🫥 Mikey 🫥

ER Doc 🚑, board game enthusiast 🎲, a little outdoorsy 🏕, moderately grouchy 😠. 🏳️‍🌈 (He/Him)

[🫥 Mikey 🫥 @MichaelMiles3]

I’m outa here: come find me where skies are blue. 👋🏼
@Michaelmiles3.bsky.social

[🫥 Mikey 🫥 @MichaelMiles3]

Shocked that UT went Ro and not Wade tbh.

[Daniel Litt @littmath]

Incredible: AI can predict the winner of the 2024 election. Looks like there will be a few surprises; for example, there's a good chance that Iowa will win Texas.

[🫥 Mikey 🫥 @MichaelMiles3]

@EliMcCann @kalain777

[🫥 Mikey 🫥 @MichaelMiles3]

@Swilua Swilua, We hate Gay Halloween! Not gay *people* on Halloween! (We still love ourselves)

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster Think my patients are likely getting on average better care because of it. And it makes my life much easier. So I find the benefits far outweigh the harms at this point. But I hear your concerns. I don’t view this is an argument that needs to be *won* per se.

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster Doing the note closer to the time I talked with a patient. Instead of much later in the evening when I find time to sit down and dictate notes. It saves enough time I can do the history between visits. I find this probably improves my accuracy in my notes as I’ve said. For now I

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster And last thought: for me it is an accessibility tool. I STRUGGLE with my adhd to get charts STARTED. But once I have overcome the activation energy of words on the paper, it’s much less mentally exhausting/ time consuming to edit the words for accuracy.

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster Process and protect ourselves legally, and communicate to other docs, most docs I know are going to be pretty careful about the wording that goes in the chart.

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster There’s a logical leap in the article where bad transcriptions or ai generated summaries of interviews somehow are being put directly into a chart without human review which I think unlikely. And AI as of yet is not jumping 3 steps ahead of the history and documenting a diagnosis

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster The idea of an AI hallucination then creating a false memory for the doc is interesting for sure. This stuff is understandably being used with caution. So far I feel like my notes have been more detailed than they would otherwise be and likely more accurate to the visit.

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster Like Tylenol is dangerous by the handful but great when taken in correct doses.

[🫥 Mikey 🫥 @MichaelMiles3]

@jblainefoster Obviously I can’t speak to how it is used everywhere. And surely someone will try to take it too far. I just know that from how I’ve seen it used The article seems to be alarmist about a way that seems reckless, bit not founded in what’s happening.