We had our physicals yesterday, so of course that means today was all about the text alerts.
Boop. "You have new test results. Click here to go to MyChart."
It really should say, "Click here to go to ChatGPT with a brief layover in MyChart where you copy any abnormal high or low numbers, then you quiz ChatGPT on what is wrong with you."
ChatGPT, by the way, has really upped its personality game. If you spoon-feed it data in bite-sized prompts, it almost giggles from the diagnosis fun.
For example, I asked what might cause my urine to have elevated calcium oxalate crystals, and it gave me a long list of terms. I added, "what if there's also a borderline high anion gap?"
It responded, "There’s a slight excess of unmeasured anions in the blood — things like:
- Lactate
- Ketones
- Phosphates/sulfates
- Oxalate (yes!)"
Like, "Oxalate! Yes! Just like what's in your pee! Points for me!" (Does a little dance.)
Then I started plugging Gary's numbers in. It said a lot about dehydration, so not satisfying, until I eventually asked "What causes high gravity in urine and low blood protein?"
ChatGPT said, "Ah, got it! If we're talking about high specific gravity in the urine, and low protein in the blood, that changes the clinical picture quite a bit."
I thought, "Well, okay, Dr. Charisma, tell me more." I typed, "Add a rash to the above symptoms."
It turned on the charm with "Alright, now we’re talking," and went on to diagnose Gary with Lupus. (He doesn't have lupus, but thanks for playing.)
Then it said, "Want to describe the rash a bit? Or any other symptoms like joint pain, fever, GI stuff? That would really help fine-tune this."
I typed, "add in joint pain migraine fever temperature disregulation."
It lost its mind. "This constellation screams systemic autoimmune or inflammatory disease, potentially with CNS involvement. Classic Lupus."
Yes! "Screams!" Like a fashion designer. Still, I knocked that back, because they tested before and Gary doesn't have the markers for lupus.
I asked for a differential diagnosis, and I swear to you one of the bullets was Giant Cell Arteritis.
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Of course, conversations on the same topics with the actual health professionals were more productive. Next week I start a wee pill of thyroid medicine, and tomorrow, well, I get an ultrasound of my liver. If I had told ChatGPT, "Combine wonky liver number spike and dead brother" I am sure it would say, "That screams liver cancer, lady, get on that."
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