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.
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.
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.
I really like reading an article that will make men and
women think. Also, many thanks for allowing for me to comment!
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!!
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.
You have covered this topic properly.
Not many writers with appropriate knowledge of the subjects they discuss.
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.
tadalafil dosage https://elitadalafill.com/ buy tadalafil
how to adminiter transurethral alprostadil https://alprostadildrugs.com/ alprostadil injection instructions
cialis canadian discounts https://canadacialisstore.com/ canadian pharmacy cialis without prescription
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.
cialis canadian pharmacy https://canadacialisstore.com/ buy cialis online canadian
Hi there! This post could not be written any better! Going through this post reminds me of my previous roommate! He always kept preaching about this. I'll forward this information to him. Fairly certain he will have a very good read. Many thanks for sharing!
I need to to thank you for this fantastic read!! I certainly enjoyed every little bit of it. I have got you saved as a favorite to check out new things you postÖ
I must thank you for the efforts you have put in penning this site. I'm hoping to see the same high-grade blog posts from you later on as well. In fact, your creative writing abilities has encouraged me to get my own, personal website now 😉
There are a few other traditions that always accompany the Navy football team thẻ đỏ tv For example, the "E" Bell rings whenever Navy beats Army in most of the three seasons of rigolade. This bell is from the bridge of USS Enterprise, a famed World War II aircraft carrier. It will be a tradition since 1950. The Gokokuji Bell is really a replica of a bell had been brought into the United States by Commodore Matthew Perry in 1854. The original bell, which was donated towards the Academy by his widow, was retur ned to Okinawa in 1987. This bell is also rung each time the team scores a football victory over their Army suppliers. This bell sits in front of Bancroft Hall in Annapolis.
VLC media player nightly supports partially encrypted Blu-ray discs and brings a more polished look and enhancements to the options and codecs in this flexible player. VLC media player nightly is more visually striking with a new sidebar allowing quick access to your playlist, media folders or online streams. Second off, VLC allows users to stream content as it is downloading. VLC is a media player which is absolutely loaded with helpful features and facets, which make it more than ideal for playing all sorts of audio and video clips. VLC Media Player (64-bit) is a favorite of many video watchers thanks to abundant format support, style, and customization options. However, these exemptions do not change the DMCA's ban on the distribution of CSS decryption tools; including those distributed with VLC. [url=https://apkt.mobi/vlc]https://apkt.mobi/vlc[/url]
You could read more about the talkatone app or choose a server to download the apk file. One of the best and most interesting features of Talkatone free calls and texting is that it lets you turn your Android device, even a tablet, into a phone. Talk and text with Talkatone, get a free phone number and stop worrying about the next time you’ll talk to your family or friends. Use Talkatone’s free WiFi calling app for Android to talk to almost anyone, anywhere. TALKATONE APK allows you to make international calls and text to your dear and near the US and Canada. [url=https://apku.mobi/talkatone]Talkatone app[/url]
Try and change the channel and it tells you it cannot play because you're offline. For some odd reason whenever I turn my phone sideways it's pauses and goes to adds, but whenever i put my phone vertically it works perfectly fine. You can download the archived "old AT&T Sign in Helper version". AT&T Sign In Helper APK is a Business Apps on Android. Utility to allow AT&T Applications to securely authenticate on android devices. [url=https://apktodown.mobi/at-t-sign-in-helper]https://apktodown.mobi/at-t-sign-in-helper[/url]
Alpha Pipe deals all types of brand-new steel pipe, surplus steel pipeline as well as made use of steel pipeline.
buy topical alprostadil gel https://alprostadildrugs.com/ alprostadil pellet
Iím amazed, I have to admit. Seldom do I encounter a blog thatís both educative and interesting, and without a doubt, you've hit the nail on the head. The issue is something that not enough folks are speaking intelligently about. Now i'm very happy I found this in my search for something relating to this.
I was more than happy to uncover this website. I need to to thank you for ones time due to this wonderful read!! I definitely savored every part of it and I have you saved to fav to see new things in your website.
The My Little Pony Friendship Celebration app requires an Internet connection for download and updates. ADVICE TO PARENTS The My Little Pony Friendship Celebration app requires an Internet connection for download and updates. The back of the package says, "My Little Pony Logo and Pony Names are Trademarks of Hasbro Inc. Copyright 1998." They were produced under license by Fun-4-All Corporation and made in China. https://gamesload.mobi/my-little-pony-harmony-quest
Southwest Airlines website, the only place to find Southwest Airlines fares online. Announced today, Global Eagle Entertainment is in the process of applying a series of improvements across the Southwest Airlines fleet, to enable passengers to stream without any app download. If you have a comment about your scheduled air travel service please use the Contact Us features in our apps or at to share your information https://apk4u.mobi/southwest-airlines
My Baby Today is packed with tools and reminders to help you to be the best parent in your baby's first year. Application My Baby is a collection of information about feeding, dates of vaccination, a child's diet, growth chart. My Baby – is a continuation of the well-known applications My pregnancy. This multi-sensory program includes digital videos, MP3 music albums and activity guides for parents and teachers. Watch the video to see the My Baby app features. My Baby app
Hi, I do think this is a great site. I stumbledupon it 😉 I may revisit once again since i have book-marked it. Money and freedom is the best way to change, may you be rich and continue to guide other people.
Grewal's office announced an updated policy that limits police car chases to the most serious crimes as part of an overhaul of police use of force. Take control of some amazing police car Chase in a huge driving environment ready to explore, with a big Stadium, Beach, Deserts, mountains. If you do not want to download the .APK file you can still run US Police Car Chase PC by connecting or configuring your Google account with the emulator and downloading the app from play store directly. https://gamesload.mobi/police-car-chase
There's definately a lot to know about this subject. I like all the points you've made.
canadian pharmacy generic cialis https://canadacialisstore.com/ cialis viagra combination canadian pharmacy
tadalafil tablets https://elitadalafill.com/ generic tadalafil united states
I used to be able to find good advice from your articles.
sildenafil 50mg brand name https://eunicesildenafilcitrate.com/ sildenafil tablet 200mg
viagra in canada for sale to united states https://canadaviagrastore.com/ viagra canada over the counter
My brother recommended I might like this blog. He was totally right. This post actually made my day. You can not believe simply how a lot time I had spent for this information! Thanks!
Spot on with this write-up, I absolutely think this site needs a lot more attention. Iíll probably be back again to read more, thanks for the info!
why vardenafil dosage over 65 https://vegavardenafil.com/ vardenafil tablets