Abdominal Examination – The Procrastination Pen

Sleeping With ASMR

Every once in a while I like to remind readers why we are here, what this series of blog articles on the Procrastination Pen is designed to achieve, and why you might want to read, especially if you suffer for sleep.

If you are privileged enough to get ASMR symptoms then you will already be familiar with the fact that certain sounds can have a profound effect. For some people, there are physical sensations (often referred to as tingles). For many, there is a sense of wellbeing or relaxation when a certain sound is playing.

The effect is now well documented and so recognised that even mainstream newspapers have articles on it (and not all of them are critical!)

For those not so gifted it is often the case that quiet and calming sounds can be more effective at promoting relaxation than absolute silence (if there is anywhere in your current environment where you can achieve true silence, then you are truly privileged in any case).

For this reason, websites now carry not just articles about ASMR but videos purported to cause such relaxation or full ASMR effects. Sadly, claims for ASMR are a bit of a stretch as it seems that the sounds that cause ASMR are as individual as the person who is listening to them.

A number of people seem to find slurping noises relaxing, some prefer scratching or the sound of running water. For others, some of these sounds are positively off-putting. One person’s ASMR sound is another person’s grating, irritating noise.

I try, therefore, to mute any claims about ASMR for this blog as I can only comment about sounds that work for me. I like quiet voices, gentle and calm behaviour. I think there is a large subset of ASMR fans who like the same thing.

There is no shortage of videos on the popular YouTube site and many of them claim to be great for ASMR. I have listened to many. I found some were interesting, very few effective, most to be irrelevant to me.

I believe that this affects many people. How to arrive at a situation where you only get to listen to those videos which are genuinely relaxing? I considered that the only method was to listen to many – many videos and to keep a record of the ones that are genuinely relaxing for me.

There are probably several people who do the same thing. We are duplicating the effort in order to arrive at playlists of relaxing videos.

I use relaxing videos to get to sleep, I am old, I do not sleep well. There are many people who are either old or who do not sleep well and some of whom who are both old and who do not sleep well.

I have found that having a playlist of relaxing videos playing actually helps. (It would help even more if YouTube would quit playing loud and intrusive adverts during the night time hours – by which I mean any time between 21:00 and 07:00 – when I assume the majority of people have some kind of sleep window. However, I do not control YouTube or have the power even to make suggestions, so I work with what I have.)

I assume that many people would profit from having a playlist like this available to them. This blog is old and hence the name the Procrastination Pen precedes this idea by many years (Perhaps now I would call it ASMR Sleeping or something – however I assume there are many similar sites out there.)

Hence the Procrastination Pen is this blog, the Procrastination Pen is my YouTube channel which contains the playlists, the Procrastination Pen is the Facebook page which links to them, the Instagram page, the Twitter account and so on and so forth…

All of which is designed to inform people that there is a consistent effort going on attempting to identify suitable videos, to create a playlist of such videos and to share the playlist so that they do not have to do the same thing.

With the many ASMR channels on YouTube, I realised that there is little margin in reviewing those (unless there is demand), so I focus instead on videos which were created for another purpose i.e. whose relaxation effects are an unintended side effect rather than the main aim.

For a while now, the focus has been any variant of a medical examination video as these seem a rich source of material. I make occasional forays into other areas.

The blog allows comments, via which you can make suggestions (sensible ones I may even consider for the playlist).

The playlist is also used by me, regularly. One upshot of which is that if I find any of the included videos are not as relaxing as at first thought they get removed.

This should ensure that the playlist remains true to its original intent which is to help people get to sleep and to drift off again if you, as many of us do, wake several times during the night.

If you are still reading this far, well done, you’ve proven that you have a great span of attention and your reward can be today’s video. Which is this one:

Abdominal Examination – OSCE Guide (Latest)

At a bit less than eight and a half minutes this is not a huge video it is a professionally produced video and so has notes, and what notes, possibly the most extensive notes I have read thus far on any of the videos so far reviewed. For this reason I am only including the edited highlights in this article:

“6 Oct 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 on our website https://geekymedics.com/abdominal-exa…

The ability to carry out a thorough and slick abdominal 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.

Check out our other awesome clinical skills resources including:

– 📱Geeky Medics OSCE App: https://geekymedics.com/geeky-medics-…

– 📝 150+ OSCE Checklists (PDF): https://geekymedics.com/pdf-osce-chec…

– 🗂️ 2000+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/

– ❓Over 3000 Free MCQs: https://geekyquiz.com/

– 🩺 Medical Finals Question Pack: https://geekymedics.com/medical-stude…

– 💊 PSA Question Pack: https://geekymedics.com/psa-question-…

– 🏥 Medicine Flashcard Collection: https://geekymedics.com/medicine-flas…

– 🔪 Surgery Flashcard Collection: https://geekymedics.com/surgery-flash…

– 🫁 Anatomy Flashcard Collection: https://geekymedics.com/anatomy-flash…”

So unusually for inadvertent ASMR videos this one pins its colours to the mast up front. It’s a medical video but the notes directly state “Some people have found this video useful for ASMR purposes”.

Comments are permitted and as expected some of these comments do not appear to be from medical students. I think we can conclude that ASMR fans are all over this. I rarely find a video where this is not the case. If there is a relaxing video a few hundred or more likely thousand ASMR fans will already have seen it and often have left some very esoteric comments. I guess it is a community thing which I do not fully comprehend.

The video is calm, quiet, methodical and is more or less perfect from our perspective.

The medical professional is “Andrew” and is a final-year medical student. It isn’t clear which course, or where, Andrew is studying.

The patient is “James Alexander” D.o.B 13/12/1989 (that’s December in case you use a different method of describing dates to the UK one). It might be that we select other videos with James in for review in this article.

There are no objectionable background noises and the introductory music is thankfully very brief. However, the abdominal sounds might prove a bit off-putting for some. It might fall victim to a future weeding process but I intend to include it in the Procrastination Pen playlist.

The channel is not an obvious one for relaxing videos (at least by inference from the name) it is: Geeky Medics and it has 1 million subscribers. This has to be something of a record for a channel reviewed on this blog. I was expecting tens of thousands of videos therefore but in fact two hundred and sixteen videos as at today’s date.

Given “James” does not appear in the comments to the video it is probable that a simple search of the channel isn’t going to pull up videos where he is the patient.

Instead, I’ll go the old-fashioned route and scroll through the two hundred and sixteen videos in the hope of spotting him from the image placeholder for the video.

There are some video shorts that feature James, however the first has funky background music and so is not suitable for what we are looking for:

The latter one features some disturbing breathing sounds and so I think we can discount that one as well:

The next video of any length to feature James Alexander is this one:

Cardiovascular Examination – OSCE Guide

The medical professional is again Andrew.

This is consistent with the last one in terms of approach, volume, startup music. The notes are almost the same as before (I’ll cease to feature the notes now as they are much the same between videos.)

This is just over eight minutes and as before is marvellously calm. However, there are some loud heart sounds which might be off-putting.

The next video is this one:

How to record an ECG – OSCE Guide

At just less than 4 minutes it isn’t huge. The startup music remains muted here. The medical professional is “David,” his voice is not as relaxing as Andrew, but it is still pretty good.

The video is predominantly quiet with limited input from participants. It is methodical and thank goodness, because the procedure looks to be a complex one. Thankfully this time there are no noises from internal organs.

The next one is this one:

How to take an arterial blood gas (ABG) – OSCE guide

This is just less than three and a half minutes and we are back to Andrew as the medical professional – welcome back Andrew.

James is a trooper. He gets asked the same questions at the start of each of these and repeats the answers without blinking.

Those averse to needles I suggest that you just do not watch but lay back and listen, it will be certain to put you off if you actually watch this.

Here we get a concluding screen that tells us the medical student was Dr Andrew Pugh.

And the patient was James Lower

Intravenous (IV) cannulation – OSCE Guide

Seriously if you do not like blood do not watch this. Andrew returns and this video might need to be archived from the Procrastination Pen playlist at some stage as I am sure I am not alone in finding blood related videos distinctly uncomfortable to watch. (It may encourage you to listen rather than watch however).

I decided to look for where Graham Bone was senior clinical lecturer and discovered that he is at South Tees NHS Foundation Trust. These support the following universities University of Hull, University of York, Newcastle University, University of Sunderland.

Therefore, it is likely it was filmed in one of those locations.

Modified Allen’s Test

This is a short extract from one of the videos we have already seen. (It’s possible many of the other shorter videos on this channel have been sourced in the same way).

Respiratory Examination – OSCE Guide (Latest)

I do get the feeling that these videos re-use material from other videos, possibly this is why James is able to blithely respond to those early questions in exactly the same way. Here we have a video just over nine and a half minutes and unsurprisingly it is very similar to those already reviewed.

This one has some quite loud (and possibly off-putting breathing related noises).

So where is Dr Gareth Hynes Respiratory Registrar and does this give us any more information about where this was filmed?

It looks like Gareth is at Oxford University Hospitals so that muddies the waters if anything.

Spine Examination – OSCE Guide

Back with Andrew and a video just less than five and a half minutes in length.

So where is Mr Tejas Yarashi Orthopaedic Registrar (ST7)?

Tejas is currently at Northampton General Hospital NHS Trust but it looks like the last time he had (ST7) as a qualifier was at the Royal Free London NHS Foundation Trust.

Lung sounds (respiratory auscultation sounds)

This is just less than one and a quarter minutes and mostly off-putting breathing related noises, I suspect we can discount this one.

So was Dr Gareth Hynes ever at Royal Free London NHS Foundation Trust? It appears not.

Heart murmur sounds (cardiac auscultation sounds)

Another short one at just over two minutes and is mainly heart related noises, again I think we can discount this one

So where is Dr Matthew Jackson Cardiology Registrar (ST6)? Well it turns out that I can’t locate him so I’m not too certain.

Shoulder Examination – OSCE Guide (Latest)

just less than six and a quarter minutes and as for the previous videos so for this one. Andrew and James again and at this rate the blog post will be encyclopaedic, I think I will split this post into many and cover all the other videos in a subsequent blog post.

An absence of strange noises on this one though makes it a great deal more appealing.

Definition:

Crepitus, noises from the joint

Supraspinatus small muscle in the upper back

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 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 Chris Vanhove on Unsplash

Sleeping With ASMR

In the drive to create the perfect night-time companion (I mean the Procrastination Pen playlist rather than any other type of companion that might have sprung to mind), I sometimes weed out so many videos that it all looks like a roadside verge when the strimmer operator has been a little too enthusiastic.

Added to this is a high rate of attrition, which shows that as fast as I write about videos, people are then taking them down. Given that some of them might be being taken down due to legal reasons (such as copyright offences), it would be unwise of me to keep copies of such videos to re-upload them again (or I might find the entire Procrastination Pen YouTube channel quietly disappears).

One day I may tire of maintaining the blog, and the YouTube channel, (and the Facebook page, and so on and so forth) but I’d rather like that decision to be mine, not imposed by a copyright official at YouTube.

I’ve been weeding the playlist recently, such that the Procrastination Pen archive playlist is quite healthy in size and the Procrastination Pen main playlist (the reason we’re all here I assume) is a bit smaller. Quite enough to act as a restful companion, perhaps not quite long enough to sustain many more YouTube video take-downs.

To this end, I need to get ahead and post a few more blog posts and fill that playlist up again. Apologies if on such occasions you are notified of more blog posts than you are keen to read in the timescale. If you are short of time, scroll right to the end of this blog post and find the Procrastination Pen playlist there. Flit over to YouTube, pull up the playlist, engage shuffle, lay back, and relax.

If you’re still reading, this is today’s video:

Abdominal Examination – Explanation

It is from a university and so one assumes a professional video. As such it has notes:

“768,069 views 14 Dec 2011 Clinical Examinations

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

This is a detailed explanation of the abdominal examination 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 Mr Adam Scott MS FRCS (Edin) FRCS (Eng) Consultant General and Colorectal Surgeon. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears.

More Clinical Examination materials can be found at; http://www2.le.ac.uk/departments/msce…”

I love it when we get details about participants – it makes the video so much more believable i.e. less likely the participants are making a professional ASMR video and masquerading as medical professionals to do so.

Mr Adam Scott is referenced in several websites and so unless those ASMR professionals are getting really great at subterfuge we can be very happy that this is the real thing.

Sadly, the URL that purports to lead to further videos leads just to the University of Leicester website so I am guessing the page, where those videos were, has now gone.

The video itself is just less than eight and a half minutes and so not huge in terms of videos that we are used to.

The patient is introduced as “Debbie”. Immediately Mr Scott is quiet, methodical, patient and not overly energetic. All-in-all what we would look for in a presenter of relaxing night-time videos.

There is a background noise (perhaps air conditioning) but not as terrible as some we have heard.

The channel on which this video appears: University of Leicester is huge, it has twelve hundred videos at the time I am looking at it. It seems very unlikely that it will be feasible to ferret out the gold from amongst all the other videos. Those promoting the university, covering other disciplines taught by the university, students wanting to try their hand at video-making, and so on.

I think the approach here is to look for Adam Scott MS FRCS (Edin) FRCS (Eng) Consultant General and Colorectal Surgeon (I would search for “Adam Scott” but sadly this is not an uncommon name).

The results of such a specific search on YouTube is that we have only five videos of which in overview only one more is suitable for our purposes:

Abdominal Examination – Demonstration

This is four- and three-quarter minutes so even shorter than the last one and is pretty much the same in all respects. One of the great things is the lack of introductory music, which is not missed in any sense whatsoever.

It would be even more great if there was an absence of background noise.

There are notes: “1,206,417 views 14 May 2012 Clinical Examinations

This is a real-time demonstration illustrating technique and patient interaction involved in the Abdominal Examination. 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 Adam Scott MS FRCS (Edin) FRCS (Eng) Consultant General and Colorectal Surgeon. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears. More Clinical Examination materials can be found at; http://www2.le.ac.uk/departments/msce…”

The video basically covers much of the ground of the previous video so it isn’t new material.

Then there are three videos whose descriptions lead me to suspect that they are promotional in nature:

Bowel Cancer Signs and Symptoms

This appears on the channel: Spire Leicester Hospital.

This has just twenty subscribers so a lot more niche than we are used to.

The notes here are: “416 views 19 Apr 2018

Spire Leicester Hospital Colorectal surgeon Mr Adam Scott talks about bowel cancer, the signs and symptoms, bowel screening and when to visit your GP. https://www.spirehealthcare.com/spire…”

Although this is a presentation, Mr Scott has a great voice and I would be tempted to include this video in the playlist. However, I suspect that people may well find this off-putting (it is a scary subject).

The URL referenced in the notes simply redirects to Spire Leicester Hospital.

The Channel has only five videos and it does not appear to have any material that we can use for night-time relaxation.

The next video (and the one after that) both appear on a channel: PPM Software. This has one subscriber and three videos of which Mr Adam Scott makes up two of those – to me this appears to be promotional material.

The first video is just half a minute:

‘PPM’ Software, Client Testimonial

There is funky music – uuurrrgh.

The recording is loud with loud background music and of course it is very short, not the sort of thing we’re looking for at all.

The next video is more of the same:

‘PPM’ Software, What our Clients say

This repeats the above almost exactly but is twice as long. It is designed to sell a product and I do not think we can make use of it at all. This one isn’t for the Procrastination Pen playlist.

So, two videos for the playlist. Just enough to create a playlist for Leicester University.

However, if the quality is this good, I think we’ll be back with Leicester university again in the near future.

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

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

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

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

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening experience to log on, this interrupts the listening 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 Vera Barus on Unsplash

Sleeping With ASMR

Recently I have noticed that the videos available in The Procrastination Pen playlist have started to reduce. I haven’t commenced any new weeding activity so the videos have not been jettisoned into the Procrastination Pen archive playlist. Nonetheless the number of videos is going down.

Looking at the Procrastination Pen playlist, I find that ten unavailable videos are hidden at the current moment. It is tempting to conclude that because an extra spotlight has been shone on them by The Procrastination Pen blog, people have rushed to hide them from view. More realistically, I think this is the natural process of attrition. Two of the videos are now showing as marked private and eight have been deleted.

It would appear there is a race on to getting the material listed on this blog before the featured video disappears.

It would be great to create an archive of ASMR videos so that they would be permanently available. However, I am no legal expert and I suspect that there maybe a whole argument about original ownership of videos, permissions, fees and so on. The upshot is that unless the blog keeps on rolling forwards, the playlist is going to continue to diminish in terms of the number of videos it contains.

It also means that you need to get listening to the featured videos soon after I publish the blog article, as videos are obviously being removed and you may be left with a small subset of those featured.

Another undesirable outcome is that some of the blog items are going to have blank spaces where videos used to be. I can’t see how to avoid that, other than to keep deleting old blog items. That may, ultimately, be the approach that I have to take.

I’ll keep rolling forwards with articles, unless it becomes obvious that simply by documenting videos in this blog causes the videos to be removed. In which case, the blog will have become a Jonah of ASMR and I will desist with it. (However, given the statistics on this blog I think that is unlikely and extremely unlucky if it turns out to be the case.)

And so, to today’s video:

The Full Neurological Examination

This begins with the kind of funky music that we have become used to. How much nicer it is when we find a video that does not employ music. This one is narrated and the narrator has a good voice. Immediately it seems that we are in safe hands.

Definition:

Romberg’s test – a test of balance involving a person standing with feet together and eyes closed.

The voice of the medical professional, which we hear briefly at intervals, is also a good voice and better still there is little background noise.

Just examining the comments, reveals that a number of other listeners have discovered its relaxing effects.

The channel is UCL Clinical Skills which as at today’s date includes thirty-nine videos. That is quite a few to document in one blog post (and I’m sure that you’re in a hurry to get to the Procrastination Pen playlist).

There are no playlists on this channel, so the habitual mechanism of thinning down the number of videos to a size that can be readily dealt with in one post by focusing on a playlist on the channel is not going to work.

The backup method is to look for videos where the same medical professional is involved or the same patient.

In this case, there is more than one video involving the same patient. I’ll focus on just those videos this time.

Abdominal examination (basic for Y1 & Y2 students).

There is more funky start up music (oh dear) and a different narrator. The sound quality is not so great but no less relaxing. There is now evidence of background noise on some of the narration tracks.

There is also a variability in volume which is undesirable when listening and trying to get to sleep.

However, it is still a good one to include in The Procrastination Pen playlist, I think.

Neurological sensory examination of the lower limb (basic for Y1 & 2 students).

Here we have the same narrator as in the last video and the same start up music. It would be great to edit that startup music out.

The volume of the narrator seems to be lower which will make inter-video volume an issue if you are listening to the playlist. The background noise in the examination parts of the video seems a bit higher. There are hardly any comments, so it is possible that this is not getting as much ASMR listening time as the previous videos (let’s hope The Procrastination Pen can change that).

Neurological motor examination of the lower limbs (basic for Year 1 & 2 students).

The self-same intro and narrator. The narrator used in the first video (who had a better voice) has obviously packed his bags and headed for the beach which is a shame for us but probably great for him.

Definition

Clonus a rhythmic stretch reflex.

An introduction to examining the cardiovascular system; Y1 & Y2

We’re now well used to the start-up music. The narration sound quality is not that amazing on this video. It sounds like the narrator is at some distance from the microphone (or the microphone hails from 1958).

Definition:

Peripheral cyanosis: extremities having a blue colour.

An Introduction to the Abdominal Examination – Y1 and Y2

We are ringing the changes with the narrator here although not with the introductory music. It would be delightful if that music would just go for a walk somewhere rather than play at the start of a relaxing video. The narrator’s voice is really too deep in this video to be properly relaxing and comes as a bit of a shock after what has gone before.

However, it is not sufficiently off-putting to deny it membership of the Procrastination Pen playlist. (Although it may be weeded out in the future).

Fortunately, the delivery is well paced and spaced. Which soon allows relaxation to return, although this isn’t a top ASMR candidate by any means.

Definition

Epigastrium upper area of the abdomen.

Cardiovascular Examination

We’re back to the peppy music. This time the narrator sets off as if she has to speak to an auditorium, loud and a bit clipped. Perhaps that auditorium is full of misbehaving children.

It is not a relaxing presentation.

Although we have the same patient it is not as chilled as previous videos in this set. I do not think that it can sneak into The Procrastination Pen playlist.

This set of videos must be excellent for instruction, I’ve seen a few medical examination videos now but I am still learning a great deal by watching. However, that is not the purpose of this set of blog posts.

Abdominal Examination

We’re back to the deep voice we heard in “An Introduction to the Abdominal Examination – Y1 and Y2” above. It isn’t marvellous ASMR-wise however not enough to discount it from the Procrastination Pen playlist. It might be dropped on future review though.

Definitions

Glossitis

Inflammation of the tongue

GALS Screen (Gait Arms Legs Spine) examination – real time

There is no narration on this one which is actually rather refreshing. The medical professional is relatively quiet. In fact, this is a great video for ASMR purposes. His tone is good and his approach methodical, everything that we have been looking for thus far.

Some of the videos do repeat some of the material from previous videos in the same series. I am assuming that this will not be too off-putting of you follow my advice to play the playlist on shuffle so that you do not just get them one after the other.

That’s it for now.

However, the channel has been good for us so I intend to return here to look at some of the other videos it contains.

The UCL Clinical Skills playlist on The Procrastination Pen is here:

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

The archive playlist of videos that were in the above playlist but found after repeated review not to make the grade, is here:

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

The playlist of videos requiring age verification is here:

I can’t be bothered to stop my listening experience to log on, this interrupts the listening experience. You may not mind 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

Having a bad day at work? Just want it to be over? Despair that you’ll ever chill enough to actually get any real sleep tonight? Welcome to The Procrastination Pen. Here the finest in inadvertent ASMR material is reviewed at intervals. Even better there is an ever-growing playlist of curated items for your delectation. And if after all that you’re still plotting ways to murder the boss in an undetectable fashion, at least you’ll get to listen to a relaxing video whilst you are doing it.

Today we have a video from a channel dedicated to health. Nothing could be more medical than that I am thinking and therefore any ASMR effects must be purely down to chance. So far so much the aim of this sequence of blog posts.

The Lung and Thorax Exam

The notes are helpful, which we often do not find: “Jessica Nishikawa demonstrates some of the techniques of the Lung and Thorax assessment.”.

We know who the professional is before we start. Comments are turned off which is a breath of fresh air after some of the nasty stuff that you sometimes see.

We start with Jessica Nishikawa DNP, FNP-BC. DNP appears to be Doctor of Nursing Practice. FNP-BC is Family Nurse Practitioner – Board Certification

Unless you follow nursing, you, like I, may not have been aware these qualifications existed.

Suffice to say a highly qualified person then, but this is not why we are here.

The background hiss which we have heard often before is present here as well. Initially I thought I was going to exclude this video from the Procrastination Pen playlist, but it soon settles down to be less obtrusive than in some of the videos I have reviewed of late.

The “patient” is McConnaugh (probably nothing like the spelling). A quick search of YouTube determines that McConnaugh appears elsewhere such that he might crop up in a future blog post.

At intervals Jessica looks off video to her right. I’m not sure if there is a person there or if she has notes about what she wishes to cover. However, you’re likely to be listening rather than watching, so it is unlikely to affect you.

This is moderately good – no Hollie Berry but still worthy of a place in the playlist I think.

The channel BilderbackHealth surprisingly has only eight videos (including the above one), so we can comfortably cover this off in one blog post.

The majority of the videos feature Jessica – there’s a couple that look like they are not going to be on theme including one on Log Cabins so it might be that six is the total we’re going to be looking at today.

The HEENT Exam Video.mov

The “patient” is Miley (the spelling may well be incorrect).

HEENT head, eyes, ears, nose, and throat.

Sclera the white of the eye.

It is great to have a medical video from a medical facility (not someone’s front room) and for the noise of air conditioning to be absent. Having got used to background noises of late, it is fantastic what a difference silence makes. I may be weeding some of the more air condition-y (new technical term) videos from the playlist going forwards.

The presentation is lovely and quiet. Positively gentle at intervals.

Definitely a Procrastination Pen playlist member I think

The Cardio Vascular / Peripheral Vascular Exam Video.mov

McConnaugh is the “patient” again

JVP – Jugular venous pressure – used to diagnose types of heart and lung disease.

Thrill – a vibration felt whilst palpating a blood vessel.

This remains consistent with the first video we looked at.

The Abdominal Exam Video.mov

Miley returns as the “patient”.

I’m not sure if this is bias but the videos featuring Miley sound to me moderately more-gentle than those featuring McConnaugh. In any case this one is consistent with the HEENT video featured previously.

The Neurological Exam

Connie is the “patient” here – somebody new. Interesting that cranial nerve one is generally not tested and yet how many of these videos have we seen in which people test coffee or even alcohol to verify that this nerve is functional (its function is for smell perception).

This is a bit more of an instructive tone than the ones that have gone before. However, it is probably indicative of the consistency of this set of videos that I even bring this up. Usually in a group of videos that I review we are lucky to have one or possibly two videos included in the playlist. In this case we very likely will include the majority of them. We have not seen that since Dr James Gill.

The Musculo Skeletal Exam

Chris is the patient this time (I’m a bit more comfortable with that spelling)

The best demonstration of abduction and adduction I’ve seen so far.

I’ve watched a number of these and have just realised that Jessica does her nursing in a set of high-heeled shoes, I have pity for her poor feet and respect for her endurance standing on her feet all day in those shoes.

Anyway, this will probably be the last time I actually watch the video (listening being the more usual approach) so this will be of no concern to me (and likely to you either).

I love the pronunciation of buttocks probably the first time I have heard it pronounced that way.

Another video the equal of the ones we have seen in this post previously.

It’s worth noting that Jessica has her own channel, which given the nature of these videos is very likely going to be the subject of an upcoming blog post.

Hand Hygiene

The guitar music is good, but in other respects this is just not the quality of those that have gone before. This is not going to be in the Procrastination Pen playlist.

It also goes all funky subsequently which is just not conducive to great relaxation. (Entertaining though I’m sure it is).

Outside Log Cabins 1.16.21 with Jamie O’Brien and friends

Funky music from the outset, charming images but that isn’t why we are here. This is a poor fit for the Procrastination Pen playlist.

In general, an excellent set of videos and the largest consistent set of videos for the Procrastination Pen playlist we have seen in a while. This gives me more ammunition for ongoing weeding activity to perfect that playlist.

The Bilderback Health 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 working through that playlist repeatedly and some of the videos that were members have now fallen from favour. If any of your favourites are in there you can find them here in the archive list:

Quite often the videos getting removed have no faults other than excessive background noise.

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.

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Until next time.

Photo by Shona Macrae