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In the novel, Murder
on the Orient Express – Agatha Christie’s famous fictional detective,
Hercule Poirot, must determine the identity of the person who has killed a
fellow train passenger. The case is
never definitively solved because there are twelve different suspects for the
murder, each of whom has strong motives for the crime.
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Like the Murder
on the Orient Express, physicians overlook drugs as a cause of
dementia because they usually focus upon other risk factors [when there are
multiple suspects, some or all of them go free].
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In the Academy Award
winning film, Michael Clayton, an attorney who represents a large
chemical company becomes a whistle blower after he discovers that his client
has knowingly concealed the deadly effects of a farm product. In an act of corporate retaliation, the
attorney is cleverly killed by hit men so that his death appears to be a
suicide.
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Like the murder
in Michael Clayton, drug-induced dementia in psychiatry
is a “perfect crime” [no one suspects the drugs as the cause of dementia,
because cognitive and behavioral deficits are blamed on the patient’s
“pre-existing” mental health condition].
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