We know all too well how chaotic residency can be at times. Between rounding, new admissions, documentation, discharges, social work, academics, and the inevitable decompensating patient, it can be easy to forget to ask oneself, Is there anything I am missing? Honestly, I find I don’t ask this question enough. Chaotic days are a given in medicine, and this chaos can potentially create an environment where many things can be missed or over looked. Therefore, mindfulness must be intentional and practiced in every patient encounter. Our mindfulness must be as inevitable as the chaos.