Tuesday, July 14, 2009

square peg in a round hole

Contrary to what some men believe, the pelvic exam is not as awesome as it sounds. I used to visit Planned Parenthood for all my lady part needs, but since i have a job that offers me the opportunity to pay for my own insurance; i wanted to take advantage of what has already been deducted from my paycheck. My trip to Kaiser left me feeling raped emotionally and financially, not to mention a little sore in my labia.

First of all the exam was initially slated for March 31, but i was menstruating and ineligible for probing. The soonest Kaiser could reschedule me was: May 18th. Then May 18th came, i was period free, and ready to get in the saddle when i get a call letting me know that the Doctor decided to cancel my appointment, no explanation provided. Next available day: June 10th. Keep in mind that i have to take these days off from work, as unpaid days which i have to request off a month in advance.

(im starting to whine, and im losing my focus, regrets)

Its June 10th. I am at Kaiser, first window-$15.00 copay. Next window, the ensemble cast of "nurses" are the medical professions' answer to Reno 911. The nurse that performs my exam; NP Lil Louie, keeps leaving the room. At first i though she was looking at my pap smear under a microscope, (i have had doctors do that) but she would come back and not report anything. Then i realized that she was visiting other patients in the time she was supposed to be examining me. She left me in that room for 10 minutes at a time while she worked on other women.(i wonder if she washed her hands?) On one of her brief returns to the room, NP Louie asked me if it was okay if she inserted her finger in my anus WHILE she was inserting her finger in my ass. It was more of a statement than a question. (i am still confused what that procedure was for).

As if i had not already spent enough time there with Josef Mengele; I, in my infinite wisdom decided that i wanted to be fitted for a diaphragm. She was ill prepared and at one point i suspected that she was trying to insert dirty diaphragms inside of me. NP Louie, who decided not to listen to me insisted on inserting the largest diaphragm inside of me first. It was the size of a small baseball cap. I began to complain. I yelled, "Ouch...STOP...your hurting me..." at one point i even told her that i changed my mind that i did not care for this form of birth control, i yelled. "...you know- im cool with condoms, this is fine, please lets just stop." But this NP did not understand basic English commands or simply did not care. The whole time she ignored me and treated me like she was doing me a favor for free. Needless to say i left an hour and half later felling uneasy, slightly used, and ashamed. I am 31 years old and i have had at least 10 pelvic exams in my life, and none compared to how terrible this one was.

A week later i get a call that i need to come back, that although my pap smear was negative there are irregularities. I specifically ask, " is this just an excuse to needlessly test me, in an attempt to pad the bill?" "Oh, no, not at all, here at Kaiser we are very careful..." I reply, " i have had other exams before and this is highly irregular" "Oh madam i assure you that we are only taking precautions." Next appointment is June 25th with a real doctor this time. Gladys Estela Loera, MD. Okay, this is refreshing. First window, again $15.00 copay. Next room, i barely sit down when im called into the back. Although MD Loera seems disillusioned with the idea of looking at vaginas all day; she is attentive and alert, friendly and quick. She did not leave the room until it was over. I asked for an HIV test, she tells me to go to the lab, shakes my hand and sends me on my way. 20 minutes in all. More like it. I go to the lab and the shell of a woman who was on leave from her other job as crypt keeper tells me, its a extra 10 dollar copay for the HIV test. I tell her that its ridiculous to pay AGAIN, for something that i can get for free. I asked her for my card back and stormed out. Whatever, its done and over with right? wrong!

On Sunday i go to my PO BOX and waiting for me is a bill from Kaiser for $155.00! I am so angry! I specifically asked if the second trip would cost me money and they lied to me. But that fact is besides the point. ITS GROSSLY UNETHICAL to perform a treatment without disclosing a hidden charge. What if i cant afford this? (which i cant) I should have been given the option to decline service and opt for a more affordable treatment. I am at a loss. I feel trapped. I wonder how many other people KAISER has done this to? I see names of "providers" listed on my bill that i did not actually see on those 2 days. It appears that i am being billed twice, and at no time did i sign anything agreeing to being billed at a later date. I dread making the call to dispute the erroneous charges. I will sit on hold for 30 minutes and be transferred 3 times before someone tells me to "call my insurance" just to get me off the phone. To which i will exclaim, "YOU ARE MY INSURANCE!" i don't want to ruin my credit over this, but i DON'T believe its fair to extort $155.00 out of me. It sucks to be the little man/woman. Paying for insurance at a shitty job that offers half ass benefits, having no money for legal recourse, no voice, no choice but to pay. and pay, and keep paying...

P.S. i have yet to wear this $40.00 diaphragm that i paid for in full at the pharmacy that first day after waiting in a lobby for 45 minutes with sick people and crying babies.