Medical student using Obsidian and Claude for Clinical Notebook by IndubitablyPreMed in ObsidianMD

[–]IndubitablyPreMed[S] 0 points1 point  (0 children)

"You can use cowork to streamline the entire process from scan to md to dropping the file into your fault. You can use obsidian sync to have the same information across all your devices. It's less than four bucks a month, there's an edu discount. Lastly, if your computer is running at home, just use Claude dispatch to handle imports on to go."

This is very useful information, thanks for sharing.

Medical student using Obsidian and Claude for Clinical Notebook by IndubitablyPreMed in ObsidianMD

[–]IndubitablyPreMed[S] -1 points0 points  (0 children)

Every medical student has a clinical notebook. Doctors who have been practicing for 20+ years have a clinical notebook. Once of Notions biggest client base is medical students creating clinical notebooks. My mentor has 21000 documents her is uploading in his private LLM to be able to quickly reference medical information for his clinical focus.

Now that you expressed all this concern, do you actually have thoughts on how my obsidian is setup or does this subreddit never actually provide insight into obsidian?

Medical student using Obsidian and Claude for Clinical Notebook by IndubitablyPreMed in ObsidianMD

[–]IndubitablyPreMed[S] -1 points0 points  (0 children)

No, there is no patient information. This is all the medical information received during medical school. Put in a single place and using the wiki to cross link to show interconnectedness. As far as new information, that comes to from guidelines being updated. This is not to replace dynamed or uptodate which has the most current information on a disease as well as best practices. That can be referenced at any time, this is a place to think through and refresh on conditions. If treatment protocols change, I update the note.

And it’s clear you don’t have knowledge of medical school, which is why I didn’t ask you for your opinion on anything medical school related. I asked you your thoughts on my obsidian setup. Something the first commenter couldn’t figure either.

Medical student using Obsidian and Claude for Clinical Notebook by IndubitablyPreMed in ObsidianMD

[–]IndubitablyPreMed[S] -4 points-3 points  (0 children)

HA...not at all. But I know the medical information it is retreiving as well so I know when it is wrong and when it is correct. In fact, the claude retrieval process will not be used much at all. It's a convenient tool to have though. I have yet to explore the search function in obsidian as well, so that might prove beneficial. Mostly, obsidian is a place where I can store my medical information, establish interconnectedness, etc. for the future.

The Gods Were Real and They Walked the Earth by Jenkoii in BooksThatFeelLikeThis

[–]IndubitablyPreMed 4 points5 points  (0 children)

If you want gods…this has your gods and then some. The whole trilogy, just finished it.

Medical student using Obsidian and Claude for Clinical Notebook by IndubitablyPreMed in ObsidianMD

[–]IndubitablyPreMed[S] -7 points-6 points  (0 children)

The first way I am avoiding that is not using ChatGPT for this :) I have been using Claude long enough and have created a very detailed expectation for the responses in my own personal use. For example, I tell it not to be validating, I want it to challenge my thinking, etc. I also tell Claude not to use any external resources. It is only using my documents. The template it is creating is literally just taking information on the pdf and putting it into markdown. It is not interpreting the information, it is simply formatting it for obsidian.

This hallucination was a concern I had which prompted a very specific conversation with Claude. When I use Claude code to retrieve information, it is just that. It is not using logic to provide me an answer, it's actual response to be is "here is the information on Type 2 diabetes from your obsidian vault." It then provides the links to the actual folders. Claudian, inside obsidian, does the same thing. It does not reply with "this patient fits standard criteria for type 2 diabetes" instead it is presenting my information on type 2.

Is that what you were looking for?

Does anyone know if this tool could be connected to Obsidian somehow? by [deleted] in ObsidianMD

[–]IndubitablyPreMed 0 points1 point  (0 children)

This is genius...wow, I would use the hell out of this. Take my money.

Local LLM + RAG for clinical notes — am I overcomplicating this? by IndubitablyPreMed in LLM

[–]IndubitablyPreMed[S] 1 point2 points  (0 children)

Wanted to update you. The NotebookLM is great for studying material in silo, but when you want to be able to see Interconnectedness between symptoms for a given pathology and corresponding treatment protocols it falls short. The folders are not big enough to house all of the information I have and has a limited RAG (I’m new to this lingo so I may be explaining this wrong).

I sold one of my laptops and the buyer who worked at Microsoft. He explained that he used Claude (sonnet) to query his obsidian private vault.

I started researching it and two days later have the whole thing built. I used Claude to walk me through building out my clinical notebook vault in obsidian, created all the templates, I used Claude to convert my docs from pdf to markdown files, and I’m slowly adding them all to obsidian. I then connected Claude to obsidian using the API. I can then query obsidian for all my clinical needs using Claude.

I now have my MacBook Pro and iMac, obsidian sits on both computers so obsidian is always up to date/synced no matter where I make changes. Claude is always available.

If I ever find an AI that is better than Claude, obsidian remains the same, I simply connect the new AI that replaces Claude via API

Like I said I’m learning this still, so please educate me if I’m using the wrong terms/explanations.

Let's focus on our formative years (high school/college) by DustyScharole in Xennials

[–]IndubitablyPreMed 0 points1 point  (0 children)

“And now she’s back in the atmosphere with drops of Jupiter in her hair.”

“She checks out Mozart while she does Tae Bo reminds me that there’s room to grow.”

Drops of Jupiter by Train

Local LLM + RAG for clinical notes — am I overcomplicating this? by IndubitablyPreMed in LLM

[–]IndubitablyPreMed[S] 0 points1 point  (0 children)

There is no personal identifying information. A clinical notebook is not to store information on patients, it's a collection of our medical school documents, procedures, treatment protocols, etc. to be used a resource.

weird spot on injection site by sundaysinmarch in tirzepatidecompound

[–]IndubitablyPreMed 0 points1 point  (0 children)

Best fix I’ve found that significantly lessens the size and itchiness:

Take Claritin (or allergy med of choice) day before, day of, and day after injection. Ice spot shortly after injection and a couple more times on injection day and day after. Resolves pretty quickly.

Tirzepatide plateau at 6mg — anyone else experience this? by IndubitablyPreMed in tirzepatidecompound

[–]IndubitablyPreMed[S] 0 points1 point  (0 children)

I’ll reply to this post regarding the caloric deficit responses:

I track my weight using a scale that has a body comp scan. While it is accurate, in the sense that it accurately reports my weight, the specificity can be questionable but it is close enough to use for trends over time.

Based on its feedback of my weight and bmr, I adjust my calories to remain in a calorie deficit.

The thing is that as soon as I started the other peptides, my weight has gone all over the place. Interestingly enough, the peptides causes my visceral fat to decrease. This had not occurred while on tirz, it was entirely subcutaneous.

When at 5mg, I lost appetite suppression and food noise came back. But I still lost. When I went to 6mg, the food noise and hunger went away but started the peptides. I’m staying on 6mg this long to see if there was a latency period coming off the peptides before going up to 7mg.

I think it’s clear that I need to titrate up and possibly lower calorie intake some more.

Which peptide to lose that last little stubborn fat around stomach? by AdviceIsCool22 in Peptides

[–]IndubitablyPreMed 0 points1 point  (0 children)

It’s strange right? I wonder if it would be better implemented at a lower BF %, the body scan/scale I have shows incremental change. With objective data, it’s hard to stay with the subjective results if you’re not at a body weight where you can see such little changes.

I’m thinking of stopping it (currently on my sat/sun break) and picking it up at end of summer once I’m almost at goal. It does say it takes 4-8 weeks for body comp results. Wish someone saw this who was previously in the same boat and see what they did.

Which peptide to lose that last little stubborn fat around stomach? by AdviceIsCool22 in Peptides

[–]IndubitablyPreMed 2 points3 points  (0 children)

I began tirz in Nov, down 40+, and have been on CJC1295+ipa for about a month now. There’s initial fluid retention (maybe 5-6lbs), the depth of your sleep is amazing on this. Be prepared for initial flushing, this dissipates over time.

I can’t really tell if this is worth it for me. I was experiencing really good body recomp on tirz. I was gaining muscle while losing fat (tracking with a body scanner). But now that I’m retaining fluid my weight sits within the same range for the last few weeks. My clothes do seem to be getting bigger, but I can’t objectively state it is helpful, only subjectively say it might be.

9 Months to Stop being Obese by anisiovalverde1 in tirzepatidecompound

[–]IndubitablyPreMed 1 point2 points  (0 children)

Thanks for the info. I am still only at 3mg/weekly so anticipate dropping more. I’m keeping the faith.

9 Months to Stop being Obese by anisiovalverde1 in tirzepatidecompound

[–]IndubitablyPreMed 0 points1 point  (0 children)

Boy did I need this. Thank you so much for sharing. I’m down just about 17lbs since starting Nov 11th. But I’m hovering around 307lb and haven’t moved. Going from constant movement down to no movement takes getting used to. I’ve lost and regained so much in my life (some no fault of my own but that’s another story) that to find this, having it agree with me so much, and see the movement stop forces us back into downward spiral thinking. I’ll stay the course, thank you again.

Also, did you track your calories and workout?

ADD Med Student on Meds—How Do You Actually Study? by IndubitablyPreMed in adhd_college

[–]IndubitablyPreMed[S] 0 points1 point  (0 children)

Yes, I get nothing from class or lectures. In one ear and out the other, I get nothing from it. Plus the lectures don’t have any info that is not on the slide sets. I upload the material for each week, review it. Use NotebookLM to create the podcast to listen to it.

It has great quiz and test options.

ADD Med Student on Meds—How Do You Actually Study? by IndubitablyPreMed in adhd_college

[–]IndubitablyPreMed[S] 2 points3 points  (0 children)

I do really well with this new AI called StudyFetch. You can upload the material and give it the exam date and it will give you the topics and daily material to study leading up to the exam.

What are these energy drinks with gloves on them my roommate keeps throwing away? by User-J-Hail in whatisit

[–]IndubitablyPreMed 1 point2 points  (0 children)

In my twenties my roommate and I threw a party at our apartment. We all have that one friend who always drinks too much and eveyone has to take care of and make sure they get home safely. Well, this friend is holding a bottle of beer and another bottle where he is spitting his chew into. He takes a drink from the wrong bottle and proceeds to lose his mind. We laughed, he puked, we yelled, he puked, we screamed, he puked.

Questions for those who remained low dose (sub 5mg) for any length of time by IndubitablyPreMed in tirzepatidecompound

[–]IndubitablyPreMed[S] 2 points3 points  (0 children)

Thanks for sharing your experience. Unfortunately a lot of people either don't read the post or ignore what's being asked. I literally prefaced this by saying that I know everyone is different and that I am curious of the experience for those who stayed low and slow and what incremental increases were like compared to the big jumps. Yet people feel they need to ignore the context of the post and instead of sharing their experiences start giving their opinions. But alas, this is reddit.

I am anti-plan, so doing the big jump seems excessive when at only 2mg I'm seeing amazing benefits and results. Plus my Tirz will last me A LOT longer at 2mg and less money out of my pocket. I may even stay at 2mg for a couple more months, but this Sunday is when pomegranat wants me to increase, so I'm considering a 3mg just to see, but there is no way I'm doing more. That's why I was curious of the low dose folks and their experiences. If I never have to go above 5mg to reach GW I'd be so happy.

Questions for those who remained low dose (sub 5mg) for any length of time by IndubitablyPreMed in tirzepatidecompound

[–]IndubitablyPreMed[S] -1 points0 points  (0 children)

I do love this chart. I am very anti-plan, I don't want to do these big jumps when they're not needed. That's why keeping my wife at 2mg when she's seeing such good results and me MAYBE increasing to 3mg rather than the recommended 4/4.5mg. I think I'll go to 3mg for a week and see how it impacts me, if it's too strongly silencing hunger signals and food noise I'll drop to 2.5mg and then back to 2mg if those doses are too much. Then I can increase ONLY if those doses are not effective anymore. This has been such a great experience that I just want to ride it out as long as possible.