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silvestrov • today at 8:34 PM • 5 replies • view on HN

> new folder on my Mac, and after appointments I’d dictate what happened and what the doctor said

I cannot recommend this enough, including writing down almost every day about symptoms and progress. I didn't have cancer, something else, but it was very valuable to be able to go back and see exactly how long time a symptom has been present and when it disappeared.

Doctors also seem to react well to being able to be precise in descriptions of what happened when.


Replies

BrokenCogs • today at 8:40 PM

That's because the baseline response doctors are used to goes something like this:

Doc: "Do you have any other medical conditions besides your {red eye,stomach ache,itchy foot}?"

Patient: "No."

Doc: "Are you taking any meds?"

Patient: "Yes I am currently on chemotherapy for my cancer."

Doc: "Okay... so you have cancer?"

Patient: "Yes I have lung cancer."

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tredre3 • today at 8:43 PM

> Doctors also seem to react well to being able to be precise in descriptions of what happened when.

They do. In my experience they're usually pleasantly surprised when you have dates and timelines rather than "oh I don't know, about a year ago?"

That being said the reaction differs if you offer a self diagnosis (assisted by google or chatgpt) rather than just symptoms. There will not be pleasantness. It's a toss up between a dismissive "yeah maybe" and "uh uh, did google tell you this?" Many doctors will 100% listen and consider what you say, but in my long life I've learned that offering a self diagnosis must be done very tactfully.

On one hand it's understandable, us as programmers don't enjoy having a nocoder arrive with "yeah so chatgpt says this is no good" and having to explain to them why they're wrong. On the other hand modern patients do their own research before consulting, so it's worth at least considering what's being said.

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arjie • today at 9:33 PM

I have a private EMR system and we plug in everything into it through an agent. Every medication, every sniffle. It’s fun!

DannyBee • today at 8:44 PM

Get one of these: https://www.plaud.ai/

You can do whatevvr you want with the audio files - have them transcribe them, summarize them, hand them to an agent, upload them to your cloud, whatever.

The standby and talk time is really great on both the pins and the credit card sized versions.

I have a lot of friends that now use them with elderly parents/their own medical care when they need to really be able to have something automatically record/transcribe the visits.

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Hamuko • today at 9:03 PM

>Doctors also seem to react well to being able to be precise in descriptions of what happened when.

They also do that if you show them pictures of your poop when you have a bowel thing going on.