1 /5 Sarah Kotranza: Dr. Josten "cared" for my grandmother. She had dementia and various heart issues. After getting shingles and being in severe nerve pain he refused to prescribe her any pain medications, refused to recommend her for hospice (which she needed), and then suggested an esophageal dilation procedure to "help her gain weight". There was no swallow test done and no diagnostic reasons for that procedure. We switched physicians and he prescribed her lidocaine patches (which helped with her pain), a steroid (which helped her gain weight), and once my grandfather realized she was not improving (and had gotten over the false optimism provided by Dr. Josten) helped get her enrolled in hospice care. She died peacefully in hospice care for which I am forever grateful.