Hickam's dictum


Hickam's dictum is a counterargument to the use of Occam's razor in the medical profession. While Occam's razor suggests that the simplest explanation is the most likely, implying in medicine that diagnosticians should assume a single cause for multiple symptoms, one form of Hickam's dictum states: "A man can have as many diseases as he damn well pleases." The principle is attributed to John Hickam, MD. When he began saying this is uncertain. In 1946 he was a housestaff member in medicine at Grady Memorial Hospital in Atlanta. Hickam was a faculty member at Duke University in the 1950s, and was later chairman of medicine at Indiana University from 1958 to 1970. He died at age 55 in 1970.