Life of Flow

In this milestone episode of Life of Flow, vascular surgeons Miguel and Lucas sit down with Dr. David Hindin — surgeon, innovator, and assistant director of Stanford's Biodesign program. With over 58,000 YouTube subscribers, Dr. Hindin is at the forefront of bridging creativity and medicine. He reveals the secret framework that's transforming healthcare innovation.If you've ever had a breakthrough idea but felt stuck navigating the red tape of the healthcare system, this episode is your guide to taking action. From identifying the right problems to scaling life-changing solutions, Dr. Hindin walks us through the proven steps to turn your creative sparks into real-world impact.00:00 – Introduction: Why innovation in healthcare often stalls.02:15 – Meet Dr. David Hindin: Surgeon, innovator, and creative thought leader.05:42 – The Stanford Biodesign method: From unmet needs to scalable solutions.13:25 – Breaking down barriers: How doctors can overcome system inertia.18:47 – The power of clinical immersion: Solving real problems where they happen.22:10 – Case study: How observation turned into a groundbreaking hearing device.27:36 – Key steps to successful innovation: Execution over ideas.34:12 – Overcoming fear: Reclaiming your creative side as a physician.

In this week's episode of Life of Flow, vascular surgeons Miguel and Lucas are joined by Jennice Fuentes, a seasoned advocate and strategist with over 25 years of experience in public policy and government relations. As the founder of Fuentes Strategies, a boutique government relations firm, and Puerto Rico Activated, a platform empowering Puerto Rican communities, Jennice shares her expertise on turning passion into actionable advocacy.This powerful conversation uncovers the steps healthcare professionals and individuals can take to engage with policymakers, elevate critical issues, and create meaningful change. From her time as Chief of Staff in Congress to founding impactful initiatives, Jennice's insights are both inspiring and practical for anyone looking to amplify their voice.00:00 – Introduction: Why advocacy matters in healthcare and beyond.03:15 – Meet Jennice Fuentes: From Congress to grassroots advocacy.07:42 – Breaking barriers: The power of persistence and personal stories.19:53 – Lessons from protests: Using consistent engagement to influence change.21:05 – Preparation is key: How to effectively engage with elected officials.29:32 – Starting small: Advocacy without a formal structure.31:51 – Amplifying your impact: Building a community to create change.

In today's episode of Life of Flow, vascular surgeons Miguel and Lucas dive into a complex case that highlights a critical but under-discussed aspect of vascular surgery: the challenges and nuances of deep venous arterialization (DVA). With their unique blend of expertise and real-world experience, they unpack a patient's journey from a severe heel wound to remarkable healing progress through innovative techniques.00:00 – Introduction: Overview of today's case and why DVA matters.01:41 – Case discussion: Patient history and challenges of managing an orphan heel wound.03:24 – Understanding conversion vs. maturation: Key terms explained in vascular surgery outcomes.07:26 – Procedure setup: Managing patient positioning challenges and access considerations.14:42 – Navigating complications: Addressing clot removal and neo-intimal hyperplasia in arterialized veins.17:58 – Tool talk: Discussion on the Rotarex system, stents, and other procedural innovations.24:23 – Avoiding pitfalls: Managing stent collapse and ensuring safe clot removal.30:50 – Final approach: Decision-making in addressing calcified segments and achieving flow restoration.32:30 – Closure techniques: Using the CELT closure device with ultrasound guidance for optimal results.38:07 – Post-procedure reflection: Evaluating outcomes, future follow-ups, and lessons learned.

In this engaging episode of The Life of Flow Podcast, we welcome Dr. Constantino Peña, Section Head of Interventional Radiology at the Miami Cardiac and Vascular Institute. Dr. Peña shares insights into his extensive work in Latin America, the collaborative spirit in advancing vascular care, and his involvement in transformative conferences like the ISET meeting.The conversation spans from reminiscing about pivotal moments in vascular care to discussing the evolution of medical education, the integration of cutting-edge technologies, and the challenges of democratizing healthcare tools globally. Dr. Peña's stories of ingenuity and perseverance highlight the creativity required to overcome resource limitations, making this episode both inspiring and educational.Key Topics Discussed:The Latin American Impact:The profound influence of Latin American collaborations on global vascular care.How regional expertise is shaping global practices.Transforming Medical Conferences:The legacy and future of the ISET meeting.The importance of live case demonstrations and interactive learning.Innovation in Challenging Environments:Stories of resourceful medical practices in underserved regions.Local development of medical devices in Brazil and Mexico.Future Frontiers:The role of AI in education and patient care.Decentralizing healthcare systems and creating integrated networks for accessible care.Takeaways from Dr. Peña:Collaboration and innovation are key to advancing medical care, even in resource-limited settings.Conferences and meetings should adapt to modern learning styles, focusing on nuanced discussions and cutting-edge technologies.A vision for a decentralized, accessible healthcare model that integrates hospitals, outpatient centers, and communities.

In this compelling episode of The Life of Flow Podcast, host Miguel is joined by Shon Chakrabarti MD MPH, CMO of Limflow, Michael Siah, Director of Limb Salvage at UT Southwestern Medical Center, and Lucas. Together, they explore the groundbreaking acquisition of Limflow by Inari and its potential to revolutionize the treatment landscape for CLTI patients. Through dynamic discussion and candid reflections, the group unpacks the clinical, technical, and business implications of this strategic merger, highlighting its impact on patient outcomes, institutional approaches, and the future of endovascular therapies.Key Topics Covered:Understanding the Inari-Limflow Synergy (00:01 - 09:52):Why the acquisition makes sense for unmet patient needs.Strategic alignment with Inari's ethos of purpose-built solutions.Overlaps in vascular innovations and CLTI management.Clinical and Economic Implications of CLTI Therapies (09:53 - 24:04):The importance of vertical integration in hospitals for CLTI programs.Addressing misconceptions about the costs and outcomes of amputations.New reimbursement codes and economic incentives for hospitals.Evolution of DBA Techniques (24:05 - 38:43):The journey of deep vein arterialization from experimental to commercial viability.Insights into procedural advancements, including new access points and technologies.The collaborative WhatsApp group fostering a global exchange of ideas.The Path Forward: Research, Collaboration, and Education (38:44 - 48:24):The role of continued peer-to-peer training and global education in scaling CLTI solutions.Investigator-Initiated Research Programs to address pressing clinical questions.Future product developments and their potential to expand patient reach.What Lies Ahead for CLTI Therapies (48:25 - End):Predicting the evolution of the field over the next 5-10 years.Controversial yet thought-provoking ideas about preemptive applications of DBA.Reflections on patient outcomes and the transformative impact of new therapies.Memorable Quotes:“Inari and Limflow are united by a commitment to tackling large unmet patient needs with purpose-built solutions.” – Shon Chakrabarti“Even when DBA patency declines, patients often end up better off than when they started—this is a game changer.” – MiguelConnect with Us:Miguel – https://www.linkedin.com/in/miguel-montero-baker-a44354214/Lucas – https://www.linkedin.com/in/lucasferrermdGuests:Shon Chakrabarti – https://www.linkedin.com/in/shon-chakrabarti-md-mph-018a7394/Michael Siah – https://www.linkedin.com/in/michael-siah-965585b1/Stay tuned for future episodes diving deeper into groundbreaking innovations in cardiovascular and endovascular medicine. Don't forget to subscribe, leave a review, and share this episode with colleagues passionate about transforming patient care!

In this episode of The Life of Flow Podcast, hosts Miguel and Lucas sit down with Jillian Acosta, a registered dietitian and founder of the Root Cause Method. Jillian shares her unique approach to nutrition, which integrates trauma-informed care, emotional healing, and innovative modalities like psychedelics. The conversation covers the intersection of diet, emotional well-being, and systemic challenges in healthcare. Topics include the emotional triggers behind eating habits, the complexities of food addiction, and how Jillian uses ketamine therapy to guide clients through transformative journeys. What You'll Learn in This Episode: Food as More Than Nutrition: Jillian explains how food often represents comfort, safety, or dissociation for people with unresolved emotional experiences. Physical vs. Emotional Hunger: Insightful distinctions between physiological needs and emotional cravings for food. Ketamine Therapy for Healing: How psychedelics are used in Jillian's practice to help clients confront emotional blocks and rebuild healthier relationships with food. Challenges in Nutrition Education: The societal and systemic barriers to promoting better dietary habits, particularly in underserved communities. The Role of Compassion: How deep empathy can transform patient care and why understanding the “why” behind behaviors is key to sustainable change. Cultural and Systemic Factors: Exploring how food standards in the U.S. differ from other countries and the impact of lobbying and capitalism on public health. Memorable Quotes: “It's not about the food. There's no string cheese addiction; it's an unwillingness to feel discomfort.” – Jillian Acosta “We must heal in relationships, as we were wounded in relationships.” – Jillian Acosta “The one thing getting someone through their day—their coping mechanism—we tell them to take it away. That's why we fail.” – Lucas

In this episode of The Life of Flow Podcast, Dr. Eli Lutske takes us on a journey through his career as a vascular surgeon. From starting a vascular program from scratch to navigating the complexities of private practice versus hospital-based employment, Dr. Lutske shares invaluable insights into the medical profession, entrepreneurship, and personal growth. He also opens up about his foray into social media with his popular Instagram account, "Veins and Gains," highlighting how humor and creativity help him connect with others in the field. Whether you're a medical professional, an aspiring entrepreneur, or simply curious about the behind-the-scenes life of a surgeon, this episode is packed with thought-provoking discussion and practical advice. What You'll Learn in This Episode: How Dr. Lutske and his partner started a vascular program from the ground up. The pros and cons of private practice versus hospital-based employment. Why clear partnership paths in private practice contracts are critical for surgeons. Insights into hospital revenue models and surgeon compensation structures. The challenges and rewards of entrepreneurship in the medical field. Dr. Lutske's personal take on evolving medical culture and teamwork in the OR. How Instagram has become a creative outlet and connection tool for surgeons. Notable Quotes: “You can build something incredibly successful by focusing on what you love and letting the system handle the rest.” “If you're not tickled by entrepreneurship, don't go down that path—it's taxing and requires constant attention to detail.” “Social media has been a surprising outlet for connection and creativity in what can otherwise be a very lonely profession.”

In this episode of the Life of Flow Podcast, Lorenzo Patrone, a trailblazer in medical education, discusses his groundbreaking approach to creating interactive and engaging conferences. From his revolutionary use of audience feedback tools to his commitment to fostering open dialogue between faculty and attendees, Lorenzo explains how he's transforming the stale traditional conference model into a vibrant, collaborative learning experience. Join us as we explore how innovation, humor, and audience connection are shaping the future of medical education.

In this special episode of "The Life of Flow Podcast," Dr. Miguel Montero- Baker takes center stage as our guest. He shares his personal journey of transitioning from a comfortable position in academic medicine to founding his own healthcare initiative. Dr. Montero opens up about the struggles, motivations, and life-changing decisions that led him to leave behind the security of a traditional career and venture into uncharted territory. Memorable Quotes: "Sometimes the one thing you always thought you needed to be happy is the one thing you don't need at all." "Parenthood is the one thing I never knew I couldn't live without." "If you want to build something from the ground up, you can't delegate the core steps; you need to understand them first."

In this episode, hosts Lucas Ferrer and Miguel Montero-Baker sit down with wellness coach Julian Bonnet, founder of Primal Wellness, to discuss the integration of physical fitness, mental resilience, and holistic wellness practices for those leading high-demand lives. Julian shares his journey from Miami to the mountains of North Carolina, driven by a love for both nature and helping people optimize their health. He discusses the challenges of building sustainable health habits, balancing work stress with personal wellness, and finding the right routines to enhance both physical and mental energy. Listeners will gain insights on: Building healthy habits for busy schedules. Simple fitness tools and routines you can use at home. How exercise can positively impact sleep and energy levels. The importance of a balanced, nutrient-rich diet for maintaining focus and stamina. Whether you're looking to kick-start a new fitness routine or fine-tune your wellness approach, Julian's tips are a practical guide for bringing more balance and flow to everyday life. Featured Project:Check out the Amputation Nation documentary project, a six-part series shedding light on the underdiagnosed condition of peripheral arterial disease and the epidemic of amputations due to diabetes. Support and learn more at amputationnationthemovie.org.

In this engaging episode of the Life of Flow Podcast, hosts Dr. Lucas Rey and Dr. Miguel Montero-Baker welcome Dr. Jeffrey Dikis, a podiatrist specializing in sports and reconstructive surgery, to explore the intersection of podiatry and vascular surgery. The conversation dives into the practical challenges, collaboration opportunities, and the future of integrated medical care, with a focus on limb salvage, vascular screening, and multidisciplinary patient care models. They also share personal insights from their podcasting journey, including the humorous story of how two vascular surgeons decided to start a podcast over drinks. Resources Mentioned: Amputation Nation Documentary: amputationnation.org SALSA Model: Southern Arizona Limb Salvage Alliance (University of Arizona) Back Table Podcast – A podcast for vascular professionals.

In this fun and candid episode, your hosts dive into audience questions, offering unfiltered opinions, insightful career advice, and entertaining banter. From choosing between private practice and academia to the challenges of fatherhood, the hosts explore personal growth, the importance of self-awareness, and balancing work with life. Tune in for laughs, life lessons, and an unapologetically honest perspective on the medical world (and string cheese).

In this fun and candid episode, your hosts dive into audience questions, offering unfiltered opinions, insightful career advice, and entertaining banter. From choosing between private practice and academia to the challenges of fatherhood, the hosts explore personal growth, the importance of self-awareness, and balancing work with life. Tune in for laughs, life lessons, and an unapologetically honest perspective on the medical world (and string cheese).

In this episode of Life of Flow, we are honored to welcome Dr. Juan Parodi, the innovator who transformed the field of vascular surgery. Dr. Parodi shares his journey, from the early days of his medical career to the groundbreaking development of endovascular surgery techniques that revolutionized the treatment of aneurysms. With his unique blend of curiosity, innovation, and perseverance, Dr. Parodi discusses the challenges he faced and the incredible successes that followed, including his first successful surgery using a self-designed endoprosthesis. We also delve into his personal philosophy on medical innovation, the transition from scientific to commercial success, and the importance of persistence in achieving breakthroughs. He provides insights into how medical professionals can foster creativity, bring ideas to life, and impact healthcare on a global scale. Whether you're a healthcare professional, a medical student, or someone interested in the intersection of technology and health, this episode is filled with wisdom and inspiration.

In this insightful episode of The Life of Flow Podcast, host Lucas Ferrer sits down with Pam Jordan, CEO of Pivot Business Group. Pam shares her expertise in helping entrepreneurs and healthcare providers, such as med spas and IV infusion clinics, increase profitability and reduce taxes. With her extensive background in financial strategy and business development, Pam provides actionable advice for physicians who are looking to diversify their income and build successful side ventures. Guest Info: Pam JordanCEO of Pivot Business GroupWebsite: Pivot Business Group

In this episode of The Life of Flow Podcast, we are joined by Cesar Fuentes, the CEO and founder of Q Construction Solutions, to dive into the world of home building and renovations. Cesar shares invaluable tips on how to successfully manage contractors when remodeling your home, avoiding common pitfalls, and ensuring your project runs smoothly. From getting the best out of your contractor to practical advice on remodeling, Cesar provides expert insights that every homeowner should know before starting a renovation.

In this episode of the Life of Flow podcast, hosts dive deep into the cutting-edge world of limb salvage surgery with Dr. Michael Theodoulou, a podiatrist, Assistant Professor of Surgery at Harvard Medical School, and Chief of Foot and Ankle Surgery at Cambridge Health Alliance. Dr. Theodoulou introduces listeners to an innovative approach called distraction angiogenesis, which is helping patients with severe lower extremity conditions that have left them with "no option" for treatment. Dr. Theodoulou on the Impact of Distraction Angiogenesis:"We've seen significant improvements in blood flow and healing in patients with no other options. The angiogenesis response from controlled fractures can be remarkable." Hosts on the Future of Vascular Surgery:"There's a real intellectual curiosity here, and the results are exciting. Techniques like this could change how we approach limb salvage."

 In this highly engaging episode of The Life of Flow Podcast, two experienced vascular surgeons, Miguel and Lucas, take listeners on an unscripted journey through a challenging case involving a patient with a complex cardiovascular history. They discuss the importance of collaboration among colleagues and highlight their thought processes while troubleshooting difficult cases. The episode touches on decision-making under pressure, clinical improvisation, and the unique challenges of vascular surgery. Expect transparency, candid opinions, and an in-depth look into the realities of medical practice.

 In this episode, Miguel and Lucas dive into the details of an intriguing case involving a patient with a lower extremity ischemia, possibly exacerbated by a prior COVID infection and cardiovascular risks. The conversation covers the challenges and nuances of managing stenosis and plaque buildup in peripheral arteries, with an emphasis on using cutting-edge techniques such as atherectomy and drug-coated balloons. Key Discussion Points: Patient Case Overview: The patient, a relatively healthy golfer with a history of prothrombotic events post-COVID, faced intermittent claudication and severe stenosis. The team walks through the case's progression and their decision-making process. Medical Optimization Challenges: The hosts highlight the common issue of failed conservative treatments like medication and exercise programs. Miguel discusses the frustrations patients face when optimization fails, leading to pressure on surgeons for more aggressive interventions. Endovascular Techniques Explored: Imaging Insights: The importance of ultrasound and IVUS (Intravascular Ultrasound) in guiding procedural decisions is emphasized, especially in identifying the type of plaque (soft vs. calcified) and the need for debulking. Atherectomy vs. Laser vs. Drug-Coated Balloon: Miguel shares his preference for the RotorX atherectomy device over other methods like laser, citing its versatility in treating soft plaque, clot, and stenosis. Lucas offers his perspective on alternative approaches. Case Reflection: The episode's dramatic twist occurs when a previously undetected lesion surfaces, prompting a reassessment of the procedure and further interventions. Patient Outcome: After a successful intervention with the RotorX device and a drug-coated balloon, the patient returned to golfing, demonstrating the real-world impact of these complex procedures. Humor & Hot Takes: Throughout the episode, Miguel and Lucas share lighthearted moments, including "dad jokes" and banter about their experiences in the medical field, making this technical conversation engaging for both seasoned professionals and learners. Key Takeaways: The importance of thorough imaging in vascular procedures. Why atherectomy devices, when used correctly, can be game-changers in treating challenging cases. How to balance conservative management with more aggressive interventions when dealing with peripheral artery disease.

In this episode, the hosts and guests dive deep into the world of vascular health, with a special focus on Pelvic Congestion Syndrome (PCS). Dr. Esme Vargas and Dr. Vanessa Rubio share their insights and experiences in diagnosing and treating PCS, a condition that affects many women but is often overlooked or misdiagnosed. They also explore the role of gynecologists and vascular surgeons in managing vascular conditions and the cultural and systemic barriers that patients face when seeking treatment. Quotes: “Patients learn to live with pain, thinking it's just part of being a woman. This must change.” – Dr. Vanessa Rubio “Collaboration between vascular surgeons and gynecologists is essential for addressing conditions like PCS.” – Dr. Esme Vargas

In this inspiring episode, we sit down with Dr. Federico Montero, a pioneering figure in the field of rehabilitation medicine and disability advocacy. Dr. Montero shares his remarkable journey from a young medical student facing a life-altering spinal cord injury to becoming a leading advocate for people with disabilities worldwide. We explore his early years, the impact of his accident, and how it led him to dedicate his life to improving the lives of others with similar conditions. Dr. Montero reflects on the challenges and achievements of his career, including his work at the World Health Organization (WHO) and his leadership in the Latin American and Caribbean Society for Spinal Cord Injury. The conversation also delves into the broader impact of disability rights legislation, the importance of patient-to-patient support, and the ongoing struggles and triumphs within the rehabilitation community. Dr. Montero's story is not only one of personal resilience but also a testament to the power of advocacy and the importance of access to proper care and support.

In this inspiring episode, we sit down with Dr. Federico Montero, a pioneering figure in the field of rehabilitation medicine and disability advocacy. Dr. Montero shares his remarkable journey from a young medical student facing a life-altering spinal cord injury to becoming a leading advocate for people with disabilities worldwide. We explore his early years, the impact of his accident, and how it led him to dedicate his life to improving the lives of others with similar conditions. Dr. Montero reflects on the challenges and achievements of his career, including his work at the World Health Organization (WHO) and his leadership in the Latin American and Caribbean Society for Spinal Cord Injury. The conversation also delves into the broader impact of disability rights legislation, the importance of patient-to-patient support, and the ongoing struggles and triumphs within the rehabilitation community. Dr. Montero's story is not only one of personal resilience but also a testament to the power of advocacy and the importance of access to proper care and support.

In this insightful episode of the Life of Flow Podcast, we are joined by Teri Yates, CEO of Accountable Physician Advisors. Teri shares her wealth of experience in guiding physicians through the complex journey of starting and managing a private practice. With over 11 years of experience and a deep understanding of both operational and strategic challenges, Teri discusses the importance of feasibility studies, the nuances of operating a successful medical practice, and the growing trend of Ambulatory Surgery Centers (ASC) versus Office-Based Labs (OBL). Whether you're a physician considering venturing into private practice or already managing one, this episode is packed with invaluable advice on how to avoid common pitfalls and ensure the success of your business. Notable Quotes: "Sometimes the best advice is, don't do that. I'm not interested in taking someone's money to help them fail." "Every person that works in your business should have at least one number they live by." Teri Yates LinkedIn: Teri Yates Company: Accountable Physician Advisors Website: Accountable Physician Advisors

: In this episode of the Life of Flow Podcast, we sit down with Sean Morris, a highly accomplished medical device executive, entrepreneur, and innovator, to explore the cutting-edge advancements in vascular access and the world of medical technology. Sean shares his journey from a biochemistry graduate to leading groundbreaking innovations in the med-tech industry, including his latest venture, Amplify Vascular. Join us as we delve into the intricacies of vascular access technology, the challenges of bringing new medical devices to market, and the entrepreneurial spirit that drives Sean to continuously push the boundaries of what's possible in healthcare. Quotes: “When you love what you do, it's always a vacation.” – Sean Morris “It takes a village to raise a company, and that village is built on innovation and collaboration.” – Sean Morris

 In this episode of the Life of Flow Podcast, our hosts delve into a fascinating vascular case from December 2023. They provide a thorough analysis of the patient's condition, the procedures undertaken, and the challenges faced along the way. This episode also marks the introduction of Dr. Luis Felipe Cabrera to the podcast's scientific editorial board. Join us for an engaging discussion on vascular surgery, patient care, and the intricacies of medical decision-making.

Welcome to another enlightening episode of Life of Flow! Today, Lucas and Miguel sit down with Christensen Martin, a business development specialist and entrepreneur who has taken a fascinating journey into the world of sacred medicines and meditation. Christensen shares his experiences as the retreat director of the Sacred Healing Center and discusses the transformative power of peyote, ayahuasca, and DMT. Through his stories, Christensen emphasizes the importance of finding stillness in our busy lives and offers insights into integrating these profound experiences into personal growth and healing. Links and Resources: Sacred Healing Center: Find more information about upcoming retreats and how to connect with Christensen Martin. Stay tuned for more episodes of Life of Flow, where we explore the intersections of health, spirituality, and personal growth. Don't forget to subscribe and leave a review!

In this insightful episode of the "Life of Flow Podcast," hosts Lucas and Miguel sit down with Amy Sandler, Chief Content Officer and podcast host at Radical Candor, to delve into the principles of radical candor and psychological safety in the workplace. Amy shares her experiences and strategies for fostering a culture of honest feedback, trust, and open communication. This episode is a must-listen for medics, surgeons, and anyone interested in enhancing their leadership and team dynamics in high-stakes environments Connect with Amy Sandler: LinkedIn: Amy Sandler Radical Candor website: RadicalCandor.com Podcast: Radical Candor Podcast

 In this episode of the "Life of Flow Podcast," we have the privilege of hosting Dr. Marta Lobato, a renowned expert in endovascular limb salvage and retrograde access. Dr. Lobato shares her extensive knowledge and experience from her work at the boutique BTA unit in Bilbao, Spain. This episode dives deep into technical discussions, offering invaluable insights for medical professionals and enthusiasts alike.

In this enlightening episode, Miguel and Lucas sit down with Dr. Karen Bernard, an endocrinologist who courageously transitioned into a career coach for physicians. Dr. Bernard shares her inspiring journey from a secure, well-paying job in academia to a fulfilling career in coaching. This episode is a must-listen for anyone considering a career change or looking to find more autonomy and satisfaction in their professional life. Tune in to discover how you can navigate career transitions with confidence and find a path that aligns with your personal values and goals. Quotes: "It's important to recognize your values and make incremental changes towards a new career." "Many physicians have transferable skills that can be applied in various fields, giving them autonomy and satisfaction." Resources Mentioned: Dr. Karen Bernard's coaching services for physicians. Connect with Dr. Karen Bernard: Website: Karen Bernard Coaching LinkedIn: Dr. Karen Bernard

Join Lucas and Miguel for this weeks episode of Life of Flow, where they sit down with Ryan Blasko to explore effective strategies for standing out in the professional world. Ryan delves into the power of LinkedIn and Twitter, explaining how creating and sharing valuable content can significantly boost your visibility and career opportunities. He shares actionable tips on leveraging likes, comments, and shares to showcase your expertise and expand your network. For physicians and other professionals, Ryan highlights the importance of using LinkedIn for business and Twitter for clinical insights, and how to efficiently manage content across both platforms using automation tools. Ryan Blasko is a subject matter expert passionate about helping professionals amplify their online presence and reach their career goals. Connect with Ryan on LinkedIn for more tips and insights. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

Join Lucas and Miguel in the inaugural episode of the Life of Flow “Case Cast,” which is a new series projecting a live case. In today's episode, Miguel operates on a 68-year-old female patient with complex peripheral arterial disease (PAD) while Lucas breaks down her case for the audience. The patient has undergone multiple procedures over the past decade. Her severe right lower extremity rest pain is due to occluded bypasses and grafts, presenting a challenging case. The episode dives into her medical history, imaging findings, and the complexities of diagnosing and treating her condition. Lucas explores potential strategies for intervention and potential treatment options including the use of laser or atherectomy devices. Throughout the episode, Lucas and Miguel emphasizes personalized care, detailed pre-operative imaging, and the importance of managing complex cases, aiming to provide listeners with a comprehensive understanding of the case from diagnosis through planned interventional procedures. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

Join Lucas and Miguel in the inaugural episode of the Life of Flow “Case Cast,” which is a new series projecting a live case. In today's episode, Miguel operates on a 68-year-old female patient with complex peripheral arterial disease (PAD) while Lucas breaks down her case for the audience. The patient has undergone multiple procedures over the past decade. Her severe right lower extremity rest pain is due to occluded bypasses and grafts, presenting a challenging case. The episode dives into her medical history, imaging findings, and the complexities of diagnosing and treating her condition. Lucas explores potential strategies for intervention and potential treatment options including the use of laser or atherectomy devices. Throughout the episode, Lucas and Miguel emphasizes personalized care, detailed pre-operative imaging, and the importance of managing complex cases, aiming to provide listeners with a comprehensive understanding of the case from diagnosis through planned interventional procedures. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of Life of Flow, Lucas and Miguel welcome Elaine Chan, who shares her journey from a high-stress career in trauma surgery to finding a balanced lifestyle. Elaine talks about the pivotal moment when severe stress led her to step back from her demanding job and embrace part-time work. Now based in Asheville, North Carolina, she enjoys a more fulfilling life with opportunities for travel and personal growth. Elaine reflects on her childhood and her path to building a fulfilling life. She discusses the importance of collaboration in vascular surgery and shares her experiences in hospice care, emphasizing the value of living fully. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this week's episode of the Life of Flow podcast, hosts Dr. Miguel Montero-Baker and Dr. Lucas Ferrer sit down with Eloy Salazar, the first patient to undergo a deep vein arterialization (DVA) procedure by Dr. Ferrer after his fellowship in 2019. In the 5th episode in the DVA Rant series, they dive into Eloy's transformative journey from facing potential amputation to experiencing the life-saving benefits of DVA. Eloy candidly shares his initial skepticism, the emotional and physical challenges of severe peripheral arterial disease, and the critical role of patient advocacy in navigating complex medical treatments. Listeners will hear about Eloy's remarkable transformation, including his significant weight loss through a keto diet and exercise, as well as the pivotal moments post-surgery that marked his path to recovery. The conversation dissects the importance of effective communication and support networks in healthcare, with Eloy highlighting the gratitude he found for Dr. Ferrer's direct approach.  Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of the Life and Flow podcast, hosts Lucas and Miguel welcome Aaron Thweatt, an executive coach with experience at SpaceX, Activision Blizzard, and DoorDash. Aaron shares his insights on effective negotiation and managing critical conversations, particularly in the tech sector. He emphasizes the importance of starting salary negotiations early and understanding a company's compensation philosophy. Aaron also highlights the need for thorough preparation and understanding market value, the role, and the company's ethos. The conversation delves into the significance of executive presence, competence, and managing up. Aaron shares his experiences with unrealistic demands and the importance of clarifying expectations. The hosts discuss hiring challenges and the value of passion and alignment with the company's vision. Aaron suggests building a personal brand and fostering a community around the company's mission to attract like-minded individuals. Follow Aaron Thweatt on Twitter Learn more about Aaron here Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of "Life of Flow," hosts Lucas Ferrer and Miguel Montero Baker are joined by Elliott Skrinjar and Dr. Shishir Shah to explore the integration of wound care and hyperbarics in healthcare, with a focus on limb salvage. The conversation explores Elliott's healthcare management background and Dr. Shah's journey from aerospace engineering to advanced wound care advocacy. They discuss the potential for collaboration between their teams, emphasizing passion, commitment, and innovation in improving patient care. The episode addresses the challenges of combining wound and vascular care,highlighting the need for cohesive infrastructure and integrated systems.Shishir and Elliott emphasize the importance of multidisciplinary collaborationand the role of technology in overcoming inefficiencies. They share successstories, like negotiating with insurance companies for better patient access,and stress the importance of advocacy and effective business management. This episode envisions a future of decentralized centers of excellence providingcomprehensive outpatient care. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of the Life of Flow Rant Series, Lucas and Miguel are joined by Brian D. Lepow, DPM, and Jill Sommerset to explore managing normal revascularization versus Distal Venous Arterialization (DVA) from a podiatrist's perspective. They discuss the importance of verifying flow volumes in the OR to ensure optimal patient outcomes and address potential complications such as pain and hematomas. The conversation highlights the necessity of meticulous post-operative care and building strong relationships with ultrasound technicians for accurate measurements. They emphasize the challenges of integrating new methods into standard practice, with Brian discussing the difficulty in gaining colleagues' trust in new techniques.    Follow Jill Sommerset on Twitter Follow Dr. Brian Lepow on Twitter Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of Life of Flow, Miguel and Lucas engage in a discussion with lawyer Stuart Baugher, unraveling the intricate world of physician employment contracts. Stuart underscores the pivotal importance of comprehending every facet of these agreements, especially for those embarking on their professional journey. Transitioning swiftly to the crux of the matter, Stuart accentuates the multifaceted nature of compensation, urging physicians to look beyond mere salary figures and consider the entirety of the package. Miguel, drawing from personal experiences andobservations, reinforces this notion, emphasizing the significance of evaluating contract modalities, payment mechanisms, and long-term implications. They dissect the potential ramifications of non-compete and non-solicitation clauses and the complexities inherent in navigating contractual nuances. Stuart provides practical advice on negotiation strategies, from conducting thorough research to seeking professional guidance. The episode advocates for informed decision-making and assertive negotiation, empowering healthcare professionals to chart a fulfilling career trajectory amidst the intricacies of contractual negotiations. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of Life of Flow, join Lucas and Miguel for a deep dive into the fascinating world of cold exposure alongside special guest François Haman, a prominent expert in the field. François shares his extensive research journey, stemming from his observations of the rising popularity of ice baths and their potential benefits. Drawing from his experiences working with NATO in Finland and developing resilience-building workshops, François offers insights into the physiological responses to cold, highlighting the fight-or-flight reaction and the importance of maintaining control during exposure. As the conversation unfolds, François addresses both the perceived benefits and risks of cold exposure. While acknowledging the lack of concrete scientific evidence supporting claims of immune system enhancement and inflammation reduction, he discusses the subjective feelings of well-being triggered by noradrenaline and dopamine release. However, François also warns of the potential dangers, such as non-freezing cold injuries and neurological damage, underscoring the importance of protecting extremities during exposure. Through this exploration, listeners gain valuable insights into the complexities of cold exposure and its nuanced effects on human physiology and resilience. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of Life of Flow, join Lucas and Miguel as they sit down with Dr. Jerry Kim to discuss his journey from fellowship to establishing a successful solo practice in California. Despite initial challenges in setting up contracts with insurance companies, Jerry strategically leveraged his referral network to smoothly transition into private practice, ultimately experiencing accelerated growth and success. The conversation delves into the importance of strategic planning and gaining experience before venturing into solo practice, offering valuable insights for healthcare professionals navigating the complexities of independent practice. Additionally, the episode explores the nuances of managing an outpatient-based lab (OBL), with Jerry providing valuable insights into negotiating with medical device companies and navigating revenue cycle management (RCM). Emphasizing the need for meticulous attention to financial details, Jerry's commentary adds a lively dynamic to the discussion, making this episode both informative and engaging for healthcare professionals looking to navigate the challenges of private practice. Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of the Life of Flow podcast, Dr. Lucas Ferrer and Dr. Miguel Montero Baker are joined by guests Dr. Bret Wiechmann and Dr. Fadi Saab to delve into the complexities of patient care in critical limb ischemia (CLI) and the potential benefits of outpatient models of care. The conversation sheds light on the frustrations within the current hospital-centric approach, where the preference for amputation over revascularization persists despite evidence suggesting better outcomes with the latter. The participants advocate for decentralized care models, stressing the importance of standardized guidelines to ensure quality care for CLI patients while also acknowledging the challenges of balancing oversight with accessibility to care. Amidst discussions about the importance of proper evaluation before major amputations and the role of organizations like the Outpatient Endovascular and Interventional Society (OEIS) in advocating for non-hospital-based care, the conversation emphasizes the significance of data collection in improving CLI patient outcomes. While exploring scenarios where amputation might be deemed appropriate, the participants underscore the need for individualized patient evaluation and care. Overall, the episode provides valuable insights into the challenges and solutions in CLI treatment, advocating for a patient-centric approach, standardized guidelines, and improved coordination among healthcare facilities to enhance outcomes and access to quality care. Follow Dr. Bret Wiechmann on Twitter Follow Dr. Fadi Saab on Twitter Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of the Life of Flow podcast, Dr. Lucas Ferrer and Dr. Miguel Montero Baker are joined by guests Dr. Bret Wiechmann and Dr. Fadi Saab to delve into the complexities of patient care in critical limb ischemia (CLI) and the potential benefits of outpatient models of care. The conversation sheds light on the frustrations within the current hospital-centric approach, where the preference for amputation over revascularization persists despite evidence suggesting better outcomes with the latter. The participants advocate for decentralized care models, stressing the importance of standardized guidelines to ensure quality care for CLI patients while also acknowledging the challenges of balancing oversight with accessibility to care. Amidst discussions about the importance of proper evaluation before major amputations and the role of organizations like the Outpatient Endovascular and Interventional Society (OEIS) in advocating for non-hospital-based care, the conversation emphasizes the significance of data collection in improving CLI patient outcomes. While exploring scenarios where amputation might be deemed appropriate, the participants underscore the need for individualized patient evaluation and care. Overall, the episode provides valuable insights into the challenges and solutions in CLI treatment, advocating for a patient-centric approach, standardized guidelines, and improved coordination among healthcare facilities to enhance outcomes and access to quality care. Follow Dr. Bret Wiechmann on Twitter Follow Dr. Fadi Saab on Twitter Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of Life of Flow, Lucas and Miguel engage in a dynamic discussion with special guests Mark Davies and Andro Herrera-Mendoza on contemporary management practices in wound care, particularly focusing on chronic limb-threatening ischemia (CLTI) and vascular care. They explore the evolution of wound care management from acute to longitudinal settings, expanding conventional views by emphasizing the involvement of acute physicians in the post-acute space. This innovative approach underscores the importance of appropriate therapy selection, multidisciplinary collaboration, and financial sustainability. Mark Davies emphasizes the significance of vascular surgeons in wound care centers and the benefits of their involvement in diagnosing and treating patients. The conversation delves into the complexities of coordinating care across different healthcare settings and the necessity for ecosystem-based approaches to unfragment care delivery. Andro Herrera-Mendoza stresses the importance of creating specialized centers for wound care and vascular interventions within healthcare systems to ensure continuity of care and positive outcomes for patients. The speakers also discuss challenges in institutionalizing these approaches and the necessity of recognizing not all healthcare providers may be equipped to efficiently work within such systems. The conversation concludes with reflections on the lifelong care needs of patients and the challenges and opportunities presented by the evolving healthcare landscape. The opinions of both Dr Davis and Mr. Herrera-Mendoza are personal and for entertainment purposes only. 
 Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of Life of Flow, Lucas and Miguel engage in a dynamic discussion with special guests Mark Davies and Andro Herrera-Mendoza on contemporary management practices in wound care, particularly focusing on chronic limb-threatening ischemia (CLTI) and vascular care. They explore the evolution of wound care management from acute to longitudinal settings, expanding conventional views by emphasizing the involvement of acute physicians in the post-acute space. This innovative approach underscores the importance of appropriate therapy selection, multidisciplinary collaboration, and financial sustainability. Mark Davies emphasizes the significance of vascular surgeons in wound care centers and the benefits of their involvement in diagnosing and treating patients. The conversation delves into the complexities of coordinating care across different healthcare settings and the necessity for ecosystem-based approaches to unfragment care delivery. Andro Herrera-Mendoza stresses the importance of creating specialized centers for wound care and vascular interventions within healthcare systems to ensure continuity of care and positive outcomes for patients. The speakers also discuss challenges in institutionalizing these approaches and the necessity of recognizing not all healthcare providers may be equipped to efficiently work within such systems. The conversation concludes with reflections on the lifelong care needs of patients and the challenges and opportunities presented by the evolving healthcare landscape. The opinions of both Dr Davis and Mr. Herrera-Mendoza are personal and for entertainment purposes only. 
 Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In the third installment of the Life of Flow podcast Rant series, hosts Lucas Ferrer and Miguel Montero Baker are joined by special guest Jill Sommeret for an engaging discussion centered on the optimization of arterial flow through meticulous preoperative imaging. Delving deep into the complexities of vascular procedures, the trio navigates through the nuances of ultrasound mapping, emphasizing its pivotal role in identifying suitable candidates for arterialization, especially in cases of chronic limb-threatening ischemia (CLTI). Jill Sommeret sheds light on the importance of evaluating venous system integrity, from assessing compressibility to detecting post-thrombotic disease, underscoring the necessity for thorough preoperative assessments to ensure optimal patient outcomes. As the conversation unfolds, the hosts and guest explore the intricacies of obtaining approval for additional imaging studies and advocate for empowering technologists to conduct such assessments when needed. They delve into technical aspects of ultrasound mapping, including the evaluation of venous loops and structures, while also discussing the assessment of volume flow and pedal acceleration time (PAT) in vessels to predict post-procedure outcomes. Through their insightful dialogue, Ferrer, Montero-Baker, and Sommeret underscore the critical importance of comprehensive perioperative imaging in guiding surgical planning and enhancing patient care in the realm of contemporary vascular care. Follow Jill Sommerset on ⁠Twitter Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of the Life of Flow podcast, hosts Lucas and Miguel are joined by special guest and CEO of Vasorum Jim Coleman to explore the transformative potential of CELT vascular closure devices in the medical field. Jim shares insights into the financial and efficiency benefits of CELT devices, highlighting how they outshine traditional methods by minimizing procedural time and enhancing patient outcomes. The conversation delves into the technical intricacies of CELT, including its biocompatible material composition and its ability to mitigate inflammatory reactions, offering a deeper understanding of why CELT devices stand out in vascular closure procedures. As the discussion progresses, Jim unveils exciting plans for future CELT developments, including larger sizes and potential applications in robotic surgery. The hosts and guest envision a future where CELT devices revolutionize intraoperative procedures, streamlining complex interventions and improving surgical outcomes. Throughout the episode, listeners gain valuable insights into the cutting-edge advancements in vascular closure technology, inspiring a deeper appreciation for the potential impact of CELT devices on the future of medical interventions. Learn more about Vasorum here Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

Join hosts Dr. Lucas Ferrer and Dr. Miguel Montero Baker, along with special guests Dr. Jan Skowronski and Dr. Robert Beasley, for an illuminating episode of Life of Flow as they navigate the complex landscape of healthcare. The conversation begins with a candid discussion on the challenges faced by medical professionals, sparked by a reflection on a New York Times article scrutinizing a physician's care approach. They share firsthand experiences, highlighting the realities of managing critical conditions in an imperfect system, while emphasizing the importance of informed discourse in healthcare media portrayal. The episode advocates for collaboration and education in improving patient outcomes. They invite listeners to join them at the upcoming Pegasus Endovascular conference, where healthcare professionals will convene to exchange knowledge and explore cutting-edge treatments. Through engaging discussions and shared insights, this episode offers a deeper understanding of the intricacies of healthcare and the dedication of those working to navigate its challenges.  Learn more about Pegasus Endovascular Conference here Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

In this episode of the Life of Flow, Dr. Lucas Ferrer and Dr. Miguel Montero Baker delve into a thought-provoking conversation with Amy J. Goldberg, the Dean of Lewis Kats School of Medicine at Temple University. They cover the critical issue of professionalism in healthcare, advocating for a zero-tolerance approach towards negative behavior in medical settings. Amy shares poignant anecdotes from her own experiences, illustrating the detrimental impact of tolerating unprofessional conduct. Through their discussion, listeners gain a deeper understanding of the importance of fostering a cohesive and respectful culture within medical teams, ultimately enhancing patient care and outcomes. The episode explores the intersection of technology and medicine, envisioning a future where artificial intelligence plays an increasingly significant role in patient care. They discuss the potential benefits and challenges of integrating technology into healthcare practices, emphasizing the need for physicians to adapt and embrace innovation. Amy's insights shed light on the evolving nature of surgical practice and the necessity for healthcare professionals to stay abreast of technological advancements. Through their engaging dialogue, listeners are encouraged to contemplate the future of medicine and the pivotal role they can play in shaping it for the better. Follow Dan Rose on Twitter Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

Join hosts Dr. Lucas Ferrer and Dr. Miguel Montero-Baker in another episode of "Life of Flow" as they dive into the complexities of modern healthcare with special guest Dr. Leah Houston, MD. In this thought-provoking conversation, the trio explores the multifaceted challenges plaguing the healthcare industry, from bureaucratic hurdles and regulatory burdens to the influence of corporations and government in medical practices. Dr. Houston passionately articulates her belief that healthcare is in dire need of revolution, advocating for a system that prioritizes the well-being of both patients and healthcare professionals alike. Drawing from her experience and expertise, Dr. Houston sheds light on innovative solutions like Humanitarian Physicians Empowerment Community (HPEC), designed to empower healthcare providers and streamline patient care through blockchain technology. Amidst discussions on the intricacies of credentialing, interoperability, and data accessibility, Dr. Houston emphasizes the importance of collective action and collaboration among healthcare professionals to effect meaningful change. Listeners are invited to envision a future where healthcare delivery is efficient, transparent, and patient-centered. With candid insights and a shared vision for a reimagined healthcare landscape, Dr. Leah Houston, alongside hosts Dr. Ferrer and Dr. Montero-Baker, inspires listeners to join the movement towards a healthier, more equitable future for all.  Follow Leah on Twitter Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter

Join hosts Dr. Lucas Ferrer and Dr. Miguel Montero-Baker in this captivating episode of the Life of Flow podcast, as they sit down with social media guru Courtney Johnson for an in-depth exploration of the art of engagement. Discover Courtney's unconventional tactics for sparking conversations and igniting interest, from intentional typos to strategic controversy. Delve into her journey of personal growth and empowerment, where she shares invaluable insights on overcoming self-doubt and embracing authenticity. Courtney unveils her latest project “Slay the Gatekeeper” a podcast dedicated to democratizing success through actionable cheat codes. Get ready for a thought-provoking discussion that challenges conventional wisdom and empowers you to take control of your online presence and professional journey. Whether you're a seasoned entrepreneur or just starting out, this episode promises to inspire and equip you with the tools you need to thrive in the digital age.  Keep up with Courtney on social media and learn more about her cohorts here Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter Courtney's favorite books: The almanac of Naval Ravikant The 7 Rules of Power The Creative Act You are a Circle

In this week's episode of Life of Flow, embark on a deep exploration of psychedelic therapy Dr. Lucas Ferrer and Dr. Miguel Montero-Baker engage in an educational conversation with Dr. Charles Nemeroff, the co-director of the Center for Psychedelic Research and Therapy at Dell Medical. Dr. Nemeroff, shares profound insights into the therapeutic potential and intricacies of psychedelic treatments. From recounting transformative patient experiences to dissecting the underlying mechanisms of psychedelic-assisted therapy, Dr. Nemeroff provides a comprehensive overview of this groundbreaking approach to mental health. Delve into the nuances of psychedelic-induced consciousness exploration, as Dr. Nemeroff navigates through the delicate balance between therapeutic breakthroughs and potential risks. The conversation dives into ethical considerations surrounding accessibility, regulation, and responsible usage of psychedelics in clinical settings. As we peer into the future of mental healthcare, join us in unraveling the promise and challenges of integrating psychedelic therapy into mainstream treatment modalities. The Center for Psychedelic Research and Therapy at Dell Medical is currently recruiting for clinical trials. Learn more about the program and research here. This Episode is brought to you by Hope Vascular and Podiatry Follow Life of Flow on Twitter Follow Miguel Montero-Baker on Twitter