Apytele

u/Apytele@sh.itjust.works
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Depends on whether it's an ai summary of the visit or just using the ai to more accurately guess what the doctor actually said compared to traditional speech recognition (which has been in use since long before what we call modern AI).

There's definitely been some times where I've read some completely nonsensical word choices and had to sit for a minute or two trying to imagine the doctors accent and think about what sounds like those words that would make more sense in context. I feel like that's actually the kind of task an llm could really help with, especially if you can use specialty specific models, since using probabilities to guess the next word is like literally their jam. In a similar vein OCR enhancement too.

The OP sounds like more of a problem with those AI summaries they're pushing. Those are pretty easily outmatched by the doctor just putting on a diagnostic code and auto printing some premade patient ed leaflets. You really wanna up that game you can have the ai search the human made and chosen leaflet with fuzzy match and highlight any specific side effects or whatever that were mentioned in the visit but again that's still using the human made content the AI would just enhance the way it's presented.

The main problem I see is that they're trying to make the AI take over the task completely and generate it's own information when it should really just be adding better fuzzy match to searches and word prediction to scribing software.

I was gonna say, if your other options are poverty / prison, this isn't actually a bad deal practically speaking. Not gonna get into the ethics of military service other than to say blaming individuals for trying to escape poverty isn't the answer. When I teach about chronic institutionalization in a psychiatric context, the military is one of the susceptible demographics alongside prison and long term hospitalization.

on *Permanently Deleted* · c/asklemmy · 1 pts · 2d

It's minimum wage but it's like. The whole minimum wage income. Hundreds of millions of people use that $2k check to (barely) pay for food, a home, a car, and everything else they need to probably not die tomorrow. Because of the way wealth is distributed, more people do that than don't do that. So it's both a small, yet in proper perspective a HUGE amount of money to send monthly.

The fact that he can afford to pay another person a wholeass minimum wage paycheck is INSANE. Like you're his wholeass employee. I make twice that and had to make my stay at home house-husband who shares a kitchen and bathroom with me get a part time job to afford $300 of weed money a month.

TLDR; it's minimum wage, but the fact that your boyfriend is paying you A Wage is insane.

on Blue Pill or Red Pill? · c/adhd · 1 pts · 2d

Like when I'm not medicated I miss shit. Shit I would never miss medicated. Like the patient will tell me they've got the shits and I immediately remember seeing senna + docusate in their night meds or they say their head hurts and I remember their hypertension history. And when I'm pulling meds I'm locked in and it's nbd to to turn and (professionally) tell the patient to stfu then get back to business vs when I'm not medicated they can yoink my attention all tf over the place just because they don't know any damn better and I'm just like "wait what? OK sorry um-" and then I dumped a metoprolol in the cup and didn't see their HR 58, BP 88/55 and now I've let my idiot patient kill themselves because they urgently wanted to tell me about Tylenol causing autism.

This is the diagram I use to educate new psych workers:

Even had a patient ask why she spent a whole day crying a few weeks after starting ECT when she'd thought she was doing better. I was like girl ☝️, you ain't just gettin' the fun shit back and she was like ooooooh.

ALSO. This is why people kill themselves right after starting antidepressants. Sometimes that lack of will or planning ability (aka executive functioning) actually keeps the person from making a proper plan to kill themselves and sometimes the executive function comes back before the will to live.

I grade the nursing assistants on a simple three point triangle similar to the body composition slider in the newer elder scrolls games but instead of skinny fat muscular, the corners are nice, hardworking, and intelligent (specifically situational awareness). You need to be AT LEAST one. My favorites have at least two. I can count on one hand the techs / assistants I've met in the last three decades who have had either all or none of the above.

I keep telling people of all cisness / transness that there are a LOT of cis women that don't pass. In healthcare you see a LOT of people in various states of dress and grooming and sometimes I remind my coworkers that they wouldn't look a whole lotta femme without their wig and makeup either!

Get as much support out of them as you can stomach. Try to at least graduate a trade school if you can (some trades will let you get started in high school and be halfway done or even graduate with your qualifications). Say and do whatever you have to (within reason) to use your shitty family to get to a point where you can reliably pay your own rent and other bills needed for daily life. Then move to a new address and change your number and don't tell them the new ones. Un-add and block them on all social media, email, etc. Pick somebody you actually like and trust to make your emergency healthcare decision maker and beneficiary on any life insurance policies or bank accounts (just don't pick a romantic partner, you're too young to know who is and isn't an idiot in that context). Then go to therapy and stop talking to people that are mean to you.

on Horuleny · c/onehundredninetysix · 1 pts · 4d

In a significant part of the world being a boobs guy is perceived as infantile cuz, y'know, that's what they're for.....

right like lowk he and the dude on the left are already traditionally attractive and the right just still looks like a kid prolly just needs to grow into it.

on Blue Pill or Red Pill? · c/adhd · 5 pts · 5d

didn't notice a huge difference at the time but I work in a high reliability / safety industry and I can tell a difference when I forgot to take it and I keep a dose in my locker at work because I can NOT do my job safely without it and I'm on strattera which is a glorified antidepressant (sort of not really). I'm not even on the good narcotic shit.

yeah you basically never wanna do psych stuff in an ER unless the behavior is unsafe enough that they're likely to end up there anyway. The only psych interventions ED staff know how to do is emergently drugging a person unconscious which is rarely necessary. You more likely want some kind of specific psychiatric crisis services but you still need to be able to communicate effectively enough to let them work out a basic safety plan because if you go in with "I wanna die nothing will ever get better and you can't talk me out of that" they're gonna get you sent to an ER, which as stated, is less than ideal.