You sound like a good doctor. Unfortunately I have seen very bad patterns repeatedly:
Organizing your statement helps yourself and the clinician.
3 page summary produced at great cost by a distressed person outlining 1. medication history, 2. course of treatment and effects, 3. background medical problems. Ignored, even with repeated requests on the basis of having trouble keeping it straight.
Think thrice about withholding information from the doctor
Doctors doing wink wink nudge nudge to get the person to not say things that might imply liability in order to avoid just stonewalling or giving a halfhearted referral elsewhere.
I am genuinely sorry to hear about your negative experiences with other doctors, either personally or second-hand. I would not be so bold as to call myself the best clinician around, but I try and make up for that with good bedside manner, patience and an open mind.
Doctors are not a homogeneous population, unfortunately there are those who react poorly to perceived challenge. I can’t bring myself to hate them, I have felt my patience running short when someone with uncontrolled diabetes shows up with their toes on the verge of falling off and reveals that they refused to take medication as prescribed and decided to use a combination of old Google, influencers and other questionable sources to opt for homeopathy. This is has happened more than once, though I didn’t keep the toes. Fortunately, even free ChatGPT is a clear improvement in terms of quality of information and presentation to laymen. I would be genuinely surprised if it defended homeopathy without very significant nudging.
I will note that I have long become accustomed to other doctors taking me extra seriously, both from presumed priors about my clinical knowledge and professional courtesy. It’s one of the few perks of the profession, I am unfortunately not an American doctor and paid far less than I’d like.
>Doctors doing wink wink nudge nudge to get the person to not say things that might imply liability in order to avoid just stonewalling or giving a halfhearted referral elsewhere.
True, but I am writing for a well-informed lay audience here, and I did say to reflect on it very hard instead of attempting to forbid it entirely. I have not yet had any LLM tell me to not disclose something to another doctor, so I can’t judge if they are potentially justified if and when doing so. I would strongly recommend the average LW user not do it, if they’re entirely using their own judgment instead of being advised by a human doctor or an AI to do so.
You sound like a good doctor. Unfortunately I have seen very bad patterns repeatedly:
3 page summary produced at great cost by a distressed person outlining 1. medication history, 2. course of treatment and effects, 3. background medical problems. Ignored, even with repeated requests on the basis of having trouble keeping it straight.
Doctors doing wink wink nudge nudge to get the person to not say things that might imply liability in order to avoid just stonewalling or giving a halfhearted referral elsewhere.
I am genuinely sorry to hear about your negative experiences with other doctors, either personally or second-hand. I would not be so bold as to call myself the best clinician around, but I try and make up for that with good bedside manner, patience and an open mind.
Doctors are not a homogeneous population, unfortunately there are those who react poorly to perceived challenge. I can’t bring myself to hate them, I have felt my patience running short when someone with uncontrolled diabetes shows up with their toes on the verge of falling off and reveals that they refused to take medication as prescribed and decided to use a combination of old Google, influencers and other questionable sources to opt for homeopathy. This is has happened more than once, though I didn’t keep the toes. Fortunately, even free ChatGPT is a clear improvement in terms of quality of information and presentation to laymen. I would be genuinely surprised if it defended homeopathy without very significant nudging.
I will note that I have long become accustomed to other doctors taking me extra seriously, both from presumed priors about my clinical knowledge and professional courtesy. It’s one of the few perks of the profession, I am unfortunately not an American doctor and paid far less than I’d like.
>Doctors doing wink wink nudge nudge to get the person to not say things that might imply liability in order to avoid just stonewalling or giving a halfhearted referral elsewhere.
True, but I am writing for a well-informed lay audience here, and I did say to reflect on it very hard instead of attempting to forbid it entirely. I have not yet had any LLM tell me to not disclose something to another doctor, so I can’t judge if they are potentially justified if and when doing so. I would strongly recommend the average LW user not do it, if they’re entirely using their own judgment instead of being advised by a human doctor or an AI to do so.