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 (2,414 Responses)
  1. Online Casino Usa Free Spins

    If you wish for to get a great deal from this article then you have to apply such strategies to your won web
    site.

    Take a look at my homepage :: Online Casino Usa Free Spins

    June 18, 2021 at 15:32 | Report abuse | Reply
  2. bet with crypto

    I couldn't refrain from commenting. Exceptionally well
    written!

    June 18, 2021 at 16:00 | Report abuse | Reply
  3. 카지노 사이트

    You have made some good points there. I looked on the net for more information about the issue and found most people will go along with your views on this website.

    https://bulbroof286849636.wordpress.com/2021/01/22/the-particular-growing-popularity-of-blackjack/

    June 18, 2021 at 16:00 | Report abuse | Reply
  4. 우리카지노

    I was pretty pleased to uncover this page. I wanted to thank you for your time for this wonderful read!! I definitely really liked every little bit of it and i also have you saved to fav to look at new information in your blog.

    http://mastersea.it/web/index.php?option=com_k2&view=itemlist&task=user&id=298529

    June 18, 2021 at 17:06 | Report abuse | Reply
  5. 우리 카지노

    I'm more than happy to discover this great site. I need to to thank you for ones time due to this wonderful read!! I definitely loved every little bit of it and i also have you saved as a favorite to see new information in your website.

    https://morphomics.science/wiki/How_to_Find_Information_About_Slots_with_the_Internet

    June 18, 2021 at 18:43 | Report abuse | Reply
  6. nhà cái

    Xoilac Tv Trực Tiếp Soccer altium designer 10 full crack sinhvienitĐội tuyển chọn futsal Việt Nam đã được một trận đấu đồng ý được trước đối thủ đầy mức độ mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.

    https://frontsportsbox.com/

    June 18, 2021 at 18:45 | Report abuse | Reply
  7. Review Caesars Casino Online

    Good day! I know this is somewhat off topic but I was wondering if you knew where I could get a captcha plugin for
    my comment form? I'm using the same blog platform as yours and I'm having problems finding one?
    Thanks a lot!

    Also visit my site – Review Caesars Casino Online

    June 18, 2021 at 19:01 | Report abuse | Reply
  8. Casino online free Credit

    I enjoy what you guys are usually up too. This kind of clever
    work and exposure! Keep up the very good works guys I've added you guys to my personal blogroll.

    Review my webpage – Casino online free Credit

    June 18, 2021 at 19:02 | Report abuse | Reply
  9. Slots of vegas casino online

    Hmm it looks like your site ate my first comment (it was super long) so I guess I'll just sum it up what I had written and say, I'm thoroughly enjoying your blog.
    I as well am an aspiring blog blogger but I'm still new to
    everything. Do you have any suggestions for novice blog
    writers? I'd definitely appreciate it.

    Stop by my web site Slots of vegas casino online

    June 18, 2021 at 19:02 | Report abuse | Reply
  10. Borgata casino Online Reviews

    You actually make it seem so easy with your
    presentation but I find this matter to be really something that I think I would never
    understand. It seems too complicated and extremely broad
    for me. I am looking forward for your next post, I will try to get the hang
    of it!

    my blog post; Borgata casino Online Reviews

    June 18, 2021 at 19:03 | Report abuse | Reply
  11. 카지노 사이트

    Good post. I learn something totally new and challenging on websites I stumbleupon everyday. It's always exciting to read content from other writers and use something from other web sites.

    http://bookmark-template.com/story8509919/advantages-at-the-blackjack-table

    June 18, 2021 at 19:21 | Report abuse | Reply
  12. chung khoan fpt ho4

    Tỷ Số đá Bóng Trực Tuyến Ngày Hôm Naybanthang tvTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania vào ngày hội bóng đá lớn nhất thế giới mang đến futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội không ngán Lebanon song sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi bên trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch tranh tài, quý khách hoàn toàn có thể sắp xếp làm việc

    https://equinome.com/detail/tyler1-la-ai-103332.html

    June 18, 2021 at 20:01 | Report abuse | Reply
  13. 포항출장마사지

    After I originally commented I seem to have clicked on the -Notify me when new comments are added- checkbox and now each time a comment is added I receive four emails with the exact same comment. There has to be a means you can remove me from that service? Cheers!

    https://forum.marinarusakova.biz/index.php?action=profile;area=forumprofile;u=101483

    June 18, 2021 at 20:31 | Report abuse | Reply
  14. biggest casino in vietnam

    Tin Mới Mẻ Nhất Soccer Vào Vòng 24h, Chuyển Nhượng, Kết Quả, ..rivers casino des plainesLiverpool là đội bóng nhận ít thẻ nhất ở Premier League mùa này và đang được đứng trước cơ hội giành giải thưởng Fair Play ở mùa giải loại 5 liên tiếp. Sau lúc thăng hạng 96 toàn cầu, ĐộI tuyển chọn nước ta đã lọt nhóm hạt giống số 2 vòng chủng loại World Cup 2022 khu vực vực châu Á.

    https://www.vnd188.bet/

    June 18, 2021 at 22:19 | Report abuse | Reply
  15. Sherrie

    We're a bunch of volunteers and opening a new scheme in our community.

    Your web site provided us with valuable info to work on. You've performed
    a formidable job and our entire neighborhood can be grateful to you.

    Here is my web-site: Sherrie

    June 18, 2021 at 22:30 | Report abuse | Reply
  16. baomoi24h

    Links Xem Trực Tiếp Bóng Đá Futsal Việt Nam Vs Lebanon Vòng Chủng Loại World Cuptrực tiếp bóng đá keonhacaiĐây có lẽ rằng là trường hợp “của đi thay người" khá như mong muốn đối với Ben McLemore. Thiếu chút nữa tay ném của Los Angeles Lakers đã có được thể bắt gặp hiểm họa nguy hiểm. Cập nhật kết trái trận nước Việt Nam vs Lebanon nằm trong play-off vòng loại Futsal World Cup 2021.

    https://virandoamor.com/detail/truc-tiep-u22-hom-nay-youtube-67367.html

    June 18, 2021 at 23:02 | Report abuse | Reply
  17. 카지노사이트

    I seriously love your blog.. Great colors & theme. Did you develop this amazing site yourself? Please reply back as Iím hoping to create my own website and would like to find out where you got this from or what the theme is called. Kudos!

    https://cornetbotany08.bladejournal.com/post/2021/01/22/On-the-net-Gamblers-Tips-Regarding-Keeping-away-from-Addictions

    June 18, 2021 at 23:16 | Report abuse | Reply
  18. 창원출장안마

    Great post! We will be linking to this particularly great article on our site. Keep up the great writing.

    http://www.congoemploi.net/offres/user/profile/178292

    June 19, 2021 at 00:04 | Report abuse | Reply
  19. 우리 카지노

    Everything is very open with a precise description of the challenges. It was really informative. Your site is very helpful. Many thanks for sharing!

    http://atozsrilanka.com/user/profile/168252

    June 19, 2021 at 02:22 | Report abuse | Reply
  20. liverpool đấu với west ham

    Tỷ Số Soccer Trực Tuyến Thời Điểm Hôm Naybxh nh anhTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania vào ngày hội bóng đá lớn nhất thế giới cho futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội không ngán Lebanon song sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch thi đấu, bạn có thể chuẩn bị xếp công việc

    https://arubaeducation.info/detail/vtv3-k-56625.html

    June 19, 2021 at 03:37 | Report abuse | Reply
  21. 카지노사이트

    I couldnít refrain from commenting. Well written!

    https://digitalconnection.com/forum/index.php?action=profile;area=forumprofile;u=528797

    June 19, 2021 at 04:24 | Report abuse | Reply
  22. 창원출장

    Great site you have here.. Itís hard to find high quality writing like yours these days. I truly appreciate individuals like you! Take care!!

    https://sergioddzx049.godaddysites.com/f/this-is-your-brain-on-ECB0BDEC9B90ECB69CEC9EA5EC9588EBA788

    June 19, 2021 at 04:45 | Report abuse | Reply
  23. 우리카지노

    I'm excited to discover this website. I wanted to thank you for ones time just for this fantastic read!! I definitely loved every part of it and I have you saved as a favorite to look at new stuff on your site.

    https://www.boredpanda.com/author/currincrews12rulelx/

    June 19, 2021 at 05:47 | Report abuse | Reply
  24. bxh anh

    Kết Trái Futsal Việt Nam Vs Lebanonxem trực tiếp htv7 hdTheo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania trong ngày hội bóng đá lớn nhất thế giới cho futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội ko ngán Lebanon tuy nhiên sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch thi đấu, quý khách hoàn toàn có thể sắp xếp làm việc

    https://rucyprus.net/detail/demkhuyatv-truc-tiep-bong-da–94408.html

    June 19, 2021 at 05:58 | Report abuse | Reply
  25. link vao m88

    Thông Tin, Sự Khiếu Nại Liên Quan Lại Đến Thẳng Soccer Nữ kèo nhà cáiĐội tuyển futsal Việt Nam đã có được một trận đấu đồng ý được trước đối thủ đầy mức độ mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất Việt Nam.

    https://thisisthegreenroom.com/detail/xoivovt-98870.html

    June 19, 2021 at 06:11 | Report abuse | Reply
  26. 포항출장마사지

    Hello there, There's no doubt that your website might be having browser compatibility problems. When I look at your blog in Safari, it looks fine however, if opening in I.E., it has some overlapping issues. I merely wanted to give you a quick heads up! Other than that, fantastic blog!

    https://hotibo.ru/user/profile/916294

    June 19, 2021 at 06:41 | Report abuse | Reply
  27. 우리카지노

    After looking over a number of the articles on your web site, I really appreciate your way of writing a blog. I book marked it to my bookmark webpage list and will be checking back in the near future. Please check out my website too and tell me what you think.

    http://www.sviluppoperleuropa.it/sve/index.php?option=com_k2&view=itemlist&task=user&id=1276088

    June 19, 2021 at 10:05 | Report abuse | Reply
  28. 우리카지노

    Howdy! This article couldnít be written much better! Going through this article reminds me of my previous roommate! He constantly kept preaching about this. I will send this article to him. Pretty sure he'll have a great read. Thank you for sharing!

    http://what-the-fit.com/members/coververse5/activity/193043/

    June 19, 2021 at 10:10 | Report abuse | Reply
  29. ua49ru7300kxxv

    Xoilac Tv Trực Tiếp đá Bónglịch thi đấu king cupXem soccer trực tuyến Trực tiếp Odd BK vs Sarpsborg, 20h ngày 24/5, giải VĐQG Na Uy. Xem lịch phát sóng thẳng đá bóng EURO ngày hôm nay được Webthethao update chính xác nhất.

    https://murraystivoli.com/detail/bxh-phap-1-tap-2-118577.html

    June 19, 2021 at 11:49 | Report abuse | Reply
  30. 우리 카지노

    After looking at a few of the blog articles on your website, I really appreciate your technique of writing a blog. I book marked it to my bookmark site list and will be checking back soon. Please visit my web site too and tell me what you think.

    https://zzb.bz/5wphj

    June 19, 2021 at 12:17 | Report abuse | Reply
  31. 우리 카지노

    Everything is very open with a clear description of the challenges. It was definitely informative. Your website is very helpful. Many thanks for sharing!

    https://dushski.ru/user/juryage86/

    June 19, 2021 at 13:03 | Report abuse | Reply
  32. 대구출장마사지

    This website certainly has all the info I needed concerning this subject and didnít know who to ask.

    http://anma5jeffreyeexv236.theburnward.com/15-tips-about-daeguchuljangmasaji-from-industry-experts

    June 19, 2021 at 14:23 | Report abuse | Reply
  33. bảng xếp hạng u18 đông nam á

    Thẳng Bóng Đá Thời Điểm Hôm Naylịch thi đấu tứ kết asian cup 2019Đây có lẽ rằng là trường hợp “của đi thay nhân viên" khá may mắn đối với Ben McLemore. Thiếu chút nữa tay ném của Los Angeles Lakers đã có được thể gặp hiểm họa nguy hiểm. Cập nhật kết trái trận nước Việt Nam vs Lebanon nằm trong play-off vòng loại Futsal World Cup 2021.

    https://virandoamor.com/detail/bxh-premier-4502.html

    June 19, 2021 at 15:26 | Report abuse | Reply
  34. m88bet

    Tin Tức, Sự Kiện Liên Quan Lại Đến Trực Tiếp Soccer Phái Nữ lich phat song vtc4Đội tuyển nước Việt Nam chỉ cần một kết quả hòa có bàn thắng để lần loại hai góp mặt tại World Cup futsal. Nhưng, nhằm thực hiện được như vậy

    https://frontsportsbox.com/

    June 19, 2021 at 16:29 | Report abuse | Reply
  35. 대구출장마사지

    Oh my goodness! Incredible article dude! Thank you so much, However I am encountering difficulties with your RSS. I donít know the reason why I am unable to join it. Is there anybody having similar RSS problems? Anyone that knows the solution will you kindly respond? Thanks!!

    http://3zfe6.7ba.info/out.php?url=https://k-anma.com/daegu/

    June 19, 2021 at 17:11 | Report abuse | Reply
  36. see here now

    I couldn't resist commenting. Well written!

    https://forum.mesign.com/index.php?action=profile;area=forumprofile;u=435834

    June 19, 2021 at 17:41 | Report abuse | Reply
  37. 케이출장

    When I originally commented I appear to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I receive four emails with the same comment. There has to be a way you can remove me from that service? Kudos!

    https://top-mp3.ru/user/casino8i8mjdjk038

    June 19, 2021 at 18:56 | Report abuse | Reply
  38. bong da gh

    Kết Trái Futsal Việt Nam Vs Lebanontruyền hình trực tuyến vtv3Theo thể thức thi đấu, đội thắng ở cặp đấu này sẽ giành tấm vé đến Lithuania vào ngày hội bóng đá lớn nhất thế giới mang đến futsal. Tuyển futsal Việt Nam bước vào trận play-off lượt đi tranh vé dự play-off World Cup 2021 với sự tự tin. Tuy vậy, HLV Phạm Minh Giang bày tỏ, toàn đội không ngán Lebanon tuy vậy sẽ tìm cách để khắc chế sức mạnh của đối thủ bởi trên băng ghế huấn luyện là nhà cầm quân Ramiro Lopez, người từng dẫn dắt futsal Tây Ban Nha.|Dựa vào lịch thi đấu, bạn hoàn toàn có thể sắp xếp công việc

    https://virandoamor.com/detail/keo-bong-da-y-55153.html

    June 19, 2021 at 18:58 | Report abuse | Reply
  39. 출장안마

    Good article! We will be linking to this great article on our website. Keep up the good writing.

    http://tragedysurvivors.com/members/casino9n1mbweq891/

    June 19, 2021 at 22:37 | Report abuse | Reply
  40. a replacement

    It's appropriate time to make some plans for the future and it is time to be happy. I've read this post and if I could I want to suggest you some interesting things or suggestions. Maybe you could write next articles referring to this article. I wish to read more things about it!

    https://ug-plast.ru/forum/index.php?action=profile;area=forumprofile;u=1387208

    June 20, 2021 at 00:20 | Report abuse | Reply
  41. zingplay co tuong

    Coi Trực Tiếp Viettel Vs Tỉnh Bình Dương Trên V League 2021 Ở Kênh Nào? vietnam football fbĐội tuyển Việt Nam chỉ muốn một kết quả hòa có bàn thắng để lần loại hai góp mặt tại World Cup futsal. Nhưng, nhằm làm được như vậy

    https://arubaeducation.info/

    June 20, 2021 at 07:23 | Report abuse | Reply
  42. 365 bóng

    Xoilac Tv Thẳng đá Bóngviet nam vs malaysia may gioNếu cứ nghịch như cách vừa tiêu diệt Everton tới 3-1 bên trên sảnh quý khách hàng

    https://virandoamor.com/detail/viet-nam-thai-lan-4-0-33764.html

    June 20, 2021 at 08:31 | Report abuse | Reply
  43. 먹튀검증커뮤니티

    Itís hard to find knowledgeable people for this topic, but you sound like you know what youíre talking about! Thanks

    http://www.joi3.com/go.php?url=https://gambling0daltonjpah454.over-blog.com/2021/04/11-creative-ways-to-write-about.html

    June 20, 2021 at 08:32 | Report abuse | Reply
  44. 먹튀사이트

    I wanted to thank you for this great read!! I absolutely loved every little bit of it. I have you book marked to look at new things you postÖ

    http://www.errorbase.net/index.php?qa=user&qa_1=landcycle17

    June 20, 2021 at 09:22 | Report abuse | Reply
  45. 부산출장안마

    Saved as a favorite, I like your website!

    https://www.openlearning.com/u/susana-qped5n/blog/ResponsibleForABusanculjanganmaBudget10TerribleWaysToSpendYourMoney/

    June 20, 2021 at 09:51 | Report abuse | Reply
  46. 먹튀검증

    A fascinating discussion is worth comment. There's no doubt that that you should publish more about this topic, it may not be a taboo matter but typically people do not discuss these topics. To the next! Cheers!!

    http://seesaawiki.jp/t/external-link/?url=http://casino3cashjgju963.image-perth.org/12-stats-about-meijeosaiteu-to-make-you-look-smart-around-the-water-cooler

    June 20, 2021 at 10:06 | Report abuse | Reply
  47. crypto sports betting

    Wonderful work! That is the kind of info that are meant
    to be shared around the internet. Shame on Google for no longer positioning this post upper!

    Come on over and discuss with my web site . Thank you =)

    June 20, 2021 at 10:42 | Report abuse | Reply
  48. bitcoin sportsbooks

    Greetings! Quick question that's entirely off topic.

    Do you know how to make your site mobile friendly?
    My site looks weird when viewing from my iphone.
    I'm trying to find a template or plugin that might be able to fix this problem.

    If you have any recommendations, please share. Thank you!

    June 20, 2021 at 11:20 | Report abuse | Reply
  49. btc betting

    Hi, i think that i saw you visited my website so i came to “return the favor”.I am
    attempting to find things to enhance my website!I suppose its
    ok to use some of your ideas!!

    June 20, 2021 at 11:24 | Report abuse | Reply
  50. 울산출장

    This is a topic which is close to my heart... Thank you! Where are your contact details though?

    https://massage2rylanmnrf149.wordpress.com/2021/06/01/meet-the-steve-jobs-of-the-울산출장안마-industry/

    June 20, 2021 at 11:28 | 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 안전놀이터


 

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.