Tag: Air Conditioning

Sleeping With ASMR

We are back to fairly safe ground this time. Firstly, this video is not found in a channel dedicated to ASMR (this blog focuses on unintentional ASMR videos for review material). Secondly, we are back to a Cranial Nerve exam which has featured before.

Neuro PACES is the channel and it is fairly easy to cover as it contains in total five videos none of which is longer than ten minutes (in fact all are quite a bit shorter than that).

The Cranial Nerve Examination is this one:

Cranial Nerve Examination Example

A nice calm start but progress through the video does seem to be quite hurried. Dr Michael is the medical professional, Mr Foot is the “patient”

I would guess that in order to get the entire exam completed within five minutes Dr Michael really needs to be motoring along.

The video is quite a bit different to the Vicki Scott one in this respect.

As the video progresses, if anything, it gets even quieter but the pace never seems to slow down much. To me that is not too distracting and it is a good video for the Procrastination Pen playlist I think.

The patient here states that the sensation in his face is unequal. This is the first time we have come across this in any of the videos covered so far. Surprisingly there is no mechanism here for noting that concern, that seems unusual. In addition, the medical professional here does not echo back the concern. Reflecting the concern has been more typical in the videos we have covered so far.

The link at the end of the video links back to Liverpool university neurosciences research.

A number of the videos seem to have been set up specifically for the neuropaces course organised by:

Professor Benedict Michael, Professor in Neuroscience, MRC Clinician Scientist and Honorary Consultant Neurologist

Professor Tom Solomon, Chair of Neurological Science and Honorary Consultant Neurologist

Dr Viraj Bharambe, Neurology Consultant

Dr Rosie Heartshorne, Neurology Registrar

I’ll make a guess that Dr Michael and Professor Michael are the same person.

Investigating the rest of the Neuro PACES channel we find that there are no playlists. Without a playlist order to guide the sequence of videos to review let’s begin with those videos dedicated to medical examination:

Lower Limb Examination Example

This features Dr Michael again, this time with Mr Jamieson. Again, this is a very gentle presentation. This one is pretty nigh ideal for our purposes and is a definite candidate for the Procrastination Pen playlist.

The patient here seems to be really struggling, the first time I’ve seen this featured in a medical examination video. The videos reviewed to date have always featured healthy people. I’m guessing these are usually student volunteers. This is quite a good vindication of what the process is supposed to be for i.e., verifying an unwell person’s condition.

For our purposes though it is a good ASMR candidate and like the previous one merely five minutes long. I’d say Dr Michael is as good here ASMR-wise as Dr James Gill which is quite a statement to make.

Neurology Lower Limb Examination for MRCP PACES. NeuroPACES.mov

https://youtu.be/zSqczy8Km2M

The patient isn’t introduced in this video and Dr Michael starts off in much more robust fashion than in the previous two videos, (it’s quite a bit louder, as if he is trying to enunciate for a distant audience). There is a consistent background hubbub as if it is being filmed in a public area.

However, it still has its quiet and attentive moments which brings it back into a candidate for the Procrastination Pen playlist for me. It is still not quite as good as Shane Brun though.

In common with the other videos in this article it really motors though and is all over in five minutes. Overall therefore this one is not a great Procrastination Pen playlist candidate.

The Solomon System- NeuroPACES

This time the medical professional is flagged at the beginning Professor Tom Solomon PhD. FRCP of the Walton Neuro Centre NHS Foundation Trust & University of Liverpool

The “patient” is quite quickly introduced as Simon.

This is a longer video at eight minutes fifty seconds (though that is still not long in terms of the many videos we’ve reviewed in the past).

Professor Solomon has not got quite such a calm voice as Dr Michael sadly. I think again the problem is that he is presenting to a wider audience so his voice is louder. But at least there isn’t the background hubbub in this video.

There is quite a good description as to why some of the tests are actually performed and how to do these tests in the minimal time.

I’m not going to add this one to the Procrastination Pen playlist though.

NeuroPACES: The Walton Centre Neurology MRCP PACES Course

Another calm start, however it is just an intro video to the neuro PACES course. We get promotional material including funky music. This is not the kind of thing you want when you’re attempting to doze off.

This one is not going into the Procrastination Pen playlist.

The NeuroPaces playlist on the Procrastination Pen channel is here:

The overall Procrastination Pen Checklist (featuring all videos covered in the blog so far) is here:

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

I keep this in case people have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I dislike these as they require me to stop listening and login to verify my age. You may find that you have more patience than I do in which case this list is for you.

I hope that you find the playlists restful and I hope you get plenty of relaxation as a result.

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

Till next time.

Photo by Shona Macrae

Sleeping With ASMR

As before, I should provide a brief introduction for those who do not know anything about:

a) this blog

b) this subject.

I’ve written on this before and it might be worthwhile reviewing that post for details.

In brief though, this section of the blog involves reviewing ASMR videos, or indeed any video that could be relaxing enough that when you are desperate for sleep it might encourage you to get some.

The result is a playlist of such videos and the opportunity to feedback as to whether my choices were appropriate that week.

The YouTube Channel this time does not have many subscribers two hundred and seventy subscribers in fact, so it is almost an unknown channel. Is this an ASMR find? Possibly…

The video is:

Head to Toe

This has a reasonably high level of background noise, possibly an open space perhaps (although the part we get to see is enclosed by curtains). The nurse is Keisha whose channel this is (more of that in a moment). The “patient” does announce her name which I think is “Mallory Myers” – that looks wrong to me but it is what it sounds like.

The comments as usual are a bit off the wall, even brutal, but fortunately if you came for the sleep then you will not be reading those (or even watching the video). It is all about the sound.

The video has the hallmarks of one of those we’ve seen previously i.e. created as part of an assessment process. For example this one includes the fake washing of hands and the insistence on drawing curtains for privacy that are already drawn.

I’ve concluded that somewhere there is a checklist that student assessment videos are unthinkingly adhering to.

These videos have a feeling of being “busy” i.e. trying to cram everything in that the assessor wants to see. This includes a number of technical terms I imagine very few patients would be bothered to hear about.

There’s also a long period of more-or-less nothing at the end when Keisha is doing the paperwork, presumably this is again a requirement.

The examination is lovely and calm, the background noise quickly stops being distracting. There are moments of shared humour and there seems to be reasonable rapport. This is a good Procrastination Pen playlist candidate.

It may have been recorded at Valdosta State University – the nurse’s shoulder badge at one stage appears to indicate this location. This university of course has a YouTube channel, with three hundred and four videos as at today’s date but it does not include any of those listed on Keisha’s channel.

The channel is Keisha CoxKelly.

There are seven videos as at today’s date with the above one being the most obvious candidate for ASMR. There are no playlists. However, with only seven videos we can probably take the time to review them all. (Well I can, and you can scroll to the end to listen to the playlist).

There are no videos posted more recently than eight years ago presumably that is how long ago Keisha was a student.

NG Tube

One thing that we can be absolutely clear about here is that there will be zero patient interaction. The patient appears to be plastic.

There is background noise, more insistence on fake privacy and cleanliness measures.

It is quite surreal watching the one-sided interactions in this video.

The notes state it is VSU college of nursing which seems to confirm my earlier guess about the location.

Nonetheless Keisha retains the quiet voice of the previous video and the procedures appear calm and measured. Even if it is apparent that a plastic model cannot actually swallow a tube.

There’s also an amusing point where the person videoing films their own fingers.

This video is a bit borderline. I’ll add it to the Procrastination Pen playlist but it may fall victim to a future weeding process.

FOLEY Cath insertion/removal

This time the video notes confirm that it is Valdosta State University College of Nursing. There was no need to go investigating shoulder badges after all.

The background noise seems worse because Keisha seems very quiet on this. The microphone is presumably not fully up to the task.

The “patient” has no legs which is almost as distracting as people talking and laughing in the background. The patient is plastic, which is a bit of a relief given the subject area. (I’d probably get some kind of YouTube content warning otherwise).

The camera-holding person is a bit of a fidget but given we’re here to listen (and to sleep) that is not such a concern. The sound isn’t amazing but it is unlikely to cause you to wake up in a hurry at 3am (unlike some YouTube adverts I can mention). Therefore, on-balance I think we can include it in the Procrastination Pen playlist (with the emphasis on potential future weeding activity).

Insulin Mixing

This also suffers from low volume. However, I am not so clear this will matter late at night when, necessarily, the volume will be way down in any case. (To ensure that you are not woken by the very playlist you were using to fall asleep in the first place). There is no patient in this video so it does not really qualify as an exam as such.

Keisha seems to be admirably measured in approach. I’m sure there must be classes on Zen meditation or something similar happening in the background to generate so many medical trainees this calm.

I’ll put this one in the Procrastination Pen playlist (even if only temporarily).

Wound Care

The one-sided conversation is nearly as surreal as the virtual door which you can neither knock upon nor close to “provide privacy”. The sound is slightly better apart from the traffic noise which makes itself felt. Once again this includes a plastic “patient”. At least he/she isn’t loud.

The snapping gloves noises are a bit of a wake-up though.

At nearly thirteen minutes it is amazingly long for a one-way interaction but I suppose the great thing about it is that it is quiet. Another video that’s on the Procrastination Pen playlist (possibly pending a future cull).

IM and SQ injections

I would guess this features two student nurses, our favourite, Keisha, and what sounds like “Sky Voss” but probably isn’t. This is filmed in a public area with minimal screening. So far so normal student assessment video.

At just over seven minutes it doesn’t hang around. As injections are not my favourite thing I’ll be watching from behind the sofa.

There is fake privacy and cleanliness again. There is also quite a lot of technical terminology, (as we saw previously). I’m presuming no standard patient would comprehend, let alone request this.

Fracturing the ampule was a bit of a shock (it is loud) but not as bad as the gloves snapping in the previous video. I’ll feature this video on the Procrastination Pen playlist for now.

I’ll schedule a playlist review shortly and remove any that no longer seem up to the desired quality.

IV administration

This is positively whacky; on this occasion the “patient” is a plastic arm.

The sound quality starts bad and seems to get a lot worse. It is like someone is trying to record the video with the microphone actually inside their pocket. There is almost no reception of what Keisha is saying. The presentation could be excellent but sadly it can’t be heard.

Hence this one needs to be rejected from the Procrastination Pen playlist.

The playlist for Keisha is here:

The overall playlist of every video that made the grade after a review on this blog is here:

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

I keep this in case people have personal favourites that they want to hear.

The playlist of videos requiring age verification is here:

I dislike these as they require me to stop and login to verify my age. You may find that you have more patience than I do and so are prepared to give it a listen.

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

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

Till next time.

Photo by Shona Macrae

Sleeping With ASMR

As promised in a previous blog post we are back again at the Merck Manuals channel. Last time we were covering the Ortho Exam playlist.

Relevant videos from this playlist/channel have already been added to the Merck Manuals playlist on The Procrastination Pen YouTube channel.

And into the overall The Procrastination Pen playlist:

There are twenty-two playlists in this channel some of which are extremely large. (The “Merck Manual Consumer Version” contains ninety videos for example. If I attempted to cover all of those it would not be not so much a blog post as a book on ASMR).

Since my last blog post they have changed elements of the Merck Manuals channel to state that it is not available outside the United States.

I hope it wasn’t something that I said.

If like me you’re not in the United States I am afraid that you are left with whatever remaining crumbs there are in terms of videos that are still available.

Parts of some playlists remain accessible.

The playlist:

The Neuro Exam – Merck Manual Professional Version

Contains seven videos which are still visible outside of the US. (Who knows how long you’ll be able to see even these. I suggest you go listen to them before it is too late).

How to do the Mental Status Exam | Merck Manual Professional Version

https://youtu.be/14s9jMf4vR8

This is another video with funky start up music. I mean, really, don’t they know I’m trying to sleep?

The narrator here is way too loud sadly. Fortunately, that doesn’t last very long. The “patient” states that she is in Philadelphia in the Einstein Medical Centre. It’s not your standard ASMR stuff in that it is a little bit loud even in the medical exam portion.

I also notice that the medical professional asks how many nickels there are in a dollar and I realised that I did not know (in case you’re also not located in the US the answer is twenty apparently).

Some of these tests are a bit tough. It made me wonder about my own memory as I’m not sure I’d be able to pass such tests.

The video is just a bit loud I think and not great ASMR material so not one for the Procrastination Pen playlist.

How to do the Cranial Nerve Examination | Merck Manual Professional Version

It looks like startup funky music for videos in this playlist is going to be a theme.

Here the narrator is more muted and much more in keeping with what we’re looking for, I think. The video is designed to be for teaching/instruction so although there is an examination of a patient the actually dialogue between medical professional and “patient” does not feature in the video.

However, I think this one will make it to the Procrastination Pen playlist.

Cerebellar Examination: How to Assess Gait, Stance, and Coordination | Merck Manual

There is music at the start as before. Maybe eventually I will find a way to edit videos for their ASMR effects but that currently is not the purpose of this blog/playlist.

The narrator has learned his lesson after the somewhat loud presentation of the first video in this list. He is quite calm and reasonably quiet.

The exam proper appears without audio – the narrator is filling in what the stages in the exam mean. It is an instruction video that is also quite good for ASMR. This video will also be in the Procrastination Pen playlist.

How to do the Motor Examination | Merck Manual Professional Version

I notice that comments for these videos are turned off. Turning off comments stops some of the crazier contributions that we’ve seen of late but it also stops us working out if others are using these videos for their ASMR effects.

To me they seem a good find, this one included.

How to do the Sensory Exam | Merck Manual Professional Version

This is the longest video of the set, but it follows the format of the other videos seen so far. We’re entirely reliant upon the quality of the narrator here (especially to distract us from the music interludes). Fortunately, he has a good voice.

There are intrusions of parts of the genuine exam here. The only distraction with these interludes is the background noise. This is almost certainly the air-conditioning noise which we have become used to from other videos.

In this playlist whilst the medical professionals have changed between videos the “patient” remains the same.

Another good video for the Procrastination Pen playlist, I think.

How to Test Reflexes | Merck Manual Professional Version

Apart from the first video these have been consistent. Quite a good find this series and this particular video is worth making part of the Procrastination Pen playlist.

How to do a 4-Minute Neurologic Exam | Merck Manual Professional Version

https://youtu.be/5UuQV-0o4CE

This is exactly the same format as the other videos covered in this article. They were all posted six years ago. I notice that the notes tell me something about the Merck Manual:

“First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world’s most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional”

I’m guessing that there is some financial consideration involved in its use. If it produces videos of this quality, I’m in favour (well until they totally remove my ability to see the videos in any case).

However, if the video recording guys are reading, please quieten down the funky music at the beginning (or better still go for a silent intro).

This is another one for the Procrastination Pen playlist, I think.

The Merck Manuals playlist has been updated with these videos.

The overall playlist containing all the videos featured so far is here.

The above playlist has now grown quite large so I have started to weed out some of the less effective ones. However I realise that some people may consider them favourites so I have added the removed videos to an archive playlist.

However, if people who post videos keep taking those videos down again, or making them unavailable to a person writing a blog in the UK, then I may find the weeding is being done for me behind the scenes.

There is also the playlist for the small number of videos I have covered that require age verification. There has been limited demand for these so I doubt I will cover many more (unless I do so by accident).

https://www.youtube.com/watch?v=q5WRzP-r5mY&list=PLoNk1vXn1i4E3Lj_4mYQlX1QvGafeFLPg&pp=gAQBiAQB

I hope that you find them restful (and that you get some great sleep).

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Photo by Shona Macrae