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ChatGPT Health

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491–500 of 677 posts

Re: ChatGPT Health

#491

Earlier quoted context omitted.

I’m married to a doctor. We both complain about the medical system. It’s terrible. One of my biggest complaints is doctors seem to have no clue how to get symptoms out of patients in a way that translates to diagnosis. I’ve had longstanding GI issues. I have no idea how to describe my symptoms. They sure seem like a lot of things, so I bring that list to my doc and I’m met with “eh, sounds weird”. By contrast, I solv…

Out of curiosity, what was the stuff you thought was healthy but was destroying your health?

I seem to struggle with high histamine and histamine-liberating foods. This was challenging because histamines can build up quickly in certain foods that are labelled low-histamine or some foods can "liberate" histamines (even if they're low in histamines themselves). For example, chicken is technically low histamine but quickly builds up histamines and can cause histamine liberation. A "safe" meal like a chicken and rice bowl would destroy me.

Quantity and environment also played a huge role. If my histamine levels were low, I could often tolerate many of my trigger foods. However, if they were high (like during allergy season), the same foods would trigger me.

It took a very, very long time to narrow in on the underlying issue.

Re: ChatGPT Health

#492

Earlier quoted context omitted.

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

I get where you’re coming from. I would argue the mistakes doctors make and the amount of times they are wrong literally dwarfs the amount of anti vaxers in existence. Also the anti vax movement isn’t completely wrong. It’s now confirmed (officially) that the covid-19 vaccine isn’t completely safe and there are risks taking it that don’t exist in say something like the flu shot. The risk is small but very real and qu…

> This was something many many doctors originally claimed was completely safe.

I never heard any doctors claim any of the covid vaccines were completely safe. Do you mind if I ask which doctors, exactly? Not institutions, not vibes, not headlines. Individual doctors. Medicine is not a hive mind, and collapsing disagreement, uncertainty, and bad messaging into “many doctors” is doing rhetorical work that the evidence has to earn.

> The role of LLMs is they take the human bias out of the picture.

That is simply false. LLMs are trained on human writing, human incentives, and human errors. They can weaken certain authority and social pressures, which is valuable, but they do not escape bias. They average it. Sometimes that helps. Sometimes it produces very confident nonsense.

> Your post irked me because I almost got the sense that there’s a sort of prestige, admiration and respect given to doctors that in my opinion is unearned. Doctors in my opinion are like car mechanics and that’s the level of treatment they deserve.

> No one and I mean no one should trust the medical establishment or any doctor by default. They are like car mechanics and should be judged on a case by case basis.

You are entitled to that opinion, but I wanted to kiss the surgeon who removed my daughter’s gangrenous appendix. That reaction was not to their supposed prestige, it was recognition that someone applied years of hard won skill correctly at a moment where failure had permanent consequences.

Doctors make mistakes. Some are incompetent. Some are cynical. None of that justifies treating the entire profession as functionally equivalent to a trade whose failures usually cost money rather than lives.

And if doctors are car mechanics, then patients are machines. That framing strips the humanity from all of us. That is nihilism.

No one should trust doctors by default. Agreed. But no one should distrust them by default either. Judgment works when it is applied case by case, not when it is replaced with blanket contempt.

Re: ChatGPT Health

#493
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.

AI is a lot better now than it was 2 years ago. There wasn't even a reasoning model until the end of 2024!

Either way, nobody is arguing that doctors aren't great. Doctors are great!

The argument is that doctors are not accessible enough and getting additional advice from AI is beneficial.

Re: ChatGPT Health

#494
"we’ve worked with more than 260 physicians" yet not a single one of their names is proudly featured in this article. Well, the article itself does not even have an author listed. Imagine trusting someone who doesn't even disclose their identity with your sensitive data.

Re: ChatGPT Health

#495

Earlier quoted context omitted.

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

> I wish / hope the medical community will address stories like this before people lose trust in them entirely. Too late for me. I have a similar story. ChatGPT helped me diagnose an issue which I had been suffering with my whole life. I'm a new person now. GPs don't have the time to spend hours investigating symptoms for patients. ChatGPT can provide accurate diagnoses in seconds. These tools should be in wide use t…

GPs don't have time to do the investigation, but they also have biases.

My own story is one of bias. I spent much of the last 3 years with sinus infections (the part I wasn't on antibiotics). I went to a couple ENTs and one observed allergic reaction in my sinuses, did a small allergy panel, but that came back negative. He ultimately wanted to put me on a CPAP and nebulizer treatments. I fed all the data I got into ChatGPT deep research and it came back with an NIH study that said 25% of people in a study had localized allergic reactions that would show up one place, but not show up elsewhere on the body in an allergy test. I asked my ENT about it and he said "That's not how allergies work."

I decided to just try second generation allergy tablets to see if they helped, since that was an easy experiment. It's been over 6 months since I've had a sinus infection, where before this I couldn't go 6 weeks after antibiotics without a reoccurrence.

Re: ChatGPT Health

#496

Earlier quoted context omitted.

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

> I wish / hope the medical community will address stories like this before people lose trust in them entirely. Too late for me. I have a similar story. ChatGPT helped me diagnose an issue which I had been suffering with my whole life. I'm a new person now. GPs don't have the time to spend hours investigating symptoms for patients. ChatGPT can provide accurate diagnoses in seconds. These tools should be in wide use t…

This is a doctor feeding the LLM a case scenario, which means the hard part of identifying relevant signal from the extremely noisy and highly subjective human patient is already done.

Re: ChatGPT Health

#497
post #444

Earlier quoted context omitted.

But we are idiots. There's a reason why flour has iron and salt has iodine, right? Individual responsibility simply does not scale.

We are idiots who will bear the consequences of our own idiocy . The big issue with all transactions done under significant information asymmetry is moral hazard. The person performing the service has far less incentive to ensure a good outcome past the conclusion of the transaction than the person who lives with the outcome. Applies doubly now that many health care interactions are transactional and you won't even s…

> We are idiots who will bear the consequences of our own idiocy

This is just factually not true. Healthy people subsidize the unhealthy (even those made unhealthy by their own idiocy) to a truly absurd degree.

Re: ChatGPT Health

#498
post #81

Earlier quoted context omitted.

Unfortunately doctors are fallible humans, but also the infallible gatekeepers of pharmaceuticals and surgeries. Unfortunately I've become relatively knowledgeable about a condition I have myself, to the extent where I'll ofyen have much more subject knowledge than a given nonspecialist doctor. All the same they have to make on-the-spot decisions about me that will have serious consequences for both of us, in between…

Part of being a fallible human is recognizing when you're not sure of something.

We must not ignore the complex interpersonal dynamic of the doctor's certainty vs the patient's insistence.

People get better healthcare outcomes with strong self advocacy. Not everyone is good at that.

A parallel exists where not everyone negotiates for a better job offer.

Re: ChatGPT Health

#499

Earlier quoted context omitted.

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

> I wish / hope the medical community will address stories like this before people lose trust in them entirely. Too late for me. I have a similar story. ChatGPT helped me diagnose an issue which I had been suffering with my whole life. I'm a new person now. GPs don't have the time to spend hours investigating symptoms for patients. ChatGPT can provide accurate diagnoses in seconds. These tools should be in wide use t…

> The study, from UVA Health’s Andrew S. Parsons, MD, MPH and colleagues, enlisted 50 physicians in family medicine, internal medicine and emergency medicine to put Chat GPT Plus to the test. Half were randomly assigned to use Chat GPT Plus to diagnose complex cases, while the other half relied on conventional methods such as medical reference sites

This is not ChatGPT outperforming doctors. It is doctors using ChatGPT.

Re: ChatGPT Health

#500

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…

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> The proper decorum here is if the doctor made the wrong diagnosis. All fees and causal charges made by the doctor must be fully refunded and paid for. It’s only fair given the premium they were originally given to make a false diagnosis.

Do you think it would be better to live in a world with no doctors? You can already live in that world if you want. Thanks to doctors, millions of people around the world no longer die from treatable illnesses. Everyone in my family has either had their life saved, or saved from ruin, by a doctor at one point or another.

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