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I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

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Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#151

Post by PlatoIsADisease »

colechristensen wrote: post #68
chrisfosterelli wrote: post #20

Health metrics are absolutely tarnished by a lack of proper context. Unsurprisingly, it turns out that you can't reliably take a concept as broad as health and reduce it to a number. We see the same arguments over and over with body fat percentages, vo2 max estimates, BMI, lactate thresholds, resting heart rate, HRV, and more. These are all useful metrics, but it's important to consider them in the proper context tha…

>I'd go so far to say this is probably the case for most people. Your average person is in really poor fitness-shape but just fine health-shape. Modern medicine has failed to move into the era of subtlety and small problems and many people suffer as a result. Fitness nerds and general non-scientists fill the gap poorly so we get a ton of guessing and anecdotal evidence and likely a whole lot of bad advice. Doctors wo…

I think one of the major problems is that biologists/scientists cannot legally treat people. Physicians take their studies and have monopolistic treatment powers over them.

I think this creates a huge knowledge gap.

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#152

Post by smt88 »

SchemaLoad wrote: post #33
wawayanda wrote: post #16

A year or so ago, I fed my wife's blood work results into chatgpt and it came back with a terrifying diagnosis. Even after a lot of back and forth it stuck to its guns. We went to a specialist who performed some additional tests and explained that the condition cannot be diagnosed with just the original blood work and said that she did not have the condition. The whole thing was a borderline traumatic ordeal that I'm…

I asked a doctor friend why it seems common for healthcare workers to keep the results sheets to themself and just give you a good/bad summary. He told me that the average person can't properly understand the data and will freak themselves out over nothing.

I'm in the US and have never experienced anyone keeping results to themselves.

In fact, I can now easily access even my doctor's appointment notes. I have my entire chart unless my doctor specifically writes private notes.

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#153

Post by smt88 »

mr_toad wrote: post #138
cameldrv wrote: post #69

I dunno, if the Apple Watch said he had a vo2max of 30, that probably means he can’t run a mile in less than 12 minutes or so. He’s probably not at all healthy…

Compared to the average patient a typical GP sees, someone who can actually run a mile is probably doing pretty well.

This is certainly true in the US, but I don't think it's universal at all

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#154

Post by hasbot »

Hmm, sure it's maybe wrong now, but in several years, it could be correct. So maybe I should wear a device now so when it does become correct and I'm even older, AI might be useful.

I'm definitely not going with Apple. Are there any minimally obtrusive trackers that provide downloadable data?

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#155

Post by prmoustache »

jermaustin1 wrote: post #140
FeteCommuniste wrote: post #124

Earlier quoted context omitted.

> The most notorious of which is BMI; it is practically a category error to infer someone's health or risk by individual BMI, and yet doing so remains widespread amongst people that are supposed to know better. BMI works fine for people who aren't very muscular, which is the great majority of people. Waist to height ratio might be more informative for people with higher muscle mass.

As a person who has been told I'm "morbidly obese" for decades now, I will say that doctors at almost every level look at your chart not you. I've been told time and time again that until I get my weight under control, my health will suffer. I'm 5'8" and weigh on average 210lbs. My BMI isn't even morbidly obese, it is 31, which is just "regular" obese, but on top of that, a DEXA scan shows that I am actually only 25%…

> Doctor's don't care about that

Literally all of them?

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#157

Post by filoeleven »

wawayanda wrote: post #16

A year or so ago, I fed my wife's blood work results into chatgpt and it came back with a terrifying diagnosis. Even after a lot of back and forth it stuck to its guns. We went to a specialist who performed some additional tests and explained that the condition cannot be diagnosed with just the original blood work and said that she did not have the condition. The whole thing was a borderline traumatic ordeal that I'm…

Gotta love the replies to this. At least more of the botheads are now acting like they're trying to ask helpful questions instead of just flat out saying "you're using it wrong."

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#158

Post by cthalupa »

harvey9 wrote: post #149
vidarh wrote: post #141

Earlier quoted context omitted.

I did end up taking a cystatin c test privately to be able to prove to my GP that the results he freaked out over were nonsense. I'm in the UK, and for whatever reason the NHS just doesn't typically do them for basic kidney function - presumably cost, but they were dirt cheap to do privately so...

NICE guidelines. "Evidence on the specific eGFR equations or ethnicity adjustments seen by the committee was not from UK studies so may not be applicable to UK black, Asian and minority ethnic groups. None of the studies included children and young people. The committee was also concerned about the value of P30 as a measure of accuracy (P30 is the probability that the measured value is within 30% of the true value),…

I'm not sure what point you're trying to make here. Have I missed somewhere in the discussion where eGFR equation adjustment based on ethnicity has been discussed?

Creatinine is the standard marker used for eGFR. It is also a byproduct of muscle metabolism. People who regularly lift weights or have lifestyles that otherwise result in a higher-than-normal muscularity will almost universally have higher creatinine levels than those who don't, assuming similar baseline kidney function. It's also problematic for people with extremely low muscle mass, for the opposite reason.

It's one of the reasons enhanced bodybuilders can get bit with failing kidney function - they know that their eGFR is going to look worse and worse based on creatinine formulas so they ignore it, when the elevated blood pressure from all the dbol they're popping is killing their kidneys.

Cystatin C is the better option for people with too much (or too little) muscle for creatinine to be accurate.

Re: I let ChatGPT analyze a decade of my Apple Watch data, then I called my doctor

#160

Post by josefresco »

wawayanda wrote: post #16

A year or so ago, I fed my wife's blood work results into chatgpt and it came back with a terrifying diagnosis. Even after a lot of back and forth it stuck to its guns. We went to a specialist who performed some additional tests and explained that the condition cannot be diagnosed with just the original blood work and said that she did not have the condition. The whole thing was a borderline traumatic ordeal that I'm…

I fed about 4ish years of blood tests into an AI and after some back and forth it identified a possible issue that might signal recovery. I sheepishly brought it up with my doc, who actually said it might be worth looking into. Nothing earth shattering, just another opinion.
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