FB-4141-A186-4A654725FFC5

Dr Peterson presenting and this is great as he has by far the better voice for us. There is no startup music – yay. There are occasional loud moments; watch the volume. Dr Peterson appears to be consulting notes at intervals, although if you’re just listening you will not notice that. The whole video is somewhat under three and a half minutes. This would’ve been a good Procrastination Pen playlist candidate (had it been on YouTube).

Neonatal Exam; Dr Thomas DeStefani

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=4DE8CA15-DAF6-42FC-AA95-40EA218E2942

Part 1: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=B736EE60-21CA-4916-BBA6-00E433518D68

Part 2: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=0917610E-D1CF-4575-9005-83A091053322

Part 3: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=702D5D1B-A58B-4244-A26D-826524F854F4

Reviewing the complete video again, the entire video is thirty-seven and a quarter minutes. It starts with some positively starship enterprise style music; very grand; very distracting. Straight away we seem to be in the soundscape of a public area, there is some kind of hubbub in play. Dr De Stefani is narrating this one. He does not have as good a voice as Dr Peterson sadly. There are telephone noises which Dr De Stefani has to talk over.

When the examination of the baby commences it quietens down a great deal. Of course with examination of a baby, the baby starts to complain about it. Not substantially so though. In fact, this was a good baby to choose as she appears to be so chilled under examination. After a while she does lose patience and lets us have it crying wise.

Background medical establishment noises continue; a repeating electronic beep sound at one stage, sounds of other babies at some distance who are a bit less chilled, muted conversations from adjacent rooms, distant equipment noises, an occasional telephone and of course the continuous accompaniment of air conditioning noises.

Although this is in part a great video, I think these distracting noises would discount it from the Procrastination Pen playlist.

Definition:

Foetal Alcohol Syndrome: effects that occur as a result of a mother drinking (alcohol) while pregnant.

Knee; Dr Jerold Sterling

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=52F9EC84-D261-46C3-B048-6EBA2CE966AE

Just the one video to look at a little over twelve minutes and it starts with startup music and there is a constant background hiss happening as if the entire thing was recorded on an LP and then poorly stored.

For some reason after a minute that hiss disappears entirely. Dr Sterling does not have a natural ASMR voice but by no means the worst that we have heard.

The delivery is measured and even and accompanied only by the hmm of air conditioning.

It’s sad about the start as otherwise this could have been a good video for us.

PCM1 Upper Limb/Spine; Dr Paul Lento

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=49B3EF2E-91D6-4DB7-B7A6-FBA1933D7AEA

Part 1: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=D64FC0E9-D5DC-461C-80F0-77F88CC9A3DD

Part 2: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=05E08513-5688-497B-8058-72CB85B564A5

Looking at the complete video then, it is just under twenty five and three quarter minutes. Dr Lento has an impressive voice, impressive in its volume I mean. After the start-up music it is quite surprising to find the voice of the presenter louder than the music.

The “patient” is Sal – or that is what it sounds like. The volume also exposes the metallic sound to the audio track which we encountered with a previous video in this blog article.

This video really isn’t a suitable one for our purposes.

PCM1 Lower Limb; Dr Bill Hopkinson

Complete: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=CEBDE33C-BBA4-4F9C-BD72-7D2F39E1C3B4

Only one video to review, eleven and three quarter minutes and again with the startup music. The videos are now starting to fall into a theme. Dr Bill Hopkinson who immediately has a better voice for us. He is quieter, more measured in expressing himself but he does attempt to compensate for that with the loudest washing of his hands I have encountered thus far.

We encounter Sal again as the “patient” – they obviously had him around and so were going to make good use of him. This one seems to have less background noise, certainly less hiss than encountered in previously videos in this article.

The actual video quality is no better though, not that I suspect you would be watching in any case.

PCM2 Musculoskeletal Provocative Exam; Dr Neeru Jayanthi

In this case there is no “complete” video so there is no choice other than to review each video in turn.

Introduction: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=49A8423E-73F8-4111-860C-6808C3CF30F4

Less than three quarters of a minute so do not blink. Dr Neeru Jayanthi who on the basis of this amazingly brief video has a good voice for our purposes. Eric is the “patient” here. There was still time to sneak in introductory music (boo), although the background noise for some reason is a great deal more muted in this one, probably not enough here for me to consider it for the procrastination pen playlist.

Shoulder: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=79BA4C19-6E74-41FB-89A2-6D29AF23CF19

Just a bit more than three and a quarter minutes – none of these are winning any length contests. This would be a good candidate for the Procrastination Pen playlist if it ever appeared on YouTube (hint Stritch hint).

Elbow: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=1B623A46-E00E-476B-BB63-0BF76F51DEF3

Just less than one- and three-quarter minutes probably not long enough for any playlist, in fact the way these are going it would be better to combine them into one long playlist – which I sense is probably how it was filmed in the first place and then they were divided up for (presumably) educational purposes.

Hand/Wrist: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=B60FA5A4-C1A1-4F81-85B7-B25328532E71

One and a quarter minutes, again rather short – combine these, lop off that music and this would be a good set for the Procrastination Pen playlist.

Functional-Hip: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=2F1751ED-CA75-484C-A9DA-A0CB750361F2

Just less than one and a quarter minutes – it looks like we have a theme developing.

Knee: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=B7BC44CE-7A50-4148-B73B-505D5B7C8605

A little less than two minutes but remains consistent with others in this set.

Foot/Ankle: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=5355FBDC-93E8-4439-B3BD-D6F02FD9C8C2

Almost a minute, so short it is barely a blip.

Hip/Spine: http://stritch.luc.edu/templates/videojump.cfm?hd=1&ID=89F41E6A-1265-4B82-ABF9-81D725BDE903

Just over one- and three-quarter minutes, again no extraneous noises and a good presentation. A good combination of these videos would make one good one for the Procrastination Pen playlist – assuming anyone uploaded it to YouTube.

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 to log on, this interrupts the 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

If you have got to that time of life where you cannot remember the last time you had a decent night’s sleep and your daily consciousness is about walking around in a fog, you are in the right place.

For some little while now, the Procrastination Pen has been compiling a playlist of videos designed to be relaxing and to lull you off to sleep. If the bedroom has become a warzone with wakefulness, at the very least, you can lie there and listen to the videos rather than worrying about the sleep you’re not getting.

Today’s video comes from a source that we have seen before. It is from an institution that most people must be aware of.

It is this:

Demonstration of Teaching the Reflex Exam by Dr. Abraham Verghese (Stanford 25 Skills Symposium)

and like most professional videos we have covered, it comes with notes:

“27 Apr 2016 Skills Symposium – 2015

Founder and leader of the Stanford Medicine 25, and best-selling author, Dr. Abraham Verghese demonstrates how he teaches the reflex exam on a real patient in front of an audience of clinical educators.

On September 28th & 29th, 2015, the Stanford Medicine 25 team hosted the first annual bedside exam symposium for clinicians and educators. The purpose was to share how we do bedside teaching and allow them to improve upon their bedside exam skills.

Learn more about past and upcoming symposiums on the bedside exam:

http://stanfordmedicine25.stanford.ed…

Visit the Stanford Medicine 25:

Website: http://stanfordmedicine25.stanford.edu/

Blog: http://stanford25blog.stanford.edu/

Facebook: http://www.facebook.com/StanfordMedic…

Twitter: https://twitter.com/StanfordMed25

Google+: http://goo.gl/UBM7SP”

Dr Verghese it appears is some kind of powerhouse of the medical profession.

However, we are more concerned with whether he produces a great relaxing video.

It starts with the inevitable music, but fortunately, this is short and not excessively loud. Dr Verghese has a calm sounding voice but the video is a presentation so he isn’t completely quiet here.

The video has the benefit of being an interesting one as well, perhaps it will prove to be a distraction from your concerns about insomnia.

This is a definite candidate for the Procrastination Pen playlist I think.

It is from the channel Stanford Medicine 25, this channel has eighty-five videos and so a few if we were looking to review them all (perhaps that will happen with time but not all in this one post).

Our video is found in the playlist Skills Symposium – 2015

Normally this would therefore be the subject of our blog post. However there are seventeen videos in this playlist and given it is a symposium, some of those videos are rather long.

I think therefore we will focus on presentations from this symposium that feature Dr Verghese. This is a subset of the videos in this playlist. However, I suspect we will return to the others in the future.

Purpose and History of the Stanford 25 by Dr. Abraham Verghese (Stanford 25 Skills Symposium)

The same music, a similar start up format. So far, so expected for a professional video.

Dr Verghese remains excellent in this. Sadly, for us it is a bit more interactive with laughter at intervals, for example. I’ll include it in the Procrastination Pen playlist for now (as you know this list gets reviewed constantly, and those videos which turn out not to be relaxing enough after extensive exposure get archived from this list).

An extract from the notes is as follows: “27 Apr 2016 Skills Symposium – 2015

Founder and leader of the Stanford Medicine 25, and best-selling author, Dr. Abraham Verghese talks at the opening of the Skills Symposium about the purpose and history of the Stanford Medicine 25.”

Why are We Doing this Teaching? – Dr. Abraham Verghese (Stanford 25 Skills Symposium)

“Founder and leader of the Stanford Medicine 25, and best-selling author, Dr. Abraham Verghese talks why we’re doing this bedside exam teaching.”

A different but equally unwelcome start up jingle. However, Dr Verghese remains consistent in having a great voice. Although at just over one minute you are not getting a lot of it.

The 5-Minute Bedside Moment – Dr. Abraham Verghese (Stanford Skills Symposium)

“Founder and leader of the Stanford Medicine 25, and best-selling author, Dr. Abraham Verghese talks about the 5-Minute Bedside Moment: our tool for teaching the physical exam at the bedside.”

He might be talking about the five minute bedside moment but he is taking two and three quarter minutes to do so.

Start-up music tick, notes, tick, same presentation tick. This consistency is such an asset when one video of a series is a good one (less good if it is a bad one). In this case these have all been good videos in terms of delivery and I shall be looking out for Dr Verghese videos in the future.

That is it for this time, thank-you for reading and I hope you get a restful night’s sleep.

The Stanford Medicine 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 to log on, this interrupts the 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 Jonathan Fink on Unsplash

Sleeping With ASMR

I seem to have meandered into the world of ASMR YouTube channels more recently. It will not be a permanent move. My intention is to get right back to genuine medical videos.

Today’s channel is ASMR Sandwich Breath, as mentioned before sandwich breath is a bit of an insider ASMR joke. People either know of the sandwich breath video or they do not. Afficionados of ASMR videos are expected to understand the inside jokes (I only get a few of them as there are a great many such videos).

Today’s video is this one:

Physical Medical Exam Unintentional ASMR

The video starts with the title PE for TOPE Student Demonstration

Ross here the “patient” and Jessica the medical professional. Jessica states this is the University of Washington and that she is a registered nurse. The comments state that the original of this video has now been deleted. Assuming that we can trust that, this is possibly the only place we will encounter this video.

The University of Washington has its own channel of course, 757 videos on that channel and 12 playlists. The upshot of which is that some playlists are composed of over 100 videos.

Jessica’s video does not seem to be in there.

UDUB is apparently a shortening for the University of Washington to those in the know.

Ross does not seem the happiest patient, or taking a more positive view he could be half asleep.

Jessica enunciates the medical terms here in such a clear way, possibly the best I have heard so far.

I also notice a great deal of time taken to explain what is coming next. Perhaps this thoroughness explains why the video is in excess of thirty-four minutes.

This is very quiet. Jessica at intervals is on a par with Vicki Scott which is quite a statement, the result is a video which is a good playlist candidate.

The video concludes with a healthy amount of information Jessica Burke-Lazarus BSN, RN Midwifery-DNP student was the medical professional. Jessica, it turns out, graduated in 2013 and now works in Seattle.

The “patient” was Rosson Wiebe PMHNP-DNP Student Ross also graduated in 2013 and went on to work in Florida.

It also tells us that it was filmed December 9 2011 in the Center for Excellence in Nursing Education at the University of Washington.

ASMR Sandwich breath has forty-eight videos as at today’s date, that is a fair few videos to attempt to motor through. A quick scan of them reveals some old favourites which we have covered before.

The usual approach is to reduce the number to be covered by selecting a suitable playlist from the channel.

There are five playlists on here but some of them are a little on the long side.

A nice short playlist is this one:

which is titled

Medical ASMR – Male Nurse/Doctor with Male Patient

Ostensibly consisting of four videos but two of these are listed as hidden. We have seen this before but I am no closer to explaining it.

So that leaves us with two videos to look at (the first video with Jessica in it is not part of this playlist).

Fit and Evaluation of GP Contact Lens Unintentional ASMR

Dr David Meyer and we are back at the Moran Eye Centre. We covered a subset of the Moran Eye Centre videos previously.

However not this one or the one after this. However, I think a return to Moran is indicated when we can cover these videos in their natural home

Which for this one is here:

Prescription & Fit a Contact Lens Unintentional ASMR

This is also on Moran CORE it is here:

with the above video I will cover this one in a future review of the video in its proper home.

The ASMR Sandwich breath 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 process. 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

Recently, as happens in everyone’s life, things have been stressful. Habitually in the past, this would mean that I would achieve substantially less sleep. However, the addition of some Bose QuietComfort headphones (a company with which I am affiliated in no sense) and the Procrastination Pen playlist has really helped in this respect. The sleep isn’t super refreshing, don’t get me wrong, but there is at least more of it than I might have expected in similar circumstances in the past.

I hope that you find the playlist is helpful in your pursuit of sleep, no matter the headphones that you choose to employ to listen to it.

Today is another one from an old favourite channel which regular readers will instantly recognise. I also think, if anything, this video is superior in terms of restfulness than the last video I featured for this particular channel.

The video is this one:

Examination of the Cranial Nerves – Demonstration

At just over seven minutes it’s not huge in length and the comments lead me to suspect that the ASMR community has thoroughly taken to this one, adopted it and gone out for walks with it in the park on Sundays.

As a professionally produced video it, of course, has notes and the notes in this case are very helpful:

“13 Dec 2011 Clinical Examinations

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

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

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 Richard Abbott 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…”

The video starts without introductory music – wow!

It begins quietly, it continues perfectly. The medical professional and the “patient” both have excellent voices. All-in-all a video one could wish would go on for better than forty five minutes.

But it is a brief one, so we must console ourselves (like the Hollie Berry material) that at least it exists and is on a University channel (and so may exist for a while yet).

The channel is: University of Leicester and at this rate it is likely to become a thoroughgoing favourite on this blog (along with the University of Warwick).

Sadly, it has in excess of 1300 videos. Trawling that lot for the odd additional one is likely to take longer than is sensibly available.

I think falling back on the searching of YouTube for more videos featuring Dr Richard Abbott is a valid approach in this case.

It turns out that this search reveals some ASMR channels have now adopted this video as their very own for example here:

Unintentional ASMR – University of Leicester Exams (without Walkthroughs)

which is on a channel:

Princess Eev [ASMR]

Hopefully it (the channel) sticks around. Some of the pure ASMR channels have disappeared of late and I do wonder if some channel owners fall foul of copyright action (although I have no evidence for this of course).

However, there is another in the same series (sadly only the one more) and as I prefer to get the videos from original sources, if I can, I’ll go with that video.

(I have used pure ASMR channels before this, but I do try to implement the more po-faced approach of locating unintentional ASMR videos the old-fashioned way i.e. by watching a lot of normal videos and trying to locate any restful ones).

Examination of the Cranial Nerves – Explanation

This is just less than sixteen and a quarter minutes long. There is again no startup music, thankyou video recording persons for this (and other such persons take note).

It starts again quietly, it continues quietly, in my view it is every bit as good as the previous one.

The comments indicate the ASMR community love this, with many cross references to other ASMR videos known to those “in the know”. By this stage I imagine that you are all familiar with them as well. There being no mystery to them, other than the need to watch far too much potential ASMR material.

There are notes again: “30 Apr 2012 Clinical Examinations

This is a detailed explanation of the examination of the Cranial Nerves 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 Dr Richard Abbott 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…”

I’m afraid the urls no longer lead to additional material which, given the video was posted in excess of eleven years ago, is probably no surprise.

In addition, the Internet Archive has no record of it (as at today’s date in any case).

Very regrettably that appears to be all Dr Abbott and “Paul” left for us. They enriched the ASMR community with their (sadly brief) presence and we could have but hoped for more.

So back to what you were doing then, but remember to come back in a week’s time.

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 listening to log on, this interrupts the 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 Svetozar Cenisev on Unsplash

Sleeping With ASMR

Reassuring for part time bloggers, such as myself, is the understanding that fitting in a bit of blog creation in a rush between other things is not supposed, necessarily, to lessen the quality of the output. (Well, the proof will be in blog items I have created of late, as the time to create them is definitely sandwiched between other demands). You will be the judge and feel free to feedback.

The playlist continues to grow in size and I continue to get more picky about the items in it. Such that the archive list of former members also continues to grow.

However, I have noticed a problem with YouTube. For example, yesterday I was watching the playlist and a set of adverts kicked in, there were a lot of them. After a few minutes the video started and them immediately another set of adverts kicked in. This then continued, I retried over the course of the next few hours with the same result. Of course, this is not conducive to sleep. I could not in all conscience recommend a set of videos if I knew this was going to be the experience.

I am hopeful this was an error on the part of YouTube and not some new revenue generation idea. If it turns out to be permanent, I will shut down the blog as I will not be watching YouTube any longer. I am now some months ahead with generated blog articles so we will see if by the time I get this one released, things have improved (or at least returned to how they were).

Shoulder Examination

This one has notes, now the established marker of a professionally created video:

“31 Jan 2021 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the shoulder. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

There is also a title page:

“McMaster MSK Examination Series, Shoulder Examination, RheumTutor.com, Raj Carmona, MBBS, FRCPC, Rheumatologist, Department of Medicine, McMaster University, Hamilton, Ontario, Canada”

So quite a lot to work with. The url is still current: https://www.rheumtutor.com/.

A page lists out the videos that can be seen (helpfully it appears these are all available on YouTube https://www.rheumtutor.com/msk-examination/videos/.

McMaster University of course has its own webpage https://www.mcmaster.ca/, the available programmes seem to feature health and medicine strongly https://future.mcmaster.ca/programs/.

And of course, the university has its own YouTube channel with 1.2K videos as at today’s date. Rather too many for any single review but perhaps a channel for a future visit.

Raj appears to be an associate professor at the university and has been at McMaster nearly fourteen years.

This video at just over seventeen and a half minutes is a decent length for a medical examination video.

Raj has a nice calm voice but the video is rather marred by continuous background noise of the variety we are used to enduring in these kinds of videos.

Helpfully the “patient” here is also identified as Dr Kim Legault MD FRCPC Rheumatology Fellow McMaster University.

As an educational video it seems (to the uninitiated) to be useful. The comments seem to reinforce this view. From our perspective it seems to also be a useful video for relaxing off to sleep.

The video is jam-packed with medical terminology. There is far too much for the odd definition to be helpful. (Although this would be my usual style). If you are watching, some definitions come up on screen, but I’m expecting that you’ll be listening so these will not be of much assistance.

I suggest for this one that you let the terminology wash over you but let me know if you find it frustrating. I always review the Procrastination Pen playlist and this could in the future find itself in the dreaded Procrastination Pen archive list i.e. those videos which do not stand up to long term examination.

Although the video shows as posted to YouTube in 2021, the tail page of the video indicates created in 2011 so it was already old by that time.

Not unexpectedly the channel is RheumTutor, thirty videos and six playlists. The choices are narrowed by the fact that a number of the playlists concern giving injections, which I am not certain would be a restful subject for some readers. The video we first looked at occurs in a playlist called RheumTutor MSK Examination Videos

This consists of seven videos of which this first one is video number six.

Ankle and Foot Exam – McMaster MSK Examination Series

At nearly twenty-three minutes in length this is another chunky video.

Again it has notes: “10 Nov 2019 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the ankle and foot. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

The title page is similar to the one we saw for the first video reviewed in this post.

The sound is consistent with that first video. Here the “patient” is not identified, possibly because we only see the foot which has been helpfully decorated to indicate some of the internal structures. I would guess the “patient” is male but given there is only one foot to go on that could be way off.

Later in the same video the credit goes to Dr Andrew Duncan MD, Internal Medicine Resident McMaster University. He appears to be the owner of the foot. Andrew appears to have been at McMaster until 2014.

The tail page of the video indicates it was recorded in 2012 which would fit with this time period. Some of the conditions described are a little off-putting to be honest, I think that this is too much for real restfulness. This will not be in the Procrastination Pen playlist.

Back Examination – McMaster MSK Examination Series

Notes again: “10 Nov 2019 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the back. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

This is just as with the previous videos in terms of approach, voice, presenter, location, noises, structure. This one credits Brendan Flowers MSc Clinical Clerk McMaster University it looks like Brendan attended in 2012 which fits with the filming of the video.

Elbow Examination – McMaster MSK Examination Series

If you have seen one of these videos, then you are going to be at home with the look-feel of the rest. Same layout, same voice, same background noise. If you liked the first one this is a breeze, but not so great if you did not like it.

Again there are notes:

“10 Nov 2019 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the elbow. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

The format of this will by now also be familiar. The tail page of the video indicates it was filmed in 2012 and it was posted to YouTube in 2019.

The “patient” is credited again this time Dr Arthur Lau MD FRCPC Theumatology Fellow McMaster University. Arthur seems to have been there from 2011 to date so one would imagine a true asset.

It is just over thirteen and a half minutes so a bit shorter than the last one.

The great thing about professional videos is the lack of surprises. The last thing you want when trying to fall asleep is to find that someone thought a brass band backtrack was fantastic in this video whereas the previous two did not include it. The downside is that if you do not like the style it is very unlikely you will find a video in the series that is any different.

For example, thus far the patients do not get a lot of contribution so if this bothers you this particular series is just not for you. I accept feedback if you want to indicate your displeasure about it.

Hip Examination: McMaster MSK Examination Series

Notes: “10 Nov 2019 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the hip. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

Almost exactly as before.

A return of Dr Kim Legault (who we saw in the first video). By comparison with the other videos a real short one at just over twelve and a half minutes. This one is filmed in 2011 so possibly the earliest one we have seen thus far.

Knee Exam – McMaster MSK Examination Series

notes: “11 Nov 2019 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the knee. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

Dr Kim Legault is turning into a bit of a favourite it seems as she appears again in this one. This one is just less than fifteen and a half minutes.

The video is consistent with all those we have so far seen (quite an achievement). It is filmed in 2011 so as for the previous video.

Shoulder Examination

This is where we came in.

Hand and Wrist Examination

The final video in this playlist

It starts in a different way. No shot of a seated Dr Carmona in this one. It is quite long for this series at nearly twenty-one and a half minutes.

Back to Brendan Flowers. It was filmed in 2012 and posted to YouTube in 2021.

There are notes: “3 Feb 2021 RheumTutor MSK Examination Videos

This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the hand and wrist. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”

The breakdown of the video is not as structured as in the previous videos – perhaps the style was evolving at this stage. But presentation in all other respects seems the same.

In summary this is no Dr James Gill but I think all of them deserve a place in the Procrastination Pen playlist. (Assuming YouTube stop deluging me with adverts I’ll keep reviewing that list for less deserving videos.

The RheumTutor 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 krakenimages 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:

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