Comment by TylerE
2 days ago
Lemme give another. I was formerly quite anti-AI but bought a cheap Claude plan just to play around with it a bit. First thing I built with it was this - https://github.com/tylereaves/onscreen-piano, in about an hour and maybe 10 prompt cycles. It replaced, for my specific use case, the 10% of the functionality of an increasingly-unreliable commercial app. That's including building the website, setting up actions for mac and windows builds...
My next project was a 2d game with random terrain, physics, sound, music, multiple levels, a day/night cycle with transitions high score tracking... (not uploaded anywhere, but it works, and I refined it a good bit.). That was more like 8 hours and maybe a 100 prompts.
Here are a few screenshots:
One thing that I have found to make a pretty big difference is using both the latest models and higher thinking levels. Opus 4.8 with thinking on Extra or even Max is genuinely mind blowing. The thing I hadn't really appreciated, having a sort of naive impression formed mainly from using free early versions of stuff like ChatGPT and Stable Diffusion was sort of that "Type a big ass prompt and it craps out a result" experience. But Claude is really great at refining from feedback, and it's way more flexible and responsive than I would have ever expected. I can do something like take a screenshot of a small portion of the running app or website or whatever and just say "This button needs to be bigger" or "make this red" or something like that, or even sometimes just "fix this", and Claude both correctly identifies what I'm talking about, and actually does the thing.
here I've found it really, incredibly game changing is my health. I have a pretty, to put it mildly, complex medical profile at this point. I haven't worked in over a year and pretty much every sign is pointing towards permanent disability at this point. Tons of symptoms, long med list, and I live in a smaller town with not great access to care. I'm also autistic and have not the greatest verbal communication, especially under stress or time pressure. I dumped all my info at it, in bits and bobs over several days (Side note... it's memory is pretty limited, but it will quite happily right out everything it knows from a session into a markdown file it can later re-read. I've found it very good for things like screening for drug interactions, or talking through and logging symptoms (and it can log those into human readable markdown files too). Biggest win (other than having unlimited time and interactions) is that it thinks across specilaties, versus the "real world" where the gastro only wants to deal with gastro stuff, neurology only wants to do neuro.
I certainly don't (and wouldn't) use it as a replacement for a doctor, but as an adjunct it's phenomenal. For instance, it flagged a possible drug interaction with a symptom I was having, and then offered to draft a portal message to my GP about it. I have poor executive function so lowering the friction from "type up a message and send it" to "copy and paste" is actually a pretty big deal. Turns something (I probably won't do) later into something I will do now.
It wouldn't surprise me if my very direct, literal, autistic communication style is particularly well suited to interacting with AI. I actually find talking to it rather refreshing as, while of course it's not perfect, it tends to actually respond to what I say rather than the all the assumed subtext NTs tend to expect/react to.
I am very optimistic about people using LLMs to explore their medical issues. Human bodies are complex and doctors are time- and intelligence- limited. An LLM can be a really useful partner.
Dear god no. ML is useful for medicine and has been for some time. LLMs in medicine are 100% malpractice and should be treated as such. LLMs << ML
Very easy to say from an ivory tower when you're not the patient stuck in a rural area with poor care, and a symptom list a mile long.
The alternative isn't "run everything by a human doctor", it's nothing.
Your last paragraph hit home with me. I also find it refreshing to be clear and direct, have the intent be directly understood, and have a pleasant, good faith, high signal conversation as a result. I hardly ever experience that with humans (I recognize that that’s not ‘everyone else’s fault’ of course).
I always thought of myself as merely ADD, but your comment is so incredibly relatable across all dimensions that I find myself wondering how far along the autism spectrum I am. Although, in my personal opinion, neither term is especially helpful: it's not a sensory/executive processing disorder if it's clearly benefiting both yourself and the people around you. It might make being sociable difficult, but that's the tradeoff for being willing to engage your mind in ways that others filter out as "too much information."
I’d be really careful with language like. For me the sensory and executive components are clearly disordered and border line disabling all on their own., and while it is what “me” is, it certainly isn’t making me or anyone around me happier, or their lives easier. Like - I carry a shoulder bag with industrial earmuffs and extremely dark sunglasses at all times because I cannot function in sensory overload. It is not a super power, and framing it that way is dismissive of those of us not on the very mildest end me of the spectrum.
I apologize. I didn't mean to suggest it is a super power, and it has also been a struggle in my life. I find it useful to frame this way because the struggle is not only because of the way that I am, but also because of the way everyone else is. I'm not asking anyone to change on my behalf, but it took me a long time to accept myself as I am. It took me a long time to accept that I didn't need to change for the benefit of everyone else.
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On the medical pieces, a very nice agentic medical AI worth looking at is https://biomni.phylo.bio