Denise 0:00
Hi welcome again to Myth, Magic, Medicine with me Denise Billen-Mejia,your host, and this is Season Three "Talking to Immigrant Doctors". And today, you don't get just get two doctors talking, you get three. Welcome to Emill and Joanna from the Dominican Republic. And Amelia, who's a full-blooded American. So, hi, thank you so much for doing this.
Emill 0:22
Thank you, we really appreciate you having us here. It's really a pleasure to be able to give our perspective and, and our journey. So thank you for inviting us.
Joanna 0:31
Yes, we definitely feel honor being here.
Denise 0:35
Joanna, because with the baby in arms, you may suddenly have to fly away, why don't you start us off and tell me how how did you decide to be a doctor? Did you have medical people in your family?
Joanna 0:45
Actually, I did my older sister. She's nine and a half years older than I am and she is a doctor. She went into the psychiatry path. And I remember seeing her and all of her friends from medicine school, gathering at the table at my house. They would be there every single day studying nonstop. And I just saw her and I felt, I remember me playing with dolls as if I was in the operating room and things. I had these specific dolls that I would take them to the patio and just do some surgeries and things. Yeah, it's good to start. Yeah, yeah. And I think I always liked science. My mom tells me the story that I had my own insect lab. And that was like with a glass magnifier and a pair of tweezers. That's all I had my I had like a notebook and a pen to write the characteristics of those insects that I would find. Obviously they were gone by then. I was able to move them around and touch them and things. But yeah, that's how it all started.
Denise 2:00
Yeah, good. So So you went through. And you grew up in Santiago, and you went to school in Santiago too?
Joanna 2:07
Yes, I want to say, Yes, I was born and raised in Santiago, Dominican Republic. And I stayed there from since I was born until I had to come here.
Denise 2:16
I'm believer in holistic education. And not everybody will know much about the Dominican Republic most people will place it as the other half of Haiti. But where is Santiago?
Joanna 2:27
Santiago is on the north part of Dominican Republic
Denise 2:30
It's not on the beach, though...
Joanna 2:32
You can drive there, it's not on the beach, but it's very close by driving distance, maybe an hour, an hour and a half something
Emill 2:41
Yeah, is the second biggest city of the Dominican Republic.
Joanna 2:46
and it was actually the first capital of the Dominican Repulic, then an earthquake happened and they had to move
I didn't I didn't know that when
and Santo Domingo comes into place.
Denise 2:57
I always assumed it was Santa Domingo, because SD has been around for a while. When did that happen? Do you remember? Obviously not in the living memory.
Joanna 3:08
We weren't around back then.
Denise 3:09
You you decided that you? You were focused in through high school this standard , does it follow pretty much the American system 12 grades and you finish it? And and so you apply to university? Did you? Why did you choose the university that you did?
Joanna 3:27
My sisters went there. And that was the best in the area that and you know, we were able to get credit for me. So I could go to school. And how do you say credit? Like a tuition? Is that how you call it?
Denise 3:41
You mean you could get a stipend? You got some sort of assistance towards financial
Joanna 3:45
assistance? Yeah, yeah. We call it credit so that I'm translating, right? Yeah.
Denise 3:50
Yeah, it took me the longest, spoiler alert, I went to medical school in Dominican Republic and it took me about a year after leaving to stop saying asistencia and horario. I didn't, I didn't translate it., I just used those words. Asistencia meaning attendance and horario being schedule, for those who don't speak Spanish. So, so you you chose to go to school? Did you give yourself a break between high school and starting college?
Joanna 4:20
No, we regularly don't do that. Is it or back then? I don't know how it is right now. But back then. You when you finished high school and you went straight to your university.
Denise 4:31
Okay, so you started. You started in September, October.
Joanna 4:35
We started our tuition in, I think in August. You graduate in like June and then in August viewster are
Denise 4:43
so hot to start in August there. Okay, so the standard training Yeah, anatomy physiology, biochemistry, pathophysiology.
Emill 4:55
Yeah, this is the big difference between the Dominican Republic and maybe some of the countries without actually, we don't have to do like undergraduate or actually we do apply to go directly to med school. And in the medical curriculum, it is included all the basic science. And it's kind of in the all the time that you have to do going straight to med school. And you actually do all the basic science with the same team, who is going to be actually kind of transition to med school finish with you all the way from med school. So it's kind of different. And so we don't have an undergrad, we just have kind of Doctor of Medicine degree directly.
Denise 5:30
Especially say true for many, many countries, it's really a North American thing, not completely, but the UK, you enter straight, we call it reading medicine, directly into the Medical program, but all of the basic sciences now, did you have prerequisites in high school in order to matriculate? Did you need to have a certain number of credits in physics and chemistry, etc. Prior to going to school?
Joanna 5:56
No, not to go into school. But during the school years, obviously, you had to accomplish a certain amount of credits in order for you to pass over to the next chapter. Sure.
Emill 6:09
Yeah, the curriculum in high school is our pretty standard is not that you can select what you want what you don't want, actually, that's dictated by by the government, which actually like thing you have to do you cannot change that there's a national curriculum. Yes, it's a national curriculum that everybody has to go through it is I cannot choose what I wonder what I don't want, you don't have like a path that you can go like more like, like science or doing more technology? No, actually it is, there is only a specific school that can be both has very, very few. Actually, most of them is kind of standardized. And in order to apply for med school, you only have to have really good grades in high school. And that's what they take into consideration to see if you will be able to join med school there,
Joanna 6:58
and then pass a test that they give in if you get into that specific school that you want to go into.
Denise 7:05
Right. So, UCMM had its own exam?
Emill 7:09
Okay, yes,each university, actually,
Denise 7:11
I apologize, I can't get the P in there, I learned it as UCMM it's not getting the P. that's not happening. So you went through, at what point did you start seeing patients?
Joanna 7:24
Started seeing patients? I would say by year ..alone?Or just
Denise 7:33
Starting clinical work?
Joanna 7:35
I say year three or two. Because you start with rounding through the hospital with the residents. And then your attendings, you don't you don't, you know, you don't conduct direct patient care, you start conducting direct patient care in the last year. And then you can take care of those patients on your own. But in the beginning, it's more like lab work laboratories that you get to go to the hospitals to public hospitals there and start, you know, seeing how the system works. And studying certain subjects with the patients like the for an example. How do you say semilogia? semiology? I don't know, it's the starters of how to interview the patient. So they will give you a guidance on how to interview these patients l like subjective objective assessment plans and things like that the HPI and then the H & P and then you would go ahead and interview those patients and then present to your Attending.
Denise 8:46
Is, is there a specific hospital attached to the university that you did those rotations or where you were in different places around the country,
Joanna 8:52
They are different hospitals, but they're all they are all associated with the university, the med school so we did in different areas due to the fact that not all hospitals would take care of the same type of patients. For an example we did a pediatric rotation. It is specifically at a pediatric hospital. We did adult rotation specifically at a different hospital and then more focused subjects like endocrinology then you would have to go to a different hospital as well
Emill 9:27
But I went to want to clarify that question after probably like government hospital is not the Universities have the money to have their own hospital, no, they have to reach an agreement between the public hospital so we can actually can go there as a medical student to go and rotate with Attendings there.
Denise 9:48
Was there anything when you first started seeing patients that surprised you? Yes, everything surprises us when we see people trying to think because you you presumably came from a fairly well educated community. This is a is a country that is still having some issues with development, because you can be really, really, really rural there and see a doctor once in your life. What What surprised you? What did you find you're able to do what deficits annoyed you? Because you weren't able to provide them for patients? Were there things that were frustrating for you as just as a student because of the differences in income levels and what was available for whom?
Joanna 10:33
Yeah, I remember one time, and this was extremely frustrating for me, there was a patient of mine that needed a surgery to undergo some type of surgical procedure, and the day of the surgery, the patient was in the table and everything, but there was no anesthesia. So I
Denise 10:51
No anesthesiologist, or no actual medication?
Joanna 10:56
No medication, and I remember me and some other group of friends, my colleagues, we started just raising money to buy it, because we couldn't find it anywhere in the hospital, there was no anesthesia in the hospital for that specific patient for the type of anesthesia that that patient needed. So um, I guess I can't quite remember what happened exactly. But that was something that struck me a lot.
Emill 11:22
Yeah, from my side it was a little things is just kind of, for example, like a high end imaging there were things we were not having the luxury of even,at that time, having a CAT scan, an MRI. So I think because of that lacking made us better clinicians in the sense that you have to go and get a better history, what the resources that you have tried to make a better diagnosis. And that's why I kind of in my country, we always say you have to do a good H&P that will give you 90% of the diagnosis, just because the necessity of not having all those imaging all those fancy tests, and the you have to really treat your patient give the best care that you have. So that's why a very detailed physical exam and very good history that was actually was leading to our managing the treatment we were giving to our patients.
Denise 12:18
So you managed to get through all of the studying that most of people watching, most of the people listening are doctors, but not all, So if you managed to get through you got through finals. And what was your next step? Had you decided that you were going to come to the US to study?
Joanna 12:36
Yes, I definitely knew about that...
Denise 12:37
Was that because a family member had come before or just you watched movies?
Joanna 12:41
So my family from my mom's side all lived in the States and my sister who had done medicine and psychiatry she was already here so we knew we wanted to expand to different areas and the USA was the next step for all of us and I have a middle sister and she was also here by that time. She's not a doctor, she's an engineer, but she was also here and I wanted to be close to my sisters too. So I always knew that my step would be the USA.
Denise 12:54
So you went to New York?
Joanna 13:20
I went to New York, but before I went to New York and started residency, I studied for the for the USMLE, Steps 1,2 &3 And I stayed in Dominican Republic at my mom and dad's house, I lived there. I continued living there until I passed all of my exams.
Denise 13:40
You finished with the Dominican side of education, and then you tdidn't take Step 1 during your studies?
Joanna 13:47
not during my studies,
Denise 13:50
hard because you're gonna go back and remember all that stuff. Oh, it was
Joanna 13:54
great. I loved it. It was hard, but I felt I felt much more in love with medicine. I just loved the process. Of course,
Emill 14:05
For me, it was definitely different. My father is a dermatologist. So I always knew that I was going to do medicine. That's example. I just remember my being with my father going to the ruler area of the Dominican Republic doing free services to the underserved population. So I knew since the beginning I went directly to med school. But at the beginning, actually, I will think into going to do my residency in Spain, just because my first language it is it is a Spanish. I didn't know anything about English. So all my med school was in Spanish, everything I was directly going to my plan was to go going to Spain because I have a brother who lives there. But that's when the crisis in 2010 that Europe and Spain was kind of really bad. So I have to take Canada decision. I want to see, okay, that's not the best option at this time. So we're, we're, I guess, United States the way so I started studying English and the USMLE at the same time, And it was a very challenging to do both yeah, and a challenge like learning language. But also the USMLE I had a clear path of what I wanted. So basically, I have to really start all over because even guidelines are different -things are different. So I started medicine again in that year, that is still the for the USMLE plus English to be able to go up to speed even remember, my friends even
Denise 15:40
Even more fun because our system is based on Grey's Anatomy and Rouviere,. I can't remember the name of the book, but oh that book, we all burned them at the end of the session. But, so you both just happened to wind up in New York, because your journeys were separate in different parts of the island until you both arrived here by some miracle of study and determination and gods. Well, you wound up in New York City. Where did you get residency?
Joanna 16:14
in Lincoln Hospital in the Bronx, New York.
Emill 16:18
So what struck you? Like the first day we're sitting next to the next to each other during orientation? Like both from Dominican Republic? I mean, she's from the north side. I'm from the south part. So we were kind of "hi", well, we are here let's start this journey together at this time. And then us going to the residency and the magic started.
Denise 16:45
That's great. And you have three beautiful, all daughters? Three beautiful daughters. Yes, ma'am. Probably by the time this airs, this young lady will be double her age of only two months. So let's go back just a bit, you worked, did you do pasantia? Isn't it essential for licensure. And that was because because you knew that you were going to come to the US?
Joanna 17:17
No, I did, but only three months, because by the time that I received the percentage that internship after graduation there, it was already too late. I think it was March of the same year that I started residency. So I was only able to do it for like three months. But he did his full year.
Emill 17:35
So just want to clarify for the people, pasantia here is like mandatory year that you have to serve the country basically. And that comes back when we only have one med school that actually was kind of free. So the way that they are able to kind of get, not get that money back, but at least serve the underserved areas. So they create this mandatory one year that you have to go to those rural area to have physicians there. Even that is just recent graduates so they can have those physician be there. And for one year you learn a lot and experience a lot. They
Denise 18:16
also point out since you've mentioned the university, I won't butcher the pronunciation of the name of the National University. You can say it and then what people call it was the first University
Emill 18:33
of Santo Domingo. Yeah, that was founded
Denise 18:35
a long time ago before we really had medical schools. So it I think that's also a surprise to people after all it is there's some competition between Salvador in the Dominican Republic, but it is believed by most people, that Columbus wound up there first. And it's been a long road. But the first Cathedral in the new world and the first university in the new world, so I didn't realize it came because of payback essentially. Yeah. And then and then they just required it for all medical
Emill 19:13
They required because at the end, they just realized this is a good way to have physicians there. So they kept that and if you don't do that year, you will you basically are not able to actually get your full license to practice medicine that we call the exequatur, basically the license number you will not be practice without but a few don't do that. I did finish that just before actually coming here because I was studying there was kind of working on at the same time that
Denise 19:42
you were doing person Tia while she was working on the USMLE and learning English. Exactly. What do you do with yourself now that must have been crazy.
Emill 19:57
That prepare me significantly I mean, it's a lot of time almost definitely both I think that opening and and we were discussing of camera, that it just that thirsty that we do have that desire to accomplish a goal. Definitely I would kind of focus even though it was extended our I have the vision what I wanted to do so just kind of went directly for it. So at the end now, yes, I will sacrifice I remember friends of mine telling, let's go to the beach this weekend. So you don't have to take my exam and when is your exam? In six months? You cannot go this weekend.
Denise 20:33
Yeah, so welcome to medical school. So, um, so both of you got to Lincoln, for those people who are not familiar with it. New York hospitals. Would you like to talk a little bit about Lincoln? Oh, yes. Fun. Memories.
Emill 20:50
bond fund fund? Definitely. I think this is, this is the kind of hospital that definitely prepare yourself significantly. There is good and I definitely respect a lot of Baker University Hospital that is a lot of education, a lot of syndrome that you will definitely see in advance medicine that yes is necessary, you need to definitely repair refer to those big centers that they will be able to investigate and definitely is necessary. But for the real medicine practice and do everything really yourself and having to volume actually is new New York, we saw everything everything possible. I mean, our program was huge. And so it was a good actually group. So actually we enjoy significant even there was a lot of work. But we did enjoy
Denise 21:43
this a certain amount of we're all in this together when you residents, right.
Emill 21:47
And I think our group was really, really good. We're very passionate and the teaching and all the attendees that we did have very realistic and definitely to the point. I mean, we learn a lot. And that makes me feel really, really comfortable. Even after finished residency. I was competent giving, we have this promo like a junior attending at the end, we were basically running the show, of course, the the attending used to kind of double check things, but they felt so comfortable. We were kind of running the full show. And that's part of the public system in New York, they also help us and we help actually to help the patient but at the end give you that confidence that when I was out of residency, I would get enunciation was like nothing. I didn't feel uncomfortable at all. So it will challenge a lot of things. And also, for me, it was really good in the sense that the Bronx is a lot of big Dominican community. So that actually made my transition a little bit bigger than Washington Heights. is almost now is the point Washington High now is becoming a little bit more fancy and they're trying Yeah, a little bit. So they are actually moving to the Bronx.
Denise 23:06
Get rid of Malecon I like
Emill 23:11
so yes, it's a huge community almost, I think it's almost a now it is almost a saying in bullseye, a lot of Dominicans thing is almost 3 million of Dominican in New York. So and they used to go to to Lincoln so that actually for me personally made me feel as sometimes used to talk in Spanish, most of the time was taught in Spanish when my patient, I knew what they mean all those terms, but only Dominican will know unable to help my community. And they always want to tell them I want to talk to the medical doctor and things like that make you really proud. So that was really something rewarding and make that transition that for me from having everything. And to be honest I have a really good conditioning in Dominican Republic. We my father being a physician I have everything now coming to a different country when you're by yourself. That's it then you're out of your culture
Denise 24:04
unlike Joanna you can understand her you didn't have family here
Emill 24:09
no I didn't have any family for me was kind of All Adventure just kind of by by myself on just having my my goal. So I think actually the best thing that that having I have a lot of interview and definitely match there. So I think you got one. Definitely two. It was fun to be there and to meet her.
Denise 24:32
So you have your dental medicine. Yes. Okay. hospitalists are a new breed for me. They weren't um, they were coming in as I was phasing out of medicine. So did you decide on hospitals because you'd have a little more control over your schedule or was there something about it that just really appealed to you?
Emill 24:51
So two things. First, I like the acute setting in the center. I like the hospital I like to make sure to do an impact when they're sick. And when they are better by follow up. I like the simple follow up so
Denise 25:10
then you don't get to prevent them coming back. Okay, the primary
Emill 25:14
care can do a good job there. It's just not that doesn't go to my my personality. I like to be walking, I like to be there. I like to be moving. I don't like to be sitting down looking at chair.
Denise 25:28
I was er for the same reason.
Emill 25:32
That's why I'm also at that time, I really wanted to kind of continue growing in there a minute or two part of the healthcare system. So that's why I went to the hospital. So I decided to pursue like a board board certification healthcare quality and management. Yeah, that's also I some point I became the medical director for the hospitalist and also the chief of medicine for the hospital.
Denise 25:57
Once you finish your residencies, did you come straight away to Florida? Or did you stay in New York for a while? Yeah, you moved out? Directly. You missed you missed. You missed the sun or
Emill 26:10
exactly. My first winter. I didn't have any car waiting for in your jaw. Like when I'm doing here.
Denise 26:18
I remember Francesco calling me his first calling. They say it's snowing, and I looked at something like three flakes. It was so excited.
Joanna 26:28
Well, I have a very tight relationship with New York. So I could still be there. But he was like that much. But for me, it would be more like upstate New York, not the New York City city. area.
Denise 26:41
Yeah. Yeah. When people say New York, they mean this city. Yeah, it is. It's lovely. But it's like two separate things city is bigger than all the countries or places massive. So did you notice any differences now when you move from when you emigrate from New York to Florida, which is, you know, further then you immigrated from? The Dominican Republic, Florida? What? What what did you do miss anything from New York?
Emill 27:10
So I think for me, the big difference is like coming to private practice is a little bit different than the public system. A lot of practice things that we do or even the relationship with the consultants and things that we do one take care and also having more insurance more ability to do more even more tests with no restriction. Definitely that help here in the private practice also,
Joanna 27:37
age of the patients like
Emill 27:39
yeah, here in Florida, we work a little free tire, do you do you
Denise 27:44
find that you're still having to practice Legal Medicine? I mean, obviously you practice medicine legally. But But do you find I know the answer to this I don't need the lab to make this diagnosis. Do you find you still have to to do the tests to prove it to people
Emill 28:01
because of my training sometimes Yes. I agree with yours. I don't need it but you have to most of the time to review the box man and dope and definitely just confirms something. Because at the end when there is a kind of chart review or something retrospectives This is not done. Why? And of course, we think the standard I was right, anyway. Yeah. Yeah, we think the standard of care not I don't practice joson case, MRI of the complete body non clinical practice the clinical complex. Yes. I mean, you have to do yes, I have to. I will order if necessary.
Denise 28:38
So let's go to some cultural stuff. What do you really I'm, I've been dying to ask I asked him, you know, when when we first met online. I had all my kids here. And I did not grow up in the Dominican Republic. But we have relatives obviously there because my husband, so we go there. And everybody's got a nanny and everybody's got maids, and I can't go into make a cup of coffee and they won't let me. But I could really see how that would have been so helpful when I have my first child and my second year of residency. So what thanks Do you really miss from home?
Joanna 29:14
I think from my standpoint, I didn't really have that. Growing up like we did everything ourselves that I mostly miss the community, like feeling that you belong to get to a place and or somewhere and that your family is close by and it's like okay, Mom, I'm gonna go out. Can you take care of the baby, please? We don't have that here. We would have to wait like months before somebody can come and pump those out. So yeah, I think that family unity is the one thing that I missed the most.
Emill 29:52
Yeah, in my case, yes. We did have a full time person at home. Like a house manager. I mean, She was awesome. She used to cook amazing. I mean, she's still I just she's still at home, she's still cooking. Amazing. Every time I go there, she knows all the think things that I really want to, but also that Jana said, like the family and also, even with the friends that hear everything you need to do a big plan. And everything there, I used to use call, everybody was available that night, let's go to this place, let's get together. So you don't need really a full plan. Everybody's always open to. And also, the life is not like as fast as here. People can really breathe a little bit people enjoy life a little bit more is not like yes, you finish work. And you have to make a phone or responding email, things like that. No, people really do
Denise 30:45
some of that fun. But when it comes to administrative things, if you're not used to that it can drive you crazy. When you go, for example, to deal with your cell phone, and you have to stand around for an hour before you see somebody, it can make you a little nuts doesn't bother all the Dominicans because they used to it. But those of us who are not find it hard. I think my husband would have a hard time living there again, living there visiting fine, but I think living there, those things would probably get to him. When I was in med school. I remember we just got in line to get in line that. But the other side of that is that it is so much more relaxed. A meal is an event. You see it and you talk and yeah. And nobody's showing you out of the restaurant or the house.
Emill 31:31
Yeah, that's that's kind of the main thing. And people are really happy people dancing, all these kind of things. I think that's that's the warm feeling. This is maybe that I may feel, yeah.
Joanna 31:44
Friendliness, you get to a place, everybody's hugging each other. Even if you don't know that person, you still hug them. That was actually one thing that was very difficult for us to try to stop the one here, especially with the Asian population. I mean, they would freeze like a piece of ice. And I would be so ashamed that I'm so sorry. No, I, I'm gonna do this. I'm English.
Denise 32:10
And I came to the States and was surprised to how huggy Americans were. And Canada to I lived in Canada for a while. But when I went to the Dominican Republic, I kind of had to get over it. But it is like you're assaulting me, why are you assaulting me. But when I was in training at St. Luke's Roosevelt in Manhattan, where we had a very large Hispanic population, not just American, a lot of Puerto Ricans, a lot of Salvadorans, back then there was a big crisis of immigration because of refugees. And they would bring the food in or they would bring Chipotle. And yes, when I had a baby, you know, presence, which it was, and I wasn't, I was thorough. But it was Dr. Denise, it didn't use my last night it was just it was just a different relationship. Sometimes a little alarming. I don't know if they do it still. But the children will come in like frilly dresses very, very like they were going to a Sunday party, or continue era or something. But it was in honor of going to the doctor it was a sort of a sign of respect for going to the doctor and patent shoes. And
Emill 33:24
yeah, that's what kind of really pushes back even even to traveling or playing. I'm in to go to church and everything. You have to be really well dressed and make this something that yes, you cannot have the luxury have to be clickable with like going to those places. Yeah.
Denise 33:40
Yeah. And then they have you and give you a heaping. Okay, what else would you like to say? Because you've been chatting for an hour now, which is lovely of you. Thank you so much. And I'm going to trim it down. But is there anything else you'd like to say? Do you think you'll remain in the US? Do you think you'll go back? Will you be like many Dominicans and retire down there in the winter? So we will need you in Florida?
Emill 34:08
For us I mean, at this time we are the end like the university and the location for our kids I think is better here when we know that that for sure that at the end of what they decide we're going to definitely support. We are here and one of the decision we're doing actually we're moving to Dallas to be close to my wife sister because we want to give our daughters that sense of family family community actually we we kind of bite the house next to my her sister. So they have also kids and everything that's the that's what we want to make sure that they they know that so we have our thing that within these four walls of my house we only speak Spanish. So they are really well in Spanish and English besides being four and two years old. They actually speak Both of them outside speak in English because they know of course they need to know. And that poor, but also inside the house is only Spanish. So I want them to actually keep the culture knowing and being there, my parents is still there, her parents also we actually go very often. And our kind of dream is to see and we're trying to do how we can spend the summer in the Dominican Republic, so they can be exposed to the cultures post there and have a like a summer camp over there. So that's kind of how we think in in ourselves. And then also is how we can help how we can impact there. So our five to 10 year goal is actually to, to help create assisted living facility for free into the Dominican Republic, with elderly patient with dementia, my father in the last two years has been going down with dementia. So as being a big shock, that the lack of opportunity for people unless you you do have a lot of money and go to service. So it's very difficult if you don't have that. So that make an impact for me. So now that's kind of we are working to see how we can help and to do that to implement and just give something back. That for me is really important. I'm proud of my wife.
Denise 36:24
Wonderful. Thank you so much. Thank you again for joining me. It's been lovely to come back and talk to me about something else in another season. Thank you.
Emill 36:33
I'd love to thank you.
Joanna 36:35
Thank you for this invitation.
Transcribed by https://otter.ai
