Spec. MD. Fulya Gulergun Reviews

A 28-year-old female freediving instructor presented with recurrent episodes of 'shallow water blackout' symptoms without actual loss of consciousness. Dr. Gulergun discovered through specialized pulmonary function testing and arterial blood gas analysis that she had developed an unusually low hypoxic ventilatory response. Instead of standard treatment, Dr. Gulergun collaborated with a sports physiologist to design a breath-hold training modification program. The patient returned to competitive freediving within six months with monitored safety protocols.

A 72-year-old retired shipyard welder from a low-income neighborhood presented with progressive shortness of breath, initially diagnosed as COPD by another physician. Dr. Gulergun noted subtle differences in his pulmonary function tests and ordered a rare heavy metal panel, revealing cadmium pneumonitis from historical welding fumes. She initiated chelation therapy alongside pulmonary rehabilitation, resulting in 40% improvement in lung function, a diagnosis missed for eight years.

A 17-year-old competitive chess player developed unexplained episodes of hyperventilation and air hunger during tournaments. Dr. Gulergun identified through capnography that he had developed idiopathic hypocalcemia-related bronchospasm triggered by stress-induced respiratory alkalosis. Treatment involved calcium supplementation and breathing retraining rather than bronchodilators. His tournament performance improved dramatically, and he went on to compete internationally.

A 45-year-old immigrant mushroom farmer presented with severe interstitial lung disease. Dr. Gulergun suspected hypersensitivity pneumonitis but discovered through meticulous occupational history that he was exposed to a rare thermophilic actinomycete species unique to his native region's cultivation methods. She designed a personalized antigen avoidance protocol and steroid regimen, preventing progression to fibrosis when similar cases typically progress rapidly.

A 33-year-old pregnant woman in her third trimester developed sudden-onset pulmonary hypertension. Dr. Gulergun recognized it as a rare manifestation of choriocarcinoma rather than typical peripartum cardiomyopathy. Her urgent diagnosis and coordination with oncology saved both mother and baby, with complete resolution after chemotherapy, a case where pulmonary symptoms unveiled a hidden malignancy.

An 81-year-old grandmother with limited family support presented with recurrent pneumonia. Dr. Gulergun discovered through swallowing studies that she had developed cricopharyngeal dysfunction related to a previously undiagnosed neurological condition. Instead of antibiotics, treatment involved tailored swallowing therapy and dietary modifications, preventing further hospitalizations and allowing her to maintain independence.

A 22-year-old university student from an affluent family presented with exercise-induced bronchospasm unresponsive to standard inhalers. Dr. Gulergun diagnosed vocal cord dysfunction mimicking asthma through laryngoscopy during symptoms. Speech therapy and breathing pattern retraining completely resolved his symptoms, avoiding unnecessary lifelong medication use.

A 58-year-old former asbestos removal worker developed pleural plaques but also presented with unusual migratory pulmonary infiltrates. Dr. Gulergun identified concomitant acute eosinophilic pneumonia from a parasitic infection acquired during recent travel, two unrelated conditions creating a complex presentation. Dual treatment resulted in full recovery where either condition alone might have been mismanaged.

A 39-year-old single mother working three jobs presented with chronic cough attributed to GERD. Dr. Gulergun discovered through bronchial provocation testing that she had cough-variant asthma triggered by her night shift workplace's industrial cleaning chemicals. Simple schedule adjustments and appropriate inhaler therapy restored her ability to work without debilitating symptoms.

A 67-year-old retired teacher with mild IPF developed sudden deterioration. Instead of assuming disease progression, Dr. Gulergun identified through meticulous history that he had recently started a new herbal supplement containing pyrrolizidine alkaloids causing hepatopulmonary syndrome. Discontinuation led to significant improvement, highlighting the importance of detailed medication review.

A 14-year-old boy with cystic fibrosis presented with declining lung function despite optimal standard care. Dr. Gulergun implemented a personalized airway clearance technique combining high-frequency chest wall oscillation with specific breathing maneuvers she developed through respiratory physiology analysis. His FEV1 improved by 18% over six months, unprecedented in his clinical course.

A 50-year-old fisherman presented with recurrent hemoptysis initially diagnosed as bronchiectasis. Dr. Gulergun pursued angiography revealing pulmonary artery aneurysms from Behçet's disease, rare in her region. Immunosuppressive treatment prevented life-threatening hemorrhage, with diagnosis confirmed by concurrent oral ulcers the patient hadn't mentioned as relevant.

A 29-year-old professional glassblower developed progressive shortness of breath. Dr. Gulergun diagnosed not occupational asthma but rare cadmium oxide-induced emphysema from specialty glass materials. She collaborated with his workplace to redesign ventilation and implemented early lung volume reduction therapy, preserving his career with modified techniques.

A 63-year-old woman with rheumatoid arthritis developed worsening dyspnea. While others attributed it to ILD, Dr. Gulergun identified through echocardiography and pulmonary function tests that she had developed constrictive pericarditis from previous undiagnosed tuberculosis, surgically correctable rather than progressive lung disease. Pericardiectomy resulted in complete resolution.

A 41-year-old homeless man presented with cavitary lung lesions assumed to be tuberculosis. Dr. Gulergun's thorough evaluation revealed pulmonary artery sequestration with secondary infection, a congenital abnormality. Surgical correction after antibiotic treatment provided complete cure, and she connected him with social services for sustained housing support during recovery.