Thomas F Heston MD

April 25, 2024

Integrating Large Language Models and Blockchain Technology for Enhanced Telemedicine

The integration of large language models (LLMs) and blockchain technology holds significant potential for transforming telemedicine. LLMs can rapidly analyze vast amounts of medical data, providing personalized recommendations and augmenting diagnostic processes. Blockchain technology enables secure, decentralized storage and sharing of patient records, ensuring privacy and interoperability. The synergistic combination of these technologies can facilitate…


April 17, 2024

ChatGPT Provides Inconsistent Risk Stratification for Patients with Atraumatic Chest Pain

A recent study investigated ChatGPT-4’s ability to risk-stratify patients with atraumatic chest pain. The researchers found that while ChatGPT-4’s mean risk scores correlated well with established tools like TIMI and HEART, the AI model provided inconsistent results when presented with identical patient data on multiple occasions. This variability raises concerns about the reliability of using…


April 8, 2024

The Blockchain-Based Scientific Study: Reducing Bias and Improving Trust in Research

The traditional scientific study suffers from biases introduced by pharmaceutical companies, academics, and journal editors. These biases can lead to bad science and erode trust in research. However, blockchain technology offers a solution. By recording research data on an immutable, publicly available blockchain, bias can be reduced and trust restored. The blockchain-based scientific study involves…


April 2, 2024

Critical Gaps in Medical Research Reporting by Online News Media

This study reveals significant shortcomings in reporting medical research by online news outlets. The study found that crucial information such as conflicts of interest, study limitations, and inferential statistics were frequently omitted from news reports. While research conclusions were generally conveyed accurately, underreporting these key elements raises concerns about the transparency and credibility of medical…


March 21, 2024

Blockchain and AI: A Synergistic Solution to Climate Change

The integration of blockchain technology and artificial intelligence (AI) offers a transformative approach to addressing climate change. Blockchain ensures climate data’s transparency, integrity, and security, while AI, particularly large language models (LLMs), harnesses this data to generate deep insights and actionable intelligence. Together, they enhance data management, improve climate models, and facilitate evidence-based policymaking. This…


March 13, 2024

Beware online mental health chatbots, specialists warn

https://newsroom.uw.edu/blog/beware-online-mental-health-chatbots-specialists-warn


March 5, 2024

Statistical Fragility in Surveys: A Cautionary Tale

A recent study by Carnes et al. aimed to examine the effect of a workshop on overcoming bias and improving work climate in departments of medicine. While the goals were admirable, the results should be interpreted with caution due to statistical fragility. Low and uneven response rates, small effect sizes, and multiple significance tests raise…


February 16, 2024

Two Left Shoes: A Musical Essay on Homelessness

This musical essay tells the story of my time as a college student at the University of Washington when I experienced a period of homelessness during a Seattle winter. It explores the harsh realities of living on the streets through an essay, poems, and music. Themes of isolation, despair, and resilience emerge, but glimmers of…


January 19, 2024

Adherence to Core Principles in Academic Research

This article examines the essential principles and practices underlying ethical and rigorous academic research across scholarly disciplines. It emphasizes the importance of selecting meaningful research topics, conducting comprehensive literature reviews, aligning methodologies to research questions, effectively communicating findings, upholding transparency and ethics, and the role of institutions in promoting excellence through training and protocols. As…


January 10, 2024

Anginal Symptoms Do Not Predict Myocardial Ischemia in Diabetics

A 2005 study examined whether anginal symptoms can predict abnormal myocardial perfusion or function in diabetic patients. Among all patients, anginal symptoms were associated with myocardial ischemia and dysfunction. However, in diabetic patients, the presence of anginal chest pain did not correlate with myocardial perfusion defects or impaired left ventricular ejection fraction. Diabetic neuropathy likely…


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