 |
|
|
|
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 generic levitra vardenafil 20mg
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.
 |
|
|
|
http://isms.pk/members/weederfang9/activity/461239/
Great website! It looks very professional! Sustain the great job!
https://pipenewflt.bloggersdelight.dk/2021/01/25/what-makes-a-steel-warm-resistant/
https://cubprose1.over-blog.com/2021/02/a-basic-strategy-for-blackjack.html
Youre so cool! I dont suppose Ive read anything like this before. So good to find any individual with some original ideas on this subject. realy thank you for beginning this up. this web site is something that is wanted on the internet, somebody with a bit originality. helpful job for bringing one thing new to the internet!
http://jorconsulate.com/newen/index.php?option=com_k2&view=itemlist&task=user&id=477490
Wow, lovely portal. Thnx ...
https://i5nfygi872.doodlekit.com/blog/entry/12911026/whats-boiler-tube-product-grade
This website is really a walk-by for all of the info you needed about this and didn’t know who to ask. Glimpse here, and you’ll positively uncover it.
http://www.payshope.com
I’m not sure where you are getting your info, but great topic. I needs to spend some time learning more or understanding more. Thanks for great information I was looking for this info for my mission.
http://www.payshope.com
Everything is very open with a clear explanation of the issues. It was truly informative. Your website is very helpful. Thank you for sharing!
https://www.goodreads.com/user/show/129729554-hamilton
Precisely the type of content that improves the internet. Many thanks!
https://www.sfweekly.com/uncategorized/best-cbd-oil-for-dogs-in-2019-cbd-oil-for-pets-reviews/
https://uberant.com/article/1191102-how-to-beat-your-house-edge-at-your-favorite-casino/
I used to be able to find good advice from your content.
https://www79.zippyshare.com/v/AKmPMBFd/file.html
This blog was... how do you say it? Relevant!! Finally I have found something which helped me. Thanks a lot!
http://xn--7sbabfv5bqnrfohr3ihg.xn--p1ai/user/baboonfather3/
I really like it when folks get together and share opinions. Great blog, continue the good work!
https://www.wattpad.com/user/nicglider70
You have covered this subject expertly.
https://www.sfweekly.com/uncategorized/best-cbd-oil-for-dogs-in-2019-cbd-oil-for-pets-reviews/
After checking out a few of the blog articles on your web site, I really appreciate your way of writing a blog. I saved it to my bookmark webpage list and will be checking back in the near future. Please visit my website too and tell me what you think.
https://doodleordie.com/profile/nicmile69
https://gumroad.com/5595910480827/p/the-truth-about-edge-gambling
Your style is really unique compared to other folks I have read stuff from. I appreciate you for posting when you have the opportunity, Guess I'll just book mark this page.
https://telegra.ph/How-To-Play-Craps-The-Odds-02-04
555
555
555
0'XOR(if(now()=sysdate(),sleep(15),0))XOR'Z
(select(0)from(select(sleep(15)))v)/*'+(select(0)from(select(sleep(15)))v)+'"+(select(0)from(select(sleep(15)))v)+"*/
fk6y3 q0xw7 s3wn
gmxa8 8hdcf s4fb
930fp pi61d dv6m
Somebody essentially help to make seriously posts I would state. This is the first time I frequented your website page and thus far? I surprised with the research you made to make this particular publish extraordinary. Magnificent job!
http://genki365.net/gnka01/common/redirect.php?url=https://insurancelead.net
Do you have a spam problem on this site; I also am a blogger, and I was curious about your situation; many of us have created some nice methods and we are looking to swap methods with other folks, why not shoot me an e-mail if interested.
http://www.meinvz.net/Link/Dereferrer/?https://insurancelead.net
Incredibly useful, looking forwards to visiting again.
http://www.cplusplus.com/user/q4xdkul305
Terrific work! This is the type of info that should be shared around the internet. Shame on Google for not positioning this post higher! Come on over and visit my site . Thanks =)
https://janeyleegrace.worldsecuresystems.com/Redirect.aspx?destination=https://safemutualfund.com
Howdy! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I'm getting fed up of WordPress because I've had problems with hackers and I'm looking at options for another platform. I would be fantastic if you could point me in the direction of a good platform.
http://timemapper.okfnlabs.org/view?url=https://safemutualfund.com
Highly instructive.... look forth to visiting again.
https://hamar.hu/wp-includes/Requests/Exception/HTTP/22-perfect.html
With the whole thing which appears to be building throughout this specific subject material, your viewpoints happen to be quite radical. Nevertheless, I am sorry, but I do not subscribe to your entire suggestion, all be it radical none the less. It seems to me that your remarks are generally not entirely rationalized and in fact you are generally yourself not even thoroughly confident of your assertion. In any case I did appreciate reading through it.
https://proxyti.com/buy/100-private-proxies
Just about all of whatever you say happens to be supprisingly appropriate and that makes me wonder the reason why I hadn't looked at this with this light before. This piece really did turn the light on for me personally as far as this particular subject matter goes. But at this time there is actually one factor I am not really too comfortable with so whilst I make an effort to reconcile that with the actual main idea of your position, let me see just what the rest of your readers have to point out.Very well done.
https://www.htcdev.com/?URL=https://breakingnewsmail.com
I blog quite often and I seriously appreciate your content. This great article has truly peaked my interest. I'm going to book mark your website and keep checking for new information about once per week. I subscribed to your Feed too.
http://u.42.pl/?url=https://stackoverflow.com/users/15269977/casino6n3djsbw168?tab=profile
Thanks – Enjoyed this blog post, can I set it up so I receive an alert email when there is a fresh article?
https://www.htcdev.com/?URL=https://breakingnewsmail.com
Greetings! Very helpful advice within this article! It's the little changes that produce the most significant changes. Many thanks for sharing!
http://nybookmark.com/story8421897/a-variety-of-different-types-of-video-games-for-women
Encontre as Melhores Ofertas e Cupons no Os10Melhor. Reunimos promoções de Smartphones, TVs, Moda e muito mais. O menor preço nas melhores lojas.
https://t.me/s/os10melhores
https://ccm.net/profile/user/loansyria0
https://www.evernote.com/shard/s319/sh/b53bd956-008a-9680-a3e6-2e4c8eeb3e14/c9f0b96074610525e3f51afa75a884f0
Encontre as Melhores Ofertas e Cupons no Os10Melhores. Reunimos promoções de Smartphones, TVs, Moda e muito mais. O menor preço nas melhores lojas.
https://dartmooraccommodation.co.uk/blog/activities/kayaking-on-the-river-dart/
http://forum.geonames.org/gforum/user/edit/532205.page
http://www.pageglimpse.com/external/ext.aspx?url=http://knoxigky999.fotosdefrases.com/12-helpful-tips-for-doing-bakalasaiteu
http://ezproxy.cityu.edu.hk/login?url=https://www.cnet.com/profiles/casino5j1axhvz536/
Encontre as Melhores Ofertas e Cupons no Os10Melhores. Reunimos promoções de Smartphones, TVs, Moda e muito mais. O menor preço nas melhores lojas.
https://t.me/s/os10melhores
Way cool! Some very valid points! I appreciate you writing this write-up and also the rest of the website is really good.
https://myspace.com/laughclave5
We absolutely love your blog and find the majority of your post's to be what precisely I'm looking for. Would you offer guest writers to write content in your case? I wouldn't mind creating a post or elaborating on some of the subjects you write regarding here. Again, awesome web log!
http://www.apsia.it/index.php?option=com_k2&view=itemlist&task=user&id=897474
Good day! I could have sworn I've been to this blog before but after browsing through some of the post I realized it's new to me. Nonetheless, I'm definitely happy I found it and I'll be bookmarking and checking back often!
http://www.associazionehombre.it/index.php?option=com_k2&view=itemlist&task=user&id=2119876
I have been surfing online greater than three hours lately,
but I never found any interesting article like yours.
It's pretty price enough for me. In my view, if all web owners and bloggers made just right
content material as you did, the net shall be a lot more useful than ever
before.
I must convey my respect for your kindness supporting all those that absolutely need help on in this concern. Your very own commitment to passing the solution throughout had been remarkably practical and have all the time permitted professionals much like me to attain their pursuits. This important recommendations can mean a great deal to me and even further to my colleagues. Regards; from everyone of us.
http://talktoislam.com/index.php?qa=user&qa_1=partyfox1
You made some decent points there. I seemed on the web for the problem and located most people will associate with along with your website.
https://www.keralaplot.com/user/profile/143031