Dr. Shyam Sunder Nowal

A 72-year-old retired schoolteacher from a rural Rajasthan village arrived with advanced diabetic nephropathy and uremic symptoms. With limited family support and financial constraints, Dr. Nowal coordinated a subsidized peritoneal dialysis program through hospital charities. The patient now conducts his own dialysis at home and maintains reasonable quality of life despite his comorbidities.

A 42-year-old construction worker from Jaipur presented with rapidly progressive glomerulonephritis following a respiratory infection. Dr. Nowal initiated aggressive immunosuppression including plasmapheresis. The patient's renal function stabilized but didn't fully recover, requiring him to transition to hemodialysis. His employer-sponsored insurance covers treatment while Dr. Nowal explores long-term transplantation options.

A 19-year-old college student from an affluent family was diagnosed with IgA nephropathy during a routine checkup. Dr. Nowal implemented a targeted budesonide therapy as part of a clinical trial, combined with dietary modifications. The patient maintained normal renal function throughout her degree program and now volunteers at the hospital's nephrology awareness campaigns.

A 55-year-old shopkeeper with hypertensive nephrosclerosis and medication non-adherence due to financial pressures. Dr. Nowal developed a cost-effective medication regimen using generic alternatives and connected him with government health schemes. With improved blood pressure control, his renal function decline slowed significantly over 18 months.

A 28-year-old female software engineer from Gurgaon with no prior medical history presented with sudden-onset nephrotic syndrome. Dr. Nowal initiated conservative management with corticosteroids, but when she developed steroid resistance, he employed a novel calcineurin inhibitor protocol. Within 6 months, she achieved complete remission and returned to work, now participating in patient advocacy groups for young adults with kidney disease.