0 stars.
I had the…read moresame thing happen in my in-person appointment with NP James Miyazaki as "Adri W"'s Yelp review below. The appointment was so unbelievably awful that it was hard to even write about it. Thank you, Adri, for putting it into words. It's sad to see that he is like this with others too. I'm sharing this so other patients are aware.
For my appointment, I had actually seen my lab results on my own first, and wanted him to explain what they meant. I asked for simple clarification of one lab result, and he said "I can refer you to a specialist doctor if you want." Confused, I said, "I don't need an entire appointment with a specialist, I'm just trying to understand the basis of how you interpreted this lab result. He said going into that detail is above his pay grade.
Then he asked if there was anything else, as if that's all there was to go over. I was surprised because the lab results clearly showed that I had another subpar lab result, so why was he talking like we were done.
I said "Yes, my labs show I'm also low in ___, aren't you going to go over that with me?" He said he was about to, but that I was harping on the topic of my the first result... as if my earlier question was preventing him from going over my next result? Like, what? That was rude and really weird.
Then he said I need more of a certain medication. I asked how much I should take. He quickly gave me an amount and seemed bothered like he wanted to leave. I had to say, "wait, I already take that amount and my results are still low." He just went, "Okay then take [higher amount]." If I didn't elaborate, he would've just left me with useless information. But he doesn't care. He's bothered if he has to explain anything beyond your lab numbers that are already on paper in front of you.
The above took maybe 5 minutes. Then I tried to bring up that I've had a concerning health issue that's been going on for weeks, and as I did, he just got up and said, "I have to go now." I said, "What? No, I need to talk to you about this, I'm concerned." He was in such a hurry that I couldn't tell him any context like my health history (that ended up directly contributing to the issue), so he lazily just threw out, "I can recommend a [specialist]" (that wasn't even appropriate for my issue, which he would've known if he'd taken the time to ask anything about my background). I said, "Do you think I need one?" He shrugged and said, "Up to you." I said, "You're the nurse! How would I know if I need one?" He just shrugged at everything like some child who doesn't want to be held responsible for anything and wants you off his back. I couldn't believe what was happening.
Then he just left! That he felt it was appropriate to just leave after 10 minutes total (and it was 45 minutes after my appointment start that he even came in to see me) without any warning of how much time we had left, and walking out the door as I was trying to bring up a concerning issue... I just couldn't comprehend what was happening. I'd never had any NP, PA, doctor, anyone do that before. No caring person in any profession would.
I also was supposed to have another service done as part of my appointment, but he'd already walked out. Stunned, I went to the front desk and said, "He knows I still have questions, and I'm also scheduled to have this other service, but he just walked out!" The front desk knocked on his door, and he came back in to do it. What the hell? He didn't have time to address my earlier concern, but now he has time to do the other service?
It was the worst medical interaction I've ever had. I had a medical issue concern and felt so abandoned and gaslit, like I was a burden for asking for reasonable clarification vs. just letting him spit useless superficial "advice" at me. I was so upset with everything that I never wanted to think about it again.
Dr. Kaneko, you should know that NP James Miyazaki does not care about patients and does not help them in any way. And, like other patients have said, he talks over you and doesn't listen. Just like Adri W, I was getting upset because he was so dismissive from the start, and he can't seem to handle a patient showing any sign of upset. When I spoke in a concerned tone (rightfully so) with perfectly reasonable patient concerns, in response to the shallow, unhelpful information he provided... it's like he just shut down. He should not be practicing if he does not have the capacity nor care to treat patients and their concerns with respect.