R obert S. Ledley, one of the founding fathers of the field of medical decision making and the man who applied computer science to medical judgment and diagnosis, died July 24, 2012, after a prolonged struggle with Alzheimer's. 1 Our community, as well as the medical field as a whole, has lost a pioneering genius. Bob Ledley's legacy will live on through his magnum opus ''Reasoning Foundations of Medical Diagnosis,'' coauthored with Lee B. Lusted, MD, FACMI. 2 Lee Lusted was one of the founders of the Society for Medical Decision Making and the founding editor of Medical Decision Making. In their seminal work, the authors showed how computers could help physicians with diagnoses and even taught medical workers how to use edge-notched cards to create diagnostic databases. Most important, this article addressed decision making under uncertainty and valuing outcomes. Citation analyses have demonstrated that this paper lies at the root of medical decision science. 3 In fact, many readers may recall their introduction to our discipline through this article. We now explore the rest of his talent for technological innovation.