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When I use a word . . . . Memory, semantic and episodic

Although the Oslerian aphorism “Listen to the patient; he is telling you the diagnosis” is widely quoted as a truism, it is not the whole story. The patient’s tale is almost inevitably incomplete and needs to be augmented by skilful questioning. The complete diagnosis, which should be a thorough account of the condition, its causes and contributory factors, often comes only after the further additions of observation, examination, and investigations. In some cases the patient is unable to tell the tale properly or even at all. While in most cases the patient’s autobiographical search to remember the past relies primarily on voluntary episodic memory, in others, such as neurodegenerative disorders and cases of toxicological neural damage, episodic memory, voluntary or involuntary, may be impaired.