Yeah.

And so, like, what you're getting at now is, like, what do I do for her now? And I think it really comes down to I probably have to move her stoma because I've tried this now in three places, and it's time to, to move it to a new location and mesh up everything.

But she's gonna be layers and layers of mesh by the time I get [laughs] done with her, you know? And, and she's doing fine with them, but, um, but it's hard because they do come back, and we don't have any good answers for it other than reversing the stoma.

If you can get rid of the stoma, that's the best way to take care of this problem.

Yeah.

And I'm, I would've, I'm pretty sure that if I were to just sew those together with a suture that goes away, that hernia is just coming back 'cause there's no muscle, there's nothing to structure or scar in.

But there are other places where maybe it's a pr- a hernia where you have a couple muscle layers and, that are still there and strong that we could potentially try it.

But I would, I would warn people away from no mesh on side hernias, 'cause I really think that's a place where you need some structural, like, support for the scar tissue to grow in.

How did you get started in the field? And when did you first start thinking about private practice?

Yeah.

And thanks so much for having me.

I'm really excited to be here.

Very early on, right out of my schooling, I ended up in a private practice.

And there I had the ability to get into the schools via the private practice, the hospital, NICU.

So that set a lot of my foundation skills.

Is it open every single day? Are some of them smaller locations? Like, how does that what does it kind of look like?