Catherine Alderdice, MD. An amazing physician, mentor to all, at Memorial University of Newfoundland, Dr Wally Ingram, amplified one of Sir William Osler's great comments. His take was " if you listen to the patient long enough, they will give you the diagnosis" I kike to tell med students that Rheumatology is the last frontier of true CLINICAL medicine. The history and physical is everything. Lab and XRAY usually just confirm what we already think.I also tell them, don't order a test unless you know what you will do with the result.