system
A chat on subreddit /r/NoStupidQuestions
human
Typically they visit multiple doctors - some even going to different cities and provinces. Eventually when one says yes to something minor say... Needing a tooth pulled. Then they go to another doctor and say "they got this tooth pulled because of this sickness and I think it's causing this and they would benefit from treatment" and it goes from there.
gpt
To just jump on here to add, we as medical providers depend on moms for MOST of the information about their child’s illness. They not only do active things to make the kids sicker, they make up or embellish symptoms to mimic illnesses. They are usually smart women with some background in healthcare and can be very convincing. A Mom’s pain and heartache can really motivate healthcare workers to try to help in some way.

It’s very hard to see when you’re on the healthcare side of things. Many times it’s diagnosed very very late.