561–570 of 677 posts
Was it approved by the FDA as a Medical Device?
Is FDA approval worth anything to consumers anymore? The way things are run today, OpenAI could buy any stamp of approval through money and appeasement.
This is without getting into Physician licenses if we consider the product to be physician state advice.
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> If you keep hearing anecdotes at what point is it statistically important ? Fair question but one has to keep in mind about ALL the other situations we do NOT hear about, namely all the failed attempts that did take time from professionals. It doesn't the successful attempts are not justified, solely that a LOT of positive anecdotes might give the wrong impressions that they are not radically most negative ones tha…
I hear about people winning the lottery all the time. There were two $100m+ winners just this week. The anecdotes just keep piling up! That doesn't mean the lottery is a valid investment tool. People just do not understand how statistically insignificant anecdotes are in a sufficiently large dataset. Just for the US population, a 1 in a million chance of something happening to a person should happen enough to be repo…
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Malpractice is deliberate harm by not following standard professional practices or doing deliberate harm. I’m not talking about that. What I’m talking about is fucking simple. A doctor gives you advice and you pay him thousands for it. That advice is completely fucking wrong. In what universe does that payment make sense? In what universe is giving wrong information deserving of thousands of dollars of payment for se…
You're generally paying for time and materials, not results. This is common practice in many industries, not just healthcare, so your rhetorical question is silly and displays deep ignorance about how the system works. If you want to pay for results only then you're free to negotiate a cash payment contract with your healthcare providers on that basis. No one is stopping you from doing that so let's not have any lame…
Nobody is going to pay thousands of dollars for shitty advice or treatments that can potentially kill you... are you kidding me? What human will happily dish out thousands of dollars just to give "time" to the doctor for wrong advice. That has got to be a joke.
>If you want to pay for results only then you're free to negotiate a cash payment contract with your healthcare providers on that basis.
It needs to be law to make it on this basis. Every patient would demand this. The only person who wouldn't demand this is a doctor who's "time" doesn't provide results.
What's going on here is the patient has nowhere else to turn. If every doctor negotiates on "time" and the legal system is set up this way, what other choice does the patient have then to gamble thousands on something that won't work?
Let me explain it to you plainly. The system is set up this way so patients are indoctrinated to accept unfair treatment. They can even be aware of flaws in the system but they still have to accept it because the behavior is so wide spread.
It's similar to North Korea. If everyone in north korea stood up to Kim Jong Un, the sheer number of people getting screwed over vs. people in power is so overwhelming the government would topple immediately. But the system is pervasive. And that is the medical system in the US: Pervasive and systemic. And it goes deeper than just the unreliability of doctors here.
I WANT to negotiate based on results... but thanks to the cartel-like policies of the medical system all together, I can't. Ask any patient... EVERY patient wants this, but none of them can do it. Same as your average north korean... they don't want to starve under an unreasonable regime, but they have no choice.
You may not have realized it but your last sentence was a slip up... Your initial sentences was an attempt to justify time based payment by comparing and contrasting to other occupations like lawyers... but in your last sentence you were essentially (and likely accidentally) telling me to suck it up because I have no choice. That was not something any patient wants to hear.
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I think the ultimate answer is that people must take responsibility for their own health and that of their children and loved ones. That includes research and double-checking your doctors. True, the result is that a good number of people will be convinced they have something (eg. autism) that they don't. But the anecdotes are piled up into giant mountains at this point. A good number of people in my family have had a…
Patients should always advocate for their own care. This includes researching their own condition, looking into alternate diagnoses/treatments, discussing them with a physician, and potentially getting a second opinion. Especially the second opinion. There are good and bad physicians everywhere. But advocating also does not mean ignoring a physician's response. If they say it's unlikely to be X because of Y, consider…
We trade away our knowledge and skills for convenience. We throw money at doctors so they'll solve the issue. We throw money at plumbers to turn a valve. We throw money at farmers to grow our veggies.
Then we wonder why we need help to do basic things.
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I think the ultimate answer is that people must take responsibility for their own health and that of their children and loved ones. That includes research and double-checking your doctors. True, the result is that a good number of people will be convinced they have something (eg. autism) that they don't. But the anecdotes are piled up into giant mountains at this point. A good number of people in my family have had a…
Patients should always advocate for their own care. This includes researching their own condition, looking into alternate diagnoses/treatments, discussing them with a physician, and potentially getting a second opinion. Especially the second opinion. There are good and bad physicians everywhere. But advocating also does not mean ignoring a physician's response. If they say it's unlikely to be X because of Y, consider…
No. Absolutely not. The government owes its people a certain duty of care to say “just because you can doesn’t mean you should.” LLM’s are good for advice 95% of the time, and soon that’ll be 99%. But it is not the job of OpenAI or any LLM creator to determine the rules of what good healthcare looks like. It is the job of the government. We have certification rules in place for a reason. And until we can figure out h…
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Does Google have your medical records? It doesn't have mine.
People email about their medical issues and google for medical help using Gmail/Google Search. So yes, Google has people's medical records.
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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 C…
There are over a million licensed physicians in the US. If we assume that each one interacts with five patients per weekday, then in the six months since you had this experience, that would conservatively be six-hundred-million patient interactions in that time. Now, obviously none of this math would actually hold up to any scrutiny, and there's a bevy of reasons that the quality of those interactions would not be ra…
Nothing. You just... feel more sympathetic to doctors and less confident that your own experience meant anything.
Notice what's absent: any engagement with whether the AI-assisted approach actually worked, whether there's a systemic issue with ENTs not being current on allergy research, whether patients should try OTC interventions as cheap experiments, whether the 25% localized-reaction finding is real and undertaught.
The actual medical question and its resolution get zero attention.
Also though...
You are sort of just telling people "sometimes stuff is going to not work out, oh also there's this thing that can help, and you probably shouldn't use it?"
What is the action you would like people to take after reading your comment? Not use ChatGPT to attempt to solve things they have had issues solving with their human doctors?
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Getting a potential answer right away is certainly temping over waiting weeks to get an appointment
You have to wait weeks to be seen by a family doctor?
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I have what you would call metric shittons of ADHD. Medically diagnosed. Was kicked outta university for failing grades and all. Pills saved me. If you think you have it, the best thing you can do for yourself is at least get a diagnosis done. In b4 people come in and chime it can be faked. Yes the symptoms can be faked. But why would you if you really want to know what is wrong with you if any? (Hoping you aren't a…
I really hope this doesn't get lost in the sea of comments and don't feel pressured to answer any of them but: what would you recommend if one is against the idea of medication in general for neurological issues that aren't deterental to ones life? do you feel the difference between being medicated and (strong?) coffee? have you felt the effects weaken over time? if you did drink coffee, have you noticed a difference…
ADHD is a debilitating neurological disorder, not a mild inconvenience.
Believe me, I wish that just drinking coffee and "trying harder" was a solution. I started medication because I spent two decades actively trying every other possible solution.
> what would you recommend if one is against the idea of medication in general for neurological issues that aren't deterental to ones life?
If your neurological issues aren't impacting your life negatively, they aren't neurological issues. I don't know what else to say to this. Of course you shouldn't treat non-disorders with medication.
> do you feel the difference between being medicated and (strong?) coffee?
These do not exist in the same universe. It's not remotely comparable.
> have you felt the effects weaken over time?
Only initially, after the first few days. It stabilizes pretty well after that.
> if you did drink coffee, have you noticed a difference between the medication effects weakening on the same scale as caffeine?
Again, not even in the same universe. Also, each medication has different effects in terms of how it wears off at the end of the day. For some it's a pretty sudden crash, for others it tapers, and some are mostly designed to keep you at a long term level above baseline (lower peaks, but higher valleys).
> is making life easier with medication worth the cost over just dealing with it by naturally by adapting to it over time (if even possible in your case)?
If I could have solved the biological issue "naturally" I would have. ADHD comes with really pernicious effects that makes adaptation very challenging.