i'm a scribe in the ED and some of the doctors prefer these AI scribes over utilizing the scribes on shift, it's honestly quite eerie seeing technology take my job right in front of me lol
Ive suffered from severe ULCERATIVE COLITIS since 2008.... Lots of bad issues. My GI has sent me to the ER so many times. Dealt with pancreatitis, and other things as well. I'm also in the medical field and have been for 2 decades. Now my UC has gotten so bad, it's taken me out of work. It's been devastating! I have some other health issues as well, but biggest, I think, is my UC. The pain can be unbearable. I hate pain meds and would much prefer holistic approaches especially because all pain meds (of the narcotic kind) tend to make me so sick therefore I'll need something for nausea and vomiting. It just sucks all the way around. I can't even drink or smoke Marijuana as they both make me sick very fast with nausea and vomiting haaha!! My body is hyper sensitive!! But when the pain gets to be too unbearable, I'll give. That said, for a while there, I was having to go to the ER far too regularly due to how awful my UC flareups were. The pain it was causing, etc. My PCP was even prescribing me pain meds to take regularly, but I'd only take them via PRN and if i absolutely couldn't just push through it. But at times, those wouldn't even touch the pain. That's when my GI would really encourage me to go to the ER. The thing is, sure, people claim they don't judge, but lets be real. I know my truth, but I'll admit, I have not gone to the ER in potential emergencies or have probably waited longer than I should have due to the fear of being falsely stereotyped by any said medical staff, be it in the ER or elsewhere. For example, all of a sudden one day I had literally the most severe pain ever but tried to talk myself out of going to the ER because my anxiety was so bad about being judged or what not that I tried to push through the pain I was going through and try to take my payment here at home and just take it easy. But even after taking my pain medication and waiting a couple of hours still in pain, I was able to take another payment that's pain medicine, but none of these even remotely touched what I was experiencing. There was Zero relief! I had never felt such pain before despite having been in significant pain quite often. This was a little bit different. And it baffled me as to how come my pain medicine wasn't doing anything. How is that possible? Eventually I just couldn't handle it anymore and I gave in, feeling stupid and assuming I would go in and end up coming right back home, I did call 911 an ambulance came and took me to the hospital where low and behold, as it turned out, I had an internal hernia in my small intestines but not only that they had completely twisted around each other somehow. I forgot the proper name for all this, all apologies. But 2 years prior I had gastric bypass and is believed that this situation may have stemmed from that. And it was no wonder why I was in such excruciating pain along with the fact that my heavy duty payments didn't touch the pain I was going through. Heck even the pain medicine I was getting through IV while in the hospital barely helped. I did have emergency surgery a few hours after I arrived at the hospital. So in that case, it was definitely a good thing that I went because had I decided to just stay home and push through that horrific pain, well, let's just say I probably wouldn't be here right now. But I still have such anxiety now when it comes to questioning if I need to go to the ER or not even when my GI or any other doctor tells me that I should because I never want to waste anyone's time, be stereotyped or judged in any way, etc. I used to be able to still work and live life with my ulcerative colitis, among other conditions, but it has officially taken me out these last couple of years and I've been fighting to get my life back. It's exhausting. This past month has been excruciatingly bad with so much pain, nausea vomiting, even not being able to keep some food down, extreme fatigue, just feel awful, all the fun symptoms have ulcerative colitis, severe abdominal pain... I've had tests and labs done. I have felt like I may not make it through the night. I've definitely considered going to the ER a few times. But again, I don't want to waste people's time. And again I do have pain medication I can take when the pain is too much. Which I've taken and kind of like before, I'd still be in a lot of pain. Thankfully not like I did when I needed surgery, but still enough where I would be in tears. But I just feel like if I went to the ER and told them that I tried taking my pain medication at home and I'm still in pain but I would be wrongfully stereotyped as drug seeking when that is in absolutely no way the case. I want to know why I'm still having the pain, why it won't stop. My GI and my PCP know that I have pain medication obviously as my PCP prescribed it, and my GI specifically is the one who advises me to go to the ER especially if my pain medication is not helping me at home and I'm still having severe abdominal pain. I'm sorry for being repetitive and rambling. Not feeling well, exhausted, in pain, still don't want to go to the ER, just so tired. I'm usually a grammar nerd and always try to be as concise as possible in my writings. I'm just too exhausted and feeling depleted right now. I want to thank you both for what you do and your help with all your patients. Please keep in mind that there are people out there who truly are struggling with similar battles like I am who genuinely mean well. I do realize that by not going to the ER when not only my doctor's suggest that I should along with my gut, the consequences could be dire. But unfortunately due to a few previously bad and unfortunate judgmental visits in the past that have only made me feel horrible about myself, it's me not want to go ever again. I have the worst anxiety just thinking about it. Currently I feel like there's something seriously wrong going on, but I just can't bring myself to go in. I keep telling myself I'll feel better soon when I only keep getting worse. I'm in contact with my doctor though. Always be kind to people as you never know how your actions will affect another. It really could mean life or death.
It would be great if the finished notes could find their way into my particular EHR without a lot of copy-pasting. There are also a bunch of check boxes I need to contend with.
Both of my doctors use 6:41 HEIDI or something similar. I hate it. It feels like my doctor is looking and talking to the computer and not me. I'm not being heard. At one visit it felt like the doctor had a list of questions generated by the computer, and after I answered the questions the computer generated my diagnosis.
Based on your example bloody diarrhea scenario, I am curious how often you might actually see this exact type of situation? It would seem that it normally could be something that is dealt with by a primary care physician and may not necessarily need a specialist.
My department uses an AI like this. Its cool and definitely saves the doctors time. No need to be on the computer and can spend all their time examining the patient and talking with them.
Super interesting! Obviously not perfect, but neither are human scribes like myself. Especially exciting for specialties like family medicine that have a criminal amount of administrative tasks and do not have the income to be hiring scribes. I would love to hear more doctors and data scientists discussing AI use in medical practice. Such uncharted territory (pun intended 😆)
This is kinda worrying given the latest news about Whisper (the OpenAI medical transcription project). Researchers have found that it tends to hallucinate extra info in nine out of ten cases. Any word on what AI system they're using?
Is this app available in other languages? I am from germany and this would be super helpful in clinics. But i know that america is usually a bit ahead in technical advancements in the medical sector.
My question is: What if Heidi gets it wrong? Do you go back and compare the transcript to the notes it has created? Probably not. What if something is wrong? Ai gets things wrong all the time. I find this tool highly problematic and irresponsible.
I just finished my OB/GYN rotation and all of the doctors are using these types of AI. It is very intuitive and a great utility for clinical encounters!
My therapist used this last session!! My first thought was ‘ahh ai’ but like it actually seems really smart lol bc it takes out all the burden of note writing. You also kind of forget its there lmao. therapist also asked me if i wanted to do it before hand and i signed a informed consent thing so its not like ur forced Edit: now have also had a gp and an allied health professional use it too. Nothing changed- shocker lol
@@Doc_Schmidt Long-form sponsorship videos (i.e. Advertising) is the only situation where being a doctor (a highly regarded and authoritative medical professional) makes you seem less credible. They don't necessarily mean it affects the credibility of the advertisement (advertising is already perceived by many to have zero credibility from the offset), but that your credibility as a doctor (which you utilise for the channel) can be sullied for some people when you take and produce paid sponsorship deals, even when those deals have no relation to your field of expertise (i.e. Heidi AI is not a specialised GI tool) and even when the advertisement would not suggest a direct effect on care or treatment plans. This is the case even if you believe fully the content of the video and have the best intentions in the world. A large part of this is due to the inherent implications of what a sponsorship deal often entails: That a content creator is willing to accept money to present an opinion with a particular bias attached, of a product that they have comparatively little use of (something you acknowledge in the first minute or so, and a hallmark of sponsorship videos). This is why many content creators are compelled to say "the sponsor allowed me to say whatever I want in this video", when the sponsorship agreement permits. For most professions and content creators, this would not be an issue at all (because their job positions that they present lack inherent professional credibility), but for much of the public the position of doctor (especially one actively presenting as a doctor, as the primary identity of their channel) is expected to have an element of impartiality. Even if private medicine is a prominent industry, there is the expectation that a doctor ought not to be willing to advocate for specific products or present particular differential advice based on the presentation of money. For some people, the awareness that this could be the case damages the credibility of the medical field, as it associates it with corruption. By all means, due to the nature of the product here, this could seem rather silly - Heidi AI is likely more tailored to the medical profession more than individual consumers - but for many of us there is an immediate adverse reaction we have towards paid advertising content in general, especially when doctors are invoked in paid advertising. In many countries, having learned from the historical issues with the tobacco industry, we often no longer see doctors presented in television advertisements in the same manner than what may historically have been the case. There are often legal regulations to prevent doctors appearing in television advertising. To see a doctor advertising any product (such as here on TH-cam) will be perceived as non-normative, and is more likely to be questioned for the implications.
I work as a scribe in primary care and we started using AI to support note writing. It is very helpful but it does make some mistakes you should watch out for especially with medication names and numbers, but there are times it makes stuff up and we couldn’t figure out where it came from even listening to the audio. Your program may have different strengths/weaknesses though
I also find this AI tool highly problematic as nobody will ever go back and compare the notes it writes to the actual transcript. What if it makes a mistake? Or what if the transcript has a mistake that never got corrected. Highly problematic
deepcura uses the new o1 model from open ai
i'm a scribe in the ED and some of the doctors prefer these AI scribes over utilizing the scribes on shift, it's honestly quite eerie seeing technology take my job right in front of me lol
Ive suffered from severe ULCERATIVE COLITIS since 2008.... Lots of bad issues. My GI has sent me to the ER so many times. Dealt with pancreatitis, and other things as well. I'm also in the medical field and have been for 2 decades. Now my UC has gotten so bad, it's taken me out of work. It's been devastating! I have some other health issues as well, but biggest, I think, is my UC. The pain can be unbearable. I hate pain meds and would much prefer holistic approaches especially because all pain meds (of the narcotic kind) tend to make me so sick therefore I'll need something for nausea and vomiting. It just sucks all the way around. I can't even drink or smoke Marijuana as they both make me sick very fast with nausea and vomiting haaha!! My body is hyper sensitive!! But when the pain gets to be too unbearable, I'll give.
That said, for a while there, I was having to go to the ER far too regularly due to how awful my UC flareups were. The pain it was causing, etc. My PCP was even prescribing me pain meds to take regularly, but I'd only take them via PRN and if i absolutely couldn't just push through it. But at times, those wouldn't even touch the pain. That's when my GI would really encourage me to go to the ER.
The thing is, sure, people claim they don't judge, but lets be real. I know my truth, but I'll admit, I have not gone to the ER in potential emergencies or have probably waited longer than I should have due to the fear of being falsely stereotyped by any said medical staff, be it in the ER or elsewhere. For example, all of a sudden one day I had literally the most severe pain ever but tried to talk myself out of going to the ER because my anxiety was so bad about being judged or what not that I tried to push through the pain I was going through and try to take my payment here at home and just take it easy. But even after taking my pain medication and waiting a couple of hours still in pain, I was able to take another payment that's pain medicine, but none of these even remotely touched what I was experiencing. There was Zero relief! I had never felt such pain before despite having been in significant pain quite often. This was a little bit different. And it baffled me as to how come my pain medicine wasn't doing anything. How is that possible? Eventually I just couldn't handle it anymore and I gave in, feeling stupid and assuming I would go in and end up coming right back home, I did call 911 an ambulance came and took me to the hospital where low and behold, as it turned out, I had an internal hernia in my small intestines but not only that they had completely twisted around each other somehow. I forgot the proper name for all this, all apologies. But 2 years prior I had gastric bypass and is believed that this situation may have stemmed from that. And it was no wonder why I was in such excruciating pain along with the fact that my heavy duty payments didn't touch the pain I was going through. Heck even the pain medicine I was getting through IV while in the hospital barely helped. I did have emergency surgery a few hours after I arrived at the hospital. So in that case, it was definitely a good thing that I went because had I decided to just stay home and push through that horrific pain, well, let's just say I probably wouldn't be here right now.
But I still have such anxiety now when it comes to questioning if I need to go to the ER or not even when my GI or any other doctor tells me that I should because I never want to waste anyone's time, be stereotyped or judged in any way, etc. I used to be able to still work and live life with my ulcerative colitis, among other conditions, but it has officially taken me out these last couple of years and I've been fighting to get my life back. It's exhausting. This past month has been excruciatingly bad with so much pain, nausea vomiting, even not being able to keep some food down, extreme fatigue, just feel awful, all the fun symptoms have ulcerative colitis, severe abdominal pain... I've had tests and labs done. I have felt like I may not make it through the night. I've definitely considered going to the ER a few times. But again, I don't want to waste people's time. And again I do have pain medication I can take when the pain is too much. Which I've taken and kind of like before, I'd still be in a lot of pain. Thankfully not like I did when I needed surgery, but still enough where I would be in tears. But I just feel like if I went to the ER and told them that I tried taking my pain medication at home and I'm still in pain but I would be wrongfully stereotyped as drug seeking when that is in absolutely no way the case. I want to know why I'm still having the pain, why it won't stop. My GI and my PCP know that I have pain medication obviously as my PCP prescribed it, and my GI specifically is the one who advises me to go to the ER especially if my pain medication is not helping me at home and I'm still having severe abdominal pain.
I'm sorry for being repetitive and rambling. Not feeling well, exhausted, in pain, still don't want to go to the ER, just so tired. I'm usually a grammar nerd and always try to be as concise as possible in my writings. I'm just too exhausted and feeling depleted right now.
I want to thank you both for what you do and your help with all your patients. Please keep in mind that there are people out there who truly are struggling with similar battles like I am who genuinely mean well. I do realize that by not going to the ER when not only my doctor's suggest that I should along with my gut, the consequences could be dire. But unfortunately due to a few previously bad and unfortunate judgmental visits in the past that have only made me feel horrible about myself, it's me not want to go ever again. I have the worst anxiety just thinking about it. Currently I feel like there's something seriously wrong going on, but I just can't bring myself to go in. I keep telling myself I'll feel better soon when I only keep getting worse. I'm in contact with my doctor though.
Always be kind to people as you never know how your actions will affect another. It really could mean life or death.
It would be great if the finished notes could find their way into my particular EHR without a lot of copy-pasting. There are also a bunch of check boxes I need to contend with.
Both of my doctors use 6:41 HEIDI or something similar. I hate it. It feels like my doctor is looking and talking to the computer and not me. I'm not being heard. At one visit it felt like the doctor had a list of questions generated by the computer, and after I answered the questions the computer generated my diagnosis.
Thanks for the review. I'm a PA student about to graduate in a few months, and this looks awesome.
Based on your example bloody diarrhea scenario, I am curious how often you might actually see this exact type of situation? It would seem that it normally could be something that is dealt with by a primary care physician and may not necessarily need a specialist.
A primary care doctor would often refer a patient to me for that issue
My department uses an AI like this. Its cool and definitely saves the doctors time. No need to be on the computer and can spend all their time examining the patient and talking with them.
You need a Jonathan! 😉😉
Can you listen to the recording if you have to go back and check a specific detail?
We don’t store the audio from visits. In dictation mode you can store Audio optionally yes
Super interesting! Obviously not perfect, but neither are human scribes like myself. Especially exciting for specialties like family medicine that have a criminal amount of administrative tasks and do not have the income to be hiring scribes. I would love to hear more doctors and data scientists discussing AI use in medical practice. Such uncharted territory (pun intended 😆)
FYI, I can't find the link in your bio for the trial Heidi Pro offer.
This is kinda worrying given the latest news about Whisper (the OpenAI medical transcription project). Researchers have found that it tends to hallucinate extra info in nine out of ten cases.
Any word on what AI system they're using?
Is this app available in other languages? I am from germany and this would be super helpful in clinics. But i know that america is usually a bit ahead in technical advancements in the medical sector.
My question is: What if Heidi gets it wrong? Do you go back and compare the transcript to the notes it has created? Probably not.
What if something is wrong? Ai gets things wrong all the time. I find this tool highly problematic and irresponsible.
I just finished my OB/GYN rotation and all of the doctors are using these types of AI. It is very intuitive and a great utility for clinical encounters!
Agreed!
My therapist used this last session!! My first thought was ‘ahh ai’ but like it actually seems really smart lol bc it takes out all the burden of note writing. You also kind of forget its there lmao. therapist also asked me if i wanted to do it before hand and i signed a informed consent thing so its not like ur forced
Edit: now have also had a gp and an allied health professional use it too. Nothing changed- shocker lol
What if AI gets something wrong and then you are getting treated according to this mistake.... I wouldn"t have signed it.
@@ChristineB-o6rcuz theyre still human and can check if anything was missed?
this is the only situation where being a doctor makes you seem less credible
What?
@@Doc_Schmidt Long-form sponsorship videos (i.e. Advertising) is the only situation where being a doctor (a highly regarded and authoritative medical professional) makes you seem less credible.
They don't necessarily mean it affects the credibility of the advertisement (advertising is already perceived by many to have zero credibility from the offset), but that your credibility as a doctor (which you utilise for the channel) can be sullied for some people when you take and produce paid sponsorship deals, even when those deals have no relation to your field of expertise (i.e. Heidi AI is not a specialised GI tool) and even when the advertisement would not suggest a direct effect on care or treatment plans.
This is the case even if you believe fully the content of the video and have the best intentions in the world.
A large part of this is due to the inherent implications of what a sponsorship deal often entails: That a content creator is willing to accept money to present an opinion with a particular bias attached, of a product that they have comparatively little use of (something you acknowledge in the first minute or so, and a hallmark of sponsorship videos). This is why many content creators are compelled to say "the sponsor allowed me to say whatever I want in this video", when the sponsorship agreement permits.
For most professions and content creators, this would not be an issue at all (because their job positions that they present lack inherent professional credibility), but for much of the public the position of doctor (especially one actively presenting as a doctor, as the primary identity of their channel) is expected to have an element of impartiality. Even if private medicine is a prominent industry, there is the expectation that a doctor ought not to be willing to advocate for specific products or present particular differential advice based on the presentation of money. For some people, the awareness that this could be the case damages the credibility of the medical field, as it associates it with corruption.
By all means, due to the nature of the product here, this could seem rather silly - Heidi AI is likely more tailored to the medical profession more than individual consumers - but for many of us there is an immediate adverse reaction we have towards paid advertising content in general, especially when doctors are invoked in paid advertising. In many countries, having learned from the historical issues with the tobacco industry, we often no longer see doctors presented in television advertisements in the same manner than what may historically have been the case. There are often legal regulations to prevent doctors appearing in television advertising. To see a doctor advertising any product (such as here on TH-cam) will be perceived as non-normative, and is more likely to be questioned for the implications.
cmon man
What's wrong with this? This can be useful to other providers, do you want someone pitter pattering going uh huh uh huh while you talk?
Try to get a scribe instead of jeopardizing patient safety. Very upset about this, it was great following you for your skits and knowledge
You can think of this as another sort of knowledge. This certainly doesn’t have any negative impact on patient safety
I work as a scribe in primary care and we started using AI to support note writing. It is very helpful but it does make some mistakes you should watch out for especially with medication names and numbers, but there are times it makes stuff up and we couldn’t figure out where it came from even listening to the audio. Your program may have different strengths/weaknesses though
@@johnadams57 agreed. Noted from an AI scribe definitely need to be reviewed for accuracy by the doctor, just like a human scribe’s note
He's not jeopardizing patient safety
I also find this AI tool highly problematic as nobody will ever go back and compare the notes it writes to the actual transcript. What if it makes a mistake? Or what if the transcript has a mistake that never got corrected. Highly problematic