Life of Flow

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 t...

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...

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...

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 financi...

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...

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...

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...

Un caso que parecía simple terminó revelando algo completamente inesperado. En este episodio, recorremos paso a paso una intervención en una lesión corta de la arteria femoral superficial en un paciente que había sufrido una isquemia aguda relacionada con COVID-19 años antes. Lo que empieza como una conversación técnica sobre reducción de masa, IVUS y estrategia endovascular, termina convirtiéndos...

What can surgery learn from aviation, team dynamics, and building systems that actually function under pressure? In this episode, Dr. Kristofer M. Charlton-Ouw, MD, talks about building a vascular program inside a smaller hospital system, creating specialized OR teams, and why consistency, culture, and workflow matter so much in complex surgical care. The conversation also explores the realities o...

En este episodio de Life of Flow, conversamos con Sean Morris sobre el recorrido que lo llevó desde las ventas y el desarrollo comercial hasta la creación y el liderazgo de empresas de tecnología médica enfocadas en problemas vasculares complejos. La conversación se centra especialmente en Amplifi Vascular y en una nueva tecnología diseñada para acelerar la maduración venosa en pacientes que neces...

In this week’s episode of the Life of Flow podcast, a conversation about vascular surgery and entrepreneurship quickly turns into something far heavier: combat trauma, operating on wounded Marines in Iraq, life-or-death decisions made in minutes, and the emotional weight that follows surgeons long after the operating room goes quiet. Dr. Erin M. Moore, MD, shares the defining moments that shaped h...

En este episodio de Life of Flow, conversamos con el Dr. Mario Alejandro Fabiani sobre un problema que impacta directamente la toma de decisiones en la práctica clínica: qué significa realmente un paciente “sin opción”. A partir de esa pregunta, lidera un consenso internacional que busca ordenar una definición que hoy varía según el médico, la experiencia y el contexto. La conversación también exp...

In this week's solo episode, we step away from interviews to talk candidly about what’s happening behind the scenes in our own careers. Lucas shares how his plan to move to Puerto Rico fell through, how he handled leaving his job without a clear next step, and why he chose to pivot into locums while also starting a company through an accelerator. Miguel walks through how he’s structured his pr...

Most founders build on assumptions they haven’t tested. From turning a master’s project into a product now used by fire departments to navigating a decade-long founder journey across Sweden, San Francisco, and Austin, Omer Haciomeroglu joins us to walk us through what it takes to bring something from concept to reality. This conversation focuses on how early product decisions shape everything that...

Desde una formación clásica en negocios hasta la meditación y la escritura creativa, en este episodio de Life of Flow Amy Sandler explora cómo habilidades aparentemente “blandas” terminan siendo críticas para liderar, comunicar y trabajar mejor en equipo. En esta conversación, el foco se desplaza hacia un tema incómodo pero inevitable: cómo dar y recibir feedback sin romper relaciones. A través de...

In this episode of Life of Flow, we sit down with Dr. Mario Alejandro Fabiani to explore a question that directly impacts clinical decision-making: what does a “no option” patient mean? From that starting point, Dr. Fabiani leads an international consensus aimed at bringing structure to a definition that currently varies depending on the physician, their experience, and their clinical context. The...

En este episodio de Life of Flow, la Dra. Karen Barnard, MBBCh, MPH, habla desde la experiencia de haber dejado la práctica clínica para dedicarse a acompañar a otros médicos en ese mismo proceso. La conversación se centra en algo muy concreto: cuándo empieza realmente esa inquietud por cambiar de rumbo, cómo se ve ese proceso en la práctica y qué señales suelen aparecer mucho antes de que alguien...

A conversation that starts with one set of “normal” labs and quickly turns into a deeper question: what does “healthy” mean? In this week’s episode, Lauren Colletti walks through how she evaluates patients beyond standard ranges, why so few people are truly metabolically healthy, and how tools like peptides, continuous glucose monitoring, and advanced labs are being used in practice today. The epi...

En este episodio de Life of Flow, conversamos con Ryan Blasko, vicepresidente en The Mullings Group, en donde explica cómo se construyen carreras y equipos dentro del ecosistema MedTech, y qué ocurre realmente detrás de las oportunidades que muchos médicos ni siquiera saben que existen. La conversación se centra en cómo se conecta el talento clínico con startups y empresas en crecimiento, qué busc...

This week’s episode features Dr. Anahita Dua, MD, MBA, Associate Professor of Surgery at Massachusetts General Hospital and Harvard Medical School, and Director of the Peripheral Artery Disease Center at MGH. She joins us for a detailed conversation on below-the-knee disease, why recoil after POBA remains a real limitation, and how a retrievable stent platform like Reflow Medical's Spur System...

En este episodio de Life of Flow revisamos un caso clínico que nos pareció particularmente interesante: una arterialización venosa realizada para tratar una herida grave en el talón. Partimos de la evolución del paciente y analizamos qué ocurre cuando una arterialización que inicialmente funciona termina ocluyéndose a los pocos meses. A lo largo del episodio compartimos cómo evaluamos el caso, qué...

In this week's episode, we sit down with Timotej Vitez, who leads business development and the US market at MESI Medical, to explore what it looks like to simplify care at the point of practice. The conversation moves from the origin of a one-minute automated ABI device to a broader vision of integrating multiple diagnostics into a single workflow, reducing the time clinicians spend on adminis...

En este episodio de Life of Flow conversamos con Stuart Baugher, abogado del sector salud que trabaja en estrategia, compensación y diseño organizacional dentro de uno de los sistemas de salud sin fines de lucro más grandes de Estados Unidos. La conversación gira en torno a un momento crítico en la carrera de muchos médicos: el momento de firmar su primer contrato laboral. Stuart explica por qué l...

In this episode of Life of Flow, we sit down with transformational coach, founder, and musician Jenna Phillips Ballard for a conversation that moves far beyond the usual medical discussions. Jenna shares how her path from celebrity fitness coach in Los Angeles to emotional intelligence training and leadership development reshaped the way she sees purpose, identity, and personal responsibility. The...

En este episodio de Life of Flow, conversamos con Jill Sommerset, RVT, FSVU, tecnóloga vascular con 25 años de experiencia en ultrasonido vascular avanzado y creadora del Pedal Acceleration Time (PAT), y con el Dr. Brian D. Lepow, D.P.M., podólogo a cargo de las operaciones clínicas en HOPE Vascular & Podiatry en Houston. Este es el cuarto desahogo del podcast sobre arterialización venosa prof...