Health
New ChatGPT tool uses AI to help doctors streamline documentation and focus on patients
Doctors in the U.S. spend an average of 1.84 hours per day completing electronic notes outside their regular work hours, recent studies have shown — and 57% of them said documentation takes away from the time they can spend with patients.
Aiming to change that, Nuance — a Microsoft-owned artificial intelligence company in Massachusetts — has created an AI tool for physicians called DAX, which streamlines the note-taking process.
At Cooper University Health Care in New Jersey, doctors who are already using the tool have reported improved patient outcomes, greater efficiency and reduced costs.
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“For our physicians who use DAX more than half the time, they have seen a 43% reduction of the time they spend writing notes and an overall 21% reduction in the amount of time they spend in the electronic medical record,” said Dr. Anthony Mazzarelli, the CEO of Cooper, which employs 150 physicians.
He is also an emergency physician.
Peter Durlach, chief strategy officer of Nuance, compares the tool to a “co-pilot” for physicians.
“DAX lets clinicians fully focus on caring for patients instead of manually filling in data entry screens,” he told Fox News Digital.
“This technology helps improve the patient experience and the quality of care, while also making it so that clinicians no longer need to spend hours of their own time completing documentation.”
How it works
DAX Express is powered by ChatGPT-4, the latest version of AI chatbot technology from OpenAI.
The tool automatically and securely creates clinical notes, with the patient’s consent, that are immediately available for the doctor to review after each patient visit.
“It’s like a physician’s assistant that thinks really fast.”
“The phone sits between the doctor and the patient,” Mazzarelli explained during an on-camera interview with Fox News Digital. “It incorporates not just what the doctor says, but also what the patient says. And then it uses AI to write the note.”
He added, “It’s a huge step up from just dictating notes.”
Next, the note is sent to the doctor, who can make any necessary changes before approving it. The doctor can then share the file with the patient for transparency.
“It’s like a physician’s assistant that thinks really fast,” Mazzarelli said. “The physician is still responsible for making sure the note correctly reflects the conversation.”
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The tool gives doctors evidence-based support for the decisions they make, right in the palm of their hand, he added.
“This is, to me, the next evolution,” Mazzarelli said. “It’s not that we just want a faster horse and buggy — we want the car.”
Benefits for both provider and patient
The more obvious benefits of DAX are removing the administrative burden from physicians and reducing burnout, but the benefits extend to the patient as well, Mazzarelli said.
The doctor is able to directly interact with the patient and look the person in the eye without the distraction of note-taking, he said.
This aligns with Cooper University Health Care’s philosophy of practicing “compassion science,” which emphasizes a clear understanding of what patients are experiencing.
“If you can really connect with patients, whether you’re a nurse or a doctor or anybody in health care, it improves patient outcomes and lowers overall costs,” Mazzarelli said.
“That’s good for not just patients, but for the whole health care system.”
Proper oversight minimizes risk
Because the physician has to sign off on each AI-created medical note, Mazzarelli believes Nuance’s AI tool presents a low risk.
“It’s the same risk as if you had an intern or an administrative assistant write something for you and you put it out in the world and didn’t look at it,” he said.
“If you’re depending on AI and not thinking of it as an assistant and you just let it make all the decisions — then you certainly could have a problem there.”
The CEO of Cooper University Health Care believes the new tool presents a low risk.
Nuance’s Durlach believes that administrative functions — note-taking, coding and billing — should be the first place to implement AI because they require a lot of manual work and the cost of making a mistake does not impact patient health.
“As a Microsoft company, our goal is to develop and deploy AI that will have a beneficial impact and earn trust from society,” Durlach told Fox News Digital.
“We are committed to creating responsible AI by design.”
In developing its tech, Nuance focuses on a core set of principles: fairness, reliability and safety, privacy and security, inclusiveness, transparency and accountability.
“In an industry where certain types of mistakes can have serious consequences, health care organizations must be particularly mindful of choosing safe and proven AI solutions,” Durlach said.
Future of AI in health care
In the past, medical technology has actually increased the number of administrative tasks, Mazzarelli said — but he believes AI has the potential to dramatically streamline the doctor-patient experience.
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“I am very optimistic about the application of generative AI to improve medical care,” the doctor said.
“I think it’s going to help doctors and patients have better relationships. And I think if used correctly, it’s going to be among the best advances we’ve had.”
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As medicine continues to become more complex, Mazzarelli said, there is a greater need for decision support.
“As personalized medicine becomes more and more the way of the future, we need assistance to make sure we can use it correctly,” he added.
“AI is clearly already here, and I’m even more optimistic about the ways it can assist in the future.”
Health
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Health
Kennedy’s Plan for the Drug Crisis: A Network of ‘Healing Farms’
Though Mr. Kennedy’s embrace of recovery farms may be novel, the concept stretches back almost a century. In 1935, the government opened the United States Narcotic Farm in Lexington, Ky., to research and treat addiction. Over the years, residents included Chet Baker and William S. Burroughs (who portrayed the institution in his novel, “Junkie: Confessions of an Unredeemed Drug Addict”). The program had high relapse rates and was tainted by drug experiments on human subjects. By 1975, as local treatment centers began to proliferate around the country, the program closed.
In America, therapeutic communities for addiction treatment became popular in the 1960s and ’70s. Some, like Synanon, became notorious for cultlike, abusive environments. There are now perhaps 3,000 worldwide, researchers estimate, including one that Mr. Kennedy has also praised — San Patrignano, an Italian program whose centerpiece is a highly regarded bakery, staffed by residents.
“If we do go down the road of large government-funded therapeutic communities, I’d want to see some oversight to ensure they live up to modern standards,” said Dr. Sabet, who is now president of the Foundation for Drug Policy Solutions. “We should get rid of the false dichotomy, too, between these approaches and medications, since we know they can work together for some people.”
Should Mr. Kennedy be confirmed, his authority to establish healing farms would be uncertain. Building federal treatment farms in “depressed rural areas,” as he said in his documentary, presumably on public land, would hit political and legal roadblocks. Fully legalizing and taxing cannabis to pay for the farms would require congressional action.
In the concluding moments of the documentary, Mr. Kennedy invoked Carl Jung, the Swiss psychiatrist whose views on spirituality influenced Alcoholics Anonymous. Dr. Jung, he said, felt that “people who believed in God got better faster and that their recovery was more durable and enduring than people who didn’t.”
Health
Children exposed to higher fluoride levels found to have lower IQs, study reveals
The debate about the benefits and risks of fluoride is ongoing, as RFK Jr. — incoming President Trump’s pick for HHS secretary — pushes to remove it from the U.S. water supply.
“Fluoride is an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease,” RFK wrote in a post on X in November.
A new study published in JAMA Pediatrics on Jan. 6 found another correlation between fluoride exposure and children’s IQs.
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Study co-author Kyla Taylor, PhD, who is based in North Carolina, noted that fluoridated water has been used “for decades” to reduce dental cavities and improve oral health.
“However, there is concern that pregnant women and children are getting fluoride from many sources, including drinking water, water-added foods and beverages, teas, toothpaste, floss and mouthwash, and that their total fluoride exposure is too high and may affect fetal, infant and child neurodevelopment,” she told Fox News Digital.
The new research, led by scientists at the National Institute of Environmental Health Sciences (NIEHS), analyzed 74 epidemiological studies on children’s IQ and fluoride exposure.
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The studies measured fluoride in drinking water and urine across 10 countries, including Canada, China, Denmark, India, Iran, Mexico, Pakistan, New Zealand, Spain and Taiwan. (None were conducted in the U.S.)
The meta-analysis found a “statistically significant association” between higher fluoride exposure and lower children’s IQ scores, according to Taylor.
“[It showed] that the more fluoride a child is exposed to, the more likely that child’s IQ will be lower than if they were not exposed,” she said.
These results were consistent with six previous meta-analyses, all of which reported the same “statistically significant inverse associations” between fluoride exposure and children’s IQs, Taylor emphasized.
The research found that for every 1mg/L increase in urinary fluoride, there was a 1.63-point decrease in IQ.
‘Safe’ exposure levels
The World Health Organization (WHO) has established 1.5mg/L as the “upper safe limit” of fluoride in drinking water.
“There is concern that pregnant women and children are getting fluoride from many sources.”
Meanwhile, the U.S. Public Health Service recommends a fluoride concentration of 0.7 mg/L in drinking water.
“There was not enough data to determine if 0.7 mg/L of fluoride exposure in drinking water affected children’s IQs,” Taylor noted.
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Higher levels of the chemical can be found in wells and community water serving nearly three million people in the U.S., the researcher noted.
She encouraged pregnant women and parents of small children to be mindful of their total fluoride intake.
“If their water is fluoridated, they may wish to replace tap water with low-fluoride bottled water, like purified water, and limit exposure from other sources, such as dental products or black tea,” she said.
“Parents can use low-fluoride bottled water to mix with powdered infant formula and limit use of fluoridated toothpaste by young children.”
For more Health articles, visit www.foxnews.com/health.
While the research did not intend to address broader public health implications of water fluoridation in the U.S., Taylor suggested that the findings could help inform future research into the impact of fluoride on children’s health.
Dental health expert shares cautions
In response to this study and other previous research, Dr. Ellie Phillips, DDS, an oral health educator based in Austin, Texas, told Fox News Digital that she does not support water fluoridation.
“I join those who vehemently oppose public water fluoridation, and I question why our water supplies are still fluoridated in the 21st century,” she wrote in an email.
“There are non-fluoridated cities and countries where the public enjoy high levels of oral health, which in some cases appear better than those that are fluoridated.”
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Phillips called the fluoride debate “confusing” even among dentists, as the American Dental Association (ADA) advocates for fluoride use for cavity prevention through water fluoridation, toothpaste and mouthwash — “sometimes in high concentrations.”
“[But] biologic (holistic) dentists generally encourage their patients to fear fluoride and avoid its use entirely, even if their teeth are ravaged by tooth decay,” she said.
“Topical fluoride is beneficial, while systemic consumption poses risks.”
Phillips encouraged the public to consider varying fluoride compounds, the effect of different concentrations and the “extreme difference” between applying fluoride topically and ingesting it.
“Topical fluoride is beneficial, while systemic consumption poses risks,” she cautioned.
“Individuals must take charge of their own oral health using natural and informed strategies.”
The study received funding from the National Institute of Environmental Health Sciences (NIEHS), the National Institutes of Health (NIH) and the Intramural Research Program.
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