Sometime they don't let you know that they know that they don't know everything but the core of the medical approach is that you try to identify pathologies which are subsystems within the human body or the larger system that are having undesirable consequences.
Even if you walk exactly the same route each time - as with a sonnet - the events along the route cannot be imagined to be the same from day to day as the poet's health sight his anticipations moods fears thoughts cannot be the same.