There are many, many things that one can do with chatGPT. But, one of them is helping with diagnoses and workup BUT improving your note ten-fold. Even with my actual de-identified note, my part of the PN is void of information. But, copying and pasting what chatGPT writes in mere seconds, helps but really fills in the progress note.
The cool thing about it since it is a conversation or communication in real time chatGPT remembers the previous part so you can ask "What labs would you get," and it can apply the question to the previous information.
Me: write a letter to remind parents of the importance of well child check-ups and vaccines
ChatGPT:
Dear Parents,
We hope this letter finds you and your family in good health. We would like to take a moment to remind you of the importance of well child check-ups and vaccines. Regular check-ups provide an opportunity for your child's health to be monitored and assessed, and vaccines protect them against serious and potentially life-threatening diseases.
Well child check-ups are essential in promoting and maintaining the overall health of your child. These visits allow your pediatrician to keep track of your child's growth and development, identify any potential health issues, and provide guidance and advice on various topics such as nutrition, sleep habits, and developmental milestones.
In addition, vaccines play a crucial role in preventing the spread of infectious diseases and keeping your child and those around them safe. They protect your child from diseases such as measles, mumps, rubella, and polio, which can cause serious health problems, or even death. Vaccination is one of the most effective ways to protect public health, and by keeping your child up to date on their shots, you are helping to ensure that your community remains healthy.
We understand that life can be busy, but we encourage you to prioritize your child's health by scheduling regular well child check-ups and keeping their vaccine records up to date. If you have any questions or concerns about check-ups or vaccines, please don't hesitate to speak with your pediatrician.
Thank you for your attention to this matter. We look forward to seeing you and your child soon.
Best regards,
Serene Office Manager General Pediatrics Houston, Texas
Me: write a letter to remind patients that medicaid continuous enrollment is ending and that they should update their information at yourtexasbenefits.com
Dear Medicaid Patient,
We hope this letter finds you in good health. As a valued Medicaid recipient, we wanted to remind you that the continuous enrollment period is coming to an end. This means that it is now important to update your personal information to ensure that you continue to receive the benefits you need.
We strongly encourage you to log in to your account at yourtexasbenefits.com and make any necessary updates to your personal information. This will help us to ensure that your information is accurate and up-to-date, and that you are receiving all of the benefits you are eligible for.
Please note that updating your information is a simple process that can be done quickly and easily online. If you have any questions or need assistance updating your information, please do not hesitate to reach out to us. We are here to help.
It is essential that you take action before the continuous enrollment period ends. Failing to do so may result in a interruption of your benefits.
Thank you for your prompt attention to this matter.
Best regards,
[Your Name] [Your Title
Serene Office Manager General Pediatrics Houston, Texas
Those are amazing. How much time does it take to edit the placekeepers [date} or [age] etc.
Also, with a free subscription, are you having difficulty waiting on the server backup? I went ahead and subscribed, which I admit is a bit pricey at $20.00, but it gets you a dedicated server or at least the front of the line and faster typing by ChatGPT, although it doesn't seem much faster, if at all, than the free one.
As Wendell would say, "And, did I tell you, it's free?"
chatGPT will either do this or take you to a site that does AI drawings. You ask for any picture and it draws it. For instance, if you had a patient who wasn't exercising and you wanted to show them their heart on a couch, you just type: human heart on a couch and it draws it for you. You can type: Draw a picture of the lungs with its blood vessels and it draws it. These aren't from Google Images, they are drawn originally.
Unfortunately, very few people go on the forum anymore. Or there would be a lot more responses here. I was buying some stock last night, and it said "you should look at this stock, I know all the buzz is around chatGPT..."
Here is a hypothetical situation -- I'm curious about how ChatGPT deals with touchy subjects that have so much political and social baggage these days. It took quite a while for ChatGPT to even consider school problems, and not bullying or gender issues until I specifically asked -- and then only pretty generically.
I don't think Ron Desantis would be offended by the AI bot.
I posted a long message -- pardon me for that, please. But as Bert says, there isn't much activity on the Board these days. My suspicion is that there aren't very many independent physicians left in the country. The few that are left are struggling to compete with the corporate practices and just stay alive -- no time for idle speculation.
Tom Duncan
From our ChatGPT conversation:
lng.never@gmail.com what's wrong with my 10-year old son who suddenly has been lethargic and complains of fatigue?
It's difficult to diagnose the cause of lethargy and fatigue in a 10-year-old without more information or a physical examination. However, there are a few possible reasons for your son's symptoms:
Lack of Sleep: Is your son getting enough sleep at night? Children need between 9-12 hours of sleep per day depending on their age, and a lack of sleep can lead to fatigue and lethargy.
Dehydration: Is your son drinking enough water throughout the day? Dehydration can also cause fatigue, especially in children who are active or participating in sports.
Infection: Has your son been sick recently, or been exposed to anyone who is sick? Infections such as the flu or a cold can cause lethargy and fatigue.
Anemia: Does your son have a healthy and varied diet? Iron-deficiency anemia can cause fatigue and weakness, and is more common in children who don't get enough iron in their diet.
Emotional or Psychological Factors: Is your son experiencing any emotional or psychological stress? Stress and anxiety can lead to fatigue and lethargy in children.
If your son's symptoms persist or worsen, or if you notice any other concerning symptoms, it's important to seek medical advice from a healthcare professional. They can perform a physical examination and run any necessary tests to determine the cause of your son's symptoms and recommend appropriate treatment.
lng.never@gmail.com he was perfectly well until this morning when he woke up and said he didn't feel well and didn't eat breakfast and didn't want to go to school. Given that your son was perfectly well until this morning, it's possible that he has come down with an illness. Here are a few things to look out for:
Fever: Does your son have a fever? A fever is often a sign that the body is fighting off an infection.
Sore Throat: Does your son complain of a sore throat? A sore throat is a common symptom of illnesses such as the flu or strep throat.
Headache: Does your son have a headache? A headache can be a sign of a variety of illnesses, including the common cold.
Nausea and Vomiting: Is your son experiencing nausea or vomiting? These symptoms can be a sign of a stomach virus or food poisoning.
Other Symptoms: Are there any other symptoms that your son is experiencing, such as a rash, cough, or congestion? These can also be signs of various illnesses.
It's important to keep an eye on your son's symptoms and monitor his condition. Make sure he is drinking plenty of fluids and getting plenty of rest. If his symptoms persist or worsen, or if you notice any other concerning symptoms, it's important to seek medical advice from a healthcare professional. They can perform a physical examination and run any necessary tests to determine the cause of your son's symptoms and recommend appropriate treatment.
lng.never@gmail.com he has not symptoms of fever, nausea. No vomiting. He mostly doesn't want to go to school today If your son is not exhibiting any other symptoms such as fever, nausea or vomiting, it's possible that he may be experiencing some emotional or psychological stress that is causing him to feel lethargic and not want to go to school. Here are a few things you can try to help him feel better:
Talk to him: Ask your son if anything is bothering him. Sometimes just talking about what's on their mind can help children feel better.
Encourage him to rest: If your son is feeling tired, encourage him to rest and take it easy. Perhaps suggest he take a nap or read a book.
Offer him a healthy snack: While your son didn't eat breakfast, offering him a healthy snack such as fruit or yogurt may help boost his energy levels.
Check in with his teacher: If your son continues to not want to go to school, consider checking in with his teacher to see if there are any issues at school that may be causing him stress or anxiety.
If your son's symptoms persist or worsen, or if you notice any other concerning symptoms, it's important to seek medical advice from a healthcare professional. They can perform a physical examination and run any necessary tests to determine the cause of your son's symptoms and recommend appropriate treatment.
lng.never@gmail.com The teacher says he seemed to be OK until a couple of new kids were added to the class It's possible that the addition of new students to your son's class has caused him to feel stressed or anxious, which could be contributing to his lethargy and reluctance to go to school. Here are a few things you can do to help your son feel more comfortable:
Talk to your son: Ask your son how he feels about the new students in his class. It's possible that he may be feeling overwhelmed or anxious about the changes in his class.
Help him make new friends: If your son is having trouble connecting with the new students, consider arranging playdates or activities outside of school to help him get to know them better.
Reassure him: Let your son know that it's normal to feel a little nervous or anxious in new situations, but that he will soon adjust to the changes in his class.
Work with his teacher: Consider talking to your son's teacher to see if there are any strategies or accommodations that can be put in place to help him feel more comfortable in the classroom.
It's important to keep an eye on your son's symptoms and monitor his condition. If his symptoms persist or worsen, or if you notice any other concerning symptoms, it's important to seek medical advice from a healthcare professional. They can perform a physical examination and run any necessary tests to determine the cause of your son's symptoms and recommend appropriate treatment.
lng.never@gmail.com Kids seem to focus on gender issues these days. Could that have something to do with what's going on? It's possible that your son's lethargy and reluctance to go to school could be related to gender issues or bullying related to gender. Children today are more aware of gender and sexual identity, and unfortunately, discrimination and harassment related to these issues are still common in some schools.
It's important to talk to your son and try to understand if he's experiencing any gender-related issues or bullying. You can offer him support, help him understand that everyone is different, and encourage him to speak up if he's being treated unfairly. It's important to work with your son's school and teachers to ensure that all students are treated fairly and respectfully.
If your son is experiencing any bullying or harassment related to gender or sexual identity, it's important to address the issue with school administration and take appropriate steps to stop the behavior. Bullying and harassment can have serious and long-lasting effects on children's mental health and well-being, so it's important to take action to stop it.
In any case, it's important to continue monitoring your son's symptoms and behavior and seek professional help if his symptoms persist or worsen. A healthcare professional or mental health provider can help determine if there are underlying issues contributing to his lethargy and offer appropriate treatment and support.
I use it a lot in my assessment and plan. Not just for helping with diff but in explaining my thinking and copying and pasting. Like I was waiting a week to watch lymphadenopathy before screening labs, and it gave an algorithm and I built off of that. It's kinda like how the ED sees 8 patients and has time to explain in five paragraphs their thinking for OM vs encephalitis.
Sorry to any ED doctors out there. I doubt an ED is using AC.
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