[wyldfire]

> Instead it seems like each one of these diagnosticians felt they'd found the "real problem" and pushed ahead with treatment as such.

More likely that they heard hoofbeats and were content to use the effectiveness of their treatment plan as another diagnostic signal.

> When I was growing up and in my early 20s you went to the doctor and they got you talking about your life, teasing out the observations you had on your own life and addressed things from there

The history and physical are a critical part of every exam. But much less so at an urgent care where they intentionally disavow long term health to focus explicitly on acute issues.