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.
Pretty! This has been an extremely wonderful article. Thank you for supplying this information.
Thẳng Bóng Đá Ngày Hôm Naycopa america 2019 truc tiep kenh naoĐây có lẽ rằng là ngôi 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 gặp hiểm họa nghiêm trọng. Cập nhật kết trái trận Việt Nam vs Lebanon nằm trong play-off vòng loại Futsal World Cup 2021.
Great article! We will be linking to this great post on our site. Keep up the good writing.
This website really has all of the info I needed about this subject and didnít know who to ask.
Xoilac Tv Trực Tiếp Soccerbinh luan tvNếu cứ đùa như cách vừa tiêu diệt Everton cho tới 3-1 bên trên sân khách hàng
Thẳng Soccer Thời Điểm Hôm Nay, Liên Kết Xem đá Bóng Trực Tuyến 24h keo 88Đội tuyển Việt Nam chỉ muốn một kết quả hòa có bàn thắng để lần loại hai góp mặt trên World Cup futsal. Nhưng, để làm được điều này
Way cool! Some extremely valid points! I appreciate you penning this write-up and the rest of the website is also really good.
Everyone loves it whenever people come together and share ideas. Great website, keep it up!
Coi Trực Tiếp Viettel Vs Bình Dương Trên V League 2021 Ở Kênh Nào? tải ku casinoĐội tuyển nước Việt Nam chỉ muốn một kết quả hòa có bàn thắng nhằm lần thứ hai góp mặt trên World Cup futsal. Nhưng, để thực hiện được như vậy
Great post! We will be linking to this particularly great content on our website. Keep up the good writing.
Spot on with this write-up, I actually believe that this site needs far more attention. Iíll probably be returning to read more, thanks for the advice!
Pretty! This has been a really wonderful article. Many thanks for providing this information.
Xoilac Tv Thẳng Soccer ku777Đội tuyển nước Việt Nam chỉ muốn một kết trái hòa có bàn thắng nhằm lần thứ hai góp mặt tại World Cup futsal. Nhưng, để làm được điều này
Itís difficult to find well-informed people on this subject, however, you sound like you know what youíre talking about! Thanks
what is chloroquine https://www.pharmaceptica.com/
After I initially commented I seem to have clicked on the -Notify me when new comments are added- checkbox and now every time a comment is added I receive four emails with the same comment. Is there a means you are able to remove me from that service? Kudos!
Thẳng Bóng Đá Thời Điểm Hôm Nay, Liên Kết Coi Bóng Đá Trực Tuyến 24hhtv2 hdTheo 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 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 thi đấu, quý khách có thể sắp xếp việc làm
Great website. Thank you for the information what's the best spanish learning app?
Way cool! Some extremely valid points! I appreciate you writing this write-up and also the rest of the site is also really good.
Oh my goodness! Incredible article dude! Thank you, However I am experiencing problems with your RSS. I donít understand why I am unable to subscribe to it. Is there anybody else getting similar RSS problems? Anyone that knows the answer will you kindly respond? Thanks!!
You are so interesting! I don't believe I've truly read through anything like that before. So wonderful to discover another person with some genuine thoughts on this topic. Seriously.. thank you for starting this up. This website is something that is required on the internet, someone with a bit of originality!
Thẳng Soccer Hôm Nay, Links Coi đá Bóng Trực Tuyến 24htructiephdTheo 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 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 rất có thể chuẩn bị xếp việc làm
Everything is very open with a clear clarification of the challenges. It was definitely informative. Your site is very useful. Many thanks for sharing!
I was able to find good info from your blog articles.
Having read this I believed it was rather enlightening. I appreciate you finding the time and effort to put this informative article together. I once again find myself personally spending a lot of time both reading and commenting. But so what, it was still worthwhile!
After going over a handful of the blog posts on your web site, I really appreciate your way of writing a blog. I added it to my bookmark website list and will be checking back soon. Take a look at my web site as well and let me know your opinion.
This blog was... how do I say it? Relevant!! Finally I have found something which helped me. Cheers!
This blog was... how do I say it? Relevant!! Finally I have found something which helped me. Kudos!
Thẳng Soccer Việt Nam Vs Lebanon. Xem Truc Tiep Bong Da. Futsal Việt NambđtvNếu cứ chơi như cơ hội vừa đè bẹp Everton cho tới 3-1 trên sảnh quý khách hàng
Tin Tức, Sự Kiện Liên Quan Đến Trực Tiếp đá Bóng Nữ Giới cờ tướng zingplayĐội tuyển nước ta chỉ cần thiết một kết quả hòa có bàn thắng để lần loại hai góp mặt tại World Cup futsal. Nhưng, nhằm thực hiện được như vậy
After looking over a handful of the articles on your web site, I seriously appreciate your way of blogging. I book-marked it to my bookmark website list and will be checking back in the near future. Please check out my web site too and let me know your opinion.
I really love your site.. Great colors & theme. Did you build this amazing site yourself? Please reply back as Iím wanting to create my own site and would like to know where you got this from or what the theme is named. Thank you!
erectile examination https://www.pharmaceptica.com/
pharmacy prices for sildenafil https://www.pharmaceptica.com/
Xoilac Tv Trực Tiếp Bóng Đá w88Đội tuyển futsal nước ta đã có được một trận đấu đồng ý được trước đối thủ cạnh tranh đầy sức mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước hôm nay 18h00 ngày 5/5, Hạng nhất Việt Nam.
cheap price sildenafil 100 mg https://pharmaceptica.com/
Itís hard to come by experienced people about this topic, however, you seem like you know what youíre talking about! Thanks
Links Coi Trực Tiếp đá Bóng Futsal Việt Nam Vs Lebanon Vòng Chủng Loại World Cupbongdatv onlineNếu cứ chơi như cơ hội vừa tiêu diệt Everton cho tới 3-1 bên trên Sảnh khách
That is a good tip particularly to those fresh to the blogosphere. Short but very precise informationÖ Many thanks for sharing this one. A must read article!
Xoilac Tv Thẳng Soccertruc tiep bong da hôm nay u22 vtv6Nếu cứ nghịch như cơ hội vừa đè bẹp Everton tới 3-1 trên sân khách hàng
Your style is really unique compared to other folks I've read stuff from. Thanks for posting when you've got the opportunity, Guess I'll just book mark this page.
Complimenti bravo continua cosi!!ottimo lavoro Grazie!!
hydroxy clore quinn https://www.pharmaceptica.com/
erectile pictures https://www.pharmaceptica.com/
cbd oil how ir works
I wanted to thank you for this excellent read!! I absolutely loved every bit of it. I have got you saved as a favorite to check out new stuff you postÖ
Thẳng Soccer Hôm Nay, Liên Kết Coi Bóng Đá Trực Tuyến 24h cá mực hầm mậtĐội tuyển chọn futsal Việt Nam đã được một trận đấu đồng ý được trước đối thủ cạnh tranh đầy sức mạnh Lebanon. Kết trái Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước Việt Nam.
I quite like reading an article that can make men and women think. Also, thanks for allowing me to comment!
Xem Trực Tiếp Viettel Vs Bình Dương Trên V League 2021 Ở Kênh Nào? ku casinoĐội tuyển futsal Việt Nam đã có một trận đấu đồng ý được trước đối thủ cạnh tranh đầy sức mạnh Lebanon. Kết quả Bà Rịa-Vũng Tàu vs Bình Phước thời điểm hôm nay 18h00 ngày 5/5, Hạng nhất nước ta.