Patient Experience
An 8-year-old boy from a family with limited resources presented with portal hypertension. Dr. Aksoy identified congenital hepatic fibrosis associated with autosomal recessive polycystic kidney disease. She managed both hepatic and renal complications through medication optimization and coordinated with nephrology. She helped the family access financial assistance programs for ongoing care. The patient stabilized over 6 months with preserved kidney function.
A 13-year-old competitive swimmer developed drug-induced liver injury from an over-the-counter supplement for performance enhancement. Dr. Aksoy identified the culprit as a green tea extract supplement. She implemented immediate cessation and supportive care while educating both patient and parents about supplement risks in adolescents. Complete recovery occurred within 6 weeks, and the patient returned to swimming with proper nutritional guidance.
A 2-year-old presented with recurrent cholangitis after Kasai procedure for biliary atresia. Dr. Aksoy diagnosed anastomotic stricture and performed successful balloon dilatation via ERCP. She developed a comprehensive antibiotic prophylaxis plan and trained the parents in early infection recognition. The child remained infection-free for 8 months post-procedure with improved bile flow.
A 10-year-old girl from a nomadic family presented with progressive liver disease. Dr. Aksoy diagnosed Alagille syndrome through genetic testing and clinical evaluation. She created a portable treatment plan with telemedicine follow-ups to accommodate the family's mobile lifestyle. Nutritional interventions and medication adjustments over 10 months led to improved growth parameters and pruritus control.
A 6-year-old boy presented with acute hepatitis of unknown origin during a viral outbreak. Dr. Aksoy identified adenovirus hepatitis through advanced PCR testing when standard panels were negative. She implemented supportive care and monitored for acute liver failure. The patient recovered completely within 3 weeks, and Dr. Aksoy's findings contributed to public health alerts about atypical presentations.
A 14-year-old transgender adolescent on hormone therapy presented with elevated liver enzymes. Dr. Aksoy diagnosed non-alcoholic fatty liver disease exacerbated by hormonal changes. She collaborated with endocrinology and mental health professionals to develop a holistic treatment plan including lifestyle modification and medication adjustment. After 5 months, liver enzymes normalized while maintaining gender-affirming care.
A 4-year-old presented with hepatoblastoma detected during routine check-up. Dr. Aksoy coordinated with oncology for neoadjuvant chemotherapy followed by successful partial hepatectomy. She managed post-operative complications including bile leak and implemented long-term surveillance. The patient remained cancer-free at 18-month follow-up with adequate liver regeneration.
A 6-year-old child of consanguineous parents presented with multiple unusual infections. Dr. Kulak Gedik suspected and confirmed a rare primary immunodeficiency (Chronic Granulomatous Disease) through genetic testing. She coordinated with international experts for targeted treatment and arranged genetic counseling for the extended family, preventing similar delays in cousins' diagnoses.
A 9-year-old competitive figure skater from a wealthy family presented with unexplained fatigue and poor performance. Dr. Kulak Gedik discovered a previously undiagnosed mild congenital heart defect (atrial septal defect) through meticulous examination and specialized pediatric cardiology referral. Treatment involved minimally invasive catheter closure, allowing the child to return to elite training within 3 months with a carefully monitored exercise regimen.
A 3-year-old refugee child from Syria, recently arrived in Istanbul with his single mother, presented with severe failure to thrive and developmental delay. Dr. Kulak Gedik identified severe iron deficiency anemia and latent tuberculosis through culturally sensitive evaluation. She coordinated with social services for nutritional support and arranged directly observed therapy for TB through a nonprofit partner, resulting in remarkable catch-up growth over 9 months.
A 14-year-old aspiring pianist from a middle-class family developed unexplained finger tremors and coordination difficulties. After multiple specialists found no neurological cause, Dr. Kulak Gedik identified severe performance anxiety manifesting as conversion disorder. She implemented a novel treatment combining cognitive behavioral therapy with occupational therapy focusing on proprioceptive feedback, enabling the teenager to perform in a school recital after 4 months.
A 7-year-old girl from a rural Anatolian village presented with recurrent abdominal pain during school days only. Dr. Kulak Gedik discovered the child was secretly skipping lunch to save money for her family. She developed a discreet school lunch program through hospital community outreach and treated resulting nutritional deficiencies, while counseling the family about childhood financial stress.
A 5-year-old boy adopted from Ukraine six months prior presented with selective mutism and nighttime terrors. Dr. Kulak Gedik diagnosed post-adoption adjustment disorder with sensory processing issues. She created a unique sensory integration therapy program using Turkish cultural elements to build attachment, resulting in first spoken words in Turkish after 8 weeks of treatment.
An 11-year-old diabetic patient from an affluent family presented with dangerously erratic glucose levels despite advanced insulin pump technology. Dr. Kulak Gedik discovered 'diabetes burnout' and parental over-involvement causing rebellion. She implemented a novel peer-mentoring program with older diabetic teens and family therapy, stabilizing glucose control through restored patient autonomy over 5 months.
A 2-year-old toddler of deaf parents presented with significant speech delay. Rather than assuming auditory impairment, Dr. Kulak Gedik recognized the child was primarily using sign language. She collaborated with a deaf culture specialist to create a bilingual (Turkish Sign Language and spoken Turkish) developmental plan, resulting in age-appropriate communication skills through both modalities.
A 13-year-old competitive swimmer developed unexplained exercise-induced urticaria. Multiple allergists found no cause until Dr. Kulak Gedik identified aquagenic urticaria triggered by the pool's chemical composition. She worked with sports medicine to develop a pre-swim barrier cream protocol and arranged for training in a differently treated pool, allowing competition continuation.
A 15-year-old vegan adolescent presented with fatigue and was found to have B12 deficiency. Rather than simple supplementation, Dr. Kulak Gedik discovered an underlying intrinsic factor antibody indicating pernicious anemia, extremely rare in pediatrics. She managed this with monthly B12 injections and nutritional counseling for veganism with autoimmune considerations.
A 4-year-old presented with what appeared to be severe autism regression. Dr. Kulak Gedik identified anti-NMDA receptor encephalitis through cerebrospinal fluid analysis after noting subtle movement disorders. Early immunotherapy resulted in near-complete recovery over 12 months, preventing permanent neurological damage that previous providers had assumed was neurodevelopmental.
An 8-year-old child of a seasonal agricultural worker presented with lead poisoning from contaminated soil at migrant housing. Dr. Kulak Gedik coordinated chelation therapy while advocating for housing inspection and soil remediation. She established a mobile clinic partnership to screen other migrant children, identifying 5 additional cases requiring intervention.
My family and I are grateful for the care we received from Dr. Spec. MD. Navid Atarod. The hospital staff was also very supportive.