Tag: Occupational Therapy

Sleeping With ASMR

If you have not been here before, Hi and welcome. This series of blog articles is designed to help you fall asleep. It intends to do this is by the creation of a long list of YouTube videos enclosed in a YouTube playlist in which every one of the videos has been reviewed (some of them several times).

The playlist is always at the end of one of these articles so if you are not keen to do much reading, you can scroll straight to the end and go to the playlist. My advice is always to watch it on YouTube itself because then you can watch in shuffle mode which randomises the order. The videos occur in the order that they are reviewed, which means videos by the same individual tend to occur together. Listening in sequence has the potential to get a bit samey at intervals.

Today, I am reviewing a video that cropped up due to a search using an old favourite “ROM and MMT” search which we have covered before.

This is connected with Occupational Therapy and does tend to produce a range of good ASMR-y (technical term) videos.

Measuring Edema, ROM, MMT

This for us is a fairly lengthy video at just over half an hour. Typically, recently, we have been dealing with shorter videos. But forget the length, how does it measure up?

Unusually for some of the more recent videos we’ve seen this one has notes and they are informative notes. “25 Mar 2021

UE Capstone Assignment for TWU – Masters of Occupational Therapy”. Comments are turned off which is helpful because it keeps the vicious commentators at bay.

The notes seem to refer to Texas Women’s University.

The medical professional here is Jordan Hanigan who is listed in the 2020 Cohort.

There is even a title page to the video “TWU-Houston, ROM, MMT, Edema, Jordan Butler – 03/24/2021”

I was convinced that was spelled “oedema” but obviously not. In any case, March a few years ago is positively yesterday compared to some of the material we have been covering.

There is then a follow up page “ROM, MMT, Edema, Due to scheduling, I used three participants to fill the content of this video. Participants consisted of my spouse, sibling and lab partner. Covid restrictions were upheld for the safety of all individuals.” No clue as to the names of these participants. Although the first “patient” is introduced as “Ashlin” (probably misspelled). I assume Ashlin is the “lab partner” referred to in the second title page.

The video starts reasonably quietly but has the kind of background noise that we have become used to from student videos. (Air conditioning noises, other students talking in the background, furniture noises and so on). This is a shame because it would seem that Jordan has a good calming voice and a methodical approach towards the examination with no sign of hesitation or rushing.

At intervals, at least, the chatter dies down even if the air conditioning is a constant companion.

I notice that cars are passing on the road outside and they appear like small model cars so I assume this is filmed at some elevation. Not that you will notice if you are using this video to get to sleep.

The video then switches to a domestic setting – different setting, different noise level, now we have “Stu” who I assume is the spouse referred to in the second title page.

After a flurry of adverts of a quite distracting volume (when I was watching it anyway) it becomes a lot quieter. The volume really does seem quite a bit down on the start. This might be an issue if you’re lying in stupor and don’t fancy rolling over to push the volume control. However, the approach remains methodical and Jordan still has a good voice so I think I’ll let it pass. This video might get removed from the Procrastination Pen playlist at a future review. (It also has the benefit that all the background noise of the early part of the video is just not there).

By now, people will be used to the “don’t let me move you” prompt. This seems a standard phrase in Occupational Therapy.

Some of the abbreviations used seem confusing.

But working out what the definitions mean doesn’t necessarily help

• Abductor pollicis longus (APL)

• Extensor pollicis longus (EPL)

• Extensor pollicis brevis (EPB)

• Flexor retinaculum (FR)

• Pronator quadratus (PQ)

The video then goes straight to Megan (which might be misspelled). I assume Megan is the sibling spoken of in the second title page, possibly younger sibling but I am terrible at predicting ages. Jordan was nee Butler so I’d have to guess Megan Butler therefore.

Having the video segue from section to section like this is distracting. I would much prefer it was three separate videos of which the latter two are better because the background noise is absent. The section with Megan is a bit echoey.

Perhaps the room with the TV has a very high ceiling or something. It is domestic again. The clues are large sofa, large TV on cabinet, corner pot plant, rug on floor and so on.

It is possible that this latter section of the video is the better one in ASMR terms. However, part way through there is the noise of someone possibly sneezing in an adjacent room, this seems a hazard with a number of these assessment videos. Presumably it is impossible to tell people to “KEEP IT DOWN” whilst trying to video such things.

There is a dog objecting to being restrained somewhere with what sounds like a chain clanging against a door, that is pretty distracting too.

Eventually someone works out that the dog should be put somewhere else and it settles down.

In ASMR terms it would be better split into three. Perhaps discard the first section altogether and edit the latter two to get rid of the most distracting noises. Of course, we do not get that option. There are many restful moments in the video so I’m going to let the less restful ones slide. It might be that it will join the dreaded Procrastination Pen archive list in the future.

The channel is Jordan Hanigan but we are not going to get our ASMR kicks on the back of it because it contains only two videos.

The above one and this one:

OT Assessment Binder_ Jordan Butler

This is the older video and is not a medical examination as such. It literally seems to be running through a binder of course material. Perhaps it is a way of verifying that the work was actually done. Jordan’s voice is not as restful in this video and the rapid turning of pages is distracting.

I think that this one is not for the Procrastination Pen playlist.

So this time, just the one video. Perhaps you’ll be hungry for more material the next time we meet on this blog.

One video means no Jordan Hanigan playlist on the Procrastination Pen.

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.

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

Sleeping With ASMR

Recently, I am finding some variability around the efficacy of using just the ASMR videos to get some sleep. Some nights very effective, some nights a distraction, and some nights just not effective at all.

On such nights, I tend to lie on the sofa and tune into the dreariness that is late night television (dreariness is probably advisable as really compelling television is only going to keep you awake for longer).

However, there are other things to try, for example, there are free online meditation resources. Some people I am told find the discipline of meditation really diverting. I have until recently found focusing on meditation to be one more thing I do not want to do when I am tired and I want to sleep.

However, never say never, I recently have received a gift subscription to Calm and I am giving some of the meditations a try. So far without positive outcome, but you never know.

Meantime I am back to finding more ASMR videos. I am trying to stay ahead as I notice that some of my blog posts already have blank spaces where videos used to be. Videos are obviously being taken down.

Previously, we have dealt with the Sterling Freeman part of this partnership.

Now we have Olivia Rabone and, as we saw in that previous blog post, this looks like it is a video designed as part of an assessment.

Head-to-toe physical assessment-Olivia Rabone and Sterling Freeman

As we have heard before, the ever-present air conditioning to provide an audio background for us. In this, Sterling Freeman is the “patient”.

Sterling is currently a Registered Nurse at Martin County Hospital District Texas. She attended Howard College

Olivia Rabone attended Howard College Texas until 2022

Howard College has (as we’ve come to expect) has its own channel.

However, the badge on the shoulder of Sterling does not look anything like that on the Howard College Channel.

Sterling also studied at Texas Tech University Health Sciences Center.

This college also has a YouTube channel. However, the badge is not like that on the uniform.

Sterling early in the video confirms that they are both at Howard College, Big Spring Texas. (Perhaps the college has subsequently changed its branding).

We also get the confirmation that this is 2019, which was very likely Sterling’s final year there (although Olivia appears to have attended for longer than that).

I always find it amusing that in these videos the students provide privacy by drawing an invisible curtain. We have seen this before of course.

I’ve seen a few applications of a blood pressure cuff in these videos. Given how far Olivia has to wrap that cuff around Sterling’s arm I think it might be bit on the large side.

The assessment proceeds at the pace of an express train. This makes me wonder if trainee health professionals are under the cosh to get things accomplished in the smallest amount of time possible.

Olivia seems to be reciting from a mental script as the empathy quotient in this video is not obviously high.

Against that, the tone is really pleasant; it is not excessively loud. It makes a good Procrastination Pen playlist candidate.

The channel, unsurprisingly, is called Olivia Rabone. It has eight videos on it, which is a number I think I can cover here without over stretching your attention. (The Procrastination Pen playlist is at the end of this article if you want to skip to that point, simply scroll down to find it).

The remaining seven videos are:

Head-to-toe physical assessment- Sunny Kuykendall & Olivia Rabone

Although Olivia hosts this one on her channel the medical professional here is Sunny and the “patient” is Olivia.

Sunny has her own channel which might be worthy of a future review.

Judging by Sunny’s shoulder badge (which is the same as Sterling’s in the previous video) this is also filmed at Howard College.

We have the constant drone of force-driven air to keep the ears entertained. In this case the medical professional’s volume is not aligned with this background noise. It is quite difficult to hear what Sunny is actually saying. This might be ok if the air conditioning noise was more restful but I do not find that it is.

The camera appears to be a huge distance from the two participants. This is unusual for videos of this type. However, given we are mainly here for the listening experience I cannot judge this video solely on that basis.

Sunny at intervals seems to be distracted. Potentially she is trying to follow some standard assessment checklist.

This does make it a little difficult to relax into the experience (and fall asleep to it for example).

Overall, I think the sound quality discounts this video from the Procrastination Pen playlist.

Head-to-toe physical assessment- Olivia Rabone & Stacy Kuykendall

This continues in the vein of the last video, with a high background noise in relation to the main spoken audio track.

Stacy Kuykendall is a remarkably common name in Texas it turns out (including one woman whose children were killed). The upshot of which is that I have been unable to determine if Stacy has a YouTube channel.

To be honest given this is set up exactly like the last one it didn’t stand a chance from the outset so I will not be adding it to the Procrastination Pen playlist.

CNs, Musculoskeletal, & Neurovascular Assessments-Olivia Rabone

The background noise on this is really intrusive, including what sounds like a whole flock of rock doves trying to outcompete one another.

There are a number of non-medical and non-ASMR comments with this video. But none of these have any interest to us.

There is the noise of overflying planes. At one point Olivia starts laughing, which given the challenges involved in filming here, is probably unsurprising.

If you’re watching as well as listening, there are also some strange artefacts coming from sunlight across the lens.

As before, there are occasional gaps as Olivia consults a checklist so it is a little staccato in approach.

It just isn’t there in terms of ASMR, so it will not be into the Procrastination Pen playlist.

CN’s & Musculoskeletal-Olivia Rabone and Sterling Freeman

Here we are straight back to the partnership that we started this blog item with. Although the partnership is the same, it appears that someone stuck the microphone actually inside the air conditioning outlet.

The audio track is nearly completely occluded by the constant whirr that is going on.

It is a shame because in all other respects this is the equal of the video that we started with in this article, but I don’t think it can really go through to the Procrastination Pen playlist.

Respiratory & Cardiac assessment-Olivia Rabone and Sterling Freeman

Yet again the background noise is high. However, I think this is just acceptable. It is very calm and considerably more methodical than some others featured in this blog post. However, it may well suffer an early weeding if it proves to be distracting on subsequent review.

A louder vocal track would have compensated for the air conditioning. Perhaps YouTube videos of the future will incorporate an air conditioning filter designed to eliminate all that excess noise.

HEENT assessment-Olivia Rabone and Sterling Freeman

This seems to start a bit louder, but so does the air conditioning. I could probably provide a good service to listeners if I could somehow process all the sound tracks to eliminate background noise. Sadly, however I am no sound engineer.

There are relatively few comments but just shy of seven and a half thousand views, which sounds remarkable.

To be honest, I’m not certain it is a great Procrastination Pen playlist candidate.

NG tube/EN/PN discussion

This is so much quieter than the others which must be down to the change of venue. This is filmed inside someone’s house. The start of the video though is not restful. It is almost in the format of a lecture with the delivery a tad hesitant.

Someone off camera starts coughing and Olivia is merely reading from a script.

This one isn’t for the Procrastination Pen playlist either.

The Olivia Rabone 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 that 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.

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

Sleeping With ASMR

One of the aspects of being in the fifth decade is that memory is not what it was. The title meant absolutely nothing to me. Then I discovered that I had encountered it before in this blog, not only that, but I’d defined it as well.

For people, like me who had forgotten ROM and MMT , MMT is manual muscle testing ROM is range of motion. Both of these appear to be occupational therapy terms and look likely to be the subject of future searches for ASMR videos.

The associated text tells us “Jordan Butler: ROM & MMT (gravity resisted & eliminated) upper extremities.”. Given the channel is called Michelle Hanigan I am assuming that Jordan Butler is the “patient” in this one.

The Michelle Hanigan channel has no playlists but that should not be a problem for us on this occasion as there are only two videos in it, the featured one is this:

ROM & MMT

As the video opens it’s pretty obvious this is not a typical work environment – sofa – immense TV – modern looking occasional table – almost certainly domestic. I’m assuming that this is some kind of video put together by a student of occupational therapy. It does not have the appearance of one of those videos discussed previously which is professionally composed in order to mimic a medical examination.

The sound quality isn’t fantastic. Although Michelle has a good voice it’s a bit muted in this recording, probably resulting from use of a remote rather than a lapel mic.

Michelle seems to be consulting notes off camera on a few occasions which I think reinforces the view that this is part of a learning experience. In addition, at intervals they both seem to be trying not to laugh. The person holding the “camera” makes the odd noise occasionally – I think that confirms the video isn’t a professional effort. Also at the end the dog makes an appearance.

Despite the sound limitations I think this is a good one ASMR-wise and worthy of inclusion in the playlist.

The second video is this one:

Movement Video

To be honest this seems to be a shorter version of the previous video (this one is ten minutes twenty six seconds the previous one is fourteen minutes twelve seconds)

On that basis there is no point in including this one in the playlist as well.

As there is only one video on this occasion, I will not create a Michelle Hanigan playlist. However, the ROM & MMT video I will add to the overall list of ASMR videos covered so far in this blog, which is here:

I hope that you’re still finding them restful.

If you liked this item why not subscribe to this blog

Photo by Nadezhda Nikolaenko on Unsplash

Sleeping With ASMR

This one is a confessed cheat. Where to find an ASMR video? Well why not choose a channel dedicated to ASMR? However, if anyone watching this can identify the original source of this video, I would be very grateful – perhaps I’ll follow up with a further article to show the original video unadulterated by editing.

Hand and Wrist Examination (ASMR)

In fact this might be a way forwards for me as I have been trying to stick to the more po-faced approach of avoiding those videos dedicated to ASMR and trying instead to find ASMR videos by choosing a subject area – i.e. accidental ASMR videos. But hey, why not get a leg up from the work other people are doing in this area.

I notice it is entitled “ROM and MMT”. Here ROM is Range of Motion, MMT is Manual Muscle Testing.

This perhaps will give me a new category of ASMR videos to search for in the future.

Trace is the “patient” and Jane the medical professional. Judging by Jane’s T-shirt design she is working in Occupational Therapy. However, the entwined snake emblem (Caduceus it appears to be called) is widely used it seems (from a Google image search), so this does not reliably tell me where she works.

Jane has a pretty good voice in terms of ASMR and Trace does not get a lot to say. The surroundings are not typically medical, I would guess someone’s front room. It was uploaded six years ago, but potentially it is older than that. Presumably this video was once on a medical channel and has been snaffled and probably edited to enhance the ASMR effect.

I would make a guess that the two know each other and that potentially this is a student video used for assessment. (There are a large number of these and I guarantee some will appear in future blog items).

Not unexpectedly, ASMR exams – for that is the channel we are dealing with – has a great range of videos. Because the channel owner has done all the work for me, in general the videos are excellent for ASMR.

Twenty six videos as at today’s date ranging in posting date from nine years ago to five years ago. (Which is sad as it looks like the channel is no longer maintained).

It would not be the first time I choose to blog about an item that is now thoroughly out of date.

There is one playlist on the site:

This features only six of the twenty-six videos for some reason, and all seem to have been posted nine years ago. It does not include my chosen video above. You get that as a bonus-extra on this occasion.

This gives me a nice shortlist of videos to cover in one blog post. However, given the other content is good, I will make a point of following on with the remaining twenty (probably spread over a few blog posts to avoid those articles getting too long).

Apologies for the sequential nature of these articles.

I suspect you’re keen to get to the playlist – in which case scroll to the end and there you will find it.

Physical Examination #2 (ASMR)

Fans of this blog should be familiar with this one. It has had an entire article dedicated to it and it is already in the playlist.

Physical Examination #3 (ASMR)

The title at the start of the video is “Abdominal Examination” there is no indication of the originating channel.

The participants are Dr Thomas and Mr Jones the “patient” apparently. It gives on screen prompts to indicate which stage the examination has entered. Dr Thomas’ voice is good: lovely and quiet. No Vicki Scott but great anyway. Both characters could easily be of Welsh extraction (I’m not great at accents) but there is no other clue as to which institution this is.

The abdominal exam looks positively painful but Mr Jones seems completely unfazed by it. It is all very calm.

Strangely at 5:48 it suddenly changes to “Cardiovascular Examination” and Dr Thomas introduces himself to Mr Jones again. Then at 12:18 it becomes “Respiratory System Examination” and Dr Thomas introduces himself to Mr Jones again.

This is the sort of video I dislike – one that was several distinct videos edited together to make one long one.

This is a shame because Dr Thomas has an excellent voice but it’s right down there with ASMR loop videos for distraction – it will not be in the playlist.

I wish I could find the original, separate, videos as they would be of a quality that I would definitely include in the playlist.

Physical Examination #4 (ASMR)

The video quality is not marvellous. In fact, I think I could describe it as fuzzy.

The intro states it is health assessment 3310. The closest I can find is NSG 3310. This seems to have been offered through an institution called Troy University.

There is a channel for Troy University and it has a great number of videos (read too many to count right now). Checking if there are 3310 assessment videos for Troy University we get a list (for example

and

) but I was unable to find this one.

The “patient” is Luke. Presumably students watching this would know who the medical professional was here. At nearly forty-five minutes this is another lengthy exam video, they must be covering every angle.

The voice here is marginal in ASMR terms (I’ve probably been spoiled by Hollie Berry).

Still it is good enough for inclusion in the playlist. (Perhaps it will be one that falls victim to a future weeding process).

Another term I was not clear about prior to this is “Auscultate” – listening to sounds from the chest.

Associated with this is the term “egophony” this is the use of the E sound. If the E is heard to sound like an A then it is diagnostic.

“Stereognosis” the ability to perceive what a solid object is without actually looking at it.

“Graphesthesia” recognising writing on the skin by touch only.

“Brachioradialis” a muscle of the forearm.

Luke seems about as entertained as a small child being asked to “stay still and stop making a noise”. I’m sure he went on to develop a fantastic medical career but he certainly isn’t keen here. Possibly because this is being recorded on a Sunday and he could be out relaxing and having a good time.

Barack Obama is the president so we know this was recorded between 2009 and 2017.

Physical Examination #5 (ASMR)

Twenty-five and a half minutes so a more usual length. This time we get an introduction which tells us it is the Northeastern Physician Assistant Program 2010.

A search on this reveals this channel: redbreadproductions

Where we get the same video but in three parts – this looks like it is going to be one featured in a future blog post

Out of interest the three videos are:

and

I will cover these properly in a future blog post.

This means that this one must be a compilation

Initially it is entitled “The General Physical Examination”. It is going well until the clunking sounds of the weighing scales which are designed to awaken the dead. After that though it calms down a reasonable amount. The medical professional and the “patient” in this seem to be having a lot of fun making the video. I am guessing it is educational in intent.

At the end the thanks go to Rebecca Scott Ph.D, PA-C and Rebekah Saunders, PA-SI.

I’m guessing Rebecca did the exam and for our purposes she has a very good voice. If the video is a compilation this is invisible so it can go into the playlist.

Physical Examination #6 (ASMR)

This one starts with an intro stating “Stritch School of Medicine IPM Physical Exam Series Head to Toe Examination on a Male”

Stritch School of Medicine redirects to Loyola University Chicago

The only one that references Stritch appears to be this one:

Entertaining I’m sure but zero on the ASMR scale.

So how does our video size up?

Dr Michael Koller – searching for him indicates that he has a page of original videos which will be worthy of a future blog post perhaps.

John is the “patient” here. Dr Koller does not at first seem to have your classic ASMR voice. This improves as the examination commences. Although he isn’t going to be a James Gill. The video at just over forty minutes is getting on the long side. It is also on the fuzzy side so we are to be thankful it is the sound that we are focused on. It’s good enough I think so I’m going to add it to the playlist.

Yes I know that there are only five videos here – for some reason YouTube informs me that one of the six videos in this playlist is hidden. I’m still not clear why this is.

I’ll split up the remaining twenty and post them in the next few blog posts.

The playlist for ASMR Exams is here:

The playlist covering all videos featured in blog posts thus far is here:

It may be possible to identify the source organisations for some of these videos, in which case I may do some follow up articles delving more deeply into them.

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Photo by Jenny Jackson on Unsplash