Preferred position to listen to Heartbeat

Do you prefere the doctor listens to your heart when u lie down or sitting? specially girls

Yaskan

Yaskan as a play doctor I like to year in all the positions, stating sitting, leaning forward a bit and then lying down repeating the auscultation in all the points and also making the patient roll over to her left side and listen at the appex

It seems like every time a physician has auscultated my chest, I was sitting up.

Normally sitting up...lying down is sexier though.

I prefer both! the more stething the better.

keep that steth cold 😉

Most of the time I'm sitting up, but I have had to lay back in the past. Once even had to roll to my left side some. The more the better.

All positions are great with me. As Rydeen said, the more the better!

Never tried in front in your computer with a steth mic yet ?

think about it.... and if any questions dont hesitate to ask :-)

First sitting up, then lying down. The first touches are always the best ones, I especially love when it comes to listening to mitral area. I can barely hide my excitement.

I prefer sitting up, with one of the doctor's hands on my shoulder. i especially love it when it's time for the doc to listen to my lungs, hearing his voice behind me just excites me a lot. also, not seeing what he's doing just suddenly feeling him pull my shirt up and place the cold stet on my back just gives me goosbumps.

Naughtykatie said:

i prefer sitting up, with one of the doctor's hands on my shoulder. i especially love it when it's time for the doc to listen to my lungs, hearing his voice behind me just excites me a lot. also, not seeing what he's doing just suddenly feeling him pull my shirt up and place the cold stet on my back just gives me goosbumps.

OK: yes, sitting is the best position for posterior and lateral thorax auscultation (the back), doctor may start listen asking you to breathe normally with your mouth open and then will ask you to take deep breathes. He may precede the auscultation by putting both hands at both sides of your lateral thorax and ask you to enhale deeply...

he may do a percussion on your back in the same areas ( mirror areas) of your back that is going to auscultate next.

In auscultation he may ask you also to cough, say 99 or say eeeeeeeee!;

sitting is also good for lung anterior thorax auscultation (chest) but this may also be performed with the patient lying down.

Heart auscultation may and should be performed in several positions,,,

As a play doc I think i like it when the paitent lies down but really either position is good.

Lying down is really cool, but I think sitting up is better cuz the sitting position makes the heart pump harder (due to the gravitation). And if the patient is nervous or excited, the sitting up auscultation may end up with the stethoscope's head visibly pulsating with the heart itself

I am usually sitting up for the stethoscope, but I have had to lay down.

I am a big fan of being fully naked, on my back lying down. Makes me feel submissive to the doctor.

I prefer to do the exam both sitting and lying down.

Cal 1082 you said

I am a big fan of being fully naked, on my back lying down. Makes me feel submissive to the doctor.

would you mind being completely naked and be auscultated first standing?

I must confess it's one of my real fantasy

Completely naked...? You, as my doctor, will need to reassure me. Put your warm hand on my shoulder. Tell me that this is perfectly normal, but that you need to listen to my heart both ways, standing and lying down. Offer your steth to me, so that I can hear the difference. Make sure not to notice me blushing.

Completely naked...? You, as my doctor, will need to reassure me. Put your warm hand on my shoulder. Tell me that this is perfectly normal, but that you need to listen to my heart both ways, standing and lying down. Offer your steth to me, so that I can hear the difference. Make sure not to notice me blushing.

Jayne I usually perform complete exams of the female patient and I never use gowns ( we don't use it much here in Portugal), so I start examining the patient with her only in panties so I could perform all the inspection, palpation and ans auscultation needed.

panties go away only to perfor me the gynecological exam and at that point I can cover the patient upper body with a white clean sheet pr leave her completely naked.

I had perform some auscultations exams only and also a lot of breast exams in which I normally do a previous routine auscultation too.

In both situations patients are topless and completely dressed with her common clothes trousers or skirt.

In some housecalls scenarios I had performed lung and heart auscultation with patient lifting only the upper part of the pyjama's

having no bra. I listen with patient seated (back), lying down

(anterior thorax) and sometimes rolling to her left side for me to listen better at the mitral.

In play situations, can I say left lateral position ? I know, if I'm being told to turn to my left, my heart will be auscultated for mainly abnormal sounds, eg S3, S4 and the murmur of mitral stenosis and this makes me nervous, which in turn makes my heart really start to pound =D

Apple said:

In play situations, can I say left lateral position ? I know, if I'm being told to turn to my left, my heart will be auscultated for mainly abnormal sounds, eg S3, S4 and the murmur of mitral stenosis and this makes me nervous, which in turn makes my heart really start to pound =D

oh yes left lateral position is maybe my favorite and the last one for me to put the patient. then I listen with the diaphragm first and the with the bell.

The murmur of mitral stenosis is elucidated in the process of turn from supine to left lateral. Remember always that MS can hide under a 50 cent piece. You must learn it as a hunter knows the voice of his hound in the woods (Osler's words not mine)

As a kid whenever I had a doctor listen to my heart I was always in the seated position. I never had to lay down during the heart exam portion of a visit. This was of course back in the days of cold metal stethoscopes and just the fact that I had my shirt off in front of the doctor used to get me going, knowing The stethoscope was going to be over my heart! To this day I still find it REALLY hot to see a stethoscope exam on a female when she is in the seated position. Laying down is always hot too but for me the heart needs to be examined pretty thorough while sitting first. Which do you prefer?

In RL, they do both, that's my preference.

Hi,

I prefer stethoscoping in a seated position, especially for women. Chest naked or with bra, jeans or skirt, because this makes a super sexy belly and belly button!

I our play exam sessions, we do seated, standing and lying down auscutation. But my fav is seated...

I have only had heart and lung auscultation performed while I was seated on the exam table, usually stripped down to my tighty whities. Most often, chest auscultation has followed exam of the eyes, ears, throat and neck. I consider it to be the immediate prelude to the more sensitive parts of the exam. The doctor is standing over me with the stethoscope on my bare chest while I am sitting on the exam table with my bare feet dangling over the side of the table. This clearly puts the doctor in a dominant position.

When I have the opportunity to steth a woman, I always listen to her heart in a variety of positions--standing, sitting, lying on her back, and lying on her left side. I always have my patient disrobe down to the waist for me to auscultate her chest If a woman has larger breasts, it is easier to get a good listen at the apex (as well as palpate her PMI) lying on her back. While mitral stenosis murmurs are rare, and I've never heard one live and in person, the only way you'll hear mitral stenosis is with the patient on her left side.

Like many others, when I was a child it was always a seated heart exam, usually quite short. As an adult my heart is still, for the most part, examined while sitting but I've had the occasional exam where laying down is a requirement. Now, as far as play exams are concerned, all positions are required as well as a lengthy examination. That being said, I have never had a doctor mention that there was a preference to stething sitting or laying down.

I prefer to have my female patient in the supine position and on her left side. If sitting, I like her leaning forward to bring the heart a bit closer to the chest wall.

My regular doctor auscultates me by bringing his chair right in front of mine and sitting right in front of me

Sometimes his knees are touching mine

It's the ultimate in intimidation and I never know where to look

Then he wonders why my heart's so fast!