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

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

#241

Post by neonstatic »

rvnx wrote: post #57
ricardobayes wrote: post #7

That might be doctors new nightmare: people who second guess everything with AI. Previously it was "google your symptoms".

No, this flow is actually very good. Like any domain, when you have questions or need a solution, you make research first, then you ask a specialist. If you explain well the symptoms and context you can have proper advices and then decide on the path next: Case A) It looks benign and advices / information that you collected seem reasonable, then you go your way. Case B) You need second opinion of a specialist because…

Agreed. This gets worse in cultures in which Doctors have no habit or haven't been trained that educating the patient is part of the job. Whenever I am back to my birth country, I specifically avoid doctors that are older than mid 30s, because they all have the same, terrible bed manner. They might be good at diagnosing and treating, but they never, ever explain anything, even when asked. Some even have "helpful pamphlets" to hand to the patient - anything to avoid explaining. It seems that in their view their job is not helping the patient, but completing a task - running a scan, performing a procedure, administering medicine etc. The human, that is subject of the task, is invisible.

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

#242

Post by backtoyoujim »

sxg wrote: 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…

Does radiology really make +$700,000.00 a year ?

Someone on reddit claiming to be a radiologist claimed that.

I wonder where the savings will go when those jobs are gone.

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

#243

Post by Aachen »

throw310822 wrote: post #39
nosioptar wrote: post #23

Earlier quoted context omitted.

I asked a clanker about symptoms I was having. (I'm not an idiot, I was already on my way to hospital, clanker was just to take my mind off symptoms during the drive.) The clanker said I'd be fine, I just needed some rest and OTC meds. The medical staff immediately turfed me to surgery because the same set of symptoms I told the clanker were enough to concern them that I needed emergency surgery. Had I have listened…

Very curious what made you run to the emergency first thing in the morning that an LLM understood as "just normal, take some OTC meds and wait".

Not OP but wanted to note that you're also likely to get different results based on the language you use (it'll respond differently to dialects of English, for example) and the RNG seed of the current session. These things are still probability engines and even if you know the exact symptoms, this might not be reproducible

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

#245

Post by redsocksfan45 »

rafterydj wrote: post #15

I feel like I'm going nuts. There are other commenters saying this is a good practice they've also done for other injuries. You are saying you are an actual radiologist and immediately clock the problems with its advice. I have seen this pattern over and over again. Anytime someone is an actual expert at anything, AI output appears insufficient or incomplete or outright misleading. It is only when you do not know wha…

[dead]

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

#246

Post by tsss »

ChrisMarshallNY wrote: post #83
dazhbog wrote: post #66

You should always be getting a second or third opinion from real doctors for matters like surgeries, radiology, etc. One doctor diagnosis + LLM is gonna throw you off. You need more datapoints.

In the US, this is standard advice. I note that the OP is in Germany. Maybe they do things differently, there.

In Germany we get zero-th opinion because you can't even get an appointment within the next 8 months.

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

#247

Post by YuechenLi »

Yeah, one of the big problems with that is that Claude/ChatGPT doesn't perceive images the way humans do at all, so when you upload an image to them, it gets tokenized in some form. This is why most LLMs are really, really bad at spatial recognition for image editing purposes for example.

So, unless you can turn the image into a natively tokenized format like JSON or something that somehow accurately tokenizes what's on there, I would NOT trust Dr. Claude's analysis. If you want a second opinion, talk to another doctor. A human doctor.

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

#248

Post by chmod775 »

brokencode wrote: post #162
lazide wrote: post #107

Earlier quoted context omitted.

I don’t think they will improve, there is too much incentive to poison the datasets going forward. A lot of the models up to this point have been benefitted - like Google did - from essentially ‘pre SEO’ internet. Now the same tools are being used to generate nigh infinite good sounding bullshit, which poisons the dataset in all sorts of hard to detect ways. To add insult to injury, the human experts are also not as.…

I seriously doubt that data set poisoning will be a real limiter in model performance. For one, if your website/book is poisoned, who is going to trust it for anything at all, much less for training models? For two, all the major AI labs hire or contract for subject matter experts to create curated data sets, evaluate model performance, etc. Unless they hire malicious experts, this will provide a growing, high qualit…

There's a post every other month where some dude who put nonsense information online celebrates because it actually ended up in some frontier models weights.

If it's easy enough that some randos can do it for fun, what do you think happens when there's commercial interest behind it?

Obviously companies are going try nudging AI towards recommending whatever they're selling. It's a logical extension of SEO - and that's a 100 billion USD industry.

Additionally, if I believed myself to be in some sort of spending - err - AI race, I'd try to poison the data sets of my competitors by putting crap out there for others to ingest.

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

#249

Post by the_real_cher »

backtoyoujim wrote: post #242
sxg wrote: 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…

Does radiology really make +$700,000.00 a year ? Someone on reddit claiming to be a radiologist claimed that. I wonder where the savings will go when those jobs are gone.

To the consumer! Haha just kidding. We all know where they'll go.

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

#250

Post by KerrAvon »

Given the tenor of the comments on this article, I think reading TFA is super important, especially the author's disclaimer at the end, where they state that they're definitely not blindly trusting the AI at this stage, just that they find the differential unsettling.
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