00:07Hello, welcome to Dr. Saumya Ramana, Dr. Saumya Ramana, Dr. Saumya Ramana.
00:29I am the senior consultant in the Kims Health Hospital in the Pediatric Cardiac Surgery.
00:40This is a practical principle of Pradhanthya, Dr. Saumya Ramana, and I am a senior consultant in the Kims Health
00:47Hospital.
00:50Namaskariny, doctor.
00:51Hi.
00:53Please ask me to ask you about the question in the Kims Health Hospital.
00:59heart disease, 90% of illnesses is congenital heart disease.
01:03That is the problem in the heart.
01:08That is the development of heart development in the stage.
01:13Heart holes, valve leak, valve leak.
01:17That is the problem.
01:20That is usually the problem.
01:22The problem is that the heart disease is becoming a viral fever.
01:32It is becoming a viral myocarditis.
01:34It is becoming a very uncommon disease.
01:40The disease is becoming a genetic basis.
01:45The heart is weak and functioning.
01:49It is becoming a cardiomyopathy.
01:50This is the most common three diseases to affect the heart.
01:56Do you have the heart disease with pregnancy?
02:01Yes, it is.
02:02The congenital heart disease is almost 85 to 90% of the accuracy.
02:08It is becoming a fetal echo while it is becoming a fetal echo.
02:20It is becoming a fetal echo.
02:24By the end of the heart disease, we must tell the heart disease.
02:49Or, we have a heart problem.
02:53The main idea of doing this fetal is
02:56we have a delivery time.
03:02If we have a problem with our parents,
03:06then we have a delivery of neonatal care.
03:12That's why we have an awareness of pediatric cardiologists.
03:14We have an awareness of pediatric cardiologists.
03:17If we don't have any symptoms,
03:20then we don't have any problems.
03:25When we have a pregnancy,
03:27we have a fetal echocardial test.
03:29And how much does it affect the heart disease?
03:34What do you say?
03:36It varies from population to population.
03:38And also, what do we have to do with our scans?
03:40What do we have to do with our scans?
03:42In a tertiary hospital,
03:48or a quaternary hospital,
03:50the pediatric cardiologists
03:51have high-risk pregnancy clinics.
03:54That's why the number of children
03:58who are identified to have a heart problem,
04:01and the accuracy rates are higher.
04:04But, again,
04:06we have to do scan centers.
04:08We have to do radiologists.
04:10We have to do an anomaly scan,
04:11and we have to do fetal echocardial test.
04:13That's why the accuracy rates are low.
04:16Okay.
04:19What do we have to do with newborn babies?
04:24Okay.
04:25there are two symptoms of heart disease.
04:27There are problems in a newborn period.
04:30There are problems in a newborn period.
04:31Then,
04:32the babies usually have blue color.
04:36We don't have blue color.
04:38we don't have blue color.
04:41Then,
04:42we have to do pulse oximetry screening.
04:44We have to do saturation.
04:46We will have to identify.
04:48So,
04:49What is your lifestyle and lifestyle?
04:55I don't know a specific reason.
04:57I don't know.
04:5880% of diseases
05:00have no specific reason.
05:03For one family,
05:04one child has no idea when they come to the pregnancy.
05:08No.
05:10There are 10 % children
05:13but
05:13you can't do it for a jaguar.
05:15It's very, very small.
05:17It's sporadic.
05:19One person has a genetic abnormality.
05:22Like, we have Down syndrome.
05:24That's why there's a problem.
05:27That's why it's repeated to all babies.
05:31That's the problem.
05:36Then there are genetic factors.
05:38There are complications.
05:40There are complications from heart diseases.
05:44In the worst spectrum,
05:47it's lethal, not salvageable,
05:50or not benefiting from treatment.
05:54There are two conditions.
05:56One is hypoplastic left heart syndrome.
05:59There is no treatment.
06:01There is a treatment.
06:03Ultimately, it tends in heart transplant.
06:05There is a stage surgery,
06:09sending in heart transplant,
06:11and the outcome of the pregnancy continues.
06:14There are parents.
06:16There is a post-IVF conception.
06:20There is a baby with very great difficulty.
06:24There is a heart beat abnormalities.
06:27rhythm disturbances or rhythm disturbances.
06:30So, they may end up not having a viable heart.
06:34These are extremes.
06:36But most of the things,
06:40all identified heart disease is treatment.
06:44And 90% illnesses is cure.
06:47Cure it.
06:48One or two surgeries or some medical management,
06:50and there is a cure.
06:52He told us is there are some patients.
06:54what could we do?
06:56We are looking at the number of heart diseases,
07:00antinatally detected heart diseases.
07:02So, in order to spread the disease,
07:04including a heart disease is not caused by a 30 to 40%
07:07of the heart disease treatment.
07:11treatment is not going to be in the first year of life.
07:15Then, if you have any other illnesses,
07:18any procedure, medical treatment or something,
07:22it will be a little bit more complex.
07:24When you have a complex problem,
07:26you can also have an option for surgery.
07:29Now, these children are hard diseases,
07:31they are very difficult to get rid of these diseases.
07:34Is it difficult to get rid of these diseases?
07:39It's difficult to get rid of these diseases in this generation.
07:43You can get rid of these diseases.
07:45Parents are aware of them,
07:47they are anxious,
07:49they are not going to pick anything earlier.
07:53For some reason,
07:54for financial reasons,
07:56if they have surgery,
07:58they have no problem.
08:01The more complex it is,
08:03the less we will be able to give options.
08:06Because,
08:07if it is a hole in heart,
08:08or VSD,
08:10it is one of the common problems that can affect the child.
08:14In that case,
08:15this condition is untreated,
08:17uncorrected,
08:17if it is not possible,
08:18if it is not possible,
08:20if it is possible,
08:21if it is possible,
08:22if it is possible,
08:22if it is possible,
08:24if it is possible,
08:27we will not be able to offer a cure.
08:29So,
08:30it has to be adequate treatment in the correct stage,
08:34and we will have the benefit of the cure.
08:38so,
08:39it is also the problem that can cause the heart disease.
08:42A lot of cases,
08:47i said,
08:48i have to fix up the cure,
08:49i have to fix up the cure.
08:56Inherited cardiac disorders, there are problems like cardiomyopathy.
09:03That is because of heart failure or transplant.
09:06That is because of the family.
09:09Mother-to-child or father-to-child.
09:12Now, I've written an article in the doctor.
09:16I've read a lot of the doctors.
09:18I've read a lot of the doctors.
09:20This is a pediatric cardiac surgeon.
09:25How do you specialize?
09:29This is a personal story.
09:32I used to say that he was a cardiac surgeon.
09:38He has an interest in this field.
09:42If you work in this field,
09:44even if you work in adults,
09:47there are a lot of rewarding people.
09:50If we have a heart disease, a cure or a treat,
09:55they have a full life span.
09:58They have an opportunity to achieve all their dreams.
10:03That is a little bit of fulfillment.
10:05It is a mental failure.
10:07We have a lot of medical care.
10:09We have a lot of medical care.
10:11We have a lot of medical care.
10:12We have a lot of medical care.
10:14How many pediatric surgery have been in this field?
10:17There are a lot of changes.
10:19I came to the field of cardiac surgery in 2008.
10:25At that time, it was a single heart surgery.
10:27We have an adult therapy, children, and archa.
10:31We could afford only one heart surgery.
10:34We have a lot of medical care.
10:35If you do it, you will do it.
10:37If you go to pediatric clinic,
10:39we can't do it.
10:41And if you have any of the parents counseling,
10:44we can't do it.
10:45I can't do it.
10:48You can't do it.
10:50I can't do it.
10:50But now, we don't do it.
10:51We have to do it routinely.
10:53We have to do it routinely.
10:55Then, we are able to give a cure for most of the illnesses that we come across.
11:03That's right.
11:05Now, we have to ask each other questions and ask each other questions.
11:08What do you care about the doctor in this field?
11:16As a doctor, physically, it is a bit demanding for us.
11:22If we have to do a baby's surgery, then we have fixed timings.
11:32After surgery, children will be in ICU up to 24-48 hours.
11:37Then, they will take care of them.
11:38So, more for the treating team, it is a bit challenging.
11:45What is the field of pediatric surgeon, pediatric surgeon?
11:49Is there any other thing that is?
11:54I can't think of any happiness.
11:56I can't find any treatment for any other people.
12:00Especially, when we operate this with babies, we would have spent two weeks and all with some children.
12:08and three months.
12:09Then, if you have one month of age or two months of age,
12:16then you will have to go to school and review them,
12:20then you will have to go to school.
12:22And they will be running around.
12:24That is one aspect.
12:25Then definitely transplant,
12:28the ability to be a medium to give a new life.
12:31That is one aspect.
12:34Then Dr. Nariyam,
12:36September 29th,
12:38what do you want to read the message in September 29th?
12:42I have a tendency to go to a fetal.
12:47If you have a heart problem,
12:55there is a tendency to go for termination of pregnancy.
13:00This is because we have a normal life expectancy.
13:06There are hard problems with the parents.
13:11They have a decision from the parents.
13:14If they have a workload,
13:16they have a life-stress,
13:18if they have a child,
13:21they will continue to get pregnant.
13:23That is a disturbing thought.
13:25If you have done that,
13:26it will be good.
13:28That is a good thing.
13:29Yes.
13:30Appreciate it.
13:31I am the doctor.
13:33Thank you so much.
13:35Thank you
