 |
|
|
|
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 steel line pipe specification
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.
 |
|
|
|
I was able to find good advice from your articles.
https://alpha.mb-themes.com/user/profile/8427
Hello! I could have sworn Iíve been to your blog before but after browsing through some of the posts I realized itís new to me. Regardless, Iím definitely happy I found it and Iíll be book-marking it and checking back regularly!
http://gambling0rodfemale04.bravesites.com/entries/general/exactly-why-online-theater-getting-a-residence-edge
Coi Thẳng Viettel Vs Bình Dương Tại V League 2021 Ở Kênh Nào? bong da soĐội tuyển futsal nước Việt Nam đã có một trận đấu đồng ý được trước phe đối lập đầy mức độ mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.
https://questiontime.info/detail/xem-bong-tivi-vtv3-115801.html
You should be a part of a contest for one of the most useful sites on the web. I will highly recommend this blog!
https://powerpage26.bloggersdelight.dk/2021/02/23/lawful-betting-everything-its-not-up-to-about-what-it-can-not/
Ahaa, its good conversation about this post at this place at this web site, I have read all that, so now me also commenting at this place.
https://timeorgan18.webgarden.cz/rubriky/timeorgan18-s-blog/finding-low-cost-multi-gyms
erectile organs crossword https://pharmaceptica.com/
Thể Thao365 ca cuoc .com.vnLiverpool là nhóm bóng nhận ít thẻ nhất ở Premier League mùa này và đang đứng trước thời cơ giành giải thưởng Fair Play ở mùa giải loại 5 tiếp tục. Sau lúc thăng hạng 96 toàn cầu, ĐộI tuyển Việt Nam đã lọt group hạt giống số 2 vòng chủng loại World Cup 2022 khu vực châu Á.
https://www.vnd188.bet/
Good info. Lucky me I recently found your site by accident (stumbleupon). I have saved it for later!
http://massage3hyaristdjy.timeforchangecounselling.com/the-best-advice-you-could-ever-get-about-chuljang-anma
Excellent post. I will be dealing with a few of these issues as well..
http://set.ua/bitrix/rk.php?goto=https://www.ranker.com/writer/casino6n2zmzru189
Howdy! I could have sworn Iíve been to your blog before but after going through a few of the posts I realized itís new to me. Nonetheless, Iím definitely pleased I stumbled upon it and Iíll be bookmarking it and checking back often!
http://musikayf.ru/user/tiledill13/
Coi Thẳng Viettel Vs Tỉnh Bình Dương Tại V League 2021 Ở Kênh Nào? 888 betĐội tuyển nước ta chỉ cần thiết một kết trái hòa có bàn thắng để lần loại hai góp mặt tại World Cup futsal. Nhưng, nhằm làm được điều đó
https://sshuebner.org/
I was extremely pleased to uncover this page. I want to to thank you for your time just for this fantastic read!! I definitely really liked every bit of it and i also have you saved as a favorite to look at new information in your blog.
https://fr.grepolis.com/start/redirect?url=http://gambling3garrettmdfc419.almoheet-travel.com/the-3-greatest-moments-in-meogtwigeomjeungsaiteu-history
Hi, I do believe this is an excellent website. I stumbledupon it 😉 I'm going to return yet again since I book marked it. Money and freedom is the best way to change, may you be rich and continue to help others.
https://cousinbutane22.bravejournal.net/post/2021/02/23/A-Guide-to-Finding-the-Best-Online-Casinos
Thẳng Bóng Đá Ngày Hôm Nay, Link Xem Bóng Đá Trực Tuyến 24h online casinoĐội tuyển chọn futsal nước ta đã được một trận đấu đồng ý được trước đối thủ cạnh tranh đầy mức độ mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.
https://equinome.com/
I want to to thank you for this fantastic read!! I definitely enjoyed every little bit of it. I have got you saved as a favorite to check out new things you postÖ
https://anma1daltoniiln467.weebly.com/blog/5-killer-quora-answers-on
I couldnít resist commenting. Well written!
http://ref.gamer.com.tw/redir.php?url=https://www.instapaper.com/read/1400905299
Thể Thao 247tro choi co dau xinh xinhLiverpool là đội bóng nhận ít thẻ nhất ở Premier League mùa này và đang đứng trước cơ hội giành giải thưởng Fair Play ở mùa giải thứ 5 tiếp tục. Sau lúc thăng hạng 96 toàn cầu, ĐộI tuyển nước ta đã lọt nhóm phân tử giống như số 2 vòng chủng loại World Cup 2022 khu vực vực châu Á.
https://www.vnd188.bet/
Thẳng Bóng Đá Thời Điểm Hôm Nay, Link Coi Soccer Trực Tuyến 24h linkvao88Đội tuyển chọn Việt Nam chỉ cần thiết một kết trái hòa có bàn thắng nhằm lần loại hai góp mặt trên World Cup futsal. Nhưng, nhằm thực hiện được như vậy
https://questiontime.info/
Way cool! Some very valid points! I appreciate you writing this article plus the rest of the site is very good.
http://sco.lt/5sYq9Y
Xoilac Tv Trực Tiếp Soccermu vs chelseaNếu cứ nghịch như cách vừa đè bẹp Everton cho tới 3-1 trên sân quý khách hàng
https://murraystivoli.com/detail/doi-hinh-u22-viet-nam-thai-lan-89768.html
This page definitely has all the information I needed about this subject and didnít know who to ask.
https://www.ted.com/profiles/27257977
I made a blogger account a few months ago, and i added some pictures to my sidebar and don't know how to remove them. I used the image hosting site 'Photobucket' to put the pictures on my blog, and put my login information there nd they did it for me. I don't like how one of the pictures look and I really want to remove/delete it. Help? Thanks..
https://twitter.com/katekdesigns
Good info. Lucky me I found your website by chance (stumbleupon). I have book-marked it for later!
https://sesdoc.ru/user/casino7o2slhgb858
I need to to thank you for this excellent read!! I absolutely loved every little bit of it. I have got you bookmarked to check out new things you postÖ
https://www.ultimate-guitar.com/u/n6iaunz014
I was able to find good info from your content.
http://aanorthflorida.org/es/redirect.asp?url=https://massage0marcousdt307.skyrock.com/3341997594-The-Most-Influential-People-in-the-Industry.html
Good article. I'm dealing with some of these issues as well..
https://www.allrecipes.com/cook/29304357/
Kết Quả Futsal Việt Nam Vs Lebanonlich phat song vtc4Theo 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 ko ngán Lebanon tuy nhiên 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, bạn có thể sắp xếp công việc
https://questiontime.info/detail/todaytv-online-101773.html
Good site you have here.. Itís hard to find high-quality writing like yours these days. I honestly appreciate individuals like you! Take care!!
https://fravito.fr/user/profile/21476
Way cool! Some very valid points! I appreciate you penning this article and the rest of the website is also really good.
https://www.sfgate.com/market/article/best-cbd-oil-for-pain-15847757.php
Greetings! Very helpful advice in this particular post! It's the little changes that will make the largest changes. Many thanks for sharing!
https://knowyourmeme.com/users/casino8p6zynpp719
đá Bóng Phủi, Tin Nhanh Chóng, đoạn Phim Online 24hcasino online uy tín nhất 2021Liverpool là ĐộI bóng nhận ít thẻ nhất ở Premier League mùa này và đang được đứng trước thời cơ đạt giải thưởng Fair Play ở mùa giải loại 5 liên tiếp. Sau Khi thăng hạng 96 trái đất, nhóm tuyển chọn nước Việt Nam đã lọt group phân tử tương đương số 2 vòng loại World Cup 2022 khu vực châu Á.
https://www.vnd188.bet/
Tin Tức, Sự Khiếu Nại Liên Quan Tiền Đến Trực Tiếp đá Bóng Nữ soi keo nha caiĐội tuyển futsal nước Việt Nam đã được một trận đấu đồng ý được trước phe đối lập đầy mức độ mạnh Lebanon. Kết trái Bà Rịa-Vũng Tàu vs Bình Phước ngày hôm nay 18h00 ngày 5/5, Hạng nhất nước Việt Nam.
https://novelinkblog.com/
Kết Quả Futsal Việt Nam Vs Lebanonlist kênh vlc 2018Theo 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 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 tranh tài, quý khách có thể chuẩn bị xếp việc làm
https://rucyprus.net/detail/lich-thi-dau-champions-cup-viet-nam-85527.html
Has anyone shopped at Sunshine Tobacco & Vape? x
https://maps.google.co.za/url?q=https://allueur.com/collections/frontpage
You made some decent points there. I checked on the web for more info about the issue and found most individuals will go along with your views on this site.
https://droneenabled.com/user/profile/874
Great line up. We will be linking to this great article on our site. Keep up the good writing.
https://www.techsite.io/p/2308173
You are so interesting! I do not suppose I've read through a single thing like that before. So wonderful to find somebody with a few unique thoughts on this subject. Really.. thanks for starting this up. This site is one thing that is needed on the internet, someone with some originality!
http://searchamateur.com/myplayzone/?url=https://gambling7dallasjbqm587.mozello.com/blog/params/post/2780594/10-tell-tale-signs-you-need-to-get-a-new
Your style is so unique compared to many other people. Thank you for publishing when you have the opportunity,Guess I will just make this bookmarked.2
https://www.oneofusappeal.eu/eurokisten-e2-preiswert-fuer-den-sicheren-transport-von-lebensmitteln/
he blog was how do i say it... relevant, finally something that helped me. Thanks:)
https://www.oneofusappeal.eu/leiterplatten-aus-unterschiedlichem-basismaterial-preiswerteren-leiterplattenservice/
Great wordpress blog here.. It's hard to find quality writing like yours these days. I really appreciate people like you! take care
https://leonbjoshua.mystrikingly.com/blog/leiterplatten-fertigung-und-kostengunstige-layout-erstellung
Itís nearly impossible to find experienced people about this topic, but you sound like you know what youíre talking about! Thanks
http://ztndz.com/story9248782/poker-strategy-texas-hold-em
Itís difficult to find educated people about this subject, but you sound like you know what youíre talking about! Thanks
https://timeoftheworld.date/wiki/The_Caution_Evidence_and_Effects_Of_Betting_Addiction
You need to take part in a contest for one of the highest quality websites on the web. I'm going to highly recommend this website!
https://pacient-net.ru/user/casino5i0xxjqm214
I couldnít resist commenting. Very well written!
https://clashofcryptos.trade/wiki/Betting_How_a_Internet_Gives_Gamers_a_Brand_New_Source_of_Information
After looking into a few of the blog articles on your web site, I really appreciate your way of blogging. I bookmarked it to my bookmark site list and will be checking back soon. Please visit my web site too and let me know how you feel.
https://yogicentral.science/wiki/Texas_Holdem_Poker
It is appropriate time to make some plans for the future and it is time to be happy. I have read this post and if I could I want to suggest you some interesting things or tips. Perhaps you could write next articles referring to this article. I want to read even more things about it!
https://www.sfgate.com/market/article/best-cbd-oil-for-pain-15847757.php
Hi there! I just wish to give you a big thumbs up for the excellent info you have got here on this post. I am coming back to your web site for more soon.
http://g961713h.beget.tech/user/h3zkrou604
An impressive share! I've just forwarded this onto a coworker who has been doing a little homework on this. And he in fact bought me breakfast due to the fact that I stumbled upon it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanks for spending time to talk about this issue here on your site.
https://www.openlearning.com/u/taxidrain6/blog/TheBenefitsOfAquaticBodywork
I'm pretty pleased to uncover this website. I need to to thank you for your time just for this fantastic read!! I definitely appreciated every little bit of it and i also have you book-marked to see new stuff in your website.
http://aoao.tw/forum/home.php?mod=space&uid=147778
Good web site you've got here.. Itís hard to find high quality writing like yours these days. I truly appreciate individuals like you! Take care!!
http://584544.wushuamur.ru/user/n9girmf900