Art, Evidence and Osler

Amy Reinert amy.reinert at GMAIL.COM
Fri Aug 23 18:32:09 UTC 2013


Osler also said, "Variability is the law of life, and as no two faces are
the same, so no two bodies are alike, and no two individuals react and
behave alike under the abnormal conditions which we know as disease."
                    --"On the Educational Value of the Medical Society"*Yale
Medical Journal*, Vol. IX, No. 10 (April 1903)

He came under fire for saying, "My second fixed idea is the uselessness of
men above sixty years of age, and the incalculable benefit it would be in
commercial, political, and in professional life, if as a matter of course,
men stopped work at this age. (*Vo**l. I, Ch. 24 : "The Fixed Period").  *He
would likely come under fire now for having said "there are three classes
of human beings: men, women and women physicians." (*Women in Medicine, *
1968).
**
All wise and gifted individuals who make great contributions to their
fields are also both informed and limited by the zeitgeist in which he or
she is living. Indeed, Osler also said "the philosophies of one age have
become the absurdities of the next, and the foolishness of yesterday has
become the wisdom of to-morrow." (*The Montreal Medical Journal* Vol. XXXI
(1902))

Among my favorite quotes of his, however, is this: "There is no discredit,
though there is at times much discomfort, in this everlasting
*perhaps*with which we have to preface so much connected with the
practice of our
art. It is, as I said, inherent in the subject." (On the Educational Value
of the Medical Society" in *Yale Medical Journal*, Vol. IX, No. 10)

Best to all.

--Amy

Amelia Ruzicka, Ph.D.


-


On Fri, Aug 23, 2013 at 12:10 PM, Lorri Zipperer <Lorri at zpm1.com> wrote:

> Forwarded by moderator ... ****
>
> ** **
>
> *From:* Alan Morris [mailto:Alan.Morris at imail.org]
> *Sent:* Friday, August 23, 2013 9:48 AM
> *To:* Society to Improve Diagnosis in Medicine; Jason Maude
> *Subject:* Re: [IMPROVEDX] Can intuition be taught? YES****
>
> ** **
>
> Yes – Osler, as usual, provides wise advice.  Can you send the complete
> reference?****
>
> ** **
>
> The art of medicine, if it is to be an ethical activity, must rest on a
> foundation of credible scientific evidence.  The "Art," devoid of a
> scientific basis frequently becomes opinion/speculation and unlikely to be
> of benefit.  When scientific evidence is absent we may have only the Art –
> and then the best we can do is rely on a clinician's judgment.  When
> scientific evidence exists it should consistently be the decision-making
> foundation – here is where we need tools to enable replicable decisions
> based on credible scientific evidence.****
>
> Have  a nice day.****
>
> ** **
>
> Alan ****
>
> ** **
>
> *From: *Jason Maude <Jason.Maude at ISABELHEALTHCARE.COM>
> *Reply-To: *Society to Improve Diagnosis in Medicine <
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Jason Maude <
> Jason.Maude at ISABELHEALTHCARE.COM>
> *Date: *Friday, August 23, 2013 8:55 AM
> *To: *"IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> *Subject: *Re: [IMPROVEDX] Can intuition be taught? YES****
>
> ** **
>
> I am just reading the history of William Osler by Michael Bliss and came
> across this quote:****
>
> ** **
>
> "Osler's medical art was informed and controlled by all the assistance
> science could give. He did not discuss diagnosis as a matter of intuition.
> Every scientific aid was welcome" P270****
>
> ** **
>
> ** **
>
> Jason Maude****
>
> Founder and CEO Isabel Healthcare****
>
> Tel: +44 1428 644886
> Tel: +1 703 879 1890
> www.isabelhealthcare.com ****
>
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