Luca Harris
@theyluca85.bsky.social
Nurse Practitioner and primary care provider specializing in LGBTQ health & gender-affirming care. Parent of 2 very mischievous littles and 1 very good dog. Queer, trans, they/he pronouns.
My transgender ideology is “I am a human, please let me exist” but I don’t think that would fit on a bullet.
September 11, 2025 at 4:48 PM
My transgender ideology is “I am a human, please let me exist” but I don’t think that would fit on a bullet.
But blowing the kids to smithereens was fine, apparently? Too little too late.
July 28, 2025 at 8:45 PM
But blowing the kids to smithereens was fine, apparently? Too little too late.
of a job, we’ll be fine, but I think in general AI is being embraced without enough forethought about where it might lead us.
July 13, 2025 at 1:04 PM
of a job, we’ll be fine, but I think in general AI is being embraced without enough forethought about where it might lead us.
exam room, and the inevitable slide into “help with clinical decision making” that I’m sure will follow. Also not thrilled about the environmental impact, but of course healthcare is a disaster in that regard generally (single-use evvvverything). I’m not worried about medical providers being out 🧵
July 13, 2025 at 1:04 PM
exam room, and the inevitable slide into “help with clinical decision making” that I’m sure will follow. Also not thrilled about the environmental impact, but of course healthcare is a disaster in that regard generally (single-use evvvverything). I’m not worried about medical providers being out 🧵
it absolutely does help them finish their notes and get home to their families. What concerns me is the recommendation to “not say AI” when we tell patients we’re using an app to record our conversation and help us write notes, the absence of conversation around the downsides of adding AI to the 🧵
July 13, 2025 at 1:01 PM
it absolutely does help them finish their notes and get home to their families. What concerns me is the recommendation to “not say AI” when we tell patients we’re using an app to record our conversation and help us write notes, the absence of conversation around the downsides of adding AI to the 🧵
I’m a healthcare provider (nurse practitioner). In recent months my company introduced AI to help docs and NPs write our notes. It’s “optional” but the pressure to agree is subtle but steady. It was introduced to save time writing notes, and for my colleagues who struggled to stay on time 🧵
July 13, 2025 at 12:58 PM
I’m a healthcare provider (nurse practitioner). In recent months my company introduced AI to help docs and NPs write our notes. It’s “optional” but the pressure to agree is subtle but steady. It was introduced to save time writing notes, and for my colleagues who struggled to stay on time 🧵
I’m a primary care provider. Prior authorizations take precious time and resources away from myself and my staff when we could be actually helping patients. If I order a test or medication, THE PATIENT NEEDS IT. But cool, glad AI will be here to second guess my medical decision making.
July 12, 2025 at 3:15 PM
I’m a primary care provider. Prior authorizations take precious time and resources away from myself and my staff when we could be actually helping patients. If I order a test or medication, THE PATIENT NEEDS IT. But cool, glad AI will be here to second guess my medical decision making.
I pulled up the images and showed them where an actual real life radiologist had, with their many years of training and experience, reviewed their X-ray and no, they did not have a fracture. Then I asked if they wanted to maybe talk about what WAS causing their arm to still hurt?! 🤦♂️
July 2, 2025 at 1:03 AM
I pulled up the images and showed them where an actual real life radiologist had, with their many years of training and experience, reviewed their X-ray and no, they did not have a fracture. Then I asked if they wanted to maybe talk about what WAS causing their arm to still hurt?! 🤦♂️
I am a medical provider. Earlier this week a patient came in furious because ChatGPT told them the urgent care provider had missed a fracture on their arm x-ray (they had apparently gotten a disc of images and fed them into AI?) and shouting about needing an urgent referral “to a radiologist.” 1/2
July 2, 2025 at 1:03 AM
I am a medical provider. Earlier this week a patient came in furious because ChatGPT told them the urgent care provider had missed a fracture on their arm x-ray (they had apparently gotten a disc of images and fed them into AI?) and shouting about needing an urgent referral “to a radiologist.” 1/2