medgremlin @ medgremlin @midwest.social

Posts

7

Comments

497

Joined

2 yr. ago

This is why I'm sad to be losing him in Minnesota, but he's going to be good for the country as a whole.

As a Minnesotan, I’m disappointed to be losing our governor. He’s done great things for our state, but I’m hopeful that the Lt. Governor who will be taking his place will be a good replacement.

Walz’s ascension to the ticket leaves questions for Minnesota. Under the state Constitution, Lt. Gov. Peggy Flanagan would become governor if Walz resigns, but he’s not on the ballot in Minnesota this fall, meaning he could wait until after the November election to step down. Flanagan, a member of the White Earth Nation, would become Minnesota’s first woman and first Native American governor.

As a Minnesotan, I'm disappointed to be losing our governor. He's done great things for our state, but I'm hopeful that the Lt. Governor who will be taking his place will be a good replacement.

Walz’s ascension to the ticket leaves questions for Minnesota. Under the state Constitution, Lt. Gov. Peggy Flanagan would become governor if Walz resigns, but he’s not on the ballot in Minnesota this fall, meaning he could wait until after the November election to step down. Flanagan, a member of the White Earth Nation, would become Minnesota’s first woman and first Native American governor.

I think there are some techbros out there with sleazy legal counsel that promises they can drench the thing in enough terms and conditions to relieve themselves of liability, similar to the way that WebMD does. Also, with healthcare access the way it is in America, there are plenty of people who will skim right past the disclaimer telling them to go see a real healthcare provider and just trust the "AI". Additionally, there's enough slimy NP professional groups pushing for unsupervised practice that they could just sign on their NP licenses for prescriptions, and the malpractice laws currently in place would be difficult to enforce depending on outcomes and jurisdictions.

This doesn't get into the sowing of discord and discontent with physicians that is happening even without these products existing in the first place. Even the claims that an AI could potentially, maybe, someday sorta-kinda replace physicians makes people distrust and dislike physicians now.

Separately, I have some gullible classmates in medical school that I worry about quite a lot, because they've bought into the line that chat GPT passed the boards, so they take its' hallucinations as gospel and argue with our professor's explanations as to why the hallucination is wrong and the correct answer on a test is correct. I was not shy about admonishing them and forcefully explaining how these "generative AIs" are little more than glorified text predictors, but the allure of easy answers without having to dig for them and understand complex underlying principles is very alluring, so I don't know if I actually got through to him or not.

There are way too many techbros trying to push the idea of turning chat gpt into a physician replacement. After it "passed" the board exams, they immediately started hollering about how physicians are outdated and too expensive and we can just replace them with AI. What that ignores is the fact that the board exam is multiple choice and a massive portion of medical student evaluation is on the "art" side of medicine that involves taking the history and performing the physical exam that the question stem provides for the multiple choice questions.

I once had ideas about building a machine learning program to assist workflows in Emergency Departments, and its' training data would be entirely generated by the specific ER it's deployed in. Because of differences in populations, the data is not always readily transferable between departments.

People just need to understand that the true medical uses are as tools for physicians, not "replacements" for physicians.

I was making a snarky comment along the lines of "even a broken clock is right twice a day".

Well, if you're in the Midwest, the sky turns orange or green sometimes....usually right before a tornado shows up.

I hope he has the dedication to Minnesota to turn down an offer. He's done so much for us as governor.

And sanctuary state for reproductive healthcare with privacy protections and refusal of subpoena for medical records regarding abortions or other related procedures.

I came here to say, as a Minnesotan: "NO. HE'S OURS. HECK OFF, WE'RE KEEPING HIM!"

Tell me you didn't see/read Kamala's speech without telling me you didn't see/read Kamala's speech.....

"Tachycardia" is a sign. "Palpitations" or "heart racing" are symptoms. Signs are the objective things that can be measured and recorded as hard data. Symptoms are what the patient reports feeling that are not measurable. In taking a history and physical, the symptoms tell the physician what signs to look for.

I've worked in ERs before and dealt with a lot of mental health patients in crisis. I've met some schizophrenics that have been off their meds and on street drugs for months in the middle of a complete psychotic break that still have a better grasp on reality than some of these folks.

(To be clear, they were in that situation because they lost their job, home, and health insurance, so they had no way to access the medication that had kept them stable previously, and the street drugs were an attempt at self-medication.)

Is there anything else in that head of yours? Do you have space in your mind alongside this vitriol for anything that makes life worth living? Family? Friends? Hobbies? What things do you find to be positive or wholesome in your perspective? I'd genuinely like to hear what your ideas and beliefs are beyond the topic of Gaza.

I've got a little while until I do my psychiatry clinical rotation in school, but I feel like interviewing you to hear about your theories and perceptions would make for a fascinating case report.

Especially after Trump's antivax BS during COVID.

I've heard the neonatologists say that they make the parents repeat back, write down, and sign a consent form that says "I understand that refusing the vitamin K shot significantly increases the chances of bleeding, including brain bleeds that can lead to significant disability or death."

Not many people seem to want to sign that form for some reason.

I'm currently a medical student in my clinical rotations....

Me: "So it looks like we're due for our (blank) month/year vaccinations. Have those been done already or do we need them today?"

Parent: "Oh, we're not vaccinating."

Me: screaming internally