Radiology for Residents

Best Practices

Illegitimum non carorundum.

How often have I said to you that when you have eliminated the impossible, whatever remains, however improbable, must be the truth?
Sign of Four.

You see, but you do not observe.
Scandal in Bohemia.

It has long been an axiom of mine that the little things are infinitely the most important.
Case of Identity.

It is a capital mistake to theorize before you have all the evidence. It biases judgement.
Study in Scarlet.

“Is there any other point to which you would wish to draw my attention?"
"To the curious incident of the dog in the night-time"
“The dog did nothing in the night-time”
"That was the curious incident"
Silver Blaze.

"… when you can measure what you are speaking about, and express it in numbers, you know something about it; but when you cannot measure it, when you cannot express it in numbers, your knowledge is of a meagre and unsatisfactory kind; it may be the beginning of knowledge, but you have scarcely in your thoughts, advanced to the stage of Science, whatever the matter may be.”
Lord Kelvin.

“For, medicine being a compendium of the successive and contradictory mistakes of doctors, even when we call in the best of them the chances are that we may be staking our hopes on some medical theory that will be proved false in a few years. So that to believe in medicine would be utter madness, were it not still a greater madness not to believe in it, for from this accumulation of errors a few valid theories have emerged in the long run.”
Marcel Proust

What is not surrounded by uncertainty cannot be the truth
Richard Feynman.

When I use a word it means just what I choose it to me - neither more nor less.
Humpty Humpty. Lewis Carroll - Through the Looking Glass.

Medicine is a science of uncertainty and an art of probability.
Errors of judgement must occur in the practice of an art which consists largely in balancing probabilities.
William Osler.

Before ordering a test decide what you will do if it is (a) positive or (b) negative, and both answers are the same don’t do the test.
Archie Cochrane.

“Can this be true?” an arch observer cries, “Yes.” (rather moved), “I saw it with these eyes.”
“Sir!” I would believe it on that ground alone: I could not, had I seen it with my own.”
Victor Bonnery

“A doctor, like anyone else who has to deal with human beings, each of them unique, cannot be a scientist; he is either, like the surgeon, a craftsman, or like the physician and the psychologist, an artist. This means that in order to be a good doctor a man must also have a good character; that is to say, whatever weakness and foibles he may have, he must love his fellow human beings in the concrete and desire their good before his own.” W H Auden

“Any sufficiently advanced technology is indistinguishable from magic.”
Sir Arthur C Clarke

And I have known the eyes already, known them all--
The eyes that fix you in a formulated phrase,
And when I am formulated, sprawling on a pin,
When I am pinned and wriggling on the wall,
Then how should I begin
To spit out all the butt-ends of my days and ways?
And how should I presume?

A small defect which mars the general result.
“Unfaith in aught is want of faith in all.
It is the little rift within the lute
That by-and-by will make the music mute,
And ever widening, slowly silence all.”
Alfred, Lord Tennyson: Merlin and Vivien; Rift in the Lute

Martyrdom was only ever a proof intensity, never the correction, of a belief.
Arthus Schnnitzler.

Everything will be all right in the end... if it's not all right then it's not yet the end.
The Best, Exotic, Marigold Hotel.

I skate to where the puck will be, not where it is.
Wayne Gretzky

If you come to our hospital missing a finger, no one will believe you until we get a CT, an MRI, and an orthopedic consult.
Prof. of Medicine, Stanford University.

If a man knows not to which port he sails, no wind is favorable.
Seneca, Roman Stoic philosopher, tutor and advisor to Nero.

Make everything as simple as possible, but not simpler.
Albert Einstein

Do not go gentle into that good night,
Old age should burn and rave at close of day;
Rage, rage against the dying of the light.
Though wise men at their end know dark is right,
Because their words had forked no lightning they
Do not go gentle into that good night.
Dylan Thomas.

Few things are more distasteful than veiled hints.
Vita Sackville-West

I now do see that we can nothing know.
Goethe's Faust