home
RSS
Why you should never go to the hospital in July
June 22nd, 2011
01:00 PM ET

Why you should never go to the hospital in July

Anthony Youn, M.D., is a plastic surgeon in Metro Detroit. He is the author of “In Stitches,” a humorous memoir about growing up Asian American and becoming a doctor. 

Do not get sick in July. Why? You might die.

A 2011 study published by the Journal of General Internal Medicine reported a 10% spike in teaching hospital deaths during the month of July due to medical errors. We call this spike “The July Effect” and we attribute it to the influx of new interns and residents.

Typically, medical students graduate in June and begin their first year of residency training — internship — in July. This group of eager new interns invades the hospital to learn, care for patients, and make medical decisions. One problem. They don’t know what they’re doing.

Like most interns, I arrived with four years of medical school under my belt, an M.D. after my name, and virtually no practical knowledge of medicine. Although I wore the long white coat of a doctor, I kept my pockets packed with condensed medical manuals that we called our “peripheral brains” to make up for the lack of knowledge held in my actual brain. Thank God for these manuals. Otherwise I would have been part of “The July Effect.”

My first night on call. I walk down a dimly lit hallway toward my call room, the only sound the intermittent beeping of a heart monitor. Suddenly, a loud siren rings overhead. A nurse rushes out of a room right in front of me.

“Call a code!” she yells to a secretary. The nurse looks in my direction and asks, “You’re a resident, right? I need you to run this code!”

I look left, right, and behind me.

Gulp. She’s talking to me.

“OK,” I say, hoping that she hasn’t noticed that my voice has leaped an octave.

The truth is, I’ve just finished orientation, which included a course in Advanced Cardiac Life Support, but I have not spent a minute reviewing the manual. Confession: I’m not feeling all that confident.

I rushed with the nurse into the patient’s room. I see on the cardiac monitor that the patient is in ventricular fibrillation, the heart rhythm that immediately precedes death. Squeezing an oxygen mask, a nurse stands above the patient’s head. A second nurse runs medications into an IV.

“What should we do, doctor?”

My mind goes blank. I have absolutely no idea.

I pull out my “peripheral brain,” flip to the section on “ventricular fibrillation.” Aha! Got the treatment. Cardioversion - commonly called electric shocks.

[By cardioversion, I'm using a general term for restoring a heart to its correct rhythm. ]

“Get me the paddles!” I say, my voice rising.

The nurse shoves the paddles into my hands and sets the power to the appropriate level.

“Clear!” I yell, and place the paddles on the patient’s chest.

“STOP!” the nurse screams.

She grabs my hands and moves the paddles to a different spot on the patient’s chest.

One more second and I would have shocked his liver.

“Clear!” I yell again, and press the defibrillation button.

The patient jerks slightly and for an instant the heart monitor goes wild. Then it completely stops. We stand still, staring at the monitor for what seems like minutes, awaiting his new cardiac rhythm.

Beep… beep… beep.

Normal.

He’s saved.

I let out a breath of relief.

Within seconds, several residents enter the room and take over for me. I gladly step aside. I go back to my call room, both exhilarated that I’ve saved a patient’s life and freaking out that I nearly made a mistake would have cost it. I’ve learned my lesson. I pull out my heart book and study it cover-to-cover until dawn.

Everyone - even doctors, especially doctors - have to learn and train in order to become proficient. Interns start out as rookies, not seasoned veterans. Experience takes time.

So if you have to go to a hospital in July, treat the new interns with patience and respect.

Then check with your nurse to make sure they know what they’re doing.


soundoff (1,400 Responses)
  1. 카지노사이트

    http://haitu888com.web4.txzyun.com/bbs/home.php?mod=space&uid=60659

    April 16, 2021 at 22:03 | Report abuse | Reply
  2. high risk merchant account

    I really like reading an article that will make men and
    women think. Also, many thanks for allowing for me to comment!

    April 17, 2021 at 05:18 | Report abuse | Reply
  3. 카지노사이트

    https://cousinjute65.bladejournal.com/post/2021/01/22/Internet-Poker-A-Comprehensive-Overview

    April 17, 2021 at 05:46 | Report abuse | Reply
  4. 토토사이트

    Good blog you have got here.. Itís difficult to find high quality writing like yours these days. I truly appreciate people like you! Take care!!

    https://www.premedlife.com/members/gambling4memorycamera0/activity/462395/

    April 17, 2021 at 08:58 | Report abuse | Reply
  5. Yipsmw

    believe split up facts and techniques post compiled

    loving stop working help To your ex-girlfriend back

    equally that inconsistency and insecurity damaged your association employing your ex that ignited you and them to split up. When that you're in a union there is absolutely denial along with difficult avenues coupled with rocky trails. become peace. here i list recommendation to get back as well as your ex after a falling apart.

    After a breakdown, plenty of online marketers forfeit all their mood and are no own keep on top of the least bit. They do some goof ups that could make the experience uglier. this then is naturally whether may be get your ex-lover back with their moms an individual. getting over a bad break is not any effortless, it takes immense may making it feel like position. A psycho therapist friend retained assuring me each one I simply had to do came ignore romantic relationship and i might as soon as possible commence to go away. issue was i always. the fishing line to the sun is quite and rugged nonetheless,however it and also staying awake to your heartaches the particular fearful opinion professions on your lifestyle you may be able to make better decisions. very stressful they are hardly ever understanding or conscious blaming just before you decide they go home. in truth your ex latamdate can even give you a list of issues you supposedly would have done opposite in the form of approval for many years passing on. number one breakdown tips to help you overcome their. allow for your better half reduced manageable. If you want to know what many of those slipups are almost always, distinct of practicing customers, so you want to keep internet dating well-built right after that you might need.

    April 17, 2021 at 10:35 | Report abuse | Reply
  6. 메이저사이트

    https://zenwriting.net/gambling5k0gjudn335/advantages-of-playing-casino-gameson-line-casinos-have-been-increasing-by-leaps

    April 17, 2021 at 11:13 | Report abuse | Reply
  7. Click Here to Buy Magic Mushroom Grow Kits

    You have covered this topic properly.

    https://magic-mushrooms-online.com/product-category/magic-mushroom-growing-kits/

    April 17, 2021 at 14:22 | Report abuse | Reply
  8. https://magic-mushrooms-online.com/

    Not many writers with appropriate knowledge of the subjects they discuss.

    https://magic-mushrooms-online.com/

    April 17, 2021 at 14:34 | Report abuse | Reply
  9. 토토사이트

    http://diveqa.com/user/a0yoknm971

    April 17, 2021 at 18:00 | Report abuse | Reply
  10. 토토사이트

    https://www.minerva.gallery/index.php?action=profile;area=forumprofile;u=585355

    April 17, 2021 at 19:47 | Report abuse | Reply
  11. 토토사이트

    http://casino4fridgetrail33.jigsy.com/entries/general/A-Quick-Review-of-ChuckALuck

    April 17, 2021 at 21:04 | Report abuse | Reply
  12. bongda.com.vn truc tiep

    Link exchange is nothing else however it is simply placing the other person's weblog link on your page at suitable place and other person will also
    do same in support of you.

    April 17, 2021 at 21:31 | Report abuse | Reply
  13. 사설토토

    https://lessontoday.com/profile/casino7yewcard3/activity/594593/

    April 17, 2021 at 22:22 | Report abuse | Reply
  14. buy tadalafil

    tadalafil dosage https://elitadalafill.com/ buy tadalafil

    April 17, 2021 at 22:53 | Report abuse | Reply
  15. alprostadil cream reviews

    how to adminiter transurethral alprostadil https://alprostadildrugs.com/ alprostadil injection instructions

    April 18, 2021 at 00:39 | Report abuse | Reply
  16. cialis canadian pharmacy

    cialis canadian discounts https://canadacialisstore.com/ canadian pharmacy cialis without prescription

    April 18, 2021 at 01:55 | Report abuse | Reply
  17. xem ty so ngoai hang anh

    Go baseball team! xem tivi k+ Therefore, it is definately a tricky task which you get their hands on these systems.|Make sure ALL your players get the proper personal instruction. Should you not get the loading phase of the rear arm correct, it's tough for your swing or throw to recuperate. There are thousands of online autographs sites.|Move the ball down the area 10 yards at a time. eat on the clock. Finally, no football bedroom would be complete without real footballs. At one end of record will be most probable home profits.|The American odds are also called as money contours. In 1935 the Heisman Trophy, was developed to be awarded to probably the most outstanding football player. Late Olayinka John (Ayogi) was the then coach of eleven brothers.

    http://martincnul51579.atualblog.com/3272390/xem-thvl1-truc-tuyen

    April 18, 2021 at 04:55 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Leave a Reply to Heather


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.