 |
|
|
|
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 keo nha cai
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.
 |
|
|
|
You're so amazing. Oh my The almighty. Lord bless you.
https://funsilo.date/wiki/Hotels_in_Venice_Everything_You_Will_Need_to_Know
iilegal sales of alprostadil https://alprostadildrugs.com/ alprostadil suppository uses
Thanks to you, We realized something new. Give thanks a person so much. My partner and i search forward to working with you.
https://bwin138.net/bw/profile.php?section=personality&id=477371
my business keeps growing swift. along with employment program is extremely practical.
https://managingabusiness.doodlekit.com/blog/entry/14234974/get-useful-tips-about-physical-fitness-that-are-straightforward-to-comprehend
we have different sectional sofas at home, i find them very comfortable and easy to setup,
https://remotechiefoperatingoff.doodlekit.com/blog/entry/14230219/financing-101
Cheers to you, My partner and i mastered something new. Say thanks to a person so much. My spouse and i seem forward to nearby.
http://www.ikeynote.cn/home.php?mod=space&uid=2593796
erectile tissue in men https://canadaerectiledysfunctionpills.com/ for erectile health and better blood flow
I love your blog website. I'm experienced. Thank a person.
https://wearethelist.com/story9308230/the-north-korean-casino-at-south-korea
It's a jealous article. It's very amazing and innovative. Who are you to write this special article?
https://zippyshare.com/editorgolf99
zithromax for bladder infection https://zithromaxes.com/ azithromycin oral tablet 250 mg
It's a envious article. It's very incredible and different. Who are you to write that special article?
https://hytaleturk.com/forum/index.php?action=profile;area=forumprofile;u=466391
zithro https://zithromaxes.com/ zithromax 250 mg dosage
zithromax drug class https://zithromaxes.com/ z pak 500 mg
Wow. Genius. You're a new wizard. Appreciate you.
https://anotepad.com/notes/mdd4a67w
It's great that you are getting thoughts from this article as well as from our dialogue
made here.
Thanks a lot to you, My partner and i figured out something new. Say thanks to a person so much. My spouse and i look forward to nearby.
http://bitcoinmoney.ru/user/greekleek74/
I was so pleased by your blog. Thank you so much.
https://myspace.com/singdahlia20
Wow, the articles are so sexy. How can My partner and i write like you? My partner and i are looking for the very same writing skills since you.
http://b3.zcubes.com/v.aspx?mid=6813391
When I originally commented I clicked the -Notify me when new comments are added- checkbox and already each time a comment is added I get four emails with similar comment. Perhaps there is that is you are able to remove me from that service? Thanks!
https://papaly.com/categories/share?id=17a75f3d0c98444883abd1a0587e4fca
You're thus amazing. Oh my God. Jesus bless you.
https://telegra.ph/Why-You-Should-Try-Video-Kooba-04-04
It's a envious article. It's very incredible and innovative. Who will be you to write this specific special article?
http://casino5heavenshark93.jigsy.com/entries/general/Poker–The-Origin-of-Poker
non-prescriptoin vardenafil https://vegavardenafil.com/ vardenafil 10 mg
zithromax 500mg tablets https://zithromaxes.com/ zithromax strengths
Oh my goodness! a wonderful article dude. Thanks a lot Even so I am experiencing problem with ur rss . Do not know why Can not join it. Could there be everyone acquiring identical rss issue? Anybody who knows kindly respond. Thnkx
https://postheaven.net/reading-list/h2-how-to-make-edibles-h2-hr-style-type-text-css-rssg-digest
Kudos to you, I actually discovered something new. Appreciate an individual so much. My partner and i search forward to working with you.
http://pandora.nla.gov.au/external.html?link=https://articlescad.com/casino-card-plans-1006464.html
https://www.tryarticles.com/
https://www.tryarticles.com/
https://www.tryarticles.com/
Wow, the writing is so sexy. How can My spouse and i write like a person? My spouse and i want to have the same writing skills when you.
https://www.indiegogo.com/individuals/26380873
tadalafil 40 https://elitadalafill.com/ generic tadalafil 40 mg
vardenafil dosage https://vegavardenafil.com/ what is vardenafil used for
Characters perform humanly impossible feats like gracefully sliding out of a car in movement or hitting an incoming rocket with a revolver.
https://papaly.com/categories/share?id=357b26ec2f3c4a88a72cc9b62398830c
You can share similar information with WhatsApp, for example, but it caps transfers at 16mb. SHAREit has no size limitations, so you’re free to send as many large files as you’d like. You can run SHAREit on Windows, Android, iOS, and Mac. There is no network needed to transfer and share files. The speed at which the files can be transferred and shared is up to 40 Mb per second [url=https://apk4u.mobi/sharemi]ShareMi apk[/url]
toilet seats should be disinfected regularly too, this is done to avoid the proliferation of harmful bacterias,,
https://blackplanet.com/hesselclam1984/message/20335877
Learn how to download and then Install Symbolab – Math solver on PC which is developed and designed by Symbolab. Ever thought about the best way to download Symbolab – Math solver PC? Download the app to experience the full set of Symbolab calculators. Thousands of users download Symbolab everyday just to solve their mathematical problems at home. Symbolab has made the life of mathematics students easier in a way that they no longer need a teacher for this and Symbolab acts like a teacher for them. https://apktoapps.com/symbolab
Hey this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I'm starting a blog soon but have no coding expertise so I wanted to get guidance from someone with experience. Any help would be greatly appreciated!
http://grosirkaosdistro94951.fitnell.com/39193023/10-kaos-distro-terbaik-untuk-uang-anda
A lot of blog writers nowadays yet only a few have blog posts worth spending time on browsing.
https://magic-mushrooms-online.com/product-category/magic-mushroom-spores/
http://bookmarkport.com/story7127213/is-online-casinos-right-with-regard-to-you
alprostadil cream on ebay https://alprostadildrugs.com/ alprostadil
best canadian mail order pharmacies for diet pills https://canadapillstorex.com/ canadian weight loss pills
Aw, that was a really top quality post. In theory I’d like to write like this too – taking time and also real effort to make a excellent article… but what can I say… I procrastinate alot and also by no means seem to get something done.
https://www.pearltrees.com/fleglerclair87/item340852933
Your way of addressin this topic is both fantastic as well as inspiring.
https://magic-mushrooms-online.com/
Everyone loves it when people come together and share thoughts. Great site, keep it up!
http://rispondipa.it/index.php?qa=user&qa_1=weaponcelery82
This site was... how do you say it? Relevant!! Finally I have found something that helped me. Thank you!
https://casealley8.bloggersdelight.dk/2021/01/16/quite-a-few-different-casino-games/
We still cannot quite believe that It was not respectable often be those checking important points located on yuor web blog. Our kids and that i are sincerely thankful for your personal generosity also giving me possibility pursue our chosen profession path. Published information Manged to get with your web-site.
https://www.pearltrees.com/callarmantrenton71/item350725110
Just bookmarked this blog post as I have actually found it fairly useful.
https://magic-mushrooms-online.com/product-category/magic-mushroom-spores/
Precisely the kind of material that improves the net. Many thanks!
https://magic-mushrooms-online.com/product-category/magic-mushroom-growing-kits/
Your style is really unique in comparison to other folks I have read stuff from. Many thanks for posting when you've got the opportunity, Guess I'll just bookmark this site.
https://fakenews.win/wiki/How_you_can_Win_at_Slots_rapid_What_a_Lot_of_People_Dont_Know
Technology is an expansive topic, you'll discover various things to learn more about it. You should certainly, nonetheless, ensure you do not forget the basic issues which are important if you want to reach your targets. What we have actually mentioned here is a very good area to get going as well as if you desire to continue, you should see what else you can locate at Our Technology Site. There are, however, countless various techniques that you can take and there are lots of different internet site that happen to be worth looking at– among them is Our Technology Site.
https://www.tryarticles.com/
On the occasion that things fail to end up equally as you planned when managing Technology, you ought to not anger at on your own – it is tough to recognize this when you initially start. Completing anything in life starts with starting in the ideal instructions, and also understanding our expectation and desires. When you have a target to understand or a trouble to fix, you need to deal with it a action at a time. Starting is typically the tricky part – you can do that currently making use of the factors we have actually simply given you. Greater than likely, you will certainly wish to figure out much more on this subject issue. If that holds true, going to Our Technology Site will certainly use you a great deal a lot more information.
https://www.tryarticles.com/
You have some real insight into the things you write about. Do you need many drafts to make a post?
https://www.pearltrees.com/fossonarturo87/item347066909