Spec. MD. Yahya Kemal Seki

A 78-year-old retired citrus grove owner from Tarsus arrived with progressive weakness and bronze skin pigmentation. While initial tests suggested liver issues, Dr. Seki noted the patient's lifelong use of copper-sulfate fungicides in his groves. He diagnosed Wilson's disease with late-onset presentation, initiating chelation therapy. The patient's family initially resisted treatment due to cost, but Dr. Seki connected them with a rare disease foundation for support, leading to gradual neurological improvement over eighteen months.

A 31-year-old Syrian refugee and textile worker presented with episodic fever and joint pain that migrated between large joints. Other clinics had treated recurrent infections. Dr. Seki identified a pattern correlating with her menstrual cycle and diagnosed Familial Mediterranean Fever, a condition uncommon in her region of origin. Colchicine treatment eliminated symptoms, and he arranged genetic counseling for her extended family in the refugee community.

A 42-year-old long-haul truck driver with uncontrolled hypertension and diabetes was found to have treatment-resistant high blood pressure during a routine commercial license medical. Dr. Seki discovered the patient was taking a specific over-the-counter nasal decongestant containing pseudoephedrine for chronic congestion from cabin air quality. Switching medications and addressing sleep apnea from his irregular schedule normalized his pressure without additional drugs.

A 19-year-old university student and competitive chess player developed severe abdominal pain during tournaments. Extensive gastroenterology workups were negative. Dr. Seki recognized the symptoms coincided exclusively with high-stress matches and diagnosed abdominal migraine, a rare variant. Prophylactic magnesium and beta-blockers before competitions completely resolved her symptoms, allowing her to continue her athletic career.

A 24-year-old female professional freediver presented with recurrent episodes of confusion and headache after deep dives. Dr. Seki, suspecting a rare form of decompression sickness affecting the central nervous system rather than joints, ordered specialized neurological imaging that revealed microvascular nitrogen bubbles. He coordinated with hyperbaric medicine to create a tailored recompression protocol and advised a modified dive profile, allowing her to continue her career with monitored safety parameters.