We're gradually working towards the ideal of complete silence.

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I regret that these technologies – which are powerful and could certainly be incredibly useful – have entered medicine in the way they have: unexamined, without rigorous patient-centered evaluation, mired in proprietary claims, regulatory capture, and credulous adopters.

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We talk a lot about how technology took physicians "away from the bedside," but as an ICU physician – who still spends an awful lot of time at the bedside speaking to my patients (or their conscious family members) – I worry more about technology that is driving physicians away from each other.

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I've spoken for years about how removing the friction from contacting colleagues has degraded medical practice. In residency, I carried a pager – anyone could page me at any time for any reason, but it carried a social cost, and the friction induced by that cost led to more productive interactions.

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Sometimes relaxing is an adventure, too. Grab a notebook, a chair, and a deck of writing prompts to start planning your next literary getaway! storyenginedeck.com

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