Live data from Hacker News

ChatGPT Health

openai.com

341–350 of 677 posts

Re: ChatGPT Health

#341

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…

That's a tip I recommend people to try when they are using LLMs to solve stuff. Instead of asking "how to..", ask "what alternatives are there to...". A top-k answer is way better, and you get to engage more with whatever you are trying to learn/solve.

Re: ChatGPT Health

#342

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…

There is nothing wrong with obtaining additional, even false, information from any source that is available to you. (AI, Search, Websites/Blogs, Podcasts, influencers, word-of-mouth, etc)

It's what you do with that information that is important - the correct path is to take your questions to a medical professional. Only a medical professional can give you a diagnosis, they can also answer other questions and address incorrect information.

ChatGPT is very good for providing you with new avenues to follow-up upon, it may even help discover the correct condition which a doctor had missed. However it is not able to deliver a diagnosis, always leave that to a medical professional.

This actually differs very little from people Googling their symptoms - where the result was the same: take the new information to your medical professional, and remember to get a second opinion (or more) for any serious medical condition, or issues which do not seem to be fully resolved.

Re: ChatGPT Health

#343
post #85

Earlier quoted context omitted.

An estimated 371,000 people die every year following a misdiagnosis, and 424,000 are permanently disabled. https://qualitysafety.bmj.com/content/33/2/109?rss=1 Admittedly I am basing this on pure vibes: I'd bet that adding AI to the healthcare environment will, on balance, reduce this number, not increase it.

[flagged]

Would you like to propose a different metric for estimating whether a given tool benefits society?

Re: ChatGPT Health

#344

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…

Thanks for sharing. I struggled with long-term undiagnosed issues for so long. It took me 15 years of trying with doctors until one did a colonoscopy and found an H.Pylori infection in 2018. Prescribed the right kind of antibiotics and changed my life. In hindsight, my symptoms matched many of the infection's. No doctor figured it out. So many doctors never bothered to conduct any tests. Many said it's in my head. So…

I thought Hy.Pylori was diagnosed from a stool sample which in my experience is the first thing you’re asked for if you have any gastric issues. Was it only possible to find via the colonoscopy in your case or did the doctors never do a stool test?

Re: ChatGPT Health

#345

Earlier quoted context omitted.

Thanks for sharing. I struggled with long-term undiagnosed issues for so long. It took me 15 years of trying with doctors until one did a colonoscopy and found an H.Pylori infection in 2018. Prescribed the right kind of antibiotics and changed my life. In hindsight, my symptoms matched many of the infection's. No doctor figured it out. So many doctors never bothered to conduct any tests. Many said it's in my head. So…

I thought Hy.Pylori was diagnosed from a stool sample which in my experience is the first thing you’re asked for if you have any gastric issues. Was it only possible to find via the colonoscopy in your case or did the doctors never do a stool test?

The sensitivity from stool samples seems to be less than 80%. The gold standard is gastroscopy, which is often performed anyway to rule out ulcers etc. It is the first time I heard about colonoscopy for H Pylori.

Re: ChatGPT Health

#346

Earlier quoted context omitted.

I thought Hy.Pylori was diagnosed from a stool sample which in my experience is the first thing you’re asked for if you have any gastric issues. Was it only possible to find via the colonoscopy in your case or did the doctors never do a stool test?

The sensitivity from stool samples seems to be less than 80%. The gold standard is gastroscopy, which is often performed anyway to rule out ulcers etc. It is the first time I heard about colonoscopy for H Pylori.

Good to know, thanks!

Re: ChatGPT Health

#347
post #277

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…

General doctors aren't trained for problem solving, they're trained for memorization. The doctors that are good at problem solving aren't general doctors.

They’re not even trained for memorization. They’re trained for mitigation and I don’t really blame them for the crap pay they receive. Over the course of a 40-year career they basically make what a typical junior dev makes. It’s fast becoming a rich man’s hobby career.

Re: ChatGPT Health

#348

There’s a lot of negativity here. I’ll just say I’m extremely glad I had ChatGPT when I was going through some health issues last year.

Same here. It’s a double-edged sword, though. I know some people who work in health care, including some doctors. They deal with a lot of hypochondriacs — people who imagine they have all sorts of issues and then try to MacGyver themselves to better health. You can’t read an HN thread on health care issues without dozens of those coming out of the woodwork to share their magical, special way of beating the system. Silicon Valley has a long history of people that did all sorts of weird crap. There's a great anecdote about Steve Jobs turning orange when he was restricting himself to a diet of carrots because he believed god knows what. In the end he died young of pancreatic cancer. Probably not connected but smart person that did some wacky stuff that probably wasn't that good for him.

I'm on statins that have side effects that I'm experiencing. That's a common thing. ChatGPT was useful for me to figure out some of that. I've had other minor issues where even just trying to understand what the medication I'm being prescribed is supposed to do can be helpful. Doctors aren't great at explaining their decisions. "Just take pill x, you'll be fine".

Doctors have to diagnose patients in a way that isn't that different from how I would diagnose a technical issue. Except they are starved for information and have to get all their information out of a 10-15 minute consult with a patient that is only talking about vague symptoms. It's easy to see how that goes wrong sometimes or how they would miss critical things. And they get to deal with all the hypochondriacs as well. So they have to poke through that as well and can't assume the patient is actually being truthful/honest.

LLMs are useful tools if you know how to use them. But they can also lead to a lot of confirmation bias. The best doctors tell you what you need to hear, not what you want to hear. So, tools like this are great and now a reality that doctors need to deal with whether they like it or not.

Some of the Covid crisis intersected with early ChatGPT usage. It wasn't pretty. People bought into a lot of nonsense that they came up with while doom scrolling Reddit, or using early versions of LLMs. But things have improved since then. LLMs are better and less likely to go completely off the rails.

I try to look at this a bit rationally: I know I don't get the best care possible all the time because doctors have to limit time they spend on me and I'm publicly insured in Germany so subject to cost savings. I can help myself to some extent by doing my homework. But in the end, I have to trust my doctor to confirm things. My mode is that I use ChatGPT to understand what's going on and then try to give my doctor a complete picture so he has all the information needed to help me.

Re: ChatGPT Health

#349
post #74

Earlier quoted context omitted.

Disable memories so each chat is independent. If you want chats to shared info, then use a project.

Unfortunately I don't think that's a good solution. Memories are an excellent feature and you see them on.... most similar services now. Yes, projects have their uses. But as an example - I do python across many projects and non-projects alike. I don't want to want to need to tell ChatGPT exactly how I like my python each and everytime, or with each project. If it was just one or two items like that, fine, I can upda…

> Memories are an excellent feature

Maybe if they worked correctly they would be. I've had answers to questions be influenced needlessly by past chats and I had to tell it to answer the question at hand and not use knowledge of a previous chat that was completely unrelated other than being a programming question.

Re: ChatGPT Health

#350
post #326
post #288

Earlier quoted context omitted.

This actually highlights a big privacy problem with health AI. Say I’m interested in some condition and want to know more about it so I ask a chatbot about it. It decides “asking for a friend” means I actually have that condition and then silent passes that information on data brokers. Once it’s in the broker network it’s truth. We lack the proper infrastructure for to control our own personal data. Hell, I bet there…

Who is "we"? Americans?

"We" as in the whole world really.

I know in Europe we have the GDPR regulations and in theory you can get bad information corrected but in practice you still need to know that someone is holding it to take action.

Then there's laundering of data between brokers.

One broker might acquire data via dubious and then transfer that to another. In some jurisdictions once that happens the second company can do what they like with it without having to worry about the original source.

Post reply on HN