Some of the most game-changing discoveries in medicine didn’t come from a lab — they came from clinicians who connected the dots in real time. Take hypertrophic cardiomyopathy: it wasn’t uncovered through years of controlled studies. It was a surgeon, mid-procedure, realizing the diagnosis was wrong and pivoting in the moment. The future of medicine will be shaped by those who can do both. But the reality? Balancing clinical work and research is harder than ever. The pressure to choose one path over the other is real, and the environments that support both are rare. Go to the Life of Flow podcast channel and watch the full episode #60!

The next generation of doctors isn’t asking for permission to do things differently 🔥 For decades, the mindset was grind now, survive later. But the new wave of physicians? They’re choosing balance without sacrificing excellence. The idea that you have to suffer for your career is outdated—and if we don’t evolve with it, we’ll be the ones left behind. In this conversation, we share what it takes to rethink vascular care as a team sport, why breaking down silos between specialties isn’t just nice — it’s necessary, and why the smartest move might be building a system that works for you, instead of working yourself into the ground. Go to the Life of Flow podcast channel and watch the full episode #60 and hear why medicine’s next era belongs to those who think beyond tradition!

Before you reach for that stent, ask yourself — do you really need it? We have endless tools — bi-directional approaches, BVAC catheters, re-entry devices — but how often do we step back and ask: Is this the best option, or just the most familiar one? If you’re not considering bypass because you don’t know how to evaluate the saphenous vein, you’re limiting your patients and your own decision-making. Go to the Life of Flow podcast channel and watch the full episode #60!

Why should a surgeon have to “justify” being a scientist? Even in 2025, surgeons who dedicate time to research still face resistance. Instead of being recognized for pushing medicine forward, they’re questioned for not being in the OR enough. But the reality is simple: progress doesn’t happen without people willing to challenge the system. Go to the Life of Flow podcast channel and watch the full episode #60!

When you’re in the moment, there’s no time for hesitation. A patient presents with severe ischemia, and the obvious problem isn’t always the real problem. You fix one issue—only to realize there’s another. The difference between success and failure? Knowing how to adapt on the spot. In this conversation, we take a deep dive into the decision-making process behind a case that went from a high-risk AAA repair to a game of millimeter precision to restore flow to the foot. With the right tools, a strategic approach, and a deep understanding of what’s happening beyond the obvious, some of the most complex challenges can be solved in minutes. Go to the Life of Flow podcast channel and watch the full episode #59!

When we started, there was no roadmap for crossing a CTO or performing carotid stenting. We watched, we adapted, and we figured it out. Nowadays, everything is structured. New physicians expect a precise framework from day one, but does that come at the cost of problem-solving under pressure? That "good fear" — the instinct that forces you to think fast, stay sharp, and push through uncertainty — is fading. And in a specialty where confidence can’t replace skill, that shift raises big questions about how we’re preparing the next generation. Go to the Life of Flow podcast channel and watch the full episode #59!

The way we trained 20 years ago isn’t the way we train today. Back then, long hours, unstructured learning, and relentless dedication were the norm. Now? The balance has shifted—new physicians expect structured guidance, work-life balance, and a clear return on their time investment. But has this shift created a gap between effort and expectation? Go to the Life of Flow podcast channel and watch the full episode #59 and hear Dr. Maria Antonella Ruffino break down how the expectations of the next generation of physicians are reshaping the way we teach and learn.

There’s a reason why the most exciting advances in vascular medicine don’t come from following a blueprint. Every case is different, every challenge is unpredictable, and the best operators don’t just work with the tools they have—they figure out what’s missing. In this week's episode, Dr. Ruffino shares why creativity, curiosity, and adaptability are the real skills that set great physicians apart. If you’re in this field to figure things out, push boundaries, and rethink what’s possible, you’re exactly where you need to be. Go to the Life of Flow podcast channel and watch the full episode #59!

Pelvic congestion disease. Ever heard of it? Probably not — and that’s exactly the problem. Too many women live with chronic pelvic pain and are told "it’s normal" or "just stress." It’s not. We sat down with Univision to highlight a condition that affects countless women but is rarely discussed. Raising awareness is the first step toward better care. 🎧 Drop a comment if you want us to cover more on this topic in the podcast!