home
RSS
Why you should never go to the hospital in July
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 (2,417 Responses)
  1. Christina Cook

    Greetings! Very helpful advice on this article! It is the little changes that make the biggest changes. Thanks a lot for sharing!

    https://www.homeinspectionforum.net/user/profile/30544.page

    June 1, 2021 at 02:57 | Report abuse | Reply
  2. Nehemiah Summers

    Hi there! This post couldn't be written any better! Reading through this post reminds me of my previous room mate! He always kept talking about this. I will forward this article to him. Pretty sure he will have a good read. Thank you for sharing!

    https://www.mobypicture.com/user/logapak

    June 1, 2021 at 02:57 | Report abuse | Reply
  3. 사설토토

    Way cool! Some extremely valid points! I appreciate you writing this post and the rest of the site is very good.

    https://www.chilterntraveller.co.uk/members/casino2socksharon97/activity/1164487/

    June 1, 2021 at 06:12 | Report abuse | Reply
  4. 포항출장

    Way cool! Some very valid points! I appreciate you penning this write-up and also the rest of the website is also really good.

    https://www.longisland.com/profile/ratemaraca17

    June 1, 2021 at 08:08 | Report abuse | Reply
  5. electric shovels parts

    There is a large distinction in between stainless-steel and also chrome

    https://pbase.com/topics/y7wurki993/exactlyh153

    June 1, 2021 at 08:48 | Report abuse | Reply
  6. 창원출장마사지

    Hello there! I just would like to give you a big thumbs up for the excellent information you have right here on this post. I am returning to your website for more soon.

    http://isms.pk/members/womensailor1/activity/726977/

    June 1, 2021 at 09:27 | Report abuse | Reply
  7. 포항출장

    You made some really good points there. I looked on the internet for more info about the issue and found most people will go along with your views on this site.

    https://diigo.com/0kdtot

    June 1, 2021 at 11:06 | Report abuse | Reply
  8. 창원출장마사지

    I'm more than happy to discover this web site. I want to to thank you for ones time for this particularly wonderful read!! I definitely appreciated every bit of it and I have you book marked to check out new things on your blog.

    https://www.victoriaeducation.co.uk/members/driverub4/activity/484021/

    June 1, 2021 at 15:49 | Report abuse | Reply
  9. Abuja Homes

    Heya 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 html coding expertise to make your own blog? Any help would be greatly appreciated!

    June 1, 2021 at 21:46 | Report abuse | Reply
  10. temple of ocean king 3rd visit

    I every time used to study paragraph in news papers but now as I am a user of net so
    from now I am using net for content, thanks to web.

    June 1, 2021 at 23:59 | Report abuse | Reply
  11. steel line pipe specification

    Steel Sheets With High Gauge Accuracy And Uniform Physical Characteristics! Galvanized & Cold Rolled Steel Manufactured To ASTM Standards.

    http://www.cplusplus.com/user/b9rtedf698

    June 2, 2021 at 02:11 | Report abuse | Reply
  12. 거제출장안마

    I need to to thank you for this great read!! I definitely enjoyed every little bit of it. I have you book marked to check out new things you postÖ

    https://airball16.bravejournal.net/post/2021/04/25/Is-A-Burmese-Massage-A-Good-Way-To-Treat-Chronic-Diseases

    June 2, 2021 at 05:50 | Report abuse | Reply
  13. 경산출장안마

    I was very happy to discover this great site. I wanted to thank you for your time just for this fantastic read!! I definitely liked every part of it and i also have you saved as a favorite to see new things on your website.

    https://www.openlearning.com/u/randomplace44/blog/0

    June 2, 2021 at 06:57 | Report abuse | Reply
  14. 경산출장

    Pretty! This has been a really wonderful article. Thanks for providing this information.

    http://on.urface.net/member.php?action=profile&uid=237257

    June 2, 2021 at 09:15 | Report abuse | Reply
  15. 출장 안마

    I absolutely love your site.. Great colors & theme. Did you build this web site yourself? Please reply back as Iím attempting to create my own site and would love to know where you got this from or what the theme is called. Many thanks!

    https://massage0lolfurduyk.over-blog.com/2021/04/11-thing-you-re-forgetting-to-do.html

    June 2, 2021 at 12:11 | Report abuse | Reply
  16. boiler grade steel pipe

    Various other short articles where Manganese steel is discussed: steel: Wear-resistant steels: Manganese steels are typically called Hadfield steels, after their inventor, Robert Hadfield.

    https://canvas.instructure.com/eportfolios/179369/api5ctknowledgebhu/Steel_Pipes_For_Oil_Breaking_Refine

    June 2, 2021 at 12:49 | Report abuse | Reply
  17. 거제출장

    Great post. I am dealing with many of these issues as well..

    https://blogfreely.net/maracaatom12/shiatsu-therapeutic-massage-a-good-choice-for-chronic-pain-or-fixing-areas

    June 2, 2021 at 19:00 | Report abuse | Reply
  18. 출장 안마

    Way cool! Some very valid points! I appreciate you penning this write-up and also the rest of the website is also really good.

    https://weekweapon52.mystrikingly.com/blog/learning-concerning-swedish-massage

    June 3, 2021 at 00:32 | Report abuse | Reply
  19. 출장마사지

    Pretty! This was a really wonderful post. Thanks for providing this information.

    http://www.huaqin.cc/Redirect.aspx?url=https://zenwriting.net/b6svfqo035/h2-relaxation-using-a-hot-stone-massage-h2-swedish-massage-has-long-been-a

    June 3, 2021 at 02:53 | Report abuse | Reply
  20. Delpha Hele

    This is why CPAP.com offers free 30 day returns on this machine. We certainly have no interest in making any false claims, or no desire to give the illusion that any of our products are rated higher than they actually are.

    https://bestproductlab.com/tag/cpap-machine-for-sale/

    June 3, 2021 at 03:21 | Report abuse | Reply
  21. tadalafil sublingual

    tadalafil cost tadalafil troche cost tadalafil drug

    June 3, 2021 at 11:51 | Report abuse | Reply
  22. 울산출장안마

    Hello there! This post couldnít be written any better! Looking at this post reminds me of my previous roommate! He always kept preaching about this. I will send this information to him. Fairly certain he will have a good read. Many thanks for sharing!

    https://squareblogs.net/airbusera1/massage-therapy-an-easy-way-to-relax

    June 3, 2021 at 11:55 | Report abuse | Reply
  23. Steel pile pipe size

    Your Online Metal Marketplace In Texas With Lowest Prices, Guaranteed. Hundreds Of Steel Items Available, Custom or Stock. Call Our Experts, Shop Steel Now

    https://we.riseup.net/z9jamvp770

    June 3, 2021 at 12:39 | Report abuse | Reply
  24. tools

    Hi there, I enjoy reading all of your article post.
    I wanted to write a little comment to support you.

    June 3, 2021 at 17:06 | Report abuse | Reply
  25. 출장 마사지

    I love it when folks come together and share ideas. Great website, stick with it!

    https://vimeo.com/rotatedragon1

    June 3, 2021 at 20:03 | Report abuse | Reply
  26. 출장 안마

    Having read this I thought it was rather informative. I appreciate you finding the time and effort to put this article together. I once again find myself spending a significant amount of time both reading and posting comments. But so what, it was still worthwhile!

    https://manchesterclopedia.win/wiki/How_Reflexology_Works

    June 3, 2021 at 21:57 | Report abuse | Reply
  27. 출장안마

    Itís hard to come by well-informed people about this topic, however, you sound like you know what youíre talking about! Thanks

    https://dokuwiki.stream/wiki/Ayurvedic_Massage_Ayurvedic_Herbal_Treatment

    June 3, 2021 at 23:18 | Report abuse | Reply
  28. 울산출장안마

    Good post. I learn something totally new and challenging on websites I stumbleupon everyday. It's always helpful to read content from other authors and practice something from their sites.

    https://vinhomessaigon.net/forum/profile.php?section=personality&id=1227134

    June 4, 2021 at 00:07 | Report abuse | Reply
  29. 양산출장안마

    Hello, I do believe your site could possibly be having internet browser compatibility problems. Whenever I look at your blog in Safari, it looks fine but when opening in I.E., it's got some overlapping issues. I simply wanted to give you a quick heads up! Besides that, wonderful site!

    https://edukite.org/members/anma4hubenemy2/activity/1146838/

    June 4, 2021 at 00:37 | Report abuse | Reply
  30. 양산출장

    Your style is very unique compared to other folks I have read stuff from. Many thanks for posting when you've got the opportunity, Guess I'll just book mark this site.

    https://checkpointforarts.com/members/anma1clientepoch0/activity/339707/

    June 4, 2021 at 00:55 | Report abuse | Reply
  31. API 5CT Casing pipe price

    Manganese resembles iron in its chemical and also physical buildings, but it is harder and a lot more brittle. Manganese is potentially the most flexible aspect that can be added to copper alloys.

    http://www.authorstream.com/m0yomko829/

    June 4, 2021 at 00:57 | Report abuse | Reply
  32. Superheater tubing

    Manganese resembles iron in its chemical and also physical residential properties, yet it is harder and also extra weak. Manganese is possibly one of the most adaptable element that can be added to copper alloys.

    https://blogfreely.net/q7zhpwq239/aluminum-alloy-as-well-as-stainless-steel-may-look-similar-yet-they-are-really

    June 4, 2021 at 08:58 | Report abuse | Reply
  33. Terra Prosise

    This was awesome! I would like you to clean up all this spam though

    https://www.linkedin.com/in/yusufhanafy

    June 4, 2021 at 09:06 | Report abuse | Reply
  34. canada generic tadalafil

    tadalafil troche tadalafil brands tadalafil tablet

    June 4, 2021 at 09:13 | Report abuse | Reply
  35. clonidine hydrochloride

    what is hydroxychloroquine used for arthritis chloroquine online hydroxychlorophine

    June 4, 2021 at 10:06 | Report abuse | Reply
  36. 구미출장

    After looking at a handful of the articles on your site, I seriously like your technique of blogging. I bookmarked it to my bookmark site list and will be checking back in the near future. Take a look at my web site as well and let me know how you feel.

    http://saskatoon.cs.rit.edu:10001/desireera73

    June 4, 2021 at 11:42 | Report abuse | Reply
  37. 출장안마

    Having read this I believed it was really enlightening. I appreciate you taking the time and energy to put this information together. I once again find myself spending a lot of time both reading and leaving comments. But so what, it was still worthwhile!

    https://massage5forestepoch5.bravejournal.net/post/2021/04/13/Swedish-Massage-Techniques

    June 4, 2021 at 12:09 | Report abuse | Reply
  38. buy cialis online

    tadalafil generic cialis 20mg prescription tadalafil online

    June 4, 2021 at 13:05 | Report abuse | Reply
  39. 출장 안마

    An interesting discussion is worth comment. I do believe that you should write more on this issue, it might not be a taboo subject but typically folks don't discuss these issues. To the next! All the best!!

    http://www.bsaa.edu.ru/bitrix/rk.php?goto=http://bakerearth33.jigsy.com/entries/general/Health-Benefits-of-Swedish-Massage-2

    June 4, 2021 at 13:23 | Report abuse | Reply
  40. cialis pills

    tadalafil uses cialis online tadalafil pah

    June 4, 2021 at 16:02 | Report abuse | Reply
  41. 출장 안마

    You're so cool! I do not suppose I have read through a single thing like this before. So nice to discover someone with some unique thoughts on this subject. Seriously.. thanks for starting this up. This web site is one thing that is needed on the web, someone with a little originality!

    https://www.gamespot.com/profile/t2qbllt265/about-me/

    June 4, 2021 at 17:31 | Report abuse | Reply
  42. 진주출장안마

    You are so interesting! I do not think I've read a single thing like this before. So nice to find somebody with some genuine thoughts on this issue. Seriously.. thank you for starting this up. This site is one thing that is required on the web, someone with a bit of originality!

    https://langreek9.bladejournal.com/post/2021/04/28/How-Massage-Can-Benefit-Your-Health

    June 4, 2021 at 17:50 | Report abuse | Reply
  43. 구미출장

    Hi there! I could have sworn Iíve been to your blog before but after going through many of the posts I realized itís new to me. Regardless, Iím definitely delighted I came across it and Iíll be book-marking it and checking back regularly!

    https://www.putfree.com/user/profile/281627

    June 4, 2021 at 18:46 | Report abuse | Reply
  44. chloroquine autophagy

    hydroxychloroquine wiki buy aralen hydroxychloroquine sulfate

    June 4, 2021 at 19:11 | Report abuse | Reply
  45. buy chloroquine phosphate tablets

    hydroxchloroquin chloroquine hcl uso medical abbreviation

    June 4, 2021 at 20:59 | Report abuse | Reply
  46. side effects of hydroxychloroquine

    cloroquin hydroxychloroquine tablets chloroquine without prescription

    June 4, 2021 at 22:27 | Report abuse | Reply
  47. 진주출장안마

    Everything is very open with a very clear description of the issues. It was really informative. Your site is useful. Thanks for sharing!

    https://lynnemctaggart.com/forum/members/ratebulb4/activity/678320/

    June 4, 2021 at 22:50 | Report abuse | Reply
  48. hydroxychloroquine acheter

    who makes chloroquine phosphate hydroxychloroquine sulfate corona is chloroquine over the counter

    June 4, 2021 at 23:38 | Report abuse | Reply
  49. buy cialis online

    tadalafil mechanism cialis without a doctor prescription tadalafil peptide

    June 5, 2021 at 01:15 | Report abuse | Reply
  50. Malvina Wightman

    This was great! I would like you to clean up all this spam though

    https://www.linkedin.com/in/yusufhanafy

    June 5, 2021 at 03:41 | Report abuse | Reply
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

Leave a Reply to 카지노사이트


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
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.