Life of Flow

Jaksot

• 
  The Microhospital Playbook with Dr. Adriano Goffi | LOF #128 22.07.2026 1t 4min

  The Microhospital Playbook with Dr. Adriano GoffiA physician can own 100 freestanding ERs—but direct ownership of one microhospital creates a completely different legal and financial reality. Dr. Adriano Goffi explains the economics, operating model, and ownership structures behind a more physician-led alternative.Dr. Adriano Goffi, MD, MPH, is a board-certified family medicine physician.  He is the Director at East Houston Medical Center. He brings an operator’s view of how clinical care, reimbursement, staffing, physician autonomy, and ownership collide.In this conversation, Dr. Goffi reveals:Why he believes a well-run microhospital can complete in eight hours what might otherwise require five to nine separate medical visitsHow physician-ownership restrictions shape the use of land companies, nonprofit structures, trusts, and other arrangements that require expert legal reviewHow reserving equity keeps clinicians invested Meet Dr. Adriano Goffi05:14Why locums gave Adriano control of his time08:59Learning medicine “backwards” through DRGs and medical decision-making12:18Why sending chest-pain patients home felt incomplete14:13The economics of eight ER patients per day15:00Turning a freestanding ER into a microhospital21:19The 24-hour-shift tradeoff and physician quality of life22:39Why doctors can own ERs but face restrictions on hospital ownership24:08Delivering five to nine visits’ worth of care under one roof28:13What a microhospital actually is33:34Staffing and equipping a standalone emergency room36:52Why inpatient beds open the door to Medicare participation39:11Capital raises, land, debt, and the opening-day clock40:26EBITDA multiples and why attached clinics matter41:32Why physician ownership changes culture and patient experience42:20Is the freestanding emergency-room boom ending?45:36The single screening question that generated 50 colonoscopies47:07Hypothetical: building a physician-led microhospital in Houston47:34Land ownership, trusts, and the need for specialized counsel49:46Site selection: traffic patterns, income, and the Walmart heuristic51:50What a $20 million state-of-the-art build could include53:14Why growth is shifting from standalone ERs to microhospitals53:54Building a hospital in six months with modular pods55:32Why 10 to 20 beds is Adriano’s sweet spot57:16Would you sell to a health system—or keep physician ownership?59:44 Reserving equity for the clinicians doing the work61:21 Could an office-based vascular model live inside a microhospital?LinkedIn: https://www.linkedin.com/in/adriano-goffi-md-mph-81b399a2/CMS guidance on physician-owned hospitals: https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/physician-owned-hospitalsCMS independent dispute resolution under the No Surprises Act: https://www.cms.gov/nosurprises/help-resolve-payment-disputes/payment-disputes-between-providers-and-health-plansU.S. Small Business Administration loan programs: https://www.sba.gov/funding-programs/loansLife of Flow is hosted by Dr. Lucas Ferrer and Dr. Miguel Montero-Baker.Website: https://lifeofflowpodcast.com/▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast/🎧 Spotify: https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U🎧 Apple Podcasts: https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604📩 Partner with the show: info@lifeofflowpodcast.comConnect with the hosts:Dr. Lucas Ferrer: https://www.linkedin.com/in/lucasferrermd/Dr. Miguel Montero-Baker: https://www.linkedin.com/in/miguel-montero-baker-a44354214/Instagram: https://www.instagram.com/lifeofflowpodcast/X: https://x.com/vascularpodcastLinkedIn: https://www.linkedin.com/company/lifeofflow#Microhospital #PhysicianEntrepreneurship #EmergencyMedicine #HealthcareBusiness #LifeOfFlowPodcastThis episode is for educational and informational purposes only and does not constitute medical, legal, tax, investment, or financial advice.
• 
  Magnetic Robot Overlord 15.07.2026 55min

  Dr. Christoff Heunis is a biomedical and mechatronics engineer (PhD, University of Twente) and the founder & CEO of Flux Robotics, a University of Twente spin-off building a magnetically guided robotic system that steers a guidewire through the body from outside the patient. It started with a single phone call while he was an engineering student in South Africa — a best friend's mother had a stroke, and there were only a handful of surgeons on an entire continent who could treat it.In this conversation, Dr. Christoff Heunis reveals:⬛ Why one phone call — a friend's mother's stroke, with "three neurovascular surgeons" for the whole African continent — set the course of his life⬛ How an external robotic magnet can pull a guidewire around the tightest, most complex angles a surgeon's hands can't reach⬛ Why surgeons say they don't want to be replaced — yet "do want to press a button and then leave, and when I come back, the surgery is over"⬛ The first real-world use case: misaligned fenestrations, CTOs and the angles no combination of guide catheters can make⬛ How Flux got the FDA to confirm a 510(k) pathway — and why the predicate they found changes everything⬛ What Stereotaxis acquiring Robocath signals about the commercial future of magnetic surgery⬛ How he raised €3.2M in non-dilutive funding before giving up a single point of equityTimestamps:00:00 Intro — the "Afrikaans Slim Shady"04:58 The stroke that started it all06:29 Why a PhD in surgical robotics at Twente11:17 The surgeon's real bottleneck: navigation & radiation15:42 How the magnetic guidewire actually works20:02 "Press a button and the surgery is over"24:58 The first use case: misaligned fenestrations30:49 A carotid crossing, step by step34:37 The surgeon's new role: "PAD coach"36:00 Company update & new CMO Dr. Rob Beasley37:15 The 510(k) pathway, explained40:31 Stereotaxis buys Robocath50:04 Raising €3.2M non-dilutive59:24 Live: the Afrikaans rap "Soms"Follow Dr. Christoff Heunis:LinkedIn — https://www.linkedin.com/in/christoff-heunis/Flux Robotics — https://fluxrobots.comResources mentioned in this episode:🏢 Flux Robotics — https://fluxrobots.com🏢 Stereotaxis — https://www.stereotaxis.com🔗 Stereotaxis acquires Robocath (announcement) — https://ir.stereotaxis.com/news-releases/news-release-details/stereotaxis-announces-definitive-agreement-acquire-robocath🏢 Robocath — https://www.robocath.com/🏢 Intuitive / da Vinci Surgical System — https://www.intuitive.com🎓 University of Twente — https://www.utwente.nl/en/🎓 Stellenbosch University — https://www.sun.ac.za/english🏛 RVO — Netherlands Enterprise Agency — https://www.rvo.nl🏛 NWO — Dutch Research Council — https://www.nwo.nl/en🏛 Interreg (EU cross-border funding) — https://www.interreg.eu💸 NextGen Ventures — https://www.nextgenventures.nl💸 Future Tech Ventures — https://futuretechventures.nl👤 Dr. Rob Beasley — CMO, Flux Robotics — https://www.linkedin.com/in/robert-beasley-138124145/👤 David Fischel — Chairman & CEO, Stereotaxis — https://www.linkedin.com/in/davidfischel/🎵 Eminem — "Lose Yourself" — https://open.spotify.com/track/5Z01UMMf7V1o0MzF86s6WJ🎵 "Soms" — Christoff's Afrikaans rap single, with his brother Daniel (name only)Life of Flow is hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker.🌐 Website: https://lifeofflowpodcast.com▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604📩 Partner with the show: info@lifeofflowpodcast.comConnect with the hosts: Dr. Lucas Ferrer — https://www.linkedin.com/in/lucasferrermd/ Dr. Miguel Montero-Baker — https://www.linkedin.com/in/miguel-montero-baker-a44354214/Follow the show: Instagram https://www.instagram.com/lifeofflowpodcast/ · X https://x.com/vascularpodcast · LinkedIn https://www.linkedin.com/company/lifeofflow
• 
  126. What Happens When Physicians Take Back Control Of Their Careers 08.07.2026 54min

  In this episode, we sit down with Dr. Shahla Moghbel, D.O., a board-certified neurologist based in California who works as an independent contractor, and Dr. Santoshi Billakota, M.D., a board-certified neurologist and epileptologist based in New York City who works full-time in locum tenens.They share why they stepped away from traditional physician employment, how they prepared financially for the change, and what doctors need to understand about credentialing, contracts, taxes, benefits, and retirement before going independent.They also speak candidly about the identity shift that can come with leaving academic medicine or another traditional institutional path, and learning to separate professional value from institutional affiliation.04:54 The shame and identity shift that can come with leaving a traditional career path11:34 The random Wednesday that changed Lucas’s definition of freedom17:10 Santoshi’s one-year plan for researching and preparing to leave her job21:26 Shahla’s strategy of reducing her hours and calculating her minimum financial needs27:32 Using locums as a bridge and learning how to negotiate better opportunities30:24 The difference between hospital privileges and insurance credentialing37:08 Why medical training leaves out contracts and the business side of medicine39:47 Moving from W2 employment to 1099 work with support from a lawyer and CPA44:10 Solo 401(k) plans, health benefits, and outsourcing financial planningWho Should ListenThis episode is for physicians considering locums, independent contract work, or a move away from academic or employed medicine. It is especially relevant for doctors who want more autonomy but need a practical view of the financial, administrative, and personal decisions involved.About Shahla Moghbel, D.O.Dr. Shahla Moghbel is a board-certified neurologist based in Walnut Creek, California. She completed her neurology residency at Georgetown University, an administrative and business fellowship at Vituity Stanford, and a clinical neurophysiology fellowship at Stanford Medicine. After working in a partnership, she moved into independent contract work across neurology and also does nonclinical work. She co-hosts the Be Empowered podcast, where she and Santoshi speak with physicians about burnout, career changes, and work outside the traditional path.Connect with Shahla Moghbel, D.O.💼 LinkedIn: Shahla Moghbel D.O.About Santoshi Billakota, MDDr. Santoshi Billakota is a board-certified neurologist and epileptologist based in Brooklyn. After completing residency at Duke, fellowship at Columbia, and an academic appointment at NYU, she left academic medicine and now works full-time as a locums physician while also taking on nonclinical work. She co-hosts the Be Empowered podcast, which focuses on healthcare issues, including topics concerning women.Connect with Santoshi Billakota, M.D.💼 LinkedIn: Santoshi Billakota M.D.🎙️Connect with Be Empowered: The PodcastSpotify: Be Empowered: The PodcastApple: Be Empowered: The PodcastYouTube: Be Empowered: The PodcastInstagram: @EmpowermedlifeAbout LocumstoryLocumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course.Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠@VascularPodcastIf this conversation changed how you think about physician independence, locums, and what it takes to step away from traditional employment without leaving the financial side to chance, share it with a colleague who’s considering a different path in medicine. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.
• 
  125. How Physicians Can Stay Independent In Modern Healthcare 01.07.2026 1t 6min

  In this episode of Life of Flow, we sit down with Dr. Eric Smuclovisky, M.D., an interventional radiologist in Indianapolis, Indiana, affiliated with Elkhart General Hospital. Eric joins us for a direct conversation about physician independence, why the old private practice model became harder to sustain, what changed for OBLs, and how independent physicians can think about hospital service agreements without becoming hospital employees.04:30 What changed when OBL revenue took a hit07:56 How physician fees shaped the old private practice model13:04 Why hospital privileges once gave physicians more control15:40 The history behind physician lounges and hospital incentives31:28 Why physicians need to understand how the money moves40:17 Why OBLs may still matter, even as the model gets harder43:39 Why RVUs keep physicians disconnected from real revenue46:01 Charge lists, commercial payers, and understanding what hospitals bill56:28 Selling a service line to a hospital and negotiating a fixed rateWho Should ListenThis episode is for vascular surgeons, interventional radiologists, cardiologists, independent physicians, and early career physicians who want to understand the business side of medicine. It is especially relevant for anyone thinking about OBLs, hospital relationships, service agreements, or how to maintain more autonomy without working fully outside the system.About Dr. Eric Smuclovisky, M.D.Dr. Eric Smuclovisky is an interventional radiology doctor in Indianapolis, Indiana and is affiliated with Elkhart General Hospital. He received his medical degree from Ponce Health Sciences University and has been in practice between 11 and 20 years. In the episode, Eric shares that he started out in academics, later left, opened an OBL and ASC with a partner, and now works through a professional service agreement with a hospital alongside his partner Brian.Connect with Dr. Smuclovisky💼 LinkedIn: Eric SmucloviskyAbout LocumstoryLocumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course.Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠@VascularPodcastIf this conversation changed how you think about physician independence, hospital service agreements, and what it takes to build leverage without becoming employed by the system, share it with a colleague who’s thinking about the business side of medicine. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.
• 
  124. How AI Could Prevent Millions Of Medical Complications 24.06.2026 55min

  In this episode of Life of Flow, we sit down with Dr. Robert Pearl, M.D., former CEO of The Permanente Medical Group, author of ChatGPT, MD, and a leading voice on how generative AI could change American medicine.The conversation moves between physician-led systems, private practice, capitation, chronic disease control, and what happens when AI begins working inside the daily gaps between patient visits. Dr. Pearl makes the case that AI is not just an administrative tool, but a way to improve quality, lower costs, and give physicians more time for the patients who need them most.05:35 Writing ChatGPT, MD, and the malpractice question around AI08:47 Patient trust, human presence, and vulnerable moments in care11:14 AI-assisted diagnosis, malpractice premiums, and physician autonomy18:19 Administrative AI and the bigger shift inside care delivery25:58 What AI means for physicians entering medicine now33:42 Why generative AI has to be discussed in the context of capitation38:33 The tools physicians have today that did not exist three years ago45:17 Bringing the capitation conversation back to AI48:10 AI agents and the future of patient follow-up51:32 Where to find Dr. Pearl’s book and ongoing workWho Should ListenThis episode is for physicians, private practice owners, healthcare operators, and anyone thinking seriously about how generative AI, capitation, and physician-led care could change the economics and delivery of medicine. It is especially relevant for clinicians trying to understand where independence, technology, and patient trust fit into the next phase of healthcare.About Dr. Robert Pearl, M.D.Dr. Robert Pearl, M.D., served as CEO of The Permanente Medical Group, where he was responsible for physicians across the East Coast and West Coast, and describes Permanente as the physician side of Kaiser Permanente. In the episode, he explains that Permanente was physician-owned and physician-run, with its own board of directors, and that the organization established standards of care across settings, including the OR, cath labs, and ERs.Dr. Pearl is also the author of ChatGPT, MD, a book focused on how AI empowered patients and physicians can take back control of American medicine. He writes for Forbes, posts articles on LinkedIn, hosts the Fixing Healthcare podcast, and continues to speak and write about generative AI, healthcare strategy, capitation, and the future of physician-led care.Connect with Dr. Pearl💼 LinkedIn: Robert Pearl, M.D.🗞️ Website: robertpearlmd.comAbout LocumstoryLocumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course.Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠@VascularPodcastIf this conversation changed how you think about generative AI, physician-led care, and what it could take to improve outcomes without losing the human side of medicine, share it with a colleague who’s thinking about where healthcare is heading. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.
• 
  123. The Financial Mistakes Destroying Medical Practices 17.06.2026 1t 2min

  In this episode of Life of Flow, we sit down with Preston Alexander, co-founder of Forward Slash Health, for a practical conversation about the business side of private practice. Preston shares how he went from medical device product management to healthcare startups, consulting, revenue cycle work, and building a financial management platform for independent practices.We talk through the financial blind spots many physicians face when they leave employed medicine, including revenue cycle, cash flow, accounts receivable, accounts payable, outsourcing, staffing, and why understanding the numbers matters if you want to build a sustainable practice.07:30 Preston’s path from MBA to medical devices and healthcare business09:01 Using LinkedIn to learn how healthcare really works11:02 How Forward Slash Health started from private practice pain points18:27 Why Miguel keeps his revenue cycle team close to the practice24:04 Cash flow, seasonality, and why big checks can be misleading35:00 Where private practices commonly leak money42:40 Why “doctors are bad at business” misses the point54:30 What to know before outsourcing revenue cycle management57:35 How to connect with Preston and Forward Slash HealthWho Should ListenThis episode is for physicians, surgeons, private practice owners, and doctors thinking about leaving the hospital system to build something independent. It’s also useful for anyone in healthcare operations who wants a clearer understanding of how revenue cycle, staffing, vendor relationships, and cash flow affect a practice.About Preston AlexanderPreston Alexander is the CEO and co-founder of Forward Slash Health and Chief Operating Officer at Underscore Law. His background spans healthcare business, medical device product management, digital health, revenue cycle work, and private practice financial management.In the episode, he shares how his path from earning an MBA to working inside healthcare companies, launching and selling a medical device company, and helping build independent practices led him to focus on the financial systems physicians need to understand when running a practice.Connect with Preston💼 LinkedIn: Preston Alexander🗞️ Substack: The Healthcare BreakdownAbout LocumstoryLocumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course.Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠@VascularPodcastIf this conversation made you think differently about the business side of medicine, share it with a colleague who’s building, running, or considering an independent practice. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.
• 
  122. How Physicians Are Building Their Own AI Systems Without Coding 10.06.2026 52min

  Andrew Sponsler, founder of Axiom, joins us this week to talk about agentic AI, personal operating systems, and why physicians should start experimenting before the tools become fully packaged for everyone else. Andrew builds AI operating systems for businesses, and in this episode, he breaks down what agentic AI means, how founders are using it now, and where it could start removing real operational pain from medical practices, from case logging to revenue cycle management.03:04 What agentic AI is and why it matters04:10 Andrew’s four-layer framework for understanding AI tools07:00 How agentic AI acts beyond a single prompt08:41 Why most people still have not engaged with AI10:37 Should people start building now or wait for easier tools?14:32 Why surgeons are wired to spot problems worth solving17:44 Lucas’ case logging and billing workflow idea22:39 Where beginners can start with Claude Code30:29 Hardware, security, model routing, and basic setup34:34 How Andrew helps businesses map and automate workflows43:35 Why revenue cycle management may be the highest ROI use caseWho Should ListenThis episode is for physicians, surgeons, founders, operators, and medical practice owners who are curious about using AI to reduce operational friction without losing control of the work. It will especially resonate with anyone thinking about case logs, billing workflows, dashboards, communication overload, or the practical first steps of building with AI.About Andrew SponslerAndrew Sponsler is the founder of Axiom, where he builds AI operating systems for businesses. His background is in continuous improvement and process mapping, and in the episode, he describes working with small and midsize businesses to create AI native workflows, streamline operations, and automate processes that create bottlenecks for founders and teams. He also runs Builder Weekend in Austin, a hands-on event for people building with AI at different stages.Connect with Andrew📲 Instagram: @andrewsponsler💼 LinkedIn: @andrewsponsler Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠@VascularPodcastIf this conversation changed how you think about agentic AI, physician-built tools, and what it could look like to automate the parts of medical practice that slow people down, share it with a colleague who’s curious about where this is all heading. And if you’re enjoying Life of Flow, a quick review helps more physicians and builders find conversations like this.
• 
  La Técnica Regenerativa Que Está Cambiando El Salvamento De Extremidades | LOF En Español 05.06.2026 41min

  El Dr. Michael Theodoulou, DPM, FACFAS, trabaja en uno de los entornos más complejos del salvamento de extremidades: pacientes diabéticos con heridas neuroisquémicas graves, infecciones extensas y pocas alternativas reales antes de una amputación mayor. En esta conversación explica cómo comenzó a utilizar la angiogénesis por distracción como complemento regenerativo en casos donde la revascularización por sí sola no era suficiente, y detalla paso a paso cómo realiza la técnica, qué resultados ha observado y por qué cree que puede cambiar la forma en que se aborda la cicatrización en pacientes sin opciones tradicionales de salvamento. El episodio también profundiza en las limitaciones reales de preservar una extremidad si esa extremidad deja de ser funcional, la importancia del trabajo multidisciplinario y un caso clínico complejo que muestra todo el proceso de toma de decisiones.02:26 Trabajo multidisciplinario con cirugía vascular y pacientes complejos08:18 El origen del concepto y la experiencia de la comunidad ortopédica china12:04 Cómo realiza la corticotomía tibial y el proceso completo de distracción18:44 Resultados iniciales, cicatrización y preservación de extremidades20:33 Desarrollo de un dispositivo para simplificar la técnica22:09 Debate sobre amputaciones tipo guillotina y respuesta regenerativa27:24 Caso clínico complejo con herida neuroisquémica del talón30:56 Calcanectomía parcial, control de infección y manejo de la herida35:26 Aplicación de angiogénesis por distracción en el caso presentado37:44 Uso de monorail y evolución final del paciente¿Quién debería escuchar este episodio?Cirujanos vasculares, podólogos, especialistas en salvamento de extremidades y profesionales que trabajan con pacientes diabéticos complejos encontrarán especialmente valiosa esta conversación. También puede resultar útil para médicos interesados en nuevas estrategias regenerativas y en enfoques multidisciplinarios para heridas complejas y preservación funcional de extremidades.Sobre Dr. Michael Theodoulou, DPM, FACFASDr. Michael H. Theodoulou es jefe de cirugía podiátrica en Cambridge Health Alliance y profesor adjunto de cirugía en Harvard Medical School. Se especializa en cirugía de extremidad inferior, preservación de extremidades, corrección de deformidades y manejo de pacientes diabéticos complejos. Obtuvo su formación en Kalamazoo College y en Dr. William M. Scholl College of Podiatric Medicine, y completó su residencia en cirugía podiátrica en Baptist Memorial Hospital en Memphis.💼 LinkedIn: Michael Theodoulou, DPM, FACFASSigue a Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@VascularPodcast⁠⁠Si esta conversación cambió cómo piensas sobre nuevas alternativas para el salvamento de extremidades, los procesos regenerativos en pacientes sin opciones tradicionales y el potencial de la angiogénesis por distracción en heridas complejas, compártela con alguien que esté explorando ese camino. Una reseña rápida también ayuda a que más médicos y especialistas encuentren conversaciones como esta.
• 
  121. Why Independent Medicine Is Growing Among Burned Out Surgeons 03.06.2026 53min

  Dr. Jacqueline Majors, MD has built her practice around one central idea: surgeons should have more control over how they care for patients, structure their lives, and build sustainable careers. In this week's episode, she talks openly about leaving high-volume practice models, building an independent multidisciplinary center in Memphis, and why she believes outpatient vascular care is changing the future of the specialty. The conversation moves far beyond business strategy into surgeon burnout, team culture, limb salvage, physician autonomy, and the realities of trying to create a practice that supports both high-level performance and a real life outside the hospital.The episode also dives into what it takes to create a physician centered system from the ground up. 04:43 Why physicians should understand the business side of medicine09:25 Leaving high-volume practice models and protecting long-term health11:02 How Dr. Majors met her business partner and built Zenith Vascular & Fibroid Center21:42 Why multidisciplinary outpatient models are becoming more important27:05 Narrowing procedural focus and building community-based vascular centers31:08 Why hyper-specialized limb salvage centers are needed35:02 Surgeon burnout, grind culture, and changing the future of surgical practice41:48 Female surgeons, leadership dynamics, and evaluating practice culture47:40 Peptides, wound healing, and innovation in independent practice Who Should ListenThis episode is for vascular surgeons, interventional specialists, physicians considering independent practice, and early-career surgeons thinking about how they want to structure their careers long term. It’s also highly relevant for physicians interested in outpatient care models, limb salvage programs, team culture, and practice ownership.About Dr. Jacqueline Majors, MDDr. Jacqueline Majors is a board-certified vascular surgeon and the owner and director of the Limb Salvage Program at Zenith Vascular & Fibroid Center in Memphis, Tennessee. She specializes in advanced limb salvage and endovascular interventions focused on restoring blood flow, wound healing, and preventing amputations. Dr. Majors co-founded a multidisciplinary outpatient vascular practice alongside an interventional radiologist partner and remains actively involved in physician advocacy, education, and private practice development. She is also the creator of Anatomy Pad, a patient education platform designed for vascular surgeons. Her background includes Division I athletics, competitive soccer coaching, and more than 25 years of surgical experience.Connect with Dr. Jacqueline Majors, MD💼 LinkedIn: Jacqueline Majors, MD Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠@VascularPodcastIf this conversation changed how you think about independent practice, surgeon burnout, limb salvage, and what it actually takes to build a sustainable career in medicine, share it with a colleague who’s navigating those same questions. And if you’re enjoying Life of Flow, a quick review helps more physicians find conversations like this.
• 
  El Caso Simple De Claudicación Que Se Convirtió En Un Problema Real | LOF En Español 29.05.2026 40min

  Un caso que parecía simple terminó revelando algo completamente inesperado. En este episodio, recorremos paso a paso una intervención en una lesión corta de la arteria femoral superficial en un paciente que había sufrido una isquemia aguda relacionada con COVID-19 años antes. Lo que empieza como una conversación técnica sobre reducción de masa, IVUS y estrategia endovascular, termina convirtiéndose en una discusión muy honesta sobre decisiones intraoperatorias, dispositivos, entrenamiento y esos hallazgos que aparecen cuando creías que el caso ya estaba resuelto.01:16 Claudicación, dolor crónico y hallazgo de estenosis severa03:49 Debate sobre ejercicio supervisado y limitaciones reales de acceso05:33 Posible origen de la lesión tras la trombectomía con Fogarty07:33 Discusión sobre Láser, Rotarex y manejo de material blando10:40 IVUS muestra una lesión organizada y dudas sobre hiperplasia intimal15:00 Miguel explica por qué usa Rotarex y cómo aprende a utilizarlo18:43 Debate sobre aterectomía y falta de entrenamiento formal26:26 El IVUS final revela un hallazgo inesperado dentro de la SFA¿Quién debería escuchar este episodio?Cirujanos vasculares, fellows, especialistas endovasculares y médicos interesados en toma de decisiones intraoperatorias reales. También resulta especialmente útil para quienes trabajan con enfermedad arterial periférica y quieren escuchar conversaciones honestas sobre técnica, complicaciones y aprendizaje práctico dentro de la sala.Sigue a Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@VascularPodcast⁠⁠Si esta conversación cambió cómo piensas sobre las lesiones que parecen simples, las decisiones que se toman dentro de la sala y la importancia de interpretar cada hallazgo en tiempo real, compártela con un colega que la aproveche. Una reseña rápida también ayuda a que más médicos e intervencionistas encuentren conversaciones como esta.
• 
  120. What Aviation Taught Me About Surgery 27.05.2026 1t 1min

  What can surgery learn from aviation, team dynamics, and building systems that actually function under pressure?In this episode, Dr. Kristofer M. Charlton-Ouw, MD, talks about building a vascular program inside a smaller hospital system, creating specialized OR teams, and why consistency, culture, and workflow matter so much in complex surgical care. The conversation also explores the realities of balancing patient care with administrative systems, how different incentives shape hospital operations, and why communication across teams can completely change outcomes for both patients and physicians.The second half of the episode shifts into aviation, where Dr. Kristofer M. Charlton-Ouw explains how studying aviation safety and crew resource management changed the way he thinks about surgery, complications, leadership, and high-performance teams.02:38 Building a physician-centered vascular program08:17 Creating specialized vascular OR teams14:36 Why consistency matters in vascular care19:46 The vision behind building a new system24:46 Understanding how hospital systems operate30:33 The billing code story that changed staffing34:54 Balancing physician priorities and administration42:16 How large organizations change over time49:58 What aviation taught him about surgery53:09 Crew resource management in medicineWho Should ListenThis episode is for vascular surgeons, physicians working inside large health systems, healthcare administrators, and anyone trying to build better systems of care without losing autonomy or quality of life. It is especially relevant for earlytheAbout Kristofer M. Charlton-Ouw, MDKristofer Charlton-Ouw graduated from Vassar College with a B.A. in History before earning his M.D. from Harvard Medical School. He completed his general surgery residency at NewYork-Presbyterian Hospital. He later completed his vascular surgery fellowship at Memorial Hermann Hospital and the University of Texas Health Science Center at Houston.Dr. Charlton Ouw served as Program Director for the UT Vascular Surgery Fellowship and Integrated Residency and was Director of the Memorial Hermann Heart and Vascular Institute’s Vascular Ultrasound Laboratory. His clinical and research interests include aortic aneurysm and dissection, prosthetic graft infection, hemodialysis access, peripheral arterial disease, and postoperative pain control. In 2020, he joined HCA Houston Healthcare and helped found Gulf Coast Vascular.Connect with Kristofer M. Charlton-Ouw, MD💼 LinkedIn: Kristofer Charlton-OuwAbout LocumstoryLocumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course.Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠@VascularPodcastIf this episode changed how you think about hospital systems, physician autonomy, and the incentives shaping modern medicine, share it with a colleague who’s navigating the same realities. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare professionals find conversations like this.
• 
  La Nueva Tecnología Que Podría Revolucionar El Acceso Vascular | LOF En Español 22.05.2026 42min

  En este episodio de Life of Flow, conversamos con Sean Morris sobre el recorrido que lo llevó desde las ventas y el desarrollo comercial hasta la creación y el liderazgo de empresas de tecnología médica enfocadas en problemas vasculares complejos. La conversación se centra especialmente en Amplifi Vascular y en una nueva tecnología diseñada para acelerar la maduración venosa en pacientes que necesitan acceso para hemodiálisis, utilizando una bomba centrífuga portátil para dilatar venas pequeñas en cuestión de horas en lugar de semanas.A lo largo del episodio, hablamos sobre el detrás de escena de construir startups médicas, las dificultades regulatorias, la relación con la FDA, la importancia de los datos clínicos y el rol que cumplen los médicos al momento de validar tecnologías nuevas antes de llevarlas al mercado. Sean comparte cómo evalúa oportunidades, por qué le atraen las tecnologías complejas y qué significa realmente comprometer años de trabajo a una empresa que todavía no tiene garantías de éxito.02:33 Cómo llegó al mundo de la tecnología médica04:21 Sus primeros años en AngioDynamics y la evolución de la angiografía12:08 La creación de Veniti y la venta a Boston Scientific14:08 Nanopartículas, campos magnéticos y estudios en isquemia crítica18:33 Qué hace falta para construir una startup de dispositivos médicos22:04 Regulación, FDA y por qué llevar tecnología al mercado es tan difícil25:04 Cuánto tarda realmente una startup médica en llegar al mercado27:46 El origen de Amplifi Vascular y la idea detrás del sistema30:57 Relación con la FDA y el desarrollo clínico de Amplifi32:11 Los primeros resultados clínicos en pacientes con venas pequeñas36:07 El desafío de llevar esta tecnología fuera del hospital38:59 Cómo esta tecnología podría cambiar el acceso vascular para hemodiálisis¿Quién debería escuchar este episodio?Este episodio es especialmente relevante para cirujanos vasculares, nefrólogos, especialistas en acceso vascular, profesionales de la industria MedTech y emprendedores interesados en desarrollo de dispositivos médicos y procesos regulatorios. También puede resultar valioso para médicos que estén considerando involucrarse en innovación o startups dentro del sector salud.Sobre Sean MorrisSean Morris cuenta con más de 25 años de experiencia en dispositivos médicos, incluyendo desarrollo, manufactura, testing, regulación, reembolso y lanzamiento comercial en distintos roles de liderazgo. Fue Senior Vice President y General Manager de la división Peripheral Vascular en AngioDynamics, además de fundador y CEO de Veniti Medical, empresa adquirida por Boston Scientific en 2018. También fue President y CEO de Euphrates Vascular, enfocada en tecnologías basadas en nanopartículas y campos magnéticos aplicadas a enfermedad vascular, stroke y STEMI. Actualmente es President y CEO de Artio Medical y Amplifi Vascular, además de participar activamente como inversor y asesor de startups médicas en etapas tempranas.💼 LinkedIn: Sean MorrisSigue a Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@VascularPodcast⁠⁠Si esta conversación cambió cómo piensas sobre el desarrollo de tecnología médica, el desafío de llevar innovación vascular al mundo real y todo lo que ocurre detrás de una startup de dispositivos médicos, compártela con alguien que esté construyendo o explorando ese camino. Una reseña rápida también ayuda a que más médicos y profesionales de la industria encuentren conversaciones como esta.
• 
  119. What It’s Really Like Operating In A War Zone 20.05.2026 1t 1min

  In this week’s episode of the Life of Flow podcast, a conversation about vascular surgery and entrepreneurship quickly turns into something far heavier: combat trauma, operating on wounded Marines in Iraq, life-or-death decisions made in minutes, and the emotional weight that follows surgeons long after the operating room goes quiet. Dr. Erin M. Moore, MD, shares the defining moments that shaped his career, from discovering surgery at Parkland Hospital to performing damage control operations during the surge in Al Anbar under conditions most physicians will never experience firsthand. The episode also explores military culture, mentorship, surgical training before endovascular therapy, life aboard aircraft carriers, and the moments that pushed him toward vascular surgery and eventually entrepreneurship.04:05 Growing up in Dallas, early interest in science, and working through college10:53 Miguel reflects on his own path into medicine and surgery16:46 Navy training, officer indoctrination school, and early lessons in discipline18:18 Life aboard the USS Kitty Hawk and seeing the world through military service21:00 9/11, the USS Constellation, and returning to San Diego under completely different circumstances37:55 Trauma surgery stories and the PTSD that can follow surgeons home45:59 The emotional reality of treating wounded Marines in Iraq58:10 Dr. Moore’s final reflection on conflict, culture, and understanding the long gameWho Should ListenThis episode is especially relevant for vascular surgeons, trauma surgeons, military physicians, surgical trainees, and anyone interested in the realities of combat medicine and leadership under pressure. It will also resonate with physicians exploring nontraditional career paths and the psychological side of practicing medicine in extreme environments.About Dr. Erin M. Moore, MDErin Moore is a vascular surgeon in Jacksonville, Florida, affiliated with Ascension St. Vincent’s Riverside Hospital and Ascension St. Vincent’s Southside Hospital. He received his medical degree from the University of Texas Southwestern Medical School and has been in practice for more than 20 years. During the episode, he reflects on his path through military medicine, service in the United States Navy, deployments aboard aircraft carriers, trauma surgery during the Iraq War, and the experiences that shaped his career in vascular surgery.Connect with Erin💼 LinkedIn: Erin Moore Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠@VascularPodcastIf this episode changed how you think about military medicine, trauma surgery, and the emotional realities that come with caring for patients in combat, share it with a colleague who would value the conversation. And if you’re enjoying Life of Flow, a quick review helps more physicians find conversations like this.
• 
  El Consenso Global Que Está Cambiando Cómo Se Tratan Los Pacientes Sin Opción | LOF En Español 15.05.2026 1t 7min

  En este episodio de Life of Flow, conversamos con el Dr. Mario Alejandro Fabiani sobre un problema que impacta directamente la toma de decisiones en la práctica clínica: qué significa realmente un paciente “sin opción”. A partir de esa pregunta, lidera un consenso internacional que busca ordenar una definición que hoy varía según el médico, la experiencia y el contexto. La conversación también expone cómo han cambiado los pacientes en el tiempo, por qué ciertos porcentajes no reflejan la realidad actual y cómo esto influye en decisiones como intentar revascularizar o indicar una amputación. Hacia el final, se plantea la necesidad de validar y adoptar este consenso en la práctica real.02:21 De la crítica a la acción: creación de evidencia03:35 Formación de un consenso internacional con metodología Delphi04:56 Qué es un Delphi y cómo funciona08:51 Necesidad de redefinir el concepto de “no option”13:12 Debate sobre el 15% de pacientes sin opción14:08 Cómo han cambiado los pacientes en la práctica clínica17:26 Variación geográfica en los casos y decisiones25:00 Presentación del consenso Delphi49:39 Resultados reales de amputación en Latinoamérica¿Quién debería escuchar este episodio?Cirujanos vasculares, médicos en formación y profesionales que toman decisiones en pacientes complejos y quieren entender cómo la definición de “sin opción” impacta la práctica real.Sobre Dr. Mario Alejandro FabianiEl doctor Mario Alejandro Fabiani es médico egresado de la Universidad Nacional de La Plata (Argentina). Realizó residencia en Cirugía General y fue jefe de residentes en el CEMIC de Buenos Aires. Realizó segunda especialidad en Cirugía Vascular y Trasplante en un programa conjunto entre el CEMIC y el Hospital de Clínicas de la Universidad de Buenos Aires. Fue becado por la Fundación Bunge y Born para asistir a la Universidad de Yale y por la Asociación Argentina de Angiología para asistir al servicio de Cirugía Vascular del New York University Medical Center.Se incorporó al Servicio de Cirugía Vascular y Trasplante del CEMIC, donde ejerció la docencia hasta 2013. Desde 2013 forma parte del Tecnológico de Monterrey como profesor de tiempo completo. Es director del Centro de Medicina Vascular de la Sociedad Académica Temperantia. Ha participado en cientos de congresos nacionales e internacionales, ha sido pionero en técnicas endovasculares y ha entrenado a decenas de especialistas.Es profesor honorífico de la Universidad de Valladolid y miembro honorario de sociedades en Colombia y Ecuador. Es miembro del SNI nivel I. Con veinticinco años de especialista, es una de las personas con más experiencia en México en el manejo de enfermedades de la aorta, carótida y oclusión arterial de miembros. Este episodio hace referencia al consenso internacional liderado por el Dr. Fabiani para redefinir el paciente “sin opción”. Puedes acceder al documento completo aquí:academic.oup.com/bjs/advance-article-abstract/doi/10.1093/bjs/znag040/8606833💼 LinkedIn: Mario Alejandro Fabiani🔗 Website: drfabiani.comSigue a Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@VascularPodcast⁠⁠Si esta conversación cambió cómo piensas sobre lo que realmente significa un paciente “sin opción”, las decisiones que se toman antes de indicar una amputación y la importancia de cuestionar lo que damos por hecho en la práctica clínica, compártela con un colega que la aproveche. Una reseña rápida también ayuda a que más médicos e intervencionistas encuentren conversaciones como esta.
• 
  118. I Left My Job As A Doctor With No Plan And It Worked 13.05.2026 54min

  In this week's solo episode, we step away from interviews to talk candidly about what’s happening behind the scenes in our own careers. Lucas shares how his plan to move to Puerto Rico fell through, how he handled leaving his job without a clear next step, and why he chose to pivot into locums while also starting a company through an accelerator. Miguel walks through how he’s structured his practice differently, building relationships with hospital teams, expanding into multiple sites, and figuring out how to grow without losing control of quality or culture.03:15 Why the Puerto Rico plan fell through and what changed05:54 Transition into locums and securing short-term opportunities09:42 Breaking down new compensation models and earning potential17:44 Miguel explains building a hybrid model with hospital integration27:14 Expanding into multiple sites and new service models37:41 The long-term vision for growth, partnerships, and eventual exit54:24 Closing thoughts on building, risk, and reaching outWho Should ListenPhysicians exploring different ways to structure their careers, and anyone thinking about combining clinical work with building something on the side.Follow Life of Flow📲 Instagram: ⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠@VascularPodcastIf this episode made you rethink how to navigate career pivots, uncertainty, and the trade-offs between stability and building something of your own, share it with a colleague who’s figuring out their next move. And if you’re enjoying Life of Flow, a quick review helps more physicians find conversations like this.
• 
  117. What A Decade As A Startup Founder Taught Me That No One Else Will Tell You 06.05.2026 45min

  Most founders build on assumptions they haven’t tested.From turning a master’s project into a product now used by fire departments to navigating a decade-long founder journey across Sweden, San Francisco, and Austin, Omer Haciomeroglu joins us to walk us through what it takes to bring something from concept to reality. This conversation focuses on how early product decisions shape everything that follows, where teams lose time and money, and why feedback, accountability, and the ability to step outside your own perspective become critical as the company grows.01:29 How the firefighting concept started as a master’s project in Sweden05:24 Bootstrapping the company and moving through Sweden, San Francisco, and Austin10:02 Why the founder journey is so isolating, even with co-founders12:32 What Omer brings to founders through product, fundraising, and leadership experience17:57 The costly mistakes founders make when they build on untested assumptions22:54 The real stages of hardware development from MVP to manufacturing32:54 What first-time founders get wrong about fundraising and why the right people matter40:07 Why ego, power dynamics, and poor feedback can put a company at riskWho Should ListenFounders, engineers, and operators building products, especially in hardware or deep tech, along with early-stage entrepreneurs trying to validate ideas, raise capital, and avoid costly mistakes.About Omer HaciomerogluOmer Haciomeroglu is a Turkish-born designer, entrepreneur, and creative technology leader based in Austin, Texas, best known for operating at the intersection of design, engineering, and applied artificial intelligence. As a co-founder and chief design officer, he has led the development of AI-driven computer vision systems focused on real-world, high-stakes applications, including safety, automation, and human-centered decision making. His work spans product design, robotics, and advanced prototyping, grounded in a philosophy that prioritizes clarity, sustainability, and practical impact over speculative futurism. Across startups and innovation ecosystems, he is recognized for translating complex technical systems into coherent products that can move from concept to deployment without losing ethical or human considerations.Connect with Omer💼 LinkedIn: Omer Haciomeroglu📲 Instagram: @omerh.coFollow Life of Flow📲 Instagram: ⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠@VascularPodcastIf this episode changed how you think about validating ideas, building products without over-relying on assumptions, and the role of feedback and accountability in a founder’s journey, share it with someone building something of their own. And if you’re enjoying Life of Flow, a quick review helps more people find conversations like this.
• 
  Cómo Los Mejores Líderes Destruyen A Su Equipo Sin Darse Cuenta | LOF En Español 01.05.2026 38min

  Desde una formación clásica en negocios hasta la meditación y la escritura creativa, en este episodio de Life of Flow Amy Sandler explora cómo habilidades aparentemente “blandas” terminan siendo críticas para liderar, comunicar y trabajar mejor en equipo. En esta conversación, el foco se desplaza hacia un tema incómodo pero inevitable: cómo dar y recibir feedback sin romper relaciones. A través de ejemplos reales y errores propios, Amy aterriza qué significa realmente practicar la franqueza radical en contextos de alta presión y dinámicas de poder.01:18 Qué es Radical Candor y por qué importa en el trabajo03:01 Problema real del feedback en evaluaciones formales03:32 Reencuadre del feedback como construcción de relaciones14:05 Primer paso del líder: pedir feedback para reducir la brecha de poder20:10 Tipos de feedback: comportamiento vs resultado del trabajo27:20 Por qué la franqueza radical aplica a todos los niveles29:07 Modelo CORE: contexto, observación, resultado y siguiente paso31:08 La franqueza se mide en quien escucha, no en quien habla¿Quién debería escuchar este episodio?Líderes de equipos, médicos, profesionales en entornos de alta exigencia y cualquier persona que gestione relaciones laborales donde el feedback impacta directamente en el rendimiento y la confianza.Sobre Amy SandlerAmy Sandler tiene formación en negocios con un MBA de Harvard y posteriormente realizó estudios en escritura de guiones. Es instructora de mindfulness y ha enseñado inteligencia emocional en el entorno laboral durante más de una década. Ha trabajado en Radical Candor durante los últimos años, enfocándose en formación ejecutiva y desarrollo de liderazgo basado en relaciones, feedback y comunicación efectiva.💼 LinkedIn: Amy SandlerSigue a Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@VascularPodcast⁠⁠Si esta conversación cambió cómo piensas sobre dar y recibir feedback, construir relaciones de confianza en entornos exigentes y el impacto que tiene la forma en que te comunicas como líder, compártela con un colega que esté navegando esos mismos desafíos. Una reseña rápida también ayuda a que más profesionales encuentren conversaciones como esta.
• 
  116. Delphi: The Global Consensus That's Changing How No-Option Patients Are Treated 29.04.2026 51min

  In this episode of Life of Flow, we sit down with Dr. Mario Alejandro Fabiani to explore a question that directly impacts clinical decision-making: what does a “no option” patient mean?From that starting point, Dr. Fabiani leads an international consensus aimed at bringing structure to a definition that currently varies depending on the physician, their experience, and their clinical context. The conversation also highlights how patient profiles have shifted over time, why commonly cited percentages may not reflect today’s reality, and how these assumptions influence decisions such as attempting revascularization or proceeding with amputation. Toward the end, the focus turns to the need to validate and adopt this consensus in real-world practice.03:32 From critique to action: building evidence04:00 Forming an international Delphi consensus05:09 What a Delphi is and how it works08:51 Why the “no option” definition needs to change12:23 The debate around the 15% “no option” figure14:51 How patient profiles have changed over time17:26 Geographic variation in cases and decision-making20:22 Presentation of the Delphi consensus39:53 Real-world amputation outcomes in Latin AmericaWho Should ListenVascular surgeons, trainees, and clinicians managing complex patients who want to better understand how the definition of “no option” impacts real-world decision-making.About Dr. Mario Alejandro FabianiDr. Mario Alejandro Fabiani is a physician trained at the National University of La Plata (Argentina). He completed his residency in General Surgery and served as Chief Resident at CEMIC in Buenos Aires. He then pursued a second specialty in Vascular Surgery and Transplant through a joint program between CEMIC and the Hospital de Clínicas at the University of Buenos Aires. He received scholarships from the Bunge y Born Foundation to attend Yale University and from the Argentine Association of Angiology to train at the Vascular Surgery Service at NYU Medical Center.He later joined the Vascular Surgery and Transplant Service at CEMIC, where he was involved in teaching until 2013. Since then, he has been a full-time professor at Tecnológico de Monterrey. He is Director of the Vascular Medicine Center at Sociedad Académica Temperantia, has participated in hundreds of national and international conferences, pioneered endovascular techniques, and trained dozens of specialists.He is an honorary professor at the University of Valladolid, an honorary member of medical societies in Colombia and Ecuador, and a Level I member of Mexico’s National System of Researchers. With over 25 years of experience, he is one of the most experienced specialists in Mexico in the management of aortic, carotid, and peripheral arterial disease.This episode references the international consensus led by Dr. Fabiani to redefine the “no option” patient. You can access the full document here: academic.oup.com/bjs/advance-article-abstract/doi/10.1093/bjs/znag040/8606833Connect with Dr. Mario Alejandro Fabiani💼 LinkedIn: Mario Alejandro Fabiani🔗 Website: drfabiani.comFollow Life of Flow📲 Instagram: ⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠@VascularPodcastIf this conversation changed how you think about what it really means for a patient to be “no option,” the decisions made before recommending amputation, and the importance of questioning long-held assumptions in clinical practice, share it with a colleague who would benefit from it. A quick review also helps more physicians and interventionists discover conversations like this.
• 
  Por Qué El 85% De Los Médicos No Saben Que Están Listos Para Un Cambio | LOF En Español 24.04.2026 42min

  En este episodio de Life of Flow, la Dra. Karen Barnard, MBBCh, MPH, habla desde la experiencia de haber dejado la práctica clínica para dedicarse a acompañar a otros médicos en ese mismo proceso. La conversación se centra en algo muy concreto: cuándo empieza realmente esa inquietud por cambiar de rumbo, cómo se ve ese proceso en la práctica y qué señales suelen aparecer mucho antes de que alguien tome la decisión. También aborda lo que pasa cuando el cambio no sale como se esperaba, y por qué eso no necesariamente es un error, sino parte del recorrido.02:13 Primeras señales de que “algo no estaba bien”03:29 Transición hacia el coaching y salida de la práctica clínica04:22 Tipos de transiciones que buscan los médicos06:48 Momento en que reconoce la necesidad de cambiar09:20 Conflicto de valores como detonante principal12:30 Miedo al riesgo y cómo tomar decisiones graduales16:23 Qué buscan los médicos cuando llegan al coaching20:21 Estructura del proceso para rediseñar la carrera24:41 Habilidades transferibles que los médicos no reconocen29:42 Momentos clave en la carrera donde surge la insatisfacción¿Quién debería escuchar este episodio?Médicos en etapa media o avanzada de su carrera que están cuestionando su rumbo profesional o explorando alternativas fuera de la práctica clínica.Sobre Karen Barnard, MBBCh, MPHLa Dra. Karen Barnard es médica especializada en medicina interna y endocrinología, con más de 30 años de experiencia clínica y roles de liderazgo. Tras dejar la práctica, se formó como coach profesional y hoy trabaja acompañando a médicos en procesos de cambio de carrera, ayudándolos a identificar sus intereses, habilidades y próximos pasos, tanto a nivel estratégico como práctico.💼 LinkedIn: Dr. Karen BarnardSigue a Life of Flow📲 Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@VascularPodcast⁠⁠Si esta conversación cambió cómo piensas sobre el momento de replantear tu carrera, las señales que indican que algo no está bien y cómo abordar un cambio profesional sin tomar decisiones impulsivas, compártela con un colega que esté pasando por lo mismo. Una reseña rápida también ayuda a que más médicos encuentren conversaciones como esta.
• 
  115. Can Peptides Really Heal Your Wounds Faster Than Surgery? 22.04.2026 54min

  A conversation that starts with one set of “normal” labs and quickly turns into a deeper question: what does “healthy” mean? In this week’s episode, Lauren Colletti walks through how she evaluates patients beyond standard ranges, why so few people are truly metabolically healthy, and how tools like peptides, continuous glucose monitoring, and advanced labs are being used in practice today. The episode moves between clinical reasoning and real-world experimentation, including what changed when Lucas became the patient.04:30 Why “normal” labs may not mean optimal health04:54 Only 12% of people are metabolically healthy06:44 What peptides are and how they work10:32 Curiosity, self-experimentation, and patient empowerment17:08 Case breakdown: labs, symptoms, and treatment plan23:12 Immediate changes in sleep, recovery, and performance28:35 What technology can’t replace: human connection in care33:15 Is ChatGPT your new doctor? 46:00 Innovation, risk, and pushing beyond traditional models55:00 Lauren’s clinic and Soul Women initiativeWho Should ListenPhysicians, clinicians, and healthcare professionals who are thinking about prevention, metabolic health, or integrating newer tools into patient care.About Lauren CollettiLauren Colletti is a board-certified Nurse Practitioner in functional medicine and anti-aging medicine. She has been working in the space for about 15 years, focusing on identifying root causes of health issues and integrating advanced testing and therapies into patient care. She is the co-founder of Alive and Well, a clinic with multiple locations, and the founder of Sol Women, a program focused on helping women navigate midlife through functional medicine, coaching, and community.Connect with Lauren💼 LinkedIn: Lauren Colletti📲 Instagram: @laurencolletti_fnpFollow Life of Flow📲 Instagram: ⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠👍 Facebook: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠💼 LinkedIn: ⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠🐦 X: ⁠⁠⁠⁠@VascularPodcastIf this episode changed how you think about prevention, metabolic health, and what it means to optimize your own physiology as a clinician, share it with a colleague who’s navigating the same questions. And if you’re enjoying Life of Flow, a quick review helps other physicians find conversations like this.