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Title: poor quality
Review: I recently bought this stethascope as a less expensive alternative to the Litman cardiology I had that finally broke after a good 4 years of use. Although it had the look and lumen thickness similar to the Litman, with fairly good diaphram, the bell side had terrible quality. Also it would try to twist on you while in the ears make it very uncomfortable. The last straw was when the eartip split after just 2 weeks of use. I have returned it to Amazon and ordered a duplicate of my original Litman Cardiology that I know is a great product. It'll be 150% more money, but well worth it.
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