Occam’s Razor, Meet Hickam’s Dictum
Regarding Andrew Crumey’s review of “Life Is Simple” (Books, Oct. 9): Occam’s razor has wide applicability to the practice of medicine. The simplest and most logical diagnosis is usually correct. This principle of logic is used to narrow diagnostic possibilities.
Using Occam’s razor in an increasingly elderly population that may have multiple diseases, however, may lead physicians to discount the importance of coexisting illnesses. Physicians should be aware of Hickam’s dictum. Named after the late Dr. John Hickam, the dictum states: “A man can have as many diseases as he damn well pleases.”
Leo Gordon, M.D.
Los Angeles
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Appeared in the October 16, 2021, print edition as ‘In Medicine, Occam’s Razor Requires Hickam’s Dictum.’