Spec. MD. Mahmut Kara

A 14-year-old competitive archer from a rural village presented with unexplained fatigue and poor performance. Dr. Kara discovered a rare combination of adolescent-onset growth hormone deficiency and iron deficiency anemia, masked by the family's assumption it was 'growing pains.' Treatment involved a carefully timed regimen of hormone therapy and dietary intervention coordinated with her training schedule, resulting in her winning a regional championship six months later.

A 3-year-old refugee child from a conflict zone, non-verbal and severely malnourished, was brought by aid workers. Dr. Kara diagnosed not just nutritional deficiencies but severe sensory processing disorder exacerbated by trauma. He implemented a novel dual approach: a specialized nutritional protocol using available local foods, combined with non-verbal play therapy techniques. The child began making eye contact and attempting communication within three weeks.

An 11-year-old street vendor's assistant presented with chronic cough. Previous diagnoses suggested asthma. Dr. Kara noticed subtle finger clubbing and ordered specific tests revealing hepatopulmonary syndrome secondary to undiagnosed congenital liver disease. He coordinated with hepatology to create a low-cost monitoring and treatment plan accessible through the family's community clinic, stabilizing the condition.

A pair of 5-year-old twins from a middle-class family presented with identical rashes and fatigue. While initial suspicion pointed to contagion, Dr. Kara noticed one twin's symptoms were consistently more severe. Genetic testing revealed twin-to-twin transfusion syndrome sequelae that had been missed at birth, affecting their immune systems differently. Customized treatment plans for each twin led to full recovery at different rates, three weeks versus nine weeks.

A 7-year-old from an affluent family presented with mysterious recurrent abdominal pain. Multiple specialists found no cause. Dr. Kara spent two hours playing board games with the child and discovered the pain coincided exactly with his elite chess tournament schedule. Diagnosis: performance anxiety manifesting somatically. Treatment involved family counseling to reduce pressure and teaching the child mindfulness techniques through storytelling, with complete resolution of symptoms.