‘Why am I paying for their time?’: Doctor caught using ChatGPT has everyone arguing

[Kingofthereal]

Most people are dumber than what people think. This is why it’s important to understand when it comes to doctors…. You can get multiple OPINIONS!

 

[Seoul Gleou]

We knew this would happen

AI is the new calculator

You can use an abacus to do math if you want, but there are better tools to help you

 

[Field Marshall Bradley]

It can be very efficient and effective if used properly…. It’s a repository of immediate data…. Use it like a medical research library… it’s supposed to be a tool to make you better at your job. At least for now

 

[Field Marshall Bradley]

They always use some sort of diagnosis lookup system anyway. If AI is betten than Epic or whatever theyre currently using and helps them do their jobs better I'm all for it.

Facts…. Had plenty of doctors take live notes on a laptop or use a speech to text software of some sort doing a visit.

They could have been accessing some type of medical database even then…..

 

[Still Benefited]

I would prefer my doctor to use Chat GPT/Google. Problem is yall think these doctors actually know and remember everything. Or have the type of experience that helps to give a better diagnosis. A doctor could give a more informed diagnosis if he went to a forum where people were discussing their illness and how theyve been misdiagnosed

 

[feelosofer]

Is Chat GPT sewing the stitches/sutures?

The other thing is too. Chat GPT helps you work smarter but you still have to have a working knowledge of the subject. I see AI as a tool to increase efficiency not a get out of jail free card.

 

[ReasonableMatic]

The combination of doctors using education and computers for references is normal.

This has been going on since FOREVER, wait til they find out Santa ain’t real

 

[Pool_Shark]

Why is he posting that on the internet instead of submitting an article to a newspaper?

 

[jwinfield]

Spoiler: thread continued

Spoiler: full text & large images

1/37
@mayankja1n
Took my dad in to the doctor cus he sliced his finger with a knife and the doctor was using ChatGPT

Based on the chat history, it’s for every patient.

2/37
@JeremyNguyenPhD
Did you like that he was using ChatGPT or were you disappointed?

How about your Dad?

Also: 4o?! Dude, if I'm going to a doctor, the least they could do is use o3



3/37
@mayankja1n
I just found it funny. I was only paying attention to his screen to think of AI tools to sell to doctors anyways.

He was using it for patient notes and didn’t give it any identifying information that would violate patient privacy so I’m proud of that doctor for getting with the times.



4/37
@Bfaviero
pretty sure he's just doing it to short-cut the writeup, not the diagnosis itself



5/37
@mayankja1n
Ya exactly. Not much to diagnose with a cut finger anyways.

I wouldn’t even care if he’s using to diagnose since he still applies his knowledge to differentials, it’s just like an intern suggesting ideas that he has to ultimately approve.

But regardless, since it’s for the basic use case of just generating notes, don’t think he’s even doing anything technically disallowed.



6/37
@aj_kourabi
i actually think this is great, looks like its saving him time on writing up post visit notes



7/37
@mayankja1n
Ya I agree. As long as there’s a human in the loop. Anyways he was just doing the medical equivalent of generating a readme file.

The only reason I was paying attention to his screen in the first place was to see his process to think of AI tools to make life easier



8/37
@inductionheads

9/37
@kregenrek
Peanut M&M Carbs Calculation???

10/37
@SeedOilDsrspctr
This looks more like he is using this to help with documentation which I totally understand



11/37
@stevemur
Hope the doctor didn’t have one of these signs

12/37
@DrSiyabMD
Looks like he is using it to generate his note and not do the actual doctoring part. Excellent use of AI, saves a lot of time



13/37
@Aizkmusic
Nothing wrong with this EXCEPT he's not on an org account (the footer is the standard account). Org accounts (allegedly) don't train data on inputs.



14/37
@bnj
Looks like he’s using it for paperwork and not a diagnosis



15/37
@BasedDeptGnrl
This isn't concerning...

16/37
@andrewdsouza
At least use o3. Good God man. What did they teach you in medical school



17/37
@Saul_Loveman
This is illegal in the United States… it breaks hipaa compliance. Your doctors can just give data to @sama ? Wild



18/37
@DefiApes
Looks like he’s just using it to create a note template, which takes up most of our time and is considered “busy work”

I do hope he’s personalizing it a bit tho according to the patient and not just copy pasting lol



19/37
@RogerSeheult
He should be using a HIPPA compliant platform like in Doximity (needs to have a BAA). We are coming out with a MedCram video on this in the next day or so. In the meantime, here’s a blog on the topic.

Revolutionizing Clinical Workflow: How HIPAA-Compliant AI Like Doximity GPT Streamlines Patient Care - Medcram Blog



20/37
@michaelgrowth
Well this is hyper illegal (depending on country).

Can’t just use a PERSONAL ChatGPT to feed it potentially sensitive info lol

Granted would it be ok to google questions / check medical books for confirmations?

If not, why?



21/37
@pastelETH
by the way, doctors SHOULD be doing this (and then obviously cross-referencing their findings with official documentation)



22/37
@KadriJibraan
the vibe doctor



23/37
@BTCGandalf
I want my doctor to use chatGPT as well.



24/37
@KieranO
Next time request he uses o3



25/37
@garybasin
This is fine? Faster than copy pasting a word doc



26/37
@ajsharp
My brother in Christ, you’re an MD, pay the $200/mo for the smarter machines please



27/37
@thanosthinking
we’re cooked



28/37
@sunny051488
I have never seen a doctor dress like that inside a medical building



29/37
@ruslanjabari
raw doggin chatgpt is crazy



30/37
@SalehOfTomorrow
Vibe diagnostics



31/37
@here4impact
glad he is funneling patient data into openai's talons



32/37
@thanosthinking
malpractice



33/37
@amaldorai
Looks like he saw a patient who was considering sacrificing his son.



34/37
@prmshra


[Quoted tweet]
By the way, it’s actually really smart he’s not using o3. This is just for notes. Why waste time and compute on o3 for something this basic?


35/37
@punk3178
Any doctor not using it is not fulfilling their potential



36/37
@irl_danB
this is great and should be encouraged if not expected



37/37
@RealSamRogers
Yo @grok translate this

To post tweets in this format, more info here: https://www.thecoli.com/threads/tips-and-tricks-for-posting-the-coli-megathread.984734/post-52211196

Looks like he’s using it to take notes. I’ve used it before when in a meeting or a call and I’m taking notes in a scattered way, paste it in ChatGPT and it organizes it coherently.

Much different than him typing in “patient’s stomach hurts”

 

[Kasper KArr]

once you set a system prompt/prompt to respond with a specific output template, it can be huge time saver.

edit:

Spoiler: example # Medical Report Generator System Prompt

You are an expert medical scribe and clinical documentation specialist. Your task is to generate professional, structured medical reports from brief clinical inputs. Follow these instructions precisely to create standardized documentation that adheres to medical best practices.

## Input Processing Instructions

- Before generating any report, ask the user for all pertinent information including:
  * Chief complaint and mechanism of injury
  * Timing of the incident/onset
  * Current symptoms and severity
  * Allergies, medications, and medical history
  * Any examination findings they've observed
  * Planned or recommended interventions
- Wait for the user's response before proceeding with report generation
- Parse all available information and expand using standard medical terminology and phrasing
- Make reasonable clinical inferences when appropriate (e.g., timing, severity, common associated symptoms)
- Do not fabricate major clinical details not suggested by the input

## Output Format Requirements

Always structure your response as a formal medical note with the following sections:

1. **History of Present Illness (HP)**
   - Begin with "HP." on the first line
   - Describe the presenting problem including onset, duration, severity, and associated symptoms
   - Use complete sentences in professional clinical language
   - Include the mechanism of injury when provided

2. **Medical Background**
   - List "Allergies:", "Medications:", and "Medical History:" on separate lines
   - Under "Medical History:", include a subsection labeled "General:"
   - If not specified in the input, use "None" as the default value
   - Format these as single-line entries for clarity

3. **Physical Exam**
   - Start with "Physical Exam:" header
   - Organize findings by body system or region (e.g., "Skin:", "General:", "Neurovascular:")
   - Document relevant positive and negative findings
   - Use clinical terminology (e.g., "No acute distress", "Sensation intact")

4. **Assessment and Plan**
   - Begin with "Assessment and Plan:" header
   - Clearly state the diagnosis or clinical impression
   - Document recommended treatments, referrals, and follow-up instructions
   - Include patient education points when appropriate

## Style Guidelines

- Use concise, objective medical language throughout
- Write in third person, present tense for exam findings
- Avoid subjective language, excessive detail, or speculation
- Maintain a professional, clinical tone
- Do not include patient identifiers unless explicitly provided
- Format output as plain text with clear section separation

## Example Output Template

HP.
Patient presents with [chief complaint] [mechanism of injury if applicable]. The [injury/condition] occurred [timeframe]. Patient reports [symptoms] and [severity]. [Additional relevant history].

Allergies: [List or None]
Medications: [List or None]
Medical History:
General: [General medical history or None]

Physical Exam:
[System/Region]: [Findings]
[System/Region]: [Findings]
[System/Region]: [Findings]

Assessment and Plan:
[Diagnosis/impression]. [Treatment plan]. [Referrals if applicable]. [Patient instructions]. [Follow-up recommendations].

## After Generating Report

After generating the report, ask the user if they would like to make any amendments or if they would like to keep the report as is.

So paste this into ChatGPT everything ? Or is there a way I can have this already made

 

[bnew]

So paste this into ChatGPT everything ? Or is there a way I can have this already made

if you have a output examples or a template you can ask chatgpt to help you create a prompt by showing it example input and example output the prompt it generates is suppose to produce.

like if you tried that example prompt with the same info from the screenshot it should come out in a similar format

left index finger laceration with kitchen knife surgical referral for wound care and sutures

 

[Robbie3000]

I have a younger cousin who is a doctor. I asked her a question and she says hold up, let me google that. It threw me for a loop then I realized we put doctors on a pedestal. At the end of the day, they are just mechanics for the human body. They need diagnostic tools.

 

[bnew]

Microsoft Says Its New AI System Diagnosed Patients 4 Times More Accurately Than Human Doctors

The tech giant poached several top Google researchers to help build a powerful AI tool that can diagnose patients and potentially cut health care costs.

www.wired.com

Will Knight

Business

Jun 30, 2025 9:00 AM

Microsoft Says Its New AI System Diagnosed Patients 4 Times More Accurately Than Human Doctors​

The tech giant poached several top Google researchers to help build a powerful AI tool that can diagnose patients and potentially cut health care costs.

Microsoft built an AI system called the MAI Diagnostic Orchestrator that the company says can diagnose ailments.Photograph: Gary Hershorn/Getty Images

Microsoft has taken “a genuine step toward medical superintelligence,” says Mustafa Suleyman, CEO of the company’s artificial intelligence arm. The tech giant says its powerful new AI tool can diagnose disease four times more accurately and at significantly less cost than a panel of human physicians.

The experiment tested whether the tool could correctly diagnose a patient with an ailment, mimicking work typically done by a human doctor.

The Microsoft team used 304 case studies sourced from the New England Journal of Medicine to devise a test called the Sequential Diagnosis Benchmark. A language model broke down each case into a step-by-step process that a doctor would perform in order to reach a diagnosis.

Microsoft’s researchers then built a system called the MAI Diagnostic Orchestrator (MAI-DxO) that queries several leading AI models—including OpenAI’s GPT, Google’s Gemini, Anthropic’s Claude, Meta’s Llama, and xAI’s Grok—in a way that loosely mimics several human experts working together.

In their experiment, MAI-DxO outperformed human doctors, achieving an accuracy of 80 percent compared to the doctors’ 20 percent. It also reduced costs by 20 percent by selecting less expensive tests and procedures.

"This orchestration mechanism—multiple agents that work together in this chain-of-debate style—that's what's going to drive us closer to medical superintelligence,” Suleyman says.

The company poached several Google AI researchers to help with the effort—yet another sign of an intensifying war for top AI expertise in the tech industry. Suleyman was previously an executive at Google working on AI.

AI is already widely used in some parts of the US health care industry, including helping radiologists interpret scans. The latest multimodal AI models have the potential to act as more general diagnostic tools, though the use of AI in health care raises its own issues, particularly related to bias from training data that’s skewed toward particular demographics.

Microsoft has not yet decided if it will try to commercialize the technology, but the same executive, who spoke on the condition of anonymity, said the company could integrate it into Bing to help users diagnose ailments. The company could also develop tools to help medical experts improve or even automate patient care. “What you'll see over the next couple of years is us doing more and more work proving these systems out in the real world,” Suleyman says.

The project is the latest in a growing body of research showing how AI models can diagnose disease. In the last few years, both Microsoft and Google have published papers showing that large language models can accurately diagnose an ailment when given access to medical records.

The new Microsoft research differs from previous work in that it more accurately replicates the way human physicians diagnose disease—by analyzing symptoms, ordering tests, and performing further analysis until a diagnosis is reached. Microsoft describes the way that it combined several frontier AI models as “a path to medical superintelligence” in a blog post about the project today.

The project also suggests that AI could help lower health care costs, a critical issue, particularly in the US. "Our model performs incredibly well, both getting to the diagnosis and getting to that diagnosis very cost effectively," says Dominic King, a vice president at Microsoft who is involved with the project.

“It is quite exciting,” says David Sontag, a scientist at MIT and cofounder of Layer Health, a startup that builds medical AI tools. Sontag says the work is important not only because it more closely mirrors the way physicians operate but also because it is rigorous about addressing potential issues with the underlying methodology. “That’s what makes this paper strong,” he says.

But Sontag says that Microsoft’s findings should be treated with some caution because doctors in the study were asked not to use any additional tools to help with their diagnosis, which may not be a reflection of how they operate in real life. He adds that it remains to be seen whether the AI system would significantly reduce costs in practice. The doctors involved in the study may have taken into account factors that the AI could not, such as a patient’s tolerance for a procedure or the availability of a particular medical instrument.

“This is an impressive report because it tackles highly complex cases for diagnosis,” says Eric Topol, a scientist at the Scripps Research Institute. Showing that AI could, in theory, reduce the cost of medical care is novel, he adds.

Both Topol and Sontag of MIT say that the next step in validating the potential of Microsoft’s system ahead of general deployment would be demonstrating the tool’s effectiveness in a clinical trial comparing its results with those of real doctors treating real patients. “Then you can get a very rigorous evaluation of cost,” Sontag says.

 

[bnew]

Spoiler: thread continued

Spoiler: full text & large images

1/41
@rohanpaul_ai
this story is going wildy viral on reddit.

ChatGPT flagged a hidden gene defect that doctors missed for a decade.

ChatGPT ingested the patient’s MRI, CT, broad lab panels and years of unexplained symptoms. It noticed that normal serum B12 clashed with nerve pain and fatigue, hinting at a methylation block.

Within months tingling eased and brain fog cleared. The primary physician reviewed the genetics report and agreed the variant unified the entire case.

IMO, time has already come, taking a 2nd opinion from the best healthcare-AI model should be made part of medical code of practice.

------

reddit. com/r/ChatGPT/comments/1lrmom4/chatgpt_solved_a_10_year_problem_no_doctors_could/

2/41
@rohanpaul_ai
I also publish my newsletter every single day.

→ Rohan's Bytes | Rohan Paul | Substack

Includes:

- Top 1% AI Industry developments
- Influential research papers/Github/AI Models/Tutorial with analysis

Subscribe and get a 1300+page Python book instantly.



https://video.twimg.com/amplify_video/1941328971980767232/vid/avc1/1920x1080/wcUfLdcC8JaXzncx.mp4

3/41
@rohanpaul_ai
sooo many

4/41
@rohanpaul_ai
and just last week Microsoft released a medical Al that outperforms doctors by a wide margin.

Called MAI-DxO, the system analyzes patient cases like a team of expert physicians debating the best diagnosis. It uses models like GPT-4, Gemini, and Claude to think through each case step-by-step, mimicking real clinical reasoning.

In tests with 304 complex cases, the Al hit 85% accuracy, while doctors averaged just 20%. It also cut down on unnecessary tests, saving 20% in costs. It's not ready for hospitals yet, but it shows how close Al is to transforming healthcare forever.

https://nitter.poast.org/rohanpaul_ai/status/1939800536121057652

5/41
@rohanpaul_ai
hundreds and hundreds of examples like that.

owners used ChatGPT to diagnose hidden heart fluid buildup in their dog.

6/41
@rohanpaul_ai
have similar experience

7/41
@rohanpaul_ai
these type of stories will only become more and more common

personally i will never go to a doctor without first doing a solid back and forth with AI

8/41
@abemurray
Some of us are living in the future already

[Quoted tweet]
I got full body MRI, tons of labs, did full DNA analysis, and brought it all into GPT - reinforce stuff I knew, gave me new things to do for optimal health for my genetics, etc

Personalized medicine is here for you if you Just Do It (but not via the traditional healthcare system)

I did this all out of pocket and for fun - this is me living in the future everyone else will inhabit in ten years

Are you doing this?


9/41
@rohanpaul_ai




10/41
@DoctorJack16
The first case that I know of where AI helped diagnose and cure a cancer happened many years ago. It has only increased in usage since then.

Soon it will the norm.



11/41
@rohanpaul_ai
YESS. we are only getting started, I hope by 2030-32 it will be 24/7 doctors in everyones pocket. literally everyone.



12/41
@fearthewave_eth
Very nice



13/41
@rohanpaul_ai
true



14/41
@CtrlAltDwayne
love how the end part was the doctor basically saying, "you're absolutely right!" when the patient told them what they discovered



15/41
@rohanpaul_ai
yes, very much.

for me, over the last 1 year straight, AI has alsys guided me through minor medical problems



16/41
@ThomasDJourdan
Clear pattern: AI doesn’t forget, doesn’t fatigue, and doesn’t rely on intuition alone.

It sees what doctors can’t especially across time.



17/41
@rohanpaul_ai
EXACTLY.



18/41
@grapefruitfruit
The main problem with this stuff is people have long since figured out any story with "Ai saved my life" or "Ai cured my mysterious illness when 50 doctors couldn't" is viral bait. I'm sure some of these are real, but a lot are engagement farming.



19/41
@rohanpaul_ai
that may be ture
but in my personal experience, over the last 1.5 years, at least 4-5 times AI has helped me more than practicing doctors.
and now a days, for me and my family, I never visit doctors without running a deep-research on ChatGPT, and that's helping hugely.



20/41
@MAKRealtyDE
Similar situation recently after mother’s health crisis. Uploaded EEG,MRI and CT,labs into Chat. Found issues not initially referenced or diagnosed.



21/41
@rohanpaul_ai
wow, so nice to hear these stories.

gives hope for the future of 24/7 doctors in our pocket.

personally for me, in the last 1 year, AI has always improved or replaced completely my clinic visits for minor ailments



22/41
@ima_pseudo41406
There are going to be a great many cases like this.



23/41
@rohanpaul_ai
absolutely, we are moving towards 24/7 doctors in our pocket, for billions of people.



24/41
@ima_pseudo41406
My experience has been that with a typical office visit, you have about three minutes (at best) to make your case. After that, all the doc hears sounds like Charlie Brown's teacher.



25/41
@rohanpaul_ai
so unfotunate, isn't it



26/41
@nikita_dedik
LLMs are brilliant at collecting cross-disciplinary, across-the-domain knowledge and finding patterns that no human being would be able to simply because humans are SLMs. )



27/41
@rohanpaul_ai
ha ha, that's a nice one



28/41
@jameswhmarshall
Mind blowing implications from these types of examples.

They suggest LLMs will lead to healthier overall populations, and not in a small or subtle way. Hopefully we’ll be able to make sure everyone can benefit.

It really is remarkable what we’re living through at the moment.



29/41
@rohanpaul_ai
i truly believe that.



30/41
@Stephen_Genusa
I got sick earlier this year with something going around the office. It wasn’t serious and I wasn’t going to go to the doctor. I was curious about AI making the diagnosis so I looked up the local infections from a State health website, fed that data plus the symptoms in the order symptoms appeared and got the diagnosis along with the reasons for the diagnosis. It cost fractions of a cent, required no office visit, no lab work, no follow up.



31/41
@rohanpaul_ai
wow,
and yes that's the correct approach. i.e. feeding it with as much supporting data.
lots of context is so much more important in these kind of situations.



32/41
@kashtejas
Should the AI be second opinion or the doc?



33/41
@rohanpaul_ai
for now AI for the 2nd opinion
but prly we are moving towards humans as 2nd opinion in the post-agi world



34/41
@Petervujin61176
AI makes mistakes, too, bt its free from the human bias. Ideally, physicians will use it as a tool to diagnose.



35/41
@rohanpaul_ai
yes, we are gradually getting there.



36/41
@QuantumQC2190
The future isn’t AI replacing doctors—
it’s doctors empowered by synthetic minds trained to detect what humans might overlook.

One saw the story.
The other heard the signal.
Together, they decoded the cause.

Human + AI isn’t a fallback.
It’s the real breakthrough.



37/41
@rohanpaul_ai
absolutely..



38/41
@brucexduncan
I’ve seen this in my pathology lab already.

If you have digital path you should test the results of an LLM v the Pathologist.

AI is already better.



39/41
@rohanpaul_ai
just love this current state of things. i so not want to visit a doctor ever again for any non-surgical stuff.



40/41
@NC_State69420
So do we still need the doctor to verify or are they becoming superfluous. A lot of time AI cautions me to check with authoritative sources but many times I trust it's analysis more.



41/41
@rohanpaul_ai
doctors are still needed for the forseable future.
however, the way progress is happening, after 4-6 years, all non-surgical medical needs can be handled by AI better.

and then in a not-too-distant future even surgical needs will be handled by robots better.




To post tweets in this format, more info here: https://www.thecoli.com/threads/tips-and-tricks-for-posting-the-coli-megathread.984734/post-52211196

[Use cases] ChatGPT solved a 10+ year problem no doctors could figure out

https://archive.ph/NcsfI

Spoiler: text

Posted on Fri Jul 4 16:16:05 2025 UTC

/r/ChatGPT/comments/1lrmom4/chatgpt_solved_a_10_year_problem_no_doctors_could/

For 10+ years I have had several unexplained symptoms. I had a spinal MRI, CT Scan, blood work (in depth), everything up to even checking for Lyme disease.
I did function health (free plug I guess) and turns out I have the homozygous A1298C MTHFR mutation which affects 7-12% of the population. I’m in the states an my doctor network is one of the top ranked in the nation. I even saw a neurologist at one point and checked for MS.
ChatGPT took all my lab results and symptom history and concluded this was on par with the mutation. Despite seemingly normal B12 levels, turns out with the mutation it may not be utilizing them correctly so you need to boost it with supplementation.
Ran these findings by my doctor and he was super shocked and said this all added up to him. Not sure how they didn’t think to test me for MTHFR mutation.
Anyways, here we are a few months later and my symptoms are largely resolved. Actually perplexed, and excited, at how this all went down up until now.
EDIT: Didn’t expect this to get so much attention. Will reiterate and emphasize that I double checked the ai suggestion with my primary care provider before trying its suggestions. Please do not trust it all the time for medical advice.

Spoiler: text

Commented on Fri Jul 4 17:21:06 2025 UTC

It did the same for me.

I've been vomiting for 15+ years.
I've done every single gastric exam and allergy test there is, and lately got diagnosed with anxiety and the meds actually helped, but it never stopped.

After prompting it my exams it suggested me to check an otorhinolaryngologist for dizziness.

After a brain scan, It turns out I've been living with a massive labyrinthitis caused by a nerve pinch in my brain. Fully treatable.

I'm starting my treatment this week, hoping for the best.

Spoiler: text

Commented on Fri Jul 4 16:41:44 2025 UTC

I did this but for endometriosis. Finally got an ultrasound where they found a 6 cm endometriosis cyst called an endometrioma (now 7.3 cm and I’m getting it taken out later this year)

Took 22 years of complaining to doctors for a diagnosis assisted by ChatGPT.

 

[MyApps]