In the introduction to this history of 20th-century hematologic diseases, the author asks, "What is the relationship between technology, especially diagnostic technology, and disease?" This book shows that this relation is extremely complex, shaped not only by the biologic characteristics of specific diseases and the mechanics of various forms of technology, but also by the larger culture in which disease and technology acquire meaning. Wailoo examines the appearance, disappearance, and reclassification of five 20th-century "blood diseases": chlorosis, splenic anemia, aplastic anemia, pernicious anemia, and sickle cell disease. He does not tell heroic stories of discovery and technological innovation. Instead, he describes how hematology as a specialty and as a set of practices, tools, and diseases changed in tandem with changing cultural practices and beliefs, especially changes in the economic and professional organization of medicine and in different groups' ideas about sex, race, heredity, and responsibility for disease.
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