Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

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

inflecthealth.medium.com

Post reply on HN
Print view View original

111–120 of 253 posts

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

#111

Post by protastus »

firebirdn99 wrote: post #100
protastus wrote: post #64

Earlier quoted context omitted.

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…

Now it feels kind of neat, and maybe works when others are reading well crafted messages. What happens when everyone has a bot, and a bot is talking to a bot, because I for one, don't want to be sent or fall for emotionally manipulative messages, or that try to sound empathetic, maybe even are empathetic. When this type of messaging is so widespread, I wonder what will happen. I think people will ignore most of this…

The person sending the message is accountable for its content, no matter how it was authored.

Maybe I want to be tactful around a delicate issue, but am struggling to find the right words. An LLM can help me. Alternatively, someone who wants to be manipulative and deceitful might also optimize their message using an LLM.

The tool is of course not inherently good or evil. But one can use the tool for different moral outcomes.

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

#112

Post by noisy_boy »

pcurve wrote: post #104
brigandish wrote: post #38

Who is surprised that in a match between a doctor's bedside manner and a machine's that a machine wins? The cold metal of a machine is nothing next to the coldness of a doctor's heart! ;)

Reminded me of this scene where Eric Dale was getting let go and HR was regurgitating canned script. https://youtu.be/zn2Xf9hAFcE?t=151

One of my favourite movies; we need more finance movies considering the outsized direct/indirect impact financial industry has on our lives + hits closer to home too.

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

#113

Post by pmoriarty »

firebirdn99 wrote: post #101
heliodor wrote: post #67

Earlier quoted context omitted.

The concept is right on point though: ChatGPT is excellent at writing "fluffy" pieces full of empathy, compassion, PR talk, politician speech, and any other wordy flavor you need. As an engineer who is unable to produce such writing, this tool is quite helpful!

Many comments are saying it's helpful. But what happens when it's widespread, everyone crafting Hallmark type empathic messages to everyone. Or once everyone has bots, then most likely they will all be sent straight to spam or something. We will be inundated with such messaging.

I look forward to AI-generated sappy Hallmark-like messages, because they're bound to be better written than the same types of messages most humans write today.

The sentiment will be no less fake. It'll just be better written.

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

#114

Post by hfo »

Physician here with ER experience (and IT too). I think it's quite realistic, except the relatives being in the ER room, giving orders to nurses. But that might be different in other hospitals and countries.

The reason for the edema is not given, perhaps cardiac insufficience, perhaps she didn’t take her pills (it is mentioned that she had dementia). Anyway, it’s possible that treatment has already been done but would take a few hours to fully set in, with the relatives impatiently waiting and seeing no improvement.

Explaining medical things to patients and relatives is difficult and a subject on its own in medschool. In extraordinary circumstances and without being able to do much on their own, people filter things they are told to what they want to hear. Sometimes you get feedback on what the patient understood, it's surprising and also the potential base of a lawsuit. There is a reason that you have to document so many things in writing. So I think it’s a smart idea to use AI to generate simple-language messages that are easily understood. It doesn’t matter if the medical content of the text is 100% correct, the message here is: ”Calm down, stand back, I handle this”.

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

#115

Post by dr_dshiv »

firebirdn99 wrote: post #101
heliodor wrote: post #67

Earlier quoted context omitted.

The concept is right on point though: ChatGPT is excellent at writing "fluffy" pieces full of empathy, compassion, PR talk, politician speech, and any other wordy flavor you need. As an engineer who is unable to produce such writing, this tool is quite helpful!

Many comments are saying it's helpful. But what happens when it's widespread, everyone crafting Hallmark type empathic messages to everyone. Or once everyone has bots, then most likely they will all be sent straight to spam or something. We will be inundated with such messaging.

I presume the issue is detecting when the meaning is intended or not. Like if a doctor uses it to communicate their care vs a salesman uses it to get a deal?

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

#116

Post by licebmi__at__ »

nevi-me wrote: post #109
kodah wrote: post #106

Earlier quoted context omitted.

Fake or not, people are incorporating ChatGPT into their work. We had a pipeline break today and when we looked at the PR that introduced the change it was in the PR notes that the tooling configuration was derived from a ChatGPT prompt. What do you even say or do about that?

I've been embarrassed by a Copilot code snippet that I proofread to seem correct, but was incorrect due to some subtle comparison logic. I can only imagine the risks in professions that aren't dealing with logic that has a very finite list of options or where the answers AI produce require researched effort to validate. It's probably worse in law if you're given a case reference as you're professionally supposed to r…

> I can only imagine the risks in professions that aren't dealing with logic that has a very finite list of options or where the answers AI produce require researched effort to validate

This can be done the same way as it’s done in the non ai-assisted process. Mistakes are made then the trained professionals correct the course of action. The problem is with people dealing and selling the problem like it’s a simple logical procedure. Then the layman will think that since a machine crafted the answer, and since machines are logical, the answer must be right.

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

#117

Post by dr_dshiv »

amstan wrote: 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…

Anthropic announce HIPAA compliance yesterday.

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

#118

Post by pcurve »

noisy_boy wrote: post #112
pcurve wrote: post #104

Earlier quoted context omitted.

Reminded me of this scene where Eric Dale was getting let go and HR was regurgitating canned script. https://youtu.be/zn2Xf9hAFcE?t=151

One of my favourite movies; we need more finance movies considering the outsized direct/indirect impact financial industry has on our lives + hits closer to home too.

mine too. Must've watched it a dozen times. Margin Call and The Big Short are fun to watch over and over for some reason.

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

#119

Post by licebmi__at__ »

bohner wrote: post #85
Spooky23 wrote: post #77

Earlier quoted context omitted.

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 cl…

I disagree with the first part, mostly because I believe doctor-speak is a skill medical professionals use to deal with patients which in their desperation, think they know more than they do.

Yet I fully agree with the second paragraph. The idea of the teleprompter doctor working is so absurd it would be rejected immediately if not because chatgpt hype.

Post reply on HN