 My name is Dr. Ravishankar Swamy. I'm a senior consultant, a neonatologist at Manipal Hospital, Whitefield. One of the biggest advantages of a tertiary centre is that you have a varied range of expertise available at your disposal and especially if you have a sick child or a child where the diagnosis is going to be tricky. These are the testing times where we have multiple brains, multiple people coming together, brainstorm and come to a diagnosis. That is one of the most important reasons for being in a tertiary centre where teamwork plays a huge role. We have something called as Manipal Advanced Children's Centre where various specialties are available. So I can briefly tell about the various specialties which we have. For example, in the neonatal intensive care unit, myself and Dr. Guru Raj lead the team of young and energetic junior doctors. We also have the pediatric intensive care which is led by Dr. Guru Raj. The pediatric emergency where we have 24 bar 7 cover for pediatrics which is led by Dr. Anand Ditta and team. In general pediatrics, we have pediatricians, Dr. Guru Raj, myself, Dr. Usha, Dr. Rajiv and also Dr. Anand. So who all cover general pediatrics where we provide outpatient services from morning 8 o'clock to 8 p.m. in the evening. Following which if there are any cases then you are more than welcome to come to the pediatric emergency. We also have additional allied specialties which are super specialties which is pediatric neurology which is led by Dr. Usha Malinath. We have pediatric pulmonology which is basically looking into breathing difficulties. Those children who have got persistent cough and so these are looked after by Dr. Aileen Khilmi. For eye problems we have Dr. Jalpa in pediatric ophthalmology. If we have common problems are people who come back and tell me that my child snores at night time. He has mouth breathing at night time. Sometimes he has nasal twang and persistent rhinitis or allergic rhinitis. These are dealt by our pediatric team. We have multiple pediatric ENT specialists led by Dr. Vijay Rangachari, Dr. Selena Ray, Dr. Anitha Kumari and Dr. Alok Banka. Other common problems are bedwetting and some children who got repeated urinary tract infections or those children who have problems especially in their kidney, ureter and bladder which is detected antinatally. These are all looked after by our pediatric urology team led by Dr. Srinivasa and Dr. Gokul Krishna. The heart is the most important aspect and whenever the fetal medicine scans are done there is a separate time allocated for looking at the fetal heart and babies who are born with heart conditions or those babies who are admitted to ICU will require cardiac monitoring and we have Dr. Kavya Mallikarjun who is in pediatric cardiology. And for pediatric cardiothoracic surgery if those babies who are detected with antinatal problems we have Dr. Mukundan and Dr. Arun looking into pediatric cardiovascular surgery. The other common problem which people come back is that they look for the child has hypothyroidism, the child is not growing well, the child is not eating well, the child is losing weight and these are all usually after excluding the common issues are related to hormonal issues and for that we need pediatric endocrinology services and Dr. Aditya Hegade heads the team for this pediatric endocrinology services. Sometimes babies come or children come with fever, persistent cough and things are not getting better after seeing multiple doctors and have been on multiple courses of antibiotics, have tried various investigations and still the child seems to continue with the infection which the child has acquired and such cases we require an expert opinion in form of pediatric infectious diseases and here Dr. Archana is the right person to deal with children where we have problems of infection persisting for a while or some unique problems which has not been diagnosed and this is where pediatric infection disease plays a huge part. So skin, skin is one of the most important protective organ of the whole body and skin rashes, dry skin and various forms of problems associated with skin are usually dealt with the general pediatrician in the first instance but when things are still persisting then we refer to the pediatric dermatologist Dr. Praveen Bharadwaj who heads the team here at Manipal Hospital in Whitefield. Plastic surgery is another department so these children who have got minor cuts on the face, sometimes in the tongue and various parts of the body where sutures are required which are sort of does not leave a long term scar and various other indications where our plastic surgery team led by Dr. Sunil and Dr. Ramini will be at an excellent hand in this team. So there are children who for various reasons are depressed or have a lot of burden in form of school bullying or find it difficult to go to school or have got various issues such as the autism have attention deficit hyperactive disorder and so on psychological issues and for these cases we have Dr. Neetu Tiwari who is available at Whitefield and she is the right person to look into these issues. Children do come with knock knees, difficulty to walk, sometimes limping some bone problems, bone knee pain, fracture and for all these things we have Dr. Prashant Inna who is a pediatric orthopedician. Other common causes include babies who have persistent diarrhea, blood in the womb it and they are not gaining weight and what diet to be used and so on. So for this we require a pediatric gastroenterologist and Dr. Srikanth is the right person for this. As I had mentioned earlier on one of the most common things what babies expect at the time of birth or mothers expect at the time of birth is poor feeding and for poor feeding lactation counseling is one of the important things. We have Mrs. Anita who is the lactation counseling and we also have sister Usha who is the nurse who is there throughout your stay in the hospital will help you with the feeding. Apart from that all our nurses in the postnatal wards are trained to help mothers in lactation. The last and most important thing comes for babies who are born in an ICU and for unfortunate events do develop the brain hemorrhage or develop something called as Perimentary Clalocomalacia and these are the babies who will require some form of support and for this we have an entire system headed by Dr. Rashmi in the pediatric rehabilitation. Here we have physiotherapy, occupational therapy, speech and language therapy and also psychologist work as a part of the same team. All the babies in the NICU are routinely screened to see if they have any form of behavioral or developmental problems This is called as the neurodevelopmental clinic. So all the babies from the NICU are seen several times once at 6 weeks, once at 3 months, 6 months, 9 months, 12, 18 and 24. This visits you are not only screened for just your vaccinations and general health but you are also looked at how your growth is at, how your developmental milestones are achieved. We use special scales called as the daily scale or sometimes the Denver development scales. These are the scales which help to detect if children are not developing at the right pace and so if we identify these children who are having some neurodevelopmental delay then these children are picked up so that early interventions are started so that the brain plasticity improves and we limit the damage which occurs in these children. So apart from that in the NICU itself we have early intervention treatment in the form of our neurodevelopmental team which will look into early interventions so that the sucking is helpful and the suck and swallow is achieved at an early age. So these are all the various specialties which are available at the Manipal Hospital.