M.D. Arzu Ertem Cengiz

A 28-year-old female glassblower presented with a persistent dry cough and worsening shortness of breath over six months, which she initially attributed to her craft. Dr. Cengiz discovered a rare hypersensitivity pneumonitis triggered by metal fumes from specific alloys used in her studio. Treatment involved a complete change in her artistic materials and a tailored corticosteroid regimen, allowing her to return to a modified practice within three months.

A 72-year-old retired beekeeper from a rural village arrived with his son, presenting with severe, recurrent pneumonia. Dr. Cengiz identified an unusual aspiration pattern linked to a previously undiagnosed neurological swallowing disorder, exacerbated by years of occupational posture. A multidisciplinary plan involving speech therapy and dietary modification resolved the infections, dramatically improving his quality of life.

A 19-year-old university exchange student from Central Asia was admitted with acute respiratory failure. Dr. Cengiz diagnosed miliary tuberculosis, a form she had not seen in years in Bursa. The patient had no local family; Dr. Cengiz coordinated directly with the university and consulate to ensure social support during the demanding nine-month DOT (Directly Observed Therapy) treatment, resulting in a full recovery.

A 45-year-old long-haul truck driver with a history of obesity presented with extreme daytime sleepiness and loud snoring. Dr. Cengiz diagnosed severe Obstructive Sleep Apnea. The challenge was his irregular sleeping schedule and living in his truck. She prescribed a portable, battery-operated CPAP machine designed for travel, which he adapted to use in his cab, transforming his energy and safety on the road.