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Launching Health in ChatGPT to US Users

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Re: Launching Health in ChatGPT to US Users

#3
I’m intrigued by the power of these models to help me take more control of my healthcare.

Sure, doctors’ advice is best, but sometimes I wait 6 months to get to see a specialist who seems hell bent on getting through our appt as quickly as possible.

Models are infinitely patient and can see a lot more context about my health.

But, the privacy is a big question mark. The page extensively reassures on privacy (no model training, encrypted, no ads, can be deleted). There’s only one part that stands out to me:

> Memory remains in your control. To personalize future chats, memories can be created from your Health conversations. Memories are not created directly from connected medical records and Apple Health information. If you’d like to have a conversation without creating memories, you can use Temporary Chat (opens in a new window) or turn memory off in Settings > Memory.

Great that you can turn it off in settings but I wonder how many people will do that and how much sensitive context leakage will come out of your conversations and suddenly you’ll get ads for rashes and whatnot.

Re: Launching Health in ChatGPT to US Users

#6
post #4

This is a terrible idea on any way shape or form you can imagine. Even if they say they won't, they will, and there is no telling what they would do with the data itself...

This isn't so bad vs the alternative. My healthcare data is spread over a bunch of small systems built with poor security practices at the clinics and hospitals I've been to. It's probably out there in some pirate database already, all cleaned up and consolidated.

With ChatGPT at least I control what I enter in the prompt to minimize my exposure.

Re: Launching Health in ChatGPT to US Users

#7
The American Medical Association and health insurance industries can all fuck off. The healthcare situation in the US is so absurd and Kafka-esque I welcome LLMs in medicine. I haven’t seen a MD in years, I’ve only seen nurse practitioners and physician assistants. Add to that how insurance will randomly deny tests, procedures and treatments, I have very little use for the current medical establishment.

Re: Launching Health in ChatGPT to US Users

#8
I think doctors are going to lose their minds or at the very least get extremely agitated/frustrated as patients increasingly use AI tools to do self-research for symptoms and diagnosis. And I know this because I am guilty of this myself and recently had a dentist tell me to not do that. And this applies to so many health workers, your GP as well as your physical therapist, etc.

Recently I had Claude analyze an MRI of my knee and it gave me five different potential problems, but once I got the radiologist report - none of those problems were present, it did not detect that it was chondromalacia that I found out from the radiologist report.

Health and the current iteration of LLM's just doesn't seem like a great match.

Re: Launching Health in ChatGPT to US Users

#9
post #8

I think doctors are going to lose their minds or at the very least get extremely agitated/frustrated as patients increasingly use AI tools to do self-research for symptoms and diagnosis. And I know this because I am guilty of this myself and recently had a dentist tell me to not do that. And this applies to so many health workers, your GP as well as your physical therapist, etc. Recently I had Claude analyze an MRI o…

I know of someone who had a red bump on their arm and asked ChatGPT if that was a problem and if they should see a doctor. It said no so they left it. Turns out it was a tick and they now have lyme disease.

Re: Launching Health in ChatGPT to US Users

#10
post #8

I think doctors are going to lose their minds or at the very least get extremely agitated/frustrated as patients increasingly use AI tools to do self-research for symptoms and diagnosis. And I know this because I am guilty of this myself and recently had a dentist tell me to not do that. And this applies to so many health workers, your GP as well as your physical therapist, etc. Recently I had Claude analyze an MRI o…

Radiology is probably an edge case, due to needing the right inductive bias and training data that general purpose multimodal language models may lack. At least until someone creates RadiologyBench and provides an incentive to the labs to make that part of their data pipeline.

I have witnessed a non-radiology case (a STD on the face) where the LLM got it right and the doctor didn't (he said it was diabetes related). It may have saved that person's life by causing them to go to a different doctor with the LLM's diagnosis and getting the proper treatment.

What I don't understand is why don't doctors use LLMs as a tool for a quick second opinion before arriving at a determination? They have my data. They can put it into GPT 5.6 Pro or Fable, read the output, and choose to disregard it if they really want to, but if there's a 20% chance that it spots something they missed, why not?

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