I purchased my scope here about 10 years ago. Working as an RN as well as in the veterinary field I have used about 8 or 9 stethoscopes over the years. The Elite is the best I have used (except for the original Cardiology I). The Littmanns (Cardiology and Classic series) always seem boomy and bassy. I really do believe it is due to their tunable diaphragm technology, which has invaded all of their scopes. The Elite is not quite as loud, but cardiac sounds are more "crisp," is [...read more]