In the first week of December 2006, I started Bezmialem Vakıf Gureba Training and Research Hospital. A friend of mine wanted to show me how the polyclinic was done. However, it was very crowded at that time and the room was very small.
I told him that you send a few patients to me upstairs to the Specialist Doctor’s office and I will help you. Soon one of our patients came. “They sent us from the polyclinic, are you Celalettin Bey?” they said. “Yes,” I said. “Hodja, I don’t want to tire you. I don’t need to be examined, you write me a test, I just want this, I have cholesterol, blood pressure…” He said something like that. His wife was with him. He was surprised when I said “Forget this cholesterol, you haven’t had a child for 19 years, what about that?” by diagnosing him directly from the face. “But how did you know?” and how did you know that long? I told him not to be surprised because I had seen so many such patients that my predisposition had increased, and although I guessed the other time, my Lord had favoured me with a coincidence. His name was Ömer Faruk.
They could not sleep until the morning. It turned out that their previous treatments had not yielded any results and they had spent a lot of money and incurred a lot of debt, so they closed this book. They had been told a lot of hopeless rumours and had given up, but hopes had blossomed again.
The results of the examination came exactly as I expected. His pituitary gland was not working and his nose was not smelling. Kalman Syndrome was diagnosed. We gave treatment together with my very valuable teacher Refik Tanakol. Since the other pituitary friends were younger than her, most of them had a natural pregnancy without the need for IVF. However, due to his high age, a very high number of sperm output did not occur, so his son Muhammed Emin was born with in vitro fertilisation. In the meantime, let’s not forget to mention the contributions of Semra Kahraman, the team leader of Memorial Hospital, and Mrs Hale, their private doctor, for their successful in vitro fertilisation.
Ömer Faruk was a patient who recommended many patients to me and was one of the team who established the Hypogonadism page. He was the first to bring me friends with azoospermia cases. Among the first five Azoospermia cases he brought, there were only natural exits with Phytotherapy. However, there were too many reasons in the Azoospermia group and the worst part of the job was that I could not accept TESE operation to everyone who came and the damage of the micro-environmental system in the Testis made our job difficult.
For this reason, our first word was no to TESE unconsciously without research and examination. Because we have seen this. The treated and predicted case was healing better. The thesis that regressive spermatogenesis could not be advanced again was placed as a perception all over the world. I never forget what one of our Urology Professors said to me: “Show me that you have corrected one case of Azospermia and Sertoli Cell Only and I will kiss you on your forehead!” Now I don’t know if I will be kissed on my forehead where he sees me! : )
Later, Ömer Faruk brought me many patients because he guessed every friend he saw in the shopping mall by recognising him by his face, just like you know me, and that he also turned out to be a hypophysicist. He was trying to show the same kindness and gratitude to everyone through the door opened to him by his Lord with just empathy and a little attention.
The success rate of cases with azoospermia is lower. As such, their stress scores are high and their patience scores are low. They’re also more likely to be deceived. Azoospermia cases have endless questions. Both faith and hope are lost. When I first met Ömer Faruk, I told him the following: “You will go through many steps from time to time during this procedure. The important thing is to inform me during each step and do not act without consulting me.” He experienced the obvious results of obeying this promise. Even though it was known that he was a pituitary patient, they could not be patient and wanted to perform TESE. A person who wants to perform TESE on a patient with pituitary gland is called “medical kickback” in our country. If I had not manoeuvred, maybe he would never have had a child.
Call, ask, consult. He will be happy to tell you what kind of personality and temperament we have. We endeavour to establish as close a relationship with our patients as possible. He knows this very well. He has a very valuable wife. She, too, when necessary, tells the truth and the truthfulness with determination against those who want to spoil things.
If you would like to talk to the real hero of one of our patient stories in these pages and get information, write to us. We can bring you together with their permission.
May Allah increase the number of brothers like Ömer Faruk.
May He bring us together with patients with high moral values like him and may He be instrumental in their treatment and on the way to their healing.
