Vladimir Hachinski - Killam Prize 2018

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Medicine is a science and an art, but the art of medicine begins where technology ends,
and that's where the good doctors excel,
and science raises questions that cannot be answered by science...
the ethical question, the question of priorities...
so, to me, they're intertwined.
In my professional life, I realized I've been guided more by poets than by medical people,
and I'll give an example.
There's a Venezuelan poet who said,
"undoing embroideries will regress the thread."
In other words, we tend to elaborate and elaborate
and then they sort of lose track of what's really important.
So I give the example how, when I started my career, there were thoughts that dementia
was due to a hardening of the arteries and a slow strangulation of the blood being supplied.
I started looking at that, and they had all sorts of names for it and it was really confusing,
and then I thought to myself,
'well this is all about just having little or large strokes.'
So I coined the term "multi-infarct dementia."
All of a sudden, this bag of elaborate stuff boiled down to an essential term,
and so poets are the same, you try to get the essence of something,
whether it's a thought, a feeling, an image.
So I see a lot of similarities.
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Vladimir Hachinski - Killam Prize 2018

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