This Week in Surgery Centers: Adam Hornback – Real Ways to Reduce Waste & Increase Recycling

Here’s what to expect on this week’s episode. 🎙️

Healthcare is not exactly known for being sustainable and environmentally friendly. Surgery centers and hospitals naturally accumulate a significant amount of waste, hard plastics, cardboard, and single-use materials daily. But, by taking a step back and evaluating your processes, your ASC can decrease the amount you contribute to landfills every year and save some money.

Having essentially grown up in the OR, Adam Hornback, Administrator at North Texas Team Care Surgery Center, noticed the substantial amount of waste his facility produced and decided to do something about it. Relying on a mix of passion and creativity, here’s what Adam shared.

🗑️ Reduce & Reuse
• Look closely at preference cards and only open what is needed. If a surgeon has items on their preference cards contingent on how the procedure goes, wait to open materials until you have to.
• Limit or remove the use of surgical packs, as most of the time, you don’t need everything in the pack, and you’ll end up throwing good supplies out.
• Find local vet clinics to partner with to share your expired medication, sterilization wraps, and more.
• Donate extra supplies or expired medication to mission trips.

♻️ Recycle
• Place clearly labeled bins around your facility that are easily accessible to staff, and educate your staff on what goes where.
• If your city does not have a commercial recycling program, leverage the residential program. Adam takes his recycling bins home, and your staff can rotate to do the same.
• Look into solar options. Energy costs will only increase, and you’ll financially break even on most solar panels ten years after installation.

Find the full episode on Apple Podcasts, Spotify, or YouTube to hear all the details!

0:00
welcome to this week in surgery centers
0:03
if you’re in the ASC industry then
0:05
you’re in the right place every week
0:07
we’ll start the episode off by sharing
0:10
an interesting conversation we had with
0:11
our featured guests and then we’ll close
0:13
the episode by recapping the latest news
0:15
impacting surgery centers we’re excited
0:18
to share with you what we have so let’s
0:20
get started and see what the industry’s
0:22
been up to
0:23
[Music]
0:27
hi everyone here’s what you can expect
0:30
on today’s episode Adam Hornback is the
0:33
administrator at the North Texas team
0:35
Care Surgery Center and he’s here to
0:38
talk to us about a topic we have not
0:40
covered yet real ways to reduce waste
0:43
and increase recycling at your surgery
0:45
center as this is a passion of Adams he
0:49
has tried some really cool and
0:50
innovative ways to implement processes
0:53
to reduce reuse and recycle and
0:55
hopefully you can take some of these
0:57
ideas back to your own ASC to try out
1:00
in our news recap we’ll cover a brand
1:02
new tech-filled hospital in New Jersey
1:04
new smart bandages with Nano sensors the
1:09
nine most stressful physician
1:10
Specialties and of course and the new
1:13
segment with the positive story about
1:15
the first patient ever to be cured of
1:17
leukemia hope everyone enjoys the
1:20
episode and here’s what’s going on this
1:22
week in surgery centers
1:25
thank you
1:28
Adam welcome to the show
1:31
thanks for having me
1:33
appreciate you joining us today Adam and
1:35
I thought we might start out can you
1:37
tell our listeners a little bit about
1:38
how long you’ve been in the industry
1:41
yeah absolutely
1:43
um
1:44
I’m married uh to my wife of you know 15
1:47
years
1:48
um Trish and I met in the OR
1:51
um I have three wonderful children
1:54
um Allison DeSean and Tyler
1:58
um I’ve been in the OR for 28 years now
2:02
um started off in a small hospital as an
2:04
orderly
2:06
um got the opportunity at the small
2:09
hospital to work with a surgeon who
2:12
helped me learn how to scrub
2:15
um so
2:16
scrub cases for about 10 years before I
2:20
went to nursing school
2:22
um I went down to Parkland I did a
2:25
critical care residency there
2:27
um the hours were awful so I had to move
2:32
out of there went to another hospital in
2:35
the or
2:36
um
2:37
excuse me
2:39
um and I worked there for a while but I
2:41
did miss the faster pace of the ASC
2:45
um so I got an opportunity to go back to
2:48
the ASC in leadership and I’ve been
2:50
there ever since
2:52
um that was around 2007.
2:55
fantastic so it sounds like healthcare
2:57
in the OR in particular is a big piece
2:59
of your in your blood and in your
3:01
background
3:02
tell us a little bit about North Texas
3:04
team care where you’re at today what’s
3:06
your specialty mix and what do you guys
3:08
focus on
3:09
yeah absolutely so at nttc
3:13
um we try to be a leader as far as price
3:15
transparency
3:17
um we post all of our prices online and
3:20
in bundles
3:21
um we’re multi-specialty uh we do
3:24
everything essentially except for eyes
3:26
and Cardio
3:27
um
3:28
we’re heavy pain and Gi
3:31
but we’re seeing a lot of growth in uh
3:34
Orthopedic total joints uh and spine
3:38
right now we do about 350 cases a month
3:41
a large percentage percentage of the
3:45
cases are cash which is exciting
3:49
excellent excellent and I don’t want to
3:52
dive into it too deep because we could
3:54
probably spend a whole episode on
3:56
pricing and price transparency but I do
3:58
love the way you guys have kind of set
4:00
fixed pricing extremely transparent
4:03
extremely under you know easy for a
4:05
patient to understand
4:06
what what benefit have you guys seen
4:08
from that approach
4:09
oh my goodness
4:11
um huge
4:13
um the ability to make connections with
4:17
your large companies is is tremendous
4:21
um you know there are opportunities to
4:22
go out there and get some of the big
4:24
companies you know Walmart and Amazon
4:26
talk about this style of healthcare
4:29
um so trying to be you know a leader in
4:32
that in that uh
4:34
in that lane
4:36
um that’s kind of where we’re we’re
4:38
rowing we’re seeing a lot of growth
4:40
there and that kind of coincides with
4:43
the cash bundle pricing
4:45
I love it
4:47
yeah I think that’s that’s a unique
4:48
unique model and it’s great to see
4:50
you’re getting some getting some
4:51
benefits from that
4:53
um but I will will shift gears here
4:55
towards why we reached out and what our
4:57
what caught our eye initially which was
4:59
your article on ASC Focus specific to
5:02
your thoughts and NTC ttc’s thoughts on
5:06
recycling in particular and that that
5:08
stuck out to us because you know we’re
5:10
all about different operational aspects
5:12
of ASCS and best practices we haven’t
5:14
seen a lot of thought leadership and
5:15
examples in case studies as it relates
5:17
to recycling and waste management and so
5:19
I wanted to ask you a couple questions
5:21
about that and is that something that
5:25
the recycling kind of program and focus
5:28
that is that something that you brought
5:30
to nttc
5:34
um having essentially grown up in the or
5:36
I noticed you know all the waste over
5:39
the years
5:40
um
5:41
the the drapes the the sponges you know
5:45
the stuff we would take home to wash our
5:47
cars
5:48
um it it really became more apparent
5:52
as I’ve gotten older that you know
5:54
somebody pays for that
5:56
um either the you know the it gets
5:58
passed on to the patient
6:00
um or the hospital or the ASC they they
6:04
eat that cost so
6:07
um I grew up very frugal
6:09
um so I don’t like to see waste like
6:11
that
6:12
got it so you you saw you saw the
6:15
opportunity
6:17
um and decided to take action on it and
6:20
and how did how did you go go about that
6:22
how did you kind of turn this from an
6:24
observation into
6:26
a program or something that you took
6:28
action on yeah absolutely so uh you know
6:31
we kind of started small
6:34
um we’ve done this for you know
6:35
throughout several surgery centers but
6:37
you start out small you
6:39
um sending the expired
6:42
um supplies and implants on mission
6:45
trips
6:46
medications that kind of thing we we
6:48
used to do that a lot
6:51
um they were very popular until some of
6:53
the organizations that do these uh trips
6:56
stop taking the expired stuff
6:58
um they so they needed you know current
7:02
you know expiration dates on their stuff
7:04
which obviously changes things we’re not
7:06
a large organization so we still do
7:09
specific items
7:11
excuse me
7:12
um just not as much as we used to
7:15
um and then obviously we try to you know
7:18
help with I know some of the
7:20
organizations have mission trip
7:21
organizations that they do so we try to
7:24
contribute where we can okay and as you
7:26
started organizing
7:28
these kind of Waste Management Programs
7:30
you know the mission trips are kind of
7:32
the the ReUse of some of the supplies
7:36
any any pushback around that did you was
7:39
there a blueprint that you could use did
7:41
you find other ASCS that you’re doing
7:42
this or how’d you come up with these
7:44
ideas
7:44
no a lot of a lot of the surgery centers
7:47
I think do it um not to give too much
7:51
credit to the competition but SCA has a
7:54
great program
7:56
um that they do mission trips I think
7:57
they do several a year and it’s really
8:00
good stuff
8:01
um and they I they contribute supplies
8:04
as well as staff
8:07
um and they give you the opportunity to
8:09
go you know to you know all these
8:11
different countries you know and do good
8:14
um so no it’s not just uh it’s in the
8:16
community and it’s it’s strong in the
8:18
community fantastic and what about kind
8:22
of your old bread and butter Recycling
8:24
and and uh kind of Waste Management from
8:27
a recycling perspective is that
8:29
something that you guys do
8:30
yeah it is so
8:34
that uh that’s a little more of a
8:36
struggle
8:37
um the city that I live in
8:39
um has a recycling program for
8:42
residential
8:43
um but they do not have a business you
8:45
know solution
8:47
um I’ve talked to them you know they’ve
8:49
talked about yeah we can get you a a big
8:51
recycling bin but you got to build an
8:53
enclosure you know it’s it’s very cost
8:56
prohibitive
8:58
um so I kind of did a work around
9:03
um I put bins throughout the facility
9:06
um with signage and you know essentially
9:09
it’s hard plastics everything’s clean
9:12
um and cardboard
9:14
and what I do is I take it home and I
9:17
put it in my recycling bin oh wow um and
9:21
we’ve done this for a year or two now
9:25
um and I like to think that it it makes
9:28
a difference
9:30
um but you know we we try to do our part
9:33
um there are a couple of other ideas
9:34
that are out there as well
9:37
um over the years
9:39
um veterinarian clinics
9:42
usually pretty open to uh again
9:45
everybody’s getting away from the
9:46
expired and I don’t really know why but
9:49
yeah they used to take our expired
9:51
medications as well
9:53
um they’ve kind of stopped doing that
9:54
you know for the most part
9:57
um now
9:58
but the other thing that we used to give
9:59
them was our used uh sterilization wrap
10:03
and they would reuse that
10:06
um so they’re you know different ideas
10:08
obviously you’d have to have a good
10:10
relationship with the vet with the vet
10:12
clinic and you know some trust between
10:15
you guys but
10:16
um
10:18
it’s been it’s been good not all are
10:20
interested but
10:21
when you can find it it’s I think it’s a
10:24
good deal sure it sounds like the
10:27
recycling program you know has it hasn’t
10:29
exactly been plug and play in terms of
10:32
coming up with with specialized
10:34
containers and having to take it home I
10:36
mean that’s that’s that’s a lot
10:39
um what about participation rate from
10:41
your staff and employees within the
10:42
surgery center do they see value in
10:44
these programs
10:45
they do they they give me a lot of grief
10:48
it’s like the kids I mean I have to yell
10:50
at them all the time that goes in the
10:52
recycling bin you know please don’t put
10:54
that in the recycling bin you know it’s
10:57
it’s like the children at home it’s no
10:59
different
11:00
um it’s it’s funny they they give me a
11:03
lot of grief about it but they they take
11:05
it pretty seriously and they try to do
11:07
it as well
11:08
um it’s always uh full
11:11
so it obviously is doing
11:14
doing something yeah absolutely and
11:18
um it’s clearly the right thing to do
11:19
for the environment it’s clearly the
11:21
right thing to do from a sustainability
11:24
perspective uh so it’s fantastic you’re
11:27
kind of taking these initiatives on have
11:30
you found a way to link the effort of
11:34
what you’re doing to the overall
11:36
performance or bottom line of the
11:39
surgery center because I gotta imagine
11:40
that’s a little bit of a tougher stretch
11:43
it’s tough to get a real number so I can
11:49
tell you this so there’s twofold so
11:51
there’s two ways on that there’s two
11:53
issues so number one uh just the sheer
11:57
volume of trash
11:59
that we create
12:01
um boxes you know hard plastics there’s
12:05
a pretty good volume
12:06
um so I would like to think
12:11
and we have seen this over time due to
12:14
not throwing that stuff in our garbage
12:17
I’ve been able to decrease my trash
12:19
pickup by once a week so I only get
12:22
trash pickup once a week so there is a
12:24
cost savings
12:26
um it’s hard to quantify it is
12:29
um most of it is because it makes me
12:31
feel good sure
12:33
um but there is absolutely I think
12:36
something to
12:37
um decreasing the trash that goes in
12:39
landfill absolutely so you’re at once a
12:42
week today where were you guys before
12:45
we were twice a week that’s 50 reduction
12:48
you know yeah I mean it is yeah
12:52
and then the other thing you know
12:54
obviously I think a lot of people are
12:55
interested in is solar
12:59
um we’ve we’ve tried to dive into that
13:02
um
13:03
again uh very cost prohibitive even at
13:08
this point
13:09
um
13:10
there’s there’s a lot of of little
13:12
tweaks that you’ve got to really
13:14
understand about it one and the number
13:17
one is is it’s only good while it’s on
13:20
meaning
13:22
you can use it while the sun is out and
13:24
you’re working
13:26
the center is open
13:28
um there is no battery that’s a whole
13:30
different you know purchase and that is
13:33
that almost doubles to triples the cost
13:36
of the the unit right
13:38
um so it is literally you know during
13:42
working hours as long as the sun is out
13:45
sure
13:46
which is frustrating
13:48
um so we’re not quite there yet
13:50
um we’re still looking
13:52
um because even that would be a a
13:55
savings I think that what I looked at
13:57
I’ve talked to a couple of different
14:00
vendors and what we’re looking at is you
14:03
kind of level out at 10 years that’s the
14:06
break even
14:07
right the Breakeven is at 10 years and
14:10
then it’s a it’s like a 30-year note
14:12
though
14:13
so it’s
14:15
it’s an impressive thing you know you
14:17
start making enough at 10 years I think
14:20
that it offsets the cost of it or yeah
14:25
I’ve heard that kind of rough rule my
14:28
kind of rule of thumb before too and so
14:30
that that’s super interesting do you
14:32
think
14:33
is taking a trade-off like that
14:36
um how do you think your owners respond
14:38
to things like that in general or it’s
14:40
like hey there’s going to be a benefit
14:42
here but it’s going to take seven to ten
14:45
years to get there it’s that tough so
14:47
the problem is is I was single physician
14:50
owned and now I’ve got partners
14:52
so the single physician was very
14:55
interested in doing you know Renewables
14:57
and and solar
14:59
um the problem with it is is even with
15:02
our roof being a flat roof we didn’t
15:04
have enough roof space so in order to
15:06
get the coverage we were going to have
15:08
to add uh carports with solar on top of
15:11
them so there’s you know additional cost
15:15
um you don’t really see a lot right now
15:18
I mean obviously to me
15:21
energy costs are going only going to
15:24
continue to go up yeah so I think at
15:26
some point it is a good investment
15:30
it’s just not a clean
15:33
it’s not a no-brainer yeah it’s not yet
15:36
and that’s unfortunate but that’s kind
15:38
of where we are right now yeah got it
15:40
that’s great so you’ve you’ve talked
15:42
about some of the programs you have
15:43
around waste and expired product Reuse
15:46
Recycling you’ve talked about things
15:49
that are under evaluation like solar any
15:54
other ideas you’re kicking around at
15:55
them
15:57
as far as Recycling and kind of
16:00
Renewables that’s really what we’re
16:02
doing right now
16:04
um you know reducing waste is the other
16:07
you know thing that we’re really
16:09
concentrated on those kind of things are
16:12
you know keeping your preference cards
16:15
up to date
16:17
um if something is questionable on a
16:19
preference card we don’t open it
16:21
um the surgeons have been you know
16:23
bought into that
16:24
um which is a great thing because not
16:26
all are some of them just want it open
16:30
um items and that’s you know a cost that
16:32
a lot of times we don’t use
16:35
um I don’t use packs
16:37
um
16:38
I don’t use the same items often enough
16:41
that packs make sense in my Center so
16:44
you know often your packs will have you
16:47
know an additional three-quarter you
16:49
know a drape or something that you don’t
16:51
use I don’t use them so we only open
16:53
what we use
16:55
um so at the end of the case there is
16:56
nothing that has not been used on our
16:58
tables
17:00
um I think that’s important and over
17:01
time it does make a difference
17:04
sure
17:07
we try to
17:09
um
17:10
use only one brand of an item you know
17:13
we don’t have multiple brands of the
17:15
same item
17:16
um you know if we’ve got a bovee we’ve
17:19
got one bovey
17:20
um and we kind of utilize a most used
17:23
this kind of attitude and everybody’s
17:26
bought in and it works pretty well for
17:28
99 of everything that we do got it yeah
17:32
so your it sounds like you’re pretty
17:33
efficient in terms of what you actually
17:35
use
17:37
in the surgeries in the more streamlined
17:39
and the more standardized you are it
17:41
makes sense that you can be be more
17:43
efficient I want to ask you about you
17:46
talked about the preference cards and if
17:48
there’s anything on here that’s that’s a
17:50
question mark we don’t open it is that
17:52
give me an example of that is that
17:54
something where a nurse would have a
17:57
question around hey is this preference
17:59
card accurate
18:03
for example uh lap Coley where you do a
18:06
gallbladder surgery
18:08
um it’s laparoscopic uh some guys uh
18:12
want an irrigator on there if they pop
18:16
the gallbladder if they get a leak
18:18
well that’s only if you pop it so I
18:21
don’t need to open it unless you burst
18:23
it so those kind of things you know I
18:27
may need this okay we’ll have it in the
18:29
room that’s great
18:31
um we just don’t open it got it so kind
18:32
of listing out I’m envisioning you guys
18:34
kind of have your preference card kind
18:36
of organized by kind of almost
18:37
contingency type items first absolutely
18:40
that definitely use items I love it yeah
18:44
I love it uh well well Adam one one
18:47
final question for you here and this is
18:49
a question we ask all our guests every
18:50
week which is can you give our listeners
18:53
one thing they can do this week to
18:55
improve their Surgery Center
18:57
yeah I thought about this I mean there
19:00
are obviously several things that we can
19:02
all improve on
19:05
I would
19:07
on the business side of it
19:09
the most important thing I think to do
19:11
is to look at your gpos and your vendor
19:14
contracts make sure that they’re updated
19:16
make sure that they’re
19:18
on contract they fall off you know
19:21
they’re occasionally they’ll go every
19:23
you know so many years and then they’ll
19:24
fall off having someone who’s
19:26
knowledgeable in and watching pricing on
19:29
items I think is one of the biggest cost
19:31
savings on day-to-day purchases
19:34
um you know if you know that you know a
19:36
pack of towels is 32.96 and the next
19:40
time somebody tries to order them
19:41
they’re 69 dollars well
19:44
you know and that’s that’s the kind of
19:46
things that we try to do
19:48
um you know there’s a thousand items but
19:50
on the day-to-day items is where you
19:53
really spend your money so that
19:55
absolutely rely on that kind of stuff
19:57
and who who tends to take on that role
20:01
right the bigger Healthcare
20:02
organizations the hospital systems have
20:04
big Supply Chain management purchasing
20:05
organizations they do they do we’re not
20:09
as lucky who takes that on yeah so the
20:11
end and especially Independence
20:13
um you know we have even less yeah so
20:15
it’s super important that we watch every
20:17
dime that comes through
20:19
fantastic
20:21
well Adam thanks so much for enjoying us
20:23
here today and really enjoyed the
20:24
conversation
20:26
yeah I mean thank you
20:29
[Music]
20:32
as always it has been a busy week in
20:34
healthcare so let’s Jump Right In in our
20:37
first story today Hackensack Meridian is
20:40
set to open a 714 million dollar brand
20:44
new state-of-the-art Surgical and
20:46
intensive care Tower they are calling it
20:49
a smart hospital with 24 operating rooms
20:53
72 post-anesthesia Care Unit beds 50 ICU
20:58
beds and 175 medical beds so what makes
21:02
it a smart facility they have really
21:05
decked it out with all the latest tech
21:07
there’s bedside tablets for patients so
21:10
they can control the lights the shades
21:12
the room temperature their Smart TVs
21:15
with video chat capabilities
21:17
monitors outside each room with all the
21:20
patient information in-room workstations
21:23
six Advanced Da Vinci robotic surgical
21:26
systems Orthopedic Roblox robots for
21:30
joint replacement procedures and the
21:32
list goes on and on
21:34
we’ve talked about Hackensack Meridian a
21:37
couple of times they seem to really
21:38
always be kind of on The Cutting Edge of
21:41
what’s up and coming but their CEO Bob
21:44
Garrett shared that it’s the first
21:46
hospital that has been built with the
21:48
learnings of covet in mind and it’s kind
21:50
of that piece of it that I thought was
21:52
really interesting he didn’t go into
21:53
detail about what that exactly means but
21:57
I think just calling out the fact that
21:59
it was built with covid protocol in mind
22:01
is is just really interesting to think
22:03
about and if you head to the episode
22:05
notes and find the link to the article
22:08
you’ll be able to see a video of the
22:11
facility and it’s obviously hard for
22:13
ASCS to compete with a huge budget like
22:16
that but there may be some ideas surgery
22:18
centers can leverage from what this new
22:20
hospital is planning to implement
22:24
our next story comes from Life Sciences
22:27
intelligence and it’s all about surgical
22:29
site infections one to three percent of
22:33
operative patients experience a surgical
22:35
site infection which can not only result
22:38
in the loss of a life but also an
22:42
estimated total of 3.3 billion dollars
22:44
is lost annually dealing with surgical
22:47
site infections in post-care and
22:50
everything else that comes with it so
22:52
the article does a great job of
22:53
outlining the types of infections causes
22:57
risk factors tips for prevention but
23:00
what we found most interesting was an
23:02
update on something called a smart
23:04
bandage so early in 2021 researchers at
23:08
the University of Rhode Island developed
23:10
the first smart bandage to detect and
23:13
prevent infection
23:15
by embedding Nano sensors into the
23:18
bandage fibers the band The Smart
23:20
bandage can be monitored by a patient or
23:23
health care professional to try to catch
23:25
infections early on minimize antibiotic
23:28
use save money and most importantly save
23:31
lives so while this technology is not
23:34
yet being used to treat post-surgical
23:37
infections future iterations may allow
23:39
for that route and you know we love any
23:42
sort of new tech for the ASC industry
23:44
and this one sounds like it has real
23:47
potential to make an impact
23:50
in our third news story the labor
23:53
Department’s occupational Network
23:54
released the most stressful jobs in the
23:57
country based on stress tolerance and
24:00
how important accepting criticism and
24:03
dealing calmly and effectively with high
24:05
stress situations is
24:07
the most the number one most stressful
24:11
job of every job out there was a
24:14
urologist now the top 20 or so are
24:17
filled with other health care
24:18
professions anesthesiologists acute care
24:21
nurses midwives and more but if we just
24:24
kind of narrow it down and look at
24:26
physician Specialties the top nine most
24:29
stressful Specialties were Urology
24:32
OB GYN
24:34
oral and facial surgeons neurologists
24:37
Rehabilitation Physicians Family
24:40
Medicine
24:41
ophthalmologists podiatrists and
24:44
Pathologists so all of that to say as
24:47
you all know being in the healthcare
24:49
field is extremely stressful and now
24:52
there’s data to back that up so make
24:55
sure you’re doing what you need to do to
24:57
take care of yourself
24:59
and to end our new segment on a positive
25:02
note a patient with incurable leukemia
25:05
was cured according to positive news a
25:08
girl who had been diagnosed with
25:10
incurable leukemia is now free from the
25:13
disease thanks to what scientists say is
25:16
the most sophisticated cell engineering
25:19
to date the patient 13 year old Alyssa
25:22
was diagnosed in 2021 and she was
25:25
treated with all the conventional
25:27
therapies but the cancer kept returning
25:30
and there didn’t really appear to be any
25:32
other treatment options left just this
25:35
past May Alyssa took part in a
25:38
groundbreaking trial becoming the first
25:40
leukemia patient to be treated with base
25:43
edited T cells and six months later
25:45
Alyssa is in remission at home and
25:49
looking forward to returning to school
25:51
and a trial for the new treatment is
25:53
currently open they’re still running and
25:56
it aims to recruit up to 10 patients who
25:58
have exhausted all other options so
26:00
incredible work Alyssa so happy for you
26:04
and her family and hopefully uh her
26:07
experience can be replicated with many
26:09
many others
26:11
and that news story officially wraps up
26:14
this week’s podcast thank you as always
26:16
for spending a few minutes of your week
26:18
with us make sure to subscribe or leave
26:21
a review on whichever platform you’re
26:23
listening from I hope you have a great
26:25
day and we’ll see you again next week
26:29
oh
26:31
[Music]
26:33
please