Skip to main content

Can Sherlock Holmes Teach Today's Doctors?

To Sherlock Holmes, she is always the woman.   Thus begins Conan Doyle’s, A Scandal in Bohemia published in 1891.   In this gripping tale, Holmes is bested by a woman who proves to be the detective’s equal in intelligence and deception.  

For reasons I cannot explain, I restrict my exposure to Holmes and Dr. Watson to podcast listening when I am airborne.  Years ago, I did love watching the classic movies starring Basil Rathbone and Nigel Bruce who defined the roles for me. 

Conan Doyle, a physician, was a superb story teller, who wove his tales with texture, plot and humanity.  I think he wields words with surgical precision.   I admire his skill.

I wonder to what extent Conan Doyle’s medical training influenced his writing?  Certainly, the stories often discuss arcane medical conditions that provide the detective with important clues.  In The Adventure of the Blanched Soldier, Holmes suspects that the protagonist is suffering from leprosy, a diagnosis that is revised after Holmes arranges for a consulting dermatologist to examine the soldier. 

Holmes would have been master diagnostician.

Beyond these medical intricacies that the author includes, I suggest that Conan Doyle has a more direct connection to the world’s most famous sleuth.  Physicians operate as detectives.  We gather facts and evidence in real time.  We have suspicions which may be strengthened or refuted as additional data emerges.  There may be competing theories that torture us.   At times, we are forced to make judgments and recommendations when our knowledge base in incomplete.   And some of our patients’ dilemmas remain unsolved, similar to crime solvers’ cold cases. 

In The Sign of the Four, Holmes remarks to Watson, How often have I said to you that when you have eliminated the impossible, whatever remains, however improbable, must be the truth.  Holmes would have been a superb physician.  

Comments

  1. I enjoyed your brief exploration of the medical similarities between Sherlock Holmes and his physician creator -- this is not surprising, since Conan Doyle acknowledged that he based the character of Sherlock Holmes on one of his influential teachers at the University of Edinburgh school of medicine, Dr. Joseph Bell. Bell was famous for his ability to make quick deductions from the appearance of a patient, not merely a dx but insights into the patient's work, family life, etc. Biographical work on Conan Doyle explores this at length, as does the biography written by an old friend of mine, Prof. Ely Liebow, Dr. Joe Bell: Model for Sherlock Holmes.

    ReplyDelete
  2. I enjoyed your article. As a physician, member of The Baker Street Irregulars, and Civil War junkie, there is no question that Conan Doyle's medical training hugely influenced his writing, including there Sherlock Holmes stories. Holmes is modeled after one of his medical school professors, Dr. Joseph Bell. There are several books addressing the subject which you might want to look into. Ely Liebow's biography of Dr. Bell is out of print but I can help you locate a copy. I co-edited a book entirely devoted to Sherlock Holmes and Medicine. I recently wrote a chapter in another book where I suggest that Holmes was indeed a physician by training, if not practice. A fine Conan Doyle biography was written by Daniel Stashower. I can steer you to any of those books if you have time to read them. Best wishes in these challenging times. Robert S. Katz, MD (retired Pathologist)

    ReplyDelete
  3. I am truly honored to have two such erudite gentlemen-scholars comment on this blog. You have both piqued my interest to learn more of Joseph Bell! I hope, that should your time and interest permit, that you might return to blog and raise the level of discourse. MK

    ReplyDelete

Post a Comment

Popular posts from this blog

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

The VIP Syndrome Threatens Doctors' Health

Over the years, I have treated various medical professionals from physicians to nurses to veterinarians to optometrists and to occasional medical residents in training. Are these folks different from other patients?  Are there specific challenges treating folks who have a deep knowledge of the medical profession?   Are their unique risks to be wary of when the patient is a medical professional? First, it’s still a running joke in the profession that if a medical student develops an ordinary symptom, then he worries that he has a horrible disease.  This is because the student’s experience in the hospital and the required reading are predominantly devoted to serious illnesses.  So, if the student develops some constipation, for example, he may fear that he has a bowel blockage, similar to one of his patients on the ward.. More experienced medical professionals may also bring above average anxiety to the office visit.  Physicians, after all, are members of...

Electronic Medical Records vs Physicians: Not a Fair Fight!

Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR).  I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary.  And it’s not a fair fight.  You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine.   I can type well and can do so while maintaining eye contact with the patient.   You must think I am a magician or a savant.   While this may be true, the birth of my advanced digital skills started decades ago.   (As an aside, digital competence is essential for gastroenterologists.) Durin...