Assoc. Prof. M.D. Esra Nur Ademoğlu Dilekçi

A 28-year-old female professional freediver from Antalya presented with recurrent episodes of confusion and weakness after deep dives. Dr. Dilekçi discovered she had developed central diabetes insipidus from repeated barotrauma affecting her pituitary stalk, a condition rarely seen outside naval medicine. Treatment involved a carefully titrated desmopressin regimen synchronized with her dive schedules, allowing her to return to competitive freediving within 4 months.

A 72-year-old retired watchmaker presented with unexplained weight loss and tremors, initially misdiagnosed with Parkinson's. Dr. Dilekçi identified thyroid hormone resistance syndrome through genetic testing—his intricate hand tremors were actually a metabolic tremor. Treatment with triiodothyroacetic acid restored his ability to repair antique timepieces within weeks.

A 19-year-old university student, a refugee from Syria, presented with severe fatigue. She had developed autoimmune polyglandular syndrome type 2 following psychological trauma, with both Addison's disease and Hashimoto's thyroiditis manifesting simultaneously. Dr. Dilekçi coordinated care with psychiatric support while managing her complex hormone replacement, achieving stabilization after 3 months of multidisciplinary treatment.

A 41-year-old Istanbul ferry captain presented with recurrent kidney stones and bone pain. Dr. Dilekçi diagnosed him with familial hypocalciuric hypercalcemia, but uniquely, his condition was exacerbated by chronic dehydration from avoiding bathroom breaks during his shifts. Treatment involved scheduled hydration protocols and cinacalcet, allowing him to maintain his career while managing symptoms.