BP measurements and Stethoscope use
rmsbell at ESEDONA.NET
Fri Sep 13 20:17:13 UTC 2013
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.
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
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