While the stethoscope is of high or low quality, and important to take into consideration, THERE IS ONE RATHER VERY IMPORTANT factor missing in this VERY stupid pointless debate I regards about what a stethoscope looks like, the brand and type. If the person using it isn’t properly trained as to what they are listening for, why they are listening, properly using the stethoscope they are using as there are so many different types available on the market today, then the best and worst stethoscope is NOT going to do them any good. The person listening could end up making very grave mistakes that can ultimately cost the life of the patient.
Just as the stethoscope is a tool used in diagnosis, there are other key critical skills that need to be used. Hands on physical observation of the patient, listening to the patient, knowing how to get a thorough verbal history quickly.
What is temperature outside, what they were doing before the appointments, the reason for the appointment. Are they hydrated, do they have thyroid issues, their appearance, pallor, breathing, temperature, exertion, their physical position, ie: standing, sitting, laying down, partially reclined, any SOB, pain, dizziness, blurred vision, chest pain, headache or increase upon certain positioning with chest pain and headache and dizziness, blurred vision, sweating, swelling in the limbs and or joints. The positions they are put in with B/P. Their personal and family medical history, what were doing before they came for their appointment. Do they or don’t exercise, have they recently started a new exercise, lifestyle, diet change, medication, supplement etc? So many countless things impact health.
A well trained medical provider can quickly do a visual assessment and ask all these questions in addition to skillfully using their stethoscope. This gives the medical provider valuable information before doing any auscultation.