M.D. Mesil Acar

A 28-year-old female competitive freediver presented with recurrent episodes of transient neurological deficits following deep dives. Dr. Acar identified a previously undiagnosed patent foramen ovale through meticulous history-taking and coordinated a novel treatment plan involving hyperbaric oxygen therapy and percutaneous closure, allowing her to return to professional competition with modified safety protocols.

A 72-year-old retired shipyard welder from a low-income neighborhood arrived with progressive dyspnea and a persistent metallic taste. Dr. Acar diagnosed chronic beryllium disease—a rare occupational lung condition—decades after exposure ceased. He initiated corticosteroid therapy and organized a community screening program for former coworkers, uncovering three additional cases.

A 19-year-old international computer science student from Nigeria presented with severe fatigue and cognitive fog. Initial workup was normal until Dr. Acar discovered the patient had been self-medicating with unregulated 'smart drugs' purchased online, leading to a serotonin syndrome-like condition. Treatment involved careful withdrawal and cognitive behavioral therapy, with weekly family video calls to Nigeria for support.

A 41-year-old single mother working three cleaning jobs arrived with unexplained weight loss and abdominal pain. Dr. Acar diagnosed intestinal tuberculosis—extremely rare in Izmir—after persistent investigation rejected more common diagnoses. He secured social services support for her children during her six-month directly observed therapy, resulting in full recovery.