What a hospital ward taught me about AI, fear, and misleading reasoning

The remembrance of a scary moment early in my training

When I was a resident in internal medicine on a specialty service, I was supervised by a physician faculty member whom I looked up to and from whom I frequently sought guidance. It was our custom to be on the medical unit every early morning, and we were responsible for all the patients there. For several days, I noticed an unfamiliar face in a short white coat worn by interns and residents. This unknown person followed us around the unit and into the rooms while we interviewed and examined patients. I assumed the person was a resident in training from another unit, but I became increasingly suspicious. I asked the physician who supervised me and was in charge of the unit if he knew who this person was. My supervisor suddenly got very upset to the point of yelling at me. I was a little taken aback because I thought he was in charge and would know everything happening on the unit. He said this could be a very precarious and dangerous situation. The person could be anybody: a lunatic, a paranoid psychotic person with delusions. At that time, I had not trained in mental health or psychiatry, and it was very unnerving to me to think that somebody might have a paranoid delusional psychosis or that this person might have somehow gotten involved, disguised, and infiltrated our confidential setting.

Is the AI Threat Real, or a Mirror of Our Deceptive Beliefs?

Reality speaks—can you adapt—bend without breaking—and again be upright, moving, or swimming with the current, existing in a changed place, or moving in the flow toward a new trajectory?

It has been almost two years since the traumatic experience of living through the devastating Hurricane Helene in September 2024. Western North Carolina has taken time to heal. The bridge outside the River Knoll development entrance has been repaired, allowing traffic to reach the main highway again. Though most families from the 20-plus homes nearest the river have relocated, they are largely awaiting the government’s promised buyout funds, which have been held up and not released by local and federal authorities. This FEMA emergency aid, based on pre-storm home evaluations, will hopefully come soon, after over two years, to help the people with the greatest loss begin anew. All severely damaged properties are now considered in the floodplain, and county, state, and federal authorities are supporting buyouts to level the homes and replace them with green space to reduce future flood risk. The road in the development sustained significant damage but has remained passable with extreme caution, avoiding the riverbank edge and carefully navigating around oncoming cars and trucks.

Recovery from over-controlling and over-planning: guidance from dreams, ancient philosophy, and the embrace of being adaptable and responsive.

“The Tao does nothing, yet nothing is left undone.” —Lao-Tzu, Tao Te Ching

I. Here I Am Right Now

There’s a particular fatigue that comes from having too many plans and projects competing for my mind’s attention, all of which seem important to process and either bring to a satisfactory conclusion or let go of. That’s where I have been living lately. Unfinished projects and mental schemes stack on top of each other like an unsteady pile of gadgets on my desktop, with my shallow intention to get to them when the time comes. The layering and complexity didn’t arrive all at once. It accumulated like nasty sediment in a pipe until it blocked the water flow.