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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 providing comprehensive 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 https://x.com/JillSommerset Follow Dr. Brian Lepow on Twitter https://x.com/thetoedoctor Follow Life of Flow on Twitter https://x.com/vascularpodcast Follow Miguel Montero-Baker on Twitter https://x.com/monteromiguel

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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 and observations, 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.

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.

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.

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 https://x.com/bretwiechmann?s=21&t=70JrYh5kQB3llpbV-qJhlQ Follow Dr. Fadi Saab on Twitter https://x.com/fadisaab17?s=21&t=70JrYh5kQB3llpbV-qJhlQ Follow Life of Flow on Twitter https://x.com/vascularpodcast?s=21&t=70JrYh5kQB3llpbV-qJhlQ Follow Miguel Montero-Baker on Twitter https://x.com/monteromiguel?s=21&t=70JrYh5kQB3llpbV-qJhlQ

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.

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 Sommerset 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 Sommerset 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 Sommerset underscore the critical importance of comprehensive perioperative imaging in guiding surgical planning and enhancing patient care in the realm of contemporary vascular care.