He sounds either stupid or evil. As Heartinthecountry says, except in very exceptional circumstances, you don't need to be a bloody doctor to diagnose somebody as being six months pregnant! It sounds to me like he just didn't care - he couldn't be bothered to make enquiries to find out why a pregnant looking patient needed to have a coil removed. A cursory look at her medical notes would have explained everything, and it wouldn't have mattered that she can't speak French.