1 00:00:00,080 --> 00:00:02,159 This is Chris Sosa with the Becker's Healthcare 2 00:00:02,159 --> 00:00:02,659 podcast. 3 00:00:03,120 --> 00:00:04,639 I'm thrilled to be joined by doctor Trey 4 00:00:04,639 --> 00:00:05,139 Eubanks, 5 00:00:05,440 --> 00:00:07,279 president and surgeon in chief of Le Bonheur 6 00:00:07,279 --> 00:00:09,679 Children's Hospital in Memphis and professor of surgery 7 00:00:09,679 --> 00:00:12,000 and pediatrics at the University of Tennessee Health 8 00:00:12,000 --> 00:00:14,400 Sciences Center. Doctor Eubanks, thank you for joining 9 00:00:14,400 --> 00:00:16,375 us today. Thank you. Thanks for having me 10 00:00:16,375 --> 00:00:18,375 on the program. Doctor Eubanks, for those who 11 00:00:18,375 --> 00:00:20,054 are not familiar with you and or your 12 00:00:20,054 --> 00:00:21,894 work, could you please introduce yourself and tell 13 00:00:21,894 --> 00:00:23,114 us a bit about your background? 14 00:00:24,295 --> 00:00:26,535 Sure. My name is Trey Eubanks. I'm a 15 00:00:26,535 --> 00:00:28,554 pediatric surgeon, by training 16 00:00:29,015 --> 00:00:29,515 from 17 00:00:30,568 --> 00:00:32,953 a little town in North Mississippi called Tunica, 18 00:00:33,251 --> 00:00:35,637 only about an hour from here. I went 19 00:00:35,637 --> 00:00:38,022 to medical school at the University of Mississippi. 20 00:00:38,022 --> 00:00:40,407 I did general surgery training at the University 21 00:00:40,407 --> 00:00:42,895 of Tennessee and then pediatric surgery training at, 22 00:00:43,054 --> 00:00:44,835 University of Texas Southwestern 23 00:00:45,614 --> 00:00:47,314 at, Dallas Children's Hospital. 24 00:00:47,695 --> 00:00:50,335 And so, I've been in practice here, in 25 00:00:50,335 --> 00:00:51,795 Memphis my entire career. 26 00:00:52,655 --> 00:00:54,114 I came back here in 2002, 27 00:00:55,134 --> 00:00:55,634 really 28 00:00:56,090 --> 00:00:58,009 because I wanted to work at this children's 29 00:00:58,009 --> 00:01:00,489 hospital because of really what I saw as 30 00:01:00,489 --> 00:01:01,149 a resident 31 00:01:01,929 --> 00:01:02,829 working here 32 00:01:03,289 --> 00:01:05,369 when I was, in my training for general 33 00:01:05,369 --> 00:01:05,869 surgery. 34 00:01:06,170 --> 00:01:08,250 There was something special about the people here, 35 00:01:08,250 --> 00:01:10,989 something special about the mission that they did. 36 00:01:11,504 --> 00:01:11,745 And, 37 00:01:12,305 --> 00:01:14,084 so I was very excited to be joining 38 00:01:14,305 --> 00:01:16,245 a couple of people that were my mentors, 39 00:01:17,104 --> 00:01:18,704 when I was a general surgery resident. So 40 00:01:18,704 --> 00:01:20,165 I came back to Memphis 41 00:01:20,864 --> 00:01:23,424 and, started practice here in 2002, and I've 42 00:01:23,424 --> 00:01:24,644 been in practice here 43 00:01:24,980 --> 00:01:27,560 ever since. You know, Le Bonheur Children's Hospital 44 00:01:28,739 --> 00:01:31,459 is, in Memphis, Tennessee, but we have outreach 45 00:01:31,459 --> 00:01:31,959 clinics, 46 00:01:32,340 --> 00:01:33,319 in 3 locations, 47 00:01:33,780 --> 00:01:35,319 within about 90 miles 48 00:01:35,780 --> 00:01:37,880 of our downtown primary location. 49 00:01:38,915 --> 00:01:41,415 And we have 45 pediatric specialties 50 00:01:42,194 --> 00:01:43,094 and about 250, 51 00:01:44,034 --> 00:01:46,215 pediatric providers. We have got a very 52 00:01:46,594 --> 00:01:47,094 robust 53 00:01:47,475 --> 00:01:48,375 community outreach, 54 00:01:48,835 --> 00:01:50,375 group. We do, 55 00:01:51,234 --> 00:01:51,734 very 56 00:01:52,950 --> 00:01:55,829 deep dive into pediatric research, and we have 57 00:01:55,829 --> 00:01:58,650 our own pediatric research institute that's growing, 58 00:01:59,349 --> 00:02:02,950 leaps and bounds. Our downtown hospital is is 59 00:02:02,950 --> 00:02:03,450 290 60 00:02:03,829 --> 00:02:05,909 beds now, and then we have a 21 61 00:02:05,909 --> 00:02:06,409 bed 62 00:02:07,275 --> 00:02:08,655 unit, which is in, 63 00:02:09,194 --> 00:02:09,915 one of our, 64 00:02:10,635 --> 00:02:11,135 communities, 65 00:02:11,514 --> 00:02:12,655 nearby Jackson, 66 00:02:13,115 --> 00:02:13,615 Tennessee, 67 00:02:14,395 --> 00:02:16,415 Jackson Madison County General Hospital. 68 00:02:17,194 --> 00:02:18,814 We're also the primary teaching, 69 00:02:19,355 --> 00:02:20,735 facility for all pediatric 70 00:02:21,699 --> 00:02:23,800 trainees in the state of Tennessee, 71 00:02:24,419 --> 00:02:26,659 for the University of Tennessee Health Science Center, 72 00:02:26,659 --> 00:02:29,080 and we, train more than 350 pediatricians, 73 00:02:29,860 --> 00:02:31,159 specialists every year. 74 00:02:31,780 --> 00:02:33,460 And, for the 14th year in a row 75 00:02:33,460 --> 00:02:34,900 this year, we were ranked as one of 76 00:02:34,900 --> 00:02:36,925 the top children's hospital by US News and 77 00:02:36,925 --> 00:02:37,585 World Report. 78 00:02:38,685 --> 00:02:40,525 Also, we're a magnet, 79 00:02:41,004 --> 00:02:42,145 designated facility. 80 00:02:42,525 --> 00:02:45,164 All those great accolades are nice and gives 81 00:02:45,164 --> 00:02:45,824 you some, 82 00:02:46,844 --> 00:02:49,025 information about kind of the character, what 83 00:02:49,360 --> 00:02:51,439 type of quality we provide. But the thing 84 00:02:51,439 --> 00:02:52,099 that makes 85 00:02:52,400 --> 00:02:54,239 Le Bonheur special to me is is the 86 00:02:54,239 --> 00:02:55,939 mission to take care of every kid, 87 00:02:56,639 --> 00:02:58,739 despite their stage in life and their ability, 88 00:02:59,360 --> 00:03:01,680 to to seek care. We try to provide 89 00:03:01,680 --> 00:03:02,739 access for all. 90 00:03:03,075 --> 00:03:03,575 And, 91 00:03:04,115 --> 00:03:06,295 when you meet the associates that work here, 92 00:03:06,675 --> 00:03:08,355 we're all pulling together for the same thing. 93 00:03:08,355 --> 00:03:09,795 We just do what's right for kids, and 94 00:03:09,795 --> 00:03:10,115 that's, 95 00:03:10,675 --> 00:03:12,754 that's kind of our anchor statement, so to 96 00:03:12,754 --> 00:03:14,275 speak. So it's the kind of place I 97 00:03:14,275 --> 00:03:16,719 want to work, in my whole life, and 98 00:03:16,719 --> 00:03:17,460 I'm just 99 00:03:17,919 --> 00:03:19,520 honored to be able to be here and 100 00:03:19,520 --> 00:03:20,659 lead it as the president 101 00:03:21,040 --> 00:03:21,540 now. 102 00:03:22,159 --> 00:03:24,879 Thank you, doctor Eubanks. It's definitely wonderful to 103 00:03:24,879 --> 00:03:27,760 familiarize our audience with all the things that 104 00:03:27,760 --> 00:03:29,840 you and LaVona have been able to accomplish, 105 00:03:29,840 --> 00:03:30,340 including 106 00:03:30,794 --> 00:03:32,974 the ranking from US News and World Report. 107 00:03:33,194 --> 00:03:36,074 Congratulations on that, certainly, and everything you guys 108 00:03:36,074 --> 00:03:37,995 are working toward. And how great is that 109 00:03:37,995 --> 00:03:40,155 that you're able to actually work at the 110 00:03:40,155 --> 00:03:43,319 place that you focused on returning to. So 111 00:03:43,319 --> 00:03:44,539 with that, doctor Eubanks, 112 00:03:45,239 --> 00:03:46,599 just wanna ask you, what are your top 113 00:03:46,599 --> 00:03:48,219 priorities today at La Bonnet? 114 00:03:49,159 --> 00:03:51,719 Well, we just wanna provide the absolute best 115 00:03:51,719 --> 00:03:53,979 care to the children that we are charged 116 00:03:54,039 --> 00:03:56,120 to take care of and and to support 117 00:03:56,120 --> 00:03:58,634 the families in that. You know, serving, 118 00:03:59,175 --> 00:04:00,555 Memphis in the mid south, 119 00:04:01,094 --> 00:04:02,955 we're 200 miles from the nearest, 120 00:04:03,655 --> 00:04:04,155 similarly, 121 00:04:05,574 --> 00:04:07,034 supported children's hospital. 122 00:04:07,495 --> 00:04:09,354 And so, we've got a responsibility 123 00:04:09,735 --> 00:04:11,280 to the patients we take care of to 124 00:04:11,360 --> 00:04:13,599 provide the absolute best in in health care. 125 00:04:13,599 --> 00:04:16,000 And and, you know, families don't like to 126 00:04:16,000 --> 00:04:16,500 travel 127 00:04:16,959 --> 00:04:19,279 as much for for care, as maybe they 128 00:04:19,279 --> 00:04:20,800 used to. They wanna stay close to home, 129 00:04:20,800 --> 00:04:22,000 and so we had to make sure that 130 00:04:22,000 --> 00:04:24,160 we have got everything that they could get 131 00:04:24,160 --> 00:04:25,540 just about anywhere else. 132 00:04:26,524 --> 00:04:29,024 And so, that's that's really our biggest, 133 00:04:29,564 --> 00:04:32,125 goal is to always provide the absolute best 134 00:04:32,125 --> 00:04:33,024 care for kids, 135 00:04:33,884 --> 00:04:35,165 when they cross our doors, 136 00:04:35,485 --> 00:04:37,004 which means we've got to have ax 137 00:04:37,964 --> 00:04:39,185 excellent, clinicians. 138 00:04:39,805 --> 00:04:41,504 We've got a a well trained 139 00:04:42,419 --> 00:04:45,860 associate staff of nurses and therapists, and we've 140 00:04:45,860 --> 00:04:47,620 got to be open and ready to take 141 00:04:47,620 --> 00:04:49,459 care of them at any time of the 142 00:04:49,459 --> 00:04:49,959 day, 143 00:04:51,139 --> 00:04:53,060 or night. So that that is our biggest 144 00:04:53,060 --> 00:04:53,560 goal. 145 00:04:54,019 --> 00:04:54,759 We continue 146 00:04:55,300 --> 00:04:55,879 to educate 147 00:04:56,865 --> 00:04:58,324 the caregivers of tomorrow, 148 00:04:58,865 --> 00:05:00,084 today in our hospital, 149 00:05:00,865 --> 00:05:01,264 and, 150 00:05:01,745 --> 00:05:04,165 we always are seeking ways to 151 00:05:04,545 --> 00:05:05,045 improve 152 00:05:05,584 --> 00:05:08,944 on, cures and therapies and even devices that 153 00:05:08,944 --> 00:05:09,685 can make 154 00:05:10,129 --> 00:05:11,509 the care of of children, 155 00:05:11,970 --> 00:05:12,470 even, 156 00:05:13,730 --> 00:05:15,189 better with less, 157 00:05:15,970 --> 00:05:18,310 side effects. And so we're trying to improve 158 00:05:18,850 --> 00:05:19,250 health, 159 00:05:20,449 --> 00:05:22,449 on the acute care side. And then and 160 00:05:22,449 --> 00:05:23,589 then in the community, 161 00:05:24,814 --> 00:05:26,514 we we try to get in the community 162 00:05:27,134 --> 00:05:29,794 to address kids that are living in areas 163 00:05:30,254 --> 00:05:32,094 or in situations in their life that may 164 00:05:32,094 --> 00:05:33,555 put them at risk for diseases, 165 00:05:34,414 --> 00:05:36,334 or for illnesses later in life, and we 166 00:05:36,334 --> 00:05:39,490 try to intervene there as well, through our 167 00:05:39,490 --> 00:05:40,470 community outreach, 168 00:05:40,850 --> 00:05:41,350 efforts. 169 00:05:41,650 --> 00:05:43,730 So it's it's a big task, but I 170 00:05:43,730 --> 00:05:45,569 think it's, it's an honorable one, and we're 171 00:05:45,569 --> 00:05:46,790 we're glad to have it. 172 00:05:47,650 --> 00:05:49,670 That's certainly. And thankfully, you have 173 00:05:50,164 --> 00:05:52,564 great people working with you as well, doctor 174 00:05:52,564 --> 00:05:53,064 Eubanks. 175 00:05:53,685 --> 00:05:54,664 I'm glad you mentioned 176 00:05:55,444 --> 00:05:58,245 the evolving nature of medicines and treatments. I 177 00:05:58,245 --> 00:06:00,584 mean, certainly health care is anything but static. 178 00:06:00,724 --> 00:06:02,680 So looking ahead a little bit, how do 179 00:06:02,680 --> 00:06:04,839 you anticipate your role is going to evolve 180 00:06:04,839 --> 00:06:06,519 as well as the role of your teams 181 00:06:06,519 --> 00:06:08,300 over the next 18 months or so? 182 00:06:08,919 --> 00:06:10,939 Well, we fortunately have just, 183 00:06:11,879 --> 00:06:12,699 moved into 184 00:06:13,319 --> 00:06:16,199 our our newest expansion of over nearly a 185 00:06:16,199 --> 00:06:16,699 130,000 186 00:06:17,079 --> 00:06:17,899 square feet, 187 00:06:18,455 --> 00:06:19,275 which expanded 188 00:06:19,814 --> 00:06:22,235 primarily our cardiac care unit, 189 00:06:22,855 --> 00:06:25,355 but also our neonatal intensive care unit 190 00:06:25,814 --> 00:06:28,154 and, our recovery room area. 191 00:06:28,694 --> 00:06:29,915 We also added, 192 00:06:30,295 --> 00:06:31,435 Tennessee's first, 193 00:06:32,329 --> 00:06:34,349 hybrid MRI cath lab space, 194 00:06:34,970 --> 00:06:36,269 to be able to do more 195 00:06:36,649 --> 00:06:37,789 cardiac catheterizations 196 00:06:38,569 --> 00:06:40,970 in a hybrid fashion with MRI directing the 197 00:06:40,970 --> 00:06:41,470 care. 198 00:06:42,409 --> 00:06:44,970 And in that same area, we added virtual 199 00:06:44,970 --> 00:06:47,914 reality lab to help our cardiac subspecialists, 200 00:06:49,014 --> 00:06:50,235 be able to explore 201 00:06:50,694 --> 00:06:51,995 through 3 d modeling 202 00:06:52,454 --> 00:06:53,854 the best way to take care of some 203 00:06:53,854 --> 00:06:56,694 of the patients with congenital heart disease. So 204 00:06:56,694 --> 00:06:57,754 our biggest focus, 205 00:06:58,134 --> 00:06:59,995 right now over the next 18 months 206 00:07:00,479 --> 00:07:00,800 is, 207 00:07:01,279 --> 00:07:03,919 is continuing to grow our staff in those 208 00:07:03,919 --> 00:07:04,419 areas 209 00:07:04,720 --> 00:07:07,459 and expand into those spaces and adding even 210 00:07:07,919 --> 00:07:08,419 higher, 211 00:07:08,720 --> 00:07:09,939 better technology, 212 00:07:11,039 --> 00:07:13,360 in those areas to continue to help our 213 00:07:13,360 --> 00:07:14,754 heart patients grow. 214 00:07:15,694 --> 00:07:17,774 Really excited about our NICU expansion as well 215 00:07:17,774 --> 00:07:18,495 because we had been 216 00:07:19,295 --> 00:07:21,774 we have a 60 bed NICU, but, because 217 00:07:21,774 --> 00:07:23,455 we're a children's hospital, we don't have a 218 00:07:23,455 --> 00:07:25,935 birthing center. And so all of our babies 219 00:07:25,935 --> 00:07:29,074 come in from outlying neonatal intensive care units, 220 00:07:29,589 --> 00:07:32,709 and they're often pretty sick, very premature, or 221 00:07:32,709 --> 00:07:34,729 have other, significant illnesses. 222 00:07:35,269 --> 00:07:35,669 And, 223 00:07:36,550 --> 00:07:38,870 we have been full, for the last several 224 00:07:38,870 --> 00:07:39,370 years 225 00:07:39,750 --> 00:07:41,370 at at nearly 60 patients, 226 00:07:41,829 --> 00:07:43,669 on an average daily census of, you know, 227 00:07:43,669 --> 00:07:46,035 58 to 60 every every day. So we 228 00:07:46,035 --> 00:07:48,115 needed more space there. So we expanded that 229 00:07:48,115 --> 00:07:48,615 space 230 00:07:49,314 --> 00:07:50,295 up to 70, 231 00:07:50,675 --> 00:07:53,235 4 beds. And then we have some other 232 00:07:53,235 --> 00:07:54,995 space that if we needed to in the 233 00:07:54,995 --> 00:07:55,495 future, 234 00:07:55,875 --> 00:07:57,955 we could expand up to close to 90 235 00:07:57,955 --> 00:07:58,774 90 beds. 236 00:07:59,074 --> 00:07:59,574 So 237 00:08:00,360 --> 00:08:02,600 staffing those areas and continue to grow into 238 00:08:02,600 --> 00:08:04,379 those areas is kind of our biggest, 239 00:08:05,479 --> 00:08:05,979 primary, 240 00:08:07,479 --> 00:08:08,540 goal for the next, 241 00:08:09,079 --> 00:08:10,300 6 to 12 months. 242 00:08:11,079 --> 00:08:11,740 In addition, 243 00:08:12,625 --> 00:08:16,004 MRI technology continues to improve, and we're adding 244 00:08:16,225 --> 00:08:16,725 newer, 245 00:08:17,345 --> 00:08:18,644 more innovative MRI 246 00:08:19,345 --> 00:08:21,504 capabilities to our hospitals so that we can 247 00:08:21,504 --> 00:08:22,324 do MRIs, 248 00:08:22,785 --> 00:08:23,604 even quicker, 249 00:08:24,064 --> 00:08:25,904 on our patients. In some cases, in less 250 00:08:25,904 --> 00:08:27,330 than half the time that we're currently doing 251 00:08:27,330 --> 00:08:29,110 MRIs. And as you know, probably, 252 00:08:29,810 --> 00:08:32,529 children don't tolerate MRIs without sedation. And in 253 00:08:32,529 --> 00:08:34,950 fact, a lot of adults don't tolerate MRIs 254 00:08:35,009 --> 00:08:37,410 without sedation. But because of the because of 255 00:08:37,410 --> 00:08:39,509 the sedation required for many of our children, 256 00:08:39,834 --> 00:08:42,575 that requires a lot of anesthesia assets. 257 00:08:42,955 --> 00:08:45,375 And so we're trying to actually recruit more 258 00:08:45,754 --> 00:08:47,774 anesthesia providers that will help us 259 00:08:48,154 --> 00:08:49,375 help us to do that 260 00:08:49,754 --> 00:08:51,455 and and to support that space. 261 00:08:52,420 --> 00:08:54,680 We're we're looking for ways to kinda grow 262 00:08:54,820 --> 00:08:57,480 not just our kinda regional footprint, 263 00:08:58,100 --> 00:09:00,040 but also our scholarly activity, 264 00:09:00,899 --> 00:09:02,040 and grow our research, 265 00:09:02,500 --> 00:09:04,120 capabilities. We we have 266 00:09:04,464 --> 00:09:06,945 partnered with, in clinical care, St. Jude Children's 267 00:09:06,945 --> 00:09:09,184 Research Hospital in helping provide the clinical care 268 00:09:09,184 --> 00:09:10,725 for a lot of their patients. We're also 269 00:09:10,945 --> 00:09:13,684 partnering with them in some research activities now 270 00:09:13,985 --> 00:09:15,684 and really striving to increase, 271 00:09:16,464 --> 00:09:17,924 some of our research funding, 272 00:09:18,539 --> 00:09:19,899 that we've been able to get over the 273 00:09:19,899 --> 00:09:21,899 last several years and and have already seen 274 00:09:21,899 --> 00:09:23,440 some successes in that area. 275 00:09:24,059 --> 00:09:26,220 So, you know, innovation is really the the 276 00:09:26,220 --> 00:09:28,299 name of the game going forward. And so 277 00:09:28,299 --> 00:09:30,860 looking for more innovative ways to provide better, 278 00:09:30,860 --> 00:09:32,159 safer care for children 279 00:09:32,684 --> 00:09:34,924 faster, more efficiently, but also at the same 280 00:09:34,924 --> 00:09:37,325 time remembering we're supporting a whole family when 281 00:09:37,325 --> 00:09:39,245 we do that, which has always been a 282 00:09:39,245 --> 00:09:41,004 real centerpiece for what we do is patient 283 00:09:41,004 --> 00:09:42,144 family centered care. 284 00:09:43,004 --> 00:09:44,445 So one one of the one of the 285 00:09:44,445 --> 00:09:46,845 cool features that we have, we're fortunate to 286 00:09:46,845 --> 00:09:47,345 partner, 287 00:09:48,009 --> 00:09:50,829 with one of our, local benefactors here, FedEx, 288 00:09:51,850 --> 00:09:53,230 to build a a FedEx, 289 00:09:53,610 --> 00:09:55,690 family house, which is a house just for 290 00:09:55,690 --> 00:09:57,149 our patients and their families 291 00:09:57,690 --> 00:09:59,715 to stay in, when they're here, and it 292 00:10:00,035 --> 00:10:02,514 it is, it's a pretty full place. And 293 00:10:02,514 --> 00:10:05,154 so it's a great place. The the families 294 00:10:05,154 --> 00:10:06,295 love it when they come, 295 00:10:06,835 --> 00:10:09,235 and it gives them a totally different feel, 296 00:10:09,555 --> 00:10:11,715 for when you're in a hospital. We love 297 00:10:11,715 --> 00:10:13,495 it when we can distract the families 298 00:10:14,049 --> 00:10:16,370 from from the trauma or the anxiety of 299 00:10:16,370 --> 00:10:17,509 what they're going through 300 00:10:17,889 --> 00:10:19,190 with other activities, 301 00:10:19,889 --> 00:10:21,410 be it a a place to say stay 302 00:10:21,410 --> 00:10:23,190 like the FedEx Family House or activities 303 00:10:23,570 --> 00:10:24,470 in the hospital. 304 00:10:24,850 --> 00:10:27,245 So, finding more unique ways to do that 305 00:10:27,245 --> 00:10:29,804 is important. Our FedEx Family House, and FedEx 306 00:10:29,804 --> 00:10:31,725 is our partner, is so important to allowing 307 00:10:31,725 --> 00:10:33,165 us to do that for our families, get 308 00:10:33,165 --> 00:10:34,545 them a little bit of an escape, 309 00:10:34,924 --> 00:10:37,165 from the hospital, so to speak. And and 310 00:10:37,165 --> 00:10:38,924 it it's almost like being in a really 311 00:10:38,924 --> 00:10:39,665 nice hotel. 312 00:10:40,089 --> 00:10:40,330 But, 313 00:10:40,889 --> 00:10:42,809 there are other children that come with them 314 00:10:42,809 --> 00:10:43,309 oftentimes, 315 00:10:44,089 --> 00:10:45,250 get to stay there, and the rest of 316 00:10:45,250 --> 00:10:46,649 the family gets to stay there together and 317 00:10:46,649 --> 00:10:48,409 maintain the family unit. So we think that's 318 00:10:48,409 --> 00:10:50,889 all critically important, and we may be needing 319 00:10:50,889 --> 00:10:52,750 more space in that area. So, 320 00:10:53,210 --> 00:10:54,970 another thing that's that's on my mind for 321 00:10:54,970 --> 00:10:56,804 the future. We have recently 322 00:10:57,204 --> 00:10:59,704 lastly, we've recently recruited some new leaders, 323 00:11:00,884 --> 00:11:01,384 physician, 324 00:11:02,084 --> 00:11:04,804 leaders in our institution. One's our our newest 325 00:11:04,804 --> 00:11:05,304 cardiac 326 00:11:05,764 --> 00:11:08,004 surgery chief, who's just joined us and just 327 00:11:08,004 --> 00:11:10,804 getting started. I have another cardiac surgeon coming 328 00:11:10,804 --> 00:11:11,304 soon. 329 00:11:12,779 --> 00:11:15,019 We have made some other leadership changes, which 330 00:11:15,019 --> 00:11:16,559 I'm really excited about, but, 331 00:11:17,500 --> 00:11:19,200 that are gonna allow us to grow, 332 00:11:20,540 --> 00:11:22,240 with with kinda younger leaders, 333 00:11:22,620 --> 00:11:24,240 and maybe have a little bit different 334 00:11:24,634 --> 00:11:27,274 viewpoint of of of the direction that pediatric 335 00:11:27,274 --> 00:11:30,394 care is going in. So all excited stuff, 336 00:11:30,475 --> 00:11:32,554 all the all while we're training, the next 337 00:11:32,554 --> 00:11:35,274 generation of leaders. So it's important things that 338 00:11:35,274 --> 00:11:36,095 we do here. 339 00:11:37,049 --> 00:11:39,529 Always exciting to be growing, doctor Eubanks. It 340 00:11:39,529 --> 00:11:41,129 sounds like you and your team have with 341 00:11:41,129 --> 00:11:43,049 your hands full and not necessarily a bad 342 00:11:43,049 --> 00:11:45,210 way. It sounds like you've got a pretty 343 00:11:45,210 --> 00:11:47,769 good handle on how things need to evolve 344 00:11:47,769 --> 00:11:50,570 in your health system there, which is wonderful 345 00:11:50,570 --> 00:11:51,134 to hear. 346 00:11:51,695 --> 00:11:53,215 The next thing I wanna ask you, doctor 347 00:11:53,215 --> 00:11:54,274 Eubanks, so 348 00:11:54,654 --> 00:11:56,575 at this point in time, what's making you 349 00:11:56,575 --> 00:11:58,415 a little bit nervous as far as health 350 00:11:58,415 --> 00:12:00,575 care is concerned? And the other side of 351 00:12:00,575 --> 00:12:03,475 that coin is what are you excited about? 352 00:12:04,335 --> 00:12:06,595 Well, you know, things that have impacted 353 00:12:07,179 --> 00:12:09,980 health care since since COVID have have really 354 00:12:09,980 --> 00:12:12,540 been kinda universal. All health health systems have 355 00:12:12,540 --> 00:12:15,040 dealt with some of the challenges in staffing, 356 00:12:15,820 --> 00:12:18,700 some of the economics of of inflation that 357 00:12:18,700 --> 00:12:19,200 impact 358 00:12:20,184 --> 00:12:21,865 all parts of health care just like they 359 00:12:21,865 --> 00:12:23,305 impact you when you go to the grocery 360 00:12:23,305 --> 00:12:26,024 store. They've impacted us as well. And so 361 00:12:26,024 --> 00:12:28,345 we're adjusting for that, but we you know, 362 00:12:28,345 --> 00:12:31,305 some of the really exciting things that that 363 00:12:31,305 --> 00:12:32,920 we have, I've kinda touched on a little 364 00:12:32,920 --> 00:12:36,220 bit. We got some really cool research projects 365 00:12:36,279 --> 00:12:37,420 going on in the area 366 00:12:37,800 --> 00:12:39,259 of of, pediatric, 367 00:12:39,960 --> 00:12:42,040 genetic epilepsy and some of the treatments that 368 00:12:42,040 --> 00:12:43,100 we have, not just 369 00:12:43,480 --> 00:12:43,980 therapeutics, 370 00:12:44,840 --> 00:12:45,500 but also 371 00:12:46,054 --> 00:12:46,554 surgical 372 00:12:47,174 --> 00:12:48,554 innovations that have been 373 00:12:49,095 --> 00:12:49,595 pioneered, 374 00:12:50,054 --> 00:12:52,534 and we have adopted those and are starting 375 00:12:52,534 --> 00:12:54,315 to use those to cure some of the 376 00:12:55,095 --> 00:12:56,634 most crippling patients 377 00:12:56,934 --> 00:12:57,674 with epilepsy. 378 00:12:58,934 --> 00:13:00,615 Really, really proud of the work that that 379 00:13:00,615 --> 00:13:01,590 team has done 380 00:13:02,070 --> 00:13:04,250 in tackling what can be a really devastating 381 00:13:05,269 --> 00:13:05,769 disease. 382 00:13:06,230 --> 00:13:07,850 We continue to partner with 383 00:13:08,470 --> 00:13:11,269 with our physicians throughout the region. You know, 384 00:13:11,269 --> 00:13:13,370 because we're a comprehensive children's 385 00:13:14,174 --> 00:13:14,674 hospital, 386 00:13:15,054 --> 00:13:16,735 for the state of Tennessee, we have an 387 00:13:16,735 --> 00:13:20,115 obligation not just to train our own staff 388 00:13:20,174 --> 00:13:21,475 how to take care of patients, 389 00:13:21,855 --> 00:13:24,174 but but we want the community hospitals that 390 00:13:24,174 --> 00:13:25,934 are out in the more rural areas that 391 00:13:25,934 --> 00:13:26,595 we serve 392 00:13:27,080 --> 00:13:28,440 to be able to take care of patients 393 00:13:28,440 --> 00:13:30,220 well there and get them to us 394 00:13:30,519 --> 00:13:33,240 as quickly as possible. So we partner with 395 00:13:33,240 --> 00:13:33,980 our regional, 396 00:13:34,919 --> 00:13:36,860 hospitals and physician colleagues, 397 00:13:37,879 --> 00:13:39,720 to educate them on what we would like 398 00:13:39,720 --> 00:13:42,345 to see, how patients are cared for, how 399 00:13:42,345 --> 00:13:44,105 to get them here to us quickly. And 400 00:13:44,105 --> 00:13:45,565 if that partnership includes, 401 00:13:46,264 --> 00:13:46,764 providing, 402 00:13:47,065 --> 00:13:48,745 more care in those areas, then we do 403 00:13:48,745 --> 00:13:50,845 that, like like I mentioned, in West Tennessee. 404 00:13:51,464 --> 00:13:54,504 And so that's a it's exciting thing that 405 00:13:54,504 --> 00:13:55,004 we're 406 00:13:55,720 --> 00:13:59,000 developing those partnerships with those, regional partners of 407 00:13:59,000 --> 00:13:59,500 ours, 408 00:13:59,879 --> 00:14:01,080 in a way that we think are gonna 409 00:14:01,080 --> 00:14:02,919 provide better care for the patients that they 410 00:14:02,919 --> 00:14:03,419 serve, 411 00:14:03,720 --> 00:14:05,240 and it's kind of our way of giving 412 00:14:05,240 --> 00:14:06,299 back to those areas. 413 00:14:06,840 --> 00:14:08,379 Another thing that is really 414 00:14:08,825 --> 00:14:10,985 kinda cool that's been going on over the 415 00:14:10,985 --> 00:14:11,884 last decade 416 00:14:12,585 --> 00:14:15,004 is we have developed a bowel repository 417 00:14:15,384 --> 00:14:16,284 of pediatric 418 00:14:16,985 --> 00:14:18,445 of our pediatric population, 419 00:14:19,384 --> 00:14:21,964 and one of the most diverse bowel repositories 420 00:14:22,184 --> 00:14:22,924 in the country, 421 00:14:23,945 --> 00:14:27,220 that allows for people to look at patients 422 00:14:27,220 --> 00:14:28,679 from a more diverse population 423 00:14:29,059 --> 00:14:30,360 and see what genetic, 424 00:14:31,139 --> 00:14:34,100 conditions may be identified. And so some research 425 00:14:34,100 --> 00:14:35,320 projects are going on, 426 00:14:35,779 --> 00:14:37,860 with some of those, with with that bio 427 00:14:37,860 --> 00:14:41,294 repository and partnering with not just, our local 428 00:14:41,294 --> 00:14:42,595 physicians, but many, 429 00:14:43,214 --> 00:14:46,014 children's hospital across the country to try trying 430 00:14:46,014 --> 00:14:47,714 to get at some of those more unique 431 00:14:47,855 --> 00:14:48,355 illnesses 432 00:14:48,894 --> 00:14:50,834 that may tend to, impact, 433 00:14:51,615 --> 00:14:53,615 populations that we see more of here in 434 00:14:53,615 --> 00:14:55,830 in in this area, in particularly the African 435 00:14:55,830 --> 00:14:56,730 American population. 436 00:14:57,269 --> 00:15:00,230 And so, really excited about, some of the 437 00:15:00,230 --> 00:15:02,389 impact we can make there. And then and 438 00:15:02,389 --> 00:15:04,549 then lastly, our our community outreach, I just 439 00:15:04,549 --> 00:15:06,710 can't say enough about the great work that 440 00:15:06,710 --> 00:15:07,370 they do, 441 00:15:07,815 --> 00:15:09,735 the many projects they have going on trying 442 00:15:09,735 --> 00:15:11,335 to reach out to our communities that are 443 00:15:11,335 --> 00:15:11,835 less 444 00:15:12,294 --> 00:15:12,794 advantaged 445 00:15:13,174 --> 00:15:13,735 and have, 446 00:15:14,535 --> 00:15:15,035 restricted 447 00:15:15,575 --> 00:15:17,415 access to care. We're just trying to open 448 00:15:17,415 --> 00:15:19,095 up doors so we can get those patients 449 00:15:19,095 --> 00:15:19,595 in 450 00:15:20,490 --> 00:15:22,649 and and maybe curb some of the illnesses 451 00:15:22,649 --> 00:15:23,470 that they're seeing 452 00:15:23,850 --> 00:15:26,009 by by early intervention. So, you know, a 453 00:15:26,009 --> 00:15:27,370 lot of great work and and more to 454 00:15:27,370 --> 00:15:28,190 come, I hope. 455 00:15:28,809 --> 00:15:30,410 Indeed. And best of luck with all those 456 00:15:30,410 --> 00:15:32,809 worthwhile efforts, doctor Eubanks. And lastly, what I 457 00:15:32,809 --> 00:15:34,514 wanna ask you is what issue in health 458 00:15:34,514 --> 00:15:36,355 care do you think merits a brighter spotlight 459 00:15:36,355 --> 00:15:37,735 than it's getting at the moment? 460 00:15:38,595 --> 00:15:40,674 Well, I I probably would have to start 461 00:15:40,674 --> 00:15:42,054 with with mental health. 462 00:15:42,674 --> 00:15:43,414 It's it's 463 00:15:44,355 --> 00:15:46,559 mental health has always been an issue. It's 464 00:15:46,559 --> 00:15:48,720 not one that children's hospitals have dealt with 465 00:15:48,720 --> 00:15:49,220 very, 466 00:15:49,759 --> 00:15:50,259 efficiently. 467 00:15:51,440 --> 00:15:51,940 And, 468 00:15:52,399 --> 00:15:53,059 in fact, 469 00:15:54,320 --> 00:15:57,920 we have been poorly staffed and prepared for 470 00:15:57,920 --> 00:16:00,245 those patients. But with 471 00:16:00,705 --> 00:16:01,424 some of the, 472 00:16:02,144 --> 00:16:04,085 cultural changes with COVID 473 00:16:04,465 --> 00:16:07,184 that we saw and and and the impact 474 00:16:07,184 --> 00:16:08,325 that had on children, 475 00:16:09,024 --> 00:16:10,725 and their and their mental well-being, 476 00:16:11,184 --> 00:16:12,004 those patients, 477 00:16:12,384 --> 00:16:14,339 all of a sudden kind of spring on 478 00:16:14,339 --> 00:16:16,820 us. And so, here in the state of 479 00:16:16,820 --> 00:16:17,320 Tennessee, 480 00:16:17,940 --> 00:16:20,120 our children's hospitals across the state, 481 00:16:20,659 --> 00:16:21,799 have partnered together, 482 00:16:22,659 --> 00:16:23,700 to work with the, 483 00:16:24,899 --> 00:16:25,799 state legislature 484 00:16:26,339 --> 00:16:29,595 to try and drive at at some areas 485 00:16:29,595 --> 00:16:32,254 that we can make an early impact because 486 00:16:32,315 --> 00:16:34,714 despite the fact that these children sometimes wind 487 00:16:34,714 --> 00:16:35,934 up in long care 488 00:16:36,315 --> 00:16:37,375 inpatient facilities, 489 00:16:37,914 --> 00:16:40,334 they often show up in our emergency departments. 490 00:16:40,475 --> 00:16:43,534 And in the past, we really didn't 491 00:16:44,480 --> 00:16:46,899 handle that as well as we could have. 492 00:16:47,040 --> 00:16:49,620 And so now we have concerted effort, 493 00:16:50,160 --> 00:16:52,320 backed up by the state of Tennessee, with 494 00:16:52,320 --> 00:16:54,899 funding support to help initiate 495 00:16:55,759 --> 00:16:56,980 some of the diagnosing 496 00:16:57,440 --> 00:16:58,340 and therapeutic 497 00:16:58,875 --> 00:17:00,815 interventions that we can do in these children, 498 00:17:01,355 --> 00:17:02,875 when they come up to when they show 499 00:17:02,875 --> 00:17:04,234 up in our emergency room to take better 500 00:17:04,234 --> 00:17:05,994 care of them and also providing them safe 501 00:17:05,994 --> 00:17:06,494 spaces 502 00:17:07,195 --> 00:17:09,595 so that when they're here, they're in they're 503 00:17:09,595 --> 00:17:10,954 in an area where they're they can't do 504 00:17:10,954 --> 00:17:13,609 them harm harm to themselves or others, which 505 00:17:13,609 --> 00:17:15,609 is another thing that that really really we 506 00:17:15,609 --> 00:17:17,369 were not pull we were fully designed to 507 00:17:17,369 --> 00:17:19,210 do. But now with the state support, we're 508 00:17:19,210 --> 00:17:20,190 able to do that. 509 00:17:20,970 --> 00:17:23,769 But not not only that, also to to 510 00:17:23,769 --> 00:17:24,990 screen these kids 511 00:17:25,450 --> 00:17:27,470 when they're not maybe showing up an extremist 512 00:17:28,664 --> 00:17:31,244 or or in kind of a crisis situation 513 00:17:31,704 --> 00:17:33,544 so that we can pick up some trends 514 00:17:33,544 --> 00:17:34,605 that may actually 515 00:17:35,065 --> 00:17:37,464 be identified and and get them to treatment 516 00:17:37,464 --> 00:17:39,384 earlier before they even get to the emergency 517 00:17:39,384 --> 00:17:39,884 department. 518 00:17:40,744 --> 00:17:42,764 So what I'm talking about is is screenings 519 00:17:42,825 --> 00:17:44,680 that are going on in all of our 520 00:17:44,680 --> 00:17:46,380 clinics that we've just initiated 521 00:17:46,840 --> 00:17:48,140 that'll help pick up, 522 00:17:48,519 --> 00:17:50,920 some trends that may cue us to to 523 00:17:50,920 --> 00:17:52,759 what really is going on with the patient, 524 00:17:52,759 --> 00:17:54,840 which may actually be an anxiety issue or 525 00:17:54,840 --> 00:17:56,299 some other mental health issue 526 00:17:56,600 --> 00:17:59,944 that is presenting itself as actually a physical 527 00:18:00,005 --> 00:18:00,505 ailment. 528 00:18:01,444 --> 00:18:01,845 And, 529 00:18:02,325 --> 00:18:04,024 you can probably imagine how, 530 00:18:04,565 --> 00:18:07,304 it would it would benefit a a clinician 531 00:18:07,765 --> 00:18:10,325 who may not be very equipped, at like, 532 00:18:10,325 --> 00:18:11,704 for for example, a pediatrician 533 00:18:12,005 --> 00:18:13,444 who may not be very equipped or the 534 00:18:13,444 --> 00:18:14,744 most equipped to identify 535 00:18:15,820 --> 00:18:17,980 issues of mental health, if we could screen 536 00:18:17,980 --> 00:18:20,059 them using a psychologist before they get in 537 00:18:20,059 --> 00:18:20,559 that 538 00:18:20,860 --> 00:18:21,920 examination room 539 00:18:22,460 --> 00:18:24,460 and identify issues that may that, you know, 540 00:18:24,460 --> 00:18:26,460 the stomach pain may actually be something totally 541 00:18:26,460 --> 00:18:26,960 unrelated 542 00:18:27,340 --> 00:18:29,759 to the intestinal tract. It may actually be 543 00:18:29,994 --> 00:18:30,494 more, 544 00:18:31,434 --> 00:18:32,095 a neuropathic, 545 00:18:33,755 --> 00:18:35,994 problem, a mental health issue that, 546 00:18:36,714 --> 00:18:38,654 that other treatments are gonna benefit, 547 00:18:39,034 --> 00:18:41,274 that some of the more traditional treatments that 548 00:18:41,274 --> 00:18:43,859 pediatrician would prescribe would would have no impact 549 00:18:43,859 --> 00:18:46,180 on. So, a lot of, I think, a 550 00:18:46,180 --> 00:18:47,960 lot of areas of opportunity, 551 00:18:48,900 --> 00:18:50,759 to address mental health in children, 552 00:18:51,299 --> 00:18:53,460 but not just not just after they have 553 00:18:53,460 --> 00:18:55,059 problems, but also before they get to be 554 00:18:55,059 --> 00:18:56,740 problems. And and maybe even looking at ways 555 00:18:56,740 --> 00:18:59,404 to prevent some of these mental health issues, 556 00:18:59,404 --> 00:19:00,865 some things that we environmentally, 557 00:19:01,644 --> 00:19:04,285 could do differently. And so hopefully hopefully, some 558 00:19:04,285 --> 00:19:05,664 research will come out, 559 00:19:06,125 --> 00:19:07,904 of these efforts to to 560 00:19:08,365 --> 00:19:11,404 curb this, increase in mental health in children 561 00:19:11,404 --> 00:19:12,224 that we're seeing. 562 00:19:13,250 --> 00:19:14,470 I think I think secondly, 563 00:19:15,170 --> 00:19:17,330 as children's hospitals, we need to continue to 564 00:19:17,330 --> 00:19:17,830 partner, 565 00:19:18,609 --> 00:19:19,990 with with each other, 566 00:19:20,609 --> 00:19:22,789 as as I've mentioned across the state, 567 00:19:23,250 --> 00:19:24,549 as the Children's Hospital 568 00:19:24,850 --> 00:19:27,105 Alliance of Tennessee, also known as CHAT, c 569 00:19:27,105 --> 00:19:28,325 h a t, has done, 570 00:19:28,865 --> 00:19:30,625 in areas of mental health and other areas 571 00:19:30,625 --> 00:19:31,365 to improve, 572 00:19:32,144 --> 00:19:33,904 the health and wellness of children in our 573 00:19:33,904 --> 00:19:35,605 state, but also locally, 574 00:19:36,545 --> 00:19:38,164 with local county officials, 575 00:19:38,625 --> 00:19:39,684 with local schools. 576 00:19:40,589 --> 00:19:42,670 Not not as as someone coming in and 577 00:19:42,670 --> 00:19:44,589 saying this is how you do it, but 578 00:19:44,589 --> 00:19:45,650 as a partner, 579 00:19:46,109 --> 00:19:47,089 to help improve, 580 00:19:47,789 --> 00:19:48,849 the lives of children 581 00:19:49,390 --> 00:19:51,970 in areas where they commonly are are seen 582 00:19:52,109 --> 00:19:52,929 in our communities 583 00:19:53,230 --> 00:19:54,769 and like in schools in particular. 584 00:19:55,345 --> 00:19:56,144 We've had some, 585 00:19:56,625 --> 00:20:00,305 success here, in Memphis partnering with our local, 586 00:20:00,625 --> 00:20:01,125 municipality 587 00:20:01,585 --> 00:20:04,305 and and some schools as well. And so 588 00:20:04,305 --> 00:20:06,384 I think that's that's something that all children's 589 00:20:06,384 --> 00:20:08,245 hospitals are gonna have to look to do, 590 00:20:08,450 --> 00:20:10,529 kinda pull more into their community. And and 591 00:20:10,529 --> 00:20:11,109 I guess 592 00:20:11,730 --> 00:20:13,410 I guess lastly, I would say that, 593 00:20:14,289 --> 00:20:16,549 continue to focus on the on the importance 594 00:20:17,089 --> 00:20:20,130 of being family and, patient family centered in 595 00:20:20,130 --> 00:20:21,269 the care that we provide. 596 00:20:21,914 --> 00:20:23,914 You know, if I get sick today and 597 00:20:23,914 --> 00:20:24,975 have to go to the hospital, 598 00:20:25,914 --> 00:20:27,134 you know, my sisters, 599 00:20:27,595 --> 00:20:29,674 may get there eventually, but they're not gonna 600 00:20:29,674 --> 00:20:31,755 come with with my parents. My parents will 601 00:20:31,755 --> 00:20:32,634 not be there. 602 00:20:32,955 --> 00:20:35,390 My sisters may get there eventually. But when 603 00:20:35,390 --> 00:20:36,909 I take care of a kid in my 604 00:20:36,909 --> 00:20:37,409 hospital, 605 00:20:37,789 --> 00:20:38,669 I'm gonna have, 606 00:20:39,069 --> 00:20:41,149 their siblings. I'm gonna have their parents. I 607 00:20:41,149 --> 00:20:42,909 may have their grandparents. I may have aunts 608 00:20:42,909 --> 00:20:44,750 and uncles. I may have 20 people in 609 00:20:44,750 --> 00:20:45,409 my hospital 610 00:20:45,710 --> 00:20:47,950 over 1, sick child, which is which is 611 00:20:47,950 --> 00:20:49,234 not which is not something, 612 00:20:50,894 --> 00:20:52,335 I I I turn away from. I have 613 00:20:52,335 --> 00:20:53,234 to embrace that, 614 00:20:53,615 --> 00:20:55,214 because I know that the kid's gonna get 615 00:20:55,214 --> 00:20:55,714 better, 616 00:20:56,255 --> 00:20:56,755 quicker, 617 00:20:57,375 --> 00:20:59,134 if we have the entire family engaged in 618 00:20:59,134 --> 00:21:00,974 the care. And at the same time, there 619 00:21:00,974 --> 00:21:02,414 may be issues with the family that I 620 00:21:02,414 --> 00:21:04,115 need to address to help that kid, 621 00:21:04,470 --> 00:21:05,910 have a have a safe and happy life. 622 00:21:05,910 --> 00:21:06,410 So, 623 00:21:07,429 --> 00:21:09,349 partnering with the family and and how the 624 00:21:09,349 --> 00:21:10,250 care is provided 625 00:21:10,789 --> 00:21:11,609 is is 626 00:21:12,150 --> 00:21:13,750 is such an important part of what we 627 00:21:13,750 --> 00:21:15,990 do, and it needs to continue to be 628 00:21:15,990 --> 00:21:16,569 a focus 629 00:21:17,144 --> 00:21:19,305 of what our children's hospitals do. So I 630 00:21:19,305 --> 00:21:20,505 I think those are the areas that I 631 00:21:20,505 --> 00:21:23,224 think are are are so important that we 632 00:21:23,224 --> 00:21:25,164 need to focus on. Innovation is 633 00:21:25,545 --> 00:21:28,025 is obviously kind of an evolving tool that 634 00:21:28,025 --> 00:21:29,484 we're gonna be able to use. 635 00:21:29,785 --> 00:21:31,325 And if you think about 636 00:21:32,720 --> 00:21:35,039 any type of the computer models that are 637 00:21:35,039 --> 00:21:37,519 allowing people to see better into what's going 638 00:21:37,519 --> 00:21:39,039 on in the patient's care while they're in 639 00:21:39,039 --> 00:21:39,700 the hospital. 640 00:21:40,720 --> 00:21:41,839 And I can think of some, but I 641 00:21:41,839 --> 00:21:43,299 won't necessarily name them, 642 00:21:43,759 --> 00:21:45,599 that allow us to see a sick child 643 00:21:45,599 --> 00:21:46,820 before they're actually 644 00:21:47,345 --> 00:21:49,904 recognized as sick. For example, by maybe a 645 00:21:49,904 --> 00:21:52,644 nurse that's not as as seasoned as mature, 646 00:21:53,904 --> 00:21:55,525 as some nurses would be, 647 00:21:55,984 --> 00:21:58,144 to allow us to identify sick patients earlier 648 00:21:58,144 --> 00:21:59,924 and and intervene on those patients 649 00:22:00,625 --> 00:22:02,484 using AI and those types of 650 00:22:03,630 --> 00:22:04,130 innovative 651 00:22:04,590 --> 00:22:05,730 software programs 652 00:22:06,109 --> 00:22:06,930 going forward. 653 00:22:07,309 --> 00:22:08,750 I think we have to have our eyes 654 00:22:08,750 --> 00:22:09,490 wide open 655 00:22:10,269 --> 00:22:12,609 in how that is used in our hospitals 656 00:22:12,830 --> 00:22:15,009 and embracing it where we can and then 657 00:22:15,150 --> 00:22:15,890 being curious, 658 00:22:16,444 --> 00:22:17,984 always remaining a little cautious 659 00:22:18,444 --> 00:22:21,005 as well about, how we apply those in 660 00:22:21,005 --> 00:22:23,325 in health care, making sure we're protecting our 661 00:22:23,325 --> 00:22:25,325 patients. So those are the things I think 662 00:22:25,325 --> 00:22:27,644 that that need the the most spotlight going 663 00:22:27,644 --> 00:22:28,144 forward. 664 00:22:29,009 --> 00:22:31,090 Doctor Umang, thank you so much for being 665 00:22:31,090 --> 00:22:32,849 so generous with your time or insights and 666 00:22:32,849 --> 00:22:35,410 highlighting all the aspects of children's health care 667 00:22:35,410 --> 00:22:37,890 that need a spotlight and, you know, things 668 00:22:37,890 --> 00:22:38,869 that all of 669 00:22:39,250 --> 00:22:40,769 you and your colleagues are dealing with on 670 00:22:40,769 --> 00:22:43,009 a daily basis. We absolutely cannot wait to 671 00:22:43,009 --> 00:22:44,714 share all of what you said with our 672 00:22:44,714 --> 00:22:46,394 audience, and we look forward to connecting with 673 00:22:46,394 --> 00:22:47,295 you again soon. 674 00:22:48,154 --> 00:22:49,434 Thank you so much, and thank you for 675 00:22:49,434 --> 00:22:50,815 having me. I appreciate it.