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Aoyama David, MD

5.0 (1 review)

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16 years ago

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Swedish Queen Anne Primary Care

Swedish Queen Anne Primary Care

(66 reviews)

Queen Anne

Be advised: you're going to get unexpected charges. I was…read moreexplicitly advised by their customer service liaison, Kim, that if I want to avoid surprise billing in the future, I should route prescription refills through the pharmacy and essentially avoid interacting with my provider. This was especially troubling given that I was not prescribed refills sufficient to last the year. This advice came only after I received an unexpected bill following a preventive/wellness visit. During the appointment, I briefly mentioned ongoing conditions as part of my medical history and asked routine questions about prescriptions I already take. At no point was I told that reviewing my medical history would convert my preventive visit into a separately billable office visit. I was ultimately charged for both a preventive new-patient visit and an additional established-patient visit for the same appointment. When I contacted billing, I was repeatedly told the coding was "accurate," and that it did not matter that I was never informed or given the opportunity to consent to a separate visit. I was also told that preventive visits are essentially "cookie-cutter," and that discussing things like labs or existing conditions is not covered. I was never informed during the visit that mentioning my health needs would result in extra charges, nor was I given the option to schedule a separate appointment. This practice shows little regard for informed consent or care beyond a checkbox wellness exam. Patients should not have to guess what will trigger unexpected costs--or be told to limit communication with their provider to avoid being billed. Transparency matters in healthcare, and I hope this practice significantly improves how it communicates billing expectations so patients can make informed decisions.

Just not a good experience. Medical equipment and techniques are dated and incorrect (blood…read morepressure measured with stethoscope and manual interpretation ... in 2025). My vital health measurements were incorrectly transcribed, leading to wrong health data being added to my file. Doctor wanted to use an iPad with an AI note-taking "app" which is an insult to patient confidentiality and his own profession. An overall lack of interest, empathy and excitement about health and the patient in front of them is simply disappointing.

Wise Patient Internal Medicine, PLLC - Just a taste of the art displayed around the clinic from a local photographer!

Wise Patient Internal Medicine, PLLC

(22 reviews)

Capitol Hill

I love Wise Patient's model and everyone that I have ever worked with at this clinic. I referred…read moremy mother, who was reluctant to pay monthly. She told me that this was the first time she had EVER felt "heard." She is 91. That is a LONG life of doctor's visits. I can't say enough about this practice! I could not recommend them more highly. This is how care should be.

Wise Patient left me unsafe, gaslit, and nearly hospitalized. They advertise excellence and lack…read morebasic competence. I began working with Janna Cuneo as my PCP in 2019 and followed her to Wise Patient Internal Medicine in 2022. She praised the clinic's model. The website promised coordinated care, same-day access, unhurried visits, and expertise in gender medicine. I was rural, disabled, and medically fragile, so I trusted her. That trust harmed me. The decline starting in 2024 was catastrophic. My blood pressure, critical with diabetes and kidney disease, went unmanaged for months. I repeatedly shared logs and asked for adjustments but was told to wait weeks or more. When she was away on one of her many unplanned extended leaves, I messaged her colleague, who immediately recognized and corrected the danger. BP management is basic primary care. Failing to control it shortens my lifespan. Prescription chaos was constant: refills late or wrong, doses increased by 50 percent when we had discussed 10, controlled meds in the wrong formulation and sent to the wrong pharmacy, leaving me without them during flares. In late 2024, I waited weeks for my estrogen refill only to learn she had prescribed unsafe oral progesterone, contraindicated given my family history of clots. These were life-and-death mistakes. In January 2025, I scheduled an appointment to align prescriptions with a new pharmacy and start a prior authorization for a med that keeps me out of the hospital. Despite my planning and over ten follow-ups, prescriptions still went wrong, and I ran out of several meds for a week. They didn't even start the prior auth for 2+ weeks. Staff brushed it off, suggesting I use GoodRx or skip the meds, as if they were condiments. In reality, I was left without life-sustaining medication. It was not just meds. This clinic bungled lab orders, referrals, and disability paperwork. I had to act as project manager to survive. Coordination, supposedly their strength, was nonexistent. Access was another broken promise. Messages often went unanswered for more than a week, sometimes not at all. I ended up booking monthly appointments just to force accountability for labs, prescriptions, and pharmacy info. Even then she failed to show up. In May, during a flare that nearly hospitalized me, she no-showed one visit without apology, canceled another last minute, and called an hour late to the third, rushed after hours, and mis-ordered my meds again. When I documented errors, she falsified notes with "as we previously discussed" about things we never discussed. At the same time, she blurred boundaries with her constant "friend" routine, using fake intimacy to deflect from the harm. This was manipulative, not care, and it deepened the betrayal. When I escalated to Sam Warren, the clinical director, his response was worse. After Janna no-showed me, he did not hold her accountable. Instead he asked me, a disabled patient in crisis, for advice on "best practices" for running his clinic. When I later formally requested reassignment to a safer clinician with interim coverage, his response was silence. No reply, no acknowledgment, not even basic decency. A clinical director who ignores documented patient harm is complicit in it. The impact was cumulative: unmanaged blood pressure, destabilized hormone care, lapses in critical medications, near hospitalization, wasted energy, and emotional harm from being gaslit by people I trusted. Janna loved to talk about "the system," how broken it was, how she was protecting me from it. The truth is that she was not protecting me at all. She became another cog in the system she criticized, incompetent and dangerous. Sam Warren's silence sealed it. Wise Patient claims all kinds of things. What I lived was chaos and abandonment. Behind the glossy promises, Wise Patient is unsafe and unaccountable.

Aoyama David, MD - internalmed - Updated May 2026

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