I've been using stethoscopes for at least 30 years as a RN. I like this design but to me a good test is how well I can hear heart sounds on obese people or very large breasted women. With this one, it's a crapshoot. I often cannot.It works fine for all other things that I've used it for. It's great for blood pressure, abdominal and breast sounds, checking carotid arteries, and listening to pets'.I have one little handicapped cat who has a heart murmur, and I can hear it quite clearly with this.I'll find it to be fairly average, and not a bad value at its current price. Personally I find it uncomfortable. A lot of people like the angled earpieces, but my ear canals are very small, and this one hurts them. I can only stand it for a few minutes but that's usually long enough.I really have to give it a 3 because while it's not bad, to me it's only okay. I have used many that I like much better.
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