Bob Wachter

Yes, but not my favorite AI agent because one thing we can't do and shouldn't do is take your medical record and stick it into a public version of ChatGPT.

Fair enough.

So what version do you use?

We use – we're now about to – at UCSF, we have a partnership with ChatGPT, so we have a version that's inside our firewall.

It's actually within my electronic health record.

I take a look at your record and I see it's longer than I have time for and I click a little button and it will summarize a 600-page document in 30 seconds the way it will summarize a 600-page book in 30 seconds.

Give me an example of how that has worked out for you so far.

It just makes my life easier.

And if I'm seeing you and you have a past history of having had a blood clot 20 years ago, and that's on page 397 of your 600-page record, and I miss that,

I may not make the right decision about whether you need a medicine to try to prevent a blood clot if you're going to be in the hospital.

One of the points I make over and over in the book, I use Biden's old line, don't compare me to the almighty, compare me to the alternative.

So even if this chart summarization is imperfect, and the data says right now it's very good, but not 100% perfect.

I recalled in the book a patient I saw a long time ago.

The patient had a history of a pulmonary embolism, a blood clot to the lung, which is really a bad thing to have had and probably means you're gonna be on a blood thinner, which can be dangerous for the rest of your life.

I happened to have a few minutes before I saw the patient,

I'm doing a little head scratching like, oh, that's funny.

The patient had a history of a pulmonary embolism.

The patient had no risk factors, no family history.

That's kind of unusual.

And so I'm flipping through the chart.