The modern chronic illness cycle.

Me: I have X and it took three and a bit decades to diagnose and I’m on A and B and C to treat it.

Them: That’s unlikely. A is used to treat OtherCondition.

Me: I don’t have OtherCondition.

Then: Well if you’re on A then you must have it. I asked ChatGPT

@NanoRaptor this kills the brain
@NanoRaptor dealer’s choice 🤦‍♀️ 🙅‍♀️🙅‍♀️🙅‍♀️
@NanoRaptor I don't think we could handle that gracefully at all

@NanoRaptor

I'm guessing that "Them" is not a doctor.

If so, report them.

Because that's absolutely nuts. :'(

@NanoRaptor So, what do we treat the condition that them suffers from?
A man asked AI for health advice and it cooked every brain cell

YouTube
@NanoRaptor I read that as being diagnosed with Gen X and still found it relatable.
@bartreardon @NanoRaptor
Some of the best people I know were diagnosed with Gina X:
https://www.youtube.com/watch?v=aUUlaXETebI
"You are perfect, you are sheer / If you are a red-haired queer"
Gina X - No G.D.M.

YouTube
@NanoRaptor when something like this happens to me, the years of pharmacy-adjacent education is sitting in the back of my mind like "do i want to explain off-label usage of medication to someone or do i want to retain my composure today"
@rudi Not even off-label! just one of many pretty ordinary uses.
@NanoRaptor @rudi
Excellent explanation for what is going on in the LLM though. When the ordinary use is not in the training data, the chat box just extrudes text from something pharmacy-adjacent

@rudi I think the shorthanded way of saying it would be "have you just not noticed Skyrizi being advertised for like 8 different unrelated things? Ever notice soldiers joke about Motrin being used to treat seemingly everything?" to at least put them in the right ballpark.

@NanoRaptor

@NanoRaptor

Of course

All meds only have just one use case

Furthermore, that use case is exactly what the med was created for

</blistering sarcasm>

@nlarson830 @NanoRaptor
LLM chatboxes trained on the screenplays of every CSI series/spinoff has learned the that the unique use of case of a med always results in the ultimate resolution of the story
@NanoRaptor
"You asked a probability engine about an edge case? how's that glue on your pizza working out?"

@NanoRaptor Late reply because I have had one of *those* days.

I don't envy you getting that kind of reply, but I am curious (I get the same sort of thing as I am on a couple of off-label drugs as well): are those "oh, you must be mistaken" replies from lay-people only, or professional people as well?

I have had dentists, for example, tell me that I couldn't possibly be on a drug that I listed on my history form, because "it is only for people with xxxx condition, and you obviously don't have that".

@NanoRaptor
"Can I talk to somebody else please"

@NanoRaptor My wife has this problem. She was given a medication for depression. This drug is often given for bipolar disorder even though in both cases it is black box use and was designed for the control of epilepsy.

Many doctors assume that she is bipolar due to this past prescription.Her psychiatrist who prescribed it told me that it was for her depression. Some docs don't believe me.

Since my wife has FTD some doctors focus on the wrong thing. Bipolar is a common misdiagnosis for FTD.

@NanoRaptor

I get to witness this from the sidelines with my spouse, who has a chronic illness.

Nothing quite like getting punted from doctor to doctor when her symptoms don't line up with their expectations.

Also, I think if she gets another MRI or “X-Ray with Contrast” we get a free meatball sub from Subway at this point.