Examination – Page 15 – The Procrastination Pen

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.

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

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.

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

Photo by Kaiwen Sun on Unsplash

Sleeping With ASMR

I am continuing on the theme of identifying videos which might be useful for ASMR and/or producing calming effects to aid in sleep. Focusing primarily on the videos created for an entirely different purpose (of late for education purposes but that is likely to change). Regular readers will understand that a huge part of the point is to produce a playlist which you can play on your phone or tablet whilst trying to get to sleep. Those of you who are new, welcome. The playlist is getting to a reasonable length now and so if you choose the shuffle function on YouTube you should get several hours of listening. I apologise in advance for any blaring YouTube adverts that may interrupt this endeavour. I don’t think that any YouTube employees are reading my blog at the present time or they’d tone it down a bit (well one can hope).

Back to the world of eye exams today. The channel is CHECT UK, it has thirty-one videos so not a huge channel. This video however does not feature in any of the five available playlists. Reviewing the channel’s content available it looks like this is the solitary video which is going to be useful to us in terms of ASMR. Sadly, it looks like today I’m going to be limiting myself to just one video. On the bright side however, this will be a brief blog post which should enable you to rush back to whatever it was you were doing before reading this.

Ophthalmoscopy Video

The notes state it is an “Educational video shared courtesy of Moorfields Eye Hospital”. So it is not a pure exam video as such.

Moorfields eye hospital has its own channel with one hundred and twenty three videos as at today’s date, so this might be something worth exploring in a future blog post.

The people credited in the video are Miss Narcis Okhravi (Consultant in charge of undergraduate education), Miss Rahila Zakir, Miss Andrea Arinelli (Moorfields undergraduate teaching fellows). The crest used is that of Moorfields eye hospital (unsurprisingly). Video and animation is credited to Alan Lacey of W3 media. Production and lighting was Mike Hill of Mike Hill Productions. It was filmed in April 2009 – at last a video with a decent amount of information.

The narration in today’s video is very good in terms of being measured and calm (despite the fact that there is more than one narrator). The female narrator is quieter and so edges the male narrator out in terms of sleepiness inducing effects.

It isn’t designed for this purpose of course – it is designed to instruct someone who intends to take an eye exam and so we are nefarious observers on a video designed for somebody with a different intent.

At nine minutes thirty-two seconds it is not a huge length of video. There is (as usual) a continuous background noise (most likely air conditioning).

There is just one video so I have not created a playlist for CHECT UK.

However, the playlist of all videos covered in the blog so far is here:

I hope you find these videos restful.

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

Photo by Aleesha Wood on Unsplash

Sleeping With ASMR

One of the aspects of being in the fifth decade is that memory is not what it was. The title meant absolutely nothing to me. Then I discovered that I had encountered it before in this blog, not only that, but I’d defined it as well.

For people, like me who had forgotten ROM and MMT , MMT is manual muscle testing ROM is range of motion. Both of these appear to be occupational therapy terms and look likely to be the subject of future searches for ASMR videos.

The associated text tells us “Jordan Butler: ROM & MMT (gravity resisted & eliminated) upper extremities.”. Given the channel is called Michelle Hanigan I am assuming that Jordan Butler is the “patient” in this one.

The Michelle Hanigan channel has no playlists but that should not be a problem for us on this occasion as there are only two videos in it, the featured one is this:

ROM & MMT

As the video opens it’s pretty obvious this is not a typical work environment – sofa – immense TV – modern looking occasional table – almost certainly domestic. I’m assuming that this is some kind of video put together by a student of occupational therapy. It does not have the appearance of one of those videos discussed previously which is professionally composed in order to mimic a medical examination.

The sound quality isn’t fantastic. Although Michelle has a good voice it’s a bit muted in this recording, probably resulting from use of a remote rather than a lapel mic.

Michelle seems to be consulting notes off camera on a few occasions which I think reinforces the view that this is part of a learning experience. In addition, at intervals they both seem to be trying not to laugh. The person holding the “camera” makes the odd noise occasionally – I think that confirms the video isn’t a professional effort. Also at the end the dog makes an appearance.

Despite the sound limitations I think this is a good one ASMR-wise and worthy of inclusion in the playlist.

The second video is this one:

Movement Video

To be honest this seems to be a shorter version of the previous video (this one is ten minutes twenty six seconds the previous one is fourteen minutes twelve seconds)

On that basis there is no point in including this one in the playlist as well.

As there is only one video on this occasion, I will not create a Michelle Hanigan playlist. However, the ROM & MMT video I will add to the overall list of ASMR videos covered so far in this blog, which is here:

I hope that you’re still finding them restful.

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Sleeping With ASMR

This time the video is more of an instruction manual. Merck Manuals is the channel which gives you a clue.

This is a comprehensive channel with a large number of videos which I am not going to attempt to count. It is about two hundred and ten as at today’s date.

That leaves a dilemma as to which set of videos to choose. Fortunately Merck Manuals also provide a set of playlists (twenty two of these as at today’s date) and ours occurs in a playlist called The Ortho Exam – Merck Manual Professional Version.

This channel has so much material I suspect we will be back here before I am very much older.

Today’s video is this one:

How to Examine the Hand | Merck Manual Professional Version

The Ortho Exam – Merck Manual Professional Version

Which helpfully tells us “Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.”

The funky intro music is not exactly brilliant for ASMR however the narrator has a great voice for this purpose. It is nicely relaxing in fact.

This one belongs in the Procrastination Pen playlist.

There are ten videos in the Ortho Exam – Merck Manual Professional Version playlist. This number is a bit large for a blog post (well history tells me anyway). If you can’t wait for the playlist, scroll right to the end where it will be waiting for you. The above is video four in this playlist, leaving nine videos.

How to Examine the Shoulder | Merck Manual Professional Version

The great thing with these videos is that they are consistent, demonstrated by the same person, narrated by the same person and consistently calm and quiet. They are more-or-less ideal for our purposes.

Note that erythema comes up in this video which is a redness of the skin.

This is also going to find a home in the playlist.

How to Examine the Elbow | Merck Manual Professional Version

Epicondyle is a bit more complex – here it is referring to the rounded part of the bone on the elbow.

Definitely a playlist candidate.

How to Examine the Wrist | Merck Manual Professional Version

There is a growing amount of medical terminology the more we go on with these videos. Those with more of an interest than simply a sleep aid may find this helpful:

How to Examine the Hand | Merck Manual Professional Version

This is where we came in. By now we can see that not only do we have the same intro music, same examiner and same narrator to a large extent we also have the same “patient”. I like consistency when I’m aiming for a restful experience – your mileage may vary.

How to Examine the Hip | Merck Manual Professional Version

This one seems to be considerably quieter which might be distracting, especially if you have the volume right down in order to aid sleep. On balance I think it still deserves inclusion in the playlist though.

How to Examine the Knee | Merck Manual Professional Version

What strikes me with this one is the complexity of the system. The number of nerves, ligaments, muscles and tendons needed just to get normal motion is quite amazing and something I hadn’t considered before. Probably not wise to be thinking that as you’re trying to doze off. This will also be in the playlist.

How to Examine the Ankle | Merck Manual Professional Version

The close-up shots and the distant shots here seem to be of two different patients. The close-up ones I would guess are of a male patient. (In at least some of the shots in any case). However, if you’re half asleep I suspect you will not notice.

I’m also going to add this to the playlist.

How to Examine the Foot | Merck Manual Professional Version

Our male foot patient is back initially, we go to the female patient subsequently. The only downside of such videos (if you’re awake enough to notice) is that you can start to consider if you have any of the problems described. Who doesn’t have uneven wear in their footwear for instance?

This is also going in the playlist.

How to Examine the Neck | Merck Manual Professional Version

This refers to other manuals videos. Given how consistent this set is I think this is an invitation we can’t help but take up at some future date in any case. Another one for the playlist then.

How to Examine the Back | Merck Manual Professional Version

The most consistent set of videos so far in this blog series. All of them I think deserve to be in the playlist.

The Merck Manuals playlist is here:

The overall playlist for items featured in this blog is here:

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

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Sleeping With ASMR

This channel was recommended in some comments to another ASMR video. This may or may not work out for the best. I search all over the place for inspiration. It is not until I have had a chance to listen to any of the videos that I understand whether the recommendation produces a complete loss (In terms of The Procrastination Pen playlist). This sort of thing happens all the time. On that note feel free to recommend to me any ASMR videos that you have found helpful. It might be that they will turn up in a future blog article.

The channel this time is sebsss it contains four videos so a nice number for one blog post. The fourth video seems to be a drinking video so not really on message for a medical examination focus. Perhaps it will feature in the future if I ever move onto drinking ASMR. The videos range from twelve to ten years ago in terms of posting. The drinking video is twelve years ago and seems a nostalgic portrayal probably only of interest to those who were there.

This leaves three all of which are more recent than the drinking video. These three maybe more suitable for a blog of this type:

Tobradex Patient Teaching

This is the most recent video which was posted ten years ago. However, the sound quality is not great. The speaking is a bit fast. Rapport does not seem to be there. There is really nothing calming or relaxing about this particular presentation. If anything, I was just waiting for it to be over.

Not in the least ASMR stimulating so this one will not be in the playlist

Head to Toe

This video was posted eleven years ago. There are no notes with this one, however the medical professional from the above video appears as the “patient” in this one. Here he appears as “Tom Smith” – whether genuinely or not (Smith being a common obfuscation name). The presentation is a little busy – we’ve seen this before and it seems to be a characteristic of assessment videos – i.e. those produced by students as part of their course.

I think the medical professional introduces himself as “Matt” (something) and that he will be the “Senior” but it is all a bit jumbled and I may well be wrong.

There appear to be no clues as to the location other than the crucifix on the wall and I guarantee searching for “Tom Smith” isn’t going to get me any further.

Given Tom Smith is in a number of these videos I’d make a guess this is his channel.

The background noise is a bit high on this one. It takes a while to settle down but once the examination is under way it isn’t terrible.

Not Hollie Berry standard but worthy of inclusion in The Procrastination Pen playlist I think.

Head to Toe Assessment

The background noise is as intrusive as the last one. As with the previous video there are some good moments. Tom Smith as the patient again – but a different medical professional this time Melissa. This video is also posted eleven years ago. Again there are no notes to guide as to which establishment this is. Sadly the badge on the shoulder of Melissa is a little too small and out of focus to be useful. The letters seem to be HNMC school of nursing with the nearest establishment I can find as Holy Name Medical Centre. Great I thought – crucifix – holy name. Only their symbol is a dove not a purple cross and the only Melissa I can find there is not this Melissa.

Again I think it belongs in the playlist – but I think an edited version would be even better (particularly if it was feasible to smooth out that background noise).

Overall not as terrible as at first thought, although all of these are now subject to review and I am producing an archive list of items once in the main playlist but upon reflection don’t quite meet the grade.

(This offers regular readers the opportunity to still find their favourites).

The Tom Smith playlist is here:

The overall playlist which contains the majority of videos featured in this blog is here:

The videos which failed the grade on review are now in this archive list here:

I hope that you find these playlists relaxing

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Sleeping With ASMR

I realise that for people who have not been following (the ASMR theme on) this blog since the beginning might find this to be nonsense. For such people, a bit of background. With each blog article I review a video (mostly videos located on YouTube) for its ability to either produce ASMR symptoms or to be restful enough to aid in sleep. At the end of which the video either gets added to The Procrastination Pen playlist or it does not. The assumption is that ASMR aficionados will just go straight to the playlist and listen, but some of you may like to read the material before doing that.

For an idea of where this all began take a look at the initial ASMR blog post which will give you an idea.

I think we are on more solid ground today as this one is back firmly in the medical exam area.

The channel is Ryann McCarty and sadly for us is not going to be a rich resource of ASMR material. In fact, there is one playlist of music videos entitled Rye and the video that we are featuring today entitled:

Ryann McCarty Student Nurse health assessment performance

So this is all you get today I’m afraid – look at it as an appetiser – keeping you keen to see yet more. (Yes, that didn’t sound that accurate to me either). Posted in 2017 and nothing posted on this channel subsequently. (The music playlist was last updated in 2020). Hopefully Ryann is out there doing more important things with her life. The sleeve badge seems to be for Suny Downstate College of Nursing, only sometime subsequently they’ve had a rebrand.

Ryann announces herself at the beginning so we’re pretty certain this is the Ryann we’re talking about. Initially her voice is a bit loud but once the examination starts it begins to settle down (although I don’t think she will ever be a Hollie Berry).

At intervals, (despite the constant air conditioning sounds in the background) I found myself quite calmed by it.

At one stage the person behind the camera starts laughing which is a little disconcerting. (It is easy to forget that there will always be a third person in each of these one-to-one encounters due to the presence of the camera).

I also liked the comment about cold hands – one feature of using alcohol-based hand sanitiser is that your hands get properly freezing – although in other videos I have featured in the past the medical professional does warn the patient about the incoming iceberg.

The notes state “Week 6 lab- Final health assessment performance”. I’m not sure how the education process works but if Ryann achieved this level of proficiency after merely 6 weeks of education then I am impressed.

In all quite a charming short piece at twenty minutes and fourteen seconds. Worthy of adding to the Procrastination Pen playlist I think.

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

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Sleeping With ASMR

Another segue in terms of video subject this one is osteopathy. The voice is not as restful as in some previous videos – nonetheless I find this one relaxing. (However this is no Dr Gill).

PE: Neurologic Exam – OSCE Prep – 2022

The notes indicate this was filmed at the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSC – TCOM).

This has a YouTube channel TCOM Texas College of Osteopathic Medicine, but it does not include this one.

Here OSCE is Objective Structured Clinical Examination.

The intro tells us that it was filmed in 2022 which is positively up to date in terms of the ASMR videos I’ve covered so far. Neither the “patient” nor the medical professional are introduced so I’m none the wiser.

As the exam continues the medical professional’s voice gets a lot quieter and that is a lot better ASMR-wise. This is a playlist candidate.

Again it is worthwhile checking out the resulting channel to see if there are any gems hiding in there.

The channel is Osteopathic Clinical Skills, and contains about ninety-two videos as at today’s date which again is far too many for any single blog item (perhaps we’ll venture back here at some future date).

Fortunately, Osteopathic Clinical Skills has been kind enough to supply a playlist containing the featured video, which is here:

There are only seven videos in here (which is a more manageable number).

We’ve covered the above one, the remaining six are:

Common Palpatory Landmarks for Physical Examination and Osteopathic Structural Examination

It starts a bit loud for me, obviously the presenter is in education mode rather than examination mode. (Well for most people performing an examination they are quite a bit quieter).

Unfortunately this style continues with the rest of the video making it unsuitable for our ASMR purposes. For this reason this video isn’t going to be in the playlist.

Standing Postural Examination – Osteopathic Structural Exam (OSE) Screening

It starts out loud as it is after all a teaching video. Sadly this isn’t useful in ASMR terms so it will not be in the playlist.

Lordosis – inward curve of the spine in neck or lower back.

Upper Extremity Palpatory Landmarks for Physical Examination and Osteopathic Structural Examination

Appreciate – to detect or to find.

This is still presented as in a classroom – perhaps less noisy than the previous one but still not quite there.

FIGS by the way is not a name label for the “patient” but a range of medical apparel.

Somatic Dysfunction: Clavicle (SC and AC Joint)

It starts reasonably quietly but still not Shane Brun. For me this is still a bit loud so it will not be in the playlist.

Sternoclavicular – link between the collarbone and the breastbone.

Acromioclavicular where the collarbone meets the highest point of the shoulder blade.

Thoracic & Lumbar Spine Palpatory Landmarks for Physical Examination & Osteopathic Structural Exam

I think that these are probably great instruction videos – this one has fourteen thousand five hundred subscribers for example. But it really isn’t any good for ASMR.

Pelvis & Sacrum Palpatory Landmarks for Physical Examination and Osteopathic Structural Exam

As before, a no-doubt great instruction video but it doesn’t make the playlist.

So no Osteopathic Clinical Skills Playlist (only one video made the grade).

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

I hope you find it relaxing.

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Sleeping With ASMR

This one is a confessed cheat. Where to find an ASMR video? Well why not choose a channel dedicated to ASMR? However, if anyone watching this can identify the original source of this video, I would be very grateful – perhaps I’ll follow up with a further article to show the original video unadulterated by editing.

Hand and Wrist Examination (ASMR)

In fact this might be a way forwards for me as I have been trying to stick to the more po-faced approach of avoiding those videos dedicated to ASMR and trying instead to find ASMR videos by choosing a subject area – i.e. accidental ASMR videos. But hey, why not get a leg up from the work other people are doing in this area.

I notice it is entitled “ROM and MMT”. Here ROM is Range of Motion, MMT is Manual Muscle Testing.

This perhaps will give me a new category of ASMR videos to search for in the future.

Trace is the “patient” and Jane the medical professional. Judging by Jane’s T-shirt design she is working in Occupational Therapy. However, the entwined snake emblem (Caduceus it appears to be called) is widely used it seems (from a Google image search), so this does not reliably tell me where she works.

Jane has a pretty good voice in terms of ASMR and Trace does not get a lot to say. The surroundings are not typically medical, I would guess someone’s front room. It was uploaded six years ago, but potentially it is older than that. Presumably this video was once on a medical channel and has been snaffled and probably edited to enhance the ASMR effect.

I would make a guess that the two know each other and that potentially this is a student video used for assessment. (There are a large number of these and I guarantee some will appear in future blog items).

Not unexpectedly, ASMR exams – for that is the channel we are dealing with – has a great range of videos. Because the channel owner has done all the work for me, in general the videos are excellent for ASMR.

Twenty six videos as at today’s date ranging in posting date from nine years ago to five years ago. (Which is sad as it looks like the channel is no longer maintained).

It would not be the first time I choose to blog about an item that is now thoroughly out of date.

There is one playlist on the site:

This features only six of the twenty-six videos for some reason, and all seem to have been posted nine years ago. It does not include my chosen video above. You get that as a bonus-extra on this occasion.

This gives me a nice shortlist of videos to cover in one blog post. However, given the other content is good, I will make a point of following on with the remaining twenty (probably spread over a few blog posts to avoid those articles getting too long).

Apologies for the sequential nature of these articles.

I suspect you’re keen to get to the playlist – in which case scroll to the end and there you will find it.

Physical Examination #2 (ASMR)

Fans of this blog should be familiar with this one. It has had an entire article dedicated to it and it is already in the playlist.

Physical Examination #3 (ASMR)

The title at the start of the video is “Abdominal Examination” there is no indication of the originating channel.

The participants are Dr Thomas and Mr Jones the “patient” apparently. It gives on screen prompts to indicate which stage the examination has entered. Dr Thomas’ voice is good: lovely and quiet. No Vicki Scott but great anyway. Both characters could easily be of Welsh extraction (I’m not great at accents) but there is no other clue as to which institution this is.

The abdominal exam looks positively painful but Mr Jones seems completely unfazed by it. It is all very calm.

Strangely at 5:48 it suddenly changes to “Cardiovascular Examination” and Dr Thomas introduces himself to Mr Jones again. Then at 12:18 it becomes “Respiratory System Examination” and Dr Thomas introduces himself to Mr Jones again.

This is the sort of video I dislike – one that was several distinct videos edited together to make one long one.

This is a shame because Dr Thomas has an excellent voice but it’s right down there with ASMR loop videos for distraction – it will not be in the playlist.

I wish I could find the original, separate, videos as they would be of a quality that I would definitely include in the playlist.

Physical Examination #4 (ASMR)

The video quality is not marvellous. In fact, I think I could describe it as fuzzy.

The intro states it is health assessment 3310. The closest I can find is NSG 3310. This seems to have been offered through an institution called Troy University.

There is a channel for Troy University and it has a great number of videos (read too many to count right now). Checking if there are 3310 assessment videos for Troy University we get a list (for example

and

) but I was unable to find this one.

The “patient” is Luke. Presumably students watching this would know who the medical professional was here. At nearly forty-five minutes this is another lengthy exam video, they must be covering every angle.

The voice here is marginal in ASMR terms (I’ve probably been spoiled by Hollie Berry).

Still it is good enough for inclusion in the playlist. (Perhaps it will be one that falls victim to a future weeding process).

Another term I was not clear about prior to this is “Auscultate” – listening to sounds from the chest.

Associated with this is the term “egophony” this is the use of the E sound. If the E is heard to sound like an A then it is diagnostic.

“Stereognosis” the ability to perceive what a solid object is without actually looking at it.

“Graphesthesia” recognising writing on the skin by touch only.

“Brachioradialis” a muscle of the forearm.

Luke seems about as entertained as a small child being asked to “stay still and stop making a noise”. I’m sure he went on to develop a fantastic medical career but he certainly isn’t keen here. Possibly because this is being recorded on a Sunday and he could be out relaxing and having a good time.

Barack Obama is the president so we know this was recorded between 2009 and 2017.

Physical Examination #5 (ASMR)

Twenty-five and a half minutes so a more usual length. This time we get an introduction which tells us it is the Northeastern Physician Assistant Program 2010.

A search on this reveals this channel: redbreadproductions

Where we get the same video but in three parts – this looks like it is going to be one featured in a future blog post

Out of interest the three videos are:

and

I will cover these properly in a future blog post.

This means that this one must be a compilation

Initially it is entitled “The General Physical Examination”. It is going well until the clunking sounds of the weighing scales which are designed to awaken the dead. After that though it calms down a reasonable amount. The medical professional and the “patient” in this seem to be having a lot of fun making the video. I am guessing it is educational in intent.

At the end the thanks go to Rebecca Scott Ph.D, PA-C and Rebekah Saunders, PA-SI.

I’m guessing Rebecca did the exam and for our purposes she has a very good voice. If the video is a compilation this is invisible so it can go into the playlist.

Physical Examination #6 (ASMR)

This one starts with an intro stating “Stritch School of Medicine IPM Physical Exam Series Head to Toe Examination on a Male”

Stritch School of Medicine redirects to Loyola University Chicago

The only one that references Stritch appears to be this one:

Entertaining I’m sure but zero on the ASMR scale.

So how does our video size up?

Dr Michael Koller – searching for him indicates that he has a page of original videos which will be worthy of a future blog post perhaps.

John is the “patient” here. Dr Koller does not at first seem to have your classic ASMR voice. This improves as the examination commences. Although he isn’t going to be a James Gill. The video at just over forty minutes is getting on the long side. It is also on the fuzzy side so we are to be thankful it is the sound that we are focused on. It’s good enough I think so I’m going to add it to the playlist.

Yes I know that there are only five videos here – for some reason YouTube informs me that one of the six videos in this playlist is hidden. I’m still not clear why this is.

I’ll split up the remaining twenty and post them in the next few blog posts.

The playlist for ASMR Exams is here:

The playlist covering all videos featured in blog posts thus far is here:

It may be possible to identify the source organisations for some of these videos, in which case I may do some follow up articles delving more deeply into them.

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