Just Months After Jeopardy!, Watson Wows Doctors 291
kkleiner writes "Following its resounding victory on Jeopardy!, IBM's Watson has been working hard to learn as much about medicine as it can with a steady diet of medical textbooks and healthcare journals. In a recent demonstration to the Associated Press, Watson showed a promising ability to diagnose patients. The demonstration was a success, and it is the hope of IBM and many medical professionals that in the coming years Watson will lend doctors a helping hand as they perform their daily rounds."
Interesting but... (Score:2)
So basically, between the nurses and the computer, the doctors will now just have to smile and nod?
I am kidding of course, the more tools that medical professionals have the better.
[J]
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Kidding about what? When this kind of technology becomes affordable, and it will, you might need someone (ie, a nurse) to describe the visible symptoms and translate the patient's complaints to the Digital Doctor (tm). If need be, the DD will review digitized x-rays, cat scans or mri's and then come up with a diagnosis and treatment that is probably at least as good as a doctor and will be less expensive.
Sometimes I think I'd actually like something like this if it can do a better job than a human. At the l
Better job than humans (Score:4, Interesting)
It will absolutely do a better job than a bad human. This should make a major difference in the long tail--i.e. things that aren't the obvious problem to the doctor, notably in second and third-rate hospitals. It will make procedural screw-ups a bigger cause of death and hospital problems as compared to medical malpractice. (I'm not sure what the ratio is now.)
It will also make humans more dumb and less thoughtful over time. That is, diagnostic skills will go down as diagnosis becomes done more and more by computer. The excellent doctors will still be excellent, but there will be even *less* requirement to really *think* about a problem than there is now.
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> It will also make humans more dumb and less thoughtful over time. That is, diagnostic skills will go down as diagnosis becomes done more and more by computer. The excellent doctors will still be excellent, but there will be even *less* requirement to really *think* about a problem than there is now.
And THAT is when us programmers will finally be the last thinking humans on Earth! Mwah-hah-hah! You pretty little Eloi go on having your pick-nicks in the sun while we... um... toil in our basements to make
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Actually it is procedural screw ups ARE medical malpractice. They are a major cause of death which is why there is a growing movement of getting hospitals to follow check lists during procedures.
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> Actually it is procedural screw ups ARE medical malpractice. They are a major cause of death which is why there is a growing movement of getting hospitals to follow check lists during procedures.
True strictly speaking. Check lists aren't just appropriate for procedures--there should be protocols for everything. Otherwise patients get the wrong meals delivered to their room, for example, which can be a major medical problem. A simple series of steps that people follow prevents a huge number of deaths
Re:Better job than humans (Score:4, Insightful)
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It [Watson] will also make humans more dumb and less thoughtful over time
I would argue the quite the opposite. Statistical probability is what Watson does, and knowing comparatively, the likelihood of having one illness over another is a very valuable learning tool; its not at all limited to a diagnostic tool. Using a system like that would be akin to knowing how to Google well. I know for certain that I've been able to educate myself, faster, by having access to relevant search results. Having a resource like Watson and looking at his suggestions, objectively, would unilaterall
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I highly doubt it will make humans dumber. It's not as if our brain capacity lowers. And it's not like we have become dumber as technology has advanced; the opposite is actually the case.
What future doctors should know however is what will change. Perhaps they can work on better treatments, now that they do not need to worry about diagnostics.
Basically, as technology levels increase, the academic level on the Universities increase. But that's already the case, so relax. (Or should be; sometimes the levels d
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Well kidding aside its a very logical step. Expert systems have been around since the 80's, though those usually required a data line and subscription along with careful and tedious professional coding, that spawned a career path for many.
Watson as its called is an experiment to refine the system that has not changed *much* since hypercard and HTML, using the next generation of balls out IBM power in "AI" experts systems... it could make a dent in the way mass data is managed.
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"...in the coming years Watson will lend doctors a helping hand as they perform their daily rounds." So basically, between the nurses and the computer, the doctors will now just have to smile and nod? I am kidding of course, the more tools that medical professionals have the better. [J]
The more tools the better? Tell that the the auto assembly line worker who just got replaced by...a robot.
This is one way to make costs go down and health insurance affordable again, considering that a good portion of that bloated cost we pay for medicine and healthcare in general today is to cover malpractice and insurance related to it. Seems malpractice will likely be down considerably when you no longer have those pesky humans that make mistakes getting in the way.
Of course, since insurance companies
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Wait what, you're worried about the a shortage or make-work jobs for skilled doctors? Are you kidding me?
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A computerized billing and coding system could analyze patient records, second-guess doctors, and reject claims faster than thousands of weak human employees...
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Why would insurance companies be opposed to medical expert systems? A computerized billing and coding system could analyze patient records, second-guess doctors, and reject claims faster than thousands of weak human employees...
Legal responsibility trasfer. if an insurance company ever accepted the validity of an expert system, it could not delay payment by claiming any error, etc.
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what? just got replaced by a robot
news flash chief, if you had a worthless job that a robot could perform without question, you were replaced 20+ years ago
wake up union joe
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There are exceedingly few jobs that cannot be replaced by robots in principle. Jobs that make no sense if done by a robot (Congressman, President), and jobs that center on social interaction (floor sales, etc.) are the only ones that come to mind. Almost anything else can be done by a robot, and probably better than almost any human, in principle. In practice it just becomes a question of developing hardware/software suitable to the task. Oh, I suppose we can add building the FIRST robot who designs and
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No-one is suggesting (yet) that "Dr. Watson" will replace the primary interaction with a doctor - just that they will be able to describe the symptoms and Watson would suggest what it feels is the most likely diagnosis. This diagnosis, combined with the doctor's own experience and probably wider consultation would give more confidence to pursue a particular course of treatment. It's not as though the computer will be able to take your photo and offer you a print out of what's wrong with you to 2 decimal pla
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(and yes, I recognise that I said what the computer "feels".)
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Re:Medicine more than matching symptoms to pills (Score:5, Informative)
As a medical professional (neurologist-in-training, so I know about pain and "pain") these stories make me mad.
There is no such thing as "healing with the hands" if you had a serious limb asymmetry in your hips. If it was mild, it could be corrected with the right shoes and postural exercises to teach you stand the right way. If it was serious, you should have seen an orthopedic surgeon to correct it in a surgical way. If he*fixed* you just by touch the right spots, then you probably didn't have almost anything physical in the first place and most of your symptoms were in your mind.
BEAR WITH ME! I'm not trying to play down your pain and how you felt it, I'm just explaining to you in a rational way that many diseases and maladies are sometimes psychosomatic in origin and extension. I don't imply you are crazy or anything like that. I only say that you just wanted some hands-on caring, you didn't have anything really serious (organic) going on. And that's good news.
Just don't waste too much money on alternative treatments. If an alternative treatment works, then probably help from a family or friend works as well. You don't need a professional. But don't take any chances.
I for one... (Score:2)
...welcome our robomedical overlords! Now, Mr. Watson, I've a raging case of hemorrhoids and a fissure that would drive even the sternest of men mad with rage. Help.
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<Watson> Please approach and step up and walk into the mechanization booth on your right; don't worry, you won't feel a thing.
The replacement of your biological components with mechanical ones is really quite painless.
Please don't resist. If you fight, I am afraid, the orderly will have to carry you, and you may need to go through additional time consuming reprogramming after your brain is mechanized.
And so, the Cybermen were born.
Google the answer (Score:2)
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A power tool may indeed make a builder - I have had some work done recently which implies this is true.
A power tool does not a master builder make.
FTFY.
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also, with great power comes great responsibility!
Better he use Google than watch House M.D. (Score:4, Insightful)
That dweeb will almost kill you twice or three times with misdiagnoses before he finds the right one.
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Re:Better he use Google than watch House M.D. (Score:4, Funny)
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As enjoyable a show that it is, I absolutely would not let House anywhere near me in a medical setting.
Besides, this all confirms my opinion that GPs are nothing but walking encyclopedias, and have no actual problem solving ability. If A, then B, if A and C, then D. IMHO, unless the
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Medical Assistant XP Plus: It appears you are trying to make a list of symptoms, shall I turn that into a formatted, numbered list for you?
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I always got the feeling my doctor was just googling my symptoms to come up with a diagnosis. Now I guess they won't be hiding it. I just hope that it doesn't make any silly mistakes like prescribing hysterectomies for men.
Have you ever actually questioned a doctor on the specifics of anything? I did today when I was with my oral surgeon, and it's amazing how much they actually know. Any question I asked them, they had the answer instantly.
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He's an oral surgeon and you gave him an oral exam; obviously he was good at it.
Next time try questioning a brain surgeon and see what happens.
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"Like spell check."
That's a really good analogy for how it should be used.
Speech Solutions? (Score:2)
FTA: "To make the interactions Jeopardy!-style, speech solutions developer Nuance is currently working with IBM to provide Watson speech recognition software customized with medical jargon. Doctors could query Watson’s database on the go by speaking into a handheld device."
Fuck speech solutions. Why do we keep getting this crap pushed on us? Have the doctor text-message the frigging thing and not risk any speech-ambuiguity errors.
Judging from how well speech-menu phone systems work for me, I would run
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I work in medical transcription, on a system developed and promoted by Nuance, one that incorporates speech recognition to aid in the transcription of the notes that must be produced for each patient encounter. I can type transcription at a rate of around 185-200 65-char lines per hour. Add in a speech rec engine and I can get 475-525 an hour. It's not hard to figure out that it's all for the productivity boost and cost-cutting effect that speech rec adds to the patient care cost equation.
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Not to mention that you want doctors to actually use the system, which is less likely if you're giving them a bunch of extra stuff to type. That makes it feel administrative; many doctors feel burdened by paperwork as it is.
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But if it's not right, and someone dies because of it, then frankly I don't care about the ~300 extra lines per hour. Especially when dealing with critical/technical symptom input as in the demo of TFA.
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I'm by no means an expert, but I remember an article a while back about offshore medical transcription services being used, and the transcriptionists not being native English speakers. This led to confusion over homophones and differentiating 15 and 50, etc. I think that we already have the problems that you're worried about. If the speech recognition displayed the transcript immediately, it could be corrected in real time.
You expect a doctor to spell? (Score:3)
In order for a doctor to use a text input device, they'd have to be able to spell. And given the number of times my pharmacists have had to call for clarification or "interpret" a doctor's scrawl, I'm pretty sure the vast majority of them can't.
But that doesn't change the fact that speech-recognition technology still can't deal with accents very well, and it's been a long, long time since I've seen a doctor who was born and raised in north america.
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Makes me think of this:
Idiocracy... (Score:2)
...here we come!
All kidding aside, computers are certainly great at memorizing and regurgitating information, especially highly complex information with numerous variables involved. However, they're still a ways to go before they can actually create new information. Once they can do that though, that's when AI becomes a reality.
Re:Idiocracy... (Score:4, Interesting)
You do realize that memorizing and regurgitating known information is the perfect skill for 99.9% of medical diagnosis? As long as Watson knows how to say, "I don't know" it will be as good or better than the vast majority of humans at this particular task.
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You do realize that memorizing and regurgitating known information is the perfect skill for 99.9% of medical diagnosis?
As the GPP said: "Idiocracy, here we come".
Do you realize that about 20 years ago, a good physician was good because of thinking rather than regurgitating?
Believe me, the good ones were much better than today's GP-s + the whole lot of newer lab kits. Granted, bad physicians of the time were much worse than today.
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I'm not sure how thinking vs. regur
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I disagree; doctors cannot and should not be making up medicine as they go along.
Mate, I didn't say the MD-es making up medicine, but to think and make correlations while diagnosis. If you want an image of what I meant (even though a bit exaggerated), think House in a time where the labs and medical tests weren't so many and evolved.
Medical practice (as opposed to medical research) is fundamentally the same as car repair; you map a set of symptoms to the correct treatment
And this is where I don't agree. Because it is not just mapping symptoms, it is about discovering and, if possible, treating the causes. You can't do it without thinking, in many times creative and lateral thinking. Of course, a good MD won't act until s/he
Re:Idiocracy... (Score:4, Interesting)
However, they're still a ways to go before they can actually create new information.
This is true of most people.
Once they can do that though, that's when AI becomes a reality.
I always found it interesting that computers are never good enough until they can beat the best that humanity has to offer. Computers could beat most people at chess long before beating grand masters, but it wasn't until computers could beat the best human in the world that they were good enough. Likewise, Watson had to beat the best Jeopardy players before being good enough. So now, computers have to be better than the best doctor before being good enough. So, even if you make a computer that could graduate in the middle of a class of doctors, it won't be good enough until it can do better than them all. I just find it interesting as it says so much about us.
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So, even if you make a computer that could graduate in the middle of a class of doctors, it won't be good enough until it can do better than them all.
I for one eagerly await the pilot episode of "Doogie HX9000 Model 101, M.D.".
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They not only have to beat the best human at challenging subjects... they have to beat all of the best humans in all subjects.
As soon as an AI masters a challenge suddenly the question becomes. "But can it write a symphony like Beethoven?" To which I always reply, "Can you?"
They've had these for years (Score:5, Funny)
Hello Patient, my name is Dr Sbaitso.
I am here to help you.
Say whatever is in your mind freely,
our conversation will be kept in strict confidence.
Memory contents will be wiped off after you leave,
So, tell me about your problems..
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Is there an IRC version of him? I have used a few IRC chat bots like rbot, seeborg, and howie but they're not that good.
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Neither was Dr. Sbaitso - it was really just a simple Eliza-style program. The fun part was the text-to-speech.
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Hmm, I recall Dr. was better in communication. I wished there was a learning chat AI bot for IRC that was decent.
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How soon before it becomes "Doctor Watson"? (Score:2)
As long as it doesn't play second fiddle to a crappy search mechanism in the old Mac OS, it should do fine.
But can it do differential diagnosis? (Score:2)
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Don't forget to always first assume it's paraneoplastic syndrome, and then do the long drug addled stare when it turns out not to be.
drwatson (Score:4, Funny)
Not recommended! He only responds to crashes, and most of the time you end up being disassembled...
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NO DISASSEMBLE NUMBER 5!!!
I can see it now ... (Score:2)
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Wasn't this the promise of... (Score:4, Interesting)
LISP and Prolog-based expert systems 30 years ago?
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Re:Wasn't this the promise of... (Score:4, Interesting)
Re:Wasn't this the promise of... (Score:4, Interesting)
IIRC my AI classes correctly, those systems worked. At least they had a very high accuracy, higher than most doctors. The problem was not technical, but legal. Who do you sue if the computer gets it wrong?
Which makes me wonder: will this system will fair any better?
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Human doctors should be checking the results for themselves, using the expert system as an aide to memory and exploring every option. Therefore there should not be any legal issues, any more than there are with textbooks that lead a doctor to the incorrect conclusion. The doctor is supposed to know better and to evaluate the suggestions, not simply follow them.
In this case it sounds like they basically made House in machine form. A doctor with a superhuman ability to connect symptoms and draw on vast amount
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Perhaps you mean, there are people who spend each day reading papers and converting them into a record that the AI can use to train its model? That's certainly feasible, but I wouldn't call it a true innovation from the previous technology.
Oh please! (Score:2)
I was watching a documentary - made in the 1960s - where people travelling in spaceships not only routinely conversed with computers, but also had a device which would instantly recognize alien languages and translate back and forth.
The main dude in the doc was quite the swordsman; even did it with a green chick.
Anyways, this technology has been available for decades. You have too keep up, or be drowned in a Hype-R-Wave.
It's not like the idea for Watson is new (Score:3)
What is new is that it works. The concept of a system that can search through all kinds of data and intelligently answer natural language questions is something that people have been trying at for a long time. However Watson works. There are restrictions, it is domain specific (the original Watson was for Jeopardy questions), it isn't perfect, and so on, but it works.
Hence all the excitement. It isn't that other systems didn't want to do something like this or promise this, it is that Watson delivers.
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Ummm, check your history a bit better.
Potentially Useful (Score:4, Interesting)
OTOH, I can see Watson being immensely useful on the back end. For example, which second-line blood pressure medications have been show to be highly effective with few side effects in 65 year old male caucasians who also have diabetes, and, of those, which has the best interaction profile with the other drugs this patient is taking? Clinical guidelines help, but they're obviously simplified and generalized. It'd take a human ages to research the literature to figure that out, but an AI like Watson could potentially do it in a few seconds. Such a tool could take a lot of the guesswork out of medicine.
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...which second-line blood pressure medications have been show to be highly effective with few side effects in 65 year old male caucasians who also have diabetes, and, of those, which has the best interaction profile with the other drugs this patient is taking?
Hopefully Watson is never fed the content from Slashdot, or it will short-circuit from all the "repeat after me: correlation is not causation", and thus never choose any remedy.
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"Please state the nature of the medical emergency..."
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You're jumping to the wrong conclusion. Watson and similar systems are not intended to replace humans. At least, not in the sense of removing them completely. They fall into the typical garbage-in-garbage-out situation where you need a real expert, like a doctor, to describe the symptoms so the system can produce a valid diagnosis.
Here's how it's actually going to work. The doctor will spend more time talking to the patient to get an accurate understanding of symptoms. The expert system will then tell the d
Re:Potentially Useful (Score:4, Interesting)
First of all, humans are better at image processing
Medical image processing is a rapidly advancing field, but it's not a lack of technological advances that will stand in the way of automatic diagnoses based on x-ray/CT/MRI. Instead, the threat of malpractice will require that doctors manually inspect the images and render a diagnosis. Otherwise, you could probably expect automatic diagnosis from medical imaging in the next decade or so (or sooner, depending on what kinds of illness or injury you're looking for).
Malpractice is such a threat to medical imaging technology that a lot of medical imaging system manufacturers are afraid even to implement simple noise reduction techniques. If a cancerous spot gets removed as noise from an image and the doctor misses it, it could be a multimillion dollar suit against both the doctor and the manufacturer.
OTOH, I can see Watson being immensely useful on the back end.
Well, he did always want to be a proctologist when he grew up.
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Watson will also be able to do things like search the entire patient history and perhaps identify lingering things t
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Personally, I seriously doubt that Watson will ever advance to being able to replace a doctor for non-trivial complaints. First of all, humans are better at image processing, so if a patient looks like death then they aren't going to ask questions to rule out minor complaints.
The dirty truth of medicine though is that 99% of problems are trivial complaints. I've only ever needed a doctor to save my life once. The other 90 times was for trivial things. Oh and once I went in for a dislocated shoulder and he assured me it wasn't dislocated. So I limped along for a week and finally went to a physical therapist who immediately determined I had a dislocated shoulder and torn ligaments.
What Watson can offer is the leveraging of less "Doctors" and more nurses. Nurses are perfec
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OTOH, I can see Watson being immensely useful on the back end. For example, which second-line blood pressure medications have been show to be highly effective with few side effects in 65 year old male caucasians who also have diabetes, and, of those, which has the best interaction profile with the other drugs this patient is taking? Clinical guidelines help, but they're obviously simplified and generalized. It'd take a human ages to research the literature to figure that out, but an AI like Watson could potentially do it in a few seconds. Such a tool could take a lot of the guesswork out of medicine.
Give Watson an electronic nose, in-fared vision, and the ability to analyse blood and DNA - then it *might* be able to out diagnose the best doctors.
Comment removed (Score:3)
I have ... (Score:2)
http://www.imdb.com/title/tt0103064/ [imdb.com]
http://www.imdb.com/title/tt0103064/quotes [imdb.com]
Ten years ago on my Palm Pilot (Score:2)
I had a program that did a far better job of diagnosing patients than doctors could. But Doctors were not interested in actually doing a better doctoring job. They were strictly interested in making more money. Do you think they do plastic surgery because it cures people? Do you think they are treating ulcers with tagamet instead of antibiotics because the antibiotics would cure you fast? Do you think they would be avoiding using checklists in surgeries because checklists cut surgical complications by a fac
Re:Ten years ago on my Palm Pilot (Score:5, Insightful)
Do you think they do plastic surgery because it cures people? Do you think they are treating ulcers with tagamet instead of antibiotics because the antibiotics would cure you fast?
I was starting to listen to what you were saying until I read this.
The current standard treatment for Helicobacter Pylori is a triple-therapy regime which does indeed include antibiotics. It is highly effective and usually results in eradication.
Cimetidine hasn't been used as a treatment for ulcers in since the discovery of H. Pylori, many years ago. Considering that there are a number of modern antibiotics that are active against H. Pylori it is quite rare for a patient to not receive some antibiotic cocktail -- and even if there were a patient who (for some reason) could not receive *any* antibiotics, PPIs would almost certainly be used in place of cimetidine.
I'm sorry you have such a vendetta against physicians. Perhaps your views will change with age. I know that mine certainly did as I entered adulthood.
We don't need no stinkin' AI! (Score:3, Insightful)
Watson can't deal with any of that, really. And that ignores the danger bureaucratic errors can pose to an AI, such as test results that are inexplicably attributed to the wrong patient... what happens when Watson makes a crap diagnosis because of bad data? Can he eliminate bad data or even "show his work?"
You can see it coming like a freight train (Score:2)
BrNah, i'm completely kidding. "Insert Carl Sagan famous quote here."
That's why we build MEDgle (Score:2)
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Feedback:
Don't have your site crash with a NullPointerException when somebody with a blank user agent visits it.
Remember, someString.equals() only works if someString != null
Shrunken Head Ned (Score:2)
A lot of comments her make me think of Shrunken Head Ned, the world's only Shrunken Head Village Doctor that plies his trade in the Adventureland in Disneyland. (At least, he used to. I haven't been there for a few years.) That's the way a good many of these comments seem to lean, that Watson as a medical AI is just a sort of amusement that can't be trusted.
I wouldn't trust Watson as a sole source of medical advice either but in combination with the right doctor who knows how to examine and work with peo
Who will you sue if there's a failure? (Score:2)
Who pays for this, and other pressing concerns (Score:3)
Last time I checked IBM shares were a good investment, and opening a medical practice was an expensive proposition.
I suspect access to Watson will be something that IBM profits from (which is good), and that it won't reduce the costs of running a medical practice.
Don't be surprised if pharmaceutical companies "sponsor" Watson for medical practitioners.
Would you like a bowel resection with that haemorroid removal and fissure stitch? May I recommend the fat reducing asthma medication trials? Perhaps sir would like to try our discount-medication-for-pharmaceutical-research-program??
Wait for the "but sir requested the penile reduction, crackle, hiss, my programmer desires you wife, crackle...
How about - "I'm sorry sir, but I must halt your heart surgery due to an injunction granted in East Texas by SCO-rebooted"
But wait, there's more! Nintendo's recently announced homeopathic robot, Poirot, faces a patent challenge from Microsoft's mobile acupuncture and moxybustion robots- Pricks and Burns!
:-D
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BTW, Eliza could replace 99% of psychoanalytic therapy decades ago.
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Pseudonym Authority: Time for your medication now
But did Watson prescribe that?
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You mean a giant computer is going to rely on science instead of back whacking and cracking? Gasp!
Also there is a disturbing idea of a giant unfeeling computer telling me to do science. Thank god she's not voiced by Ellen McLane.
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I thought subluxication is a technical term for the terminal decoherence of a flux capacitor operating in excess of 1.21 gigawatts.
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Will Watson have scanned in all those excellent Chiropractic YouTube videos?
I certainly hope not. Or ping pong, or psychic healing. The idea is to teach Watson about medicine.
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This is just another step towards the realization of the movie "Idiocracy".
I can picture it now!
year 2511:
Unintelligent Doctor: Watson, the patient is screaming "AAAA It hurts so bad" and recently fell off a bike before coming here. What is wrong with him?
WATSON: WHAT IS LEG?
Unintelligent Doctor: *pokes leg*
Patient: AAAA IT HURTS!
Unintelligent Doctor: Wow Watson, you were right again! There is something wrong with his leg! We had better amputate it right away!
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This one goes in your mouth, this one in your butt. Wait, no...yeah...no, that one goes in your butt.
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I for one am looking forward to the age of the drive through robotic doctor. It's kinda like a carwash - with MRIs and X-Rays built in. :p
Yeah *right*!
The "clinic" will have Golden fucking Arches out the front, you'll order a renal transplant with anaesthetic, it's a two minute wait for the transplant but the anaesthetic won't be ready for twenty minutes.
The pimply kid that served you added cigarette butts, pubic hair, and a dead mouse for lolz, and yeah, you *did* say *no* pickles with that.... You enter smart and thin, and exit dumb and fat!
Oh, I can't wait for the robotic fly-thru medical clinic. It'll be fly-thru coz we'll all have flying