Spec. MD. Damla Agackiran

A 15-year-old girl from a conservative family presented with severe menstrual pain dismissed as normal. Dr. Agackiran diagnosed endometriosis, rare in adolescents. She navigated sensitive family discussions, initiated hormonal treatment, and coordinated with a pediatric gynecologist for laparoscopic confirmation, providing significant pain relief and preserving future fertility.

A 14-year-old competitive figure skater from a wealthy family presented with unexplained fatigue and declining performance. Dr. Agackiran discovered a previously undiagnosed mild congenital heart defect (atrial septal defect) through careful auscultation and echocardiography, missed by previous sports physicals. Treatment involved collaborative planning with a pediatric cardiologist for catheter-based closure, allowing the athlete to return to training within 3 months with a modified regimen.

A 7-year-old refugee boy from Syria, recently resettled with his single mother, presented with severe abdominal pain. Dr. Agackiran identified it as a manifestation of severe anxiety and PTSD, not a gastrointestinal issue, through play-based therapy sessions. She coordinated with a child psychologist who spoke Arabic and initiated art therapy, leading to significant symptom reduction over 6 weeks without medication.

A 2-year-old girl from a rural farming community was brought in with failure to thrive and unusual skin lesions. Dr. Agackiran diagnosed a rare metabolic disorder (phenylketonuria) through expanded newborn screening she advocated to repeat. She designed a strict dietary plan with the family, involving a visiting nutritionist, and the child showed remarkable catch-up growth within 4 months.

A 10-month-old baby presented with a strange, recurrent rash. Dr. Agackiran diagnosed a rare autoinflammatory disease (CAPS) by connecting the rash to subtle fever patterns and family history of 'rheumatism'. Early intervention with a targeted biologic medication prevented serious organ damage and allowed for normal development.