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Show HN: Using GPT-3 and Whisper to save doctors’ time

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91–100 of 141 posts

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#91
post #88

how can this be compliant with HIPAA?

It can be HIPAA compliant by every company in the chain of use of the data signing a BAA with every one of the companies they deal directly with that handles PHI, and then following the terms of HIPAA in dealing with the data.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#92

I don't spend much time worrying about AI ethics, but bringing AI close to patient interactions and record-keeping in healthcare seems grossly premature and irresponsible. There are countless brilliant applications of AI and the last one we need is a mediocre automated transcriptionist that distances a doctor from their responsibility to engage with the patient and can bear no accountability for error. This is a task…

"I don't spend much time worrying about AI ethics"

Maybe you should re-evaluate whether that's the right choice based on your own comment, especially when ethics and safety experts are being fired by big tech co.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#93
post #16

I 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.

Their website seems to suggest it is a French company with a US office. The issues around HIPAA would not be there and instead replaced by GDPR.

The blog posts also mention French trained ML.

> Cedille is a new open source French language model created by Coteries. It is trained to understand and write French and is also the largest model of its kind for French. Cedille is trained using large databases of publicly available content on the internet filtered for toxic content.

Expanding into the US, yes - they would need to deal with HIPAA, but until they do they likely don't need to.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#95
post #82

Technically 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.

What percent of that scutwork is actually note taking rather than clicking a bunch of checkboxes or combo boxes or otherwise navigating through EHR UI?

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#96
post #20

I'd prefer to have 0 AI interpreting my session with a doctor. Will there be any way for me to identify which physicians use this service so that I can avoid using them?

Hell, it's hard enough these days to identify which physicians are actually physicians. I recently had an NP introduce herself to me as "Dr. So-and-so."

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#97
post #75

Earlier quoted context omitted.

Your response completely ignores the concerns raised in the comment you are replying to. "It saves your doctor 40% of their time" is not a reasonable response to "I don't want my private medical details divulged to a third party".

Perhaps avoiding commenting on patient privacy concerns may be a better answer than any evasive answer may ever be. Their website's privacy policy doesn't say anything about their product. It's also incorrect (they seem to have switched tracking providers without updating their privacy policy). I would quote the sections that are incorrect, but their terms and conditions forbid copying any content from their site. Th…

Thanks for looking into our legal documents. The ones related to the Nabla Copilot product are different from the website T&C and privacy policy, and can be found here: https://www.nabla.com/legal-documents/

Our product is GDPR compliant.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#98
post #71

As a patient, this is an application that I would be extremely wary of, personally. I don't want the details of my conversations with my doctor to be sent to a third party in the first place, and I wouldn't trust the results of the transcription to be correct. My doctor could vet it for accuracy, I suppose, but why? He's already putting his notes in my records anyway.

Most people doing a video meeting with their doctor are already trusting their information to third parties in some way. I understand that you probably are in a different situation. Perhaps services like these are on the path to your more privacy-oriented doctor having a tool that helps them and is comfortable for knowledgeable patients.

Yes, if you're doing telehealth, you're already taking a risk in terms of privacy. But the service provider doesn't need to actually pay attention to what you and your doctor are talking about to provide the service.

This is different, in that this service requires that a third party pay attention to the content of your discussion in order to work. That's significantly more intrusive.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#99
post #72
post #71

As a patient, this is an application that I would be extremely wary of, personally. I don't want the details of my conversations with my doctor to be sent to a third party in the first place, and I wouldn't trust the results of the transcription to be correct. My doctor could vet it for accuracy, I suppose, but why? He's already putting his notes in my records anyway.

It takes 40% of your doctor time to put his notes in your medical records. We have been testing with doctors to reduce this time drastically so that they can spend more quality time with you. We also interviewed a lot of patients who take notes to be able to remember what’s been discussed during a consultation. So it could also benefit the patient

I can absolutely see the benefits of this, that's not the question. The question is whether or not the benefit justifies the risk.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#100
I 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 LSAT, so they are maintaining accuracy as they get larger. If doctors can save time, this will be useful for the patient in the long-run.

On-prem stuff is more tricky, but useful for privacy. Nvidia is supporting the space with their health AGX series.

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