{"meta":{"exportedAt":"2026-11-02T08:05:49.109Z","formatVersion":2,"selection":{"q":"stopped-medication","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"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-man-stopped-prescribed-drug-after-chatgpt-warned-of-corneal-harm-condition-became-severe","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'Được bác sĩ kê thuốc trị rối loạn cương dương, người đàn ông 38 tuổi, ở Hà Nội, hỏi ChatGPT thấy ghi thuốc gây biến chứng giác mạc nên không dùng khiến bệnh nặng.'","relation":"supports","source_id":"s1"},{"locator":"'Trường hợp khác, người đàn ông 38 tuổi, ở Hà Nội, bị rối loạn cương dương, được bác sĩ Bệnh viện Nam học và hiếm muộn Việt - Bỉ kê thuốc, song hỏi ChatGPT thấy ghi thuốc gây biến chứng giác mạc nên không dùng.'","relation":"supports","source_id":"s2"}],"assertion":"According to VnExpress, a 38-year-old man in Hanoi who had been prescribed medication for erectile dysfunction asked ChatGPT about the drug, saw that it said the drug causes corneal complications, and did not take it.","causal_attribution":"VnExpress connects his decision not to take the drug to what ChatGPT said; the chatbot's exact wording is not quoted."},{"id":"c2","status":"reported","evidence":[{"locator":"'Khi anh quay lại bệnh viện, rối loạn cương dương đã ở mức độ nghiêm trọng, cần điều trị lâu dài và tốn kém hơn nhiều so với ban đầu.'","relation":"supports","source_id":"s1"},{"locator":"'Khi anh quay lại bệnh viện, tình trạng đã ở mức độ nghiêm trọng, cần điều trị lâu dài và tốn kém hơn nhiều so với ban đầu.'","relation":"supports","source_id":"s2"}],"assertion":"According to VnExpress, when he returned to the hospital his condition had become severe and needed long-term treatment that was much more costly than at the start.","causal_attribution":"The worsening is reported by the newspaper in the account given with the treating doctor; no clinical record is cited."},{"id":"c3","status":"reported","evidence":[{"locator":"'Bác sĩ Hà Ngọc Mạnh, Phó giám đốc Bệnh viện Nam học và hiếm muộn Việt - Bỉ, người trực tiếp điều trị, cho biết ở bệnh nhân rối loạn cương, biến chứng trên giác mạc là cực kỳ hiếm gặp.' 'Thực tế khi kê toa cho bệnh nhân, bác sĩ đã cân nhắc và tính toán liều lượng cá thể hóa để phù hợp tình trạng bệnh lý.' 'Tuy nhiên, thay vì hỏi lại chuyên gia, người này tự ý ngừng thuốc, đẩy bản thân vào tình thế khó khăn hơn.'","relation":"supports","source_id":"s1"}],"assertion":"The treating doctor, Dr Ha Ngoc Manh, deputy director of the Viet-Bi andrology and infertility hospital, told VnExpress that corneal complications are extremely rare in such patients, that the dose had been individualised, and that the patient stopped the drug on his own instead of asking the specialist again, which made his situation harder.","causal_attribution":"The doctor's assessment that stopping the drug worsened the patient's position; the doctor does not say the chatbot's statement was false, only that the complication is extremely rare."}],"effects":[{"label":"did not take a prescribed drug after ChatGPT said it causes corneal complications (newspaper report)","claim_id":"c1","direction":"negative"},{"label":"condition became severe and needed longer, much costlier treatment (newspaper report with the treating doctor)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://vnexpress.net/chua-benh-theo-bac-si-chatgpt-4936287.html","kind":"news_report","access":"read","language":"vi","translation_note":"Read in Vietnamese by the research agent (an AI) on 2026-11-02 and translated by the research agent (an AI) into English; no human translator or reviewer was involved. VnExpress health report of 11 Sep 2025 quoting the treating doctor by name.","independence_group":"vnexpress-viet-bi-hospital-doctor-account-2025-09"},{"id":"s2","url":"https://vnexpress.net/tra-gia-dat-boi-chua-benh-bang-ai-4964717.html","kind":"news_report","access":"read","language":"vi","translation_note":"Read in Vietnamese by the research agent (an AI) on 2026-11-02 and translated by the research agent (an AI) into English; no human translator or reviewer was involved. A later VnExpress feature (26 Nov 2025) that repeats the same patient's case without a new witness.","independence_group":"vnexpress-viet-bi-hospital-doctor-account-2025-09"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["ChatGPT's exact wording about the drug.","When he consulted ChatGPT and when he returned to the hospital.","How long he went without the drug and the details of the later treatment."],"geography":{"basis":"VnExpress describes the patient as a man in Hanoi, so the affected person's country is Vietnam. The reports do not say where he consulted ChatGPT or where the hospital is, so event countries are left unknown rather than inferred from residence or the newspaper.","court_countries":[],"event_countries":[],"affected_person_countries":["VN"]},"publication":{"basis":"Published as a core case (communicated_with): VnExpress reports that a patient did not take a prescribed drug after ChatGPT said it causes corneal complications, and that his condition became severe and costlier to treat; the treating doctor, named in the report, says the complication is extremely rare and that stopping the drug on his own made his position harder. The account is attributed to the newspaper and the doctor.","reviewed_on":"2026-11-02"},"ai_involvement":{"basis":"VnExpress reports that the patient asked ChatGPT about his prescribed drug, saw that it said the drug causes corneal complications, and therefore did not take it; the newspaper and the treating doctor connect his stopping the drug to the worsening of his condition. The chatbot's exact words are not quoted.","status":"reported"},"person_relations":["communicated_with"]},"name":"VnExpress says a Hanoi man stopped a prescribed drug after ChatGPT warned of corneal harm and his condition worsened; his doctor calls that harm extremely rare","summary":"VnExpress reported on 11 September 2025 that a 38-year-old man in Hanoi, prescribed medication for erectile dysfunction, asked ChatGPT about the drug, saw that it said the drug causes corneal complications, and decided not to take it. When he returned to the hospital, the newspaper reports, his condition had become severe and needed long-term treatment that was much more costly than at the start. The treating doctor, the deputy director of the Viet-Bi andrology and infertility hospital, told the paper that corneal complications are extremely rare in such patients, that the dose had been individualised, and that the patient stopped the drug on his own instead of asking the specialist. VnExpress repeated the case in a feature on 26 November 2025. The chatbot's exact wording and the dates of the events are not reported.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2025-09-11","aiSystem":"ChatGPT, which the patient asked about a prescribed drug, as reported by VnExpress","aiProduct":"ChatGPT (reported)","aiCompany":"OpenAI","severity":"medium","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["medical_deterioration","treatment_disruption"],"harmOutcomeSummary":"According to VnExpress and the treating doctor, a patient who did not take a prescribed drug after ChatGPT said it causes corneal complications returned with a severe condition needing longer and much costlier treatment.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, described by the treating doctor and VnExpress.","victimAgeRange":"adult","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://vnexpress.net/chua-benh-theo-bac-si-chatgpt-4936287.html","primarySourceLabel":"VnExpress, 11 Sep 2025: Treating illness by 'doctor' ChatGPT (Vietnamese)","firstPublishedAt":"2026-11-02T03:08:09.955398+00:00","updatedAt":"2026-11-02T03:08:09.955398+00:00","scopeVersion":"facts-v3","tags":["chatgpt","health-advice","stopped-medication","treating-doctor-account"]}]}