Category: Physical Examination

Sleeping With ASMR

I am still surprised that it is feasible to keep on writing a weekly blog on one specific subject and, thus far, to have not run out of material to base it on.

In fact, I am getting to the stage now where the overall playlist is getting so large that I will shortly have to make decisions about starting all over again.

It is already so large that playing it will take quite a bit longer than any average person would be resting for.

That was not the intention when commencing.

I also notice that I have been on the subject of medical examination videos for well over a year now, and whilst there have been no complaints, I have not appeared in the years top ten most interesting bloggers either.

I think there will need to be some changes, but for the moment, let’s not fix something that is not broken.

Today we are once again in the environs of videos created by students to satisfy some sort of course requirement. I am entirely thankful that colleges and universities keep demanding this of their students, and that the students then forget to take the videos down again long after their course has concluded.

Today’s follow the head-to-toe format that we have seen again-and-again on this blog but is none the worse for that.

PART TWO HEAD TO TOE

At a little over eight and a half minutes it isn’t going to hang around for long. It starts without startup music which is a rare and welcome situation. There is air conditioning noise and it is actually pretty loud, if not ultimately that distracting. The medical professional has a nice quiet voice; however, the presentation at least initially is a little on the fast side. Perhaps as a consequence of in front of camera nerves. The format is landscape which is rather welcome for one of these but, as I often comment, makes no difference at all if you are using the video to get to sleep.

The location appears to be domestic, in fact a bedroom, with a chest of drawers. One of the items that are probably not regularly found in a medical establishment.

The identity of the participants is not given and there is no clue as to the location of the institute for which the video was made. There are no notes and we can see it was posted 05/04/2023 (April) so it is conceivable that the course it is for is still running.

There are few comments ranging from the unhelpful to the ASMR fan. ASMR fans as is usual having tracked this one down way before I ever have.

Part way through we discover that the “patient” is called Amber (that may not be the spelling). We also find out that the instruction heel-to-toe is not necessarily as descriptive an instruction as it needs to be.

The channel is Kristin Colton and despite only having two videos it has one hundred and sixty-four subscribers which does not seem to be at all bad for that small number of videos.

The remaining video is a little more substantial at fifteen minutes and looking at it I can see that I have reviewed them in the reverse order.

PART ONE HEAD TO TOE

It starts with a yapping dog which is a bit off-putting. We now find that the “patient” is Amber Colton and so, in all likelihood, sister. The start is similar in other respects to the previous video – air conditioning providing the background, the voice is great but the presentation a little fast.

No startup music.

Like before it settles down and is quite calm. This time there are no helpful comments, but I think we can be certain if an ASMR fan found part two in this set, they absolutely certainly have found part one.

The presentation (if a little fast) is quite methodical. I tried the playback speed adjustment, it stands up well at 0.75, perhaps a little less so at 0.5, but you may find that it is worth a try as well. For me a little slower play speed certainly helped things.

There are some sounds of a child and people talking in an adjacent room. This is fairly normal for student videos as we have found before.

Kristin appears to have no other YouTube presence (another channel for example) so I’m afraid that’s it for Kristin and indeed for today’s blog post. Should give you time to catch your favourite television programme.

Definitions:

TMJ Temporomandibular joint

Gray309-en Gray310

TMD a soreness in the Jaw that usually clears up on its own.

The Kristin Colton Playlist on the Procrastination Pen is here:

The overall playlist of videos covered so far on the Procrastination Pen is here:

The videos weeded out because over time they are just not as good as the others is in this archive list:

I keep this in case subscribers to the Procrastination Pen have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening to log on, this interrupts the experience. You may not mind this in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of sleep.

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

Until next time.

Photo by Shona Macrae

Sleeping With ASMR

If you find yourself tired in front of the TV, but by the time you’ve got into bed somehow circumstances have conspired to leave you wide awake, it can mean that you lie there looking at the ceiling and feeling a sense of frustration and panic as the minutes and hours pass and still you are not getting the rest you hoped for.

In these circumstances I find it useful to distract myself with some other activity and of late, the restful video has proven to be relatively useful. Not a panacea, but one tool in the toolbox to help get off to sleep.

Today’s video comes from a channel we have explored before of which more in a minute.

The video is this one:

Respiratory Examination – OSCE Guide (Latest)

and at nine and a half minutes definitely not the longest such video we have reviewed.

As a professionally produced video it has notes (oh, what a lot of notes)

“26 Feb 2018 Clinical Examination (OSCE) Guides

We’ve just released a collection of 500+ OSCE Stations! 🙌 https://geekymedics.com/osce-stations/ See the written guide alongside the video here https://geekymedics.com/respiratory-e…

This video provides a guide to respiratory examination, including real-time auscultation sounds of common pathology such as:

– Coarse crackles

– Fine crackles

– Wheeze

– Stridor

The ability to carry out a thorough respiratory examination is something every medic needs to master. This video aims to give you an idea of what’s required in the OSCE and you can then customise the examination to suit your own personal style.

Special thanks to http://www.easyauscultation.com and Andy Howes for providing some of the respiratory sounds.

Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.

Some people have found this video useful for ASMR purposes.”

In fact, I edited the notes down a bit or they would comprise a fair amount of the entire blog article.

Interesting that a channel dedicated to medical examination tuition should mention ASMR in that way and quite unusual. The comments indicate that ASMR fans are just lapping this up, so it all bodes well.

Fortunately, the start-up music is very muted. The participants are Andrew, a final year medical student and James Alexander D.o.B. 13/12/1989 (that’s December if you use a dating system other than that used in the UK).

Straight away, Andrew has a very good voice and has a relaxing style of presentation. The pace is measured (unlike the frenetic approach of some nursing student videos). Sadly, this means that YouTube gets the opportunity to slot in a few of its noisier and more obtrusive adverts which hopefully will not be happening to you as you’re watching/listening to this.

There are some rather unpleasant lung-related sounds which are unwelcome for our purposes, but may well be useful in the educational context which, let’s face it, is what this video is intended for.

The channel (as you suspected, I bet) is:

Geeky Medics https://www.youtube.com/@geekymedics.

This has two hundred and eighteen videos as at the date I am checking it and I will not be reviewing all of those anytime soon. It appears that the Andrew and James combination appear in a fair subset of them as well.

In this case, I decided to explore the channel using the term “respiratory” to determine what else we could find. We start out with some YouTube shorts, which by their nature don’t run for long, and so I am a little averse to them for the purpose which we are attempting to put them to. It won’t stop me using a really good one though.

Respiratory Exam OSCE Tips

This sounds a bit like Sammy in “Over the Hedge”, it is at two hundred miles per hour. I’m sure it is designed to get a ton of information into a tiny amount of time but heck it is as restful as Piccadilly Circus. It’s a shame too, because the participant would appear to have a good voice.

Respiratory Exam OSCE Tips

The same participant, the same format and the same comments as for the previous video.

Respiratory Examination Signs in COPD – OSCE Guide

Oh no background music, in fact entirely background music. The comments are presented on the screen rather than spoken. This makes this video not desperately useful for our purposes.

Lung sounds (respiratory auscultation sounds)

At under one and one quarter minutes this is not hanging about and it contains some very unpleasant sounds as well. Not one I’m going to use in the Procrastination Pen playlist.

Respiratory History Taking – OSCE Guide

This time a bit over eighteen minutes so a more substantial video. No obvious ASMR related comments (which might be bad news). Very brief startup music (thankfully). It is narrated by Dr Chris Jefferies who has a good voice.

Sadly, it does not include a medical examination as such and so it is a bit marginal for our purposes.

It is a bit of a presentation-format and as such not that fascinating I suspect for anyone not directly studying this subject area.

It is probably tolerable for the Procrastination Pen playlist but may suffer a future weeding activity.

Lung sounds made easy

Back to another YouTube short which includes some rather unpleasant sounds on it. I don’t think this one is much use to us.

Percussion & Auscultation of the Lungs – OSCE Guide | Clip

This one is four minutes long, so not huge by any means. It has the brief startup music still and has the slow measured approach of the first video we considered in this blog article. However, it also includes all the unpleasant lung-related noises so I am going to discount this from the Procrastination Pen playlist.

Respiratory Examination – OSCE Guide (Old Version)

This is just under eight and a half minutes. Posted nine years ago at the time I am looking at it. Andrew Pugh features again. There is startup music which is way too funky. The “patient” this time is Dan Page (I believe.) I’m sure I get the names wrong a good deal of the time when relying upon listening alone). His D.o.B is 01/01/1995 (which is January whichever dating system you’re currently using).

Andrew continues to have a good voice although this has a distinct echoey sound as if they have not yet ironed out the microphone approach for the recording.

Dan looks like he needed much more sleep recently than he apparently got but as he does not get to say much those people listening are unlikely to notice. The ward area where the recording is taking place is utterly deserted. How they managed to achieve this I do not know. Perhaps the clue is in Dan’s tiredness, 4am on a Sunday recording possibly.

Respiratory Examination – OSCE Guide (Old Version)

This one is a little less than ten minutes. More of the funky music to start. I’m not sure why people consider this a great idea. Andrew Pugh returns. Alan Johnson is the “patient”. Twelve years ago (when the video was posted) Alan was apparently thirty seven although he looks about nineteen.

Andrew remains on form voice wise. In fact, where the video lacks intrusive noises, they have all been good where they feature Andrew (rather like videos featuring Dr James Gill).

Andrew has on a badge which seems to indicate that this is at Newcastle University.

He appears to have studied here 2007-2012 and then again 2014-2015.

Newcastle as expected has its own YouTube channel. The crest associated with that channel looks very like the one on Andrew’s badge which I think confirms this.

Interestingly the closing credits state that Colin Brewster is the patient so Alan Johnson may well not exist.

The Geeky Medics 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 Juan Gomez on Unsplash

Sleeping With ASMR

The further we get into 2025 the more people are becoming obsessed with sleep. This is probably the rectifying of the complete disregard that has been shown to it in previous decades.

I can remember certain public figures boasting that they needed little sleep (as if that was a good thing) and subsequently it being discovered that they were making up that sleep through napping.

What is currently missing is the configuring of work practices to respect sleep. Putting health before GDP would send a very significant message here.

There also seems to be little requirement for taking noise into account when designing and building housing, which has its own consequences. As is usual in such circumstances recommendations are around purchasing noise cancelling technology rather than ensuring houses are not exposed to excessive noise. (For example, before building them in the first place). Putting health before profits would send a significant message here.

If you’re in the, no doubt large, group of people exposed to excessive noise when you’re trying to sleep, I have found that having a noise playing of your own choosing can help. It depends on the noise and when it is happening. For example, a one-off sound at 2am, from a loud car say, can disrupt the rest of your sleep. A consistent noise that you grow used to through exposure may be less disruptive.

In any case, I have found as one gets older sensitivity to noise, when sleeping, seems to increase. The only way to react seems to be to take action yourself. Noise cancelling headphones can help. Although I find frequent use of these really hurts the ears eventually. A back track such as white noise (several generators are available) or, my favourite, a nice relaxing video can also be positive.

Statements that older people need less sleep have not proven correct in my case. I get less sleep, I am more tired, so I wonder how universally such findings apply.

In the drive to provide more relaxing videos for you, here is another blog item on exactly that subject.

Today’s video is already part of a playlist; however, it comes from a channel that I have regularly exploited for material so I have to be careful to avoid duplication in this area. If you spot duplication, do let me know.

The Exam for Ankle & Foot Pain – Stanford Medicine 25

As we have previously established this channel produces videos of consistent quality and as we would expect each video comes with a descriptive set of notes:

“19 Jul 2018 Stanford Medicine 25: Musculoskeletal Exam

This video is brought to you by the Stanford Medicine 25 to teach you the common causes of foot and ankle pain and how to diagnose them by the physical exam.

The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.

Visit us:

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

Blog: http://stanfordmedicine25.stanford.ed…

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

Twitter: https://twitter.com/StanfordMed25

Diagnoses covered in this video:

Lateral Ankle Sprain

Talar Dome Osteochondral Defect

5th Metatarsal Fracture

Achilles Tendinopathy

Interdigital (Morton’s) Neuroma

Stress Fracture of 2nd Metatarsal

Plantar Fasciitis

Hallux Valgus (Bunion)”

Comments are permitted and, as expected, ASMR fans have been here before me. This probably means it is a good choice of video (although some less high-quality ones sometimes pass this test).

It is just less than seven and a half minutes, so not huge in terms of videos we have covered previously.

Of course, there is that bugbear of any ASMR video fan – the musical startup. Someday I will come across the command to dictate the start time of the video and such music will be banished forever.

This one features Dr Brinda Christopher again with whom we are well familiar.

Dr Christopher as we have established before has an excellent voice for such videos. It is great that we are re-acquainting ourselves with her. Chad is the patient (again).

There is some background noise (air conditioning again perhaps).

There are so many medical terms in this one that I am not going to attempt to define them – I’m guessing that you are not here to learn how to perform an ankle examination. If you are what a pleasant surprise and welcome.

The video is part of the  Stanford Medicine 25 channel where there are eighty-five videos. I have no doubt that we will be sampling many more of these in the future.

The video we have just seen is part five of an eight-part playlist. In order to avoid covering areas that I will have covered before, I will limit myself to reviewing the remaining two videos in this playlist. Future blog items will catch up on any missing areas I am certain.

The Exam for Knee Pain – Stanford Medicine 25

There is startup music of course, comments and notes as before and the same two participants – so far, so consistent. At just less than eight minutes it is also of a similar length to the last one.

The great thing about a professional video is that if you liked it you may well like videos from the same provider. Many student videos we have seen can be great, only for the next video from the same source to be totally unsuitable.

The Exam for Shoulder Pain – Stanford Medicine 25

As before, comments indicate ASMR fans are all over this, and we have proven that they have good taste. The only way these could be improved would be to remove startup music and put a bomb in the air conditioning.

But in comparison to some noises we have heard in other videos, this is minor quibble area.

One great aspect is a complete absence of loud equipment clunks, and bangs, which other videos seem unable to avoid. We have the same two participants here and to ensure I do not overlap with material from the same channel covered previously I will make this the last video of this blog item.

This one is a little less than ten and a half minutes so quite a bit longer than the two previous ones. However you may find, like me, that you do not notice the extra time.

I wish you well in your drive to get more sleep.

The Stanford medicine playlist on the Procrastination Pen is here:

The overall playlist of videos covered so far on the Procrastination Pen is here:

The videos weeded out because over time they are just not as good as the others is in this archive list:

I keep this in case subscribers to the Procrastination Pen have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening to log on, this interrupts the experience. You may not mind this in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of sleep.

If you liked this blog article, why not follow this blog.

Until next time.

Photo by Laura Matthews on Unsplash

Sleeping With ASMR

Re-reading some sleep advice that I had knocking around, I notice that one is supposed to sleep the same number of hours every night and if you don’t, then there will be a reckoning to come.

Added to this is the requirement that you go to bed at the same time, every night and awaken at the same time, every morning.

That sounds a great discipline and I would love to recommend it. However, I find myself utterly jiggered by close of play on a Friday and I take to bed and sleep till the gods have made off to find another planet (or for a very long time anyway).

I always found that this was my little weekly restorative and I’m sure that for many years it was. However, it does not seem to be as effective any longer and I am moderately convinced that is to do with ageing.

In the absence of changing my sleep pattern completely (and for those of you who also feel unable to do so), I’ll stick to finding restful videos that may encourage you to make the most of whatever sleep you are able to get. If you do find yourself crashing on a Friday night, desperate to make up for any lost time during the week, you now know I will not be judging you.

Today’s video is, again, taken from that deep well of videos which seemingly has no end on YouTube; the student assessment video.

Head-to-Toe Physical Assessment

The medical professional is Vivian and from the start has a very good voice. Vivian has on a top which identifies the college where presumably this is filmed but, sadly, I cannot make out what it says.

There are no notes with the video; there is one unhelpful comment and only two subscribers. This is either a journey to something new or a warning that this is not going to be that useful.

In fact, the sound is quite muted. The air conditioning is ever present (as we are used to by now) the patient is Lindsey Preston (probably misspelled), D.o.B. 03/03/97, whichever date system you use. I make that March.

There are the usual questions officially designed to check the person vs their record, but of course no record exists so it is, as usual, acting.

Lindsey (I’m sticking with that spelling now) announces that she is at Valencia Memorial Hospital (well I’m pretty sure that is what she says – it is a bit quick). Lindsey has a top on with the same appearance as that worn by Vivian it appears to say Valencia College nursing which might confirm that.

The tops worn by the nurses on that website do appear similar if in a different colour.

The college of course has it’s own YouTube channel.

Apart from the air conditioning there are no nasty intrusive noises. Vivian even seems able to move equipment around without the loud clangs that have punctuated some videos now in the Procrastination Pen archive list.

Her approach is methodical and gentle.

The video is just a short one at a little over six minutes.

The channel is Vivian Tran it contains just this one video uploaded in 2018 which is about the same date that it was filmed.

So, I’m sorry people, but that is all for this time.

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 Francesco Ungaro on Unsplash

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

If you’ve woken from another Nytol-fuelled sleep and feel like a bear was sitting on your head all night, it might be that you will be better off trying to relax into sleep by yourself without the aid of chemicals.

For many of us this is far easier said than done. I have found that falling asleep with other people’s noises all around – cars on the road, breathing of my partner, mice in the loft overhead, or bird squabbles in the hedges nearby are sufficiently distracting to put off sleep for quite some hours.

In this atmosphere the masking of those noises with a level of background noise seems to be moderately effective. The Procrastination Pen playlist may be effective for you in that it provides a number of videos taken from YouTube selected for their calm talking, lack of extraneous noises, and potential ASMR effects (in those people lucky enough to get ASMR effects, in any case).

Today’s video comes from a perennially useful source for us which is the student medical exam video. This blog would probably run out of steam quite quickly if this kind of video did not exist. Sadly, the quality of such videos is often, at best, variable, such that many videos get evaluated and few are chosen.

Today’s video is this one:

Head to Toe Assessment

The medical professional is wearing a very large identity badge indicating that she is Julianna and that she is an undergraduate student.

There are no notes with this video. However, comments are permitted and, as expected, ASMR fans have been here long before me.

It is just over thirty-five- and three-quarter minutes, so moderately substantial in terms of videos that we have recently seen on this blog.

Julianna announces that she is Julianna Cook, a Family Nurse Practitioner. I think the institution mentioned is “Auburn University” (it’s spoken rather quickly).

Auburn has a college of nursing and so it sounds like it might be a good fit for a video of this type.

Its channel reveals that it has a brand very similar to the icon on the badge that Julianna is wearing, so it seems very probable this is where Julianna is presenting from.

Julianna appears to have left Auburn in 2020 the video was posted in 2019.

The class is 7116 Advanced Nursing Assessment.

The patient seems to be in tip-top shape (better numbers than I am able to deliver for example). The normal question and answer session must have occurred prior to this video so there is no clue as to who the patient is.

The camera angle is a little strange in this one. Probably so that it could be set out of the way of the participants. But the net result is that they are some distance from it. This is not important if you are simply listening, but sadly, it has some effect on the audio as well which is itself a bit flat and distant. Not as notably, as in some other videos that have featured in this blog.

There are some moments where progress is slowed by the medical professional failing to remember. However, overall, the assessment seems moderately efficient (if thirty-odd minutes can be thought of as efficient).

We are here for the sound which is not excessively loud, no loud bangs of moving equipment for example. There is of course the ever-present air conditioning noise which seems to be a feature of these videos.

There is a fair amount of humour in the video which is perhaps less restful than might otherwise be the case (laughter can be a bit loud). I don’t think this precludes it from membership of the Procrastination Pen playlist but it might cause it to be a victim of future weeding.

There are moments of actual gentleness in this but only a video editor would be able to make this a truly superior video, and of course, the video isn’t mine to do that to.

The channel is Julianna Cook. There are four videos, including the one above, and eight hundred and fifty-seven subscribers as at the date I am looking at it. There is no video posted more recently than three years ago.

Julianna’s Greatest Show

This is just less than five and a quarter minutes, and has some notes. It states it is “NURS 7246 Pharmacology Project”. 7246 appears to be another course at Auburn.

Unlike the previous video no ASMR fans have commented on this one.

This starts loud, and I think is designed to be a presentation. There is loud music in it, I think it is supposed to be entertaining but not restful. It does make interesting viewing. I think the chances of falling asleep to it are out there with winning the lottery.

Not a Procrastination Pen playlist candidate but I imagine a good fun video if this is your area of interest.

7226 NP Roles Video

This is a presentation, it is quite loud, it isn’t really restful. There are no notes. There are no comments from ASMR fans, which given the content is perhaps not surprising. The most interesting elements are interviews with people apparently from the public. Herman Cook for example has quite a good voice. However, the background noise is a tad off-putting. It is louder even than we are usually used to.

James Warren’s interview has so much extraneous noise associated with it that I’m surprised it is included. I’m guessing filters are not a thing.

Virginia Cook has a great voice but she is swamped by background noise.

Stephanie has a section with minimal extraneous noise but her voice is quite a lot louder and so not helpful from our perspective.

Linda Condon has a good voice but I think they videoed her footage beside the M25, boy it is loud.

All in all, this video isn’t going to work for us and it will not go into the Procrastination Pen playlist.

The last (and newest) video is this one:

Croup Presentation

This is just over five minutes and it starts loud. It continues loud. It is a presentation after all.

This one is just not for us.

Just the one video this time then.

More time for you to get on with your work. More next time.

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 Milada Vigerova 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

Sadly, as I regularly prove, sometimes nothing at all is going to work in the drive to get some sleep. Some switch in the brain seems to resist getting thrown into the correct position and although you are tired, sleep just will not come.

These kinds of occasions used to drive me up the wall as I fought to get control and tried with increasing vigour to gain that blissful rest. It doesn’t work. The only option is to just let go, 5am is coming round and you’ll still be looking at the ceiling when it does. It is better to fill the time with something restful. The Procrastination Pen playlist is designed for just such an eventuality.

Today’s video is another professionally produced one:

Hip Examination – Orthopaedics

In common with a number of professionally produced videos it has notes with it: “28 Nov 2012  Clinical Examinations

This video – produced by students at Oxford University Medical School in conjunction with the faculty – demonstrates how to perform an Orthopaedic examination of the hip joint. It is part of a series of videos covering Orthopaedic examinations and is linked to Oxford Medical Education (www.oxfordmedicaleducation.com)

This video was produced in collaboration with Oxford Medical Illustration – a department of Oxford University Hospitals NHS Trust. For more information, please visit www.oxfordmi.nhs.uk.”

So it tells us where it was filmed.

Comments are permitted (brave that) and it turns out that other ASMR fans have been here before me (which is not unexpected).

The video at just over nine and a quarter minutes is not a huge one. There is (thankfully) no introductory music. It begins with narration but no clues as to the participants, the narrator has quite a good voice. The same person talks throughout the examination proper such that we do not hear the voices of the actual participants. This makes their participation seem like that of a mime act or worse some kind of puppet, it is a little surreal. However, if you are listening rather than watching none of this will be obvious.

The channel is Oxford Medical Education. This has thirty two videos and 142k subscribers on the day I am looking at it.

With thirty two videos it seems likely that we would be here a while. There are nine playlists, our video appears to be in a playlist called Orthopaedic Surgery which consists of only three videos including the one I first covered. I’ll focus on this playlist in order to narrow down the choice available.

All three videos exceed nine minutes and are less than ten minutes – I’m guessing there was a target in terms of running time.

The next video in the playlist is this one:

Knee Examination – Orthopaedics

A bit over nine minutes so similar to the last one. Like that one it has notes “28 Nov 2012 Clinical Examinations

This video – produced by students at Oxford University Medical School in conjunction with the faculty – demonstrates how to perform an Orthopaedic examination of the knee joint. It is part of a series of videos covering Orthopaedic examinations and is linked to Oxford Medical Education (www.oxfordmedicaleducation.com)

This video was produced in collaboration with Oxford Medical Illustration – a department of Oxford University Hospitals NHS Trust. For more information, please visit www.oxfordmi.nhs.uk”

Again, the entire video is narrated. I would say the voice is marginally superior to the last one for our purposes.

Shoulder Examination – Orthopaedics

Nine and a half minutes so slightly longer and in this one the patient changes. In the previous two the patient was the same and the medical professional changed. Now we have a patient change and a medical professional change.

The notes are very similar to what has gone before so I will not repeat them.

The narration is not quite as good for our purposes as the last one. However, as is usual with professionally produced videos, they are amazing in their consistency. In this one (at last!) the medical professional gets to speak for himself and we find that his voice is not at all bad. Part way through, the video goes all sepia in appearance briefly. I’m not clear why, but given you will only be listening this will not be too distracting.

The Oxford Medical Education 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 Girl with red hat 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

At the point of writing, I am now four months ahead in terms of written blog articles to those that I have managed to post. One of the aspects of this is that I notice a lot about the dynamic nature of YouTube and the problems with rendering something which is static (i.e. a blog) to cover something that is changing all the time.

Recently as I came to review an article ready to post it, I discovered that the entire channel it had been based upon had been removed. A search of the video titles in that article though revealed that other channels were now hosting the self-same videos. So, whilst the blog article could still be written, the nature of it had changed. Playlists were gone, the channels had changed. The idea of coming back for future reviews was dispensed with.

I fear therefore that even as I publish blog posts they are sliding into the past, referring to places, channels, playlists, even people who are no longer present.

I apologise if you find one of my posts which refers to empty space. I know that all the blog writing guidance indicates that a blog article is the shop window into my site and that it should be polished and up to the minute. Elegantly researched, delicately presented, ruthlessly targeted and so on.

Mine is not going to achieve such pinnacles of God-like wonderment.

If you like it, I hope that you stick around and read some more.

If you don’t like it, then I am continually surprised at the many millions of blogs that do exist and the breadth of content that they represent. I hope that one of those alternative blogs will be a good fit for you.

Occasionally I come across blogs that are interesting (to me) and I will flag them. In just the same way that I am flagging video content from YouTube. Perhaps someone happening across this blog on their journey through the Internet may even find it useful.

Today’s video is from a channel that we have explored a great deal. It again features a very young person. And reinforces the view (I think) that people are much more careful in their handling of the small person in comparison to the fully fledged large person.

This leads me to suspect that videos featuring small people could, potentially be a source of material for this blog. It is not as if age of the “patient” will be obvious when you are trying to get to sleep the as you will be listening rather than watching, however the attitude of the medical professional is, it seems, more likely to be gentle.

Head and Neck-Jasmine

Here we have a medical professional Jasmine who is dealing with someone who is quite early in life. I am terrifically poor at estimating ages but I’ll make a guess at four or possibly five (earlier would not surprise me, much later probably would).

The video is twelve minutes-ish so a pretty standard length for videos we have covered recently. I believe the small person to be called David and David could probably win awards for the best voice heard recently.

The medical professional is a little loud to begin with (which ruins my theory about dealing with young people).

David remains quiet, perhaps I should have been focusing on him rather than Jasmine in this case.

The video quality is towards the fuzzy end of focused, read 1980s straight-to-video kind of quality. However, as you will be listening rather than watching, I doubt that this will bother you that much.

The setting is domestic. There is a large display unit in shot and the two participants appear to be using what appears to be dining room chairs for the examination. This strikes me very much along the line of student videos that we have seen of late.

The channel is one well known to us now which is MGA nursing – we’ve visited here a few occasions now and it remains a source of videos (if not the best ASMR videos we have encountered so far which I still contend is Hollie Berry.

We have established the protocol that once we browse MGA nursing, all other videos by the participants are fair game.

This is confounded in this case because Jasmine, and indeed David, feature in only one video on MGA Nursing and it is the one just covered.

I think therefore it is sensible to make this a short blog post and you can swiftly get back to the thousand things that need doing.

I hope you’ll come back and read the next one.

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 Yerlin Matu on Unsplash