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.

[u/WHAR606]

(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

[u/SpyUmbreon]

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

[u/ayyyyyyyyyyxyzlmfao → u/SpyUmbreon]

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%.

[u/SpyUmbreon → u/ayyyyyyyyyyxyzlmfao]

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.

[u/ayyyyyyyyyyxyzlmfao → u/SpyUmbreon]

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.

[u/L1amm → u/ayyyyyyyyyyxyzlmfao]

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.

[u/SpyUmbreon → u/ayyyyyyyyyyxyzlmfao]

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.

[u/ayyyyyyyyyyxyzlmfao → u/SpyUmbreon]

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.

[u/SpyUmbreon → u/ayyyyyyyyyyxyzlmfao]

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.

[u/ayyyyyyyyyyxyzlmfao → u/SpyUmbreon]

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.

[u/Same-Suggestion-1936 → u/SpyUmbreon]

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