In the mystery series post, I invoke Occam’s Razor. For those who are more interested, here is an explanation of Occam’s Razor from answer.com –
Occam’s RazorOccam’s Razor (also Ockham’s Razor or any of several other spellings), is a principle attributed to the 14th century English logician and Franciscan friar, William of Ockham that forms the basis of methodological reductionism, also called the principle of parsimony.
In its simplest form, Occam’s Razor states that one should not make more assumptions than needed. When multiple explanations are available for a phenomenon, the simplest version is preferred. A charred tree on the ground could be caused by a landing alien ship or a lightning strike. According to Occam’s Razor, the lightning strike is the preferred explanation as it requires the fewest assumptions.
Variations
The principle is most often expressed as Entia non sunt multiplicanda praeter necessitatem, or “Entities should not be multiplied beyond necessity”, but this sentence was written by later authors and is not found in Ockham’s surviving writings. William wrote, in Latin, Pluralitas non est ponenda sine necessitate, which translates literally into English as “Plurality should not be posited without necessity”.
This can be interpreted in two subtly different ways. One is a preference for the simplest theory that adequately accounts for the data. Another is a preference for the simplest subset of any given theory which accounts for the data. The difference is simply that its possible for two different theories to explain the data equally well, but have no relation to one another. They share none of the same elements. Some would argue that in this case Occam’s Razor does not suggest a preference. Rather Occam’s Razor only comes into practice when a sufficient theory has something added to it which does not improve its predictive power. Occam’s Razor neatly cuts these additional theoretical elements away.
The principle of Occam’s Razor has inspired numerous expressions including: “parsimony of postulates”, the “principle of simplicity”, the “KISS principle” (keep it simple, stupid), and in some medical schools “When you hear hoofbeats, think horses, not zebras”.
A re-statement of Occam’s Razor, in more formal terms, is provided by information theory in the form of minimum message length.
Another variant of this law is Thargola’s Sword from Nightfall, (originally a short story by Isaac Asimov and later expanded to a novel in conjunction with Robert Silverberg):
We must drive a sword through any hypothesis that is not strictly necessary.
Leonardo da Vinci (1452–1519) lived after Ockham’s time and has a variant of Occam’s razor. His variant short-circuits the need for sophistication by equating it to simplicity.
Simplicity is the ultimate sophistication.
Occam’s Razor is now usually stated as follows:
Of two equivalent theories or explanations, all other things being equal, the simpler one is to be preferred.
As this is ambiguous, Isaac Newton’s version may be better:
We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances.
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{ 10 comments… read them below or add one }
You have to mention Hickam’s Dictum if you invoke Occam.
Hickam allegedly said ” A patient can have as many diagnoses as he darn well wants.”
Heres a personal story of a medical student chasing zebras:
I went to a clinic last week and was seen by a medical student who then said I had a “rare tropical virus” even though I mentioned I had never been to the tropics in my life…
She went away to talk to the attending and they both came back…The attending then informed me I had the flu..
The phrase that gets drilled into the minds of physicians-in-training during medical school:
“When you hear hoofbeats, think horses, not zebras.”
In the medical community, the term “zebra” is commonly and universally understood as a reference to a rare disease or condition. Physicians are taught to assume that the simplest explanation is usually the best, so as not to go around diagnosing patients with all sorts of exotic illnesses that are highly unlikely. Common diseases are what physicians should expect to encounter.
But those who actually do have a rare disorder know firsthand that some physicians seem to have completely lost the ability to imagine that zebras may exist! It is frustrating indeed, to spend years being shuffled from specialist to specialist, seeking diagnosis and treatment for an unidentified condition.
This wristband is designed to spread awareness—zebras do exist! In a world of horses, the hoofbeats of zebras too often go unrecognized. Now zebras can take the opportunity to speak out and make themselves known!
Ehlers-Danlos Syndrome “Zebra’s Do Exists” http://ednf.org
http://medicalzebras.org/
“Horses, not zebras,” is a restatement of the idea that common things are common.
Occam’s razor is an exhortation to find a unifying diagnosis for a patient’s complaint.
A patient with fever, headache, and neck stiffness COULD have a viral respiratory tract infection, migraine, and a cervical muscle spasm–all horses–but that would mean giving him three diagnoses when meningitis–another horse–is standing right in front of you.
Rule out the unifying horse before looking for a herd of horses or a zebra.
Anyone who has lost a child to a rare but entirely treatable condition because doctors wouldn’t look for Zebras would feel that the medical professors should point out that zebras do actually exist.
When presented with the same problem and asked to fix it The framer will pick up a hammer and nails, the welder will pick up his torches, and painter will tell you it just needs a fresh new coat to cover it up. There are 2 variables which DIRRECTLY influence “output” or outcome they are “INPUT” and “PROCESS”. Unfortunately often times very clearly complex “INPUT” or information is oversimplified to fit the individuals “PROCESS”. This is clearly a contamination of the information by perception. What is wrong when you hear “hoof beets” with just thinking “hoof beets” until you have data to support horses or zebras
It’s fairly logical to think horses. Occam’s razor has probably made many diagnostic assessments a lot easier and more accurate than any “sophisticated” trait of thought ever has. But the problem with horses is that there’s so many different species.
My wife was referred to ER by our MD for progressing symptoms of Guillain-Barré. The attending neurologist thought “Howdy, where’s the horse, before we think of a zebra.”
Clinical tests (blood, MRI, CT and lumbal punction) returned an equine diagnosis of meningitis. 5-day treatment of corticosteroids and off she went.
More than a year and a half later, follow-up MRIs indicated that it was, in fact, a horse, but a less common one. Turned out she has MS.
So, please, prefer horses, but do, do, do, make sure you get the right bloody horse.
ER doctor's seem to be especially smitten by the Occam's Razor theory. Arriving at the ER, unconscience, with irregular heartbeat, and extremly low blood pressure, I was immediately diagnosed with drug overdose by the ER doctor. When all the labs drug tests came back negative, the doctor still insisted to my family that I must have taken a drug that the lab did not test for. His treatment was to sedate me, intubate me and let me sleep it off. After two days of his "treatment" I went into cardiac arrest and the cardiologist decided it was time to do a CATScan. Low and behold, I had a massive pulmonary embolism that nearly took my life. Thanks to the ER doctor and his Occam's Razor!
jane — your ER doc's fault was not in using the principle of Occam's Razor, but rather in applying it poorly. He should have been seeking to rule out the diagnosis he chose, along with others, including the more likely candidate of cardiac issues.
"HOOF BEETS"? Beets are vegetables.
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