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What happens when the marketing generates leads—but the patients you want still aren’t finding you?Miguel brings the experience of building a vascular practice. Matthew Ray Scott challenges the assumption that another ad campaign is the answer. The conversation moves from paid attention to a harder question: can a patient explain why they should choose you?Matthew, a physician reputation strategist at FEED, joins Lucas Ferrer, Miguel Montero-Baker, and Courtney Johnson to explore how trust travels beyond the consultation room. He connects his background in military psychological operations and medical technology with the way he now thinks about physician positioning, communication, and reputation.This is not a blanket argument against advertising. Matthew explains where paid campaigns can fit—and why a practice first needs a clear answer to whom it serves and which problem it solves. Miguel pushes back with the practical realities of referral relationships and vascular care. Courtney adds the marketing perspective: a patient journey is rarely as simple as “see, click, book.”In this episode:• Why being good at your work does not automatically make your difference clear to a patient.• How physicians can mistake communicating with colleagues for communicating with patients.• What a flood of leads can conceal about patient fit and referral quality.• Why a personal story can connect with the patients a practice hopes to serve.• How the patient becomes the hero and the physician becomes a trusted guide.• What perspective, problem, patient, process, and place reveal about a practice’s positioning.• Why a simple explanation of the care journey can matter more than a clever slogan.Matthew’s examples are experiences and perspectives discussed in the conversation, not promises of practice growth or guaranteed outcomes. The episode keeps the disagreement, the qualifications, and the practical questions together.CHAPTERS00:00 The cost of buying attention00:56 Life of Flow01:11 Meet Matthew Ray Scott and Courtney Johnson01:46 From military psychology to physician reputation06:23 Persuasion, truth, and decision-making08:09 Reputation is not self-promotion11:01 Practical steps beyond the mirror-marketing test12:35 Finding a difference patients understand15:26 Who owns your professional narrative?19:34 Physician Brand RX and thought leadership21:57 When paid advertising has a place25:01 How do patients choose a specialist?30:30 More leads, but are they the right patients?33:50 Can referral relationships scale?37:13 Why see, click, book is not enough38:23 Bought followers and empty numbers39:56 Ideal patients and the MMA physician example43:43 Why a personal connection can matter45:13 The patient is the hero; the physician is the guide47:40 Translate the promise into everyday language50:38 Perspective, problem, patient, process, and place54:50 Making the practice easier to recognize56:19 Can patients explain their own care journey?58:11 Physician Brand RX and closing thoughtsGUEST & RESOURCESMatthew Ray Scott / FEED: https://feedtheagency.com/Physician Brand RX: https://feedtheagency.com/brand-rx/Matthew on LinkedIn: https://www.linkedin.com/in/matthewrayscott/The recording discusses the book Physician Brand RX; release timing mentioned in the conversation reflects when it was recorded.JOIN LIFE OF FLOWYouTube: https://www.youtube.com/@LifeofFlowPodcastInstagram: https://www.instagram.com/lifeofflowpodcast/X: https://x.com/vascularpodcastLinkedIn: https://www.linkedin.com/company/65882426/If this conversation changes how you explain your practice, share it with a colleague. Subscribe to Life of Flow for candid conversations about independent practice, clinical judgment, and the work of building a life in medicine.One practical test from the discussion: describe the patient, the problem, and your next step in words someone outside medicine can say. What would you change in your message?

A wall of calcium. A threatened foot. Is this a “no-option” limb—or have we made that decision before seeing the whole picture? Dr. Mariano Palena joins Dr. Lucas Ferrer and Dr. Miguel Montero-Baker for Case Cast 2: a detailed discussion of a 77-year-old patient's chronic limb-threatening ischemia and heavily calcified femoropopliteal disease. The value is in the decisions behind the images. How do you choose a crossing strategy? When does retrograde access help, and what could it put at risk? How much vessel preparation is enough? And when should an operator stop? This is candid physician-to-physician discussion, including disagreement, complications and the limits of individual expertise. Severe calcium does not automatically settle the question of treatment options. Neither does an attractive final angiogram settle the question of wound perfusion. In this episode: • Why an early crossing plan can change procedural efficiency. • How access, support and through-and-through techniques shape the next move. • Why the only remaining runoff vessel deserves particular care. • How preparation influences stent expansion and deployment. • What a hemostasis complication taught Miguel about wire position. • Why Lucas challenges the missing AP view and the wound's blood supply. • How clinical progress and hemodynamic assessment inform follow-up. The ending is the lesson: Lucas asks whether the images answer the wound-specific question; Miguel cautions against chasing angiographic perfection; Mariano explains what the patient's subsequent course adds. Keep the uncertainty in view. The discussion also asks a question that matters beyond this case: what can you safely rescue if the next step goes wrong? Mariano is direct about his limits and the need for help when a surgical bailout is required. That candor belongs beside the technical tips, not outside them. For physicians building an independent practice, the useful takeaway is not a specific device recipe. It is the habit of matching ambition to anatomy, assessing the consequences of each access choice, and making the next decision with a realistic backup plan. CHAPTERS 00:00 When calcium looks like no options 00:58 Life of Flow 01:13 Case Cast 2: the decisions behind the images 06:58 The patient and the limb at risk 14:42 Plan the crossing strategy early 16:13 The reasoning behind a subintimal approach 21:32 Connecting both access sites 23:19 Support, preparation and device choices 29:07 Retrograde access: when is a sheath needed? 33:12 The risk of accessing the only runoff vessel 37:08 Know your limits and your bailout options 37:57 Practical retrograde access tips 42:02 Why Supera—and why preparation matters 51:00 Managing the retrograde access site 54:40 A complication and the wire-position check 58:36 Does the final image answer the wound question? 59:43 Angiographic beauty versus hemodynamic improvement 1:01:40 Clinical follow-up and pedal acceleration times 1:04:22 A multidisciplinary decision about the toe RESOURCE SUPERSUB II (2024), a prospective multicenter observational study: https://pubmed.ncbi.nlm.nih.gov/38566517/ CONNECT Life of Flow: https://lifeofflowpodcast.com Lucas Ferrer: https://www.linkedin.com/in/lucasferrermd/ Miguel Montero-Baker: https://www.linkedin.com/in/miguel-montero-baker-a44354214/ Instagram: @lifeofflowpodcast | X: @vascularpodcast Partnerships: [email protected] MUSIC “Funkorama” by Kevin MacLeod (incompetech.com), licensed under Creative Commons Attribution 4.0: https://creativecommons.org/licenses/by/4.0/ Cold-open excerpt edited, faded and mixed under dialogue. This educational case discussion includes off-label techniques and procedural risks. The speakers describe their experience; decisions depend on the patient, anatomy, expertise and resources. It is not individualized medical advice. Subscribe to Life of Flow for candid conversations about clinical judgment, independent practice and the decisions that shape patient care.

What makes a medical meeting worth leaving your practice for? Another flight. Another familiar slide deck. Your staff and overhead keep running while you are away. If information is already in your pocket, what should a conference offer that you cannot get from your phone? Rich Dubin, founder and publisher of Lower Extremity Review and the organizer behind lerEXPO, joins Dr. Lucas Ferrer and Dr. Miguel Montero-Baker to examine that question. This conversation moves from the economics of the exhibit hall to the kind of learning that changes a physician's thinking. The details behind a difficult case. A question you would not ask from the back of an auditorium. A colleague who has done the work but never gets the microphone. And the relationships that a screen cannot entirely replace. Together, they explore: • Why access to information does not settle the question of a meeting's value.• What time away really costs a physician whose practice still has to run.• How faculty access can turn a presentation into a useful conversation.• Why Miguel would rather learn in a circle than speak from a stage.• How online education could lead into focused, hands-on learning.• What an independent-practice mastermind might offer beyond clinical lectures.• Why an audience-voted case tournament inspires the name “Vascular Hunger Games.” Rich is not arguing that relationships have become obsolete. He values the handshake, the hug, and the unexpected introduction. The challenge is to give each format a purpose: online access, real discussion, and practical sessions for people who want to go deeper. For independent physicians, the discussion becomes especially practical. Lucas imagines learning from people who have built successful practices. Miguel names the problems that deserve attention: cash flow, revenue-cycle management, a failing phone tree, and the business systems behind patient care. Their proposed gatherings remain ideas discussed in the episode, not announced courses or events. TIMESTAMPS00:00 The cold open00:58 Life of Flow intro01:13 Welcome, Rich Dubin02:16 From publishing to medical education06:56 What being in the room still offers11:27 What physicians and sponsors each need16:52 What makes a conference worth attending?21:23 Access to faculty and the cost of hierarchy23:06 Why Miguel stepped back from conference travel29:39 Practical judgment that does not fit on a slide33:03 Case tournaments and hands-on learning34:51 What it takes to build an event40:34 A meeting designed around limb preservation43:33 Cases, mentorship, and independent practice48:14 Imagining a vascular case tournament49:12 Closing reflections MEET THE GUESTRich Dubin and the lerEXPO team: About RichMedical education and current events: lerEXPOThe discussion references Lower Extremity Review and lerEXPO. Attendance, budget and business examples are the speakers' reported experiences, not independently audited benchmarks. Check event details with the organizer. LIFE OF FLOWTwo vascular surgeons. Medicine, entrepreneurship, and the choices that shape a physician's life.Hosts: Dr. Lucas Ferrer and Dr. Miguel Montero-Baker.Episodes and listening options: Life of Flow episodesInstagram: @lifeofflowpodcast | X: @vascularpodcast Educational conversation and personal perspectives; discussion of a learning format does not establish better clinical outcomes. Music: “Funkorama” — Kevin MacLeod (incompetech.com). CC BY 4.0: License . Excerpted and carefully mixed under dialogue. What was the last meeting that changed how you work—and what made it useful?

Before you buy into an ASC, ask what you actually own—and who controls the decisions. Dan Lieberman, MD joins Dr. Lucas Ferrer and Dr. Miguel Montero-Baker to unpack ambulatory surgery center ownership, the partners you choose and the agreements that shape your independence. Dan trained in neurosurgery at UCSF, spent nearly two decades in solo practice and chaired the governing board of a physician-owned hospital. After essential tremor ended his operating career, his experience building ASCs became a new way to help physicians shape where and how they work. Miguel brings the question many independent physicians hesitate to ask: after building a practice you control, why put your future in other people's hands? Dan's answer moves from the cost of taking a vacation to the financial model, exit arrangements and decisions physicians need to understand before signing. In this conversation, Dan reveals: ⬛ Why owning a hospital made him rethink the environment in which he wanted to practice ⬛ How OBLs, ASCs and hospitals can serve different needs—and why patient selection comes first ⬛ Why owning your practice does not necessarily mean owning your time ⬛ What to ask about leaving a partnership before you agree to enter it ⬛ How to challenge a pro forma instead of treating its assumptions as promises ⬛ Why your ownership percentage does not tell the whole story about control ⬛ How the wrong partner can undermine an otherwise attractive business The conversation ends with a practical checklist: understand the entity you would own, question the model, assess management, read the operating agreement and know your partners. Which question would you insist on answering before buying into an ASC? Tell us in the comments. TIMESTAMPS 00:00 Ownership, partners and control 00:57 Life of Flow intro 01:12 Welcome Dan Lieberman 02:10 From neurosurgery to ASC development 05:59 The microhospital question 21:00 OBLs, ASCs and choosing the setting 24:49 Medical necessity comes first 33:58 The trust question 37:02 Independence and the cost of time away 40:53 Ask how the partnership ends 45:56 Challenging the financial model 52:20 Governance and physician control 53:38 Pitfalls and choosing partners 55:58 Choosing an operator: the next conversation 1:00:16 Closing thoughts and farewell FOLLOW DAN LIEBERMAN LinkedIn: https://www.linkedin.com/in/dan-lieberman-md/ BestPracticeHealth / Phoenix Spine & Joint: https://bestpracticehealth.tv/about-us/ RESOURCES DISCUSSED • Ambulatory surgery centers (ASCs), office-based labs (OBLs) and physician-owned hospitals • Medicare reimbursement, ASC safe-harbor considerations and physician participation • Project financial models, operating agreements, exit provisions and supermajority voting • Essential tremor and the transition away from an operating career LIFE OF FLOW Hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker. Website: https://lifeofflowpodcast.com YouTube: https://www.youtube.com/@LifeofFlowPodcast Spotify: https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U Apple: https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604 Partner with the show: [email protected] Connect with the hosts: Lucas: https://www.linkedin.com/in/lucasferrermd/ Miguel: https://www.linkedin.com/in/miguel-montero-baker-a44354214/ Follow the show: Instagram: https://www.instagram.com/lifeofflowpodcast/ X: https://x.com/vascularpodcast LinkedIn: https://www.linkedin.com/company/lifeofflow Cold-open music: “Funkorama” by Kevin MacLeod (incompetech.com), licensed under CC BY 4.0: https://creativecommons.org/licenses/by/4.0/ Source: https://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100474 Excerpt edited, faded and mixed beneath dialogue. Educational discussion, not individualized medical, legal or financial advice. The speakers describe their experiences and views; consult appropriate professionals about your own circumstances.

A child should not need another open operation because an implanted blood vessel cannot grow—and a vascular graft should not become a surface where clot and infection win.Dr. Arush Kalra is a physician, biomedical engineer, co-founder and chief scientific officer of PECA Labs. He left pediatric-urology training after an attending told him, “Don’t play the game; make the game.” At Carnegie Mellon, he turned toward biomedical engineering and a strict rule: better technology should preserve a surgeon’s familiar craft instead of forcing the surgeon to relearn it.The origin was personal. Kalra’s mother has Marfan syndrome and a bicuspid aortic valve. Her progressive aortic disease pushed him toward cardiovascular materials. PECA began with expandable ePTFE conduits intended to accommodate growth in children, then asked an adult-vascular question: can a familiar graft be redesigned to resist thrombosis, reduce hyperplasia, retain antibiotics and still feel intuitive?Kalra describes the graft as a sandwich: the surfaces govern how the body responds, while the center supplies strength, flexibility and compliance. His team changes the microstructure of a material surgeons already know and inspects every graft with scanning electron microscopy. He discusses encouraging preclinical comparisons, but these remain investigational results—not clinical promises.In this conversation, Dr. Arush Kalra reveals:⬛ Why he walked away from the identity his family and training had built for him⬛ How his mother’s cardiovascular disease redirected his career toward devices that can grow⬛ Why the best invention may preserve a surgeon’s technique while changing the material underneath it⬛ How microstructure, elasticity and compliance influence thrombosis and anastomotic hyperplasia⬛ Why PECA is exploring antibiotic retention rather than a drug layer that disappears quickly⬛ Why patient safety demands imagining the worst outcome, not merely the most likely oneTimestamps:05:24 Growing up above a neonatal hospital06:46 His mother’s Marfan syndrome and aortic disease07:43 “Don’t play the game—make the game”11:54 Searching for a cardiovascular solution12:22 The design rule: do not make surgeons relearn their craft14:07 A graft designed to grow with a child16:28 The origin of PECA Labs17:28 The obsession with clot formation19:41 Engineering the layers of ePTFE23:21 Why Arush praises the FDA process28:19 Scanning every graft with electron microscopy45:22 Why mistakes are the fastest education46:58 Starting with peripheral vascular disease48:23 Patient safety before commercial focus52:37 Anti-thrombogenic and antibiotic development paths53:24 Designing for repeated large-needle puncture55:21 The antibiotic strategy discussed with regulators56:59 The inventor as artist, scientist and surgeonFollow Dr. Arush Kalra:LinkedIn: https://www.linkedin.com/in/arush-kalra-b4aa4750/PECA Labs: https://www.pecalabs.com/Resources mentioned in this episode:🏢 PECA Labs — expandable, radiopaque, anti-thrombogenic and valved polymer platforms🧪 ePTFE, scanning electron microscopy and microstructured vascular graft design🏛 FDA 510(k) and De Novo pathways as discussed in the recordingLife of Flow is hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker.🌐 Website: https://lifeofflowpodcast.com▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604📩 Partner with the show: [email protected] with the hosts:Dr. Lucas Ferrer — [Lucas LinkedIn]Dr. Miguel Montero-Baker — https://www.linkedin.com/in/miguel-montero-baker-a44354214/Follow the show: Instagram https://www.instagram.com/lifeofflowpodcast/ · X https://x.com/vascularpodcast · LinkedIn https://www.linkedin.com/company/lifeofflowEducational only; never medical advice. Confirm product and regulatory timelines with PECA Labs.

Your title, schedule and reputation disappear in the jungle. What remains may be the first honest version of you that you have met in years.David Villanueva is the founder of Sukia Travel, a wildlife guide, adventure specialist and wilderness operator in Costa Rica’s Osa Peninsula. Michel Reijnen is a Dutch vascular surgeon who entered the expedition looking for a deeper experience of the jungle and returned with a different relationship to attention, identity and time.The Crucible is not a luxury retreat. Participants fly into Drake Bay, surrender familiar status, turn off their phones and travel roughly 100 kilometers through humidity, mud, rivers and steep terrain. They carry equipment, sleep in hammocks, journal, meditate and learn from indigenous guides, survival specialists, silence and the forest itself. David calls the underlying structure the FORGE protocol: leave the familiar frontier, meet a real ordeal, reflect and reframe the experience, cross a symbolic gateway, then return with a personal code.In this conversation, David and Michel reveal:⬛ Why a doctor, lawyer and executive become equals once everyone is exhausted and covered in mud⬛ How an ordeal can become empty adventure tourism unless reflection turns discomfort into meaning⬛ Why constant planning and replaying the past can quietly remove you from the life happening now⬛ What Michel discovered when he gave up his phone, camera and every connection to his ordinary identity⬛ How a 30-kilometer jungle day, river crossings and the “Witch Hill” expose the stories people use to survive⬛ Why fear should be recognized and processed rather than denied or muscled through⬛ How shared leadership, community and kincentricity challenge the Western obsession with the individualDo high performers need a place they cannot control to see what controls them?Timestamps:00:00 Pre-recording setup03:45 Welcome to Life of Flow07:22 David’s path into wildlife and adventure guiding08:48 Why the jungle strips away status09:46 The FORGE protocol for transformation12:36 Reflection, symbolism and the gateway16:09 What transformation actually means18:50 Inside the 10-Day Jungle Crucible23:02 The 30-kilometer day and the Witch Hill24:42 Roughly 100 kilometers through the jungle26:10 Kincentricity and the technology of cooperation43:34 The happiest and most frightening moments45:47 Getting lost without clean water48:29 Purpose, fear and leadership under pressure52:16 Michel’s edge in the jungle56:08 Who may need an experience like this58:07 How to find the Jungle Crucible60:28 Why David limits the number of expeditions61:32 Closing thoughts...Follow the guests:David Villanueva and the Jungle Crucible: https://sukiatravel.com/the-jungle-crucible/Michel Reijnen: https://www.linkedin.com/in/michel-reijnen-060991aa/Resources mentioned in this episode:🏢 Sukia Travel: https://sukiatravel.com/🌿 Costa Rica’s Osa Peninsula and Corcovado National Park📚 Carl Jung’s work on archetypes and the collective unconscious🧭 The FORGE protocol, journaling, meditation and symbolic rites of passage🤝 Kincentricity, community, shared leadership and reintegrationLife of Flow is hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker.🌐 Website: https://lifeofflowpodcast.com▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604📩 Partner with the show: [email protected] with the hosts:Dr. Lucas Ferrer — [Lucas LinkedIn]Dr. Miguel Montero-Baker — https://www.linkedin.com/in/miguel-montero-baker-a44354214/Follow the show: Instagram https://www.instagram.com/lifeofflowpodcast/ · X https://x.com/vascularpodcast · LinkedIn https://www.linkedin.com/company/lifeofflowEducational discussion only. The Jungle Crucible is physically and psychologically demanding, uses screening, and is not medical care or therapy.

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 became VP of clinical affairs around chair-side access-mapping software he names Veristra.This is not a war-story sequel. It is the systems problem behind failing dialysis access: thin tech training, on-the-job habits, high turnover, missing longitudinal stick history, area puncture as default, and a field that overbuilt stents and balloons while underbuilding the moment the needle hits the arm. Moore softens the old “micrometer vs ax” joke—staff are not trying to wreck access; they often lack tools, time, and information. His fix is mundane on purpose: photo + QR scale, mark arterial and venous sticks, color-age recent marks, and heat-map hotspots so the chair regains memory.In this conversation, Dr. Aaron Moore reveals:⬛ Why the unit becomes an information black hole after a surgical create⬛ How same-site puncture wears access toward pseudoaneurysm and failure⬛ Why rope-ladder is known to work—and still fails to become habit⬛ What a photo, QR scale, color-aged marks, and a fistula heat map change at the chair⬛ How pilot staff who only recorded points said they were still flying blind⬛ Why treating ~50% annual fistula patency as “OK” is a systems indictment⬛ What a 1973 patient-engineer already plotted on graph paper that centers still lackEducational discussion of workflow and systems—not individualized treatment advice. Early pilot signals are not universal outcome proof.The Dialysis Unit Is a Black Hole: Why Fistulas Keep Failing | Aaron MooreTimestamps:00:00 The dialysis access black hole00:45 Life of Flow intro00:59 Welcome back: entrepreneurship, not war stories01:47 Navy medicine to Jacksonville independence05:02 Owning dialysis access in private practice05:34 Micrometer surgery, missing chair-side tools09:31 Same cannulation paradigm since 196509:55 Why the dialysis unit feels like a black hole10:31 Overbuilt rescue tech, underbuilt point of care12:29 Area puncture vs rope-ladder reality13:44 Photograph, QR scale, mark every stick15:25 Heat maps that show where you’ve been18:26 From curious investor to operator25:24 Pilot lesson: recording without history is still blind32:33 Stop predicting pseudoaneurysms—prevent the pattern34:22 A 50% annual fistula patency bar37:28 The 1973 engineer who mapped every poke50:04 Pilot size, clustering trend, what to prove nextFollow the guest:LinkedIn: https://www.linkedin.com/in/vascularmdjaxProduct named in-episode: Veristra (dialysis access management software; spelling normalized from transcript variants)Resources mentioned:Rope-ladder vs area-puncture cannulation (discussed as established literature; no single paper titled on-air)Guest-stated CMS-scale U.S. dialysis burden and annual intervention needFDA breakthrough device pathway as narrated for their concept1973 dialysis reimbursement moment and the patient-engineer access logIf you operate or cannulate access, watch the black-hole segment, then the heat-map workflow, and ask where your system is still flying blind.Life of Flow is hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker.🌐 Website: https://lifeofflowpodcast.com▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604📩 Partner with the show: [email protected] with the hosts:Prepared for Life of Flow publication. Educational discussion only; not individualized medical advice. The core question is whether better chair-side memory can reduce repeated injury

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 media pressure threaten the model. He then found another route to autonomy: negotiating professional service agreements that allow physicians to work with hospitals without surrendering their independence as W-2 employees. In this conversation, Dr. Eric Smuclovisky reveals: ⬛ Why physician fees collapsed while hospital facility fees expanded—and how that changed who controls American medicine ⬛ Why he calls RVUs “monopoly money,” and how doctors can begin discovering what is actually billed under their names ⬛ How the No Surprises Act, charge lists, payer contracts, and IDR expose the hidden economics behind a medical bill ⬛ Why the physician shortage may finally give doctors enough leverage to negotiate from strength Eric explains why a hospital's charge list is its “dirty little black book.” Hospitals set prices then negotiate discounts with commercial payers; those deals are not simple multiples of Medicare. A summary of benefits might show an $80,000 charge, roughly $20,000 paid, and $1,000 owed by the patient. The gaps reveal the private contracts behind the bill. It matters. Follow Dr. Eric Smuclovisky: LinkedIn: https://www.linkedin.com/in/eric-smuclovisky-58206927b/ Resources mentioned in this episode: 🏢 Outpatient Endovascular and Interventional Society (OEIS): https://oeisweb.com/ 🔗 Stark Law, CMS: https://www.cms.gov/medicare/regulations-guidance/physician-self-referral 🔗 No Surprises Act and independent dispute resolution, CMS: https://www.cms.gov/nosurprises 🔗 CMS Physician Fee Schedule and CPT reimbursement lookups 👤 Ross Perot, referenced during the discussion of RVU history Life of Flow is hosted by Dr. Lucas Ferrer and Dr. Miguel Montero-Baker. 🌐 Website: https://lifeofflowpodcast.com ▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast 🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604 📩 Partner with the show: [email protected] Connect with the hosts: Dr. Lucas Ferrer — [Lucas LinkedIn] Dr. Miguel Montero-Baker — https://www.linkedin.com/in/miguel-montero-baker-a44354214/ Follow Life of Flow: Instagram: https://www.instagram.com/lifeofflowpodcast/ X: https://x.com/vascularpodcast LinkedIn: https://www.linkedin.com/company/lifeofflow

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 began after failed surgical revascularization and ended with a healed foot. The patient had diabetes, ischemic heart disease, bilateral CLTI, a previous left transmetatarsal amputation, and extensive gangrene of the right forefoot. A prior team explored possible bypass targets and concluded that nothing more could be done. Mariano’s team challenged that conclusion with a rule every limb-salvage program should confront: no major amputation without angiography. In this conversation, Dr. Mariano Palena reveals: ⬛ Why a foot that looks like a vascular “desert” may still contain hibernating vessels—and the clues that reveal them. ⬛ How an anatomical variation in the plantar circulation can make a reasonable bypass strategy fail before the true target is recognized. ⬛ Why telling patients that bypass is “one and done” creates the wrong expectations for a chronic disease that may require repeat maintenance. ⬛ What changes when clinicians describe limb salvage as remission rather than cure—and why another intervention may still be a successful outcome. ⬛ How Mariano follows angiographic “breadcrumbs,” crosses long chronic total occlusions, re-enters plantar vessels, and rebuilds flow through the foot. ⬛ Why the team debated opening one tibial pathway versus two—and whether extra flow justified more time, contrast, radiation, and devices. ⬛ What happened after the final angiographic “wow” moment: reconstruction, complete healing at three months, and a return to work. This is not a promise that every threatened limb can be saved. It is a close look at the reasoning, imaging, technical persistence, and honest patient counseling required before an irreversible decision is safely made. Timestamps: 00:00 — The Life of Flow Case Cast returns 01:20 — A limb referred for major amputation 03:12 — Gangrene, failed bypass exploration, and WIfI 05:31 — Limb salvage as remission, not cure 07:24 — Why bypass is not “one and done” 09:36 — Mariano on repeat interventions and expectations 12:04 — “No amputation without angiography” 16:11 — CO₂ angiography and severe below-knee disease 20:19 — The “desert foot” appears 21:44 — The anatomical variation that changed the case 26:29 — Following the angiographic breadcrumbs 30:07 — Crossing strategy for a long CTO 35:53 — Recanalizing the peroneal pathway 38:41 — Re-entry into the lateral plantar artery and arch 43:58 — One-vessel versus two-vessel revascularization 50:36 — The final angiographic “wow” moment 53:59 — Why a limb-salvage second opinion matters 54:56 — Fully healed at three months 56:18 — Closing perspective Follow Dr. Mariano Palena: LinkedIn: https://it.linkedin.com/in/mariano-palena-35b62259 Website: https://marianopalena.com/ Resources mentioned in this episode: • WIfI classification and the Global Vascular Guidelines • BEST-CLI trial • CO₂ angiography • Navicross and Bernstein catheters • Terumo and Asahi guidewires Life of Flow is hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker. 🌐 Website: https://lifeofflowpodcast.com ▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast 🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604 📩 Partner with the show: [email protected] Connect with the hosts: Dr. Lucas Ferrer — [Lucas LinkedIn] Dr. Miguel Montero-Baker — https://www.linkedin.com/in/miguel-montero-baker-a44354214/ Follow the show: Instagram https://www.instagram.com/lifeofflowpodcast/ · X https://x.com/vascularpodcast · LinkedIn https://www.linkedin.com/company/lifeofflow

The Microhospital Playbook with Dr. Adriano Goffi A 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 the Director at East Houston Medical Center. He brings an operator’s view of how clinical care, reimbursement, staffing, physician autonomy, and ownership collide. In this conversation, Dr. Goffi reveals: Why he believes a well-run microhospital can complete in eight hours what might otherwise require five to nine separate medical visits How physician-ownership restrictions shape the use of land companies, nonprofit structures, trusts, and other arrangements that require expert legal review How reserving equity keeps clinicians invested Meet Dr. Adriano Goffi 05:14 Why locums gave Adriano control of his time 08:59 Learning medicine “backwards” through DRGs and medical decision-making 12:18 Why sending chest-pain patients home felt incomplete 14:13 The economics of eight ER patients per day 15:00 Turning a freestanding ER into a microhospital 21:19 The 24-hour-shift tradeoff and physician quality of life 22:39 Why doctors can own ERs but face restrictions on hospital ownership 24:08 Delivering five to nine visits’ worth of care under one roof 28:13 What a microhospital actually is 33:34 Staffing and equipping a standalone emergency room 36:52 Why inpatient beds open the door to Medicare participation 39:11 Capital raises, land, debt, and the opening-day clock 40:26 EBITDA multiples and why attached clinics matter 41:32 Why physician ownership changes culture and patient experience 42:20 Is the freestanding emergency-room boom ending? 45:36 The single screening question that generated 50 colonoscopies 47:07 Hypothetical: building a physician-led microhospital in Houston 47:34 Land ownership, trusts, and the need for specialized counsel 49:46 Site selection: traffic patterns, income, and the Walmart heuristic 51:50 What a $20 million state-of-the-art build could include 53:14 Why growth is shifting from standalone ERs to microhospitals 53:54 Building a hospital in six months with modular pods 55:32 Why 10 to 20 beds is Adriano’s sweet spot 57:16 Would you sell to a health system—or keep physician ownership? 59:44 Reserving equity for the clinicians doing the work 61:21 Could an office-based vascular model live inside a microhospital? LinkedIn: https://www.linkedin.com/in/adriano-goffi-md-mph-81b399a2/ CMS guidance on physician-owned hospitals: https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/physician-owned-hospitals CMS independent dispute resolution under the No Surprises Act: https://www.cms.gov/nosurprises/help-resolve-payment-disputes/payment-disputes-between-providers-and-health-plans U.S. Small Business Administration loan programs: https://www.sba.gov/funding-programs/loans Life of Flow is hosted by Dr. Lucas Ferrer and Dr. Miguel Montero-Baker. Website: https://lifeofflowpodcast.com/ ▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast/ 🎧 Spotify: https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U 🎧 Apple Podcasts: https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604 📩 Partner with the show: [email protected] Connect with the hosts: Dr. Lucas Ferrer: https://www.linkedin.com/in/lucasferrermd/ Dr. Miguel Montero-Baker: https://www.linkedin.com/in/miguel-montero-baker-a44354214/ Instagram: https://www.instagram.com/lifeofflowpodcast/ X: https://x.com/vascularpodcast LinkedIn: https://www.linkedin.com/company/lifeofflow #Microhospital #PhysicianEntrepreneurship #EmergencyMedicine #HealthcareBusiness #LifeOfFlowPodcast This episode is for educational and informational purposes only and does not constitute medical, legal, tax, investment, or financial advice.

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 a stroke, and there were only a handful of surgeons on an entire continent who could treat it. In this conversation, Dr. Christoff Heunis reveals: ⬛ Why one phone call — a friend's mother's stroke, with "three neurovascular surgeons" for the whole African continent — set the course of his life ⬛ How an external robotic magnet can pull a guidewire around the tightest, most complex angles a surgeon's hands can't reach ⬛ Why surgeons say they don't want to be replaced — yet "do want to press a button and then leave, and when I come back, the surgery is over" ⬛ The first real-world use case: misaligned fenestrations, CTOs and the angles no combination of guide catheters can make ⬛ How Flux got the FDA to confirm a 510(k) pathway — and why the predicate they found changes everything ⬛ What Stereotaxis acquiring Robocath signals about the commercial future of magnetic surgery ⬛ How he raised €3.2M in non-dilutive funding before giving up a single point of equity Timestamps: 00:00 Intro — the "Afrikaans Slim Shady" 04:58 The stroke that started it all 06:29 Why a PhD in surgical robotics at Twente 11:17 The surgeon's real bottleneck: navigation & radiation 15:42 How the magnetic guidewire actually works 20:02 "Press a button and the surgery is over" 24:58 The first use case: misaligned fenestrations 30:49 A carotid crossing, step by step 34:37 The surgeon's new role: "PAD coach" 36:00 Company update & new CMO Dr. Rob Beasley 37:15 The 510(k) pathway, explained 40:31 Stereotaxis buys Robocath 50:04 Raising €3.2M non-dilutive 59:24 Live: the Afrikaans rap "Soms" Follow Dr. Christoff Heunis: LinkedIn — https://www.linkedin.com/in/christoff-heunis/ Flux Robotics — https://fluxrobots.com Resources mentioned in this episode: 🏢 Flux Robotics — https://fluxrobots.com 🏢 Stereotaxis — https://www.stereotaxis.com 🔗 Stereotaxis acquires Robocath (announcement) — https://ir.stereotaxis.com/news-releases/news-release-details/stereotaxis-announces-definitive-agreement-acquire-robocath 🏢 Robocath — https://www.robocath.com/ 🏢 Intuitive / da Vinci Surgical System — https://www.intuitive.com 🎓 University of Twente — https://www.utwente.nl/en/ 🎓 Stellenbosch University — https://www.sun.ac.za/english 🏛 RVO — Netherlands Enterprise Agency — https://www.rvo.nl 🏛 NWO — Dutch Research Council — https://www.nwo.nl/en 🏛 Interreg (EU cross-border funding) — https://www.interreg.eu 💸 NextGen Ventures — https://www.nextgenventures.nl 💸 Future Tech Ventures — https://futuretechventures.nl 👤 Dr. Rob Beasley — CMO, Flux Robotics — https://www.linkedin.com/in/robert-beasley-138124145/ 👤 David Fischel — Chairman & CEO, Stereotaxis — https://www.linkedin.com/in/davidfischel/ 🎵 Eminem — "Lose Yourself" — https://open.spotify.com/track/5Z01UMMf7V1o0MzF86s6WJ 🎵 "Soms" — Christoff's Afrikaans rap single, with his brother Daniel (name only) Life of Flow is hosted by Dr. Lucas Ferrer & Dr. Miguel Montero-Baker. 🌐 Website: https://lifeofflowpodcast.com ▶ YouTube: https://www.youtube.com/@LifeofFlowPodcast 🎧 Listen: Spotify https://open.spotify.com/show/5GMv47SJ0ePxbjtIb1GZ5U · Apple https://podcasts.apple.com/us/podcast/life-of-flow/id1705596604 📩 Partner with the show: [email protected] Connect with the hosts: Dr. Lucas Ferrer — https://www.linkedin.com/in/lucasferrermd/ Dr. Miguel Montero-Baker — https://www.linkedin.com/in/miguel-montero-baker-a44354214/ Follow the show: Instagram https://www.instagram.com/lifeofflowpodcast/ · X https://x.com/vascularpodcast · LinkedIn https://www.linkedin.com/company/lifeofflow

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 the change, and what doctors need to understand about credentialing, contracts, taxes, benefits, and retirement before going independent. They also speak candidly about the identity shift that can come with leaving academic medicine or another traditional institutional path, and learning to separate professional value from institutional affiliation. 04:54 The shame and identity shift that can come with leaving a traditional career path 11:34 The random Wednesday that changed Lucas’s definition of freedom 17:10 Santoshi’s one-year plan for researching and preparing to leave her job 21:26 Shahla’s strategy of reducing her hours and calculating her minimum financial needs 27:32 Using locums as a bridge and learning how to negotiate better opportunities 30:24 The difference between hospital privileges and insurance credentialing 37:08 Why medical training leaves out contracts and the business side of medicine 39:47 Moving from W2 employment to 1099 work with support from a lawyer and CPA 44:10 Solo 401(k) plans, health benefits, and outsourcing financial planning Who Should Listen This episode is for physicians considering locums, independent contract work, or a move away from academic or employed medicine. It is especially relevant for doctors who want more autonomy but need a practical view of the financial, administrative, and personal decisions involved. About Shahla Moghbel, D.O. Dr. Shahla Moghbel is a board-certified neurologist based in Walnut Creek, California. She completed her neurology residency at Georgetown University, an administrative and business fellowship at Vituity Stanford, and a clinical neurophysiology fellowship at Stanford Medicine. After working in a partnership, she moved into independent contract work across neurology and also does nonclinical work. She co-hosts the Be Empowered podcast, where she and Santoshi speak with physicians about burnout, career changes, and work outside the traditional path. Connect with Shahla Moghbel, D.O. 💼 LinkedIn: Shahla Moghbel D.O. About Santoshi Billakota, MD Dr. Santoshi Billakota is a board-certified neurologist and epileptologist based in Brooklyn. After completing residency at Duke, fellowship at Columbia, and an academic appointment at NYU, she left academic medicine and now works full-time as a locums physician while also taking on nonclinical work. She co-hosts the Be Empowered podcast, which focuses on healthcare issues, including topics concerning women. Connect with Santoshi Billakota, M.D. 💼 LinkedIn: Santoshi Billakota M.D. 🎙️Connect with Be Empowered: The Podcast Spotify: Be Empowered: The Podcast Apple: Be Empowered: The Podcast YouTube: Be Empowered: The Podcast Instagram: @Empowermedlife About Locumstory Locumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course. Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow 📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠ 👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 🐦 X: ⁠⁠⁠⁠⁠@VascularPodcast If this conversation changed how you think about physician independence, locums, and what it takes to step away from traditional employment without leaving the financial side to chance, share it with a colleague who’s considering a different path in medicine. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.

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 agreements without becoming hospital employees. 04:30 What changed when OBL revenue took a hit 07:56 How physician fees shaped the old private practice model 13:04 Why hospital privileges once gave physicians more control 15:40 The history behind physician lounges and hospital incentives 31:28 Why physicians need to understand how the money moves 40:17 Why OBLs may still matter, even as the model gets harder 43:39 Why RVUs keep physicians disconnected from real revenue 46:01 Charge lists, commercial payers, and understanding what hospitals bill 56:28 Selling a service line to a hospital and negotiating a fixed rate Who Should Listen This episode is for vascular surgeons, interventional radiologists, cardiologists, independent physicians, and early career physicians who want to understand the business side of medicine. It is especially relevant for anyone thinking about OBLs, hospital relationships, service agreements, or how to maintain more autonomy without working fully outside the system. About Dr. Eric Smuclovisky, M.D. Dr. Eric Smuclovisky is an interventional radiology doctor in Indianapolis, Indiana and is affiliated with Elkhart General Hospital. He received his medical degree from Ponce Health Sciences University and has been in practice between 11 and 20 years. In the episode, Eric shares that he started out in academics, later left, opened an OBL and ASC with a partner, and now works through a professional service agreement with a hospital alongside his partner Brian. Connect with Dr. Smuclovisky 💼 LinkedIn: Eric Smuclovisky About Locumstory Locumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course. Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow 📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠ 👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 🐦 X: ⁠⁠⁠⁠⁠@VascularPodcast If this conversation changed how you think about physician independence, hospital service agreements, and what it takes to build leverage without becoming employed by the system, share it with a colleague who’s thinking about the business side of medicine. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.

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 visits. Dr. Pearl makes the case that AI is not just an administrative tool, but a way to improve quality, lower costs, and give physicians more time for the patients who need them most. 05:35 Writing ChatGPT, MD, and the malpractice question around AI 08:47 Patient trust, human presence, and vulnerable moments in care 11:14 AI-assisted diagnosis, malpractice premiums, and physician autonomy 18:19 Administrative AI and the bigger shift inside care delivery 25:58 What AI means for physicians entering medicine now 33:42 Why generative AI has to be discussed in the context of capitation 38:33 The tools physicians have today that did not exist three years ago 45:17 Bringing the capitation conversation back to AI 48:10 AI agents and the future of patient follow-up 51:32 Where to find Dr. Pearl’s book and ongoing work Who Should Listen This episode is for physicians, private practice owners, healthcare operators, and anyone thinking seriously about how generative AI, capitation, and physician-led care could change the economics and delivery of medicine. It is especially relevant for clinicians trying to understand where independence, technology, and patient trust fit into the next phase of healthcare. About Dr. Robert Pearl, M.D. Dr. Robert Pearl, M.D., served as CEO of The Permanente Medical Group, where he was responsible for physicians across the East Coast and West Coast, and describes Permanente as the physician side of Kaiser Permanente. In the episode, he explains that Permanente was physician-owned and physician-run, with its own board of directors, and that the organization established standards of care across settings, including the OR, cath labs, and ERs. Dr. Pearl is also the author of ChatGPT, MD, a book focused on how AI empowered patients and physicians can take back control of American medicine. He writes for Forbes, posts articles on LinkedIn, hosts the Fixing Healthcare podcast, and continues to speak and write about generative AI, healthcare strategy, capitation, and the future of physician-led care. Connect with Dr. Pearl 💼 LinkedIn: Robert Pearl, M.D. 🗞️ Website: robertpearlmd.com About Locumstory Locumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course. Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow 📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠ 👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 🐦 X: ⁠⁠⁠⁠⁠@VascularPodcast If this conversation changed how you think about generative AI, physician-led care, and what it could take to improve outcomes without losing the human side of medicine, share it with a colleague who’s thinking about where healthcare is heading. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.

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 financial blind spots many physicians face when they leave employed medicine, including revenue cycle, cash flow, accounts receivable, accounts payable, outsourcing, staffing, and why understanding the numbers matters if you want to build a sustainable practice. 07:30 Preston’s path from MBA to medical devices and healthcare business 09:01 Using LinkedIn to learn how healthcare really works 11:02 How Forward Slash Health started from private practice pain points 18:27 Why Miguel keeps his revenue cycle team close to the practice 24:04 Cash flow, seasonality, and why big checks can be misleading 35:00 Where private practices commonly leak money 42:40 Why “doctors are bad at business” misses the point 54:30 What to know before outsourcing revenue cycle management 57:35 How to connect with Preston and Forward Slash Health Who Should Listen This episode is for physicians, surgeons, private practice owners, and doctors thinking about leaving the hospital system to build something independent. It’s also useful for anyone in healthcare operations who wants a clearer understanding of how revenue cycle, staffing, vendor relationships, and cash flow affect a practice. About Preston Alexander Preston Alexander is the CEO and co-founder of Forward Slash Health and Chief Operating Officer at Underscore Law. His background spans healthcare business, medical device product management, digital health, revenue cycle work, and private practice financial management. In the episode, he shares how his path from earning an MBA to working inside healthcare companies, launching and selling a medical device company, and helping build independent practices led him to focus on the financial systems physicians need to understand when running a practice. Connect with Preston 💼 LinkedIn: Preston Alexander 🗞️ Substack: The Healthcare Breakdown About Locumstory Locumstory is a free, unbiased educational resource about locum tenens to answer your questions about the how-tos of locums on their website, podcast, webinars, videos, and a locums 101 crash course. Visit locumstory.com to find out if locum tenens makes sense for you and your career goals. Follow Life of Flow 📲 Instagram: ⁠⁠⁠⁠⁠@LifeofFlowPodcast⁠⁠⁠⁠⁠ 👍 Facebook: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 💼 LinkedIn: ⁠⁠⁠⁠⁠Life of Flow Podcast⁠⁠⁠⁠⁠ 🐦 X: ⁠⁠⁠⁠⁠@VascularPodcast If this conversation made you think differently about the business side of medicine, share it with a colleague who’s building, running, or considering an independent practice. And if you’re enjoying Life of Flow, a quick review helps more physicians and healthcare leaders find conversations like this.