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

antoine.fi

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

#721

Post by weatherlite »

b800h wrote: post #718
ricardobayes wrote: post #554

Earlier quoted context omitted.

UK has probably the worst healthcare in the developed world. In part perhaps due to UK blindly accepting any kind of medical degree (doctors and nurses) from all over the globe. Yes, you heard that right, they verify the validity of the degree but there is no formal standardized exam to sit to practice in the UK.

Her nurses frequently couldn't speak English. I had to spell out her medical conditions letter by letter so that the nurse could input it onto the medical system. She was entering gibberish / wrong info until I stepped in, as I was watching the PAS out of interest.

fucking hell. dont they have language tests for foreign nurses? how the hell did she pass it ?

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

#722

Post by weatherlite »

vimda wrote: post #21
weatherlite wrote: post #13

Earlier quoted context omitted.

Nightmare because they're always right and the A.I second guessing is always wrong, or because they just don't like to be second guessed?

Nightmare because users approach LLMs with the false confidence that they're always right, and present LLM outputs as fact to Doctors who have to waste time explaining that it's wrong most of the time. It hurts more than it helps.

> It hurts more than it helps

Hurts who ? Yes the doctor is super stressed and has maybe 10 minutes for you that's the actual problem, it's not like before LLMs they were super glad to sit there and answer all your questions.

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

#723

Post by grayhatter »

orangecat wrote: post #265
grayhatter wrote: post #149

Earlier quoted context omitted.

> This is itself alarming to me, but no one else seems to find this to be quite damning for the AI services being offered, preferring instanced to be wowed by the convenience and speed at which they can be delivered unreviewed and unproven information. Welcome to the club? This new awareness you've found over the true quality of LLM based GenAI output has been what "all the haters" have been mad about for-ever. That…

An LLM can only output the mean next likely token, and then add a bunch of extra noise on top of that so it feels interesting and not repetitive. So when an LLM was asked to analyze the unit distance conjecture, it just spat out a bunch of average-or-random tokens that coincidentally happened to correspond to a valid proof that had eluded humans for decades?

> So when an LLM was asked to analyze the unit distance conjecture, it just spat out a bunch of average-or-random tokens that coincidentally happened to correspond to a valid proof that had eluded humans for decades?

yes

https://en.wikipedia.org/wiki/Texas_sharpshooter_fallacy

How many problems and/or times did it make up completely random bullshit with no basis in reality? Random noise looks really cool or impressive when it's right, but if and only if, you're willing to ignore all the times it was wrong.

I'm not.

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

#724

Post by picofarad »

resonious wrote: post #436
garciasn wrote: post #413

Earlier quoted context omitted.

Semi-related: my father has complications from a motorcycle accident ~25y ago that crushed arteries in his leg coupled with diabetes (insulin / kept sugar at ~100 and his A1C was kept under 6.7 for ~15y). 6w ago had to have his toes removed due to dry gangrene; they eventually (2.5w ago) had to remove his leg below the knee because of the severe blood flow issues below the knee. Between the toes and the below the kne…

This lines up with my experience with my mother, though it played out differently. In her case, she would switch doctors every ~5-10 years and each time they'd basically say everything the previous doctor said was wrong. First it was "you have Lupus", second it was "actually it's some other autoimmune disease", then it was "actually whatever you had has been in remission for some time now and you've been taking brain…

I recently discovered I am allergic to hydrocodone and codeine, and the effort I had to go through to get oxy instead was stressful and I felt I had to bring all of the extra pills with me everywhere to show I wasn't drug seeking or selling them. And I pointed out that inwaa shooting myself in the foot for all future desires by asserting I am allergic.

P. S. Opiates work, very well. If you tale one and it doesn't work, you might also be allergic. Hydro didnt really work, then itching and puking started after 2 days of untouched pain(essentially, a reduction of 2 points). Codeine nausea.

I wasn't aware of the possibility.

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

#726

Post by ktosobcy »

dripdry45 wrote: post #386
ktosobcy wrote: post #235

Earlier quoted context omitted.

I had issues with my shoulder for years. Tried PT as well as pull/push-ups but doing that made the pain worse (if I wasn't doing any exercises involving the shoulder it was "fine")…

same here. I started doing yoga and rock climbing, and it stretched everything out, and strengthened all the muscles around it. I rarely have an issue now.

I lost train of thought :D

in the end I went with the surgery and now I'm in recovery. Sadly 4-5 years of trying lots of PT/streaching/pull-ups/push-ups/whatnot didn't help and only made things worse :(

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

#727

Post by anon84873628 »

Eufrat wrote: post #709
anon84873628 wrote: post #706

Earlier quoted context omitted.

Thank you. I think my comment was careful to specify "in this domain" and "computer vision model"; I didn't say anything about generative AI. The reference to neural networks was hopefully an obvious rhetorical flair, rather than a one-line assertion that computers and brains are actually equivalent. I also didn't say anything about whatever Altman or any specific company is doing. The simple fact is that we send hum…

> It's something computers will be able to do strictly better. I don’t think there’s any evidence that’s true.

Really? What about the use of computer vision for satellite imagery? Facial recognition?

The premise seems to be proven, just not extended to the medical domain yet.

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

#728

Post by grumbelbart2 »

kgeist wrote: post #341

A few years ago (before the AI craze), I was misdiagnosed with tuberculosis. I had a chronic cough, and an outsourced radiologist at a clinic found signs of tuberculosis. The findings were sent to the city's tuberculosis hospital, as required by the country's law. The doctors there took the radiologist's conclusion at face value and required me to stay at their hospital for at least 8 months under a strict, prison-li…

> I had been cured of tuberculosis by them... in 7 days

Just FYI that might suck in the future. Some countries might deny you entry / visa, or at least require expensive additional screening if you had tuberculosis diagnosed in the past. It might be worth to fight this.

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

#729

Post by exmadscientist »

movpasd wrote: post #598
mrlongroots wrote: post #462

Earlier quoted context omitted.

Pyschiatry gets complicated because the failures are not mechanical. Even if you could image every single neuron in a person's head we do not have a very good way to define an algorithm for these issues. I do not have a good answer for psychiatry. > This is a kind of thinking a lot of programmers fall prey to. The real world, outside of code, is a very fuzzy and inherently analog place. Having said that, I would vehe…

Not GP, but I'd argue that over-rationalism and underestimating both the complexity of the real world and the theory-ladenness of one's perspective is just as dangerous. The point is not to be paralysed by complexity, but to acknowledge it and acknowledge the reality of unknowable unknowns in our decision-making. I don't consider that defeatist in the least. Epistemic humility is the rational response to a complex wo…

Exactly!

Quantum mechanics is an excellent example here. It is not "defeatist" to accept that we don't know where the electron in the hydrogen atom actually is. Or to accept that if we really, really wanted to figure out where it is, we can only do so by disturbing it enough that its position is probably no longer a useful thing to know.

These are fundamental features of the world (at least according to our best theories of Nature), and it is only by accepting them and the uncertainties inherent to them that we are able to make progress using those theories. Among the consequences is that thinking about "the position of the electron" is not so useful; we instead need to leave position behind and start thinking using a new thing, "the orbital of the electron". This is a major conceptual change, and internalizing it can be Very Difficult for some people.

But the world does not care. It and its complexity owes nothing to anyone. It is us who must adapt to the world, in all its fuzziness and incompleteness. Nature will break the rigid, but if you bend, you can soar.

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

#730

Post by StefanBatory »

roryirvine wrote: post #586
StefanBatory wrote: post #548

Earlier quoted context omitted.

> I do think that people saying “doctors don’t know the state of the art” have a weaker case. This is kinda the case though. In Poland I met only one psychiatrist that knew about DSM-5. In this year. DSM-5 was a thing from 2013. Doctors are people just as us, not every single of them is good.

Why would you expect a Polish psychiatrist to understand the differences between different versions of a diagnostic manual used only in the US?

Because when I got ADHD diagnosis in Poland, one of the criteria for diagnosis was according to DSM-V :P
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