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@logonaut.eth

Bethany, thanks so much for this follow-up! I remember you sharing about your ER episode last year — I think we may even have messaged back and forth a couple times about it, as your story piqued my curiosity and concern. Your update also really resonates as I've been trying to help a nearly 80-year-old family member navigate a daunting health situation, make well-informed decisions, and get optimal care. A retired optometrist, they are intelligent, have domain-adjacent knowledge and experience, and have been quite tech-savvy for as long as I've known them. But as they related their recent medical issue to me and revealed how they'd been using Copilot as a health consultant, I had some serious concerns that I shared with them about the guidance they were receiving from their AI assistant. I also discussed with them how I was using Claude quite differently — based on my own knowledge and experience from journalism; medicine; computer and information technology; and use of LLMs — to reach different conclusions about their health situation and best advice for next steps. The limitations you highlight are real and important, and I think a lot of people who are using mass-market general-purpose LLMs don't yet have the "AI literacy" to fully appreciate the risks and benefits of the technology and to understand how they can optimize the quality of the outputs they receive. Also, I'm not sure if you've been watching season 2 of "The Pitt" on HBO, but immune thrombocytopenia was one of the challenging ER cases featured prominently in a recent episode [SPOILER WARNING]: https://pdsa.org/itp-news/2827-the-pitt I hope you're in better health nowadays and wish you and yours the best. Please keep up the writing and posting :)
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