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

121–130 of 253 posts

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

#121

Post by [deleted] »

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…

[deleted]

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

#122

Post by throwuwu »

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…

I don’t see how these are different from any of the usual platitudes everyone commonly uses. I’d worry about everyone sounding the same but nevermind because we all use the same turns of phrase already.

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

#124

Post by AmericanChopper »

bohner wrote: post #110
AmericanChopper wrote: post #93

Earlier quoted context omitted.

> You can easily have a rich social life throughout training This is the complete opposite of my experience, and I’d be very surprised if there were any med schools where this was legitimately possible. When my wife was in med school she had about 40 hours of course work per week, and the curriculum was so dense that she spent nearly all the rest of her time studying. She worked (a job) 10 hours a week during med sch…

> This is the complete opposite of my experience, and I’d be very surprised if there were any med schools where this was legitimately possible. Well then your experience is limited. Most people don’t work a job in medical school, so that’s time right there. Also the format of US medical school has changed considerably in the last 20 years. There is plenty of free time in the preclinical years, very few attend lecture…

> Also the format of US medical school has changed considerably in the last 20 years. There is plenty of free time in the preclinical years

You're right about that, it's gotten worse. The perspective you're offering here contradicts basically all documented perspectives on the intensity and time demands of medical training.

> Concerns about excessive content and curricular overcrowding in medical education have existed for more than a century. In 1910, Abraham Flexner noted that the packed medical school curriculum would “tax the memory, not the intellect.”1 The Rappleye Commission Report on Medical Education published in 1932 stated that “the almost frantic attempts to put into the medical course teaching in all phases of scientific and medical knowledge, and the tenacity with which traditional features of teaching are retained have been responsible for great rigidity, overcrowding, and a lack of proper balance in the training.”2 Since then, periodic concerns have been raised about this ongoing problem, notably in the Association of American Medical Colleges' Panel on the General Professional Education of the Physician (GPEP report) in 1984 and the Assessing Change in Medical Education (ACME-TRI) report in 1993, among others.3-6

> The problem has only worsened in the years preceding the pandemic. New pharmaceutical agents seem to appear daily, while our understanding of pathophysiology of disease continues to expand. In addition, we have needed to consider new and vital subjects such as cultural competence, care of LGBTQ patients, teamwork and interprofessional care, health care quality and safety, medical humanities, narrative medicine, and even wellness curricula, that have added pressure to the preclerkship phase of medical school, as ever more content is added. And little has been removed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463236/

The relationship between empathy and burn out (especially in clinical practice) is also very well established. The whole system has a very strong selection against empathetic practitioners, whether through burning them out, or selecting a preference for their less empathetic peers.

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

#125

Post by Kwpolska »

kodah wrote: post #106
firebirdn99 wrote: post #44

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…

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?

You fire them for being an idiot and sharing details about your infrastructure with a third party.

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

#127

Post by mnky9800n »

seabombs wrote: post #52
firebirdn99 wrote: post #44

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…

The author is a doctor, but also an executive at a health-focused VC fund, with several AI companies in it's portfolio. Helpful context to have before reading his article I think.

So literally it is impossible to know what, if anything, actually happened because this is just more ai Hypebeast trash.

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

#129

Post by rediguanayum »

hfo wrote: post #114

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 woul…

+1 Wife is an ER doc. She also agrees with the premise management that communicating medical facts to that patient and family is burdensome and time consuming, especially when there's pressure on the staff to see a high volume of patients. She has her own anecdotes similar to the story. There needs to be improvements in communication though she hasn't bought into ChatGPT being the right way to do this.

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

#130

Post by oxfordmale »

protastus wrote: post #64
firebirdn99 wrote: post #44

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…

I only believe it as a cynical marketing piece from an executive at a health-focused VC fund with several AI companies.

This could spectacularly have backfired: ", what kind of doctor are you? Having to use ChatGPT to treat my mother. Do you even have a medical degree?"

When communicating difficult news, you have to be concise. The ChatGPT-generated response is very fluffy.

ChatGPT can also hallucinate, so you must be extremely careful when using it at the end of your shift.

Post reply on HN