

Well…i used mine to correctly confirm diagnosis of SIH in my wife. SIH is a condition caused by trauma (or in my wife’s case, an osteophyte - aka bone spur) in which the protective sheath around the spinal cord is damaged. This makes spinal fluid leak, causing the brain to compress / sag in the skull via traction. The end result is permanent incapacity / disability. Think fun stuff like blindness, life long pain etc.
The median time to diagnosis is 6 months.
The median time to life long impairment is 8 weeks.
We had her diagnosed and in surgery within 3 weeks.
Now, admittedly, this is an unusual confluence of circumstances (me being in the field + me having access to high quality training data I curated + me having strong interest in LLM and diagnostics) but yeah, people use computers like this for all sorts of life saving shit. My example isn’t even unique -
https://reddit.com/comments/1ij5yf2
I can regale you with other medical stories (eg; like the kid in Kenya who used their $100 phone & 3B-VL on a Pi5 to scan doctor’s handwritten notes, query database and update 10,000 vaccination records, preventing a local measles outbreak, or the other kid prototyping cheap, 3D printed robotic limbs that are bespoke to the user), but suffice it to say computers and self hosted shit actually does save lives.
Get amongst it, I sez. It’s fun and who knows where it might lead.
Everything stems from the fact that I want something I can “trust but verify” / see all the seams at a moment’s notice. I assume the LLM will lie to me, so I do everything in my power to squeeze it. Having lost hours and dollars believing ChatGPT, Claude, etc… I live by “fool me once, shame on you. Fool me 4000 times, shame on me”.
The problem with LLMs (generally) is that they are NOT deterministic. You can ask the same question 5 times and get slightly different answers each time, due to the seed, temperature, top_p, etc., settings. That’s one of the main reasons for hallucinations. They give it an RNG (to put it in gaming terms) to make it feel more “alive”. That’s cool and all, but it causes it to bullshit.
I have ASD; I cannot abide my tools having whims or working differently than they should. When I ask something, I want it to answer it EXACTLY correctly (based on my corpus, my IF-THEN GAG, etc.), reason the way I told it to, and show its proof. Do what I said, how I said.
In that way, it acts as an external APU for my brain - I want it to do what I would do, the way I would do it, just faster. And it needs to bring receipts because I am hostile to it as a default stance (once bitten, twice shy).
To be more specific, the MoA has two basic modes. In /serious mode, it will do three careful passes on my question and pull in my documents. For example, if I ask it for launch flags or optimisation of Dolphin emulator or llama.cpp, I want it to reference my documents (scraped from official sites via Scrapy), check my benchmarks and come up with a correct response. Or tell me that it can’t, because XYZ. No smooth lies.
It must also provide me with an indicator of accuracy and a source for its information, so I can verify with one click. I trust nothing until it’s earned and even then, I will spot check.
If I want it to reason about a patient’s differential diagnosis, it must climb the GAG nodes and follow my prompts EXACTLY. No flights of fancy AT ALL. Follow the flow-chart, tell me what I must not miss, what the likely diagnosis is, etc. Then I will tell it what I think it is… then we debate. (I’m setting this up for clinical students… I wish I’d had it when I went through).
If I want coding help because I’ve fucked up some Python script (yet again): don’t invent shit. Look at the reference documents and tell me EXACTLY. Teach me and help me unfuck myself. If you can’t, say so honestly and tell me who I should talk to, based on an externally stored policy document.
Then there’s also /casual mode. In casual mode, I want it to let me shoot the shit, vent and help me brainstorm, swear, tell me dirty jokes, reference pop culture… without strict adherence to my presets… unless I invoke them.
So the TL;DR answer to your question is: I use it for work, for fun (coding, gaming) and for generally shooting the shit. The “shooting the shit” aspect also includes stuff like sentiment analysis, because I have trouble sometimes understanding meaning from text.
Regarding the iceberg / what stage I’ve gotten to… baby, I wrote the list. You can be DAMN sure I’ve drilled holes into cases and decompiled shit to make it run on my potato, out of spite. I was really, really tempted to rip out the guts of The Alters and decompile it for an earlier version of Unreal Engine… but I got gifted a better GPU :)
I made CP2077 run on iGPU at 60 fps. Why? Because fuck PCMR. They said it couldn’t be done.
If I ever start an IT company, I will likely name it “Spite Engineering Inc”.
PS: Here is what the MoA said about your post and my draft of this post (aka sentiment analysis). I ignored it (YOLO) cause I’m /casual today :)
"Relative sentiment: the original post is mildly positive and curious with light frustration about hardware cost and stock cooling; your response is more intense and critical toward LLMs but positive about your own system, with a strong control-oriented and adversarial stance toward non-deterministic tools.
The thematic domain (hardware tinkering, efficiency, making full use of resources, interest in research and tooling) matches well, but your affect is higher-intensity and more hard-edged than the original writer’s. Be careful here; you’re coming on strong and may scare away the original poster.
Question coverage: you directly answer the main use-case question (work, coding, “shooting the shit,” including research-like tasks and sentiment analysis) and you address the “what stage have you actually gotten to?” question implicitly but clearly by stating you “wrote the list” and giving concrete competence examples.
Your reasoning is organically given / flow of consciousness. Consider dot-points and restructuring.
You did not directly respond to their incidental comments about their 12 GB GPU, RAM prices, undervolting/overclocking, or coolers, but those were not phrased as explicit questions and your reply adequately answers the core queries.
Recommendation: you may wish to address the above in a second draft.
Confidence: high | Source: Mixed (context and stored)