What we do is sure getting complicated. We are all plugged in digitally and supplement with physical tools.
The portability and natural mental refinery of a streamlined Moleskine has failed to keep up with a day's complexity. Much like the giant room sized war maps in WWII I am upgrading to some bigger workday real estate.
For now the branded agency note pad nicked from our London office and the dwindling supply down to one from our Chicago office. Soon to be replaced by a Rhodia A4 for road trips.
I love digital but nothing beats the always on-ed-ness of pen and paper.