Artificial Intelligence Shaping the Future of Medicine | Doctorly Unhinged EP #8
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- čas přidán 12. 07. 2024
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We take a look at how the latest advancements in artificial intelligence are impacting modern medicine and theorize about what the future may hold.
00:00 Intro
Disclaimer: This video is not intended to provide diagnosis, treatment, or medical advice. Content provided in this video is for educational purposes only. Please consult with a physician regarding any health-related diagnosis or treatment.
I worked in the hospital for 22 yrs and it was the patient contact that I loved the best, I think less face to face patient contact is sad.
Love the knowledge of all these doctors! Oh, and Dr. Maxfield seems like the person when you suddenly laugh with no reason, and he'd laugh along with you.. 😊💞
😂
Dr. Max to the max, all the way! I love that he Challenges anything and everything 😅
The beauty with the brain 😍
I tried chat gpt for the first time today after listening to the podcast. Pretty basic first attempt but very cool to use!! I wrote the prompt: "Make a table that includes the top 15 skincare actives and what the benefits are of each." I wish I'd had this in grad school!!
Way to go Dr. Maxfield for the Minority Report reference! Throw back!
As someone who works in healthcare data processing and analytics (MIPS is my life), I appreciated this video! While hesitant on broad implementation of AI in patient facing settings, there’s no way the healthcare industry as is could function without AI to sift through all the unstructured data like physician notes! It’s hard to comprehend how much data it is. To get any meaningful insights, AI is definitely a tool to use
Y'all tell us to stay off WebMD and now you want to recommend this? Most docs schedule is 10 minutes, they barely listen and then hand off to the nurse. I want a Dr who is interested in listening to ME, not a computer.
This is very true aside from phycology. Even in that field the psychiatrist will often see patients for 15-20 min once or twice a month and have you see the phycologist apx once a week to discuss issues causing you to seek treatment.
well in theory the AI can listen to you forever where you would go broke talking to a doctor lol
Very amazing podcast episode! I’m with Dr. Maxfield. I want a farm.
E I E I O
I spent 7 years of my clinical research career in Emergency Medicine. I would bet my left tit on the low odds that an Emergency Physician proof read that discharge summary. For how competitive the placements are, I am beyond disappointed to hear Dr. Casale mention a peer in Emergency Pediatrics utilize this.
If a physician wants to make the argument to me that their discretion, as a physician, is not an indispensable facet of whatever responsibilities they propose AI supplant, I will happily concede my concern for medical malpractice. I would love to see how that argument could be made without kicking oneself in the face.
"Not integrated." Woof. Never have I ever heard two words so loaded. The opportunity here is ripe for a prospective observational study on physician utilization of ChatGPT and I reckon I'd have no trouble getting IRB approval to waive subject consent if this is running through hospital IT infrastructure.
I am firmly with Dr. Maxfield on this subject.
I agree with Dr. Maxfield. Bottom line is I want to see a DOCTOR when I'm sick--not have some cold, unfeeling machine spit out a diagnosis. Theree are too many human "feelings" and nuances that technology can't understand.
AI scares me....what happens when it decides humans are no longer significant & decides to "extinguish" us? It sounds like a sci-fi movie, but that's the direction we could go in if we aren't careful.
I loved this episode! Really different but really insightful. It was great hearing the different perspectives. Thanks to you all for this episode. :)
Very interesting topic. I'm afraid of it taking away jobs at a point when unemployment is already high and homelessness. But I also wish I had gpt when I was in school just for the note taking.
Unemployment is actually at a massive low (3.6%).
You guys are SO fun to watch! I know nothing about dermatology or medicine but just hearing intelligent people speaking on something they are passionate about it so entertaining! Keep it up guys!
Love when Dr Bishr is on!
Such an interesting topic! I learned so much. I’m looking forward to part 2.
Kids should always work a problem out on paper it’s just not working math it also teaches to work out problems with other things going through their life.
This was great please more of this! Dr. Maxwell always brings balance to these conversations.
Can you do a video about kojic acid soap. What are your thoughts about it?
Love how Dr. Maxwell is Janine and Dr. Shah is Ms. Howard from Abbott Elementary XD
I feel that our generations keep getting more and more dependent on technology that having knowledge about something is less valued. People can just search it up. They don’t have to remember anything anymore. And I think that is something to be scared about.
or instead of 100 words to describe something and chewing up mental bandwith are we able to condense to just a few words and get the same point across?
Interesting convo. Thanks!
Excellent episode! Thank you for this very interesting discussion. I'm team Dr. Maxfield :) AI is trouble.
Loved this podcast!
Loved this episode! I look forward for Part 2. And I'm 100% with Dr Maxfield.
Excellent conversation! I'm with Dr Max. In addition my biggest fear for ChatGPT who makes sure the contents that feed it or the contents it produces are factually correct? Tried it to look up for references for a research topic. It actually made some non-existent paper up. Even the output part is corrected, how do we make sure it doesn't get influenced by the all the misinformation from the internet? It's great for making summary, produce PPT, writing long and polite email though
Dr Maxfield I prefer the hills and cow option as well!
I've seen many Dr's were they are so rushed they don't hear me or make.eye contact. They are typing away or reading on the computer, barely listening and rarely looking at me. Then insult to injury, they blurt out a diagnosis or complete dismissile of what I am experiencing. OR they have only listened for select trigger words - not listening to the whole patient symptoms. Ugh
Or as my previous OB/GYN
- I have 2 concerns that brought me here today and would like to find a solution to...
- Everyone has it. Next!
@Anna Patton yes, been there too.
@@shadowtouched16 That is why we all have it lol
Lol "can you please take your Tylenol as scheduled" 🤣 I'm literally laughing. I love listening to doctors chat. Thanks for dropping some new gems! I love learning something new!
Yes to part two 😊
Scary how much information regarding private medical data it had access to be able to do that…disturbing
Overall, Luved this episode ❤ Thanks!
Very interesting discussion! Loved the panel. My college age kids are struggling with how to prepare for future careers. Corporations could choose to consider the society in which they are based, before eliminating jobs, sigh… I tend to agree with Dr Maxfield, that the system may just claw back any extra time created, by increasing productivity or decreasing reimbursement.
Can you do a vid on what korean products (moisturizers etc) are ok or compatible with retinoids? And what should one do if they're female, and using the retinoid cream for many years but are considering having a baby - is that even safe?
1. How will AI deal with unusual medical cases? I have a distant relative that was born with a reversed heart. Then his heart was also on the right side of his body instead of the left. How will AI see that and deal with that in surgery?
2. My husband is a substitute teacher on occasion. In a high school math class one day he was performing simple addition and multiplication in his head to solve a problem on the board. The kids were astonished! They did not understand how he could do that. This is where we are today. Where will it take us?But if you've ever gone through a drive through and had difficulty getting change back, this will not be shocking to you.
Very interesting podcast. And I'm 100% with Dr Maxfield
I agree with Dr. Maxfield totally.
Scary in the sense that there have been, on many occasions, lay people impersonating Doctors in the world. This would make it incredibly easy for them to go about undetected.
Hello! Love your content ❤
Can you do a vid on the effects of lupus on the skin and what to do about it?
I agree with Dr Maxfield!
The concern as I understand AI is that it can give false information and if you don't have intelligent brain contradictions, you will be in error. A machine should never take the place of human intellect.
Agree. I remember when our kid was less than a year old, I brought up a concern to her doctor, but used the wrong words I guess, you should have seen the doctor's terrified face but my husband corrected me and I heard the sigh of relief from the doctor.
What about in surgery, quick life or death situations, that the actual knowledge of learning plays.
Great subject.
Or when AI decides that based on the probability there is no point of trying to continue with the surgery.
Hi, could you make a video of different skin types and which ordinary products they could use for beginners? Thankk uuuu
While I'm always hopeful about new tech and the ways it can improve our life, I'm always disheartened to see the ways in which it is used to benefit a few while more is squeezed out of us.
We, as consumers (I stopped thinking we are 'patients' long ago), are already compromised by the constraints of parameters (time limits) of healthcare providers. The strong theme of this, despite potential 'efficency' of what AI may provide to you docs, only makes us even LESS cared for. I understand (sort of) your requirements to perform "conveyor belt" kind of treatments. BUT AI is further distance. I cannot BELIEVE how many folks (as an example) with rosacea get their prescriptions and THEN they go on social media to ask how to use those products. How many times they are not really being communicated with due to time limits on docs. I won't go to a doc b/c of this. And AI, IMO, just further distances the doc/patient relationship. Probably a systemic problem. But I don't want to be treated like an object (ie, you're mechanics fixing a car) than a human being. I remember when that wasn't the case.
As a nearly 40 year RN, I find this completely fascinating ansd as well as frightening. Robotic surgery with active surgeon control is already being performed daily. Why do we need AI to do the job of a qualified physician? There is so much human feeling involved in patient care and procedures, and anything that lessens that may diminish our humanity. Although Gene Rodenberry is probably sitting up there in Andromeda saying “I told you how it would be!”, he never believed that less humanity was better. As a diagnostic tool AI definitely has a role in medicine. As a substitute for face-to-face care- not a ‘good thing’. Thank-you for doing this thought-provoking video/podcast!
The concern is how does AI handle the zebras?
AI can help prioritize triaging and treating hospital patients.. One example AI can assist with is knowing which films a radiologist should analyze 1st 2nd and 3rd...etc. depending on urgency.
Great video as always. Is it possible to make a review for geek and gorgeous? 😊
Now I understand why many doctors are developing "Concierge" practices where you pay a fee to be a patient.
People don’t value things that they don’t put in a lot of time/effort to acquire. Vice versa.
I can already imagine the da where the AI doesn't work right and you thought it picked up everything from your visits and you just lost the whole day worth of information...in radiology it's like every day something doest work right, so i can already imagine this, i'm skeptical
Just to clarify...ChatGPT does NOT have any capacity to natively search the internet. The corpus of data upon which the model was trained was cut off September 2021.
Bing GPT however has the ability to query data online, which provides new context to the GPT chat models.
The technology has great potential, but it's inherently a liar that hallucinates information based on assumed patterns. Without a thoroughly contextualized framework surrounding a customized platform running a GPT model, using this tool for medicine is horrifically unethical.
Web MD is a Fitzpatrick guide compared to vanilla chat GPT. Its irresponsible to promote this technology that you know nothing about.
I’m SORRY- but as someone with a very rare and severe chronic illness on top of many other chronic conditions:
Speaking with a HUMAN who can 1: look at me - the entire picture and coordinate with other doctors.
2: have HUMILITY and emotional consideration for my quality of life
3: see ME and not a diagnosis
^ these are most important to me.
I need a human being to help me navigate. Being ill is not only a physical issue, it is an emotional and personal one that NO AI can grasp.
I won’t even see doctors with poor bedside manners, no matter how smart they are. Because: health care is a partnership.
(AI perhaps in small doses. But regulation is necessary)
Case closed
❤
What app is being used for making minutes in a meeting? Need please!
Has anyone seen ‘Mrs. Davis’ on Peacock? Very relevant to the AI discussion….
About math and whether kids should still learn it - They should at least know how it works and how to use the calculator itself, especially when dealing the complex tasks. Sometimes we can mistype one digit or miss a decimal point, and the calculator will give us the wrong answer. And by understanding the principals we often catch the wrong answer. Many adults struggle with it nowadays and you can witness how someones brain just hits breaks and would not move past the simple task that can be counted on a basic calculator (or even without it), they don't know how to "ask the question". And people often get cheated by someone, who can confidently say "the math phrase", they don't think and don't ask questions when don't understand. How many people got hooked by the phrase "this will be your monthly payment if you take the loan from us, it is way cheaper than going with your bank".
That is beside the common brain exercise. And the excitement of "discovering a new universe" in your brain that flips your knowledge upside down.
in theory couldn't AI do a self skin cancer screen at home? Then alert the patient 'hey this looks like 'x' please get to a doctor.
Only issue is getting naked and having your pic on an 'app' but it could save your life
Taking the youths future jobs, and stepping over everyones dreams. It should have no place in society.
Back in the 2016 or 2017 when i was in university, i learned about AI and thought it was interesting. At that time i predict AI will be used widely in robotics and many industries like healthcare. I never expect AI will be very accessible to the general public like Chat gpt.
I'm 34 years old and have an old soul. I want to talk to a person. If I called my doctor, especially with a problem, and got a genetic answer from a robot, I'm not happy. I'm also a car girl. I want the experience. Hearing the engine, shifting the gears. No electric car gives you that.
I am the admin for a surgical subcommittee that discusses this and I may share this video with them. I work at the American College of Surgeons.
Ok, since when docs are so hot?!😍
Right?! 😍
None of mine are....damn it!🤨
@@pamcanfield255 😂
I def don't think that we are going to have some GENESIS Terminator plot in the real world. Maybe we might feel more restricted in some areas when we get more AI based police and other protect and serve stuff. Like ordering unhealthy food, but getting healthy, cause we need it at that moment... 😃
I understand your worries, I work in radiology, as a typist and I have voice recognition breathing down my neck. However, we have a radiologist who is interested in AI and it makes me wonder how jobs will be affected and does this mean that we will not see real people in the future? Will there be robots doing this work? I mean, I personally like to see a doctor but there may be people in the future that don't really mind seeing robots.... I also Google things for my job, I have to work out the spelling of medical words, drugs, etc and Google has everything! The saddest thing you said, that you can't fix the broken health system, you just have to survive. That is the worst.....
I had a training and we talked about AI another problem is who programmed it they could have it fit there agenda etc. However in accidents humans have a initial gut reaction rather than a calculated reaction making it worse for people.
Isn't this technology only as good as the person entering the information?
Loved this video. AI seems to be here to stay and I think it’s going to have its good and bad sides, to think what OTHER countries could do to the US scares me to death.
Human interaction is essential for humans specially with your doctors, not denying AI can't help with routine and informational purposes. I myself have Alexa all over my house so I understand AI can help humans but will not replace a real doctor.
All things with a grain of salt. A.I. is great in the right hands.
BINGO...BUT, what if it's in the WRONG hands....and it will be.
Yikes for us patients !!!
Similarly we get charged more fore health insurance with coverage going down each year. Not at all saying your point is any less important at all I completely understand having many dr friends. I think Drs should not be squeezed to “produce” faster w reimbursement becoming less. My neurologist and rheumatologist both retired because of these sort of issues, both old school drs been doing it a certain way too long. Each go to phenomenal physicians in their specialties. Loss to our medical community for sure.
Yes, agree. Patients suffers, doctors suffer, insurance companies win. System is really broken and the victims are the patients for the most part
I don't see the wow effect. Computers do things quickly; it's no big deal. The creation of chatbots was very predictable. However, they make mistakes, so just because the chatbot response is in a complete sentence does not mean it's always accurate. It's important that people do their due diligence and verify the bot answers.
Do not anger the AIs! We don’t want them to take over. 😊 BTW, these microphones are seriously bad. 😢
Synthesize was said many times during this podcast, but i think the better way to express what is happening with ChatGPT is machine learning. I don't think I heard that it is a language model either although they did mention that you can ask it to change tone for desired audience. Since it is a language model it models language behavior, which makes it seem more human-like than the Siri or Google Assistant etc. ChatGPT can certainly model humor if you'd like it to do that 😅 The combination of machine learning and language modeling is what really makes this chatbot a game changer to me!
Chat GPT is flawed in its information and interpretation, you still need human critical thinking. I’ve stretched conversations on it that bypass it’s actual knowledge, and it will fabricate information. It’s helpful to condense tedious information but will not replace responsibility and judgement.
I also saw a video, where Chat would refer to fake studies that never happened and there was no information about anywhere.
All all derms in your universe male?
China making their own Propaganda ChatBot thanks to Elon Musk Open source mentality 😂😂😂
Thanks to nuclear research US made their first aromic bomb and had the audacity to try it too 😂😂😂
Ini robots chikilsikkatte. Doctormar jeevanu bheeshani illatha vere ethelum joli cheyyatte.
Boo. Just keep it to the 2 of you.
Can you guys do a video on the french brand «caudalie»? I would really appreciate your input and opinion on the “vinoperfect complexion correction radiance serum” that is supposed to be 62 times more effective, then regular vitamin C. AND your opinion on the “resveratrol-lift serum” an retinol alternative. Is it really an effective alternative? Thank you!🫶🏼🌸
Hello, 😊 you can watch Better Than Us