Dr. Himadri Koley

67-year-old retired schoolteacher from rural Bengal with long-standing diabetes and hypertension arrived with advanced CKD. Dr. Koley initiated conservative kidney management focusing on symptom control and avoiding dialysis. With careful medication adjustment and dietary planning, the patient maintained reasonable quality of life for 18 months before transitioning to palliative care.

A 42-year-old single mother working as a domestic helper presented with nephrotic syndrome. Limited by financial constraints, Dr. Koley tailored a cost-effective treatment using generic immunosuppressants and coordinated with hospital social services for support. After 3 months, proteinuria significantly reduced, allowing her to continue working while managing her condition.

19-year-old college athlete collapsed during football practice with rhabdomyolysis-induced acute kidney injury. Dr. Koley implemented aggressive IV hydration and monitored electrolyte imbalances closely in ICU. Kidney function fully recovered within 10 days, and the patient returned to sports after implementing proper hydration protocols.

A 55-year-old businessman with polycystic kidney disease presented for preemptive transplant evaluation. Dr. Koley coordinated with his sister

A 28-year-old software engineer from Kolkata, previously healthy, presented with sudden anuria and hypertension. Dr. Koley 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 monitored outpatient care.