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My Mom and Dr. DeepSeek (2025)

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Re: My Mom and Dr. DeepSeek (2025)

#31
post #28

I and many of my friends have used ChatGPT extremely effectively to diagnose medical issues. In fact, I would say that ChatGPT is better than most doctors because most doctors don't actually listen to you. ChatGPT took the time to ask me questions and based on my answers, narrowed down a particularly scary diagnosis and gave excellent instructions on how to get to a local hospital in a foreign country, what to ask fo…

No, no, no. You can change your doctor, and get one that listens to you - you can't change the fact that ChatGPT has no skin in the game - no reputation, no hippocratic oath, no fiscal/legal responsibility. Some people have had miracles with Facebook groups, or WebMD, but that doesn't change where the role of a doctor is or mean that you should be using those things for medical advice as opposed to something that all…

Neither do most doctors. No gp will get disbarred for giving the wrong diagnosis on a first consult.

They have 15 minutes and you have very finite money.

Medical agents should be a pre consult tool that the patient talks to in the lobby while waiting for the doctor so the doctor doesn't waste an hour to hear the most important data point and the patient doesn't sit for an hour in the lobby doing nothing.

Re: My Mom and Dr. DeepSeek (2025)

#32
post #23

Earlier quoted context omitted.

Indeed, real doctors have the advantage of understanding how to treat humans that are incapacitated. =3 https://www.youtube.com/watch?v=yftBiNu0ZNU

Just seeing that guy’s face and hearing his voice makes me uneasy. That channel is total body-horror. Glad that guy ended up okay, unlike this poor soul: https://youtube.com/watch?v=NJ7M01jV058

Indeed, the instinctual pucker factor for some things in this world are warranted. That case is famous, and still controversial to those with inflated hubris. =3

Re: My Mom and Dr. DeepSeek (2025)

#33

The problem is not reliance on AI but that the AI is not ready yet and using general-purpose models. There isn't simply enough doctors to go around and the average one isn't as knowledgeable as you would want. Everything suggests that when it comes to diagnosis ML systems should be better in the long run on average. Especially with a quickly aging population there is no alternative if we want people to have healthcar…

They really have arrived just in time, I think.

Re: My Mom and Dr. DeepSeek (2025)

#34

I and many of my friends have used ChatGPT extremely effectively to diagnose medical issues. In fact, I would say that ChatGPT is better than most doctors because most doctors don't actually listen to you. ChatGPT took the time to ask me questions and based on my answers, narrowed down a particularly scary diagnosis and gave excellent instructions on how to get to a local hospital in a foreign country, what to ask fo…

I agree that absolute deference to doctors is a mistake and that individuals should be encouraged to advocate for themselves (and doctors should be receptive to it) but I'm not so convinced in this specific case. Why do high blood sugar levels matter? Are there side effects associated with the alternative treatment? Has ChatGPT actually helped you in a meaningful way, or has the doctor's eventual relenting made you feel like progress has been made, even if that change is not meaningful?

In this context, I think of ChatGPT as a many-headed Redditor (after all, reddit is what ChatGPT is trained on) and think about the information as if it was a well upvoted comment on Reddit. If you had come across a thread on Reddit with the same information, would you have made the same push for a change?

There are quite a few subreddits for specific medical conditions that provide really good advice, and there are others where the users are losing their minds egging each other on in weird and whacky beliefs. Doctors are far from perfect, doctors are often wrong, but ChatGPT's sycophancy and a desperate patient's willingness to treat cancer with fruit feel like a bad mix. How do we avoid being egged on by ChatGPT into forcing doctors to provide bad care? That's not a rhetorical question, curious about your thoughts as an advocate for ChatGPT.

Re: My Mom and Dr. DeepSeek (2025)

#35

I and many of my friends have used ChatGPT extremely effectively to diagnose medical issues. In fact, I would say that ChatGPT is better than most doctors because most doctors don't actually listen to you. ChatGPT took the time to ask me questions and based on my answers, narrowed down a particularly scary diagnosis and gave excellent instructions on how to get to a local hospital in a foreign country, what to ask fo…

> most doctors don't actually listen to you.

> doctors mostly work with blinders on and don't listen

This has unfortunately been my experience as well. My childhood PCP was great but every interaction I've had with the healthcare system since has been some variation of this. Reading blood work incorrectly, ignoring explanations of symptoms, misremembering medications you've been taking, prescribing inappropriate medications, etc. The worst part is that there are a lot of people that reflexively dismiss you as a contrarian asshole or, even worse, a member of a reviled political group that you have nothing to do with just because you dare to point out that The Person With A Degree In Medicine makes glaring objective mistakes.

Doctors aren't immune to doing a bad job. I don't think it's a secret that the system overworks them and causes many of them to treat patients like JIRA tickets - I'd just like to know what it would take for people to realize that saying such doesn't make you a crackpot.

As an aside I use Claude primarily for research when investigating medical issues, not to diagnose. It is equally likely to hallucinate or mischaracterize in the medical domain as it is others.

Re: My Mom and Dr. DeepSeek (2025)

#36

I and many of my friends have used ChatGPT extremely effectively to diagnose medical issues. In fact, I would say that ChatGPT is better than most doctors because most doctors don't actually listen to you. ChatGPT took the time to ask me questions and based on my answers, narrowed down a particularly scary diagnosis and gave excellent instructions on how to get to a local hospital in a foreign country, what to ask fo…

I don't know if I could trust AI for big things, but I had nagging wrist pain for like a year, any time I extended my wrist (like while doing a pushup). It wasn't excruciating but it certainly wasn't pleasant, and it stopped me from doing certain activities (like pushups)

I visited my GP, 2 wrist specialists, and physical therapist to help deal with it. I had multiple x rays and an MRI done. Steroid injection done. All without relief. My last wrist specialist even recommended I just learn to accept it and don't try to extend my wrist too much.

I decided to ask Gemini, and literally the first thing it suggested was maybe the way I was using the mouse was inflaming an extensor muscle, and it suggested changing my mouse and a stretch/massage.

And you know what, the next day I had no wrist pain for the first day in a year. And it's been that way for about 3 weeks now, so I'm pretty hopeful it isn't short term

Re: My Mom and Dr. DeepSeek (2025)

#37

I and many of my friends have used ChatGPT extremely effectively to diagnose medical issues. In fact, I would say that ChatGPT is better than most doctors because most doctors don't actually listen to you. ChatGPT took the time to ask me questions and based on my answers, narrowed down a particularly scary diagnosis and gave excellent instructions on how to get to a local hospital in a foreign country, what to ask fo…

+100 to this from my personal experience

Re: My Mom and Dr. DeepSeek (2025)

#39

> she said she was aware that DeepSeek had given her contradictory advice. She understood that chatbots were trained on data from across the internet, she told me, and did not represent an absolute truth or superhuman authority With highly lucid people like the author's mom I'm not too worried about Dr. Deepseek. I'm actually incredibly bullish on the fact that AI models are, as the article describes, superhumanly em…

[dead]

Re: My Mom and Dr. DeepSeek (2025)

#40
post #28

I and many of my friends have used ChatGPT extremely effectively to diagnose medical issues. In fact, I would say that ChatGPT is better than most doctors because most doctors don't actually listen to you. ChatGPT took the time to ask me questions and based on my answers, narrowed down a particularly scary diagnosis and gave excellent instructions on how to get to a local hospital in a foreign country, what to ask fo…

No, no, no. You can change your doctor, and get one that listens to you - you can't change the fact that ChatGPT has no skin in the game - no reputation, no hippocratic oath, no fiscal/legal responsibility. Some people have had miracles with Facebook groups, or WebMD, but that doesn't change where the role of a doctor is or mean that you should be using those things for medical advice as opposed to something that all…

Doctors have no skin in the game too. Our society is built on the illusion of 'skin in the game' of professionals like doctors and lawyers (and to a lesser extent, engineers), but it's still an illusion.
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