Discipline – The Procrastination Pen

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