Well, Dags, in the old days a doc had to rely on the PHYSICAL EXAMINATION to make a diagnosis. He didn't have MRIs and ultrasounds to help. I remember being a medical student rotating through Surgery when a senior resident pontificated, "The physical exam ain't worth the powder to blow it up." And that was a long time ago! In the old days, a surgeon, based on his findings and the medical history related by the patient, would hoist the kid onto the kitchen table, give some ether - if he had some - through a gauze mask, and take out the kid's appendix. "Memoirs of a Small-Town Surgeon" by John Brooks Wheeler (1935) makes for some fascinating reading. That small town was in Vermont, so I have some bias in that regard.
I admire those old guys, the pioneers, who blazed the trail for future surgeons to follow. They knew their stuff! Sorry for the rant, but your post struck a chord with me.
Very interesting history of the medical field, Jack.....the few times I've needed medical info for my stories I either google, or ask a surgeon friend of mine, but it is nice to have another resource on hand.....And just for the record you don't look old enough to know all that ole time medicine.