Sadly, as I regularly prove, sometimes nothing at all is going to work in the drive to get some sleep. Some switch in the brain seems to resist getting thrown into the correct position and although you are tired, sleep just will not come.
These kinds of occasions used to drive me up the wall as I fought to get control and tried with increasing vigour to gain that blissful rest. It doesn’t work. The only option is to just let go, 5am is coming round and you’ll still be looking at the ceiling when it does. It is better to fill the time with something restful. The Procrastination Pen playlist is designed for just such an eventuality.
Today’s video is another professionally produced one:
Hip Examination – Orthopaedics
In common with a number of professionally produced videos it has notes with it: “28 Nov 2012 Clinical Examinations
This video – produced by students at Oxford University Medical School in conjunction with the faculty – demonstrates how to perform an Orthopaedic examination of the hip joint. It is part of a series of videos covering Orthopaedic examinations and is linked to Oxford Medical Education (www.oxfordmedicaleducation.com)
This video was produced in collaboration with Oxford Medical Illustration – a department of Oxford University Hospitals NHS Trust. For more information, please visit www.oxfordmi.nhs.uk.”
So it tells us where it was filmed.
Comments are permitted (brave that) and it turns out that other ASMR fans have been here before me (which is not unexpected).
The video at just over nine and a quarter minutes is not a huge one. There is (thankfully) no introductory music. It begins with narration but no clues as to the participants, the narrator has quite a good voice. The same person talks throughout the examination proper such that we do not hear the voices of the actual participants. This makes their participation seem like that of a mime act or worse some kind of puppet, it is a little surreal. However, if you are listening rather than watching none of this will be obvious.
The channel is Oxford Medical Education. This has thirty two videos and 142k subscribers on the day I am looking at it.
With thirty two videos it seems likely that we would be here a while. There are nine playlists, our video appears to be in a playlist called Orthopaedic Surgery which consists of only three videos including the one I first covered. I’ll focus on this playlist in order to narrow down the choice available.
All three videos exceed nine minutes and are less than ten minutes – I’m guessing there was a target in terms of running time.
The next video in the playlist is this one:
Knee Examination – Orthopaedics
A bit over nine minutes so similar to the last one. Like that one it has notes “28 Nov 2012 Clinical Examinations
This video – produced by students at Oxford University Medical School in conjunction with the faculty – demonstrates how to perform an Orthopaedic examination of the knee joint. It is part of a series of videos covering Orthopaedic examinations and is linked to Oxford Medical Education (www.oxfordmedicaleducation.com)
This video was produced in collaboration with Oxford Medical Illustration – a department of Oxford University Hospitals NHS Trust. For more information, please visit www.oxfordmi.nhs.uk”
Again, the entire video is narrated. I would say the voice is marginally superior to the last one for our purposes.
Shoulder Examination – Orthopaedics
Nine and a half minutes so slightly longer and in this one the patient changes. In the previous two the patient was the same and the medical professional changed. Now we have a patient change and a medical professional change.
The notes are very similar to what has gone before so I will not repeat them.
The narration is not quite as good for our purposes as the last one. However, as is usual with professionally produced videos, they are amazing in their consistency. In this one (at last!) the medical professional gets to speak for himself and we find that his voice is not at all bad. Part way through, the video goes all sepia in appearance briefly. I’m not clear why, but given you will only be listening this will not be too distracting.
The Oxford Medical Education 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.
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:
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:
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.
Reassuring for part time bloggers, such as myself, is the understanding that fitting in a bit of blog creation in a rush between other things is not supposed, necessarily, to lessen the quality of the output. (Well, the proof will be in blog items I have created of late, as the time to create them is definitely sandwiched between other demands). You will be the judge and feel free to feedback.
The playlist continues to grow in size and I continue to get more picky about the items in it. Such that the archive list of former members also continues to grow.
However, I have noticed a problem with YouTube. For example, yesterday I was watching the playlist and a set of adverts kicked in, there were a lot of them. After a few minutes the video started and them immediately another set of adverts kicked in. This then continued, I retried over the course of the next few hours with the same result. Of course, this is not conducive to sleep. I could not in all conscience recommend a set of videos if I knew this was going to be the experience.
I am hopeful this was an error on the part of YouTube and not some new revenue generation idea. If it turns out to be permanent, I will shut down the blog as I will not be watching YouTube any longer. I am now some months ahead with generated blog articles so we will see if by the time I get this one released, things have improved (or at least returned to how they were).
Shoulder Examination
This one has notes, now the established marker of a professionally created video:
“31 Jan 2021 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the shoulder. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
There is also a title page:
“McMaster MSK Examination Series, Shoulder Examination, RheumTutor.com, Raj Carmona, MBBS, FRCPC, Rheumatologist, Department of Medicine, McMaster University, Hamilton, Ontario, Canada”
And of course, the university has its own YouTube channel with 1.2K videos as at today’s date. Rather too many for any single review but perhaps a channel for a future visit.
Raj appears to be an associate professor at the university and has been at McMaster nearly fourteen years.
This video at just over seventeen and a half minutes is a decent length for a medical examination video.
Raj has a nice calm voice but the video is rather marred by continuous background noise of the variety we are used to enduring in these kinds of videos.
Helpfully the “patient” here is also identified as Dr Kim Legault MD FRCPC Rheumatology Fellow McMaster University.
As an educational video it seems (to the uninitiated) to be useful. The comments seem to reinforce this view. From our perspective it seems to also be a useful video for relaxing off to sleep.
The video is jam-packed with medical terminology. There is far too much for the odd definition to be helpful. (Although this would be my usual style). If you are watching, some definitions come up on screen, but I’m expecting that you’ll be listening so these will not be of much assistance.
I suggest for this one that you let the terminology wash over you but let me know if you find it frustrating. I always review the Procrastination Pen playlist and this could in the future find itself in the dreaded Procrastination Pen archive list i.e. those videos which do not stand up to long term examination.
Although the video shows as posted to YouTube in 2021, the tail page of the video indicates created in 2011 so it was already old by that time.
Not unexpectedly the channel is RheumTutor, thirty videos and six playlists. The choices are narrowed by the fact that a number of the playlists concern giving injections, which I am not certain would be a restful subject for some readers. The video we first looked at occurs in a playlist called RheumTutor MSK Examination Videos
This consists of seven videos of which this first one is video number six.
Ankle and Foot Exam – McMaster MSK Examination Series
At nearly twenty-three minutes in length this is another chunky video.
Again it has notes: “10 Nov 2019 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the ankle and foot. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
The title page is similar to the one we saw for the first video reviewed in this post.
The sound is consistent with that first video. Here the “patient” is not identified, possibly because we only see the foot which has been helpfully decorated to indicate some of the internal structures. I would guess the “patient” is male but given there is only one foot to go on that could be way off.
Later in the same video the credit goes to Dr Andrew Duncan MD, Internal Medicine Resident McMaster University. He appears to be the owner of the foot. Andrew appears to have been at McMaster until 2014.
The tail page of the video indicates it was recorded in 2012 which would fit with this time period. Some of the conditions described are a little off-putting to be honest, I think that this is too much for real restfulness. This will not be in the Procrastination Pen playlist.
Back Examination – McMaster MSK Examination Series
Notes again: “10 Nov 2019 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the back. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
This is just as with the previous videos in terms of approach, voice, presenter, location, noises, structure. This one credits Brendan Flowers MSc Clinical Clerk McMaster University it looks like Brendan attended in 2012 which fits with the filming of the video.
Elbow Examination – McMaster MSK Examination Series
If you have seen one of these videos, then you are going to be at home with the look-feel of the rest. Same layout, same voice, same background noise. If you liked the first one this is a breeze, but not so great if you did not like it.
Again there are notes:
“10 Nov 2019 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the elbow. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
The format of this will by now also be familiar. The tail page of the video indicates it was filmed in 2012 and it was posted to YouTube in 2019.
The “patient” is credited again this time Dr Arthur Lau MD FRCPC Theumatology Fellow McMaster University. Arthur seems to have been there from 2011 to date so one would imagine a true asset.
It is just over thirteen and a half minutes so a bit shorter than the last one.
The great thing about professional videos is the lack of surprises. The last thing you want when trying to fall asleep is to find that someone thought a brass band backtrack was fantastic in this video whereas the previous two did not include it. The downside is that if you do not like the style it is very unlikely you will find a video in the series that is any different.
For example, thus far the patients do not get a lot of contribution so if this bothers you this particular series is just not for you. I accept feedback if you want to indicate your displeasure about it.
Hip Examination: McMaster MSK Examination Series
Notes: “10 Nov 2019 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the hip. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
Almost exactly as before.
A return of Dr Kim Legault (who we saw in the first video). By comparison with the other videos a real short one at just over twelve and a half minutes. This one is filmed in 2011 so possibly the earliest one we have seen thus far.
Knee Exam – McMaster MSK Examination Series
notes: “11 Nov 2019 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the knee. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
Dr Kim Legault is turning into a bit of a favourite it seems as she appears again in this one. This one is just less than fifteen and a half minutes.
The video is consistent with all those we have so far seen (quite an achievement). It is filmed in 2011 so as for the previous video.
Shoulder Examination
This is where we came in.
Hand and Wrist Examination
The final video in this playlist
It starts in a different way. No shot of a seated Dr Carmona in this one. It is quite long for this series at nearly twenty-one and a half minutes.
Back to Brendan Flowers. It was filmed in 2012 and posted to YouTube in 2021.
There are notes: “3 Feb 2021 RheumTutor MSK Examination Videos
This video was created by Dr. Raj Carmona. It is a step-by-step instructional video for examination of the hand and wrist. It is designed for medical students, residents and rheumatology fellows, but would also be beneficial to general practitioners and allied health professionals.”
The breakdown of the video is not as structured as in the previous videos – perhaps the style was evolving at this stage. But presentation in all other respects seems the same.
In summary this is no Dr James Gill but I think all of them deserve a place in the Procrastination Pen playlist. (Assuming YouTube stop deluging me with adverts I’ll keep reviewing that list for less deserving videos.
The RheumTutor 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.
Hope to see you again back here for the next blog article.
If you liked this blog item, why not subscribe to this blog.
The first thing that strikes me about today’s video is the very quiet start. What a change to some of the canned music that usual precedes videos on YouTube. There is also the absence of oppressive air conditioning noises that plague so many of these.
The patient “Natalie” (possibly misspelled) announces that she was born 10/15/98 and the medical professional states “so you’re 20”. 10/15/98 is 15/10/1998 (UK Format i.e. October). We can assume that this is filmed 2018 which given it was posted four years ago seems to indicate that it was filmed and posted around the same time.
Head to Toe Health Assessment
The patient states that she attends Colby Sawyer college https://colby-sawyer.edu/ which is a school of nursing and so potentially where this video was filmed. Colby Sawyer, as expected, has its own YouTube channel with one hundred and thirty-eight videos, four hundred and one subscribers and three playlists. A brief check seems to indicate that sporting videos are quite important on this channel but, probably unsurprisingly, these turn out not to be videos suitable for a blog about ASMR.
For today’s video the channel is Marissa Nance and consists of this one video and no playlists.
I’ll make the assumption that this was for an assessment in that year and I’ll assume the medical professional here was Marissa.
It remains wonderfully calm and, judging by the comments, I am not the only one to think so. Many ASMR fans have checked this one out previously. Although sadly, the negative not to say nasty, comments are here as we have seen in the past.
This one is distinguished in that both Natalie and Marissa have calm voices, that is a rare (if not unique so far) find.
It seems over rather too soon, given there are no alarming noises throughout the entire video (something we have not always been able to say).
So that’s it, just the one for you today but I am certain more will be coming very soon. The overall playlist of videos covered so far on the Procrastination Pen is here:
(and now it includes the Marissa video).
The archive playlist of videos that were in the above playlist but found after repeated review not to make the grade, is here:
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.
The Procrastination Pen 