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ChatGPT Health

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Re: ChatGPT Health

#581

Post by ctoth »

ryandrake wrote: post #576
ctoth wrote: post #571

Earlier quoted context omitted.

> nobody goes online to write about the failure cases. Why wouldn't they? This would seem to be engagement bait for a certain type of Anti-AI person? Why would you expect this to be the case? "My dad died because he used that dumb machine" -- surely these will be everywhere right? Let's make our beliefs pay rent in anticipated experiences!

Failure cases aren't just "patient died." They also include all the times where ChatGPT's "advice" aligned with their doctor's advice, and when ChatGPT's advice was just totally wrong and the patient correctly ignored it. Nobody knows how numerous these cases are.

So your failure cases are now "it agreed with the doctor" and "the patient correctly identified bad advice."

Where's the failure?

Re: ChatGPT Health

#582

Post by lpcvoid »

spongebobstoes wrote: post #506
lunias wrote: post #455

Might be useful if they start letting me write my own prescriptions or can send a robot to my house to run tests or perform surgery. Otherwise, I don't really see how this changes anything for me; the doctor - that I already have to see - should just check their analysis with AI on my behalf.

Doctors should use AI, but they often don't. We can expect slow adoption. When it happens, the quality of AI will be determined by enterprise sales and IT. Right now, a patient can inject AI into the system by bringing a ChatGPT transcript to their doctor.

No, doctors shouldn't use llms. The second a doctor does this with me knowing is the moment I switch doctors.

Re: ChatGPT Health

#583

Post by nradov »

threethirtytwo wrote: post #563
nradov wrote: post #549

Earlier quoted context omitted.

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…

You have got to be kidding me. No one on the face of the earth wants to pay a doctor for time. They want to pay for results. 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 o…

You seem to be unclear on the basics of how this works. There's no need for any new laws. If you want to negotiate a value-based care agreement with a healthcare provider instead of paying on a fee-for-service basis then you're free to do so. Existing laws allow for that.

As for your absurd assertions about what every patient wants, you're just lying and making things up. Many patients (like me) don't want that or have no strong preference at all. Your comparison to North Korea is just deranged and bears no relationship to objective reality.

Re: ChatGPT Health

#584

Post by akpa1 »

kachapopopow wrote: post #383
Bayko wrote: post #363

Earlier quoted context omitted.

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…

Medicated, diagnosed ADHD-haver speaking.

Unmanaged ADHD is dangerous, and incredibly detrimental to people's lives, but the level of such may not be entirely apparent to somebody until after they receive treatment. I think the attitude of being against medication for neurological issues where that is recommended by medical professionals (including where that for something perceived to not be detrimental enough) is, to say the least, risky.

I would perhaps encourage you to do some reading into the real-world ways ADHD affects people's lives beyond just what medical websites say.

To answer your questions, though:

* Medication vs coffee: yes, I don't notice any effect from caffeine

* Meds weakening over time: nope

* Medication cost: so worth it (£45/mo for the drugs alone in the UK) because I was increasingly not able to adapt or cope and continuing to try to do so may well have destroyed me

Re: ChatGPT Health

#585

Post by lm28469 »

undeveloper wrote: post #501
lm28469 wrote: post #340

Earlier quoted context omitted.

Probably a bit of both, it's trendy do have a quirk, and modern life fucks up your attention span. Everyone wants to put a label on everything, remember when facebook had a dropdown of like 60+ genders? I also know people who talk about "being on the spectrum" all the time, at first I thought it was a meme, but they genuinely believe they're autistic because they're #notliketheothers. At the end of the day everything…

> attention span The meme of 'ADHD as the "fucked up attention span disorder"' has done immeasurable damage to people, neurotypical and ADHD alike. it is the attribute that is the least important to my life, but most centered towards the neurotypical, or the other people it bothers. > modern life fucks up your attention span That said, this statement is true, it's just a fundamental misunderstanding of ADHD as "dog l…

> it is the attribute that is the least important to my life

still one of the most common symptom, and the one everyone use to self diagnose...

> because medicine is le bad

idk man, I've seen the ravage of medicine one people close to me. Years of adhd medicine, anti depressants pills, anti obesity treatments... They're still non functional, obese and depressed, but now they're broke and think there truly is no way out of the pit because they "tried everything" (everything besides not playing video games 16 hours a day, eating junk food 24/7 and never going out of their bedroom, but the doctors don't seem to view this as a root cause)

Whatever you think, I believe some things are over prescribed to the point of being a net negative to society. I never said adhd doesn't exist or shouldn't be treated btw, you seem to be projecting a lot of things. If it works for you good, personally I prefer to change my environment to fit how my brain/body works, not influence my body/brain by swallowing side effects riddled pills until death to fit in the fucked up world we created and call "normality"

Re: ChatGPT Health

#586

Post by threethirtytwo »

moshegramovsky wrote: post #577
threethirtytwo wrote: post #519

Earlier quoted context omitted.

> 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. There’s no data here. Many aspects of life are not covered by sc…

> If you ask people (who are not doctors) to remember this time they will likely tell you this is what they remember. I also do have tons of anecdotal accounts of doctors saying the Covid 19 vaccine is safe and you can find many yourself by searching. Here’s one: https://fb.watch/Evzwfkc6Mp/?mibextid=wwXIfr > No it’s not false. Most of the writing on human medical stuff is scientific in nature. Formalized with experi…

If you disagree with me then it is better to say you disagree and state your reasoning why. If the reasoning is too foundational than it is better to state it as such and exit.

Saying something like my "credibility is wrecked" and impossible to take me "seriously" crosses a line into deliberate attack and insult. It's like calling me an idiot but staying technically within the HN rules. You didn't need to go there and breaking those rules in spirit is just as bad imo.

Yeah I agree I think the conversation is over. I suggest we don't talk to each other again as I don't really appreciate how you shut down the conversation with deliberate and targeted attacks.

Re: ChatGPT Health

#587

Post by Aurornis »

yoaviram wrote: post #471

This thread reads like an advertisement for ChatGPT Health. I came to share a blog post I just posted titled: "ChatGPT Health is a Marketplace, Guess Who is the Product?" OpenAI is building ChatGPT Health as a healthcare marketplace where providers and insurers can reach users with detailed health profiles, powered by a partner whose primary clients are insurance companies. Despite the privacy reassurances, your heal…

> This thread reads like an advertisement for ChatGPT Health.

This thread has a theme I see a lot in ChatGPT users: They're highly skeptical of the answers other people get from ChatGPT, but when they use it for themselves they believe the output is correct and helpful.

I've written before on HN about my friend who decided to take his health into his own hands because he trusted ChatGPT more than his doctors. By the end he was on so many supplements and "protocols" that he was doing enormous damage to his liver and immune system.

The more he conversed with ChatGPT, the better he got at getting it to agree with him. When it started to disagree or advise caution, he'd blame it on overly sensitive guardrails, delete the conversation, and start over with an adjusted prompt. He'd repeat this until he had something to copy and paste to us to "prove" that he was on the right track.

As a broader anecdote, I'm seeing "I thought I had ADHD and ChatGPT agrees!" at an alarming rate in a couple communities I'm in with a lot of younger people. This combined with the TikTok trend of diagnosing everything as a symptom of ADHD is becoming really alarming. In some cohorts, it's a rarity for someone to believe they don't have ADHD. There are also a lot of complaints from people who are angry their GP wouldn't just write a prescription for Adderall and tips for doctor shopping around to find doctors who won't ask too many questions before dispensing prescriptions.

Re: ChatGPT Health

#588

Post by nradov »

threethirtytwo wrote: post #533
nradov wrote: post #525

Earlier quoted context omitted.

What a weird comment. There are several good medical schools in Kansas. In particular the University of Kansas School of Medicine is top notch.

Only wierd for you because you got triggered by the Kansas part. In general the comment is true. There’s a school in Kansas that sits right on top of Caribbean schools in terms of reputation. I know several people who had to go there.

In general your comment was false. You're just lying and making things up. There are lower-tier medical schools in California, Massachusetts, and most every other state. The state, whether it's Kansas or somewhere else, is almost totally irrelevant to the quality of physicians produced.

Re: ChatGPT Health

#590

Post by bhelkey »

mangamadaiyan wrote: post #258
qgin wrote: post #126

I help take care of my 80-ish year old mother. ChatGPT figured out in 5 minutes the reason behind a pretty serious chronic problem that her very good doctors hadn't been able to figure out in 3 years. Her doctors came around to the possibility, tested out the hypothesis, and it was 100% right. She's doing great now (at least with that one thing). That's not to say that it's better than doctors or even that it's a goo…

Something to think about: perhaps the problem is with the duration of the appointment, and the difficulty of getting one in the first place? Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients. It's the healthcare system that's broken, and it _can_ be fixed without resorting to chatgpt. That it won't is the reality, though

The American Medical Association has long lobbied to reduce the number of medical schools, reduce the number of positions for new doctors, and limit what tasks nurse practitioners can do [1].

[1] https://petrieflom.law.harvard.edu/2022/03/15/ama-scope-of-p...

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