Tag: Musculoskeletal Exam

Sleeping With ASMR

If you have been reading this for a while then you will notice that this is a return to a channel we’ve been to before and if you haven’t then you’ve been missing out and a whole breadth of reading experience awaits.

As usual I will be reviewing some YouTube videos for their ASMR potential and, if they are considered fitting, they get to go into the Procrastination Pen playlist.

Behind the scenes I continue to review that playlist over time, booting out those which are less brilliant than hoped, so that the main list should continue to be full of the best ones I have found so far.

I welcome suggestions. Any video which was not intended to be an ASMR video but which is effective in that respect and, if I agree that it is a good one, it will turn up in a future blog item.

Today’s video is this one:

The Exam for Ankle & Foot Pain – Stanford Medicine 25

It fits with the medical examination theme which has run through quite a number of these blog items (although I do ring the changes occasionally.

At just under seven and a half minutes it isn’t very long but given it is from a medical school it shares with a number of professional videos we’ve seen the provision of a healthy set of notes which are these:

“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)”

Bravely this video permits comments, but one outcome of which is that I can tell ASMR fans have been here long before me.

By now we are familiar with the format of videos from this channel. Firstly there is the introductory music; not as loud as some we’ve heard but it would be great if it could be dispensed with altogether.

Dr Brinda Christopher is of course familiar to us.

As is the patient for this video “Chad” as well (hopefully I did not misspell that).

Dr Christopher starts a little loud but settles into her stride pretty swiftly. Sadly there is the ever-present background noise which we’ve heard in other videos and may well be air conditioning.

The channel of course is

Stanford Medicine 25 https://www.youtube.com/@StanfordMedicine25

253K subscribers at the date I am looking at it

Surprisingly just eighty-five videos, when even some university promotional channels have more than that.

However eighty five is a few too many to get into a blog post. There are thirteen playlists and ours is in this one:

Stanford Medicine 25: Musculoskeletal Exam

However, I think for this post we will stick with Dr Christopher. For this purpose, a standard YouTube search is an approach. This brings up three videos, the one we started with and two further videos.

This is the first one:

The Exam for Shoulder Pain – Stanford Medicine 25

Just under ten and a half minutes, so more substantial in terms of length and it is pretty much like the last one (professionally produced videos have the advantage, or possibly the disadvantage, of being consistent).

The notes are:

“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 shoulder 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:

Rotator Cuff Pathology

Impingement Syndrome

Biceps Tendinopathy

Adhesive Capsulitis (Frozen Shoulder)

Acromioclavicular (AC) Joint Disease

Shoulder Instability

Labral Tears (SLAP Lesions)”

The same medical professional, the same patient. The same approach, the same background noise, the same music and so on.

Again, ASMR fans are way ahead of me – see the comments. The earliest I can see is over a year ago as at today’s date but of course not every ASMR fan is going to fill in the comments.

As before the video gets quieter and therefore more appealing the more it proceeds. If you feel that the start is a little loud it is worthwhile persisting with it.

This is the second one:

The Exam for Knee Pain – Stanford Medicine 25

Notes again:”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 knee 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

Knee Diagnoses Covered in Video:

Anterior Cruciate Ligament (ACL) Injury

Posterior Cruciate Ligament (PCL) Injury

Medial & Lateral Collateral Ligament Injury

Medial & Lateral Menisci Injury

Anterior Knee Pain (Patellofemoral Pain)

Bursitis

Inflamed Knee with Effusion

Osteoarthritis (Degenerative Joint Disease)

Stress Fracture of Tibia”

Yet again, comments from ASMR devotees, so it is consistent with the other two.

Just under eight minutes so not huge. Again with the start music, sigh, and then reacquainting ourselves with the background noise. Same medical professional, same “patient”.

This is the last in this set that I can find and the last in this blog item. The comments as for previous videos in this post apply equally to this one.

There is also a lead out set of music and a statement about copyright, either of which might prove to be distracting over time, if so these may ultimately get weeded out

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 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 Tuna on Unsplash

Sleeping With ASMR

The Procrastination Pen playlist continues to grow in length. I think soon it will be at such a length that even if you leave it playing along in the background whilst you sleep, you will wake up and find that it is still going.

I am weeding the odd video out at intervals that does not seem to be as good as when first I heard it. However, I take suggestions, if you find any of the videos in that playlist just aren’t that helpful in getting some shut eye, let me know and I might remove the ones that you do not like.

As always if you’re too tired to read (and I don’t blame you) the playlist will be at the end of this article, such that you can scroll all the way there and pick it up without reading anything else.

For those who are continuing to read, welcome, and here is the subject of today’s blog post:

Shoulder Exam (Stanford Medicine 25)

This is very brief for the kind of video we usually see on the Procrastination Pen, at only one minute twenty seconds. It is narrated and the narrators voice is not as quiet as I would like. Because it is a professional video it comes with notes: “16 Mar 2014 Stanford Medicine 25: Musculoskeletal Exam

This Stanford Medicine 25 video was created in conjunction with Stanford’s AIM lab teaching the examination of the shoulder.

The Stanford Medicine 25 is a Stanford School of Medicine initiative to teach and promote the bedside physical exam. Here you will find videos teaching bedside physical exam techniques.

Please subscribe, like and visit our websites:

Main Website: http://stanfordmedicine25.stanford.edu/

Blog: http://stanford25blog.stanford.edu/

Facebook: https://www.facebook.com/StanfordMedi…

Twitter: https://twitter.com/StanfordMed25

Google+: http://goo.gl/UBM7SP”

The notes have done most of the work for me in that is states who it is by and where you can find them.

The video has a little background noise, but strangely this does not sound like air conditioning. This time it sounds more like the audio was recorded onto tape (I guess you need to be a certain age to know what that sounds like).

The channel is Stanford Medicine 25

This has eighty-five videos at the time I am looking at it. Thankfully for the purposes of writing a blog post (of hopefully short length). The videos are organised into playlists and ours is in a suitable playlist i.e.:

Stanford Medicine 25: Musculoskeletal Exam



This playlist has eight videos in it and just for a change
they are all visible.

The one above is the first in this playlist and so we can

cover them in order.

Knee Examination (Stanford Medicine 25)

Again, this is brief at just over one and a half minutes. It
is consistent with the first – the same narrator, the same background noise. Indeed, this is often the benefit of professional videos once you have seen one, you have a good idea what it is that you’re going to get. Of course, if the first
one is a tad loud, sadly it means that there is little variability in that volume. Still, the approach is methodical and calm which is helpful.

Approach to Low Back Pain Physical Exam – Stanford Medicine 25

This is a more “usual” length at just over eight and a half minutes.

Oh dear, start music, the thing designed to strike wakefulness into the slumbering person.

This is unlike the previous two videos in this set in that the medical professional in the video is the one doing the talking.

The medical professional is Baldeep Singh MD Clinical Professor, Medicine, Stanford School of Medicine.

The professor actually has quite a reasonable voice for our purposes, although due to the instructional nature of the video he isn’t as quiet as we would like. However, he is calm, methodical and even better, the video lacks background noise.

The “patient” is Steve here, sadly, we don’t have any further info about Steve.

The examination looks like something of a torture for anyone who actually has back pain. I imagine on the days I am suffering, there would be screaming involved. Best ignore that when listening to this video and trying to get some kip.

Approach to Hip Region Pain Physical Exam – Stanford Medicine 25

Unfortunately for us, the introductory music now seems to be the standard. Farewell to videos with no introduction hello introduction which is less conducive to sleep. I have heard a great deal worse however.

At least one comment indicates that an ASMR fan has already found this one, which isn’t surprising. From the video comments I’ve seen on YouTube, ASMR fans are even more voracious than I am (and I have made it my mission to write blog articles about it).

Here we have Dr Singh again with our old chum “Steve” as “patient”. Dr Singh starts a little fast but slows right down within seconds. The volume is a little variable. At six- and three-quarter minutes it is of reasonable length for one of these instruction videos.

The best way to watch a set of these from the Procrastination Pen playlist is to watch it on YouTube (rather than use the embedded videos on the blog). Then you can use the shuffle function. Without the shuffle function you will get a number of similar videos one after the other and you may quickly tire of that.

Again, the examination appears, to me, to be designed to elicit pain. I’m sure on the days I have hip pain I would not enjoy my leg being manipulated in the way demonstrated. However, I think as a video to fall asleep to, it actually works. Mainly because of the calm, methodical presentation.

Iliotibial Band Syndrome Physical Exam – Stanford Medicine 25

Definition: Iliotibial Band a thick band of tissue running down the length of the outside of the thigh.

Again the “Noble test” seems designed to cause pain, perhaps these doctors were trained in a torture chamber. Probably wise to ignore the scope for suffering with this one as well. Dr Singh remains consistent as before and Steve remains compliant.

And now the playlist moves onto a different medical professional and a different patient so it seems a good time to end this, we can recommence in a future blog post. Stanford Medicine 25 certainly seems worthy of more attention.

The Stanford Medicine 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 listening to this playlist most nights and some of the videos that were members have now been removed. If any of your favourites are missing from that main playlist you can find them here in the archive list:

Quite often the videos getting removed have no faults other than occasional intrusive noises.

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.

I hope to see you again back here for the next blog article.

If you liked this blog item why not subscribe to this blog.

Until next time.

Photo by Shona Macrae