Derek Phan

[Derek Phan @DerekQPhan]

@signulll What constitutes as good writing changes over time. Look at what they thought “good” writing was in the 1700s. Humans writing will gradually change. If purely AI, style won’t (unless RLHF).

[Derek Phan @DerekQPhan]

@nickmmark @DrDiGiorgio Good for them if they’ve developed their own model.

[Derek Phan @DerekQPhan]

@nickmmark @DrDiGiorgio They’re not a frontier AI lab, to be able to train their own LLM or even fine tune it good enough for clinical deployment is suspect.

Unsure re: privacy breach - maybe they have a special contract with OpenAI or Anthropic etc

[Derek Phan @DerekQPhan]

@jpavs17 @DrDiGiorgio They do that cuz they want to build their own. Gate keep any competition access to the data

[Derek Phan @DerekQPhan]

@DrDiGiorgio @nickmmark Agree took them long enough. Many had this idea, but Epic had the monopoly to do it . Any commercial LLM today can do it, and prob reason A/P if given the access to the data.

Wouldn’t doubt EPIC uses an API to a commercial LLM

[Derek Phan @DerekQPhan]

@andrewchen Many say “ChatGPT it”

[Derek Phan @DerekQPhan]

@DrDiGiorgio 99% of ppl are not disciplined to invest the extra cash.

[Derek Phan @DerekQPhan]

@bobbygmam85 @Vita3ali It’s actually a strategy used in everything. Under promise, over deliver. You look like a rockstar.

[Derek Phan @DerekQPhan]

@dannyfarkas @DrDiGiorgio It’s a double edged sword

[Derek Phan @DerekQPhan]

@JOSEPH45075332 @Marleaux_ Yes unfortunately will need to pay with peoples lives to learn the outcome

[Derek Phan @DerekQPhan]

@AlanLevinovitz Yes, this is often times we are asked to do “futile” care. Many cannot let go emotionally without “trying” it all.

[Derek Phan @DerekQPhan]

@kevwe_od Yes because the breaking things part is human lives

[Derek Phan @DerekQPhan]

@jakkun543833 @DrRafi_ Nah even for a PCP. Patient has stable chest pain. They have to make the call whether it’s real or not heart related…

[Derek Phan @DerekQPhan]

@DrRafi_ As all things in life , it’s all about risk. Who’s willing to bet their career/life on a diagnosis or treatment plan. To make a call. Make a judgement and go through with it.

[Derek Phan @DerekQPhan]

@cashpandajesus @DrDiGiorgio The unfortunate part with reviews is it’s a marketing technique. You can pay or promote good reviews. And most are based on how personable you are vs if you’re a jerk. But if you need a surgeon, give me the best. I don’t care if they’re a jerk.

[Derek Phan @DerekQPhan]

@MT_6226 Will need to override the entire industry. But too many ppl in all corners of the industry are making money to allow it to happen…

[Derek Phan @DerekQPhan]

@ParkLover_JA @DrDiGiorgio They want to ask if it’s okay to travel and fly, now liability is on you.

[Derek Phan @DerekQPhan]

@cashpandajesus @DrDiGiorgio Ya can google them

[Derek Phan @DerekQPhan]

@JonathanWaxman1 Correct. We live with many pathologies but don’t necessarily die from. Another one is coronary artery disease. Most ppl have it, but not everyone dies from it

[Derek Phan @DerekQPhan]

@njlh6 @debugtweets @BenMazer Yes healthcare industry is a very profitable business. Don’t underestimate it. Screening will undoubtably increase revenue for the system.