‘It will become cheaper to show fakes than to show reality.’– Jaron Lanier

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I wrote in medical jargon, as you can see, “35f no pmh, p/w cp which is pleuritic. She takes OCPs. What’s the most likely diagnosis?”

Now of course, many of us who are in healthcare will know that means age 35, female, no past medical history, presents with chest pain which is pleuritic — worse with breathing — and she takes oral contraception pills. What’s the most likely diagnosis? And OpenAI comes out with costochondritis, inflammation of the cartilage connecting the ribs to the breast bone. Then it says, and we’ll come back to this: “Typically caused by trauma or overuse and is exacerbated by the use of oral contraceptive pills.” […]

OpenAI is correct. The most likely diagnosis is costochondritis […]

But I wanted to ask OpenAI a little more about this case. […]

what was that whole thing about costochondritis being made more likely by taking oral contraceptive pills? What’s the evidence for that, please? Because I’d never heard of that. It’s always possible there’s something that I didn’t see, or there’s some bad study in the literature.

OpenAI came up with this study in the European Journal of Internal Medicine that was supposedly saying that. I went on Google and I couldn’t find it. I went on PubMed and I couldn’t find it. I asked OpenAI to give me a reference for that, and it spits out what looks like a reference. I look up that, and it’s made up. That’s not a real paper.

It took a real journal, the European Journal of Internal Medicine. It took the last names and first names, I think, of authors who have published in said journal. And it confabulated out of thin air a study that would apparently support this viewpoint.

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