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.
If you wish for to get a great deal from this article then you have to apply such strategies to your won web
Take a look at my homepage :: Online Casino Usa Free Spins
I couldn't refrain from commenting. Exceptionally well
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.
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.
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.
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.
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
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
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
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
my blog post; Borgata casino Online Reviews
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.
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
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!
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.
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
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.
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!
Great post! We will be linking to this particularly great article on our site. Keep up the great writing.
Everything is very open with a precise description of the challenges. It was really informative. Your site is very helpful. Many thanks for sharing!
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
I couldnít refrain from commenting. Well written!
Great site you have here.. Itís hard to find high quality writing like yours these days. I truly appreciate individuals like you! Take care!!
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.
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
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.
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!
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.
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!
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.
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.
Everything is very open with a clear description of the challenges. It was definitely informative. Your website is very helpful. Many thanks for sharing!
This website certainly has all the info I needed concerning this subject and didnít know who to ask.
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.
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
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!!
I couldn't resist commenting. Well written!
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!
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
Good article! We will be linking to this great article on our website. Keep up the good writing.
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!
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
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
Itís hard to find knowledgeable people for this topic, but you sound like you know what youíre talking about! Thanks
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
Saved as a favorite, I like your website!
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!!
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 =)
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!
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!!
This is a topic which is close to my heart... Thank you! Where are your contact details though?