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. 💡 If you're a healthcare professional or simply curious about the intricacies of modern vascular surgery, this episode is a must-listen! Gain valuable insights into the evolving field of wound management and arterialization techniques. Connect with Life of Flow 📲 Instagram: @LifeofFlow 👍 Facebook: Life of Flow Podcast 💼 LinkedIn: Life of Flow Podcast 🐦 X: @VascularPodcast 🔔 Don't forget to subscribe and leave a review to support our mission of sharing groundbreaking medical insights with the world!

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 the CMO of Limflow , Michael Siah,Director of Limb Salvage at UT Southwestern Medical Center, and Lucas, as 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. 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.” – Miguel

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.

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.

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.

In this engaging episode of the Life of Flow Podcast, hosts Dr. Lucas 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.