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

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

#81

This is the most “that didn’t happen” story I’ve seen in a while. No way the concerned family responded positively to the doctor reading a script to them off a clipboard, forgot about it, and then responded positively to other nurses/doctors reading the same script to them again.

You've clearly never worked in sales. Sometimes you simply can't make progress and another person comes in saying the exact same thing and the person goes "oh ok, I understand that. I'll do it."

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

#82

I'm having a hard time buying this anecdote. Not even the bit where its implied that multiple people read the same script multiple times and that worked for soothing people, but the actual content of the before and after; the gpt version doesn't explain it any differently and the 'compassionate' writing was absurd. My most charitable interpretation is that the anecdote is true but the article itself was written by so…

I’m really not trying to be inflammatory when I say this, but highly technical professions that have intense training requirements for entry attract a disproportionate amount of people with social development issues, ranging from intense self-diagnosed “introversion” to full blown developmental disorders like autism/aspergers. There’s plenty of this in software development, but medicine takes it to the next level. The demands of the curriculum and placement training basically ensure that a majority of the successful entrants to the profession are highly anti-social, as anybody with an interest in having a healthy social life would almost have to give it up to make it through that selection process. My thesis is that people with these personality traits legitimately find the synthesised “compassion” or “empathy” produced by LLMs to be legitimately insightful.

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

#83
post #51

Earlier quoted context omitted.

maybe the FDA is busy visiting every doc that uses google

Are you suggesting ChatGPT is merely an overhyped search engine?

no, you said that. i'm saying that if gpt is a medical device then so is google, and doctors use google all the time

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

#84

This really feels farcical, and kind of like vc bros hyping up a product. Considering this was a serious issue of life and death of a patient, it was surprising how it read like a prank or like the scene from Harold and Kumar, where Kumar plays a fake doctor and saves an ER patient through sheer luck. I know some doctors are full of baloney but c'mon. I really hope maybe that we create better doctors that have a lot…

I believe it. I've used chatgpt for inspiration on how to craft difficult messages with empathy. I've been managing people for a long time and could've done it independently, but it's good to get help. It can be tough to express empathy when exhausted after a long day of urgent demands and responsibilities. This is no different than asking chatgpt to draft code that I could otherwise write from scratch. It's like hav…

[dead]

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

#85

This really feels farcical, and kind of like vc bros hyping up a product. Considering this was a serious issue of life and death of a patient, it was surprising how it read like a prank or like the scene from Harold and Kumar, where Kumar plays a fake doctor and saves an ER patient through sheer luck. I know some doctors are full of baloney but c'mon. I really hope maybe that we create better doctors that have a lot…

Some specialties attract different personalities. If you’ve ever been in a hospital setting around a lot of neuro residents, many of them will present… oddly. It’s a feature. Likewise, a lot of ER docs are kinda adrenaline people who are great at triage and quickly stabilizing you, but maybe not so much good at relating with people. That’s a feature — you don’t need a soft touch dealing with trauma. If ChatGPT can he…

Have worked with many poor communicators and outright idiots but there is virtually no one graduating a decent medical school with native speaker skills that cant explain in simple terms why giving more fluids to someone that is overloaded with fluid is a bad idea (oh and without using any jargon like edema or diuresis, another thing missing in this whole farce, any 1st year let alone decent attending will explain clearly and simply what is being done. you’re not giving fluids then what the fuck is your plan doctor?).

I’ve yet to meet the combo of poor communicator/idiot that would believe reading a canned “empathy” script would somehow be helpful. Seriously is there anyone here that would feel confident in their doctor if they came reading a plan off a sheet like a teleprompter?

This guy is trying too hard and assumes most of his audience won’t realize how idiotic this sounds.

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

#86
post #34
post #17

> 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…

How much time does this take to get produced locally?

Not OP, and I'd have to see the prompt to run it on my set up, but I but together a refurbished HP Chromebox with some extra RAM and an SSD for a total of $250 and it'll run all the 13B models about as fast as I can type on my phone, just as a reference point. I'm consistently impressed by it even if it's not blazing fast.

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

#87
Could the explanation be simply that, when the doctor came back with the piece of paper, the family thought it was from a textbook, or a second-opinion from another doctor that had been printed out? I.e. that it carried more weight because of that.

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

#88

I'm having a hard time buying this anecdote. Not even the bit where its implied that multiple people read the same script multiple times and that worked for soothing people, but the actual content of the before and after; the gpt version doesn't explain it any differently and the 'compassionate' writing was absurd. My most charitable interpretation is that the anecdote is true but the article itself was written by so…

"Side note; does anyone actually think that chat gpt succeeds at rewriting things 'compassionately' or 'more intelligently'?"

Often, sure.

A few days ago I asked ChatGPT about a situation that needed compassion and wisdom. I thought it did way better than the 5 or 6 people I had talked to about it.

https://chat.openai.com/share/2dd26347-3fbd-483f-b567-21c040...

(ignore the first question, which was silly)

FYI, we're going to give the dog another chance.... but I was glad ChatGPT didn't push for that. I think ChatGPT answered it pretty close to how someone well trained in both mental health therapy and dealing with dogs with severe behavior issues might handle it.

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

#89

I'm having a hard time buying this anecdote. Not even the bit where its implied that multiple people read the same script multiple times and that worked for soothing people, but the actual content of the before and after; the gpt version doesn't explain it any differently and the 'compassionate' writing was absurd. My most charitable interpretation is that the anecdote is true but the article itself was written by so…

I’m really not trying to be inflammatory when I say this, but highly technical professions that have intense training requirements for entry attract a disproportionate amount of people with social development issues, ranging from intense self-diagnosed “introversion” to full blown developmental disorders like autism/aspergers. There’s plenty of this in software development, but medicine takes it to the next level. Th…

There is a kernel of truth to this, disproportionate sure, but I think majority is a bit over the top. There are plenty in medicine aware of this, antisocial behavior and toxicity in general, there’s a lot of crying that goes on from medical school throughout training. You can easily have a rich social life throughout training but the process doesn’t effectively filter out the trainwrecks either.

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

#90

I'm having a hard time buying this anecdote. Not even the bit where its implied that multiple people read the same script multiple times and that worked for soothing people, but the actual content of the before and after; the gpt version doesn't explain it any differently and the 'compassionate' writing was absurd. My most charitable interpretation is that the anecdote is true but the article itself was written by so…

> does anyone actually think that chat gpt succeeds at rewriting things 'compassionately' or 'more intelligently'? I've seen non-native English speakers (co-worker) use it to write lengthy apologies to customers, and I (native speaker) think it sounds over the top sincere and dramatic, especially when the same person tends to talk in a completely different manner. I believe this story, because the customer in this ca…

"and I (native speaker) think it sounds over the top sincere and dramatic, especially when the same person tends to talk in a completely different manner."

Of course, you can actually tell ChatGPT to change its style and mannerisms. Here's an example when I was experimenting with this. It went a bit over the top in the other direction, but only because I was so explicit about asking to to be casual.

https://chat.openai.com/share/07f6f9aa-de02-4a0c-8eeb-574eef...

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