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Diagnostic technology: a physician examining a urine flask.
The Physician (1653), oil painting by Gerrit Dou.

Credit: Wellcome Library, London. Wellcome Images.
Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0
http://creativecommons.org/licenses/by/4.0/.

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The narrative starting point for diagnosis: a physician talking to a patient about his illness; the patient is holding a basket containing a urine flask. Engraving, ca. 16th–17th century. The legend states that God is the only physician who can truly save patients from death.

Credit: Wellcome Library, London. Wellcome Images.
Copyrighted work available under Creative Commons
Attribution only licence CC BY 4.0
http://creativecommons.org/licenses/by/4.0/

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Physical examination in diagnosis: a physician feeling the pulse of a seated woman patient, urine flask in the other hand.
Oil painting (ca. 1700) by Mathijs Naiveu
.

Credit: Wellcome Library, London. Wellcome Images.
Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0
http://creativecommons.org/licenses/by/4.0/

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The solemnity of the diagnostic pronouncement.
The Physician’s Verdict (1857), oil painting by Émile-Carolus Leclercq.

Credit: Wellcome Library, London. Wellcome Images. Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0
http://creativecommons.org/licenses/by/4.0/

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The distressing power of the diagnostic moment: a physician delivers the diagnosis to his patient; at the door a woman cries on hearing the patient’s fate.
From an
Arzneibuch (ca. 1675), a compendium of popular medicine and surgery, receipts, etc., compiled for the use of a house of the Franciscan order, probably in Austria or South Germany.

Credit: Wellcome Library, London. Wellcome Images. Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0
http://creativecommons.org/licenses/by/4.0/

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The authority of the physician conferred by prognosis: a physician telling a patient that he is going to die; the patient stares out at the viewer.
Color photogravure of
Sentence of Death (1908) by John Collier.

Credit: Wellcome Library, London. Wellcome Images. Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0
http://creativecommons.org/licenses/by/4.0/

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The movie Still Alice (Sony Pictures Classics, 2015) dramatizes one woman and her family’s experience of early-onset Alzheimer disease, capturing the drama of diagnosis in the popular media of cinema.

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The threat of social media to the authority of the doctor is immediately apparent to readers of this cartoon.

Credit: David Sipress/The New Yorker Collection/The Cartoon Bank.

Used by permission.

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