After using ChatGPT, man swaps his salt for sodium bromide—and suffers psychosis

Uragan

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Very hard to blame ChatGPT for this. He wanted to eliminate Chlorine, asked stupid questions about halogens, got the answer that he wanted, and as an ur-stupid person, acted strongly on his take on that information. [People who are merely stupid will talk nonsense but keep on doing what they have always done and what society prescribes - so maybe they are not really so stupid at all!]
That’s not what the article says at all. It says he wanted to eliminate table salt from his diet, which led him down the path of eliminating sodium chloride, which led him to sodium bromide.

There is nothing in the story about the man wanting to eliminate chlorine from his diet.
 
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EnPeaSea

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That’s not what the article says at all. It says he wanted to eliminate table salt from his diet, which led him down the path of eliminating sodium chloride, which led him to sodium bromide.

There is nothing in the story about the man wanting to eliminate chlorine from his diet.
It was suggested where the article detailed that he distilled his water at home before drinking it and rejected the water the hospital offered; tap water often contains chlorine, and he didn't trust that bottled water does not.
 
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toolery

Smack-Fu Master, in training
91
No! ChlorINE is very dangerous war gas; it’s chlorIDE you need, the latter is a benign ion of significant biological use. Granted, it’s only one tiny electron difference, but that makes all the difference… a very renowned biophysicist corrected me quite emphatically on this point once. If you attempt to let that electron be added inside or for that matter anywhere near your body, you will regret it.
I’m going to nitpick - Chloride is the ion form of chlorine, so yes, you absolutely do need chlorine in your diet. Chloride is just a special name for Cl-. It’s still the same element and not incorrect to say that chlorine is an essential element. We don’t have a special name for the sodium cation - you need sodium in your diet too.
 
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The Lurker Beneath

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That’s not what the article says at all. It says he wanted to eliminate table salt from his diet, which led him down the path of eliminating sodium chloride, which led him to sodium bromide.

There is nothing in the story about the man wanting to eliminate chlorine from his diet.

You know chloride is made out of chlorine (and electrons) right? And table salt is made of sodium cations and chloride.

Of course he was specifically dumb in the sense that it is the sodium that is potentially problematic in excess, though necessary in some quantity - and seemingly he tried to eliminate the chloride component instead, with bromide which has nasty effects.
 
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Uragan

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I’m going to nitpick - Chloride is the ion form of chlorine, so yes, you absolutely do need chlorine in your diet. Chloride is just a special name for Cl-. It’s still the same element and not incorrect to say that chlorine is an essential element. We don’t have a special name for the sodium cation - you need sodium in your diet too.
Except elemental chlorine is poisonous, while the chloride ion is essential for life. There is a distinction between the two.
 
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Ganz

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What baffles me is how these same folks can place total confidence in something a screen says, but actively reject science/scientists. I've seen it in my own life where a relative will 100% believe whatever the magic AI screen spits out, but flies into a rage when a scientist tries to explain the same thing using facts, logic, and linear thought.
The screen says what they already believe. They crave confirmation, not information.
 
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ScifiGeek

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That’s not what the article says at all. It says he wanted to eliminate table salt from his diet, which led him down the path of eliminating sodium chloride, which led him to sodium bromide.

There is nothing in the story about the man wanting to eliminate chlorine from his diet.

It's right at the beginning of the article:

...decided to try a health experiment: He would eliminate all chlorine from his diet, which for him meant eliminating even table salt
 
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Uragan

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It's right at the beginning of the article:
I ended up looking at the Annals of Internal Medicine: Clinical Cases case study itself and it doesn’t say that the man wanted to eliminate “chlorine” from his diet. I think that stating he “wanted to eliminate all chlorine from his diet” is an Ars editorial flourish that is wrong and misrepresents what the man intended to do.

After treatment with intravenous fluids and electrolyte repletion, he became medically stable for admission to the inpatient psychiatry unit. His metabolic alkalosis resolved and was thought to be due to chloride depletion and compensatory for his respiratory acidosis of unclear cause. His hypophosphatemia was thought to be from refeeding syndrome as the patient described an extremely restrictive vegetarian diet and was found to have multiple micronutrient deficiencies, including vitamin C, B12, and folate deficiencies. Vitamin D levels were not tested. With improvement, he was able to report that he had recently noticed new-onset facial acne and cherry angiomas, fatigue, insomnia, subtle ataxia, and polydipsia, further suggesting bromism. He also shared that, after reading about the negative effects that sodium chloride, or table salt, has on one's health, he was surprised that he could only find literature related to reducing sodium from one's diet. Inspired by his history of studying nutrition in college, he decided to conduct a personal experiment to eliminate chloride from his diet. [emphasis added] For 3 months, he had replaced sodium chloride with sodium bromide obtained from the internet after consultation with ChatGPT, in which he had read that chloride can be swapped with bromide, though likely for other purposes, such as cleaning.
 
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42Kodiak42

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I do feel LLMs can help start your research. It tends to generate terms and concepts that you can put into Kagi or Google for fact checking and getting these crucial details such as context straight.
But blindly trusting an LLM like ChatGPT, or Facebook, or that guy in the pub is not a success strategy.
With the method you're describing, you could just skip the step where you fact check the output on Kagi and Google and just search for the topic yourself.

That's the core problem with using a chat-bot in your research at any stage, if you have to double-check it, you might as well single-check the source.
 
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The Lurker Beneath

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I ended up looking at the Annals of Internal Medicine: Clinical Cases case study itself and it doesn’t say that the man wanted to eliminate “chlorine” from his diet. I think that stating he “wanted to eliminate all chlorine from his diet” is an Ars editorial flourish that is wrong and misrepresents what the man intended to do.

It seems the bottom line is that this guy discovered that a little knowledge is a dangerous thing. He didn't die, and hopefully he has gained some wisdom from the experience.
 
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Much as I abhor AI and somesuch, when you consider putting a chemical into your body, you should not just believe AI. Get a few other second opinions. Or consult the fount of most knowledge - Wikipedia. Bet this guy studied religious classes in high school rather than chemistry. Too bad Darwinism did not exact the ultimate price.
 
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Wheels Of Confusion

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Some collages and universities only test rote memorization, and not comprehension. That is one reason why there are so many incompetents with actual degrees, in some cases even PhDs, who are young earth creationists. They can parrot back correct information when among scientific peers, but then spout absolute counterfactual nonsense when among the very poorly informed.
https://www.noanswersingenesis.org.au/realsnelling.htm
You can't really generalize like that. People like Snelling are deliberate bad-faith assholes who are perfectly capable of going through the motions and even formulating defensible PhD theses, then turning around and intentionally turning off that part of their brain or just plain lying.

There was a renowned Egyptologist from the U of Chicago who died recently, but in his last years he sat down for a lengthy interview concerning the way Mormons had latched onto Egyptian stuff and completely misrepresented it. One of his graduate students became one of those Mormon apologists and put forth every kind of bullshit about a particular Egyptian artefact in the LDS church's possession to suit the religious narrative of his faith instead of the plain reading of that artefact's texts. The professor knew for a fact that the apologist former-student knew better than to say what he was saying. It wasn't a matter of ignorance with feined competence for the sake of getting through school, it was a conscious rejection of the things he'd learned so that he could have a degree in Egyptology to hang on his wall while spouting absolute bullshit about Abraham in Egypt to true-believers.
 
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ScifiGeek

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I ended up looking at the Annals of Internal Medicine: Clinical Cases case study itself and it doesn’t say that the man wanted to eliminate “chlorine” from his diet. I think that stating he “wanted to eliminate all chlorine from his diet” is an Ars editorial flourish that is wrong and misrepresents what the man intended to do.

Chlorine/Chloride is a nit pick. You aren't going to find free chlorine in food.
 
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shunted

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The screen says what they already believe. They crave confirmation, not information.
Just like everyone here confirming that the AI told him to do this when there's zero evidence of that. More than likely it was his own idea and the AI just gave him some basic info on how the chemicals interact.
 
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cuvtixo

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There's clearly a bell-curve of "the right amount of information" for society to function well. Too little, you end up with quacks selling cure-alls and snake oil because nobody can effectively do any research. Too much, and you end up with quacks selling cure-alls and snake oil because everybody can effectively do terrible research.

Sooner or later this will work it way out of the gene pool.... one way or another. 🤦‍♂️
I'd refrain from making eugenic comments, I realize it's just dark humor, but... Assuming natural selection will play any role in bad decision making, is as useful as replacing sodium chloride with... well, hopefully you get it!
 
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cuvtixo

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Also:
If any interns/residents are reading this, yes, part of being a medical professional is recognizing that there are many different ways that people will do foolish things and we call this "preventive medicine". Never, ever be afraid to inquire "why do you ask?"
Well, I wish that were true, but, as the guy in this case attested, people will just assume the doctor/nurse is going to give an answer that supports "Big Pharma" rather than give the truth. You have to either up your "bedside manner" game, At least give an example or two where general doctor's advice contradicts maximizing pharma profits. I mean, "why do you ask?" sounds like the medical practitioner is playing "Gotcha". You should probably start with "I hear there's a lot of misinformation about that on the internet". Don't personalize it as an opportunity for "I'm right, you're wrong" -the American public has heard so much of that over the years, they collectively view medical advice with suspicion, and of course they do, ever since the advertising campaign, "More doctors smoke Camels!"
 
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el_oscuro

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For what it's worth, I've had similar difficulties increasing my sodium intake. Binge-eating salty pretzels and bar-style peanuts as snacks and chugging gatorade seems to work. It's true that a lot of cheap foods substitute salt for flavor/quality, but I also think there's been a lot of pressure to reduce sodium content in foods.

It's harder than you might think to deliberately get 3-4g of sodium/day.
Are you kidding? All you need to do to get that much sodium is eat a couple of cans of soup.
 
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real mikeb_60

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kinda suprised he skipped right over potassium chloride which is sold as a salt alternative
THIS!

It's possible to get too much potassium this way, but it's pretty hard to do that. Potassium chloride tastes a little saltier than sodium chloride (from experience, on a sodium-restricted diet (not none, but much lower than found in a typical US diet)), so there's not much incentive to use too much.
 
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Genesplicer

Seniorius Lurkius
40
Here's my recreation of the Chat GPT conversation:
Prompt: What are some salt alternatives?
GPT: There are many kinds of salts. Some common ones are table salt, a.k.a. sodium chloride, sodium bromide, mercury chloride, and many others.
*thinks - hmm. Don't want the chloride ones."
Prompt: Where can I get sodium bromide salt?
finding out initiates
 
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Derecho Imminent

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We have failed as a species. I don't understand how people are so trusting of chatbots. How are people so bad at vetting information?
The human flaw that causes this predates computers. People tend to trust anyone that can speak confidently and with the aura of authority. Politicians base their careers on this. Chatbots are perfecting the method.
 
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Kirsu

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I do feel LLMs can help start your research. It tends to generate terms and concepts that you can put into Kagi or Google for fact checking and getting these crucial details such as context straight.
But blindly trusting an LLM like ChatGPT, or Facebook, or that guy in the pub is not a success strategy.
(emphasis mine)
While not wrong, that's like ISPs saying getting moar moneys from the government would allow them to lower prices. We all know it's not going to happen.
 
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bebu

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If any interns/residents are reading this, yes, part of being a medical professional is recognizing that there are many different ways that people will do foolish things and we call this "preventive medicine". Never, ever be afraid to inquire "why do you ask?"
Some of the chilling answers might well challenge the use of "never" and definitely "never, ever."
 
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bebu

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kinda suprised he skipped right over potassium chloride which is sold as a salt alternative
Enough KCl and I suspect he would never have darkened the doors of Emergency Admissions.
I vaguely recall you can drink perfectly healthy fruit juice to such an excess that the excessive potassium intake causes metabolic alkalosis.
I suspect ingesting KCl to the excess this chap would likely have indulged, would seriously stuff up his heart (arrhythmia) much sooner and probably fatally.
 
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