Top
Best
New

Posted by engmarketer 10 hours ago

I used Claude Code to get a second opinion on my MRI(antoine.fi)
359 points | 467 commentspage 7
throwawayffffas 2 hours ago|
Fucking doctor google bullshit, they want medical treatment but don't want medical advice...
quacked 8 hours ago||
The thing that annoys me about AI discourse is that AI is a mathematical technique of rapidly increasing efficacy, and yet everyone personifies it. It would help if every time someone said "AI" they supplemented "a mathematical method where extensions onto a very large corpus of information are statistically simulated".

It's not true that "AI makes mistakes" or "ChatGPT is sycophantic". It's just that sometimes the simulated extensions to the training material are accurate, and sometimes they're not.

hawkice 8 hours ago|
I think this draws too strong a line between the matrix-math core and the harness that uses it. Those harnesses undoubtedly were built with purpose and the systems fail to achieve that goal. Common usage says the the DMV can make mistakes, like any systems, despite the DMV itself not being a person (and it is common to allege large organizations make mistakes even when no specific individual is making an identifiable mistake). This isn't person-language it's systems/purpose-language.
quacked 8 hours ago||
I understand and somewhat agree with your point, and might have phrased my comment differently. I think my main point is that experts aren't always going to beat "a dynamically simulated extension onto the training material". Often they will, maybe even usually, but sometimes they won't, and I feel like the people in this thread insisting that the experts will always know better are thinking about a competition between experts and a crazy robot instead of a competition between experts and math.
lutusp 8 hours ago||
> There's something incredibly peaceful about being in the hands of an expert you trust. You don't have to worry anymore and can let them guide you through the process.

> AI can absolutely shatter that feeling in an uncomfortable way ...

I see this as a field report in a time of fundamental transition, from a world without AI, to one that accommodates/incorporates AI. For this to happen, AI will need to become more trustworthy. As for the U.S. medical system, it can't get much worse.

I recently had a similar experience (meaning walking a fence between old and new methods), where I was told I could get an appointment with a human medical practitioner in nine months. So, to resolve my anxiety I consulted AI and got an instant diagnosis, one that was later confirmed by the inaccessible medics.

Being a born skeptic I wasn't going to act on AI's diagnosis, I just wanted to know what was going on, resolve some uncertainty. Another advantage: an AI chatbot doesn't say, "Wait, you're on Medicare? Hmm. See you in nine months."

Don't take this as an endorsement of AI's diagnostic abilities -- it's way too soon for that. In my case it was a slam dunk, about a condition I knew nothing about.

Kapura 8 hours ago||
I asked a bird about my father's potential prostate cancer. It gave extremely good advice.
light_hue_1 4 hours ago||
Go with your report back to your doctor.

A family member has cancer and we treat chatgpt as part of the team (our doctor's words). I ingest everything into it, work with it to make a good report. Then at the next visit we review it.

This gives you the best of both worlds. You get peace of mind and the doctor explains why and how the agent was right or wrong.

Twice now we've caught consequential mistakes (wrong pain medication and incorrect notation of the exact mutation that he has). Which have made a difference to his quality of life and treatment path.

Most of what the doctors have said is in line with the agent but when there have been disagreements they've been very reasonable. Sometimes the doctors have gone with the agent's version sometimes they've explained why that's inappropriate.

KerrAvon 7 hours ago||
Given the tenor of the comments on this article, I think reading TFA is super important, especially the author's disclaimer at the end, where they state that they're definitely not blindly trusting the AI at this stage, just that they find the differential unsettling.
neilv 9 hours ago||
This could be a starting point for consulting a different human expert for a second opinion (e.g., specific questions to ask about), but I wouldn't put much trust in Claude alone on this.

IME, on an almost daily basis, claude.ai and Claude Code are confidently wrong about something, and use polished language to assert nonsense.[*]

If it's doing that on something easy, like factual knowledge available in text on the Internet, or programming code that can be inspected easily and follows well-known rules, and I can tell, because I understand those things... then there's no way I'm going to assume that Claude doesn't also BS when it comes to someone else's field. Especially not a field that requires some of the smartest people to go a decade of training, just to get started in the field.

[*] And if I confront Claude with its mistakes, eventually it apologizes, and acts as if it's learned something, again mimicking word patterns it's heard real people use and mean, without meaning any of it. I wonder whether the AI user experience would be better, if LLM-ish interfaces weren't implicitly created in the image of fake-it-till-you-make-it overconfident performative sociopathic techbros.

paul7986 7 hours ago||
Went to a new dentist recently and his staff took x-rays of my teeth. I was then waiting for him to come speak with me about what the x-rays show him yet i just took a pic and uploaded it to Gemini. 9 months back my previous dentist said i should have a filling or potentially a crown was needed. I told Gemini this and that ive only about 3 fleeting pain issues in that area. With the x-ray and that info Gemini told me the exact same thing the dentist later came in and told me. If pain comes back and for long periods of time then there's an issue as the x-rays look fine.

Overall i see a great opportunity for x-ray techs (radiographers even when Jensen from NVidia says the first field he recommends not getting into - Radiology which is the step above) to open their own businesses for people who want to use AI for self care and help. Have one doctor or dentist on staff to use as needed.

tibbydudeza 7 hours ago||
I would trust a doctor with decades of experience and his diagnosis and treatment plan than some LLM.

It like using WebMD for any ache and pain and it is saying it might either be Lupus or cancer.

late2part 9 hours ago|
If you have 2 clocks you have none.
mcapodici 8 hours ago|
Or you have an interval?
More comments...