A pregnancy test is not always reliable. Often the woman deliberately gives false information desperately hoping that she will be treated. In the clinic her pregnancy is diagnosed as 24 weeks. It appears that a friend, who is indeed 14 weeks pregnant, had the ultrasound scan made in the name of the patient. To avoid problems, never accept the patients word and never accept another doctor's diagnosis, but always examine the patient yourself.
Patients can be very persisting.
We have seen several cases where the doctor yielded for the constant pressure of the patient who kept repeating that she could not be too far advanced so that he doubted his diagnosis and ended up meddling with a twenty week pregnancy. The patient states that she is fourteen weeks pregnant. When we find a pregnancy of some 26 weeks she produces a doctor's letter stating that she is 22 weeks. When the the doctor was contacted he confesses that he got tired of the patient's demands and wrote the letter to get rid of her, trusting us to find the correct diagnosis. A patient comes with a letter from her doctor who declares her about 10 weeks pregnant.