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首页> 外文期刊>Brain: A journal of neurology >The strange case of Dr William Gowers and Mr Sherlock Holmes
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The strange case of Dr William Gowers and Mr Sherlock Holmes

机译：威廉·高尔斯博士和夏洛克·福尔摩斯先生的奇怪案例

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Not long after I had embarked on my neurological career at University College Hospital, William Gooddy's advice to me at the end of a teaching round on Ward 5.2 came straight from William Osler. To study the phenomena of neurological disease without books was to sail an uncharted sea, but to study books without patients was not to go to sea at all. Only his book recommendations were unusual. He advised me to read The Complete Works of Sherlock Holmes, described later by its author Arthur Conan Doyle as 'the fairy kingdom of romance', and Marcel Proust's A la Recherche du Temps Perdu. Much later I realized it had been his clever way of introducing a young man beginning the long apprenticeship of neurology to William Gowers, his predecessor (Frances Walshe separated the two of them) at University College Hospital. The Baker Street sleuth's method of crime detection soon proved of far greater value than anything I had read in Brain's Diseases of the Nervous System. Each time I took the clinical history from a patient I remembered Holmes's words to John Openshaw in The Five Orange Pips, 'Pray give us the essential facts from the commencement and I can afterwards question you as to those details which seem to me to be most important'. I came to see detective work as a metaphor for diagnostic acumen. In a 10-minute 1927 cinematographic recording Arthur Conan Doyle explains, 'I thought I would try my hand at writing a story where the hero would treat crime as Dr Bell treated disease'. Joseph Bell, a surgeon at the Edinburgh Royal Infirmary, was able to divine the origins, occupation and past history of his patients from their attire, appearance and demeanour. This left a great impression on the young medical student.
机译：在大学医院从事神经病学事业不久之后，威廉·古迪（William Gooddy）在关于Ward 5.2的教学活动结束时对我的建议直接来自威廉·奥斯勒（William Osler）。在没有书籍的情况下研究神经系统疾病现象就是在未知的海洋中航行，但是在没有患者的情况下研究书籍根本就不是出海。只有他的书推荐是不寻常的。他建议我读《福尔摩斯全集》，其作者亚瑟·柯南·道尔（Arthur Conan Doyle）后来将其描述为“浪漫的童话王国”，以及马塞尔·普鲁斯特（Marcel Proust）的《时报Perdu》。很久以后，我才意识到这是他聪明的方法，将年轻的人介绍给大学学院威廉·高尔斯（他的前任（弗朗西斯·沃尔什分开了两个人））开始了神经病学的长期学徒。贝克街侦探的犯罪检测方法很快被证明比我在《神经系统脑病》中读到的任何东西都具有更大的价值。每次我从患者那里取得临床病史时，我都会想起福尔摩斯在《五个橙皮病》中对约翰·Openshaw的话，“请从一开始就给我们提供基本事实，然后我可以向您询问那些在我看来是最重要的细节。重要'。我开始将侦探工作视为诊断敏锐度的隐喻。 1927年，阿瑟·柯南·道尔（Arthur Conan Doyle）拍摄了10分钟的电影，他解释说：“我想我会尽力写一个故事，讲述主人公会像贝尔博士对待疾病一样对待犯罪”。爱丁堡皇家医院的外科医生约瑟夫·贝尔（Joseph Bell）能够从患者的着装，外表和举止等方面来判断患者的出身，职业和过去的历史。这给这位年轻的医学院学生留下了深刻的印象。

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