
一位病人最近来到我的急诊室,他已经连续几天进行了房屋维修,包括搬运重型设备和移动箱子。当他开始感觉胸口反复发紧时,他将自己的症状输入到一个大型语言模型中,这告诉他他可能拉伤了肌肉。他休息并等待疼痛消失,但它从未消失。
A patient recently showed up to my emergency department after he’d been doing home repairs for several days, including lifting heavy equipment and moving boxes. When he started feeling a recurring tightness in his chest, he entered his symptoms into a large language model, which told him he likely strained a muscle. He rested and waited for the pain to go away, but it never did.
几天后,当他终于来到我的急诊室时,他的心电图和实验室检查显示他患有严重的心脏病。由于长时间的拖延,他的部分心肌永久性受损,现在他患有慢性心力衰竭。
When he finally came to my emergency room a few days later, his EKG and lab tests showed that he had suffered a serious heart attack. Because of the long delay, part of his heart muscle was permanently damaged, and he now has chronic heart failure.
由于长时间的拖延,他的部分心肌永久性受损,现在他患有慢性心力衰竭。
Because of the long delay, part of his heart muscle was permanently damaged, and he now has chronic heart failure.
周二,在OpenAI和Anthropic共同主办的“让美国再次健康”峰会上,卫生与公众服务部部长罗伯特·F·Kennedy Jr.吹嘘人工智能很快就会为美国人提供第二意见,“比该国任何医生都更了解情况”。他这么说是错误的,我的立场并不是源于对人工智能技术的任何哲学反对。相反,我不仅是一名急诊室医生,而且还是临床人工智能公司Keikku的美国首席医疗官。
At a Make America Healthy Again summit Tuesday that was co-sponsored by OpenAI and Anthropic, Health and Human Services Secretary Robert F. Kennedy Jr. boasted that artificial intelligence would soon give Americans a second opinion “much better informed than any doctor in the country.”He’s wrong to say that, and my position doesn’t arise from any philosophical opposition to AI technology. To the contrary, not only am I an emergency room physician, but I am also U.S. chief medical officer at Keikku, a clinical AI company.
我每次轮班都会以某种方式使用人工智能。然而,咨询聊天机器人并遭受心脏病专家本可以预防的不可逆转的心肌损伤的患者就是人类专业知识现在很重要的一个例子,并且在可预见的未来将继续重要。
I use AI in some capacity every shift. However, the patient who consulted a chatbot and suffered irreversible heart muscle damage that a cardiologist could have prevented is an example of why human expertise matters now — and will continue to matter for the foreseeable future.
一个人在家使用的人工智能聊天机器人无法进行体检,进行救生测试,而且就我的病人来说,它不知道急诊科医生在培训的第一天学到了什么:运动后新的胸闷是心脏病发作,直到证明并非如此。
The AI chatbot a person uses at home cannot conduct a physical examination, perform life-saving tests and, in my patient’s case, it didn’t know what an emergency medicine physician learns on the first day of training: New chest tightness after exertion is a heart attack until proven otherwise.
在MAHA峰会上,肯尼迪承诺每位美国人很快都能全面获取自己的医疗记录。我完全支持这一目标。但随后他声称,AI可以“纠正”包括新冠口罩和疫苗在内的公共卫生建议,并将公众从他所谓的“医疗暴政”中解放出来。副总统JD·万斯警告要提防“厄运论者”,并补充说专家不再拥有“知识垄断权”。理解处于AI热潮核心的“大型语言模型” 2026年9月30日 其暗示是:人类专业知识是障碍,而AI才是解决方案。作为一名医生和AI构建者,我可以断言这种观点完全错误。
At the MAHA summit, Kennedy promised every American would soon have full access to their medical records. I fully support that goal. But then he claimed AI could “correct” public health advice about issues including Covid masks and vaccines and free the public from what he called “medical tyranny.”Vice President JD Vance warned against “doomers” and added that experts no longer have a “monopoly on knowledge.”Understanding the ‘Large Language Models’ at the center of the AI boom September 30, 2026 The implication is that human expertise is an obstacle and that AI is the solution. As a physician and an AI builder, I can say that idea is completely wrong.
用万斯的话说,我不是“厄运论者”。我在AI公司的职责是创建工具,消除医疗领域的行政负担,帮助减轻医生职业倦怠,并辅助他们进行医疗决策。AI在当今我的急诊室中也扮演着关键角色。环境记录员撰写临床笔记,让我能专注于患者而非电脑屏幕。摘要工具在几秒钟内扫描多年的记录,算法在胸部X光片上标记潜在的肺部塌陷。
I am not a “doomer,” to use Vance’s word. My role at my AI company is creating tools that remove administrative burdens in healthcare, help reduce physician burnout and augment them in their medical decision-making. AI also plays a key role in my emergency room today. Ambient scribes write up clinical notes so I can concentrate on the patient rather than on a computer screen. Summarization tools scan years of records in seconds, and algorithms highlight potential lung collapses on chest X-rays.
放射学是最早整合AI的专科之一,数百种算法被用于筛查影像。多年前,开发者曾大肆预测AI将让放射科医生失业,但对他们的需求如今比以往任何时候都高。软件可以在X光片上标出可疑阴影,但仍需要临床医生在床边结合眼前的患者来解读影像。当一些政客宣扬AI将把人们从医生手中解放出来时,一些实际应用场景却远不那么高尚。例如,保险公司利用算法快速拒付某些医疗程序的保险赔付。
Radiology was one of the earliest specialties to integrate AI, with hundreds of algorithms being used to screen images. Years ago, developers famously predicted AI would make radiologists obsolete, yet demand for them is higher than ever. Software can highlight a suspicious shadow on an X-ray, but it still takes a clinician at the bedside to interpret that scan within the context of the human in front of them. While some politicians preach AI liberation from physicians, some of the actual use cases are far less noble. Insurers, for example, using algorithms to rapidly deny coverage for certain medical procedures.
主张人工智能将使我们摆脱对医学专家的依赖,其中的讽刺在于:寻求第二诊疗意见的患者所能使用的消费级AI工具,综合整合的正是那些肯尼迪叫嚣着让公众无视的专家们所产出的研究、指南和论文。AI无法成为逃避人类专业知识的避风港,因为当今的工具完全建立在专业知识之上。
The irony in arguing that AI will free us from medical experts is that the consumer AI tools available to patients seeking a second opinion synthesize the research, guidelines and papers produced by the very experts Kennedy tells the public to ignore. AI cannot be an escape from human expertise because today’s tools are built entirely upon it.
行医意味着在不确定性面前做出艰难抉择。这一职业要求临床医生评估细微的体征,读懂患者未言之隐,并在生命攸关时承担全部责任。
To practice medicine means making difficult calls in the face of uncertainty. The profession demands that a clinician assess subtle physical signs, understand what a patient is not saying and take full responsibility when lives are at stake.
肯尼迪和万斯鼓吹AI优于医生,这极其危险。当公众人物引导患者相信聊天机器人比医生更懂行时,人们会决定逃避必要的医疗护理,待在家中而让时效性疾病不断恶化。AI在医学领域取得了稳步且有意义的进展,但我的急诊室依然面临着五年前一样的拥挤和漫长等待。AI有时可以成为非常有用的助手,但它不是医生。将其包装为优于人类专业知识进行推销,肯尼迪和万斯只会最终伤害他们声称想要让其恢复健康的人群。文章 RFK Jr. 危险地贬低医生专业知识 MS NOW
Kennedy and Vance promoting AI as superior to doctors is dangerous. When public figures lead patients to believe that a chatbot knows better than a physician, people decide to avoid necessary medical care and stay at home while time-sensitive conditions worsen. AI is making steady and meaningful progress in medicine, yet my emergency room still faces the same overcrowding and long waiting times it did five years ago. AI can sometimes be a very useful assistant, but it is not a doctor. By selling it as superior to human expertise, Kennedy and Vance will only end up harming the people they claim they want to see healthy again. The post RFK Jr.’s dangerous disparagement of doctors’ expertise MS NOW