Gregory Schmidt

Internal Medicine Physician / Healthcare Systems Design / Electronic Health Records / Weight / Lipids

[Gregory Schmidt @_GregSchmidt]

@MichaelAlbertMD Below what dose of once weekly semaglutide do you consider it a ‘micro-dose’?

[Gregory Schmidt @_GregSchmidt]

Its faster than searching UpToDate, Lexicomp, or an e-book, to look up a factoid search, where getting the detail right is important.

Can't really reliably trust off the shelf LLM or OpenEvidence with drug dosing. OpenEvidence was given some pretty wacky medication regime and dosing suggestions just last week on a fairly routine condition. Its too prone to referencing an obscure paper for its guidance, rather than benefit of UTD of referencing itself.

Will admit, the tables UTD AI generates comparing differential and conditions are nice.

Everything else, it really sucks at. Bit embarrassing to say its an 'AI' when comparing what an off the shelf AI delivers in 2026.

Absurd, it self-destructs if it sees in the prompt a line like "Patient had diarrhea May 2, 2026 for a week". Shuts down when it sniffs something personal health information related.

Also, no ability to 'copy' your prompt out of it, and it clips the prompt so you can't reread it, or manually highlight to copy-paste. Thats annoying.

[Gregory Schmidt @_GregSchmidt]

@MichaelAlbertMD @DrNadolsky Congrats!

[Gregory Schmidt @_GregSchmidt]

@RoupenMD Agreed, also major difference adding a AI scribe into an outpatient clinic that already has highly routine and templated notes that are written in real time during appointment vs adding internal medicine hospital admission worklow

[Gregory Schmidt @_GregSchmidt]

@malpern @aquavoice Try Voice Ink

[Gregory Schmidt @_GregSchmidt]

@nikillinit Half a century of iterative informatics R&D. Wiped out overnight with Codex

[Gregory Schmidt @_GregSchmidt]

@robjama Ha great idea!

[Gregory Schmidt @_GregSchmidt]

@RoupenMD @NTFabiano Plus use of AI for socratic Qs in voice mode when the LLM is confined to a discrete source dataset is far more active learning than passively reading a paper. Or spending considerable time making notes on a topic, and running out of time to go back and consolidate the content

[Gregory Schmidt @_GregSchmidt]

@Jason I’m in

[Gregory Schmidt @_GregSchmidt]

@CoffeeBlackMD I find most useful in finding the patient who has far more age/sex adjusted plaque than would otherwise have expected. Turns the previously throught low or intermediate risk patient into someone worth targeting more intensive ascvd risk reduction targets

[Gregory Schmidt @_GregSchmidt]

@drgarymcgowan @NIPCIRELAND @uniofgalway Great work !

[Gregory Schmidt @_GregSchmidt]

100% I am generally never disappointed to order imaging in context of severe infection without clear cause or of suspected abdominal source. Number of findings on imaging that change management far outweigh small number of studies return negative. Renal stones. Stercoral colitis. Pyomyositis

[Gregory Schmidt @_GregSchmidt]

@NutritionMadeS3 Well done cascade screening!

[Gregory Schmidt @_GregSchmidt]

@adamcifu Thanks for suggestion. Just purchased.

[Gregory Schmidt @_GregSchmidt]

@david_perell Highly recommend this similar restaurant in Paris. Only Q when you dine there is rare or medium:

https://t.co/XnG0R3WJUP

[Gregory Schmidt @_GregSchmidt]

@AdamRodmanMD @morgancheatham Yourself?

[Gregory Schmidt @_GregSchmidt]

@AdamRodmanMD @morgancheatham I’ve leant more towards specialist over the years.

[Gregory Schmidt @_GregSchmidt]

@drgarymcgowan Do you have a preferred approach to calculate 40-year risk?

[Gregory Schmidt @_GregSchmidt]

@drgarymcgowan Something along fibre / colorectal cancer risks