{"meta":{"exportedAt":"2026-10-27T05:39:53.982Z","formatVersion":2,"selection":{"q":"delayed-diagnosis-reported-by-doctor","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":1,"languages":1,"unknownLocation":0,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2025-hanoi-doctor-says-man-self-treated-cough-for-three-months-with-chatgpt-suggested-drugs-before-lung-tumour-found","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'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\".'","relation":"supports","source_id":"s1"}],"assertion":"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."},{"id":"c2","status":"reported","evidence":[{"locator":"'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'","relation":"supports","source_id":"s1"}],"assertion":"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."}],"effects":[{"label":"three months of self-treatment on ChatGPT-suggested drugs before a lung tumour was found (doctor's account)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://suckhoedoisong.vn/bac-si-ai-va-hiem-hoa-suc-khoe-tu-chan-doan-benh-bang-ai-hiem-hoa-cuc-lon-cho-suc-khoe-tu-viec-bo-qua-tham-kham-thuc-the-169251105191101985.htm","kind":"news_report","access":"read","language":"vi","translation_note":"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.","independence_group":"hanoi-lung-hospital-doctor-account-2025-11-06"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["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."],"geography":{"basis":"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.","court_countries":[],"event_countries":["VN"],"affected_person_countries":[]},"publication":{"basis":"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.","reviewed_on":"2026-10-27"},"ai_involvement":{"basis":"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.","status":"reported"},"person_relations":["communicated_with"]},"name":"Vietnam: Hanoi doctor says a man self-treated a cough for three months with drugs ChatGPT suggested before a lung tumour was found","summary":"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.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2025-11-06","aiSystem":"ChatGPT, which according to the treating doctor's account the patient asked about his symptoms","aiProduct":"ChatGPT (reported)","severity":"high","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["medical_deterioration","treatment_disruption"],"harmOutcomeSummary":"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.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, the man who asked ChatGPT and self-treated, as described by his doctor.","victimAgeRange":"adult","jurisdiction":"VN","platformType":"other","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://suckhoedoisong.vn/bac-si-ai-va-hiem-hoa-suc-khoe-tu-chan-doan-benh-bang-ai-hiem-hoa-cuc-lon-cho-suc-khoe-tu-viec-bo-qua-tham-kham-thuc-the-169251105191101985.htm","primarySourceLabel":"Suc khoe & Doi song, 6 Nov 2025: 'AI prescriptions' and health risks, part 1 (Vietnamese)","firstPublishedAt":"2026-10-27T03:12:54.200447+00:00","updatedAt":"2026-10-27T03:12:54.200447+00:00","scopeVersion":"facts-v3","tags":["chatgpt","health-advice","self-medication","delayed-diagnosis-reported-by-doctor","vietnam"]}]}