Hickam's Dictum
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Hickam's dictum is a medical principle that a patient's symptoms could be caused by several diseases. It is a counterargument to misapplying
Occam's razor In philosophy, Occam's razor (also spelled Ockham's razor or Ocham's razor; ) is the problem-solving principle that recommends searching for explanations constructed with the smallest possible set of elements. It is also known as the principle o ...
in the medical profession. A common version of Hickam's dictum states: "A man can have as many diseases as he damn well pleases." The principle is attributed to an apocryphal physician named Hickam, possibly John Bamber Hickam, MD. When he began saying this is uncertain. Occam's razor is frequently misinterpreted to mean that the simplest explanation is the most likely. Applying this in health care, it purports that diagnosticians should assume a single cause for multiple symptoms. Hickam's dictum admits multiple causes can produce the result confronting the diagnostician.


John Hickam, MD

In 1946, John Bamber Hickam was a housestaff member in medicine at Grady Memorial Hospital in
Atlanta Atlanta ( ) is the List of capitals in the United States, capital and List of municipalities in Georgia (U.S. state), most populous city in the U.S. state of Georgia (U.S. state), Georgia. It is the county seat, seat of Fulton County, Georg ...
,
Georgia Georgia most commonly refers to: * Georgia (country), a country in the South Caucasus * Georgia (U.S. state), a state in the southeastern United States Georgia may also refer to: People and fictional characters * Georgia (name), a list of pe ...
. Later, in the 1950s, he was a faculty member at
Duke University Duke University is a Private university, private research university in Durham, North Carolina, United States. Founded by Methodists and Quakers in the present-day city of Trinity, North Carolina, Trinity in 1838, the school moved to Durham in 1 ...
in
Durham, North Carolina Durham ( ) is a city in the U.S. state of North Carolina and the county seat of Durham County, North Carolina, Durham County. Small portions of the city limits extend into Orange County, North Carolina, Orange County and Wake County, North Carol ...
. He subsequently was chairman of medicine at
Indiana University Indiana University (IU) is a state university system, system of Public university, public universities in the U.S. state of Indiana. The system has two core campuses, five regional campuses, and two regional centers under the administration o ...
in
Bloomington, Indiana Bloomington is a city in Monroe County, Indiana, United States, and its county seat. The population was 79,168 at the 2020 United States census, 2020 census. It is the List of municipalities in Indiana, seventh-most populous city in Indiana and ...
from 1958 to 1970.


See also

* Zebra (medicine)


References


External links

{{Spoken Wikipedia, Hickam's_dictum.ogg, date=2020-9-8 Medical terminology Philosophy of medicine