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ChatGPT Health

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Re: ChatGPT Health

#671

Post by wookmaster »

542354234235 wrote: post #484
utopiah wrote: post #434

Earlier quoted context omitted.

> 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…

The opposite is true also, if no company is paid or eager to dig into it, it could be significant and we don't know.

Re: ChatGPT Health

#672

Post by rl3 »

threethirtytwo wrote: post #646
rl3 wrote: post #639

Earlier quoted context omitted.

> Are you joking? No. The human body actually isn't a 737. > This statement you made here is manipulative. You know what I mean by that comparison. Don’t try to spin it like I'm not talking about human lives. Let me spell it out then: The mechanisms by which a human body and a 737 work are so vastly different that one may as well be alien to the other. It's quite an apples and oranges comparison. Yeah, you can draw p…

>No. The human body actually isn't a 737. No shit sherlock. >Let me spell it out then: The mechanisms by which a human body and a 737 work are so vastly different that one may as well be alien to the other. It's quite an apples and oranges comparison. Should've done this in the first place because no one understands what you're saying otherwise. The problem internals are different but we are comparing the outcome and…

>And again, it's not the doctors fault that they are incompetent.

I don't know how you expect people to take you seriously, but good luck.

Re: ChatGPT Health

#673

Post by otabdeveloper4 »

adventured wrote: post #420
otabdeveloper4 wrote: post #396

Earlier quoted context omitted.

"Rich doctor" is a thing only in the U.S., and that's due to collusion and price fixing, not because American doctors are better somehow. In the rest of the world doctors are basically like white-collar car mechanics, and often earn less money and respect.

That's false. One example: "According to the Government of Canada Job Bank, the median annual salary for a General Practitioner (GP) in Canada is $233,726 (CAD) as of January 23, 2024." That's roughly $170,000 in the US. If you adjust for anything reasonable, such as GDP per capita or median income between the US & Canada, that $170k figure matches up very well with the median US general practitioner figure of around…

Canada and the US is literally the same thing, obviously I didn't mean Canada.

Re: ChatGPT Health

#674

Post by lesostep »

ToucanLoucan wrote: post #596
nradov wrote: post #580

Earlier quoted context omitted.

Well now you're talking about a different problem and moving the goalposts. It would be impossible for every other problem to stay the same under a single-payer system. That would solve some existing problems and create other new problems. In particular the need to hold down government budgets would necessarily force increased care rationing and longer queues. Whether that would be a net positive or negative is a com…

> Well now you're talking about a different problem and moving the goalposts. I am absolutely not. I am reacting to what's been replied to what I've said. In common vernacular, this is called a "conversation." To recap: the person who replied to me left a long comment about the various strugglings and limitations of healthcare when subjected to the whims of insurance companies. You then replied: > I generally agree (…

>> extensive therapy simply isn't available at all because the government refuses to pay for it.

I don't know any country that has banned paid healthcare just because they have government run one.

If you can pay out of your pocket for it in USA system when denied by insurance company then you would be able to afford it when denied by goverment. Since the criteria of whats necessary wouldn't shift (hospitals might even more money per patient)

Re: ChatGPT Health

#675

Post by NuclearPM »

_qua wrote: post #668
NuclearPM wrote: post #228

Earlier quoted context omitted.

No, I confirmed it by watching her get a rash immediately after eating anything with tartrazine.

You came in, you told a doctor that she ate a specific food and immediately got a rash and GI upset and the ED doctor did not diagnose anaphylaxis?

No.

Re: ChatGPT Health

#676

Post by ethbr1 »

qiine wrote: post #658
ethbr1 wrote: post #615

Earlier quoted context omitted.

A boxing referee says "Protect yourself at all times." They do this not because it isn't their job to protect fighters from illegal blows, but because the consequences of illegal blows are sometimes unfixable. An encouragement for patients to co-own their own care isn't a removal of a physician's responsibility. It's an acknowledgement that (1) physicians are human, fallible, and not omniscient, (2) most health syste…

I see. My question is, since you understand this very well, how successful are patients (that manage the effort) at both acquiring scientifically accurate knowledge and improving their health meaningfully? And maybe share some tips like good knowledge databases?

I've seen patients (both family and non) meaningfully improve their health outcomes with statistically-significant frequency primarily via 4 methods.

1. Take ownership of their own medical records, learn them, and bring them to appointments. The most common failure in the current US medical system is incomplete/missing record transfer because of disconnected systems. Physicians will almost always attempt to confirm critical details, but that doesn't help if the patient says "I don't know."

2. Learn basic medical system-level knowledge relevant to a case. E.g. college 1xx freshman-level. No need to become an expert, but if a patient is dealing with kidney issues... it's pretty important to learn the basics about what kidneys are and do.

3. Ask about alternatives. "If we didn't go with that plan, what would be your next two recommended plans, and why aren't they first?" Having that alternative context is especially helpful when visiting specialists / other parties, as the patient can more fully describe the thinking behind their treatment plan. Also when researching online, the context helps avoid obvious pitfalls. (And yes, sometimes the reason will be "Because your insurance wouldn't cover X", which is also useful to know)

4. Use second options to measure uncertainty about the primary plan (e.g. everyone agrees vs it's debatable), but don't treatment-shop. The useful piece of information is opening a discussion about specific alternatives, while also listening to reasons against them.

Peer reviewed studies are surprisingly accessible (e.g. PubMed et al.), but they're also functionally useless without basic medical knowledge and details about a specific case.

Finally, for potentially lethal and/or lengthy conditions, I'm a firm believer that any empowerment improves outcomes simply by making the patient feel more involved and in control of their care.

Almost every "that could have been avoided" case I know was a willfully-ignorant and/or disinterested patient.

Re: ChatGPT Health

#677

Post by undeveloper »

lm28469 wrote: post #585
undeveloper wrote: post #501

Earlier quoted context omitted.

> 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 o…

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

I, and pretty much everyone I talked to who was diagnosed with adhd in late teenage years on, actually primarily used executive dysfunction to self diagnose and then persued official treatment. you pulled that straight outta your asshole, shove it back up there

> doctors don't seem to view this as a root cause

how the hell would doctors know? bring this to any psych and they'd immediately tell you to knock that shit off, but what the hell else are they supposed to do?

> I never said adhd doesn't exist or shouldn't be treated btw

your opinions seems to boil down to "lmao just try harder", which seems less useful than throwing pills at the problem. you have the mental model of a cat

> proooojecting

the words of someone who can't articulate their position

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