I can hear pulses. One of the challenges of losing your hearing is the trepidation over how it will impact your job and ability to earn. This stethoscope was affordable, and of superior sound to the Littman amplified. I will be able to continue as a cardiology/pulmonary nurse long after my hearing aids arrive. The price was reasonable and the stethoscope works amazingly. Everyone on my floor wants to try it. My own primary care doctor wants to listen. Knowing I will keep my job, and continue being able to be good at my job has been a huge relief. Thank you so much!