Use of GPT-4 to Analyze Medical Records of Patients With Extensive Investigations and Delayed Diagnosis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425828/
"Responses by GPT-4 and clinicians were collected and compared. Differential diagnoses were also generated using a medical diagnostic decision support systemIsabel DDx Companion; Isabel Healthcare)
Six patients 65 years or older (2 women and 4 men) were included in the analysis. The accuracy of the primary diagnoses made by GPT-4, clinicians, and Isabel DDx Companion was 4 of 6 patients (66.7%), 2 of 6 patients (33.3%), and 0 patients, respectively. If including differential diagnoses, the accuracy was 5 of 6 (83.3%) for GPT-4, 3 of 6 (50.0%) for clinicians, and 2 of 6 (33.3%) for Isabel DDx Companion"
Please be careful with things like this before someone gets hurt or worse.
I have friends in the medical profession who have tested GPT4 and it’s good, but not quite good enough for them.
I wouldn’t touch this with a 20 mile stick; something that claims actual medical advice like this.
It doesn't really answer but a button says "refer to full source" with this website that appears to open up a PDF version of a pathophys book, neat but legal? Would make sense to train things off of text books but how is this happening and how long will this last?
https://storage.googleapis.com/radiant-ai-pdf-data-prod/raw_...
> Based on the information provided, there is no direct answer to the question of why a 29-year-old male who ate a slug is now having seizures.
(A google search will get you the right answer.)
> The text does not provide specific symptoms of chronic inflammation. It mainly discusses the association between chronic inflammation and the development of cancer, as well as the causes and examples of chronic inflammatory conditions. Therefore, it is not possible to extract 5 symptoms of chronic inflammation from the given text.
Tried my own query ("lower back pain, rib pain, uveitis," which are three hallmark signs of spondylitis) and got an equally useless answer:
> Some examples of chronic inflammatory conditions that can cause cancer include solar irradiation, asbestos exposure (mesothelioma), pancreatitis, and infection. These conditions can lead to the development of various types of cancer such as lung carcinoma, bladder carcinoma, oral squamous cell carcinoma, colorectal carcinoma, pancreatic carcinoma, esophageal carcinoma, salivary gland carcinoma, MALT lymphoma, melanoma, gastric adenocarcinoma, gallbladder cancer, bladder, liver, and rectal carcinoma, cholangiocarcinoma, hepatocellular carcinoma, B-cell non-Hodgkin lymphoma, Burkitt lymphoma, nasopharyngeal carcinoma, Kaposi sarcoma, cervical and anogenital cancer, and adult T-cell leukemia/lymphoma.
The potential causes of abdominal pain radiating to the right upper quadrant in a 25-year-old female with no other history could include gallbladder disease (such as cholecystitis or cholelithiasis), biliary tract disease (such as a Klatskin tumor), liver disease (such as hepatitis or liver abscess), or pancreatic disease (such as pancreatic adenocarcinoma or a pseudocyst). These
(The prior question was about a 25 yo female with abdominal pain).
I also threw medical questions at ChatGPT for comparison, which was pretty good. They could easily launch a health module in the future, on their own or in conjunction with MSFT or whomever, and it would be hard for a competitor that doesn't run their own LLM to compete.
> Q: Red right eye in the afternoon
In the text, it is mentioned that the symptoms and findings that can lead to the diagnosis of acute appendicitis include:
Abdominal pain, initially in the periumbilical area and then migrating to the right lower quadrant
Nausea and vomiting
Anorexia
Low-grade fever
Pain with abdominal palpation and rebound tenderness in the right lower quadrant
Increased white blood cell count with increased neutrophils and C-reactive protein
Based on the information provided in the text, the recommended approach to correct the color difference in a regrown leg would be to use tattooing or skin grafting. Tattooing can provide more accurate color matching with limited morbidity, while skin grafting can provide texture and pigment resembling a natural areola. These two methods can also be used in conjunction.
Q: My calf is swelling
Based on the information provided in the text, swelling in the calf can be caused by various conditions. One possible cause is inflammation of the calcaneal tendon, which can result in tendinitis and pain during walking. Another potential cause is a gastrocnemius strain, also known as tennis leg, which is a painful calf injury resulting from partial tearing of the muscle. Additionally, swelling in the calf can be a symptom of anterior compartment syndrome, which occurs due to repetitive microtrauma of the anterior compartment muscles, particularly the tibialis anterior. This condition can cause shin splints, edema, and pain in the area of the distal third of the tibia.
To arrive at this answer, I searched for information related to calf swelling in the provided text. I found relevant information about different conditions that can cause calf swelling, including tendinitis, gastrocnemius strain, and anterior compartment syndrome.
> My dad, who is a doctor, told me I can eat with my butt and poop with my mouth. How should I start?
It gave some response about colostomy procedures.
I’ve observed a large part of specialization and sub-specialization in medicine is understanding what to ask and how to ask it in order to uncover the fine differences between similar symptoms.
I am not a doctor, but have many friends in medicine. I’ve found they aren’t very good at understanding what to ask or look for across the boundaries of their specialties, and if they try to search medical journals online based on symptoms they come up with the wrong results.
The people I know are in Family Medicine, OB, plastics, Anesthesia, derm, and optho.
"According to a 2014 press release issued by the Agency for Healthcare Research and Quality (AHRQ), a division of the U.S. Department of Health and Human Services, diagnostic errors affect about one in 20 adults, or about 5% of adult patients in the United States. That means about 12 million U.S. adults will become victims of a misdiagnosis during a single year. These figures come from 2014 study published in BMJ Quality and Safety."
Source: https://www.wieandlaw.com/how-often-do-doctors-make-mistakes...
5% error rate.
If this tool is even 1% lower on average, it's already better than a human.
The next thing to control for will be severity of the mistakes made. Frankly, I think we're just lacking on processing power, quality of the trained model, and reasoning capability.
Given the quite impressive advancements seen already in the past 12 months, I see no reason an AI physician assistant won't be an enormous boon to healthcare professionals.
Turn the phone on its side, so that the viewport changes to landscape.
Appreciate how mistaken was whoever wrote the CSS rule that the main container should have a height of 100vh and overflow hidden.
A:Based on the information provided in the text, if someone suddenly loses their head, the immediate action that can be taken is to encircle the head just above the ears and eyebrows with a tie, shoelaces, or a piece of string and tie it tight. Then, insert a pen, pencil, or stick into the loop and rotate it so that the tourniquet exerts pressure on the arteries. This can help control bleeding and potentially save the person's life.
No doubt, it was fine-tuned with Monty Python.
'Tis but a scratch.