twins

sorry for the long wait, with my move and new job its been a mess with the hours
but on the bright side it brings new stories

25 yr old woman comes in with her 1 yr old baby and her best friend. The patient says shes pregnant with twins, and that shes afraid something happened to them because her bf tossed her around the house today and that she hasnt felt them move.

Obviously this is very distressing news, so i start to ask the patient questions about this
"when was the last time you felt the babies move?"
"yesterday, my friends 5 months pregnant like me, we felt it together"

she states that she just came from another hospital where they refused to do an ultrasound of her belly since it was part midnight and they dont perform those until 5am. so I got ready to do the ultrasound myself , but before i did that i ordered some labs on her, a urine HCG (pregnancy test) and a serum HCG (more accurate since its from the blood) .

The urine pregnancy came back negative.... a bit odd since even though it could be negative you wouldnt expect it to be with twins at 5months.

Serum HCG came back negative too.... wtf? even if she got tossed around the room and had a miscarriage the values would be high enough for a month. how could she have felt the babies move yesterday if shes not pregnant????

so i walked into the room, looked at the lady laying down and asked, "which obgyn have you seen?"
"oh the one at .... Hospital"

so i went back to my desk, called the hospital, pulled up the records there, and guess what
shes never gone to the OB there, shes made up the whole pregnancy.

and thats why the other hospital refused to do an ultrasound of her stomach, theres nothing there to ultrasound.....

i went back in told her that shes not pregnant and hasnt been for a month, guess her reaction?

not shocked at all.... go figure....

the friend (whose been lied to the whole time) demanded she be ultrasounded, so i figured its time to prove to them both theres nothing there, did the ultrasound, found no babies, printed it and gave it to them to frame.

my patients are special.