Dr. Richard Narjinary

An 8-year-old girl from a remote Sikkim village was brought by her teacher with chronic nasal obstruction. Dr. Narjinary found a lodged yak hair ornament deep in her nasal passage causing granuloma formation. Under local anesthesia, he performed meticulous removal using image guidance. The child returned to school within 48 hours with no complications.

A 45-year-old Nepali immigrant construction worker presented with sudden vocal paralysis after a fall. Dr. Narjinary diagnosed recurrent laryngeal nerve injury and initiated voice therapy combined with novel neuromodulation treatment. The patient's voice gradually returned over 3 months, allowing him to resume his livelihood.

A 33-year-old pregnant woman at 28 weeks gestation developed a rapidly enlarging thyroid mass compressing her trachea. Dr. Narjinary coordinated with obstetricians to perform an emergency thyroidectomy under monitored anesthesia care. Both mother and baby recovered well, with delivery occurring normally at term.

A 17-year-old aspiring folk singer from Kalimpong presented with recurrent throat infections. Dr. Narjinary discovered an unusual anatomical variation causing chronic tonsillar crypt infections. He performed laser cryptolysis instead of traditional tonsillectomy, preserving vocal tissue. The patient returned to singing within 10 days.

A 72-year-old retired tea plantation worker from Darjeeling presented with progressive hearing loss and tinnitus. Dr. Narjinary discovered a rare cholesteatoma eroding the ossicles. Using endoscopic ear surgery, he reconstructed the hearing mechanism with a titanium prosthesis. The patient, who lived alone, regained 80% hearing acuity after 6 weeks and could again participate in community gatherings.