““Whoever invented the ICU should see some of the patients we have here. With reference to the atom bomb, Einstein said, “With the development of the bomb, everything has changed save our mode of thinking, and thus we drift perilously.” I propose with the invention of the ICU we also need to change our way of thinking. Just because we have the capacity to prolong life in elderly people doesn’t mean we have to and yet we do; every day in this place we prolong suffering at little benefit. Bring back the house call and a hold of the hand.””