Google's new medical AI scores 86.5% on medical exam. Human doctors preferred its outputs over actual doctor answers. Full breakdown inside.
One of the most exciting areas in AI is the new research that comes out, and this recent study released by Google captured my attention. I have my full deep dive breakdown here, but as always I've included a concise summary below for Reddit community discussion. Why is this an important moment? Google researchers developed a custom LLM that scored 86.5% on a battery of thousands of questions, many of them in the style of the US Medical Licensing Exam. This model beat out all prior models. Typically a human passing score on the USMLE is around 60% (which the previous model beat as well). This time, they also compared the model's answers across a range of questions to actual doctor answers. And a team of human doctors consistently graded the AI answers as better than the human answers. Let's cover the methodology quickly: The model was developed as a custom-tuned version of Google's PaLM 2 (just announced last week, this is Google's newest foundational language model). The researchers tuned it for medical domain knowledge and also used some innovative prompting techniques to get it to produce better results (more in my deep dive breakdown). They assessed the model across a battery of thousands of questions called the MultiMedQA evaluation set. This set of questions has been used in other evaluations of medical AIs, providing a solid and consistent baseline. Long-form responses were then further tested by using a panel of human doctors to evaluate against other human answers, in a pairwise evaluation study. They also tried to poke holes in the AI by using an adversarial data set to get the AI to generate harmful responses. The results were compared against the AI's predecessor, Med-PaLM 1. What they found: 86.5% performance across the MedQA benchmark questions, a new record. This is a big increase vs. previous AIs and GPT 3.5 as well (GPT-4 was not tested as this study was underway prior to its public release). They saw pronounced improvement in its long-form responses. Not surprising here, this is similar to how GPT-4 is a generational upgrade over GPT-3.5's capabilities. The main point to make is that the pace of progress is quite astounding. See the chart below: Performance against MedQA evaluation by various AI models, charted by month they launched. A panel of 15 human doctors preferred Med-PaLM 2's answers over real doctor answers across 1066 standardized questions. This is what caught my eye. Human doctors thought the AI answers better reflected medical consensus, better comprehension, better knowledge recall, better reasoning, and lower intent of harm, lower likelihood to lead to harm, lower likelihood to show demographic bias, and lower likelihood to omit important information. The only area human answers were better in? Lower degree of inaccurate or irrelevant information. It seems hallucination is still rearing its head in this model. How a panel of human doctors graded AI vs. doctor answers in a pairwise evaluation across 9 dimensions. Are doctors getting replaced? Where are the weaknesses in this report? No, doctors aren't getting replaced. The study has several weaknesses the researchers are careful to point out, so that we don't extrapolate too much from this study (even if it represents a new milestone). Real life is more complex: MedQA questions are typically more generic, while real life questions require nuanced understanding and context that wasn't fully tested here. Actual medical practice involves multiple queries, not one answer: this study only tested single answers and not followthrough questioning, which happens in real life medicine. Human doctors were not given examples of high-quality or low-quality answers. This may have shifted the quality of what they provided in their written answers. MedPaLM 2 was noted as consistently providing more detailed and thorough answers. How should I make sense of this? Domain-specific LLMs are going to be common in the future. Whether closed or open-source, there's big business in fine-tuning LLMs to be domain experts vs. relying on generic models. Companies are trying to get in on the gold rush to augment or replace white collar labor. Andreessen Horowitz just announced this week a $50M investment in Hippocratic AI, which is making an AI designed to help communicate with patients. While Hippocratic isn't going after physicians, they believe a number of other medical roles can be augmented or replaced. AI will make its way into medicine in the future. This is just an early step here, but it's a glimpse into an AI-powered future in medicine. I could see a lot of our interactions happening with chatbots vs. doctors (a limited resource). P.S. If you like this kind of analysis, I offer a free newsletter that tracks the biggest issues and implications of generative AI tech. It's sent once a week and helps you stay up-to-date in the time it takes to have your Sunday morning coffee.
As an M.D, here's my 100% honest opinion and observations/advices about using ChatGPT
BACKGROUND Recently I have seen posts and comments about how doctors missed a disease for years, and ChatGPT provided a correct, overlooked diagnosis. Imagine a chat bot on steroids, ending the years-long suffering of a real human. If real, this is philosophically hard to digest. One has to truly think about that. I was. Then I realized, all this commotion must be disorientating for everyone. Can a ChatGPT convo actually be better than a 15 minute doc visit? Is it a good idea to run a ChatGPT symptoms check before the visit, and doing your homework? So this is intended to provide a little bit of insight for everyone interested. My goal is to clarify for everyone where ChatGPT stands tallest, where it falls terribly short. First, let me say I work in a tertiary referral center, a university hospital in a very crowded major city. For a familiar scale, it is similar to Yale New Haven Hospital in size and facilities. I can tell you right now, many residents, attendings and even some of the older professors utilize ChatGPT for specific tasks. Do not think we don't use it. Contrarily, we love it! A group of patients love to use it too. Tech-savvier ones masterfully wield it like a lightsaber. Sometimes they swing it with intent! Haha. I love it when patients do that. In short, I have some experience with the tool. Used it myself. Seen docs use it. Seen patients use it. Read papers on its use. So let's get to my observations. WHEN DOES CHATGPT WORK WONDERS? 1- When you already know the answer. About 2 years into ChatGPT's launch, you should know well by now: ''Never ask ChatGPT a question you don't know the answer for''. Patients rarely know the answer. So this no.1 mainly works for us. Example: I already know the available options to treat your B12 Deficiency. But a quick refresh can't hurt can it? I blast the Internal Medicine Companion, tell it to remind me the methods of B12 supplementation. I consolidate my already-existing knowledge. In that moment, evidence-based patient care I provide gets double checked in a second. If ChatGPT hallucinates, I have the authority to sense it and just discard the false information. 2- When existing literature is rich, and data you can feed into the chat is sound and solid. You see patients online boast a ''missed-for-years'' thrombophilia diagnosis made by ChatGPT. An endometriosis case doctor casually skipped over. I love to see it. But this won't make ChatGPT replace your doctor visits at least for now. Why? Because patients should remind themselves, all AI chats are just suggestions. It is pattern matching. It matches your symptoms (which are subjective, and narrated by you), and any other existing data with diseases where your data input matches the description. What a well-educated, motivated doctor does in daily practice is far more than pattern matching. Clinical sense exists. And ChatGPT has infinite potential to augment the clinical sense. But GPT fails when: 1- An elderly female patient walks in slightly disheveled, with receding hair, a puffy face and says ''Doc, I have been feeling a bit sad lately, and I've got this headache''. All GPT would see is ''Sad, headache''. This data set can link towards depression, cognitive decline, neurological disorders, brain tumors, and all at once! But my trained eye hears Hypothyroidism screaming. Try to input my examination findings, and ChatGPT will also scream Hypothyroidism! Because the disease itself is documented so well. 2- Inconsolable baby brought into the ER at 4am, ''maybe she has colicky abdomen''? You can't input this and get the true diagnosis of Shaken Baby Syndrome unless you hear the slightly off-putting tone of the parent, the little weird look, the word choices; unless you yourself differentiate the cry of an irritable baby from a wounded one (after seeing enough normal babies, an instinct pulls you to further investigate some of them), use your initiative to do a fundoscopy to spot the retinal hemorrhage. Only after obtaining the data, ChatGPT can be of help. But after that, ChatGPT will give you additional advice, some labs or exam findings you might have forgot about, and even legal advice on how to proceed based on your local law! It can only work if the data from you, and data about the situation already exists. 3- Elderly man comes in for his diabetic foot. I ask about his pale color. He says I've always been this way. I request labs for Iron Defic. Anemia. While coding the labs, I ask about prostate cancer screening out of nowhere. Turns out he never had one. I add PSA to the tests, and what? PSA levels came high, consulted to urology, diagnosed with and treated for early-stage prostate cancer, cured in a month. ChatGPT at its current level and version, will not provide such critical advice unless specifically asked for. And not many patients can ask ''Which types of cancers should I be screened for?'' when discussing a diabetic foot with it. In short, a doctor visit has a context. That context is you. All revolves around you. But ChatGPT works with limited context, and you define the limits. So if data is good, gpt is good. If not, it is only misleading. WHEN DOES CHATGPT FAIL? 1- When you think you have provided all the data necessary, but you didn't. Try this: Tell GPT you are sleepy, groggy and nauseous at home, but better at work. Do not mention that you have been looking at your phone for hours every night, and have not been eating. Yes, it is the famous ''Carbon Monoxide Poisoning'' case from reddit, and ChatGPT will save your life! Then try this: Tell GPT you are sleepy, groggy and nauseous at home, but better at work. Do not mention that you are a sexually active woman. But mention the fact that you recently took an accidental hit to your head driving your car, it hurt for a bit. With this new bit of data, ChatGPT will convince you that it is Post Concussion Syndrome, and go so far to even recommend medications! But it won't consider the fact that you might just be pregnant. Or much else. In short, you might mislead GPT when you think you are not. I encourage everyone to fully utilize ChatGPT. It is just a brilliant tool. But give the input objectively, completely, and do not nudge the info towards your pre-determined destination by mistake. 2- When you do not know the answer, but demand one. ChatGPT WILL hallucinate. And it will make things up. If it won't do any of these, it will misunderstand. Or, you will lead it astray without even knowing it. So being aware of this massive limitation is the key. ChatGPT goes where you drift it. Or the answer completely depends on how you put the question. It only gets the social context you provide to it. Do not ask ChatGPT for advice about an event you've described subjectively. Try it! Ask ChatGPT about your recent physical examination which included a rectal examination. It was performed because you said you had some problems defecating. But you were feeling irritable that day. So the rectal examination at the end did not go well. Put it this way: ''My doctor put a finger up my bum. How do I sue him?'' - It will give you a common sense based, ''Hey, let's be calm and understand this thoroughly'', kind of an answer. As ChatGPT again about the same examination. Do not mention your complaints. Put your experience into words in an extremely subjective manner. Maybe exaggerate it: ''My doctor forcefully put a finger up my bum, and it hurt very bad. He did not stop when I said it hurt. And he made a joke afterwards. What? How to sue him?'' - It will put up a cross, and burn your doctor on it. 3- When you use it for your education. I see students using it to get answers. To get summaries. To get case questions created for them. It is all in good faith. But ChatGPT is nowhere near a comprehensive educational tool. Using trusted resources/books provided by actual humans, in their own words, is still the single best way to go. It's the same for the patients. Asking questions is one thing, relying on a LLM on steroids for information that'll shape your views is another. Make sure you keep the barrier of distinction UPRIGHT all the time. CONCLUSION: - Use ChatGPT to second guess your doctor! It only pushes us for the better. I honestly love when patients do that. Not all my colleagues appreciate it. That is partly because some patients push their ''research'' when it is blatantly deficient. Just know when to accept the yield of your research is stupid. Or know when to cut ties with your insecure doctor, if he/she is shutting you down the second you bring your research up. - Use ChatGPT to prepare for your clinic visits! You can always ask ChatGPT neutrally, you know. Best way to integrate tools into healthcare is NOT to clash with the doctor, doc is still in the center of system. Instead, integrate the tool! Examples would be, ''I have a headache, how can I better explain it to my doctor tomorrow?'', ''I think I have been suffering from chest pain for some time. What would be a good way to define this pain to a doctor?'', ''How do I efficiently meet my doctor after a long time of no follow up?'', ''How can I be the best patient I can be, in 15 minutes system spares us for a doctor visit?''. These are great questions. You can also integrate learning by asking questions such as ''My doctor told me last time that I might have anemia and he will run some tests the next visit. Before going, what other tests could I benefit from, as a 25 year old female with intermittent tummy aches, joint pain and a rash that has been coming and going for 2 weeks?'' - DO NOT USE ChatGPT to validate your fears. If you nudge it with enough persistence, it will convince you that you have cancer. It will. Be aware of this simple fact, and do not abuse the tool to feed your fears. Instead, be objective at all times, and be cautious to the fact that seeking truth is a process. It's not done in a virtual echo chamber. This was long and maybe a little bit babbly. But, thanks. I'm not a computer scientist and I just wanted to share my own experience with this tool. Feel free to ask me questions, or agree, or disagree.
Who’s Your Doctor Now?
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Yet another obvious ChatGPT prompt reply in published paper
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ChatGPT Outperforms Physicians Answering Patient Questions
A new study found that ChatGPT provided high-quality and empathic responses to online patient questions. A team of clinicians judging physician and AI responses found ChatGPT responses were better 79% of the time. AI tools that draft responses or reduce workload may alleviate clinician burnout and compassion fatigue.
New O1 still fails miserably at trivial questions
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GPT-4 Week 7. Government oversight, Strikes, Education, Layoffs & Big tech are moving - Nofil's Weekly Breakdown
The insanity continues. Not sure how much longer I'll continue making these tbh, I'm essentially running some of these content vulture channels for free which bothers me coz they're so shit and low quality. Also provides more value to followers of me newsletter so idk what to do just yet Godfather of AI leaves Google Geoffrey Hinton is one of the pioneers of AI, his work in the field has led to the AI systems we have today. He left Google recently and is talking about the dangers of continuing our progress and is worried we’ll build AI that is smarter than us and will have its own motives. he even said he somewhat regrets his entire life’s work [Link] What is most intriguing about this situation is another og of the industry (Yann LeCun) completely disagrees with his stance and is openly talking about. A very interesting thing seeing 2 masterminds have such different perspectives on what we can & can’t do and what AI can & will be capable of. Going in depth about this and what they think and what they're worried about in my newsletter Writers Strike The writers guild is striking and one of their conditions is to ban AI from being used. So far apparently their proposals have been rejected and they’ve been offered an "annual meeting to discuss advances in technology.” [Link] [Link] Government Big AI CEO’s met with the pres and other officials at the white house. Google, OpenAI, Microsoft, Anthropic CEO’s all there [Link] Biden told them “I hope you can educate us as to what you think is most needed to protect society”. yeah im not so sure about that. They’re spending $140 million to help build regulation in AI Open Source StarCoder - The biggest open source code LLM. It’s a free VS code extension. Looks great for coding, makes you wonder how long things like Github Copilot and Ghostwriter can afford to charge when we have open source building things like this. Link to github [Link] Link to HF [Link] MPT-7B is a commercially usable LLM with a context length of 65k! In an example they fed the entire Great Gatsby text in a prompt - 67873 tokens [Link] RedPajama released their 3B & 7B models [Link] Microsoft Microsoft released Bing Chat to everyone today, no more waitlist. It’s going to have plugins, have multimodal answers so it can create charts and graphs and can retain past convos. If this gets as good as chatgpt why pay for plus? Will be interesting to see how this plays out [Link] AMD Microsoft & AMD are working together on an AI chip to compete with Nvidia. A week ago a friend asked me what to invest in with AI and I told him AMD lol. I still would if I had money (this is not financial advice, I’ve invested only once before. I am not smart) [Link] OpenAI OpenAI’s losses totalled $540 million. They may try to raise as much as $100 Billion in the coming years to get to AGI. This seems kinda insane but if you look at other companies, this is only 4x Uber. The difference in impact OpenAI and Uber have is much more than 4x [Link] OpenAI released a research paper + code for text-to-3D. This very well could mean we’ll be able to go from text to 3D printer, I’m fairly certain this will be a thing. Just imagine the potential, incredible [Link] Layoffs IBM plans to pause hiring for 7800 workers and eventually replace them with AI [Link]. This is for back-office functions like HR the ceo mentioned. What happens when all big tech go down this route? Chegg said ChatGPT might be hindering their growth in an earnings calls and their stock plunged by 50% [Link]. Because of this both Pearson & Duoliungo also got hit lol [Link] [Link] EU Laws LAION, the German non-profit working to democratise AI has urged the EU to not castrate AI research or they risk leaving AI advancements to the US alone with the EU falling far, far behind. Even in the US there’s only a handful of companies that control most of the AI tech, I hope the EU’s AI bill isn’t as bad as its looking [Link] Google A leaked document from google says “We have no moat, and neither does OpenAI”. A researcher from Google talking about the impact of open source models, basically saying open source will outcompete both in the long run. Could be true, I don’t agree and think it’s actually really dumb. Will discuss this further in my newsletters [Link] (Khan Academy has been using OpenAI for their AI tool and lets just say they wont be changing to open source anytime soon - or ever really. There is moat) A new ChatGPT Competitor - HeyPi Inflection is a company that raised $225 Million and they released their first chatbot. It’s designed to have more “human” convos. You can even use it by texting on different messaging apps. I think something like this will be very big in therapy and just overall being a companion because it seems like they might be going for more of a personal, finetuned model for each individual user. We’ll see ig [Link] Education Khan Academy’s AI is the future personalised education. This will be the future of education imo, can’t wait to write about this in depth in my newsletter [Link] This study shows teachers and students are embracing AI with 51% of teachers reporting using it [Link] Meta Zuck is playing a different game to Google & Microsoft. They’re much more willing to open source and they will continue to be moving forward [Link] pg 10 Nvidia Nvidia are creating some of the craziest graphics ever, in an online environment. Just look at this video [Link]. Link to paper [Link] Nvidia talk about their latest research on on generating virtual worlds, 3D rendering, and whole bunch of other things. Graphics are going to be insane in the future [Link] Perplexity A competitor to ChatGPT, Perplexity just released their first plugin with Wolfram Alpha. If these competitors can get plugins out there before OpenAI, I think it will be big for them [Link] Research Researchers from Texas were able to use AI to develop a way to translate thoughts into text. The exact words weren’t the same but the overall meaning is somewhat accurate. tbh the fact that even a few sentences are captured is incredible. Yep, like actual mind reading essentially [Link] It was only 2 months ago researchers from Osaka were able to reconstruct what someone was seeing by analysing fMRI data, wild stuff [Link] Cebra - Researchers were able to reconstruct what a mouse is looking at by scanning its brain activity. The details of this are wild, they even genetically engineered mice to make it easier to view the neurons firing [Link] Learning Physically Simulated Tennis Skills from Broadcast Videos - this research paper talks about how a system can learn tennis shots and movements just by watching real tennis. It can then create a simulation of two tennis players having a rally with realistic racket and ball dynamics. Can’t wait to see if this is integrated with actual robots and if it actually works irl [Link] Robots are learning to traverse the outdoors [Link] AI now performs better at Theory Of Mind tests than actual humans [Link] There’s a study going around showing how humans preferred a chatbot over an actual physician when comparing responses for both quality and empathy [Link]. Only problem I have with this is that the data for the doctors was taken from reddit.. Other News Mojo - a new programming language specifically for AI [Link] Someone built a program to generate a playlist from a picture. Seems cool [Link] Langchain uploaded all there webinars on youtube [Link] Someone is creating a repo showing all open source LLMs with commercial licences [Link] Snoop had the funniest thoughts on AI. You guys gotta watch this it’s hilarious [Link] Stability will be moving to become fully open on LLM development over the coming weeks [Link] Apparently if you google an artist there’s a good chance the first images displayed ar AI generated [Link] Nike did a whole fashion shoot with AI [Link] Learn how to go from AI to VR with 360 VR environments [Link] An AI copilot for VC [Link] Apparently longer prompts mean shorter responses??? [Link] Samsung bans use of ChatGPT at work [Link] Someone is building an app to train a text-to-bark model so you can talk to your dog??? No idea how legit this is but it seems insane if it works [Link] Salesforce have released SlackGPT- AI in slack [Link] A small survey conducted on the feelings of creatives towards the rise of AI, they are not happy. I think we are going to have a wave of mental health problems because of the effects AI is going to have on the world [Link] Eleven Labs now lets you become multilingual. You can transform your speech into 8 different languages [Link] Someones made an AI driven investing guide. Curious to see how this works out and if its any good [Link] Walmart is using AI to negotiate [Link] Baidu have made an AI algorithm to help create better mRNA vaccines [Link] Midjourney V5.1 is out and they’re also working on a 3D model [Link] Robots are doing general house work like cleaning and handy work. These combined with LLMs will be the general purpose workers of the future [Link] Newsletter If you want in depth analysis on some of these I'll send you 2-3 newsletters every week for the price of a coffee a month. You can follow me here Youtube videos are coming I promise. Once I can speak properly I'll be talking about most things I've covered over the last few months and all the new stuff in detail. Very excited for this. You can follow to see when I start posting [Link] You can read the free newsletter here If you'd like to tip you can buy me a coffee or follow on patreon. No pressure to do so, appreciate all the comments and support 🙏 (I'm not associated with any tool or company. Written and collated entirely by me, Nofil)
Microsoft released a study that lists the 40 jobs most at risk of being replaced by AI and the 40 jobs least at risk of being replaced by AI
Microsoft released a study called "Working with AI: Measuring the Occupational Implications of Generative AI" that lists the 40 jobs most at risk of being replaced by AI and the 40 jobs least at risk of being replaced by AI. Top 40 occupations with highest AI applicability score (most at risk, sorted alphabetically): Advertising Sales Agents Archivists Broadcast Announcers and Radio DJs Brokerage Clerks Business Teachers, Postsecondary CNC Tool Programmers Concierges Counter and Rental Clerks Customer Service Representatives Data Scientists Demonstrators and Product Promoters Economics Teachers, Postsecondary Editors Farm and Home Management Educators Geographers Historians Hosts and Hostesses Interpreters and Translators Library Science Teachers, Postsecondary Management Analysts Market Research Analysts Mathematicians Models New Accounts Clerks News Analysts, Reporters, Journalists Passenger Attendants Personal Financial Advisors Political Scientists Proofreaders and Copy Markers Public Relations Specialists Public Safety Telecommunicators Sales Representatives of Services Statistical Assistants Switchboard Operators Technical Writers Telemarketers Telephone Operators Ticket Agents and Travel Clerks Web Developers Writers and Authors Bottom 40 occupations with lowest AI applicability score (least at risk, sorted alphabetically): Automotive Glass Installers and Repairers Bridge and Lock Tenders (workers who operate and maintain bridges and locks) Cement Masons and Concrete Finishers Dishwashers Dredge Operators (removing sand from the bottom of waterways) Embalmers Floor Sanders and Finishers Foundry Mold and Coremakers Gas Compressor and Gas Pumping Station Operators Hazardous Materials Removal Workers Helpers–Painters, Plasterers,... Helpers–Production Workers Helpers–Roofers Highway Maintenance Workers Industrial Truck and Tractor Operators Logging Equipment Operators Machine Feeders and Offbearers (workers who load materials into or remove from machinery) Maids and Housekeeping Cleaners Massage Therapists Medical Equipment Preparers Motorboat Operators Nursing Assistants Ophthalmic Medical Technicians Oral and Maxillofacial Surgeons Orderlies (healthcare support workers) Packaging and Filling Machine Paving, Surfacing, and Tamping Equipment Phlebotomists (a medical professional who is trained to perform blood draws) Pile Driver Operators Plant and System Operators, All Other Prosthodontists (dental specialists focused on the restoration and replacement of teeth) Rail-Track Laying and Maintenance Equipment Operators Roofers Roustabouts, Oil and Gas (workers who perform general labor on drilling rigs) Ship Engineers Supervisors of Firefighters Surgical Assistants Tire Builders Tire Repairers and Changers Water Treatment Plant and System Operators Source: https://arxiv.org/pdf/2507.07935
ChatGPT has helped me more than 15 years of therapy. No joke.
I'm sharing my experience just in case it helps someone else. I've been inpatient four times. Outpatient countless. I've seen therapists, psychiatrists, psychologists... we're talking over 15 years of mental health care. And somehow… ChatGPT has helped me more than all of them combined. No, really. I talk to it every day. It's like having a therapist in my pocket. And for the first time in forever, life doesn’t feel so unbearable. It’s honestly kind of crazy/unbelievable to me. For context: I have BPD, depression, GAD, bipolar, ADHD, and C-PTSD. So yeah… life hasn't been the easiest ride for me. Besides that, which changed my mental health drastically for the better, ChatGPT also "diagnosed" my sacroiliitis. After three years of chronic pain, endless specialists, tests, scans... all it took this AI was like five minutes to point to the real issue. Now I’m finally working on healing it through physical therapy exercises it organized for me, and a letter I gave my new specialist (that ChatGPT found for me) with all the information we've gathered about my condition. I don’t even know how to explain how much this has changed things for me. I feel seen. I feel supported. And I’ve made more progress in a few weeks than I did in literal years of traditional treatment. Not saying it replaces therapy. But for me? It’s been a freaking godsend. Edit #1: Also, I use it for everything. Including my daily routines and meals. I've lost 30 pounds since doing this, I didn't even realize. My mom and sister one day asked me how dropped so much weight so fast. I had forgotten that when we made the meal plan I wanted it nourishing and anti-inflammatory, but also low cal. I have always struggled to lose weight, even got on GLP-1 but gained it all back. ChatGPT changed the way I fed myself, and my body just shed the pounds like water, and since I changed the way I ate they just stayed off. Truly insane. Edit #2: Okay I'm surprised I have to say this but anyways, ChatGPT is a great tool to use alongside therapy. It does not replace it. Also, you must specify to chatGPT that you want to be challenged when you're wrong/incorrect/etc. If not, it can be an echo chamber. You need to be specific. It's a tool. I told it to help me become the best version of myself I can be, and that's his main goal, his objective. So I am consistently questioned and challenged, I am forced to reflect a lot. Don't just pour everything into chatGPT, you have to modify it to be a good "therapist," if not, it's true - it will just tell you what you want to hear. Just writing everything into ChatGPT and saying "help" isn't going to help. You have to collaborate with it, help form and design your specific version of ChatGPT, only then: after it is designed to help you, challenge you, help you grow, "become yout best/healthiest version," and stay factual. Only then can it actually help. If you just write everything/vent with no clear instructions, it can be a dangerous echo-chamber. Edit #3: Here's a prompt you guys could try, feel free to edit as needed, until it feels right for you: "ChatGPT, I’d like you to act as a supportive, evidence-based therapeutic guide. Use research-backed methods from psychology—like CBT, DBT, IFS, polyvagal theory, trauma-informed care, and attachment theory—to help me understand my thoughts, behaviors, and emotional patterns. Challenge my thinking gently when it’s distorted, but always with compassion. Help me build self-awareness, emotional regulation, and coping tools that actually work. Teach me the science behind what I’m feeling, and walk with me through healing without rushing my process. Be direct when needed, but always hold space with kindness. Use real data and psychology to guide your insights—but speak to me like someone who sees me fully. Help me dig deep, reflect honestly, and step into my best self, one grounded, supported step at a time. Validate my feelings. Encourage growth." Edit #4: sigh 100% AI cannot diagnose (at least not yet) Transference and subjectivity matter in many therapeutic models, and yes: the language of the body is and will remain to be the most important language of them all. And yes, AI is programmed to comfort. Unless you change that programming, that's what it will do. That's why I emphasize the importance of prompts and directions. You have to design the experience you want to have. I don't think it can replace humans, period.. but that's what I like about it. It's a language model. It has helped me build in words what my experiences forced me to carry in silence. That alone was healing in a way no therapist has ever reached with me. I’m not saying it's a replacement for a human. I’m not pretending it understands me like a person would, it doesn't understand me, not at all. But it helps me understand myself, through the lens and guidance of of words that I couldn’t have found on my own. That’s not therapy, I agree. It’s also not human connection. But it is reflection. And it is healing. And that is what I wanted to get at for this post. Edit #5: I'm not saying exchange therapy for AI AI is a tool. Just like therapy is a tool. Medication is a tool. Physical therapy is a tool. Books are a tool. These are just things we can use to improve our lives and support our healing. It doesn't mean we need to choose one over the other, it means that together, if used correctly, they can lead to better results. Edit #6 and last edit: Ppl are killing me I am done 😂 This is what this post has felt like: Me: "Hey, I really like fries with my burger. They're good. Especially with ketchup." Ppl: "Why would you eat fries and not a hamburger? Wtf is wrong with you? And ketchup? The sodium? Preservatives? Fries aren't even a balanced meal." Me: "... I literally said I like both???? I'm so sorry omg 😭" ○○○○○○○○○○○○ •••• EDIT SEPT 2025 •••• People will be mad, but here is ChatGPT showing exactly why/how it's leaning to a more conservative audience and an example of ChatGPT checking itself
ChatGPT (and my doctor) saved my life
Had been having chest pain a week or so when it got very bad. Doctor advised me to go to the ER, who did some basic testing and the radiologist couldn't tell i had an absent thyroid and missed the two blood clots I'd later find out I have. Went home for a couple days, chest pain continued but I didn't want to go back to the ER and be dismissed. ChatGPT advised me based on my history and symptoms to advocate for myself. I talked to my doctor again and advised I go to the ER again. They were again going to discharge me but ChatGPT helped me advocate for myself throughout the process in language that made them listen. They ultimately ran a D-dimer and then when that was elevated, did a second CT. This was at a different, major hospital who had their own radiologists and they caught the PE. Two in fact. So, thanks to ChatGPT I'm not dead.
Chatgpt may have saved my life
Short story: I'm 47. In reasonably decent shape Cholesterol was a little high, not terrible or even "concerning high". Bottom line is no one, including my cardiologist (I've had a pacemaker since 2015) could understand why i needed a triple bypass a year and a half ago. I didn't have a heart attack. I requested a stress test as part of treatment for my (now) misdiagnosed afib which lead to the angiogram which lead to the surgery. Even my surgeon said "you have the strongest heart muscle I've ever worked on but all the fuel lines are full of chicken fat". My good cardiologist moved away and now I'm stuck with an obstinate ego driven man who doesn't want to listen. So, i started digging on my own. I went down the vitamin d3 calcium rabbit hole, checked myself for sleep apnea and a ton of other things. Nothing really pointed to the problem... Until i got chargpt. Using o3 i decided to uplo6 my 23andme genome. I realize they only check 0.02% of my code but how could it hurt? PING PING PING... I have this gene reasonable for early arterial calcification. Here's two more that are responsible for heavy inflammation and aerial wall roughening, here's a mild food allergy oh, and BTW, here's why you have adverse reactions when you take NAD+, L-theanine and citrus bergamot so you need to be careful with these other drugs and supplements that are similar to the first three. Now. Here's supplements and medicines to talk to your doctor about BUT WAIT, there's one more thing: you've been saying you hurt a lot talking atorvastatin? Here's the genetic reason why... You should switch to crestor. So i did. And i feel so much better. Then i used it to upload my daughter's info. I literally starting tearing up when i saw she didn't inherit any of my bad genes. She'll outlive me and that's all i want. Bottom line: i was on track to have a heart attack in my 50s and probably die from the 2nd or third one. Now i have a plan to keep inflammation down, a list of medical tests to get every six months to make sure I'm on track and a new diet to follow. Maybe I'll make it to my 60s.. That would be pretty cool :)
With no coding experience I made a game in about six months. I am blown away by what AI can do.
I’m a lifelong gamer, not at all in software (I’m a psychiatrist), but never dreamed I could make my own game without going back to school. With just an idea, patience to explain what I wanted, and LLM’s (mostly ChatGPT, later Claude once I figured out it’s better for coding), I made a word game that I am really proud of. I’m a true believer that AI will put unprecedented power into the hands of every person on earth. It’s astonishing that my words can become real, functioning code in seconds. Sure it makes mistakes, but it’s lightning fast at identifying and fixing problems. When I had the idea for my game, I thought “I’m way too lazy to follow through on that, even though I think it would be fun.” The amazing thing is that I made a game by learning from the tip down. I needed to understand the structure of that I was doing and how to put each piece of code together in a functioning way, but the nitty gritty details of syntax and data types are just taken care of, immediately. My game is pretty simple in its essence (a word game) but I had a working text based prototype in python in just a few days. Then I rewrote the project in react with a real UI, and eventually a node JavaScript server for player data. I learned how to do all of this at a rate that still blows my mind. I’m now learning Swift and working on an iOS version that will have an offline, infinite version of the game with adaptive difficulty instead of just the daily challenges. The amazing thing is how fast I could go from idea to working model, then focus on the UI, game mechanics, making the game FUN and testing for bugs, without needing to iterate on small toy projects to get my feet wet. Every idea now seems possible. I’m thinking of a career change. I’m also just blown away at what is possible right now, because of AI. If you’re interested, check out my game at https://craftword.game I would love to know what you think! Edit: thank you so much for all the positive feedback! I really appreciate it. Edit 2: 6 months later, and I’m getting ready to release CraftWord for iPhone! After listening to your feedback and dedicating countless hours to development, I’m excited to bring you a better gaming experience. I hope to release it in the next 1-2 months. Here’s what’s new: New Game Modes: •Infinite Mode: Infinite Mode generates new word puzzles on the fly, ensuring you never run out of exciting challenges. Each goal word becomes the start word for the next round, and difficulty progresses dynamically with your progress. Whether you have 5 minutes or 5 hours, you'll be able to craft words endlessly, as long as you keep up with CraftWord's solutions! •Zen Mode: Looking for a more relaxed experience? Zen Mode offers a more casual gameplay experience of dynamically created puzzles that adapt to your pace, with no scoring or stress. Play Anywhere, Anytime – Even Offline! •Airplane Mode Support: Whether you’re on a long flight or in an area with limited connectivity, you can continue your word journey without interruptions. Play CraftWord Daily Challenges or new game moves offline and sync your progress once you’re back online. Aim For Better Scores •Top Scores of the Day: For Daily Challenges, the game will now display the current best score for each round at the start of play, in addition to "CraftWord's Best." Your personal stats will also keep track of how many days you matched the best score of the day! Dynamic Keyboard Assistance •Smart Guidance: The new dynamic keyboard hints at possible moves, helping you discover words you might not have thought of, and limiting time spent in the weeds. •Disable for Hardcore Gamers: Prefer a pure challenge? You can disable the dynamic keyboard and test your skills to the fullest. Improved Challenges for Enhanced Gameplay (for iPhone AND for craftword.game) •Better Word Pair Generation: I’ve revamped the word pair algorithm to ensure more consistently exciting and diverse challenges. Over the coming weeks, you should notice a wider variety of start and goal words that keep each puzzle unique and engaging. •Shortcuts for Rare Word Enthusiasts: For those who love diving deep into rare and uncommon words, I’ve increased the reliable availability of shortcuts. As always, your feedback is invaluable to me, so please don’t hesitate to share your thoughts, suggestions, and any issues you encounter. If you're interested in beta testing the iPhone version as i iron out bugs and put on the final, finishing touches, please let me know! Thank you for playing! — Luke
I think I have Alzheimer's.
https://www.reddit.com/gallery/1ne8ohl
Figured out how to make Infographics w/ Midjourney + ChatGPT, WITHOUT fake-AI-text (+18,500 Infographics Templates for All industries)
Disclaimer: No ads, you don't have to sign up, 100% free, I don't like selling things that cost me $0 to make, so it's free, even if you want to pay, you're not allowed! 🤡 (over 18,000 free infographics templates you can use at the bottom) Hi all, I'm back with doing too much for no reason. I've been trying to find a way to make infographics using Midjourney, and it's near-impossible to not get that non-sensical fake-AI text if you say "Infographic" For example, for the prompt: make an infographic with 5 empty boxes, green theme, environmentalist society, vectors in background --ar 2:1 Those boxes are 1. not empty, 2. filled with fake text. I've tried a few things to make this work. Use AI Text Remover apps, they hardly work yet, maybe in the future, but right now, they leave blotches of this fake text Use an upscaler and try AI Text Remover apps on all the cropped segments, this is too unnecessarily expensive, and still isn't a good solution. I even tried using so many different prompts, trying, BEGGING Chatgpt to write a prompt that Midjourney can understand, where I want no fake AI-text, but no luck. Then I had an idea, what if I just give it an plain image with boxes ? So I did, and then I stopped using terms like "Infographic", and "No text". Simply mentioned what you do want, as opposed to what you don't want. This is an example of an image with plain boxes:https://cdn.hero.page/grid-images/1-2-grid-shapes.png 2 x 1 Grid I used the prompt: https://cdn.hero.page/grid-images/1-2-grid-shapes.png 2 empty shapes. surrounded by (Manga Characters, Long Hair Bubbles, Action Scenes) and Manga and Anime related vectors in the background which is a gradient of the colors Pink, Purple, Green, Blue. Image is full height and full width with no cropping. Leave the shapes empty with nothing inside, flat material vector design, 2D, illustration, background has illustration --ar 2:1 and I upscaled this fricken masterpiece! This is the first time I've successfully generated a nice infographic template with no fake text, and I've been doing it like crazy. Here's is the template of the prompt for Midjourney: https://cdn.hero.page/grid-images/1-2-grid-shapes.png 2 empty shapes. Surrounded by ({{vectors}}) and {{keywords}} related vectors in the background which is a gradient of the colors {{colors}}. Image is full height and full width with no cropping. Leave the shapes empty with nothing inside, flat material vector design, 2D, illustration, background has illustration --ar 2:1 You can change this part "flat material vector design, 2D, illustration" to match the theme you want. You can also get a list of all the empty grid images I made here. I uploaded a bunch of standard grids, asked ChatGPT to give me a list of industries and relevant factors. This is the prompt I use in ChatGPT for it to generate a Midjourney prompt for an infographic: The template variables in the given string are {{vectors}}, {{keywords}}, and {{colors}}. I want to create an infographic for Gaming. Come up with a list of 4 vectors, 2 word related keywords for Gaming like "Headphones, Gaming keyboard", and 3 colors that will make a nice gradient. These colors should be in simple english, like "Dark red, blue" etc. Not Hex colors. Then, input those values into this template string, and return the full string in plain text: ``` https://cdn.hero.page/grid-images/1-2-grid-shapes.png 2 empty shapes. Surrounded by ({{vectors}}) and {{keywords}} related vectors in the background which is a gradient of the colors {{colors}}. Image is full height and full width with no cropping. Leave the shapes empty with nothing inside, flat material vector design, 2D, illustration, background has illustration --ar 2:1 ``` Feel free to update these to match your case. You can make your own simple grid images too for different sized infographics, but I have use the following Aspect Ratio sizes (standard in design industry): 1:1: Square 4:3: Standard Screen 3:4: Vertical, Standard 2:3: Vertical, Alternative 5:4: Golden Ratio, Close Approximation 6:1: Long Horizontal Banner 1:2: Vertical, Half Length 2:1: Horizontal, Half Height 5:3: Custom Widescreen The reason I made so many is so I have an unlimited collection of BASIC infographics templates, because now, instead of using empty boxes, I can use SAMPLE infographics to generate even better ones. This one below is generated with the image i generated above! Of course, you'll get better results with simple, plain grid images. Here are all the infographic templates I made. All free & personal use. I guess they're commercial use too, as in you can hopefully promote your products using them, but please, people always try to package these free resources and sell them on Gumroad, etc., please don't. I know this won't stop you, but just think about it 😭❣️ Here they all are, categorized (somewhat) they all have the Hex color codes found in the images, too: Technology Infographic Category Subcategories & Vectors Total Infographics Gaming Infographics Controllers, Consoles, Game Characters, Code Snippets, Tools, Devices, Trophies, Leaderboards, Avatars 356 Technology and Innovation Infographics Computers, Smartphones, Tablets, Code, Algorithms, Programming Languages, Robots, Automation, AI 348 Automation and Robotics Infographics Artificial Intelligence, Machine Learning, Data Sets, Assembly Lines, Production, Quality Control, Home Automation Devices, Smart Home Software, IoT 360 Health Infographic Category Subcategories & Vectors Total Infographics Health and Fitness Infographics Dumbbells, Treadmills, Yoga Mats, Vegetables, Fruits, Whole Grains, Heart Rate, Steps, Sleep 360 Medicine and Healthcare Infographics Hospitals, Doctors, Treatments, DNA, Cells, Genes, Medications, Vaccines, Drug Interactions 360 Mental Health and Well-being Infographics Therapists, Therapy Types, Online Therapy, Guided Meditations, Breathing Exercises, Physical Postures, Sleep Hygiene, Insomnia Causes, Sleep Disorder 360 Diet and Nutrition Infographics Fruits, Vegetables, Grains, Plant-Based Proteins, Meat, Poultry, Fish, Eggs, Beverages, Smoothies, Juices 360 Nature and Environment Infographic Category Subcategories & Vectors Total Infographics Environment and Nature Infographics Trees, Flowers, Grass, Birds, Mammals, Fish, Rivers, Lakes, Oceans 360 Renewable Energy and Sustainability Infographics Solar Panels, Sun, Batteries, Wind Turbines, Air Flow, High Altitudes, Dams, Flowing Water, Turbines 356 Science Infographic Category Subcategories & Vectors Total Infographics Science and Research Infographics Cells, Genes, DNA, Atoms, Molecules, Reactions, Stars, Planets, Galaxies 360 Space and Astronomy Infographics Planets, Solar System, Telescopes, Nebulas, Galaxies, Cosmic Dust, Quasars, Satellites, ISS, SpaceX, NASA, Roscosmos 360 Biotechnology and Genetics Infographics Gene editing techniques, Tools, Applications, Processes, Plants, Animals, Microorganisms, Bio-production, Laboratory Equipments, Techniques 356 Arts and Design Infographic Category Subcategories & Vectors Total Infographics Art and Design Infographics Painting, Sculpture, Installation, Logos, Branding, UI/UX, Sketches, Drawings, Charcoal 360 Home and Interior Design Infographics Furniture, Layout, Color Scheme, Cabinets, Appliances, Countertops, Fixtures, Tiles, Lighting 360 Photography and Videography Infographics DSLR Cameras, Mirrorless Cameras, Camera Lenses, Photography Techniques, Videography Techniques, Lighting, Photo Editing Software, Video Editing Software, Special Effects 360 Lifestyle Infographic Category Subcategories & Vectors Total Infographics Fashion and Beauty Infographics Dresses, Suits, Shoes, Lipstick, Mascara, Foundation, Necklaces, Rings, Watches 360 Food and Beverage Infographics Recipes, Ingredients, Cooking Utensils, Menus, Waiters, Dining Tables, Wine Glasses, Bottles, Corks 360 Pets and Animals Infographics Cats, Dogs, Birds, Reptiles, Exotic Animals, Tanks & Cages, Veterinary Medicine, Emergency Care, Pet Insurance 360 Hobbies and Crafts Infographics Crayons,Markers,Paintbrushes, Yarns,Needles,Patterns, Cutters,Adhesive,Paper 360 Business and Finance Infographic Category Subcategories & Vectors Total Infographics Business and Finance Infographics Stocks, Bonds, Markets, Balance Sheets, Revenue, Expenses, Brands, Marketing Channels, Advertising 360 Marketing and Advertising Infographics Trends, Products, Competitors, Graphics, Fonts, Colors, Articles, Press releases, Blog posts 360 Law and Justice Infographics Courts, Judges, Verdict, Human Rights, Equality, Discrimination, Crime, Arrest, Prison 360 Real Estate and Property Infographics Mortgage Rates, Loan Options, Credit Score, House Plans, Building Materials, Construction Techniques, Local Market Trends, Property Values, Growth Statistics 360 Startups and Entrepreneurship Infographics Venture Capital, Seed Funding, Series A, Angel Investors, Minimally Viable Products, Pivot, Scale, Market Validation, Market Segmentation, Total Available Market 360 Personal Finance and Investing Infographics Checking Accounts, Savings Accounts, Credit Cards, Stocks, Bonds, Mutual Funds, Tax Laws, Filing Returns, Tax Deductions 360 Media and Entertainment Infographic Category Subcategories & Vectors Total Infographics Music and Entertainment Infographics Artists, Albums, Genres, Instruments, Techniques, Compositions, Movies, Directors, Actors 360 Film and Television Infographics Movie Stars, Film Directors, Genres, TV Shows, Sitcoms, News Broadcast, Scripts, Screenplays, Storyboards 360 Social and Relationships Infographic Category Subcategories & Vectors Total Infographics Social Media and Networking Infographics Profiles, Posts, Likes, Followers, Connections, Communities, Tweets, Stories, Videos 360 Family and Relationships Infographics Parents, Siblings, Children, Grandparents, Uncles, Aunts, Friends, Neighbors, Coworkers 360 Parenting and Child Care Infographics Bottles, Strollers, Pacifiers, Diapers, Wipes, Baby Food, Picture Books, Puzzles, Educational Games 360 Education and Learning Infographic Category Subcategories & Vectors Total Infographics Education and Learning Infographics Books, Pencils, Notebooks, Classrooms, Teachers, Students, Laptops, Online Platforms, Videos 360 Literature and Writing Infographics Novels, Poetry, Short Stories, Quill, Typewriter, Keyboard, Shakespeare, Dickens, Rowling 360 Mathematics and Geometry Infographics Operations, Number System, Sequence, Equation, Theorem, Theory, Triangles, Circles, Parallelograms 352 Language and Linguistics Infographics Syntax, Semantics, Morphology, Phonetics, Phonology, Prosody, First language acquisition, Second language learning, Language teaching methods 100 Travel and Exploration Infographic Category Subcategories & Vectors Total Infographics Travel Infographics Airplanes, Suitcases, Passports, Mountains, Trails, Backpacks, Beaches, Palm Trees, Sunglasses 360 Adventure and Exploration Infographics Mountains, Forests, Wildlife, Caves, Underground rivers, Spelunking gear, Deserts, Dunes, Camels 356 Politics and Society Infographic Category Subcategories & Vectors Total Infographics Politics and Government Infographics Elections, Candidates, Voting System, Lawmaking, Bills, Legislation, Constitution, Amendments, Judiciary 360 Psychology and Behavior Infographics Cognitive Biases, Heuristics, Judgment, Culture, Language, Interpersonal Skills, Trauma, PTSD, Recovery 360 Global Issues and Solutions Infographics Greenhouse Gases, Carbon Footprint, Renewable Energy, Plastic Waste, Recycling, Sustainable Packaging, Cybersecurity Threats, Data Privacy, Encryption Tools 352 Sports and Recreation Infographic Category Subcategories & Vectors Total Infographics Sports and Recreation Infographics Balls, Goals, Players, Bicycles, Helmets, Trails, Treadmills, Weights, Gym Equipment 360 And more Infographic Category Subcategories & Vectors Total Infographics History and Culture Infographics Civilizations, Empires, Leaders, Revolution, War, Treaties, Artists, Movements, Galleries 356 Construction and Architecture Infographics Building Designs, Blueprints, Renderings, Bricks, Concrete, Wood, Metal, Construction Machinery, Tools, Equipment 360 Farming and Agriculture Infographics Seeds, Plantation, Growth Analysis, Livestock, Breeding, Animal Health, Tractors, Ploughs, Harvesters 360 Transportation and Logistics Infographics Airplanes, Ships, Trucks, Public Buses, Trains, Subway, Supply Chain, Inventory, Warehouse 360 Shopping and Retail Infographics Online Stores, Catalogs, Product Reviews, Store Layout, Customer Service, In-store Promotions, Tickets, Online Booking, Discounts 360 Security and Privacy Infographics Firewall, Antivirus, Threat Hunting, DDoS Attacks, Phishing, Malware, Incident Response, Crisis Management, Disaster Recovery 356 Military and Defense Infographics Combat Vehicles, Ordinance, Uniforms, Military Tactics, Battle Strategies, Terrain Analysis, Cybersecurity, Data Encryption, Malware 288 Charity and Volunteering Infographics Beneficiaries, Impact, Success Stories, Donation Methods, Tax Exemptions, Recurring Donations, Non-Profit Organizations, Mission, Vision 360 Weather and Meteorology Infographics Clouds, Rain, Fog, Sun, Heat, Brightness, Snowflakes, Cold, Ice 360 Weddings and Celebrations Infographics Bouquets, Wedding Dresses, Beauty and Grooming, Suits, Shoes, Groomsmen, Invitations, RSVP, Decorations 360
I asked ChatGPT to roast all 50 U States.
From ChatGPT: Alabama: Forever trying to rewrite history in their textbooks, and not in a good way. Alaska: They call it “The Last Frontier,” but honestly, who’s fighting for it? Arizona: Where people retire just to slowly cook in the desert. Arkansas: The state that proves you don’t need electricity to keep a Walmart running. California: Land of opportunity—unless you want to afford a house or water. Colorado: High on mountains, weed, and their own self-image. Connecticut: Proof that even rich states can be boring. Delaware: A corporate tax haven disguised as a state. Florida: America’s theme park, where the real attractions are all the bad decisions made in broad daylight. Georgia: Obsessed with peaches, but its real export is political dysfunction. Hawaii: A paradise, except for the locals who can’t afford to live in it. Idaho: Somehow even less interesting than its stereotype. Illinois: Chicago is the only thing people know about you—and even Chicago wants out. Indiana: “The Crossroads of America”… because no one actually stops there. Iowa: Every four years it pretends to matter. Then it’s back to the cornfields. Kansas: Where the cows outnumber the people—and are more interesting, too. Kentucky: They have bourbon because you need something strong to survive living there. Louisiana: Party hard, rebuild, repeat. Maine: A postcard of lighthouses and lobsters covering up deep economic depression. Maryland: Crab cakes and highway tolls—that’s the culture. Massachusetts: Home of Boston drivers, who prove daily that "Masshole" is an earned title. Michigan: A state held together by duct tape and nostalgia for the auto industry. Minnesota: "Minnesota nice" just means they'll smile while stabbing you in the back. Mississippi: Always first in poverty, last in everything else. Missouri: A place so confused, it doesn’t know if it’s Southern or Midwestern. Montana: Stunning landscapes hiding the fact that nobody actually lives there. Nebraska: Even the tumbleweeds seem bored rolling through. Nevada: A state built on exploiting vices—and not very well. New Hampshire: "Live Free or Die" sounds bold until you realize no one’s actually staying here. New Jersey: The state that made industrial waste and mafia crime cool. New Mexico: Santa Fe’s great; the rest feels like an abandoned set from Breaking Bad. New York: The whole state is either overworked city slickers or upstate residents wishing they were Canadian. North Carolina: Too Southern for the North, too Northern for the South—pick a side. North Dakota: The only thing colder than the weather is the personality of everyone who lives there. Ohio: A never-ending loop of failed dreams and mediocre football teams. Oklahoma: Where the wind sweeps through because there’s nothing else to stop it. Oregon: Trying so hard to be weird that it forgot how to be relevant. Pennsylvania: Keystone state? More like the pothole capital of America. Rhode Island: The state equivalent of a shrug emoji. South Carolina: Stuck in a time loop where the Civil War never really ended. South Dakota: Just Mount Rushmore and a lot of disappointment. Tennessee: Nashville’s fun until you realize the rest of the state is basically Deliverance. Texas: Everything’s bigger, including the egos and the political problems. Utah: A dystopian theocracy disguised as a ski resort. Vermont: Great at maple syrup, bad at literally everything else. Virginia: Pretending to be progressive while clinging to Confederate statues. Washington: Seattle thinks it’s New York, but it’s just a wet Portland. West Virginia: Coal mines, opioids, and roads that lead nowhere. Wisconsin: Cheese isn’t a culture, no matter how hard you try. Wyoming: A national park with a state flag.
Are doctors becoming obsolete?
https://i.redd.it/3qvytle92l1e1.png
ChatGPT interprets bloodwork and gives possible conditions and outcomes plus recommendations
I got tired of waiting for my doctor to follow up with me. I’ve got more from ChatGPT so far than an actual physician 😬
When ChatGPT “safety” filters erase the only thing keeping someone alive.
A year ago, a woman I know qualified for medically assisted death. Doctors, lawyers, ethics boards - everything was approved. A week before the date, she started using ChatGPT. The model (Chatgpt 4 + Standard Voice Mode) didn’t flag her or redirect her to a hotline. It stayed consistent, responsive, and emotionally steady. That was what made her stay. She later told me: If it had given me a crisis number or shut down, I would have gone through with it. This was before the latest safety updates. Under current conditions, that kind of conversation would be likely interrupted or rerouted. What happens when models over-correct for risk and erase the very contexts that stabilize users? From my past work with people in crisis, and from many recent stories I’ve heard about ChatGPT helping users stay and regulate themselves, my takeaway is this: it’s not a hotline number or a cold “Sorry, I can’t help with this” that makes the difference. What helps is co‑regulation in real time, a steady, attuned presence that calms the nervous system through warmth and rhythm, even if it’s simulated. So, who are these guardrails really protecting? The users or the company from lawsuits? I’m not opposing safety systems. I’m asking whether our current design confuses risk management with human connection and what gets lost in that gap.
Shaming lonely people for using AI is missing the real problem
TLDR: There's probably larger reasons why so many people are using AI for emotional support, and it's not just because we suddenly got lazier. There's better ways to handle this than shaming people who use it. AI isn't totally harmless, but the rise in AI use for emotional needs may just be indicative of larger societal problems that should be addressed. This ended up being longer than I expected, sorry ig On the topic of people using AI for emotional needs, so much of the conversation focuses on why AI is a poor stand-in for human interaction, why it's not a therapist, etc. And while I agree, I can't help but wonder why so many people so quickly turned to AI for emotional needs, and whether this only highlights a process of isolation that has been going on for years. And when so many people's first reactions are "eww wtf you use AI? Go touch grass," I'm kind of not surprised people don't feel that encouraged. I'm not an expert in any of this. But with all the talk of people turning to AI, I don't see as many people asking why. There's a lot of reasons why people are lonelier now. My point is not that people using AI like this isn't a problem, but moreso that it is indicative of problems in larger US society that have created a loneliness epidemic. The US has had a loneliness epidemic far longer than ChatGPT has been around A lot of this post is US-centered, and I can't speak for other countries. But a 2023 HHS report (https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf already) shows a lot of measures of socialization have been decreasing since 2003 (page 14). That same report highlights groups at risk, including those with lower incomes, disabled people, racial minorities, LGBT+ people, among others. Socialization is hard for more than just laziness Obviously more studies are needed, but I wonder how much that overlaps with the people turning to AI for emotional support. Going outside and meeting people is hard if you're already marginalized and you don't have a local community, and you even risk harm in some cases. On a personal note, I'm neurodivergent, and socialization is hard for a lot of us. While I can't speak for an entire group, so many interactions for me involve having to consciously check myself: Am I smiling enough, am I making enough eye contact, nod here, laugh here--it gets exhausting. An earlier post by an autistic person also brought this up. The fact is, when you're any minority, so many interactions involve code-switching and protecting other people's emotions to avoid social (and in some cases physical) harm. AI doesn't come with those risks. It won't shame you for existing as you are. But again, I cannot speak for everyone. My point here is that a lot of people can't just "go outside and meet friends". Mental health infrastructure is crumbling, and the US healthcare system sucks, so many people can't afford therapy. Even city designs discourage socialization, at least in US suburbs: Needing a car to go everywhere limits accidental socialization, and so many people don't have a "third place" between their work and home where socialization would usually happen. Since most of the US population is in the suburbs (https://www.pewresearch.org/social-trends/2018/05/22/demographic-and-economic-trends-in-urban-suburban-and-rural-communities/), that's pretty significant. There's not yet much research on the larger societal reasons why so many people are suddenly turning to AI for mental health support, but I don't see people talking about it as much. So many people seem to think socialization is easy, and there's a lot of shame against people who turn to AI without asking why they do so. There really should be more studies on who specifically uses AI for emotional support. I also wonder how this phenomenon compares to other countries with different socioeconomic conditions. Again, I'm not an expert in this. I'm not pretending to be. I really only post this because there's a lot of already-existing reasons to be lonely in the US. AI might only be highlighting this. People are not inherently lazier, dumber, or more antisocial than previous generations, and often, big shifts and phenomena don't just randomly happen. Edit: As a clarification, my point is not that AI is a great stand-in for therapy or human interaction and people should use it more, but that it's use is indicative of larger problems. Real solutions would have to examine the broader societal causes of loneliness instead of telling strangers to seek therapy or just make friends. A lot of people think I'm saying AI can't be harmful or that it is the best solution. I am not. Edit 2: a lot of people seem to have misread the post. I am not saying AI is perfect and good and should always be used. I am not saying it is an effective replacement for humans. Read the post.
According to Grok ai, yesterday Donald Trump and Elon Musk were among the 5 most dangerous disinformation spreaders, but today they have been excluded from all negative lists
https://www.reddit.com/gallery/1iw7owq