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"Tokyo homeless people reiterate the whole nature of living in Tokyo in cardboard boxes, they're only slightly smaller than Tokyo apartments, and they have almost as many consumer goods. It's a nightmare of boxes within boxes."
- William Gibson

Skull Alarm  
  Implanted wakeup call.  

I was jerked awake by the silent alarm vibrating my skull It won't shut off until you sit up, so I did.
Technovelgy from Millenium, by John Varley.
Published by Berkley Books in 1983
Additional resources -

Compare to the audio relay from The Puppet Masters (1951) by Robert Heinlein.

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Additional resources:
  More Ideas and Technology from Millenium
  More Ideas and Technology by John Varley
  Tech news articles related to Millenium
  Tech news articles related to works by John Varley

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