 During this COVID times, I would like to share about a case which we managed, which was a very complex heart patient and the patient was not from Bangalore, he was from the, the patient was from the nearby district. So this was a child which was said to be born and it was a precious child, the patient, the wife became pregnant after 20 years of marriage. So when the child was intraiterine, where, where, when it was said to be born using a free telco, the diagnosis of transposition of great artery was done. So this is a case where it's a blue baby and patients are typically very sick when they're born. They're okay as long as they're inside the womb, they're okay till they're had to be born. But as soon as they're born, they become very sick. So, to take care of this mother and child, we asked them to shift the mother even before delivery and we plan to conduct delivery in Bangalore because it's much easier for mother to travel and it will be extremely difficult for the child to travel. So that since the child was from a different district, there were problems of inter-district travel, but we could get the mother here and once the mother here, she delivered the child. This mother, who was pregnant, was unfortunately having the baby with a very, very senior form of cardiac disease, antinately diagnosed by ultrasound in Kola. They asked us what needs to be done. We thought we should get it reviewed by our obstetric and fetal medicine consultants here and it was confirmed that, yes, the baby has a rare form of congenital heart disease called the transgenital heart disease. Which requires immediate treatment at the time of birth and the baby can even succumb and die at soon after birth. The obstetric team closely monitored the mother and the fetus and the baby was safely delivered a slightly prematurely in this hospital about a month back. Mrs. Parmavati was referred to me by a doctor from Kolar. They had diagnosed a heart condition in the baby and so they requested that since the baby would require tertiary care and excellent neonatal cardiac care, they requested whether I can take over the case and we had planned to see the patient at around 38 weeks of pregnancy. Fortunately or unfortunately, she developed gastrointritis at around 26 plus weeks and started having mild contractions, necessitating immediate intervention. So they referred the patient here, we examined the patient and thought we should probably control the contractions, stop her, arrest her prematurely, and give her time for the baby to mature a little more and so after the baby reached, we were successful in doing that and so when the baby was mature, we delivered the baby. Now as soon as the baby was born, because of the cardiac condition, the baby could not maintain its oxygen supply and hence our periodic cardiologist Dr. Dungeon Shetty had to interfere and do a minor procedure till the final definitive procedure could be done later. In the intervening period, our unitologist took good care of the baby so to keep the baby fit enough for undergoing major surgery by Dr. Devanand. Quite emotional story about a little child who was born after 22 years of marriage for the parents, very precious baby of course, born with some assisted pregnancy, where we tried to create some communication between the upper chambers of the heart so that blood can mix, so that child can survive for some more time. That was done by Dr. Dungeon and his team and later this child was referred to us for an operation. As soon as the child was delivered, the diagnosis of transposition of great artery or one of the forms of blue baby was diagnosed. The child was very sick. The saturation even at birth was just 30-40% whereas normal saturation is above 90% for most of the kids. So within 3 hours of the birth, as soon as it was born, from cardiology we had to take her to cath lab and then we had to do a balloon atrial septostomy. The procedure was done by me and my colleague Dr. Kavya and Dr. Devanand. So as soon as we did some hole in the heart, we had to create a hole in the heart so that the blood mixes because it was a blue baby. The baby was not getting oxygenated blood to bring and to other organs so we had to make a hole so that the blood mixes. As soon as we made that hole without surgery using minimally invasive procedure, the child became better. We waited for 3-4 days for this birth related thing to settle down and we operated this child on day 7. Child underwent an arterial switch operation which is a complex operation but of course we have been doing these operations quite regularly. They covered very well more than our expectation and child could be discharged by 9th, 10th day back to home. So corrective surgery done once for all for this baby with a big effort of the multidisciplinary team has helped this child and this child is going to be a joy forever for these parents. So what I wanted to bring about in this situation in spite of the Covid pandemic which has been affecting all of us in the last 3 months or so, multidisciplinary teams and hospitals are still working their best efforts to try to get patients to live better, to bring life and good future to these babies for the future of our generation.