Empiriceme · Precept · Heuristic / Razor

Hickam's Dictum

Patients can have as many diseases as they well please.

The clinical counterweight to Occam's razor. In elderly patients multiple simultaneous conditions are the norm, so parsimony is the wrong prior and unifying diagnoses are often wrong.

In practice

  • An elderly patient's breathlessness is heart failure and anaemia and a chest infection, and looking for one diagnosis delays two treatments.
  • A production outage has a slow query, an undersized cache and a retry storm, and fixing only the query returns it to service until Thursday.
Standing
The clinical counterweight to Occam's razor.
Further reading
Wikipedia
Subject
Science & Epistemology
Essay
Rules for weighing claims

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