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I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

inflecthealth.medium.com

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Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#2
I can't wait to go to the doctor, they ask me my favorite TV show/movie/video game, and then I get my diagnosis explained to me within the context of that show/movie/game. I could ask GPT to "doctor up" the explanation, and ChatGPT gives me a little more technical/medical jargon. Or just straight cascades of analogy.

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#3
> ...only if you feed it perfect information, and the actual patient has a classic presentation, which is rarely the case. (And you don’t mind a 50% success rate that often misses life-threatening conditions.)

This sounds like a step backwards?

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#4

> ...only if you feed it perfect information, and the actual patient has a classic presentation, which is rarely the case. (And you don’t mind a 50% success rate that often misses life-threatening conditions.) This sounds like a step backwards?

It isn't a doctor, it's trained on Reddit threads and other random shit off the internet not medical journals.

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#5
Will there be a Dr House (is there a more current TV doctor) video version which the family can interact with which would make them feel like they are getting the best care in the world from a famous doctor?

But also, if ChatGPT has a 50% chance of giving the wrong diagnosis, can you trust it more than 50% to give the correct reasoning to the family as to the activity of the medical staff?

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#6
Theoretically something like BioMedLM and/or a vector search over clinical research and/or GPT-4 with cited sources etc. could be useful in some diagnostic circumstances to at least give doctors ideas, right?

What he is talking about here is just an incredibly common scenario that the doctor and everyone is already very familiar with. Which is basically delaying the inevitable for people who are in some ways already gone.

Also my understanding is that the ChatGPT API does have some level of privacy now although maybe not compliant with the privacy laws which seems somewhat burdensome on the entire medical industry (overcompensating in some detrimental ways).

It seems like the fundamental problem is aging. Maybe a leading edge LLM approach can help keep people up to speed on aging research. Although probably that's pushing it because you would need to get very deep into mitochondrial damage or whatever.

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#7

> ...only if you feed it perfect information, and the actual patient has a classic presentation, which is rarely the case. (And you don’t mind a 50% success rate that often misses life-threatening conditions.) This sounds like a step backwards?

Then you haven’t had much experience with doctors… you go in and you’re most likely getting either a cast, a broad spectrum antibiotic, or an antidepressant. The only things that get specific diagnoses reliably is when somebody finds a tumor.

In the last year I had to get a full antiparasite treatment course because a doctor misdiagnosed my partners psoriasis… that was fun.

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#9
post #4

> ...only if you feed it perfect information, and the actual patient has a classic presentation, which is rarely the case. (And you don’t mind a 50% success rate that often misses life-threatening conditions.) This sounds like a step backwards?

It isn't a doctor, it's trained on Reddit threads and other random shit off the internet not medical journals.

Given that "The Pile" includes PubMed and NIH as data sources it would be unlikely to have GPT4 not use them at all. Even GPT3 uses Wikipedia which does have (mostly) factual data with cited sources.

Re: I’m an ER doctor. Here’s how I’m already using ChatGPT to help treat patients

#10
post #9
post #4

Earlier quoted context omitted.

It isn't a doctor, it's trained on Reddit threads and other random shit off the internet not medical journals.

Given that "The Pile" includes PubMed and NIH as data sources it would be unlikely to have GPT4 not use them at all. Even GPT3 uses Wikipedia which does have (mostly) factual data with cited sources.

Problem is half of the publications or even more is pure garbage that cannot be reproduced so there is that.
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