Fuzzy logic and causal reasoning with an 'n' of 1 for diagnosis and treatment of the stroke patient.

The current scientific model for clinical decision-making is founded on binary or Aristotelian logic, classical set theory and probability-based statistics. Evidence-based medicine has been established as the basis for clinical recommendations. There is a problem with this scientific model when the physician must diagnose and treat the individual patient. The problem is a paradox, which is that the scientific model of evidence-based medicine is based upon a hypothesis aimed at the group and therefore, any conclusions cannot be extrapolated but to a degree to the individual patient. This extrapolation is dependent upon the expertise of the physician. A fuzzy logic multivalued-based scientific model allows this expertise to be numerically represented and solves the clinical paradox of evidence-based medicine.