Sleeping With ASMR

I am poised to go on a trip. As with every trip that anyone takes anywhere, the payment in cash is a mere fraction of the payment that is required. There is the use of time you do not have, for booking, for checking, for verifying, for transferring and/or for communicating.

There is the dedication of additional time in the workplace to prepare for what will be an onslaught of material that you will have been unable to manage during your absence. There is then the consequent impact on sleep, for if your day was already busy (and whose isn’t), where is all that additional time coming from?

If you have a similar experience you may retire in a state of higher “excitement” than is useful for proper sleep. You may have spent longer than recommended on the screen evaluating places to stay or flights to catch. You may have some bad news about some aspect of the trip that has left you disappointed.

You may be concerned that the funds you thought were available are now going to have to be found via credit card, overdraft, or borrowing elsewhere.

Each item in its own way can impact your sleep. So, if you find yourself decorating the nighttime air with expletives over your inability to sleep, perhaps it is time to distract yourself with something restful.

For just such a purpose did this range of blog posts commence, rather a long time ago now. Just occasionally I receive feedback, even more occasionally it isn’t of the scam variety. If you feel the blog has strayed from where you would like it to be by all means feedback about it. I might even do something about it.

Of late, I have been linking to a meditation on Calm. I have a Calm subscription, and I rather like it. The reason I like it particularly is because I am fed up of the loud and intrusive adverts that are thrust into a great deal of web-based browsing. In particular, if you are relying on a playlist of restful videos, the inclusion of intrusive adverts is just not going to help.

The downside of Calm is that you have to pay for it. The slightly more minor downside is that the web-based version has no way of chaining the material together (say, in way of a playlist) and so it is strictly one thing at a time.

Given my recommendations of late have been meditations of no greater than ten minutes then I think (rather like this article) anything I have mentioned from Calm recently would be something of an appetiser. The YouTube content (which is generally longer) very definitely forming the main course.

Here is today’s Calm recommendation:

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

Daily Calm

Thinking

Narrator

Tamara Levitt

Author

Tamara Levitt

Tamara’s voice is one of the voices I prefer on Calm, it is very restful. Some of the other artists produce material that I prefer, but Tamara would be my go-to voice for relaxing most often.

This one is a little less than eleven minutes, so you’ll need to be quick if you’re going to fall asleep to this. It is about obsessive thinking, which maybe something keeping you from sleep and so probably directly of relevance.

I have been, recently, evaluating a professional ASMR artist in these articles, rather as a counterfoil to the inadvertent ASMR material that I prefer. Today we have:

ASMR Roleplay | Your First Therapy Session (help for stress, anxiety, intrusive thoughts)

Straight away we get the impression that is going to be one of the more whispery of offerings. Nothing spectacularly wrong with that. However, I often remark that if this is supposed to be a genuine therapy session I’d be quite surprised if anyone providing therapy did so by whispering at me. But I live to be surprised and Whispering Bob’s therapists could turn out to be a genuine thing.

It is nearly forty-six minutes long, so substantial amongst videos we have recently reviewed. And it has notes: “996,903 views 15 Dec 2022

Hi guys! This is a roleplay I’ve been wanting to do for a while now! It’s a therapist roleplay in which I whisper, type, ask lots of questions, calm you down, give you mental health tips, light a candle, do breathing exercises, flip through a workbook with you, write notes, demonstrate EFT tapping, and much more. 💜

Please note that this ASMR video is a *roleplay* – I’m not a mental health professional. I did try to recreate how my first ever therapy appointment went though. 🙂

Until next time!

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As is usual for a professional ASMR video, a healthy set of notes and a healthy set of self-promotion. So far, so expected. Comments are permitted and as you’ll know (if you have read any other articles recently on this blog) the aura around professional ASMR artists is such that all commentators seem to have left their nastier tendencies at home and praise is heaped upon the video.

It comes to us from: Sarah Lavender ASMR, with 474K subscribers, three hundred and seventy-five videos and ten playlists. Sarah Lavender is a hard-working ASMR artist.

There is a whole playlist dedicated to medical style videos:

https://www.youtube.com/playlist?list=PLymIhVfp2ZPx4yTyy4412qeylQ1YjI0bi

This is a subject which has been the grist to our mill for some months. It might be that you’ll want to give that playlist a try.

All that being said, I tend to have high expectations of professional ASMR artists and, of late, those expectations have not really been met. There are some interesting decisions around sounds which I do not like (but I am sure only exist because so many ASMR fans do like them).

In this case the voice is excellent, and often I wish that the video would stop right there in terms of included noises. Here we have ceramic noises, clothing-related noises, various clicks, taps, crackles, keyboard noises, clucking noises, writing noises, scratching noises, liquid noises, even fingernails on glass. I’d prefer that none of these had been included but I think I’m safe in assuming there will be an ASMR devotee somewhere that loves every one of those noises.

It has a tendency to be a bit on the breathy side. However, on the plus side, it seems a lot less visual-orientated than videos reviewed on this blog of late. This makes listening to it as an aid to sleep substantially more worthwhile. Sadly, it ends with music but it is neither loud nor extended. You might want to give this video a try.

The core purpose of this blog article like the many before it, has been to focus on inadvertent ASMR videos – i.e. videos that are restful despite the fact that they were created for quite another purpose (of late, habitually videos on a medical theme).

I think the Procrastination Pen playlist is beginning to graduate into the more serious leagues given how large it is getting and the number of videos that I have now archived from it in the drive to capture continued quality from it.

Hopefully you are finding this to be the case, and I would encourage you to comment if you are not finding it as workable as you would like.

I thought I should explain the named playlists as these are not as dynamic as the others, and this has always been by design. The rules have been that where I find a YouTube channel which has more than one video that might be useful for sleep, I create a playlist which is named such that it references the original source of those videos. This is not as common as you would imagine. Not infrequently I find that there is one gem of a video on a channel which is the sole diamond in the coalmine. Hence no named playlist is created.

Where named playlists exist, however, they remain static as at the point the blog item is published. There is no further reviewing of it and no attempts to weed from it. This was by design. I reasoned that people who choose the named playlist over the main Procrastination Pen playlist are doing so because they have a fondness for that set of videos and probably do not want to have anyone messing with them.

I still recommend that you focus on the Procrastination Pen playlist as this has the focus of attention. It gets updated regularly and videos which turn out to contain irritating noises are despatched to the archive list. The aim being that it remains pristine, usable, restful.

Today we are back to eye exams with this video:

Easier Ophthalmoscopic exam

A little over six and a quarter minutes so it isn’t one to delay you for long.

In terms of a playlist the length of the video matters little as the next video pops up automagically. I have noticed two downsides of short videos however:

One is that the volume of any two videos is unlikely to be the same, meaning that as the new video pops up there is a possibility of being deafened. Or worse, woken up just as you were drifting off.

Secondly, YouTube tends to choose the between-video moments to slot in some of its louder and more energetic adverts. These seem not to take into account time of day, video theme, (if I’m watching relaxing videos do I really want a video to start loudly or at two hundred miles an hour?) or, despite apparently using your info for advertising purposes, the preferences of the viewer. It surprises me the number of adverts I get that are totally of no interest whatsoever and loud, so – so loud.

Therefore, these shorter videos may expose you to more of the energising, “crush your goals” nonsense that seem to act as click-bait on such adverts. If so, I apologise.

For this week’s video, notes do exist, but are refreshingly brief: “76,075 views 27 Jul 2017

This video shows how to easily find the optic disc in less than 5 seconds”

Comments are permitted and for a change are mostly positive. However, there are no ASMR-related comments – which is usually not a good sign, frankly.

The medical Professional is M. Kyu Chung MD. Dr Chung has a great voice. The video starts without startup music, there is not background noise discernible – so far, so good. The “patient” is not introduced.

The Channel Myung Chung for that is where this video is found, contains playlists which are really of no assistance to us. There are five videos including the one first reviewed, so it is quite within the scope of this one article to cover them all.

I notice that none of them are particularly long either. I hope the adverts that you are “gifted” are restful ones…

Korsakov method dilutions

This is just under eleven and a half minutes long. There are brief notes: “7,401 views 18 Mar 2020

Demonstration on how to make a Korsakov dilution for virus management.”

As usual the comments have somewhat variable (and not always helpful) content. This time the microphone seems to be fighting against a very large space. The video sounds distant and muted. An alarm starts to go off and no one attends to it. That is quite distracting.

I’m also not clear whether homeopathic content is likely to encourage many readers to listen to it. The evidence against homeopathy seems to have been overwhelming.

There is no medical examination here as such. Adding those factors together I do not think that this video is a suitable member of the Procrastination Pen playlist.

How to use the otoscope/pneumatoscope

Just slightly over five minutes, so we won’t be held up long in listening to it. The notes associated with the video are equally brief: “84,702 views 27 Feb 2018

This video describes a neat trick to effectively use the pneumatic insufflator.”

The usual array of comments, some affirming a number less so, some just whacky, no ASMR related feedback though I notice.

The video starts without introductory music – which is a plus. The sound is a bit muted as if a less than optimum microphone is in use, possibly use of the inbuilt microphone rather than a lapel mic, for example.

Mr Chung’s voice is a good one. It isn’t loud, fast or hesitant.  However, on the downside this is more of a tips for using equipment video rather than a medical examination video as such.

Easier IV Placement

Just a little less than six minutes. Already, I am feeling that the subject matter might not be that restful. The notes are again brief “4,687,387 views 17 Feb 2017

Easier technique for IV placement”

The comments are variable as expected but a number of commentators report that they did find it off-putting.

Dr Chung remains consistent voice wise. But again, this is a description of a technique rather than a medical examination as such.

Although there is no extraneous noise in the video and the presentation is as measured as in previous videos featured in this blog post, I think the subject matter is such that it will not be a comfortable member of the Procrastination Pen playlist. Therefore, I am discounting it.

An Easier Thyroid Exam

Just over seven and a half minutes. The notes continue to be brief: “683,734 views 17 Dec 2014

A demonstration of a more accurate method of performing the thyroid exam using an anterior approach.

By M. Kyu Chung MD

http://www.chunginstitute.com”

Which makes a change from the enormous number of notes used to market a product.

It is quite refreshing in fact.

The comments if anything are more unhelpful than associated with other videos in this blog post, including the odd comment which indicates a person really should be consulting a medical professional rather than watching videos on YouTube.

The video starts in a muted fashion, which is very welcome given we are so used to funky start-up music.

Again, Dr Chung has a great voice for our purposes. There are elements of the video which are silent which might be distracting (these are used for explanatory content, but you won’t know that if you are listening rather than watching).

The examination is gentle and careful. The explanation of what is happening seems to be thorough (and some of the comments confirm that to be the case).

Occasionally the microphone sounds like it is a long way from the Dr (a lapel mic would have helped, I suspect).

The Dr Myung Chung 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.

Photo by DeepAI

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