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SOMETIMES, THE BODY WHISPERS BEFORE IT SHOUTS.
In the red-earth city of Bagalkot, Dr. Jayant Kulkarni (JK) has built a sanctuary for the failing organ.
The Silent Gap follows Dr. JK through a single, relentless Tuesday in the life of a Nephrologist. From a 13-year-old girl hiding swollen feet in tight sandals to a grandmother whose immune system has declared war on her kidneys, the stories unfold against the hum of dialysis machines and the rhythm of the monsoon rain.
But the hospital is more than just machines. It is a team.
Joined by his wife and partner Dr. Meera (Family Medicine)—the heart of the hospital who treats the families behind the charts—and Dr. Rajesh (Critical care), a brilliant, exacting colleague who returns from Sheffield to challenge the status quo, Dr. JK must navigate a series of high-stakes cases.
Together, they face the "Silent Killers": a diabetic whose kidney failure is a disguise, a young farmer destroyed by over-the-counter painkillers, and a pregnant mother walking the razor's edge between a life-giving womb and a life-ending stroke.
Written with the detailed realism of Arthur Hailey and the clinical precision of a medical textbook, this is a novella about the machines that keep us alive, and the doctors who listen when the body speaks.
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Dr. Sandeep G Huilgol
Dr. Sandeep G Huilgol is a Consultant Nephrologist and medical educator based in Bagalkot, Karnataka. He holds a DrNB in Nephrology from Narayana Hrudayalaya, Bengaluru, a Master of Medical Science in Nephrology from the University of Sheffield, UK, and fellowships including FASN and MRCPS (Glasgow).
Driven by a mission to bring advanced renal care to resource-limited settings, he established comprehensive nephrology and dialysis services in his district at Dr. Huilgol’s Kidney Care and Patil Medicare Multispecialty Hospital. Beyond clinical practice, he is deeply passionate about medical education and public health awareness.
The Silent Gap is his first novella, born from the real-life stories of resilience and tragedy he witnesses daily in the dialysis ward. He lives in Bagalkot, where he continues to bridge the gap between diagnosis and hope.
