BP measurements and Stethoscope use

robert bell rmsbell at ESEDONA.NET
Fri Sep 13 21:53:39 UTC 2013


That seems to be a nice advance.  

How much does it cost and is a lot of training necessary to use it well?

Can you go from patient to patient in a hospital?

Rob Bell
On Sep 13, 2013, at 2:38 PM, Ted.E.Palen at kp.org wrote:

> This device or similar ones in the works may help address some of the "hearing" issues with standard stethoscopes and at the same time decrease referrals for unnecessary echocardiograms. 
> 
> NOTE I have no interest, financial or in any other capacity, in this company or its products
> 
> 
> 
> Mobisante introduced the world's first smartphone-based ultrasound imaging system, the MobiUS™SP1 system in 2011. This award winning device, cleared by the FDA, brought ultrasound imaging within reach of healthcare professionals everywhere.
> 
> Now Mobisante launches MobiUS TC1 tablet system which offers a larger image with higher resolution but with the same ease of use and affordability. MobiUS fuses the power and wireless connectivity of a smartphone with the Internet into a game-changing diagnostic solution that is truly mobile, accessible and connected, helping healthcare professionals practice better medicine and reduce costs. 
> 
> 
> http://www.mobisante.com/ 
> 
> Ted E. Palen, PhD MD, MSPH | Physician Investigator | Institute for Health Research | Kaiser Permanente Colorado 
> Physician Manager for Clinical Reporting | Medical Cost Management| Colorado Permanente Medical Group 
> ( 303-614-1215 | 7 303-614-1305 | * ted.e.palen at kp.org
> 
> NOTICE TO RECIPIENT:  If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents.  If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them.  Thank you.
> 
> 
> 
> From:        robert bell <rmsbell at ESEDONA.NET> 
> To:        IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG 
> Date:        09/13/2013 02:59 PM 
> Subject:        Re: [IMPROVEDX] BP measurements and Stethoscope use 
> 
> 
> 
> 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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