The statement highlights that although the individual in question lacked formal medical qualifications, he had a substantial amount of education, reaching a high level of academic achievement. This suggests that his knowledge and expertise may come from a broad, if unconventional, background rather than traditional medical training.

The context from the book "Thirteenth Child" by Patricia C. Wrede indicates that this character may possess unique insights or skills relevant to the story, despite the absence of a formal title. Such a portrayal can challenge the typical perceptions of expertise and professionalism, illustrating that knowledge can be acquired through various means.