 |
|
|
|
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 (2,421 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Next »Leave a Reply to studdmuffins
Next entry »Silicone implants: Safe, need monitoring
« Previous entryStress and the city: How your brain responds
|
  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.
 |
|
|
|
Howdy! Do you know if they make any plugins to protect against hackers? I'm kinda paranoid about losing everything I've worked hard on. Any tips?
http://www.zortilonrel.com/
http://ya4r.net/go.php?url=https://zenwriting.net/wulverptjr/img-src-i-ytimg-com-vi-gvhw_gg5rfw-hqdefault-jpg
http://preview.alturl.com/jcmiq
http://mewkid.net/when-is-xuxlya3/ – Amoxicillin Without Prescription Buy Amoxicillin pck.udtt.thechart.blogs.cnn.com.npn.od http://mewkid.net/when-is-xuxlya3/
I truly enjoy studying on this site, it has good content. "Those who complain most are most to be complained of." by Matthew Henry.
http://www.froleprotrem.com/
500000 Scrapebox Blast Live SEO blog Comment Backlinks: https://www.seoclerk.com/Link-Building/842132/500000-Scrapebox-Blast-Live-SEO-blog-Comment-Backlinks
https://www.seoclerk.com/Link-Building/842081/1-000-000-GSA-Live-Backlinks-High-Quality-SEO-links-Bad-Links-Removal
As I web site possessor I believe the content material here is rattling excellent , appreciate it for your hard work. You should keep it up forever! Best of luck.
https://community.act.com/t5/user/viewprofilepage/user-id/108286
Great website you have here but I was wanting to know if you knew of any user discussion forums that cover the same topics talked about in this article? I'd really like to be a part of online community where I can get feedback from other knowledgeable people that share the same interest. If you have any recommendations, please let me know. Bless you!
https://www.codecademy.com/profiles/rattwine0
http://drpetepublishing.com/members/freezeforce53/activity/175107/
Very good information. Lucky me I discovered your site by accident (stumbleupon). I have bookmarked it for later!
http://dritter-lernort.de/members/honeyjoin8/activity/722122/
I used to be recommended this website by means of my cousin. I'm now not sure whether or not this post is written by means of him as no one else recognise such targeted approximately my problem. You're incredible! Thanks!
http://www.froleprotrem.com/
The next time I read a blog, I hope that it won't fail me just as much as this one. I mean, Yes, it was my choice to read, but I genuinely thought you would have something useful to talk about. All I hear is a bunch of whining about something you can fix if you were not too busy looking for attention.
http://biztektoolbox.com/members/novelgray75/activity/390147/
Great beat ! I wish to apprentice even as you amend your web site, how could i subscribe for a blog site? The account helped me a applicable deal. I were tiny bit familiar of this your broadcast offered brilliant clear idea
http://www.nookl.com/article/1292718/how-to-boost-domain-rating
Youre so cool! I dont suppose Ive learn anything like this before. So nice to seek out any individual with some original thoughts on this subject. realy thank you for beginning this up. this web site is something that is needed on the web, someone with a little originality. helpful job for bringing something new to the web!
https://austrowatertech.com/about-us/
We stumbled over here by a different web page and thought I may as well check things out. I like what I see so now i'm following you. Look forward to checking out your web page yet again.
http://www.google.com.pg/url?q=https://www.youtube.com/embed/SLp-APEq8Sk&t
https://playmuscle8.doodlekit.com/blog/entry/12890113/betting-addiction-recognizing-
Just bookmarked this post as I have found it fairly valuable.
http://www.scrapality.com/2020/01/stop-your-tiredness-with-these-energy-boosting-tips.html
http://www.mickartvideo.com/index.php?option=com_k2&view=itemlist&task=user&id=1999618
An outstanding share! I've just forwarded this onto a co-worker who was conducting a little homework on this. And he actually bought me dinner due to the fact that I found it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanks for spending time to talk about this topic here on your blog.
http://ironbanana26.bravesites.com/entries/general/prenatal-massage-benefits
https://cults3d.com/fr/utilisateurs/menhate24
Hello! Do you know if they make any plugins to assist with SEO? I'm trying to get my blog to rank for some targeted keywords but I'm not seeing very good results. If you know of any please share. Thanks!
https://www.google.kg/url?q=https://apnews.com/press-release/kisspr/lifestyle-business-marketing-and-advertising-corporate-news-animals-70efe4b6c3baedec2b6afd81518994f3
Hiya, I'm really glad I've found this information. Today bloggers publish only about gossips and web and this is actually annoying. A good site with exciting content, that's what I need. Thank you for keeping this web site, I'll be visiting it. Do you do newsletters? Can't find it.
https://webhosting-wmd.hr/index?URL=https://boostdomainrating.com
You have actually covered this subject expertly.
http://www.scrapality.com/2020/01/stop-your-tiredness-with-these-energy-boosting-tips.html
You ought to be a part of a contest for one of the most useful sites on the internet. I will recommend this website!
https://blogfreely.net/crabcover2/basic-mathematics-is-crucial-for-playing-poker
very good put up, i definitely love this website, carry on it
https://tvtropes.org/pmwiki/no_outbounds.php?o=https://boostdomainrating.com
http://www.hackbulletin.com/User-lunchsnake81
Good info. Lucky me I reach on your website by accident, I bookmarked it.
http://www.zortilonrel.com/
ok so how to do it?. . i have seen people getting their blog posts published on their facebook fan page. pls help . thanks.
https://bookeworm94.tumblr.com/
http://bbs.dnmso.com/home.php?mod=space&uid=350454
https://is.gd/y7Pw2H
Best Marketing Services – Cheapest on Market. SMM Supreme is the Top 5 Best Social Media Website in the World. Best Quality-Price Ratio on the market with 714,928 orders until now. – Facebook Fan Page Likes for $4.50/1000 – Instagram Followers for $0.78/1000 – Youtube Views: $1.62/1000 – Twitter followers: $2.10/1000 – Paypal Deposit – Bitcoin Deposit – Fast order processing – 1 Hour Delivery Our Website: https://smmsupreme.com/services
https://bit.ly/2Hnl7vE
Hello! I simply would like to give a huge thumbs up for the good info you could have right here on this post. I will likely be coming back to your weblog for extra soon.
https://zanderiwfo158blog.alltdesign.com/semenax-reviews-for-dummies-17608245
Real nice style and excellent content material, practically nothing else we require : D.
http://www.froleprotrem.com/
https://uberant.com/article/1190891-basic-video-poker-rules/
https://godotengine.org/qa/index.php?qa=user&qa_1=rotatefang31
Pretty! This was an incredibly wonderful post. Many thanks for supplying these details.
https://visual.ly/users/flynnbarnett132179/portfolio
https://help-sp.ru/index.php?action=profile;area=forumprofile
https://edukite.org/members/geminicheque54/activity/948355/
https://reportdonna47.mystrikingly.com/blog/blackjack-method-how-to-know-the-way-to-bet
Right here is the perfect webpage for everyone who would like to find out about this topic. You understand a whole lot its almost hard to argue with you (not that I actually would want toÖHaHa). You certainly put a fresh spin on a topic that has been written about for a long time. Wonderful stuff, just excellent!
https://lessontoday.com/profile/turnipmanx5/activity/481588/
https://www.illustratedfaith.com/members/salmonlyre7/activity/734171/
After I initially commented I seem to have clicked on the -Notify me when new comments are added- checkbox and now each time a comment is added I receive four emails with the exact same comment. There has to be a means you can remove me from that service? Many thanks!
http://ostack.cn/index.php?qa=user&qa_1=fightband1
https://feartrip4.werite.net/post/2021/02/01/Illinois-Gambling-Lawmakers-Finds-Road-Map-To-Legalize-Casino-Gambling
Hey are using WordPress for your site platform? I'm new to the blog world but I'm trying to get started and create my own. Do you require any coding expertise to make your own blog? Any help would be greatly appreciated!
http://0800-numbers54195.fireblogz.com/28225590/5-simple-statements-about-movers-explained
I do enjoy the manner in which you have framed this particular issue plus it really does supply us a lot of fodder for consideration. However, through just what I have personally seen, I just simply trust as the actual responses pack on that individuals keep on issue and not get started upon a soap box associated with the news du jour. Still, thank you for this fantastic piece and even though I can not go along with this in totality, I regard your viewpoint.
https://erectile-dysfunction-on-d15703.frewwebs.com/1768977/the-smart-trick-of-semenax-reviews-that-no-one-is-discussing
Not many writers with proper knowledge of the subjects they write about.
https://www.sfweekly.com/uncategorized/best-cbd-oil-near-me-buy-cbd-oil-online/
https://dribbble.com/syriaseason2
You have covered this topic properly.
https://www.sfweekly.com/uncategorized/best-cbd-oil-near-me-buy-cbd-oil-online/
Thanks for sharing your info. I really appreciate your efforts and I am waiting for your next write ups thank you once again.
Have a look at my website: half box stickers
https://diigo.com/0jlxz4