Life of Flow Lucas Ferrer and Miguel Montero-Baker

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.



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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.



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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. 




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



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In this episode of the Life of Flow podcast, hosts Lucas and Miguel are joined by special guest and CEO of Vasorum Jim Coleman to explore the transformative potential of CELT vascular closure devices in the medical field. Jim shares insights into the financial and efficiency benefits of CELT devices, highlighting how they outshine traditional methods by minimizing procedural time and enhancing patient outcomes. The conversation delves into the technical intricacies of CELT, including its biocompatible material composition and its ability to mitigate inflammatory reactions, offering a deeper understanding of why CELT devices stand out in vascular closure procedures.



As the discussion progresses, Jim unveils exciting plans for future CELT developments, including larger sizes and potential applications in robotic surgery. The hosts and guest envision a future where CELT devices revolutionize intraoperative procedures, streamlining complex interventions and improving surgical outcomes. Throughout the episode, listeners gain valuable insights into the cutting-edge advancements in vascular closure technology, inspiring a deeper appreciation for the potential impact of CELT devices on the future of medical interventions.



Learn more about Vasorum here

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Join hosts Dr. Lucas Ferrer and Dr. Miguel Montero Baker, along with special guests Dr. Jan Skowronski and Dr. Robert Beasley, for an illuminating episode of Life of Flow as they navigate the complex landscape of healthcare. The conversation begins with a candid discussion on the challenges faced by medical professionals, sparked by a reflection on a New York Times article scrutinizing a physician's care approach. They share firsthand experiences, highlighting the realities of managing critical conditions in an imperfect system, while emphasizing the importance of informed discourse in healthcare media portrayal.



The episode advocates for collaboration and education in improving patient outcomes. They invite listeners to join them at the upcoming Pegasus Endovascular conference, where healthcare professionals will convene to exchange knowledge and explore cutting-edge treatments. Through engaging discussions and shared insights, this episode offers a deeper understanding of the intricacies of healthcare and the dedication of those working to navigate its challenges. 



Learn more about Pegasus Endovascular Conference here



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