Josh Randall's Online Review Report Card

Outstanding in everyday. My PSA kept going up, we monitored it, then had biopsy. Cancer found but small. Monitor some more, PSA up so MRI and biopsy. More cancer found, prostate removed. All cancer removed and had not spread outside the prostate. Slow and steady monitoring, testing and then final decision. I highly recommend Dr Randall

If I could give Josh Randall a zero or negative star, I would. I have several issues concerning medical services my husband received from him. I will only mention the few most important ones. The first and most significant (life or death) issue involves a dilemma we had been dealing with for some years as my husband’s PSA gradually increased. After having had three negative biopsies by a different doctor in another state, we moved to Orange County, California and began seeing Josh Randall every six months to continue tracking my husband’s PSA and hopefully solve the dilemma, did he or did he not have prostate caner. At that time his PSA was 18, it is suppose to be 0 (zero). Unknown to us a year or so after he started seeing Randall, a new diagnostic MRI became available for use in diagnosing prostate cancer whereas up to that point only the PSA test, digital exam and biopsy were available and were not very reliable. Having access to my husband’s previous medical records in addition to having been seeing him for over one year, at which time there was an increase in his PSA, Randall dismissed its significance due to his negative biopsies. He simply did not believe my husband had prostate cancer. In addition he never did a DRE as had all our previous urologists, citing the fact that digital DRE's are unnecessary and not helpful. It wasn’t until our internist ordered a PSA on my husband, which came back at 28, that action was finally taken. To our horror, our internist became alarmed and emphatically told us my husband needed to see his urologist immediately. When we explained that my husband had just been to see the urologist (Randall) fairly recently, he became more alarmed and told us in no uncertain terms that my husband needed to be followed up with some meaningful testing and treatment. Following his advice we saw Randal and told him what our internist said. Randall then ordered another PSA followed by an order for a Prostate MRI. When we learned the Prostate MRI had been available for close to two years we were both confused, as we could not understand why Randall had not sent my husband to have it done sooner. The Prostate MRI revealed a distinct mass in the anterior portion of his prostate. His score was a 4 + 3, which put him in the moderate to advanced cancer category, (fairly aggressive), however it appeared that his tumor had not spread and was still confined to the prostate capsule. After further testing to confirm the cancer had not spread to the lymph, bones or chest, my husband had a prostatectomy with lymphadenectomy. His surgery at The City of Hope in Duarte was in January 2018. By the grace of God, the lymph pathology was negative and it indeed appeared that they got it all. As with other cancers, the five-year post-op point will be the best defining factor. Needless to say, after having the prostate MRI we stopped seeing Josh Randall and haven’t looked back in his direction until now to right this cautionary review. We have been told by every medical person my husband has seen that my husband is very lucky. There is absolutely no excuse for Randall not sending my husband to have the prostate MRI as soon as it was available. Another issue regarding Josh Randall, which actually came up a year or so prior to my husband’s prostatectomy, involves a small kidney stone he had in his right kidney that was not bothering him, however, his kidney function was at 76%, and Randall recommended a lithotripsy to remove the stone. My husband let it go for a bit since he was not in any discomfort, but after being hounded by his staff about it and being reminded that his kidney function was down to 76%, he finally agreed to have the procedure, which uses shock waves to break up the stones. I don’t know if Randall used too much force when applying the shock waves, but my husband has had pain in the right kidney area ever since. When we contacted his office following the lithotripsy about the pain he was having, we were told the “doctor” would call back. We never got a call back from Randall or anyone else in his office, not even just as a matter of practice to see how my husband was doing following the procedure. When we complained about it, Randall simply scuffed at us and put the blame on his staff. To make matters worse, my husband’s kidney function is now 56% (down from 76% before the procedure), and he still has occasional pain in that side.

I have been with Dr Randall for almost two years and he has been always knowledgeable and caring in diagnosing my problems and answering my concerns. When left with only the surgical option, I didn't feel pressured to proceed and was impressed by his surgical experience explanation of the probable outcome. The surgery and post-op care was excellent. I have never had a problem making appointments and his staff are equally responsive and caring. I would highly recommend Dr Randall.

I found him excellent. He took all the time I needed to answer questions from me and my partner. He and his staff were excellent in every way. I trust him completely and I recommend him without reservation.

I have taken the time to read others' comments and will give you my experience. I have no complaints about the wait time because when I needed extra time he gave it to me, even though it would put him behind schedule. His bedside manner is excellent. He takes the time to assist his elderly patients get in and out of chairs and even get dressed. I was shocked when I first saw him help my family member. He did not just stand there and watch me do it. He does take the time to explain any surgery and is not quick to push surgery on you. He will take the time to answer phone calls from Patient's family members who have questions. It is true that his staff can be better about getting messages to him. He does take action when I have complained. What I find to speak volumes is that hospital nurses send their family members to see him. This means that they have witnessed first can the kind of doctor that he is. I highly recommend him!

Dr Randall and his staff fails to return calls. Scheduled me for a wrong blood test.

Randall is all too eager to get you in and out and move on without being as thorough as you may think a doctor should be. When I inquired about a surgery he was eager to proceed without discussing concerns. There are long delays in the waiting room as well as follow up care, if you get it at all. I felt like a number. Multiple times Randall didn't follow up and didn't return phone calls when I tried to followed up on my own. Is his time too valuable for medicare patients or does he just pick and chose which phone calls to return and when to follow up or just ignore? I had to wait for test results and medication for weeks when test results are available typically in 48 hours. This happened more than once or twice. He blamed his staff. How many times will you accept a doctor blaming his staff for lack of care? Boo, hiss!

Dr. Randall has done surgery on my young son and i have nothing but the best to say about him. He is excellent with my son and very patient. He is not quick to do surgery and i like that, I never have a long wait while i am there. I highly reccomend Dr. Randall

He created major problems with a kindey stone removal and refused to see me afterwards

Never returned calls to confirm the appt. or that they had retrieved the previous applicable Urology files. Like too too many doctors, assumes the world revolves around them.