Medical Gaslighting

[somarco]

anecdotal stuff where people have uploaded their MRI's to Grok and gotten the same diagnosis as the person who reads the MRI and gives their assessment.

AI (generally) does not have access to your medical records . . . other than perhaps the lab, MRI, etc.

AI does not know anything about your medications, overall health, etc.

AI is quick with some degree of accuracy on certain things but, at least at this point, it is not on part with HAL 9000

Some of the following might be eye opening . . .

AI Misdiagnosis

Know the potential risks of AI misdiagnosis in healthcare and learn how to navigate these challenges with insights from Salvi Schostok & Pritchard P.C., your trusted medical malpractice attorneys.

www.salvilaw.com

Who’s at Fault when AI Fails in Health Care? | Stanford HAI

Hospitals are increasingly adopting AI tools for patient care. They need to be thinking about liability.

hai.stanford.edu

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2784385

 

[sman]

From research I have read AI is good at routine issues and clear cut diagnosis. It is not good at dealing with complicated cases.

The use of AI to write visit notes (something the Cleveland Clinic is thinking of doing) concerns me as I doubt some medical providers will spend the time to read it carefully or correct the mistakes in it. There are already enough mistakes in electronic medical records. Doing this will only make it worse. Yes medical professionals need a way to cut down on the time it takes to do this kind of stuff but I don't think this is the way to do as there will be no way or little way for systems to tell if the person corrected them or just hit submit. Yes keystroke tracking or timing how long they are in it will do that but I'd think professionals would scream about keystroke tracking and time the file is open as the proxy measure is easy to defeat.

Already there is a problem with your medical team answering messages with "we will send this on to the team (when they are the team) or uploading patient instructions instead of visit notes and then taking ages to upload visit notes. Satisfies the bean counters and defeats the purpose of the rules.

It's interesting how differently doctors prepare their visit notes. I had a podiatrist (had to have foot surgery in 2008) who would walk into a closet with no door and speak his notes into a recorder. I can only assume he would then have someone transcribe those into written format.

On one of my follow up visits I walked to the checkout desk which was in direct sight of the closet. I told the lady at the front desk we were waiting on the doctor to bring the file. As I saw him exit the "closet", I said, well look at that, Dr. Alvarez has come out of the closet. He just smiled and shook his head.

The other thing I have seen which is interesting is doctors looking up information about a medication or condition. I guess we should be thankful they are at least researching it. But I need them to know for certain about a diagnosis or when prescribing a medication. Again, they are practicing medicine. They may have more knowledge than us, but much of that knowledge is available to us with research.

I'll add to that by sharing an experience my daughter had. She has had a hear tissue for a while. There is a procedure her cardiologist said she may be a candidate for, but her cardiologist doesn't do it. So she referred my daughter to who is the only one in the state who does it. After meeting with my daughter and looking over the tests that had already been completed, he didn't think she was a candidate. She pushed him and asked if he would still do the test to see. He reluctantly obliged her. The test showed she was in fact a very good candidate for this procedure. She had it completed in October and she has had no fainting spells since. Had she just took his initial word, she wouldn't have had it done and would have continued to have fainting spells regularly.

I'm grateful for the doctor finally doing it, but frustrated my daughter had to fight for him to do the test and discover she was a candidate.