I was diagnosed in the early 80’s in Iowa where evidently there was a deep tradition of internal medicine doctors and especially endos doing a lot of poking and prodding to feel internal organs.
I would guesstimate that back then, at each checkup with the endos they spent maybe 10-15 minutes poking me with their fingers I guess to try to feel all my internal organs. Most of the poking and prodding was in the abdomen but they felt around all the glands including armpits and neck.
Most of my visits where at the state university hospital where the lead doc would poke and prod at me and then the med school students would get to come up and poke and prod me too. I have no idea what they thought they were feeling in my belly but they all did it and looked at each other like it was an actual thing.
I remember when I was diagnosed with hypothyroidism when the doc felt all around my thyroid and felt it enlarged and THEN ran a blood test to confirm it.
I have been told there was an Iowa-specific or midwest-specific tradition of doing internal medicine this way dating back to the early 1900’s. But it must be so old-fashioned I can’t find a website that talks about this tradition.
It feels a little bit like I’m being shortchanged when I see an endo today and I don’t get all poked and prodded. We talk about my thyroid and the endo never even pokes my neck around the thyroid. But instead we just review the results of blood tests. At least they still do the tests of poking my feet with the fishing line.