I have been through several types of stethoscopes. In nursing school I started out with one of those low end, under $15 stethoscopes - I can't even remember the name. I noticed I was having trouble hearing with it, so I bought one of those heavy duty double tubing Sprague types. This worked a little better. A few years later, I bought a Littman lightweight, a definate improvement, although I still had problems hearing breath sounds and heart sounds in large people really well. I kept this stethoscope for quite a long time, but about a year ago, I decided it was time to buy a new one. I had a budget of around $100 and decided it would be a good idea to do some research online first. I read several postings here as well as some online reviews. I had heard a lot about the Ultra scope and thought it looked pretty cool. I also heard a lot of good reviews on the Littman and this has always been the brand that is "tried and true" - so I decided I would compare the two. I called around and found a store that carried both of these brands and brought my hubbie along to be the guinea pig. He is a big guy and I wanted to see how well I could "assess" him! LOL!! So in the middle of Scrubs and Beyond, my 6 foot 2 hubbie is standing there in the middle of the store while I repeatedly "assess" him with the store clerks and shoppers watching

I REALLY wanted the Ultrascope to the be the best choice, because I thought it was so cool and different looking and there were so many choices for tubing color and head design. But as it turned out there was a noticible difference in the Littman that cost the same as the Ultrascope (I think around $80 to $90) and that was the Littman Master Classic II. It really worked better. I was hesitant about it because it has just a one sided head, but I had read that with the way the head was it would work like bell or diaphram depending on the pressure you put on it. So - I also experimented with hubbie and lo and behold - there was a difference in sounds you heard depending on pressure you used while listening! So I went with the Littman and really can hear very well with it. In fact, I have a friend (also a nurse) with hearing loss and she borrowed mine and was able to assess with it. If you are willing to spend even more money, Littman has even higher end scopes. I also could have saved money if I had bought it online, but didn't want to wait. I think I remember that allheart.com has pretty good prices.
I have read a lot of online reviews and other people think the Ultrascope is better. I would suggest that you do what I did and go try it for yourself. The people at the store just cleaned the earpieces when I was done and were fine with me trying it. I think we all hear tones differently and what works best for me, might not be the best for you. I love my Littman and the $$ I spent was worth it in that I feel I am properly assessing my patients. One side note.... the first time a doctor came up and "borrowed" my nice expensive (to me anyway!) stethoscope from around my neck was enough for me to buy one of those stethoscope covers. If it doesn't at least DIS-saude one of those docs from walking into a patients room with a funky-looking stethoscope, at least it will make mine stand out! And you can't take the cover off without removing the head piece - not an easy task to do!
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