Dr. Smartya Pulai Reviews

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.

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.

60-year-old diabetic farmer with limited healthcare access presented in uremic coma. Dr. Pulai initiated emergency dialysis and later trained the patient's wife in peritoneal dialysis techniques, enabling home-based treatment that allowed the patient to continue light farming activities.

19-year-old college athlete developed sudden anuria after a rugby injury. CT revealed bilateral renal artery thrombosis. Dr. Pulai led an emergency thrombectomy procedure saving both kidneys, with the athlete returning to competitive sports after 6 months of anticoagulation therapy.

38-year-old street food vendor with chronic analgesic abuse presented with papillary necrosis. Dr. Pulai implemented a pain management alternative regimen and conservative kidney preservation strategy, preventing dialysis requirement through strict follow-up over 2 years.

55-year-old corporate executive with polycystic kidney disease sought preemptive transplant evaluation. Dr. Pulai coordinated living donor workup with his brother, performed successful transplantation, and managed post-op immunosuppression allowing return to CEO position within 3 months.

7-year-old girl from Nepal presented with nephrotic syndrome resistant to standard steroids. Dr. Pulai diagnosed genetic podocytopathy and initiated cyclosporine therapy, achieving complete remission after 8 months with minimal side effects.

41-year-old homeless man was brought in with frostbite and acute kidney injury. Dr. Pulai treated the AKI while collaborating with social services to secure shelter and ongoing care, with renal function fully recovering alongside improved social circumstances.

65-year-old retired army officer developed contrast-induced nephropathy after cardiac angiography. Dr. Pulai implemented novel hydration protocol and N-acetylcysteine treatment, reversing the injury completely within 72 hours without needing dialysis.

29-year-old vegan nutritionist presented with acute kidney injury due to oxalate nephropathy from excessive green smoothie consumption. Dr. Pulai provided dietary counseling and managed conservative treatment, with full renal recovery after dietary modification alone.

51-year-old shipyard worker with lead poisoning-related chronic kidney disease. Dr. Pulai coordinated chelation therapy while working with occupational health authorities to address workplace safety, stabilizing renal function over 12 months of treatment.