Spec. MD. Busra Neslisah Arslan

A 32-year-old competitive freediver from Mudanya arrived with episodes of confusion after deep dives. Other doctors suspected decompression sickness, but Dr. Arslan identified a patent foramen ovale through meticulous history-taking and contrast echocardiography. The condition was causing paradoxical emboli during ascent. She coordinated with cardiology for device closure, allowing the patient to return to competition with modified safety protocols.

A 41-year-old Syrian refugee textile worker presented with progressive weakness. Initial workup suggested nutritional deficiency, but Dr. Arslan discovered lead poisoning from handling contaminated fabrics in an informal workshop. She arranged chelation therapy while working with social services to address the environmental exposure, involving the patient's entire family in screening and relocation assistance.

A 19-year-old university student and amateur mycologist developed acute kidney injury after foraging. While others suspected mushroom poisoning, Dr. Arslan identified hemolytic uremic syndrome triggered by E. coli from contaminated wild greens. Her treatment combined supportive care with detailed investigation of the foraging location, leading to a public health notice about unsafe harvesting areas near Bursa.

A 67-year-old retired olive oil producer with a history of 'atypical migraines' for decades presented with new visual symptoms. Dr. Arslan recognized the pattern as CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) through MRI findings and family history review. Genetic confirmation changed the entire family's medical management approach, with three generations now under coordinated care.

A 78-year-old retired ceramicist from Iznik presented with unexplained weight loss and fatigue. Initial tests were normal, but Dr. Arslan noticed subtle inconsistencies in his electrolyte panel during different times of day. She ordered a 24-hour urine cortisol test, revealing cyclical Cushing's syndrome from an adrenal adenoma that only secreted hormones intermittently. Treatment involved timed medication rather than surgery due to his age, with his granddaughter acting as primary caregiver.