Lovers and intensive care physicians share a strange common bond, namely that of “invading and knowing” the personal space of another human being. For physicians, this is a sacred trust. Medicine, at its most basic level, is a personal business, maybe the most personal business of all. In intensive care medicine, a group of individuals, working as a team, take care of another human being. Yes, medicines, imaging technology, and medical devices are critically important elements in the practice of modern medicine, but it is group scientific knowledge, teamwork, communication, integrity, and devotion to duty that are now the real key elements to optimal patient care in the ICU, rather than in Osler’s day when the scientific knowledge, intellectual prowess, and wisdom of a single individual often ruled the day. Fundamental to the eradication of poor-quality medical care is our innate propensity to human failures promulgated by false assumptions, misperception, and failed communication. How then does one share this sacred trust of caring for another human being with medical personnel in a way that is accurate, concise, and caring? Clearly great communication among health-care personnel is the key to excellent patient care. The best medical systems create a team communication infrastructure that is about creating a systems approach rather than promoting an individual-centric system, as we often follow, focusing primarily on personal intellect and knowledge. The sad irony is that communication errors are probably the number one current cause of patient harm. The Joint Commission on Accreditation of Healthcare Organizations describes communication error as the cause of 60% to 70% of preventable hospital deaths. We must do much better!