Interviewer: What do you see others doctors do or most of the doctors? What do they do? Do they do it the same way as you?
Sarim Mir: They are different. People are different from each other and as there are different type of people, there are different types of doctors also. I can only tell what I do but you see some surgeons who would operate on a lot of patients for back pain. So what we tell patients is that is they have a herniated disk and it can get better with time. We tell them that only if it is damaging or pinching a nerve badly, only those people need surgery. We don’t believe that every herniated disk should have surgery. So what we do is – we are with the patient.
A Competent Medical Specialist Always Acts in the Best Interests of the Patient
We will only do what is best for them. I can actually give you an example. People come to see us for carpel tunnel. ( We see people for carpel tunnel syndrome). If people are having damage to the nerve from carpel tunnel syndrome, we tell them you should have surgery as soon as possible but if they are not having any damage to the nerve—if it is just the beginning of carpel tunnel, then we can tell them you can wear braces in the hand and you can get therapy. The thing is that patients can’t tell because all the patients would know that they have pain in the hand, they have tingling in the hand.
It is Vital for a Patient to Know the Questions to Ask From a Medical Specialist
So the patient can’t tell if it is bad or not. So it is our job to help them as it is and to educate them and to be an advocate. We even help our patients also—as in when we send our patients to see other doctors, we actually tell them questions to ask them. We tell them to ask proper questions like if they’re having a procedure then they should ask what it’s like if they don’t have it or what will happen. We also advise them to discuss what the possible complications are so that they can ask proper questions.
We actually prepare them.
Notable Case Study of Another Patient Treated by Dr. Sarim Mir
Interviewer: I’ll just ask you for one more case study, then we will finish for today. Give me a migraine or cluster headache or head related specific case studies. What happens?
Sarim Mir: This is the story of a person in mid his 70s. He was still working as customer service agent—so what would happen to him that on the phone while talking to a customer is that he would stop talking and couldn’t talk for 10 minutes or so (5 minutes or 10 minutes.) He was afraid he was having a TIA. He had been to his doctor and had done several tests. They had been treating the patient as a TIA but he continued to have these episodes. Then he began to have them at his work too and the employers – they called the ambulance.
The Patient Was Experiencing A Seizure and Was Treated Accordingly
The ambulance came and he was sent to the hospital. They didn’t find anything but it happened again. He was really panicking. He was like afraid he would have a big episode and it would happen again; that he would be fired – fired from his job. So he came to us and we found that he was actually having a seizure. We put him on a prescription—put him on an anti-convulsive and since that time the patient had been good.
Interviewer: So since that time, he’s totally fine?
Sarim Mir: Yes. We have EEG in-house. EEG is a test that can check for seizures and it can check for brain activity. With the help of EEG we have diagnosed several patients whose diagnoses were of having TIA but we found that they actually had seizure.