3 ms·

I have no idea what you're talking about, I found your questions to be excellent and worthy of answering at every level of detail. I have no contempt at all, I

by burnte 6mo ago

I have no idea what you're talking about, I found your questions to be excellent and worthy of answering at every level of detail. I have no contempt at all, I assure you. I'm genuinely confused by your reply here.

mmooss 6mo ago
OK. Sorry if I misunderstood. Here are examples of what I perceive: > EMR systems are not like Quickbooks running on an 8 year old terminal server. Obviously that's literally true, so why write it? It suggests to me that you think I have an antiquated, ignorant view of IT, and a sarcastic, exaggerated response is appropriate. > that's literally what an AI transcriber is, an LLM. That's an uncharitable reading of the question, as if I don't know the meaning of AI or LLM. > Obviously, you can't pricess data you can't access Again, it reads to me like you think the questions are simplistic.
- burnte 6mo ago
  > Again, it reads to me like you think the questions are simplistic. I'll be honest the questions you're quoting WERE simplistic. Is the data sent off site? In 2026? Yes. I tried to give a cheeky answer, sorry you were offended, but yes, in 2026 virtually everyone runs EMRs running off prem. Then you asked if the data went through an LLM in a post where we were talking about AI transcription tools. At this point I had to assume you didn't know that an AI transcription tool was an LLM, why else would one ask? If you knew the transcriber was an LLM, then why would you ask if the data went through an LLM? > > Obviously, you can't pricess data you can't access > Again, it reads to me like you think the questions are simplistic. They were. However I tried them like they were genuine questions and tried to answer. There have been a thousand times in my career where a person asked a nonsense question like "can I access the data if it's offline?" While the answer is obvious in hindsight, and sometimes people feel embarrassed asking a question like that, avoiding embarrassment isn't a reason to not answer the question. So I said that obviously they can access the data but the risk is in how the data is used, not if it can be accessed, and pointed out the data isn't stored in a permanent form but is processed ephemerally. I again apologize if I seemed rude. In return I'd ask for an explanation. Why did you ask if the data went offsite when we were talking about AI scribes? Why did you ask if the data was processed by an LLM?
  - mmooss 5mo ago
    You gave the questions a sloppy, unchartible reading, misunderstood them, and then dismissed them. So I think I was right in the first place.

by burnte 6mo ago

mmooss 6mo ago

OK. Sorry if I misunderstood. Here are examples of what I perceive: > EMR systems are not like Quickbooks running on an 8 year old terminal server. Obviously that's literally true, so why write it? It suggests to me that you think I have an antiquated, ignorant view of IT, and a sarcastic, exaggerated response is appropriate. > that's literally what an AI transcriber is, an LLM. That's an uncharitable reading of the question, as if I don't know the meaning of AI or LLM. > Obviously, you can't pricess data you can't access Again, it reads to me like you think the questions are simplistic.

burnte 6mo ago
> Again, it reads to me like you think the questions are simplistic. I'll be honest the questions you're quoting WERE simplistic. Is the data sent off site? In 2026? Yes. I tried to give a cheeky answer, sorry you were offended, but yes, in 2026 virtually everyone runs EMRs running off prem. Then you asked if the data went through an LLM in a post where we were talking about AI transcription tools. At this point I had to assume you didn't know that an AI transcription tool was an LLM, why else would one ask? If you knew the transcriber was an LLM, then why would you ask if the data went through an LLM? > > Obviously, you can't pricess data you can't access > Again, it reads to me like you think the questions are simplistic. They were. However I tried them like they were genuine questions and tried to answer. There have been a thousand times in my career where a person asked a nonsense question like "can I access the data if it's offline?" While the answer is obvious in hindsight, and sometimes people feel embarrassed asking a question like that, avoiding embarrassment isn't a reason to not answer the question. So I said that obviously they can access the data but the risk is in how the data is used, not if it can be accessed, and pointed out the data isn't stored in a permanent form but is processed ephemerally. I again apologize if I seemed rude. In return I'd ask for an explanation. Why did you ask if the data went offsite when we were talking about AI scribes? Why did you ask if the data was processed by an LLM?
- mmooss 5mo ago
  You gave the questions a sloppy, unchartible reading, misunderstood them, and then dismissed them. So I think I was right in the first place.