Today, teams generally have meticulously laid out plans to bring players through the minor leagues and get them to the majors. Injuries to one player or others around him may accelerate or decelerate those plans, but teams generally have an idea of how they want to bring a player up.
In 2017, it is very unlikely a player will get to make his first major league start for the reasons Cy Pieh did.
Edwin “Johnny” Pieh was born in September 1886 in Wisconsin. His family later moved to North Dakota, and Pieh began playing semi-pro baseball in the area.