New York Times May 16, 2018
THE THREAT THAT ELECTRONIC HEALTH RECORDS AND MACHINE LEARNING POSE TO PHYSICIANS’ CLINICAL JUDGMENT — AND THEIR WELL-BEING.
There are times when the diagnosis announces itself as the patient walks in, because the body is, among other things, a text. I’m thinking of the icy hand, coarse dry skin, hoarse voice, puffy face, sluggish demeanor and hourglass swelling in the neck — signs of a thyroid that’s running out of gas. This afternoon the person before me in my office isn’t a patient but a young physician; still, the clinical gaze doesn’t turn off, and I diagnose existential despair.
Let’s not call this intuition — an unfashionable term in our algorithmic world, although there is more to intuition than you...