Dr. Sanjeev Velayudhan Nair

72-year-old retired fisherman from coastal Tamil Nadu with long-standing diabetes and hypertension arrived with uremic symptoms and fluid overload. Dr. Nair initiated peritoneal dialysis training for the patient and his granddaughter, enabling home-based treatment. The grandfather maintained good quality life for 3 years before peacefully passing from unrelated cardiac event.

45-year-old construction worker from Bihar presented with nephrotic syndrome and worsening renal function. Dr. Nair discovered it was secondary to chronic lead poisoning from workplace exposure. Coordinated with occupational health authorities for workplace remediation while treating with chelation therapy, resulting in significant renal function improvement over 8 months.

19-year-old college student from affluent family developed acute kidney injury after consuming weight-loss supplements purchased online. Dr. Nair identified aristolochic acid nephropathy and implemented aggressive supportive care with plasma exchange. Patient recovered full renal function after 3 months and became advocate against unregulated supplement use.

60-year-old village schoolteacher with autosomal dominant polycystic kidney disease presented for preemptive transplant evaluation. Dr. Nair coordinated living donor transplant with patient's younger sister, managing complex antibody compatibility issues through desensitization protocol. Successful transplant performed with both donor and recipient maintaining excellent health 2 years post-operation.

A 28-year-old software engineer from Bangalore, previously healthy, presented with sudden anuria and hypertension. Dr. Nair diagnosed rapidly progressive glomerulonephritis through renal biopsy. Treated with pulse steroids and cyclophosphamide, the patient required temporary hemodialysis but achieved partial renal recovery after 6 weeks, returning to work with modified duties and ongoing immunosuppression.