Artificial Intelligence in action

Hi Jeff @jeff97, Artificial Intelligence is moving really quickly and I think it can be helpful for sifting through large amounts of data but I've always had a concern about misuse. Probably instilled in me by the famous line in the movie clip - 2001: A Space Odyssey (1968) - I'm Sorry, Dave ... - https://www.youtube.com/watch?v=Wy4EfdnMZ5g.

On the plus side, I had the opportunity to attend the 2024 Care That Fits Conference (https://carethatfits.org/2024-workshop-rochester-mn/) held at Mayo Clinic Rochester and sat in on the AI breakout sessions. I was impressed by the researchers always focusing on what is best for the patient (IMHO). I did get a chuckle on the first day when one of the lead researchers in the AI group said "Artificial Intelligence is NOT Intelligent". I also got a good chuckle from one of the presentation PowerPoint slides on Thursday. A picture is worth a thousand words 🙂

John @johnbishop The connection to 2001:A Space Odyssey also occurred to me, with the image of HAL listening in the background to a doctor and patient in the examining room.

The conference you attended sounds interesting.

I’m impressed with google artificial intelligence. You can make an assertion and it says whether or not it is true. The problem is that artificial intelligence seems to regurgitate what gets repeated most often on the internet. Just because something gets repeated millions of times doesn’t make it true. If that was true there would be no need to do research.

I think real intelligence is the ability not to know everything!

HI @jeff97 was the form you signed an all encompassing agreement to apply to all of the appointment-notes for all of your doctor visits ? Did it a make a distinction between an actual transcript typed by a person ( I have a friend that does that). And in either case I would encourage everyone to read the notes carefully, I read a lengthy account of a visit, which was shared with the referring PCP, and then decided to edit it with track-changes! It really wasn't very accurate. But that created an issue , I sent the edited copy to my PCP's office and I was directed to submit a document change form !!

Have you seen this thread yet ?
https://connect.mayoclinic.org/discussion/what-do-you-all-think-of-social-media-listening/

I didn't spend a lot of time reviewing the form. I just looked at the notes from previous appointments, and it appears they use a template that is populated with quite a bit of data, and only a subset of data is changed with each appointment. I can see where errors would occur when data is carried over and not updated with current information.

I did read the thread you posted a couple of weeks ago. I thought the study was an interesting use of public information. The results of the study seemed pretty accurate based on my personal experience of GCA and PMR.

Not sure what I think about signing this form. To sign or not to sign, I'm not sure

When you say you had to sign a form saying AI could be used for your appointments, was there an option to say no you didn't agree to it? That's the option I'd be taking. If you sign a waiver and the robot gets it wrong, they have no responsibility.

I'm not too concerned about it. I'm a retired software engineer, so I trust the technology. The main thing I'm interested in about the appointment is the prednisone taper. As long as I keep reducing the dose, I'm happy.

"I just looked at the notes from previous appointments, and it appears they use a template that is populated with quite a bit of data, and only a subset of data is changed with each appointment. I can see where errors would occur when data is carried over and not updated with current information."
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Can artificial intelligence integrate with EPIC somehow? All of the data in my electronic medical records from my previous visits are carried forward to the present as if nothing ever changes. Very little information is based on the present. I have a long medical history so the data that is collected is extensive. By my estimate, 99% of what is documented is about prior visits and maybe 1% is about the present visit.

My medical problem list still has, "history of long term and current use of prednisone." Long term use is true but not current use. Would artificial intelligence catch this and update my medical problem list?

That's interesting that you bring up EPIC. I wasn't familiar with Epic until you mentioned it, but when I googled "can artificial intelligence process epic medical records" there were a lots of matches, including several from Epic. Here is an interesting article that probably describes what is going on at my rheumatologist's office, where the AI listens and then summarizes the office visit - https://www.healthcareitnews.com/news/how-epic-using-ai-change-way-ehrs-work. In that article the Epic head of research says the doctors using AI should make sure humans are making the final decisions.

It's interesting too where you say prednisone is listed as one of your medical problems. In my medical chart, GCA, prednisone, and Actemra are listed as my major medical issues.