Dr. Angan Karmakar

A 68-year-old retired schoolteacher from a middle-class background arrived with severe hand deformities and pain, having self-medicated with Ayurvedic treatments for years. Dr. Karmakar diagnosed advanced rheumatoid arthritis and initiated biologic therapy. While joint damage was irreversible, pain reduced by 80% within 3 months, dramatically improving quality of life.

A 32-year-old construction worker from rural West Bengal presented with debilitating back pain that threatened his livelihood. Dr. Karmakar diagnosed ankylosing spondylitis and prescribed TNF inhibitors. The patient's employer covered treatment costs, and he returned to light duty within 6 weeks, maintaining full employment.

A 45-year-old single mother working as a domestic helper arrived with Raynaud's phenomenon and skin tightening. Dr. Karmakar diagnosed limited systemic sclerosis and organized free medication through hospital charity programs. While disease progression continued slowly, symptoms were managed effectively, allowing her to continue supporting her family.

A 19-year-old college student from an upper-middle-class family presented with mysterious fevers and mouth ulcers. Dr. Karmakar diagnosed systemic lupus erythematosus after detecting specific antibodies. Treatment involved hydroxychloroquine and careful sun protection, with the patient achieving remission while continuing her studies with accommodations.

A 14-year-old competitive swimmer from an affluent family presented with unexplained joint swelling and fatigue. Dr. Karmakar diagnosed juvenile dermatomyositis after extensive antibody testing. Treatment involved corticosteroids and methotrexate, with complete remission achieved within 8 months, allowing the athlete to return to national competitions.