Do you prefer to do immediate auscultation ?

I still like to use immediate auscultation on my female patients as a complement of stethoscope auscultation, specially on the back for lung sounds.

Doctors: - what do you think about this? would you like to put your ear directly at the patients back and thorax?

Patients: - would you feel arousing to have your doctors ear placed directly in your back or upper part of the chest and be asked to take deep breathes?

I would certainly have no problem using this method of listening. The skin to skin contact is very sexy!!

The inadequacy of the common stethoscope in transmitting

the gallop sounds in clearly admitted by Potain when

he describes the gallop rhythm: "this sound," he writes, "is

much more muffled than the normal heart sounds: it is an

impact, an outward movement, a barely distinguishable

sound. When we apply our ear over the heart, we are struck

by the tactile sensation more than by the acoustic one, and,

if we try to hear it with a flexible stethoscope, it nearly

always almost completely disappears." (italics author's).

To conclude, the return to immediate auscultation as a

complement to the stethoscopic one should be taken into

consideration, taking also into account that today many

taboos and hygienic situations which prohibited it in

Laennec's time, have, at least in the majority of our countries,

completely disappeared.

Dr. VITTORIO PUDDU

Pio Istituto di Santo

Spirito ed Ospedali

Riuniti di Roma

Roma, Italy

interesting article (pdf) about immediate auscultation.

here's the link:http://circ.ahajournals.org/cgi/reprint/52/3/526.pdf

I still found this very interesting and exciting as a lover of heart and lung sounds. I like to examine the female thorax with all the exam components: inspection, palpation, lung excursion,Tactile Fremitus - say 99 and feel with hands or listen the 99 sounds (Bronchophony),Whispered Pectoriloquy ( auscultating and comparing sides while the patient whispers 1, 2, 3 -1,2,3),Egophony (asking the patient to say "ee" continuously and auscultate and compare several mirror areas. I also like to include heart inspection and palpation of the appex and all the precordial area for thrills, and then auscultation. So immediate auscultation appears to me as another intersting complementary exam component.

I also like to include heart inspection and palpation of the appex and all the precordial area for thrills, and then auscultation

I remember my doctor using immediate auscultation once or twice when I was still a teenager and it was always very sexy.

I'm not saying is not interesting but... for me is secondary.

It's nice to feel the skin and the pulsations on your ears. But it's more for casual listening than for a "fetish" listen.

I prefer the stethoscope sight, the situation, all of that. Inmediate auscultation is for sneaking a listen while in bed or watching tv or, in other moments, like masturbation. It's great to put the ear on the chest and watch the erected penis and help relieve the pressure while having a front row seat to the action and the heart reactions.

Not that I've ever actually done it, but for me the ultimate foreplay would be listening with my ear on her chest as I stimulated her followed by switching to the steth as we had sex.

I've been ear stethed off my girlfriend a few times and boy is it hot. I would love my doctor to listen to my heart by putting her head directly on my chest but guess it's never gonna happen. Saying that though I do love auscultation with the stethoscope too, it's such a turn on when the cold metal disc of the stethoscope first touches my chest

I have occasioally listened to chests by applying my ears directly when I have been without a stethoscope to use. I thought nothing of it and did not appear to cause any embarassment.

My ex-boyfriend would do this often..especially during foreplay..I really enjoyed him hearing me get excited!!!! 😉

[quote author=gavaec link=topic=24225.msg329966#msg329966 date=1294172421]

I also like to include heart inspection and palpation of the appex and all the precordial area for thrills, and then auscultation

[/quote]

so do I Gaevec and many thorough playdoctors in here. I'm enjoying the replies to this topic also...

you find in some movies from the 70's still scenes of imediatte auscultation...specially italian

I love immediate during intimate moments....its a tough sell in a professional setting though lol

Yes cause she is very good looking and would have to put hir hands on my bare back and front to support herself

Which has better quality sound though? Immediate or stethoscope auscultation?

It happened several times that I use immediate auscultation, but not that frequently. It is rather a way to have a better contact with your patient, but stethoscope exam is more comfortable indeed.

It would definitely be arousing to have my doctor listen to my lungs by placing his ear directly on my back.

When I went to the doctor the other day, if she would have laid her head on my chest and placed her ear over my heart.......I'm sure I would have cum in my pants! I don't even think my doctor is really attractive but .....HELL YEAH!

I would never expect something like this in a real exam but it would be amazing in a play exam!

The sound quality is not comparable to a good stethoscope to be honest.

Omg if a doctor ever asked said, "Please lay back and raise your shirt...I'm going to just give your heart a quick listen and feel..." I'd cream myself. My heart already beats hard enough against a steth head but imagine the doctor being able to feel the actual muscle gently tapping his ear and cheek as he focuses on the sounds of my heart's flailing valves and roaring bloodflow

Maybe. But I like it when they use a stethoscope.

I listened to the heartbeat of a very thin girl (who I was dating at the time) by laying my ear on her bare chest. Her heart sounds were so much clearer than I've ever heard through a stethoscope (though I unfortunately never got a chance to steth her).

My ex-boyfriend would do this often..especially during foreplay..I really enjoyed him hearing me get excited!!!! 😉

This is the most eerotic thing I can dream of. I usually use my ear, cause I always have it with me, but I love usingg the steth exactly the same. Unfortunatelly I justed only three times yet. I need to be more brave :-)

If a female doctor wants to ear-steth me, she is invited to do so :-)

I think immediate auscultation is more arousing, because you feel the your patient's body and maybe his/her heart tapping your ear. But stethoscope is more accurate, because it amplifies the heart sound. I agree with palpating to find heaves and thrills.

As a patient: To read, this sounds interesting for a play exam. Though have never experienced obviously so don't know how I would react to it mentally. But still this is good only for play exam.

I can NEVER think of and would never want it happening in a real exam. That's nothing to be joked about. I anyways can't imagine my real doctors doing the job of stethoscope with their ears. They are modest professionals and would never use this practice.

Think my heart might actually stop if a play doc ever did this with me. Hahaha! Perhaps not my real doctor, but I would lose it if a play doc listened to my heart directly by ear! Love having a head resting on my chest, listening intently to my heartbeat. :-)

I prefer the whole “professional” stethoscope scene, back and front...it is the “medical reality” of having the female patient expose herself to the doctor’s gazing eyes because the good doctor happens to have a stethoscope around his neck. And proper stethoscope Auscultation is the prelude to further stages of undress and the “plausible deniability” of wrong-doing from select, intimate touching not only allowed, but suggested, for a proper medical diagnosis.

Omg I love ear stething, both receiving and giving although there is something so hot about the steth