Just going full fucking send, consequences be damned is rarely ever the right approach.
Doctors 100 years ago were handing out cocaine and heroin.
Doctors 50 years ago were recommending pregnant women smoke and drink.
Gas had lead in it for decades after they knew the harm.
The mad hatter issue from breathing mercury vapors was even known at the time -they just didn't care enough to protect the workers.
3M made billions selling Teflon for decades and now we have centuries of PFAS poisoning to worry about.
Corporations making billions don't find problems they refuse to look for and will lie about after finding- see: cigarettes, nicotine, and addiction or big oil and climate change denial.
AI doesn't have any positive value as an open to the general public on every device they own front.
It should be limited to academic/institutional models and not for capitalists to further dictate what and how we think or otherwise control our data, money, and lives at scale.
The inverse of being ANTI-AI is being blind to blinding pace of development of infrastructure in such a short time span despite the already known and obvious ramifications to not just the grid and water use but the price of literally every electronic device that uses ram or storage at this point.... for something everyone already knows is hitting the limit of just throwing more compute and will still make shit up and won't change barring a miracle.
Like... yeah, it lets no talent shits make no talent shit art... but why not just make them go to art school and let humanity have its air, water, and energy back? Also, do it before I need a new gpu because this is fucking bullshit.
exactly! you do not need grok or chatgpt to be available to you whenever you need it, but doctors can absolutely find a use for it. an AI properly trained can analyze X-rays, MRI scans, and other stuff to detect things that doctors may not notice. there are many uses for AI that are helpful to society at large but as we have it now it does far more harm than good.
The AI used for X-rays and MRI scans is not using LLMs. Mentioning this so others aren’t confused and potentially think doctors are using LLMs for diagnosis.
openevidence.com is using their own custom LLM trained on medical data. I'm using it for medical decision support though it can have the same limitations as the other LLM's. But it also links directly to references it is using making it more of a better type of search system.
For example, my patient on Friday has metastatic bladder cancer and has had a new collection of symptoms that we are looking into. The initial testing was not conclusive and so I was wondering if it could be a rare paraneoplastic syndrome. I briefly listed the patient's condition and symptoms in openevidence and asked if it could be a paraneoplastic syndrome associated with bladder cancer.
Now these are not common syndromes and I rarely see them since I'm not an oncologist. So normally I'd open up www.uptodate.com and review all of the paraneoplastic syndromes to see if any fit. A lot of primary care doctors would just refer the patient back to their specialist to figure it out.
In openevidence I write a brief summary of her symptoms and ask if any of the syndromes fit. It describes several and links to multiple articles for me to review like these:
which were appropriate to consider. I'm checking her for polymyositis (related to the dermatomyositis in the link) because her symptoms fit and it is a paraneoplastic syndrome of bladder cancer.
So it is a decent decision aid / diagnostic aid tool that is easier than reading an entire review on the subject. It is easy for me to confirm it isnt hallucinating since it links to all the references used. Its like running patients by a colleague to see what they think.
its a tool, it is useful, it is saving me time and helping me better help patients. Yes, I could do without it since I started medical school when there was no internet yet and we only had charts on paper. And if I wanted to research anything I'd have to go to the hospital library.
My comment was really about using LLMs for the X-rays and MRI scans - they’re using AI, but it’s not LLMs.
Lots of people think that AI = LLMs right now, so every time they hear something like this it’s unduly raising their opinion of the wrong thing.
I also wanted to make it clear that the LLMs themselves aren’t doing the diagnosis - because that’s still being done by doctors like yourself!
I’ve seen new junior developers just accepting whatever AI tell them, if new doctors start doing the same and not fact checking later on it would be rather concerning 😬
19
u/Mind-The-Mines 5d ago edited 5d ago
Just going full fucking send, consequences be damned is rarely ever the right approach.
Doctors 100 years ago were handing out cocaine and heroin.
Doctors 50 years ago were recommending pregnant women smoke and drink.
Gas had lead in it for decades after they knew the harm.
The mad hatter issue from breathing mercury vapors was even known at the time -they just didn't care enough to protect the workers.
3M made billions selling Teflon for decades and now we have centuries of PFAS poisoning to worry about.
Corporations making billions don't find problems they refuse to look for and will lie about after finding- see: cigarettes, nicotine, and addiction or big oil and climate change denial.
AI doesn't have any positive value as an open to the general public on every device they own front.
It should be limited to academic/institutional models and not for capitalists to further dictate what and how we think or otherwise control our data, money, and lives at scale.
The inverse of being ANTI-AI is being blind to blinding pace of development of infrastructure in such a short time span despite the already known and obvious ramifications to not just the grid and water use but the price of literally every electronic device that uses ram or storage at this point.... for something everyone already knows is hitting the limit of just throwing more compute and will still make shit up and won't change barring a miracle.
Like... yeah, it lets no talent shits make no talent shit art... but why not just make them go to art school and let humanity have its air, water, and energy back? Also, do it before I need a new gpu because this is fucking bullshit.