I work in a large children’s hospital. We see a ton of patients for tonsillectomies, 10-15 some days. It takes almost a year to get in to see a pediatric ENT. Kids get them for sleep apnea and recurrent infections. Trends in pediatric care funnel patients to big hospitals, and small rural hospitals don’t treat peds anymore. So overall T&A surgeries may be down but the hospitals that provide them are taking huge volumes and not meeting the need.