Quote:
Originally Posted by pamamidwife 
Erika, did you make sure that the side of the stethoscope you were using was correct? Sometimes if the tubing is set to the smaller bell (which would be on the top if you're taking BP), it will pick up only outside noise, not the pulse rate.
I have a Littman and I like mine, though I don't consider it really loud. Maybe coming from a cheaper steth to this one seems louder? Or perhaps it's because I can't hear at all. 
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Totally sure, I check each time. Even with it set correctly, it still seems to pick up noises from the smaller bell at the same time. Drives my ear crazy. I think the Littmann sounded really loud to me because I am used to having to strain soooooooo hard to hear anything and there was no straining at all when I popped the Littmann set in my ears.