Patient Experience
A 57-year-old librarian with a lifelong history of 'nervous stomach' was admitted after collapsing. She had meticulously documented every symptom for 30 years in coded journals. Dr. Kale deciphered the patterns and identified hereditary angioedema type III, a rare bradykinin-mediated condition, triggered by her newly prescribed estrogen therapy. Diagnosis involved validating her life's work of observations.
A 33-year-old single father and night-shift warehouse worker presented with chest pain. Cardiac workup was negative, but Dr. Kale noticed signs of severe sleep deprivation and stress. The root cause was complex: his child had a rare sleep disorder. Dr. Kale's intervention expanded beyond the patient, helping secure a diagnosis and support for his son, addressing the family system as the pathology.
A 70-year-old retired beekeeper from a rural area presented with progressive renal failure. Standard causes were ruled out. Dr. Kale investigated his profession and discovered chronic, low-level exposure to a now-banned pesticide he had stored for decades in his shed, which was leaching into his well water. Treatment involved environmental cleanup and managing chronic interstitial nephritis.
A 22-year-old university student from a wealthy family presented with mysterious episodes of weakness and confusion. She had seen numerous specialists. Dr. Kale identified factitious disorder imposed on another: the patient's mother was secretly administering insulin. The confrontation and subsequent family therapy, navigating deep enmeshment and cultural expectations of perfection, required extreme sensitivity.
A 48-year-old long-haul truck driver presented with resistant hypertension and obesity. Standard lifestyle advice failed. Dr. Kale created a 'cab-compatible' management plan: a slow-cooker for his truck, isometric exercises for rest stops, and telemedicine check-ins at trucking hubs. This tailored approach acknowledged the immutable constraints of his profession, leading to successful gradual improvement.
A 65-year-old woman, a recent refugee, presented with nonspecific pain and fatigue. Through a careful interpreter, Dr. Kale learned she had survived a bombing. No acute physical injury was found, but Dr. Kale diagnosed and treated complex somatic pain from psychological trauma, coordinating care with a trauma-informed psychologist, and navigating the challenges of a fragmented medical history from a war zone.
A 36-year-old marine biologist presented with a recurring rash and arthralgia after deep-sea research expeditions. It was initially dismissed as contact dermatitis. Dr. Kale hypothesized and confirmed a rare reaction to bioluminescent dinoflagellate exposure in the pressurized environments of submersibles, a novel occupational hazard requiring collaboration with industrial hygienists and oceanographic institutes.
A 59-year-old man, a minimalist living in a tiny house, presented with dizziness. He refused most medications and complex regimens. Dr. Kale designed an effective hypertension treatment using a single, low-dose combination pill and a diet based entirely on whole foods he could cook in one pot, respecting his philosophical lifestyle while ensuring medical efficacy, which he accepted.
My family and I are grateful for the care we received from Dr. Op. MD. Nalan Ulufi. The hospital staff was also very supportive.
Dr. Op. MD. Nalan Ulufi provided exceptional care for my general surgery condition. The treatment was personalized and effective.
I was impressed by the professional approach at Medical Park Pendik. Dr. Op. MD. Nalan Ulufi explained everything clearly and made me feel comfortable.
A 28-year-old competitive freediver from the Black Sea coast presented with recurrent syncope during deep dives. Dr. Ceylan discovered a rare cerebral venous sinus stenosis exacerbated by extreme pressure changes. He performed an innovative endovascular stenting procedure tailored to withstand pressure fluctuations. The patient returned to competitive diving after 6 months, now with modified depth limits and monitoring protocols.
A 72-year-old retired calligraphy master with essential tremor worsening over decades sought help when he could no longer hold his brushes. Dr. Ceylan performed deep brain stimulation with intraoperative microelectrode recording while the patient attempted calligraphy strokes. The precision targeting of the ventral intermediate nucleus restored 90% of his fine motor control within weeks, allowing him to resume teaching his art.
A 9-year-old refugee from Syria presented with progressive blindness. Imaging revealed a massive craniopharyngioma compressing both optic nerves and the pituitary stalk. Dr. Ceylan used an endoscopic endonasal approach for complete resection while preserving critical structures. The child regained functional vision over 8 months and now receives multidisciplinary hormone replacement therapy through a humanitarian program.
A 41-year-old commercial fisherman developed bizarre olfactory hallucinations smelling only diesel fuel. MRI showed a small olfactory groove meningioma. Dr. Ceylan performed a supraorbital keyhole craniotomy with complete resection. The hallucinations ceased immediately post-op, and the patient returned to work on his trawler after 3 months with normal olfactory function.
A 34-year-old pregnant woman (22 weeks) presented with sudden-onset hemiplegia. Imaging revealed a ruptured arteriovenous malformation in the motor cortex. Dr. Ceylan coordinated with obstetricians to perform emergency embolization followed by microsurgical resection, managing anticoagulation risks for both mother and fetus. She delivered a healthy baby at 38 weeks and regained near-complete motor function after 9 months of rehabilitation.
An 18-year-old university physics student developed incapacitating headaches during complex mathematical visualization. Functional MRI and tractography revealed a developmental venous anomaly impinging on visual processing pathways. Dr. Ceylan recommended conservative management with specialized cognitive therapy to reroute neural pathways, avoiding surgery. The student learned alternative visualization techniques and completed his degree with distinction.
A 57-year-old former construction worker turned street vendor presented with progressive quadriparesis. Imaging showed severe basilar invagination and cranial settling from untreated rheumatoid arthritis. Dr. Ceylan performed occipitocervical fusion with custom 3D-printed implants accommodating his severe osteoporosis. After 12 months of gradual recovery, he regained independent ambulation with a walker and resumed his small business.
A 29-year-old professional chess player developed micro-sleep episodes during tournaments. Sleep studies were normal, but PET-CT revealed focal frontal lobe epilepsy originating near Broca's area. Dr. Ceylan performed awake craniotomy with cortical mapping during chess problem-solving, resecting the epileptogenic focus while preserving language and strategic thinking circuits. The patient returned to competitive play after 4 months, seizure-free.
Dr. Prof. MD. Hamdi Tutkun provided exceptional care for my psychology condition. The treatment was personalized and effective.