M.D. Sanem Pişkin

A 9-year-old competitive figure skater from a wealthy family presented with unexplained fatigue and poor performance. Dr. Pişkin discovered the girl was secretly restricting calories due to pressure from a new coach, leading to early-stage Relative Energy Deficiency in Sport (RED-S). Treatment involved family counseling, a sports psychologist, and a nutrition plan, with the patient returning to healthy training after 3 months.

A 2-year-old refugee boy from Syria, recently arrived with his single mother, was brought in for 'failure to thrive.' Dr. Pişkin diagnosed severe toddler malnutrition compounded by untreated celiac disease, missed in chaotic displacement. She coordinated with social services for gluten-free food assistance and arranged weekly monitoring, resulting in significant weight gain and developmental catch-up over 6 months.

A 14-year-old aspiring programmer from a middle-class family presented with chronic headaches. Instead of typical migraines, Dr. Pişkin identified Computer Vision Syndrome and poor ergonomics from 10-hour coding sessions. She prescribed blue-light filtering glasses, enforced breaks using a custom app the patient helped design, and resolved symptoms completely within 3 weeks.

A 6-year-old girl from a rural farming community was admitted after a tractor accident causing a compound leg fracture. Dr. Pişkin managed the complex wound care but also noticed signs of agricultural chemical exposure. She treated the fracture while coordinating with environmental health specialists, leading to the family adopting safer farming practices during the 8-week recovery.