“…Dr. Billings, who was the architect not only of the field of medical library indexing but also of the original brick and mortar Johns Hopkins Hospital, saw this flood coming: “… if we go on as we have been going, there is coming a time when our library will become large cities and when it will require the services of everyone in the world not engaged in writing to catalog and care for the annual product” . What he did not predict was the advent of the virtual architecture created by computers and the Internet, which at once contribute to the explosion in scientific reports (we submitted our first online manuscript in January 2004) and opened the door to the possibility and indeed necessity of using computing power to corral the otherwise unmanageable stampede of medical and scientific publications vying for attention.…”