Tag: Cardiovascular

I recently came across a question that seems straightforward, but, in the manner of such questions, swiftly becomes a rabbit hole for the mind. I mention it only on the reflection that the things that affect your sleep may not be as intrinsically you as at first sight.

The question was how much of you is actually you and how much comes from others. Initially, on thinking about this, I concluded that actually I am all me. But on breaking it down further, I understand the influence over time of parents, teachers, lecturers, employers, work colleagues, friends, famous figures, intellectuals and so on.

Taking aside people for a while, I find the influence of the media, the television, the newspapers, social media, the Internet. Until, in the end, I reach the conclusion that nothing is really me at all. There is zero of me that is intrinsic.

That being the case, the aspects of life that have negative connotations one would think are optional. If one cannot sleep worrying over something or other. In fact, this is outside of one’s self. Socialising to ensure that behaviour was in line with society norms. Expectations of others. Influences absorbed over the years from all communication mechanisms to which one has been exposed.

Similarly, expectations about appropriate times to sleep. The manner in which one sleeps. The things that one wears for bed. The chemicals one should take to assist with sleep and those that one should avoid. Every single one of these (and more I have not thought of) have come from outside of oneself. They must, all, therefore, be optional.

On some level one can decide to reject each and every one of them (in some cases, it would require a lot of work admittedly). I believe that a thought exercise like this is highly valuable. If you are struggling to sleep, perhaps, one of the aspects that you regard as critical is, in fact, up for debate.

Do you actually need to sleep when other people say that you do? Do you actually need to eat, exercise, drink, behave in the fashions that have been laid out for you? Is it worthwhile experimenting to find something that works for you in a better way? Even where such experimentation takes you into areas that others would find peculiar or at the least “different”.

The process requires more work than I have given it, but perhaps expanding ones thinking to embrace options that normally one would disregard without thought, may contain the seeds of a practical solution.

I notice that it is now established (as I had already concluded on this blog) that sleep gets more difficult as we age. Whenever I read articles like this, I always find the explanation of the problem to be far more compelling than the solutions. In fact, after a while, if you spend time reading a number of sleep articles, the solutions seem to come down to the same things.

One would never tend to find any solutions that would require changes that affect the ability to make money. (In fact, solutions like that tend not to occur in any media-based article I notice). For example, if you found that you could get a great amount of sleep by getting up at 3AM and going back to bed again at 11AM this would not be recommended. It would require a restructure to the way that the day tends to operate in the current working world. As far as I can tell it would be feasible to reorientate a day to fit around how a person’s body clock actually works and get the same amount of work done.

However, it would be difficult. Difficult equates to costly, and costly is an option that will never be suggested. I am not suggesting it is the correct approach. However, when you are considering how much of you is you and how much is the influence of others take into account the solutions that are never mentioned. Some of them maybe as powerful as the ones that you consistently see. There will be very good reasons that you do not see them. Some of those reasons may not be a good fit for you.

Of course, if you have found your way to the Procrastination Pen, it is probably because you have got used to using sound to distract you from all the whirring, buzzing and grinding that happens between your temples whenever you try to lay down your head. I have tried for many-many months to lay out auditory solutions. Many of these have derived from publicly available sources. I review one, I determine if it is suitably relaxing, I put it up for you to consider. Some of these have been more successful than others.

Of late, I have looked for sources outside of YouTube and out of sheer laziness, no doubt, I have found that the Internet Archive delivers a resource to which I continue to return. However, it is variable to say the least and today’s offering is no different.

Martin & Ryan (unintentional ASMR)

https://archive.org/details/MartinRyan

Blink and you will miss it. The video is less than ten minutes in length and it starts off immediately with strong background noise, which could be air conditioning. The participants are so quiet that noises from adjacent cubicles can be equally clearly heard (this is a definite “turn the volume up” video).

I would say that the patient describes himself as “Ryan Parnell” but the sound track for vocals is so indistinct I cannot be certain (even with the volume turned up to eleven). Turning it up in this way made the drawing of curtains for privacy frankly deafening and I needed the modern version of a graphic equaliser to amplify the vocal track whilst muting everything else (I do not have such a device).

The extraneous noises are very distracting; I would make a guess that the recording equipment (such as it is) was really not up to the job.

At this volume the use of a blood pressure cuff is enough to cause you to tear off the headphones in self-defence. At one point, the sound of the person breathing is actually louder than the sound of the person talking. That is, to say the least, unusual. It is a shame because the pace of the examination is well measured and what I can hear of the participants’ voices sounds very calming. The sad thing is that the intrusive noises are louder than the voices here. Not a video I would review again, but as I constantly comment, there are so many varieties of ASMR fan out there. I’m pretty certain there is at least one who will rate this highly.

I tend to spend a little while each day listening to some content from Calm. Today I thought I would recommend one that I heard some time ago:

https://www.calm.com/app/player/ZG8utTdTSd

Daily Trip

The Unchanging I

NARRATOR

Jeff Warren

AUTHOR

Jeff Warren

Calm is not free. If you want to listen to this material you are going to need a subscription. I feel suitably guilty about mentioning a paid-for option that I linger for only the briefest moment on this section and move swiftly on – to the section where I review a professional ASMR artist.

Today I am looking at one which is something of a cheat, given that it is peripheral to the core medical theme that I have focused on for a great many months.

British Doctor Hand Examination | Real Medical ASMR for Sleep

Firstly, it is unintentional ASMR content so is not specifically from a professional ASMR artist, as such. Secondly, it is from a channel dedicated to Unintentional ASMR, the clue is in the name: Unintentional ASMR Sketches. This channel has one hundred and thirty six videos, five playlists, of which the odd one seems on theme for us:

and

and

Here, therefore, we have a video originally created for one purpose, now employed to kick off some ASMR triggers. (More or less the kind of thing I try to find but here curated into ready-to-wear easy to consume packages).

Normal service will be resumed as soon as possible.

The video is in excess of thirty-three minutes and so not the shortest we have seen. It has notes: “136,639 views 19 Aug 2024

Welcome everybody! Everyone reading this will share a common love of ASMR, specifically Unintentional ASMR. So, this channel is dedicated to finding the best unintentional ASMR videos around, from medical exams, clinical demonstrations, soft spoken instructionals, psychics, spiritual healers and all other unintentional ASMR triggers to help give the tingles.

Simply put this channel is unintentional ASMR. Plain and simple.

Each video takes time; I do significantly edit these videos both the visual parts and audio in order to maximise their ASMR effects so if you enjoy this content then please give the video a like and consider subscribing for more unintentional ASMR content.

One of the best things about the ASMR community is the comments section, so please WRITE A COMMENT (especially if it’s humorous)

Hope you enjoy the ASMR!”

The notes indicate that comments will be permitted and, boy, are there a few of those. Mostly they appear to be ASMR afficionados trying to prove how in the know they are about ASMR. This is rather sad. Rather than a community of people loving calm voices, this is something more of a clique. No matter, we can ignore such things and draw conclusions about the quality of this video for sleep purposes.

It starts loud, with pronounced background noise. The professional’s title is across the screen: Mr Steve Turner, Consultant Orthopaedic Surgeon and College Examiner …

Although the video is loud, Steve has a great voice. He introduces the patient as John. John does not get to say anything. The video quality is poor, hazy in fact, and appearing out of focus. I assume it has been captured from somewhere and along the way some quality has been lost. Perhaps that also explains the hiss in the background.

I turned the volume down and everything was much more palatable (rather the opposite to the volume needed for that first video).

The pace is excellent, methodical, measured in approach. Just the sort of thing that we want to hear. There is relatively little extraneous noise. Such equipment as is employed is introduced without excessive noise. However, at 10:20, music commences. It is loud, louder than the vocal track; it is distracting. Given the person providing the channel purports to be editing the videos for palatability why is it included at all? Fortunately, it lasts for a mere moment and we are back to the voice again. At 20:13 we see a University Hospitals Coventry and Warwickshire banner in the video (possibly a clue as to where we might find the full version of this video). Fortunately, this is not an excuse to introduce yet more music. It is at this point that we recognise that very likely this video is an assemblage of many shorter videos punctuated by those banners.

I executed a search after reviewing this and found that the original video(s) have been taken down. So it is highly likely that this is the only version that you will ever see/hear. In which case it is well worthy of a review.

The inadvertent ASMR video this week is this one:

Cardiovascular examination demonstration

It has notes: ” 1,274,509 views 2 Feb 2019

MRCPCH Clinical Revision – more videos at http://mrcpch.paediatrics.co.uk

Demonstration of a paediatric cardiovascular examination by Professor Alastair Sutcliffe. Filmed and edited by James Diviney.

Revise for your MRCPCH Clinical exam, with videos and high-quality content created by the London Paediatrics Trainees Committee. “

Which are blissfully brief. Comments are denied – which might be for the best.

The channel is Pass MRCPCH – London Paediatrics Trainees Committee this has sixty-one videos, ten playlists (not surprisingly many of these look appropriate for the theme of this blog.

Todays’ video is a little less than seven minutes, so it will not keep us long. It will be interesting to see if it fits in with a theory I had some time back in this blog i.e. that adults speak much more quietly and empathetically when dealing with children than they do when dealing with adults. I wonder if that says something about the origins of ASMR itself.

This video, thankfully, starts without music. However, it commences quite loudly with a presentation towards camera (I’ll assume that it is a camera). There is quite substantial background noise – an ongoing hiss which probably speaks to the quality of the recording mechanism employed here. There is the odd thunk (presumably of equipment being moved off camera). After a brief introduction the young person (Molly) is introduced and as if by magic, the medical professional’s voice becomes more gentle and more measured.

The medical professional is humorous; the presentation is, dare I say it, kind and considerate. In fact, it is exactly the pace and volume which I have been looking for in a video. Despite the hiss, I would say this one is a good video. However, the length is perhaps a little shorter than is properly ideal. Not least because YouTube is going to slot in a bouncy advert straight afterwards.

For the patient she appears to be relaxed, even entertained, which must be quite a skill to create, I would imagine. I thought this one rather good, probably worth giving a review. In any case, I’ll trial it in the Procrastination Pen playlist for a while to see how it beds in.

On that basis, just one, video on this occasion.

That’s it on this occasion, more next time.

See you again next week.

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 DeepAI