Frequently Asked Questions (FAQ) | MedAmerican Ambulatory Care Center

Allergy and Immunology

With what complaints can patients directly apply to your department?

Those who have complaints such as shortness of breath, wheezing, wheezing and coughing, which are frequently seen in allergic asthma and drug allergies; runny and stuffy nose, sneezing, watery and red eyes that occur in allergic rhinitis and allergic conjunctivitis; itching and swelling due to urticaria; and swelling of the tongue, lips and eyelids caused by angioedema can apply to our department. In addition to these, respiratory tract, skin and other allergic findings that develop due to drugs are among the conditions that require direct application.

What are the diseases that fall within your department's area of expertise?

As the Department of Allergy and Immunology Diseases, we can group the diseases that fall directly into our area of expertise under the following headings:

Respiratory allergies (asthma and allergic rhinitis),
Skin allergies (atopic dermatitis, chronic urticaria and angioedema),
Respiratory, skin and other allergic reactions due to drugs,
Allergies that develop due to bee and insect stings,
Food allergies,
Sudden shock (anaphylaxis) that develops due to an unknown cause of drug, food or insect allergy.

Anesthesiology and Reanimation

What are the complaints that your department directly deals with?

Patients who suffer from pain can directly be admitted to our department where they are subsequently examined. Final treatment modality is planned after diagnosis is established with further tests or consultations with relevant departments. The pain management method is planned, after which invasive pain management techniques are also discussed. Our department also renders services for surgery, delivery, and outpatient surgeries.

What are the sub-services offered by your department?

Preoperative care: Examination, laboratory tests, consultations with relevant departments, imaging techniques.
Anesthesia procedures: General anesthesia, spinal and epidural anesthesia, peripheral nerve blocks to relieve pain, central catheterizations.
Postoperative care: Patient-controlled analgesia devices are set and supervised; the pain control is ensured in an efficient and quick way in our hospital with the leadership of the pain management team.
Safe and effective execution of blood and blood products

What are the diseases that fall into the specialty field of your department?

Anesthesiology Department is specialized in:

Preoperative care: The preoperative clinical conditions of the patients are evaluated. Requirements of the surgical procedure are determined and necessary preoperative preparations are carried out, such as reserving blood, requesting consultations, giving nutritional advice and management of pain killers and drugs.
Anesthesia for surgical procedures: Anesthesia is administered in cardiac, thoracic, vascular surgery, neurosurgery, orthopedic surgery, and spine, liver and pancreas surgery.

Labor analgesia: The most appropriate pain relief method for mothers undergoing delivery is determined on a case by case basis by our experts; mother and baby are then closely followed up during the delivery. The obstetrics team is supported by the pain management team to make the process as comfortable and safe as possible.

Pediatric anesthesia practices: The surgical process is performed in the least stressful way possible with the support of the parents. Parents can participate during the pre and post-operative periods along with their child. Our experienced pediatric nurses constantly support each family throughout the process.

Cancer surgery: Large teams from different disciplines collaborate for anti-cancer treatment. Anesthesiology clinic which is an inseparable part of the team make necessary contributions in pain management, as is the case with surgical procedures. In addition, our department's various different specialty fields are listed below.

Anesthesia for laparoscopic procedures
Anesthesia for robotic surgeries
Anesthesia for patients with trauma
Geriatric practices for elderly patients
Cosmetic surgery
Anesthesia administrations for day surgeries and outpatient surgical procedures
Sedation
Chronic pain treatments
Postoperative pain management

Audiology

What are the sub-services offered by your department?

Audiology Unit
Hearing tests
Tests to evaluate vertigo and postural imbalances
Speech and Swallowing Disorders Unit
Sleep Unit

What conditions does your department directly deals with?

Diagnosis and treatment of ear disorders, rare hearing problems, tinnitus, ear discharge, ruptured eardrum (tympanic membrane perforation), and Bell's palsy.
Diagnosis and treatment of vertigo
Diagnosis of runny nose, nasal obstructions and sinus disease along with functional and cosmetic nose job
Upper respiratory tract infections
Differential diagnosis and treatment of headaches
Tonsillar hypertrophy and adenoid vegetations
Diagnosis and surgical treatment of head & neck tumors
Minimally invasive tumor surgeries
Treatment and surgery for congenital ENT diseases and airway abnormalities
Diagnosis and treatment of thyroid cancer and correction of complications that are secondary to thyroid surgery
Treatment of congenital or acquired airway stenosis
Diagnosis and treatment of snoring and sleep apnea
Diagnosis and treatment of bad breath and gastroesophageal reflux
Diagnosis and treatment of vocal cord disorders
Diagnosis and treatment of salivary gland disorders

Which special areas does your department cover?

Otology – Neuro-otology (Ear Diseases)
Covers conditions affecting the external, middle, and inner ear diseases and central auditory pathway disorders.

Otitis media (middle ear infection)
Otitis externa (inflammation of the external ear canal)
Ruptured eardrum (tympanic membrane perforation)
Otosclerosis (abnormal growth of bone of the middle ear)
Congenital hearing loss
Bell's palsy
Tinnitus
Vertigo
Ear tumors

All ear surgery can be carried out under a microscope and/or with endoscopic techniques; a significant part of these operations does not require a visible incision on the ear. For conductive hearing loss, bone cement ossiculoplasty, titanium prosthesis, bone-conduction hearing aid, and middle ear implant are used, while sensorineural hearing loss can be successfully improved with the use of the state-of-the-art implants, such as cochlear implants (bionic ear) and auditory brainstem implant. One audiologist and two audiometrists work full time at the Audiology Unit that houses cutting edge devices to diagnose hearing loss, tinnitus and vertigo.

Rhinology (nose and sinus problems)
Rhinology deals with all congenital, infectious and developmental diseases as well as tumors of the nose and paranasal sinuses.

Deviated septum
Inferior turbinate hypertrophy
Nasal allergy
Sinusitis
Rhinoplasty (nose job)
Nose and paranasal sinus tumors

Deviated septum and adenoid vegetation are treated with up-to-date techniques and innovative technology such as radiofrequency meaning that nasal packs are no longer required after most operations. Endoscopic sinus surgery technique is performed during the treatment of sinusitis, and surgical navigation is used in all necessary cases. Endoscopic sinus surgery is also performed for skull base tumors, transsphenoidal surgery, blocked tear ducts and cerebrospinal fluid leak.

Pediatric Otolaryngology
This unit deals with congenital, inflammatory, traumatic and developmental diseases as well as pediatric tumors.

Tonsillar hypertrophy and adenoid vegetations
Otitis media (middle ear infection)
Anotia (congenital deformity that involves the complete absence of the pinna, the outer projected portion of the ear, and narrowing or absence of the ear canal)
Congenital or acquired airway stenosis
Head and neck tumors

Tonsillar hypertrophy and adenoid vegetations are amongst the most common diseases found in children. The most cutting-edge techniques, such as laser and thermal welding, are used in the surgical treatment of these diseases. Anotia can be corrected with a cartilaginous graft that is obtained from the child’s ribs or with a prosthesis. Congenital or acquired airway stenosis is treated by our surgical team who have global experience using the most up-to-date techniques available.

Head and neck tumors
Handles any and all benign and malignant tumors that originate from the head and neck area.

Lip
Tongue
Tonsil
Larynx
Esophagus
Thyroid
Neck

A multidisciplinary approach is required for head and neck tumors, as is the case with all other tumors. Treatments are planned vigilantly after patients’ cases are discussed in detail by the tumor council that is made up of physicians from many departments; otolaryngologists, medical oncologists, radiation oncologists, and radiologists are all part of the membership.

Snoring and Sleep Apnea
Snoring and sleep apnea (sleep disorder in which breathing repeatedly stops and starts) are among those diseases that negatively affect a patient’s quality of life and overall health. These conditions are triggered by many factors and they should be addressed in a holistic manner. A Polysomnography (sleep study) is used to evaluate the functionality of a patient’s nose; palates or jawbones are surgically treated to correct airway stenosis in selected patients.

Voice disorders
Hoarseness is caused by diseases that originate from or limit movements of the vocal cords. Vocal cords and their functions are evaluated with a special device, called a videolaryngostroboscopy, and all cases that require surgical treatment can undergo microsurgery or laser surgery.

Face and Neck Traumas

Facial Plastic Surgery

Cardiology

Which complaints should directly refer patients to your department?

Chest pain, left arm/shoulder/neck pain, chest tightness, sweating, shortness of breath, palpitations, fainting.

Which special areas does your department cover?

Arterial stiffness (arteriosclerosis)
Hypertension, High Cholesterol, High Triglycerides
Coronary Artery Disease, Acute Myocardial Infarction, Acute Coronary Syndrome
Heart Failure, Cardiomyopathy (CM) - (Ischemic CM, Dilated Cardiomyopathy DCM, Hypertrophic Cardiomyopathy (HCM)
Heart Valve Diseases (Mitral Insufficiency, Mitral Stenosis, Aortic Insufficiency, Aortic Valve Stenosis, Tricuspid Valve Disease, and Pulmonary Valve Stenosis)
Congenital Heart Defects (ASD / Atrial Septal Defect, VSD / Ventricular Septal Defect, PDA / Patent Ductus Arteriosus, Bicuspid Aortic Valve, Coarctation of the Aorta)
Congenital Electrical Disorders
Abnormal Heart Rhythm
Atrial Rhythm Disorders (Atrial Tachycardia / Atrial Flutter / Atrial Fibrillation, Atrial Extrasystoles)
Ventricular Rhythm Disorders (Ventricular Fibrillation, Ventricular Tachycardia, Ventricular Extrasystoles)
Heart blocks and pauses in heart rhythm
Pericardial Disease
PAH (Pulmonary Arterial Hypertension), Pulmonary Embolism
Aortic Aneurysm and Aortic Dissection
Peripheral Vascular Disease
Carotid Artery Disease

What are the sub-services offered by your department?

Non-Invasive Cardiology:

Electrocardiography
Echocardiography
Exercise-Stress Echocardiography
Transesophageal Echocardiogram (TEE)
Cardiac Stress Test ( Treadmill Test)
CPET (Cardiopulmonary Exercise Test)
Myocardial Perfusion Imaging
24/72 hour Ambulatory Blood Pressure Monitoring
24-72 Hours Holter Monitoring
Tilt-Table Tests
ABI (Aankle-Brachial Index)
EECP (Enhanced external counterpulsation)

Interventional Cardiology:

Coronary angiography
Pressure Wire, FFR Measurements - to accurately determine the degree of narrowing of the artery by measuring pressure
IVUS (Intravascular ultrasound) - to accurately determine the degree of narrowing of the artery by using a miniaturized ultrasound probe attached to the specially designed catheter
OCT (Optical coherence tomography) - to accurately determine the degree of narrowing of the artery by providing cross-sectional images
PTCA (Percutaneous Transluminal Coronary Angioplasty), Balloon Angioplasty
Stents, Drug-Eluting Stents
Atherectomy (Rotablator etc)
Stent placement in peripheral arteries
TAVI (Transcatheter aortic valve replacement - TAVR)
Mitraclip (a small metal clip, about the size of a large staple, is attached to the mitral valve)
Pacemaker Implantation (Pacemaker, Implantable Cardioverter Defibrillator (ICD), Biventricular Pacemaker, MR-Compatible Pacemaker)
Electrophysiological (EP) Study
Ablation for Arrhythmias

Clinical Laboratory

What are the services provided by your Clinical Laboratory?

Clinical Laboratory Certification
Laboratory Information Management System
Blood Test
Urine Test
24-Hour Urine Collection
Stool Test
Stimulation and Suppression Tests
Drug Level Monitoring
Information Regarding Blood Donation
Information Regarding Blood Sampling
Use of Vacuum Tube
Laboratory Journals
C-Reactive Protein (hsCRP)
Epstein-Barr Virus (EBV)
Monitoring Osteoporosis Therapy by Measurement of ß-CrossLabs (ß - CTx)
Fetal Fibronectin (fFN)
Flu and Avian Influenza
Insulin-like Growth Factor 1 (IGF-1) / Somatomedin-C (Sm-C)
Newborn Metabolic Screening Programme
Anemia and Clinical Laboratory
Hyperprolactinemia and Macroprolactin
Transferrin Receptor – TfR
Vitamin B12 Deficiency in the Elderly
Laboratory Request Forms
Emergency Laboratory Test Request Forms
Clinical Laboratory Test Request Forms
Inpatient Test Request Forms
Microbiology Laboratory Request Forms
Allergen (specific IgE) Request Forms
Maternal NTD/DOWN Screening Information and Request Forms
Critical Test Results / Information
Critical Test Values that Should be Reported

Dermatology

What are the sub-services offered by your department?

Our sub-services include cosmetic dermatology, dermatologic surgery, dermato-oncology, dermato-allergy, laser treatments, pediatric dermatology, phototherapy, and dermoscopy.

Which complaints should lead patients to your departments?

Our department includes certain fields, such as dermato-oncology, dermato-allergy, cosmetic dermatology, dermatologic surgery, pediatric dermatology, laser treatments, hair diseases, and autoimmune bullous diseases. Therefore, our patients should attend the Dermatology Department for all skin related complaints. This includes a wide spectrum of ailments such as itching, various skin rashes, moles, persistent scars and allergic rashes, as well as nail and hair diseases. Also, our branch practices preserving skin health without the occurrence of a disease, delaying effects of ageing with cosmetic practices, as well as treatment of spots and hair loss. Extraction of certain skin tumors, biopsy, treatment of warts and nail surgery are also within our expertise parameters. Dermal allergic diseases and hives are one of the major areas of dermatology and patients should attend our department for all allergic skin tests. All kinds of nevi are evaluated and mapped with our clinic’s dermoscopy device and interventions are performed, if necessary, after risk assessments have been established.

Endocrinology, Diabetes and Metabolic Diseases

What are the complaints that your department directly deals with?

Endocrine diseases may involve all systems of the body. Patients may present with various complaints that originate from the heart, digestive system, eyes or nervous system. Therefore, a comprehensive and detailed examination of patients is crucial.

Numerous complaints, including but not limited to fatigue and tiredness, involuntary weight gain or weight loss, menstrual disorders, abnormal hair growth, and infertility in women; sexual complaints, cardiac rhythm disorders, and changes in physical characteristics in men can originate from diseases of the thyroid gland, adrenal gland, pituitary gland, and gonads.

Hypertension can be secondary to a disease that originates from or involves the endocrine system.

Diabetes mellitus and organ disorders can be caused by diabetes leading to changes in body weight, polydipsia, polyuria and can cause burning sensations and/or numbness in hands and feet as well as vascular diseases of the heart and brain.

The Endocrinology Department should also examine patients with osteoporosis and other metabolic bone diseases.

Sexual development disorders and gender identity disorders are followed up and treated in cooperation with other departments.

Which specialties does your department cover?

The endocrine system consists of many organs that secrete different hormones. These hormones affect different target organs in various ways. Organs that form the endocrine system are the pituitary gland, thyroid gland, parathyroid gland, pancreas, adrenal gland, testis, and ovaries. Organs that are not featured on this list which demonstrate different functions such as heart, kidneys, intestine, and brain can behave like “endocrine organs” by secreting hormones. Therefore, endocrinology is a discipline that evaluates the body as a whole and affects all systems. We continuously and regularly cooperate with other departments such as the endocrine surgical department, nuclear medicine department, radiology, and pathology.

What is the group of main diseases diagnosed, treated and followed up at your department?

Diabetes mellitus
Thyroid gland and its related diseases, thyroid cancer
Hypothalamus; pituitary gland diseases
Parathyroid gland and its related diseases
Osteoporosis and Disorders of Calcium and Bone Metabolism
Lipid Metabolism Disorders
Adrenal Gland Disorders
Gonadal (ovary and testes) Disorders

Gastroenterology and Hepatology

Which complaints should directly refer patients to your department?

Patients admitted to our department suffer from issues concerning the digestive system organs, starting from the esophagus including the stomach, small intestines, colon, liver, pancreas as well as the gallbladder. These complaints include, but are not limited to swallowing difficulty, feeling of obstruction while swallowing, stomach aches and abdominal pain, heartburn and gastric discomfort, vomiting, constipation, and distension.

What are the diseases that fall into the specialty field of your department?

Irritable bowel syndrome which is a common disease in our society, reflux, gastritis, constipation, hemorrhoids as well as gastrointestinal motility disorders, inflammatory bowel disease, Hepatitis B, Hepatitis C, diseases of the pancreatic duct and bile ducts are meticulously treated by our department’s physicians.

Removing polyps from the large intestine, mucosectomy, endoscopic submucosal dissection (ESD), and endoscopic treatment of achalasia are performed at our department which is a leader in Türkiye for this variety of procedure.

Which are the sub-services offered by your department?

Emergency interventions such as hemostasis, extraction of foreign bodies, management of stenotic segments,
Liver biopsy,
Measuring pressure and acidity from the esophagus (pH meter and manometer, impedance) are included in the spectrum of the sub-services available.

General Surgery

Which complaints should directly refer patients to your department?

Our department deals with a very wide spectrum of complaints that may be related to many medical disciplines. Some of these complaints are as follows;

Difficulty swallowing
Gastroesophageal reflux
Abdominal pain
Vomiting
Abdominal mass
Gastrointestinal bleeding (occult or severe)
Dyspepsia, abdominal distension
Constipation, obstructed defecation, fecal incontinence
Jaundice
Cutaneous and subcutaneous mass
Obesity
Breast lumps
Nipple discharge
Physical trauma
Neck mass
Inguinal hernia, umbilical hernia or incisional hernia

What are the diseases that fall into the your department’s area of expertise?

Breast health and diseases
Endocrine disorders
Metabolic surgery (obesity surgery)
Esophageal and gastrointestinal disorders
Colorectal and anal/perianal diseases
Liver, pancreas, gallbladder and bile duct diseases
Trauma Surgery
Abdominal wall hernia

What are the sub-services offered by your department?

Urgent surgery
Thyroid and parathyroid surgery
Adrenal surgery
Breast surgery and breast reconstruction
Bariatric and metabolic surgery (obesity surgery)
Liver surgery
Gallbladder surgery and surgical extraction of bile duct stones
Pancreas surgery
Esophageal surgery and swallowing disorders
Gastric surgery
Small intestine, colon, rectum and anal region surgery
Stoma care training
Abdominal wall hernia surgery
Nutritional support
Oncologic surgery

Gynecology and Obstetrics

Which special areas does your department cover?

Our fields of specialization are:

Obstetric (delivery)
General and preventive gynecology
Endoscopic surgery (laparoscopy, hysteroscopy, and robotic surgery)
High-risk pregnancies and prenatal diagnosis, counseling, and treatment
Reproductive endocrinology and assisted reproductive technology (IVF)
Gynecologic oncology
Urogynecology
Adolescent gynecology
Endometriosis-adenomyosis, myomas
Congenital anomalies of uterus and ovaries
Aesthetic and cosmetic gynecology
Laser department

What are the complaints that your department directly deals with?

The Department of Obstetrics and Gynecology at the American Outpatient Medical Center is a distinguished clinic in terms of service quality and range, as it can respond to all complaints concerning female health and it has already gained the trust of many patients with its rich history of expert diagnosis and treatment as well as long-term follow-ups.

Gynecologic complaints consist of menstrual irregularity or absence of menstruation, inguinal and abdominal pain, polycystic ovary syndrome, excessive hair growth, acne, hair loss, ovarian cysts, myomas, polyps, vaginal discharge, sexually transmitted diseases, vaginal cysts, abscesses or wounds as well as genital warts, sexual dysfunctions, vaginismus, hot flushes, vaginal dryness and menopause. Moreover, other common reasons for admission include uterine prolapse, vaginal prolapse, and urinary incontinence.

Severe inguinal pain during periods, pain during sexual intercourse, painful bowel movements, obstructed defecation, rectal bleeding, blood in urine, sharp pains while breathing during periods, fatigue, irregular menstrual cycles and heavy menstrual bleeding (menorrhagia), as well as endometriosis and adenomyosis form the conditions that lead to admission at our clinic.

Patients are admitted to the Assisted Reproductive Technology Unit with certain conditions, including but not limited to the inability to achieve pregnancy despite no use of contraception, inability to achieve pregnancy despite multiple in vitro fertilization attempts, recurrent miscarriages, failure of embryo implantation, lack or absence of eggs/sperm, polycystic ovary syndrome, varicocele, erectile dysfunction or ejaculatory problems, vaginismus, hereditary genetic disorders, uterine malformation, and intrauterine adhesions.

Ovarian cysts and tumors, endometrial cancer, ovarian cancer, cervical cancer, vaginal cancer, vulvar cancer, precancerous lesions in the vagina, precancerous cervical lesion, abnormal Pap smear result, and are genital warts form the gynecological oncology conditions that lead to admission at our clinic.

Prepregnancy counseling, supervision of pregnancy, prenatal yoga, nutrition and awareness education, vaginal delivery or C-sections, supervision of puerperal and psychological counseling are regarded as areas that fall into the field of obstetrics. Antenatal diagnosis, diagnosis, and supervision of high-risk pregnancies and genetic counseling services are available at the Perinatology Unit.

What are the sub-services offered by your department?

General and Preventive Gynecology:
Smears
HPV typing, HPV vaccination
Abnormal Pap smear tests and follow-ups
Treatment of warts
Cryotherapy
Colposcopy
Vaginal laser treatments
Two- and three-dimensional ultrasound in the diagnosis of endometriosis and adenomyosis,
Advanced laparoscopic surgery (recurrence of myoma, lumps and deep endometriosis, hysterectomy -removal of the uterus-, reproductive organs prolapse),
Hysteroscopy
Obstetrics:
Advanced level ultrasound
Fetal DNA test in maternal blood
Chorionic villus sampling (CVS)
Amniocentesis
Cordocentesis
Multifetal pregnancy reduction
Counseling and termination, if required, based on the decision of council for abnormal pregnancies
Inpatient and outpatient supervision of high-risk pregnancies
Counseling and follow-up at the neonatal intensive care unit
Prenatal yoga, nutrition, psychological counseling, puerperal support,
Endoscopic Surgery:
Laparoscopy (hysterectomy, myomas, ovarian cysts, endometriosis surgery, oncological surgery)
Hysteroscopy (polyps, myomas, intrauterine adhesions, congenital uterine anomalies, T-uterus, and isthmocele surgery)
Robotic surgery (hysterectomy, myomas, ovarian cysts, endometriosis surgery, oncological surgery)
Gynecologic Oncology:
Smears
HPV typing, HPV vaccination
Management and follow-up of precancerous pathologies of the cervix
Surgical treatment and management of gynecological cancers
Fertility saving surgery in cancer treatment
Cytoreductive surgery (reducing the number of tumor cells)
Medical oncology councils
Treatment counseling to conserve fertility before anticancer treatments.
Urogynecology:
Urinary incontinence
Pelvic organ prolapse
Aesthetic and Cosmetic Gynecology:
Urinary incontinence
Vaginal rejuvenation
Labiaplasty (vulval surgery)
Vaginal laser

Hematology

Which specialties does your department cover?

Conditions written below are covered by our department:

Acute lymphoblastic leukemia
Acute myeloid leukemia
Amyloidosis
Anaemia
Aplastic anaemia
Autoimmune hemolytic anaemias,
Autoimmune thrombocytopenia
Benign hematologic disorders
Bleeding disorders
C1 esterase inhibitor deficiency
White blood cell disorders
Chronic lymphocytic leukemia
Chronic myeloid leukemia
Chronic myelomonocytic leukemia
Cryoglobulinemia
Cutaneous T-cell lymphoma
Large granular lymphocyte disorders
Leukemia
Lymphoma
Macroglobulinemia
Multiple myelomas
MGUS (Monoclonal gammopathy of undetermined significance, a condition that causes the body to create an abnormal protein)
Myelodysplastic syndromes
Myelofibrosis
Myeloproliferative disorders
PNH (Paroxysmal nocturnal hemoglobinuria)
POEMS syndrome (- Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes- a rare blood disorder)
Polycythemia vera
Sickle cell anaemia (SCA)
Systemic capillary leak syndrome (SCLS)
Systemic mastocytosis (SM)
Thalassaemia
Thrombocytopenia
Thrombocytosis
Von Willebrand disease (VWD)
Waldenström macroglobulinemia
Essential thrombocythemia
Fanconi syndrome
Hairy cell leukemia
Hemoglobinopathies
Hemophilia
Hereditary hemolytic anaemias
Hodgkin disease
Non-Hodgkin’s lymphoma
Hypereosinophilic syndrome (HES)
Idiopathic thrombotic purpura (ITP)
Iron deficiency anaemia
Vitamin deficiency anaemia

What are the complaints that your department directly deals with?

Fatigue, tiredness (anaemia)
Frequent infection (immune system)
Bleeding (thrombocytopenia)
Swollen lymph nodes
Non-healing mouth ulcer
Hemorrhagic or infected wounds on the skin

Which are the sub-services offered by your department?

Biological therapy of hematologic malignancies
Blood and stem cell donation
Blood transfusion
Cancer treatment
Chemotherapy
Experimental treatments
Growth factor products
Immunotherapy
Targeted therapy
Immunosuppressive therapy

Internal Medicine

Which complaints should refer patients to your department?

Our patients generally approach our department for the treatment of common chronic diseases that are treated at our primary care settings. These include hypertension, diabetes mellitus, asthma, COPD, arthritis, gastrointestinal problems or thyroid dysfunction as well as abdominal pain, back pain, arthralgia, cough, tiredness, and shortness of breath.

What are the sub-services offered by your department?

Our department diagnoses and treats all acute and chronic diseases, including ones that require critical and long-term care, at various healthcare settings, including the inpatient and/or outpatient clinics.

IVF Center

What are the complaints that your department directly deals with?

Patients who are admitted to the Reproductive Endocrinology and Infertility (REI) Department with certain complaints, including but not limited to the inability to get pregnant despite a lack of contraception or inability to get pregnant despite multiple in vitro fertilization attempts. Other reasons for admittance include recurrent miscarriages, failure of embryo implantation, lack or absence of eggs/sperm, polycystic ovary syndrome, varicocele, erectile dysfunction or retrograde ejaculation, vaginismus, hereditary genetic disorders, uterine malformation, and intrauterine adhesions.

Which are the sub-services offered by your department?

In reproductive endocrinology and assisted reproductive technology:

In Vitro Fertilization
Microinjections
Intrauterine insemination (IUI)
Surgical testicular sperm extraction (PESA, TESE)
Genetic screening and embryo diagnosis
Fertility-protecting surgeries to protect against anti-cancer treatments to safeguard conditions that threaten sperm or oocyte counts and cryopreservation of egg, sperm or embryo
Diagnosis and treatment of uterine malformation and uterus problems (intrauterine adhesions, fibroids, polyp) with 3D ultrasound

Nephrology

Which complaints should directly refer patients to your department?

Common problems related to sodium and water homeostasis include low sodium in the blood or edema, weight gain, hypertension, and low or high sodium or potassium in the blood. Other reasons for admissions include the decreased output of urine, fluid retention, dyspnoea, nausea, vomiting, lack of appetite, bad taste in the mouth, weight loss and anaemia all of which are potentially related to the aforementioned health problems as well as renal failure and acidosis. Moreover, other complaints include high protein and/or blood in the urine, hypertension secondary to nephritis, edema, impaired renal functions, high urea and creatinine concentrations in the blood.

Which special areas does your department cover?

The Nephrology Department deals with medical diagnosis, treatment and follow-up of all kidney and urinary tract diseases, including but not limited to acute and chronic kidney failure, hypertension, nephritis that cause protein loss into the urine and blood in the urine, kidney infections, kidney diseases secondary to diabetes mellitus or hypertension, chronic glomerulonephritis and polycystic kidney disease as well as kidney stones and other cystic kidney diseases. Gout attacks that are common and related to kidney diseases and kidney stones are other conditions that we deal with.

Neurology

Which special areas does your department cover?

Our department specializes in the following titles and content:

General Neurology: We undertake the examination and treatment of patients who are admitted with any and all neurological symptoms.
Cerebrovascular diseases: Emergency, inpatient and outpatient practices for disorders of blood vessels that feed the brain (brain hemorrhage, vascular occlusions) are performed in cooperation with Radiology and Interventional Radiology (Neuroangiography) departments.
Epilepsy: Diagnostic and treatment practices are performed by experienced neurologists and a specialist epileptologist. Modern research, recording, and treatment methods are used in formulating the medication and surgical strategies for epilepsy.
Headaches: Modern treatment methods are used and interventional treatments when necessary are employed for migraine and other common varieties of headache.
Neurodegenerative diseases: Modern treatment methods are utilized for Parkinson’s disease and similar neurodegenerative disorders while specialized faculty members make invaluable contributions to the team.
Demyelinating disease of the central nervous system: These types of diseases, especially Multiple Sclerosis, develop as a result of impaired immune systems and they are treated by neurologists who are specialized in this field.
Spinal cord diseases and nerve root disorders: Diagnostic and therapeutic practices are performed in collaboration with Neurosurgery, Orthopedics, Physical Medicine and Rehabilitation Departments for degenerative diseases of the spinal cord.
Peripheral nerve diseases: Peripheral nerve diseases that are developed during the course of other common and generally underlying diseases are named using advanced diagnostic methods (EMG-SEP) and are appropriately treated. Some of these diseases, such as Guillain-Barré syndrome (GBS), require emergency treatment methods. Those practices (plasmapheresis, immunoglobulin therapy) are carried out immediately.
Muscle Diseases: Our experienced neurologists work closely with our specialist faculty member who is globally renowned in the field of muscle diseases. Modern diagnostic modalities (muscle biopsy, EMG, neurogenetic tests) are used and patients are accurately guided through genetic consultancy issues in the light of diagnostic and therapeutic methods.
Neurological complications of systemic diseases: These diseases are very common in daily neurology practices. Specialized neurologists and faculty members provide expert consultation services. Diagnosis and treatment of neuro-oncologic problems that emerge during the course of oncologic diseases are one of the fields that constitute a large portion of our overall work. Neurologists with extensive experience render services in this field.
Electrodiagnostic neurology: EEG, EMG, attracts a strong demand in the diagnosis and treatment of various neurologic diseases. Studies in this field are conducted by specialized clinical neurophysiologists.

What are the complaints that your department directly deals with?

The Neurology Department primarily deals with the following complaints:

Headaches
Vertigo
Diseases associated with loss of consciousness
Speech disorders
Comprehension disorders
Memory impairments
Visual impairments
Motor system disorders (diseases that cause difficulty in movement)
Muscle weaknesses
Muscle atrophy
Involuntary muscle movements
Sensory processing disorder
Numbness
False sensorial comprehension (such as cold or burning sensations)
Coordination and balance disorders
Tremors
Drop attacks
Urinary retention and incontinence
Diseases associated with high fever

Can you give information about your department’s approach to neurological diseases?

Epilepsy: Accurate diagnosis and sufficient cooperation are important in this disease. We also meet patients who are extremely resistant to therapy. Surgical intervention may be required in some of these cases.

Stroke: Treatment of acute strokes can save lives and minimize future disability rates if patients admit themselves to the hospital within the first 4.5 hours. The American Hospital has all the necessary equipment for the treatment of acute strokes if patients can get to the hospital within a suitable time frame.

Migraine: Migraines are one of the most common ailments in every society accounting for a major portion of all headaches complaints. Accurate diagnosis, personalized treatments, and follow-ups are all important to prevent loss of work and ensure general quality of life.

Myasthenia gravis: Myasthenia gravis is a neuromuscular disorder that causes weakness in the skeletal muscles, which are the muscles your body uses for movement. It occurs when communication between nerve cells and muscles becomes impaired. Myasthenia can be successfully treated if it is diagnosed early; however, if it is not recognized quickly it may result in death; as a result, our hospital shows special dedication and focus when it comes to this issue.

Multiple Sclerosis and other demyelinating diseases: Multiple Sclerosis is a disease associated with eyesight disorders and overall body weakness, loss of sense and numbness in arms and legs as well as dizziness secondary to improper functioning of the immune system, resulting in an attack on the nerve cells. Diagnostic tests can be quickly performed on Multiple Sclerosis patients and patients with similar autoimmune central nervous system diseases, and personalized treatments and especially innovative biological treatments can be performed successfully at our hospital.

Peripheral nervous system disorders: Nerves that originate from the spinal cord are collectively referred to as the peripheral nervous system. Acute neuropathies that may be life-threatening and chronic neuropathies can be quickly and effectively treated at our hospital.

Neurosurgery

Which specialties does your department cover?

Neurosurgery Department is specialized in brain, spine and spinal cord surgery.

What are the complaints that your department directly deals with?

All complaints regarding the brain and spine are linked to our department.

Which are the sub-services offered by your department?

We provide services in all divisions associated with neurosurgery:

Vascular surgery
Tumor surgery
Pediatric neurosurgery
Endoscopic surgery (brain and spinal cord)
Spine surgery
Functional neurosurgery
Epilepsy surgery
Gamma Knife

Nutrition and Dietetics

Which specialties does your department cover?

Medical nutrition treatment of inpatients,
A nutritional treatment plan for patients who are included in the cancer program,
Malnutrition,
Enteral and parenteral nutrition,
Nutritional education for lactation,
Education concerning food-drug interaction,
Planning medical nutritional treatment specific for each patient at the Outpatient Nutrition Clinic,
Medical nutrition treatment according to the pressure ulcers treatment protocol,
Monthly menu planning for inpatients and personnel are some examples of practices that are within our mandate.

What are the complaints that your department directly deals with?

Nutrition and Dietetics Department of American Outpatient Medical Center responds to our patients' complaints and solves them quickly. Reasons for addressing our department are as follows:
Overweight or underweight nutritional counseling,
Nutritional therapy for diabetes,
Carbohydrate counting,
Nutrition during pregnancy and breast-feeding,
Children’s nutrition,
Nutrition for athletes

What are the sub-services offered by your department?

Preoperative and postoperative medical nutritional therapy for gastrointestinal surgery:
- Esophagectomy (esophagus surgery)
- Gastric bypass surgery
- Pancreas surgery
- Colorectal surgery
Medical nutritional therapy for conditions related to the digestive system;
- Crohn’s Disease
- Ulcerative colitis
- Diverticular disease
Medical nutritional therapy for newly diagnosed patients who are involved in the cancer program;
- Eating during chemotherapy
- Eating during radiotherapy
Preoperative and postoperative medical nutritional therapy for bariatric surgery
Medical nutritional therapy in hematologic cancers

Nursing Care

Which specialties does your department cover?

Nursing Care
Midwifery
Emergency Medical Technician
Paramedics
Sleep Technicians
Monitor/Cardiology/Sterilization Technicians
Perfusionists
Anesthesia Technicians

What are the complaints that your department directly deals with?

We are directly linked to all patient feedback concerning care and safety.

What are the sub-services offered by your department?

We deliver our services to adult and pediatric inpatient and outpatient clinics, Emergency Department, operating theaters, coronary and adult intensive care units and with all other medical disciplines.

What are the regular education-based and other activities organized by your department?

All new employees of the nursing care services receive theoretical and practical orientation training at the beginning of their employment simulating processes that they will face in the hospital. Once a year all healthcare professionals are educated and trained with basic life support techniques. In addition, department-specific education and seminars are organized regularly.

Annually we coordinate a scientific congress for International Nurses Day jointly with Koç University School of Nursing and SANERC (Semahat Arsel Nursing Care Education and Research Center). All domestic and international leaders of relevant areas are invited to this event; in the spirit of collaboration and reciprocity, we share up to date healthcare knowledge with colleagues from other parts of Türkiye.

Could you inform us in detail about the history of Nursing Care at the American Hospital?

Professional nursing was established after the First World War in Türkiye. Admiral Bristol was a crucial figure in the education of nurses in Türkiye; he founded the first Turkish Nursing School in İstanbul on May 20, 1920. Bristol also founded the American Hospital in 1920 and the two institutions became bound by the unifying incentive to heal the sick; the hospital required trained nurses to provide professional care and the school relied on the hospital for work and experience.

Directly after the school was initially founded, the educational period lasted 2 years and 6 months, but it was extended to 3 years in 1929 and 4 years in 1957. The school educated leading nurses in all areas concerning the nursing profession and it was considered exemplary throughout the sector. Our respected teacher Esma Deniz was among the first five graduates of the Nursing School in 1923 and she founded the Turkish Nurses Association in 1943 and successfully managed the association for 19 years. The association was regarded as an active member of the International Council of Nurses in 1949. The American Hospital has always been proud of dear Esma Deniz, who was a leading nurse and a staunch advocate of women’s rights. Anna Rothsock was the first Director of Nursing Care Services at the American Hospital and she was also the first principal of the Nursing School.

Since its foundation, our hospital has maintained a superlative quality of patient care in line with the public’s highest expectations while employing a humanist approach based on integrated health with a focus on nursing. The positions of Nurse managers have almost always been occupied by foreigners; they have made significant contributions to the development of nursing care, as they introduced North America standards. The Managers of Nursing Care Services Department ensured complete cooperation between the hospital and the school, as they had concomitantly occupied the positions of Principals of the Admiral Bristol Nursing School (1920-1999) and Managers of the Hospital.

Koç University established the Nursing College in 1999 to provide education to nurses in the 2000s; these modern practitioners were trustworthy, rational, possessed analytical thinking, displayed confidence, respected individualism and other cultures, and predictably carried the science of nursing to a more advanced level.
Contributions from the Vehbi Koç Foundation to the profession of nursing commenced with the establishment of the Nursing Fund in 1974. Since its foundation, The Nursing Fund contributed to the continuous education of nurses with publications and textbooks along with the organization of conferences and seminars; more than 2000 nursing students have been awarded educational grants. SANERC (Semahat Arsel Nursing Education and Research Center) was founded in 1992 and made significant contributions to nurses with both domestic and international courses, training, symposiums, and congresses.

Nursing is no longer an exclusively female profession in Türkiye; recently the profession has become increasingly diversified with men also represented in abundance. The Honorable Semahat Arsel, Chairwomen of Vehbi Koç Foundation, has always contributed to the development and improvement of the nursing profession with her material and moral support. We express our infinite thanks to Honorable Semahat Arsel on behalf of all nurses who have worked at the American Hospital and throughout the Turkish medical sector.

Could you inform us in detail about nursing care education?

The level of knowledge gradually increases in all branches of health sciences and the delivery of health and care services also evolves quickly. Nurses need to adapt to such rapid changes in order to keep up with the inherent dynamism required in nursing care services.

As is the case with all professions, critical thinking is one of the basic components in nursing practices. Critical thinking not only adds dynamism to nursing care, but it also boosts the quality and efficiency of services.
Any and all education support required by our nurses to create a patient-oriented and performance-based management and service approach, to coordinate the healthcare and perform the basic healthcare service is provided by the nursing care services management in line with the principle of equal opportunity.

Education is formulated, executed and reviewed by professional education and development nurses at our hospital. Planned discussions with nursing department managers, precise surveys, employment of cutting edge devices and equipment, sentinel event notices, assessment of nurses who have decided to participate in the education process, mandating of eduction goals; and education schedules and curriculum organization are all executed in line with our pre-established schedule.

Orientation and In-service Training

Basic Nurse Orientation Program Certificate Programs
CPR (Cardiopulmonary Resuscitation / First Aid)
CPR, Refresher Training
ACLS (Advanced Cardiac Life Support)
ACLS, Refresher Training
Basic ECG
Critical Care Nursing Certificate Program (SANERC)
NRP (Neonatal Resuscitation Program) Education (Ministry of Health)

Basic Orientation Programs

A two-week program that consists of theoretical and practical aspects. The Basic Nurse Orientation Program is available for nurses who have already participated in the general orientation program which is organized by the Human Resources Department. This program addresses nursing practices, CPR, infection and isolation methods, use of devices, patient safety and communication. An examination is held before and after the program. “Basic Nurse Orientation Program Participation Certificate” is awarded to all nurses who pass the exam at the end of the program. First Aid (CPR) education and training that comprises of one-day theoretical and practical sections is available from the Basic Nurse Orientation Program. CPR re-certification training is organized once a year or when the content is upgraded. Nurses who participate in and succeed with the Basic Nurse Orientation Program, receive obligatory and special department education in line with their areas of focus.

Department-specific Orientation Programs

Emergency Nursing Orientation Program
Critical Care Nursing Education Program
Gastroenterology Nursing Education Program
Central Sterilization Unit Education Program
NICU
Paediatrics Nursing Education Program
Perioperative Nursing Education Program

CPR (Cardiopulmonary Resuscitation / First Aid)

Covering both the theoretical and practical this training takes one-day to complete. CPR certifications are repeated once a year and/or when CPR information is updated. An examination is held before and after the program. CPR Education Program Participation Certificate is awarded to all participants who pass the exam. This education is not only mandatory for our nurses, but for all healthcare personnel who work with patients at the hospital (laboratory technician, physiotherapist, pulmonary therapist, radiology technicians, etc.).

ACLS (Advanced Cardiac Life Support) Education is a program that covers one-day theoretical education and one-day practical training for our nurses who work at the Intensive Care Units, Emergency Department, and the Catheterization Laboratory.

Basic Electrocardiogram (ECG) Education

This 5-day education is available for nurses and technicians who work at all departments that require monitor supervision.

The training covers the following main areas:

Anatomy and physiology of the heart
Derivation
NSR and sinus arrhythmia
Atrial arrhythmia
Junctional dysrhythmias
Ventricular arrhythmias
AV blocks
Pacemaker insertion

How are careers planned?

Nursing Care Services Department at the MedAmerican Ambulatory Care Center takes into consideration the following factors when engaged in the Human Resources processes of employment and promotion.

Philosophy and concepts of the modern nursing profession are adopted.
Safeguarding the mission, vision, values, policies, and rules of the nursing care services department; making sure that the organization is protected and the associated principles are adopted by all employees.
Striving continuously to improve the image of the organization and nursing care in general; always demonstrating an exemplary standard through verbal or non-verbal communication originating from colleagues and affiliated personnel.
Acting in a continuously willing and enthusiastic manner to deliver quality, personalized and empathic nursing care, taking on appropriate responsibilities, while demonstrating an ability to develop skills and broaden knowledge closely following professional literature to achieve such goals.
Creating and maintaining positive interactions with members of other healthcare teams and colleagues with the use of good communication skills.
Being willing to participate in a team, having the qualifications of a leader, being able to act as a representative of the senior management of the hospital, being able to solve departmental and interdepartmental problems and complaints, reporting unsolved problems in line with hospital protocols while offering well-crafted solutions.
Making rational and objective decisions, striving to support continuous self-improvement and the development of surrounding colleagues.

How can I apply?

Please visit our Human Resources web page for details.

Ophthalmology

Which specialties does your department cover?

Common eye diseases and disorders, cataract and intraocular lens surgery, glaucoma (high intraocular pressure), pediatric eye health and strabismus, retina, cornea, ocular immunology and uveitis, oculoplasty, contact lenses and rehabilitation of the visually impaired patients are among our department’s medical specialties.

Could you inform us in detail about the procedures performed by the units in your department?

Cataract and Intraocular Lens Surgery: Globally acknowledged technique ‘phacoemulsification under topical anesthesia (numbing drops inserted into the eye)’ is used for cataract surgery. In this method, the eye is numbed with drop anesthesia rather than an anesthetic injected around the eye, and cataract surgery is performed through a very small incision, measuring approximately 2 mm in size, made on the clear layer of the eye (cornea) and an appropriate intraocular lens is placed inside the eye. This operation lasts approximately 10 minutes and does not require a hospital stay; visual acuity that is equal to the values before the development of cataracts is restored and patients can engage in activities of daily life within a short period of time. Moreover, the innovative “multifocal intraocular lenses” that are also called “small lenses” designed to provide focus of both distance and near objects and “multifocal toric intraocular lenses” that allow predictable astigmatic correction are successfully used along with standard aspheric intraocular lenses that ensure the clearest distance acuity after completion of surgery. After cataract surgery is completed, patients can clearly see distance and near objects without the need to wear eyeglasses. Moreover, intraocular lenses (phakic lenses) are successfully implanted for patients who are not eligible for laser therapy to correct myopia, hyperopia or astigmatism.

Glaucoma Unit: Glaucoma, also called high intraocular pressure, is globally recognized as the most prolific “irreversible cause of blindness”. Usually, it does not cause any recognizable early symptoms as it progresses slowly and causes loss of vision from the periphery to the center. Early diagnosis is crucial when it comes to treating glaucoma; unfortunately symptoms are usually noticed by patients after their eyesight has been significantly compromised. We use the most advanced diagnostic devices with an extremely high level of accuracy at the earliest possible stage in our glaucoma unit. We can meet provisions of maximum standards in diagnosis and follow-up of patients with glaucoma by using the latest generation of Optic Coherence Tomography (OCT) that measures the thickness of the nerve layer in the retina easily, and a computerized visual field device that measures the ability to see blue light on a yellow background and other effective devices that evaluate eye tear canals and any changes in the iris. Medical treatments are supported by all advanced laser or surgical therapies!

Pediatric Eye Health and Strabismus: It is necessary to diagnose refractive errors, especially misalignment of the eyes, and lazy eyes as well as the loss of vision secondary to various reasons originating from early childhood in order to commence with appropriate treatment. In our Pediatric Eye Health and Strabismus Unit, our experienced ophthalmologists use state-of-the-art devices to diagnose all pediatric eye problems at an early stage and necessary treatments are initiated. Medical and surgical treatments are also available for misaligned eyes for patients of any age.

Retina Unit: Optic Coherence Tomography (OCT), Fundus Fluorescein Angiography, Indocyanine Green Angiography, and green and yellow lasers are used in our unit to diagnose and treat all retinal diseases that are secondary to vascular factors, ageing, inflammation or other etiologies. All up-to-date treatments, including intravitreal injections, micropulse, and photodynamic therapy, are available for the age-related macular disease that is also called “Yellow Spot Disease” and now globally recognized among the most important causes of loss of vision. Moreover, diabetic retinopathy, retinal detachment, macular hole, epiretinal membrane and other retinal diseases that require surgical treatment can be successfully treated with “vitrectomy” and other surgical techniques at the Retina Unit.

Cornea Unit: Advanced diagnostic devices are used to evaluate infections and inflammations of the cornea -the foremost transparent layer of the eye-, structural deformities such as keratoconus or ectasia as well as changes in the transparency of the cornea secondary to various causes. All up-to-date medical treatment and surgical techniques are available that range from cross-linking to laser and partial or complete corneal transplantation.

Ocular Immunology and Uveitis: Uveitis refers to the inflammation of the eye’s uveal tissue. Uveitis is believed to be the fourth leading cause of blindness among the working population (ages, 20–60 years) in Western countries. These diseases can be caused by infections, such as the Herpes virus, toxoplasmosis, tuberculosis syphilis, and inflammation of the eyes secondary to autoimmune conditions, such as rheumatoid arthritis, Behçet’s disease, ankylosing spondylitis, and sarcoidosis. A physician who is experienced in treating uveitis evaluates each patient and provides a clear diagnosis, appropriate medical treatment and follow-ups are then planned at the unit. Although the primary treatment of uveitis is medical, surgical treatments can be employed to manage complications of uveitis, after inflammation is brought under control.

Ophthalmic Cosmetic Surgery: Deformities located in the eyelids and around the eyes have significant effects not only on one’s facial appearance but also on normal eyesight function. We may correct any and all eyesight problems and dysfunctions that are dependent on age, tumors, and trauma of the eyelids as well as thyroid diseases. Tear duct problems that may cause continuous excessive watering and diseases that affect the structures around the eyes can be diagnosed and treated. Naturalistic prosthetic eyes that can move are implanted at our unit for patients who have lost an eye.

Contact Lens Unit: Any and all contact lenses (standard, astigmatism, multifocal – that correct both farsightedness and nearsightedness-, cosmetic, daily, monthly and long-term) can be applied at our unit and users of contact lenses are educated on healthy use of said lenses.

Rehabilitation Unit for Visually Impaired People: We aim to restore eyesight that is required for activities of daily life with special eyeglasses, devices and rehabilitation methods for patients with severe loss of vision due to certain reasons, such as age-related macular disease (yellow spot disease), retinitis pigmentosa, diabetic retinopathy, glaucoma or retinopathy of premature.

Oral and Dental Health

Which complaints should lead patients to your departments?

All dental treatments are available for geriatric patients with severe coordination disorders (Alzheimer, Dementia, etc.) as well as small children, adults and children with mental retardation or physical and mental disabilities. The fully equipped dental unit within the operating theatre is located in the department, where dentistry services can be performed under general anesthesia.

Missing teeth are treated by using adjacent teeth without requirement of a surgical procedure in our Prosthesis Clinic. Damaged teeth are reconstructed, the gaps are filled that are secondary to loss of one or more teeth, numerous dental problems that have negative influences on a patient’s smile are corrected with a cosmetic approach and porcelain crowns and laminates are utilized.

The Endodontics Clinic deals with the treatment of diseases located in the dental pulp that contains the nerve, blood vessels, and other connective tissues that surround the dental roots. All teeth can be treated without any extraction thanks to innovative disinfection agents used in endodontics and advancements in digital radiography and assistive tools. This pain-free procedure is performed under appropriate anesthesia. Teeth are restored with aesthetic fillers, porcelain inlay or porcelain crowns in proportion with the solid tissue that is left behind after treatment.

Pediatric Dentistry (Children’s Oral and Dental Health) Clinic deals with any and all treatments, including fillers and root canal treatment, for deciduous teeth and permanent teeth. Moreover, certain preventive practices are performed in this clinic. For example, fissure sealants are used to prevent decay in grooves and small pits on the chewing surfaces of permanent teeth that are susceptible to caries. On the other hand, comprehensive and exclusive dental therapies are carried out in combination with or without sedation or under general anesthesia for children with physical and mental disabilities.

The teeth, jaw and face region is evaluated in a holistic manner, its development is followed up and existing anomalies are treated in the Orthodontics (Child and Adult) Clinic that also provides pre- and post-operative treatment services, such as correction of malpositioned teeth, elimination of disorders related to jaw and face, correction of disorders resulting from wrong habits (thumb sucking, pacifier, baby bottle, lip biting etc.) and treatment of hereditary disorders, such as cleft lip and palate.

Periodontal diseases that are first manifested by gingival bleeding are treated at the Periodontology (Gum Diseases and Treatments) Clinic. It is necessary to remind patients that regular dentist visits, good mouth care and hygiene and most importantly, timely treatment based on early diagnosis play important roles in the success of treatment for diseases that involve teeth and tissues which surround the teeth.

What are the specialized branches of the department?

Advanced Implantation Clinic: Advanced implantology and jaw surgery procedures are carried out by an expert, professional teamwork; a bone transfer is followed by implant therapy and fixed prosthesis for patients who have been edentulous for a long time due to severe loss of jaw bone mass.

Cosmetic Dentistry Clinic: This unit evaluates the face in a holistic manner, including anatomic structure of teeth, jaw and mouth and speech as well as chewing systems, before formulating a customized approach for each patient. In addition to the cosmetic process that is called “Smile Rejuvenation”, dental implants are used to correct functional problems. This treatment covers tooth whitening, cosmetic laminate porcelain crowns, cosmetic fillers, full mouth restorations, implants, laser gum contouring, gum lightening and Botox.

Laser Clinic: Piezoelectric bone surgery devices are used for the procedures that focus on the solid tissue of teeth, while laser surgery is preferred for soft tissues. Better outcomes are obtained especially with diode laser beams for surgical procedures of soft tissue and gingival area, and treatments are performed in a pain-free manner without blood loss.

Advanced Oral & Maxillofacial Surgery Clinic: Dentists, orthodontists, oral and maxillofacial surgeons, plastic surgeons and ENT surgeons collaborate in the surgical treatment of congenital or acquired disorders of the mouth, jaw, and adjacent organs, as well as the treatment of cancer, and tumors that require advanced oral, maxillofacial, facial surgery, fractured jaw, cosmetic procedures and developmental jaw disorders.

Temporomandibular Joint Clinic: A multidisciplinary treatment unit that deals with the diagnosis and treatment of patients who complain of pain and abnormal sounds in the temporomandibular joint and difficulty in opening the mouth and chewing. In this clinic, treatment options range from a simple intraoral apparatus to total TMJ prosthesis depending on the diagnosis.

Orthopedics and Traumatology

Which complaints should directly refer patients to your department?

Our department deals with shoulder and elbow joints conditions, spinal injuries and diseases, congenital and acquired musculoskeletal disorders in children (long, flat bone and spine), hand and wrist disorders, injuries and microsurgery, adult hip and knee joint diseases, sports injuries and surgery, foot and ankle surgery, soft tissue and bone tumors, deformity and extremity lengthening in both children and adults, fractures & dislocation in both children and adults.

What are the sub-services that your department offers?

Not only arthritis (calcification in the joints) but also more complex conditions such as trauma, osteonecrosis and every kind of orthopedic disease (complications and revision surgery) secondary to prior hip and knee prosthesis surgeries are successfully treated in the Hip and Knee Joint Diseases Unit. Numerous joint replacement (hip knee prosthesis, arthroplasty) procedures are performed with a success rate of over 90 percent. Our team consists of staff specializing in innovative approaches when it comes to total hip replacement and total knee replacement procedures who employ minimally invasive techniques and use cutting-edge materials.

Pain, swelling, mass lesions, limited movement, heat increase, worn articular cartilage around hip and knee joints, congenital hip and knee joint diseases, Perthes disease, osteonecrosis (aseptic necrosis) in the hip and knee, rheumatic diseases, congenital hip dislocation (CHD), infections, hip impingement, disarrangement of hip-knee joint, articular cartilages related to ageing, intraarticular fracture of hip are among the hip and knee disorders treated at our clinic.

Oncologic Orthopedics Unit renders patient-specific diagnosis and treatment services with the assistance of the tumor council with the participation of various disciplines in diagnosis and treatment of benign and malign tumors located in the arm, leg, foot, hand, pelvis, and joint cavity. This field deals with all tumors originating from soft tissues and bones, as well as the tumors that spread to the bones from other organs (metastasis).

Sports Surgery Unit deals with the investigation, prevention, and treatment of every type of disorder concerning the musculoskeletal system as a result of sports-related activities. Comprehensive treatment and rehabilitation for sports injuries are provided for professional athletes and amateur athletes from any age group and at any participation level. Comprehensive treatments are provided which focus on the general health of athletes in cooperation with other departments such as nutrition and dietetics, endocrinology and neurology. In addition to knee, shoulder, ankle disorders, and general trauma, spinal and hand injuries are meticulously treated in cooperation with other orthopedics sub-branches to ensure that each patient is fully healed in the shortest possible time before returning to their sports activities.

Surgical and non-surgical treatments are performed for diseases concerning mentioned joints and surrounding structures at the Shoulder and Elbow Surgery Unit. This area of medicine requires special knowledge and experience due to the complex anatomy of the shoulder and elbow.

The Foot and Ankle Surgery Unit has a staff specializing in the treatment of ankle arthritis, tendon dysfunctions/ruptures, flatfoot (pes planus) deformity, foot deformities, every variety of fractures and dislocations, diabetic/Charcot deformity and symptomatic forefoot deformity. The most effective non-operative methods can be utilized to treat these disorders at our clinic in close cooperation with our physiotherapists. When surgical intervention is necessary, advanced techniques such as ankle replacement, complex ankle arthrodesis, arthroscopy, tendon reconstruction can be successfully performed at our clinic.

All spine diseases that are visible during childhood and adulthood are treated with the most appropriate personalized methods following evaluation by our Orthopedics and Traumatology specialists as well as experienced spine surgeons at Spine Surgery Unit. Treatment options range from minimally invasive day surgery procedures to complex spinal reconstructions in some cases. Our department has an expert highly skilled team that can perform procedures such as cervical and lumbar disc replacement, microendoscopic decompression or fusion, kyphoplasty procedures or complex spine surgery for deformities of pediatric and/or adult patients.

Orthopedic Trauma Unit renders services 24/7 for diagnosis and treatment of fracture, dislocation and soft tissue injuries in the pelvis, leg, ankle, foot and shoulder areas as a result of both low-energy traumas (fall at home, sports injuries, etc.) and high-energy traumas (motor vehicle accidents, falls from great heights, gunshot injuries). Advanced and complex reconstructive treatments are performed at our clinic for unhealed (non-union) fractures or incorrectly healed fractures (mal-union).

The follow-up of child patients and the provision of related solutions with other branches as well as families until each child’s growth period has concluded is the main focus of the Pediatric Orthopedics Unit. Cerebral palsy and other pediatric neuromuscular diseases, disorders such as Pes Equinovarus (PEV- Clubfoot), gait disorders and deformities, pediatric fractures, congenital dislocation of the knee can be evaluated and treated by experienced pediatric orthopedics team using state-of-the-art techniques.

Otolaryngology (ENT) - Head & Neck Surgery

What conditions does your department directly deals with?

Diagnosis and treatment of ear disorders, rare hearing problems, tinnitus, ear discharge, ruptured eardrum (tympanic membrane perforation), and Bell's palsy.
Diagnosis and treatment of vertigo
Diagnosis of runny nose, nasal obstructions and sinus disease along with functional and cosmetic nose job
Upper respiratory tract infections
Differential diagnosis and treatment of headaches
Tonsillar hypertrophy and adenoid vegetations
Diagnosis and surgical treatment of head & neck tumors
Minimally invasive tumor surgeries
Treatment and surgery for congenital ENT diseases and airway abnormalities
Diagnosis and treatment of thyroid cancer and correction of complications that are secondary to thyroid surgery
Treatment of congenital or acquired airway stenosis
Diagnosis and treatment of snoring and sleep apnea
Diagnosis and treatment of bad breath and gastroesophageal reflux
Diagnosis and treatment of vocal cord disorders
Diagnosis and treatment of salivary gland disorders

What are the sub-services offered by your department?

Audiology Unit
Hearing tests
Tests to evaluate vertigo and postural imbalances
Speech and Swallowing Disorders Unit
Sleep Unit

Which special areas does your department cover?

Otology – Neuro-otology (Ear Diseases)
Covers conditions affecting the external, middle, and inner ear diseases and central auditory pathway disorders.

Otitis media (middle ear infection)
Otitis externa (inflammation of the external ear canal)
Ruptured eardrum (tympanic membrane perforation)
Otosclerosis (abnormal growth of bone of the middle ear)
Congenital hearing loss
Bell's palsy
Tinnitus
Vertigo
Ear tumors

All ear surgery can be carried out under a microscope and/or with endoscopic techniques; a significant part of these operations does not require a visible incision on the ear. For conductive hearing loss, bone cement ossiculoplasty, titanium prosthesis, bone-conduction hearing aid, and middle ear implant are used, while sensorineural hearing loss can be successfully improved with the use of the state-of-the-art implants, such as cochlear implants (bionic ear) and auditory brainstem implant. One audiologist and two audiometrists work full time at the Audiology Unit that houses cutting edge devices to diagnose hearing loss, tinnitus and vertigo.

Rhinology (nose and sinus problems)
Rhinology deals with all congenital, infectious and developmental diseases as well as tumors of the nose and paranasal sinuses.

Deviated septum
Inferior turbinate hypertrophy
Nasal allergy
Sinusitis
Rhinoplasty (nose job)
Nose and paranasal sinus tumors

Deviated septum and adenoid vegetation are treated with up-to-date techniques and innovative technology such as radiofrequency meaning that nasal packs are no longer required after most operations. Endoscopic sinus surgery technique is performed during the treatment of sinusitis, and surgical navigation is used in all necessary cases. Endoscopic sinus surgery is also performed for skull base tumors, transsphenoidal surgery, blocked tear ducts and cerebrospinal fluid leak.

Pediatric Otolaryngology
This unit deals with congenital, inflammatory, traumatic and developmental diseases as well as pediatric tumors.

Tonsillar hypertrophy and adenoid vegetations
Otitis media (middle ear infection)
Anotia (congenital deformity that involves the complete absence of the pinna, the outer projected portion of the ear, and narrowing or absence of the ear canal)
Congenital or acquired airway stenosis
Head and neck tumors

Tonsillar hypertrophy and adenoid vegetations are amongst the most common diseases found in children. The most cutting-edge techniques, such as laser and thermal welding, are used in the surgical treatment of these diseases. Anotia can be corrected with a cartilaginous graft that is obtained from the child’s ribs or with a prosthesis. Congenital or acquired airway stenosis is treated by our surgical team who have global experience using the most up-to-date techniques available.

Head and neck tumors
Handles any and all benign and malignant tumors that originate from the head and neck area.

Lip
Tongue
Tonsil
Larynx
Esophagus
Thyroid
Neck

A multidisciplinary approach is required for head and neck tumors, as is the case with all other tumors. Treatments are planned vigilantly after patients’ cases are discussed in detail by the tumor council that is made up of physicians from many departments; otolaryngologists, medical oncologists, radiation oncologists, and radiologists are all part of the membership.

Snoring and Sleep Apnea
Snoring and sleep apnea (sleep disorder in which breathing repeatedly stops and starts) are among those diseases that negatively affect a patient’s quality of life and overall health. These conditions are triggered by many factors and they should be addressed in a holistic manner. A Polysomnography (sleep study) is used to evaluate the functionality of a patient’s nose; palates or jawbones are surgically treated to correct airway stenosis in selected patients.

Voice disorders
Hoarseness is caused by diseases that originate from or limit movements of the vocal cords. Vocal cords and their functions are evaluated with a special device, called a videolaryngostroboscopy, and all cases that require surgical treatment can undergo microsurgery or laser surgery.

Face and Neck Traumas

Facial Plastic Surgery

Pediatrics

Which specialties does your department cover?

Divisions of our department include general pediatrics, pediatric allergies, pediatric endocrinology, pediatric cardiology, pediatric nephrology, pediatric neurology, pediatric gastroenterology, pediatric hematology and oncology as well as the newborn unit.

What are the complaints that your department directly deals with?

All signs and symptoms of febrile illnesses, respiratory tract infections, gastrointestinal disorders, urinary tract and kidney infections, neurological diseases, blood diseases, pediatric cancers, pediatric allergies, and neonatal diseases comprise the group of admission complaints received by our department.

What are the sub-services offered by your department?

The sub-services include outpatient clinic, inpatient clinic, A&E, newborn room and the neonatal intensive care unit.

Do you have educational services for parents?

Our pediatricians carry out educational activities voluntarily in order to inform families about the birth process and the subsequent post-natal issues. These educational programs are reviewed every year by considering the details that are mostly asked by parents in order to support the physical, mental and developmental health of our children.

Physical Therapy and Rehabilitation

What are the sub-services that your department offers?

Our department has branch-specific workgroups for certain conditions. Protocols are developed for such conditions that are acknowledged and exemplified by local and international organizations. Such sub-services and special workgroups are as follows:

Certain conditions that are related to spinal health, such as low back pain and neck pain are evaluated in detail in line with our knowledge, skill, and experience. This evaluation covers protective approaches, pain management, joint follow-up of the patient with the Algology Department, unique exercise protocols that are developed according to the surgical technique after spinal surgeries and re-engagement into daily life activities.
The treatment protocols that are jointly developed with the Hand Surgery Department are planned and performed according to the surgical technique in a customized manner; for example, if required hand splints are applied by hand therapists in our department after the completion of each surgery.
Treatment programs are planned to manage the disease or the complications of treatment in our rehabilitation of cancer patients. This personalized program that takes specific characteristics of the cancer disease into consideration has rich content, such as treatment of lymphedema and postural disorders, soft tissue contractures secondary to radiotherapy, fatigue syndrome that develops after chemotherapy, polyneuropathy and all other complications resulting from immobility.
Complex decongestive treatment – the up-to-date treatment modality for lymphedema that is secondary to conditions that involve lymphatic circulation – such as (manual lymphatic drainage, bandaging and exercise therapy, is performed by our specialist therapists.
Treatment protocols that increase performance are combined with athletes' rehabilitation programs and other treatment approaches that are specific for sports injuries; the type of athlete and the uniqueness of each patient are always factors considered when implementing said treatment.
Exercise programs are planned and supervised for patients during the aftermath of obesity surgery.
The prevalence of adolescent idiopathic scoliosis is 2.3% present in the age range from 10 to 15 years according to the Turkish Adolescent Idiopathic Scoliosis Prevalence Study. We have an expert team at our department that specializes in scoliosis diagnoses, treatment, and follow-ups.
Geriatric rehabilitation has become increasingly important especially due to extended life expectancy. Moreover, limited activities of daily life secondary to age-related conditions, such as loss of postural balance and coordination, gait disorders and audiovisual losses are evaluated with a customized approach; subsequently, treatment plans in line with each patient’s requirements are formulated.
Ergonomics is extremely important to prevent occupational diseases of the musculoskeletal system. The Ergonomics Work Group of our department not only educates outpatients, but it also supports the arrangement of work environments for employees and employers along with corporate visits.
Medical massage therapy has emerged as adjuvant therapy for acute and chronic pain resulting from spine and soft tissue injury. This approach ensures both physical and emotional wellness and it is planned according to each diagnosis and performed by expert therapists, who are trained and educated in special medical massage therapy.
We collaborate with the Rheumatology Department when it comes to the rehabilitation of rheumatoid diseases. Our rehabilitation programs aim to maximize the quality of life and independence of our patients who are reliant on medical treatment.
The goal of our cardiac rehabilitation programs is to enable our patients to engage in their lives without estrangement from social life despite the limitation of their daily activities.

Which complaints does your department directly deal with?

The Physical Medicine and Rehabilitation Department is directly linked to the following conditions:

Joint aches
- Shoulder pain
- Elbow pain
- Wrist-hand pain
- Hip pain
- Knee pain
- Ankle-foot pain
Neck pain
Low back pain
Pain and numbness in arms and legs
Back pain
Engagement in activities of daily life after orthopedic surgeries
Osteoarthritis (calcification)
Numbness

Herniated discs

Herniated cervical disc
Herniated thoracic disc
Herniated lumbar disc
Engagement in activities of daily life after spinal surgeries
Myalgia
Fibromyalgia
Stroke
Paraplegia
Gait disorders
Parkinson’s disease
Multiple Sclerosis
Loss of function secondary to cancer
Loss of function due to side effects of chemotherapy and radiotherapy
Lymphedema

Which specialties does your department cover?

Our department is specializing in the following modalities:

Orthopedics Rehabilitation
- Sports injuries
- Rehabilitation after fracture
- Ligament and tendon ruptures
- Rehabilitation after joint replacement surgery
- Rehabilitation after shoulder surgery
- Rehabilitation after elbow surgery
- Rehabilitation after hand surgery
- Rehabilitation after knee surgery (anterior cruciate ligament reconstruction surgery, meniscus, cartilage surgery)
- Rehabilitation after hip surgery

Rehabilitation for Spine
- Disc disease
- Spondylolisthesis
- Scolioses
- Posture disorders
- Spine tumors

Myalgia Syndromes
- Fibromyalgia syndrome
- Myofascial pain syndrome

Treatment and Rehabilitation of Osteoarthritis
- Osteoporoses
- Rehabilitation of temporomandibular joint
- Rehabilitation of rheumatoid diseases

Neurological Rehabilitation
- Rehabilitation after stroke
- Rehabilitation of traumatic brain injury
- Rehabilitation of spinal cord
- Rehabilitation of polyneuropathy
- Spasticity – Botulinum toxin
- Entrapment neuropathies (Carpal tunnel syndrome, cubital tunnel syndrome)
- Movement disorders (Parkinson's)
- Rehabilitation of Multiple Sclerosis
- Guillain-Barré Syndrome
- Amyotrophic Lateral Scleroses (ALS)
- Brain and spinal cord tumors

Rehabilitation after cancer

Lymphedema

Cardiac Rehabilitation

Geriatric Rehabilitation
- Exercise therapy
- Education to prevent falls

Which educational literature is available for patients in your department?

The Physical Medicine and Rehabilitation Department boasts a rich source of documentation to inform patients about the diseases that fall into the specialty areas focussed on by our clinic. Our documentations and practices are listed below:

Shoulder, elbow, knee, and ankle rehabilitation protocols guideline book
Hand rehabilitation guideline book
Principles to protect lumbar health
Principles to protect cervical health
Joint evaluation forms
Patient education brochures
Online patient follow-up and evaluation infrastructure
Weekly scientific meetings held at the department
Participation in weekly multidisciplinary meetings with orthopedics, breast cancer, and oncology departments

Plastic, Reconstructive and Aesthetic Surgery

What are the special areas of your department?

Lists our department’s fields of specialty in various branches:

Aesthetic Surgery:

- Nasal aesthetic and functional surgery (rhinoplasty, concha bullosa, deviated septum surgery, etc.),
- Eyelid, ear, lip, forehead-face-neck aesthetics, bichectomy
- Breast aesthetics (augmentation, reduction, lifting, gynecomastia, nipple aesthetics, etc.)
- Body aesthetics (abdominoplasty, liposuction, post-bariatric 360 degrees abdominal aesthetic, etc.)
- Arm lift, thigh lift, arm liposuction, leg liposuction
- Aesthetics genital surgery (labiaplasty, hymenoplasty, vaginal tightening, penile surgery)
- Fat injections (face, leg contouring, buttock augmentation)

Non-Surgical Aesthetic Procedures:
- Botox (wrinkle, excessive sweating, masseter, gummy smile, mesobotox)
- Filling (lips, nose, jaw, eyelids, face, hands, genitals, etc.)
- Mesotherapy (skin rejuvenation, treatment of dark eyelids, light filling)
- Dermaroller, laser, plasma applications
- Stem Cell, PRP

Reconstructive Surgery (covered by insurance):
- Skin lesions (cysts, nevi, warts, lipomas, every kind of lesions)
- Skin cancer (melanoma, basalioma, epidermoid carcinoma, etc.)
- Breast cancer (breast reconstruction, implant, microsurgical breast reconstruction, latissimus dorsi, DIEP)
- Poland syndrome
- Cancer, tumors of the facial bones and jaw, scalp tumors
- Congenital anomalies (cleft lip-palate, skull anomalies identified as craniosynostosis, anotia, prominent ear, giant nevi, etc.)
- Hand deformities (polydactyl, syndactyly, etc.)
- Hemangioma, vascular malformations, droopy eyelid, velopharyngeal insufficiency
- Facial traumas (soft tissue, facial fractures, mandible fractures, forehead, orbital floor fractures)
- Treatment for facial paralysis
- Hand and tendon lacerations
- Dupuytren’s contracture, carpal tunnel syndrome
- Wound care, scar treatment, keloid scars, bedsores, foot, and leg wounds
- Vaginal reconstruction, hypospadias, penile anomalies
- Burn rehabilitation
- Reconstruction of all kinds of tissues with microsurgery (face, jaw, breasts, vagina, esophagus, hands, arms, legs, feet, etc.)

Which complaints are directly related to your department?

Our patients’ complaints are listed under specific topics:

Aesthetic Surgery:

Ageing of the face including wrinkles, general sagging skin, sagging around the neck, droopy brow, decrease in skin quality
Eyelid problems, excess skin, wrinkles, droopy eyelids
Aesthetic problems of the nose and breathing problems, aesthetic and respiratory problems secondary to prior surgeries
Asymmetry, thinness, barcode lines on the lips
Prominent ear, ear deformities, torn earlobe
Small or large, sagging breasts, asymmetrical breasts, nipple anomalies, breast sagging in men
Skin cracks, sagging, herniation after delivery or weight loss in women
Excess in abdomen, arms, legs, and back, wide hips
Small, flat, sagging buttocks
Excessive sagging in breasts, arms, face, neck, legs, and abdomen following gastric surgeries
Small, asymmetrical, deformed and loose genital organs, hymenoplasty, penis enlargement

Non-Surgical Aesthetic Procedures:

Wrinkles, crowfeet, barcode lines on face, wrinkles on the forehead
Dark circles, sagging, swelling in the eyelids
Deteriorated in skin quality, facial spots, scars
Permanent lines, asymmetries on the face, request of non-surgical nasal aesthetics
Request of augmentation of genital organs, bleaching
Temporomandibular joint pain, tooth grinding, and erosion
Abnormal sweating

Reconstructive Surgery (covered by insurance):

Skin lesions (cysts, nevi, warts, lipomas, every kind of lesions)
Skin cancer (melanoma, basalioma, epidermoid carcinoma, etc.)
Breast and nipple reconstruction after breast cancer
Absence of breast
Cancer, tumors of the facial bones and jaw, scalp tumors
Temporomandibular joint problems
Congenital anomalies (cleft lip-palate, skull anomalies identified as craniosynostosis, anotia, prominent ear, giant nevi, etc.)
Hand deformities (polydactyl, syndactyly, etc.)
Hemangioma, vascular malformations, droopy eyelid, velopharyngeal insufficiency
Facial traumas (soft tissue, facial fractures, mandible fractures, forehead, orbital floor fractures)
Treatment of facial paralysis
Hand and tendon lacerations
Dupuytren’s contracture, carpal tunnel syndrome
Wound care, scar treatment, keloid scars, bedsores, foot, and leg wounds
Vaginal reconstruction, hypospadias, penile anomalies,
Burn rehabilitation
Reconstruction of all kinds of tissues with microsurgery (face, jaw, breasts, vagina, esophagus, hands, arms, legs, feet, etc.)

What are the sub-services in your department?

Sub-services in our department are:

Aesthetic surgery
Reconstructive surgery
Tumor surgery
Microsurgery
Hand surgery
Oral and maxillofacial surgery
Non-surgical aesthetic interventions

Psychiatry

Which special areas does your department cover?

Our department focusses on mental health conditions of adults, children and adolescents such as depression, anxiety disorders, bipolar mood disorders, physical symptoms related to stress, post-traumatic stress disorders, dissociative disorders, eating disorders, attention deficit and hyperactivity, personality disorders, sexual dysfunctions, interpersonal relation problems, family and marriage psychiatry, geriatric psychiatry, schizophrenia and similar psychotic disorders as well as complex post-traumatic stress disorder of adults due to mental trauma in childhood. Concerning patients with additional physical conditions, we focus on the psychiatric aspects and any appropriate management of associated physical conditions as well as the continuous cultivation of connections with other relevant hospital departments.

What are the complaints that your department directly deals with?

Mental symptoms include tediousness, insomnia, unwanted thoughts, obsessions, problems in human relations, anger management problems, uncontrollable behavior, concentration deficit and loss of motivation.

Such complaints can be chronic in nature or follow a periodical pattern, such as in panic attacks or depressive episodes.

Mental problems may, sometimes, lead to physical complaints (neurotic hypertension, stress-related fainting, psychosomatic diseases, etc.). They can also be manifested by indirect signs, such as excessive eating and alcoholism.

Mental problems in children and adolescents can manifest with temper tantrums, nutritional problems, self-destructive behavior, school and education problems and difficulties in adaptation. Many adult disorders, such as anxiety, depression, post-traumatic stress disorders, and dissociative disorders, are also seen in children and adolescents and they follow a similar clinical picture.

Our department does not only help people who suffer from such symptoms but also provides patients with counseling for psychological conditions that lead to various problems in human relations as well as behavioral and mental problems.

Which are the sub-services offered by your department?

Mood disorders (depression and bipolar disorder)
Anxiety disorders (panic disorder and generalized anxiety disorder)
Psychotic disorders (schizophrenia and other psychoses)
Attention deficit and hyperactivity (in children and adults)
Dissociative disorders related to mental trauma
Post-traumatic stress disorder
Obsessive-Compulsive disorders
Stress-related physical symptoms (neurotic hypertension, fainting due to psychological reasons, psychosomatic diseases, etc.)
Adolescence problems
Eating disorders
Problems in adults secondary to mental traumas in childhood
Sexual dysfunctions
Marriage and family problems
Legal competence reports

According to the treatment method:

Medication treatment
Individual psychotherapy
Family therapy
Marital therapy
Play therapy (children)
Behavioral therapy
Cognitive therapy
Psychoanalytic - psychodynamic psychotherapy
Trauma-oriented psychotherapy
EMDR (Eye Movement Desensitization and Reprocessing)

Pulmonary Medicine

Which complaints should directly refer patients to your department?

The conditions that affect pulmonary health are usually manifested with coughing, chronic coughing, shortness of breath, exertional dyspnea, fever, secretion, hemoptysis, chest pain, back pain, fatigue, weight loss, tiredness, allergic reactions causing patients to sneeze, runny nose, rashes, itching, snoring, day-time sleeping and smoking. The patients with such complaints or addictions may directly be admitted to our department.

What are the diseases that fall into the specialty field of your department?

The Pulmonary Medicine Department is mainly specializing in pulmonary diseases, tuberculosis, allergy-immunology, and respiratory sleep disorders. However, we are also rendering healthcare services for obstructive lung diseases (asthma, COPD, bronchiectasis), allergic lung diseases, pulmonary embolism, pulmonary vascular diseases (pulmonary hypertension), pneumonia (lung infection), pleurisy, scanning, diagnosis, and treatment of lung cancer, interventional bronchoscopy (cryotherapy, argon therapy, EBUS), sarcoidosis, idiopathic pulmonary fibrosis, and interstitial lung diseases such as environmental diseases. Additionally, those who want to stop smoking may also refer to our department.

Radiology (Medical Imaging)

Which complaints should lead patients to your department?

Since diagnosis, treatment, and follow-ups of all diseases that develop in the human body are closely linked to the services of the radiology department, almost all patients are referred to us. Radiologists at the American Outpatient Medical Center are specialized according to various imaging modalities, such as Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Ultrasound (US), Mammography and Conventional X-ray, but they are also classified by their knowledge and experience of certain diseases. Playing a critical role in the quality of medical imaging, our technicians are also specializing in certain imaging techniques, as is the case with our radiologists. Accordingly, imaging techniques are efficiently and safely used, while accurate approaches are adopted for patients with specific problems. The department is specialized in diseases of the brain and central nervous system, musculoskeletal system, breast, prostate gland and urinary system, liver, bile ducts and pancreas as well as lungs, cardiovascular system, thyroid gland, and other endocrine organs.

What are the sub-services offered by your department?

Our sub-services are listed below:

Diagnostic Imaging: Conventional Radiography, Ultrasound, Computerized Tomography, Magnetic Resonance Imaging, Mammography, Angiography
Interventional Radiology: For vascular pathologies, organ pathologies, vascular pathologies of the nervous system and oncologic interventional radiology

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