BP measurements and Stethoscope use

robert bell rmsbell at ESEDONA.NET
Fri Sep 13 20:17:13 UTC 2013


Dear Bill,

I have often thought that taking blood pressure in the office is one of the worst things that the medical profession does. There are papers that discuss all the reading biases and inaccuracies that occur with the average office BP readings. No wonder there are so many on BP medications when they do not need them.

And the other thing that needs to be investigated is the stethoscope. I suspect that is the second worst thing doctors do - listen to sounds! 

Depending on hearing, the stethoscope used, training, skills, knowledge, biases, etc. there must be immense errors with both missed and delayed diagnoses costing big dollars to the health system. Would you like a 1st year medical resident, with rock music impaired hearing, or an experienced cardiologist with acute hearing listen to your heart? Have often wondered why good studies are not undertaken to provide guidance, but I suspect the status symbol of the stethoscope is protecting it!

Big, big issues.

Rob Bell
On Sep 13, 2013, at 9:09 AM, Bill Thatcher wrote:

> Yesterday I uploaded several news items to the SIDM website you might find interesting. Some relate to recent dialogue in this listserv and one is a new subject on a blood pressure test device that improves accuracy.
>  
> Bill Thatcher
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> 
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> 
> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in Chicago, IL. 
> http://www.dem2013.org









HTML Version:
URL: <../attachments/20130913/99b064e2/attachment.html>


More information about the Test mailing list