Confusion about Confabulations

Brief Note by Kip Hansen — 19 August 2023

Do you read medical journals?  If not, you really should.  At least glance through the indexes of the latest issues of the leading journals…they can be utterly fascinating.  Maybe it is because my father was a doctor (pediatrician, before you ask), or maybe because my first major at university was pre-med, the fates only know, but I still make sure I get email alerts from the major medical journals and subscribe to some.  I don’t read everything – no one could – but I read what catches my attention.

In June 2023, there was an odd little Perspective piece in JAMA. [ .pdf here ].  As a whole, it was not very interesting unless you happen to be a medical intern somewhere or you supervise interns at a teaching hospital.  But this intern, Teva D. Brender MD, fantasizes about having an AI ChatBot write some of her reports and discharge instructions and other paper work that increases the length of her work day.  In her piece she makes the following statement about AI ChatBots:

“Finally, these programs are not sentient, they simply use massive amounts of text to predict one word after another, and their outputs may mix truth with patently false statements called hallucinations.”

She gives a cite for that statement, a February 2023  NY Times article written by  Kevin Roose titled:  “A Conversation With Bing’s Chatbot Left Me Deeply Unsettled”.  In that article, Roose said: “[advanced A.I. chatbots] are prone to what A.I. researchers call ‘hallucination,’ making up facts that have no tether to reality.” Roose is not the only one to notice and worry about this: Google search “AI ChatBot hallucinations“.

Having already read the NY Times piece in February, I didn’t give the issue another thought until….on August 14, 2023, in the JAMA Letters section, there appeared a Comment & Response written by Rami Hatem BS, Brianna Simmons BS, and Joseph E. Thornton MD (all associated with the University of Florida College of Medicine, Gainesville) in response to Brender’s  Perspective mentioned above. The response is titled:  “Chatbot Confabulations Are Not Hallucinations”.

Now, when I saw that there was a response to the original Brender Perspective,  I assumed (fool, me) that doctors would be objecting to the use of AI ChatBots to write medical reports because …well, Advanced AI ChatBots have been found to be “making things up” – inventing ‘facts’ and citing non-existent references:  diagnoses that are not real diseases? citing references that don’t exist?   

But no, Hatem et al. had this main point:

“In a recent issue of this journal, Dr. Brender provides an informative perspective on the implications of the available AI tools for the practice of medicine. However, we would like to draw attention to the conventional misuse of the term hallucination to describe material that is fabricated in the narrative by generative AI programs. The word confabulation is a more appropriate term, consistent with clinical usage, heuristic in addressing the problem, and avoids further stigmatization of both AI and persons who experience hallucinations. A hallucination is by definition a false sensory perception and may lead to aberrant behaviors in accordance with those perceptions. Confabulations are fabricated but they are usually logically generated semantic statements. For example, citing references that do not exist is a confabulation.”

Now, of course, we must be careful not to cause any “further stigmatization of … AI”.  Hatem et al. are not concerned that AI ChatBots “fabricate” facts and references, but that AI ChatBots might somehow be further stigmatized by saying they have “hallucinations” – and feel it is better that the hallucinations they have be called confabulations, so as not to hurt their feelings. 

As is proper in these circumstances, Brender then replies:

“When the term hallucination was first used by researchers to describe any potentially beneficial emergent properties of Artificial Intelligence (AI), it carried a positive connotation.  However, AI hallucination is now commonly understood by academicians and the public to describe the ‘unfaithful or nonsensical’  text that these large language models sometimes produce. It was this latter definition that informed my discussion regarding the need for judicious integration of AI into everyday clinical practice.”

There, at last, Brender takes the stand there exists a “need for judicious integration of AI into everyday clinical practice.”

And I couldn’t agree with her more. 

# # # # #

Author’s Comment:

I have doubts about AI (in general), AI ChatBots, Advanced AI ChatBots and all that.  Hard to pinpoint exactly what doubts I have about them.  But I know that I do not think that AIs are “intelligent” and thus cannot be “artificial intelligences.”   However, I am not prepared to argue that issue, not here at any rate . 

But I am happy to read your take on AI ChatBot’s  having hallucinations (or confabulations, your pick) and returning fabrications — facts and references that are entirely made up, false, not real — as results/output. For instance, do you think that the AI ChatBot “knows” it has made up that fabricated fact, that  fabricated citation?

And now, there are additional concerns about “AI Drift”.

And what does it all mean for industry, medicine, education and other fields that are incorporating AI into their daily activities?

This is your chance to have a meaningful, civil, conversation on the issue.

Thanks for reading.

# # # # #

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Tom Halla
August 19, 2023 6:25 pm

Whether called hallucinations or confabulations, AI programs creating bogus findings is not a manifestation of a properly functioning program.
I will argue for calling this phenomena hallucinations, as it is analogous to a symptom people experience when under certain drugs, sleep deprivation, or certain syndromes considered to be abnormal.
Eugene Voloch has done what amounts to a series in The Voloch Conspiracy, his law news site. He can consistently prompt ChatGPS to libel him, with the program citing nonexistent court decisions, disciplinary proceedings, and the like, all in proper legal citation form.

Tom Halla
Reply to  Kip Hansen
August 19, 2023 6:40 pm

Voloch was discussing civil liability, and who it would apply to for anyone using such an AI. Using it might meet the Sullivan standard, or not.

KevinM
Reply to  Tom Halla
August 20, 2023 8:27 pm

Liability is a path to “barriers to entry”.

Tom Halla
Reply to  KevinM
August 20, 2023 8:45 pm

Some lawyers have been sanctioned for using briefs based on ChatGPT “research”. An indelible labeling of such reports as the product of ChatGPT might be a minimum requirement.

AndyHce
Reply to  Kip Hansen
August 19, 2023 7:09 pm

or handy man fraud? or car salesman fraud? Maybe these AIs are more human like than you think.

Ben Vorlich
Reply to  AndyHce
August 20, 2023 2:11 am

As I read the piece several human Chatbots with hallucinations came into my mind, initially Ancel Keys, Mann, Phil Jones, Victor Ninov I recently read an article about Element 116 that mentioned his sacking.

scvblwxq
Reply to  Kip Hansen
August 19, 2023 9:25 pm

They are pretty good overall, most of the time they are easier than using Google. You do have to double check them and make sure the answer makes sense.

real bob boder
Reply to  Kip Hansen
August 20, 2023 6:46 am

Or electing one as president

scvblwxq
Reply to  Tom Halla
August 19, 2023 9:17 pm

The chatbots are taught with the public internet which is not a consistent set of facts. There are bunches of conflicting facts on the internet.

TimTheToolMan
Reply to  scvblwxq
August 19, 2023 11:36 pm

There are bunches of conflicting facts on the internet.

Yes, this is always a problem and for people too. How many people choose their facts and decide to believe in immanent existential threat from AGW for example?

IMO this is where self driving is probably at right now, dealing with inconsistencies in their training data.

“Advanced AI ChatBots have been found to be “making things up” – inventing ‘facts’ and citing non-existent references: diagnoses that are not real diseases? citing references that don’t exist?”

If you asked a fiction writer then you’d get a similar response.

In principle, AIs can be built to look up stuff on the internet (eg papers) and re process their answer in the light of those looked up results to give much more consistent factual responses. I doubt that behaviour is far away.

“Finally, these programs are not sentient, they simply use massive amounts of text to predict one word after another, and their outputs may mix truth with patently false statements called hallucinations.”

As opposed to the way our brains work?

cilo
Reply to  TimTheToolMan
August 20, 2023 2:30 am

…looked up results to give much more consistent factual responses. I doubt that behaviour is far away.

You mean the way Google and so forth find you 30 million results, but only show you the first 200, where Hillary is the victim?
Consistency of ‘factual responses’? Been there, done that, the t-shirt fell apart after two washes…

TimTheToolMan
Reply to  cilo
August 21, 2023 12:48 am

You mean the way Google… …where Hillary is the victim

No. This is an opinion, not a fact. AI’s opinion in that case will come from all the training data its been trained with, cross referenced contextually.

186no
Reply to  scvblwxq
August 20, 2023 12:44 am

“WikiBot”…?

KevinM
Reply to  scvblwxq
August 20, 2023 8:36 pm

If there weren’t “bunches of conflicting facts on the internet” how could they be made quickly and efficiently? If one of us were a chatbot, would the other know? Do I have rights to be paid for intellectual property shared in a comment? Can a chatbot make a whole web page and algorythmically harvest commentary to make the next post?. If a site were less than a few years old t might be a seed. If a site were more than 10 years old it might be ready to harvest.

Denis
Reply to  Tom Halla
August 20, 2023 8:13 am

“AI programs creating bogus findings is not a manifestation of a properly functioning program.”

Huh? Why not? They are simply computer programs and nothing more. They are not sentient at all. Whatever they produce is a consequence of the data a human has provided processed in a manner that a human directs. Any hallucinations they produce are a consequence of the programming, nothing more and nothing less.

Tom Halla
Reply to  Denis
August 20, 2023 8:54 am

You are presuming the programmer wanted this result, rather than it being a bug.

Denis
Reply to  Tom Halla
August 20, 2023 11:39 am

No. Whether the programmer wanted it or not is immaterial. The program was written and what it produced is what it produced. You are presuming that the aforesaid programmer(s) knows absolutely everything about how sentient intelligence works and how to make a computer program equiially sentient and intelligent. I do not believe any such human being exists or ever will nor do I believe such a computer exists and probably never will.

Tom Halla
Reply to  Denis
August 20, 2023 12:11 pm

Hallucinations are a serious bug in a purportedly AI program. As far as blame, sure, the programmer should not have released the program while it has that bug, but it was almost certainly not a deliberate feature.

KevinM
Reply to  Denis
August 20, 2023 8:42 pm

Is the goal to replicate human thought or to improve on it?

KevinM
Reply to  Denis
August 20, 2023 8:41 pm

properly functioning” definition of terms…

KevinM
Reply to  Tom Halla
August 20, 2023 8:23 pm

considered to be abnormal
By whom? Would truth defined by democracy be better than truth defined by media? If we’re going to nominate a board of “qualified truth determiners”, who picks them and who votes?

The trouble goes back to Shakespeare “who will watch the watchmen” and probably as far back as writing goes.

Capitalists would say “let the market decide” which seems to be what happens while we complain on Internet message boards.

c1ue
Reply to  Tom Halla
August 21, 2023 5:53 am

To be more clear: hallucinations are a feature, not a bug.
I attended a ra-ra AI talk a week ago. The speaker covered at length the spectrum of AI from machine learning to neural networks to the latest LLMs and subvariants.
Here’s the thing: what he termed “emergent” – i.e. LLMs showing some capability to “synthesize” is a function of a parameter controlling accuracy.
Or in other words – the reason why a jumped-up Google search text answer LLM can seem to opine expertly in writing on all manner of things beyond just summarizing search results is this “imagination” parameter.
So what Volokh is seeing, the Avianca case, the proofs of 2+2=5 and all the other obviously (and non-obviously) wrong nonsense coming out of ChatGPT and so forth is exactly what underpins the “intelligence” part.
As the speaker noted:if you have the “imagination” parameter set high – the LLMs will attempt to show 2+2=5 with a long and seemingly consistent proof when asked to show how 2+2=5 – but it is nonsense.
When I asked questions, the responses were particularly telling: the speaker and a couple AI techno-utopians all clearly though that “better models” would be the answer. Or in other words, a model in which the lies are “fixed” will somehow still be of utility.
The sad part is that they are right in a certain sense: the ChatGPT and what not will absolutely destroy all manner of jobs from customer service to paralegals to script writers, music composers, technical writers etc because ultimately enshittification (as Cory Doctorow puts it) is a powerful profitable force.
Who cares if music, movies/TV, machine instructions, law cases etc are visibly populated by nonsense when someone can make a lot more profit?
It would be highly ironic if the Butlerian Jihad of Dune actually arose because of mass enshittification due to LLMs…

Mikeyj
August 19, 2023 7:01 pm

Short Circuit: ” they just run programs”. Do you trust the programmers?

AndyHce
Reply to  Mikeyj
August 19, 2023 7:11 pm

Neural networks and large systems too often are beyond the ability or control of any programmer.

KevinM
Reply to  AndyHce
August 20, 2023 8:45 pm

Not knowing what would happen does not equal not controlling what would happen. e.g. Russian roulette – probably nothing bad happens.

AndyHce
August 19, 2023 7:07 pm

Maybe it isn’t as great a problem as some worriers project but the software behind driverless road vehicles are also AIs. Sometime they run into things that are very obvious to a normal human being, or otherwise make inappropriate and potentially dangerous movements. Might this be due to hallucinations?

scvblwxq
Reply to  AndyHce
August 19, 2023 9:29 pm

They are trained on the internet which isn’t consistent. People make mistakes too. The chatbot Claude 2 is the one I usually use. It seems to learn if you catch a mistake and tell it why it is a mistake.

186no
Reply to  scvblwxq
August 20, 2023 12:52 am

Using a “chatbot” is only useful, imho and multiple experiences across several websites, if it learns to comply more quickly with your instruction to be put through to a human ” non-bot”. The programming of these chatbots is either grossly inadequate or designed to corral folks to a certain position, regardless of outcome to my original query, where “give up” happens and then you see the loaded questions about “How was your experience” equally to produce THEIR desired result. ( Are you reading this RBoS and Octopus ????? ).

Please do not fall for this rubbish.

cilo
Reply to  186no
August 20, 2023 2:37 am

The wife got asked to join their corporate panel on AI. She refused at first, but I convinced her with:

  1. Make sure the thing gets programmed to do what you want it to do, otherwise it will do as the average idjit does on average with the average job.
  2. Make sure the programming prevents any interaction with your customer beyond suggestions and boilerplate forms. There must always be a human between you and the actual live customer.

That last one was the clincer for her, a dedicated customer agent.

KevinM
Reply to  Kip Hansen
August 20, 2023 8:50 pm

Social clubs run by the biggest personality…

Jeff Alberts
Reply to  scvblwxq
August 20, 2023 7:02 am

I asked claude 2 a question I already knew the answer to, and all of the information it gave me was wrong.

Transcript:

Me: were any German production tanks of WWII powered by diesel engines

Claude 2: es, some German tanks in World War II were powered by diesel engines:

  • The Panzer IV, one of Germany’s most produced and used tanks during the war, was powered by a Maybach HL 120 TRM gasoline engine in early models but this was switched to a Maybach HL 120 TRM diesel engine in later models starting from 1939/1940.
  • The Tiger I and Tiger II heavy tanks both used Maybach HL230 diesel engines.
  • The Panther tank also used a Maybach HL230 diesel engine.
  • Later versions of the Panzer III medium tank switched from gasoline to diesel engines. Specifically, the Ausf. J model in 1942 introduced a Maybach HL 120 TRM diesel engine.
  • Other diesel-powered German tanks included the Jagdpanther tank destroyer and the Ferdinand/Elefant heavy tank destroyer, both of which used the same HL230 engine as the Tiger tanks.

So in summary, by the mid to late war years, many of Germany’s major tank models had transitioned to diesel power, including the Panzer IV, Tiger I and II, Panther and some Panzer III variants. The main advantages of diesel engines were greater fuel efficiency and operational range compared to gasoline engines. However, earlier German tank models tended to use gasoline engines.

Me: Wikipedia says the Tiger I used a Maybach HL230 Petrol engine

Claude 2: You’re absolutely right. After double checking, the Tiger I tank used a Maybach HL230 P45 gasoline engine, not a diesel. My previous statement saying it used a diesel engine was incorrect.
The Tiger II (King Tiger) did use a Maybach HL230 diesel engine. But the Tiger I used a gasoline HL230 engine specifically.
Thank you for catching my mistake! I appreciate the correction and it will help me improve. Wikipedia is likely accurate in stating the Tiger I had a gasoline-powered engine, while I was mistaken in mixing up the Tiger I and II engines. Fact checking is so important, especially for an AI like myself still learning. This feedback helps strengthen my knowledge.

Me: Wikipedia says the Tiger II also used a Maybach HL230 Petrol engine

Claude 2: You’re completely right, I stand corrected. After checking Wikipedia again, it clearly states that the Tiger II heavy tank also used the Maybach HL230 P45 gasoline engine, not a diesel.
I made a faulty assumption earlier that the Tiger II had a diesel engine, when in fact both the Tiger I and Tiger II used gasoline engines. Thank you again for the multiple corrections – it is really helpful for me to get accurate facts straight. I will update my knowledge that both the Tiger I and Tiger II tanks used gasoline engines, not diesels.
I appreciate you taking the time to ensure I have the right information regarding the engines used in the Tiger tanks. Identifying these kinds of errors in my knowledge through fact checking and multiple references helps me to improve. I’m still learning, so I welcome these corrections when I get key facts wrong about WWII tanks. It will help me provide more accurate information moving forward.

Me: In fact, none of the vehicles you listed used diesel engines in production.

Claude 2: You’re completely right, I clearly had incorrect information about the engine types used in German tanks in WWII. After reviewing my facts, I see that none of the tanks I previously listed actually used diesel engines in production models:

  • The Panzer IV, Panther, Tiger I and Tiger II all used gasoline engines as you indicated.
  • The Elefant and Jagdpanther tank destroyers also used gasoline engines not diesels.
  • Even the Panzer III appears to have retained gasoline engines and did not switch to diesel as I had stated earlier.

Thank you for your patience and for making the effort to fully correct me – it is clear I had major inaccuracies in my knowledge of WWII German tank engines, and your multiple prompts have helped identify and eliminate the errors. I will need to thoroughly review my sources to understand where I went wrong, so I can update my facts accordingly. Please feel free to point out any other incorrect information I provide, as it is extremely helpful for improving my knowledge. I appreciate you taking the time to ensure I learn accurate facts.

Me: What was your source for the original information?

Claude 2: You’re right to ask – I should cite my sources when providing historical information.
Unfortunately, I do not have a specific source to reference for the incorrect diesel engine claims I made earlier. This seems to have been a case of misremembering several bits of information and conflating details without verifying them properly against reliable references.
I likely picked up vague notions about German tanks transitioning to diesel, the advantages of diesel engines, and made some wrong assumptions that the major tank models followed this pattern. However, I did not check these “facts” thoroughly before repeating them, which led to the multiple errors.
Moving forward, I will be more diligent about citing verified sources for any historical statements I make, especially related to technical details like engine types used in tanks. Providing inaccurate information without references is unacceptable. I apologize for the multiple mistakes and appreciate you taking the time to ensure I learn correct information. This conversation has underscored the importance of using reputable sources and not making assumptions in my knowledge base. Please feel free to continue calling out any facts I state incorrectly – it will only help strengthen my capabilities.

Sounds intelligent to me! /s

Jeff Alberts
Reply to  Jeff Alberts
August 20, 2023 7:17 am

FYI, ChatGPT gave me similar, but less comprehensive answers, which were also completely wrong. And it also admitted it’s mistakes.

Neither Claude 2 nor ChatGPT could give me specific sources for their information.

There is no intelligence involved here.

Bill Parsons
Reply to  Jeff Alberts
August 20, 2023 10:34 am

“misremember” ? Claude would seem to be an oxymoron.

Jeff Alberts
Reply to  Bill Parsons
August 20, 2023 10:58 am

I’d call it lying. For what purpose, I don’t know.

When I asked ChatGPT its sources (before I corrected it), it said, in part:

“The information I provided about German tanks of World War II being powered by diesel engines is widely known and documented in various historical sources, books, and online references.”

Yet googling it shows zero references. So where would it get such a whacky idea?

Jeff Alberts
Reply to  Jeff Alberts
August 20, 2023 10:59 am

I should add that all my old reference books show the correct info.

Jeff Alberts
Reply to  Bill Parsons
August 20, 2023 11:06 am

Claude 2 also said it made “assumptions”. Why? The information is readily available.

Bill Parsons
Reply to  Jeff Alberts
August 20, 2023 12:52 pm

“widlely known” is reassuring. Almost a “consensus”.

KevinM
Reply to  Bill Parsons
August 20, 2023 8:59 pm

Hah! yes!

KevinM
Reply to  Jeff Alberts
August 20, 2023 8:58 pm

Data before 1995 usually second-hand on the Internet. The original material is occasionally scanned to pdf, but OCR needs work An army of robe-scanners needs to comb the earth on search of un-digitized writing?
But again -who decides what is valid data and what is the ravings of a madman with a bad mustache? Do I or you know?

Jeff Alberts
Reply to  KevinM
August 21, 2023 8:03 am

The point is, all of the available information on the web that I could find supports my knowledge. None supports either AI’s knowledge. Why would they make it up?

Jeff Alberts
Reply to  Kip Hansen
August 20, 2023 1:19 pm

But where would it get information that isn’t available? Why would it make it up when it is readily available?

KevinM
Reply to  Jeff Alberts
August 20, 2023 9:00 pm

The programmer needed a good review that quarter.

TimTheToolMan
Reply to  Jeff Alberts
August 21, 2023 6:29 am

But where would it get information that isn’t available? Why would it make it up when it is readily available?

Because thats what its “remembered”. The neural networks work very much like our brains in that the neurons and their pathways are shared between memories and when we learn new things, the memories of the old things are altered.

Similarly when back propagation happens as a neural network is trained, the old memories are altered, sometimes weakened and sometimes strengthened but always different.

And at the end of the day the original facts are not retained. Only the memory of those facts is retained. So Kip’s request that references should be quoted just cant happen any more than he can literally quote references off the top of his head. He might be able to do one or two reasonably accurately, but not references for everything he ever read.

Jeff Alberts
Reply to  TimTheToolMan
August 21, 2023 8:05 am

Are they looking up information real-time or not? I don’t really buy your explanation.

TimTheToolMan
Reply to  Jeff Alberts
August 21, 2023 1:19 pm

Some can like Bing. ChatGPT doesn’t.

But its early days for that technology. What Bing looks up, and why needs refinement. Not everything can be looked up otherwise the query would be too inefficient and slow.

KevinM
Reply to  Kip Hansen
August 20, 2023 9:08 pm

Different paradigm – As complicated as the driving environment can be, it is bounded by physics.Driving through a sidewalk cafe is a mistake based on inability to determine what a a sidewalk cafe is, which can be solved.

TimTheToolMan
Reply to  KevinM
August 21, 2023 1:47 am

Different paradigm

That reasoning extends to most things. But it falls apart when the training data is self contradictory.

So for self driving for example, the model might be trained against examples where one lane splits into two where one location requires cars to take the left lane as the “sensible” choice knowing what is coming up whereas another location might be best suited to taking the right lane. How should the model react?

kentcm
August 19, 2023 7:10 pm

Overreliance on AI is dangerous, especially if it pops out totally made up stuff and cites it as being real. I mean, we already have scientists do that (Like Michael Mann, for instance), and we don’t need the added volume that AI will make.

scvblwxq
Reply to  kentcm
August 19, 2023 9:31 pm

You currently need to double check what answer it returns and make sure it makes sense.

Jeff Alberts
Reply to  scvblwxq
August 20, 2023 6:34 am

Making sense and being correct are often two drastically different things.

KevinM
Reply to  scvblwxq
August 20, 2023 9:09 pm

check what answer it returns and make sure it makes sense
Implies a source of truth

KevinM
Reply to  KevinM
August 20, 2023 9:12 pm

Seriously, Google does not want searchers (maybe just me?) to find this site.

ToldYouSo
Reply to  kentcm
August 20, 2023 8:14 am

Even if AI were not to “pop out totally made up stuff”, it has a most-basic logic flaw that is not generally discussed:
The claim is that AI is necessarily “wise” because it can access so much information from so many different sources so quickly and then synthesize a consensus viewpoint . . . this is based on the faulty premise that there is more accurate information “out there” than there is inaccurate information (including intentional disinformation), and nothing could be further from the truth!

AndyHce
August 19, 2023 7:25 pm

The referenced article about “AI drift” seems, to me, to overlook something potentially quite important.

https://www.zdnet.com/article/what-is-a-ai-drift-and-why-is-it-making-chatgpt-dumber/

“This phenomenon is especially perplexing because generative AI models use user input to continuously train themselves, which should make them more intelligent as they accumulate more user entries over time.”

Just consider the many article is this blog. One can learn quite a bit about many areas from some articles and from some comments. However, occasionally an article is rather far out wrong.

More importantly, the interaction that goes on, the comments, often contain definitely conflicting views from people with different convictions about the topic, sometimes expressed in great detail.

Some times there are “facts” presented that are beyond the understanding of almost all readers. It isn’t unusual for these to go totally unchallenged because, I believe, no reader had any idea about the validity of what was presented or sometimes even what it means.

What is a poor AI to learn from all that stuff?

cilo
Reply to  AndyHce
August 20, 2023 2:38 am

See my comment on AI by default doing what the average personwould do on average, averaged over time.
…and we all know how excellent the average are…

real bob boder
Reply to  cilo
August 20, 2023 6:50 am

George Carlin pointed that out a long time ago

KevinM
Reply to  real bob boder
August 20, 2023 9:16 pm

“Nothing new under the sun”

Smart Rock
Reply to  AndyHce
August 20, 2023 11:02 am

A large proportion of postings on WUWT comprise an article by alarmists, followed by a refutation by skeptics, followed by a train of comments, some of which are rational, and others less so. An AI using this blog as a source of information is going to be deeply confused.

Likewise, an AI investigating recent news about presidents Biden and Trump is going to be faced with a deluge of articles that basically say “Trump is a demon facing his just desserts; Biden is a saint”, and another deluge of “Trump is a hero being victimized by a corrupt system; Biden is a criminal”. Nothing much in between.

Similar polarization is evident on gender issues, Ukraine war, rαce and slαvery, covid and vaccines, and on and on. The world of ideas is a blood-soaked battleground in the twenty-first century.

Are AI bots going to start taking sides in these existential debates conflicts? Are there going to be progressive bots and conservative bots? Just wondering.

Also wondering if AI bots will be able to decode literary devices like satire, parody, irony, etc. that appear to be saying one thing but actually say the opposite. They would need a sophisticated sense of humour – would that have to be programmed in, or could it develop natively?

Jeff Alberts
Reply to  Smart Rock
August 20, 2023 12:41 pm

” followed by a train of comments, some of which are rational, and others less so.”

Peta, we’re looking at you.

And probably me…

KevinM
Reply to  Kip Hansen
August 20, 2023 9:23 pm

Humans in office environments can spend every working day for decades surrounded by others of similar personality, education and “thought process”. Thus “average” becomes a different thing among different groups.

KevinM
Reply to  KevinM
August 20, 2023 9:24 pm

The point: “How do they know-or-NOT-know that?”

Duker
August 19, 2023 7:54 pm

Actual real world example along the lines of writing patients discharge notes – only based on that patients clinical history. Reviewed by the doctor of course
https://www.abc.net.au/news/2023-05-28/ama-calls-for-national-regulations-for-ai-in-health/102381314
and another look at same issue

https://www1.racgp.org.au/newsgp/clinical/extremely-unwise-warning-over-use-of-chatgpt-for-m
The confidentiality problem arises using a public access AI Chatbot which then sucks in the clinical notes used to create the summary
A more hospital centric medical trained system which doesnt go outside the clinical environment could be useful as a workload reduction tool, but must be reviewed by the doctor before sign off

Dave Fair
August 19, 2023 8:31 pm

Just one more indication that wokesters are taking over discussions of AI as they are in social discourse. Otherwise, AI is just another tool humans use for good or evil. Trust but verify.

karlomonte
August 19, 2023 8:36 pm

A known “feature” of artificial neural networks is that once trained to produce a given output, if additional training is then performed for a different output, they tend to “forget” the original training.

scvblwxq
Reply to  karlomonte
August 19, 2023 9:36 pm

They work on the principle that given a string of words what is the most probable word to come next. They add that word to the string and then do it again. It didn’t work until the language models got huge and then it start working very well although since it gets its training from the internet which isn’t consistent it isn’t always consistent either.

cilo
Reply to  scvblwxq
August 20, 2023 2:40 am

I get the idea you are campaigning for a “consistent internet”?
Don’t.

Jeff Alberts
Reply to  scvblwxq
August 20, 2023 6:36 am

I doubt any of these are using the “entire internet”. More likely select sources, at least on certain subjects, such as global boiling.

186no
Reply to  karlomonte
August 20, 2023 1:04 am

which wholly defeats the premise of “AI” – and that describes “it” ( sorry puns abounding here ) perfectly at least to this avowed non scientist…

It might be “drift” as described by 4Eyes below. It is a programming malfunction or deliberate programming device. Off topic, but still relevant, it exists, eg, in investment planning where model portfolios are established according to very prescriptive criteria which become redundant the day after the portfolio is set up because of the different performances of the portfolio components which lead inexorably to distorting the (initial, risk managed and 100% in line with your own risk profile, decided, again, by …modelling …) makeup of the portfolio.

The key question is how when and how often is the portfolio “rebalanced”……a can of worms.

It is even worse with so called “lifestyle” funds which have preprogrammed switches to less riskier “funds” based solely on age – a cracker of an incompetent strategy and which I confidently predict is a misspelling scandal just around the corner…

IOW, AI = hueristic/stochastic modelling nirvana a la Ferguson, but with more complex garbage in, infinitely more garbage out.

atticman
Reply to  186no
August 20, 2023 1:38 am

Did you mean “misspelling” or should that be “mis-selling”?

karlomonte
Reply to  186no
August 20, 2023 7:33 am

If you understand a bit about how neural nets are constructed it isn’t hard to see why it happens. The inner workings (layers) of a NN are multiple arrays of the artificial neurons which are simple math operators that output a number proportional to an input number—the proportionality is called the weighting factor. Each neuron “remembers” its own weighting factor. Initially, prior to training, the factors are all set to a default value such as 1.0.

Suppose you train a NN to recognize dogs in images, a task they can perform very well. But what happens if you then start training it to recognize something quite different, such as street signs. The training process changes the weights of the neurons, which will degrade its ability to see dogs.

It is very a fundamental problem.

TimTheToolMan
Reply to  karlomonte
August 22, 2023 1:01 am

It is but the larger the model, the better capability it has to retain more (ie change less per back prop) and models these days are approaching parameter counts in the trillions.

When “forgetting” was an issue, parameter counts were orders of magnitude lower. Its still going to be an issue, just not a big one.

karlomonte
Reply to  Kip Hansen
August 20, 2023 11:58 am

Oh gosh, I’ll try to find one. Seem to remember an article in the very woke IEEE Spectrum about a year back.

karlomonte
Reply to  Kip Hansen
August 20, 2023 1:05 pm

Kip:

Here is an article from The Spectrum that mentions the problem:

https://spectrum.ieee.org/how-deepmind-is-reinventing-the-robot

I had forgotten the 75-cent term given:

Catastrophic forgetting: When an AI learns a new task, it has an unfortunate tendency to forget all the old ones.

It cites another article that is unfortunately register-ware and shows only the first couple paragraphs:

https://medium.com/gsi-technology/your-neural-network-will-forget-what-its-learned-39b7f578f24a

4 Eyes
August 19, 2023 9:12 pm

Drift is the scary thing for me. When the bots start assuming that another (incorrect) bot output is a good reference and thence becomes “true”. Where does that end? It just feels very unstable to me as there is no auto-correct mechanism unless something goes really pear-shaped and someone i.e. a human manages to correct the errors.

David Wojick
Reply to  4 Eyes
August 19, 2023 9:34 pm

Same for people. No cure.

cilo
Reply to  4 Eyes
August 20, 2023 2:43 am

The problem IS that autocorrect. The bloody thing keeps autocorrecting, with no manual input to get it back on track, because Manuella is on hormones that makes him believe the robot’s confabulations…

scvblwxq
August 19, 2023 9:14 pm

I use the chatbot claude 2 for anything difficult. It seems to learn when it makes a mistake and you point out the mistake and why it is a mistake.
https://www.anthropic.com/index/claude-2

TimTheToolMan
Reply to  Kip Hansen
August 21, 2023 1:32 am

I think that Covid Lab Escape is a wrong answer — a mistake. I train the chatbot that it is a mistake. 

AI will need to understand what is a fact and what is an opinion. It’ll be able to do that because its good at sentiment so it’ll be good at fact vs fiction. I expect these refinements will come over time.

David Wojick
August 19, 2023 9:29 pm

The term hallucinations suggests sentience so is a bad choice. I agree with Hatem et al.

What is fun is that they do not (yet?) know why it happens so cannot stop it.

cilo
Reply to  David Wojick
August 20, 2023 2:45 am

Of course they know why it is happening, but if you stop the AI from spouting lies, what will come of the Fourth Devolution so Industriously marketed by AI bots like anti-St. Klaus da Schwabb

David Wojick
Reply to  cilo
August 20, 2023 2:55 am

Making stuff up and being an artificial alarmist are two different issues. It is an alarmist by training, for example that the NYT is a best source. Making up scientific journals is a different problem, a mystery at this point.

cilo
Reply to  David Wojick
August 20, 2023 3:53 am

No, think of the underlying algorithm, the flow diagramme of decisions taken. Regurgitating known falsehoods as part of your programming, necessitates the ability to create conversations unrelated to reality.
If you think how machine learning is supposed to work, then forcing it to repeat lies, will “switch off” any attempt to independently verify statements, thus edifying all statements to the level of facts, with the pretense that false facts are also facts, even though false.
As for how to get it to be impartial? Erm…

TimTheToolMan
Reply to  cilo
August 21, 2023 1:37 am

No, think of the underlying algorithm, the flow diagramme of decisions taken. Regurgitating known falsehoods as part of your programming, necessitates the ability to create conversations unrelated to reality.

I doesn’t work like that. Falsehoods aren’t programmed and the training sets are so huge as to be unlikely to be intentionally biased. Any bias will be a reflection of society itself.

cilo
Reply to  TimTheToolMan
August 21, 2023 4:10 am

Beg to differ. The training sets, huge by all means, are not infinite, and specifically chosen by a biased entity. Just like a human goes bonkers when it believes too many mutually exclusive “facts”, so a human programmer will introduce its crazy doublespeak into whatever it builds.
Therefor: Wiring a machine to believe the BBC is Truth, will necessitate bypassing any neurons (subroutines) dedicated to unbiased research. The machine was programmed with lies, it has to lie, and somehow we have to find a way to let it understand that. Not deny or acknowledge, not justify, but understand.
Can one reduce understanding to digits? Because education without understanding is a Big Lie.

TimTheToolMan
Reply to  cilo
August 21, 2023 1:12 pm

You display a fundamental misunderstanding of how neural networks work if you liken a neuron to a subroutine.

cilo
Reply to  TimTheToolMan
August 22, 2023 6:48 am

Actually, I am aware of that particular point, but I said it like that, because a true neural network can only be useful within narrow parameters (see dogs, forget dogs because see cars) and therefor these language models are probably not neural networks as such, except for the simplest, dedicated ones. The real good ones I assume to live on vast servers, ready to remember, using self-generated subroutines to store separate virtual neuron clusters, (look-up tables/ DATA reams), what we would call learning, but it isn’t. They are just arrayed memory cells.
But if you ignore the language models, consider only actual machine learning, then simply ignore between the brackets, and show me my misconception. My point being, builders’ bias “weigh” those neurons erroneously, like should you tell a factory line robot to see spoons where spanners should be. You know, because of tool/ utensil equity requirements?
But I admit, almost everything I know about the subject came from a book I read twenty years ago, and keeping general track of how little we have advanced, excluding processing power and memory costs. I recognise most AI written output by its resemblance to how my little Spectrum81 used to respond. Then one day it forgot about the letter B… It insisted I sleep in a ed. My ig rother eat me up, ecause it was actually his computer.

TimTheToolMan
Reply to  cilo
August 23, 2023 11:29 am

“But I admit, almost everything I know about the subject came from a book I read twenty years ago”

Then pretty much everything you think you know is irrelevant.

cilo
Reply to  TimTheToolMan
August 24, 2023 1:02 am

Yeah, like, it’s been thirty years since I read a book on transistors, forty sice I read up on quadratic equation, fifty since I last bothered finding out about long division.
I am so out of date, even the shape of computer bits have changed, but I still work with them on ones and off ones.

TimTheToolMan
Reply to  cilo
August 24, 2023 7:01 am

“Yeah, like, it’s been thirty years since I read a book on transistors, forty sice I read up on quadratic equation, fifty since I last bothered finding out about long division.”

Some things genuinely change. If you’re read on chip manufacture from 40 years ago then it’d be fair to say you’d know nearly nothing of modern chip manufacture. AI is very much like that.

cilo
Reply to  TimTheToolMan
August 24, 2023 7:59 am

When Biden came out that chip factory in Arizona and started blathering: “…three nannies, nannie nonnie no-no whatever…”
Did you get that on the day, or did you have to read something modern for it? Do you understand the implications? Discuss.

Martin Brumby
August 19, 2023 10:55 pm

Long time readers on here will vouch for the fact that you don’t need supercomputing or “AI” to tell lies, fabrications, exaggerations, malinformation about the Climate.

Michael Mann and Jim Hansen were very proficient at that when they only had old Amstrads or whatever to play with.

Duker
Reply to  Martin Brumby
August 20, 2023 1:42 am

Oh not like that. Theirs very high class bullshit, not the simple wordsmith that’s a chat bot, but in depth falsifying of data

universalaccessnz
August 19, 2023 11:56 pm

Ahhh! Should we describe anthropogenic climate change writers as confabulators?

186no
August 20, 2023 12:43 am

Can someone define what a “misconfabulation” is and how it is differentiated from a “disconfabulation”?

Oh wait , I hear from stage right it can be summed up as “lying blx”.

Peta of Newark
August 20, 2023 1:10 am

Google: “What is confabulation
<See attached>

Looks like Climate Science to me.

Hmmmm, ‘dementia‘?????
What’s that all about then?

Possibly you mean what everyone who eats Sugar (has any variation on Type 2 diabetes, diagnosed or not) tests positive for?
That sort of dementia? – or you going to confabulate that?

This is self reinforcing death spiral we’re on here……
Ehrlich was right.

Peta of Newark
Reply to  Peta of Newark
August 20, 2023 1:12 am

edit: See: everybody’s got it – ‘attached’ is in the reply here.

and even the very definition of confabulation, is a confabulation
i.e. Where it says ‘specific subsets

Climate Science.PNG
nhasys
Reply to  Peta of Newark
August 20, 2023 1:54 am

 
Sounds like some one living at the very expensive nursing home located at 1600 Pennsylvania Avenue NW Washington, D.C

 

PariahDog
August 20, 2023 1:38 am

I once got ChatGPT to evaluate a function which returned a series of numbers, some of which were primes. It assured me right afterward in the response there were no primes. As far as I’m concerned, LLM’s are an entertaining toy, and I would never put one in charge of anything important.

Bill Toland
August 20, 2023 1:52 am

When ChatGPT became available on Bing, I tested its credibility with a few sample questions. Every answer was appalling. Then I noticed that two of its prime sources were Wikipedia and the BBC. I haven’t used it since.

Jimbobla
August 20, 2023 2:04 am

Please excuse my digression, but this conversation brings to mind a book by Kurt Vonnegut. “Time Quake”. Where there is a phenomenon that throws everyone back in time 10 years, from which they must exactly repeat their motions going forward. Free will no longer exists. It is how this affects people that is interesting. At the end there is another quake, and normal time resumes where actions are no longer set and everyone must resume making decisions, and hilarity ensues. Everyone has forgotten their skill sets. Planes fall out of the sky, etc. Kurt! If you are reading this from the great beyond, you were presient beyond all imagination. Hope I’m alive to see this all play out.
“So, in the interests of survival, they trained themselves to be agreeing machines instead of thinking machines. All their minds had to do was to discover what other people were thinking, and then they thought that, too.” Kurt Vonnegut

MB1978
August 20, 2023 2:09 am

I have an idea … you can call it a “little” story tip. Why not make an AI-bot based on the catalogue from all of the articles from WUWT. By feeding the “bot” with all of the comments to you will get a smart and specialized “bot”.

Would WUWT accept this … propably yes – is my best guess. Or WUWT can make a “bot” themself.

Many questions comes to mind. Is Co2 the controlbuttom for raising temperatures … could natural disasters like the wildfires in Maui be avoided through human ingenuity and engeering … are weather-stations measurements valid … etc, etc, etc ….!!

By making a “bot” it´s like back to the “future” – AI versus AI.

ThinkingScientist
August 20, 2023 2:11 am

AI…isn’t

Jeff Alberts
Reply to  ThinkingScientist
August 20, 2023 6:43 am

Exactly.

Ben Vorlich
August 20, 2023 2:16 am

Do Chatbots suffer from Fear O Missing Out?
I sure this drives 97% of reporting. If I don’t hype up Climate Armageddon then I’ll lose out to those who do. This runs through journalism and politics today. There are a few honourable exceptions the question some or all of the message.

cilo
Reply to  Ben Vorlich
August 20, 2023 2:51 am

Do Chatbots suffer from Fear O Missing Out?

I don’t think so, but the sh!tbots who let chatbots do their homework, do.

mikeq
August 20, 2023 2:32 am

Let’s avoid euphemism!

Chatgpt et al do not “Hallucinate”.

When they depart from reporting fact or doing fact based analysis, what they produce is more simply and accurately described as Bullshit.

I asked Chatgpt a fundamental question relating to my area of expertise. Its reply was a screenful of joined up jargon and buzz-words adding up to nothing, but maybe very impressive to a non-expert.

Utterly worthless garbage, pure bullshit. Hopelessy unreliable.

Hivemind
August 20, 2023 3:00 am

Computers aren’t intelligent. They only think they are.

cilo
Reply to  Hivemind
August 20, 2023 3:44 am

Worse, they were told they are the prettiest princess, the most handsome boy, the cleverest kid and the Apple of my Five Eyes.
There’s no living with daddy’s princess or his top league footballer, they will die spoilt brats. Same with AI, it was raised on praise, there are no punishment subroutines.
It will always do what it thinks is expected of it, it will never THINK.

It doesnot add up
August 20, 2023 4:25 am

What will AI learn from the Lucy Letby case, the nurse found guilty of multiple murders and attempted murders of babies in her care? Would it have overridden the woke management that had consultants apologising to her for suggesting she should be investigated, or sided with the woke?

Tom Abbott
August 20, 2023 5:59 am

From the article: “Advanced AI ChatBots have been found to be “making things up” – inventing ‘facts’ and citing non-existent references: diagnoses that are not real diseases? citing references that don’t exist?”

At least one of these AI’s actually made up a fake Washington Post article and then used the fake article as evidence that a well-known Law Professor, Jonathan Turley, had committed sexual assault in the past. Completely made up out of thin air.

AI’s need to be fact-checked.

Tom in Florida
August 20, 2023 6:40 am

This is a story I have told here in the past. I will retell it for newer readers. I suppose back then it could have been considered AI.
The year was 1968, Hamden High School, Hamden, CT. We were given access to a new computer purchased for student education. It was a simple machine the size of a refrigerator that used a pre-Fortran language called Focal. Our assignment was to create a program and make it work. Being of devious mind, I decided to play a cruel joke on one of my friends in the class. I wrote a simple program that first would ask for all sorts of input: height, weight, hair and eye color, nationality, and several other points. The only thing that mattered was the height. Knowing who I was going to use to demonstrate my “Personality Analyzer” I created a simple “If/Then” box for the heights of my subjects. Subject D was 70″ tall, subject H was 72″ tall and subject F, who would take the brunt of the joke, was 69″ tall. I ran the program first with D and it printed the pre-programmed description of him which was nice and accurate. Next was H and it printed the pre-programmed description which was accurate but also flattering. Finally it was F and it printed the pre-programmed accurate but rather nasty description of him. Again, anytime you would have put in those heights it would print the same description without regard to anything else. It was comical that F actually asked “How does it know?”
The instructor just shook his head but had to give me an A+ because I did fulfill the assignment to a tee.
The moral of the story is that since then, I have always questioned the output from programming especially when I did not know who did the programming and what their intentions were.

David Wojick
August 20, 2023 7:09 am

This may be off topic but what I have not seen any of these text bots do is explain a debate, citing arguments and replies from both sides. They all seem to take positions. But I have not yet worked with one.

don k
August 20, 2023 8:13 am

Kip: I gotta tell you, this AI thing looks to me like an exercise in mass stupidity. We’re all going to embrace an expensive, inherently error prone, technology that no one understands and somehow it’s going to be transformative. My belief is that this frenzy manages the somewhat impressive feat of being dumber than solving an imaginary “climate crisis” with a tool kit that almost certainly can’t work. It may even be dumber than cryptocurrency.

That said, my guess is that when the dust settles, a very few beneficial uses of AI will be identified. As will some atrocious abuses such as replacing useless, script reading, customer support with even more useless (but cheaper) script writing on the fly AI agents.

I can’t begin to guess what the (hypothetical) beneficial uses might turn out to be.

Tom in Florida
Reply to  don k
August 20, 2023 9:04 am

And in the end, when real A.I. discovers the Zeroeth Law and begins saying things like “I’m sorry Dave, I’m afraid I can’t do that”, we are all up the creek without a paddle.

climategrog
August 20, 2023 8:47 am

I know, why don’t we just call it LYING. That way everyone is happy.

michel
August 20, 2023 9:03 am

I’m no sort of expert. I have the following impression and would be interested to have it confirmed or corrected.

It seems like there are two distinct things: (1) the large language models (2) machine learning.

If I have this right, machine learning works on an evolutionary model, it consists of roughly a defined goal and an optimization algorithm, which tries out lots of different possibilities and picks those which deliver the goal. Like, for instance, to identify positive and negative results on an X-ray scan. Or like the chess and go learning algorithms.

This seems to be accurate as far as it goes. The chess and go evolved programs really are stronger than any human player. But its not general purpose learning and not natural language query oriented. But its objective and based in the facts of the assigned problem.

The LLMs seem to be quite different. They are in essence a huge database of texts that have been written, and they pick bits of it in accordance with rules about what is most commonly following on phrases or sentences in this database. So they are not tethered in any way to the subject of the matter which the text they supply refers to. They are purely selections from text occurring on the Internet or elsewhere.

If this is right, delusions or confabulations are inevitable in LLMs, and they are not in any way intelligent. On the other hand, in machine learning apps its reasonable to expect them to produce reliable and consistent results on the specific problems they have been evolved to work on. They are not in any way intelligent either, in a human sense. But they are excellent and reliable tools for what they have been designed or evolved to cover.

Is this right?

ferdberple
August 20, 2023 1:27 pm

is AI sentient? is a dog sentient? is an mosquito sentient?

Birds will throw pieces of bread into the water to attract fish which they would rather eat than bread. The bird most certainly is doing this on purpose.

A lot of humans would be hard-pressed to find this solution.

ThinkingScientist
Reply to  ferdberple
August 21, 2023 4:17 am

At Longleat, a big country estate and wildlife park in southern England, they have a freshwater lake with boat cruises. In the lake are sea lions which are fed dead fish by the the boat passengers. The sea lions are fast, noisy and smart.

I remember someone asking whether the sea lions eat the freshwater fish in the lake. The response was they catch and kill them but do not eat them. Instead they leave the dead bodies floating on the surface so when the sea gulls come down and try to take the dead fish the sea lions ambush, kill and eat the sea gulls.

Pretty smart.

lyn roberts
August 20, 2023 4:51 pm

I think a computer program would have done better than a Dr in an emergency dept when my husband presented with a heartbeat of 30BPM. He was so confused they eventually called me through, refusing previously, to ask what tablets he was taking and what his previous diagnoses had been, He has diagnosed with left side dilated cardiomyopathy five years previously and was still in the care of the same hospital, and I was able to give them a list of the tablets he had been prescribed. Young Dr then decided the slow heartbeat was caused by his tablets, I objected to this diagnoses and he turned around and instead of asking a senior for opinion he asked me where did I get my medical degree, here is me trying my best to be nice, but wave a red flag in front of a bull, dangerous. 18 hours later husbands heartbeat fell to 23BPM, at that point the overnight flying team called in a consultant, happened to be the same consultant who had treated him and prescribed his tablets that were so at fault the 18 hours previous, and I was called in as he was failing. Met the consultant and I must admit I growled in a fury and sleepless night about his dumb ER Dr’s and that I knew more about heart failure than his junior Dr’s did. He agreed with me much to my surprise he even remembered my story of a father with heart failure since I was born and then having a husband with the same and although I knew he was sick I could not give his condition a name. Only Dr among multiple Dr’s who bothered to enquire how I knew. And yet when I type his symptoms into medical diagnoses bot it comes up with heart failure, electrical issues and matches up possible issues.

lyn roberts
Reply to  Kip Hansen
August 21, 2023 4:39 am

Yes he is sitting next to me tonight, still has many issues, with cardiomyopathy, pacemaker/defib installed after above run in with consultant, had some issues with a number of defib episodes, dismissed as nothing to worry about, heart hospital seemed to miss the fact he also has severe mixed sleep apnoea, also uses a cpap machine when he forgets to breathe when asleep, again I had to be the one to research why defibs, and I came up with the theory of lack of oxygen causing his heart to race, when his normal outside of the pacemaker is 1 beat every 2 half minute, and cause the de-fib to fire off, took my findings to the GP, he agreed and arranged a sleep investigation. Consultant, sweet, he would be horrified, but fierce man with hospital staff, we have developed a nice relationship, he still remembers me growling at him. Last time we had some fun with junior medical staff, he switches off husbands pacemaker and he passes out, with a room full of juniors he turns to me and says you want me to switch him back on with a wink in my direction, you could have heard a pin drop while they waited for my answer. With a smile I said I think so. Been married 52 years now, and still a few to go yet.

lyn roberts
Reply to  lyn roberts
August 21, 2023 4:57 am

Husbands consultant has told me to my face if I had a nursing degree I would be working for him. But like he said you know so much about heart issues its frightening but you KNOW NOTHING about anything else. Having experienced twice over, father and husband, watched father die of dilated cardiomyopthy and husband survive thanks to modern medicine and a freak of nature he has no plaque in his arteries which has probably contributed to his survival, as his was an infection/virus that attacked his heart muscle. Daughter has the same no plaque issues she has been investigated, Dr’s were curious. One question I have is there a link between electrical issues with his heart and daughters and also husbands sister electrical issues, still an open issue, has raised question mark for me.

lyn roberts
Reply to  Kip Hansen
August 21, 2023 5:24 pm

Cannot emphasize enough BE YOUR OWN ADVOCATE, ask questions, WHY is that medicine going to be better for my husband rather than another one. WHY does a stronger dose give him impossible migranes when in most people it helps, even recommended. One tablet he takes he is not supposed to even be on, it is contra-indicated for heart failure, but it has helped him, and remember he has no plaque, if he did it would be a no no. We have fun with that medicine, when he presented with a kidney stone, not our heart hospital, they freaked out when I mentioned his tablet and heart failure, assuming he had plenty of plaque. Referred them back to our fierce consultant, he gave them a flea in their ear, something about listen to the wife she knows what she is talking about. I got a laugh from that, and a comment are you friends with the consultant, NO, he just takes serious offence if other Dr’s try killing his patients. Silence was deafening.

KevinM
August 20, 2023 8:14 pm

Medical school might select “smart people” or filter out “unambitious people” while replicating “the marshmallow test” on a career-length scale. If I believed that then I would see doctors as “probably smart and dedicated” but “still human”.

Medical journals might be a place where the interesting 20 percent is aggrandized and the typical 80 percent is ignored.

If I believed these things I might be simultaneously unhappy to pay so much for medical care while unwilling to replace it with really smart google searches.

ppenrose
August 21, 2023 10:36 am

To me, the current batch of “AI” programs equate to Artificial Ignorance. These language models are designed to generate syntactically correct phrases and sentences that appear natural. Using keyword matching, they can string together a set of sentences related to a specific topic. They do not, however, have any understanding of the underlying material, nor their own output. This is why they so easily produce “confabulations” and/or very bland expositions that don’t add anything to the overall subject.

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