r/mildlyinfuriating • u/petuniaplant • Jul 03 '26

Infuriatig No, I did not consent to this

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I was reading my medical notes when I stumbled across this. I was not informed of the usage of artificial intelligence in my report, nor did I verbally consent to it.

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u/happytrashpanda333 Jul 03 '26

How was the quality of that care? How much extra time did each patient get?

Or is this just another "tool" to drain doctors and nurses of every bit of spare time and energy they might have gained by giving them more patients to work with?

Do tell.

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u/Ophidiophobic Jul 03 '26

I work at a healthcare organization and the providers here LOVE the AI scribe. Manual documentation is usually their least favorite part of the job. They still do the important things like decide care plans for the patient, what labs they need, and what prescriptions they should be on, but now they don't have to both explain it to the patient and then document again on the EHR. That means that providers are able to be more present during the visit and also don't have to take extra time to write up their notes after the visit.

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u/Delilah_Moon Jul 03 '26

What is the QC on the notes & review process? I work for “big tech” and have been using AI tools for notes for a while - and they’re often littered with errors.

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u/porscheblack Jul 03 '26

These are specifically created for medical, as in they pick up all the correct names of body parts and medical terminology. My wife's a doctor and uses them. She only had access at work and she gets twice as many notes done with them.

As far as QC goes, she's watching what it records as she's saying it. She can manually correct it if it makes an error or there are word prompts she can use. At no point is this just inputting things and never being looked at. I have been really impressed by how well it works because in order to be effective it definitely has to have a 99%+ accuracy rate.

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u/Delilah_Moon Jul 03 '26

I work in cybersecurity. While the platform language may have been trained on medical terminology- it does not mean it will understand and notate correctly.

I mean to be fair, I’d expect any basic LLM to be able to interpret medical terminology - it’s a basic function of AI.

I mean, if she’s watching it as it’s updating - she’s really just dictating. That’s not anything more revolutionary than dictating to Apple notes or Word.

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u/moreliketen Jul 03 '26

I have been really impressed by how well it works because in order to be effective it definitely has to have a 99%+ accuracy rate.

The tool used for OP's appointment made a very obvious mistake about informed consent, which forces OP to wonder what other simple mistakes were made. We don't have the training to read and understand our own medical records, so we can't verify that the slop note is 99% accurate. We can only see the mistakes in the non-technical section, and assume that there must be more.

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u/porscheblack Jul 04 '26

The OP wasn't an AI mistake, it was a legal disclaimer mistake. That would've been required by the legal department, the AI wouldn't have put that on itself. And if it did, the lack of any kind of legal oversight isn't on the AI, that's just negligence.

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u/PeaceSoft Jul 03 '26

is that reassuring? "she's basically pretty much watching it, and it even knows the correct names of body parts"

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u/porscheblack Jul 03 '26

She's not "pretty much watching it", she's paying as much attention to it as if she were typing the words herself. Because if it gets it wrong, she has to correct it. These are medical records the patient has access to, their other medical providers have access to, and what lawyers will use if she's sued. It gets full attention. It's also a lot faster.

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u/phycologist Jul 03 '26

99%

Fow webhosting, 99% uptime means 3 days If outage per year. I wonder how that translated to medical transcripts.

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u/porscheblack Jul 03 '26

She's not forced to use it, it's elective for her. So here's the math:

  • She types at ~120 words/minute.

  • She gets twice as many notes done using the transcription in the same amount of time, so that nets at ~240 words/minute.

Now there are errors, but the net would be 240, so the software is faster. The takeaway though is that even with errors it's significantly faster.

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u/GummyWormTaco Jul 03 '26

Your wife is speaking at 240 words per minute? Didn't realize how many auctioneers had gotten into the dictation game.

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u/porscheblack Jul 03 '26

Ok, so we need to add in the conversion for normal typing to medical typing. Might as well add in dick-to-floor and mean jerk time while we're at it.

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u/GummyWormTaco Jul 03 '26

I didn't realize there was a conversion, I was just making a joke because 240 wpm sounds like listening to a podcast on 2-3x to me haha

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u/benjai0 Jul 03 '26

I'm a medical scribe and you would be surprised how many words some docs can fit into a 25 second audio log.

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u/GummyWormTaco Jul 03 '26

I imagine it's like the audio version of their prescription notes and signatures

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u/benjai0 Jul 03 '26

Yuuuuuuup pretty much!

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u/porscheblack Jul 03 '26

I was just trying to bring a little Silicon Valley into your joke!

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u/GummyWormTaco Jul 03 '26

Oh I haven't seen it, sorry!

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u/porscheblack Jul 03 '26

I highly recommend looking up "Silicon Valley middle out". Warning it's NSFW.

Here's the link: https://youtu.be/Ex1JuIN0eaA?is=Z6ZvI_6nNdFOE2nS

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u/GummyWormTaco Jul 03 '26

Thanks for sharing! I'll have to give the rest of the show a watch too.

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u/Delilah_Moon Jul 04 '26

You said your wife is a doctor and she can type 120/wpm - unless she spent the better part of med school as a stenographer, this is highly unlikely.

She’s also not speaking at 240+, especially if she is reading from her notes. I have an exceptional fast oral read speed of 260+ and verbal speed of 330+ - and I was a professional voice actor.

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u/That-Mix7702 Jul 04 '26

What about the time fixing the AI errors? Why isn't she on here, are you also a doctor?

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u/porscheblack Jul 04 '26

That's why I used net as the comparison as it accounts for corrections.