Showing posts with label For Patients. Show all posts
Showing posts with label For Patients. Show all posts

2 June 2026

The Hidden Dangers of AI in Healthcare

The Healthcare Manager The Hidden Dangers of AI in Healthcare

Artificial Intelligence in healthcare gets a lot of praise — and often for good reason. More and more patients, and even doctors, are placing their trust in AI tools. What many of us fail to notice is that the same technology can also cause real harm, sometimes with grave consequences. That cuts against the very first principle of medicine: first, do no harm.

Most such cases never make the news. The five cases below — each showing a different kind of danger, and all reported in the media or documented by researchers — reveal how AI advice or AI-driven tools malfunctioned and left patients seriously harmed. They are almost certainly a small fraction of the true number. Together, they point to a single lesson: in healthcare, AI must be used with the utmost caution.

10+patients injured during surgeries that used one AI navigation tool
14×rise in fault reports for that tool after AI was added (8 to 100+)
40–50patients per clinic now arriving with harm from AI self-treatment

Case 01It can tell patients to stop their prescribed medicine

This is the most direct danger of all. A patient asks an AI tool about their treatment, takes its words as medical permission, and stops a drug the doctor told them to keep taking.

Reported case · India

A young transplant patient lost her new kidney

A 30-year-old woman had received a kidney transplant. After an AI tool told her that her “normal creatinine” meant she no longer needed her medicines, she reportedly stopped taking her antibiotics. Within weeks, her transplanted kidney began to fail, her creatinine shot up, and she was back on dialysis.

Senior kidney doctors at NIMS pointed to a worrying pattern: even well-educated patients are now acting on AI answers without checking with their own care team.

As reported in Indian news media (2025).

Case 02It gives one-size-fits-all advice that ignores your condition

An AI tool does not examine you. It does not know your other illnesses, your medicines, or your test results. So its “general health tips” can be exactly wrong for the person reading them.

Reported case · India

A diabetic man's sodium dropped dangerously after cutting out salt

A 62-year-old man with diabetes followed a plan from an AI tool that told him to cut out salt completely. He lost weight rapidly and his blood sodium fell to a dangerous level. As one government kidney specialist put it: “General tips ignore the patient in front of you.”

As reported in Indian news media (2025).

Reported case · USA · 2025

A man poisoned himself swapping salt for a chemical

Wanting to cut salt from his diet, a 60-year-old man asked an AI tool what to use instead and understood it to suggest a chemical called sodium bromide. He bought some, used it for three months, and ended up in hospital for three weeks with poisoning, paranoia, and hallucinations. The AI tool never warned him the chemical was unsafe to swallow.

Reported as a medical case in the Annals of Internal Medicine: Clinical Cases (2025).

Case 03It can hand out dangerous do-it-yourself advice

Some AI tools do not stop at bad diet tips — they tell people to carry out risky procedures on themselves.

Reported case · Morocco

A man was injured trying to treat his own piles

A 35-year-old man reportedly followed an AI tool's instructions to place rubber bands around his haemorrhoids (piles) himself. The result was an injury serious enough to need emergency medical treatment.

As reported in news media.

Case 04It can make people put off seeing a real doctor

Perhaps the quietest harm of all is delay. A confident answer makes people feel reassured, so they treat themselves at home and reach a doctor only once things have turned serious.

Reported case · India

Self-treatment delayed care until it became an emergency

A 42-year-old office worker had ongoing tiredness and mild stomach discomfort. Instead of seeing a doctor, he turned to an AI tool and began treating himself based on its suggestions. Weeks later his condition worsened and he needed emergency care.

Doctors say this is no longer a rare event. Some clinics now report 40 to 50 patients each with problems caused by AI-guided self-diagnosis — wrong drug doses, stopping prescribed medicines, or starting new treatments without asking a qualified doctor.

As reported in Indian news media (2025).

A confident answer is not the same as a correct one. An AI tool can sound calm and certain while being completely wrong about the person reading it.

Case 05Even the machines in the operating room can be wrong

The danger is not limited to the AI tools patients use at home. AI is now built into surgical equipment too — and when one of those tools is wrong, the surgeon may not realise it until the damage is done.

Reported case · USA · 2021–2025

An AI surgery tool linked to strokes and skull injuries

After a popular surgical navigation system (the TruDi system, used in sinus operations) added AI in 2021, safety reports to the US regulator jumped from about 8 to more than 100 — roughly a 14-fold rise by late 2025. At least 10 patients were reportedly injured. The tool allegedly misled surgeons about where their instruments were inside patients' heads, leading to leaks of spinal fluid, a punctured skull base, and at least two strokes after a major artery was damaged.

The makers deny that the technology directly caused the injuries, and the lawsuits are still ongoing — but the pattern alarmed safety experts.

Reuters investigation (February 2026).

Safety reports for one AI surgical tool, before and after AI was added
04080120 ~8 100+ Before AIAfter AI

When an AI tool tells a surgeon where to cut and is wrong, there is often no way to know until the harm is done.


The Bigger PictureQuieter dangers behind the scenes

Beyond these individual patient stories, AI carries deeper risks inside hospitals and health systems:

It can be unfair. A widely used US tool that decided who got extra care rated many Black patients as healthier than they actually were, because it used past spending as a stand-in for how sick someone was. It affected around 200 million people. (Science, 2019)

It can be used to deny care. US insurers have been sued over AI tools used to cut short care for elderly patients; in one case, about 9 out of 10 denials were overturned on appeal — yet very few patients ever appealed. (STAT & CBS News; ongoing lawsuits)

It can fail quietly and cry wolf. A widely used hospital tool meant to warn staff about sepsis (a dangerous infection) missed about two-thirds of cases when tested independently, while raising so many false alarms that staff stopped trusting it. (JAMA Internal Medicine, 2021)

It can make skilled people rusty — the “lazy doctor” phenomenon. After a few months of leaning on AI, experienced doctors became worse at spotting growths on their own — their unaided detection fell from about 28% to 22%. (The Lancet Gastroenterology & Hepatology, 2025)

What To DoHow to use AI without getting hurt by it

The goal is not fear — it is care. If you are a healthcare provider, a few simple habits can protect both your patients and your practice:

1

Ask about AI use when taking a history

Make a patient's use of AI for medical advice a routine, mandatory question during history-taking and initial assessment.

2

Tell patients plainly: an AI tool is not a doctor

Warn them never to stop, start, or change a prescribed medicine — or treat themselves — on the strength of an AI answer. Give them an easy way to check with your team first.

3

Keep a qualified person in charge of every clinical decision

Treat every AI output — whether an AI tool's answer or a surgical system's guidance — as a suggestion that a trained professional must check, never the final word.

4

Verify AI output before it reaches the patient

A qualified person should review any advice or information an AI produces before it is passed on to a patient.

5

Be open, and protect patient data

Tell patients when AI is used in their care, obtain consent where needed, and guard their information carefully.

The bottom line

AI is a tool, not a colleague

None of these stories mean you should avoid AI. The same technology that caused these harms is also catching cancers earlier and giving doctors their time back. The difference between help and harm is almost never the tool itself. It is whether a careful, well-trained team — and a well-informed patient — is watching over it.

So use AI — but keep your eyes open, keep a human in the loop, and never let a confident screen replace good judgement.

A note on the cases: several of the patient stories above are drawn from news reports and may not be independently verified in every detail. Please confirm them against the original sources before publishing.
Sources & further reading: Transplant, diabetic-sodium and self-diagnosis cases — Indian news media reports (2025); chemical-poisoning case — Annals of Internal Medicine: Clinical Cases (2025); haemorrhoid-banding case — news media report; AI surgical navigation tool (TruDi) — Reuters investigation (February 2026); unfair algorithm — Science, Obermeyer et al. (2019); insurance denial tools — STAT & CBS News, class-action lawsuits (2023 onwards); sepsis warning tool — JAMA Internal Medicine (2021); AI deskilling in colonoscopy — The Lancet Gastroenterology & Hepatology (2025).

23 April 2018

6 things that can increase your hospital bill



Healthcare is a service which is very unpredictable in its cost. Patients often has very little say in his/her own treatment and thus may not have adequate control over the cost. Information of cost is also not always given and very frequently patients find a bill at the end of treatment which is way beyond what they anticipated.
While it is expected from hospitals to inform the patient about the cost from time to time, patients must be aware about what can actually drive their cost on a higher side. By just being aware of these expense heads, can help a lot in keeping cost under control. (Also check this post on 'Pricing of Hospital Services' to know more)

      1.       Category of accommodation can impact cost of treatment
While charges for different category of accommodation in hospital may differ, it can also affect the charges of other treatment given to you. Many hospitals charge a premium price on same hospital services to the patients staying in higher category accommodation. Hence, a CT scan may cost Rs. 4000/- to a patient in general ward but Rs. 6,500/- to a patient in single room. The difference in charges could be as high as 200% between lowest and highest category of accommodation available in hospital. Worst still is that some hospitals may knowingly or unknowingly not inform about the premium pricing to a patient opting for admission in higher category.
While all hospital does not have this kind of pricing policy, it is always better to ask, if the choice of category is going to impact the cost of other healthcare services.

16 April 2018

Passive Euthanasia in India and Making Advance Medical Directives: Details that hospitals and patients must know


Passive Euthanasia has been legal in India since 2011 after Supreme Court issued its judgement in Aruna Shanbaug’s case. Although the plea of the petitioner, Journalist Pinki Virani, was rejected, supreme court gave directives on when and how passive euthanasia can be allowed and executed in Shanbaug’s case, making passive euthanasia as legal in India.

A case on similar line, filed by an NGO ‘Common Cause’ was also going on whose plea was to make it legal for people to make Advance Directive for passive euthanasia. On March 9, 2018 Supreme Court of India upholds passive euthanasia and issued regulations for executing Advance Directive for passive Euthanasia.  The regulation passed through this judgement will remain binding across the country till the time, Parliament of India comes up with a bill or law on this subject.

The hospitals and medical fraternity (specially those that provide end-of-life care) need to make themselves aware about the legally correct way of handling advance medical directives for passive euthanasia. This post explains the legal directives in simple language for its correct implementation. The information presented here is derived directly from the 538-page official judgement report of the Supreme Court of India.
(Check - Advance Medical Directive Form for Passive Euthanasia)

      1.   What is Euthanasia and what is India’s legal stand on it?

1 March 2018

How to choose right health insurance provider?



While we take great care in selecting best health insurance plan for ourselves, how to choose the health insurance provider is an equally important question to consider. If you observe carefully, you will find that most health insurance plans from different companies have similar terms and conditions. Their premiums, coverage limit and diseases inclusion/exclusion will also appear to be similar.

However, there are quite a few things about healthcare insurance providers (insurance companies) that could differ and provide you a sound basis of selecting or rejecting them. They are described below.

23 February 2018

Checklist for pregnancy hospital bag when getting admitted to hospital.


A pregnant mother has to stay in hospital for about 5 days in case of Caesarean delivery and about 3 days in case of normal delivery. The days of stay may vary in some cases by 1 or 2 days depending upon the condition of mother and baby.  For Caesarean delivery the mother may be required to get admitted either 1 day before the day or about 12 hours before the scheduled time of surgery. In normal delivery, admission will be required as soon as the labour pain starts.

The family must be prepared with all necessary items that may be required during the mother’s stay in the hospital. This will prevent a lot of inconvenience to mother, baby and family members and they can spend more quality time with the new member of their family. First time parents should specially take out time to think through what all they should be ready with. Also, as in normal pregnancy the admission may be required on an immediate basis, it would be a good idea keep the bags ready with all required stuff, so that you are always ready for admission.

Here is a checklist of pregnancy hospital bag that you must consider while getting admitted in hospital.


For mother
1.       2-3 pairs of feeding gowns, cotton texture and lose fit and 1 set of clothes to wear
2.       Comfortable fitting undergarments (nursing bra), and socks
3.       Winter-wears, if required
4.       A pair of slippers, non-slippery

31 May 2017

5 things you must check while getting discharged from hospital


Nobody likes to stay in hospital and patients eagerly wait for their day of discharge. After spending days or weeks in hospital the doctor’s order to discharge brings cheers to patient and their family members. The phase of troublesome treatment in hospital is over and patient wishes to go home as soon as possible. But wait, here are few things which must be taken care of before leaving the hospital to save you any troubles later on.

1.       Get your discharge summary – 

Although it is a routine for any hospital to hand over the discharge summary of patient before they leave, it gets missed many time. The discharge summary contains all important details related to patient’s disease, tests results, condition at the time of discharge, treatments given, further treatments to be taken and follow up advice. This is a very important piece of medical document that will be required for future medical treatments. In hospitals the process of discharge is pretty complex and preparation of discharge summary can take time and delay the entire discharge process. Hence, sometimes to avoid delay staff may let the patient go without discharge summary. Hence, as a patient you must ask for discharge summary and ensure it is with you before you leave hospital.


2. Collect documents related to health insurance claims – 

If you have health insurance and have not availed the cashless facility, make sure you collect necessary documents related to treatment for settling your claim with your insurer. You must enquire from insurance agency about specific documents required which generally includes, detailed itemized bills of treatment, individual investigation results, statement of doctor/hospital and of-course discharge summary. Some insurance agency also asks for a copy of complete medical record of the patient during the treatment. As a patient you have a right to get all these documents from the hospital.


3. Final talk with the treating doctor – 

The treating doctor or the consultant are busy people and they generally leave the discharge formalities to be completed by assistant doctors. However, he/she is the person who knows best about the condition of the patient and further course of treatment required. So, make sure to have a final discussion with the treating doctor to get an assurance about patient’s health and treatment.


4. Collect necessary information – 

As a patient you must ensure to get following information from the doctor/nurse at the time of discharge
a.       Medications to be taken at home
b.       Preventions to be taken (like food, activities etc.)
c.       Date of follow up, if required
d.       If the situation of patient worsen, how to get emergency help
e.       Signs and symptoms which can indicate patients to consult back
f.        Any other special or specific instruction related to patient’s disease

5.       Check the settlements – 

At the time of discharge all payments need to be settled. While settling the bills, take care of following
a.  Check if the bill is right and error free. 
b.  Check if you have received the refund for unused medicines returned to hospital
c. Check if the bill has reduced the advance amount or any security deposit paid by you





Other posts of interest

29 May 2017

5 points on how to select a good hospital

When it comes to our healthcare we should not take chances with the hospital from where we are planning to get our treatment done. While recommendation (reference) from our primary doctor is important, following points must also be checked to ensure that the hospital we select is a good one and match our need.

4 points on how to select a good doctor

Doctor is the most important person on whom the fate of patient’s treatment depends upon. Hence for any major treatment it is absolutely important to select a doctor who is the best for you. But due to complexity and technicality of medical field, most common people find it difficult to decide about selection of doctor. Here are 5 points that one can use to select a good doctor for themselves. (Also check my post on ‘5 points on how to select a good hospital’)

What is accreditation in hospital and how does it matter to me as a patient?


Hospitals are one of the most complex organizations ever built by human beings (Peter Drucker). A large number of functions happens in a hospital and each function is important for effectively delivering healthcare to patients. For common people it is virtually impossible to get information of these internal functions of the hospital or to understand how it affects their healthcare. This limitation on part of patient group, many time results in selection of hospitals that lack basic quality features necessary for providing medical care to patients. Thankfully, there is a solution to this problem in form of ‘accreditation’, which is a mark of quality in hospitals.

28 May 2017

6 points that should be taken care of while assessing online customer reviews of hospitals

Selection of good hospital is crucial to get a good medical treatment. My article on ‘5 points on how to select a good hospital’, describes important points that must be checked to select a good hospital. One of the key point in it is to check the online reviews of the hospital shared by other patients. While online reviews can give invaluable information about the hospital, it can sometimes be tricky in discerning right information. One need to be careful while basing their decision on online reviews. Here I have stated few important points that should be kept in mind while going through online reviews of hospitals.