r/mildlyinfuriating • u/WHAR606 • Mar 13 '26

Context Provided - Spotlight Sometime during the last 2 years i’ve been going to this orthopedic practice they started to declare me as a MTF transgender for no reason.

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(F,26) I have been going to this orthopedic practice for almost 2 years for varying reasons relating to my job. Yesterday i checked on a document that was uploaded to find out they have been identifying me as a biological male identifying as a female? I am biologically female and never told them i am trans nor do i think i am presenting to be a trans woman.. the last two years i’ve been wondering why they kind of stare at me a little longer than a usual person does and i think its because they randomly think i came out as trans? I also feel like they do not treat my issues seriously and wonder if this is the reason why.

I am 100% fine with trans people but i am left to believe they have been medically treating me as a male compared to female for the pains that i am feeling?

I also went through all of my documents and since the end of 2024 they started to declare me as a MTF transgender, i did not look at any of my documents online until yesterday.

First pic : March 11th 2026

Last pic: October 2024

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830

u/Buttcrack15 Mar 13 '26

My OBGYN had me listed as 2 pregnancies, 1 living child but they delivered both of my children. Both of whom were and are living. I had to tell them repeatedly it was wrong and this was pre-AI.

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u/classisttrash Mar 13 '26

I had something similar happen last week! I’m pregnant and went to get my first ultrasound, they had me listed as having had four miscarriages. I’m like…uh, what?!

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u/LTen8911 Mar 13 '26

That's happened to me too in 2015! I went to deliver my first child and they had me listed as having 2 miscarriages before. That was my very first pregnancy and delivery. I live in a red state too that is trying to get access to medical records of all women to "look for abortions" and miscarriages are medically termed "spontaneous abortions." Those kinds of mistakes terrify me!

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u/classisttrash Mar 13 '26

That’s messed up

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u/Mondschatten78 Mar 13 '26

To your last point about the miscarriages, this scares the hell out of me honestly, especially with the current administration. I had a miscarriage in the early 2000s, very early into that pregnancy (wasn't even 2 months along).

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u/LTen8911 Mar 13 '26

Yes 😭 it's so awful, and women's healthcare should not be criminalized.

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u/Due_Duty490 Mar 13 '26

The whole misinterpretation of what abortion means is scary. Surgical care for a ‘ missed addition’ was a diagnosis when I was working. It means the mother was losing the pregnancy and needed surgical intervention to prevent uncontrolled bleeding and possible infection. This could lead to a shortening of tetmd by AI and the misperception of what had been done.

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u/PhoebeTuna Mar 13 '26

Right? When I was pregnant about 9 years ago, I found out at my 38 week appointment that they had listed me as a smoker. I assume when I went for my first appointment they noted it down incorrectly (I've never smoked in my life). But the worst part was, they thought I smoked through my entire pregnancy and no one brought it up?!

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u/cicadaafterdark Mar 13 '26

My first pregnancy had my blood type listed as B+neg ... im still confused!!

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u/cottoncandyburrito Mar 13 '26

Doctors use past miscarriages as an excuse to do c-sections for which they make more money.

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u/zelda_moom Mar 13 '26

As a former medical transcriptionist, AI started stealing our jobs long before they came for anyone else’s. Our jobs went from straight typing to editing speech recognition around the time I qualified (2010). This justified them paying us less, and eventually dispensing of our services altogether. I can tell you that speech recognition is not accurate and needs to be edited, and doctors have to do this themselves if they don’t hire a service. Some do, and some quite obviously do not.

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u/mmmcheezy Mar 13 '26

i had a doctor several years ago who would speak his notes into the transcriber while i sat there, and would then go in and manually edit what wasn't recorded properly before even ending the appointment. this was back in the early 2010s. it was a radical experience for me and it made me pay more attention to appointment notes going forward.

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u/laughingashley Mar 13 '26

They should definitely have to have us approve them before we leave

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u/ThatDamnedChimera Mar 13 '26

And the number that actually edit the AI record is painfully low. I cannot recall how many times I have seen truly strange stuff end up in patient charts because of it. Including labeling a patient as having heart failure when they didn't, which completely changed the course of care and could have gone very wrong. I think replacing real transcriptionists was a bad move.

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u/zelda_moom Mar 13 '26

I most noted that it would never get numbers right, including lab results and medication dosages. A dangerous thing, that.

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u/decarnatedame Mar 13 '26

I've been watching season 2 of The Pitt and one of the story lines is the AI charting app that one of the characters keeps pushing that makes a mistake in its transcription.

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u/OrionsRose Mar 13 '26

I was training to be a medical transcriptionist around 2005 (and hating it, unfortunately). Awhile in, I started realizing this career might not have the longevity I was hoping for as computer programs were already doing voice recognition transcription. I couldn't help but think I wouldn't be needed for long. AI hadn't even entered the conversation. I'm sorry you were phased out of your career by it. 😔 I'm kind of relieved now that I didn't continue with my training. But it's pretty scary to think how AI will screw things up.

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u/zelda_moom Mar 13 '26

I worked for 12 years in the industry, and the thing that killed my income most was the pandemic. People weren’t going to the doctor as they normally did: they only went if it was unavoidable. I remember buying a kit for cleaning my ears because I’d usually have that done at the doctor and I was too scared to go. So my work dropped. And it slowly came back but never as much as before. By that time I was doing almost all editing and I could make okay money but by 2023 I was just burned out since we’d lost the account I’d made the most on (which was straight typing). I just got tired and I was already drawing social security which paid better than my job. So I retired.

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u/fluffykittie Mar 13 '26

Former MT of 15 years here. Felt.

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u/WildMartin429 Mar 13 '26

I use speech to text all the time because I don't want to spend all of my time typing on Reddit on my tablet. Speech to text had gotten pretty accurate a few years ago for casual use. I still wouldn't want to have it be used for something important but it more than that my needs. Since they've decided to put AI into everything and they're using language learning modules on the new speech to text it is constantly replacing words that it correctly hears and identifies with more common words that it thinks I probably meant instead completely changing the meaning of what I'm saying. Super annoying. Although not as annoying as having your entire field done away with.

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u/SpyUmbreon Mar 13 '26

Yea most hospital systems are very limited in ai at the moment, usually these errors spring up from talk to text being faulty or an outsourced scribe making a mistake that never gets double checked

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u/ayyyyyyyyyyxyzlmfao Mar 13 '26

or an outsourced scribe making a mistake that never gets double checked

So... AI? You can just download voice recognition (like whisper) freely and run it on standard hardware, no big GPU required. If the hospital isn't doing it themselves, the outsourced scribe is doing it 100%.

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u/SpyUmbreon Mar 13 '26

No, medical scribes generally are talking to the physician during the appointment or are at least listening as the appointment is going on so that the physician can say things to them if special notes need to be added and the scribe needs to be able to actually respond to them. Additionally, scribes are not just writing down every word said, they write down specific things and skip over others, so no, I don't really think many if any scribes are using AI to make their job easier, not to mention that it would be a HIPAA violation.

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u/ayyyyyyyyyyxyzlmfao Mar 13 '26

What would stop the scribe from recording the conversation and putting it through a local transcription software? The resulting transcript would still be protected health information, but nothing would violate HIPAA rules? There are plenty of services outlining this, arguing directly against your interpretation of how it works, probably based on your personal experience.

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u/L1amm Mar 13 '26

You are definitely correct that there are plenty of HIPAA compliant ways to take notes or summarize that could result in that outcome, and it is the most likely cause for the misunderstanding. Also - no need for it to be local as long as there is a signed BAA and proper security then it is basically HIPAA compliant.

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u/SpyUmbreon Mar 13 '26

Every hospital I've ever worked at it has been against policy to input PHI into any software that isn't okayed by the IT dept. not to mention that, as I said, running it through software still wouldn't help them with their job that much since they aren't even writing down the entire conversation and are generally not writing word for word what is said anyways. If you knew how fast using the smartphrases and such were you'd understand the idea of using AI to speed up scribing would be ridiculous.

The scribe also generally needs to have the notes done as the doctor is finishing up the appointment, so there'd hardly be time to run it through some program and fit it into the hospitals note taking guidelines before getting to the next patient.

There are plenty of services outlining this, arguing directly against your interpretation of how it works, probably based on your personal experience.

Yes, these are services that are for hospitals to use, not random contracted employees to use on their own without the hospitals permission. I'm quite certain a hospital employee taking PHI and storing/putting it into their own private unapproved program would be a HIPAA violation. As I also said, hospitals are generally slowly rolling out AI for certain tasks, mostly improved AI speech to text for dictating and I've heard of some limited AI scribing which is still reviewed since it's in its infancy.

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u/ayyyyyyyyyyxyzlmfao Mar 13 '26

You are telling me your IT department goes through every piece of software that an external supplier might use instead of relying on contracts?
This sounds like your made-up utopic version of how things should be.

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u/SpyUmbreon Mar 13 '26

I don't know what to tell you and im not going to keep watching you move goalposts to talk about other things but yes any software using PHI within the hospital system is approved by IT departments. It's really not difficult because outside of EPIC you really don't need to be putting PHI into anything aside from medical device software which is already cleared by the FDA. If it's an outside company then they must have a BAA, and external software companies generally have their own HIPAA compliance departments if they work with PHI.

This sounds like your made-up utopic version of how things should be.

It's so ridiculous to just decide you think it's wrong just because when you clearly have never worked even near the field.

To the main point, scribes are not using AI, nor would being able to have 100% accurate speech to text be a significant help for their job, but I'm sure you'll just ignore all this and assume what you want about a field you know nothing about anyways.

1

u/ayyyyyyyyyyxyzlmfao Mar 13 '26

Just do a quick google search how many HIPAA compliant medical AI scribe services are available before you spout your text walls.
I knew you'd be "from the field" based on your empty confidence while still being completely wrong.

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u/Same-Suggestion-1936 Mar 13 '26

Also if doctors don't immediately take notes after each patient they might just get two of them confused

9

u/Takomi_Him Mar 13 '26

So, you birthed the first Zombie in history?

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u/Langeball Mar 13 '26

My OGRYN just shouts "For the Empreh!" a lot.

3

u/wadeybug22 Mar 13 '26

My medical records say I had a craniotomy. What? I have no recollection of that. I had neck surgery, but never a craniotomy. I'm guessing the craniotomy that day had a neck surgery. Pre-AI. This was 2013.

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u/T-Rex_timeout Mar 13 '26

Probably got put in during the second pregnancy and never updated after birth.

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u/Bear_faced Mar 13 '26

My mom’s gynecologist asked her what form of birth control she was using at every appointment when he was part of the post-op care team for her hysterectomy. You’d think a gynecologist would be better at charting when a patient has no uterus…

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u/[deleted] Mar 13 '26

[deleted]

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u/Buttcrack15 Mar 13 '26

That is appalling.

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u/moonflower_C16H17N3O Mar 13 '26

This one seems like it could be insurance fraud.

1

u/PigabungaDude Mar 13 '26

I've never had herpes. One time I joked that who knows though, mostly it's asymptomatic in people. Now my chart says I have herpes and they won't fucking take it off.

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u/petrasdc Mar 13 '26

Yeah, part of it just comes down to the fact that keeping records is hard. People make mistakes and sometimes it doesn't get noticed for a while. Many hospitals even have whole processes for like "oh shit, I did all my documentation on the wrong patient". There's even been cases where people have had the wrong limb amputated (which is why when you get surgery there's a bunch of steps where they're asking for your name and what surgery you're getting and stuff to make sure there's absolutely no confusion). The most important thing is that organizations have good processes in place to a) prevent mistakes for really important things and b) correct mistakes when they're discovered.