 My name is Mr. Jumun Jusia and the with me here is my wife, Mr. Rajin Kondengi who came here at Manigwa as a cardiac patient. We get to know about Manigwa Hospital through Medical Aid Society of Malawi which is the health insurance which we are under in our country. Actually, we came from Malawa's area, said in the Africa region. We are live here on 29th February and she was seen, she was reviewed by Dr. Sleera who immediately admitted us and according to the assessment which they did on her they decided to do a procedure for her heart. That's a balloon procedure. Mrs. Stella came in contact when she was extremely sick where the blood pressures were very low, heart rates very fast and she was struggling to breathe, swollen all over and an echocardiogram revealed a very bad heart condition extremely dilated right side chambers with critical mitral stenosis so she was almost sinking. We went in and did a percutaneous balloon mitral valotami in her it was a tricky case but somehow we were able to finish the procedure with a very good final result. But now it was realized that few hours after the procedure Stella had developed another problem. She exited weakness on the lower limb as well as on the upper limb and the face also was some weaknesses and it dive towards the left side meaning to say that the heart was weak and the leg was weak. Post procedure was followed up by stroke with a very bad prognosis but our team of neuro radiologists and neuro interventionists and also I should thank the physiotherapists put in an extraordinary effort in a very critical patient complicated by a stroke following a successful procedure to get her back onto her foot make her able to walk and be independent in the next two months to follow. We are so proud to be involved in the treatment of Stella here our team of neuro rehabilitation was involved from the beginning when she had the stroke she was in a pretty bad stage she was very critical from that stage itself our team of physiotherapists occupational therapists speed swana therapists were involved we were able to slowly bring her back to her more or less full functional status for the last two months initially in our hospital then later in the nursing home we were able to provide rehabilitation services which help Stella to more or less 80% of her functional potential today Stella she is able to walk today Stella she is able to do things on her home she can go and take a bath she can go and pass motion, pass urine Stella she is fine in her recovery has been so fast because actually we were expecting that she should be able to come back to her normal after six months but even after two months after all those populations and all those critical conditions she was in now she is able to do things on her home so I could say it was a high class treatment which we received from Manipolo and the work in itself was also very good it was not easy but doctors never give up they work along the road to make sure that Stella is fine I am grateful for Manipolo hospital for the treatment you have given to me I am now fine I am going home happily