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jubilantitoday at 4:28 PM6 repliesview on HN

I still don't want a fucking audio recorder in my doctor's office or a fucking AI that sits in between me and my doctor.

I am intentionally cursing to express my anger at this casual betrayal of medical trust.


Replies

burntetoday at 8:51 PM

> I still don't want a fucking audio recorder in my doctor's office

Which would you prefer, your doctor remembering everything, or making verbal notes into a microcassette tape recorder that is transcribed by a human later (sometimes the doctor, sometimes someone else)? What if your doctor had a medical assistance in the room and spoke out loud and that medical assistant wrote down everything, is that ok?

> or a fucking AI that sits in between me and my doctor.

It sits next to the doctor helping them focus on you by transcribing the session, it doesn't do anything the doctor can't and definitely doesn't do anything the doctor SHOULD. No decision making is done, only transcription and summarization which is then checked by the doctor. We do not let AI make decisions.

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EvanAndersontoday at 6:52 PM

> I still don't want a fucking audio recorder in my doctor's office ...

If I got a copy of the raw recording I might consider it. Maybe. Having that audio recording would be valuable to me.

It's very irksome medical providers I visit have signs posted prohibiting audio and video recording by patients. My medical appointments aren't exceedingly complex, but a reference audio recording would be handy.

I suppose I could exercise civil disobedience and just record anyway since it's not illegal in my state. Still, it irks me.

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tclancytoday at 6:27 PM

This feels wild to me. I think I am pretty well privacy obsessed, but I don't see it here (fwiw, my wonderful doctor has been using these services for years; originally with overseas human labor, now with AI). First off it presupposes some level of privacy with one's GP that I would only want from a therapist. I don't want health information going beyond my doctor? What about him talking to specialists or getting another opinion in the break room?

Ship's sailed on that level of privacy anyway the second you bill an insurance carrier in the US. I am willing to take this particular risk if something I said two years ago pops up to help explain what I am currently experiencing. I understand not everyone is me and I am lucky to be in relatively good health and not have anything going on that might put employment, etc at risk so I can understand where some people may want to refuse. But the knee-jerk "FUCK NO BECAUSE PRIVACY" is almost as bad as writing a post based on a side plot in The Pitt when said side plot was 110% heightening the stress between Dr. Robby and Dr. Al Hashimi, not a goddamn double-blind study of the effectiveness of AI transcripto-bots.

And if you're going to take lessons from The Pitt about medical record transcription, why isn't it Dr. Santos repeatedly falling asleep while transcribing records?

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kube-systemtoday at 4:32 PM

It is standard practice to ask patients whether or not they want the scribe used, and in many cases required by law.

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kstrausertoday at 7:00 PM

> I still don't want a fucking audio recorder in my doctor's office

Why? Doctors have the strictest privacy regulations I know of. It's the one place where I'd be least uncomfortable with a recording, because there's nothing they can do with it other than use it to provide healthcare to me.

> or a fucking AI that sits in between me and my doctor.

The expected arrangement is that the AI would be alongside you and your doctor, so that your doctor can spend time interacting with you instead of playing transcriptionist and dictating your statement into your chart.

oliwarnertoday at 5:43 PM

Notes need writing though.

You can do that by recording and transcribing (many methods) or your doctor has to write on the fly, or worse, has their head in their computer while you talk in their general direction.

Letting doctors talk and examine and not write is a wholly better experience.

Offsite third parties are the problem here. If this was done automatically without data leaving the room, is there a problem? Do you have the same objections to how your digital notes are stored?

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