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Thoughts on emergency medicine, documentation, and building a better way.

February 17, 2026

Why AI Scribes Fail in the Emergency Department

Most AI scribes weren't built for the chaos of emergency medicine. Here are the concrete failure modes—hallucinations, noisy multi-speaker audio, generic MDMs, and note bloat—and what an ED-ready scribe would need to do differently.

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February 14, 2026

The Documentation Tax: How Modern Emergency Medicine Became a Charting Job That Occasionally Treats Patients

The documentation burden in emergency medicine isn't just a nuisance anymore. It's a structural crisis that's quietly hollowing out our specialty from the inside.

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