Internal Medicine

 

General Information

Department of Internal Medicine was founded by Professor Dr Yusuf Erdoğan on 04.02.1993. Currently, 12 faculty members, 43 research assistants (residents), 4 fellows are serving in our department. So far, 102 Internal Medicine, 8 Gastroenterology, 4 Nephrology, 1 Rheumatology and 4 Endocrinology specialists have been graduated in our clinic.

            Our Department has totally 59 inpatient capacity. Additionally, 14 outpatient clinics (3 Endocrinology , 4 Rheumatology , 1 Nephrology , 1 Gastroenterology , 2 Hematology , 2 Oncology,1 Geriatrics  ) and 19-bed oncology unit, six -bed intensive care unit, endoscopy ,endoscopic ultrasound unit and endoscopic retrograde cholangiopancreatography, hemodialysis and peritoneal dialysis units, diabetes education unit and the outpatient chemotherapy unit (30 beds ) and one ultrasonography room. In our Department, approximately 62,000 outpatients, 4,500 inpatients services are provided annually

The Medical Services:

            In The Department of Internal Medicine with Divisions of Endocrinology, Nephrology, Gastroenterology, Hematology, Geriatrics, Medical Oncology, Rheumatology, the most advanced diagnostic and therapeutic techniques are performed.

Department of Endocrinology and Metabolism:

            In our outpatient clinics, the areas of service are provided in terms of general endocrinology, thyroid diseases, diabetes, obesity, lipid metabolism, hypertension, pituitary diseases, metabolic bone diseases, osteoporosis, polycystic ovary syndrome, gonadal and adrenal diseases  .  We have an ultrasound device belonging to endocrinology department, a diabetes education outpatient clinic and 2 diabetes nurses are serving in this clinic. Outpatient and inpatient diabetes patients are scheduled for education and insulin therapy, carbohydrate counting, insulin pump insertion and education, all relevant dynamic tests, thyroid ultrasound and ultrasound-guided thyroid biopsy.

Department of Nephrology:
            12 hemodialysis devices, peritoneal dialysis and nephrology outpatient clinic serve in Department of Nephrology. Diagnosis and treatment of all kidney related diseases and especially hypertension is conducted.
            In our outpatient clinic; patients with hypertension, pre-dialysis chronic kidney disease patients, patients on dialysis, kidney transplant patients and all other types of patients with kidney diseases followed up. Since the beginning of the service, 205 peritoneal dialysis patients have been followed up. On the other hand, 13 hemodialysis devices are provided for patients with both acute and chronic kidney disease. Intensive care unit patients are dialyzed by Slow Low Efficient Dialysis (SLED) method at bedside. Although kidney transplantation is not performed in our hospital, acute problems of patients who have been transplanted in other medical centers are being solved quickly and effectively after admission.
Department of Gastroenterology :
In our clinic;
Endoscopy
Colonoscopy
Endoscopic diagnosis in diseases of the bile and pancreatic ducts and some surgical procedures are performed as needed (ERCP);
Sphincterotomy
Bile duct stones with the balloon and basket catheter removal
Biliary strictures stenting and balloon dilatation
Esophagus, stomach and intestinal endoscopic removal of  polyps (polypectomy)
Application of sclerotherapy during gastrointestinal bleeding
Esophageal variceal band ligation
Esophageal stricture dilation
Balloon dilatation in pyloric stenosis
Endoscopic gastrostomy opening
Interventional procedures such as liver biopsy
Diagnosis and treatment  of liver , biliary tract , pancreas, stomach and bowel disease is conducted .
Department of Hematology :
            Diagnosis and treatment of all hematologic disorders is done in our department.  Diagnosis and follow-up of patients with anemia, thalassemia, insufficiency of other blood elements, bleeding tendency (hemophilia, thrombocytopenia), excessive clotting conditions  (thrombosis), hematologic malignancies (acute leukemia and chronic leukemia, multiple myeloma), lymphatic system malignancies (lymphomas) are performed in  our outpatient clinic. Additionally chemotherapy and treatment of patients requiring blood transfusion is carried out in  Hematology Outpatient Unit  .
            Our department is also a Thalassemia Center at the same time. These patients’ regular follow-ups are made ​​by our inpatient clinic and their transfusion requirements are covered by our blood bank. Blood transfusions are carried out regularly.
            The transfusion requirements of patients, platelet supports (The only apheresis unit in Isparta) and plasma requirements are provided from our blood center.
            Also therapeutic apheresis unit and therapeutic apheresis applications are available in our Blood Center. Therapeutic apheresis is applied to appropriate neurological, nephrological, hematological and intensive care patients.
Department of Geriatrics:
            Department of Geriatrics is dealing with issues of  elderly patients and is linked to Internal Medicine Department. Geriatric patient service requires a holistic approach and interests with problems related to General Internal Medicine and all divisions.  Geriatric problems in other branches like orthopedics, physical therapy, urology, psychiatry and neurology are also carried out in coordination. Number of concomitant diseases in geriatric patients determines the need for inpatient services. Department of Geriatrics is working to pursue particular problems that cannot be solved with a single section. Both treatment and prevention of illness are performed  for  debilitated  patients .
Department of Medical Oncology:
            In Medical Oncology Clinic therapeutic applications are planned and implemented with systemic therapy (chemotherapy, hormonal, immunotherapy) for cancer patients. Along with treatments, periodic follow-up of patients is also maintained.
Medical Oncology Unit of our hospital has been serving since 2002. Treatments and follow-up of patients diagnosed with cancer, not only in our province but also from neighboring provinces are organized. Our Unit is composed of 4 parts  including 2 outpatient clinics, 1  outpatient chemotherapy unit (10 patient capacity) and 1 inpatient service  (total 30 beds ) .
            In our clinic all patients diagnosed with solid organ malignancy (cancer) are informed from the moment of diagnosis about disease, the treatments and the follow-up.  For this purpose, systemic chemotherapy, immunotherapy, hormonal therapy, targeted therapy agents, supportive treatment are performed.
            Chemotherapy applications and training facilities are provided by experienced, certified   health providers. Current chemotherapies are implemented  as outpatient  or inpatient services.
Department of Rheumatology:
            In our department all tests are used and all current treatments of all rheumatic diseases primarily inflammatory rheumatic diseases   are performed. In addition, intra-articular injections, salivary gland biopsies and skin biopsies are performed for diagnostic and therapeutic purposes.