Mm-hmm.

Um, a- and looking at how we can improve things and make it better.

Uh, one of the big things that, you know, I think is super important is look at those barriers, right? So there's gonna be a big attrition rate for...

I mean, identifying the patients, I think, is where we've used a lot of the data, right? Identifying the patients who could potentially benefit from this technology.

Then you're gonna have the number of patients that actually wanna be seen, and then you're gonna have the patients that actually decide to have treatment, and then later on, you're gonna have the patients who maybe return to use their frozen tissue.

Um, and so kind of looking every step of the way at where are those barriers, um, what I've found was that it's usually not the time, although that is a consideration for some patients.

You know, they, they-

Mm-hmm

And, you know, I- I'm curious, when you think about the last year or so, um, what was the most important initiative you led? What did you do, and what were the results?

I think the most important initiative I led, uh, was the expansion and sort of formalization of fertility preservation and oncofertility pathways across the system.

And, you know, Northwell is the, the largest health system in New York State, and so that really gives us the responsibility and the opportunity to sort of scale these evidence-based, uh, care platforms across our population.

Um, oncofertility is sort of a fancy way of saying, um, the provision of fertility services that we provide for patients who either have an active cancer diagnosis or are cancer survivors, and this, uh, includes something called ovarian tissue cryopreservation or ovarian tissue freezing.

So ovarian tissue freezing is a process where we can remove an ovary from a patient and then freeze the ovary itself so that in the future if that patient wants to have a biological child and they are unable to, it is a method to preserve their fertility s- and kind of give them that, that opportunity in the future.

And ovarian tissue freezing w- is mainly used for, um, younger girls with cancer who don't have the ability to do egg freezing.

Egg freezing is sort of the gold standard for patients who are able to do it.

When you think about the future, what are some of the big priorities and headwinds that you're focused on for 2026?