KevinMD January 5, 2026
Matthew Ryan, MD, PhD

In basketball, when a player is called for a questionable foul, he may shrug and say: “Ball don’t lie.”

It means the game has a truth of its own. Reality asserts itself. Emergency medicine, unfortunately, rarely works that way.

We once spent most of our time with patients. Now a substantial portion of every shift is spent interacting with a screen, not because we prefer it, but because the system has evolved that way.

In a single hour, I may be prompted to:

  • Screen patients
  • Answer multiple EMS medical-control calls
  • Sign several EKGs within strict time frames
  • Acknowledge alerts for fall risk, recent discharges, or elopement risk
  • Complete medication reconciliation
  • Adjust plans due to drug shortages
  • Address a required...

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