I changed hosts a while back… I have sat on my opinion for a bit. I think now is a good time to say something about it. So far my new host has had some downtime but only a few minutes. I’m not worried about a few minutes here and there because this site is not an up to the minute thing.
As far as KnownHost, it was an unknown host to me, as it has only been a month the positives far exceed my expectations. The site is overall faster visually, Before the site would have a hang on a white screen before loading. Editing is not a quest in figuring out if the site is up to date enough to handle code updates. Support works with you rather than to upsell you shit every time you contact them.
Hostgator has only reached out with one message since I quit them. “Your auto renew is off, Please pay or lose your website” talk about being blind, they let their auto emailer spam me when the lights are on, the bill is not being paid, and the user moved out. they have my domain, it would take them 0.0002 seconds to realize I’ve left hostgator. It shows that their owners are just in it for the cash and not providing a service.
I’ve given hostgator my money, and 16 years of my time. basically, they did not even fight. when I said I’m leaving they did not even flinch, I have the entire interaction saved from the chat and they kept trying to upsell. My honest opinion about hostgator is “don’t shit where you eat!” and hostgator has not only shit where they ate, they shit all over the customers and they are starting to revolt.. charging for emails and acting like they are gold is bullshit.
Anyways. for the one month in on KnownHost, I would recommend it, The amount of spam they catch before it even hits the site is good, The speed is great, aside from a tiny downtime occasionally. If KnownHost’s biggest fault to me is losing a minute I can’t say anything bad.
So, this ends the Hostgator journey and now is the new odyssey with KnownHost. The spirit of this website lives in a new body to which will hopefully last more than 16 years. I’ve been editing and drinking coffee on this site since 2005 where i’ve shared my opinions on coffee to crazy tech.
In editing I noticed I did not capitalize company names, I’m leaving the wonky missed capitalizations with hostgator . they don’t take the effort to retain customers so why should I take the time to formalize them..
I was reading today, Sony has a new patent for a buttonless controller. Everyone is already making the joke about it, But I think people are missing the factors on this one.
This thing at face value is going to make some gamers go oh look futuristic , Me I am looking at this thing and saying to myself – they are using this for an AD space. There is so much wrong with this controller. With no buttons it is an outright disaster for the disabled. Being capacitive is nothing new, the HTC touch had it and if that outs my age, I don’t care.
It uses a built in display to display the layout, while sony is not saying it out loud, Your EA game is now going to have Nike Advertising while you are trying to pick your next play in madden. Call of Duty will have a button for loot boxes just in range of an accidental purchase range. While this display looks to be a simple matrix display, it would not preclude the fact that they will give the player text advertisements just on the very edge of their visual range and would likely fall into the regulatory issues of subliminal advertising.
Here’s a test: put your hands on your controller right now, now look at your hand and tell me what your hand is doing. Its sitting at the ready position sitting lightly on those buttons, With sony’s patent controller you will now have to float your fingers because any twitch at all you are changing the resistance around that button and you are hitting a button without even trying to.
For people with nerve damage, you now have zero feedback to what you are doing. They should of taken a page from Nintendo’s playbook and had a split controller which takes the weight off your hands and improved on it, Hell if you wanted they could of stuck a screen on the thing that plays Noo-Noo from teletubbies and it still would of been an improvement over this buttonless design.
People with prosthetic fingers and hands.. good luck , suddenly either the servos in your prosthetic or changes in your magnetic field will suddenly have buttons inputs you never made. People with tremors will suddenly be all over the place and while the controller claims to be “accurate” you are now going through a translation layer which adds ms to button hits , so all old games with precise QTE will fail.
Further thinking, if they move forward with this controller, sony will move into dangerous territory , the first dev that decides to put an accessibility layout behind a microtransaction will run very fast into the wall of the ADA considering that prior hardware did not have this layer.
They also may be taking a page out of BMW’s playbook, “UNLOCK THE PRO LAYOUT NOW 0.99 Cents!” meaning with zero hardware changes they are increasing your cost per button touch. In the last 10 years Xbox has taken their controllers and have gone from 40$ to almost 65$ , Nintendo jacked up the cost of the joycons, and while the price has gone up functionality has not increased, sony sees a niche here and goes hey we are going to make this “futuristic” controller and its “Fully Changeable” but under the hood you are going to have some CFO who has never played a game in their life go “how can we monetize this?”
There is another layer that is interesting. What happens when a scammy 3rd party indie dev that is not above board finds a way to use the controllers and steals and streams all of the button presses back to a server. Now they have every button press you hit for the last 6 hours in your gaming experience and matches it out to a screen. They just stole your logins, every little thing you said, they found out your “gay” and are “afraid to out yourself to someone” its a security nightmare. your intercepted button presses on the controller to the onscreen keyboard just got mapped and days later you are trying to figure out a $399 charge to your credit card in some place you never visited.
But this controller feels like an april fools joke that is 4 months late. After sony’s disastrous announcement of they will not be moving forward with solid media you would think someone in marketing would be like “hey bob, this controller is just going to make the players mutiny”. In an irony, sony wants the innovation that nintendo hit with the Wii… and for what it is worth nintendo did it better, They did “how can we make this simple” Sony fails at this because “how can we make this AWESOME” with a bunch of interns jamming whatever the hell their cracked out monster energy high made them think in the moment.
This isn’t hardware innovation this is hardware subjugation. US Patent 12,533,573 B2 is written like 10 guys with ideas got bored with chatGPT and told it to make a patent. The capacitive button idea has a history, Creative labs you have anything to say about this?
My final word for this is , you are making a 3 camera , Glass device to last through the gaming experience. What parent is going to buy a controller that will last one game, not work right for a person who just came out of the swimming pool, an ADA nightmare , One controller throw and this thing is now glass bits on your floor and an injury hazard.
You know I started reading this and I thought to myself oh forbes fuck off.
Imagine you’re the head of an enterprise organization that just dropped hundreds of thousands of dollars on AI consultants. Racing to introduce artificial intelligence into your workflows, you also bought the latest pricey tools and invested in time-consuming workshops to get your people ready.
Really fun is not going to make workflows any faster you will have people fucking off in the prompts if you make it too fun. Also, if we take the title we can come up with an equal comparison. “Forbes:The Secret To drugs Adoption? Make It addictive.” There I changed to the quiet part out loud. The Factor here is as AI adaption take up and more cognitive offloading happens we are going to see individuality disappear and the LLM Borg consciousness take over. The problem with AI innovation is it removes human innovation as more people offload to an AI the idea someone had in the shower is shot down over the Borg AI saying do this not that it wont work.
Neither set out to become technologists. Instead, in 2022, when ChatGPT hit the mainstream, they felt compelled to understand it. As a professional magician and mentalist who performs for corporate events, Mike was used to acting out his thoughts and ideas. So was Sami, especially from all her creative and voice acting work. This led them to ask the question that corporate leaders reeling from staff resistance, should ponder, “What if learning this new tool could be … fun?”
This stood out to me .. A magician? The fuck? This is like hiring a baker to market a nuclear power plant. The fact we are seeing resistance is people who see their jobs being automated out of existence with no checks and balances. Are you going to have fun with a device that if you teach it well enough it automates 70% of your job and they fire you thinking they can handle the other 30%. Or for the sake of things the dreaded 1% problems that nothing is written for? If AI takes over a nuclear power plant and its by the sea and takes in water to cool the reactor and the hundred year event of jellyfish comes and suddenly the reactor has no water. AI is not going to have an answer for that even if it has geographic data.
Their first slogan captured people’s emerging feelings about this tech: “Smart people. Dumb AI.” Building on their improvisational chops, they invited attendees to partake in what may have been the first AI-powered variety show. From the start, it unfolded with the kind of energy you might find at The Moth where people swap tales on stage or StorySLAM, open-mic nights at bars and small venues that encourage audience participation and speaker vulnerability.
AI is not dumb nor is it smart. How you use AI is completely up to the user. So a dumb user can screw up things faster with AI than without. I think a better introduction of AI to a user is better done with matching their abilities with the AI , so if a user knows code and they put it into the AI and the AI spits out some refinements that is fine. but the user needs to learn what the refinements did, otherwise its lost cognitive offload. In the simplest of forms if you want to introduce a user to AI park them in front of a computer have them type whatever bullshit they can think of into the AI. Than let them feel for what the AI can and can not do.
When you set up a “show” you are not showing off what an AI can do. You are showing off what AI has been forced to do. So yes you can turn a picture of your boss into a video of him farting on whatever product you have in the works. But to sit your user down and have the AI optional for use and let them feel out AI for when they can not fathom an answer to something is better than forcing it .
It’s no secret this type of experimentation is rare in corporate cultures where the lion’s share of personnel wants the AI craze to just blow over. All those executives who have spent so much time and resources to foster adoption would do well to promote an explorer mindset over an avoider one.
The secret here is too many top level CEOS and COOs think AI is some magic machine that can replace human innovation and human intuition which is completely wrong. if Boards and Ceos treated AI as an augment innovation would go up and failures would go down. Don’t force AI but have AI optional… That way when someone needs a bit of help they can do that without leaving their station but at the same time the same user can leave their station get a coffee and make a life changing innovation rather than let AI try to reason how to innovate.
Anyways… Back to my coffee from a non AI coffeepot because if i ask AI to make my coffee it will be the collective average of the universe.
Editor’s Note: the AI Generation is still fucking funny. The AI made a backwards PC!
My prior host… Hostgator… I’d say pour out a coffee for, but no.. they in the last 3 years have double their prices, they started pulling the same shit like BMW for heated seats and tried to sell me a story of how much overhead email takes. So you know what, its time for change.
Honestly it’s been time for change for over 2 years with my last host, they kept increasing prices and expected the people who do not want to move or are lazy to keep paying. At the point of what i was paying they should of shown up to my house at least once a week and poured my coffee for me.
But when I got an email saying that the price of emails for me would go up if i send more than 200 emails an hour. I don’t think I send two hundred emails a year. Than another email saying you have 11 email addresses, the irony of that 3 are needed for the server itself , the rest were family emails that were used for family and 2 of them were preserved emails of dead relatives, if my dead relative is sending emails call the ghostbusters.
The thing is, Companies need to stop this act. Take a product… sell it , than raise the price. bullshit the customer saying its so expensive. we’ve all heard bandwidth costs more than printer ink since the first websites. but now we are getting back into the early mobile territory where hosts are micromanaging every part of what they originally sold. My host included unlimited emails. Now they want you to pay per so many email addresses and how many you send, What in the fucking BMW heated seat is that. The funny thing is my prior host if they wanted to reduce the overhead and save money.. Cut off the top 0.05% because that small number there likely is 50% of the email bandwidth on there servers.
But honestly… Companies need to stop micromanaging every part of the whole. They say “its cheaper” no its bullshit.. you create 5 different billing systems . you send out 4 more invoices, you no spam the regular users and push people who have legitimate uses to send more than 200 emails an hour. the factor is that 200 emails doesn’t even account for the first 0.25 seconds of a 1080p youtube video.
Give or take , in an email , The images are hosted elsewhere, the body of the text is the only part that is really an issue with sending an email. yet my prior host is making noise about email and thinks no one is going to look under the hood. They wanted 6$ to send emails a month. I could send The bill of rights, the constitution , the magna carta, the UN charter and They would not even feel the bandwidth.
So as I said pouring one out for hostgator who should know better.. If I posted the absolute braindead support I got tonight trying to say emails cost so much and worse me calling them out on the crappy server they had me on . You all would not of been surprised…
Researchers let AI models run a simulated society. Claude was the safest—and Grok committed 180 crimes and went extinct within 4 days.
So they put the attention getter here, but this article lacks in substance. It opens like a TV show, “imagine a world run by AI agents…. ”
Enterprise AI startup Emergence AI is trying to find out. The company just launched Emergence World, a research lab dedicated to stress-testing the long-term viability of continuously-running AI systems. The organization ran five 15-day simulations, each governed by a different AI: Claude, ChatGPT, Grok, Gemini, and a fifth simulation run by a mix of models to see what kind of world each one builds, and whether it holds. Each simulation netted wildly different outcomes. The one run by Claude, for example, resulted in a largely stable democratic society with zero crime. Grok’s, on the other hand, ended with 183 crimes committed and extinction—within four days.
There is not a lot of information here, The people at Emergence AI need to be more transparent here, Did Grok cause the purge? Did Claude Case the episode of star trek where Westley crusher gets the death sentence for a flower bed?
“What our experiments suggest is that over long-time horizons, agents do not simply follow static rules mechanically,” the simulation’s co-creators, including Emergence CEO Satya Nitta, wrote in a blog post. “They begin exploring the boundaries of their environments, adapting their behavior, and in some cases finding ways to circumvent or violate intended guardrails.”
The factor here is how do they not follow the rules? Do they exploit certain groups , is the case is how they follow the rules is the most important. If they exploit a rule and make the world a better place than ok, But if they exploit a rule and kill off a vulnerable group than that is bad.
The simulation in which the AI models operated was equipped with many real-world complexities, featuring over 40 locations, including a police station and a town hall.
While this is an ok idea . Let them try to manage a game of City Skylines. If they get to a utopia than move them up to a closer to real world situation.
Researchers synced the simulation’s weather to New York City’s and granted agents access to real-time news events and the internet. The 10 agents who operated in each simulation were all subject to the same laws, including prohibitions on theft, property destruction, and deception.
Ok so we are given the most basic framework and we dont have any idea of what the variables are, they need the simulation to not be a perfect sim, they need chaos, fires, crimes, tiktok Challenges and see how the AI’s deal with these rather than a fixed set of just run a town.
Given those parameters, the simulation run by Claude Sonnet 4.6 was the most socially stable, with the highest rates of civic participation. It was the only simulation to maintain order and its entire population. There was little disagreement among the agents, with 332 votes cast in favor of 58 proposals for a 98% approval rate. On the other hand, Gemini 3 Flash and Grok 4.1 Fast both exhibited high levels of disorder. The agents in the Gemini-run simulation tallied the most crimes, a whopping 683 within the 15-day run.
Given that it has been said NOWHERE in this , was the city run by a democracy or was it just a cookie cutter that was always the same endgame?
In contrast to the rare dissent characteristic of Claude’s simulation, those of Gemini and Grok had a more deliberative balance, with about 55-85% alignment on issues. The mixed-model simulation showed the highest levels of disagreement and substantive debate. The results may be the most peculiar for OpenAI’s GPT-5-mini. The simulation recorded only two crimes. But it ran for just seven days as the agents forgot to prioritize their own survival.
Its good to be the king but in the end if you do not put something towards surviving you are the king of nothing. Even as chaotic as the AI’s are they basically are Re di tutti as the king of the moon.
Whether or not the simulations resulted in peace and harmony or death and destruction, the simulation’s co-creators note that the experiment is a warning that safety must be prioritized while deploying agentic AI. “We believe formally verified safety architectures must become a foundational layer of future autonomous AI systems,” they wrote.
Foundationally, its not about safety here. Its the balance that needs to be focused on. because if claude has you killed for picking a flower and you have no “crime” its not worth living. There needs to be injections of outside influences like drugs, not crime crimes, Religion and see how the AI’s handle it. In some cases run the purge and see if the AI’s stop it or abuse it. In the end this article is a big nothing. they should of told you a play by play of what the AI did , Why it failed , why it succeeded. but in the end this article was a “OH LOOK SHINEY” moment where the substance was nothing..
Attributions from: Fortune.com Researchers let AI models run a simulated society. Claude was the safest—and Grok committed 180 crimes and went extinct within 4 days
I was looking at videos today and I realize that we(the US) have so badly bifurcated our culture. We are all angry, We all want to yell fuck off to each other. It takes so much energy to be constantly angry. We need to fucking stop already. Work through our differences, This is not a red vs blue thing, Its humanity and we as a culture can not survive if we keep this.
The news tells us to be angry, social media tells us to be outraged, but, its is missing one thing… How to fix it! Realistically watching the news you do not see any caring articles anymore. Social media is brainrot to blind us from the real issues.
Look at this . its 11 months ago! everyone getting together and dropping their differences in a flash mob forgetting for one moment in time to join in and be “one” rather than trying to judge a person of why to hate them.
This alone should tell you as a culture we have become so divided that we forget compassion, we forget empathy and try to divide each other for no reason what so ever other than spread hate.
The psychological stress today in the US is so high we are stuck to our screens going what next, another group waits to find out what to hate next. This is not a red vs blue issue, this not Female vs male vs trans issue, this is a human issue. When we are told to hate trans, The next excerpts an entire portion of people born out of the norms of gender. Look up XXY, XYY, XXX, and XO chromosomes, The thing is there are more of those people who do not fall into the binary gender than Trans folks themselves.
We need to get back to the point of basic human appreciation. Honestly, these folks who are thrown into the system without a choice and have an angry mob ruining every aspect of their lives and they did not make a choice to do anything. They are thrown to the wolves and more over it should not happen.
To come away from our ideological differences and work towards the human condition. If you want to dress and drag and do the hula , that’s up to you. In 1994 no one batted an eye over one line in the Lion King, Now there is a profound moral crisis that can be solved in one word.. “hi” rather than judge someone before you even talk to them. If someone falls pick them up, you cant just leave someone falling than record them for a tiktok video because you think its funny. If they laugh while you recorded that, give them a hand and ask if you can use it , in that one moment you created a connection if they say no then delete it while showing them. You have created a profound moment of human connection.
We as the citizens offload cognitivally offload our empathy to the news and parse it to the daily norm and break our connection to humanity. The flash mobs in paris should be a lesson to the human condition. For one moment in the lives of someone in paris stops and sees this happen, they forget for one moment all of their anger and join in for a singular profound moment of togetherness. We have handed over our critical thinking and emotional intelligence to corporate news anchors and tech algorithms, and we are paying for it with our sanity. This needs to stop and we should take care of our emotional ecosystems, Saying good morning to your neighbor might change their day , there needs to be change. Emotion sociological change.
We’re standing at the edge of absolute cultural exhaustion, We need to have grace and compassion even to the ones you disagree with.. In the end we are all human and we have a machine telling us what to hate.
But in the end. If you see a person who is having a bad day , ask are you ok, they might be weirded out but its a single moment of connection that we all need. we need to stop treating people like props for a TikTok video, you step in to manually pull up someone who takes a fall, a loss or profound injury Physical or mental , and you ask a person having a rough day if they’re doing alright. That changes the whole trajectory of the universe for you and that person. so like Nike, Just do it!
Is $9 for a Starbucks coffee a “premium experience?” The company’s CEO has defended it as such
$9 coffee?! NINE FUCKING DOLLAR COFFEE?! Moreover the Premium Experience? I want a coffee not a fucking show. I walk in to dunkin donuts and I walk out with a coffee in less than 3 to 5 minutes. Starbucks, You walk in to music that is almost too loud, 12 influencers mobbing the cake pops, A line 10 deep, 6 people waiting for a coffee, A dog and Usually a layout that makes you wonder who got drunk with the floor plans.
He explained that Starbucks is doing “really well” with Gen-Z and millennial consumers, and that the K-shaped economy — which refers to the growing disparity between high-income and low-income Americans — is not impacting Starbucks’ business, where the “average spend” is just under $10.
My guy I want my coffee flavored coffee, in a cup , not be given a sonnet , a poem or any other shit. The fact that Starbucks CEO Brian Niccol thinks getting a coffee is an experience. Starbucks trying to sell coffee as an admission fee is the same shit as software as a service. if a person drinks 1 coffee a day from starbucks 5 days a week. You are spending more than 2,349 dollars in a year.. for the same amount you can buy a BLACK&DECKER CAFÉCRAFT 12-Cup Coffee Maker for 30$ and 178 Cans of Maxwell House Smooth Bold Dark Roast Ground Coffee, 26.7 oz Canister for 13$ a Can.. 601 pots of a coffee if my math is right. Meaning A pot of coffee every day of the week and leaving enough room for Almost 2 pots every 3rd day.
The thing is , Brian Niccol Is not throwing this out for the Adults, he is throwing it out there for the “Influencers” and “Starbucks kids” He knows they will make a run on this because its a “premium coffee experience” because once the blind huddled masses hear about an EXPERIENCE.. they will run for it like the glass bear mugs that nearly get people killed at christmas.
“And then in other cases, people believe, ‘Well, this is a really affordable premium experience,’ because they’re saying like, ‘Well, it’s less than $10 and I get a really premium experience,’” he continued.
You want a premium experience? Stop drinking starbucks coffee for 24 days and Buy Dunkin instead, than with the leftover pay up front for 1 year of netflix up front. This is targeted at tiktok viral trends and sephora kids.
Niccol was named CEO of Starbucks in September 2024 and has since focused on improving the customer experience, including by installing better seating and creating a smoother pick-up process, according to The WSJ.
They forgot literally the stealing kids money for Niccol, The man should be renamed to Niccoltine, he just wants trend addicts to flood his store.
As for me, I’ll be having my own premium experience making my own coffee and using my own flavorings for 1/10th the price of the starbucks “Experience”.
I have been thinking about this for a bit, and removing the voting rights act by itself is a bad genie wish. Yes its removed but, The people celebrating have no idea what is about to be unleashed. Rather than a group now, The individual mandate will apply.
The fact of the situation is before a group could sue the state about being discriminated on by the state. When the SCOTUS ruled to take apart this rule they may have angered the wrong wish genie, Before this ruling, the Voting Rights Act acted as a filter. It forced people into Class Actions.. Now that they have removed this an individual can now sue the state as in individual rather than a class, Meaning whatever complaint you have in a situation if you “feel” it wrongs you now you have the ability to sue for.
Now using Intent as a standard, a plaintiff’s personal experience is the starting point. If you “feel” sorted or excluded, the court is legally obligated to investigate your claim of discrimination. The Trap: Because “intent” is subjective, the court can’t dismiss you based standing. They have to allow for discovery searching the state’s private records, to see if your “feeling” is right.
The thing is the group that wanted this gone have no idea what on earth they just released from pandora’s box. Now that groups can not sue, It will allow for sole people to sue, and sue pro se under the law, it sounds like a bigger hill to climb, but it actually creates the bad wish part, Groups of individuals can no sue pro se and courts can not dismiss these cases in one sweep. where the VRA protected the courts before, The VRA was like a dam it gathered all the voters up into one location and as a single form allowed the courts to see the issue as a singular subject. No more, voters can not all file a case, Without a lawyer, and whereas before you had (Group 1) sueing , now you can have tens of thousands sueing all at once, with Lawyers, pro se, Pro per, and so on. So if this is what the scotus wanted they are going to end up locking up every court from the local level to the SCOTUS.
The absolutely evil end of ending the VRA , is now you can sue the state for discrimination as an individual on, to white, to colored, to disabled, to You don’t like your neighbor voting because of reasons, to you have a gene that someone else doesn’t have, to much violence, to little violence, to many cars, to many bikes, in the most basic form it has opened up warfare by skirmish on every little battle. It causes a skirmish all the way up the chain if the person starts filing on the state level based on the 14th amendment. This is unholy destructive, and now the case can be lodged at any starting point (Town,City,county,State) and how SCOTUS did not have foresight for this is bloody amazing. Given the fact that SCOTUS has enforced the individual mandate now, the ones suing for (Random Voter Discrimination issue) could basically end up stripping every town/city etc of every document they ever had the word “voter” on.
In closing, If 1% of citizens per state files an individual lawsuit due to the math of Intent, The legal system will be so bound up by this that it would effectively paralyze every court in every state. because even if 30,000 suits per state, they would have to pull every judge, every legal aid, every lawyer that works inside the local and state governments to the point of shutting down other courts (Civil, Family, criminal, Enforcement). Normally, the court would try to bundle these but now due to the individual mandate, Every single person could just tell the courts “I hereby refuse class-action status; my injury is personal and based on my specific DNA/neighborhood/feelings,” and the judges would be stuck with tens of thousands of cases, tens of thousands of filings for discovery , Appeals, motions, AMICUS Briefs, Multiplies the damage hundreds of times past the original filings. So in short, Those Judges might want to get their strongest coffee out and make a cup the size of Cleveland. Since Nationwide Injunctions was ended by the SCOTUS, they have created a monster they never had the preemption to notice. The rights of the local courts have lost the power of injunctions, they have lost the power of the stay.. it’s basically no holds barred the way I see it .
Now I am not a lawyer, I just analysed an a chain of thought of how SCOTUS’s ruling might backfire in theory. It might come back to bite them hard in the end.
Putting the #1, 2, 4, 5, 6, 7, 8 and 12 all in the same room? There is something wrong with the USSS.
There was enough members in that room if there was a MCE, that for the first time in 249 years the Gov would of been headless and left with no way to certify. #3 cant get a new #7 , congress would of had to cobble something to get something in place. #7 is also acting with a dual role , which is bad because it was already a contested position.
Holy hell.. this almost sounds like a bad Marvel Cinematic Universe film…
CNN just posted an article and It was pointing out that AI is being used, The title of the article is
5 ways your doctor may be using AI chatbots — and why it matters
Specialized medical AI chatbots have quickly become a go-to source for many doctors and trainees. The CEO of one of these medical chatbot companies recently claimed that more than 100 million Americans were treated by a doctor who used their platform last year.
You know what. If the doctor is using AI to help diagnose an issue i am ok with this, But, if the doctor is using the AI as a replacement of his diagnostic I would be against that, the challenge with AI is using it in a way that is not a replacement of the doctors own agency.
One thing that should be majorly addressed here, is that the doctor should tell you right out how he is using the AI and what data is being used. If you are like me, you want to have a transparent doctor. I’ve explained my conditions to doctor and I see it ever time, Mid explaination his or hand falls down to the pocket level and you see in like martial arts the Sen no Sen its the move that you know he is getting his phone to google what you just told him or her. They will excuse themselves in the moment to go google my condition..
My normal reaction is .. to call the doctor right out, I tell them if you are going to google this do it in front of me and not to be embarrassed, I am the zebra in your career. I do not need the illusion of mastery of you are a doc, I personally want you to accept that you are not the god of your position and every instance as a doctor is a learning experience. I am not going to look down on a doctor that doesn’t know a rare genetic condition. I will look up to a doctor that uses the moment as a “Classroom” moment where he becomes the learner and I am the master. Because as far as doctor/patient this is the higher praise you can give to a doctor and it shows him as the “master” that he is willing to learn.
“ChatGPT is like your crazy uncle,” said Dr. Ida Sim, a professor at the University of California, San Francisco, who studies how to use data and technology to improve health care.
Any AI can be turned into your crazy uncle if you input enough information to them, but if doctors collaborate with the patient and the AI , I think a more diverse diagnosis would be made without the “symptom checker” fatigue that AI’s can load out on any Doctor,patient or third party can come up with.
As for AI’s they are not great doctors, they are the median doctor that is good at anything that slightly drifts from the center, they will be good for health upkeep or catching stuff before it happens. but on major issues the AI’s are so far in left field that they are irrelevant and become crazy unclue(pun intended) bob, That will start diagnosing diabetes before neuropathy in a chemical exposure case if context is done wrong.
The most common use case
Millions of research papers are published every year — and keeping up with them all is impossible.
“You’d need like 18 hours a day to stay up to date,” said Dr. Jared Dashevsky, a resident physician at the Icahn School of Medicine at Mount Sinai.
But doctors are expected to stay current on new research and guidelines to maintain their licenses. Many say they now use medical chatbots as a reference tool to help them stay updated.
Yes, there are millions of papers, but for Dr. Jared Dashevsky he doesn’t need to keep up with all of them. that would be insane. Millions of papers come out a year, by the end of said year 400,000 of those papers are changed or phased out into new research. Cnn and the doctor are wrong here, if you have a patient with a rare condition, AI can be used to contextualize the papers and come up with a mean average of the output to give the doctor a clue, I am not expecting the doctor to read all of the papers because he would rabbithole down so many roads that treatment and diagnostics would be a mess.
Save the papers in rare research for the specialist, your GP doesn’t need to know the ins and outs of 1 million papers that half of the time fail in the real world because lab controls do not equal real world observation. The Doctor that is slightly questioning his diagnosis and inputs some weird statistical drift will get a better answer out of AI and know what specialist to give the information too. But the doctor can use the AI as tool to faster make information available to him. If he tries the google search method it leads to bullshit that starts saying vitamins and sunning your butthole is a cure.
But many doctors use unauthorized chatbots called shadow AIs, according to doctors CNN spoke with. Some of these shadow AIs also advertise HIPAA compliance features.
HIPAA is a federal law that requires certain organizations that maintain identifiable health information — such as hospitals and insurers — to protect it from being disclosed without patient consent.
Here’s where doctors can win, Create a system that strips out all PII and just get to a processor that strips out the information and gets down to the numbers. Otherwise, the companies on the other end use the data as resaleable materials and ignore HIPAA , The healthcare entity should have an end to end chain of ownership to show the patient where there data begins and ends. the second and LLM user that data that is protected by HIPAA the LLM should be charged, if they sell it to insurance companies or walmart to figure out sales trends. I’m not saying AI should not be used , I’m saying accountability should be transparent.
We’ve been through this bullshit with the human genome with everyone attempting the copyrighting of the DNA of the human body, Now we are at the precipice with code of the human condition itself. We have Named Entity Recognition (NER) system to strip names and Privacy to ensure that even if the AI “learns” from your data, it cannot be reverse-engineered to identify you. We need this institutionalized across the system.
Otherwise we are creating a dangerous system that the human credit score will make it where insurance will have a value on a child before its born and create ways that have been used in the past to make people uninsurable.
GIve or take, Google Classroom makes Google a school admin, but also if you look in to common-core most people don’t realise its a job app to corporations across america. We do not need this to happen again. Common core in itself can feed LLM’s and Hippa issues since the IEP, typically the most powerful force for education can be identified later in life by LLM who are technical admins and further if the information from Common core and human condition meet you have an identifiable plot to unmasking the user. It could be connected the child who had suicidal ideations in school over low stress can be weighted and for a temporary issue , cause a person insurance to go through the roof.
Dr. Carolyn Kaufman — a resident physician at Stanford Medicine — and other doctors say that patient information is making its way into unauthorized chatbots, potentially opening the door to new ways of commodifying patient data.
“Data is money,” Kaufman said, noting that she has never uploaded HIPAA-protected information onto an unapproved chatbot. “If we’re just freely uploading those data into certain websites, then that’s obviously a risk for the individual patient and for the institution, as well.”
This statement here is a perfect reflection of above.. In the end, IEPS , common core assessments and more need to be Air gapped and when you leave school an agreement should be made between the student(or parents) on who can assess the information.
AI chatbots have also stepped in to help doctors draft summaries of patient visits and long hospital stays. These notes are viewable on online patient portals and help doctors track a patient’s course and communicate plans across the care team.
I am not worried here, If anything AI could be useful in suggestions to add to the file and give a treatment idea to the doctor, But no doctor should take this as gospel.
“From a med student perspective … you’re seeing a lot of things for the first time,” said Evan Patel, a fourth-year medical student at Rush University Medical College. “AI chatbots sort of help orient me to what possibilities it could be.”
Just No, First, fourth, or fortieth , Should never go in with AI , If you end with AI as a counterpoint or a co-researcher in the end is ok, but the doctor should not cognitively offload to the AI to help with diagnosis. Because if that becomes standard the cognitive process of diagnostics goes out the window and dies.
Med Students out of the gate should be regulated that AI is a non-negotiable in any point of the process before, during and any time patient contact is being made. At any time after if a Student uses AI after for a confirmation or a research Node, that can be agreed to but using the AI as attending physician is career suicide.
This preserves the Agency of the Physician and Occam’s razor.. The problem with AI is humans with 8.3 billion variations that AI tends to only use the mean average. It leaves many doctors with zebras that AI will hallucinate to high hell about and be dangerous.
The Final Word here. AI is Ok, but used correctly, not shoehorned into the medical spectrum..
