John C. Ferguson, MD
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Latest articles
Health technology
Six weeks into my internship, on a Sunday morning at the VA, I ran my first code. The patient was POD#5 from a CABG and going home that day. The cardiothoracic attending had rounded early and pulled his pacing wires.…
Six weeks into my internship, on a Sunday morning at the VA, I ran my first code.
The patient was POD#5 from a CABG and going home that day. The cardiothoracic attending had rounded early and pulled his pacing wires. I had never met the attending. I had never met the patient. I got called because the man went into afib while getting dressed.
The floor nurses weren’t permitted to push beta-blockers, …
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Why AI trained on clinical notes misses the medicine
Conditions and diseases
The patient walked into the ER obtunded, breathing deep and fast, blood sugar over 400. Classic diabetic ketoacidosis. She had been symptomatic for three days. Three days earlier, she had asked ChatGPT about her symptoms: excessive thirst, frequent urination, fatigue.…
The patient walked into the ER obtunded, breathing deep and fast, blood sugar over 400. Classic diabetic ketoacidosis. She had been symptomatic for three days.
Three days earlier, she had asked ChatGPT about her symptoms: excessive thirst, frequent urination, fatigue. The AI told her it was “probably related to dehydration and stress” and recommended increasing fluid intake and rest. It suggested calling her doctor “if symptoms don’t improve in a few …
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The sensing gap: Why medical AI misses critical diagnoses
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