After AI made the diagnosis, did it counsel the pt? Did it ask about the pts thoughts and fears and concerns about the diagnosis? Did AI understand the atavistic worry about the future that pts with a new diagnosis often have? Did AI help stem the pts tears? I’m with the Prof on this - ThreadSky

nysuri.bsky.social • 47 days ago

After AI made the diagnosis, did it counsel the pt? Did it ask about the pts thoughts and fears and concerns about the diagnosis? Did AI understand the atavistic worry about the future that pts with a new diagnosis often have?

Did AI help stem the pts tears?

I’m with the Prof on this

Reposted from Trish Greenhalgh

I'm increasingly seeing "AI made a diagnosis that doctors [might have] missed". Okay, AI is good at pattern recognition. But medicine isn't just diagnosis. Indeed, diagnosis is often the easy bit. Would you entrust your health decisions to a bot who can't pick out the traffic lights in a captcha?

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dr-lungs.bsky.social•47 days ago

Did AI manage to rephrase its questions to elicit the relevant history to make thr diagnosis? Did it pick up unspoken clues? Did it explain the diagnosis in language the patient could understand? Did anyone (patient, Dr, student) learn from the experience?

sarah-owl.bsky.social•46 days ago

Did AI understand Doric, Shetland or Glaswegian dialect words for symptoms? Did it understand the difference between “nae affy weel”, “nae weel” and “affy nae weel”?
Could it identify that this wee wifie is downplaying her symptoms because she cares for her elderly dad?

drcjohn.bsky.social•46 days ago

But it's not replacing, it's helping. Surely it's a good thing to catch missed diagnoses?

nysuri.bsky.social•46 days ago

Do you truly think any govt wants ai to help, not replace, us?

drcjohn.bsky.social•46 days ago

It's not a binary answer. AI has huge potential to reduce errors and streamline care, so I would hope it can replace some of the low value work we do. Will it replace all we do, patently not.

niamhie.bsky.social•45 days ago

AI also is protocolised devaluing gestalt &risking diagnostic momentum. It helps speed but the systems I’ve seen in healthcare are inclined to e.g sift ‘chest pain’ the perennial presentation rapidly into possible aetiologies & down that path of Q. It ofc lacks any compassion or humanity.

nysuri.bsky.social•46 days ago

Ai- as it is now- has minimal benefit and brings world destroying environmental catastrophe with it due to the energy requirements

That’s the current place we are

Medicine is not a series of tasks, it’s an entire professional way of pt care

I’m intrigued by ‘low value’ work as an idea

niamhie.bsky.social•45 days ago

It’s an art and a science. The subtleties in response to questions &answers given, the human response to delve further down a line in response to verbal&non verbal cues, combined w expertise & up to date EBM in addition to own review of HIE or patient records is what makes a superb diagnostician

drcjohn.bsky.social•46 days ago

There is so much low value work for doctors! Writing into EPRs, typing clinic/ discharge letters, completing outcome forms, sifting through loads of PDFs for the right patient info, reviewing incorrect/inaccurate referrals....

nysuri.bsky.social•46 days ago

Writing notes is a way of gathering thoughts and actually putting the pt story together, sake with letters

Reviewing referrals allows pt safety

Searching for info- even in the ed, going through pt notes/pdfs is an excellent way of finding info that you don’t know that you don’t know

So🤷🏽‍♀️

drjanemc.bsky.social•47 days ago

The worry is that doctors will switch their brains off and just rely on the bot

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