That is surprising. My primary care provider had a different response. Basically he said something in line of
"You wouldn't believe how much of a relief it has been. In your last visit, you saw me typing everything you were saying, right? I don't have to. I can listen to you and take very specific notes as necessary as opposed to focusing on both typing and listening to you at the same time. It has bought my stress levels down to here." (Indicated by his hand lowering)
Indeed, I always turn this down as I don't consent. If you had a thorough read of the major providers' Terms of Service, you wouldn't either.
It's a shame, if they had an AI transcription tool that kept everything in-house I'd be much more comfortable with it. Or perhaps some kind of zero-knowledge cloud-based product where I hold the keys.
On the one hand, pre-LLM there was plenty of software out there for medical use, and they had to be HIPPA compliant, etc. I've worked with people who used to write that SW (they hated the job because HIPPA was so strict). The rational side of me is saying I shouldn't be biased against these, and that there's no way they would relax the requirements.
On the other hand, the emotional side of me screams: It's LLMs! Huge privacy concern!
I try to let the rational side win. I've always given consent. Especially because I liked my doctor pre-LLMs, and it seems silly to suddenly mistrust him and go to a doctor I don't know at all.
I use Kaiser, recently their webpage asked nicely if I would sign a HIPAA waiver to share my data with third parties for marketing purposes. The default was Deny and they made that easy, but it was concerning.
Having seen the type of insane shit these LLM transcription tools shit out on the regular, I wouldn't trust these tools for even the most mundane note taking in a medical setting, especially if there's a summarization feature.
I've seen summaries that implied the opposite of what was actually said, and even the transcripts themselves often contain egregious errors. I can so easily imagine these tools summarizing "I drink coke often" to "I use cocaine often", as a random simple example. All nuance gets lost, all context gets lost and unless you're vigilant and looking out for these types of errors it's so easy to slip by the cracks.
I've seen the quality of transcriptions, and it's awful. I wouldn't trust it for something as trivial as meeting notes, let alone medical transcripts. Either this doctor is going over the notes later to summarize them for your records anyway (which will cost them just as much time as the old way), or they're relying on the LLM to summarize, which is even more irresponsible.
Nursing and PCP are very different jobs. Ones a lot more cognitive than the other whereas the other involves actually doing/executing on a plan. I can see how AI would help reduce the cognitive burden while actually increase stress on the execution side.
While they definitely serve a purpose, primary care is not that.
If you present with anything other than healthy and fine, the ones I have had to see are less than helpful.
They simply do not have the depth or breath of training as a doctor. They're very good at executing a plan as part of a care team, and even making changes to that plan based on patient need. But they just simply aren't as good as doctors.
There's a reason they're replacing doctors. . . They're cheaper. That's it.
NZ uses AI dictation and according to doctors who were apprehensive at first, they now love it because they feel they spend less time note taking, more time listening to the patient, and can deal with patients better.
Similarly, I think anything we can do to help take the burden off the mundane parts of the job has helped clinicians focus on the actual hard parts. Where we get... bristling, is when there's any suggestion of "legislating" (operationally, not like, governmentally) care patterns and telling clinicians how to care for their patients.
Which is great, because anyone suggesting AI should replace clinical judgment and work is an idiot.
I'm frowning upon your use of a good experience that one person had in a completely different context to overshadow a bad use of AI that affects hundreds of thousands of people. They both happened in healthcare, but other than that, they are different situations with different outcomes.
I made a single presumption: that the PCP's use of AI for this situation is not mandatory. Is it mandatory or is it not?
In 2024 when the AI empathy snakeoil machine was inflicted on the nurses, the nurses had no choice in the matter. And management has already established that they may do something like this again.
Your situation is completely different. It's a doctor overseeing their own tool. If the AI makes a mistake, the doctor is responsible and would presumably take responsibility. Who is responsible if an AI tool makes a mistake in a performance evaluation of an employee? The employee! The employee is guilty until proven innocent. But the employee gets no choice in whether that AI tool is used against them (absent a union agreement which dictates how AI tools can be used).
The reason I fear the misuse of AI is because it is so useful.
The web version went from 100 Pro Prompts per day to...12 per 5 hours lol. I just did 3 back and forth not even technical planning for an infra project and I am ~25% thorough. Insane.
Willing to relocate: Yes, alongside west coast (CA, OR, WA)
Technologies: Platform Engineering, lots of AI harnessing work (Please see my website/blog at the domain for the email given below). I have a homelab where I tinker with a lot of the time.
Résumé/CV: https://e.civv.es/resume-2026-04 (Govt peeps: More than happy to give you a multi-page resume spanning ~12 years, please contact me)
Email: indoria@aindoria.com
Edit: URLs use my self-hosted url-shortener(Kutt) so I can deprecate URLs as needed.
----
My most recent project has been about having an intelligent layer of self-replicating, perpetual AI "agent" layers (akin to Bobiverse series) between me and my homelab[1]. I should have to do the bare minimum to interact with my homelab -- it should for the most part, run by itself. I recently spoke on Linux Unplugged Podcast Ep 652 [2] about this project as well.
For me, “interestingly wrong” becomes just “wrong” without human thinking behind it. I wasn’t bowled over by the prose, I just thought it was an uncommon take and didn’t twig the signs it was Claude product.
Can i compare this with fucking inflatable doll (not done this, just extrapolating). Even if senses for your penis are identical, whole experience is totally not the same as doing with another live person.
Yes, but, that goes away when the "thing" is meant to mimic/replace/replicate a human... that's why "uncanny valley" is just a gut-level unsettling feeling. The lack of emotional nuance.
A djungelskog is not a threat. AI threatens my livelihood and my humanity. The worst part is I have to use it regardless because I would be uncompetitive without it.
Ironically I have a somewhat of a different view - I love rubber ducking and tinkering with LLMs. Sometimes they come up with a use case that I would not have thought of, but I would have liked to have maybe 2 weeks later. Other times it is nitpicking each others' code etc.
again, which app are you talking about? it's like saying "the web is buggy" but not saying what browser you're using. Looking at the App Store reviews for Element X at https://apps.apple.com/us/app/element-x-secure-chat-call/id1..., there are no complaints about bugs at all (only missing functionality, which has since been added)?
Isn't a devaluation the same as inflation, just measured against other currencies?
Basically inflation measures against itself at an earlier time, devaluation measures against other currencies at the same moment. So it both describes the fact that the currency in question is using purchasing power, measured from different points of view.
But I'm not knowledgeable on the topic, I just mentally stumbled a little when reading this thread which seemingly (to my interpretation of what was written) made them sound like different concepts entirely.
It's inflation fornouschains foreign products, but also makes us products cheaper to the rest of the world which means it's an incentive for exports.
Might have had some interesting effects on the economy if we didn't simultaneously have tariffs making it so that 1) it's hard to buy the machinery to increase US industrial capacity, and 2) nobody wants to invest in the US economy because tariffs cause economic slowdowns.
The price response in secondary markets (refurbished drives here) can be much bigger than the direct effects caused by increases in price for newly produced goods, I think? If the price goes up for new drives, purchasers of new drives hold on to current product for longer, and they are the suppliers to the secondary market. Also, more people might buy from the secondary market than from the primary market due to the price increase, creating a greater supply pressure and price response than is seen in the primary market. I guess it all depends on the shape of the demand curve.
The tarrifs are pretty big, depending on the country (for china, they are huge) and inflation is also pretty high. Things are only going to get worse with the current administration intent on tanking anything that remains of our economy. We are in big trouble in the US.
"You wouldn't believe how much of a relief it has been. In your last visit, you saw me typing everything you were saying, right? I don't have to. I can listen to you and take very specific notes as necessary as opposed to focusing on both typing and listening to you at the same time. It has bought my stress levels down to here." (Indicated by his hand lowering)
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