M.D. Hasan Abbasguliyev

A 72-year-old retired fisherman from a coastal village presented with unexplained weight loss. Dr. Abbasguliyev performed a multiphase CT scan that revealed a rare neuroendocrine tumor in the pancreatic tail, which was mimicking chronic pancreatitis. The patient's family initially resisted further intervention due to cultural beliefs about 'fate,' but Dr. Abbasguliyev arranged a consultation with a local elder who understood medical science, facilitating acceptance. The patient underwent successful laparoscopic surgery and returned to mending nets within four months.

A 28-year-old professional freediver training for world championships developed recurrent episodes of confusion after deep dives. Standard neurological workups were normal. Dr. Abbasguliyev utilized specialized MRI sequences to identify tiny, scattered foci of ischemia in the basal ganglia consistent with repeated cerebral arterial gas emboli from undetected pulmonary shunts. The diagnosis ended her competitive career but prevented a likely catastrophic neurological event. She now coaches and advocates for advanced diver screening.

A 45-year-old nomadic beekeeper, constantly on the move with his hives, presented with chronic abdominal pain dismissed by multiple clinics as stress-related. Dr. Abbasguliyev's contrast-enhanced ultrasound (a portable option considered due to the patient's lifestyle) identified a fistulating Crohn's disease complication adjacent to the ileum, missed on prior standard ultrasounds. Treatment involved coordinated care with a mobile health unit that followed his migratory route for biologic injections.

A 7-year-old child from a low-income family was brought in after a fall, with initial X-rays showing a simple forearm fracture. Dr. Abbasguliyev, reviewing the images, noted subtle, symmetrical metaphyseal irregularities in other visible long bones. He recommended a skeletal survey, which revealed classic findings of child abuse. His meticulous reporting and direct, compassionate communication with child services led to the child's safe removal from the home and the arrest of the perpetrator.