We measure many things that have no worth to patients, while much of what sufferers do worth, including our attention, remains unmeasurable. Why, Wachter asks, perform we do nothing identical in health care? In a moving passage, Wachter speaks with a renowned surgeon who once spent his evenings before surgery reading his notes on the next day’s patients. No longer. His notes have already been rendered uselessly homogeneous by the tyranny of clicks and auto-populated fields. I can’t also picture their faces. The blanks on our screens could be filled with terms, but the procedure of understanding can’t be auto-populated. Perhaps existence without the EHR will be unimaginable. However the technology will support and improve health care only when it evolves in ways that help, rather than hinder, us in synthesizing, examining, thinking critically, and telling the tales of our patients..Recreation area, M.B., David J. Wright, M.D., Derek T. Connelly, M.D., Simon P. Fynn, M.D., Francis D. Murgatroyd, M.D., Johannes Sperzel, M.D.D., Stefan G. Spitzer, M.D., Andrey V. Ardashev, M.D., Ph.D., Amo Oduro, M.B., B.S., Lucas Boersma, M.D., Ph.D., Alexander H. Maass, M.D., Isabelle C. Van Gelder, M.D., Ph.D., Arthur A. Wilde, M.D., Ph.D., Pascal F. Van Dessel, M.D., Reinoud E. Knops, M.D., Craig S. Barr, M.B., Pierpaolo Lupo, M.D., Riccardo Cappato, M.D., and Andrew A. Grace, M.B., Ph.D.1-5 However, conventional ICDs rely on transvenous potential clients for cardiac sensing and defibrillation. Complications of defibrillator implantation have already been associated primarily with transvenous business lead insertion and also have included pneumothorax, hemothorax, and cardiac tamponade.6-10 Difficulties in achieving venous access can prolong the procedure and occasionally result in failed ICD implantation.11-13 In the long run, lead failure remains a significant limitation in the usage of ICDs, despite decades of innovations in lead design.12-22 Lead failing either generates inappropriate impedes or shocks appropriate therapy.20-23 Moreover, failed leads often require removal, a procedure that is associated with substantial mortality and morbidity.24-36 If cardiac pacing isn’t necessary, there might be a clinical advantage in avoiding the use of transvenous electrodes.