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Tech Takeover!! 👩🏾💻📱💻
42 Plays8 days ago
A.I. is already listening to your doctor visits. You ready? 🫣😬
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Transcript
00:00:17
Speaker
Welcome back to another episode of Chocolate with a Side of Medicine. I am one of your lovely hosts, Amy JoMD, and I've got with me Dr. Nono. Hey. Dr. k Chris. What's up, guys? And Dr. Sunshine. Hello. Y'all know, I just realized that I cracked my screen again. What? My screen cover, rather. How'd you do that?
00:00:42
Speaker
I just want to tell you all that this is has to be like the sixth green cover ra I went I went from never dropping my phone ever in life to I had dropped this damn phone like
00:00:57
Speaker
a Million gazillion times. I don't know what it is. I just realized it was cracked as I was talking. I felt it um So I got better the screen cover than the actual phone because one is way more expensive to replace than the other so this is true and I definitely Will only crack the screen cover but when I tell my husband that I cracked it because it's under his um He's got like Best Buy Total Tech. So we go in and we you know you get it for like peanuts. um But every time I go in, like I can't remember which screen cover to get because you know I don't have the most up-to-date model of the um phone.
00:01:40
Speaker
So I have to remember like which one it actually fits and never remember. So he's like, you don't ever remember which one it is. I don't know. Well, maybe you need a new phone, so then you won't drop it as I know I should have. That plan does not work. I am in the upgrade program, but even as I am in the upgrade program, I just learned that I am not I don't get super excited about upgrading my phone.
00:02:05
Speaker
meet Oh, I don't either. I mean, with iPhones are literally all the same with the exception of like an app or like a, like, I don't know. It's just, I'm fine with my little whatever phone. It's probably four years old at this point. listen It still works. I'm old school. I'm one of those like, if it still work, I'm gonna use it. Yeah, no matter. On speaker.
00:02:28
Speaker
I was going to say, no matter how your phone looks, Amy Jo, I can guarantee you it does not look worse than Dr. k Chris's phone. gar That is the whole truth. I saw Dr. Chris's phone recently. We were in Phoenix. And I was like, what is going on? It works. It works. It works.
00:02:45
Speaker
I don't know. Is it ah isn that a single digit? Is it a single digit? Go to go get my to your settings. I don't know if your phone was cracked or if the cover was cracked or if the Dr. Chris got a lot going on over her phone. She pulled it out during one of the lectures. I was like, what is happening? You know you're going to be in trouble when it's 12. It's a 12.
00:03:07
Speaker
Okay. Okay. We're fine. I I recently upgraded. No, I recently upgraded. So I have a 15 because last year I got the 15. So right now I think this Christmas they're going to come out with a 17, I think. Right. Because the 16 is out now. Yeah. Because I got my 15 Christmas last year, I think. ah Yeah. Androids here, as you can see. um So I have a 14.
00:03:34
Speaker
so i used to be i used a No shade to the Android. I used to be Team Android until someone I was dating <unk>t decided not to tolerate it anymore and bought me an iPhone. I was like, wow, that is so rude. But thank you. and And they were like, oh, I can't. We can't. This is green bubble business. I can't do this with you. like Oh, OK.
00:03:54
Speaker
I never understood that. That's messed up. it's why won give mine I got gifted an iPhone from a significant other. This is for you. I mean, long as they're paying. I'm willing to take it. Yeah. there Let me not say that out loud, because my husband is an Android person. So I take that back, honey. oh I didn't mean that. And I don't mean long as they're paying, because I'm still not. Well, now you get used to all of your apps and everything. And I am not going through the business switching over apps from help you know, one system to another. It's not the same. It's not intuitive whatsoever. Like, I was trying to find just like the internet or Safari. No, they don't have Safari. No. The internet on the Android phone. No, I'm like, where is it? You know, and I was like clicking her on the phone. It's not intuitive whatsoever. The iPhone is more user friendly, right?
00:04:41
Speaker
but That's what I thought. I don't know. you're I think they're both user friendly because my dad and my brother still have an Android. And I had an Android for so long. So I already know how it's set up. um But I think they're both user friendly, or they can be. You know what I will say? I miss, and this is telling my age, I miss the excitement of like, oh, I need a new phone. Let me go over to Sprint.
00:05:11
Speaker
and see what they got and not knowing what I was going to walk out with. like Well, that's because back in the day, it was like, ooh, you got a flip phone, or you got a razor, or you got the side kick. Ooh, you got a back Blackberry Pearl. It was like all these different options. And you were like, ooh. I love my Blackberry Pearl. Oh, I was so mad.
00:05:30
Speaker
When I had to leave the Blackberry, I loved it. um I might still have that Blackberry pearl somewhere around here. like i couldn't I just could not let it go. is and and i I was like, no, I will not trade this one in. I love it so much. It was purple. I love that thing, but I do miss that part. I probably got more phones during that time because you were excited to be like, oh, I'm going to try a whole new system and you'd like open it and all the bells and whistles, but you're right. Now I'm like, I don't need to go get a new phone. We're not changing anything drastic on these phones. I got sucked into the Razor Motorola Razor hype. I think I had four of those phones in like a year and a half. it was they kept They kept breaking like ridiculously.
00:06:14
Speaker
so Yeah, never. But my Blackberry was, you know, and I stayed on that Blackberry for a minute. Once I got a Blackberry, I was kind of in love. Like, I love this thing. I don't know why, but in college, I remember putting my razor in the freezer. And I don't know why I did that. Maybe my battery was overheating, but the i the idea of putting a cell phone in the freezer, yeah, something was happening on my phone. My homegirl was like, girl, I'll throw it in the freezer. And I was like, OK. Right.
00:06:40
Speaker
What a time. did a time yeah Or like putting your phone in a bag of rice when you drop it in the toilet, all types of stuff. ah You know, we don't do that I tried that shit. That did not work. I don't know how.
00:06:53
Speaker
But it's OK. We've come a long way. Hashtag technology, which is actually dope. We're talking about this because our main topic today will be on tech and AI in health care. Y'all didn't know that. I'm telling y'all that now. But we're not there yet. I still do. But we're not there yet. We are having a tech conversation. I'm seeing this transition. I see what you're doing there. I know. But the transition is mad early, though. So we still got a new trending. We still got new trending, though. So I don't know who has the trending. Oh, it's not oh shoot. That's me.
00:07:21
Speaker
there go dropping a ball in my bad day i know right nice too Well, while you get your life together with the trending, I do want to say since that, since Amy Jo, uh, MD said assist quick shout out to, uh, the WNBA finals, which have been dope. Uh, last, like last night, Sabrina that and that that beda show and that buzzer beaters three.
00:07:43
Speaker
I was like, ooh. But you could tell in Brianna Stewart's face, she was like, we are not losing this game in Minnesota. Like, we are not losing this game. And I was surprised that Liberty came back, and now they're up, you know? They're up 2-1. And the Liberty might take it. sort of Minnesota was shot when she hit that buzzer beater. I'm like, ooh. Everybody was shocked. Everybody was. We were all looking at it. I was like, man, this is a deep three. and i Yeah, because she didn't need a three. It was tight. I was like, oh, maybe they're about to run a pick and roll, or maybe they're about to. She's about to get fouled or something. Apparently, that was that was the plan. She was supposed to do that. Yo, know I screamed when she hit that shot. Yeah, I was like, ah!
00:08:24
Speaker
I will say that the whole playoffs has been good. like All the games like from you anybody watching will agree that every series has been good. like They have been balling.
00:08:40
Speaker
but this series is good. Honestly, I really- I was sad about the Aces. I really want them to go to the, you know, I was sad about the Aces. I know. I love me. I love me some Aces and some Asia Wilson. Yeah. So um I- They wasn't playing well though. They had a lot going on. It's been a rough season for them. Like, you know, they just never, read you know, they they they they limped along in that last game last year and I just think they never recovered. So, you know, we're all over the summer.
00:09:09
Speaker
you would be getting ready to get better. I think they spent a lot of the summer healing. So Chelsea. you know, injury because she didn't even come back till after all star. She didn't start playing to the Olympics. Um, Kelsey's, you know, but did you hear, but did you hear their coach? Like in the middle of the last series they played, she was talking about how they were not focused. Becky Hammond was talking about, she's like, people are just, she's like, they're distracted. They don't have the edge. People aren't focused. I'm like, Oh, these are deeper problems. Well, they ain't talking about Asia Wilson cause she focused cause she was the M She was the only one focused. She's killing it. Even in the post game, she was like, we're not playing our best. We gotta play better. Like she kept saying it. She's like, like trying to will her team. Like, yeah what the F is wrong with y'all? Like we need to like them all. But it going through something. Cause like Kelsey's getting the divorce. It's all, you know, yeah that would be hard to get a public divorce. Yeah. You know, I don't care if you've been together five minutes, five years, 50 years. Like that would, that would be rough.
00:10:12
Speaker
I mean, it's the downside to being famous. Everyone's in your business. you know I did feel a little sad when um when Becky's um um last like interview, and she was like, I feel sad because I really love this team, but this team won't be the same team next year. yeah So here come the trades. Plus, you know they's got new they just you know they're expanding. So there's a new team. So they're going to skim some off the top. So somebody's got to go to the new team.
00:10:38
Speaker
They gotta bring back my Miami soul. Bring it back, bring it back. I don't think that's on the list of not even second to next. No, it's not on the list. I think Houston's gonna get ah a team before Miami. I know, I know. But, you know.
00:10:53
Speaker
Adam took us on this, this deep dark wine. Yeah, but it was good. WMA finals are dope. My Dodgers are also in the playoffs. We're trying to, if we win these next couple of days, we about to be in the world series. Shout out to the Dodgers. Shout out to my boy Mookie, my boy Mookie Betts. Gotta order my jersey. Gotta order my jersey.
00:11:13
Speaker
If y'all didn't know, Dr. Sunshine is a sports fan. I am. I am all the sports. I'm in all of it. She is into all of it. Anyway, Dr. Chris, did you have a training topic you wanted to talk about? My bad. My bad, Dr. Chris. I don't know who started this, but my bad anyway. What you got? OK. So don't judge me, y'all. So I get some of my news from,
00:11:40
Speaker
from, what is it, TSR? ah love From um Instagram? you the The Shade Room? The Shade Room, yeah. Well, sometimes they be talking. They be talking. I mean, it's good topic starters, for sure. do You know? um So.
00:11:55
Speaker
was it Anana Lewis, right? We talked about her before. Yeah. I was sad when she first told us she had breast cancer. Right. So she's like the MTV, VJ, like video jockey back in one of the originals, the OGs. Yes. Back in the nineties. And then she shared, I think it was last year she said she was like, um, she shared that she has stage three breast cancer. And, um, basically she was just saying that she,
00:12:22
Speaker
She hadn't, she got diagnosed I think in 2019. And she said that she was afraid to get mammograms. She didn't want to go, she didn't want to get mammograms because she was afraid of radiation exposure. So she just didn't get screened. And how she was just saying like, you know, people should get screened because had she gotten screened, you know, things probably would have been different. So recently she got, she went on CNN and she did, there has been some reports and she did ah an interview And now she's stage four. yeah She has stage four breast cancer. So that means it's spread to multiple areas apparently. So she said that it's spread pretty much everywhere except her brain. So which is pretty sad. So the thing was
00:13:10
Speaker
She, when she saw her doctors, they had, they told her when she would stay straight that she should have a double mastectomy. But she went against that and she said she didn't want to do that. She wanted to find other ways, holistic ways to deal with her cancer. So she went and tried to do other therapies. And I think one, one of the articles I read said that it went, it got better and it was stage two.
00:13:39
Speaker
But then now with stage four, I'm not sure if that's even accurate. Cause she did some chemo. I don't think she, did she She chemo and some light therapy.
00:13:53
Speaker
Yeah, she, I don't remember, all she did I looked at, I watched her interview and so she talked about, you know, so they did recommend a ah mastectomy, which she did not wanna do, but actually her choice, at least when she talked about it, it's not that she didn't do the mastectomy, she also opted to keep her tumor.
00:14:12
Speaker
yes So she decided to kind of detox her body, allow you know her body to heal herself and you know kind of fight this tumor on its own. So she opted to have no traditional intervention and do it. So she did a lot of like, you know she worked with her nutrition, she changed her diet, she did exercising. I think she did like massages and and all these things. And so she felt really good.
00:14:39
Speaker
over time, but when she went back to check to see where her stages were, she had, you know, she had meds. So I think she has like, um, old mental meds, I think is what she was describing. She's got some some things. I think it went to the bone too. it's I think she's got it in her bones. I think she's got it in her abdomen and and something else until, um, in her spine, in her spine too. think I think that she is one of the,
00:15:09
Speaker
few people that you that we've been able to watch articulate and watch them give it the good college try that have opted to you know do it. From where we come from, we have all run into, we've all got that one patient that we remember, and it might be all the same one that comes in and says, I'm not having no surgery, I'm not having any chemotherapy, I'ma fight it with with natural. I still remember that patient, even though when I was asking her what her what her last meal was, she was like a cheeseburger and a milkshake, and I was like, ma'am,
00:15:44
Speaker
I don't know whose YouTube two page you've been on, but cheeseburgers and milkshakes ain't on nobody's page for fight your cancer through diet and exercise. But go off, sis. But in this case, I thought Ananda's journey has been really interesting because I watched her first, like, lies, but she was, like, doing them on Instagram. Like, when she did, like, her Instagram stuff or her interviews and kind of said why she didn't because her concern was about the amount of radiation that you you know, get in a mammogram. And I think we've talked about the background radiation in a mammogram. So she had avoided them. So I think that she had like missed like three to six mammograms or something before she felt the lump and she decided to get it. So she um has been somebody that's been pretty consistent and in in her wanting to
00:16:34
Speaker
really have a very holistic approach. And you know I'm not mad at people that want a holistic approach. you know I think as long as you are very clear on the risk benefits and doing it your way, then you can do it either way you want. um So I'm not here to shame her in any way.
00:16:52
Speaker
But every time I get an update, I do feel sad because I grew up watching her on BET. I wanted to be on BET because of her. like And so you know hearing the news that she was stage four and I'm like, man, i know i this is sad. I felt like conflicted because I got my doctor hat on and then I got my Oh, I feel so bad. Like I have like so many different emotions. So like my doctor had is like, Hey, as long as you are informed and you know, you understand your choice and you're willing to take the risk and that's what you want to do, then, Hey,
00:17:29
Speaker
I mean, I wish you would choose something different, but that's what you want to do. And you know we just got to respect the choice that people make. And that's what we fight for, right? We're fighting for ah for us to have like autonomy to our bodies, right? So we can decide what we want to do, right? Correct. But then on the other side, too, it's just like, oh, sis, if you did it, then maybe it would have been a different thing. like You probably wouldn't be here.
00:17:58
Speaker
it's like you I don't know. It's like she's, I guess she feels empowered that she chose to do it the way she wants to do it. And she's okay. It seems like she's okay with the decision. And even though she probably gets a lot of people that are like, why would you do that?
00:18:15
Speaker
that selfish of you don't do that. Like, why don't you just try to fight? Like you should just fight it. But this was her choice, her way of fighting, right? Like, yeah, I think i don't think she's changing her approach. So even though she's got meds, she's not like, Oh, I got a mess now. So I'm about to go do 12 rounds of chemo radiation. She is, I think, staying the course with her method of treatment and has decided that you know this is maybe going to be the thing that takes me out, but I'm going to continue to fight in the way I want to fight.
00:18:47
Speaker
ye it took I think it took me a long time too, because like what Amy Jo was saying, we we probably all have a patient where they come in, they obviously have cancer, they're refusing all um you know ah chemo, radiation, surgery to take out whatever tumor. um You explain the risks, the benefits, and you know you just kind of have to take a step back and realize that their autonomy is more important than whatever you can tell them in that moment.
00:19:20
Speaker
um yeah it's it was I saw that news. I remember we actually did that episode. It was another trending topic with one of our episodes a while back. um but i it just yeah The doctor part of me was just like, there's so many good treatments out there that can improve the quality of life. And that's not to say that we don't that we don't recommend like holistic treatments for like the side effects that come with like chemo or with the the you know the the therapies that we use to treat um cancer. Because there's a place for all of that. um But you know it the evidence-based medicine is out there that these treatments that we use, the immunotherapy, the chemotherapy, the radiation therapy,
00:20:08
Speaker
those all have better outcomes and more a better quality of life for people that choose to do it. ah yeah i When I saw that, I was just i was just like, hum it's hard though. I think it's hard. it's hard yeah I mean, seeing see if family members go through it and seeing my own patients go through it, I get it. I completely get it.
00:20:31
Speaker
well i think The other argument too, when we say like better quality of life in the sense that you can still live, but maybe that's not what they want as quality of life. Cause I mean, chemo got side effects and some people just don't want to go through all of that. And for them, like that might be like, that's not a good quality of life for me. Right. Correct. Cause like, depending on the type of cancer, how aggressive it is, like, I mean, some, there's some people, you know, they do, they do chemo and they do just fine. And there's some.
00:21:03
Speaker
It's a struggle. It's a struggle. It's hard. Right. And also what about the people that like, Hey, they tried the chemo and they did it. Right. And they're like, this is too much. I can't. And then they decide they want to stop treatment. I believe we know that. Do we lose them the same or we kind of see them differently? Cause it's like, well, at least they tried something. Right. Because they actually did the chemo and then they decided to stop. But then.
00:21:28
Speaker
Do we view them the same as the person who decides that they just didn't want to do the traditional route. I mean, I could tell you on countless times like people come into the ER for some like random complaint. It turns out we diagnosed it with cancer. um And then, you know, I live in or.
00:21:46
Speaker
I work in an area where like the median age of like patients of like 85 or something like that. Um, so you, you have those discussions with them up front, like, you know, and in a very protracted way of saying, like, is this something that you want to go through? Like you, you just approach that question up front, you know, because yes, the treatment, the the diagnostics, the, um, the biopsies, the, um, the constant scanning and the,
00:22:14
Speaker
you know, the chemotherapy, the side effects, you know, that's that's not something that everyone can handle. So that's obviously a conversation that you have up front. Like, you know, this is something that you have. It's probably cancer, but is this it's a long road to treatment. Is this something that you want to go through with? And then that's, you kind of see what their goals are from there and you just go from there. So It's just Ananda's just so young. It's just it's just really hard to see that. So yeah, cuz how old is she she's like Yeah, it's still she's young. She's young. Yeah yeah but This is also a nice time to plug again for this episode that it is October which is breast cancer awareness month So be sure to if you choose to you know get your screening, you know for your for your mammograms
00:23:04
Speaker
and all of the things. we We did a whole segment on this last episode, but just another reminder that if you're due for your mammogram, then please go get your mammogram and stay updated um if you choose to do so. Get them boobies smashed up. I got my first one last year. It's not bad. Y'all, it's not bad. Daddy smoosh it a little bit, but it's okay.
00:23:26
Speaker
The one thing she did stress is that you know if she could have done things differently, she would have gone for the mammogram earlier. That's really the only thing that she would have changed in her whole course. Yeah. That's what she says. I could roll with that. I think um i think i think Well, you've got it. The best fight you're going to have, whether you use traditional or non-traditional medicine, is to catch it early. Right? And then also know, and I think it's worth having a conversation. I'm surprised. I still find people that have not had mammograms and like,
00:24:02
Speaker
10 years. Like, why are you not doing them? I don't know. I just, you know, I don't want to think about it. I'm like, first, um go get your mammogram. One. Two. um odd Dr. No, your dog is back there killing me.
00:24:19
Speaker
repositioning like this is a grown man in a bed that is docked out. That's so funny. Anyway, I got distracted. Yeah, you'd be surprised how many people like don't um like don't get them for fear, for discomfort, all this stuff. You do want to get your mammogram. More importantly, you want to go talk to your primary care doctor or your gynecologist about which one you need. So like ah my mammogram coming up in January is actually the first time I'm going to need a mammogram and an MRI because my wrist score just went up since my sweet mama just had her second round of breast cancer. So when you put me back into the calculation,
00:25:02
Speaker
recommendations, I get an MRI and a mammogram. Y'all don't be sleeping in an MRI, right? Oh, yeah, maybe not. I cannot stay awake. I hope they don't need anything from me, including me to hold these boobs up, because these things is big when I lay down. They might go anywhere they want, but. You know, viewers, you missed the whole argument of the big booby club and apparently me and the doctor center are not a part of it. So, yeah.
00:25:28
Speaker
no so i said she had a whole baby so you knowt don't be don't be you are your own friend cause i got some so ah by yourself. You are by yourself. Listen, and I'm still breastfeeding, so that's a whole journey for a whole nother day. She got a wreck. But also get your vaccinations and stuff too. I i won't i won't dwell on that. It's slow season. It's a season. Oh crap, I forgot to do that today. Damn it. So for today's main topic, so today's main topic is going to be just more of um a discussion, but it's basically talking about AI, artificial intelligence in healthcare.
00:26:03
Speaker
And I felt like, so this was also one of the lectures that was at the conference that me and Dr. k Chris went to. I don't know if Dr. k Chris went to the lecture, but either way, there is a lot of things that I feel like As the patient, you guys should know that some of this stuff is coming down the pipeline. And in some of the doctor's offices that you go to already, they're probably already using these things. And healthcare is about to change. I'll say between now and the next three years or so, people are going to start implementing a lot of these um AI components, and more than likely to be cute, just keep it real with you people probably aren't gonna like it. um And by people I mean the patients I mean probably some of our staff as well. um People are a little apprehensive to AI and to changes and things so.
00:26:52
Speaker
It comes in lots of different flavors, and we're going to talk about them. So when it comes to health care overall, we've always kind of used like a little bit of things that have like some things are automated, maybe a touch of AI, like very little, just kind of like you call the office. You know, there's the call tree, press one for this, press two for that. You know, hey, is this an emergency? Things like that. So we've always had like a touch of technology. And then of course, the patients were like, hey, we want to contact our doctors.
00:27:21
Speaker
We want access to our records. We want access to the note that my doctor just typed. So now you guys might have an app on your phone. You guys might have ways to contact your doctor now. So technology has been advancing in health care period. right But when it comes to AI, they're goingnna they're they're going to start implementing AI in a lot of different ways. So one of the ways that it's probably going to affect you, the patient, the most is actually when it comes to um scheduling your appointments. So a lot of you can schedule your appointments on your app, but nowadays if you call some doctor's offices, you might end up getting like a chat bot, like a bot that starts answering the phone. And they're going to ask you certain questions and based on your answers, they're just going to schedule you for appointments or reschedule you or cancel you or whatever.
00:28:09
Speaker
Also, what's going to start happening is the same way some offices have like, oh, you can call a nurse 24 hours, or oh, you can send me a message 24 hours. Now, AI is going to start picking up on those patient messages and what you're typing in and those keywords, and they're going to start giving recommendations, as in like the AI algorithm will read patient messages and will will respond back to patients with recommendations, telling them, hey, we recommend this, or hey, we recommend that, completely without the doctor.
00:28:38
Speaker
Without the doctor, without the nurse. but Listen, telling me I'm telling you what's coming down the pipeline. so like Instead of like having to have a nurse on 24-7 to respond to patients, now the AI is going to pick up on whatever the patient says or whatever the patient types in a message, responds back and gives them recommendations. like Hey, go to the emergency room. Hey, you should go to urgent care. Hey, we recommend antibiotics. And then it'll send like a little notice to a doctor to prescribe antibiotics because the AI is reasoning out what the patients are saying. And now AI is going to be making recommendations.
00:29:15
Speaker
And the whole purpose of this is to use the staffing and medical facilities for other things. So for example, if you have an AI chatbot doing that, then that nurse that would normally be doing that can do something else. So it's kind of like replacing the jobs that current people have so that they have the ability to do other things. So there's going to be a lot of a a lot of that happening. So that's one aspect.
00:29:40
Speaker
Another aspect, you guys can interrupt at any time. Another aspect. I'm already seeing a liability with this already. like it's it's It's a problem. A patient like you know talks to the chat about, hey, we're having some chest tightness. you know What should I do? The AI bot might read that as asthma and go take an inhaler.
00:29:58
Speaker
Well, it's implanted. i it was it with the file But anything, but it has like, but it has all of this intelligence. So, okay, the AI's in healthcare. care They're going to be loaded with, they're loaded with nine different types of intelligences. I'm not going to lecture you all on them, but it's like,
00:30:17
Speaker
Content intelligence, which is like keywords like chest, shortness of breath, asthma, whatever. There's emotional intelligence where it picks up on your emotional words you use. There's all these different types of intelligence that it's loaded with to then think for itself to give you a recommendation. Now that's one way it's going to be impacting you. And they're kind of implementing these slowly throughout the nation. So it's coming.
00:30:39
Speaker
Another thing that's already at my husband's job is that they actually have an AI that listens to your encounter with your doctor in the office and it records you and it types the note for him. He doesn't even type the note. So the AI is in the room listening to you talk to your doctor and it's creating a document. That same document, y'all are like, well, what did my doctor even do? And you want to ask for the note after the fact. While you're talking to him, the AI is creating that note. And it also makes a diagnosis. And then it tells him what to put in there to code your insurance company based on your conversation.
00:31:15
Speaker
And a lot of people don't like that because they're like, who's listening? What are they typing? What's happening? Because yes, AI is listening. It is a tool that is being used in the clinic and in the office. I i mean, it's very, it's very convenient from the doctor side not to have to worry about the note like after the encounter, but then like the privacy issue, like where are these recordings going?
00:31:40
Speaker
Like, is it going to go into like a cloud or are they deleted immediately? Like after you finish the encounter? It's in the chart. You can actually listen to the recording. Yeah. It's going on to somebody's server. True. and i thinks Which is supposed to be HIPAA compliant, just like the EMR. It's supposed to be. I think with the last cybernet, I don't know, cybernet, whatever, the thing that I was caught in when I was trying to go to my family union like a couple months ago, yes like all these things can be broken into or hacked into. So if someone got wind of like a server that contained all
00:32:16
Speaker
patient HIPAA protected information. I'm pretty sure that would be a big issue if someone got into that. that's I am being a pessimist at this point. I can see the utility with AI in this context, but I'm just trying to foresee like any problems that they would occur.
00:32:35
Speaker
Jobs are already, they're already using it. Just so you know, the that healthcare has already used this to a degree. So right so like you're um you're a your in the box or something like that. So like when we have patients call and they're you know they can't get in and and then they can go to like your MyChart and say, you know what are your symptoms? And they say, oh, I've got a sore throat, a cough. Yeah, that's that's still that's all AI that we're doing it now. So and you'll get like you get that message saying hey, just so you know, we the nurses saw your your patient and we treated him for XYZ some of this AI up front and then there's like a ah nurse behind the scenes just kind of making sure like everything makes sense. And it's like, yeah, you know, that's what it is. But we're it's not not here. It's here already.
00:33:26
Speaker
like Like for the outpatient side, I've not seen this used on the inpatient side yet. Oh, so on the inpatient side, which I don't know how this is happening, but a huge part of the lecture was that they're using AI technology to read the CT scans and x-rays and MRIs so that they can get them read faster so that the radiologists don't have to spend as much time on them. I do not know what that means. I don't know. We use that for EKGs and that's like wrong, like 50% of the time.
00:33:57
Speaker
It's something, I don't know if it's saying like, hey, I don't know if you're programming it to say like, hey, when this occurrence or if this spot shows up on this CT, it means this. Like, I don't know, but AI is already like, AI in the radiology realm is having a takeover.
00:34:14
Speaker
I personally, Dr. Sunshine, do not know what that means because I am not a radiologist. I'm keeping a jiggy with you. But that was a huge part of the lecture. And it's supposed to be to make things more efficient so that it cuts down on the wait time for people to get back the results from MRIs, CT scans, so on and so forth. But everything is supposed to be for efficiency. That's what it's supposed to be for. Now, one thing that's interesting that they brought up and they did a huge research study on, and people are torn about it, is the use of AI for mental health?
00:34:47
Speaker
So basically they've made like these chat response boxes that are really high in emotional intelligence. And they did a study. They broke people up into two groups. Everybody in the groups has anxiety and depression. And whenever they were having a depressive episode, they would get on their phone and text the chat bot like, oh my gosh, for example, oh my gosh, I miss my aunt so much. She passed away last week.
00:35:11
Speaker
And then the chat box would respond to them with an emotionally intelligent response to help them through that emotionally. And the patients in the group that had the chat bot to help them through deep, like, depressive moments, actually showed an improvement in their depression compared to the people that didn't. So then now, mental health practices and mental health facilities are implementing this 24 seven open access emotional AI chat. But That's always there for you when you're having a dip in your mood because it ultimately results in less depression and less suicide and less, you know, all the other adverse events.
00:35:50
Speaker
And they in it and like during the lecture, they put like an example of a conversation like on the screen. But it's interesting, because the responses are like you're actually texting a person. Talking to someone. Yeah, like you're really talking to someone. But this is not a real person. This is a highly emotionally intelligent AI. Is that a disclaimer? They put up front before they open the chat? No, they know. They know it's AI. It's like a it's like an added, I won't call it an amenity.
00:36:19
Speaker
but It's an added tool that they're using in mental health now. And I'm like, this is so... it's it's it's so Listen, listen, y'all, it's coming. I'm here to just let you know that even if it's not coming, it's already here. So they're doing lots of studies on it. But one thing I do want to talk to you guys about is a lot of skepticism that's going on. Y'all already hear Dr. Nono's skeptical. You hear her already. No, i'm like i'm just I'm just trying to... I'm sure they probably thought all this stuff through, but I'm just like, you know, things that come to mind, like just liability, like, you know, people always want to talk to like a real person, like, what is the one thing that the AI cannot pick up and a doctor can pick up on? Yeah, you know, things of that sort. So yeah, the i'm not if it works, it works. But I'm just, I don't know.
00:37:07
Speaker
So, there was a whole section of this lecture where it talks about um a lot of the apprehension for the AI from the patients themselves the staff everyone. So, the doctors and the professionals are basically talking about. um accuracy, like how accurate is the AI really? Because even if your job implements AI, it's not like you personally have studied it. It's like, Oh, I don't really know how accurate this is. Even if somebody tells you, Oh, Dr. Sunshine is 95% accurate for me. I don't know how comfortable I am with what about that other 5%? You know what I mean? Like your jobs are implementing this, but they're not asking you the doctor how you feel about it. Your jobs are just doing it. So it's
00:37:47
Speaker
It's interesting because it also brings up the fact of malpractice and liability. And if something is incorrect, um, how much of that can be blamed on the AI versus being blamed on the physician or the nurse who may have missed something or misdiagnosed something because of AI. So that's, so that's a whole, that's a, that's a whole thing that's being explored right now, like how to kind of sift through things. If the AI that's supposed to help you does a misdiagnosis or, you know,
00:38:15
Speaker
Things of that nature. Also, there's a fear there's a big fear for people and ah job security. um But I think that's AI across the board in all fields. um Basically, people talking about like like what jobs are these AI bots going to be doing, and should those be jobs that nurses should be doing, or whoever else should be doing it? And they're fearing for job security, so that's another thing. But ah there's lots of levels to this, and I'm just here to let you all know that a movement is about to occur. So you know it's coming.
00:38:47
Speaker
o It is. Why, why, why are you sighing like that? I don't know. I'm just, I'm tired of living in unprecedented times.
00:38:58
Speaker
But also an interesting part of a lot of these articles is also talking about how a lot of this was actually the push for a lot of this actually came from health professionals because of the burnout that they were feeling from COVID and from navigating these like health records, you know, like the EMRs and stuff. And it's like, there needs to be an easier way. There needs to be an easier way. So then now it's like, oh, well, there is an easier way. There's tech, there's AI, there's all this stuff. But then now the providers are like, wait, pause. We didn't mean AI. We meant like,
00:39:29
Speaker
I don't know. Maybe I see maybe i see less patience. Yeah, exactly. right So instead of like swinging the pendulum to the middle, we kind of like swung the pendulum like way over there. So now it's like, oh, don't you know? Now we have this cute robot that does all this stuff. And they're like, what?
00:39:46
Speaker
And then who's going to be regulating like the AI? Like is this going to be privatized or something like monitored by the government, by like health corporations or entities? Like someone has a monopoly on this? like there's always There's always someone trying to make money. So who's going to be making the money in this scenario? You're right. Right now, it sounds like it's private organizations that are that are pitching. Same way when me and Dr. Chris just went to our conference, if you walk around the little um little like career fair area and it tells you about all the new cool things that are happening in medicine, like, oh, come over to my booth. Let me show you this cool thing. A lot of that was AI, a lot of it.
00:40:27
Speaker
yeah And it's like, oh, like you should, you should, um, you should like partner with my company because my company is HIPAA compliant and we serve these many medical facilities and we do our AI this way. And it's like, but you're right, doctor, no, no, it's different companies. it It's different things. It's, it's, that's a lot. Yeah. My company, um, they have something like that to do like dictations for basically for the notes. Like you go in with your phone, you set it there.
00:40:57
Speaker
and you have a conversation with the patient and it generates the note for you. and A lot of the providers that have done it, they love it because it really cuts down on them writing their notes and then they can do other things. so Basically, it just makes it so that they can get out- Faster. ... in a decent time, right and they like that. and they're so They're showing that because they get to get out of work earlier, that they seem happier, it's better for their well-being, and they want to stay. Because the problem is,
00:41:25
Speaker
Because a lot of healthcare workers get burned out, especially providers, then if you don't have enough providers, then what's what you going to do with those patients? Right? yep Because they're still going to be patients. We already had shortages before COVID of doctors. And now you got a lot of doctors just leaving. Um, they're trying to find a way to retain people and keep people happy.
00:41:52
Speaker
But I mean, but there's also a lot of things in the notes that you have to do. There's always these ah metrics that you have to follow. And and then also with reimbursements every year, they tend to get less. So you tend to get paid less money every year for doing the same things that you've been doing. Right. And then and then if you're trying to make money, then you got to see more patients. But then you see more patients. Then there's less time with the patients.
00:42:22
Speaker
And your quality of care goes down. So. And more patients increases the paper trail. Yep. And there's still a lot of things still on paper. So even though you cut that down, but like home health orders, all these things, they'll gotta, they still come through the facts. It's still paper. You've got to sign it. So.
00:42:43
Speaker
i' a lie I'm looking forward to AI to yeah help answer some of these um inbox questions. like I cannot wait yet um because the the amount of time I spend with my patients, i they so they still create lots of questions.
00:43:00
Speaker
questions on the back end. And I would, I am actually curious to see, and we'll be doing, it like we've been talking about it for months now. So some officers are already doing it, but AI is going to start answering and these at least answering initially some of those inbox questions. I cannot wait. Cause some of them you're like, you need an appointment. yeah Or, you know, some of them are like, oh yeah, we'll, you know, we'll do XYZ, you know, we'll get in touch with that. And I'm just like, I would, I would love that.
00:43:30
Speaker
Yeah. Some of them are pretty simple. Like a lot of, some of the messages I get, they're my in basket. I don't even need to get them. Like they're like, Oh, can you fill out this form? Like don't even, just print the, somebody printed for me. Just drop it out. Right. I mean, just, I mean, just making sure like they filter through like the non-urgent from like the urgent to emergent messages that you guys get. Like if there's something like this, it shouldn't be in my, my chart.
00:43:55
Speaker
Oh, so before they send it before they send it there. And so before you send a MyChart message, there's a disclaimer to say it can take up to 48 hours to send this off. It is an emergency. Please call the office or dial 911. So no, so you can send even now before AI you can send I am having chest pain in your MyChart. We still may not see that for 48 hours. Yep.
00:44:20
Speaker
But then people don't know that that may not, all they people don't know what an emergency is from like an urgent like consult. If you're having chest pain, you should call somebody. Well, no, yeah that's what we tell people. But sometimes it's just the message doesn't get through. Hey, I didn't stop that, though. So if somebody sends a MyChart medicine says I'm having chest pain, there's no guarantee that we're going to get that like in the next hour.
00:44:43
Speaker
But my question is, how do the now, there are some things that are both inpatient and outpatient. There's a lot of like um using AI to auto-create. Well, some things we have like dot phrases for already. this is like am I might cut this out, because this is very provider but-specific. But um based on like why a patient was admitted, it like auto-generates like ah return to work notices. It auto-generates. um support whatever whatever you feel like they need it like auto generates it from whatever is already in the chart and it just creates all these different documents that you might need to print out or put with their discharge summary plus the radiology have their AI it's a lot of AI just trickling into lots of facilities my question is I'm curious how the patients are going to feel on the other end knowing that the response is coming from AI and not a nurse and not you the doctor I don't think they're gonna like it I really don't
00:45:34
Speaker
I think how, at least how ours is going to be set up, they don't necessarily know it's coming from AI because what happens is like, so, you know, AI now will start to generate my messages back to my patients for like normal labs, right? Like those are the ones I love.
00:45:50
Speaker
And so AI is going to generate it, but I have to still sign off on it. So when I, when I send it, it doesn't say, Hey, this is from AI. It's going to say, Hey, you know, labs look great, you know, oh signed off from credit and lovers, gotcha great and low m you know, could write sign off Amy Jo and more from care team.
00:46:09
Speaker
Correct. So you still have to you know kind of check the box. But now I'm not on the hook for you know sitting there with my dragon going, hey, Mrs. T, I had a chance to look at your labs. Your glucose is you know much improved. Your creatinine levels down normal. And your A1C improved. Great job. Keep it to good work. Now, AI will make the paragraph. I can read it to decide, yes, that's exactly what I want to say. Go ahead and send it. And I'll say, this is from Amy Joy MD. Or I'll say, well, no, I actually didn't want to say that. I want to say XYZ.
00:46:39
Speaker
I don't think that that they'll have it. Now they may have to have a disclaimer that says you know some of the words in this communication may have been generated through AI, but it's still going to say front me because I still have to send it. So it won't send it automatically.
00:46:56
Speaker
It will draft will drafted but I still have to hit send. But my sends get quicker. So I can go down and be like, all the normals? Sure. Send, send, send. Yeah, because even the notes that are generated, you still have to look at it first and then yeah sign it off. So even though they do it, you still have to kind of like look through it. Correct.
00:47:19
Speaker
Well, patients, listeners out there, just know that AI is trickling into all of our lives, not just on your little ah Google search bar when you Google things. It's trickling into our life as well. And just know that it's trickling into the doctor's offices, in your inbox messages that you send us, and probably in the hospitals when you go and get your care.
00:47:41
Speaker
And it's becoming part of us because the new trend is to think of AI as a colleague and as an assistant and as an ally. And I know that's a lot for some of us to really wrap our brand around, especially people that are a little skeptical. I get it. um But these are changes that are going to be coming down the pipeline and not just in health care, but in the world in general. So that's your update. That's all I got.
00:48:06
Speaker
That's how Skynet is going to get here. I'm telling you. Skynet's already here. That was a good topic. It is. It's good. I had to rewatch Storma there. That was such a good show. I'm sitting on 300 messages. I'm so sorry. are a busy clinician, yes, y'all, I am waiting for AI to answer some of this stuff.
00:48:33
Speaker
No, it it's a problem. It's hard because like you know it's tough because people expect you to be there to answer things, to look at this and make sure you're on top of this and you have to do this and you have to do this. like you know I mean, we love what we do. I'm not trying to sit there and complain, but we have expectations that sometimes are not easy to meet.
00:49:01
Speaker
right because it's like you gotta to do all the things for work, but then. How do you like you know live and like do your other things? Yeah, because I've got an example. Before somebody leaves my room, I would have repeated the plan three times unbeknownst to them. So it's kind of in my speech that I would have repeated the plan three times. If it's a new medication, I will say the drug name, how many milligrams, how often they should take it. If it's a titration schedule, I will do they do hear it three times.
00:49:34
Speaker
because I wanna make sure they get it. Now, this is not a knock against people who don't understand it, but to get a message the next day saying, I forgot what you told me to do for this medication. How am I supposed to take it again?
00:49:52
Speaker
Um, I would love for AI to answer that question. I would love for AI to find this because you, because the the instructions have to be on the medication, right? So I would love for AI to answer that, say, Hey, Mr. B, um, for your Zoloft, you're going to start at 25 milligrams for the first seven days and increase it to 50, which is two tabs.
00:50:16
Speaker
And then you have a new prescription for, I don't know, 150 milligrams that you can pick up and you're gonna start that week three. Like, I am perfectly fine with AI saying that on my behalf. Yeah, because it's pulling information that you've already put in the chart.
00:50:33
Speaker
Correct. From their medication list, because you wrote it on there already. because When you told the patient, yes. And I've told them so many times that um it's not that I don't want them to know, but i you know the expensive time I tend to spend face to face, which means I've lost it on the IT side.
00:50:59
Speaker
yeah So I actually don't have any more time to give you in the MyChart messages because I opted to give it to you there. And like Dr. Chris is saying, it's only so much time. like I still gotta to write the note, right? And I have a scribe, but I still gotta read that note and write it. I still gotta make sure all of our HCC codes are in there. There's something in there. um I still gotta read your messages and you know do all these things. And so,
00:51:27
Speaker
You only get so much time in a day to do those things. And you know you gotta come home. You've got families that are waiting to talk to you, you know eat dinner, all this stuff. We also you know have our own challenges. And so there's just not enough time to do you know all the things. I agree. That's what AI is supposed to help with. Yeah. so Or but it could also take over our lives, like Dr. Nono said.
00:51:55
Speaker
You never know, one or the other, you know. but Roll the dice. I will hopefully be retired before that happens, but we'll see. Well, I think, I just think it it could be used as a tool to help improve things. I don't think it has to be everything, but. I do want everyone to know that that was a joke by me. It's not really going to take over, not like I robot and Will Smith. like you Dr. No-No thinks it is though. Dr. No-No's face is like, it's going to take over. I'm telling you.
00:52:24
Speaker
Dr. Nono say that AI is a little too smart. That AI is going to show up at my job and be like, we're going to take over from here. Listen, where john these but they come from something and it's probably going to get there. They said that about Facebook and Instagram and Twitter, and that's now X. They said it about our cell phones. They said it about online shopping. They said it about um credit cards. I mean, name any, you know, somebody in your age at that time of the new modern technology said the same thing that we say every step of the way. Oh, here it goes.
00:53:11
Speaker
When they automated cars, they said, this is the end. Next thing you know, we're going to have flying cars. We were supposed to have flying cars about 15 years ago, and I'm joking.
00:53:22
Speaker
So, um we feel you know, I guess also remind people that, you know, we talk about AI, artificial intelligence, as if it's this spontaneous thing. But artificial intelligence is really just because somebody has collected our conscious thoughts that we've put into the IT space and organized them so they could be used to regurgitate back to us. Correct.
00:53:48
Speaker
So these are all human behaviors, human sentences, human decisions that that somebody has spent the past 50 years gathering and organizing in a way that now they can use them to you know make it work. Yeah. So I figured, so we did get a really good question based off our last episode, which was all about breast cancer.
00:54:17
Speaker
So I will read it here. All right, so the episode of breast cancer, I am a survivor of triple negative. My surgeon told me if I got a mastectomy that I would not have to worry about breast cancer. He tried hard to push that on me. I chose to do the lumpectomy. Dr. Amy Jo said that you can still get breast cancer after having a mastectomy, which is correct.
00:54:40
Speaker
And do you know why triple negative is most common among African Americans? I had no family history or genetic history of cancer. I was trying not to catch the sugar. Trying not to catch the sugar. Yeah, you and almost everybody else. Yeah. Yeah. So, yeah. So I think when I was, um, cause I, I had that, uh, I ended up that topic.
00:55:03
Speaker
So no surgery is a hundred percent perfect. Um, that's a risk that the, um, that the surgeons will tell you about before they take you in. Um, but when they do a mastectomy, if you're, if you were getting a double mastectomy, then, you know, Theoretically they were moving, uh, both, uh, breasts, including the breast tissue from both sides to prevent you from, you know, getting breast cancer.
00:55:30
Speaker
However, there is a very, very small chance that some residual breast tissue can be left after they do the mastectomy. So when Amy Jo, I'm not going to put words in your mouth, but I think the risk after getting any sort of like, ah you know, surgery to remove any sort of cancer or lump is that there is a small chance that a part of that cancer can be left over even after they do the surgery. So usually when any, um,
00:55:57
Speaker
a surgeon does that type of surgery, they'll recommend you know some type of adjuvant therapy. So adjunctive therapy to complement the surgery to literally kill any other cancer cells that may be lingering after they've done the initial surgery. So that's where like the chemo, the immunotherapy, the radiation therapy, that's where that all kind of comes into play.
00:56:20
Speaker
um So i't we definitely do not want to confuse anyone, but that's just kind of the point that we wanted to clarify with that, that sometimes tissue can be left over. But if there is, and that's what the adjuvant therapies are done for, is to remove that any um cancer from that tissue that may be left over from the surgery.
00:56:39
Speaker
So most of the time when a breast cancer has reoccurred, so I actually had to find some numbers. So um let me answer this. when ah When a breast cancer has reoccurred after a previous mastectomy, most of the time it's growing either in the scar tissue the chest wall or from a neighboring tissue, right? So when you remove the breast, you still have to anchor then the tissue that you have now separated from the breast tissue back together. And so like Dr. No, no, no is saying there may be microscopic layers of tissues that are still there or maybe that breast cancer um did indeed
00:57:21
Speaker
escape and move other places. So, you know, there is a threshold in which we use before, you know, our technology allows us to actually identify cancers. So there's some things you can't see. So by the time they remove the breast tissue, they close the they close the incisions, it could be in the scar, it could still be attached to the chest wall, ah which is why a lot of um treatments end up giving you like chemotherapy or radiation therapy because They want to say, okay, we've got really clear lines that we, you know, we know we took all the tissue that we can identify as breasts, but we're going to do chemo or radiation to make sure we have also treated something that we can't identify.
00:58:03
Speaker
And so this runs along the concept of you know research and studies that suggest that it takes you years to develop a cancer. So those cancer cells have turned on and have been operating in the system for a long time until they get large enough that we can identify them. So so there there is some of the reason. It also depends on you know, the stage that you caught it at, you know, um what kind of cancer you have. So all breast cancers are not created equal. Some of them have very fast velocity rates, some of them have slower velocity rates. And then like you said, some of them have receptors, and some of them have negative receptors. I actually don't know the answer to her her other part of the question on why
00:58:47
Speaker
um black women get more triple negatives than than Caucasians. I do know that African-American women tend to have more aggressive subtypes of breast cancer, which includes triple negative, but why specifically like what about our genetic makeup ah does that? I don't know the answer to that question. We have no idea. Yeah, that's ah that's probably geneticist's question, um but it's it's it's very well known with the studies that we quoted in the last episode,
00:59:16
Speaker
But yeah, we do have a higher proportion of triple negatives. I have a genetic appointment though. You know, it took me a year to get it. So it's not till like 2025, but I will put it on my list of things to ask them. I know that's crazy. yeah could be but Do you think it could also be related to like the people who get screened, like the differences? No, it seems to be, cause we're not, cause No. just more They just have that one more often and it seems to be... it's the wouldn't answer it But that still wouldn't answer the question on why. Because that would you would think that that would mean that if you did a sample size across all races, had have then most it would distribute evenly. But then it's also worse in African Americans than
01:00:07
Speaker
yeah right we have a higher subty so Yeah, we have a higher proportion of that gene expression that would give us the, the more advanced. Yeah. So that's, that's very common within among African-Americans is that the gene expression is more highly represented in our race than any other race that's out there, which I would, I would love to know the answers as to why, cause I have no idea. So.
01:00:31
Speaker
So hopefully that answers your question. Cosign, cosign. Dr. Nono, you want to tell the people where to find us? I sure can. All right, y'all. So check out our website at www.thechocolatemds.com where you can send us questions, well wishes, comments, advice, all the good things. um Also check us out on our socials, which is Facebook, Instagram, Twitter.
01:00:56
Speaker
I always do that X, which is our handle at the chocolate MDS where you can get episode updates and when we drop new episodes. All right, y'all. We love you guys. Stay safe. Like we said, it's flu season, COVID season, RSV, all that stuff. So, you know, even all of y'all bouncing around at homecoming. I see y'all Howard. I know it's homecoming weekend. Y'all need to stay safe. Keep your liquid. That's all I'm saying. That's all I'm saying. Okay. Bye. Bye.