Is there really any point of doctors in the modern era?

Oh I forgot. Do you know what my small trip to Don Honorio hospital would have cost if I did something similar in the United States? I think everyone knows. Probably about $2000. $2000 vs $70.

This isn't the doctors. A few I've talked to who were there in the covid mess from the beginning are more disgusted by the money distorting medical care than you could imagine.

I look forward to watching you perform an a-fib ablation on yourself. Luckily there are enough people out there who still need my help that I'll continue to do fine without you as a patient.

It’s definitely a problem, especially coupled with the pharmaceutical and the insurance companies as well. but really, in the end, the basis of capitalism is to make profits. If the profits keep coming in, then the status quo will remain. Those at the top of the medical industrial complex have rigged the system

From the linked article (with highlighting for emphasis):
Our research provides evidence of LLMs outperforming medical experts in clinical text summarization across multiple tasks. This suggests that integrating LLMs into clinical workflows could alleviate documentation burden, allowing clinicians to focus more on patient care.

I'm confused about the point you're trying to make. Of course AI is great at text summarization. That's one of the things it's designed to do. From my own experience, it also can be used to scan radiologic images and detect abnormalities that a human reader might miss. It's not great at applying that knowledge to clinical scenarios, nor is it accurate enough to diagnose findings on its own. Those tasks still require a flesh-and-blood human doctor. Interestingly enough, AI has scored higher than some physicians on things like bedside manner and emotional intelligence. So while AI has the potential to revolutionize many aspects of healthcare, replacing doctors seems like it's a long way off.

Pricing for medical services is almost exclusively determined by Medicare/Medicaid; private insurers tend to follow Medicare/Medicaid's lead. Hospital systems will negotiate with insurers, but pricing is far removed from the patient and the doctor, and tends to vary greatly by geographic region. Neither patients nor doctors have any real say in the cost of the service. In essence, the top of the medical industrial complex is the government (Medicare), with private insurers following suit.

Oh! I forgot to add that ChatGPT can be a great tool for producing plain-language summaries of complex imaging reports. I recently used it when trying to help my mom understand the imaging findings from my dad's knee scan. (ie, Please generate a plain language summary and patient prognosis based on the following imaging report...)

But again, you, the human, or ideally, your physician, still has to determine if what the AI generates is factual and then plan a course of treatment.

Ok, DIY this: bloody stools, shortness of breath, dizziness, and weakness.
So: Diagnose. Formulate medical plan, with meds, patient care, timelines, history,nursing, diet, legal and psychological considerations. .

I never understood why it seems that every drug needs a prescription. I get things like narcotics, but when you travel to foreign countries where they do not require a script for every little thing, they seem to handle it fine.

I think we have it completely backwards, MOST drugs should not require a prescription and only the few percentage of the most dangerous should require a note from your doctor.

Not all docs are surgeons.

They obviously have no ability to work with anyone besides the inferiors around them all day and act like this is not the most privileged work environment.

I’ve yet to meet a doc who did not let the American system turn him into someone too toxic to coherently do other jobs, as posters in this thread showed.

No one can make you immortal. I hope the medical system can change to make it a better fit for patients and docs with reduced need.

I also suspect that King Jeremy the Wicked is a new handle from Prince Jamin the Dullard.

Some people see challenges, hurdles, problems - I see opportunities.

I have half a mind to write an app that will diagnose your medical issue and suggest treatments and medications. It would be a subscription service and I would emphesize how we are in the process of getting Medicare/Medicade billing approval.

If you don't have a subscription, we would accept online payment. And we would offer two tiers of service. The more expensive one would go through a series of questions and follow-up. The cheaper would be a one-shot query, and would be called "Feeling Lucky?"

Thanks, King Jeremy the wickless. You may be entitled to a royalty. In the form or a free subscription.

< moves to Manila.

Take one guess as to why that is. Take one guess as to why you are prohibited by law from, e.g., renting 5 minutes on an ECG and then going to the store and buying a bottle of Eliquis, without spending thousands of dollars and many hours of hassle getting some arrogant jackazz to sign off on the idea.

It's about the $$ for sure. I think if we relaxed the trips to the doctor to get basic medication it COULD make people more invested in their health and more RESPONSIBLE for their own health and health care.

I know.. crazy idea.

in this thread we have people doubting the need for doctors while i see an endless supply of sick people who never listen to my lifestyle advice…and we have “ is a basic med i should be able to pick up otc at the store”. i cant even tell if this is all satirical or typical letsrun dumbassery.

Is there any reason for College coaches. Get a gps watch time yourself read let's run or better yet r/running and learn how to interpret.. pretty easy.

Yes, it’s easy for any app to provide medical advice and stay clear of lawsuits by simply disclaiming that it is not medical advice but only for educational purposes and then offering medical advice anyway.

I see multiple patients a day in my ER because they looked up their symptoms on the internet and came in convinced of some odd diagnosis. If anything technology has increased visits to my ER over the past decade.

It's impossible to diagnose someone on symptoms alone for many ailments, even with a high level of expertise and training.

The human body isn't a machine. There's a broad spectrum of atypical presentations. I had a guy yesterday with no chest pain at all, well appearing just felt "weird" and "off". He was having a massive heart attack. Complete blockage of the widow maker. Next patient I saw was a smoker, diabetic, high blood pressure, strong family history of heart disease with mid-sternal chest pressure. Completely normal workup. Nothing abnormal at all.

These things can't be figured out at home with AI.