First Case Podcast

Staffing shortages and burnout have left many ORs struggling to stay efficient — but what if there was a simple solution that gave you time back while also protecting your sterile field? In today’s First Case Vendor Spotlight™, we’re going to learn all about this time and staff saving solution with Laurel Stebbins, Clinical Manager, and Alex Navlet, Clinical Consultant, with TIDI Products, along with Maria Candelaria, a perioperative nurse and current user of the Sterile-Z® drape. The Sterile-Z® is a game-changing drape that helps surgical teams stay efficient, compliant, and stress-free. In this discussion, we’ll hear firsthand how this clear, easy-to-use drape improves workflow, reduces contamination risk, and even helps teams take a much-needed break — without compromising sterility. The Sterile-Z® line now includes options for Mayo stands and 3D imaging procedures, all designed to save time, reduce waste, and protect your setup from airborne contamination. To learn more or request a sample, visit tidiproducts.com/sterile-z and follow them on LinkedIn, Facebook, Instagram, and TikTok! #operatingroom #sterilefield #surgicalefficiency #ORNurse #scrubtech #perioperative #vendorspotlight #podcast #SterileZ

7/11/25 • 35:24

In this week's Article On-the-Go, Lindsey Joyce, MSN, RN, CNOR, shares a humorous glimpse into her experiences as a nurse on call in the CVOR. Known among her colleagues for her “black cloud” reputation, Lindsey recounts rushing into ECMO emergencies in the middle of the night, sometimes in pajamas or flip flops, with no time to spare and lives on the line. She captures the organized chaos of setting up lifesaving procedures outside the OR, the importance of rapid teamwork, and the reality that in moments like these, appearance and routine take a back seat to the urgency of patient care. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative

7/9/25 • 05:07

It’s here! Season 16 of the First Case podcast  has officially dropped! We’re kicking off the season with a raw and relatable conversation all about the questions we don’t always feel comfortable asking in the OR — but need to. In this episode, we'll dive into the daily uncertainties that even seasoned professionals face and how to navigate those “I have no idea what I’m doing” moments with humility, courage, and communication. From learning without looking “dumb,” to managing surgical surprises, to reshaping toxic OR culture — this one’s for every nurse, tech, or student who's ever whispered, “How do I…?” Remember, asking questions shouldn’t be a weakness — it’s the first step toward safer care and stronger teams. #operatingroom #nursing #ornurse #perioperative #perioperativenurse #ORCulture #SurgicalTech #NurseLife #ScrubTech #ORLearning

7/7/25 • 28:15

Season 15 has come to an end, and we're anxiously awaiting the launch of Season 16 on July 7, 2025! While we wait, here's a throwback to a great interview from Season 6!  What makes a good leader? Are you only a leader if you have a title? Joining us to talk all things Perioperative Leadership is Jennifer Misajet, COO & CNO at Mercy One. In this final episode of Season 6, learn about Jennifer’s personal journey into leadership, discover the importance of mentorship and networking, and uncover the challenges that new leaders often face in their roles. We’ll also discuss key takeaways for seasoned leaders and highlight the benefits of honesty and transparency in leadership. If you’ve ever thought that you might want to be in a leadership position, this interview is for you! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #OperatingRoom #Surgery #Perioperative #ProfessionalGrowth #ProfessionalDevelopment #leadership #healthcareleader #healthcare

6/30/25 • 45:29

On this episode of StreetClothes, we talk to a healthcare professional who spends her time away from the hospital chasing trails and wide-open views. Whether she’s trekking solo through Iceland or tackling steep paths with friends, this adventurer finds peace wherever her hiking boots take her. Tune in to hear how Brenna Doran embraces the calm and clarity of the outdoors—one step, one trail, and one hike at a time… If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show and share it with the world! #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

6/29/25 • 40:39

In this week's edition of Articles on the Go,  Chris Blevins, CST, FAST, draws a creative parallel between the strategic world of football and the high-stakes environment of the operating room. Just like a zone defense on the field, infection prevention in surgery relies on teamwork, precision, communication, and adaptability. From the offensive line to the surgical team, every player has a critical role in preventing complications and protecting the “end zone” — patient safety.  ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #infectionprevention #surgery

6/25/25 • 04:26

Season 15 has come to an end, and we're anxiously awaiting the launch of Season 16 on July 7, 2025! While we wait, here's a throwback to a great interview from Season 6!  Can professional growth include coaching? How can a career coach help me personally and professionally? You are going to find out today as we sit down with Certified Professional Career Coach Phyllis Quinlan, PhD, RN! As the President and CEO of MFW Consultants to Professionals and the Career Coach for AORN, Phyllis brings 40+ years of nursing experience and over 20 years of coaching experience to our conversation today. How can we identify our character strengths? What blindspots do we have to our own behaviors? How can we let go of behaviors that are no longer serving us? We will discuss all of this and more on today’s episode. Don’t miss it! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #OperatingRoom #Surgery #Perioperative #ProfessionalGrowth #ProfessionalDevelopment #Coaching #ProfessionalCoaching #Coach

6/23/25 • 42:35

When it comes to patient safety, we scrutinize every instrument—but how often do we scrutinize the water used to clean them? In today's First Case Vendor SpotlightTM, we’re addressing that critical, yet often overlooked, factor in our surgical and sterile processing outcome - water quality. Joining us is Jeffrey Paquet, CEO of VERDA Water Quality Systems, a leader in developing comprehensive water management solutions for healthcare environments. If you’ve ever questioned the cause behind pitting, staining, or spotting on your instruments—or wondered how infrastructure changes can impact sterile processing—this episode will provide the answers! our conversation today will take a closer look at the intersection of water quality and perioperative care, and we'll examine the implications of water quality on surgical instrument integrity, infection prevention, and overall patient safety. We’ll also explore the recently released ANSI/AAMI ST108 standard, how it aligns with and enhances existing guidelines such as those from AORN, and why compliance with this standard is becoming increasingly vital—particularly in states like New Jersey where it is now regulatory. VERDA Water Quality Systems is helping facilities move beyond fragmented, siloed approaches to water management by offering an integrated, system-wide strategy designed to improve outcomes, reduce risk, and support regulatory compliance. To learn more, visit https://verdawater.com/contact/ and to schedule your free assessment. You can also follow VERDA on LinkedIn!  #operatingroom #waterquality #podcast #vendorspotlight #ornurse #perioperativenurse #scrubtech #surgicaltechnologist

6/20/25 • 48:29

Season 15 has come to an end, and we're anxiously awaiting the launch of Season 16 on July 7, 2025! While we wait, here's a throwback to a great interview from Season 6!  Have you ever thought about sharing your knowledge and expertise by writing articles for nursing magazines? How do you get started? Find out in this informative interview with Judy Mathias, Clinical Editor at OR Manager. Find out how to get started, how to get your point across in your writing, and learn three key rules to remember when you write! If you’ve ever wanted to write or are curious about how you can submit an article to a magazine, tune in to today’s episode! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #OperatingRoom #Surgery #Perioperative #ProfessionalGrowth #ProfessionalDevelopment #Leadership #Writing

6/16/25 • 36:57

On this episode of our StreetClothes human-interest podcast series, we talk to a healthcare professional whose passion for two wheels brings freedom, focus, and a whole lot of fuel to life outside the hospital. From the thrill of the throttle to the quietness of the long ride, this rider has discovered that nothing clears the mind quite like a full tank and the open road. Tune in to hear how Jennifer Barnickel unplugs and reconnects one curve, one gear, and one mile at a time… If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show and share it with the world! #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

6/15/25 • 38:36

Surgical smoke isn’t just unpleasant—it’s dangerous. In our latest First Case: Articles on the Go episode, we shed light on the harmful particles released during common surgical procedures—and the risks they pose to perioperative professionals. Despite decades of research confirming the presence of carcinogens, mutagens, and infectious material in surgical smoke, consistent regulation and protection remain lacking in many ORs. This episode explores: The health hazards associated with surgical smoke exposure The importance of smoke evacuation systems Legislative progress across the U.S. How perioperative professionals can educate, advocate, and drive change Listen now! ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #perioperativenurse #firesafety #fireprevention #surgery #scrubtech #surgicaltechnology

6/11/25 • 04:51

Season 15 has come to an end, and we're anxiously awaiting the launch of Season 16 on July 7, 2025! While we wait, here's a throwback to a great interview from Season 6!  Do you experience collaboration within the departments of your organization, or is each department isolated? Is it possible to measure the degree to which we are collaborating? Brooke Elliott, Founder of BE Complete Coaching & Consulting, LLC, is joining us today to help us define collaboration and understand our Collaboration Quotient. How can we build collaboration into our culture? How can we break down the silos that so often exist within our organizations? Discover the answers to these questions plus learn what benefits we experience through effective collaboration in today’s discussion with Brooke! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #OperatingRoom #Surgery #Perioperative #Collaboration #teamwork #professionaldevelopment

6/9/25 • 36:06

Season 15 has come to an end, and we're anxiously awaiting the launch of Season 16 on July 7, 2025! While we wait, here's a throwback to a great interview from Season 6! If you ask a patient who took care of them in the OR, they’ll definitely remember their surgeon, and they’ll probably remember their anesthetist and their nurse. But, do they ever remember the surgical technologist (ST)? Do they even know there was another expert scrubbed in for their case? In this Season 6 interview with Chris Blevins, CST, Founder of the Scrub Life Podcast, we talk about the desperate need for awareness around the important role that STs play in the operating room. Find out how we can educate about the profession, how we can reduce the national shortage of STs, and how we can advocate for better pay for this vital perioperative role.  Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #OperatingRoom #Surgery #Perioperative #SurgicalTechnologist #CST #ScrubTech #Scrub

6/2/25 • 45:58

On this episode of our StreetClothes podcast series, we talk to two healthcare professionals who find comfort, creativity, and a little pinch of calm in the art of baking. Whether it’s homemade bagels, a failed bundt cake, or family traditions passed down through generations, these self-taught bakers have each discovered their own flavor of joy in the kitchen. Tune in to hear how Vanessa Frank & Chelsea Wolner are keeping things sweet outside their 9-to-5s—one pie, muffin, and cookie at a time… If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show and share it with the world!  #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

6/1/25 • 46:12

Surgical fires remain a serious—yet preventable—risk in the operating room. One critical safety measure? Adhering to the recommended dry times for alcohol-based prep solutions. In this episode of First Case: Articles on the Go, we examine the evidence behind dry time protocols, their role in preventing OR fires and surgical site infections, and the importance of following manufacturer guidelines. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional!   #operatingroom #perioperativenurse #firesafety #fireprevention #surgery #scrubtech #surgicaltechnology

5/28/25 • 04:11

Autopsy tech Amanda Krygier joins us in the First Case season finale to pull back the curtain on a rarely discussed, deeply meaningful part of patient care - postmortem care. From collecting organs and evidence to comforting grieving families with answers, Amanda shares how compassion continues— even after life ends.  In this episode, we explore: 🧠 What autopsy techs actually do ⚖️ How they handle criminal cases & evidence 🩺 Why empathy matters, even in death Tune in now to learn more about the final chapter of patient care.  #operatingroom #ornurse #surgery #scrubtech #perioperativenurse

5/26/25 • 29:07

What happens when the patient on your OR table is an inmate —or a victim of violent crime? 👮‍♂️  This week, we sit down with David Bowman, faculty with the School of Legal Studies at South College in Tennessee, to explore the legal, ethical, and emotional challenges of treating these patients. From chain of custody to managing personal bias, this episode is a must-listen for every perioperative professional. #FirstCasePodcast #PerioperativeNursing #TraumaCare #SurgicalTeam #LegalStudies #PatientCare #NursingEducation

5/19/25 • 37:00

On this episode of the StreetClothes podcast series, we talk to a healthcare professional whose passion project is generating some serious buzz in his own backyard! With 31 hives and counting, this busy bee has discovered the joy—minus the occasional sting—and the liquid gold rewards of working with nature’s busiest pollinators. Tune in to hear how Cody Troutt's adventures in beekeeping bring the sweetest kind of work-life balance to life beyond the hospital… If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show and share it with the world!  #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

5/18/25 • 39:40

In this week’s episode of First Case, perioperative consultant Vangie Dennis joins us to explore how generational differences impact patient care. From Traditionalists to Gen Z, each group brings unique values, communication styles, and expectations into the surgical setting. Learn how to tailor your approach, improve patient engagement, and avoid common missteps across the generational spectrum.   #operatingroom #perioperative #perioperativenurse #generationalcare #podcast #ornurse #nurse #scrubtech #surgicaltech

5/12/25 • 34:53

The show producer has not yet provided a description for this episode.

5/7/25 • 07:41

In this week's episode of First Case, we sit down with JD Buchert, Director of Workforce Safety at Parkland Health in Dallas, TX, to discuss the unique challenges transgender patients face as they navigate the healthcare setting. Did you know that over 70% of transgender individuals turn to emergency departments for care, often due to discrimination or harassment in other medical spaces? In this powerful discussion, JD highlights the importance of using gender-affirming language and treating each patient with respect, leaving biases at the door. He shares how inclusive care not only improves patient outcomes but also reduces overall healthcare costs. Tune in to learn how to create a safe, compassionate environment for everyone.  #operatingroom #ornurse #surgicaltechnologist #perioperative #perioperativenurse

5/5/25 • 37:37

On this episode 4 of the StreetClothes podcast, we talk to Lindsay Brown, a Minnesota clinician who has a passion project unlike any other! Not only does she know where babies come from (every child's eternal question), she also knows how clinical expertise beautifully combines with nurturing care during life's very first moments.  Tune in to hear how Linds's work as a doula brings comfort and advocacy to the birthing experience outside of her 9-5 healthcare role... If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show and share it with the world!  #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

5/4/25 • 44:19

Delivering truly patient-centered care requires cultural awareness and sensitivity. In this week's episode of First Case, Charlie Lin, Nurse Practitioner and First Assist at Stanford Children’s Pediatric Otolaryngology, shares key considerations for providing culturally competent surgical care to Asian patients. Learn how to recognize cultural differences, navigate family dynamics, and enhance communication to improve patient outcomes and foster trust in the perioperative setting.   #operatingroom #ornurse #surgicaltechnology #scrubtech  #FirstCasePodcast #CulturalCompetence #PerioperativeCare

4/28/25 • 43:19

In this week's episode, we're changing our focus, and seeing the operating room through the eyes of the patient. Becca Kinney—a former sterile processing technician, medical sales representative, and now entrepreneur—joins us to share her personal journey as a breast cancer survivor. With a clinical background and firsthand experience undergoing multiple surgeries, Becca offers a unique and deeply moving perspective on surgical care. She discusses the emotional and physical challenges of her diagnosis and treatment, the value of clear communication and compassionate care, and how even the smallest gestures from caregivers can have a lasting impact. Her story is a powerful reminder that behind every procedure is a person who is scared, vulnerable, and in need of connection. Tune in for an episode that underscores the importance of empathy, anticipatory guidance, and truly seeing our patients as people. #operatingroom #perioperativenurse #surgicaltechnologist #perioperative #FirstCasePodcast #BreastCancerAwareness #PatientExperience #PerioperativeCare #SurgicalTeam #HealthcareProfessionals #SterileProcessing #EmpathyInMedicine

4/21/25 • 40:03

On this episode 3 of our brand new StreetClothes human-interest podcast series, we talk to two healthcare professionals who have a passion project that's far from fowl play! Not only have they created their own backyard flock of feathered friends, they've also cracked the code for beating those sky-high egg prices! Tune in to hear how Sean Weir & Stacey Gielen became known as the "Chicken Tenders" and how these quirky birds bring sustainable joy to their lives outside the hospital... If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show and share it with the world!  #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

4/20/25 • 42:19

In this week's article, we're diving into the power of purposeful teaching with “Intentionality in Surgical Technology Instruction” originally written by First Case co-host Chris Blevins, CST, FAST. From creating hands-on, realistic lab experiences to flipping the classroom for deeper engagement, this episode highlights how surgical technology educators can shape confident, competent future CSTs through intentional and reflective instruction. Whether you teach in the lab or lecture in the classroom, this one's for you. Don’t miss these insights that go beyond skill-building to foster professionalism, critical thinking, and advocacy for our surgical tech students. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #SurgicalTechnology #PeriopEducation #FirstCasePodcast #OREducation #CST #SurgTechInstructor #ArticlesOnTheGo

4/16/25 • 04:23

Implicit bias - it’s unconscious, it’s uncomfortable, and it affects patient care more than we may realize. In this powerful episode, we sit down with Darlene Murdock, Staff Nurse at Memorial Hermann Hospital, to explore how our own hidden biases can lead to unequal treatment, impact patient outcomes, and create barriers to compassionate care. Darlene shares real-life stories, eye-opening stats, and actionable steps to help us become more self-aware and patient-focused in the OR and beyond. Tune in now to take the first step toward understanding your own implicit bias! #operatingroom #perioperative #perioperativenurse #implicitbias #surgicaltechnologist #scrubtech #podcast

4/14/25 • 37:11

What happens when you combine collaboration, efficiency, and standardization in the OR with strategic relationships and data-driven decision-making? You have a success story of operational transformation! Join us in this First Case Vendor Spotlight™ with Randy Subramany, Director of Supply Chain at New York Presbyterian, as we uncover the process that revolutionized procedural supply management. New York Presbyterian, with its expansive network of 10 acute care centers and over 450 locations, collaborated with Cardinal Health™ Presource® Solutions to tackle inefficiencies in procedural supply standardization. The result? A streamlined custom kitting program that reduced redundant SKUs, minimized waste, and significantly improved clinician satisfaction. As a result, the organization eliminated unnecessary variation while enhancing patient care. Throughout the discussion, Randy highlights the critical role of supply chain leaders in driving value-based care, reducing waste, and optimizing workflows. He shares insights into how Cardinal Health™ Presource® has been an essential component in this process, providing robust data analysis, standardization tools, and hands-on collaboration to ensure seamless implementation. From reducing case setup times to improving emergency preparedness, this episode sheds light on how custom kitting solutions can transform perioperative efficiency. If you're looking to streamline supply chain processes, enhance clinician experience, and ultimately improve patient outcomes, Cardinal Health™ Presource® Procedural Pack Solutions is ready to help. Reach out to your Cardinal Health Presource® representative to explore tailored kitting solutions that meet your OR’s needs, or request more information on their website. #FirstCase #CardinalHealth #VendorSpotlight #OperatingRoom #Efficiency #Workflows #SupplyChain #PatientCare #CustomSurgicalKits

4/11/25 • 44:54

Welcome to the Season 15 premiere of First Case! We’re kicking off this season with guest JD Buchert, and diving into the importance of understanding our patients beyond their procedures. In this episode, we explore the importance of seeing patients as individuals rather than just cases. Our conversation covers the role of culturally competent care, how personal experiences and backgrounds shape patient interactions, and the need for improved communication and empathy in the perioperative setting. We’ll also discuss how unconscious bias can impact care and what we can do to foster a more inclusive and patient-centered approach. Join us as we uncover strategies for building trust, enhancing patient interactions, and ensuring every patient feels seen, heard, and respected. This is a conversation that can transform how we care for those who entrust us with their health, so don't miss it! #operatingroom #perioperativenurse #perioperative #surgicaltech #scrubtech #podcast

4/7/25 • 32:30

On this episode 2 of the StreetClothes podcast, we talk to a well-known voice in the medical device space about bending strings and making his guitar "talk." If you're like many Americans, you've probably got a guitar in a closet somewhere. Some of you may even use your guitar as a much-needed tool to unwind your mind after a crazy day at the hospital. Whether you're a "picker" or a "grinner", if you appreciate the power of music to deeply impact people, you'll find a lot of value in this episode.  Tune in to hear how and why Kevin Brown jams out when he's outside of scrubs... If you like this series OR have an interesting side-hustle, passion project, or hobby you do outside of your hospital day job that keeps you inspired, refreshed, and motivated, we'd love to hear from you! Message Hank Balch on LinkedIn for a chance to come on the show to share it with the world!  #StreetClothes #Hobbies #SideHustles #PeopleMatter #Healthcare #BeyondClean #FirstCase #PowerSupply #TransmissionControl #HealthcareHQ

4/6/25 • 50:29