An LLM is a lossy encyclopedia

I totally agree with the author. Sadly, I feel like that's not what the majority of LLM users tend to view LLMs. And it's definitely not what AI companies marketing.

> The key thing is to develop an intuition for questions it can usefully answer vs questions that are at a level of detail where the lossiness matters

the problem is that in order to develop an intuition for questions that LLMs can answer, the user will at least need to know something about the topic beforehand. I believe that this lack of initial understanding of the user input is what can lead to taking LLM output as factual. If one side of the exchange knows nothing about the subject, the other side can use jargon and even present random facts or lossy facts which can almost guarantee to impress the other side.

> The way to solve this particular problem is to make a correct example available to it.

My question is how much effort would it take to make a correct example available for the LLM before it can output quality and useful data? If the effort I put in is more than what I would get in return, then I feel like it's best to write and reason it myself.

> the user will at least need to know something about the topic beforehand.

I used ChatGPT 5 over the weekend to double check dosing guidelines for a specific medication. "Provide dosage guidelines for medication [insert here]"

It spit back dosing guidelines that were an order of magnitude wrong (suggested 100mcg instead of 1mg). When I saw 100mcg, I was suspicious and said "I don't think that's right" and it quickly corrected itself and provided the correct dosing guidelines.

These are the kind of innocent errors that can be dangerous if users trust it blindly.

The main challenge is LLMs aren't able to gauge confidence in its answers, so it can't adjust how confidently it communicates information back to you. It's like compressing a photo, and a photographer wrongly saying "here's the best quality image I have!" - do you trust the photographer at their word, or do you challenge him to find a better quality image?

Using a LLM for medical research is just as dangerous as Googling it. Always ask your doctors!

I don’t disagree that you should use your doctor as your primary source for medical decision making, but I also think this is kind of an unrealistic take. I should also say that I’m not an AI hype bro. I think we’re a long ways off from true functional AGI and robot doctors.

I have good insurance and have a primary care doctor with whom I have good rapport. But I can’t talk to her every time I have a medical question—it can take weeks to just get a phone call! If I manage to get an appointment, it’s a 15 minute slot, and I have to try to remember all of the relevant info as we speed through possible diagnoses.

Using an llm not for diagnosis but to shape my knowledge means that my questions are better and more pointed, and I have a baseline understanding of the terminology. They’ll steer you wrong on the fine points, but they’ll also steer you _right_ on the general stuff in a way that Dr. Google doesn’t.

One other anecdote. My daughter went to the ER earlier this year with some concerning symptoms. The first panel of doctors dismissed it as normal childhood stuff and sent her home. It took 24 hours, a second visit, and an ambulance ride to a children’s hospital to get to the real cause. Meanwhile, I gave a comprehensive description of her symptoms and history to an llm to try to get a handle on what I should be asking the doctors, and it gave me some possible diagnoses—including a very rare one that turned out to be the cause. (Kid is doing great now). I’m still gonna take my kids to the doctor when they’re sick, of course, but I’m also going to use whatever tools I can to get a better sense of how to manage our health and how to interact with the medical system.

I always thought “ask your doctor” was included for liability reasons and not a thing that people actually could do.

I also have good insurance and a PCP. The idea that I could call them up just to ask “should I start doing this new exercise” or “how much aspirin for this sprained ankle?” is completely divorced from reality.

I think "ask your doctor" is for prescription meds since only said doctor can write prescriptions.

And "your doctor" is actually "any doctor that is willing to write you a prescription for our medicine".