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Special Issue on Man to Machine: The Changing Face of Medicine

The prescient poet Thomas Stearns Eliot, in his work, The Rock (1), famously wondered about the direction innovation and information was taking humankind towards. Where is the Life we have lost in living? Where is the wisdom we have lost in knowledge? Where is the knowledge we have lost in infor-mation? The cycles of Heaven in twenty centuries Brings us farther from God and nearer to the Dust. Today, medicine stands at a similar crossroads. While the endless stream of innovation has provided us with more than an adequate look into the working of the human body, we are slowly losing sight of the whole human being. A patient in a multispecialty clinic today gets buffeted around like a raft in a stiff thunderstorm. In our pursuit to provide the best possible care in line with the evidence at our disposal, we often lose sight of the patient's expectations and priorities. We stand at a time when every day brings us technological advancement, but it has also brought us face-to-face with Albert Einstein's wonderment: It has become appallingly obvious that our technology has exceeded our human-ity? With these musings in mind, the editorial team for the current issue of the International Journal of User Driven Healthcare decided to explore the changing face of medicine and bring together a collage of the entire spectrum of man, his machines and medicine. In the original articles section of this issue , we have papers reflecting the rise of the machines in the delivery of healthcare today. Pathak et al, in their paper on electronic ICU, introduce us to a supplemental, remote monitoring system to improve clinical outcomes. Their proof of concept paper introduces an interesting paradigm, which takes us closer to algorithmic medicine and machine-based monitoring. They fail to find any statistical significance of implementing such a monitoring system. This raises