I’ve been playing around with the Whisper models for a few years now. Last year I had an idea about how to run Whisper Large v3 in real time. That idea became ScribeAI.
Because the quality of transcripts was so high, much higher than I could get with Parakeet, I started to think about how it would serve as a good input for live translation. I played around with this and was surprised by how good the results is, I’ve used it to follow along political speech’s from foreign leaders and other content I’d have just never been able to consume before. You can translate by bringing your own LLM service API key or using the inbuilt Apple Translate models (for a completely offline experience).
Why does psychiatry need to have an ‘equivalent’ of a sprained ankle?
Most people recognise a sprained ankle, at least mild ones, as a self limiting illness. An issue with psychiatric diagnoses is that they are often not taken to be self limiting and often become a large part of a patients self image. While sometimes this can be helpful and help inform treatment it can also be harmful and I have seen this harm first hand in patients I see.
If there is no sprained ankle diagnostics and doctors just tell you to ignore not being well: just jump and run around as normal there is nothing seriously wrong.
And doctors only react when you can no longer use your legs for a year, otherwise they must be amputated.
Or would you rather have an earlier disgnostic with instructions to reduce extreme loads and try to take it easy. Let's check again in a week.
The absolute classic would be Hal Varian, afaik still chief economist at Google. Still proud of working through Microeconomic Analysis. He has an introduction into micro as well. His books are so full of worthwhile thoughts. Micro introduced me to platform economics before the internet was a big thing.
For context Rheumatoid Factor is present in 4% of the healthy population, an even upto 30% in certain populations like native Americans [1]
ANA is positive in 15% of the population [2]
The idea that the tests rule out serious causes is not really correct, people can have seronegative inflammatory arthritis in which case these tests are negative. Peace of mind is dubious as well given that even with a positive test you are still more likely to not have an inflammatory arthritis.
It’s a common misconception that blood tests are binary and provide concrete answers. Sometimes they do. But most blood tests, like many measurements, are far from binary and have a distribution across the normal population, once it passes an arbitrary threshold it does not necessarily mean you have disease X, context (clinical history and examination) are often far more important in making a diagnosis.
Unfortunately some of the population tend to overweight blood tests vs a physicians assessment, I guess they see the former as an objective measure and the latter as subjective. Especially because if you shop around enough clinicians you’ll eventually find one who will say what you want to hear and that one will inevitably be ‘right’.
Thanks for the information. I've been diagnosed with seronegative inflammatory arthritis myself, so I understand that the blood tests are not perfect; and "rule out" was used loosely to mean "unlikely to have". All of which is not really relevant to my point. My point was that health practitioners have become too comfortable with using anxiety (without evidence) to brush off patient concerns instead of utilizing cheap diagnostic tests to aide in the exploratory process of diagnosing a patient accurately.
In the case of my wife, once both blood tests came back positive, she was properly referred to a rheumatologist to continue monitoring her symptoms and their progression. That is how the healthcare system is supposed to work. Run tests, if it comes back positive, keep investigating with the right specialists that are more experienced in the area, then continue to look for signals that a diagnosis is accurate. Not this hand-wavy speculation with lack of evidence we experienced early on. Now that she has started to develop rheumatoid nodules, it's becoming more accepted by her healthcare team that this is rheumatoid arthritis.
A: For the majority of people weight loss and dietary changes will do the job
How do you fix Crohns?
A: You don’t ’fix’ Crohn’s per se as there is no cure. But most people with Crohn’s can be have their disease managed well with -mab medications
In all those conditions you named surgical management is very much at the end of the list and for a minority of patients who do not respond to the above. The first line management in all of these conditions very much does look at ‘fixing the problem’ contrary to what your espousing.
Both the ‘gold’ answer and the model reference a PA and AP view respectively as well as a lateral chest radiograph. The picture only contains a lateral radiograph though.
Putting more out there will increase the probability of a reward, but it doesn’t guarantee it.
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