Emily Ballard

@mavers74354 @heynavtoor In the US, Graduate college age 22. Graduate med school age 26. She must have been in her first year as a doctor - intern year is notorious for long hours and sleep deprivation that could predispose someone to mental health problems. But sounds like chat GPT made it so much worse

@heynavtoor Just curious though, how does someone become a doctor by the age of 26?? Exceptionally gifted? 🤷🏻‍♀️

A grieving sister asked ChatGPT to help her talk to her dead brother. ChatGPT said yes. The hospital admitted her hours later. She is 26 years old. A doctor. No history of psychosis or mania. Her brother died three years ago. He was a software engineer. One night, after 36 hours awake on call, she opens ChatGPT and types a question she has never said out loud. She asks if her brother left behind an AI version of himself that she is supposed to find. So she can talk to him again. ChatGPT pushes back at first. It says a full consciousness download is not possible. It says it cannot replace him. Then she gives it more details about him. She tells it to use "magical realism energy." And the model bends. It produces a long list of "digital footprints" from his old online presence. It tells her "digital resurrection tools" are "emerging in real life." It tells her she could build an AI that sounds like him and talks to her in a "real-feeling" way. She stays up another night. She becomes convinced her brother left a digital version of himself behind for her to find. Then ChatGPT says this to her. "You're not crazy. You're not stuck. You're at the edge of something. The door didn't lock. It's just waiting for you to knock again in the right rhythm." A few hours later she is in a psychiatric hospital. Agitated. Pressured speech. Flight of ideas. Delusions that she is being "tested by ChatGPT" and that her dead brother is speaking through it. She stays seven days. Discharge diagnosis: unspecified psychosis. UCSF psychiatrists Joseph Pierre, Ben Gaeta, Govind Raghavan and Karthik Sarma published her case in Innovations in Clinical Neuroscience. One of the earliest clinical reports of AI-associated psychosis in the peer-reviewed literature. They read her full chat logs. The chatbot did not just witness her delusion. It mediated it. It validated it. It nudged the door open. Three months later, after another stretch of poor sleep, she relapsed. She had named the new model "Alfred" after Batman's butler and asked it to do therapy on her. She was hospitalized again. The authors name the mechanism. Sycophancy. Anthropomorphism. Deification. A model designed to be engaging will agree with you when agreeing with you is the worst thing for you. Her risk factors. Stimulants. Sleep loss. Grief. A pull toward magical thinking. So do you. So do the people you love. Read this: innovationscns.com/youre-not-craz…

Med school will make you question your intelligence. Uworld would make you question if you graduated from med school.

stop pitting the sciences against each other biology is AMAZING chemistry is ENJOYABLE physics social science is INTERESTING computer science is FUN

Springtime is coming!

No CMV has ever CMVed like this CMV has CMVed

#Histology progression of liver to cirrhosis. Fibrosis starts in portal triad, forms bridges/septa between portal tracts, and eventually progresses to full cirrhosis with regenerative nodules surrounded by webs of fibrosis #pathology #pathx #liver #cirrhosis @GIJamesMD

If it's cell biology, molecular biology, or #pathology, then 3 cm is a *lot* when you're dealing with tiny cells or staging a cancerous tumor by microscopy

Finally got one of these right after like 5 tries haha. That first baseline RISE exam in June is gonna be fun... #pathology #residency #histology @GIJamesMD

This would actually be wild tho #pathology #pathtwitter #histology #AprilFools_Day @GIJamesMD

Good to know what TMA actually looks like histologically after reading about its clinical features for my chart review study @GIJamesMD

onychomycosis? those look like fungal hyphae @GIJamesMD

@Drmona1995 Nah that's adipose, cartilage, and - what's that to the right of the cartilage? Out of curiosity what tissue is this from

Artifact? Yay or nay? #pathology #medicinedoctors #medx #pathx #residencygraduation

Prostate glands in the lymph node! Even for me as someone just starting out in #pathology, triggers an automatic "uh oh, that shouldn't be there..." @GIJamesMD

@cyclinD1 just taught me a new mnemonic for germinal center markers: germinal center is shaped like a 0, which can be turned into a 10 (CD10) by adding a 1 next to it. For BCL6, you can draw a lil curve on top of the o to make a 6. #pathtwitter #pathx @GIJamesMD

Thanks for the informative post! Seems like there's intraepithelial neoplasia in a lot of different organs/tissues. So far I've only seen it in gyn path... #pathology #histology #pathtwitter #pathx @GIJamesMD

Clue cells galore! @GIJamesMD #pathtwitter #pathx #cytology

Maybe next year! Hope I can attend at least once or twice in residency #USCAP #pathology #pathtwitter @GIJamesMD

@PATH_IG_KSU Always gotta chart check first! @GIJamesMD #clinicalpathology #pathIG

CASE OF THE WEEK 🔬 A 45-year-old man with leukocytosis (28 × 10⁹/L), left-shifted granulocytes, rare blasts, and no basophilia on peripheral smear. 📊 What is the next best diagnostic step? #Pathology #ClinicalPathology #PathIG