as a registered respiratory therapist (retired,) sometimes we may place the stethoscope on the chest to listen to heart sounds , or to just count the respiratory rate or heart rate, or do a combo. This is because we are supposed to be counting the respiratory rate w/o the patient knowing— which is
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Also, i vaguely remember a cardiologist telling me that to listen to abnormal heart valve sounds, one needs to go to multiple sites. Just putting it out there.