Category: Neurological Examination

Sleeping With ASMR

Some things are changing locally for me which might impact the ongoing nature of this blog, or perhaps the regularity of updates. If I can, I will flag if updates are likely to slow down.

Meantime, I will continue with today’s item.

I have been trying to get more disciplined with my approach to Calm. i.e. to do one of the Calm daily meditations once per day. In general, they are ten minutes in length and one would imagine that ten minutes is going to be available every day, right? Hmm, the resolution is only so-so effective, I have to say.

However, I can say that I found the following one of interest:

Exploring Anger

Tamara Levitt

https://www.calm.com/app/player/5PLKQJSzYP

Tamara has a great voice and I think this one is a great one to play before sleep. Should you already have a Calm subscription, that is. As I’m sure I’ve said before, I am not a salesperson and no one is likely to be paying me to flog their specific pro-meditation product. Also, I know that other products exist (I spent a while in the past using Headspace, for example).

At this point, I have recently been reviewing a professional ASMR artist and in some way determining how well it stands up to my inadvertent ASMR video reviews. This week I have come across a channel that is dedicated to Unintentional ASMR videos. In fact, it is called

Pure Unintentional ASMR and has 398K subscribers (wow). I have had reservations about hosting videos originally belonging to other people (given I am not a copyright solicitor and what I don’t know might cost me).

However, this channel has no such reservations one hundred and forty-seven videos made by a number of different people. There is no way I could deliver this breadth of material in terms of a blog or a playlist. It is possible that I may browse back here again, but probably not for this blog, as all the work has been done. What can a humble reviewer add?

If, like me, you like inadvertent ASMR material it looks like you could do worse than browse this channel of an evening quite possibly as an aid to sleep. However, just because this channel is doing something so well is not going to cause me to stop reviewing ASMR videos – some people may like to read the reviews after all.

It is necessary to choose one artist from amongst the many. Completely arbitrarily, I have chosen this one:

VERY Soft-Spoken Engineer talks about her career while you sleep

This video is just under one hour and twenty minutes in length (wow). It was posted very recently.

Comments are permitted and these are largely positive, some seem to refer to a previous incarnation of this channel. It would seem it has been taken down before (at least once).

There are (I’m afraid) a very large set of notes, with an element of self-promotion for the channel amongst them so this is the edited highlights:

“Cynthia Barnhart is an award-winning engineer who has studied and now works for MIT. She also has a ridiculously soft-spoken voice for you to fall asleep fast too. Perfect for unintentional ASMR!

So we’ve combed through this interview to cut out as many unwanted sounds as we could to try and create the best unintentional ASMR experience possible. Hope you enjoy and find this unintentional ASMR interview as relaxing and interesting as I do.

A huge thanks to the MIT Infinite History project for the video. You can learn more about that here: https://infinitehistory.mit.edu/

Their channel:    / @infinitehistoryprojectmit8815 

🔴 In case this channel is removed, please subscribe to our newsletter for updates on new videos locations: http://eepurl.com/ds-orr. We will never email you about anything other than a new channel.”

The original video is here:

and it is not one I’ve come across before, a great find by this channel. It is interesting that they are preparing already for the channel to be taken down. Something which I fear may happen, given the many sources of the videos. I suggest if you like this sort of thing fill your boots quickly.

Given the video has been edited to enhance the ASMR attributes, it is no surprise that the voice is excellent. There is no startup music – hurray. There is no terrible background noise – hip-hip, no hesitation, no staccato delivery, in fact it is pretty nigh perfect for this kind of video.

A further attribute that I like, in this context, is the lack of whispering. There is, I am sure, a place for whispering in ASMR videos, but there seems rather a lot of such videos. It is refreshing to find one that does not take refuge in whispering.

So onto my own inadvertent ASMR candidate and this one perhaps a bit of a cheat as he was a personal favourite from back when I first featured him (greater than two years ago now, which seems, to me, rather difficult to believe). It must have been fun. The time passing oh so quickly.

This time we are looking at this video:

Clinical Skills: Cervical Spine Assessment – Dr Gill’s Neck Examination

The site, subscribers, playlists and so on are, of course, familiar. However I’ll take a look again in case there are some new visitors to the Procrastination Pen.

There are notes:

“1,088,598 views  Premiered on 12 May 2023  #asmr #neck #DRGill

Neck Examination – Cervical Spine Assessment – Clinical Skills – Dr Gill

Compose a new pain within athletes is cervical spine discomfort, thankfully in the vast majority of cases when the neck is examined the cause of the neck pain is found to be muscular.

However, pain can also refer from the neck to the arm, in which case it is important to be able to assess for cervical radiculopathy prior to gaining more information which may indicate an MRI is needed

We assess for radiculopathy by doing Spurling’s test, an often overlooked part of the neck examination, but it should be included for completeness and reassurance of the patient – not forgetting the athlete or not, neck pain can be a considerable source of distress, so it’s vital to be able to get information from the neck examination which allows you to safely reassure a patient when appropriate, or comment that neck exam found evidence that needs further investigation

#DRGill #neck #asmr”

There are comments but, of course, given it is Dr Gill we can take it as read that the majority of these are positive.

The video itself is a tad on the bijou side given it is only a little over six minutes long. Sadly it starts with music. The voice of Dr Gill needs no introduction (well at least if you are a regular reader in any case). It is restful, not given to whispering, and is at a lovely measured pace. Without the starting music this would be a perfect video. (Well if we could also add about thirty minutes to its length at any rate. Sadly, despite its short length, it still finds time to end with further music.

The playlists on the channel do not seem to be a great deal of assistance in narrowing the field for the location of any related videos.

At the present time there are nine hundred and sixteen videos and it would probably be foolhardy to cover even a reasonable fraction of those in this blog post.

Scanning through the videos for ones which appear to feature the same “patient” reveals quite a number. My thoughts are, therefore, we’ll cover a few here and go on to cover the remainder in a future blog post.

Taking these videos in the order that they appear (from the channel search) we first get to this one:

Ulnar Nerve Examination – Clinical Skills – Dr Gill

Again, it is very short at a little over four minutes. The patient announces her name – possibly Megan Struthers? Even the captioning struggles to capture it so possibly my ears are not solely to blame. The video has music again. I think we can take that as ongoing, as will the existence of notes and comments. Dr Gill’s voice continues as great to listen to. I could probably spend a great deal of my blog just reviewing Dr Gill videos – I won’t – it would make very dull reading. Of course, if you find it very dull reading anyway do feedback and I’ll try to come up with something more stimulating.

Lower Limb Neurological Examination – Clinical Skills – Dr Gill

This one is a little longer at just over nine and a half minutes. Comments are the usual level of variable but not (as far as I can tell) at the level of abusive that is often seen. Such is the power of Dr Gill.

In this one even I can tell the “patient” is Megan Struthers, awards to me for hearing that correctly the first time.

There is another “in” ASMR joke going on with this video in that anyone observing notices that, at intervals, Megan is wearing socks, then not wearing them, then wearing them again.

The “socks” comment seems to be another of those “in the know” comments such as “sandwich breath” which I have referred to before. I suspect it is fun if you enjoy that kind of thing.

Checking a Patients Vital Signs OSCE – Clinical Skills – Dr Gill

Just three and a quarter minutes and still a few seconds at either end given to music – boo.

It is very quiet this one, it would be ideal for sleep if only it was many times the length. As it is in a playlist it should not matter, apart from the opportunity for YouTube to insert as many adverts as it physically can, and at a volume so different to the video springing awake is a not improbable outcome.

General Examination – Clinical Skills OSCE – Dr Gill

A little over five and a quarter minutes in length, the consistency is the thing that stands out and highlights the quality of these videos. If you heard the first video you could more or less assume all the remainder are the same. Much as I hate videos that have been hijacked and concatenated, in the case of these short videos of Dr Gill’s, I can see the point. At least it would keep the intrusive adverts to a minimum.

I think we’ve hit the point where enough videos have been reviewed for one post. Although the total length of this week’s videos is not huge and it will not take you long to review them all for yourself. There are a few more videos featuring Megan and I propose that we come back to those at a future post. Certainly, Dr Gill is a gift that keeps giving, ASMR wise.

The James Gill 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

I notice that media outlets are now declaring that six hours of sleep is just not going to be enough. Which is all very well, but if you are above the age of fifty and have a reasonably busy life, I can more or less bet that many of your nights will have less sleep in them than that. The reflection that as you get older, waking up in the middle of sleeping gets a more pronounced experience does not help if it is three AM and the one thing you don’t want to do is to wake the person who you’re sharing a bed/bedroom with.

At such times, perhaps the Procrastination Pen playlist and a decent set of headphones might be the saviour of the night. (YouTube adverts excepting).

Of late, I have told you when I come across a meditation on Calm that I liked and regular readers will note that I have developed a taste for the daily meditations featuring Jeff Warren. This includes this one https://www.calm.com/app/player/5iglULfMFq “Patiently In A Rush”. I am finding the dailies on Calm to be much more useable than the tracks dedicated to sleep and so again here too. Sadly, Calm is not free and I am not trying to persuade you to pay for it.

A habit I have established is the review of a professional ASMR artist in each of these blog articles. If only in contrast to the inadvertent ASMR that I have been reviewing for greater than a year now.

Today’s video is this one:

ASMR Appointment with Your Doctor

It starts with the medical professional typing into a computer and ignoring anyone else. This has the benefit of being accurate to real-world experience but is not a noise I would want to start an ASMR video with. Perhaps we should be thankful there is no peppy music or thanks given to some sponsor or other.

This video is a little over twenty-one minutes and so is not a huge length for one of these videos. The notes are largely dedicated to advertising, so I won’t bother with them. A quick scan of the comments indicates that they are largely positive. The channel is VisualSounds1 ASMR with 326K subscribers and 1.1K videos. Wow that is a lot of videos. There are twenty-six playlists, none of which obviously focus on medical themes.

Unsurprisingly VisualSounds1 ASMR is also on the ASMR Index.

There is a quite loud background noise, either air conditioning or a sound mimicking air conditioning and I do wonder (again) why ASMR artists include this. I am constantly looking for inadvertent ASMR videos that do not have this type of background noise.

The style is of a person responding to an individual (unheard/unseen) which I believe is probably to make the whole video feel more personal. It can also be a tad on the confusing side until you latch on to what is going on.

The tone, is of course, excellent but tends to delve into the whispery. This seems to be the volume that most professional ASMR artists use. It has the benefit of being ASMR-y but the disadvantage of being much less believable as a rendition of a real medical exam. I cannot remember one occasion in which a GP has ever whispered at me. Perhaps I am missing out…

Hopefully, that was a bit of fun and now back to the day job. Today’s inadvertent ASMR video is this one:

Macleod’s examination of speech

It is, of course, from a channel that we must by now have done to death. Farsight Channel has 102K subscribers and fifty-nine videos which seems a very high subscriber to video ratio to me.

The notes will be familiar to regular Procrastination Pen readers: “84,162 views 6 Jul 2013

This video demonstrates clinical examination techniques as described in Macleod’s Clinical Examination. The textbook with access to the full set of videos is available at www.elsevierhealth.co.uk/macleod”

We are now used to the slightly stilted and artificial sounding sound track from this channel and this particular video is no different. There is no startup music, no background noise and no strange narrator with a less desirable voice. In fact, in terms of the videos I commonly review this is pretty good. However, it is less than three minutes in length which gives YouTube plenty of opportunity to slide in loud and distracting adverts prior to the next video in the playlist.

The problem with reviewing this site a great deal before, of course is the likelihood that I repeat previously-covered videos. To obviate this possibility, I decided to narrow my search to speech and speech related videos on this channel. This only produced one further video which is this one:

Macleod’s examination of the facial (VII) nerve

The notes don’t really need to be repeated… There are only four comments, but even in that small number they are somewhat variable. It is less than a minute in length and this time there is a narrator. As usual, with the use of narrators, the voice of the narrator is louder and less inclined towards ASMRishness. In other respects, it is similar. The voices of the participants sound odd as if they do not belong to the people participating in the video, just as before.

The Farsight 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 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

A week in which I have had sympathy for those who are struggling to sleep and, in which, I have been quite dependent on the playlist for a restful breathing space. I’ve been active in weeding activity every time I happened across a more jarring moment.

I am researching the idea of trimming videos without actually hosting them. I haven’t made progress yet, but I live in hope that I may soon despatch funky startup music.

Today’s video another one properly designed for tuition of future medical professionals. Not the longest we’ve seen at a bit more than sixteen and a half minutes.

Neurological Assessment

There are moments of humour at the start including knocking on a surface to mimic entry. The patient is introduced as Mr Hoffman – which probably isn’t the correct spelling. The medical professional “Nancy” is from Harper College.

As we’d expect Harper College has its own channel the duty of which, I suspect, is to tell you that Harper College is fantastic, which no doubt it is.

Our purpose though, is the pursuit of restful videos. This one starts well by ignoring funky startup music. The Air conditioning noises are de rigueur for this sort of thing now, it would almost be rude to have a video without them.

Surprisingly for a professional video, there are no notes at all. There are plenty of comments, lots of strange comments as expected, but no obvious ASMR comments. Sometimes this does not bode well for the video.

Nancy does not have a classically restful voice; in fact, Mr Hoffman seems to have the better voice here. Thankfully, Mr Hoffman gets a fair amount of talk time in this one. The air conditioning is obviously a session musician paid by the volume, it is more intrusive even than we have come to expect.

The president at the time is Obama, so sometime between 2009 and 2017. The video was posted in 2015, so possibly shortly after it was filmed.

I think he refers to the medical professional as Nancy Haborector, that is so unlikely to be correct but it is what it sounds like. I think it is more likely Nancy Haberichter apologies Nancy if you are reading this.

Mr Hoffmann also talks to “Amy” who is behind the camera. That is a slightly off-putting event, in that I am used to dismissing the camera person from consciousness as if the filming was automatic and the interactions just between two. Amy, from that point onwards, makes a few contributions.

There are loud equipment noises in this as well.

Watch out around fifteen and a half minutes. Mr Hoffmann is obviously extremely ticklish and eventually the camera woman (Amy), Mr Hoffmann and Nancy are all taken up with laughter which fortunately brings the video to a conclusion.

The channel is Nursing Assessment and Skills, there are thirty-two videos and no playlists at all. So the normal mechanism of thinning out videos under review by using a convenient playlist is not available.

It turns out that Nancy is in the majority of such videos and Mr Hoffman is in a fair subset of them. So thinning by that mechanism isn’t looking too great either.

I notice that it appears that Mr Hoffmann is in thirteen of the videos and this is just too many for one post. So arbitrarily I am going to limit this post to three videos and we can come back again in a future blog post.

Basic Patient Assessment

This has the same two participants and is just over fifteen minutes. However, it is much more recent and it has notes “8 Jan 2019

This is the basic assessment that nursing students will perform at the bedside.  You will notice that the lights go out when upper extremity assessment is started.  So just keep watching.  Nurses must be able to adjust the plan when necessary.”

Again, there are a variable set of comments around the video, but no obvious ASMR comments.

Here the volume seems to be more appropriate, and the air conditioning is keeping it in reserve for the last music set. This time, Mr Hoffman introduces himself as Mr Reagan. I’m used to him as Hoffman and so he will stay Mr Hoffman for this article.

Nancy seems to be more muted as well, which actually works, and this instantaneously feels a better video for us than the last one.

Again, they are filming at the Harper Hospital, the president is Donald Trump who was president from 2017 to 2021. The video was posted in 2019 which could therefore have been shortly after it was filmed.

General Survey

This is a whole lot different. Firstly the setting – domestic not hospital, secondly length – the video is just two minutes long. No notes, no ASMR related comments. There is relatively little background noise but it starts a bit loud.

However, it is amazing how much influence that air conditioning noise has. It is easy to disregard how loud it is until it isn’t there and then I really want it to be absent all the time.

Although short, this video is the best in terms of restful of the three in this post. In the end it might be the only one to survive the regular weeding process. We shall see.

The Nursing Assessment 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 Jennifer Uppendahl on Unsplash

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

I have now been listening to the Procrastination Pen playlist for so long that I have realised that some elements of it are appearing in my dreams. Recently, I was arguing with a person I work with (in the dream) over their rights to reuse the entire text from a video from Moran Core, having convinced myself that it had been lifted wholesale and reused for an education purpose. (In fact, I suspect it was simply playing at the time and I overlaid my dream content with that from Moran Core).

On that basis, I had better be cautious about the material that I incorporate into the Procrastination Pen playlist or some of you may be having nightmares.

Today’s is another video drawn from a rich resource which we have covered before. This is the nursing student video, created as some element of their course. The clues are all present – domestic setting being the main one of course. In this case the use of a dining chair for the patient to sit on, we have seen a sofa even what appears to be the student’s own bed.

At just shy of eleven and a half minutes this is a nice length for one of the videos we commonly see. This one has no comments (phew) the downside of which is that we do not know if the ASMR community has happened across it as yet. (I would hazard a guess in the affirmative).

There are no notes – this happens with professional videos occasionally but more usually is a symptom of an amateur video as we have seen before.

The “patient” introduced as “Mr Evans” and the title of the video is:

S. Evans Thorax/lung Assessment

It is probably sensible to assume the husband of the medical professional involved.

Mrs Evans (I’ll guess that is who it is) starts a little loud.

Matthew Evans is the patient DoB 06/07/1984 (i.e. July in case you are reading this whilst located in the US or are using the US method of describing dates). So, if Matthew is the patient, S Evans must be the medical professional.

This is another one of the videos which has comedy “privacy” at the beginning – i.e. miming providing privacy when none is provided.

In fact, Matthew seems to have a better voice for our purposes than Mrs Evans does and fortunately he gets to talk a reasonable amount (he is subjected to a battery of questions). Interestingly there is no attempt to explore the answers which seems to show the student obeying some hidden checklist as to what has to happen in an examination, rather than using the information for anything useful.

Part way through a baby starts crying in a remote room, which is a tad distracting. I kept hoping that someone would go and find out what was wrong with the baby.

The channel is MGA Nursing, it has just forty subscribers which is to say the least odd. However, it has forty-three videos on it and all of them look to be medical examination videos – i.e. this is good news for us.

Fortunately, the videos are all labelled using an identifier for the medical professional. In this case we have a number of videos for S Evans.

The other videos for S Evans are as follows:

S. Evans Neuro Part 1

This is nearly sixteen minutes long and so it is a bit chunkier there are no comments and no notes so that might well be a theme for all of them.

Again, Matthew has a better voice but here we find out the medical professional is called Susan. Again, the “patient” Matthew is subjected to a barrage of questions and it is, again, not clear why.

Mrs Evans continues a bit loud; it is possible all of these videos will be marginal in terms of the Procrastination Pen playlist. I’m quite active in terms of weeding recently so we’ll see how long they last in the main list.

Susan seems to be consulting a checklist throughout the examination which reinforces the view that a series of steps have to be covered to comply with the purpose of the video (i.e. a requirement of the course in which Susan is involved).

We are quite fortunate in this video in that Matthew gets to talk a great deal more often and his voice is a much more restful one than his wife’s voice.

It is interesting to see Matthew fail some of the tests. This is something not seen before in one of these videos but, again, it isn’t clear what is going to be done about it.

S. Evans Neuro Part 2

This is much shorter at a little less than seven minutes. The setting is relocated to a domestic bedroom this time.

Again, it is a little loud to start. It is interesting that some of the vibration tests just do not seem to work (either that or Matthew is considerably more honest than some participants we have heard in the past).

During the actual examination things are a good deal quieter, however I still rate Matthew’s voice over Susan’s.

S. Evans Abdomen Assessment

This seems to be quieter at the start, there is the comedy privacy mime again, which this time occurs off camera. Again, Matthew is subjected to significant interrogation at the beginning.

At just over eleven and a half minutes this is similar in length to the first one we saw in this blog post. However, it is much better in terms of volume for us I think and makes a better candidate for the Procrastination Pen playlist.

All in all, a more gentle examination than the ones that we have seen previously in this article.

S. Evans Eye Assessment

A little under eleven minutes and we are back to a dining room chair for the patient. Again, with the initial questioning. The great thing is that Matthew gets more time speaking.

However, at points Matthew is a bit loud which makes this less useful from an ASMR perspective.

After this one I am making some guesses because the video titles cease to contain any reference to S Evans. However, I believe that these videos contain the same two participants so I have included them below.

IMG 3025

I would say that this is the same two people, it is just less than nineteen and a half minutes long – but the standard of title naming seems to have been lost. This just looks like a default naming system used by a recording device such as an iPhone. So perhaps this was just uploaded from such a device and no modifications were made to it.

We are back to the bedroom as a setting. This is reasonably quiet and is similar to videos we have already seen in this article previously.

This, again, contains the baby crying which was so off-putting in the first one of this series. No one seems to jump and run, so potentially there is someone else in the house responsible for the baby’s care (or the baby is next door and has blast furnace bellows for lungs).

IMG 2916

Again, this is the same two participants. At the time the video is being shot we learn that although Obama is president Trump has started campaigning. Although Trump became president in 2017, he started his campaign in 2015. It is quite likely therefore the video was shot in 2016 which also fits with when it was posted (September 2016) so the dates line up. This time we have notes (perhaps to compensate for the absence of a useful video title): “26 Sept 2016

S. Evans. Physical Assessment- General Survey September 25, 2016”

Matthew also confirms the date.

The video is a little less than three minutes and so is a very brief one for us.

Matthew gets a reasonable amount of talking time which is good.

IMG 2934

This is slightly over four minutes so again is very brief. It has the same two participants and starts a little loud, I think. Again, Matthew gets to talk a reasonable amount. The actual examination is quite quiet and gentle.

There are baby noises in this one too, and this time the baby sounds to be in the self-same room that the participants are in. I’m assuming that someone nearby is doing the baby soothing, bouncing on knee, or what have you because neither of the participants seems at all bothered by this.

It does get to the level of loud in this one which I think is sufficiently distracting that this one cannot be included in the Procrastination Pen playlist.

Assessment: Ears

The quality isn’t great here but I am making the guess that this is the same two people.

This is a little under eight minutes and so is back to a better length. It has a moderately quieter start than some of the previous videos considered.

Again, there are baby noises but the baby is back to a remote room. I think we can conclude that the baby is in the same house. But possibly not Susan or Matthew’s responsibility.

So overall more the “acceptable” rather than outstanding in terms of relaxation for sleep purposes. I’ll trial them in the Procrastination Pen playlist but the weeding of it continues apace so some or all of them maybe flushed out in a future weeding process.

The MGA Nursing 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 Kristin Brown on Unsplash

Sleeping With ASMR

Exploring YouTube, as I do now several times a week, leads to many random dead ends. Let’s face it, when faced with a screen full of prospective videos, I am looking at a thumbnail of each video and making a guess as to what the video will sound like for any ASMR fans out there that are reading this blog. Which of the many videos might be relaxing for a person, like myself, seeking more sleep than they currently achieve.

I am not that successful. For every video you have seen, there are many dozens with off-putting noises, strange sequences or that my suspicious senses kick off – thinking that, in fact, they were generated by a professional ASMR artist.

Of those I have evaluated, a subset get into the Procrastination Pen playlist. Sadly after a period of listening, quite a few of those subsequently get archived because they just don’t turn out to be that appealing in the long run.

It is therefore no surprise that once a good video is located by ASMR fans on YouTube a loyal following develops. In some cases, once videos are taken down, ASMR fans recover the video and repost it on their own channel.

(Much as I applaud this from the viewpoint of video availability, it is fraught with risk – out there are some hungry copyright solicitors and they, I am certain, would love to spot infringements of copyright and gain any fees due as a consequence).

Today’s video does not permit comments. From the perspective of defraying the Internet trolls this is jolly good news. However, it does not assist me in determining if ASMR afficionados have found this one already. In most cases, I assume they have. ASMR fans are substantially faster than I am at discovering new content.

The video is this one:

Neuro exam 2

It is just shy of ten minutes, so not terrible in length in terms of a medical examination video. There are no notes, so I suspect an amateur, rather than a professionally, produced video. It starts a bit loud, and straight away we get the impression this is another of those videos produced on a course required as part of a student’s assessment.

That said, background noise is negligible, the volume is not terrible (other than the occasional clang of equipment which is normal in terms of such videos.

Sadly, it is in portrait mode. I assume because it is filmed on a mobile phone but this will not be a problem because you’ll be listening rather than watching.

My viewing was constantly interposed by adverts at an inappropriate level of volume (which seems to be YouTube’s latest thing). I have no hatred of the adverts as such, but if I’m watching a video for ASMR content, an advert some levels of volume louder than the video seems a very bad idea.

But I digress. The pace of the video is slow and the level of speaking is (mostly) quiet. The scene is in a medical room but there are no clues as to where. At intervals there are other people talking in the background which is quite common in this type of video as well.

As we have seen before participants find it hard to take the process seriously and this is also the case here with laughter on occasion (on other occasions obvious boredom).

Someone interrupts the video at one stage (also a hazard in these videos) by knocking on the door. The BBC doesn’t seem to be challenged in this way…

The channel is Anna Cason.

I’ll assume that Anna was the medical professional and given it was posted earlier this year, may well still be on the course that it is a requirement for.

The channel has fourteen videos and no playlists. That is a fair few for one blog item and it looks like the current participant is the favourite “patient” as she appears in the majority of them. So I can’t go for my much used method of only reviewing videos with the same medical professional or same “patient”.

So I’ll go through all of the videos in the channel (as at today’s date anyway). If you haven’t the time for such a lengthy post, scroll to the end and the playlist will be waiting there for you. Hop over to YouTube – click the shuffle function – lie back and drift off to sleep (well in theory at least). Please let me have any feedback (such as favourite videos you’d like including).

The next video is this one:

Peripheral vascular exam 2

I think the patient introduces herself as “Emma Hilt” but it could probably be anything as it passes in a real rush. April 16th 2002 is her DoB, not that it is relevant in checking if this is a genuine medical video.

This video is short at just under three and a half minutes. Again, there is a comforting lack of background noise. No notes, Emma (I’ll assume that is her name) yawns frequently throughout so it obviously isn’t the most compelling thing she has on that day.

There are more equipment noises – I guess quiet equipment just isn’t a priority. Either that or medical professionals are more interested in moving equipment around quickly rather than doing so quietly, which seems a sensible choice.

The next video is this one:

Bedside assessment

This is just over six and a half minutes

I think that Emma tells us that she is at nursing school (although I have no idea which one). She seems either very bored or she’s getting even less sleep than I habitually do. There are conversation noises from adjacent rooms (although it isn’t excessively loud).

There are more equipment noises but mostly a very measured examination.

Nose mouth throat exam

These videos are remarkably consistent given they are produced as part of a student assessment. This, has more laughter and, to me, a more obvious set of air conditioning noises. But at least it lacks the conversation from adjacent rooms. Emma still seems utterly bored. Perhaps she has in mind her own set of videos, yet to be filmed, for the same course.

Hearing exam

The same two participants in what is quite a short video at just over three and a half minutes. No notes and no comments. Background noise, now seems to be a companion – which is something that we are used to of course.

Eye exam

This is almost identical with the previous ones apart from noises relating to what I assume are messages arriving on a mobile phone (perhaps the one being used to do the filming). It is just over four and a half minutes in length. There are air conditioning noises, general amusement in places and utter boredom for the “patient”. It is feasible that these were all filmed at one time and that the process was just a tad wearing.

At one stage Anna forgets her medical terminology and one gets the feeling it’s all getting a bit tiresome for them.

Skin, hair, nails exam

Anna forgets which video she is supposed to be filming. Emma announces she has “KP” which I had to look up.

KP: Keratosis Pilaris painless bumps on the skins – a long term condition.

Anna again forgets where she is going and then gets very loud, perhaps to block out the conversation from an adjacent room. There is a thudding sound at one stage almost as if someone were tapping the phone that is doing the filming.

Abdominal exam

The same participants this video is just under four and three quarter minutes. Background conversation noises are there from the outset and air conditioning is really getting into its stride. Anna sounds fed up with the process already.

Emma states that she has IBS.

IBS Irritable Bowel Syndrome a lifelong condition affecting the gut which can be controlled but not cured.

Anna is again amused at intervals.

The phone is relocated part way through with associated clanging noises. Presumably equipment was kicked at the same time. Anna forgets what she is supposed to say but the approach to the examination is quiet.

It’s quite unusual to see one of these videos in which the person participating seems quite stuck. However, I don’t think this impacts the ASMR-i-ness as such.

There seems to be equipment missing (perhaps a hammer) which is reminiscent of the student who used canteen equipment to film one of these videos. Anna just uses her finger.

Peripheral vascular exam

The same participants feature again, the video is five minutes ten seconds long. If all of these videos were filmed in one session, I assume it took the two of them a very long time. Anna has problems getting through the door initially so there is a loud bang at the start. There is background conversation from an adjacent room and at stages it continues quite loudly. Air conditioning has now fully established itself and is working on becoming a session musician.

Anna forgets what she intends to say (but at least we are fully aware that she is not following notes off screen).

More message noises are heard from the phone being used to film this. There are more equipment noises and Anna is again amused by the parts that are going wrong (mainly where she forgets terminology).

Cardiac assessment

We’re in the swing of this now and all the same symptoms are in this one that were in all the previous ones. The level of background noise merely differs.

Just over five and a quarter minutes so not long. It follows the exact same theme as those we have seen previously. The start is quite stumbly as if Anna is finding her way through it. It remains quiet though apart from overheard nearby conversations and the low roar of air conditioning, which is constant.

I think Anna’s voice is actually improving as we go on and if some of those niggling additional noises were dispatched this could have been a really great video. In any case I’m intending to trial these in the Procrastination Pen playlist with the understanding that some or all may ultimately get dispatched to the archive.

Lungs and thorax assessment

This is approaching six minutes which feels long in comparison to some of the others but for the videos we commonly see is still a short video.

We’re used to the intro now as it runs through exactly the same set of sentences each time. The examination itself though differs (fortunately for us).

Anna appears to be struggling to remember some specific terminology (unclear what). There are noises of doors opening in adjacent rooms so it is feasible that other students are filming vastly similar videos for their courses in the rooms next door to this one.

Overall, though, a good video for the Procrastination Pen playlist I think.

Head, Face, Neck Assessment

Here, Emma is wearing some kind of identity badge which one would hope would give us the institution involved. Sadly, it is too tiny for me to read so it remains a mystery. Just under four and a half minutes, so a short one in terms of this set and the last one in which Anna and Emma appear together.

It seems to start a bit louder than previously and the air conditioning is ever present (or I’m getting tired by now).

However, to have produced this number of videos in such a short period is quite a piece of work.

Definition:

Crepitus – noise when moving a joint

Does anyone not have this?

Neurological exam at home assessment

Anna now has a new “patient”. Michael Atkis (I think) DoB. 02-12-03 (December in case there are any US readers). This, as expected, changes the sound profile markedly as Michael has a much deeper voice than Emma.

However, he does not get to talk a great deal.

The background air conditioning now sounds like it is aiming for some kind of award and the extraneous background talking noises are now quite pronounced.

Michael tells us that we are at “college of nursing” I think – it’s hard to discern. But I cannot make out where that would be.

This is over seven minutes in length. Again, Anna is a bit tentative, apparently as she forgets some terminology.

Having seen this examination done professionally by Vicki Scott we have been a bit spoiled; I think. This one is a bit more filled with humour – especially as Anna forgets the content she needs to perform.

Musculoskeletal home assessment video

the last one in this set and this has been a rather long post for which I apologise. Anna returns with Michael. Almost identical to the previous one in terms of sound – maybe more noise from the next-door room than previously.

Just under seven minutes so only slightly different in length to the previous one. Anna laughs quite a bit in this one too.

Very loud equipment noises in this, I jumped at one stage because I was listening rather than watching the screen.

The Anna Cason 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 Christian Krebel 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

You may remember the explanation of the origins of the term “sandwich breath” in one of the blog items previously. Here, in the comments, we have someone who refers to it. So I think it is safe to say that the ASMR community are all over this video already.

Neurological Exam Video

The introductory section tells us that the client is “Rachel”. Straight away, we get the feeling that we are back in the world of student videos of which we have seen the odd one before.

The participants who are unable to take it completely seriously, the background noise, the loud start to the video as if the medical professional is trying to project to an opera house, the participants in casual clothing. The location appears to be some kind of meeting room, rather than a hospital bed, we have a long table and chairs. In the background someone is tapping away on a laptop keyboard (the keys are quieter than expected for a desktop version). There is also the continuous noise of air conditioning which we know and dislike.

It is just shy of sixteen minutes. Ashley continues quite loud but Rachel has a much better voice. Fortunately, Rachel gets to contribute or we could pack our stuff and head home.

The camera person is a bit fidgety with a finger intruding into view occasionally – so far, so normal student video. At least the keyboard noise dissipates fairly early on.

Strangely where one would anticipate use of a tuning fork for sensing vibration someone raided the canteen and came back with an actual fork left over from lunch and is using the handle. As if Rachel was likely to get any sense of vibration from it. That’s probably one of the stranger pieces of student adaptability that I have seen this far. Many of the commentators also point this out.

The T-Shirt with Alpha Omicron Pi on it, is not much of a clue to location with many universities having one of these in both the United States and in Canada.

Then there is the use of a spoon as a reflex hammer, which I would think just would not work. However, it is attempted here, which is surreal to watch. However if you are using this video for sleep it is likely that you will not be watching as such.

Ashley Carmichael is the channel.

There are six videos on this site which leaves five more for review.

All of them are posted four years ago which fits with requirements for a programme of study.

KINE 305 Introduction Video

Here Ashley self-reports attending Cal State St Marcos, and being in her fourth year there. Given the videos are all posted in the same year it is probable that all of them are connected with that course of study.

This university, of course, has its own website, which refers to KINE305 as being a course in Movement Anatomy.

California State St Marcos, as usual, has its own YouTube channel. This is exactly in line with our expectations: having lots of university promotional videos.

It looks like Ashley did a Bachelor’s Degree in Kinesiology and Exercise Science.

This is useful info but not a useful video for ASMR purposes. However, at least it confirms that the video is not a construct put together by a professional ASMR artist.

Mock Client Exam Video

Here we find that the client is called “Chris” and he really seems to have a very boomy voice. Either that or the recording equipment is trying too hard. There certainly is a lot of background noise, air conditioning again, I think.

There are no comments with this video so apparently no ASMR fans this time and I think there is a good reason for this. Rachel had the better voice in the first video and of course this time no Rachel.

The location looks domestic with another building visible through the window. Doors to what appears to be a cupboard are directly in view.

At intervals, the air conditioning starts to sound like a 1950s vehicle that has been revved rather manically and is flailing to recover. I guess if you live in conditions that require air conditioning you acclimatize to the constant noise, but it isn’t great for ASMR purposes.

Axial Exam Video KINE 305

The client is “Olivia”. It again appears to be a meeting room, however at least the air conditioning is a bit more under control than in the previous video. Ashley is a little quieter here (mostly) which is quite welcome. Olivia really has nothing to say and so I am not clear if she would have a good voice in ASMR terms.

Some people are talking away in a neighbouring room which provides a muted background to the sound at intervals.

Again, there are no comments so I assume no ASMR devotees. There are one hundred and forty nine subscribers though, I notice.

Orthopedic Exam Video

Here we have Chris again, who must sing bass, I think. He could make mahogany vibrate with that voice. It is back to a domestic setting, a kitchen this time. Here we discover that this is Christopher Carmichael (so reasonable to assume – brother). Again, Ashley seems to need to speak to us without the aid of microphone; her voice is really loud here.

At intervals the air conditioning goes all Apollo-space-program-rocket-launch. I think someone may need to replace some bearings or something like it.

All told, the video is not that great for our purposes.

Client Exercise Video

This is designed for someone called “Mike”, presumably a client or as I more usually refer to them “patient”.

It starts loud, but at least the air conditioning has been taken round the back and shot through the head.

We’re in a domestic setting again, a dining room potentially. The kitchen is visible (well an oven anyway).

It’s just that bit too loud, sadly, but I am in no doubt that “Mike” found it efficacious.

That is the last for Ashley on this particular YouTube channel, However Ashley has an alternative YouTube Channel I notice.

I’ve no idea why that should be (perhaps Ashley misplaced the password to access the other one). There is just one video on that channel which is three years more recent than the videos on the previous channel.

AT Final Project

This is just over half a minute so blink and you’ll miss it. Sadly, it decides to go with music as a backdrop and worse still funky loud music, eek and no no no.

That’s all the videos available. Only one video was worthy of consideration and that was really a stand out amongst this set. It was helped a great deal by “Rachel”. If I could work out who “Rachel” is I would stand some chance of finding her channel wherein there might be some great material.

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 François Bonnet 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.

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 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.

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

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

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

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

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

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

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

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

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

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

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

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

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

Until next time.

Photo by Shona Macrae