Kimberly has always been on Medi-Cal (that's Medicaid for those in California.) She repeatedly put in requests to see a pelvic floor specialist because of continued pain in her perineum, and her request was denied 3 times. She also requested counseling, which was also denied.
She finally reached out to a pelvic floor specialist directly and asked about paying cash for services, and she was told she couldn’t do that because it was insurance fraud. (Seriously!)
So her attorney, Mark Merin, called and explained the situation and finally got her an appointment.
Kimberly was so nervous about going to this appointment at UC Davis. She had been examined by a couple of other doctors in the past that just told her that she “looked fine” and handed her a bottle of lubricant. She was afraid this doctor would say the same.
She asked me to fly up there and go with her to her appointment, so I did.
At first, the doctor was sort of cold. He asked her a ton of questions, but I could tell that he began to go off script a little bit when he started asking about her emotional state. I could see him softening. He then did a physical exam but didn’t say much and left the room.
He came back in to give her his findings, and for the first time, someone finally gave her a diagnosis.
She immediately broke down in tears, and I followed suit. That poor doctor didn’t know what to think. I explained how nobody before him would take her seriously and that he, in that moment, had finally validated two and a half years’ worth of pain.
He recommended pelvic floor therapy, but also expressed serious concern about her depression and anxiety, and he prescribed counseling. None of these things will likely be covered through Medi-Cal.
After looking at what the long-term costs would be for the initial appointment, for the ongoing counseling, and therapy, it made more sense to get her on an insurance plan that she became eligible for through her work. The problem is, she cannot afford it.