Dr. Smartya Pulai

72-year-old retired schoolteacher from rural West Bengal arrived with advanced kidney failure due to long-term uncontrolled hypertension. Her impoverished family sold land to fund treatment. Dr. Pulai initiated hemodialysis while coordinating with social workers for financial assistance, eventually facilitating a successful kidney transplant from her daughter.

45-year-old construction worker collapsed at site with severe hyperkalemia and metabolic acidosis. Dr. Pulai discovered rhabdomyolysis from heat stroke and dehydration. Aggressive IV hydration and temporary dialysis saved his kidneys, with full recovery after 3 weeks of hospitalization.

8-year-old boy from an affluent family presented with recurrent UTIs and failure to thrive. Dr. Pulai diagnosed congenital renal dysplasia. After multidisciplinary management including pediatric urology, the child showed improved growth parameters and reduced infection frequency over 18 months.

33-year pregnant woman at 28 weeks gestation developed preeclampsia with deteriorating renal function. Dr. Pulai coordinated with obstetricians to manage blood pressure while preserving renal function, delivering a healthy baby via planned C-section at 34 weeks with maternal kidney function returning to normal postpartum.

A 28-year-old software engineer from Bangalore presented with unexplained fatigue and foamy urine. Dr. Pulai diagnosed early-stage IgA nephropathy through renal biopsy. With targeted immunosuppressive therapy and dietary modifications, the patient achieved complete remission within 6 months while continuing to work full-time.