> Realistically where would you position these monitors?
I have a 34" main monitor positioned directly in front of me, a 24" in vertical orientation I use mostly for multiple terminals and my MPB screen below the 34".
I don't think this is an unusual setup.
> Tilt your head in those directions
This applies to large single monitors too. I think (hope?!) most people have a setup where their main work is right in front of them.
> If you think modern notifications are less distracting I'll respectfully disagree.
No I'm saying they are more distracting, so reduce the relevance of old articles claiming a single monitor reduced those.