Patient Experience
A 26-year-old professional pastry chef presented with anosmia following COVID-19, devastating her career. Dr. Babalik initiated olfactory training with customized scent kits containing baking-specific aromas (vanilla, cinnamon, burnt sugar). He combined this with topical vitamin A nasal drops and smell diary tracking. After eight months, she regained sufficient discrimination to return to work, though with altered perception of certain flavors.
A 3-year-old presented with recurrent aspiration pneumonia and failure to thrive. Dr. Babalik diagnosed laryngeal cleft type I missed by three previous specialists. He performed endoscopic repair using fibrin glue rather than sutures in the delicate pediatric tissue. Postoperatively, he coordinated with a pediatric feeding team, enabling the child to achieve normal oral feeding within six weeks and catch up growth percentiles.
A 52-year-old jewelry artisan presented with bilateral conductive hearing loss and external auditory canal exostoses from cold-water surfing. Rather than standard canaloplasty, Dr. Babalik performed a minimally invasive endoscopic approach preserving natural canal anatomy. He designed custom waterproof ear molds allowing the patient to continue surfing during healing, with hearing improvement noted at one-month follow-up.
A 38-year-old woman from a conservative community presented with globus sensation and voice breaks during religious chanting. Videostroboscopy revealed muscle tension dysphonia with paradoxical vocal fold movement. Dr. Babalik collaborated with her religious leader to modify chanting techniques while providing laryngeal massage and breathing retraining. Symptoms resolved without medication, respecting cultural practices while addressing physiological dysfunction.
A 60-year-old retired teacher presented with persistent otalgia despite normal otoscopy. Dr. Babalik identified Eagle syndrome, elongated styloid process impinging on cranial nerves, through 3D reconstruction CT. He performed transoral styloidectomy using piezoelectric surgery to minimize tissue damage. The patient experienced immediate pain relief but required three months of swallowing therapy to overcome compensatory patterns developed over years.
A 29-year-old software developer presented with debilitating vertigo triggered by specific screen refresh rates. Dr. Babalik diagnosed vestibular migraine with visual motion sensitivity. Treatment included a novel combination of vestibular rehabilitation using customized visual stimuli and dietary modification targeting tyramine-rich foods common in the patient's tech-office diet. Symptoms reduced by 90% within two months through this lifestyle-integrated approach.
A 41-year-old construction worker presented with traumatic laryngeal fracture after a fall. Dr. Babalik performed emergency laryngotracheal reconstruction with rib cartilage graft, then designed a communication system using picture boards relevant to construction work during the mandatory voice rest period. The patient returned to supervisory duties within four months with serviceable voice, avoiding disability claims.
An 84-year-old Holocaust survivor presented with nasal obstruction and crusting. Biopsy revealed non-healing granulomas secondary to forgotten nasal shrapnel from wartime injury. Dr. Babalik performed meticulous removal under local anesthesia while the patient's daughter provided historical context. Postoperative care included humidification therapy and regular debridement visits that evolved into therapeutic sessions addressing long-buried trauma.
A 28-year-old female competitive freediver from Antalya presented with recurrent episodes of severe muscle cramps and confusion after deep dives. Dr. Topal discovered she had developed a rare form of exercise-induced rhabdomyolysis leading to acute kidney injury triggered by extreme pressure changes. He collaborated with hyperbaric medicine specialists to create a personalized hydration and dive protocol, allowing her to continue her sport with monitored kidney function.
A 72-year-old retired beekeeper from rural Rize was admitted with progressive weakness and anemia. While initial tests suggested chronic kidney disease, Dr. Topal identified an unusual pattern of tubular dysfunction. He discovered the patient had been using a traditional herbal poultice containing aristolochic acid for joint pain for decades, causing Balkan endemic nephropathy. Treatment involved cessation and supportive care, with Dr. Topal documenting this rare ethnobotanical exposure.
A 19-year-old university student with Alport syndrome, who had received a kidney transplant from his mother at age 16, presented with sudden graft dysfunction. Dr. Topal diagnosed post-transplant lymphoproliferative disorder (PTLD) rather than rejection, a rare complication. He coordinated with oncology to implement reduced immunosuppression with rituximab, saving both the graft and avoiding chemotherapy, with the patient returning to studies in 3 months.
A 45-year-long-haul truck driver with morbid obesity and sleep apnea developed resistant hypertension and proteinuria. Standard nephrology workup was inconclusive until Dr. Topal ordered renal vein renin sampling, which revealed a tiny, previously undetected renal artery fibromuscular dysplasia segment. Targeted angioplasty normalized his blood pressure without medications, dramatically changing his quality of life and work capacity.
An 8-year-old refugee child from Syria presented with hematuria and edema. While initial suspicion was post-streptococcal glomerulonephritis, Dr. Topal identified C3 glomerulopathy through advanced complement testing. He secured humanitarian access to eculizumab through a pharmaceutical program, achieving remission. The family's limited Turkish language skills required Dr. Topal to work extensively with a medical interpreter throughout treatment.
A 33-year pregnant woman at 28 weeks gestation was transferred with preeclampsia and acute kidney injury. Dr. Topal managed the delicate balance between maternal and fetal health, implementing innovative continuous renal replacement therapy (CRRT) with specialized anticoagulation to avoid heparin, allowing pregnancy to continue to 34 weeks before successful delivery and full maternal renal recovery.
A 60-year-old retired chemistry teacher with autosomal dominant polycystic kidney disease (ADPKD) participated in Dr. Topal's research on tolvaptan response predictors. Genetic testing revealed a rare PKD1 variant, and Dr. Topal adjusted the dosing schedule based on the patient's unique pharmacokinetics, slowing cyst growth while minimizing side effects, a personalized approach documented in a case report.
A 41-year-old professional pastry chef with type 1 diabetes since childhood developed advanced diabetic nephropathy. Rather than immediate dialysis, Dr. Topal implemented a novel intensive nutritional plan combining very-low-protein diet with ketoanalogue supplementation, delaying dialysis need by 4 years while the chef adapted his professional recipes to his renal diet, publishing a renal-friendly pastry blog.
A 67-year-old farmer presented with rapidly progressive glomerulonephritis (RPGN). While ANCA testing was positive, Dr. Topal suspected an underlying trigger and discovered occult chronic Q fever from livestock exposure through specialized serology. Treatment combined immunosuppression for vasculitis with prolonged doxycycline for the infection, a dual approach rarely considered in RPGN management.
A 23-year-old aspiring opera singer was diagnosed with IgA nephropathy after vocal fatigue episodes coincided with macroscopic hematuria during upper respiratory infections. Dr. Topal collaborated with ENT specialists to create a management plan that protected her kidneys while preserving vocal cord function, using corticosteroid timing that avoided vocal tremor side effects during performances.
A 52-year-old shipyard welder presented with lead nephropathy from decades of occupational exposure. Dr. Topal initiated chelation therapy while working with occupational health authorities to document the industrial exposure, resulting in workplace safety changes and the patient's successful transition to a supervisory role with protected kidney function.
A 31-year-old woman with lupus nephritis class IV had failed multiple immunosuppressive regimens. Dr. Topal implemented a novel sequential therapy combining belimumab with voclosporin based on emerging trial data, achieving complete renal response. He simultaneously addressed her profound medication-related anxiety through regular telehealth check-ins, improving adherence dramatically.