Socrates, the Classical Greek Philosopher (469 BCE – 399 BCE), was the forefather of questioning dogma. Through the writings of Plato, we understand that Socrates believed in dissecting and deconstructing firmly held beliefs and convictions. He famously invited any members of public to debate with him (including women!!), in order to distil out truth where there appeared to be none. He would start an argument from the position of believing one knew nothing, instead of the other way around. He is famous for his quote: ‘I am the wisest man alive, for I know one thing, and that is that I know nothing’
We could do with a bit of Socratic thinking once in a while in medicine. So much dogma, and well-worn explanations get handed down from textbook to teacher. And they are not always right. Or believable.
The Socrates and Sophistry section promises many questions. And just maybe, with the input of the many and varied smart LITFL blog readers, possibly answers. At least we may be able to debunk some of the pat clichés which we have been offered as the explanations for some of the medical conundrums we come up against. Some of these questions may not have answers at all, but better to admit that some things are unknown, rather than the query being patronizingly patted on the head with misinformation.
So without further to-do… let us begin with the first of the Socrates and Sophistry series, LITFL style – by putting out to the readers our first question. Are we dealing with myth or medicine, dogma or doggy doo, science or sophistry?
What causes T wave inversion on the ECG in the setting of some subarachnoid haemorrhages?
Because the sympathetic storm induced causes subendocardial myocardial ischaemia.
Why do we not then see a similar pattern in other circumstances causing sympathetic stress, or other similar cerebral pathologies?
Feel free to submit ANY answer to the comments section – we would love to hear your own thoughts, first principle analysis, expert exegesis or revel in revered references. Remember NO answer can be wrong…otherwise we’d know the right answer already! If you want to discuss ‘Socrates and Sophistry’ topics on Twitter, use the #LITFLSAS hash tag.
If you have your own question, please submit it to… Michelle @ lifeinthefastlane.com