In this milestone episode of Life of Flow, vascular surgeons Miguel and Lucas sit down with Dr. David Hindin — surgeon, innovator, and assistant director of Stanford’s Biodesign program. With over 58,000 YouTube subscribers, Dr. Hindin is at the forefront of bridging creativity and medicine. He reveals the secret framework that’s transforming healthcare innovation.

If you’ve ever had a breakthrough idea but felt stuck navigating the red tape of the healthcare system, this episode is your guide to taking action. From identifying the right problems to scaling life-changing solutions, Dr. Hindin walks us through the proven steps to turn your creative sparks into real-world impact.

00:00 – Introduction: Why innovation in healthcare often stalls.

02:15 – Meet Dr. David Hindin: Surgeon, innovator, and creative thought leader.

05:42 – The Stanford Biodesign method: From unmet needs to scalable solutions.

13:25 – Breaking down barriers: How doctors can overcome system inertia.

18:47 – The power of clinical immersion: Solving real problems where they happen.

22:10 – Case study: How observation turned into a groundbreaking hearing device.

27:36 – Key steps to successful innovation: Execution over ideas.

34:12 – Overcoming fear: Reclaiming your creative side as a physician.

💡 Whether you're a seasoned physician or a healthcare enthusiast, this episode is packed with actionable insights that could spark your next big breakthrough.

About Dr. David Hindin

Dr. Hindin is a Stanford-trained surgeon and the assistant director of Stanford’s prestigious Biodesign program. He’s dedicated to empowering physicians to tap into their creative potential and transform the future of medicine. Dr. Hindin’s innovative approaches have made him a sought-after speaker, mentor, and content creator in the medical field.

Connect with Dr. Hindin

📲 Instagram: @thesurgeonlife

🎥 YouTube: David Hindin

💼 LinkedIn: David Hindin

🐦 X: @DavidHindin

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👍 Facebook: Life of Flow Podcast

💼 LinkedIn: Life of Flow Podcast

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In this week’s episode of Life of Flow, vascular surgeons Miguel and Lucas are joined by Jennice Fuentes, a seasoned advocate and strategist with over 25 years of experience in public policy and government relations. As the founder of Fuentes Strategies, a boutique government relations firm, and Puerto Rico Activated, a platform empowering Puerto Rican communities, Jennice shares her expertise on turning passion into actionable advocacy.

This powerful conversation uncovers the steps healthcare professionals and individuals can take to engage with policymakers, elevate critical issues, and create meaningful change. From her time as Chief of Staff in Congress to founding impactful initiatives, Jennice’s insights are both inspiring and practical for anyone looking to amplify their voice.

00:00 – Introduction: Why advocacy matters in healthcare and beyond.

03:15 – Meet Jennice Fuentes: From Congress to grassroots advocacy.

07:42 – Breaking barriers: The power of persistence and personal stories.

19:53 – Lessons from protests: Using consistent engagement to influence change.

21:05 – Preparation is key: How to effectively engage with elected officials.

29:32 – Starting small: Advocacy without a formal structure.

31:51 – Amplifying your impact: Building a community to create change.

💡 Whether you're a healthcare professional, an advocate, or someone passionate about change, this episode offers actionable insights to help you get started.

About Jennice Fuentes

Jennice Fuentes is a powerhouse advocate with extensive experience in public policy, government relations, and community empowerment. She founded Fuentes Strategies, a boutique government relations firm, and Puerto Rico Activated, a dual-platform organization advocating for Puerto Rican communities. Her career includes serving as Chief of Staff in Congress, where she championed Puerto Rican interests and led significant legislative initiatives. Jennice’s work is rooted in the belief that every voice matters and that civic engagement is the cornerstone of systemic change.

Connect with Jennice

Instagram: @jennicefuentes

Email: jennicefuentes@gmail.com

Connect with Life of Flow

📲 Instagram: @LifeofFlow

👍 Facebook: Life of Flow Podcast

💼 LinkedIn: Life of Flow Podcast

🐦 X: @LifeofFlowPod

🔔 Don't forget to subscribe and leave a review to support our mission of sharing groundbreaking medical insights with the world!

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.

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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, CMO of Limflow, Michael Siah, Director of Limb Salvage at UT Southwestern Medical Center, and Lucas. Together, 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.Key Topics Covered:

1. Understanding the Inari-Limflow Synergy (00:01 - 09:52):

• Why the acquisition makes sense for unmet patient needs.
• Strategic alignment with Inari’s ethos of purpose-built solutions.
• Overlaps in vascular innovations and CLTI management.

1. Clinical and Economic Implications of CLTI Therapies (09:53 - 24:04):

• The importance of vertical integration in hospitals for CLTI programs.
• Addressing misconceptions about the costs and outcomes of amputations.
• New reimbursement codes and economic incentives for hospitals.

1. Evolution of DBA Techniques (24:05 - 38:43):

• The journey of deep vein arterialization from experimental to commercial viability.
• Insights into procedural advancements, including new access points and technologies.
• The collaborative WhatsApp group fostering a global exchange of ideas.

1. The Path Forward: Research, Collaboration, and Education (38:44 - 48:24):

• The role of continued peer-to-peer training and global education in scaling CLTI solutions.
• Investigator-Initiated Research Programs to address pressing clinical questions.
• Future product developments and their potential to expand patient reach.

1. What Lies Ahead for CLTI Therapies (48:25 - End):

• Predicting the evolution of the field over the next 5-10 years.
• Controversial yet thought-provoking ideas about preemptive applications of DBA.
• Reflections on patient outcomes and the transformative impact of new 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

Connect with Us:

• Miguel – https://www.linkedin.com/in/miguel-montero-baker-a44354214/
• Lucas – https://www.linkedin.com/in/lucasferrermd

Guests:

• Shon Chakrabarti – https://www.linkedin.com/in/shon-chakrabarti-md-mph-018a7394/
• Michael Siah – https://www.linkedin.com/in/michael-siah-965585b1/

Stay tuned for future episodes diving deeper into groundbreaking innovations in cardiovascular and endovascular medicine. Don’t forget to subscribe, leave a review, and share this episode with colleagues passionate about transforming patient care!

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:

1. Food as More Than Nutrition: Jillian explains how food often represents comfort, safety, or dissociation for people with unresolved emotional experiences.

2. Physical vs. Emotional Hunger: Insightful distinctions between physiological needs and emotional cravings for food.

3. Ketamine Therapy for Healing: How psychedelics are used in Jillian’s practice to help clients confront emotional blocks and rebuild healthier relationships with food.

4. Challenges in Nutrition Education: The societal and systemic barriers to promoting better dietary habits, particularly in underserved communities.

5. The Role of Compassion: How deep empathy can transform patient care and why understanding the “why” behind behaviors is key to sustainable change.

6. 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.

What You'll Learn in This Episode:

• How Dr. Lutske and his partner started a vascular program from the ground up.

• The pros and cons of private practice versus hospital-based employment.

• Why clear partnership paths in private practice contracts are critical for surgeons.

• Insights into hospital revenue models and surgeon compensation structures.

• The challenges and rewards of entrepreneurship in the medical field.

• Dr. Lutske’s personal take on evolving medical culture and teamwork in the OR.

• How Instagram has become a creative outlet and connection tool for surgeons.

Notable Quotes:

• “You can build something incredibly successful by focusing on what you love and letting the system handle the rest.”

• “If you're not tickled by entrepreneurship, don't go down that path—it’s taxing and requires constant attention to detail.”

• “Social media has been a surprising outlet for connection and creativity in what can otherwise be a very lonely profession.”

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.