{"id":122547,"date":"2023-11-05T15:44:34","date_gmt":"2023-11-05T20:44:34","guid":{"rendered":"https:\/\/ringsidereport.com\/?p=122547"},"modified":"2023-11-05T15:45:00","modified_gmt":"2023-11-05T20:45:00","slug":"doctor-curmudgeon-lub-dub-lub-dub","status":"publish","type":"post","link":"https:\/\/ringsidereport.com\/?p=122547","title":{"rendered":"Doctor Curmudgeon \u00ae Lub Dub\u2026 Lub Dub&#8230;"},"content":{"rendered":"<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-1545664804358300\" crossorigin=\"anonymous\"><\/script><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-1545664804358300\" data-ad-slot=\"8616314829\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<p><strong><a href=\"https:\/\/ringsidereport.com\/?p=122547\" rel=\"https:\/\/ringsidereport.com\/?p=122547\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-122548 size-medium\" src=\"https:\/\/ringsidereport.com\/wp-content\/uploads\/2023\/11\/images-300x180.jpg\" alt=\"\" width=\"300\" height=\"180\" srcset=\"https:\/\/ringsidereport.com\/wp-content\/uploads\/2023\/11\/images-300x180.jpg 300w, https:\/\/ringsidereport.com\/wp-content\/uploads\/2023\/11\/images.jpg 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/strong><\/p>\n<p><strong>By Diane Batshaw Eisman, M.D. FAAP Doctor Eisman is in Family Practice in Aventura, Florida with her partner, Dr. Eugene Eisman, an internist\/cardiologist<\/strong><\/p>\n<p>Just two easily pronounceable syllables: lub dub.<\/p>\n<p>Lub and dub: the sounds heart valves make when they snap shut.<\/p>\n<p>And I would not be able to hear them without that simple piece of medical equipment that is slung around my neck.<\/p>\n<p>The stethoscope.<\/p>\n<p>In the olden days before the stethoscope was born, doctors would put their heads on a patient\u2019s chest in order to hear the sounds of the heart.<\/p>\n<p>Or course, this was not ideal.<\/p>\n<p>Then, along came Dr. Theophile Hycanith Laennec. <!--more--><\/p>\n<p>It was in 1816 that Laennec got the idea for his stethoscope. Taking a piece of paper, he rolled it up into a long cone shaped tube.<\/p>\n<p>Holding one piece against his ear, he placed the other end against his patient\u2019s chest\u2026and his ability to hear the sounds of a heart was miraculously improved.<\/p>\n<p>According to Dr. Ariel Roquin in Clinical Medicine &amp; Research, Laennec described his innovation as follows:<\/p>\n<p>\u201cI recalled a well known acoustic phenomenon: if you place your ear against one end of a wood beam the scratch of a pin at the other end is distinctly audible. It occurred to me that this physical property might serve a useful purpose in the case I was dealing with. I then tightly rolled a sheet of paper, one end of which I placed over the precordium (chest) and my ear to the other. I was surprised and elated to be able to hear the beating of her heart with far greater clearness than I ever had with direct application of my ear. I immediately saw that this might become an indispensable method for studying, not only the beating of the heart, but all movements able of producing sound in the chest cavity.\u201d<\/p>\n<p>Dr. Laennec continued perfecting the stethoscope and discovered that a hollow wooden tube gave him even greater clarity. There are theories that his diligent work into hearing accurate cardiac sounds stemmed from his musical ear and great skill as a flautist. His wooden stethoscope looked a bit like a trumpet.<\/p>\n<p>In the 1820s, other physicians began trying out all kinds of materials and shapes. Those early stethoscopes were placed in one ear.<\/p>\n<p>It wasn\u2019t until 1851 that Dr. Arthur Leared, an Irish physician invented a stethoscope with two earpieces\u2026the first binaural stethoscope!<\/p>\n<p>Thanks to those early physicians, I have a ritual before seeing my first patient of the day. I reach for my most important accessory: my stethoscope.<\/p>\n<p>It is a Littmann stethoscope.<\/p>\n<p>Placing it around my neck, I recall a Valentine\u2019s Day of several years ago.<\/p>\n<p>On that historic Valentine\u2019s Day, a beautifully wrapped package sat atop a pile of papers on my desk. Expecting chocolate, I raced over to attack the box.<\/p>\n<p>As is my wont, I first sniffed the box. I was somewhat dismayed when I was not able to detect the aroma of chocolate from this gift.<\/p>\n<p>Tearing it open anyway, I found that there was no chocolate.<\/p>\n<p>Nestled in the pink tissue paper was a Littmann Stethoscope\u2026almost as wonderful as chocolate.<\/p>\n<p>It was Dr. David Littmann, a cardiologist, who was the creator of my prized stethoscope.<\/p>\n<p>Dr. Littmann designed it to be lighter, easier on the doctor\u2019s neck. It had a spring to keep the two earpieces apart. The tubing was firm and it had a chest piece with two sides. One side was a diaphragm that can better hear high pitched sounds. Turn the chest piece around and you have a concave bell that is best for those low frequency sounds.<\/p>\n<p>Before Littmann, there were stethoscopes with two chest pieces, but they were connected by two tubes which frequently rubbed together and the sound was not clear. Littman\u2019s innovation had a single tube.<\/p>\n<p>On that Valentine\u2019s Day several years ago, I carefully placed my treasured stethoscope in the largest pocket of my ink-stained lab coat.<\/p>\n<p>My Littmann and I have been together ever since.<\/p>\n<p>And now here is the rest of the story.<\/p>\n<p>On arriving home, on that Valentine\u2019s Day, I found a huge box of dark chocolates waiting for me.<\/p>\n<p>A memorable day\u2026<\/p>\n<p>A Littmann stethoscope\u2026<\/p>\n<p>Lots of dark chocolate\u2026<\/p>\n<p>Lub Dub went my heart.<\/p>\n<p style=\"text-align: center;\"><em><strong><span style=\"font-size: 14pt; color: #808000;\"><a style=\"color: #808000;\" href=\"https:\/\/www.authorhouse.com\/en\/bookstore\/bookdetails\/232300-BOXING-INTERVIEWS-OF-A-LIFETIME\">Click Here to Order Boxing Interviews Of A Lifetime By &#8220;Bad&#8221; Brad Berkwitt<\/a><\/span><\/strong><\/em><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>By Diane Batshaw Eisman, M.D. FAAP Doctor Eisman is in Family Practice in Aventura, Florida with her partner, Dr. Eugene Eisman, an internist\/cardiologist Just two easily pronounceable syllables: lub dub. Lub and dub: the sounds heart valves make when they snap shut. And I would not be able to hear them without that simple piece [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":122548,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[31555],"class_list":["post-122547","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-boxing-news","tag-doctor-curmudgeon-lub-dub-lub-dub"],"_links":{"self":[{"href":"https:\/\/ringsidereport.com\/index.php?rest_route=\/wp\/v2\/posts\/122547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ringsidereport.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ringsidereport.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ringsidereport.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ringsidereport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=122547"}],"version-history":[{"count":-3,"href":"https:\/\/ringsidereport.com\/index.php?rest_route=\/wp\/v2\/posts\/122547\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ringsidereport.com\/index.php?rest_route=\/wp\/v2\/media\/122548"}],"wp:attachment":[{"href":"https:\/\/ringsidereport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=122547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ringsidereport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=122547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ringsidereport.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=122547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}