Dr. Iram Kareemi Zando – Internist / Geriatrician | Mississauga, ON

Dr. Iram Kareemi Zando, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Mississauga, ON, she serves the surrounding communities with a commitment to providing comprehensive internal medicine and geriatric care in accordance with the standards set by the College of Physicians and Surgeons of Ontario (CPSO). She specializes in managing complex health conditions in adult and senior populations, emphasizing holistic patient-centered approaches.

Dr. Zando graduated with a Medical Degree from Fatima Jinnah Medical College in Pakistan in 1985. She has completed extensive postgraduate medical training, including residency in Internal Medicine and additional certification in Geriatric Medicine. Her training ensures a thorough understanding of adult and senior health issues, enabling her to deliver high-quality specialized care.

Her clinical philosophy is rooted in a professional and clinical approach, prioritizing evidence-based practices and compassionate patient interactions. Dr. Zando is dedicated to serving the Mississauga community, speaking fluent English and Urdu, and providing accessible, respectful, and thorough medical care tailored to each individual's needs.

Dr. Zando provides expert care for adults with a wide range of medical conditions, including:

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Management of Chronic Diseases

• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Dr. Zando manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.

Note: This list represents some of the key services offered by Dr. Zando. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Zando's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Zando's practice is located in the Churchill Meadows neighbourhood of Mississauga, ON. The location is conveniently situated near the Cooksville area shops and the University of Toronto Mississauga (UTM). Patients can access the facility via MiWay, the local Mississauga Transit service. The practice is easily accessible for patients with mobility challenges, and the facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Zando? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Zando are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Zando. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

What kind of tests might Dr. Iram Kareemi Zando order?

Depending on your specific medical situation, Dr. Zando may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). She will explain why any tests are being recommended.

Can a family member or friend accompany me to the appointment?

Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

16-2555 Erin Centre Blvd.
Mississauga, ON L5M 5H1

Phone: (905) 997-0270 | Fax: (289) 726-2031

The facility is wheelchair accessible.

Dr. Zando is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Zando-Iram-Kareemi/0045941-59919