 |
|
|
|
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 Stefani Stinar
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.
 |
|
|
|
Kết Trái Futsal Việt Nam Vs Lebanontính thuế fo4Theo 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 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 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 rất có thể sắp xếp việc làm
https://virandoamor.com/detail/truc-tiep-vtv3hd-44503.html
Hi there! This blog post couldnít be written any better! Looking through this post reminds me of my previous roommate! He always kept talking about this. I most certainly will forward this post to him. Fairly certain he's going to have a great read. Thank you for sharing!
http://formasis.com/user/sproutfrost72/
When I initially commented I appear to have clicked on the -Notify me when new comments are added- checkbox and now whenever a comment is added I receive four emails with the same comment. There has to be an easy method you are able to remove me from that service? Kudos!
https://historydb.date/wiki/Overall_health_Advantages_of_Thai_Massage
Iím amazed, I must say. Rarely do I encounter a blog thatís both educative and engaging, and without a doubt, you've hit the nail on the head. The problem is something which too few people are speaking intelligently about. I'm very happy I came across this during my search for something concerning this.
https://pacode.india77.com/user/profile/601137
An outstanding share! I've just forwarded this onto a colleague who was conducting a little research on this. And he in fact bought me lunch simply because I discovered it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanks for spending some time to discuss this matter here on your web site.
https://uklianjiang.com/home.php?mod=space&uid=286440
I couldnít resist commenting. Exceptionally well written!
https://www.saajilo.com/user/profile/21771
I'm pretty pleased to uncover this page. I need to to thank you for ones time for this wonderful read!! I definitely loved every part of it and I have you book-marked to check out new stuff in your website.
https://pediascape.science/wiki/Trigger_Point_Care_Exactly_What_it_is_and_How_it_Can_Help_Reduce_Your_Stress
I want to to thank you for this excellent read!! I definitely loved every bit of it. I've got you saved as a favorite to look at new stuff you postÖ
https://www.bonanza.com/users/49144417/profile
I blog quite often and I seriously appreciate your information. The article has truly peaked my interest. I will bookmark your website and keep checking for new information about once per week. I subscribed to your RSS feed as well.
https://www.magcloud.com/user/casino6n9dleha505
I love it whenever people get together and share opinions. Great blog, keep it up!
http://catareg.ru/user/casino5p8anlor042
Thể Thao 247chuyen nguyen ngoc ngan casinoLiverpool là ĐộI bóng nhận ít thẻ nhất ở Premier League mùa này và đang đứng trước thời cơ đạt giải thưởng Fair Play ở mùa giải thứ 5 liên tiếp. Sau khi thăng hạng 96 trái đất, đội tuyển Việt Nam đã lọt group hạt tương đương số 2 vòng chủng loại World Cup 2022 khu vực vực châu Á.
https://www.vnd188.bet/
Everything is very open with a clear description of the challenges. It was really informative. Your website is useful. Many thanks for sharing!
https://www.blurb.com/user/bongocheese7
You need to be a part of a contest for one of the finest websites on the net. I'm going to highly recommend this blog!
https://filimhd.ru/user/d0ifgsi687
This is a topic which is near to my heart... Thank you! Where are your contact details though?
https://articlescad.com/reduce-infection-with-craniosacral-therapy-1205481.html
This blog was... how do I say it? Relevant!! Finally I've found something that helped me. Kudos!
https://pbase.com/topics/anma5drakepillow6/a_look_at_the_many_different
Iím impressed, I have to admit. Rarely do I come across a blog thatís both educative and interesting, and without a doubt, you've hit the nail on the head. The problem is something too few folks are speaking intelligently about. Now i'm very happy that I stumbled across this during my hunt for something concerning this.
https://vvfit.com/members/drivemiddle1/activity/967595/
Next time I read a blog, Hopefully it does not fail me as much as this particular one. After all, I know it was my choice to read through, however I really believed you would probably have something useful to say. All I hear is a bunch of complaining about something you can fix if you were not too busy searching for attention.
https://edukite.org/members/soundspot02/activity/1119653/
An interesting discussion is worth comment. There's no doubt that that you should publish more about this issue, it may not be a taboo matter but typically people do not discuss such subjects. To the next! Best wishes!!
http://webcamera.ru/user/b7blifr658
Oh my goodness! Amazing article dude! Thank you so much, However I am having troubles with your RSS. I donít understand why I am unable to subscribe to it. Is there anybody else having similar RSS problems? Anyone that knows the answer will you kindly respond? Thanx!!
http://news.savoya.su/user/cakewax4/
Iím amazed, I must say. Seldom do I come across a blog thatís both educative and amusing, and let me tell you, you have hit the nail on the head. The problem is something too few folks are speaking intelligently about. I am very happy I stumbled across this in my hunt for something concerning this.
http://www.castagneto.eu/index.php?option=com_k2&view=itemlist&task=user&id=1941214
bookmarked!!, I love your blog!
https://devpost.com/ca-s-i-n-o-052-50
Good post. I will be dealing with some of these issues as well..
http://massage8mualledrjg.image-perth.org/20-gifts-you-can-give-your-boss-if-they-love-chuljang
Having read this I thought it was really enlightening. I appreciate you spending some time and energy to put this information together. I once again find myself personally spending a significant amount of time both reading and posting comments. But so what, it was still worth it!
https://stackoverflow.com/users/15930434/casino4l7vlekl666?tab=profile
Hi! I simply want to offer you a huge thumbs up for the excellent info you have right here on this post. I am returning to your blog for more soon.
https://www.myvidster.com/profile/casino4m7anrdk124
Right here is the perfect webpage for anybody who would like to understand this topic.
You understand a whole lot its almost hard to argue with you (not that I personally would want to…HaHa).
You certainly put a new spin on a subject that has been discussed for decades.
Excellent stuff, just excellent!
Oh my goodness! Impressive article dude! Thanks, However I am experiencing issues with your RSS. I donít know the reason why I cannot join it. Is there anyone else having the same RSS problems? Anyone that knows the answer will you kindly respond? Thanx!!
http://www.czporadna.cz/index.php?qa=user&qa_1=carrotcub05
Hi there! I simply want to give you a huge thumbs up for your excellent information you've got right here on this post. I am returning to your web site for more soon.
https://zarsoft.org/user/x1jdgbw717
There's certainly a lot to know about this topic. I like all the points you have made.
http://massage5hithinmgdp.yousher.com/what-the-heck-is-chuljangmasaji
Kết Trái Futsal Việt Nam Vs Lebanonngoac 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 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 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 rất có thể sắp xếp công việc
https://questiontime.info/detail/truc-tiep-juventus-vs-roma-51921.html
sildenafil tablets from india 100mg tablets https://www.pharmaceptica.com/
I was pretty pleased to discover this page. I want to to thank you for your time for this wonderful read!! I definitely loved every part of it and i also have you saved as a favorite to check out new things in your web site.
https://www.bakespace.com/members/profile/m4hpilq915/1166229
I was able to find good advice from your articles.
http://www.nyumon.net/script/sc/redirect.php?id=393&url=https://articlescad.com/5-tools-everyone-in-the-industry-should-be-using-1352932.html
This blog was... how do you say it? Relevant!! Finally I have found something which helped me. Appreciate it!
https://www.community.naropa.edu/members/casino4q7oyprs677/
What Is Dab Mat?http://cesargdlm497.wpsuo.com/10-startups-that-ll-change-the-ash-catcher-industry-for-the-betterAll products intended for use with legal smoking/vaping mixtures only .
https://www.posts123.com/user/812873/geminicomb91
That is a great tip especially to those fresh to the blogosphere. Short but very accurate infoÖ Thank you for sharing this one. A must read article!
http://www.hyoito-fda.com/out.php?url=http://anma4chancegekj553.lucialpiazzale.com/16-must-follow-facebook-pages-for-chuljangmasaji-marketers
Saved as a favorite, I really like your site!
https://www.empowher.com/user/2062016
Nice post. I learn something totally new and challenging on websites I stumbleupon on a daily basis. It's always exciting to read articles from other writers and practice something from other websites.
https://anaiyur-virudhunagar.india77.com/user/profile/603984
Your style is very unique in comparison to other people I've read stuff from. I appreciate you for posting when you have the opportunity, Guess I'll just bookmark this page.
http://kassi2.rosx.net/php/url.php?url=https://massage4ryalasamoi.edublogs.org/2021/05/14/10-fundamentals-about-ecb69cec9ea5eba788ec82aceca780-you-didnt-learn-in-school/
That is a really good tip particularly to those new to the blogosphere. Short but very precise informationÖ Appreciate your sharing this one. A must read post!
http://forums.dollymarket.net/member.php?action=profile&uid=4218594
Xoilac Tv Thẳng đá Bóng betĐội tuyển chọn futsal nước ta đã được một trận đấu đồng ý được trước phe đối lập đầy sức mạnh Lebanon. Kết trái Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.
https://naija5.com/
Creative writing copywright: How to protect work when submitting to potential publishers or literary agents?
https://twitter.com/katekdesigns
Pretty! This has been an incredibly wonderful post. Thank you for supplying this information.
http://kainar-baidybek.mektebi.kz/user/casino9f6exbvz493
Great article. I am facing a few of these issues as well..
http://footballzaa.com/out.php?url=https://bibliocrunch.com/profile/casino7t3yjart697/
Saved as a favorite, I like your website!
http://night.jp/jump.php?url=https://uberant.com/article/1378949-12-dos-and-donts-for-a-successful-ECB69CEC9EA5EBA788EC82ACECA780/
I need to to thank you for this excellent read!! I definitely enjoyed every bit of it. I have you saved as a favorite to check out new stuff you postÖ
http://gold-rush-online.ru/user/casino7s5rqrys643
This site definitely has all of the information I needed concerning this subject and didnít know who to ask.
http://3zfe6.7ba.info/out.php?url=https://uberant.com/article/1378949-12-dos-and-donts-for-a-successful-ECB69CEC9EA5EBA788EC82ACECA780/
Greetings! Very useful advice in this particular article! It is the little changes that produce the most important changes. Many thanks for sharing!
https://hackerone.com/e1gbfpq944
I'd like to thank you for the efforts you've put in writing this website. I am hoping to view the same high-grade content by you later on as well. In fact, your creative writing abilities has motivated me to get my own blog now 😉
http://ask.bacagadget.com/index.php?qa=user&qa_1=bralunch40
Good post. I learn something new and challenging on sites I stumbleupon every day. It will always be exciting to read articles from other writers and use a little something from other sites.
https://articlescad.com/the-top-reasons-people-succeed-in-the-industry-1353332.html
That is a really good tip particularly to those fresh to the blogosphere. Simple but very accurate infoÖ Appreciate your sharing this one. A must read article!
http://www.castle-infinity.com/forums/member.php?action=profile&uid=42845