“ Into the User Environment Now!» was the title of my first plenary presentation at an EAHIL conference. It pictured how -back in 2006- how users and the information landscape changed rapidly, and what we needed to do about it as medical libraries, to keep up the pace, to not loose the connection with the user. Technologies to embrace, actions to take… This update pictures where things went right, wrong or very different! And it discusses where we are now in 2022, with a peek into possible futures, from the perspective of a medical library in a Dutch academic hospital, facilitating patient care, education ánd research support. Biography and Bibliography Guus van den Brekel is medical information specialist at the Central Medical Library of the University Medical Center Groningen (UMCG), in north of the Netherlands. His work includes developing, maintaining of library services and tools for staff and students, as well as innovation. As such he is also the ‘go-between’ for the IT-departments regarding library systems and services. Research Impact and Support is his major focus currently. He is coordinator for the UMCG’s current research information system (PURE). In general, he is always on the lookout for tools & services that make the workflow of hospital staff, researchers, teachers and students easier and more efficient. #eahil2022