Technologies have "taken over" medical practice and through them the diagnostic process has become faster, more accurate, early and secure, and treatment is effective and encouraging. The positive results are indisputable, but at the same time, the old prophecy was doomed to oblivion. As a consequence, less clinical thinking and less skill in a non - standard environment (field conditions).The article presents the real role of a medical stethoscope in medical practice. A clinical case of asymptomatic spontaneous pneumothorax in interstitial pneumonia due to a complication of rupture of the vein, diagnosed with a medical stethoscope only, has been considered.The analysis of the physical findings is important. A key point in the analysis is the mismatch between the "expected" change in the clinical and physical picture and the "reported" physical finding, which is the evolution of the pulmonary parenchymal syndrome - instead of pure vesicular breathing, to the syndrome - air in the pleural cavity .Theoretically, a clinical paradigm of clinical thinking, containing the components, has been developed and practically applied to the clinical case: a description of the specificities of each symptom, two aspects of a working diagnosis - what and what is not; a logical connection between the symptoms, an analysis of small deviations and nuances - a pathway to accurate diagnosis and associative thinking.Through the stethoscope in combination with medical knowledge and clinical associative thinking, human life can be saved.The current trend is to replace the stethoscope by automated versions. As a traditional method it will not disappear altogether because it is the cheapest and does not require electricity, which makes it a good backup method in developed regions and a logical first choice in some developing regions. The routine use of modern medical equipment allows the examination of medical problems in depth, but not in large scale in association with other symptoms as a process, and the discovery of the causes of the problem. The solution is in the possibility of old physical methods, in combination with associative clinical thinking.The real role of the medical stethoscope returns to the classics of medical science and healing as it is known in its historical nature - such as soul, vocation, and dedication. The medical stethoscope gives the physician the freedom to be a doctor - to himself, anywhere in the world, under all circumstances and under harsh conditions.
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