Amazing idea!!
Show HN: Using GPT-3 and Whisper to save doctors’ time
101–110 of 141 posts
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#102I feel uncomfortable knowing doctor would use anything like this. How are 2 party consent states handled? Is this HIPPA compliant?
This! No mention of HIPAA on their site at all. Would be a total non-starter for any providers not in private practice.
From their main page (https://www.nabla.com/), the mention HIPAA:
Secure and HIPAA-eligible
Audio, transcripts, and notes are not stored by Nabla
HIPAA-eligible and GDPR compliant
SOC 2 and ISO 27001 certifications in progress
This data processing is done on Nabla's servers, which are powered by the HIPAA and GDPR compliant Google Cloud Platform (GCP), and on HIPAA-eligible LLM servers.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#103How tied are you to the name, it's almost Nambla.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#104I did some work at a startup that tried to solve a similar problem and currently finishing medical school. Nobody here is discussing the paperwork and burnout problem that exists in medicine that will make these tools valuable. Fortunately, language models used for summarization based on a transcript are much less likely to hallucinate compared to upscaling/denoising image algorithms. Recent LMs are scoring top marks…
> On-prem stuff is more tricky, but useful for privacy.
An on-prem installation, assuming that it doesn't phone home to the mothership, is something I would entertain. But one that requires disclosure of medical information to a service provider would be a lot harder for me to accept.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#105Earlier quoted context omitted.
This! No mention of HIPAA on their site at all. Would be a total non-starter for any providers not in private practice.
From their main page ( https://www.nabla.com/ ), the mention HIPAA: Secure and HIPAA-eligible Audio, transcripts, and notes are not stored by Nabla HIPAA-eligible and GDPR compliant SOC 2 and ISO 27001 certifications in progress Digging deeper ( https://www.nabla.com/blog/privacy-security/ ): This data processing is done on Nabla's servers, which are powered by the HIPAA and GDPR compliant Google Cloud Platform (GCP)…
What does "HIPAA-eligible" mean?
EDIT:
I was very curious about this and did a bit of research. The answer to it is squishy. It seems to be mostly a marketing term. The best definition I found was this:
"A service that is HIPAA eligible is one that is capable of being configured in a way that could meet HIPAA compliance requirements, but you have to know how to do it, it doesn’t happen ‘out of the box.’"
https://www.cleardata.com/articles/hipaa-eligible-hipaa-comp...
So it sounds great but doesn't actually mean that much.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#106Earlier quoted context omitted.
HIPAA only applies to healthcare providers I think. Private companies like the extension maker can do whatever they want. At least that’s what someone on the internet told me and maybe it’s wrong.
No. HIPPA applies to software as the software company would be considered a business associate. "If you handle, store or transmit protected health information (PHI) to or from a covered entity then you need to be HIPAA compliant." Source: https://github.com/truevault/hipaa-compliance-developers-gui...
This is not so clear-cut, though. There is a lot of gray area and doubt about this. HIPAA is not as complete protection as people think, and there are many situations where you'd think HIPAA would obviously apply, but it doesn't.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#107Technically interesting but solving the wrong problem. Doctor's already today spent too little time with their patients to understand diseases holistically enough. Adding technically between these 2 will make treatments in most of the cases worse, not better.
> solving the wrong problem You seem quite confident about this, but based on the doctors I know writing notes is a real pain and mostly seen as (important) scutwork. They're only given a set amount of time to see a patient (including notes), and if you can reduce notes they'd actually get more time talking and seeing the patient.
The last time I visited a doctor, he had an assistant with him that took all the notes.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#108Last time I went to the doctor, he charged me $300 to google symptoms on a computer. Now you're saying I get to pay $300 for him to ask ChatGPT? No thanks. We all know that is where this is going - doctor decision support system, i.e. the AI has access to information locked behind expensive journals that the patient does not.
> Last time I went to the doctor, he charged me $300 to google symptoms on a computer. Would you be upset if someone were to ask you to help with their code and you needed to Google for documentation? It's not exactly the same thing, but it's a similar situation. I do tend to agree with you on the rest of your concerns, especially info being used that the patient has no way to verify - but that seems tangential at wo…
> It's not exactly the same thing, but it's a similar situation.
It's pretty close to the same thing. Programmers are paid for knowing how to program, not for memorizing APIs, system calls, etc. Being able to look up details is essential because it lightens the cognitive load, allowing deeper thought to be put into the real meat of the problem. No programmer can realistically memorize every technical detail they'll need to know.
It's the same with doctors. They're paid because they know the process of diagnosing illnesses, not for memorizing Gray's Anatomy and every pharmacopoeia. Being able to look stuff up is essential for the same reason it is for programmers.
Not to mention that medicine changes, and you want your doctor to have the latest information about whatever it is that ails you.
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#109Technically interesting but solving the wrong problem. Doctor's already today spent too little time with their patients to understand diseases holistically enough. Adding technically between these 2 will make treatments in most of the cases worse, not better.
> solving the wrong problem You seem quite confident about this, but based on the doctors I know writing notes is a real pain and mostly seen as (important) scutwork. They're only given a set amount of time to see a patient (including notes), and if you can reduce notes they'd actually get more time talking and seeing the patient.
> if you can reduce notes they'd actually get more time talking and seeing the patient
You're not thinking like a hospital administrator. Sounds like these doctors can handle 40% more patients to me!
Re: Show HN: Using GPT-3 and Whisper to save doctors’ time
#110My worry is verification of facts. What if the model summarized incorrect facts, and it gets added to the medical history? How can doctors easily verify and fix things?
A good benchmark could be to compare the accuracy of generated notes to the accuracy of other currently accepted practices like human medical scribes and assistants.