Stethoscope
@allknowing (153544)
India
October 22, 2012 6:13am CST
A doctor who uses a stethoscope on his patients is history now. The entire process is so impersonal that the patient hardly feels the presence of the doctor. I remember when I was a kid our family doctor would visit us with a bag in hand and a stethoscope hanging. He would spend time with us and even accept a cup of tea. Those were the days.
What is your view? Do you miss the stethoscope?
6 people like this
17 responses
@GardenGerty (169453)
• United States
22 Oct 12
We still see the stethoscope. How do they listen to your heart and lungs, otherwise? I really seldom go to the doctor. When I give blood they use the stethoscope to read my blood pressure as well. It does seem that doctor's hardly have time to do their job well anymore. In the US many are leaving the profession due to high costs of insurance for themselves and then also becoause of the upcoming change called "Obamacare", that will put too much government into our medical care.
1 person likes this
@allknowing (153544)
• India
22 Oct 12
I know GG they use the stethoscope even now but what I meant to say was that the use of this gadget in the good old days had a different meaning. The doctors depended on it and there was some kind of a psychological effect on the patients as well. Today we have digital machines to check the BP for which one does not need a doctor. Home visits are never heard of either.
2 people like this
@GardenGerty (169453)
• United States
22 Oct 12
I know, the time and personal involvement seem to be missing. I have heard that in some larger communities you can get a house call again. I have not tried. I do not think they would be available in my area.
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@allknowing (153544)
• India
23 Oct 12
There used to be one doctor in the neighbourhood who did make house calls. But sadly he passed away a couple of years ago. This concept is disappearing and so also the personal touch that is so necessary between a patient and a doctor!

1 person likes this

@Kashmeresmycat (6369)
• United States
22 Oct 12
My doctor uses hers all the time on me listening to my heart and lungs. She also uses a digital blood pressure machine and also sometimes the older BP machine. Every time I went to the ER this year, the doctors, etc., always checked with a stethoscope along with the other machines, so I can't really agree that they're history.
My daughter manages two uniform stores and sells stethoscopes all the time to the doctors, interns, nurses, etc.
As far as coming to the house, no, I don't know off-hand of any doctors that do this but maybe more in the country you might find them still coming to the houses or cabins. Not sure.
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@Kashmeresmycat (6369)
• United States
23 Oct 12
Sorry, I just haven't experienced what you're talking about. The doctors I've been dealing with the last two years all had a personal touch and great bedside manner. I didn't find any of it mechanical in their approach at all and I only saw the nurse in the beginning when I came in. She only popped in for two minutes at the end but the rest of it was all doctors in the ER.
My doctor is very personal and asks many questions with inquiring eyes. She seems to be very concerned and receptive to what I answer. She smiles all the time and makes me comfortable while I'm there. All I can say is, I haven't had any problems that bothered me in any way. Guess it just depends on who you're going to or what hospital.
@allknowing (153544)
• India
24 Oct 12
You are right. It depends on who you are going to or what hospital. I have had a good rapport too but what you and I experience is more an exception than a rule!

@allknowing (153544)
• India
23 Oct 12
There are exceptions when doctors do use stethoscopes but that personal touch is missing. They are so mechanical in their approach and the patient can feel it as no sooner that is done some more tests will be ordered and after that the nurse will take over.

1 person likes this

@Janey1966 (24170)
• Carlisle, England
22 Oct 12
I remember how cold they were against the skin! You're right though; I think some doctors don't even know what they are and what they're for.

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@allknowing (153544)
• India
23 Oct 12
The doctor's touch cold or otherwise!
is what is missing these days.
is what is missing these days. @succeednow (1632)
• Singapore
23 Oct 12
Hi allknowing,
My view is that the stethoscope is not history. I think it's an important basic tool which all doctors used to examine patients. By using the stethoscope the doctor is able to listen to the heart pulse and lungs for abnormalities. Although there may be other electronic devices that can help the doctor achieve this I think the stethoscope is the least expensive and reliable device for this application. That's why I think the stetoscope will be here for a long time.
1 person likes this
@allknowing (153544)
• India
23 Oct 12
I can only relate to a stethoscope as being something that connects a patient to a doctor and with all the latest machinery even if a doctor uses it one can tell that it no longer establishes any kind of bonding which is no necessary.
1 person likes this
@allknowing (153544)
• India
23 Oct 12
If one is hospitalised then the machines take over!

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@allknowing (153544)
• India
23 Oct 12
Here one needs to go to a hospital as no doctors make house calls. There is a tendency to order for all kind of tests once a patient goes to a hospital and the stethoscope hardly plays the role it once did
.
.@lady1993 (27221)
• Philippines
23 Oct 12
Of course.. i don't think us the stethoscope if one is already confined or about to be confined in a hospital.. Since a stethoscope is just used for checking if your vital signs are working properly... If you're in the hospital there's definitely something wrong with you already.
1 person likes this

@subhojit10 (7375)
• India
22 Oct 12
Thanks a ton for posting this discussion. Yes u are right, i too miss those days when doctors used to have stethoscope with them. We always used to associate a doctor with wearing a white apron and having a stethoscope in his hand and it is very bad to know that it has become a history now. I used to enjoy the way he used to use his stethoscope to gauge the heart beat and other phenomenons inside my body.
What say?
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@allknowing (153544)
• India
22 Oct 12
The approach used to be so personal that just seeing him would result in half the cure.
1 person likes this
@ShepherdSpy (8544)
• Omagh, Northern Ireland
23 Oct 12
I'm not sure I remember exactly the last time I had a stethoscope used on Me..but I'm fairly sure they're still standard equipment,I don't think electronics have taken over the consulting room to that extent just yet..
Housecalls by the doctor may be possibly one thing that have been cut down on,where District Nurses and Paramedics may be taking up more patient time..

@ShepherdSpy (8544)
• Omagh, Northern Ireland
23 Oct 12
High tech diagnostic equipment may be valuable for what they can tell a Medical Professional,but that Human aspect of a doctor's "eyes on" examination and the low tech Stethoscope still have an important role to play..
1 person likes this
@allknowing (153544)
• India
23 Oct 12
A stethoscope does more than just checking one's pulse or heart beat. Atleast my experience has been that it bonds a patient with the doctor. Stethoscopes could be still doing the rounds but they hardly play the role that they once did!
1 person likes this
@allknowing (153544)
• India
23 Oct 12
Doctors here have the tendency to let the machines take over. There are machines that do what a stethoscope does but I have always felt that it, in a way, creates a connection between a doctor and a patient.
You are right when you say "[i]Human aspect of a doctor's "eyes on" examination and the low tech Stethoscope still have an important role to play..
[/i]"
1 person likes this
@p1kef1sh (45681)
•
23 Oct 12
Doctors here still use stethoscopes and those that work in hospitals all wear one as a badge if office. Frankly when I visit the Dr I go to be made better. If they have something better than a stethoscope then I am happy for them to use it. I think that what you mean is what we call 'bedside manner'. Doctors are human and their empathy skills vary. Most are still very good and appear to be interested in the patient - after all we are the reason why they trained and are employed. The main problem is that they often don't get enough time with the patient and as a result can appear remote and disinterested.
@allknowing (153544)
• India
23 Oct 12
What is wrong with the system is that there is specialisation. For different parts of our body there are different doctors and that is one reason why one hardly sees these stethoscopes around but only machines. When I say stethoscope I am talking about the good old days when there used to be some nice conversation between the doctor, the family and the patient while the stethoscope did its duty

@mommyboo (13174)
• United States
23 Oct 12
Hmmm. Any time I have seen a doctor or a PA, they have a stethoscope lol. They don't always USE it, I know before I see the doctor I see a nurse who takes vitals and bp and such. I know when I had to go to urgent care when I got sick once and knew I needed a prescription for something, the PA used the stethoscope. I've never had a house call visit from a doctor but I don't feel like they are impersonal. 


@mommyboo (13174)
• United States
23 Oct 12
I am sorry you feel that way
. I rarely visit the doctor... only if I HAVE to or if I think I'm dying or something lol. I actually have one doctor I have had for years, so when I see her, I feel a personal connection because she passed my interview when I decided to keep her lol. I'm a very hands-off type of patient, I prefer to use the easiest most natural form of treatment, I avoid anything invasive or expensive, and she knows it.
My daughter's ped is good that way too - he doesn't overprescribe antibiotics or expect me to come in there with her all the time.
In my opinion, doctors provide a service, and the best ones also become personal parts of your life if you have a working relationship that spans years, but the bottom line is - they work for you and thus need to fulfill your needs or you have every right to terminate the relationship. Too many people keep bad doctors who don't fulfill what the patient actually needs.
. I rarely visit the doctor... only if I HAVE to or if I think I'm dying or something lol. I actually have one doctor I have had for years, so when I see her, I feel a personal connection because she passed my interview when I decided to keep her lol. I'm a very hands-off type of patient, I prefer to use the easiest most natural form of treatment, I avoid anything invasive or expensive, and she knows it.
My daughter's ped is good that way too - he doesn't overprescribe antibiotics or expect me to come in there with her all the time.
In my opinion, doctors provide a service, and the best ones also become personal parts of your life if you have a working relationship that spans years, but the bottom line is - they work for you and thus need to fulfill your needs or you have every right to terminate the relationship. Too many people keep bad doctors who don't fulfill what the patient actually needs.1 person likes this
@allknowing (153544)
• India
23 Oct 12
As I have already stated above (in Garden Gerty's box) I have no problems personally. I too have a good rapport with doctors but I am talking of doctors in general and most patients do not have the kind of relationship that is needed. My friend here had that kind of a relationship but ever since he joined a bigger set up he hardly has time for her!

@allknowing (153544)
• India
23 Oct 12
It will be the nurse that uses it more than the doctor who is supposed to!! For me a stethoscope is more than just a testing gadget. It connects the patient and the doctor. And that is not happening these days

2 people like this

@JenInTN (27514)
• United States
23 Oct 12
I think that most all of my experiences with doctors have been impersonal. There has never been one visit my house. I can remember times when it would have been nice to have had one do that though. We have a Teledoc service where I work at..lol...even more impersonal than before. You just call them. Now it is for stuff like sinus infections and stuff like that...not the real serious stuff.

@JenInTN (27514)
• United States
23 Oct 12
I knew what you meant
I would really like to find a doctor like you had when you were a kid. It really makes a difference for both people involved..doctor and patient. Patient feels like a person instead of a number and the doctor can do his job better too because he knows the ins and outs of a patient...maybe that's not a good way to put it..but you know what I mean.

I would really like to find a doctor like you had when you were a kid. It really makes a difference for both people involved..doctor and patient. Patient feels like a person instead of a number and the doctor can do his job better too because he knows the ins and outs of a patient...maybe that's not a good way to put it..but you know what I mean.@allknowing (153544)
• India
23 Oct 12
That's what I have been trying to say when I said stethoscopes are history now. I remember we had a family doctor with whom we had a wonderful relationship. He had a rose garden and whenever I visited him at the clinic I would longingly gaze at those roses in his vase. He would remove one rose and shake it up and all the petals would fall looking at my face at the same time. Then he would buzz for his assistant and tell him to pluck a few roses from his garden and give them to me. I was just around 8 those days. So much was hidden in that stethoscope! Warmth and assurance.

@gaiza12 (4884)
• Philippines
23 Oct 12
I can still see doctors using Stethoscope. I have 2 at home as well so I don't miss it that much
. Yes, if one is hospitalized, machines always are used since there is nothing a Stethoscope can do other than to heart your heat beat and the rhythm of your breathing. It doesn't do anything to see beyond that.
. Yes, if one is hospitalized, machines always are used since there is nothing a Stethoscope can do other than to heart your heat beat and the rhythm of your breathing. It doesn't do anything to see beyond that.@allknowing (153544)
• India
23 Oct 12
A stethoscope can do lots gaiza. Atleast that's what our doctors in the good old days used to do. While they were busy at it they used to carry on a pleasant conversation assuring the patient that would play a big role in curing the patient. That's what I was trying to say when I said stethoscopes are history now!
@Bhebelen14 (5194)
• Philippines
25 Oct 12
I have two stethoscope here at home, i used them when i am still working in the hospital and home as a private duty nurse. Stethoscope is very important for doctors and nurses especially when they conducting physical assessment to the patient. When i was a kid I remembered my pediatrician always reminding me that her stethoscope was quite cold and she need to use it listen my heart beat and breathing pattern, at first i am afraid but when she allows me to hold it and used it to listened to my heart beats i started to like it and my fear was gone. I am glad that pediatrician was very kind and allowed me to used it.
@allknowing (153544)
• India
26 Oct 12
I only associated a stethoscope with a doctor and that association was more than just checking one's parameters. When I said history I meant what you experienced with your doctor when you were a kid. They were so personal and the doctor remembered those parameters when they back came to check the next time.
@hereandthere (45628)
• Philippines
23 Oct 12
i've just come back from a short hospital stay and several times i've experienced 2 residents each using their stethoscopes on me at the same time. just as i was breathing out, the other would say "breathe in." hahaha!
they issued a digital thermometer with the hospital kit and it reminded me of the cold glass thermometer with the mercury in it. i remember when i was young how thrilled i was when i finally learned how to read one.
for blood pressure, they still wrapped my arm and pumped it while watching the arrow and numbers on this instrument on wheels that they're dragging behind them.
for pulse, they still touched my wrist while looking at their wristwatch, but there was one nurse who clipped a small gadget on my finger. she said it helps speed things up when there are many patients to attend to.
what was uncomfortable for me was the needles. they pricked me to get blood samples, then to do an allergy test, then to start the dextrose. i have "difficult" veins so with the last procedure, they only managed to succeed on the fourth try. :(
@allknowing (153544)
• India
23 Oct 12
That was a huge session with your doctor!
And in all this activity I hope your doctor had a word or two with you with a broad smile on his face - something like "How are we this morning"
which the good old doctors used to say!!. This stethoscope thing was more symbolic when I made a mention of it here.
And in all this activity I hope your doctor had a word or two with you with a broad smile on his face - something like "How are we this morning"
which the good old doctors used to say!!. This stethoscope thing was more symbolic when I made a mention of it here.@allknowing (153544)
• India
23 Oct 12
Oh no! How rude of me not to ask you how you are doing. I hope you are on the road to recovery!
@hereandthere (45628)
• Philippines
23 Oct 12
staying in the hospital meant people were coming and going all the time, they have 3 shifts after all, so there were doctors and nurses always checking in on me around the clock... plus the person that delivers the meals... the one that cleans the room... the one that changes the sheets. oh, and there were also 2 seminarians on sunday inviting me to mass. to make the most of these "interruptions," i and my relative would chat them up and i can honestly say i learned something from each person. then it's back to sleeping or reading.
with regards to the road to recovery, let's just say we made a pit stop for now.

@Hatley (163772)
• Garden Grove, California
23 Oct 12
allknowing the world can never just stand still. change is always going on.and for
your information when I go to my doctor the nurse always takes my glood pressure and she uses a stethoscope of course.those days are bye gone so live for today
and enjoy so me of t he changes.
@allknowing (153544)
• India
23 Oct 12
I have no problem personally as I have used my wits to have a good connect with my doctors but I am concerned for those who do not have the kind of relationship that is absolutely necessary. Nothing is old fashioned when it comes to a doctor patient relationship. The stethoscope was just a way of saying that the touched has disappeared.
@mariaperalta (19073)
• Mexico
23 Oct 12
Yes they use types of computers for everything now. Nurses seem to do more than the dr. does. But we still get charged and arm and a leg by drs.
@allknowing (153544)
• India
23 Oct 12
It is more commercial these days. A doctor needs to establish a relationship with his patient and with these machines and nurses taking over that is hardly possible.

















