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Understanding How LLMs Work with a Doctor's Clinic Analogy

· 5 min read
D Balaji
Lead Design Technologist

Large Language Models (LLMs) are revolutionizing the way we build intelligent applications—especially in frontend development. From ChatGPT to custom AI copilots, LLMs are everywhere. But have you ever wondered how LLMs actually work under the hood?

The theory behind LLMs can be complex—terms like embeddings, transformers, tokenization, and vector space often feel overwhelming. That’s why I’m using a familiar analogy: a visit to a local doctor’s clinic.

This blog post breaks down the internal architecture of LLMs using a real-world story that’s easy to visualize and remember. Whether you're a developer exploring AI integration, an engineer curious about embeddings, or someone building chat interfaces, this analogy-driven explanation will help you understand:

  • What tokenization really means
  • Why vectors and embeddings are essential
  • How transformers "think" using attention
  • Why temperature affects LLM creativity
  • How memory and context shape outputs

Let’s walk into the clinic. 🚶‍♂️💊


Characters in the Community Clinic Example

  • User – A person interacting with the LLM (the patient)
  • LLM – The large language model (the doctor)
  • Internals – Sequence of steps the model uses to generate a response (diagnostic workflow)

Step 1: Patient Describes the Issue to Doctor

Scene:
The patient walks into the clinic.

Conversation:

  • Doctor: Hi, please sit down.
  • Patient: Thank you.
  • Doctor: Tell me.
  • Patient: I got back from my friend’s wedding 2 days back. Since yesterday, I feel cold and have body pains.
  • Doctor: (listening) hmm.

LLM Analogy:
This step is like tokenization — breaking the input sentence into smaller units (tokens) that the machine can understand.

Step 1 - Tokenizer:
Converts input from human language to machine-readable tokens.

  • Input: Plain text / story
  • Output: Word tokens (e.g., "wedding", "cold", "pains")

Step 2: Doctor Comprehends the Patient Problem

The doctor interprets the patient’s words and thinks in terms of temperature, symptoms, etc. They may even order diagnostic tests for more data.

LLM Analogy:
This is like the embedding layer, where word tokens are turned into number arrays (vectors) that hold semantic meaning.

Step 2 - Embedding Layer:
Converts tokens into vector form for semantic understanding.

  • Input: Word tokens
  • Output: Vectors that represent meaning (like symptoms turned into medical data)

Step 3: Doctor Runs Diagnosis Internally

The doctor thinks through the problem using experience and logic—checking symptoms against patterns they’ve seen before.

LLM Analogy:
This is the transformer architecture—especially self-attention layers, which compare words across the sentence to extract meaning and decide what matters most.

Step 3 - Transformer Layers:
Deep learning steps like self-attention and feedforward networks.

  • Input: Vectors
  • Output: Context-aware vectors based on internal learned patterns

Step 4: Doctor Considers Constraints (like budget)

Doctors don’t always prescribe expensive tests—patient affordability, practicality, and history all affect decisions.

LLM Analogy:
This step is like positional encoding—ensuring the model understands the order and structure of the sentence.

Step 4 - Positional Encoding:
Adds position-related meaning to vectors.

  • Input: Related vector tokens
  • Output: Ordered vector tokens based on sentence position

Step 5: Doctor Writes a Prescription

The doctor now documents the diagnosis and treatment. It’s a direct result of structured thinking and patient input.

LLM Analogy:
This is where the model decodes the internal vector into a predicted sequence of tokens.

Step 5 - Decoder:
Generates output tokens based on model’s confidence and logic.

  • Input: Positional vectors
  • Output: Probable tokens in correct context

Step 6: Doctor Shares the Prescription with the Patient

The final interaction. If the patient is nervous, doctor might tweak the recommendation. This is where human nuance enters.

LLM Analogy:
The LLM now converts tokens back into human-readable words. Here, temperature plays a role in how creative or safe the response is.

Step 6 - Output Layer:
Converts final vector into output text based on temperature setting.

  • Input: Final vector
  • Output: Natural language sentence

Bonus Step: The Doctor Remembers Your Previous Visit

LLMs with memory or context windows can remember prior conversations, like a doctor recognizing returning patients. This helps give better, contextual responses in multi-turn dialogues.


Summary

Just like a good doctor doesn’t Google your symptoms in front of you, a well-trained LLM doesn’t "think" in real-time. It applies complex math on pre-learned data to predict and autocomplete responses.

  • Words → Tokens → Vectors → Patterns → Tokens → Words
  • Everything happens in vector space, not in "language" as humans know it.

If you’re building with tools like LangChain, OpenAI, or embedding-powered RAG applications, understanding these LLM fundamentals gives you a huge advantage.

🧠 "A well-trained LLM is just a super-fast autocomplete that has read the entire internet."


✨ Takeaways for Developers

  • Tokenization = Parsing human input
  • Embedding = Understanding meaning
  • Transformer = Core logic engine / Deep learning
  • Positional Encoding = Sentence structure
  • Decoding = Constructing a response
  • Temperature = Tuning creativity
  • Context = Remembering past interactions

LLMs don’t reason like humans—but they recognize patterns with superhuman speed. Now you can too. If you like this story, share it on social media.