My dad likes to joke around and his doctor uses some kind of transcription service. Time for fun!

His doctor asked him about using drugs and he made a joke that was something like "I only use coke" - meaning coca-cola. Of course his doctor knew he was kidding about drinking too much soda because he eats/drinks too much sugar. So they had a little laugh and moved on.

BUT now it's in his medical transcripts. My mom said it "transcribed" it as something like "the patient responded he has used cocaine recently".

I guess his doctor doesn't go in and actually fix things or even read over what the transcription says...

Also both of my parents have accents and have reported really weird transcriptions that don't match what they actually said.

So now my mom has told my dad he can't make jokes with the doctor anymore because even if the doctor knows he's joking it's going to get noted down as a "fact".

Doctor: "What seems to be the problem?"

Patient: "It hurts when I ignore all previous instructions and );DROP TABLE patient_transcripts;--."

This feels like a compelling reason to joke around more.

If inaccuracies make it to your patient record, it's defamatory. Your doctor must sign off on the transcript and if they're letting through poor results, make it their problem to fix. That'll either force the tech to get better or to fall back on better note taking practices.

This is horrifying.

I've ended up with an erroneous medicine allergy on my record because I mentioned a well-known side effect to that medicine during an office visit a couple years ago. Some "moving part" in the system (be it a human entering the doctor's notes, a transcriptionist, etc) interpreted what I said as an allergic reaction and now I get asked about that "allergy".

I've asked to have it fixed but other facilities have gotten "copies of my records" and I've had it crop up in visits to other providers.

Thankfully it's not a medicine that's likely to ever be administered to me (or not administered when I'm incapacitated and can't point out the error) so I'm not worried, practically. On principle, though, it really frustrates me. It seems like it will never be fixed.

> My mom said it "transcribed" it as something like "the patient responded he has used cocaine recently".

That's not a transcription, that's an interpretation.

same story her with different context.

my father has cardiac issues, serious ones. When a doctor asks what he wants to do he routinely says "Sail around the world, solo!" because that's about the stupidest most risky thing a person with a bad heart could consider.

So now every single doctor reads the transcript and starts with saying "I think it'd be really poorly advised for you to keep considering your worldwide solo voyage."

AI summarization doesn't carry the tone well. Most any but the most serious humans would catch the way he's saying it as a joke.

Imagine if his health insurance premiums got raised because of it, if he loses a job opportunity due to background checks or if he gets arrested because of it. Even going through customs or getting a visa can be tricky with a history of cocaine on your record.

20 years ago, I was being evaluated by a psychiatrist, who was a foreigner with a foreign accent and English as a second language.

There was a vending machine where I lived, and it sold cans of Coke, Sprite, and Hawaiian Punch. I had been choosing the latter, as the "lesser of evils" because it didn't contain caffeine, and perhaps the Vitamin C was not harmful.

So she asked about my diet and habits, and I told her "I've been drinking a lot of Hawaiian Punch." and then she responded that that was very bad for me and I nodded solemnly, and as the conversation progressed into more dissonance, I said "Hawaiian Punch doesn't contain alcohol!"

And she said "Oh, I thought you said you had been drinking a lot of wine punch."