I, I'm wondering if you could share with the audience, what are the key decision points along the journey? How do you know when further attempts at recruitment are just not gonna succeed, and do you use catheterization in any way to help along the way?

Yeah.

Um, you know, uh, most of the cases we're taking on are, we feel very comfortable and confident that we're gonna achieve a good outcome.

Um, there's a lot of patients out there who have things like remote aortas, um, mild ventricular imbalance, um, that, uh, kinda get defaulted to Fontan or can get defaulted to Fontan, and then, um, you know, when we get a, when we get a look at them, we feel comfortable that we can, we can make it work.

Um, the more extreme cases, uh, do require s- a lot of time and effort and patience.

Um, so these recruitment procedures where you really are trying to grow a small ventricle, typically you're gonna do your first procedure, uh, correct the valves as best you can, start loading that smaller ventricle, and typically wait at least a year.

Um, if you look at the Boston series, they're t- they're oftentimes waiting 12 to 15 months is kinda their average.

Um, and I'm wondering if you could sort of change one thing about how other centers make this decision, uh, BV, uh, biventricular versus Fontan, what do you think it would be? What are, what do you think other teams may not be understanding that maybe they should?