Category: Health Assessment

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

If you have not been here before, Hi and welcome. This series of blog articles is designed to help you fall asleep. It intends to do this is by the creation of a long list of YouTube videos enclosed in a YouTube playlist in which every one of the videos has been reviewed (some of them several times).

The playlist is always at the end of one of these articles so if you are not keen to do much reading, you can scroll straight to the end and go to the playlist. My advice is always to watch it on YouTube itself because then you can watch in shuffle mode which randomises the order. The videos occur in the order that they are reviewed, which means videos by the same individual tend to occur together. Listening in sequence has the potential to get a bit samey at intervals.

Today, I am reviewing a video that cropped up due to a search using an old favourite “ROM and MMT” search which we have covered before.

This is connected with Occupational Therapy and does tend to produce a range of good ASMR-y (technical term) videos.

Measuring Edema, ROM, MMT

This for us is a fairly lengthy video at just over half an hour. Typically, recently, we have been dealing with shorter videos. But forget the length, how does it measure up?

Unusually for some of the more recent videos we’ve seen this one has notes and they are informative notes. “25 Mar 2021

UE Capstone Assignment for TWU – Masters of Occupational Therapy”. Comments are turned off which is helpful because it keeps the vicious commentators at bay.

The notes seem to refer to Texas Women’s University.

The medical professional here is Jordan Hanigan who is listed in the 2020 Cohort.

There is even a title page to the video “TWU-Houston, ROM, MMT, Edema, Jordan Butler – 03/24/2021”

I was convinced that was spelled “oedema” but obviously not. In any case, March a few years ago is positively yesterday compared to some of the material we have been covering.

There is then a follow up page “ROM, MMT, Edema, Due to scheduling, I used three participants to fill the content of this video. Participants consisted of my spouse, sibling and lab partner. Covid restrictions were upheld for the safety of all individuals.” No clue as to the names of these participants. Although the first “patient” is introduced as “Ashlin” (probably misspelled). I assume Ashlin is the “lab partner” referred to in the second title page.

The video starts reasonably quietly but has the kind of background noise that we have become used to from student videos. (Air conditioning noises, other students talking in the background, furniture noises and so on). This is a shame because it would seem that Jordan has a good calming voice and a methodical approach towards the examination with no sign of hesitation or rushing.

At intervals, at least, the chatter dies down even if the air conditioning is a constant companion.

I notice that cars are passing on the road outside and they appear like small model cars so I assume this is filmed at some elevation. Not that you will notice if you are using this video to get to sleep.

The video then switches to a domestic setting – different setting, different noise level, now we have “Stu” who I assume is the spouse referred to in the second title page.

After a flurry of adverts of a quite distracting volume (when I was watching it anyway) it becomes a lot quieter. The volume really does seem quite a bit down on the start. This might be an issue if you’re lying in stupor and don’t fancy rolling over to push the volume control. However, the approach remains methodical and Jordan still has a good voice so I think I’ll let it pass. This video might get removed from the Procrastination Pen playlist at a future review. (It also has the benefit that all the background noise of the early part of the video is just not there).

By now, people will be used to the “don’t let me move you” prompt. This seems a standard phrase in Occupational Therapy.

Some of the abbreviations used seem confusing.

But working out what the definitions mean doesn’t necessarily help

• Abductor pollicis longus (APL)

• Extensor pollicis longus (EPL)

• Extensor pollicis brevis (EPB)

• Flexor retinaculum (FR)

• Pronator quadratus (PQ)

The video then goes straight to Megan (which might be misspelled). I assume Megan is the sibling spoken of in the second title page, possibly younger sibling but I am terrible at predicting ages. Jordan was nee Butler so I’d have to guess Megan Butler therefore.

Having the video segue from section to section like this is distracting. I would much prefer it was three separate videos of which the latter two are better because the background noise is absent. The section with Megan is a bit echoey.

Perhaps the room with the TV has a very high ceiling or something. It is domestic again. The clues are large sofa, large TV on cabinet, corner pot plant, rug on floor and so on.

It is possible that this latter section of the video is the better one in ASMR terms. However, part way through there is the noise of someone possibly sneezing in an adjacent room, this seems a hazard with a number of these assessment videos. Presumably it is impossible to tell people to “KEEP IT DOWN” whilst trying to video such things.

There is a dog objecting to being restrained somewhere with what sounds like a chain clanging against a door, that is pretty distracting too.

Eventually someone works out that the dog should be put somewhere else and it settles down.

In ASMR terms it would be better split into three. Perhaps discard the first section altogether and edit the latter two to get rid of the most distracting noises. Of course, we do not get that option. There are many restful moments in the video so I’m going to let the less restful ones slide. It might be that it will join the dreaded Procrastination Pen archive list in the future.

The channel is Jordan Hanigan but we are not going to get our ASMR kicks on the back of it because it contains only two videos.

The above one and this one:

OT Assessment Binder_ Jordan Butler

This is the older video and is not a medical examination as such. It literally seems to be running through a binder of course material. Perhaps it is a way of verifying that the work was actually done. Jordan’s voice is not as restful in this video and the rapid turning of pages is distracting.

I think that this one is not for the Procrastination Pen playlist.

So this time, just the one video. Perhaps you’ll be hungry for more material the next time we meet on this blog.

One video means no Jordan Hanigan playlist on the Procrastination Pen.

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

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

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

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

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

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

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

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

Since I started writing about ASMR, this blog has been all about the Procrastination Pen Playlist. I realise that people who come here probably get the URL of the playlist and disappear again to listen to what I have found. Some, no doubt, having found the playlist on YouTube, never come back to the blog again.

As a result, I continue to try to locate new videos to keep the playlist updated and I have started to weed out those videos that I think might drive some listeners away. If you find any errors in the process do feedback and I will attempt to rectify.

UTEP Advanced Health Assessment -Lomack

This was first posted in 2015. I think the “patient” Regan occurs again in the video N5382 Mock interview below, so it is possible that Regan and Kelly are related perhaps?

Kelly states that she is attending University of Texas El Paso.

This is not the quietest and it does have background air conditioning noise. So far, so student video.

It is reasonably gentle however and is a decent length at nearly twenty six and a half minutes.

First In Last Out

I think the book under review is First In Last Out by John Salka.

One of the issues is that the text is being read out rather than presented as such. Sometimes when I hear this kind of material on YouTube, I am amazed at the unconscious skill people demonstrate when reading audiobooks. In this case, I do not think the video belongs in the Procrastination Pen Playlist.

Book review-First In, Last Out

This is helpful, it tells us that this is Kelly Lomack (We’d guess that from the name of the channel). It states that she is studying the Masters of Science Nursing at the University of Texas Arlington. the date would be in 2017, the date of her graduation.

The University of Texas at Arlington of course have their own YouTube Channel with four hundred and seventy videos as at today’s date.

As is usual, the videos are dedicated to promos of the university, rather than anything helpful in an ASMR context. This is exactly what we would expect.

Our video is a book review and is a tad monotonal. It doesn’t fit what we are looking for in a Procrastination Pen playlist member.

N5382 Mock interview

The above video is thankfully short. I say thankfully, because the sound quality really isn’t very good at all. It is in support of N5382.

It turns out that YouTube has many videos with N5382 in the title. Some of them refer to a “Health Policy Course” but not where that course is run. It appears the point is to talk to a political representative in a role play situation.

This isn’t really what we’re looking for, so I’ll discount it.

So, one video only for the playlist (but I think it is quite a good one).

Therefore, there will be no Kelly Lomack Playlist created on the Procrastination Pen. 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 too intrusive air conditioning sounds.

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