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<div dir="ltr" data-setdir="false">As one of the rare physicians in this rarefied group, please let me say that I used to tell patients that the computer analyses they did about their symptom complex was wrong every time (almost) because each individual was 100% of the sample. There was no room for a statistical analysis.</div><div dir="ltr" data-setdir="false">Jerry Harris</div><div><br></div>
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On Thursday, January 4, 2024 at 11:12:00 AM EST, Harry Forsdick via LCTG <lctg@lists.toku.us> wrote:
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<div><div id="ydpe0d41f5fyiv4348474229"><div><div dir="ltr"><div style="font-family:verdana, sans-serif;font-size:large;color:#0b5394;" class="ydpe0d41f5fyiv4348474229gmail_default">I'm somewhat surprised that a JAMA Pediatrics would publish such an article knowing that ChatGPT 3.5, although free, is inferior to ChatGPT 4.0, Bard and others. The article was submitted on October 24, 2023 and so the better LLM Bots were available. This headline makes JAMA Pediatrics look like they don't understand what is going on in the AI world these days where improvements are happening quickly.</div><div style="font-family:verdana, sans-serif;font-size:large;color:#0b5394;" class="ydpe0d41f5fyiv4348474229gmail_default"><br clear="none"></div><div style="font-family:verdana, sans-serif;font-size:large;color:#0b5394;" class="ydpe0d41f5fyiv4348474229gmail_default">-- Harry</div><div><div dir="ltr" class="ydpe0d41f5fyiv4348474229gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div style="text-align:left;"><font face="verdana, sans-serif" size="2"><font color="#0b5394"><br clear="none"></font></font></div><div style="text-align:left;"><font face="verdana, sans-serif" size="2"><font color="#0b5394"><br clear="none"></font></font></div><div style="text-align:left;"><br clear="none"></div><table cellspacing="5" cellpadding="5" style="color:rgb(80,0,80);font-family:Arial, Helvetica, sans-serif;font-size:19.2px;background-color:rgb(238,238,238);margin-left:0px;margin-right:auto;"><tbody><tr><td colspan="1" rowspan="1" valign="top" style="font-size:10pt;"><font face="verdana, sans-serif"><a shape="rect" href="http://www.forsdick.com/resume/" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">Harry Forsdick</a><br clear="none"><a shape="rect" href="http://lexingtonphotoscan.com/" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">Lexington Photo Scanning</a><br clear="none"><a shape="rect" href="http://lexingtontmma.org/" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">Town Meeting Member Precinct 7</a><br clear="none"><a shape="rect" href="mailto:harry@forsdick.com" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">harry@forsdick.com</a><br clear="none"></font><a shape="rect" href="http://www.forsdick.com/" style="font-family:verdana, sans-serif;color:rgb(17,85,204);" rel="nofollow" target="_blank">www.forsdick.com</a><font face="verdana, sans-serif"><br clear="none"></font></td><td colspan="1" rowspan="1" width="5"><font face="verdana, sans-serif"> </font></td><td colspan="1" rowspan="1" valign="top" style="font-size:10pt;"><font face="verdana, sans-serif"><a shape="rect" href="https://goo.gl/xZXT2F" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">46 Burlington St.<br clear="none">Lexington, MA 02420</a><br clear="none"><a shape="rect" href="callto:17817996002" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">(781) 799-6002 (mobile)</a><br clear="none"><font color="#0b5394"><a shape="rect" href="http://meet.jit.si/HarryForsdick" rel="nofollow" target="_blank">meet.jit.si/HarryForsdick</a> (video)</font><br clear="none"><a shape="rect" href="http://forsdick.weebly.com/home/my-websites" style="color:rgb(17,85,204);" rel="nofollow" target="_blank">Click</a> to see my other websites<br clear="none"></font></td></tr></tbody></table></div></div></div></div></div><div><br clear="none"></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br clear="none"></div><br clear="none"><div class="ydpe0d41f5fyiv4348474229gmail_quote"><div id="ydpe0d41f5fyiv4348474229yqt73384" class="ydpe0d41f5fyiv4348474229yqt7036839224"><div dir="ltr" class="ydpe0d41f5fyiv4348474229gmail_attr">On Thu, Jan 4, 2024 at 10:44 AM Robert Primak via LCTG <<a shape="rect" href="mailto:lctg@lists.toku.us" rel="nofollow" target="_blank">lctg@lists.toku.us</a>> wrote:<br clear="none"></div><blockquote style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex;" class="ydpe0d41f5fyiv4348474229gmail_quote"><div><div style="font-family:Helvetica, Arial, sans-serif;font-size:13px;"><div style="font-size:13px;"></div>
<div dir="ltr"><font size="3">(1) This was ChatGPT 3.5. ChatGPT 4.0 might have done better. BARD, with its more up to date and broader training data might have done better still.</font></div><div dir="ltr"><font size="3"><br clear="none"></font></div><div dir="ltr"><font size="3">(2) These LLMs are general purpose, and are not designed to deal with specific, technical material. So of course they are not (yet) very good at making medical diagnoses. To expect otherwise is like asking WebMD to be your Primary Care Physician. Results may vary, to say the least! </font></div><div dir="ltr"><font size="3"><br clear="none"></font></div><div dir="ltr"><font size="3">What LLM models can do, is point you toward possible diagnoses, and maybe suggest a diagnosis which you might not have considered. Then a trained and experienced clinician can narrow down the choices. This way the LLM has reduced the possibilities and helped direct the inquiry. Time can be saved in this way. Sometimes this is a good practice, sometimes not so much. </font></div><div dir="ltr"><font size="3"><br clear="none"></font></div><div dir="ltr"><font size="3">-- Bob Primak</font> </div><div dir="ltr" style="font-size:13px;"><br clear="none"></div><div dir="ltr" style="font-size:13px;"><br clear="none"></div><div style="font-size:13px;"><br clear="none"></div>
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On Thursday, January 4, 2024 at 10:31:19 AM EST, Slater Nancy via LCTG <<a shape="rect" href="mailto:lctg@lists.toku.us" rel="nofollow" target="_blank">lctg@lists.toku.us</a>> wrote:
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<div><div id="ydpe0d41f5fyiv4348474229m_-577412808270716530yiv4483782826"><div><div style="font-family:Myriad, Helvetica, Arial, sans-serif;margin:7px 0pt 10px;line-height:28px;"><h3 style="margin:20px 0px 2px;font-size:22px;line-height:36px;">ChatGPT gave the wrong diagnosis for the majority of pediatric cases</h3><p style="margin:0px;"><a shape="rect" href="https://mailview.bulletinhealthcare.com/mailview.aspx?m=2024010301ama&r=4756748-1a09&l=030-2c0&t=c" style="color:rgb(52,170,236);text-decoration:none;font-weight:600;" rel="nofollow" target="_blank">MedPage Today</a> (1/2, Henderson ) reports, “A large language model-based chatbot gave the wrong diagnosis for the majority of pediatric cases, researchers found.” According to the study, “ChatGPT version 3.5 reached an incorrect diagnosis in 83 out of 100 pediatric case challenges. Among the incorrect diagnoses, 72 were actually incorrect and 11 were clinically related to the correct diagnosis but too broad to be considered correct.” The <a shape="rect" href="https://mailview.bulletinhealthcare.com/mailview.aspx?m=2024010301ama&r=4756748-1a09&l=031-14e&t=c" style="color:rgb(52,170,236);text-decoration:none;font-weight:600;" rel="nofollow" target="_blank">findings</a> were published in JAMA Pediatrics.</p></div><a shape="rect" name="m_-577412808270716530_Salso_in_the_news" style="color:rgb(0,0,0);font-family:Myriad, Helvetica, Arial, sans-serif;"></a><span style="font-family:Myriad, Helvetica, Arial, sans-serif;font-size:medium;background-color:rgb(255,255,255);"></span><br clear="none"></div></div>===============================================<br clear="none">::The Lexington Computer and Technology Group Mailing List::<br clear="none">Reply goes to sender only; Reply All to send to list.<br clear="none">Send to the list: <a shape="rect" href="mailto:LCTG@lists.toku.us" rel="nofollow" target="_blank">LCTG@lists.toku.us</a> Message archives: <a shape="rect" href="http://lists.toku.us/pipermail/lctg-toku.us/" rel="nofollow" target="_blank">http://lists.toku.us/pipermail/lctg-toku.us/</a><br clear="none">To subscribe: email <a shape="rect" href="mailto:lctg-subscribe@toku.us" rel="nofollow" target="_blank">lctg-subscribe@toku.us</a> To unsubscribe: email <a shape="rect" href="mailto:lctg-unsubscribe@toku.us" rel="nofollow" target="_blank">lctg-unsubscribe@toku.us</a><br clear="none">Future and Past meeting information: <a shape="rect" href="http://LCTG.toku.us" rel="nofollow" target="_blank">http://LCTG.toku.us</a><br clear="none">List information: <a shape="rect" href="http://lists.toku.us/listinfo.cgi/lctg-toku.us" rel="nofollow" target="_blank">http://lists.toku.us/listinfo.cgi/lctg-toku.us</a><br clear="none">This message was sent to <a shape="rect" href="mailto:bobprimak@yahoo.com." rel="nofollow" target="_blank">bobprimak@yahoo.com.</a><br clear="none">Set your list options: <a shape="rect" href="http://lists.toku.us/options.cgi/lctg-toku.us/bobprimak@yahoo.com" rel="nofollow" target="_blank">http://lists.toku.us/options.cgi/lctg-toku.us/bobprimak@yahoo.com</a><br clear="none"></div>
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