Need a new stethoscope. Have simply never considered a mega fancy one on the basis my first boss was a very good resp consultant who had a ?£10 one off the crash trolley with “Chest Clinic” sharpied on it and she managed just fine.
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I love my cardiology 4 (graduation gift) which I chose because you can set it up with two sizes of diaphragm for ED/kids (rather than diaphragm and bell).
I think it's partly a factor of hearing - my hearing is dreadful so benefit more from an amplifier, but it doesn't make me any better at working out what I'm hearing I'm sure. I've heard others swear by the higher end (but non-digital) Littmann ones.
Yes, one of my resp bosses said he noticed a big difference with the Cardiology IV. And I've noticed a huge difference when I borrowed a colleague's electronic stethoscope. The amplifier definitely helps, in my opinion.
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