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A neurology ICU nurse on AI in hospitals

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121–130 of 145 posts

Re: A neurology ICU nurse on AI in hospitals

#122
post #75

Everyone should be terrified. The "promise" of AI is the following: remove any kind of remaining communication between humans, because that is "inefficient", and replace it with an AI that will mediate all human interactions (in business and even in other areas). In a few years, AIs trained by big corps will run the show and humans will be required to interface with them to do anything of value. Similar to what they…

> Everyone should be terrified. The "promise" of AI is the following: remove any kind of remaining communication between humans, because that is "inefficient", and replace it with an AI that will mediate all human interactions (in business and even in other areas). Kinda, that's the kind of enshittification customers/users can expect. The truly terrifying "promise" of AI is to free the ownership class from most of it…

[deleted]

Re: A neurology ICU nurse on AI in hospitals

#123

Earlier quoted context omitted.

Read the conclusions section from the paper you linked: > GPT-4o’s performance in USMLE disciplines, clinical clerkships, and clinical skills indicates substantial improvements over its predecessors, suggesting significant potential for the use of this technology as an educational aid for medical students. These findings underscore the need for careful consideration when integrating LLMs into medical education, empha…

I get that you really disdain LLMs. But consider that a totally off-the-shelf, stock model is acing the medical licensing exam. It doesn't only perform better than human counterparts at the very peak of their ability (young, high-energy, immediately following extensive schooling and dedicated multidisciplinary study) it leaves them in the dust. If you think that the test is simple or even text-only, here are some sam…

As an aside, I quickly tested GPT-o1 by giving it question 95 on the sample test. I'm no doctor, but I've got extensive training in chemistry and biochem, and I'm not ashamed to admit that the question totally stumped me.

GPT-o1 gave the correct answer the first time around, and a very detailed explanation as to why all other potential answers must be false. A really remarkable performance, I think.

Now imagine it's an open-ended scenario, not multiple-choice. It would still come to the right conclusion and provide an accurate diagnosis.

Re: A neurology ICU nurse on AI in hospitals

#124

100% agree AI will ruin healthcare. I'm an IT director at a rural mental health clinic and I see the push for AI across my state and it's scary what they want. All i can do is push back. Healthcare is a case by case personal connection, something AI can't do. It only reduces humans down to numbers and operates on that. There is no difference between healthcare AI to a web scraper on webmd or mayo clinic.

Your comment makes me think of a videogame I played recently called Eliza.

(the zachtronics version, not the original text-based game from the 60s)

Re: A neurology ICU nurse on AI in hospitals

#125

Everyone should be terrified. The "promise" of AI is the following: remove any kind of remaining communication between humans, because that is "inefficient", and replace it with an AI that will mediate all human interactions (in business and even in other areas). In a few years, AIs trained by big corps will run the show and humans will be required to interface with them to do anything of value. Similar to what they…

Most people who are not into computers see AI as the next step of computers, and they are actively waiting for it. I think that it’s very different from a computer which is a stupid calculator that frees us from boring mechanical tasks. AI replaces our thoughts and creativity which is IMHO a thousand times worse. Its aim is to replace humans while making them us more stupid since we won’t have to think anymore.

Yes, in the future most people will just say they don't want to think anymore because this is a task for computers, just like they nowadays don't want to do even a trivial calculation.

Re: A neurology ICU nurse on AI in hospitals

#126
post #54

This article feels “ripped from today’s headlines” for me, as my mother-in-law was recently in the ICU after a fall that caused head trauma. The level of AI-driven automated decision-making is unsettling, especially as it seems to allow large organizations to deflect accountability—“See? The AI made us do it!” I’m not entirely sure what guided her care—or lack thereof—but, as someone who frequently works in healthcar…

The article feels very much like a union rep fighting automation. If AI is provably worse, we should see that come up in the AI making 'bad calls' vs the human team. You would even see affects on health outcomes. One place I'd really like an all seeing eye AI overlord is in nursing home care. I have seen family members lie in filth with clear signs of an infection. I am confident, if we hadn't visited, seen this, and…

> If AI is provably worse, we should see that come up in the AI making 'bad calls' vs the human team. You would even see affects on health outcomes.

That would require medicine not be a shitshow in general. Most things where cause-effect is not immediately obvious medicine has no idea even what is a good or bad call. So any study like this would be easy to cook in both directions

I agree that using it for things like alerts though can be good

Re: A neurology ICU nurse on AI in hospitals

#127

Earlier quoted context omitted.

The reality is that our economy and entire understanding of human society relies on labor. If we free humans from labor, they just die. Like you're depriving them of oxygen. Automation is great and all, and it's worked because we've been able to push humans higher and higher up the job ladder. But if, in the future, only highly specialized experts are valuable and better than AI, then a large majority of humanity wil…

> Where does that leave us? Free to pursue our desires in a utopia. Humans used to work manual labor to produce barely enough food to survive, with occasional famines, and watch helplessly as half of their children died before adulthood. We automated farm labor, mining, manufacturing, etc so that one worker can now produce the output of 10, 100 or 100,000 laborers from a generation or two ago. Now those people work i…

> Free to pursue our desires in a utopia.

In other words, useless. If one dies no one would care if no one depends on anyone except big tech products.

Re: A neurology ICU nurse on AI in hospitals

#128
post #72

Earlier quoted context omitted.

Humans are accountable. You can sue a human.

And you can't sue the corporation that made an AI?

In a world where all lawyers and prosecutors use its product for professional and private purposes?

Re: A neurology ICU nurse on AI in hospitals

#129
post #27

Earlier quoted context omitted.

"You can't trust humans" but you can trust a non deterministic black box to take their place?

Humans already are non-deterministic black boxes, so I'm not sure I would use that comparison.

What's better, a non-deterministic black box or a non-deterministic black box designed by non-deterministic black boxes?

Re: A neurology ICU nurse on AI in hospitals

#130
This article is total bullshit.

The author uses "AI" as a shortcut for "technology that I don't understand." EPIC is an EMR, and apparently scores patients using an "algorithm." Let's call that "AI" because AI is hot.

Scribe sounds like a transcriber. Oh boy. I know of offices that have a literal scribe, a person who's job it is to follow a doc around and transcribe to Epic. Automated? Why not.

Having just been in the ICU with a family member for 60 days, I can say that nurses are good at some things and horrible at other things. And big picture thinking isn't something most nurses seem to be good at. Listening to nurses talk about what's wrong in healthcare is like talking to soldiers about what's wrong in the military.

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