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Life of Flow

Life of Flow

Lucas Ferrer and Miguel Montero-Baker 166 Episodes Aug 12, 2026

Life of Flow is a podcast hosted by two vascular surgeons, Miguel-Montero Baker and Lucas Ferrer Cardona. They share their thoughts, insights, and expertise each week, discussing topics related to vascular surgery and beyond. The hosts also share personal anecdotes and stories, providing a unique perspective on the challenges and lessons of their profession.

Episodes

The Dialysis Unit Black Hole | LOF #131
The Dialysis Unit Black Hole | LOF #131 Aug 12, 2026 00:59:03 Surgeons measure fistulas with precision—then send them into a dialysis-unit “black hole” where the same injury cycle starts again.Dr. Erin Moore is a Jacksonville vascular surgeon and former Navy physician who left roughly 15 years of military medicine for private-practice independence. There he owned high-volume dialysis access—about two to three hundred fistulas and grafts a year—and later beca
Stop using RVUs | LOF # 130
Stop using RVUs | LOF # 130 Aug 5, 2026 00:54:35 WARNING: RVUs may measure a physician's activity, but they can keep doctors from seeing the real money their work creates. Hospitals know the value of every procedure. Most physicians never see the numbers.Dr. Eric Smuclovisky is an interventional radiologist, former academic physician and independent physician-entrepreneur. After opening an OBL/ASC, he watched reimbursement cuts and negative
The Limb They Gave Up On
The Limb They Gave Up On Jul 29, 2026 00:55:25 A 72-year-old man was sent for a major amputation. One angiogram exposed the anatomy everyone else had missed—and a path to save his limb.Dr. Mariano Palena is an interventional radiologist and vascular specialist focused on complex endovascular limb salvage and chronic limb-threatening ischemia. In this Case Cast, he joins Dr. Lucas Ferrer and Dr. Miguel Montero-Baker to reconstruct a rescue that
The Microhospital Playbook with Dr. Adriano Goffi | LOF #128
The Microhospital Playbook with Dr. Adriano Goffi | LOF #128 Jul 22, 2026 01:04:16 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 t
Magnetic Robot Overlord
Magnetic Robot Overlord Jul 15, 2026 00:55:35 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
126. What Happens When Physicians Take Back Control Of Their Careers
126. What Happens When Physicians Take Back Control Of Their Careers Jul 8, 2026 00:54:53 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 th
125. How Physicians Can Stay Independent In Modern Healthcare
125. How Physicians Can Stay Independent In Modern Healthcare Jul 1, 2026 01:06:48 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 agreem
124. How AI Could Prevent Millions Of Medical Complications
124. How AI Could Prevent Millions Of Medical Complications Jun 24, 2026 00:55:00 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
123. The Financial Mistakes Destroying Medical Practices
123. The Financial Mistakes Destroying Medical Practices Jun 17, 2026 01:02:43 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 financia
122. How Physicians Are Building Their Own AI Systems Without Coding
122. How Physicians Are Building Their Own AI Systems Without Coding Jun 10, 2026 00:52:54 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 operatio
La Técnica Regenerativa Que Está Cambiando El Salvamento De Extremidades | LOF En Español
La Técnica Regenerativa Que Está Cambiando El Salvamento De Extremidades | LOF En Español Jun 5, 2026 00:41:08 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 revasculariza
121. Why Independent Medicine Is Growing Among Burned Out Surgeons
121. Why Independent Medicine Is Growing Among Burned Out Surgeons Jun 3, 2026 00:53:42 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 changin

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