Dr. Vishnu Vardhan

A 72-year-old retired schoolteacher with long-standing diabetes and hypertension was referred for worsening renal function and fluid overload. After optimizing medical management and initiating careful diuresis, Dr. Vardhan transitioned her to peritoneal dialysis, which she mastered with her daughter's support, maintaining good quality of life at home.

An 8-year-old boy from a rural village was brought by his grandparents with facial swelling and tea-colored urine; diagnosed with post-streptococcal glomerulonephritis. Dr. Vardhan managed him conservatively with antibiotics and blood pressure control, resulting in complete recovery without need for dialysis.

A 45-year-old construction worker with minimal prior healthcare exposure presented in uremic encephalopathy with a GFR of 8 mL/min. Dr. Vardhan emergently initiated hemodialysis and later facilitated living-related donor transplantation from the patient's sister, with excellent graft function at 1-year follow-up.

A 33-year-old pregnant woman in her second trimester developed preeclampsia with severe renal impairment. Dr. Vardhan coordinated with obstetricians for careful blood pressure management and timing of delivery, preserving renal function and resulting in healthy mother and baby outcomes.

A 28-year-old software engineer from Bangalore presented with sudden anuria and hypertension; diagnosed with rapidly progressive glomerulonephritis after kidney biopsy. Dr. Vardhan initiated plasmapheresis and immunosuppressive therapy, leading to partial renal recovery within 6 weeks, allowing the patient to return to work with modified duties.