68 - The History
Bedside Rounds
Is the Dog Not Barking at Night a Big Deal?
i'm fascinated by the medical obsession with sherlock holmes in mystery stories, right? Because mystery stories are explicitly a modelled after clinical reasoning. In those stories, often the picking up of something that no one else see, almost incidentally, is what makes the case right. Holmes was modelled after conan doyle's mentor, joseph bell, who was, by all accounts, an expert diagnostician. He sees that by reflecting and reasoning on what are frequently but indirect manifestations, he must find the seat and nature of disorders hidden from his view. For in truth, diagnosis deals at times with the logic of probabilities as much as the logic of patient facts. Knowing morbid
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