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el_benhameen 3 days ago

I don’t disagree that you should use your doctor as your primary source for medical decision making, but I also think this is kind of an unrealistic take. I should also say that I’m not an AI hype bro. I think we’re a long ways off from true functional AGI and robot doctors.

I have good insurance and have a primary care doctor with whom I have good rapport. But I can’t talk to her every time I have a medical question—it can take weeks to just get a phone call! If I manage to get an appointment, it’s a 15 minute slot, and I have to try to remember all of the relevant info as we speed through possible diagnoses.

Using an llm not for diagnosis but to shape my knowledge means that my questions are better and more pointed, and I have a baseline understanding of the terminology. They’ll steer you wrong on the fine points, but they’ll also steer you _right_ on the general stuff in a way that Dr. Google doesn’t.

One other anecdote. My daughter went to the ER earlier this year with some concerning symptoms. The first panel of doctors dismissed it as normal childhood stuff and sent her home. It took 24 hours, a second visit, and an ambulance ride to a children’s hospital to get to the real cause. Meanwhile, I gave a comprehensive description of her symptoms and history to an llm to try to get a handle on what I should be asking the doctors, and it gave me some possible diagnoses—including a very rare one that turned out to be the cause. (Kid is doing great now). I’m still gonna take my kids to the doctor when they’re sick, of course, but I’m also going to use whatever tools I can to get a better sense of how to manage our health and how to interact with the medical system.

parpfish 2 days ago | parent | next [-]

I always thought “ask your doctor” was included for liability reasons and not a thing that people actually could do.

I also have good insurance and a PCP. The idea that I could call them up just to ask “should I start doing this new exercise” or “how much aspirin for this sprained ankle?” is completely divorced from reality.

el_benhameen 2 days ago | parent [-]

Yes, exactly this. I am an anxious, detail-focused person. I could call or message for every health-related question that comes to mind, but that would not be a good use of anyone’s time. My doctor is great, but she does not care about the minutiae of my health like I do, nor do I expect her to.

lurking_swe 2 days ago | parent | prev | next [-]

I live in the U.S. and my doctor is very responsive on MyChart. A few times a year i’ll send a message and I almost always get a reply within a day! From my PCP directly, or from her assistant.

I’d encourage you to find another doctor.

shrx 2 days ago | parent | prev [-]

> it can take weeks to just get a phone call

> If I manage to get an appointment, it’s a 15 minute slot

I'm sorry that this is what "good insurance" gets you.