Live data from Hacker News

ChatGPT Health

openai.com

221–230 of 677 posts

Re: ChatGPT Health

#221
post #117

I understand all the chatter about LLMs hallucinating, or making assumptions, or not being able to understand or provide the more human/emotional element of health care. But the question I ask myself is: is this better than the alternative? if I wasn't asking ChatGPT, where would I go to get help? The answers I can anticipate are: questionably trustworthy web content; an overconfident friend who may have read questio…

> if I wasn't asking ChatGPT, where would I go to get help? Is this serious question? Can't you call/visit doctor?

Until very recently, it took a week to get an appointment with my primary care doctor, and calls weren't an option. Now that video calls are an option, I get get one in a day or two. I could always go to urgent care to get an answer faster, but that costs more.

Re: ChatGPT Health

#222

> Health is designed to support, not replace, medical care. It is not intended for diagnosis or treatment. I suspect that will be legally-tested sooner than later.

How is this NOT a class action suit in the making?

Re: ChatGPT Health

#223

Earlier quoted context omitted.

If you don't need to be physically seen to make a determination, most hospitals and networks operate phone lines where you can speak with a nurse who will triage symptoms and either recommend home remedies or an appointment as needed. I'm not sure if this has switched entirely to video calls or not, but when it became popular it was a great way to avoid overloading urgent care and general physicians with non-urgent h…

As someone who was recently injured and waited three months to see a specialist in Seattle, these lines were not helpful ("yes, you should make an appointment"). The only way I was able to see someone was to write a script that blew up my phone when I got a cancellation window email (the first two I missed even though I responded within 30 seconds).

Yeah, those lines are for triage, not specialty care. It's nice when you've got an infant and are a new parent and everything is terrifying, or a fever and want to know if it is bad enough to warrant going in somewhere.

Re: ChatGPT Health

#224
post #210

These discussions pit ChatGPT against doctors — but we can combine them! Doctors can use it to improve their diagnostics and treatment options.

And patients can use it to improve communication with their doctors (which, given the short duration of an appointment can make a big difference.)

Re: ChatGPT Health

#225
post #191

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

Glad to hear your uncle improved! Would you mind sharing the other two hypotheses and what the diagnosis ultimately was?

The first was "dementia" (or something related to it, I don't remember the exact medical term). The second was something to do with fluid in some spinal column (I am sorry once again, I do not remember the medical term; they operated on him to drain it, which is why I remember it). I don't remember the third one, unfortunately.

Re: ChatGPT Health

#226

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

Since someone else asked and you said you didn't remember, do you think he may have had Normal Pressure Hydrocephalus (NPH)? And the surgery which he had may have been a VP shunt (ventricular-peritoneal) -- something to move fluid away from his brain? Quite a mouthful for the layman and the symptoms you are describing would fit. NPH has one of my favorite mnemonic in medicine for students learning about the condition…

Now that you mention it, it may have been NPH. The thing is, I did the chatting with ChatGPT and handed the printout to the doc. Biology was never my strong suit, so my eyes glaze over when I see words like "Hydrocephalus" :-D

Re: ChatGPT Health

#227

Earlier quoted context omitted.

Brusqueness? More like insensitivity, lack of empathy, and ignorance. My 12 year old daughter (correctly) diagnosed herself to a food allergy after multiple trips to the ER for stomach pains that resulted in “a few Tylenol/Advil with a glass of water”.

That’s kind of how allergies are discovered though. Doctors will tell you to go on a restrictive food diet and tell you to binary search for it if it doesn’t cause anaphylaxis. Based on my experience with allergies if it’s not anaphylaxis then allergies aren’t considered super important to resolve by doctors. Finally the immune system is complicated and your daughter may have an unusual reaction which may not be IGe…

> Doctors will tell you to go on a restrictive food diet

I would have mentioned that if it happened. It didn’t.

Re: ChatGPT Health

#228

Earlier quoted context omitted.

Brusqueness? More like insensitivity, lack of empathy, and ignorance. My 12 year old daughter (correctly) diagnosed herself to a food allergy after multiple trips to the ER for stomach pains that resulted in “a few Tylenol/Advil with a glass of water”.

did you confirm it with a nutritionist and elimination diet?

No, I confirmed it by watching her get a rash immediately after eating anything with tartrazine.

Re: ChatGPT Health

#229
post #101

Earlier quoted context omitted.

> Most doctor advice boil down to drink some water and take a painkiller Forgive my brusqueness here, but this could only be written by someone who has not yet been seriously ill.

Doctors that treat shit that you can treat on the spot and it gets better or it doesn't tend to be really good. Surgeons in particular. Doctors that treat shit that don't have clear causes and that you give medicine to, and sometimes it kinda improves, they tend to be pretty bad. This is both a liability and a connectedness issue.

Give medicine to who?

Re: ChatGPT Health

#230
post #199

Earlier quoted context omitted.

I vibe coded an app and recorded all the things happening to my 50-something body. I shared that list with a few MDs -- they were useless. They literally can't handle anything except acute cases. It's like telling someone to ask their doctor about nutrition. It's not in their scope any longer. They'll tell you to try things and figure it out. The US medical industry abdicated their thing a long time ago. Doctors do s…

I babbled some symptoms I did not understand to a doctor who correctly diagnosed me with a very rare condition in 30 seconds. And that's after spending weeks prodding LLMs (~2 years ago) and getting nowhere.

I think the main point is to not “of course” either side of this. Use every tool and recourse available to you, but don’t bag on people for doing or not doing one or the other. “Ask your doctor” is presumptive for people who have and need more.
Post reply on HN