SECRETS OF BEING SUCCESSFUL Hematologist

Successful operation for many years in the field of Hematology Hematology Specialist Association President Prof. signatories. Dr. Suleyman Dincer, being successful in providing professional philosophy of life, Med -Index told.

Success in the medical field for many years, work, read, explore and succeed in this field with the transfer of students the practical applications of the physician is improving. Specializing in the healthcare field and provides guidance for those who want to be successful in an interview with our series of successful doctors are investigating the secrets of the profession. In the first Chair of Hematology Specialist Association. Dr.. Suleyman Dincer, his work in occupations that pay attention to what's in and asked how successful it is.

Why did you want to be physicians?
Very respectable and beautiful profession. The world would be a better doctor I come back again. I love this profession. I also enjoyed the work that I do. In Turkey, as in America not to become a doctor. We choose to enter the medical faculty of the university entrance exam can be a little outside of us. You are entering a university entrance exam. There are those who quit medicine. I 'm loving doctor I chose the right profession.

You have set yourself a way on how to be successful?
Hard work, and work tirelessly to grow in your eyes too. We do, and we'll say. Important to find a solution. Boredom is happening from time to time because we love our work but nevertheless still continue.

Physician's nice to have and what are the downsides?
Nice addition, to help people. Improvement of people's disease, see the happiness on their faces. I think the bad side branches, especially when we're dealing with a place of business to realize in advance that ends. Now you 're losing patients when there is nothing to do. At that time we did our very best, we are interested in more patient, more genial act. It is very difficult explaining to most families.

What is essential for you in your professional career?
It is essential to read. According to a study conducted ; If you leave the medical industry and stop reading from the first year, you can pick up your knowledge of an average of 3 years. There are a large rapidly evolving information. If you do not read, if you can not follow the new drugs and technologies can rest. You can not do anything after a while become doctors already then leave the job. Self subsequent generations become worse than when your business is running out.

What do you think is the key to success?
Work. In my head I do not grow the business. I can not separate the business, I would say, and I'm finished. We think analytically. We are not dreamers.

How do you fight with your opponent?
I do not do anything. And work hard to succeed, and they run much faster than realizing you is important. I think analytically, they are more sophisticated than you think. When I went abroad in 2002, my opponent was laughing behind my back. Now they're trying to do my job. Bone marrow transplant in the U.S. in 1995 to attend courses when I get back, then my opponent would not be anything out of it he laughed at me. Now everyone take the course of years, even teachers struggling to make bone marrow transplantation. Next important to see.

What do you do to raise your motivation for success?
I look at everything positive, think positive. We know the best things we can do, we are doing stem cell therapy. We're doing the best we can do. Nobody can say that doing evil.

Patients talk in the same language, the best way to respond to the expectations and establish good communication with them what are the tricks ?
We empathize with my patients. This situation happened to me would happen to come, I think. I'm standing on the same level with them. All my patients I 'm a very good friend. My opponent superhuman they see themselves. Unattainable, to be done and they will not answer the phone. There is nothing like that for us. I have 3 phones, all of them, I 'm looking at. Who mattter. Not always accessible, try to solve their problems. I'm not leaving, I would not say I'm not interested. My patients are my responsibility. You do you can lose, but even his best to give happiness.

My friends can not communicate, but patients can not communicate physician 's happening. For applications in recent years, especially in patients as if every physician, every patient will see when it comes. Facing 24 hours, even though the patient himself facing.

In the airways, a passenger is sick, " Is there a doctor " they say. They let you on the plane patient. The patient is sitting beside you during the flight. You Are passengers of the aircraft, or air vents discount Are Are physicians ? You can measure the patient's blood pressure, examination do you. The plane went down paperwork you will sign a "patient, I looked at," he. I 'm not your doctor!

Many of drunken passengers on a 6 hour flight is going. Because drunk falls into place. Why do doctors deal with it. I 'm in. Availability of matter is urgent. If you can not say that I am an emergency doctor. One passenger 's arrest was a time, I came back to life intervened. Doctor should not use bad. Yolcuyuz us. Physicians discounts to get done, then you have a responsibility.

What do you do in tense situations?
I'm walking. He 'm going from the environment. Once a person is diagnosed with leukemia, life is changing. This we do not know our patients and seeing what will happen tomorrow I'm looking hopeful.

Please tell us about your case you can not forget?
Suleiman name, I had a patient favorite. It was the hometown of infection in the lungs, although it did not come up to me and also died. I'm very upset him. I said well, if he'd had a chance to recover. Because young child, I wish you would come my skin.

CASES POWER ELECTRO SHOCK Recommend

Sağlık Bakanlığı, psiko-tedavinin sonuç vermediği ve intihar riskinin çok olduğu depresyonlarda elektro şok yöntemini önerdi.

Sağlık Bakanlığı, psiko-tedavinin sonuç vermediği ve intihar riskinin çok olduğu depresyonlarda elektro şok yöntemini önerdi. İnternet sitesinde depresyonun tedavisiyle ilgili bir video hazırlayan bakanlık, elektro şok yönteminin yan etkisinin çok az olduğunu ve sadece kısa süreli bir hafıza kaybı yaşandığını kaydetti. Bakanlık, yöntemin gebelerde de kullanmanın sakıncasının olmadığını aktardı.

Bakanlığın internet sitesindeki videoda depresyonun tedavisiyle ilgili bilgiler yer aldı. Videoda depresyonun tedavi edilen bir durum olduğunu belirtilirken şu bilgilere yer verildi: "Psiko-tedavi depresyon tedavisinin oldukça etkili ve popüler bir yoludur. Depresyon hafif, orta ve şiddetli diye ayrılıyor. Psiko-tedavinin sonuç vermediği durumlarda özellikle dirençli depresyonlarda, intihar riskinin çok olduğu depresyonlarda hastaya ulaşılamayan durumlarda elektro şok yöntemi kullanılıyor. Bu yönteme yıllardır tedirginlikle yaklaşılmış olsa da çok güvenli ve etkili bir tedavidir. Anestezi altında, kontrollü ortamda hastanın herhangi bir şey hissetmesine izin vermeden, son derece rahat şartlarda yapılabilen, hızlı etki gösteren bir tedavidir. Mekanizma tam olarak anlaşılamamış olsa da bilim insanları bu terapinin beyne gönderilen elektrik uyarısı sayesinde küçük bir nöbet oluşturarak etki ettiğini düşünmektedirler. Bu yöntem tam tedavi alan hastaların yüzde 80'inde etkili olmaktadır. Yan etkisi çok azdır, kısa süreli hafıza kaybına neden olabilse de kalıcı hafıza kaybı nadiren gerçekleşmektedir. Gebelerde güvenli ve etkilidir."

"Depresyonun ve ruhsal bozuklukların beyinde oluşan maddeler boşalıyor"
Türkiye Psikiyatri Derneği Üyesi Doç Dr. Burhanettin Kaya da elektro şokun 115 yıldır uygulanan bir tedavi yöntemi olduğunu söyledi. Bunun hayat kurtarıcı bir yöntem olduğunu anlatan Kaya şöyle konuştu: "Önceleri anestezisiz yapılırdı. 10 yıldır anestezili yapılıyor. Sanki çağ dışı yöntem gibi algılanabilir. Ancak bütün dünyada kullanılır ve vazgeçilmez bir yöntemdir. Son derece çağdaş bir yöntem olarak kullanılıyor. Hastanın şakaklarına takılan elektrotlarda bir miktar elektrik verilerek epilepsi nöbeti geçirmesi sağlanıyor. Hastalar uyurken yapılıyor o yüzden hasta bir şey hissetmiyor. Bu epilepsi nöbeti, var olan ruhsal bozukluğun düzelmesini sağlıyor. Depresyonun ve ruhsal bozuklukların beyinde oluşmasında rol alan maddelerin deposunu boşaltarak düzenleme sağlıyor."

Elektro şok yönteminin intihar riski olan, tedavi reddi olan, saldırganlık gösteren hastalarda, katatonik şizofreni hastalarında, taşkınlık nöbetlerinde kullanıldığını belirten Kaya, "Hastaların kardiyolojik değerlendirme ve tetkiklerin ardından herhangi bir risk yoksa elektro şok yöntemi uygulanabilir. Tedaviye yanıt oldukça yüksek. Yan etki olarak kısa süreli hafıza sorunları olabilir, bu da düzelir" dedi.

“İlaca Dirençli Psikotik Hastalıklar Gibi Birçok Durumda Neredeyse Tek Çözüm”
Maryland Üniversitesi Hastanesi’nden Psikiyatrisit Dr. Ulaş Çamsarı şunları söyledi: “Elektrokonvülsif Tedavi (EKT) halk arasındaki kötü şöhretine rağmen psikiyatride onyıllardır kullanılan en etkili tedavi yöntemlerinden biridir. EKT’nin halk tarafından olumsuz algılanmasında şüphesiz ki, bazı sinema filmlerinin (Milos Forman- “Guguk Kuşu”) ve psikiyatri aleyhinde sistemli çalışan bazı tarikatların (Scientology) büyük etkisi vardır. EKT, modern psikiyatride ilaca dirençli majör depresyon, katanonik durumlar, ilaca dirençli psikotik hastalıklar gibi birçok durumda neredeyse tek çözümdür ve pek çok durumda hayat kurtarıcıdır.

“ABD’deki Geleneksel EKT Uygulaması, Haftada 3 Gün”
Elektrokonvülsif Tedavi çok basit ve zararsız bir işlemdir. Bir EKT seansı özetle bir hastaya kontrollü bir şekilde yaklaşık 45 saniye sürecek bir epilepsi nöbeti (sara) geçirtmekten ibarettir. Bu işlem yapılmadan önce hasta genel aneztezi altına alınır ve artık bu bir rutindir. Hasta bu işlemi hiçbir şekilde hatırlamaz, işlem bittikten hemen sonra hasta genel anezteziden uyandırılır. İşlem bir psikiyatri uzmanı ve bir anezteziyoloji uzmanı denetiminde tamamlanır, hazırlığı ile birlikte tüm tedavi yaklaşık 1 saatten ibarettir. ABD’deki geleneksel EKT uygulaması, haftada 3 gün (pazartesi, çarşamba ve cuma günleri) toplam iki hafta sürecek 6 seans şeklindedir. Hasta bu seansların genellikle ilk 3 tanesinde yataklı serviste takip edilir, eğer herhangi bir sıradışı durum ile karşılaşılmamışsa, hasta taburcu edilir ve kalan EKT seansları ayaktan yapılır. Hasta sabah hastaneye gelir, uyutulur, EKT seansı tamamlandıktan sonra öğlen evine döner ve normal yaşamına devam eder.

“Hiçbir Durumda Asla Kaçınılması Gereken Bir Tedavi Değil”
EKT’nin hiçbir mutlak kontrendikasyonu yoktur, hiçbir durumda asla kaçınılması gereken bir tedavi değildir. Diğer psikiyatrik ilaç tedavileri ile karşılaştırıldığında bu kadar güvenli ve etkisini bu kadar çabuk gösteren başka bir tedavi yoktur. Özellikle ağır depresyon vakalarında, hiçbir ilacın etkisini gösteremeyeceği bir hızda hastayı ağır depresif episodundan çıkarabilecek günümüzde bilinen tek tedavidir. Son yıllarda özellikle Cleveland Clinic ve birkaç merkezde uygulanan ketamin infüzyon tedavisi gibi tedaviler de depresyonun hızlı tedavisinde kullanılmaktadır ancak hiçbirisi EKT kadar güvenli değildir. Günümüzde EKT’nin en büyük komplikasyonları, genel anezteziden kaynaklanan komplikasyonlardır, ki bu komplikasyonlar genel aneztezi gerektiren tüm cerrahi işlemler için de geçerlidir ve EKT’ye özel bir durum değildir. EKT’nin en sık karşılaştığımız yan etkisi kısa süreli ve geçici unutkanlıktır.

“EKT’nin Etki Mekanizması Tam Olarak Bilinmiyor”
EKT’nin etki mekanizması tam olarak bilinmemektedir. Belli aralıklarla indüklenen kontrollü epileptik nöbetlerin psikiyatride görülen en ağır depresyon olgularını nasıl hızlı bir şekilde tedavi ettiği konusunda ileri sürülen birçok hipotez olmasına rağmen net bir fizyolojik açıklama halen önerilememiştir. Çok uzun süredir kullanılan bu yöntemin tam olarak nasıl işe yaradığından çok, hangi durumlarda işe yaradığı konusunda çok büyük bir bilimsel birikim oluşmuştur. Modern psikiyatride vazgeçilmez girişimlerden biri olmaya devam etmekte, ABD’de bütün modern hastanelerin psikiyatri servislerinde rutin bir şekilde uygulanmaktadır. Cleveland Clinic, Johns Hopkins gibi hastanelerin Psikiyatrik Nöromodülasyon birimlerinin en yoğun servis alanını oluşturur. Johns Hopkins’de erişkine ek olarak çocuklarda da sıklıkla uygulanmaktadır. Bu kadar faydalı, yan etkisi az, risksiz ve hızlı etkisini gösteren hayat kurtarıcı bir tedavinin halk arasındaki bilinirliğinin artırılması, bu tedavinin halk tarafından olumsuz algılanıyor olması durumunun değişmesi gerekir. Bu anlamda olarak Türkiye Cumhuriyeti Sağlık Bakanlığı’na ve tüm Türk ruh sağlığı çalışanlarına büyük görevler düşmektedir.”

120 Milyon İnsan Depresyonda
Sağlık Bakanlığı internet sitesinde ayrıca depresyon ve belirtileriyle ilgili de bilgiler yer aldı. Buna göre tüm dünyada 120 milyon insanın yaşadığı durum olan depresyonun belirtileri ilgi kaybını, sık ağlamayı, umutsuzluk hislerini, aşırı uykuyu veya uyumakta sorun yaşamayı ve odaklanma güçlüğü. Bakanlığın verdiği bilgilere göre depresyonun nedeni ise büyük oranda, beyin hücrelerinin uygun iletişimini önleyen bir kimyasal dengesizliğe bağlı. Ayrıca depresyona çevresel, biyokimyasal, psikolojik ve genetik faktörlerin birleşimi neden olabileceği kaydedildi.

THERAPIST IN YOUR HOME

Consult psychotherapists in therapy sessions Cognitive Therapy teaches how to apply the model Clinician 's Manual Therapist in your home, our country, clinicians working in different regions and cities will be able to easily adapt to therapy resource.

Therapist in your home, readers all over the world to understand and solve their problems, but also to prevent the recurrence of discomfort written a psychology book. Clinician 's Manual Therapist in your home, the different regions of our country and in the cities, working in different environments and conditions, clinicians will easily be able to adapt a book to therapy. Dr.. And Dr. Christine A. Padesky. Written by Dennis Greenberger " in your home Therapist Clinician 's Manual " Dr.. By Emel Stroup have been added to our language.

Consult psychotherapists in therapy sessions AnlArInA book Cognitive Therapy teaches how to apply the model, thanks to the active language, bridging the gap between theoretical knowledge and treatment room serves as.

Dr.. Emel Stroup translation of his " therapist in your home Clinician 's Manual on" Med -Index has answered the questions.

Could you briefly introduce yourself ?
Dr.. Emel Stroup, American Board of Professional Psychology ( ABPP ) clinical psychologist certified by. Besides, Academy of Cognitive Therapy (ACT) have been receiving in the international evaluation committee. At the same time the European Federation of Psychologists ' Associations ( EFPA) psychotherapy specialist., To be published in 2013, DSM-5 Diagnostic Criteria Handbook worldwide for testing and diagnosis in the project area 'm clinicians who work. Psychiatric Medicine Clinic Humanite : I'm the founder and president of Cognitive Therapy Unit. At the same time Humanite, I see patients as a clinician at the Department of Psychiatry Medicine. Cbtistanbul as the founder, in the field of clinical psychology and Beck Cognitive Therapy oriented supervision, training, seminars and consultations would continue to give. At the same time, Okan University, am a faculty member in the Graduate Program in Clinical Psychology.

Books factor in bringing the project editor üstelenerek What is Turkey ?
First, this project turned undertake this project because I am happy and all working in the field of mental health clinicians and therapists think it would be useful. Therapist in your home, after the healing process of patients by enabling them to be themselves, the therapist I use in order to reduce recurrence. Integrates with your home therapist for patients with this clinician manual, the therapist's own developing skills in order to be more useful to patients has been adapted into Turkish. Also in Turkey in the field of mental sağılıg people working in accordance with their own language and their own culture in order to be able to read such a book has been translated into Turkish.

What is the purpose of the book translated in ?
Clinician 's Manual Therapist in your home, bridging the gap between theoretical knowledge and treatment room acts. In addition, you can use your home Therapist how to more effectively teach.

Is there a message you want to convey to readers the ?
Therapist in your home and in your home Clinician 's Manual Therapist, and can be read are books that can be used over and over again. Both of the books, should be on every clinician's library, I think. Clinicians and therapists, patients on therapy with these two books they can take in parallel, will contribute greatly to the healing process of patients and will reduce the risk of recurrence. In this way, patients will remain blank between sessions, to reinforce the teachings and learning processes will be able to continue outside of therapy sessions.

How have you received feedback about your book ?
Many of my colleagues, in therapy sessions with a therapist in your home reported that they prefer to use. This book, consult outside of the therapy process, while ensuring the continuation of the therapy, the clinician handbook also shared that continued professional development of psychotherapists. In addition, those who consult a therapist in your home by Turkey and the Turkish development of psychology from books found closer to the other, they said.

An absolute must read for anyone books, music and movies Which do you think ?
Which was written by David Burns ' Feeling Good ' book, a book that everyone should read. Furthermore, in the field of clinical psychology clinicians and therapists should read all of the books, Judith Beck's ' Basic Principles of Cognitive Therapy and Beyond ' book can easily recommend.

Can I get your thoughts on health reporting ? What do you pay attention to health news ?
Of health journalism in our country, I think it is increasingly being popularized. One hand, on the one hand this is a welcome news written by people who are not skilled in the art, and his disclosures have frightened me. People who specialize in the field of his articles are very informative. This situation also applies to my field. Day by day scientific knowledge accurate and pleasing to expert news stories by my colleagues. Health news news professional qualifications of the person who I think is very important. Frankly I'm sure that most scientific knowledge.

Working in the field you are working in Turkey How do you evaluate ?
Clinical psychology, as well as in other areas of psychology, a fact that is important. Very precious teachers trained by the ethical and scientific as well as most of my colleagues put forward, put aside the ethical and scientific clinicians are also available. Given this situation put you at an alarming picture, the next generation of clinical psychologists maintains hope that these scientific and ethical framework.

STRATEGIC SUPPORT ORGAN DONATION

Of the media to raise awareness for organ donation is an important force pointed out that the Ministry of Health Deputy Director General of Health Services Kapuağa Arif , the " to do all the work should be complete in support of the media ," he said.

Organized by the Ministry of Health and the European Commission " in the Compliance Technical Support for Organ Donation Project" , " Media as Strategic Partners Workshop on Organ Donation ", was held at Point Hotel.

Technical Assistance for the Harmonization for Organ Project 's overall objectives and purpose of cadaveric organ donation , especially in Turkey and the European Union acquis in improving public health in the area of compliance and will contribute to the implementation.
Project team leader Dr. Lajos Kovacs, projects in Turkey, focusing particularly on increasing organ donation from cadavers , the European Union acquis in the field of public health aims to contribute to compliance and implementation , he said. Kovacs, the EU and Turkey , funded by the Republic of the project , said it would end in April 2015.

In Turkey awaiting transplant patient number , obtained from cadaver organ number many times greater than is striking Kovacs, "National organ waiting list is added to the number of patients each day is increasing. Accordingly patients waiting for organ suitable organ could be found will lose their lives. EU countries cadaveric organ donation rate 7-8 times more than what is there in Turkey. Turkey, a country with adequate intensive care unit beds , although the potential organ donor has yet to reach their goals , "he said.

Kovacs, with the project in medical treatment , organ donation quality and safety standards, the purpose of improving expressed that, "Turkey's enough intensive care unit bed and technically equipped enough , despite the potential organ donor objectives enough donations happen because could not be reached. Training of trainers in the project about organ donation be given 160 thousand 500 specialist doctors provide training , arranging two international symposiums , statistical data collection system is aimed at making arrangements. Cadaveric organ donation rate in Turkey is very low. Our goal is to bring these rates to European levels. Until now the Republic of Turkey Ministry of Health conducted many studies on this topic. Our goal with this project is to further strengthen these efforts , "he said.

" Bin 800 patients waiting on the list last year of life lost"
Ministry of Health Deputy Director General of Health Services in Kapuağa Arif According to recent data , 77 percent of organ donation rates in the family refusal , stating that the people who need these rates the chances of finding the bodies stressed that it is very difficult. In Turkey, 16 percent of the patients waiting for organ organs can be found stating Kapuağa the list last year, 800 patients died while waiting in the bin , he said.

Waiting List for Kidney Transplantation in Turkey, 20 thousand 830 in the Number of Patients
Kapuağa in Turkey as of 11 November 2013 the number of patients on the waiting list for a kidney transplant 20 thousand 830, 2 thousand 48 for liver , 404 for heart , lung, said to be 40. Ministry of Health, according to statistics from January 2013 to November 2013 between the 2 thousand 489 patient kidney, thousand 71 patients with liver for 50 patients, the heart, the 27 patient lung, three patients, the pancreas , and one patient small bowel transplantation voicing Kapuağa , the but is still far behind the world of the number of donors stressed.

Raise awareness in the media is an important force attention Kapuağa , the " to do all the work in support of the media should be complete. Median with the support of public awareness will be increased, organ donation concerns will be eliminated, accurate information could be accessed ," he said.

 " A Gift for Life Organ Donation "
EU Delegation to Turkey Health Representative in Fig Tunçkanat media's role in raising awareness on organ donation is large , he said. Organ donation is a gift for life Tunçkanat stated that , with the aging of the population also increased the need for organs that underscored.
Turkey Organ Transplant Association , Professor of Organizations Coordination. Dr.. Eldegez Uluğ also in increasing organ donation highlighted the importance of brain death declaration

" Especially in the Municipal Elections Candidates must Asked Posts Related to Organ Donation "
Memorial Şişli Hospital Organ Transplant Center Head. Dr.. Münci Kalayoglu transplant to increase the politicians also have a responsibility to express, " the municipal elections , especially in the candidates about organ donation messages should give. Because the election trips to many people they reach. Politicians , strong bodies forgive forgiveness stated that they would they I change my vote accordingly give ," he said.

" Donation Rates Decrease serious "
Project coordination team Dr. Job Kahveci too much of the burden on the waiting list and it is usually made ​​from cadaver organ transplants reported to be alleviated with. Donate the absence transport can not be made conspicuous Kahveci, " Donation rates severely reduced. Brain death were the families of persons for the moment, only 22 percent approval serves. This ratio is very low. These , an alarm, urgently rates must be raised ," he said.

 Donate Life News Places To Buy
CNN Turk Ferhat Boratav about organ donation campaign organized in 2007 , said that in the years that organ donation is dominated by urban legends , often told us that negative expressions takes place. As organ located on the voicing of various news Boratav taking place in the media in this way gave examples from the news. Boratav, "Life fundraising news to take place , can put pressure on the authorities , doctors encourage organ donation legitimizes " he said.

Media - Business Chairman Gursel Author will support the organ donation campaign , said: " All union members will provide information about the campaign and our members will call to make a donation ," he said.

Turkey Federation of Journalists President Atilla Sertel in Turkey literacy rate is quite low , so raising awareness , especially in the television programs occupied an important place , noting that in the series , generation programs and news fundraising should be done for the post should be given , he said.

Persons who have had a heart transplant , one of the members of the Association of Journalists of Izmir , journalists Chagatay Ages until the diagnosis performed after transplant whose life story was shared with the participants. Today we return to health after transplantation Ages explaining , " I'm three years with someone else's heart. 'm Very happy. Decay in the soil , you can get bloomed in. Organs donated for this ," he said