Interviewer: How do they know that you’re going to be able to help them when other people can’t and how do doctors know that too to refer to you?
Sarim Mir: That’s the issue here. Our biggest source of referral at this time is our patients. Our patients who have had good experience will go and tell their doctor. They will tell their doctor and their family and friends. Our biggest source of referral at this time is word-of-mouth.
We have so many stories of how we have helped our patients. We have story after story after story so if we could somehow put them on—if we could share them—people would know because the issue at this time is that I am so very busy with my practice that I don’t go to the hospital so I don’t get to talk with other physicians; and I really don’t take part in any community activity. So we need help with that because the real issue is that other doctors don’t know.
Patients That are Difficult to Treat or Have Insurance Issues Commonly Get Referred
Interviewer: When you do get referrals, what kind of doctors are the most likely to refer to you and why?
Sarim Mir: Honestly, at this time, it is family physicians, the Internees, and family doctors. At this time, for example, if the patient has a bad insurance, and if you have to order a test on the patient, you have to get it free of liability—so what they would do is they would send that patient to us. Or if there is a patient that is taking too much of their time, they will send that patient to us, too. They will send us patients whom they perceive to be a high risk and would actually recommend that patient. So the thing is if a person has better insurance or if the patient is easy to treat they won’t send that patient to us.
So at this time, either patients are very difficult or the insurance is difficult to deal with.
Patients Who Aren’t Responding Well to Treatment Are Usually Referred to a Medical Specialist
Interviewer: Are you seen, often as a doctor of last resort? Is that right?
Sarim Mir: Yes. People don’t send us patients because they are, so even that, you play golf with them or you have friendship with them, so people don’t. What I’ve seen is that—and I’ve seen this over and over again—a person doesn’t send me patients but if he/she have a tough patient and they want that patient to be helped, they would send that patient to me. This is because they know that their friends can’t diagnose so they send all their patients to their friend but if the case is severely tough, they would send it to me. I‘ve seen that over and over.
Common Factors Related to Development of Head Related Ailments
Interviewer: Have you noticed common things that people do that cause them this terrible pain or symptoms or is every situation completely different? You have seen a lot of cases, what are the commonalities that you see. Are there any?
Sarim Mir: The thing is that what we are seeing is basically what it comes down to that people who don’t pay attention, who don’t listen to their bodies and people who don’t take care of their health—who are overweight, smoking, and who don’t exercise. What happens is that until a person is 40 or 45, you can do all those things, you can abuse your body and you are pretty much fine but then the body begins to break down. And then you begin to have back issues; you begin to have diabetes; and then what happens is a lot of those people then begin to blame others that my doctor didn’t do anything.
People Generally Abuse Their Bodies and Do Not Pay Attention to Proper Health and Fitness
They would blame everybody else. What I’ve seen is that the first thing—and we tell our patients also—we tell that it is a two way thing. ‘We can only help you. We can do all we can. We will do all the tests that have to be done. We will give you the prescription, I’ll do my part. But then you have to do your part also, like you have to exercise, you have to do your stretches also.’ And I tell them, that ‘until you do your part, you can’t be helped’.
And people who don’t take responsibility towards their health are the people who have issues.