medgremlin

I worked professionally in medicine for a few years before starting medical school, and thus far my approach has been to entirely disregard anything they said on the subject and continue as normal unless the nonsense they're spouting has the potential to cause serious harm. Our patient care professor is training us to listen attentively, then dismantle the nonsense as politely as possible while guiding the patient's viewpoint back to something approaching reality.

There's some things you look for that are difficult to describe to someone who hasn't seen it before. That's part of why experience is so valuable in Emergency Medicine, and it's not uncommon to put your best nurses out in triage. People will do this kinda twitchy/wilting/loss of focus/change in pallor/change in posture right before they go down. I don't have a good way to describe it, and it might be easier to draw even, because it really is a body language thing and the general appearance of the patient that can inform your decision making.

I have thought about trying to plan out a learning algorithm that could spit out suggestions for triage level and preliminary tests based on input data like vital signs, symptoms, and complaints... but I would never implement something like that as anything beyond a tool for the nurses at triage to use. There would have to always be an option to override the algorithm because there's some aspects of patient presentation that are not easily quantifiable. I'd never be able to explain it in a way that one could input it into a computer, but even with my limited experience, I can tell which patients are going to crump on me.

NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.

At least I can rest assured of the fact that AI will be next to useless in my intended field. Emergency medicine is an environment where you get a random constellation of symptoms and complaints with very little direction on which are related to the current illness, and which ones are not currently relevant. Also, in the time it would take to get all the info into the AI for a trauma/cardiac/code situation, the patient might be dead or rapidly heading in that direction.

I try to remind myself that I've only gotten as far as I have because of hard work. I don't have any special talent, I'm not some kind of genius, I just know how to work hard for the things that matter.

Here's an article on one of the studies performed last year that showed that ChatGPT has, at best, a 64% chance of putting the correct diagnosis in its differential, and a 39% chance of getting the correct diagnosis as the top of their differential. Link to article: https://jamanetwork.com/journals/jama/fullarticle/2806457

Here's the article for the study they did using pediatric case studies: https://arstechnica.com/science/2024/01/dont-use-chatgpt-to-diagnose-your-kids-illness-study-finds-83-error-rate/ I was unable to get a link to the full PDF of the study in JAMA Pediatrics, but this article is a decent summary of it. The pediatric diagnosis success rate was 17%, and of the incorrect diagnoses, a substantial portion of them weren't even in the same organ system as the correct diagnosis.

As it stands, I would trust ChatGPT to be a scribe for a physician provided there is a sufficient speech-recognition system in place, but 64% in the best case scenarios is not a passing score for diagnosis of real humans.

As a medical student, I have a negative amount of trust in and/or respect for anyone in the healthcare sector that has a business degree.

Our server has been having some federation hiccups. I actually play with a really chill unit. Oddly enough, all the Arma units I've encountered have been pretty progressive. As a cis woman, I am almost always outnumbered by the trans gals because there's always a bunch of them around. Also, all the units I've been with have a negative amount of tolerance for bigots.

I pretty much always play as the medic in our PvE ops, and unfortunately I'm a little incompetent when it comes to actual combat, so I haven't been horrendously useful when we play Anyistasi.

I saw "milsim" in the title and came here looking for other Arma 3 nerds.

Day by Day Cafe in downtown St Paul is lovely. They have a nice library room to sit in during the winter and a patio with a koi pond out back for summer. They have some of the best breakfast food I've ever had and their early bird special is a really good deal (especially when I'm on nights).

The enshittification of AirBnB actually makes me kind of grateful that I stand to inherit my parents' timeshare that essentially just has a bunch of condos all over the place that you can book each year.