Discussion about this post

User's avatar
Kevin Lacker's avatar

Normally I enjoy lamenting the downfall of video games, but it's hard for me to feel sad about it recently because Slay The Spire 2 has been so much fun.

Especially underrated is the multiplayer mode. If we're living in a world where social relationships are being intermediated by screens, maybe we should accept it and just find really high-quality ways to have our social relationships intermediated by screens. Baldur's Gate 3 multiplayer was also a great experience.

Sol Quy's avatar

I have a dream. It is automated chart review/data mining for retrospective cardiology studies.

Every physician at an academic medical center has had the unfortunate experience of having to chart review for retrospective studies. This is very labor intensive and a poor use of time for physician-researchers (“I accumulated a mountain of student debt just to do data entry?”) Usually it is outsourced to a medical student or resident who is willing to do scutwork to apply for fellowship or a career in academic medicine. You’re given a list of medical records and have to individually and manually click into each chart and fill out the forms into Redcap (like Google forms but with PHI-protection). It can take an hour or more per patient (in my personal experience). For example, a single variable you’re looking for could be on page 273 of a a 500-page PDF from an outside medical record uploaded to Epic.

If you could link Claude and Epic (the most common electronic medical record), you could do all this work at 10000x the speed. Unfortunately there has been a lack of progress on integrating LLM’s into the medical field in general, with the barriers primarily around dealing with PHI and not wanting to hand tech companies patient data. Reasonable concerns, to be clear! But there are huge impacts if you could integrate.

High impact projects I can think of off the top of my head, that I haven’t had the bandwidth to pursue due to the lack of data entry capability:

Magnesium supplementation and arrhythmia risk in congenital heart patients. There’s a HUGE amount of rhythm monitor data, you just need before and after arrhythmia burden after Mag initiation.

CardioMems (portable pulmonary artery pressure monitor) response to change in diuretic titration and cross compare what uptitration algorithms work best. (HF hospitalizations is one of the biggest medical expenditures so if you can reduce this by even 1% through better early warning and intervention that’s very big).

Fetal heart rate monitoring - take the HR and acceleration/decel strips (often 1-2 days worth for each patient) and cross compare them to C-section vs vaginal delivery rates and fetal outcomes.

All this will probably come one day. Advantages would also be that you reduce intra-recorder variability (ie one researcher interpreting and coding data differently than another, ever a pitfall). But in the meantime I feel like I’m in a field moving glacially while the rest of the world zips by.

If anyone is working on this or has thoughts I would love to hear more! Or be corrected!

16 more comments...

No posts

Ready for more?