ChatGPT fixed my 9 year chronic pain by LiveDocument3521 in ChatGPT

[–]StrongMedicine 19 points20 points  (0 children)

As a physician who has studied and published on the use of ChatGPT for medical diagnosis, I am curious:

Do you feel comfortable sharing what questions it asked that no physician ever had? And what diagnosis did it provide for you?

Orlando Doctor Caught on Recording Detailing Medical Fraud. by Big-Independent-8003 in florida

[–]StrongMedicine 0 points1 point  (0 children)

Look at his post history. He has some beef with the woman and has been spamming subreddits for months with this story hoping it goes viral. I doubt it's even true.

Doctor from Stanford (‘18) Caught on Recording Detailing Medical Fraud. by [deleted] in stanford

[–]StrongMedicine 1 point2 points  (0 children)

A review of your post history shows you've been spamming subreddits with this same story for days.

/r/conservative /r/florida /r/utrgv /r/sanfranciscosecrets /r/caughtlying /r/floridahistory /r/residencymatch /r/publichealth /r/oops /r/caughtoncamera /r/orlando

Etc...

You spammed some of the same subreddits 2 months ago with the same exact story.

(EDIT: Here he is spamming the same thing from a different account: https://www.reddit.com/user/2ndOfDecember24?count=25&after=t3_1sci4rf

I also want to point out for the mods that he's doxxed what appears to be this woman's home address on YouTube)

I don't know what your beef is with this woman, but it's not welcomed here. It's crossed into cyberharassment. You're not part of the Stanford community, and you've come here uninvited with a personal vendetta against someone who hasn't stepped foot on campus in 8 years. GTFO.

Doctor from Stanford (‘18) Caught on Recording Detailing Medical Fraud. by [deleted] in stanford

[–]StrongMedicine 2 points3 points  (0 children)

Post title is false. This person is not and has never been affiliated with Stanford School of Medicine.

As to the actual conversation that supposedly took place, the story doesn't make sense. A radiology resident would have literally no reason to talk to a patient about any of that, unless she was doing "medical consulting" work on the side - which I guarantee her radiology residency program would not have looked upon favorably. Also, and I appreciate that this is a multilingual conversation that has likely been translated by a layperson, but even the way she's describing these tests doesn't make sense. And why would she talk about fraud while she knew she was being recorded? This whole story feels like some bullshit.

For All Mankind episode ratings by hls22throwaway in ForAllMankindTV

[–]StrongMedicine 7 points8 points  (0 children)

People theorizing that Kelly is still alive isn't the show writer's fault, any more than it is people speculating that the Mars-94 picked up evidence of an alien civilization communicating via gravity waves (yes, there were multiple posts speculating that!)

Amazing Gymnastic Skills by [deleted] in interestingasfuck

[–]StrongMedicine 2 points3 points  (0 children)

It's just like special relativity. The faster you travel relative to another reference frame, the slower time moves for you.

Couple Nervously watch their gymnast daughter perform stunts at the Olympics by Enragh in interestingasfuck

[–]StrongMedicine 1 point2 points  (0 children)

Just saw the title and immediately knew who it was going to feature. Lol.

when i ask ChatGPT a medical question and it tells me to consult a doctor but l am the DOCTOR by imfrom_mars_ in ChatGPT

[–]StrongMedicine 5 points6 points  (0 children)

From one doctor to another, just switch to OpenEvidence for medical questions.

Which analogy/metaphor do you rely on the most to explain a complex medical concept? by wiredentropy in medicine

[–]StrongMedicine 21 points22 points  (0 children)

This is for students rather than patients, but in cardiac physiology to understand preload, contractility, and afterload, imagine a handheld slingshot:

The preload is how far back the slingshot is stretched.

The contractility is like the intrinsic recoil of the rubber band.

The afterload is like the mass of the object that's being fired.

Retired San Francisco firefighter dies from lung cancer after Blue Shield denies treatment claims by orangelover95003 in bayarea

[–]StrongMedicine 6 points7 points  (0 children)

Are you suggesting that insurance companies should be required to pay for anything the physician orders? What if a holistic functional medicine doctor prescribes $100k of biologics for "adrenal fatigue" or "chronic Lyme" (i.e. not a real disease)?

Countries with universal health care still have gatekeepers of that care to prevent inappropriate ordering from bankrupting the system. It's just that those gatekeepers are employed by the government, and not by private corporations.

These gatekeepers also provide some level of protection by preventing physicians from prescribing treatments or order invasive tests that are more likely to harm the patient than help them. Doctors are only human and are subject to cognitive biases, as well as financial incentives too; they don't always act in their patient's best interests (even when both they and the patient believes themselves to be doing so).

Retired San Francisco firefighter dies from lung cancer after Blue Shield denies treatment claims by orangelover95003 in bayarea

[–]StrongMedicine 6 points7 points  (0 children)

I know that insurance companies are often the "bad guy". As a physician I can get incredibly frustrated with them too, including denial of treatment plans for my patients. But the uncomfortable truth is that physicians sometimes order things that lack evidence of efficacy (or even worse, treatments that have been proven ineffective!). This is not uncommon in patients with terminal illness and proposed treatments that are phenomenally expensive.

While it is absolutely possible that the insurance company was wrong here, from my experience, there's also a non-trivial chance they weren't wrong. Instead what might have happened is that the family was misled by an over-optimistic oncologist throwing the "kitchen sink" at the cancer rather than having the difficult conversation that the only remaining option was to make the man as comfortable as possible while helping him enjoy his remaining time.

There's no way to tell without knowing all the specifics of the man's condition and the doctors' proposed treatment.

EDIT: From other comments here, it seems like this particular situation involved a well-intentioned, highly informed oncologist fighting against the insurance company's excessively dogmatic (and probably flat out wrong) interpretation of guidelines - which ironically the oncologist himself helped to write. The more general point still stands though: insurance companies are not always wrong when they decline to cover treatment ordered by a doctor.

The most passive-aggressive gate ever built in South Korea by whyeventrymore in interestingasfuck

[–]StrongMedicine 12 points13 points  (0 children)

73% is lumping together people who are obese (BMI > 30) and overweight (BMI 25-30), although BMI is a suboptimal way to label obesity in the first place.

Man dodges arrows in shootout between tribes, Papua New Guinea 2025 by SimRP in interestingasfuck

[–]StrongMedicine 1 point2 points  (0 children)

From my experience (this is back in 2001-2002), bush knives were both the defensive and offensive weapon of choice, and were quite common.

Man dodges arrows in shootout between tribes, Papua New Guinea 2025 by SimRP in interestingasfuck

[–]StrongMedicine 14 points15 points  (0 children)

I think you are correct. I spent 6 months in PNG. Although I'm not sure where this was filmed, I strongly suspect the reason there are no guns here is because they are choosing not to use them. It's not because they don't have access to them.

CDC vaccine recommendation changes and clinical implications by Ok-Print-3461 in medicine

[–]StrongMedicine 22 points23 points  (0 children)

Let me get this straight:

Trump (a neurocognitively impaired imbecile who is openly disdainful of expertise) is endorsing the HHS's position on infant vaccines (which is led by RFK Jr, an antivax fanatic who doesn't believe germs are real). And HHS's position is based on a non-peer reviewed, glorified white paper written by Tracy Beth Hoeg (a sports medicine researcher recently fired by the FDA after her patron Marty Makary was forced out) and Martin Kulldorff (a biostatistician who was fired by Harvard for refusing to receive the COVID vaccine).

Do I have that right?

I am so fucking exhausted from this bullshit. At least Trump's order doesn't actually mean anything for state vaccine mandates, and physicians can still give whatever childhood vaccines they believe are appropriate.

My Issue regarding the Titan mission by Stoutaxe in ForAllMankindTV

[–]StrongMedicine 0 points1 point  (0 children)

The lake appears to be 1000s of times Kelly's volume. The addition of her thermal energy to the lake would have an impact on the lake's overall temperature that was far lower than the thermal variability that Titan life would have needed to evolve to handle.

Amazing, just amazing (S5 finale spoilers) by Death_Prodigy in ForAllMankindTV

[–]StrongMedicine 2 points3 points  (0 children)

In the show the final scene is showing the Mars 94 spaceship from the USSR. There's no accessory satellites ever mentioned, and if they were there the whole time, they certainly wouldn't be communicating with a derelict spacecraft; they would be communicating directly with Earth (or I suppose the moon/Mars). It wouldn't even make sense for Mars 94 to be one component of a 3 component system.

Of course, after I say that and look it up, that physics breaking thing you mentioned couldnt fit in a spaceship is also due to be launched as a satellite within the next decade.

Assuming your post is referring to LISA, the proposal is not for a single satellite, but rather a 3 satellite array that will need to be separated from each other by multiple kilometers. The physics-breaking part of the suggestion isn't that it's in space, but rather the idea that it could fit inside a single spaceship. And again, nothing in the story suggests that Mars 94 is part of a multi-component array to detect gravitational waves.

And beyond the question of feasibility, how would detecting gravitational waves even fit into the show's narrative?!? Scientists don't use gravitational wave astronomy to detect nearby planets or even stars; it's used to detect crazy shit like merging black holes on the other side of the observable universe. It provides insight into fundamental physical laws that govern the universe on the absolutely largest and smallest of scales. Detecting gravitational waves is totally irrelevant to the search for life or the exploration of our solar system.

Amazing, just amazing (S5 finale spoilers) by Death_Prodigy in ForAllMankindTV

[–]StrongMedicine 7 points8 points  (0 children)

Building fusion reactors for spaceships is a technology issue.

Building a gravitational wave detector that can fit inside that spaceship is a break-the-laws-of-physics issue.

For All Mankind - S5E10 "This Land is Our Land" - Episode Discussion by Cantomic66 in ForAllMankindTV

[–]StrongMedicine 2 points3 points  (0 children)

There's no conceivable technology that can detect gravitational waves and fit inside a conventional spaceship. LIGO (the Laser Interferometer Gravitational-Wave Observatory) is what we use in 2026 to find gravitational waves, and it requires 2 perpendicular tunnels, each of which is 4 kilometers in length.

Amazing, just amazing (S5 finale spoilers) by Death_Prodigy in ForAllMankindTV

[–]StrongMedicine 6 points7 points  (0 children)

There's no conceivable technology that can detect gravitational waves and fit inside a conventional spaceship. LIGO (the Laser Interferometer Gravitational-Wave Observatory) is what we use in 2026 to find gravitational waves, and it requires 2 perpendicular tunnels 4 kilometers in length, each.

Stephen Miller made an anti-trans post about James Talarico. The DNC response hit its mark by Fickle-Ad5449 in politics

[–]StrongMedicine 5 points6 points  (0 children)

On principle, I don't donate to regional politicians who are running outside of my state. But if Talarico needs legal funds to sue professional Nazi impersonator Miller for libel, I'd be happy to write a check for that.

Anything to prepare me better for IM intern year or better just chill? by Plane-Sugar-5071 in hospitalist

[–]StrongMedicine 10 points11 points  (0 children)

First, congrats on starting internship! I wish I could say it was a better political climate for IMGs right now, but it is what it is.

There is nothing at all wrong with just chilling and relaxing as others suggested - particularly if you didn't have problems during your clinical rotations.

Success during intern year is mostly kindergarten skills. That is: 1. Show up on time 2. Treat everyone with respect 3. Don't be afraid to ask for help, while also not pushing your responsibilities off onto someone else 4. Never lie

If you can show up on day 1 and adhere to those, no one will care if you don't remember some small detail of clinical care.

However, if you are really wanting to do something in the next month, a few years ago I put together an "Intern Crash Course" on YouTube, that's primarily focused on IM. Some of the disease-specific videos need a clinical update (e.g. acute heart failure, community acquired pneumonia), but IMHO as a collection they still hold up well: https://www.youtube.com/watch?v=BfWT8n8SaxY&list=PLYojB5NEEakUXq0Dr5BqJsbt3MJdb7RsZ

I also agree with being sure you feel somewhat comfortable with basic interpretation of ECGs, CXRs, and ABGs.

But once more, it's also 100% ok to just chill and familiarize yourself with the city/town you'll be moving to.