Dr Amith Keshave is a Hospital establishment in Durban, KwaZulu-Natal, South Africa
Paediatric Neurology Services at Life Entabeni Hospital, Durban, KwaZulu-Natal
Dr Amith Keshave is a paediatric neurologist based in Durban, who recently joined Life Entabeni Hospital. His practice focuses on disorders of the nervous system in children, covering the brain, spinal cord, nerves and muscles. Delivered through a dedicated paediatric neurology service, the approach centres on accurate assessment, careful diagnosis and collaborative care to support young patients and their families.
The core scope of services includes the management of a wide range of neurological conditions commonly presenting in childhood. Seizures and epilepsy form a central part of the caseload, with emphasis on identifying triggers, initiating appropriate treatment plans and monitoring responses to therapy. Headaches in children are addressed with thorough evaluation to determine contributing factors and to tailor suitable management strategies. Learning disabilities and behavioural disorders are considered within the broader neurological context, recognising how neurodevelopmental issues can interact with academic and social development. Each case is approached with an emphasis on personalised care and long-term support for the child and family.
In addition to standard neurological concerns, the practice addresses diseases and conditions affecting the spinal cord and peripheral nerves. Spinal muscular atrophy and other spinal cord disorders are managed with a focus on stabilising function, mitigating complications and coordinating multidisciplinary care. Polio remains a historical concern in local public health discussions, but any residual or related motor concerns are considered within the neurological framework. Peripheral nerve disorders, including conditions such as Guillain‑Barré Syndrome, are evaluated with attention to progression, rehabilitation needs and recovery potential.
Attention is also given to more complex conditions involving nervous system tumours and congenital defects. Dr Keshave works closely with neurosurgical colleagues to plan and coordinate care for children presenting with tumours or congenital spinal anomalies such as spina bifida. This collaborative approach aims to optimise neurological outcomes while supporting the child’s development and quality of life.
The philosophy underpinning the practice reflects a positive perspective on a child’s possibilities. A guiding belief highlighted in patient materials is that “The ability of your child is only limited by what you think they can and cannot do.” This outlook informs the compassionate, family-centred care provided to all patients and their support networks.
Typical patient journeys involve initial neurological assessment, diagnostic investigations as appropriate (imaging, EEG, and other specialised tests), and the development of a customised management plan. Follow-up appointments focus on monitoring progress, adjusting treatment as needed and coordinating with allied professionals to address educational, rehabilitative and psychosocial needs. The emphasis is on clear communication, compassionate care and ongoing support to help families navigate daily life alongside a child’s neurological condition.
Practical tips for prospective patients and families include preparing a concise medical history for the appointment, noting seizure patterns or headaches, and bringing any relevant imaging or test results. It is beneficial to outline developmental milestones, school plans and support services being accessed, to inform a comprehensive care plan. When arranging visits, consider any required adult accompanying support for the child and plan for follow-up care or specialist referrals that may be advisable as part of the overall clinical pathway.
- Main services offered: paediatric neurology consultation, assessment and ongoing management of seizures, headaches, learning and behavioural concerns; spinal cord disorders including spinal muscular atrophy and polio-related issues; peripheral nerve disorders such as Guillain‑Barré Syndrome; management of nervous system tumours and congenital spinal conditions.
- Typical job types and cases: neurological evaluation in children with developmental concerns, epilepsy management, headache clinics, neurodevelopmental assessments, rehabilitation coordination for spinal and peripheral nerve disorders, and multidisciplinary planning for congenital anomalies.
- How visits typically work: initial comprehensive assessment, tailored investigations as needed, collaborative planning with neurosurgery where indicated, structured follow-up, and ongoing coordination with educational and rehabilitative services.
Location and service area: the practice is based at Life Entabeni Hospital, Durban, serving children across Durban and the KwaZulu-Natal region, with a focus on integrated, family-centred care in a hospital setting.
Durban
KwaZulu-Natal
4001
South Africa
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Hospital services in Durban, KwaZulu-Natal, South Africa: an overview for the business directory reader
Durban, a major urban centre on the KwaZulu-Natal coast, provides a broad mix of hospital services that cater to residents and visitors alike. The city supports both public and private healthcare, with facilities ranging from district and regional hospitals to private acute-care hospitals. The services described here reflect common offerings in this setting and are intended to inform readers about what to expect when engaging hospital care in Durban.
Most patients access hospital care through emergency services, planned admissions, or outpatient appointments. In emergency departments, triage is used to prioritise treatment according to the severity of illness or injury. After initial assessment, a patient may undergo a series of steps including diagnostic imaging, laboratory tests, and consultations with relevant specialists. Where necessary, inpatient admission follows a physician’s decision, with a care plan reviewed by a multidisciplinary team. Discharge planning is typically coordinated to ensure appropriate follow-up, home support, or rehabilitation services.
Common hospital services available in Durban include:
- Emergency and urgent care: 24-hour access for acute illnesses, injuries, and life-threatening conditions, with stabilisation and rapid assessment.
- Inpatient care: medical and surgical wards for observation, treatment, and recovery following procedures or crises.
- Maternity and newborn services: obstetric care, labour and delivery facilities, postnatal support, and newborn assessments.
- Paediatrics and child health: specialised care for infants and children, including diagnostic testing and treatment for acute and chronic conditions.
- Surgical services: general and specialised surgery, perioperative care, and postoperative monitoring.
- Diagnostic imaging: radiology services such as X-ray, ultrasound, CT/MRI where available, used to guide diagnoses and treatment plans.
- Laboratory services: in-house testing to support rapid results for diagnoses, infectious disease screening, and monitoring.
- Rehabilitation and allied health: physiotherapy, occupational therapy, speech and language therapy, and social work to support recovery and discharge readiness.
- Oncology and haematology: cancer care pathways, chemotherapy administration, and supportive services where available.
- Mental health and subacute care: access to psychiatric evaluation, inpatient or day hospital programmes, and community-linked supports.
- Pharmacy and medication management: on-site dispensing, guidance on medication safety, and coordination with external providers when necessary.
In Durban, it is common for both public and private facilities to emphasise patient safety, infection control, and quality assurance, though the scope of services, bed availability, and pricing structures can differ. Public hospitals typically provide essential services funded by national and provincial health programmes, and may experience higher demand and longer wait times. Private hospitals often offer more expedited access, private rooms, and a broader range of elective procedures, with fees typically covered by private medical aids or personal payment arrangements. Visitors and patients should be aware that language and cultural considerations are attended to in many facilities, with staff trained to communicate in multiple languages.
Practical considerations for patients and families include transport and parking arrangements, visiting hours, and the hospital’s policy on accompanying persons. It is prudent to check whether a facility accepts medical aid schemes, what pre-authorisation might be required, and how discharge planning will coordinate with home-care services or community clinics. Coordination with general practitioners or specialists is common for ongoing treatment, follow-up appointments, and management of chronic conditions after discharge.
Operating a hospital experience in Durban generally seeks to balance prompt clinical decision-making with patient comfort and safety. While facility capabilities vary, the overarching framework involves rapid assessment, evidence-based treatment, clear communication of care plans, and planned follow-up to support recovery and wellbeing. For those seeking care, understanding the flow from admission through discharge can help patients and families navigate the system more effectively.
