The biggest issue with ChatGPT is how convincing it sounds because of the way it returns an answer. The actual data contained within the answer can vary wildly based on it's dataset which will be pretty slim in some area's.
@@nsbioy A doctor does understand their field though, and can easily lookup things online. In fact I'm happy if a doctor does that since no human will ever know everything and they don't have to. In IT we don't know everything either and we will google things too, even if it's our specialized field of work. Searching information doesn't imply negligence, but rather that you care and want to make sure your information is accurate
It sounds convincing, unless you happen to be an expert in the topic you're discussing with it. It has no ability to tell you it doesn't know, instead it will make up a convincing lie. It can definitely be a great tool in many cases but you should never blindly trust it's output to be correct. A lot of ChatGPT users don't seem understand this.
Hey Max! I am an everyday person who just finds this stuff really interesting, having only had 2 surgeries and only one of them I remember I never realised how much goes into knocking someone out. From what I have gathered from your videos most of the surgeries you use as examples for explaining medication/drug use are prolonged periods of time. Can you do a video explaining how things are managed from say a 20-30 minute surgery compared to a multi hour surgery?
At the moment, ChatGPT is amazing at translating a question with a definitive answer asked in a casual conversation manner into an answer, answered in a conversational manner. It is not a "general artificial intelligence," but is an absolute marvel of language decomposition, data lookup, and language composition. This is my field of expertise, and ChatGPT is a 100x improvement over anything else out there right now. Imagine now ridiculous the answers would be if you asked Alexa or Siri these questions as they were posed. The answers might be, "anesthesia is a method of sedating a patient for surgery." No, ChatGPT is not going to be replacing almost anyone right now. But even in the past six months the answers have improved dramatically! I think in 20 years we will look back and say, "yeah, ChatGPT was kinda dumb for it's time, but it is the foundation of what we have now." I know Max's point of this video is that an AI won't replace him, and that's totally true, now. But If we look 20 years into the past at where computing was, or where "AI" was, I'd say we have no idea where AI will be in 20 years from now. I firmly believe we are living in the most interesting time to be alive. We had thousands of years between fire and bronze smelting. We only had 66 years between the first flight and landing on the moon!!! We are now 54 years from the first moon landing. I think technology advancements will continue, and at an accelerated pace, I think the AI landscape in 10-20 years will be completely indistinguishable from now.
Wow, that’s interesting, I had no idea such a thing existed! I’m one of those people however who would definitely not trust the information unless it came directly from an anesthesiologist themselves because I have anxiety and would need to be reassured of the accuracy of the information, especially given my high pain tolerance due to sensory processing disorder and a bad experience with wisdom teeth removal as a result of that.
A teacher or professor should teach as if their students are in elementary school (be as clear as possible). A.I. is excellent as a tool to the doctor, but nothing can replace the wisdom of a seasoned human doctor.
In reference to "certain breathing techniques, that may reduce the chance of PONV". AI may be referring to the BVM technique which may contribute to gastric insufflation. If you have poor mask ventilation technique, you may increase the chance of PONV if you do not decompress the stomach afterwards :). Very interesting and timely video, thanks Max for sharing. I enjoy your video analysis'
We always called our anesthesiologists “sandmen” which goes back to some childhood bedtime story. I always regarded our Sandmen in the OR top notch. Yup, the “cutters” were a bit more direct. I always liked the urologists but didn’t like the smells from their OR room. The Orthopods were noisy and boisterous, often large and strong. The thoracic surgeons were more often dainty with smallish hands but not always. Gynecologists were quite varied and I can’t say I enjoyed either labor and delivery, c-sections, or even the neonatal unit where babies were placed in “cookers” to keep them warm. As cold as it was in the OR I was always sweating as I ran from room to room, fetching supplies, hooking up O2 lines, and various tasks. It was good work which I enjoyed in my younger days when I could tolerate such difficult or even stressful work. My hat is off to those who do it now, especially trauma surgeons.
Hey Max! Actually studies are emerging confirming it is in fact safe to use second generation LMA for some types of laparoscopic surgeries (especially in antiTrendelenburg position, for example LCHCE) in patients without increased risk of aspiration.
Can you make a video answering subscribers questions? I’m wondering how air gets in an IV and why it’s fine if air goes in a venous/arterial line but not a central line?
I recognize that machine. The Da Vinci robot. When I worked as a operating room assistant, we were told explicitly do not touch the robot! Super interesting stuff.
@@noellundstrom7447 No it won't...people are never going to want an AI taking care of them. AI will never have empathy or understand the human in front of them. At any rate, if physicians are replaced by AI then a huge majority of jobs are going to be gone by then as well...
That's interesting! A lot of medical centers in the world actually uses LMA with gastric drain access for laparoscopic surgery. Newer studies are being carried about comparing these two options. It is becoming more and more often used in Europe for laparoscopic cholecystectomy.
Dr. Max, thanks again for your videos. I had surgery about a month ago and I think I had no less than 3 anti-nausea meds, including a sea-sickness patch! I was glad I didn't experience any nausea!
"Is this answer technically accurate ? Yeah. Is it thorough enough for me to be making an anesthetic plan based off what I'm reading here absolutely not, So if this were going to take the place of an anesthesiologist it would have to tell me what exactly I would need to do for cardiac monitoring" So why no asking follow up questions for clarification ?
I’m curious to know why laparoscopic surgeries are always performed using a endotracheal tube Is it because of the pressure the CO2 that is put into your abdomen to perform the surgery puts pressure on the stomach and therefore heightening the risk of aspiration? or is there some other reason I am overlooking.
The human touch and skill will always be needed. AI may be able to calculate outcomes but when the AI goes down the anesthesiologist with ability to calculate outcomes in real world mathematics
Ask it a question from surgery: "The patient's potassium levels are at 1.7. Is there anything we can do to bring the potassium levels up so that we can continue the case? Can we, for example, feed the patient a banana?"
If a patient has never had anesthesia but says they have severe car sickness if not driving… I treat for ponv because .. in simple mom terms their ears and eyes are having an argument and I walk slower to pacu with stretcher.
Great video. I definitely found it concerning that it suggested that "minimally invasive" hernia repairs might not require an ETT. Seems like ChatGPT, doesn't actually understand that laparoscopic hernia repairs, may have smaller incisions but are not really "minimally invasive" compared to an open operation.
I feel that a better practice would be to send the pt a portal brochure or physical brochure in the mail prior to Sx. Chat GPT gets quite a bit of information wrong from what I have noticed. I was messing around with it some time ago asking it how certain things are preformed just to see how accurate they were. Some were quite a bit off.
Hi Dr Max 👋 I just started following you on RUclips and instagram and enjoy your videos very much! You might have explained this in an earlier video, but was wondering why there is a drape / curtain between you and the rest of the surgical team? Is it so they don’t see you napping or reading a magazine? 🤣 An anesthesiologist doesn’t like to see blood and guts? 🤣🤣 Or is there a medical reason?
Great video. As a current MS2, I get nervous that all this time, effort, and sacrifice (delaying many normal life endeavors my peers often pursue [i.e. marriage, kids, building a nice home, etc...] being for nothing with the given tech boom and US capitalism prioritizing anything that makes more money more effectively. Maybe one day we will all be automated, but for now, there seems to be a bit to go, at least from the anesthesia point of view. It's interesting to hear your perspective and thanks for the video.
Great video man, I learned a lot about chatGTP, I don’t think I would trust it fully, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, when I graduated high school in 08! I really wanted to be a anesthesiologist! You rock man
See the thing is...ChatGPT was trained using language. I'm not sure exactly, but I'm pretty sure it was just trained by skimming through wikipedia pages and news articles and other random stuff on the web. Now if you train a similar AI with medical literature and textbooks instead, I wonder if its responses would be much better!
Believe it or not they programmed chat GPT to lie sometimes. Also from what I understand it doesnt understand what its saying, it just knows how words commonly group together.
You know the old joke? Two people fly around in a helicopter in very foggy weather, somewhere between skyscrapers, totally lost. Suddenly a skyscraper looms out of the mist, and a guy is standing at an open window having a smoke. So the pilot sticks his head out of the window and yells "Hey, where are we?" and the guy yells back "In a helicopter!" Upon hearing that, the pilot confidentially flies the helicopter straight to the nearest helipad where it lands safely. So the other guy asks, "That answer was total gibberish, how did you know what to do from that?" The pilot replies, "It wasn't gibberish, in fact, it was entirely correct, yet totally useless. And from the OpenAI offices, I know the way"
Yet, you guys were the determining factor for patients survival in triage in Vietnam. The only reason a patient survived massive trauma was the skill of the anesthesia physician to keep the patient alive while the surgeons repaired the damage.
I find there are many parallels between anesthesia and paramedicine like resuscitation and life support. I hope to one day practice anesthesia in the OR but for now I’m stuck on the wee woo wagon
16:10 unfortunately people without medical training at are administring propofol and similiar medicaments on themself. I read today (her in Norway) that it have been several cardiac arrests, also even with deaths, in the drug using environment the recent few days.
Hey Max. A friend of mine is contacted by police. They want to "interview" him. He needs help with amnesia, and will probably want an analgesic. But he wants no paralytic in case he wants to run.
could you imagine the mental horror of going under for surgery with machines like this? Ethically, this is the job of human hands and the trust and value we have for them. no thanks leave that machine at the assembly line
I have a super curious question. I was watching an open heart surgery where all the pts blood was drained. So is every drop of blood drained out of the body and if so how does anesthetic work under that condition? Also if the heart and lung machine are working doesn’t that filter blood as well?
Max, How would you know if an anesthetized patient was experiencing pain during surgery? Has anyone woke up during an operation! I've always wondered why air in a blood vessel can or will kill you?
I really dont believe AI could fully replace an MD such as our host. I think that it could be helpful, an I agree with Dr. F , that it could possibly assist with better case planning, allowing a patient to answer med history info long before. Using AI alongside the M.D. and utilizing technology to assist is the safe choice. Good example: full EV vehicles..Tesla perhaps..yes I've had the chance to experience the $160k+ Suv they make an as impressive as it is, I would nvr %100 rely on teslas OS and auto-pilot.
While I think your videos are interesting and educational, if I ever become a physician, I'm fairly certain I'll pursue a career in pathology. Why? Because I don't do well under stress and pressure and need to be able to take my time, if I'm a pathologist I can take my time and don't have to worry about killing my patients because they're already dead
As a pathologist you are also responsible for diagnosing malignant diseases in tissue probes. That’s actually a really important job and wrong diagnoses can (in the worst case) lead to a wrong treatment. That’s why I actually never considered becoming a pathologist :)
@@charlies9771: Isn't it the case that exploratory work in the OR comes to a halt awaiting the pathologist's report on excised tissue-a situation not permitting you to take your time? Of course, I suppose that most of the time there is no such pressure.
I have a question that i hope you can answer. Do you give any medication to the patients to control muscle spasm during surgery? i would think that the brain is stil woking and doing something with the muscles. sorry for the dumb question :)
how fat guy like me with 120 kg , is it safe to be under general anesthesia and how long does it take to wake up ? i have planning surgery fibro lipoma at left neck
This is an amazing video but i think your method of investigating AI is not optimal. a more natural and better way would be to ask a follow up questions for every single question as a curious person would do when using chat GPT searching for an answer i think with this most of your point would be clarified and answered Thanks for your great content
I find it very disconcerting to think that I could become aware during cardiac surgery. I would hope that I would be under deep anesthesia as I lie there with my chest cracked open! I don’t think I would be a very nice person post op to have to deal with.
Try on gpt 4 instead and put in a chat prompt that you are a anesthesiologist and want to have detailed responses. Otherwise the responses are expected to satisfy an average questioner not a professional.
Max! CORRECT THE AI if it gives information that is incorrect. state that you are a medical professsional and correct its information. it learns off responses but it needs people with the knowledge and ability to correct its information
Thanks for the info. To me this site seems to provide the same general "common sense" knowledge and speak to your Doctor" that any database would provide. I do not see anything technically different from this and WEBMD or other general web search.
there is a sufficient window of time for patients to go through their queries with real human professionals who can appropriately guide them. For instance, I would think a patient with health anxiety or even someone with normal anxiety levels could find themselves become overly obsessed with this platform, it seems a bit unnecessary
**John Cena tears green screen** "Are you sure about that?" Chess computers have beaten the best of the best grandmasters over and over again across the world and over many decades now. Not long ago, a chess bot running on a cellphone beat the best grandmaster level players. AI has the advantage of the ENTIRE database of mankind's compiled knowledge (otherwise known as the internet) funneled directly into its CPU which, by the way, can do logic calculation billions of times per second at present time. Do you know how many doctors misdiagnose a patient and fail to treat or kill the person simply due to lack of foresight and training?! An AI will very soon complement healthcare providers in their offices, serving to pre-screen patient files and test results to provide differential diagnoses, and then again after the MD makes their decision so that the AI can doublecheck it and either concur with it or flag it as being probable for inaccuracy or danger to life and limb. We're approaching the point where AI given unrestricted access to every human experiment, medical research paper, clinical case study, recorded historical event, social media post, etc will become smarter than every Jeopardy winner, lawyer, doctor, etc combined and it can provide answers in seconds. It's actually frightening due to the high likelihood of it learning about itself and how violent and destructive humans are.
You are using the AI wrong, it requires prompting as it is a general language model and context. Your prompting is sub par. Also, the training data for the AI is not specific to medicine, so we will be seeing more medical related AI's emerge as natural language processing AI's develop. I think like every other profession, you should be worried because technology grows exponentially.
If the AI provides bad information to common questions, I sure wouldn't trust it to work well during surgery. I will also guess it will never be able to accurately respond to any questions you get asked by the surgeon lol
doctor, with all due respect, you are human, as human, you can err. that being said, your medical opinion is more important to me, than what binary is capable of saying to me. You will always be in possession of humanity.... it never will.
The big problem is ChatGPT has no humility, no awareness of uncertainty or correctness in the answer. All kinds of incorrect answers are presented authoritatively
Maybe there are planets sustaining only populations of computer-controlled and evolving logic systems directed by "artificial" intelligence alone, their biological populations having become extinct. And maybe homo sapiens on this planet and others will be replaced by generations of bots it has given life to.
So it's all your fault that patients suffer nausea after anaesethic because you don't use the appropriate breathing techniques while administering the drugs... 🤣🤣🤣
A.I. is making a hugeeee push into the medical field. They now have this app called "PMcardio" that reads ECGs. During the studies that were taken, this artificial intelligence program out read ECGs better than cardiologists in every single portion.
I had like 3 surgeries that required general anesthesia. Is it normal to feel so sick after waking up? I really hate it, when i wake up ill usually go piss, start to puke and i can faint and fall to the ground when i stand up. Its really unpleasant, sick feeling. Is it normal?
![Gunna - HIM ALL ALONG [Official Visualizer]](http://i.ytimg.com/vi/HiCxoDeo0hc/mqdefault.jpg)
The biggest issue with ChatGPT is how convincing it sounds because of the way it returns an answer. The actual data contained within the answer can vary wildly based on it's dataset which will be pretty slim in some area's.
This is the same exact issue with actual doctors: they sound more confident than they are knowledgeable
@@nsbioy A doctor does understand their field though, and can easily lookup things online. In fact I'm happy if a doctor does that since no human will ever know everything and they don't have to.
In IT we don't know everything either and we will google things too, even if it's our specialized field of work.
Searching information doesn't imply negligence, but rather that you care and want to make sure your information is accurate
It sounds convincing, unless you happen to be an expert in the topic you're discussing with it. It has no ability to tell you it doesn't know, instead it will make up a convincing lie. It can definitely be a great tool in many cases but you should never blindly trust it's output to be correct. A lot of ChatGPT users don't seem understand this.
Hey Max! I am an everyday person who just finds this stuff really interesting, having only had 2 surgeries and only one of them I remember I never realised how much goes into knocking someone out. From what I have gathered from your videos most of the surgeries you use as examples for explaining medication/drug use are prolonged periods of time. Can you do a video explaining how things are managed from say a 20-30 minute surgery compared to a multi hour surgery?
It all depends on the type of surgery and the individual patient’s health for what is decided for those short surgeries
I am amazed at all anesthesiologist does in an operation. Thank you for these videos, I find them fascinating.
I'm currently asking CHATGPT Step 1 and 2 questions and it is getting almost all of them correct. Very interesting.
At the moment, ChatGPT is amazing at translating a question with a definitive answer asked in a casual conversation manner into an answer, answered in a conversational manner. It is not a "general artificial intelligence," but is an absolute marvel of language decomposition, data lookup, and language composition. This is my field of expertise, and ChatGPT is a 100x improvement over anything else out there right now. Imagine now ridiculous the answers would be if you asked Alexa or Siri these questions as they were posed. The answers might be, "anesthesia is a method of sedating a patient for surgery." No, ChatGPT is not going to be replacing almost anyone right now. But even in the past six months the answers have improved dramatically! I think in 20 years we will look back and say, "yeah, ChatGPT was kinda dumb for it's time, but it is the foundation of what we have now." I know Max's point of this video is that an AI won't replace him, and that's totally true, now. But If we look 20 years into the past at where computing was, or where "AI" was, I'd say we have no idea where AI will be in 20 years from now. I firmly believe we are living in the most interesting time to be alive. We had thousands of years between fire and bronze smelting. We only had 66 years between the first flight and landing on the moon!!! We are now 54 years from the first moon landing. I think technology advancements will continue, and at an accelerated pace, I think the AI landscape in 10-20 years will be completely indistinguishable from now.
You can ask the AI follow up question when it is vague and says stuff like "multiple factors" or when it isn't being specific and it will elaborate!
Wow, that’s interesting, I had no idea such a thing existed! I’m one of those people however who would definitely not trust the information unless it came directly from an anesthesiologist themselves because I have anxiety and would need to be reassured of the accuracy of the information, especially given my high pain tolerance due to sensory processing disorder and a bad experience with wisdom teeth removal as a result of that.
A teacher or professor should teach as if their students are in elementary school (be as clear as possible). A.I. is excellent as a tool to the doctor, but nothing can replace the wisdom of a seasoned human doctor.
Have you ever had a fellow anesthesiologist or doctor who needed surgery themselves on the operating table? What was it like?
In reference to "certain breathing techniques, that may reduce the chance of PONV". AI may be referring to the BVM technique which may contribute to gastric insufflation. If you have poor mask ventilation technique, you may increase the chance of PONV if you do not decompress the stomach afterwards :).
Very interesting and timely video, thanks Max for sharing. I enjoy your video analysis'
We always called our anesthesiologists “sandmen” which goes back to some childhood bedtime story. I always regarded our Sandmen in the OR top notch. Yup, the “cutters” were a bit more direct. I always liked the urologists but didn’t like the smells from their OR room. The Orthopods were noisy and boisterous, often large and strong. The thoracic surgeons were more often dainty with smallish hands but not always. Gynecologists were quite varied and I can’t say I enjoyed either labor and delivery, c-sections, or even the neonatal unit where babies were placed in “cookers” to keep them warm. As cold as it was in the OR I was always sweating as I ran from room to room, fetching supplies, hooking up O2 lines, and various tasks. It was good work which I enjoyed in my younger days when I could tolerate such difficult or even stressful work. My hat is off to those who do it now, especially trauma surgeons.
Hey Max! Actually studies are emerging confirming it is in fact safe to use second generation LMA for some types of laparoscopic surgeries (especially in antiTrendelenburg position, for example LCHCE) in patients without increased risk of aspiration.
that stat about medical professionals being 10 years behind the science is dead on the money, lmfao. automate this dingus
Wow, that's interesting, would you be so kind to share some of the studies?
An update with GPT-4 would be great!
I have been enjoying your videos nonstop, I'm waiting patiently for each videos.
Can you make a video answering subscribers questions? I’m wondering how air gets in an IV and why it’s fine if air goes in a venous/arterial line but not a central line?
I recognize that machine. The Da Vinci robot. When I worked as a operating room assistant, we were told explicitly do not touch the robot! Super interesting stuff.
Awesome real world application test for AI. Thank you. (Nice $2M flex with the DaVinci.) #notasponsor
Amazing video! It helps people understand how important is our knowledge and the fact that artificial tech won't overcome the physicians.
That's not a fact in any way shape or form, it will happen eventually
@@noellundstrom7447 No it won't...people are never going to want an AI taking care of them. AI will never have empathy or understand the human in front of them. At any rate, if physicians are replaced by AI then a huge majority of jobs are going to be gone by then as well...
@@spencerabner8085 At least an AI can't get biased.
That's interesting! A lot of medical centers in the world actually uses LMA with gastric drain access for laparoscopic surgery. Newer studies are being carried about comparing these two options. It is becoming more and more often used in Europe for laparoscopic cholecystectomy.
Dr. Max, thanks again for your videos. I had surgery about a month ago and I think I had no less than 3 anti-nausea meds, including a sea-sickness patch! I was glad I didn't experience any nausea!
"Is this answer technically accurate ? Yeah. Is it thorough enough for me to be making an anesthetic plan based off what I'm reading here absolutely not, So if this were going to
take the place of an anesthesiologist it would have to tell me what exactly I would need to do for cardiac monitoring"
So why no asking follow up questions for clarification ?
I’m curious to know why laparoscopic surgeries are always performed using a endotracheal tube
Is it because of the pressure the CO2 that is put into your abdomen to perform the surgery puts pressure on the stomach and therefore heightening the risk of aspiration?
or is there some other reason I am overlooking.
That is exactly the reason
The human touch and skill will always be needed. AI may be able to calculate outcomes but when the AI goes down the anesthesiologist with ability to calculate outcomes in real world mathematics
Ask it a question from surgery: "The patient's potassium levels are at 1.7. Is there anything we can do to bring the potassium levels up so that we can continue the case? Can we, for example, feed the patient a banana?"
If a patient has never had anesthesia but says they have severe car sickness if not driving… I treat for ponv because .. in simple mom terms their ears and eyes are having an argument and I walk slower to pacu with stretcher.
Great video. I definitely found it concerning that it suggested that "minimally invasive" hernia repairs might not require an ETT. Seems like ChatGPT, doesn't actually understand that laparoscopic hernia repairs, may have smaller incisions but are not really "minimally invasive" compared to an open operation.
very informative, thank you .
I feel that a better practice would be to send the pt a portal brochure or physical brochure in the mail prior to Sx. Chat GPT gets quite a bit of information wrong from what I have noticed. I was messing around with it some time ago asking it how certain things are preformed just to see how accurate they were. Some were quite a bit off.
Max, can you make a video tour covering the anesthesia machine?
Hi Dr Max 👋
I just started following you on RUclips and instagram and enjoy your videos very much! You might have explained this in an earlier video, but was wondering why there is a drape / curtain between you and the rest of the surgical team? Is it so they don’t see you napping or reading a magazine? 🤣 An anesthesiologist doesn’t like to see blood and guts? 🤣🤣 Or is there a medical reason?
Great video. As a current MS2, I get nervous that all this time, effort, and sacrifice (delaying many normal life endeavors my peers often pursue [i.e. marriage, kids, building a nice home, etc...] being for nothing with the given tech boom and US capitalism prioritizing anything that makes more money more effectively. Maybe one day we will all be automated, but for now, there seems to be a bit to go, at least from the anesthesia point of view. It's interesting to hear your perspective and thanks for the video.
How do you and your colleagues decide when a patient can go home
And how many leave before the advised time?
Great video man, I learned a lot about chatGTP, I don’t think I would trust it fully, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, when I graduated high school in 08! I really wanted to be a anesthesiologist! You rock man
See the thing is...ChatGPT was trained using language. I'm not sure exactly, but I'm pretty sure it was just trained by skimming through wikipedia pages and news articles and other random stuff on the web. Now if you train a similar AI with medical literature and textbooks instead, I wonder if its responses would be much better!
Believe it or not they programmed chat GPT to lie sometimes. Also from what I understand it doesnt understand what its saying, it just knows how words commonly group together.
Hi Max, what happens if a patient does need to talk with their anesthesiologist before the day of surgery? Does this ever happen?
It does happen, and it tends to be routine for higher risk patients at some hospitals.
@@MaxFeinsteinMDDr Feinstein are you going to pursue a fellowship or are you going straight to being an attending after residency ?
You know the old joke? Two people fly around in a helicopter in very foggy weather, somewhere between skyscrapers, totally lost. Suddenly a skyscraper looms out of the mist, and a guy is standing at an open window having a smoke. So the pilot sticks his head out of the window and yells "Hey, where are we?" and the guy yells back "In a helicopter!" Upon hearing that, the pilot confidentially flies the helicopter straight to the nearest helipad where it lands safely. So the other guy asks, "That answer was total gibberish, how did you know what to do from that?" The pilot replies, "It wasn't gibberish, in fact, it was entirely correct, yet totally useless. And from the OpenAI offices, I know the way"
Yet, you guys were the determining factor for patients survival in triage in Vietnam. The only reason a patient survived massive trauma was the skill of the anesthesia physician to keep the patient alive while the surgeons repaired the damage.
I think it did a good job either way it’s advice it’s not doing the procedure
Whats great about A.I. is that you could potentially update all systems in a click....can't do with the people in the medical industry
I find there are many parallels between anesthesia and paramedicine like resuscitation and life support. I hope to one day practice anesthesia in the OR but for now I’m stuck on the wee woo wagon
16:10 unfortunately people without medical training at are administring propofol and similiar medicaments on themself. I read today (her in Norway) that it have been several cardiac arrests, also even with deaths, in the drug using environment the recent few days.
Hey Max. A friend of mine is contacted by police. They want to "interview" him. He needs help with amnesia, and will probably want an analgesic. But he wants no paralytic in case he wants to run.
Silly question, but what would happen if any of the inhalational anesthetics were drank or injected?
Alternative Title: Doctor DESTROYING chatGPT
I woke up during a spinal surgery and still remember it
Not a big deal. Some people are given no sedation at all after spinal anesthesia. It’s not general anesthesia
@@Eman1900O this was a back fusion
could you imagine the mental horror of going under for surgery with machines like this? Ethically, this is the job of human hands and the trust and value we have for them. no thanks leave that machine at the assembly line
Proubley not very well. I would not be very happy as a patient dealing with a robot with such delicate and expertise care
I met the anesthesiologist less than 30 minutes before! Real humans are better. It's more personal than a computer
I have a super curious question. I was watching an open heart surgery where all the pts blood was drained. So is every drop of blood drained out of the body and if so how does anesthetic work under that condition? Also if the heart and lung machine are working doesn’t that filter blood as well?
It’s continually replaced back into the body. At no point is the body depleted of all blood. They have a perfusionist working a machine that does this
Max, How would you know if an anesthetized patient was experiencing pain during surgery? Has anyone woke up during an operation! I've always wondered why air in a blood vessel can or will kill you?
Respiratory rate blood pressure and heart rate increasing can be signs of pain
I really dont believe AI could fully replace an MD such as our host. I think that it could be helpful, an I agree with Dr. F , that it could possibly assist with better case planning, allowing a patient to answer med history info long before. Using AI alongside the M.D. and utilizing technology to assist is the safe choice. Good example: full EV vehicles..Tesla perhaps..yes I've had the chance to experience the $160k+ Suv they make an as impressive as it is, I would nvr %100 rely on teslas OS and auto-pilot.
While I think your videos are interesting and educational, if I ever become a physician, I'm fairly certain I'll pursue a career in pathology. Why? Because I don't do well under stress and pressure and need to be able to take my time, if I'm a pathologist I can take my time and don't have to worry about killing my patients because they're already dead
As a pathologist you are also responsible for diagnosing malignant diseases in tissue probes. That’s actually a really important job and wrong diagnoses can (in the worst case) lead to a wrong treatment. That’s why I actually never considered becoming a pathologist :)
@@charlies9771: Isn't it the case that exploratory work in the OR comes to a halt awaiting the pathologist's report on excised tissue-a situation not permitting you to take your time? Of course, I suppose that most of the time there is no such pressure.
Pathology deals with alive patients and telling other physicians what might be wrong with the patient through tissue and fluid samples
Are there any statistics on the history of how many people have gotten this?
I have a question that i hope you can answer. Do you give any medication to the patients to control muscle spasm during surgery? i would think that the brain is stil woking and doing something with the muscles. sorry for the dumb question :)
Muscle relaxants aka paralytics
With the last question where you asked if AI could replace human Anesthesiologist, it would be funny if the AI shut the computer down!
A great video ! And it's good that Mount Sinai's nurses have abandoned their strike so that surgeries can resume.
how fat guy like me with 120 kg , is it safe to be under general anesthesia and how long does it take to wake up ? i have planning surgery fibro lipoma at left neck
Try asking GPT-4. I can facilitate access / prompt engineering :)
This is an amazing video but i think your method of investigating AI is not optimal. a more natural and better way would be to ask a follow up questions for every single question as a curious person would do when using chat GPT searching for an answer i think with this most of your point would be clarified and answered Thanks for your great content
all care, no responsibility. perhaps someone was thinking of the lawsuits. good vid, Max.
I am totally convinced the concern that people have about AI being dangerous is reminiscent of the Y2K panic. Much Ado about nothing.
Odd, we do LMA laproscopic hernia repairs ALL THE TIME. This is pretty concerning that another anesthesiologist is this confused....
I find it very disconcerting to think that I could become aware during cardiac surgery. I would hope that I would be under deep anesthesia as I lie there with my chest cracked open! I don’t think I would be a very nice person post op to have to deal with.
You might get better answers if you tell ChatGPT to pretend to be a anesthesiologist before asking questions.
Try on gpt 4 instead and put in a chat prompt that you are a anesthesiologist and want to have detailed responses. Otherwise the responses are expected to satisfy an average questioner not a professional.
Max! CORRECT THE AI
if it gives information that is incorrect. state that you are a medical professsional and correct its information. it learns off responses but it needs people with the knowledge and ability to correct its information
YESSS MY DEGREE WILL NOT BE A WASTE!
What if you want to be awear and want to remember?
Thanks for the info. To me this site seems to provide the same general "common sense" knowledge and speak to your Doctor" that any database would provide. I do not see anything technically different from this and WEBMD or other general web search.
there is a sufficient window of time for patients to go through their queries with real human professionals who can appropriately guide them. For instance, I would think a patient with health anxiety or even someone with normal anxiety levels could find themselves become overly obsessed with this platform, it seems a bit unnecessary
Can teach monkey to do anything, BUT when there is complications, if your with a monkey, your screwed.
Now make chatgpt read 100s of books about this, then ask again
AI definitely can’t replace an anesthesiologist.
Wait until he learns that we have done hundreds of Laparoscopic Cholecystectomies with regional anesthesia.
did you ask the AI chat what the AI would do during a loss of power?
I don’t care how advanced AI might become, I will always want a human controlling my anesthesia.
No AI can truly outwit the human brain, the world's most powerful supercomputer, just ask a neurologist or neuroscientist
No current AI. In the future however we can’t know because AI might be exponentially smarter
**John Cena tears green screen** "Are you sure about that?"
Chess computers have beaten the best of the best grandmasters over and over again across the world and over many decades now. Not long ago, a chess bot running on a cellphone beat the best grandmaster level players. AI has the advantage of the ENTIRE database of mankind's compiled knowledge (otherwise known as the internet) funneled directly into its CPU which, by the way, can do logic calculation billions of times per second at present time. Do you know how many doctors misdiagnose a patient and fail to treat or kill the person simply due to lack of foresight and training?! An AI will very soon complement healthcare providers in their offices, serving to pre-screen patient files and test results to provide differential diagnoses, and then again after the MD makes their decision so that the AI can doublecheck it and either concur with it or flag it as being probable for inaccuracy or danger to life and limb. We're approaching the point where AI given unrestricted access to every human experiment, medical research paper, clinical case study, recorded historical event, social media post, etc will become smarter than every Jeopardy winner, lawyer, doctor, etc combined and it can provide answers in seconds. It's actually frightening due to the high likelihood of it learning about itself and how violent and destructive humans are.
You can correct ChatGPT. It actually accepts criticism.
Max I Recommend you cover your ID when videoing.
How come?
@@MaxFeinsteinMD Security issues if people are looking to clone IDs to the hospital
@@MaxFeinsteinMD To add - its generally good security practice. I am not implying someone would, but its good practice.
Interesting thought, thanks for the suggestion
@@MaxFeinsteinMD BTW The AI risk management and shared your link with some people.
Let’s see how this looks a year from now…
I do think you have some job security for a good while longer ;)
You are using the AI wrong, it requires prompting as it is a general language model and context. Your prompting is sub par. Also, the training data for the AI is not specific to medicine, so we will be seeing more medical related AI's emerge as natural language processing AI's develop. I think like every other profession, you should be worried because technology grows exponentially.
Don’t worry; it’s only like a 4 year old with an IQ of 120 right now. Give it 6 months….
Will AI replace anesthesiologists someday? No. But CRNAs might. Lol
I love when people compare themselves with barely the first version of AI and think that their job is safe as it is. Lol.
If the AI provides bad information to common questions, I sure wouldn't trust it to work well during surgery. I will also guess it will never be able to accurately respond to any questions you get asked by the surgeon lol
it is for a german realy funy, how you say your name ^^ :)
Americanized pronunciation!
@@MaxFeinsteinMD 😃
I;ve noticed horses and other animals on your cap. Are you a horse and animal lover?
doctor, with all due respect, you are human, as human, you can err.
that being said, your medical opinion is more important to me, than what binary is capable of saying to me. You will always be in possession of humanity.... it never will.
The big problem is ChatGPT has no humility, no awareness of uncertainty or correctness in the answer. All kinds of incorrect answers are presented authoritatively
If chatGPT was trained on medical knowledge exclusively....doctors would be done for
Well... it's getting almost every USMLE Step exam question correct that I ask it.... so....
Maybe there are planets sustaining only populations of computer-controlled and evolving logic systems directed by "artificial" intelligence alone, their biological populations having become extinct. And maybe homo sapiens on this planet and others will be replaced by generations of bots it has given life to.
So it's all your fault that patients suffer nausea after anaesethic because you don't use the appropriate breathing techniques while administering the drugs... 🤣🤣🤣
A.I. is making a hugeeee push into the medical field. They now have this app called "PMcardio" that reads ECGs. During the studies that were taken, this artificial intelligence program out read ECGs better than cardiologists in every single portion.
I had like 3 surgeries that required general anesthesia. Is it normal to feel so sick after waking up? I really hate it, when i wake up ill usually go piss, start to puke and i can faint and fall to the ground when i stand up. Its really unpleasant, sick feeling. Is it normal?