Dr. S Jayaraman

An 82-year-old retired teacher with dementia was brought in by neighbors after found wandering confused. Dr. Jayaraman discovered severe hyponatremia from diuretic misuse. He carefully corrected electrolytes while managing agitation, involving social services for home safety. Patient stabilized after 5 days with new caregiver support.

A 24-year-old construction worker fell 15 feet onto rebar, impaling his thigh. Dr. Jayaraman directed the trauma team in controlled extraction in the OR, managing massive hemorrhage with rapid transfusion. Despite vascular injury, limb salvage was successful after 8-hour surgery and 6-week rehabilitation.

A 38-year-old pregnant woman at 32 weeks presented with sudden blindness. Dr. Jayaraman diagnosed eclampsia despite normal blood pressure. He initiated magnesium sulfate and coordinated emergency C-section. Mother regained vision postpartum; both discharged healthy after 10 days.

A 55-year-old homeless man with frostbite and hypothermia was found unconscious during unusual cold snap. Dr. Jayaraman used warm IV fluids and careful rewarming protocol. Despite losing two toes, patient recovered and was connected to shelter services with follow-up care.

A 7-year-old girl from an affluent family presented with acute abdominal pain after falling from her bicycle. Dr. Jayaraman identified a rare splenic injury through focused assessment with sonography. He coordinated with pediatric surgery for conservative management, avoiding surgery. The child recovered fully in 3 weeks with close outpatient follow-up.