We have all heard of fake Gucci Bags. But have you heard of fake surgery? Unfortunately, this happens in Nigeria sometimes. Patients will come in with right lower quadrant pain, for example-having had an appendectomy. We explore the patient and find an appendix with no scarring and no evidence of past surgery except a scar on the skin. 

Today I saw a woman who apparently had a incomplete abortion. She went to a local doctor and had an ultrasound that showed retained products of conception. A D&C was performed but she kept bleeding and came to us. I performed a repeat D&C and found a uterus full of retained products. Clearly, no D&C had been performed. She got a sham operation but not a sham bill!