BP measurements and Stethoscope use

Irene Gabashvili irene.gabashvili at GMAIL.COM
Fri Sep 13 22:38:27 UTC 2013


I think, Freedomscope was the first to offer it  - for doctors with hearing
disabilities

Littmann Bluetooth Electronic Stetoscope with Ambient Noise Reduction is
more advanced and costs from about $350 to $800 and more. It allows to play
back sounds later and comes with heart & lung sound visualization software,
but the system letting others listen sounds in real time is sold
separately.

A study published this year by Dr. Lazzar's group from NY (
jason.lazzar at downstate.edu) concluded that electronic stethoscope holds
promise for HRV. They used lower-cost Thinklabs ds32a electronic
stethoscope, WinDaq and Kubios software along with their own custom
programs, so it was quite a project.


Disclaimer I, too, have no financial interest in these products and am
interested to know how reliable commercial software is, if anyone tried it


On Fri, 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*<http://www.mobisante.com/product-overview/>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*<http://www.mobisante.com/tc1-tablet-ultrasound/>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<sarah.madrid at kp.org>
>
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>
> 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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