BP measurements and Stethoscope use

Irene Gabashvili irene.gabashvili at GMAIL.COM
Fri Sep 13 21:09:20 UTC 2013


I heard about new bluetooth electronic stethoscopes that record sound and
visualize it, but they cost 10-20 times more than a regular stethoscope, so
probably not too many doctors are using it.


On Fri, Sep 13, 2013 at 1:17 PM, robert bell <rmsbell at esedona.net> wrote:

> 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****
>
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