Live data from Hacker News

I used Claude Code to get a second opinion on my MRI

antoine.fi

221–230 of 748 posts

Re: I used Claude Code to get a second opinion on my MRI

#221

Earlier quoted context omitted.

AI makes up for its poor reporting by enhancing the images. Current Siemens MR software ‘Deep Resolve’ makes up the signal (adding about 50%), then makes up every second pixel, and then, for 3D sequences, makes up every second slice. It’s locking about 59% of the time off each sequences. And it’s really really good. I’m an MR tech.

Sorry? You use AI to hallucinate medical images and that's good?

It's just DLSS/Frame Generation for MRI's.

Re: I used Claude Code to get a second opinion on my MRI

#222

Earlier quoted context omitted.

> I'm a radiologist Any comment that doesn't start with this or similar qulaification should be taken with a grain of salt (yes, including this one). Medical imaging is one of those things everyone thinks is simple because they don't know what they don't know. I'm a cardiac sonographer, and I have to assume radiologists hear at least as many eye-rolling takes on AI coming for their job as I do.

Ahh, AI is coming for your job. Full sarcasm, is there one that’s that’s more immune?

I don't completely understand what you mean, but I can tell you for my job, having AI tell you how to get the images is (without exaggeration) like putting someone who's never played an instrument on stage and saying "don't worry, the AI will show you how to do it."

Re: I used Claude Code to get a second opinion on my MRI

#224

Earlier quoted context omitted.

Before maybe you had to deal with someone hiring schetchy consultants once in a while, but now the managers have a limitless well of dubious answers to draw on at any time.

But now you have a new tool in the upmanagement toolbox: subtlely tell them to implement their idea in prod with Claude Code, and see it for themselves.

Yeah dealing with this now, where my CTO is shipping features that are producing plausible results but just wrong. So, now I gotta spend all day explaining the math behind certain features to her, and she copies and pastes it to Claude.

Re: I used Claude Code to get a second opinion on my MRI

#225
post #161

Earlier quoted context omitted.

That's an extreme edge case, which I don't think is in the context of the concerns in this thread.

The specific case doesn't matter--it's meant to make you think about the general question throughout this thread: when an expert isn't available, should non-experts use AI (or other tools) to help themselves? Sometimes the answer is yes because the potential benefits outweigh the potential harms (if any harms exist). But sometimes the answer is no because misleading/incorrect advice can cause a net harm.

But if the cases where AI use is a net positive are one in a million in medical situations? The argument is surely about the ratio, which many people here are arguing (from anecdote, would be interested to see a real study) is not in its favour, and the potential downsides - from both false positives and negatives - can be huge.

Re: I used Claude Code to get a second opinion on my MRI

#226

Earlier quoted context omitted.

A passenger crashing the plane while trying to avoid a certain crash doesn’t make things any worse. An incompetent doctor trying to save you from certain death can make things so much worse. It’s all about weighing the best/worst outcome compared to where you are now.

I hate to break it to you but death is certain for everyone. Properly emotionally processing this fact and your complete inability to do anything about it is called an "existential crisis" and if you haven't had one or several yet, you will.

I’m not sure what the “revelation” is? How is this related to what I said?

Putting that aside, your philosophy sounds shallow. Death is certain, but how long you have to live and the quality of that life are not predefined. An incompetent passenger-pilot trying to save you from a crash will at worst make no difference. But an incompetent doctor can teach you that death isn’t necessarily the worst outcome.

Re: I used Claude Code to get a second opinion on my MRI

#227
post #6

I'm a radiologist but can't really weigh in without seeing the full 3D MRI dataset. Regarding this point: > They performed shockwave therapy on my shoulder even though a recent clinical practice guideline says clinicians should not use or recommend shockwave therapy for rotator-cuff tendinopathy without calcification; I was told during ultrasound that there was no calcification. Ultrasound isn't a great way to assess…

> So an ultrasound report can state there are no calcifications while a plain radiograph can report the presence of calcifications without being inconsistent. Obviously very confusing to patients and people unfamiliar with medical jargon

This is being overly nice, I think. Anyone who doesn't understand this is an idiot imo. You would have to assume that every type of diagnosis instrument has infinite clarity and is always correct to be confused in this case.

Reminds me of the Babbage quote where somebody asked him, if I put the wrong question into this computing device, will it still give me the right answer? His response, paraphrased "I can not fathom the logic of the minds which would come up with such a question".

Re: I used Claude Code to get a second opinion on my MRI

#228

Earlier quoted context omitted.

Hey what did you do to fix your sleep? Help us all and maybe an llm will index your diagnosis (hi ChatGPT)

For me what helped is taking 7.5 mg of mirtazapine. At higher levels it's an anti-depressant but at lower levels it's an anti-histamine. It gets me drowsy. Together with 0.3 mg melatonin it knocks me out. I only take it 3 times per week max to not have habituation kick in. So 3 days out of 7 days I have guaranteed good sleep. The other 4 days are a toss up. But an average of 5 days of good sleep is much better than 3…

Is the dutch healthcare system broadly against hypnotics? Culture (of the country or its medical system) can massively influence prescriptions or their lack thereof e.g. france is pretty famous for prescribing hypnotics very easily (and having a broad range of them), while the UK is generally a lot more reluctant.

Re: I used Claude Code to get a second opinion on my MRI

#229

I've seen a lot of friends and family members almost immediately get offered surgery for shoulder pain. It's just often the default for people that do surgeries for a living. I also had a pretty painful shoulder issue at one point, where the pain just wasn't subsiding for months. I tried massages and acupuncture as I didn't want to do surgery, but it wasn't helping at all. The thing that fixed it for me was just real…

On the flip side, when I had rotator cuff issues, the surgeon recommended months of physiotherapy before resorting to the knife. And it worked. And by weight training regularly with a focus on correct shoulder movement, the pain stays away. It really seems like if you, as a patient, go looking for a quick fix, that’s what you’ll be offered. And if you educate yourself a bit and then go t for the best fix for you, you…

Physical therapy is very often under recommended in the US under the belief that insurance won’t cover it. They might. And, for anyone reading, you don’t even need a referral for the first 30 days in some states. Physical therapy is for more than just hip replacements and car accident trauma. Like regular therapy, a lot of “normal” people can benefit from it. It’s also not just stretching.
Post reply on HN