This review is my opinion only and is based on solely on my experience with Dr. Jonathan Fradkin, whose practice in San Antonio, TX (where I encountered him) is out of business and now practices at VMS in Campbell, CA.
My experience with Dr. Jonathan Fradkin was so wholly unsatisfactory that I felt compelled to join Yelp for the sake of informing other potential patients of his of my experience.
After being referred to him by my primary veterinarian to have a rhinoscopy (a fiberoptic probe with a tiny camera inserted into the nose) performed when my otherwise healthy 6 year-old dog developed an infection in his left nostril that wasn't entirely cured by antibiotics, I was looking forward to him getting focused expert care in a facility equipped to efficiently diagnose and treat the problem. Instead, I was charged over $400 for a bottle of antibiotics and the privilege of being told to come back in three weeks for a vague battery of tests, many of which Dr. Fradkin admitted upon further questioning were not relevant to the specific problem he was tasked with treating but instead were part of the "gold standard of care" that he offers. The experience definitely involved my gold card, but his standard of care was anything but exemplary in my opinion.
My first warning should have been the empty waiting room and the eerily silent telephone staffed by a bored receptionist. In my experience, good vets are busy and have bustling offices.
My second warning should have been that despite his being unencumbered by such distractions as other customers or incoming phone calls, I was nonetheless required to wait 40 minutes past my appointment time before seeing Dr. Fradkin. When he finally did appear for the examination, he listened to my dog's nose with his stethoscope for 30 seconds and then proceeded to do a seemingly endless series of full-body pokes and prods that were entirely unrelated to the issue at hand (note: i'm pretty sure you don't need to insert your hand into my dog's rectum to examine a nasal infecetion) and, in hindsight, seemed to have no discernible purpose other than to justify his $115 examination fee...
I'm no stranger to specialized veterinary care, but its worth noting that my previous vet in Beverly Hills, CA who is also an internist (and a board-certified veterinary cardiologist...and the author of the preeminent text on veterinary internal medicine) charges $62 for an office exam.
Adding insult to injury, after silently typing his notes from the examination into a computer for 10 minutes while I watched, Dr. Fradkin said he didn't have time to answer all of my questions because he "had a patient in the ICU". The good doctor did stay long enough, however, to inform me that before my dog could undergo the prescribed rhinoscopy for which I'd already fasted him or any of the assorted head/ teeth/ nose/ heart/ lung x-rays, ultrasounds, and separate dental examinations comprising the aforementioned "gold standard", he'd first need a blood test to determine that there were no liver or kidney abnormalities that would make anesthesia dangerous. "That part sounds reasonable", I thought, until I was presented with an estimate of charges that included $200 for the blood test. "$200 just to make sure he can do anesthesia? Is that really necessary??", I asked. "Yes.", I was drolly scolded...and then told ominously that I didn't want to risk my dog dying on the table during an x-ray. Well, that part is certainly true so I consented to the blood work and scheduled my next appointment.
It wasn't until I got home, with the uneasy feeling that I'd just been an accomplice to my own robbery still lingering, that I whipped out the Yellow Pages to call a few other vets to compare their prices for the same blood test listed on my invoice. As I suspected, the three vets I called (all in private practice locally) quoted me prices of $51, $55, and $58 for this routine blood test. So...the "examination" is marked up 300%, the blood work is marked up 400%, and - for those of you who are wondering - the prescribed antibiotics were also marked up about 50% over the other vets I contacted (all of whom are presumably in business to make a profit).
A final insult worth noting is despite my having asked Dr. Fradkin to call me once he had the results of the blood work, he had still failed to do so 9 days later when I finally called him myself. Also noteworthy is that the waiting room was still dead-empty when I went to retrieve a copy of my file the following day.
My appointment was so useless that I was forced to literally start from scratch with a second veterinarian - who properly diagnosed, treated, and cured my dog for what thankfully turned out to be a common/minor malady for less than 1/2 the expense I had already wasted with Dr. Fradkin.
I have no opinion of VMS, but please ask for a second referral if your primary vet refers you to Dr. Fradkin. Your pet and your wallet will thank read more