 |
|
|
|
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 파워볼전용사이트
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.
 |
|
|
|
Having read this I believed it was rather informative. I appreciate you finding the time and effort to put this informative article together. I once again find myself personally spending a significant amount of time both reading and leaving comments. But so what, it was still worthwhile!
https://peatix.com/user/8031953
Pretty! This was an incredibly wonderful article. Thank you for supplying these details.
http://massage4heldurvfvi.cavandoragh.org/does-your-chuljangmasaji-pass-the-test-7-things-you-can-improve-on-today
The very next time I read a blog, I hope that it does not disappoint me as much as this one. After all, Yes, it was my choice to read through, nonetheless I really thought you would have something interesting to say. All I hear is a bunch of moaning about something that you could fix if you weren't too busy looking for attention.
http://74novosti.ru/user/bufferdoll0/
brimonidine dosage brimonidine eye drops
tadalafil generic https://tadalafilol.com/ – tadalafil online with out prescription tadalafil brands buy generic cialis online with mastercard https://tadalafilww.com/
Hi, I do believe this is an excellent site. I stumbledupon it 😉 I will revisit yet again since I bookmarked it. Money and freedom is the best way to change, may you be rich and continue to help other people.
https://densyrup65.bladejournal.com/post/2021/04/14/How-Swedish-Massage-Therapy-Helps-You-Relieve-Stress-and-Anxiety
where to get tadalafil https://tadalafilww.com/ – where to order tadalafil tablets tadalafil liquid tadalafil price walmart lowest price cialis
combigan eye drops generic brimonidine how it works
avana india avanafil
bookmarked!!, I like your website!
https://my.quincy.edu/ICS/Campus_Life/Campus_Groups/Chalk_Hawks/Discussion.jnz?portlet=Forums&screen=AddPost&screenType=change&tId=2eb6d40d-0e94-44ca-b9d9-c8b41471a03c
Tổng Hợp Những ứng Dụng Hoặc, Nên Download Đặt đến Android Tv Boxxem bọng da truc tuyenTV101vn là trang web coi tv online, xem phim truyền hình, những lịch trình thể thao, lịch trình thực tế, xem soccer trực tuyến vào và ngoài nước hoàn toàn free, cùng với chất lượng cao.
https://www.thedolive.cc/
That is a really good tip especially to those new to the blogosphere. Short but very accurate infoÖ Thank you for sharing this one. A must read post!
https://intensedebate.com/people/marginpath7
You have actually covered this topic professionally.
https://postheaven.net/paddlingping83/how-to-find-the-best-stand-up-paddle-boards-for-prices
Howdy! This post couldnít be written much better! Looking at this article reminds me of my previous roommate! He continually kept preaching about this. I'll send this information to him. Pretty sure he will have a great read. Many thanks for sharing!
https://sketchfab.com/casino4u1uoqle402
what is tadalafil tadalafil drug buy cialis pills where to order tadalafil tablets https://tadacipetadalafil.com/ – cheapest tadalafil cost
where to get tadalafil https://apcalisetadalafil.com/ cialis tadalafil cialis at canadian pharmacy cialis tadalafil
Howdy, I think your site could possibly be having browser compatibility problems. Whenever I look at your web site in Safari, it looks fine but when opening in I.E., it has some overlapping issues. I simply wanted to give you a quick heads up! Other than that, great blog!
https://bbs.now.qq.com/home.php?mod=space&uid=836756
The only point I lament is not having actually found your blog site earlier.
https://spears-bullard.technetbloggers.de/how-to-find-cheap-stand-up-paddleboards/
I absolutely love your site.. Very nice colors & theme. Did you make this site yourself? Please reply back as Iím planning to create my very own site and would love to know where you got this from or exactly what the theme is called. Thank you!
http://www.siteglimpse.com/external/ext.aspx?url=https://anma1martinfehk183.wordpress.com/2021/04/12/dont-make-this-silly-mistake-with-your-출장마사지/
https://tadagatadalafil.com/ where to buy tadalafil on line https://tadacipetadalafil.com/ – generic tadalafil from uk tadalafil side effects
lowest price cialis https://apcalisetadalafil.com/ – where to buy generic cialis online safely where to buy cialis without prescription buy cialis pills https://cttadalafil.com/
tadalafil generic tadalafil cialis cialis cost cialis at canadian pharmacy https://apcalisetadalafil.com/ – tadalafil daily online
Excellent blog post. I absolutely love this website. Keep writing!
https://anma6alexisfiev669.over-blog.com/2021/04/poll-of-the-day.html
how to begin free dating online as soon as more at 40 and as well
acquiring it the dating scene by being 40 many more than is a completely routine on the at this juncture, You are extremely a very different person compared to the time you are relationships whether involving your teenager months or or in twenties. this particular 5 procedures just might help you have the security to set up a new relationship one more time.
Know what you wish for
at this asiame review maturity, You know exactly what you are looking in an accomplice thus you gained be overcoming concerning the rose bush in finding soul mate you're feeling might be priced at the effort. with this the age of, may be you are beyond the frustrations that you experienced when we were a young person or a adult movie. You already understand how to love and price tag your site so because of this will not likely empower not important methods to take some time you. because you obtained any symptomatic heartbreak associated with formerly relations, do not wallow operating in those types of wounds or just let them influence in a wrong way job see partnerships. without regard to all your slipups up until recently, it is time to recuperate as well as know that you're worth a woman appreciation passion.
let it go
You also should try to learn to released you might like to start social as soon as more at 40 and furthermore. do not allow the anger coupled with aches you have got regarding soul away from recent past affairs be the reasons you are not wanting to start to a person who pretty wanted you. take update, go forward and turn significantly better gentleman. let them go all negative feelings possibly you have developed by using what you might have undergone. they simply earn you sadder. include a sunnier biological imperative and you will start to see the life opening up new things available for you. coming from 40 and older, very easily so excellent to share what exactly you have wished for by someone that you love.
Accept that you'll require specific
You requirements accept be needing people if you're looking forward to online dating the moment at 40 furthermore previous. just in case within the you have developed the notion that marketing promotions campaigns off at this time being single than to be with man or women, it's high time one metamorphosed that the majority of. it should be harder to get out there to hire a roofer to meet the increasing demand that you are experiencing if you think you might be payday cash advances on it's own. there is nothing wrong in wishing an opponent to talk about your reality along. Even a good way individual with respect to too long you must be used to it, evaluate checking to people who would like to try you and hear there is nothing can do to your needs. you will probably be surprised how planning make your own days much better.
have fun
you need to simply have confidence in your elegance use back to the singles dating scene remember when you are 40 and furthermore,what's more. do not be afraid with blend for an opportunity of finding an ideal loved one together with joy. ensure that you enjoy in matchmaking technique.
An impressive share! I have just forwarded this onto a colleague who
has been doing a little homework on this. And he actually ordered me lunch due to the fact that I stumbled upon it for him...
lol. So allow me to reword this.... Thanks for the meal!!
But yeah, thanx for spending some time to talk about this subject here on your web page.
I'm creating a collaborative blog and I need to know if I can transform a blogspot blog into one where anyone can add content and edit or change the text. Maybe there is another type of blog whee you can do this.. Thanks everyone..
https://www.facebook.com/KateKowalskyWebMarketing
I blog frequently and I truly appreciate your content. The article has truly peaked my interest. I am going to bookmark your blog and keep checking for new details about once per week. I subscribed to your Feed as well.
https://unsplash.com/@hotberet9
https://tadalafilol.com/ where to buy generic cialis online safely buy tadalafil canada generic tadalafil tadalafil generic where to buy
There's definately a lot to learn about this issue. I like all of the points you made.
http://ssomgmt.ascd.org/profile/createsso/createsso.aspx?returnurl=https://soulanma.com/
You made some really good points there. I looked on the net for additional information about the issue and found most people will go along with your views on this site.
https://myconnectcorner.com/members/coilsyrup62/activity/158554/
Just bookmarked this article as I have actually found it quite useful.
https://www.vingle.net/posts/3743245
This is a topic close to my heart cheers, where are your contact details though?
https://pbase.com/logapak/profile
Pretty! This was a really wonderful post. Thank you for your provided information.
https://www.goodreads.com/user/show/135538802-percy-d
Saved as a favorite, I really like your blog!
https://www.kiva.org/lender/percy6468
I wanted to thank you for this great read!! I definitely enjoying every little bit of it I have you bookmarked to check out new stuff you post...
http://www.cruzroja.es/creforumvolint_en/user/profile/156830.page
Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. sl is literally my second life (pun intended lol). If you want to see more you can see these Second Life articles and blogs
http://adolit.blogspot.com/2007/04/online-findings-and-sitings.html
Way cool! Some very valid points! I appreciate you penning this post and the rest of the site is extremely good.
https://www.fcc.gov/fcc-bin/bye?https://www.gatesofantares.com/players/anma2twigoutput5/activity/678755/
Spot on with this write-up, I truly feel this site needs a lot more attention. Iíll probably be returning to read through more, thanks for the info!
http://www.newsdiffs.org/article-history/?url=https://www.longisland.com/profile/casino6h2jmvgz252/
I love it when people come together and share thoughts. Great site, keep it up!
https://checkpointforarts.com/members/massage7pandareward0/activity/329372/
Good information. Lucky me I discovered your blog by accident (stumbleupon). I have book marked it for later!
https://postheaven.net/adviceoxygen64/abhyanga-massage-an-ayurvedic-medicine-for-body-comfort
Itís hard to come by well-informed people in this particular subject, however, you seem like you know what youíre talking about! Thanks
https://anotepad.com/notes/fbym8a7j
After checking out a handful of the articles on your web site, I truly like your way of writing a blog. I saved as a favorite it to my bookmark site list and will be checking back soon. Take a look at my website as well and let me know what you think.
http://otoplenie.net/user/i3ksvuw771
Kênh Coi Trực Tiếp đá Bóng Các Mua Giảixemkeobongdacũng có thể nói, binhluan.vn có thương hiệu và chất lượng vô cùng chi là mượt mà luôn. Bất cứ ai đã từng coi bong da bên trên links bóng đá trực tiếp của keonhacai1.tv thì cần thừa nhận một điều xem vô cùng đã. Nên cứ có mỗi trận đấu vào bất kể giải đấu nào thì lượng nhân viên coi truy vấn vào keonhacai1 vô cùng rộng lớn. Thông tin lịch thi đấu.
https://www.thedolive.cc/
This website was... how do I say it? Relevant!! Finally I've found something that helped me. Thank you!
https://jazzandclassical.com/user/g6zuyyu390
Trực Tiếp Soccer Hôm Naylich bong da.comCó thể nói, binhluan.vn có thương hiệu và hóa học lượng vô cùng chi là mượt mà luôn. Bất cứ ai đó đã từng coi bong da trên liên kết soccer thẳng của keonhacai1.tv thì phải công nhận một điều coi rất đã. Nên cứ có mỗi trận đấu vào bất cứ giải đấu nào là thì lượng nhân viên coi truy vấn vào keonhacai1 vô cùng rộng lớn. Thông tin lịch tranh tài.
https://www.thedolive.cc/
Trực Tiếp Bóng Đáxem bong da 1Có thể nói, binhluan.vn có thương hiệu và hóa học lượng cực kỳ chi là mượt mà luôn. Bất cứ ai đó đã từng coi bong da trên link đá bóng thẳng của keonhacai1.tv thì nên thừa nhận một điều coi vô cùng đã. Nên cứ có từng trận đấu vào bất kể giải đấu nà thì lượng người coi truy cập vào keonhacai1 vô cùng rộng lớn. Thông tin lịch tranh tài.
https://www.thedolive.cc/
Have you ever heard of second life (sl for short). It is essentially a game where you can do anything you want. sl is literally my second life (pun intended lol). If you want to see more you can see these second life websites and blogs
http://myvedana.blogspot.com/2006/02/romance-aint-dead.html?showComment=1140350820000&m=0
Itís nearly impossible to find experienced people about this subject, but you seem like you know what youíre talking about! Thanks
http://wx.lt/redirect.php?url=https://gumroad.com/massage1b1girfy339/p/20-reasons-you-need-to-stop-stressing-about-e3718b53-4d56-4109-acc6-cd6d2ff5ee2c
This is a good tip particularly to those new to the blogosphere. Short but very accurate infoÖ Appreciate your sharing this one. A must read post!
http://w-w-b.net.ua/user/reasonthomas8/
Lịch Phạt Sóng Bóng Đáxem trực tiep bong daCó thể nói, binhluan.vn có hình ảnh và chất lượng rất chi là mượt mà luôn luôn. Bất cứ ai đã từng xem bong da trên links bóng đá thẳng của keonhacai1.tv thì phải thừa nhận một điều xem vô cùng đã. Nên cứ có từng trận đấu trong bất cứ giải đấu nào thì lượng nhân viên coi truy cập vào keonhacai1 cực kì lớn. Thông tin lịch tranh tài.
https://www.thedolive.cc/