M.D. Siyavuş Muhammedrezaï

My 82-year-old mother, Fatma, developed a sudden, severe tremor in her left hand that progressed to weakness. Local doctors suspected Parkinson's but something felt off. Dr. Siyavuş spent an hour just listening to the timeline, asking about subtle changes in her handwriting and balance from months prior. He ordered a specific MRI sequence others hadn't considered, revealing a tiny meningioma pressing on a motor pathway. He explained the risks of surgery at her age with such clarity, using simple analogies about garden hoses and water pressure. The endoscopic procedure was minimally invasive. She was home in three days, and the tremor is gone. He calls her every fortnight just to check in. We didn't just find a surgeon; we found a guardian for her golden years.

Our 8-year-old son, Arda, took a bad fall off his bike. The ER scan showed a skull fracture and a small epidural hematoma. The panic was indescribable. Dr. Siyavuş was the on-call neurosurgeon. He entered the room with a calm that immediately lowered everyone's heart rate. He knelt to Arda's eye level, showed him the scan on his tablet, and called the blood collection 'a little balloon that needs deflating.' He performed emergency surgery at 2 AM. The next day, Arda was asking for his tablet. At the follow-up, Dr. Siyavuş had remembered Arda's love of space and brought him a model rocket. The technical skill was one thing, but treating a terrified child like a person—that's a different kind of healing.

I'm a 45-year-old software engineer with a decade of debilitating trigeminal neuralgia. The 'suicide disease.' I'd tried every medication and two previous procedures. I was a complex, chronic case—many surgeons were hesitant. Dr. Siyavuş reviewed my history and proposed a microvascular decompression, but his approach was novel. He used intraoperative neuromonitoring with a protocol he personally adjusted based on my specific nerve response patterns, which he'd studied pre-op. He explained it as 'reprogramming the faulty wiring with a live feedback loop.' The surgery lasted 7 hours. I woke up without that electric shock pain for the first time in 10 years. His follow-up is meticulous; he tracks my recovery with an app he recommended, and his team messages to adjust pain management in real-time. He treated my complex history not as a burden, but as a unique puzzle to solve.

Routine checkup turned lifesaver. I went to Dr. Siyavuş for a second opinion on occasional, mild headaches. My previous scan was 'clear.' He didn't just look at the report; he loaded the images himself and spent 20 minutes scrolling through. He pointed out a minuscule, berry-like anomaly on a cerebellar artery—an incidental, asymptomatic aneurysm. His philosophy: 'In neurosurgery, we don't wait for the storm; we reinforce the roof in the sunshine.' He recommended a flow-diverting stent procedure, explaining the 3D hemodynamics of my blood flow with a custom simulation. The elective procedure was smooth. I was back at my desk in a week. What strikes me is his proactive vigilance. He didn't dismiss my mild symptoms because the first scan was 'okay.' He looked deeper and found what wasn't yet seeking attention.