Originally Posted by MUNCHKINgloria72
How do you justify paying $135 for stethoscope when you can buy one for $35? Do you actually hear better?

That is like saying how can you justify buying a calculator when an abacus will work. The difference is immeasurable.
I had what I thought was a good stethescope until I got the Littman, and yes, it is worth the money and yes I can hear much better with it. It is an investment, and I never lay it down because I know it would walk off. You can use any stethescope to take an average blood pressure. But if you want to know if the breaths sounds are better after the neb treatment, if the heart tones are muffled, hear soft bowel sounds or any number of subtle changes you want to be aware of, you have to have a good stethescope.
I also use the longer tubing for the reasons mentioned already. There are many people in the ER I just don't want to get that close to. Also it is more comfortable requiring less bending, and hangs around my neck better than the short ones.