I bought this stethoscope after deciding I wanted one that would fit in my pocket and boy does it fit. Its true that 22" is short but as long as you stand to the side of the patient, I have had no problems with feeling like we are too close. I don't think that I can hear much better that my MDF scope but this is the only one that comes that short. Other option would be to buy the ear piece and tubing set (like $90)and just place your current head on it or cut your current tubing. As for me, no regrets with this buy and the name on the tubing looks great.