In this week’s episode, Scott Addonizio gives a candid look at what it’s like to run a MedTech company when tariffs spike overnight. Disrupting supply chains, inflating costs, and forcing urgent business decisions. He shares how he navigated a 145% import tax on Chinese-made devices, protected customers from cost hikes, and why building U.S. manufacturing might be the only way forward. From OEM and ODM contracts to automation and global supply chain strain, Scott breaks down the pressure points companies are facing now, and what’s coming next. 🎧 If you’ve ever wondered how MedTech companies actually respond when policy shifts overnight, or what it takes to protect your margins and keep moving, this one’s for you. 00:00 Welcome back, Scott! 02:15 Tariff shock: what happened on “Liberation Day” 04:12 How BrosMed absorbed costs instead of passing them on 09:46 Why U.S. manufacturing is now on the table 12:32 Making business decisions in a volatile political climate 26:10 Best and worst-case scenarios for MedTech companies 31:33 Why automation is the only viable way forward 34:47 When the pain will show up: timeline for impact 💡 Who Should Listen This episode is for MedTech founders, device manufacturers, supply chain leads, and physicians working in outpatient settings who want a real look at global pressure on U.S. markets. About Scott Addonizio Scott Addonizio is the Chief Operating Officer of BrosMed Medical, a global manufacturer of devices for vascular disease with a strong focus on lesion preparation. He also serves as President of BrosMed US, where he launched the company's executive and sales operations in Irvine, California. Previously, Scott was COO of MedAlliance, where he helped raise $50 million, led operations for the SELUTION drug-coated balloon, and secured four IDE approvals before the company was acquired by Cordis in 2024. He then served as Senior VP Operations at Cordis before moving to BrosMed. Scott is also acting COO at Solvein, a vein ablation start-up, and board member at Simpson Intervention, guiding sales strategy. Earlier in his career, he was COO and board director at OrbusNeich Medical, where he co-designed key devices like JADE, Sapphire, and Scoreflex Balloons, and held the primary patent for the “Stent Having Dual Helical Design.” He holds a B.S. in Packaging and Materials Engineering from Michigan State University and a Master’s in International Business from the University of Miami. Connect with Scott 🌐 usa.brosmed.com 💼 LinkedIn: Scott Addonizio Follow Life of Flow 📲 Instagram: @LifeofFlowPodcast 👍 Facebook: Life of Flow Podcast 💼 LinkedIn: Life of Flow Podcast 🐦 X: @VascularPodcast If this one made you rethink how fast things can shift in MedTech, and what it actually takes to keep things moving, send it to a colleague who’s living it too. And if you’re getting value from these conversations, a quick review helps us keep them going!

We wanted to try something different for this episode. Instead of coming in with a topic or script, we asked ChatGPT to generate a list of questions based on our past conversations, what someone who’s been listening to Life of Flow might be curious about if they could sit down and ask us anything. The result: a wide-ranging Q&A where we talk about mental prep before high-risk cases, the worst advice we got in training, what’s changed in how we use AI day-to-day, and the rituals that help us stay sharp. We also get into surgical routines, the importance of sleeping, T-CAR, and even the strange things our social media algorithms think we want after a long OR day. 🎧 If you’ve ever wondered what this work actually looks like behind the scenes, or wanted to ask us a few questions yourself, this one’s for you. 00:00 Why we let ChatGPT write this episode 08:39 The worst advice we got during training 10:40 How we prepare mentally for high-stakes cases 14:10 The habit Miguel keeps before every surgery 16:35 When to pause, and why it matters 17:19 Our different takes on T-CAR 22:47 What sleep does to your skillset 27:10 Our current routines, tools, and algorithm obsessions 💡 Who Should Listen This episode is for surgeons, residents, and anyone working in medicine who’s curious about what actually keeps us grounded in the middle of all this. It’s a look at the inner side of the job: how we think, reset, and keep showing up. About Us We’re Lucas M. Ferrer Cardona, MD and Dr. Miguel Montero-Baker, vascular surgeons and co-hosts of the Life of Flow Podcast. Each week, we share conversations about the habits, thinking, and decisions that shape the way we operate, inside and outside the OR. Life of Flow has become a go-to podcast for high-performers across medicine, business, and beyond... people who are serious about leading with clarity, staying sharp under pressure, and doing meaningful work that lasts. Our guests include surgeons, founders, therapists, and researchers from around the world. The goal is simple: real conversations with people who are doing the work, asking better questions, and building something worth showing up for. Follow Life of Flow 📲 Instagram: @LifeofFlowPodcast 👍 Facebook: Life of Flow Podcast 💼 LinkedIn: Life of Flow Podcast 🐦 X: @VascularPodcast If this one made you pause or think differently, send it to a colleague who gets it, and if you’re enjoying the episodes, we’d love if you left a review. It helps us keep the conversations flowing!