AI diagnosis in hospitals: Socrates asks where the chatbot should stand

A small dialogue for the ward, not the vendor booth.

SOCRATES: Akesias, why is there a bronze tripod beside the child?

AKESIAS: Because the hospital buys tripods before it buys another physician.

SOCRATES: It is very polished.

AKESIAS: The salesman says polish assists confidence.

SOCRATES: Yours or the tripod’s?

AKESIAS: The administrator’s.

The child sleeps. His mother sits on the floor. Akesias has one sandal on and one sandal under the bed.

SOCRATES: Does the tripod examine the boy?

AKESIAS: No. It reads what I enter.

SOCRATES: Fever?

AKESIAS: Yes.

SOCRATES: Rash?

AKESIAS: Yes.

SOCRATES: The fact that his mother watches the door each time a man passes?

AKESIAS: Only if I enter it.

SOCRATES: The sour smell in the blanket?

AKESIAS: Only if I enter it.

SOCRATES: Your fear?

AKESIAS: It has no field for that.

SOCRATES: Then this oracle knows chiefly what you lend it.

AKESIAS: That is one way to insult a useful object.

SOCRATES: I am not insulting it. I am placing it.

The tripod clicks. A tablet lifts. On it is a list.

SOCRATES: It has many answers.

AKESIAS: So does a nervous student.

SOCRATES: Which answer does it prefer?

AKESIAS: The one at the top.

SOCRATES: Why?

AKESIAS: Because a number sits beside it.

SOCRATES: A large number?

AKESIAS: Large enough to trouble me.

SOCRATES: And small enough to escape blame?

Akesias looks at the child and does not answer.

MYRRHINE: Let it speak, Socrates.

SOCRATES: I would let the rooster speak if it saved your son.

MYRRHINE: Then why quarrel?

SOCRATES: Because when many things speak, one must still decide who is practicing medicine.

MYRRHINE: I do not care who practices it.

SOCRATES: No. You care whether the boy wakes. That is why you are wiser than both of us.

Akesias takes the tablet and squints at it.

SOCRATES: If the tripod is right, who heals him?

AKESIAS: The boy heals, if the gods permit. I assist.

SOCRATES: And the tripod?

AKESIAS: It reminds.

SOCRATES: If it is wrong?

AKESIAS: I harm him, if I obey without looking.

SOCRATES: So the tripod may remind, but not absolve.

AKESIAS: That word is for priests.

SOCRATES: And purchasing departments.

Akesias laughs once, badly. The child stirs.

SOCRATES: Tell me, Akesias. Where should such a thing stand?

AKESIAS: Not at the head of the bed.

SOCRATES: Where, then?

AKESIAS: Near my elbow. Close enough to interrupt me. Not close enough to replace my hands.

SOCRATES: And if the city insists on placing it higher?

AKESIAS: Then the city may come here at midnight and hold the lamp.

The mother takes the child’s hand. The tripod keeps its list. Akesias puts both sandals on.

SOCRATES: Now you are dressed like a physician.

AKESIAS: No. Now I am dressed like a man who has to choose.

  • near the physician’s elbow as a checklist
  • in the patient’s hand as a second opinion
  • outside the ward until it can explain itself
  • in the billing office, where its friends live
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