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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

#11

Post by tazjin »

pedalpete wrote: post #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?

> if ChatGPT has a 50% chance of giving the wrong diagnosis

It depends on the average chance of the doctor giving the wrong diagnosies (I honestly have no idea?!)

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

#12

Post by tazjin »

jprafael wrote: post #9
danmaw wrote: 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.

> Even GPT3 uses Wikipedia which does have (mostly) factual data with cited sources.

There's a LOT of stuff on Wikipedia where the source is a link to some random, long article and it's unclear where exactly the referred to information is coming from. Gets significantly worse for any "hot" topic.

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

#13

Post by weaksauce »

pedalpete wrote: post #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?

no, you still have to read it.

> In each case, the output from the hungover intern/ChatGPT needs to be carefully checked before it’s used. But in these scenarios, reviewing existing work is usually much faster than starting from scratch.

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

#14

Post by lockhouse »

pedalpete wrote: post #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?

There are a number of medical conditions that could be diagnosed very easily by some lab results, ChatGPT, and a deep fake.

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

#16

Post by OJFord »

tazjin wrote: post #11
pedalpete wrote: post #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?

> if ChatGPT has a 50% chance of giving the wrong diagnosis It depends on the average chance of the doctor giving the wrong diagnosies (I honestly have no idea?!)

My experience is second-hand, but they seem to be pretty split between seeing exciting rare diagnoses everywhere (students, juniors primarily, or one's own particular research interest) and biased against them, it's ~never that, it's the same boring thing we saw ten of yesterday (jaded specialists primarily).

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

#17

Post by amstan »

> Satisfying HIPAA rules around patient privacy alone may take many years, or decades, to resolve themselves before we could even contemplate directly using programs like ChatGPT in a medical theater.

This is easily solved by not using someone else's API.

Here's $500 worth of hardware you can get on ebay running Vicuna-13B, locally:

> IV fluids may not be the best treatment for someone with severe pulmonary edema and respiratory distress because it could make their condition worse. This is because when a person has severe pulmonary edema, their lungs are already filled with fluid, which makes it harder for them to breathe. Adding more fluid to their body could increase the pressure in their lungs and make it even harder for them to breathe. This could be life-threatening.

> Instead, the best course of action would be to focus on treating the underlying cause of the pulmonary edema, such as heart failure or a lung infection. This may involve giving medications to help the heart pump more effectively or to reduce inflammation in the lungs. The patient may also need oxygen therapy to help them breathe more easily.

> It's important to remember that every case is unique, and the best course of treatment will depend on the individual patient's condition. The healthcare team will do their best to provide the most appropriate care for the patient based on their specific needs.

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

#18

Post by kaliqt »

jprafael wrote: post #9
danmaw wrote: 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.

It's lossy though, it tries to remember everything and relate that to everything else. Performance would increase significantly if it were tuned for that use case.

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

#19

Post by wilonth »

colechristensen wrote: post #7
paulryanrogers wrote: post #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?

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.

True, 90% of doctor diagnosis are garbage and maybe even worse than ChatGPT. The 10% is for when you have a visible problem that can be cured with a surgery, they are pretty good at that. A doctor with GPT-4 could be way better than one without.
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