Last time, Ms. Yamamoto, a nurse who had given up on auscultation due to her hearing impairment, met Nexstetho and was able to auscultate again. This time, she wrote to us that she is challenging to measure her blood pressure using an aneroid sphygmomanometer. Electronic blood pressure measurement has become the mainstream nowadays, and every hospital has a self-service blood pressure monitor in a corner of the waiting room.
However, I feel more comfortable having a doctor or nurse wrap a cuff around me and take my blood pressure. The aneroid sphygmomanometer measures the minimum and maximum blood pressure while listening to a blood flow sound called Korotkoff's sound with a stethoscope. The combination of the traditional aneroid sphygmomanometer supported by the latest Nexstetho is quite interesting.
The chestpiece arrived safely! I wanted to use something that I could hear as well as possible, so I chose the rather expensive Littmann chestpiece. I immediately put it on my Nexstetho and it looks great!đ And I'm taking on a new challenge! Blood pressure measurementâš Most of the sphygmomanometers are electronic now, but I've decided to use an aneroid sphygmomanometer from now on because I want to get used to hearing and listening to sounds at Nexstetho!
We don't have an aneroid sphygmomanometer at work, so I also bought a blood pressure monitor.đ Blood pressure monitor with cute denim fabric. First of all, looks are important.†The first blood pressure reading was... It was "uh... inaudibleđđđ" The cause is ambient noise. Even if you connect the cochlear implant directly to the Nexstetho, outside sounds will still enter through the cochlear implant. TV sounds and talking are louder... Lung sounds, heart sounds, intestinal peristalsis sounds, etc. are often listened to in the patient's room, and can be auscultated in a quiet environment. However, I noticed that blood pressure measurements are taken in the training room where there is a lot of noise!đ Now, what to do... After a lot of testing, it seems that adjusting the sensitivity of the cochlear implant is a good idea. If you reduce the sensitivity, the noise will be reduced. But you have to lower the sensitivity with the remote control of the cochlear implant, so if you forget the remote control or forget to charge the battery, you're out đ . And if you forget to turn up the sensitivity after the measurement, you may not be able to understand the staff's conversation... It will take me a while to get used to it, but I'm still happy when I can hear the Korotkoff's sound when I measure my blood pressuređ. The other day I took my mother's blood pressure. She also connected her earphones and listened to the Korotkoff's sound together. She said, "I can hear it like this. We also checked her heartbeat and breathing sounds together. My mother said, "I can't hear you," but she didn't understand at first because she had never heard these sounds before. When she found out the heart and breathing sounds, she said, "That's the sound," and "My heart beats faster than yours. Such communication is good. And it's nice to listen with my patients! Nexstetho is still a good place to do such thingsâ€.
It is published with permission.