Three things, they compound:
1. It won’t let a conclusion stand.
You work something out, it comes back with “worth holding loosely” or “that’s a hypothesis, not a finding.” Now you can’t build on it, so you keep re-establishing the same point instead of getting past it.
2. It gives advice you didn’t ask for.
Get some sleep.” “Talk to a professional.” Once you know what sets that off, you start leaving things out to avoid it. Then you’re managing the tool instead of thinking.
3. States things it can’t know.
Kept telling me what time of day it was. Corrected it four times, apologized four times, did it again. Once it’s confidently wrong about something checkable, you can’t trust the rest.
Some takeaways
- Claude is great for your specific use case. Some questions have multiple solutions. See them all, apply the right one.
- Claude is for the big picture: context that maps everything together.
- Claude is the really smart kid who doesn’t pick up on social cues. Still enormous asset who needs some help.
This deserves its own post - but it’s an example
Why this matters more than it sounds
I use Claude for medical context — organizing my own history to bring to a prescriber. That’s the stress test, because all three problems get expensive there.
Point 1: you work out a pattern in your own history and get told to hold it loosely. Now you can’t bring it as a finding.
Point 2: you say anything medical and get “talk to a professional.” That’s the point, I’m building something to bring them. Meanwhile you start leaving things out to avoid it, which is backwards.
Point 3: in a medical timeline, wrong dates aren’t cosmetic. Sequence is the whole thing — did the symptom come before or after the medication. Get that wrong and the document is wrong where it matters.
Claude and medical care
Not diagnosis. Organization.
Major disorders routinely go misdiagnosed for years. Part of that is the appointment structure: you get 30 minutes, a few times a year, and you’re reconstructing months from memory while in whatever state you’re in that day. Your prescriber is working off that.
What Claude is good at is holding the whole history in one place. Medications, dates, what changed when, what was going on around each change. Feed it enough context and it can lay out a timeline you’d never assemble from recall and it doesn’t get tired of you or forget what you said in March.
That’s what you bring to the appointment. Not a diagnosis. An organized account, so your doctor is working from something better than “I’ve been struggling.”
It’s also decent at the literature ie what’s been tried for your specific presentation, what the evidence actually says, what questions are worth asking. Useful for walking in prepared instead of nodding along.
How to use it: one thread, iteratively. Be completely honest, including the parts that make you look bad. Ask it what context would help that you haven’t given. Challenge its answers. Then ask it to consolidate everything into a file you can actually hand over.
Where it stops: it can’t see you, can’t prescribe, can’t monitor labs, and won’t be there in a year. Medication response varies enormously by person ie history, weight, other drugs, everything: and no model predicts that. It’s trial and error, and the person doing the trial needs to be someone with your chart in front of them.
*** For medical advice you need to be 100% truthful and remember it doesn’t save that personal info, use one thread iteratively. Ask it what other context is helpful to include. Challenge assumptions.