Полная расшифровка выпуска Early Detection

Well, I don't know, you know, I feel like people are just getting diagnosed so much earlier nowadays with those things. 00:05:48.949 --> 00:05:53.189 But the point is, is if something's going on, go get checked out. 00:05:53.430 --> 00:05:56.230 And was this polyp causing HI issues? 00:05:56.469 --> 00:05:56.789 No. 00:05:57.349 --> 00:05:59.670 But it was an incidental finding when they were in there. 00:05:59.750 --> 00:06:06.069 And so, you know, they took biopsies just to kind of send it out and kind of see what's going on, is you know, there's something underlying or something, you know. 00:06:06.310 --> 00:06:09.029 So, of course, everything, you know, is sent to pathology. 00:06:09.110 --> 00:06:13.029 But the point being is that if something's going on, don't ignore it. 00:06:13.189 --> 00:06:13.750 Number one. 00:06:14.069 --> 00:06:21.430 And number two, get your preventative things because early detection is key. 00:06:22.149 --> 00:06:25.829 It's just it can save your life, essentially. 00:06:25.990 --> 00:06:31.349 And a lot of these preventative things, hers wasn't preventative because she had a problem, right? 00:06:31.430 --> 00:06:33.589 Just like you were saying, now it's costing, so it's funny. 00:06:33.670 --> 00:06:39.750 We got up to the desk and the lady's like, did you get the message about your patient portion to pay? 00:06:39.909 --> 00:06:40.870 And she's like, No. 00:06:41.029 --> 00:06:44.469 And she's like, Okay, it's$500 for the insurance. 00:06:45.029 --> 00:06:52.709 $500 for the for the for the actual procedures, upper and lower together is$500, and then$40 for the copay, so it's$540. 00:06:52.789 --> 00:06:54.709 And she's like, I have insurance. 00:06:55.990 --> 00:07:00.469 And I'm just like that's with insurance, honey. 00:07:01.670 --> 00:07:03.029 Welcome to adulting. 00:07:03.750 --> 00:07:10.870 So right out of her mouth, the lady at the front goes, Don't grow up, honey. 00:07:11.029 --> 00:07:12.389 Yeah, don't grow up. 00:07:12.709 --> 00:07:19.589 And so she was like all sorts of bent out of shape because she still has the$540 bill. 00:07:20.789 --> 00:07:23.029 And she was all sort of bent out of shape. 00:07:23.110 --> 00:07:26.389 And I was just like, And that's before she gets the pathologist bill. 00:07:26.949 --> 00:07:28.949 This is not the pathologist bill. 00:07:29.029 --> 00:07:30.709 She's gonna get a bill from pathology. 00:07:30.870 --> 00:07:31.750 Yeah, yeah. 00:07:32.310 --> 00:07:32.629 Yeah. 00:07:33.269 --> 00:07:36.870 So she goes, now I know why people just don't just don't do shit. 00:07:37.029 --> 00:07:42.550 Now I know why people just don't get things done and they just live their life because this is bullshit. 00:07:42.709 --> 00:07:45.750 And I'm like, you're not wrong. 00:07:45.990 --> 00:07:46.709 You're not wrong. 00:07:46.789 --> 00:07:48.629 It is, it is, it is bullshit 100%. 00:07:49.189 --> 00:07:52.149 And and this is why this is, I mean, she has good insurance. 00:07:52.230 --> 00:07:53.589 She has she has good insurance. 00:07:55.110 --> 00:08:00.949 Her dad is a deputy sheriff, he has insurance through the sheriff's office. 00:08:02.629 --> 00:08:03.589 Full coverage. 00:08:04.230 --> 00:08:06.789 You know, he has her under under his plan. 00:08:07.990 --> 00:08:10.310 There's, you know, there's she's like, I'm calling dad. 00:08:10.389 --> 00:08:13.829 I'm like, you can call him, but this it's not gonna change. 00:08:14.069 --> 00:08:18.949 And she's like, well, maybe we could call and maybe they'll cover it. 00:08:19.029 --> 00:08:20.310 I go, wait a minute, wait a minute. 00:08:20.629 --> 00:08:21.189 They're covering it. 00:08:21.430 --> 00:08:22.389 They are covering it. 00:08:22.550 --> 00:08:23.349 They are covering it. 00:08:23.589 --> 00:08:26.469 Your bill would be thousands, thousands. 00:08:26.629 --> 00:08:29.029 So just let's just back it down a little bit. 00:08:29.349 --> 00:08:30.789 She was so bent out of shape. 00:08:30.949 --> 00:08:34.149 But the point being is that if something's wrong, go. 00:08:34.629 --> 00:08:43.350 I cannot tell you how many scans and tests I have seen that have incidental findings. 00:08:43.509 --> 00:08:45.350 It's like things happen for a reason. 00:08:45.590 --> 00:08:51.909 I remember an orthopatient that I had who's having really bad leg pain, knee pain from the knee down, really bad. 00:08:52.230 --> 00:08:59.590 And on imaging, on a x-ray, I could see his calcified arteries. 00:09:00.070 --> 00:09:02.470 I could see them on X-ray. 00:09:02.629 --> 00:09:03.670 It was so calcified. 00:09:03.750 --> 00:09:06.470 I go, oh honey, the knee is not your problem. 00:09:06.629 --> 00:09:08.310 You need to go see vascular. 00:09:08.789 --> 00:09:17.029 And he came back a couple months later and said, I cannot tell you how much better I feel. 00:09:17.350 --> 00:09:24.470 And they had told me it is such a good thing that I got in when I did because it was really bad. 00:09:24.629 --> 00:09:26.789 My circulation was bad, and that was the issue. 00:09:26.870 --> 00:09:30.069 He wasn't oxygenating well, he wasn't getting good blood supply. 00:09:30.309 --> 00:09:31.429 The tissues were dying. 00:09:31.750 --> 00:09:34.710 He ended up with a couple of stents in his legs. 00:09:35.029 --> 00:09:40.789 And I can't remember if we ended up with uh a femme pop or whatever bypass. 00:09:40.870 --> 00:09:43.590 But anyway, it was just an incidental finding, right? 00:09:43.750 --> 00:09:48.069 And so you I was like, oh no, like this is beyond something with your knee. 00:09:48.230 --> 00:10:04.629 So there's so many things that are incidental that okay, for example, also now that I think about incidental findings, I had to get a menopausal, whatever, and I went in for a kidney ultrasound for whatever reason, doesn't matter. 00:10:04.870 --> 00:10:15.750 They found something on my liver, and so the for kidney ultrasound, so incidentally they found something on my liver,

and I think it's just a hemangioma. 00:10:15.830 --> 00:10:22.789 I don't know, I'm waiting on the report, but the radiologist suggested an MRI, so then I had to go in for an MRI of the uh abdomen. 00:10:22.950 --> 00:10:24.870 And I I mean, I think it's a hemangioma. 00:10:25.029 --> 00:10:29.909 I think I knew about it from several years ago, but anyway, it was just an incidental finding. 00:10:30.149 --> 00:10:32.710 But you know, for you know, is it cancer? 00:10:32.789 --> 00:10:33.110 I don't know. 00:10:33.189 --> 00:10:35.669 I doubt it, but for some people it could be, right? 00:10:35.750 --> 00:10:36.629 It could be, right? 00:10:36.710 --> 00:10:47.669 So that's why this kidney ultrasound could easily turn into something with the liver, like having nothing to do with the reason why I initially got the ultrasound. 00:10:47.909 --> 00:10:55.590 So just at least do, if you're not having issues, at least do your prevention, yeah. 00:10:55.830 --> 00:10:57.590 Prevention, your early detection stuff. 00:10:57.750 --> 00:10:58.470 At least do that. 00:10:58.549 --> 00:11:00.389 And I'll let you touch on a couple of things, Kelly. 00:11:00.470 --> 00:11:05.669 I'm gonna look up the US uh recommendations, uh, U.S. 00:11:05.830 --> 00:11:06.629 task force. 00:11:06.950 --> 00:11:09.189 So there's a few things that I like to chat about. 00:11:09.269 --> 00:11:12.629 You know, we have several patients that you know, we see in telehealth a lot of different things. 00:11:12.710 --> 00:11:18.629 And the one thing about telehealth that I want to really hit home is you can do some preventative stuff. 00:11:18.870 --> 00:11:22.629 You know, obviously there's there's no replacement for good hands-on care. 00:11:22.710 --> 00:11:26.710 And I'm not taking that away at all because Nicole and I both advocate for good hands-on care. 00:11:26.870 --> 00:11:27.429 Absolutely. 00:11:27.590 --> 00:11:34.230 Go get someone to put hands on you because someone needs to listen to your lungs, listen to your heart, put hands on your belly, check your pulses and look in your eyes. 00:11:34.549 --> 00:11:35.909 Somebody needs to be doing that for you. 00:11:36.069 --> 00:11:42.470 And if you go get your yearly preventative care and that provider hasn't put his his or her hands on you, make them. 00:11:42.789 --> 00:11:43.350 Make them. 00:11:43.590 --> 00:11:47.110 They need to listen to your lungs, your heart, let's feel your pulses, look in your eyes, your ear. 00:11:47.189 --> 00:11:48.230 Like they need to be doing that. 00:11:48.470 --> 00:11:49.669 But there's some things that you guys can do. 00:11:49.750 --> 00:11:51.189 So there's some wearable stuff you can do. 00:11:51.269 --> 00:11:54.950 There's smartwatches, there's continuous glucose monitors, there's some biosensors. 00:11:55.189 --> 00:12:05.110 Some of the biosensors that are out there, so I'm you all know you've heard me talk about health and wellness long enough to know that I work out all the time, almost every day, five, six days a week in the gym. 00:12:05.350 --> 00:12:12.629 There's some biosensors out there that will do stuff like monitor respiration, skin temperature, your sweat composition. 00:12:12.789 --> 00:12:13.669 Yes, that's a thing. 00:12:13.830 --> 00:12:15.509 It'll even monitor your blood pressure and eat. 00:12:15.590 --> 00:12:16.710 So there's a lot of stuff out there. 00:12:16.789 --> 00:12:18.470 There's arrhythmia detection. 00:12:18.629 --> 00:12:24.870 So some patients have come to me and said, I didn't know, and Nicole, I know you have a story about this if you care to share. 00:12:25.110 --> 00:12:28.629 Your smartwatch was picking up on your arrhythmias. 00:12:28.950 --> 00:12:34.069 Like a watch can pick up on an arrhythmia that sometimes you don't know what's happening. 00:12:34.149 --> 00:12:38.309 A halter monitor sometimes won't catch it because they don't wear them long, you don't wear them long enough. 00:12:38.629 --> 00:12:47.830 VO2 max estimates with the monitors that you wear, cardiorespiratory fitness, sleep and nocturnal metrics with the monitors that we have people put on. 00:12:47.909 --> 00:13:01.669 So there's there's all kinds of biosensors out there, whether it's a wearable blood pressure sensor, temperature, so many things that even that subtle shift, that subtle, subtle shift can let you know and you can let your provider know. 00:13:01.830 --> 00:13:16.149 And those are things that sometimes you don't pick up on that once-a-year appointment, or that one 12-hour snapshot of wearing a halter monitor, that one time they put you on the treadmill for a stress test, or whatever the case may be, sometimes those sensors pick up something. 00:13:16.230 --> 00:13:28.230 Like you may have an athlete, like I had an athlete tell me, or somebody who's very athletic, tell me they picked up on an abnormality in their oxygen exchange while they were doing a stress with their VO2 max on. 00:13:28.309 --> 00:13:32.549 They were trying to hit VO2 Max, they were doing this athletic test, figuring out what their push was. 00:13:32.950 --> 00:13:36.710 A healthy human, healthy, athletic. 00:13:36.870 --> 00:13:41.909 They had their mask on, they were on the treadmill, they were doing their exercise thing, pushing their VO2 max. 00:13:42.149 --> 00:13:45.990 The trainer was beside them, caught an abnormality and caught an early problem. 00:13:46.230 --> 00:13:52.789 This person could have easily collapsed at any point during a workout, easily, and it was caught because of that biosensor. 00:13:53.029 --> 00:13:54.309 Yeah, it definitely is. 00:13:54.470 --> 00:13:55.189 It definitely can be. 00:13:55.269 --> 00:13:56.149 Yeah, the arrhythmias. 00:13:56.230 --> 00:14:19.350 I was having palpitations at night, and I I had my Apple Watch, and you can set your Apple Watch to where you just you click the arrhythmia and you just hold your finger to the to the wheel, and it will give you a one lead, and it will tell you

it doesn't detect heart attacks, of course, and it gives you that disclosure, but it can detect a fib. 00:14:19.590 --> 00:14:25.269 And so I also have a home six lead. 00:14:25.429 --> 00:14:34.470 And so at night I was trying to catch this, you know, like it goes on your leg and then you put your fingers on it, and I was trying to catch this arrhythmia because I could feel it in my neck. 00:14:34.629 --> 00:14:37.669 But my watch was was definitely a really, really good tool for that. 00:14:37.830 --> 00:14:46.389 And my husband's cardiology actually, cardiologist actually said, Wear your watch while you sleep, and then when you come back, I'm gonna look at what it's told me. 00:14:46.549 --> 00:14:49.750 So he, even the cardiologist has said, look, let's use this. 00:14:49.990 --> 00:14:51.429 Let's use this as a tool. 00:14:51.590 --> 00:14:53.110 So Kelly's absolutely right. 00:14:53.269 --> 00:15:00.309 I mean, you can use those as a tool, not the end-all be-all, but a tool to help you. 00:15:00.629 --> 00:15:05.750 The website to look up what prevention is due for your age. 00:15:05.830 --> 00:15:11.509 Uh, it's the US Preventative Services Taskforce.org. 00:15:11.830 --> 00:15:21.029 And you can actually go on there and put in your age, put in your weight, height, gender, all the things, you know, tobacco use, sexual, all the things. 00:15:21.269 --> 00:15:40.230 So recommend there's 14 uh see 14 A grade recommendations, and it'll tell you cervical cancer, age 21 to 65, colorectal, age 50 to 75, uh, hepatitis B if you're pregnant, HIV, adolescents, and adults age. 00:15:40.549 --> 00:15:45.590 So like it tells you all kinds of things that you should have done. 00:15:45.750 --> 00:16:02.069 Some are specific for smokers, some are specific for if you're if you're if you're pregnant, and then you can go over to B and like men age 65 to 75 who have ever smoked are due for an abdominal aortic aneurysm screening. 00:16:02.230 --> 00:16:10.789 So there is different things that can certainly be related to you specifically, and it actually gives you a search on the left side. 00:16:10.870 --> 00:16:16.549 So it's the US Preventative Task Force, and you can, it says there's even an app. 00:16:16.789 --> 00:16:20.470 So, you know, breast cancer screening, women age 40 to 74. 00:16:20.629 --> 00:16:22.389 So, you know, all those things. 00:16:22.549 --> 00:16:27.909 But if you have a specific family history, you are gonna want to get tested for things sooner. 00:16:28.069 --> 00:16:33.669 So this is not this is a very general age. 00:16:33.830 --> 00:16:41.669 So, like breast cancer of 40 to 74, but if you have a first or second degree relative that has a history of breast cancer, you're gonna want to get screened way sooner. 00:16:41.909 --> 00:16:43.590 Don't wait until you're 40, right? 00:16:43.909 --> 00:16:56.309 So, like my like my kid, now that she has a polyp, she has to go every five years for uh a colonoscopy instead of 10, because we don't want anything to grow for 10 years, right? 00:16:56.549 --> 00:16:59.750 And it typically they grow slow, and so five years is fine. 00:17:00.470 --> 00:17:04.470 But it's you know, now you know, you know, right? 00:17:04.549 --> 00:17:05.830 She has that risk factor. 00:17:05.990 --> 00:17:16.069 So if you have certain risk factors, like you are a smoker, you ever smoked in your life, or first degree, second degree relative, like there's so many different things. 00:17:16.390 --> 00:17:21.269 So there's even tests if you're sexually active and if you're not, like there's certain things that you should be screened for. 00:17:21.350 --> 00:17:24.470 And and the the US Preventative Task Force tells you that. 00:17:24.630 --> 00:17:27.990 So that's a really, really good place to go. 00:17:28.150 --> 00:17:34.230 It tells you the recommendation, the summary, the risk factor, and the frequency of what you need. 00:17:34.470 --> 00:17:37.190 And it's it's really, really great tool. 00:17:37.350 --> 00:17:41.910 I think we should actually put this link in for our patients, especially for our primary care patients. 00:17:41.990 --> 00:17:49.350 We don't have too many primary care patients because we tend to not yeah, there's a lot in primary care, like your primary care, God love them. 00:17:49.509 --> 00:17:57.190 And you really need a hands-on in-person primary care, but for a very few patients for for whatever reason, they don't have that. 00:17:57.350 --> 00:17:59.430 And so we do provide it for a few patients. 00:17:59.589 --> 00:18:02.629 And I think this is a good link to give them. 00:18:02.950 --> 00:18:04.230 Yeah, we can link it in our channel. 00:18:05.190 --> 00:18:08.150 Look up their look up their own because it's just you click it and you go. 00:18:08.309 --> 00:18:10.710 So I I think it's I think it's a it's a great resource. 00:18:10.869 --> 00:18:16.789 But anyway, early detection is key, and that's why it is super important. 00:18:16.950 --> 00:18:23.349 Your insurance would rather pay for a small, small something versus five years later a big something. 00:18:23.430 --> 00:18:25.670 And that's why they're so vested in this. 00:18:25.910 --> 00:18:28.309 But it it also works out for you as the patient. 00:18:28.390 --> 00:18:30.309 They they want you to get these preventatives. 00:18:30.470 --> 00:18:32.789 You know, your doctor's gonna ask you, when was your last this? 00:18:32.950 --> 00:18:34.069 When was your last that? 00:18:34.230 --> 00:18:37.509 But it truly is for your benefit to get it done. 00:18:37.589 --> 00:18:40.789 And that's not something that we take lightly at all. 00:18:40.950 --> 00:18:45.509 We we, if there's something wrong, let's get it now and catch it now, and you can go on with your life. 00:18:45.670 --> 00:18:47.349 And yeah, and that's it. 00:18:47.589 --> 00:18:48.789 Yeah, absolutely. 00:18:49.029 --> 00:18:53.109 So, speaking about that, we have a special guest next week. 00:18:53.349 -->

00:19:04.470 So, transitioning women specifically, that are done with childbearing andor not having kids or done having kids, don't want to have kids, whatever, but you're out of that, you're out of that realm. 00:19:04.789 --> 00:19:07.829 And maybe your lifestyle has changed a little bit. 00:19:08.150 --> 00:19:15.349 We are going to bring in a specialist who is kind of a sub-specialist, if you think about it, kind of a sub-specialist of a specialist. 00:19:15.509 --> 00:19:15.910 Yeah. 00:19:16.150 --> 00:19:20.470 So there are providers out there that sub-specialize in certain specialties. 00:19:20.710 --> 00:19:41.109 She is specifically a Euro gynecologist who's going to join us next week to talk about what that looks like and what her subspects what her subspecialty is, what types of patients she sees, what types of services she offers, why that subspecialty is so incredibly important, and what type of patient population she feels like would benefit. 00:19:41.190 --> 00:19:50.230 Because I think that oftentimes women are so behind the bar when it comes to their own health care and health and health maintenance. 00:19:50.470 --> 00:19:53.829 We just simply don't take care of ourselves and we don't take the time to take care of ourselves. 00:19:53.910 --> 00:19:56.549 And sometimes we don't even know what's out there, what's available to us. 00:19:56.710 --> 00:19:59.990 What technology is out there to help make our lives just a little bit better. 00:20:00.230 --> 00:20:02.230 So next week she's gonna join us, Nicole. 00:20:02.390 --> 00:20:02.950 Who is this? 00:20:03.029 --> 00:20:03.990 What is her name? 00:20:04.309 --> 00:20:06.309 I I don't, I don't want to say, I don't want to say it wrong. 00:20:06.470 --> 00:20:06.549 Okay. 00:20:10.549 --> 00:20:11.910 But she's gonna join us next week, right? 00:20:12.069 --> 00:20:13.430 Yeah, she's gonna join us next week. 00:20:13.509 --> 00:20:16.549 And then I will I will verify with her how to say her name. 00:20:16.789 --> 00:20:19.589 She is precious, she is absolutely wonderful. 00:20:19.910 --> 00:20:27.109 She is local to me, and she is so freaking smart and so knowledgeable. 00:20:27.190 --> 00:20:42.150 And I think for women who are out of the childbearing age, a Eurogynecologist is so more focused on health, generalized gynecologists. 00:20:42.390 --> 00:20:45.190 Generalized health, but for women who are out of childbearing age. 00:20:45.269 --> 00:20:52.549 So OBGYN is a they deal with labor and delivery and gynecological stuff. 00:20:52.869 --> 00:20:59.670 But after you're childbearing, you really are focused more, your focus changed to bladder health. 00:20:59.910 --> 00:21:05.029 There's too often patients deal with urine frequency, bladder prolapse, different things like that. 00:21:05.109 --> 00:21:06.150 And she can do that. 00:21:06.230 --> 00:21:13.829 So it's not like you're going to a uh regular GYN or OBGYN and going to a urologist. 00:21:13.910 --> 00:21:14.789 You can

go to one. 00:21:15.029 --> 00:21:15.269 Yeah. 00:21:15.750 --> 00:21:18.710 I think of it as like gynecologic longevity. 00:21:19.029 --> 00:21:20.069 That's what I think of it as. 00:21:20.390 --> 00:21:22.869 Gynecologic wellness and longevity. 00:21:23.190 --> 00:21:25.029 Because that's truly what she's doing for women. 00:21:25.190 --> 00:21:29.750 She's helping us get over the hump of what happens to us after we hit a certain age. 00:21:29.910 --> 00:21:30.309 Mm-hmm. 00:21:30.390 --> 00:21:30.710 Mm-hmm. 00:21:30.869 --> 00:21:33.190 Because we don't need the OB part of it anymore, right? 00:21:33.349 --> 00:21:37.349 But we are going to need, you know, women, especially in menopausal. 00:21:37.430 --> 00:21:38.869 You get more frequent UTIs. 00:21:39.109 --> 00:21:48.470 You have, you know, trouble with urination, whether it's, you know, frequency or urgency, whether, you know, you after you have babies, you sneeze and you tinkle. 00:21:48.629 --> 00:21:54.069 Like, like that is something that she specifically addresses and she has a special, she specializes in. 00:21:54.230 --> 00:21:56.150 So I think it's super amazing. 00:21:56.309 --> 00:22:01.990 I have in the last 10 years really come to appreciate that specialty. 00:22:02.150 --> 00:22:07.910 And so I actually asked her because I said, you know, I'm going to be due for my my PAP. 00:22:08.069 --> 00:22:11.990 Can I switch from my OBGYN to Euro G Y N? 00:22:12.069 --> 00:22:13.029 And she's like, absolutely. 00:22:13.109 --> 00:22:14.869 And that's what made that's what makes sense for me. 00:22:14.950 --> 00:22:21.269 And so it's going to save me a visit because she's such a good sub-specialty and just amazing. 00:22:21.430 --> 00:22:26.150 So especially people that are menopausal, Euro G Y N is where it's at. 00:22:26.390 --> 00:22:27.829 And I also want women to hear this. 00:22:27.990 --> 00:22:32.629 You don't have to have had babies birthed children to have these problems. 00:22:33.190 --> 00:22:35.109 I have never birthed a child. 00:22:35.349 --> 00:22:36.549 I have these problems. 00:22:36.710 --> 00:22:39.589 It's called gravity and straining to have a bowel movement. 00:22:39.670 --> 00:22:40.789 They create the same problems. 00:22:41.109 --> 00:22:44.150 So let that let that simmer for just a minute and think about it. 00:22:44.309 --> 00:22:45.589 It creates the same problems. 00:22:45.670 --> 00:22:49.430 So I'm definitely going to pimp her just a little bit about those topics when we get her in here next week. 00:22:49.509 --> 00:22:53.109 Because I think there's a lot of women that have never birthed a child that have those problems. 00:22:53.190 --> 00:23:00.230 And I'm curious to see what she has to say about it and maybe encourage some of our women that are also experiencing those same problems to have a place to go. 00:23:00.470 --> 00:23:00.710 All right. 00:23:00.789 --> 00:23:03.029 So menopausal women, stay tuned. 00:23:03.190 --> 00:23:12.309 And I mean, all women also, all women also, because you are eventually gonna have, I hope you don't, but all women eventually are gonna have a bladder issue if you live long enough. 00:23:12.470 --> 00:23:13.349 So true. 00:23:13.509 --> 00:23:14.789 It it just is, you know. 00:23:14.950 --> 00:23:20.309 And I noticed that like there's a lot of urologists that are that see a lot of men too. 00:23:21.029 --> 00:23:22.150 But I just love her. 00:23:22.230 --> 00:23:23.430 I just, I just I just love her. 00:23:23.509 --> 00:23:24.950 So we're excited to have her next week. 00:23:25.029 --> 00:23:25.910 So wonderful. 00:23:26.150 --> 00:23:27.430 All right, guys, stay tuned. 00:23:27.509 --> 00:23:28.470 We'll talk to you next week. 00:23:28.629 --> 00:23:29.509 Have a good week. 00:23:29.829 --> 00:23:30.390 Bye.