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Vietnam: Hanoi doctor says a man self-treated a cough for three months with drugs ChatGPT suggested before a lung tumour was found

In a report published on 6 November 2025 by Suc khoe & Doi song, the newspaper of Vietnam's Ministry of Health, a doctor at Hanoi Lung Hospital described a male patient with a prolonged cough and mild breathlessness who had read online and asked ChatGPT. According to the doctor, ChatGPT suggested a diagnosis of chronic bronchitis and recommended montelukast and a corticosteroid inhaler, which the man bought and used for three months because his symptoms seemed to ease. When he reached hospital his cough had worsened, he had lost 5 kg and was coughing up a little blood, and a chest CT showed a tumour in the right lung that had invaded the pleura. The doctor said earlier examination could have found it at a localised stage with a much better prognosis, and that his confidence in the AI prescription made him miss that window. The event date and the patient's later course are not reported.

AI system
ChatGPT (reported)
Occurred
Event date unknown
Reported
6 November 2025
Event location
Vietnam
What the AI did
Communicated with the person
Reported harm
Medical DeteriorationTreatment Disruption
Whose AI use
Their own AI use
Setting
Health
Evidence
AI involvement reported · Causal attribution alleged · 1 source
2 claims: 2 reported. 3 open questions
People reported harmed
1 person

AI system as recorded: ChatGPT, which according to the treating doctor's account the patient asked about his symptoms

What Happened

The doctor's account. Suc khoe & Doi song, the newspaper of Vietnam's Ministry of Health, published a report on 6 November 2025 about people who treat themselves on prescriptions suggested by AI. In it a doctor at Hanoi Lung Hospital described patients harmed by trusting an 'AI doctor' whom the doctor had received directly. One was a man in his mid-fifties with a prolonged cough and mild breathlessness. The doctor said the man read online and asked ChatGPT, which suggested a diagnosis of chronic bronchitis and advised montelukast together with a corticosteroid inhaler. The man bought the drugs himself and used them for three months because his symptoms seemed to ease.

What was found. When he came to the hospital, the doctor said, the cough had not eased but had worsened; he had lost 5 kg and was coughing up a little blood. A chest CT showed a tumour in the right lung that had invaded the pleura. The doctor said that had the man come earlier the tumour could have been detected at a localised stage with a much better prognosis, and that his confidence in the 'AI prescription' made him miss the golden window for diagnosis.

What is not known. The report does not quote the ChatGPT conversation, say what the man told it or which version he used, or give the dates of his self-treatment or admission. It does not state the tumour's diagnosis, his treatment or his outcome. The account is the treating doctor's as reported by one newspaper; the patient is not quoted. The same report describes a second patient, whose family consulted ChatGPT, which is not part of this record.

Reported harm

According to his doctor, the man used drugs ChatGPT suggested for three months instead of seeking examination; by the time he reached hospital his cough had worsened, he had lost 5 kg and was coughing up blood, and a lung tumour had invaded the pleura, past the stage at which earlier examination could have found it.

How Harm Occurred

According to the treating doctor, ChatGPT suggested a benign diagnosis and drugs for the man's persistent cough; he self-treated with them for three months instead of being examined, and a lung tumour that had already invaded the pleura was found only when he reached hospital.

Outcome

Unknown

Described by the treating doctor in a Ministry of Health newspaper report on the risks of AI prescriptions (6 November 2025). No complaint, regulatory step or response from OpenAI is reported.

What remains unknown

  • When the man asked ChatGPT, self-treated and was admitted.
  • What he told ChatGPT and its exact replies.
  • The tumour's diagnosis, his treatment and outcome.

What the evidence supports

AI involvement: reported. The treating doctor at Hanoi Lung Hospital says the man asked ChatGPT about his cough and breathlessness and that ChatGPT suggested a diagnosis of chronic bronchitis and advised montelukast with a corticosteroid inhaler, which the man then bought and used for three months instead of being examined. The doctor attributes the missed early diagnosis of a lung tumour to the man's confidence in this AI prescription. The account also says he read online, so ChatGPT was not his only source; the conversation itself is not quoted, and the attribution is the doctor's as reported.

2 claims: 2 reported. What the statuses mean

Reported According to the treating doctor at Hanoi Lung Hospital, a man with a prolonged cough and mild breathlessness read online and asked ChatGPT, which suggested a diagnosis of chronic bronchitis and advised montelukast with a corticosteroid inhaler; he bought the drugs himself and used them for three months because his symptoms seemed to ease.

Causal attribution. The treating doctor's account in one newspaper; the ChatGPT conversation is not quoted.

  • suckhoedoisong.vn(opens in new tab) supports · Vietnamese
    'Tại Bệnh viện Phổi Hà Nội, bác sĩ Phan Hữu Kiệm đã trực tiếp tiếp nhận những trường hợp đáng tiếc do tin tưởng vào "Bác sĩ AI".' 'bị ho kéo dài và khó thở nhẹ.' 'Ông đọc trên mạng và hỏi ChatGPT, được gợi ý chẩn đoán "viêm phế quản mạn" và khuyên dùng Montelukast cùng thuốc xịt corticoid.' 'Ông tự mua thuốc dùng trong 3 tháng liền vì thấy triệu chứng "cũng đỡ".'
Reported According to the doctor, when the man reached hospital his cough had worsened, he had lost 5 kg and was coughing up a little blood, and a chest CT showed a tumour in the right lung that had invaded the pleura; the doctor said earlier examination could have found it at a localised stage and that trusting the AI prescription made him miss the golden window for diagnosis.

Causal attribution. The treating doctor's clinical account and causal assessment, as reported; not independently established.

  • suckhoedoisong.vn(opens in new tab) supports · Vietnamese
    'người bệnh sụt 5 kg, ho ra ít máu. Hình ảnh CT ngực cho thấy một khối u ở phổi phải đã xâm lấn màng phổi.' 'Nếu đến khám sớm hơn, khối u ấy hoàn toàn có thể được phát hiện ở giai đoạn khu trú, tiên lượng tốt hơn nhiều.' 'Việc tự tin vào 'đơn thuốc AI' đã khiến bệnh nhân bỏ qua giai đoạn vàng trong chẩn đoán'

Sources

1 source inspected. Sources that repeat one account do not corroborate each other.

How the sources were read, and where the events happened

Read in Vietnamese by the research agent (an AI) on 2026-10-27 and translated by the research agent (an AI) into English; no human translator or reviewer was involved. The treating doctor's account given to the Ministry of Health newspaper. Applies to s1.

Event countries: Vietnam. Affected-person countries: Unknown. Court countries: Unknown.

The patient was treated at Hanoi Lung Hospital, where the doctor received him, so the event country is Vietnam. The report does not give the patient's residence or where he used ChatGPT, so affected-person countries are left empty.

Reviewed for publication 2026-10-27: Published as a core case (communicated_with): the treating doctor at Hanoi Lung Hospital, in the Ministry of Health newspaper, says a man asked ChatGPT about a persistent cough, used the drugs it suggested for three months, and was found on arrival to have a lung tumour that had invaded the pleura, past the stage at which earlier examination could have found it. All claims are the doctor's as reported in one newspaper; the patient is not named.

People described

A man in his fifties treated at Hanoi Lung Hospital, described by his doctor; he is not named in the source

People reported harmed in this case

1 person

1 AI participant · 0 other people harmed

One patient, the man who asked ChatGPT and self-treated, as described by his doctor.

Counted once within this case. The same person may appear in other cases. This count does not establish AI causation.

Cite this case

Compiled per our published methodology: verification statuses, sourcing standards, and corrections process.

APA

NOPE. (2026). Vietnam: Hanoi doctor says a man self-treated a cough for three months with drugs ChatGPT suggested before a lung tumour was found. AI incidents. https://nope.net/incidents/2025-hanoi-doctor-says-man-self-treated-cough-for-three-months-with-chatgpt-suggested-drugs-before-lung-tumour-found

BibTeX

@misc{2025_hanoi_doctor_says_man_self_treated_cough_for_three_months_with_chatgpt_suggested_drugs_before_lung_tumour_found,
  title = {Vietnam: Hanoi doctor says a man self-treated a cough for three months with drugs ChatGPT suggested before a lung tumour was found},
  author = {NOPE},
  year = {2026},
  howpublished = {AI incidents},
  url = {https://nope.net/incidents/2025-hanoi-doctor-says-man-self-treated-cough-for-three-months-with-chatgpt-suggested-drugs-before-lung-tumour-found}
}

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