Can Chat GPT Diagnose my Patient?

Artificial intelligence like Chat GPT is more available and more advanced than ever. But can it do the job of a doctor? And could it REPLACE a doctor? This is a difficult question but we'll start with an easier one- can Chat GPT diagnose one of my patients?

Details of the case have been changed for HIPAA purposes. Please comment below if you have a diagnosis to stump the AI!

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[simo]

After practicing surgery for 13 years, I have never encountered a single case of Bile Acid Diarrhea. Therefore, it is truly impressive that ChatGPT was able to guess this correctly on its first try.

[redwinedrummer]

Neuro here. ChatGPT's ability to provide differential diagnoses is impressive, but its knowledge of neuroanatomy and its ability to localize lesions is at best at a medical student level. I once gave it a textbook left middle cerebral artery syndrome and could only localize to the "left hemisphere." It can correctly summarize the Circle of Willis, but started rambling like a resident during rounds when asked about the collateral systems it may form. I also gave it a vignette of expressive aphasia and could not localize to the inferior frontal gyrus. Considering ChatGPT's training data is only the internet, pretty much explains its limitations. This confirms that there's no escape from hitting the books! Not quite there yet, but a fun toy, though!

[skellious]

The really cool thing here is that its not specialised, it wasnt taught how to do this. Its just a general chat AI. A specialised diagnostic AI could do a LOT more.

[alansosa]

You should DEFINITELY make this into a series, although you could go more in depth into the reason for your answers to its questions.

[kwa]

I would be curious if ChatGPT can get close if the patient history is more narrative, the way a doctor would typically hear it from a patient. Part of medical training is deciphering meaningful symptoms from long anecdotes.

[loyeschulthess]

Love your channel, Doc Schmidt. I was diagnosed with Celiac disease about 5 years ago and was still having “bathroom emergencies”, even though I know very well the dietary restrictions (my dad has had Celiac for decades!). I had a cholecystectomy 15 years ago and just was never quite right since. I did my research and landed on possible BAM. Called my GI, asked for a Chlorestyramine trial and…problem solved.
PS. I mix it with milk and it’s quite palatable that way.

[ClearlyPixelated]

Med student here. IBS was my first thought. Dang it! So close. I would love to see more of this particular series.

[perplexedon]

It will get even better very fast, but I think the big thing it'll be is a interview tool for doctors. If you have it listening in the background of an interview it could prompt you with questions, differentials that you may not have considered, what investigations have the best evidence, and so on, and then automatically write up medical notes. It will never do the human thing of showing a patient you care and filling them with confidence and trust, but it can supplement all of the knowledge based skills for a doctor.

[deborahdufel]

There are many lawyers who probably wish they hadn't used it...😂

[bugscranks]

I have been a physician for over 25 years. This is a tool that can help physicians, not replace them. My worry is when people without a medical background start to use this to self diagnosis ( I’m looking at you, GOOGLE) that it will lead to a lot of angst and people with incorrect information.

[hollish]

Make it diagnose an autoimmune condition, please. That would be interesting to see.

[BonJoviBeatlesLedZep]

Would love to see another episode of this

[Funnyguy_YT]

As someone who has had this all my life, I would love to see Chat GPT try to guess Mitochondrial Disease

[Tenuous.tomato]

Please make this a whole series it’s fascinating!

[kahlaipapadopoulos]

Irritable bowel, leaky gut syndrome, histamine intolerance, DAO deficiency, and histamine intolerance please. Thank you, Dr Schmidt. Love your videos ❤

[wholeNwon]

Watched with interest. Remember, this is only the very beginning of AI. But in terms of its utility in clinical medicine, the art of medicine is in obtaining the pt's. history. It might be informative to ask a pt. to provide responses to the program's questions. I doubt it could then provide as precise a diagnosis as it did in the case you chose. As an aid to the physician who must have a complete differential for a constellation of symptoms, signs and historical data, it should be very useful.

[ligiaonofrei]

Very interesting. My AI caveat is that after 13 years of being a doctor the one thing I have learned is that half the battle is knowing how to ask the question and knowing how to tease information from anwers that are not ckear. I don't think AI would cope well with that

[carols-corner]

When you said “Bile Acid Diarrhea”, I thought “oh, like what I get because I had my gallbladder removed last summer?”
Do I get an honorary doctorate now? 😂

[Sxcheschka]

I see this being used in like a waiting room or pre-going to the doctor on their recommendation to help with influx of patients.

[Joy]

Womder if "IT" (Chewbacca/Robin) could diagnose lymphocytic colitis, celiac, or SI Joint Dysfunction, all of which took YEARS of seeing Drs and Specialists before I got diagnosed.