Artificial Intelligence

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Everyday I become a cyborg, joining my consciousness to the machine in my lap.

Electronic Health Record…

Through it I join the thousands of other physician consciousnesses out there, linked up electronically to treat and save virtual lives. 

I am losing myself to this thing.

I cease to exist as a human being. 

I cease to exist at all.

I have been assimilated. 

Resistance is futile.

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70 thoughts on “Artificial Intelligence

  1. When I was young, I was an operating system programmer working on the supercomputers of the day. At the time, these were room-filling machines, and they exhibited a powerful pull—an inverse square attraction (if you cut the distance between you and the machine in half, the pull is 4 times as great). There is no getting used to this—isolation is the only cure. (I am not cured.)

    Some software also does this. The EHR is unusual because it is irresistible to your masters, but you have to be forced to use it.

    You are right. Resistance is futile. You will become one. BWAHAHAHAHAHA!

    Liked by 3 people

  2. Not to be too nitpicking, but I certainly hope that you’re working to treat and save actual lives, as well as the virtual ones.

    Actually, I know you are. But sometimes robots need to have their programming tweaked a little.

    Liked by 1 person

      • Depends what “telemedicine” means, I think. I worked on a telemedicine project that was exciting. Non-medically-trained staff just sittin’ around observing were yelling out “Diabetic Retinopathy!”, when they saw a retina from miles away, being viewed by a nurse, projected on a giant screen in a conference room. I heard of doctors diagnosing heart conditions more quickly just by adding video feed to ambulances. We were seeking to get long-distance diagnosis-by-specialist of whether or not injuries to children in an remote valley merited further investigation for suspected child abuse (requiring transport of the child to a larger population center). We got a grant for mainland support of an island.

        Just saying, it ain’t all bad. Just that e-record is bad. If these issues were addressed, it might not be:

        1. Never identify the patient in the e-record.
        2. Allow the patient “Review and Comment” access to the e-record.
        3. Make it a high-loss crime to falsify e-record data to ANY degree whatsoever.

        What do you think, Victo?

        DETAILS
        1. Patients in e-records should be identified by ONLY a 1-up system-generated sequential number.. (Actually, first name can be safely included). That number can be used to index to the paper record with full name and address. (Ignorant system designers try to make patient IDs have patterns, and codes with meaning. Really stupid. You ALWAYS run out of codes, or patterns, or hit a snag. Just add whatever codes you want as separate data items–not as part of ID.)

        2. The patient must have an opportunity after every entry by the doctor to review all updates to her/his record, request corrections, and note any objections to the record as stated. Every comment added by patient (and physician) must be stamped with date and time added.

        Liked by 1 person

      • This is all fine and good. I have issues with my patients dialing a teledoc through their work insurance program for a URI that started the day before and being given an antibiotic. Or treating vaginal “Yeast” infections that they cannot see which end up being chlamydia. I know she “dances” on the side and is a high risk for something else. That was her fourth infection this year. Or telling someone their syncope was vasovagal when that person has a aortic stenosis that is now critical because they did not have prior records and/or did not take a good history. Teledoc things need to be managed by the PCP. There are tons of things I can treat over the phone if patients would just call.

        Liked by 1 person

      • I see. Yes, understood. Very frustrating for you, counterproductive or even dangerous for the patients, and I am constantly disgusted and amazed at the continued over- and inappropriate-prescribing of antibiotics.

        I must remember I come from somewhere different than most in that I am, perhaps, more familiar with my body’s cr#p, since so much of it has repeated, and thus my guesses at what is wrong are right much of the time.

        Liked by 1 person

  3. A small cog in a very large wheel….
    “Big Bother”is watching you…
    Sucked unforgivingly into the vortex of seemingly nameless, faceless, ever increasingly complex, but rapidly multiplying, and inextricably entwined and entangled, mess of relentlessly collected data, whereby we all become rather uncompromisingly known in the end. πŸ˜‰

    Liked by 1 person

  4. Ages ago I worked in a physician’s office with no computer. Everything was done manually. (Now you know I am ancient!) Today my primary care physician enters everything in his laptop and I can see my records and send him a message. But sometimes I miss the good old days! Guess we can’t go back!

    Liked by 1 person

  5. But Jean Luc Picard found a way to resist. He was captured and temporarily became borg, and when rescued by The Enterprise, they figured out how to give the borg collective an order to go to sleep, and then they blew up the borg ship, or something like that. It was figuratively like going in through a side door. My point, besides revealing what an old time trekker I am, is that there may be a way to save yourself. I have no idea what it is, but in the meantime, make sure you spend time, reading a real book, or digging in the dirt or walking on a beach with the wind in your hair and the sun on your face. They do not have all of us yet!

    Liked by 2 people

  6. Hugh! How’ve ya been Hugh? Don’t you remember, you been here before, but they took you away and made you better. I see they wiped your memory as well. Tsk, Tsk. You’re really 3rd of 5, Tertiary Adjunct of Unimatrix Zero-One – doesn’t that bring back any memories? Well, I’ll signal the collective and let them know you need some time in the docking station. ( http://en.wikipedia.org/wiki/I,_Borg )

    (3rd of 5 misunderstands La Forge when La Forge addresses him as “you” – a uniqueness that doesn’t exist in the collective – and thinks he is being called :”Hugh”)

    Liked by 2 people

  7. Screens and interfaces are taking over. There is one defence left: the on/of button or switch.

    I am learning to code to at least be able to tell my computer “I am in charge, you are a machine.” Apart from that, when I am fed up I turn the machines off and go out to break the routines.

    Sometimes even feeling rain drops is sublime…

    Liked by 2 people

  8. Pingback: My Article Read (5-14-2015) | My Daily Musing

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