Author Archive: Glenn Reynolds

WEIRD, THIS KEEPS HAPPENING:

WHENEVER THEY TRY TO BE NORMAL, THEY FAIL.

IN MANY FIELDS, THEY WERE DRIVEN OFF BY HOSTILE WORK ENVIRONMENTS: Honey, Where Did All the Male Workers Go? As so often, it’s a bit complicated. But for sure we need more men in healthcare.

I think the advice for men to go into healthcare jobs is going to turn out like ‘learn to code’ — justified by current numbers but bound for destruction by technological change. Though the job loss will probably start at the top and work down, until we get robots that can handle bedpans. And it’s well known — and reinforced by interviews in the InstaWife-s book — that men in, say, nursing are treated badly because of their sex.

Related: Doctors, This Is Why Our Patients Are Using ChatGPT.

Several months ago, I got the results back from some routine blood tests, and let’s just say several numbers were a tad too high. My doctor advised “continued diet and exercise” and signed off on the results.

For the past couple of years, though, my numbers had been inching up, and I was frustrated that I couldn’t seem to do much about them. I requested a phone call from my doctor — surely, she had better advice than what she wrote — but she messaged back that if I wanted to discuss my results, I had to set up another appointment.

So, I did what everyone does in this day and age: I turned to artificial intelligence. With low expectations, I typed my lab results into ChatGPT.

As both a physician and a patient, I found the experience startling. Not because ChatGPT dazzled me with its scientific knowledge, but because it behaved the way I wish modern medicine, and its practitioners, still would. . . .

The chatbot didn’t just spit back generic advice. It asked questions about my daily life and figured out what I could realistically change. It suggested a short walk immediately after eating, something I’d never taken seriously. When I inquired about doing a longer activity, it told me that would likely offer only marginal benefit. Its recommendations were manageable and easy to follow.

When I sheepishly asked a silly question — if eating my vitamin gummies after my post-meal walks would raise my blood sugar — it asked me to upload the link to the specific product, and it did a close analysis of its ingredients. (No, it would not.)

I felt comfortable telling it that there was no way I was taking some of its suggestions — consuming Metamucil drinks or another psyllium husk powder concoction, no thank you — and it responded with understanding and offered me alternatives. (No offense taken.)

Of course, as a doctor, I know when to question the chatbot and when to ignore it. Many other patients don’t. . . .

As a doctor, I was a little embarrassed to be using ChatGPT. But every interaction with, say, OpenEvidence, a professional medical A.I. tool, felt cold and sterile. It referred to me as if I were a case report, not a person with preferences and habits. I realized what was winning me over about ChatGPT wasn’t its ability to sift through the latest studies, or diagnose my ailments; but its unwavering messages of empathy and encouragement, and its endless willingness to listen and its patience. It’s not human, but it can model some traits we value most in human interaction.

I followed ChatGPT’s advice, and when my blood work improved, ChatGPT affirmed my progress and urged me to keep going. I doubt I would have made those changes — much less stuck with them — without that sustained back-and-forth. I certainly hadn’t before.

Yes, that kind of think can be seductive.

OPEN THREAD: Hump Day.