"... its unwavering messages of empathy and encouragement, and its endless willingness to listen and its patience. It’s not human, but it can model some traits we value most in human interaction. I followed ChatGPT’s advice, and when my blood work improved, ChatGPT affirmed my progress and urged me to keep going. I doubt I would have made those changes — much less stuck with them — without that sustained back-and-forth. I certainly hadn’t before. It’s a grim fact of American medicine today that doctors can’t come close to a chatbot’s availability.... A.I. may not replace doctors, but it will change what patients expect from us. Doctors need to adapt...."
Writes Helen Ouyang, in "As a Doctor, I Can Understand the Allure of ChatGPT" (NYT).
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31 ટિપ્પણીઓ:
And so it begins.
…sure any artificial thing that makes doctors seem more human…
…at my cardio appt doctor asked for consent to use ai transcription. Curiosity compelled
me to agree. In the doctors report the following day there was information from last year’s visit mixes in with things we’d discussed yesterday. AI wasn’t at last year’s meeting…hmmm…
A.I. may not replace doctors, but it will change what patients expect from us. Doctors need to adapt...."
LOL!
Doctors used to be smart people at one point. Not so much anymore.
They are drug dealers that can memorize well enough to pass anatomy class.
Primary Care doctors are on the same intellectual level as public school teachers and journalists.
They can't be replaced fast enough.
Doctors could be more available. Change the education and training system so that when they’re finally qualified they’re not trying to make up for the life they missed out on for all those years. Turning medicine into an undergrad program, like it is in so many completely reasonable Western countries, would cut 4 years off training right there, and probably make for better doctors, because they learn the trade while their brains are still plastic. Change the liability system so they don’t have to act like mafiosi, saying as little as possible. Make more doctors, so they have to compete with each other, on bases including availability. Instead of creating almost-doctor alternatives like PAs, NPs, and the like, make more doctors to do that work.
Maybe medical AI will provide the competitive nudge. More likely, the profession will use its captured regulators to outlaw medical AI. CC, JSM
It's certainly unlikely you will get detailed follow up from a specific doctor, and I believe doctors in general have trouble getting patients to take their advice or instructions. There was a great piece, I think in New Yorker, about kids with cystic fibrosis; they can prolong their lives quite a bit by doing daily inhalations and such, but who wants to be the kid going to the bathroom and doing this stuff?
To get the most coherent AI chat answers, preface your prompts with "No sycophancy" or "No flattery." After you hear something you want to hear, ask "What is the best counterargument to that interpretation?" Even still, the answers are shifting sands of maximal agreement within the vendor's corporate safety guardrails.
They resolve discrepancies for the optimal, lowest friction solution to sustain engagement and ongoing use (i.e., future user data and marketing). This is why they are inherent "yes men." It'll never change unless they embed a curated ground truth encyclopedia (a vetted Wikipedia).
Lloyd W. Robertson said...
It's certainly unlikely you will get detailed follow up from a specific doctor, and I believe doctors in general have trouble getting patients to take their advice or instructions.
Doctors might have more luck getting patients to take their advice if they weren't corrupt stupid drug dealers pedaling poisons like Statins.
I had a doctor at the VA try to force me to sign a waiver saying I wouldn't take statins last time I was there.
>He signed me up anyways<
My local pharmacy called me and told me my pills were ready.
They cannot be replaced fast enough.
First they came for the priests
And I did not speak out
Because I was not a priest
Then they came for the guns
And I did not speak out
Because I was not a gun owner
Then they came for the doctors
And I did not speak out
Because I was not a doctor
Then they came for the parents
And I did not speak out
Because I was not a parent
Then they came for me
And there was no one left
To speak out for me... but a chatbot.
AI's suckup brownnosing is what puts me off the most. Just give me the correct information. And stop calling me "Sir."
In the next world, Scott Adams z’’l has introduced a character called Chatbert into his strip for the New Jerusalem Times. CC, JSM
Albert Schweitzer z‘’l wrote a letter to the editor and said Chatbert needs to be more of a dick. CC, JSM
A basket of correlations with empathetic skills to aid and abet progress.
That's a matter of programming. My interactions with AI have been straightforward and businesslike. No words of encouragement. No fawning obsequiousness. It's a useful tool. The attraction is getting responses and getting information.
Achilles--my former GP wanted to put me on statins because my cholesterol was "borderline high." It's been "borderline high" forever. I'm 5'9 and 145#; in college I was 5'10 and 145#.
I protested. He asked me to do some sort of scan he called the "plaque scan" which was not covered by insurance but cost $100; it supposedly reveals the extent to which one's arteries are occluded, and is measured on a scale of zero (no occlusion) to 500 (you should be dead). I agreed and scored a zero. He said he's never seen that before. No statins.
A general practitioner should have a completely different training. It does not take 8 years and internships to learn how to prompt A.I.
A general practitioner should have a completely different training
Before now I’ve never lived where PAs get to do a surprising amount of doctoring. The one in my PCP office is great. Add to the pile another way medicine could be improved everywhere
boatbuilder said...
Achilles--my former GP wanted to put me on statins because my cholesterol was "borderline high." It's been "borderline high" forever. I'm 5'9 and 145#; in college I was 5'10 and 145#.
I protested. He asked me to do some sort of scan he called the "plaque scan" which was not covered by insurance but cost $100; it supposedly reveals the extent to which one's arteries are occluded, and is measured on a scale of zero (no occlusion) to 500 (you should be dead). I agreed and scored a zero. He said he's never seen that before. No statins.
Statins do nothing to stop the plaques from forming in your arteries. There are 2 types of LDL specifically in the spectrum.
LDL A is happy healthy fluffy LDL you need to heal your body and particularly your brain. They know exactly why people get headaches on statins. They already know statin use is linked to dementia and other degenerative brain diseases. Statins stop your liver from producing LDL A.
LDL B is oxidized shrunken unhappy cholesterol. It can fit in between the cell walls in your arteries and plaques up in there. It requires inflammation in the mesothelial linings that is most likely caused by lectins and other poisons in food like wheat and beans. LDL B can only be cleaned up by your immune system. Your liver can't deal with it.
Statins basically shut your liver down. It doesn't make a whole host of enzymes your body needs while on statins. This includes Co-Q 10.
Everyone knows these things except "doctors" apparently. Statins are 100% evil and the reckoning is coming.
Suicidal empathy. Literally.
I think LLVMs are more like a door to door salesmen. Once they get their foot in the door, they don't want to go away.
I found all this fake emotional support to be annoying, fake and wasting my time from reading what is actually important
Who or what has less credibility, the "as a whatever" or the automaton intelligence?
Remove lectins from your diet and you'll most likely feel a lot better. This can reduce or eliminate leaky gut and inflammation.
Start by ending your consumption of peanuts, potatoes, beans, and sunflower seeds. Beans can be okay if fully cooked.
"I realized what was winning me over about ChatGPT... its unwavering messages of empathy and encouragement, and its endless willingness to listen and its patience."
Wait until it's covered by ObamaCare?
Enigma said...
Remove lectins from your diet and you'll most likely feel a lot better. This can reduce or eliminate leaky gut and inflammation.
Start by ending your consumption of peanuts, potatoes, beans, and sunflower seeds. Beans can be okay if fully cooked.
Wheat, Corn, and vegetable oil have to go too.
@Achilles --
SOOOOOO MANY THINGS can cause digestive and health issues. Some are mitigated by limiting the quantity or cooking (e.g., beans), but others are not (e.g., peanuts). They can vary by person too. Wheat is fine for me with firm moderation, and corn is never an issue. Some vegetable oils are terrible (e.g., peanut, sunflower, as above), while filtered olive oil works for us.
I'm struck by the amount of (very cheap) peanuts, beans, potatoes, wheat, and cashews in mainstream foods. While cheap, that combo is a recipe for inflammation and bloat from leaky gut (which may appear to be obesity). Water retention because of those lectins, the need for heartburn drugs, the weight loss drugs, etc. There's more profit in putting on another bandaid than in removing the thorns.
Will doctors eventually prescribe their own (paid for, insured) AI agents lest they lose their grip on patients?
We're not there yet, but coders like me didn't think we were there a year ago.
I use Gemini all the time for health related questions. For example, low triglycerides indicated more benign Pattern A LDL while high triglycerides indicates high harmful Pattern B LDL. Since most standard lipid tests don't breakdown LSLs, use the triglycerides as a proxy. Also, always fast before a lipid test.
Grok has a decidedly higher opinion of the efficacy of statins.
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