This man understands He listens, and with all of his brilliance, he comes to a logical conclusion I went to him after having an EMG with Dr. Katz which was a totally horrible experience. I have never met a man or doctor in my life. After he stuck a needle in my calf that was more than uncomfortable. I asked him what else he was planning to do. He said "I'll stick a needle in your sciatic nerve and in your back " I refused Took my test results to Dr. Andrews told him that I felt like I was being used as a lab rat. He read the results and said "Dr. cats got all the information he needed from that one exam "I knew Dr Katz had just been using me for Testing. I recommend all of my friends to Dr. Andrews Dr. Andrews was more than a refreshing change read more

I had a successful back surgery with Dr. Andrews a few years ago. But developed other back issues as time went on. I tried to see him again, but he made and canceled THREE appointments. I 've been in pain for months waiting to see him. After HE CANCELLED FOR THE THIRD TIME, I was extremely frustrated and asked he order an MRI prior to an eventual meeting (thinking that would speed up the diagnosis process). Instead, he responded with a refusal to reschedule me again!!! and suggested I see my GP for pain (I had already done that). It is sad he has so little compassion, understanding or commitment to any of his past or potential patients. read more

The best word to describe him is heartless. He may be a strong surgeon, but his utter lack of care for his patients as people is shocking. He is rude, cold, and clearly an angry person. He thinks he is God's gift, but he's just unkind and insensitive. Once he has finished operating, he doesn't care in the least what happens to you. Unbelievably callous. Avoid. My second surgeon for a follow up procedure was an angel in comparison. This man is cold as ice. read more

Left hand bandaid only post surgery unlike UCSF's protocol. May be a good neurosurgeon but the office lied when they told me he was an expert in hand surgery. read more

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Do not make any attempt to work with this Dr. he and his staff are a heartless and cruel excuse for medical providers. Cancelling an appt a week before, after having it scheduled a long time ago. I was referred to this provider by another surgeon who performed an emergency operation on me, to follow up and continue care to prevent another injury to another part of my spine. Without any real explanation or discussion, a horrible woman named Keely called to tell my my appt was canceled, and her tone from the beginning of the call to the end was of someone who had totally divorced herself from empathy, and couldn't understand me the patient who needed this appt. I was nothing more than a thorn in her side because I had surgery recently and had the gall to consult another surgeon I was specifically referred to for care. It was as if she had no concern for me whatsoever, told me he can't help me, and when I pushed back she angrily told me that he is not my doctor and they are not responsible, and that she has a long list of 200 cancellations, as if I shouldn't feel bad because I'm one of a large group who got screwed over with no discussion. I cannot believe the lack of professionalism at play here. I feel so hurt and betrayed by this experience and now I have to go searching for someone else. If this is how they treat people who need help, I can't imagine the inhumane treatment you might suffer if they were responsible to perform surgery on you. Utterly appalling. read more

TL;DR: I had a five star experience from Dr. Andrews and his team for a laminectomy & microdiscectomy. I met Dr. Andrews on Jan 24th and by Feb 2nd I am 100% pain free. Its unfortunate the number of bad reviews here complaining about insurance coverage or bedside manner, both of which are not a reflection of Dr. Andrews' expertise and IMO are irrelevant reviews. I was referred to Dr. Andrews from UCSF-Bernal/Mission ER after I went in from excruciating back pain. I have a long history of back issues and have previously herniated a disc and suspected that I had herniated it again. Unfortunately, the incompetent doctor at the ER refused to give me an MRI despite my begging *and* Dr. Andrews advising him to do so when they chatted on the phone during my visit. Alas, the only thing that was beneficial from that ER visit was the referral to Dr. Andrews. I was in the ER on Sunday and by Monday morning I had an booked appointment with Dr. Andrews for Wednesday. His assistants did everything in their power to get me in ASAP and moved around their schedules to see me given the severity of my situation. During my first visit, Dr. Andrews was polite and straight to the point. I showed him my MRI results from 7 years prior and he was able to give me a preliminary analysis of what he thought was the issue and potential options. He advised his team to get me an MRI ASAP and one of his assistants was kind enough to give up her own personal MRI appointment so I could be seen. Dr. Andrews gave me his personal phone number and said to let him know as soon as I got an appointment so he could do a follow-up with me ASAP and even offered to see me on Saturday if needed. I fortunately got the MRI Thursday morning and did a follow-up visit with Dr. Andrews on Friday. The MRI confirmed that I had indeed re-herniated my disc and he recommended two options: 1) laminectomy & microdiscectomy 2) TLIF surgery (spinal fusion). He explained the pros and cons for each, took the time to make sure that I fully understood my choices, and supported my decision. I was aware of the recovery for each option and I felt no pressure whatsoever. I proceeded with option #1 and he said he would get me in ASAP and we scheduled the surgery for the following Wednesday. The surgery (the first surgery I've ever had) was as smooth as I can imagine any procedure going. The Presidio Surgery Center was a lovely facility, everything was on time, the nurses and receptionists were kind and friendly, the anesthesiologist was kind and Dr. Andrews came and checked on me before and after the procedure to make sure I was comfortable and knew exactly what was going on. Everything that Dr. Andrews told me was going to happen and when, happened exactly as planned. The best part -- and the part I was most skeptical about -- was the recovery. After being on nerve medication and opioids to deal with my pain, I was shocked that I walked right out of the hospital and was completely off all medication within 36 hours. I still can't wrap my head around how I was able to undergo spinal surgery and basically be back to normal within a matter of days. Of course I'm taking things easy by not bending over/twisting much or lifting heavy objections but this was a far cry from a week prior where I was crawling to the bathroom in tears. My entire experience from start to finish with Dr. Andrews and his team was top notch and I felt in great hands. From his assistants offering me their own appointments to expedite mine to Dr. Andrews ensuring I was informed and comfortable the entire way, and the fact that all of this took just barely over a week from start to finish? I'm kicking myself that I didn't do this sooner. I highly recommend anyone struggling with back issues to see Dr. Andrews and his team! read more

Did cervical decompression at 3 levels ,i woke up from surgery paralyzed,I was diagnosed with Brown Seychord syndrome,which happens from a poke in your spinal chord 4 years later still cannot walk and original pain down arm is worse then ever , Andrews never admitted fault or said anything about this diagnosis,and his surgical report said ,no complications ,lie . I would do extensive back ground check on any surgeon you have touch you ,he had law suits against him Good luck read more

Dr. Andrews did laminotomy for my lumbar stenosis almost two years ago. I just came home from a week of hiking and a two day backpacking trip at escalante Utah carrying a 35 lb pack. Thank you goes to Dr. Andrews. At age 82, I am blessed that I can still do these things. read more

kind, considerate, and a wonderful surgeon. He operated on my back on very short notice after a fall I recommend him highly read more

If his surgery fails or he causes harm ,he will blow you off like a leaf in the wind so his reputation is not scared His ego is more important than him having failed This guy is dangerous ,may have helped some ,but ruined my life and did not do what he said in his post op report read more

Twenty years ago Dr. Andrews performed a laminotomy that completely relieved terrible chronic upper back pain brought on by arthritic deterioration of the cervical spine. When another part of the cervical spine caused extreme upper back and neck pain this year, he performed an ACDF (anterior cervical disc fusion) with the same positive result. I cannot recommend any doctor more highly. Chronic neck/back pain is brutal. What he did was give me a normal life back....twice! Dr. Andrews is a no-nonsense, straight-talking, superb professional who gets my highest recommendation. As they told me at the hospital, Dr. Andrews is the guy that other doctors want when they need surgery. I completely understand why. read more

15 months have now passed since my spine operation, & i am extremely happy brian andrews was my surgeon. he is personable & kind, & my neck/spine/arm/hand improved slowly but surely. i had a setback when i got my covid shots (pain & inflammation) but dr andrews' work was stellar, imho. after my xray he gave me the all clear, & i'm slowly but surely getting back to my wildlife rescue work. highest recommendation re dr andrews, his work, & his follow through. read more

I am not a paid reviewer. Please write to me if you need convincing and I will reveal my personal information and history to you. I've had three extremely successful surgeries from Dr Andrews and have the scars to prove it. Dr Andrews is very kind and went out of his way to help me multiple times. read more

If you have been told you need spinal neurosurgery, this is THE man to see, the office to go to for spinal problems. He came highly recommended to me from 5 different medical professionals. Several without asking for a referral. He knows what he is doing and has won awards for his work. He is a very nice man. Not the most "warm and cozy" kind of guy, but he knows his business and makes no bones about what it is that you need, and he is right. He's a realist. To his credit, others that I know who went to his offices on referral, some were told flat out no you do not need any surgery at all. He infact told me that I did not need another surgery 2 other neurosurgeons said I needed to have. He is a minimalist and just because he's a surgeon he doesn't believe in extreme surgery if it can be avoided. I could go on about my experience, but I'm sure if you want details you can message me. If you find yourself in a place where you need a spinal neurosurgeon (gods forbid!) call him first even if just for an opinion. That's what I did. It was probably the single most important decision I ever made in my life and I made a good one. He is worth the money. You can't often say that about Dr.'s read more

Brian Andrews, MD - Neurologist Near Me - San Francisco, California

I recently saw Dr. Andrews for issues I was having with nerve pain in my right arm and chest, loss of feeling, and also loss of function on the left side. He suggested and performed a diskectomy on my neck. The procedure was pretty painless and I am seeing instant results. His staff is also super responsive and has the knowledge to give a meaningful response to questions. A+++ read more

Dr Brian Andrews is simply the best. I am a physician who has a spinal issue and was seen by a number of my experienced and esteemed colleagues. There is simply no better than Dr Andrews. I will not spend paragraphs explaining but let me state it very simply. He is without a doubt the top spinal neurosurgeon in the Bay Area if not the entire state. No ifs, ands or buts. Dr Andrews is the top of his field. Get second and third opinions but if you are wise you will choose Dr Andrews. Grateful to be under the care of this brilliant Physician. If you are looking for the best neurosurgeon to care for you this is your physician. No question about it. read more

ALL of the reviews here are accurate. The issue is people's expectations. If the doctor and the results match the reviewer's expectations, they give a 5, otherwise they give a 1. The truth is, he is a human, he is not god and he cannot cure every problem that comes through his door. On the other hand, he is 100% forthcoming about his assessment of the patient's case. Some people just choose not to listen very well and hold out unrealistic expectations. He is not cold, but he is efficient and exact. If you need cozy warmth and hugs, find another doctor. If you want a doctor who will tell you exactly what is going on, choose Dr. Andrews. BTW, to answer those who complain that he doesn't take enough time to do a thorough diagnosis. Nonsense. He knows his field, he can read an MRI and X-rays, he understands the body and how it responds. When the test and his assessment align, he doesn't need hours to diagnose - that's why you went to an expert isn't it? Personally, I found him caring and concerned. I completely understood what he proposed, and the risks. BTW, my result was far better than he suggested in his most optimistic prognosis. I went in barely able to walk, and 4 hours after surgery I was up and walking with no pain at all. No back pain and, remarkably, no surgical pain. I have not had to take a single pain med since leaving the operating room. read more

I was suffering, really suffering from an accident in which I severely herniated a couple of discs in my neck. Eventually I had such bad stenosis it caused nerve pain and significant numbness which forced me to lay down all the time and not move. I was terrified to have neck surgery that's why I waited so long. There was no other option so I set out and met with 5 top surgeons from all over. I was referred to Dr Andrews by another doctor and I knew he was the one that could help me. He does not like to perform surgery unless it is totally necessary and he only does the bare minimum that will give the most results. He explained everything to me in great detail and we decided that a posterior laminectomy and facetectomy were the best options to resolve my issues . I had surgery 1 week ago and I can honestly say I wish I would have done it sooner. I don't know why I was so afraid. I was in and out of the hospital in a few hours and able to carefully move around this past week. This coming week I will start light exercise and stretches but I can tell in a few weeks it will be like nothing happened. My pain and numbness are gone, I only feel the surgery pain and numbness from slight swelling. I posted a picture of my scar at 1 week, it looks like a small scratch. There is some bandage glue, some slight redness and bruising but that scar will fade where I would have to point it out for someone to notice. If you have been living with neck or back pain and putting off surgery like me, please go see Dr Andrews right away! He will take such good care of you! read more

Brian Andrews, MD - Neurologist Near Me - San Francisco, California

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I heard from my close, oldest (48yrs.) Friend how helpful Dr.Andrew is...SO I called and got a New Patient appointment..it was 4 months out, figured that was a good sign. Just got a phone call to remind me that my appt.was coming up Nov. 30th and they needed to check out my insurance. Great! So Excited ! I have extreme back pain, from an intense fall many, many years ago. It's roared its Ugly head and I am now using a cane and even a walker. St. a Mary's wants to put 2 rods to straighten it..What!! Of course to add to my insanity O first need a knee replacement, actually both knees..CRAZY!! So seeing Dr.Andrew to help with all this overwhelming pain..was giving me a glimmer of hope. Well my Hope has been Crushed..I'll expain..as I told the person who called..My insurance is CHAMPVA. it is for Widows and children of Passed VETERANS...VETERANS who have died. In Service to OUR Country or were 100% disabled from their Service when they passed. It's called Open Access..meaning I can go to ANY DOCTOR, NO Referrals. My husband came back 100% disabled from his Service, lived that way 20yrs. Till he passed at 54 years old, leaving behind a 14yr. Old daughter..I explained All of this to her and she said she would call me back....and she did saying. Sorry we don't take that that insurance..!!! HUH??? It's an insurance for Widow's as I explained above to you all Above. I was so Upset Asked if I could sent the Dr.an EMail..explain to him as I am to you all...NoPE..So I wrote this instead. These are the facts as I see em I found it really SAD I'm sure Dr.Andrews has more than enough people to cure. Help, Work with..He doesn't need me...it was I that needed him. But he did need my husband and my husband was there for him whether Dr.Andrew knew it our not, just like ALL if the disabled and deceased Service Members...just thought everyone should know. read more

In February, 2014 Dr. Andrews performed my surgery on a lumbar spinal stenosis. Since then I have meant to thank him but never did. So I choose this review as a way to do that. Before surgery I could not brush my teeth without raising one leg off the ground to ease the back pain. Entering surgery as a last resort, apprehensive, Dr. Andrews careful explanation of the procedure and his confidence in its outcome was comforting. My recovery was well managed at the hospital and I have been completely pain free since then. So a belated thank you, Dr. Andrews. Your work is much appreciated. read more

I am 3 years post op. Cervical, lumbar & thoracic problems. (Surgeries) I no longer lift heavy items. Dr Andrews was my savior. No bells or whistles or fluff. I am a motivated, determined patient. Perfect fit for me. Thank you!! read more

He was recommended by the ER. Basically my symptoms weren't that of a "normal" person so my bulging disk leg weakness self will need a psychiatric evaluation and physical therapy. When I asked questions I was spoken down too disrespected and felt like a 5 year old child being scolded. I work with other MD's that if they face a patient that doesn't react like a"normal" person they reach out to colleges and people in the same field to get their feedback or opinion. This dr doesn't. In short STAY AWAY FROM THIS A$$&0LE!!!!!!!! Go to someone who really cAres to treat you and find the best way to treat you even he's NOT THE ONE. read more

I became a Yelper just so I could write a review on this Dr. and let everyone know that they need to find someone else if they are looking to find a doctor who is patient, understanding, and someone who really cares about his patients. Dr. Andrews is NOT the one! Yes, he seems to be the name dropped by other doctors and he may be knowledgeable in his field, but his bedside manner is horrible! I have a herniated L4-L5 disc with stenosis and had terrible pain radiating down my right leg. I ended up seeing Dr. Andrews after three ER doctors recommended him to me. My first visit with him lasted about 10 minutes and most of it was Dr. Andrews trying to convince me to have surgery. I literally ran out of there and did not look back. Unfortunately, after several months of continued excruciating pain I ended back in the ER and had no other option but to return to see him. I had surgery (microdiscectomy )in April 08 as I could no longer deal with the pain. Dr. Andrews told me I would be back to normal within 6-8 weeks and it took me a long and slow 5 months to be able to go back to work part-time. Dr. Andrews never bothered to come and see me in the hospital in which I was in for 2 days, and his first follow-up appointment was 6 weeks POST surgery! He didn't even bother to call and see if I was still alive! I continued to see him regularly as I still had pain and each time I did I felt hurried and rushed at the appointments. He never once said, I'm so sorry you are still dealing with this". He never smiled, and he never made me feel like he really cared about me. I felt that he was most interested in making $$ from my healthplan and when I complained about pain his answer was a new prescription, e.g. Voltaren, Prednisone, Percocet, Flexraril, Motrin and his usual phrase, "it's a slow process". In Oct 08 he told me that he no longer needed to see me, unless there was an issue. Even though I stated that I had chronic back pain, he said "back surgery is a slow recovery". I tried to accept it and managed each day somehow. When I recently decided to go see him 14 months post surgery because of my continued lower back pain I got the same cold, bitter and hurried doctor, but I never expected to hear what I did from him. When I explained that I was still experiencing pain, he boldly stated "YOU JUST HAVE TO LEARN TO LIVE WITH IT". He then went about saying that 10% of patients with my type of herniation continue to have pain post surgery. When I tried to discuss some alternatives, he stated "I can no longer be your treating physician. I have a very busy practice, and there is nothing else I can do for you. I am referring you to another doctor." I was so dumb founded and shocked that I just left his office on the verge of tears. Once I got to the safety of my car I totally lost it. I cried so much, not because of my pain, but because of his ruthless and cold behavior and conduct. I have never felt so hurt by the words, especially from a doctor. I am seriously writing a letter to the Board and CPMC. So, save yourself the grief of dealing with someone who doesn't care and don't go see him! I am NOT going to see the doctor he recommended, and I'm a search for a new one. I still have hope that my pain will go away and I will continue trying out new things until I have exhausted all options. read more

If someone receives only one-star and five-star reviews, there might be something wrong. There is definitely something wrong with Brian Andrews. It's not that he's "to the point" or just a very in-demand surgeon. He is not someone whose judgement I would trust, let alone soneone I'd allow to operate on me. I saw him once, and it was brief and bizarre. He never once looked me in the eye, never let me finish a sentence, and didn't have much to say in general. He did not do an exam and didn't get a complete history on me because every time I tried to answer a question he interrupted me. When he brought me into another room to look at the MRIs I had brought to the appointment, he was upset that the images were still being loaded and he seemed too uncomfortable to sit in the room with me (he could have taken those few minutes to get answers to the questions he didn't let me answer earlier), so he left for quite some time. When he came back, he didn't really look at the images that I had described to him. He just scrolled quickly through them and said "I don't see what you or your neurologist described" and ejected the disk. I didn't even know when the appointment was over. When he handed me the disk, he said "I'll send a letter to Nina," referring to my primary doc (using her first name is generally considered unprofessional, since they've never met), and walked out. I followed him, not knowing that that was it. He stopped in the hall, picked up another file, and started reading it. I said "thank you doctor" and he didn't look up. I left, dumbfounded. I'm with the reviewer who mentioned Asperger's and a "personality disorder," especially after reading the other reviews that describe him as friendly and brilliant. He was not friendly and he didn't appear to be "on his game" at all. Yes, he was cold, but that wasnt the problem for me. He was scattered, flustered, and seemed frustrated by his own inability to think clearly. I would stay away from this surgeon. read more

I am very disappointed in all my interactions with Dr. Andrews and his office staff. I am not a big fan of writing unfavorable reviews but after 4 bad interactions with this doctor's office I felt it was my duty to share. I called Dr. Andrews' office earlier this year with chronic neck pain that had gone on for almost 2 years. I had seen a few chiropractors with not much success and had done some physical therapy which gave only temporary help. The initial call was cold and the reception stated the first available appointment was 10 weeks away and that I would need to book and then keep calling back to see if there had been any cancellations to get me in earlier. There weren't and I called every week until my scheduled appointment. Upon my first visit, I needed to fill out paperwork and then was asked for my co-pay prior to seeing the doctor. I thought that was rude but figured it might save me time later so I paid. The doctor was 15 minutes late but was cordial and asked me to describe my pain areas. He didn't give me any physical examination but stated that he would need a CT Scan to see what was causing the chronic pain. I was told to make an appointment to return to see Dr. Andrews in two weeks so that would give him time to receiving and review the scan. I was fairly lucky and was able to go directly to Xray in the main area of the hospital and was scanned within 45 minutes. I arrived 5 minutes early for my second visit with the doctor in case I was required to fill out any new paperwork and was told "the doctor is running late". I waited for 45 minutes before being lead back to his office. He entered 10 minutes , stated he was sorry for the wait and said to come over to his computer to look at the scan results. He then attempted to find my file and could not and left the room. He returned and stated that they had not received the scan but it was being sent over and should be in the office within 10 to 15 minutes. I was instructed to wait in the office and then 20 minutes later, the doctor returned, entered a disc into his computer and spent about 5 seconds dialing through the images and stated "I have slight arthritis" and "there is nothing more he can do". He suggested ibuprofen and to stay away from Chiropractic help. The fact that he only looked at the scan for seconds and was supposed to have reviewed it in-depth prior to my return plus the 5 other people in his waiting room didn't make me feel like I was getting first rate medical care. In addition, I have received three bills for the second visit co-pay (which has been paid). I spent 75 minutes for a 5 second review and the only thing on this doctor's mind is my co-pay! I highly suggest avoiding this doctor and his entire practice if you want to avoid mental pain along with your physical ailment. read more

Dr. Brian Andrews performed a spinal fusion on me following a bicycle accident in which I received spinal injuries. Although I was taken to another hospital's emergency ward, I requested a transfer to CPMC when several friends of mine in the medical profession pointed me toward Dr. Andrews, describing him as one of the very best neurosurgeons in the Bay Area. I did consult with other neurosurgeons before seeing Dr. Andrews and they recommended surgeries anticipated to be between 5 and 10 1/2 hours. Dr. Andrews scheduled his OR for 3 hours and completed the spinal fusion in just 2 hours. A surgical nurse friend of mine who has assisted Dr. Andrews in several of his surgeries explained that Dr. Andrews is very demanding of the OR's staff and the OR preparation so that he can perform his surgeries with laser point focus. The time that I spent in recovery and therapy was 1/3 the period of time that injuries such as mine require. I am sure that the primary reason for this shortened time was that the time that I was in surgery was only 2 hours. People in the medical profession will often say that surgeons are a different breed. Few within this breed have excellent bedside manner, many are abrupt and exhibit limited people-skills. If you want a doctor to comfort you and respect your opinions, your research or your feelings, you should avoid most surgeons. If you want a surgeon who will be minimally invasive with laser like focus you may have to accept abrupt stilted bedside manner. On the other hand, I enjoyed Dr. Andrews' bedside manner, and I marveled at his concise manner in my follow up appointments. I am most interested in the results, and i am certain that Dr. Andrews is the primary reason that i am way ahead of my recovery schedule. read more

A very to-the-point doctor, He is at the top of his game in neurosurgery, I was very fortunate to have him perform a 2 level disectomy with fusion. I had been in much pain for 6+ months. I had 2 unsuccessful epidurals with little benefit from a different provider Dr. Andrews took a couple of minutes to review my MRI then showed them to me. At this point he identified the problems in my neck which need to be tended to, He than handed me a brochure about the surgery, making marks showing me what he would do for me. He then told me take a month and think about it and get back to him. I stated, I made the appointment with you because I have already decided on surgery and know your the best guy to do it. He took me to scheduling, immediately getting me an appointment on the books. Today, I am 7 weeks post surgery. For nearly 6 months I had been a large amounts of pain pills. Today, I might take an Advil for a little ache which is not uncommon for someone in their late 40s. I wholeheartedly receommend Dr. Andrews and his wonderful staff. read more

Dr. Brian Andrews was very kind and personable. He carefully listened to me when I described my problem and performed an examination after reviewing the records that I brought with me. He matter of factly suggested a procedure that was much less invasive than what I had been offered by other 'super specialists' around the state. I believe in finding and traveling to the best surgeons for their expertise. All of them wanted to do a spinal fusion through the front of my neck which could have been career ending for me. Then a well known microsurgeon at UCLA wanted to only treat one level of my cervical vertebrae at a time, and to return for separate surgeries. He put me through costly painful tests that were found to be inconclusive. Dr Andrews was able to relieve my chronically pinched nerves by opening the foramen on C5 & C6 through one small incision behind my neck. I woke up from Outpatient Surgery with the feeling restored to my fingers and thumb. I went home afterwards with only a band aid and have been improving ever since. For those patients who have criticized Dr Andrews, perhaps they should take a look inwards. Not everyone is a 'good patient' and not everyone is a good candidate for treatment. Many chronic pain sufferers have a long winded irrelevant 'story' they insist on telling, and they won't listen to the doctor's questions, or give relative answers. Some people will never be satisfied, much less happy about any improvement in their condition. They want to tell their life story, they want to be coddled and they want guarantees. They then become angry when they are told that the doctor doesn't care for the doctor-patient relationship....it goes both ways. That Dr Andrews may dismiss a patient, or refuse to do surgery is a reflection of his professional good judgement. I hope Dr Andrews enjoys his successes and continues to provide the brilliant, no nonsense, miracle care to those of us who appreciate his expertise! read more

What can I say? The guy fixed my back and ended my pain. I don't know how I could give him anything less than 5 stars. I would give extra stars, if I could, for recommending a spinal with sedation instead of general anesthesia. I felt back to normal about 10 minutes after surgery... and the sedation meds were quite fun. Dr. Andrews is the surgeon all the other surgeons go to when they screw up their backs, and with good reason. read more

Dr. Andrews removed a bone spur from my C 7 vertebrae a week ago through a minimally invasive procedure and I'm already feeling better. I found Dr. Andrews after being told by a Marin County surgeon that I needed a far more complicated and invasive surgery that potentially could leave my voice permanently hoarse. I'm a voice actor and decided to go online and do my homework. Dr. Andrews is highly regarded by other doctors. His was the only 5 star rating, and CPMC also had a high rating for success with this type of surgery. In addition, I can't imagine how anyone rated him one star because of bedside manner. He couldn't have been friendlier or more sympathetic. He was a delightful man who spoke to me at his office and before and after surgery like a friend. He took me as a patient immediately even though his first opening was six months away after seeing my films, and scheduled me for surgery a few days later. No, I'm not a reputation polisher or a public relations guy. I'm a 71 year old voice actor and writer who considers himself fortunate to have found Dr. Andrews. He not only spared me future ongoing pain, but did so with minimally invasive surgery. I can't imagine how I could have fared better with anyone anywhere else. read more

I personally like a doc who can deliver zero back pain with a minimal amount of office time & chit-chat. Don't get me wrong, I'm the worlds' biggest extrovert and could talk to anyone all day, but by the time I got to Dr Andrews, I was done talking about my horrible back and wanted to take action....I wanted OUT of the pain. I was pain-free when I woke up save for some incision site soreness. Only reason for 4 out of 5 is that I could see how some people could possibly be put off by the lack of warmth in bedside manner but I needed an outstanding surgeon not another buddy....and it worked for me. PS I am from the East Coast and tend to find the short, cut-to-the-point style of communication very efficient/effective & it does not offend me in the slightest but I can see how it is not everyone's cup of tea. read more

I think some of these reviews are complete garbage. I understand wanting a doctor that you "bond" with socially, that seems to listen and care, blah, blah, blah. But you don't go to this doctor for your average condition. He's busy. He's got a long list of people who want to see him. And I don't blame him for rushing some patients so he can get on to the next one. The point is he's that good, and if you need him it's worth it. As a note, I don't even remember there being any communication issues or feeling like he didn't care. It wasn't important to me because I just needed someone to perform the function to save my life. I was lucky enough to be referred to him for a spinal condition that had left me partially paralyzed and literally peeing in my pants. I had a short 10-minute session with him during which he explain the surgical procedure that could help me and answered all my questions. About a week later, after waiting for years, I was in surgery and he fixed the issue. The relief I felt was immediate and has been continued for the past 2 years. I literally owe him my life. read more

Dr. Andrews is the best, and his whole staff team is beyond kind & helpful. Working with them was one of the best medical experiences I have ever had. I had severe neck pain due to a very bad herniated disc, and they got me into the office and into surgery within days of my first call. Dr Andrews is brilliant but still able to explain everything clearly. He walked me through all my options and was completely reassuring. He made every effort to get me out of pain as soon as possible. I will forever be grateful to his whole team for helping me and working hard to make sure it was a smooth process. I highly recommend Dr Andrews and his whole team. read more

Dr. Andrews will not push for surgery unless it is absolutely needed. Unlike other doctors I've seen. And he will listen to you and figure out when there are other issues compounding your problem. Unlike other doctors I've seen. Unfortunately he does not do the type of surgery he felt might help me. Though he is not particularly warm.... (I think being a spine doctor, it's difficult to get too close to patients with life affecting problems...otherwise you'll burn out.) .... he did listen and respond to important issues & questions I had during and between appointments. He was aware I had shitty insurance and was willing to talk to the MRI people to see in what way costs could be minimized. Marcia W.'s posting below is 100% accurate. read more

I did a huge amount of research as well as asked everyone i knew for references. Dr. Andrews' name came up again and again. Having suffered chronic back pain for over 7 years (i'm 34) and attacks that left me unable to crawl or move, things got even worse. For the last 5 years the attacks left me unable to straighten up, bent over from the waist and to the side for 3 weeks. This last time I had no improvement for 7 weeks. I had the most extreme pain of my life as well as numbness and weakness in my leg and foot. At times i was dragging my foot around. Enter Dr. Andrews. He was extremely nice and informative and spent about an hour explaining my condition, options and the surgery he recommended. We had seen 2 other docs who also recommended the surgery option. For years the docs were saying it wasn't bad enough for surgery...but it seemed plenty bad to me, so it was a relief to get to the point where they would recommend surgery. I had tried everything else from yoga to chiropractic and nothing worked. Turned out i have 4 separate back issues,. Dr. Andrews cut the disc off and drilled out the bone to fix the stenosis. The staff at Cal Pacific were incredible nice and soothing. The worst part was actually the IV! They did an epidural and I didn't even feel it! The drugs they gave made me black out, i don't remember anything even though it wasn't general anesthesia. As soon as the surgery was done I stood straight up and had no pain or problems in my leg. It was like a miracle. the pain after surgery was NOTHING compared to the pain before, a few motrin took care of the pain and in a week i was feeling great and off meds. I could not be happier. This man is very caring and responsive, and though he is very busy and tends to speak in an efficient and direct manner, he didn't at all make us feel rushed. I don't know why people are saying he has a cold manner, in my experience he was warm, intelligent and funny. I knew I was in great hands, as everyone said he was "the best". Now i know from first hand experience that he is. If you are considering surgery see him. He is not someone who would push surgery for someone who doesn't need it and if you do need it, you can have peace of mind! read more

I had my first visit with Dr. Andrews yesterday for a brain condition. I read his Yelp reviews and prepared myself for his "cold" and aloof personality. I left his office completely astounded. Those reviews MUST have been for someone other than THIS Dr. Andrews. He wasn't cold at all! The only way he could have been more welcoming is if he offered us a mixed drink and brought the car around. He is very in-demand so I was on a wait list but was worked in within 2 weeks. His receptionist Antoinette was terrific about getting me in. My appointment was on a Saturday morning He was alone and working the front desk and also seeing patients; a tall order because all 8 seats in the waiting room were filled. Because he was handling both areas I thought he might be extra stressed and curt. However, he was personable, thorough, and even funny. I kept thinking to myself, "Why would anyone ever describe this man as cold?" He explained my condition in detail and gave us a booklet about what the brain surgery entails. He was never pushy. He was matter-of-fact but also reassuring, explaining that he had done this surgery about a thousand times in his career. He was patient and answered the questions I had written down. He even volunteered what he "would do were [he] in [my] shoes." My advice for seeing Dr. Andrews is this: 1) Start calling now. He has a long wait list. 2) Try to schedule an appointment for a early Saturday morning when traffic in that area is slow and free parking is available on the street. There is a garage you can park in but it charges. I think $5-8 bucks depending. 3) Give the brother a break. Have realistic expectations about how much hand-holding a physician can/should do. read more

Turns out this guy is famous. People in pain travel from all over the country to see this doc, so its not easy to get in. But if you do, you will get some of the best medical advice available. He's a busy man in high demand, so he's a straight shooter. But he did fit in my last surgery on his lunch hour when I was in such gripping pain that I simply couldn't wait months for an available spot. And for that I will be forever thankful. Andrews did both of my lumbar micro-disectomy operations (8 yrs apart) and both were successful. And I held out for a long, painful time before getting either of them. I tried everything else - and I mean everything - but for me, surgery was the best option and I discovered later that Dr Andrews is regarded as top in his field. If you've got severe back or neck pain, I strongly reco the following regimen while you wait to get in with Dr Andrews: Start 600-800mg Ibuprofen for 3x a day steady for at least 3 wks - don't stop if you feel better, the inflamation causing the pain can take weeks to go away and ibuprofen is an excellent over-the-counter med for this purpose - just take it with a little food to protect your tummy. Add in 10-15 minute ice packs along with the ibuprofen. Lastly, talk to your primary doc about using a anti-depressant for short term pain management - some can virtually eliminate pain (Welbutrin did for me) and buy you time for the inflamation to go down naturally. Follow this regimen, and if you are lucky, you may be able to cancel your appt with Andrews by the time it comes around. read more

Dr. Andrews operated on me a month ago for back pain that I had been suffering through for a year while being treated with conventional treatments, including PT, chiropractic, acupuncture, and other modalities. Dr. Andrews diagnosed stenosis (thickening of the walls of the spinal canal resulting in pressure on nerves). The operation to clean out the stenosis was a great success. It took three hours from arrival to departure. I found the experience to be positive and am completely satisfied with the outcome (pain no longer an issue), with excellent staff and through attention to detail, especially from Keely, Dr. Andrews' assistant. After reading most all the reviews I saw that they were of two camps, one camp said he was a god and the other that they had no relief and that he had a poor empathetic connection with them (bedside manner). From my many years of pain from previous back issues, I can understand the dissatisfaction of the second group. Dr. Andrews told me clearly that the operations were effective in nine out of ten cases (not 100%). I took the risk and won. I can appreciate that 10% of patients may fall into the failure group. Pain makes us crazy, critical, and highly judgemental. I've been there. Those with the worst pain may represent those with the most challenging cases. And they are those who will cry the loudest and blame the surgeon and feel terribly disappointed with the doctor's bedside manner or the outcome. This especially true if they have tried many other doctors. I suggest you read the reviewers' comments on other professionals by clicking on the reviewers' names. Personally, I like a doctor with a good bedside manner. But I'd trade up to a superior doctor who is so focused on doing their best that they come across as less attentive to the emotional needs of the patient when explaining the risks and rewards of surgery. Facts, not feelings, are what I want in a surgeon. I found Dr. Andrews to be all-professional. During the prep for the procedure, he was, in fact, just fine when it came to bedside manner. read more

Dr. Andrews saved my life. Several years ago I had a bike accident where my neck was injured, although I didn't need immediate surgery. A few years later, I was with my family at Lake Tahoe and all of a sudden had excruciating pain that was shooting down my right arm and I was losing feeling in that arm. I had to bend my head to my left shoulder to get some relief. A phone call to Dr. Andrews office and the next day we were on our way back to San Francisco to see him. Fortunately, I had a recent MRI. The report from the radiologist who reviewed the recent MRI didn't mention any problems. But, Dr. Andrews doesn't use those reports - he carefully studies the actual images. He came into the examining room, did a few tests and told me to walk across the street to the hospital - I was his first surgery the following morning. He spotted a small fragment of bone cutting into the nerve going to my right arm. Had he not seen that, I may have lost the use of that arm. The next morning, he performed the surgery which required a few days in the hospital and a week later I was back up at the Lake playing with my grandchildren. Over the years, I have some serious issues with my lower back - pain and sciatica. Previously, I saw Dr. Andrews and he recommended that I get epidural shots from another physician - he didn't think surgery was necessary and he was right. I was able to get several years of relief from the shots, but that situation has now changed and the shots don't help. So, this morning I saw Dr. Andrews. Again, he reviewed my MRI images and saw that the stenosis has worsened and he recommended an outpatient decompression procedure which I have now scheduled. I have full confidence in Dr. Andrews ability to resolve my sciatica pain. Dr. Andrews is as skilled a neurosurgeon as there is. I've seen some negative reviews on Yelp and really can't comment on those. All I know is that he saved my life, or at least my ability to continue to be active and enjoy life, and for that he will have my everlasting thanks. read more

Dr. Andrews really knows his stuff! I am a Kaiser Permanente patient who has had worsening unremitting sciatica for 7 years. After about 8 MRI's Kaiser told me they could find no cause for my pain and that I should avail myself of their chronic pain clinic and good luck. Dr. Andrews was recommended to me by my Physical Therapist (outside Kaiser) as an excellent doctor who does not push surgery, or if needed, the least invasive surgery. I googled him and read all the reviews, and was a bit worried about his apparent poor bedside manner. Maybe he used to be bad that way, but that's long gone. He couldn't have been more gracious or kind or attentive, if focused and on task. He spent a good 30 minutes with us for $200, a HUGE bargain, I thought, given what great news he gave me. He saw indications of a bone spur and recommends a minimally invasive procedure to "shave" it away. HALLELUJAH!!! You better believe I'll wave that recommendation to Kaiser until they perform it. I'm 53 and was looking at a lifetime of pain. THANK YOU Dr. Andrews for your help and kindness. read more