In this week's episode, we speak with Scott Nelson about the Medicare reimbursement changes that are rapidly reshaping the wound care landscape. Scott explains how cost-plus reimbursement models drove extreme pricing behavior, why CMS intervened, and what the new rules mean for mobile providers, wound care centers, distributors, and manufacturers.
This episode focuses on how these changes affect real-world care delivery, market stability, and patient access, not in theory but as it is unfolding right now.
🎧 This episode follows the ongoing conversation around wound care and limb preservation, focusing on how Medicare reimbursement changes are reshaping clinical practice, business models, and decision-making across the industry.
04:43 Scott’s background and entry into medtech and wound care
07:03 Why the wound care market is fragmented and difficult to evaluate
10:02 How skin substitutes became financially distorted under cost-plus reimbursement
11:35 COVID, mobile wound care, and unintended reimbursement incentives
14:21 How pricing mechanics drove extreme markups
23:39 Fraud, abuse cases, and the consequences for the broader market
27:00 What the new reimbursement rules change starting January
35:36 Expected impacts on providers, distributors, manufacturers, and patients
💡 Who Should Listen
This episode is for vascular surgeons, wound care clinicians, healthcare operators, MedTech founders, and investors who need a clear understanding of how reimbursement policy directly shapes care models, business viability, and patient outcomes in wound care.
About Scott Nelson
Scott Nelson currently serves as Vice President of Sales and Marketing at Swift Medical and is a member of the Board of Directors at The Save A Leg, Save A Life Foundation. As the Founder of PrescribedGrowth, Scott advises and consults on emerging technologies on commercial strategy, marketing, sales, and branding. Prior to these roles, Scott worked at LifeNet Health in marketing for wound management and surgical reconstruction, focusing on developing commercial strategies and communications.
Scott also held the position of Director of Marketing and Product Solutions at Integer Holdings Corp., where responsibilities included portfolio strategy and market development for the Advanced Surgical & Orthopedic business unit. Scott holds a Bachelor of Science degree in Business Management and Information Systems from the University of Phoenix.
Connect with Scott
💼 LinkedIn: Scott Nelson
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🐦 X: @VascularPodcast
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En este episodio de Life of Flow Podcast, la Dra. Venita Chandra se une para hablar abiertamente sobre una de las realidades menos discutidas en la vida quirúrgica: las guardias, el cansancio acumulado y el impacto emocional de tomar decisiones críticas durante la noche.
A partir de vivencias recientes y recuerdos de formación, la conversación explora cómo se construye resiliencia, qué cambia con la experiencia y cómo cada cirujano desarrolla mecanismos personales para procesar resultados difíciles. La Dra. Chandra comparte historias que revelan el costo humano detrás del trabajo y la importancia de apoyarse en colegas, familia y pausas intencionadas.
❗️Este episodio fue originalmente grabado en inglés y ahora lo traemos doblado al español para nuestra comunidad hispanohablante.
English Version of the Episode 👉 youtube.com/watch?v=w7FpzVEAcLU
05:52 Reflexión sobre hábitos nocivos normalizados durante el entrenamiento
08:39 Cómo las nuevas generaciones manejan mejor los límites y el equilibrio
12:20 La camaradería y el intercambio de cobertura en días festivos
15:11 Diferencias entre sistemas de guardia, número de hospitales y pago
20:19 Negociaciones, huelgas y el valor del tiempo de guardia
23:42 El desgaste emocional: vivir esperando que suene el teléfono
28:10 Mecanismos de afrontamiento y cómo procesar casos emocionalmente difíciles
37:40 El valor de las pausas intencionales y pedir ayuda dentro del quirófano
💡¿Quién debería escuchar este episodio?
Este episodio es relevante para cirujanos en formación, especialistas con experiencia, líderes de programas clínicos y cualquier profesional que quiera entender el impacto real del trabajo nocturno en la práctica quirúrgica y en la vida personal.
Sobre Dr. Venita Chandra
La Dra. Venita Chandra es cirujana certificada en cirugía general y cirugía vascular. Es profesora clínica de cirugía en la División de Cirugía Vascular del Stanford University Medical Center. También es co-directora médica del Stanford Advanced Wound Care Center y directora de los programas de residencia y fellowship en cirugía vascular de Stanford University School of Medicine. Su práctica incluye el manejo de enfermedad vascular periférica, aneurismas aórticos y estrategias de salvataje de extremidades.
💼 LinkedIn: Venita Chandra
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👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
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This episode is about time, alignment, and creating a life that feels like yours, themes many of us think about at the end of the year. Thanks for listening, and we hope you find something in here that’s genuinely useful as you close out the year.
Kassidy Warren joins the podcast to share the real estate strategies that helped him move from corporate burnout to financial independence. He explains how high-earning professionals can use leverage, forced appreciation, short-term rentals, cost segregation, and bonus depreciation to reduce taxes and build long-term equity. Kassidy also reflects on the experiences that shaped his path, from van life to rebuilding his career through consulting, and the inner work that led him toward community, mentorship, and purpose.
🎧 This episode goes inside the hard decisions, tax strategies, and mindset shifts that helped Kassidy Warren go from corporate burnout to financial independence, and how high-earning professionals can use real estate, the right tax tools, and a clearer sense of purpose to change their relationship with work and time.
01:04 Kassidy’s corporate path, burnout, and the moment he realized he needed out
02:35 Why he and his wife saved aggressively and left everything to live in a van
04:51 How consulting tripled their income and gave them a path forward
06:06 Buying real estate with a purpose: taxes, equity, and long-term freedom
09:30 The velocity of money explained
10:12 How leverage and forced appreciation multiply wealth
12:34 Depreciation, the short-term rental rules, and why they matter
13:21 How one property can offset years of taxes
19:38 The 1031 exchange and why trading up changes everything
30:33 Breathwork, healing, and the inner work behind Kassidy’s transformation
💡 Who Should Listen
This episode is for physicians, high-earning professionals, and anyone interested in real estate, tax strategy, personal growth, or creating more autonomy in their life and work.
About Kassidy
Kassidy Warren is a real estate investor and coach who helps people buy properties that reduce their tax burden, build equity, and create long-term freedom. He previously worked in engineering and IT before leaving corporate life due to burnout. After living in a van with his wife and rebuilding their careers through consulting, they built a portfolio of short-term rentals. Kassidy now leads a mastermind called Escape Velocity, where he supports members through real estate education, community, and mindset work.
Connect with Kassidy
📲 Instagram: @kassidy.warren
💼 LinkedIn: Kassidy Warren
Follow Life of Flow
📲 Instagram: @LifeofFlowPodcast
👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
If this conversation gave you a new perspective on real estate, taxes, freedom, or the choices high-earning professionals actually have, share it with someone who would value it. And if you’ve been enjoying Life of Flow, a short review helps more listeners discover episodes like this one.
En este episodio de Life of Flow Podcast, conversamos con el Dr. Luis Corrales-Rodríguez, oncólogo médico en Costa Rica y uno de los impulsores más importantes del desarrollo de investigación clínica en el país. A través de su experiencia personal construyendo Simca, un centro dedicado exclusivamente a estudios clínicos en oncología, el Dr. Corrales explica cómo se reconstruyó un ecosistema de investigación después de años de prohibición, qué retos encontraron y por qué Latinoamérica necesita estudiar a sus propias poblaciones.
Este episodio aborda oportunidades reales para crear valor científico en la región, los vacíos estructurales que aún persisten y la visión de futuro para fortalecer la investigación académica y multinacional en Costa Rica.
English Version of the Episode 👉 youtube.com/watch?v=v0mJF1-OKGM
05:48 Falta de infraestructura y personal tras años sin investigación
09:40 Regreso de Luis al país y su decisión de dedicarse a investigación clínica
13:20 Primer estudio abierto tras la nueva ley y el reto de una mutación poco frecuente
17:54 Diferencias genéticas en Latinoamérica y su impacto en cáncer de pulmón
22:47 Por qué Costa Rica solo realiza fases II–IV y la estructura ética involucrada
26:55 Construcción de Simca y crecimiento del centro como sitio de investigación
35:58 Obstáculos iniciales: permisos, educación del público y desconocimiento médico
48:54 Futuro de Simca y la importancia de impulsar investigación académica local
💡¿Quién debería escuchar este episodio?
Profesionales de la salud interesados en investigación clínica, líderes de centros médicos, médicos jóvenes que evalúan participar en estudios, y cualquier persona que estudie cómo se construyen ecosistemas de investigación en Latinoamérica.
Sobre Dr. Luis Corrales-Rodríguez
Luis Corrales-Rodríguez es médico oncólogo en el Hospital San Juan de Dios y en el Centro para la Investigación y Manejo del Cáncer (Simca) en Costa Rica. Realizó su formación en la Universidad de Costa Rica, completó su residencia en Oncología Médica en 2009 y posteriormente un fellowship en oncología torácica en el Hospital Notre-Dame del CHUM en Montreal, Canadá. A su regreso al país, se integró como profesor en la Universidad de Costa Rica y se convirtió en investigador principal de varios estudios internacionales. Es miembro de ACOMED, CLICaP, ASCO, ESMO y IASLC.
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📲 Instagram: @LifeofFlowPodcast
👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
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This week, Neal K. Shah joins the show to talk about the years-long caregiving journey that reshaped his life, his career, and ultimately the creation of CareYaya Health Technologies. He shares how managing a billion-dollar hedge fund became incompatible with the reality of his grandfather’s dementia care and his wife’s life-threatening illness, and how those experiences exposed the true weight carried by family caregivers.
🎧 This episode traces Neal Shah’s shift from hedge fund leader to full-time caregiver and founder of CareYaya. He shares what the home-care system really looks like for families and how a tech-enabled student workforce is changing access to reliable support.
04:52 Early hedge fund career and the shift triggered by family illness
07:50 The cost, quality gaps, and hidden burdens families face
10:49 Recognizing the scale of unmet needs for aging and chronic illness
18:54 The idea that became CareYaya: a structured way to connect families with healthcare-bound students
21:35 Building the MVP with local universities and early explosive demand
25:04 How finding the right technical co-founder shaped the company’s trajectory
28:36 How new ideas emerged, including AI tools for claims management
32:20 Why younger engineers outperform in an AI-first world
40:35 Could Medicare eventually reimburse companion-level care?
41:20 How this could scale into a multibillion-dollar platform
44:49 The political torque keeping insurance reform stagnant
💡 Who Should Listen
Healthcare innovators, MedTech founders, clinicians who support aging or chronically ill populations, caregivers, and anyone building technology to solve real structural problems in the healthcare system.
About Neal
Neal K. Shah is the CEO of CareYaya Health Technologies, a social enterprise and research lab advancing health equity for aging populations, and recognized by LinkedIn as one of America’s Top 50 Startups in 2024. He also serves as Chairman of Counterforce Health, an AI platform for navigating health insurance claim denials, and Principal Investigator on multiple federal innovation grants. Shah is also the author of “Insured to Death: How Health Insurance Screws Over Americans - And How We Take It Back”, a #1 bestseller in Health Policy. Shah holds degrees in economics and philosophy from University of Pennsylvania. Prior to CareYaya, Shah managed a $250 million hedge fund. His pivot to healthcare came after deeply personal experiences as a caregiver, which inspired a mission-driven focus on transforming care delivery through tech. Today, Shah is building CareYaya into a national leader in care innovation. Shah’s work has been supported by the NIH, Johns Hopkins AITC, AARP, and Harvard Innovation Labs. He also regularly contributes to CNBC, US News & World Report, Barron’s, STAT, Neurology Live, and Medical Economics.
Connect with Neal
💼 LinkedIn: Neal K. Shah
📲 Instagram: @nealkshah
🎶 TikTok: @nealkshah
📘Substack: nealkshah.substack.com
About CareYaya Health Technologies
CareYaya is a mission-driven social enterprise supported by dozens of interns and volunteers nationwide. This provides affordable care for thousands of families, introduces tens of thousands of energetic individuals into the care workforce, and impacts millions by investing in the healthcare professionals of tomorrow.
Together, they’re changing elder care by connecting families with compassionate, motivated college students from top universities.
Learn more about CareYaya
🌐 Website: careyaya.org
💼 LinkedIn: @Careyaya
📲 Instagram: @wearecareyaya
🎶 TikTok: @wearecareyaya
Follow Life of Flow
📲 Instagram: @LifeofFlowPodcast
👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
If this episode gave you a new take on caregiving or the gaps in home care, share it with someone who’d value it. And if you’re enjoying Life of Flow, a quick review helps others find conversations like this!
En este episodio de Life of Flow Podcast, conversamos con el Dr. Pedro G. R. Teixeira, M.D., cirujano vascular y de trauma en UT Health Austin y Ascension Seton. Juntos exploramos su recorrido desde Belo Horizonte hasta liderar una división académica en Austin, y cómo esa trayectoria marcó su visión sobre formación, adaptabilidad, trabajo en equipo y liderazgo quirúrgico.
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, captura una conversación honesta sobre liderazgo médico, trabajo interdisciplinario y el futuro de la atención basada en valor.
English Version of the Episode 👉youtube.com/watch?v=x5Jl0FEmnqQ
01:05 Nacer y formarse en Belo Horizonte: primeros pasos en trauma
04:00 Llegar a EE. UU. como adjunto y descubrir un sistema quirúrgico completamente distinto
07:10 Repetir la residencia desde cero: humildad, ego y aprendizaje
10:15 Barreras culturales: acrónimos, lenguaje quirúrgico y reinvención diaria
13:40 El valor real del cirujano más allá del título y la jerarquía
18:00 Descubrir la cirugía vascular y la emoción de volver a ser principiante
21:05 Por qué mantiene guardias de trauma: compromiso social y responsabilidad
24:00 El cirujano vascular como soporte esencial en casos complejos
33:05 El proceso inesperado de convertirse en jefe de división
37:00 Su visión para transformar la atención vascular en Austin y construir una cultura colaborativa
💡¿Quién debería escuchar este episodio?
Médicos en formación, cirujanos vasculares y de trauma, líderes clínicos, profesionales internacionales interesados en entrenar en EE. UU. y cualquier persona que trabaje en estructuras académicas o equipos quirúrgicos de alto rendimiento.
Sobre Dr. Pedro G. R. Teixeira, MD
Pedro G. R. Teixeira, MD, es un cirujano vascular certificado que ejerce en el Institute for Cardiovascular Health, una colaboración entre Ascension y UT Health Austin. Está especializado en el manejo integral de enfermedades arteriales y venosas, y colabora con múltiples especialidades quirúrgicas en procedimientos complejos que requieren exposición y reconstrucción vascular. Es profesor en el Departamento de Cirugía Cardiovascular y Torácica de Dell Medical School en la Universidad de Texas en Austin.
Se formó inicialmente en Brasil y completó residencia en cirugía general, una beca en cirugía vascular y otra en cuidados críticos quirúrgicos en la Universidad del Sur de California. Su investigación se centra en el cruce entre trauma y cirugía vascular, con más de 150 publicaciones revisadas por pares, y ha contribuido de manera decisiva a la educación quirúrgica y al desarrollo de principios modernos de control de hemorragias y técnicas mínimamente invasivas.
Es coeditor de Vascular Injury: Endovascular and Open Surgical Management, presidente de la Texas Society for Vascular and Endovascular Surgery y miembro activo de múltiples organizaciones quirúrgicas nacionales e internacionales.
🌐 UT Health Austin: Pedro G. R. Teixeira, MD
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In this episode, we sit down with Shane Gleason, Chief Commercial Officer at InspireMD, to talk about what it means to bring a new carotid stent to market at a time when treatment options are evolving.
Shane shares how his two decades in the vascular space shaped the way he evaluates timing, team, and technology, and why those factors mattered when he decided to join InspireMD. He also walks through the details of their flexible open-celled nitinol stent with a finely woven PET mesh, explaining what it does, how it behaves, and why physicians have responded so strongly to it. The conversation moves from device design to clinical trials, commercial planning, and the changing landscape following CMS’s expanded coverage for carotid stenting.
🎧 This episode goes inside the work behind developing and launching a new carotid stent, and how the right timing, the right team, and a device designed for lasting protection can shift practice.
04:50 Why carotid procedures still make him sweat after hundreds of cases
06:14 What lasting protection means and why post-procedure events matter
07:01 Dual antiplatelet therapy and how the PET mesh behaves in the vessel
07:33 Showing the stent on camera and explaining the woven PET mesh
08:36 TCAR, transfemoral approaches, and what current trials are studying
11:12 How Shane’s team is approaching commercialization in the U.S.
12:22 Why the procedure attracts experienced reps and how they support cases
14:17 Why physicians say they’ve “been waiting for this for 20 years”
16:02 What it means to be the only company singularly focused on carotid disease
💡 Who Should Listen
This episode is for vascular surgeons, neurointerventionalists, industry professionals supporting carotid interventions, and anyone following the current shift in carotid disease treatment and device innovation.
About Shane
Mr. Gleason has over 20 years of experience in the medical device industry, leading clinical and commercial operations in both public and privately held companies. Prior to joining InspireMD, he served as Vice President of Sales, Vascular Interventions at Surmodics, a medical device company focused on addressing unmet clinical needs in intravascular medicine. He began his medical device career with a variety of progressive leadership roles at Abbott Vascular, where he launched the second FDA-approved carotid stent system.
Connect with Shane
💼 LinkedIn: Shane Gleason
🌐 InspireMD: inspiremd.com/team/shane-gleason
About InspireMD
InspireMD is a global carotid-focused company dedicated to helping prevent stroke, save lives, and give physicians and patients the confidence to choose carotid stenting without compromise. Based in Miami, the company is leading an international effort to advance carotid artery intervention through thoughtful engineering and a commitment to innovation.
With a focus on smarter design and strong clinical data, InspireMD aims to protect against carotid plaque prolapse and support physicians with a solution built for safety and clarity.
CGuard® Prime, the company’s flagship product, is a next-generation carotid stent featuring a dual-layer design with a finely woven MicroNet™ mesh. It is the only FDA-approved mesh-covered carotid stent and was designed to offer a new layer of defense against the risk of plaque prolapse and embolization. In pivotal studies, CGuard Prime demonstrated the lowest independently adjudicated 30-day and 1-year major adverse event rates reported to date.
Learn more about InspireMD
🌐 Website: inspiremd.com
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If this episode gave you a new perspective on carotid disease treatment, device innovation, or the future of carotid stenting, share it with a colleague who would value the conversation. And if you’ve been enjoying Life of Flow, leaving a short review helps more listeners find stories like this one.
En este episodio de Life of Flow Podcast, conversamos con el Dr. Dimitrios Miserlis, M.D., profesor asistente de cirugía vascular en UT Dell y cirujano vascular en Ascension Seton, Austin.
El Dr. Miserlis comparte su mirada sobre cómo la inteligencia artificial está transformando la práctica médica, desde los diagnósticos por imagen hasta la robótica quirúrgica. A lo largo de la charla, reflexiona junto a Lucas Ferrer y Miguel Montero-Baker sobre el equilibrio entre ciencia, filosofía y propósito humano en la evolución tecnológica.
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, captura una conversación honesta sobre liderazgo médico, trabajo interdisciplinario y el futuro de la atención basada en valor.
English Version of the Episode 👉 youtube.com/watch?v=FiJY_AtEEYg
02:00 Orígenes en Grecia y el camino hacia la medicina en EE. UU.
05:00 Primeros pasos en investigación y llegada a Texas
07:00 Cómo el entorno y las personas impulsan la innovación
10:00 De qué hablamos realmente cuando hablamos de inteligencia artificial
12:00 El test de Turing y los pilares de la IA moderna
15:00 Aplicaciones médicas: de la radiología a los sistemas diagnósticos
18:00 Los límites de la IA: imaginación, intuición y creatividad
22:00 Robótica blanda y medicina inclusiva
26:00 Riesgos, control y el desafío de comprender los algoritmos
31:00 Comunicación entre científicos y propósito en la innovación médica
💡¿Quién debería escuchar este episodio?
Profesionales de la salud, investigadores y emprendedores del ámbito médico-tecnológico interesados en entender cómo la inteligencia artificial y la robótica están redefiniendo la práctica clínica y los desafíos éticos que esto plantea.
Sobre Dr. Miserlis, MD
Dimitrios Miserlis, MD, es un cirujano vascular con certificación de especialidad en Ascension Seton (Austin y Bastrop, Texas). Está especializado en flebología y en la evaluación y el tratamiento integral de las enfermedades venosas.
Como experto en el sistema vascular, está altamente capacitado para tratar todo tipo de patologías de los vasos sanguíneos. Cada consulta con el Dr. Miserlis comienza con una conversación: dedica el tiempo necesario para responder todas las preguntas, grandes o pequeñas.
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👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
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In this episode of the Life of Flow Podcast, we talk with Mathias Ihlenfeld, an Austin-based entrepreneur, coach, and founder of Woom Bikes USA.
Mathias shares how he went from landing in the U.S. with a tennis racket and a dream to building one of the country’s leading children’s bike brands. He reflects on what it takes to start over, listen to change when it calls, and channel energy into building something that lasts.
🎧 This episode dives into the work behind reinvention. How clarity, conviction, and persistence can turn a single idea into a purpose-driven business that grows with heart.
02:00 From Frankfurt to Louisiana: finding home in a new country
04:55 How moving between U.S. states felt like crossing countries
08:30 The power of reinvention and why resilience matters
11:20 From corporate consulting to founding Woom
14:35 The subtle (and not-so-subtle) signs it’s time to change course
16:50 The “hero’s journey” and how it shows up in real life
22:05 From selling 13 bikes to leading a multimillion-dollar company
23:40 Creating a brand that connects with families everywhere
25:10 Energy, focus, and passion: what drives sustainable growth
28:38 Balancing two careers, family, and the long view of success
💡 Who Should Listen
For founders, builders, and anyone standing at a crossroads. This episode speaks to those who want to grow with purpose and are ready to rebuild their next chapter with intention.
About Mathias
Mathias Ihlenfeld is an award-winning entrepreneur, the Austin, TX Cohort Leader and Coach for the Birthing of Giants Regional Cohort, a selective fellowship program for growth-focused founders and CEOs building high-impact companies. He is also the creator of The R.E.C.L.A.I.M. Code (Elite Personal Optimization Framework for divorced high performers).
His proprietary 6-stage framework helps divorced founders rebuild identity, attract aligned love, and ignite purpose-driven business performance. As the founder of Woom Bikes USA, Mathias built one of North America’s fastest-growing direct-to-consumer kids’ bike companies, earning multiple Inc. 5000 honors, including a 742% three-year growth rate in 2020, and recognition as one of the fastest-growing private companies in the U.S.
In 2021, he played a pivotal role in merging the U.S. and European operations, leading the combined $100M global business as CEO in 2022 and 2023. His leadership has been recognized with honors such as Ernst & Young Entrepreneur of the Year finalist and the Vistage Impact Leadership Award.
Through his coaching practice, he works with founders, executives, and high-achieving men navigating personal reinvention, guiding them through identity rebuilding, emotional mastery, business growth, and relationship alignment. Today, Mathias mentors with SKU, invests in purpose-driven brands, and writes on his Substack, sharing hard-earned lessons, strategic insight, and stories from his journey building global brands and leading life transformations.
Connect with Mathias
📲 Instagram: @sundaygog
💼 LinkedIn: Mathias Ihlenfeld
🌐 MentorPass: mentorpass.co/mathiasihlenfeld
Follow Life of Flow
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💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
If this episode shifted your view on entrepreneurship, leadership, or starting over, share it with someone who would value the conversation. And if you’ve been enjoying Life of Flow, leaving a short review helps more listeners find stories like this one.
En este episodio de Life of Flow Podcast, conversamos con David G. Armstrong, DPM, PhD, profesor distinguido de Cirugía y Neurocirugía en la Universidad del Sur de California (USC) y cofundador de la Southwestern Academic Limb Salvage Alliance (SALSA).
A través de anécdotas personales y reflexiones profundas, el Dr. Armstrong comparte cómo una herida aparentemente pequeña cambió el rumbo de su carrera y lo llevó a dedicar su vida a la preservación de extremidades y a lo que él llama “tratar la ausencia de síntomas”.
Exploramos la evolución de los programas modernos de salvamento de extremidades, la creación de equipos multidisciplinarios y el impacto de la colaboración entre podología y cirugía vascular en todo el mundo.
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, captura una conversación honesta sobre liderazgo médico, trabajo interdisciplinario y el futuro de la atención basada en valor.
English Version of the Episode 👉 youtube.com/watch?v=gK5Aqw4_5Qw
04:07 Infancia, familia y la vocación por devolver lo recibido
05:31 El “don del dolor” y su encuentro con una paciente con lepra y diabetes
09:00 Cómo un momento marcó el inicio de su trayectoria en la preservación de extremidades
10:00 El salto de Detroit a San Antonio y el comienzo de una nueva etapa
11:14 Mentores, aprendizaje y los primeros años de investigación clínica
13:07 La decisión de seguir su propio camino y las lecciones familiares
14:11 La creación de los primeros programas integrados en Texas y Arizona
17:06 El nacimiento de una alianza entre podología y cirugía vascular
19:37 Qué define a un programa moderno de preservación de extremidades
24:17 Centros de excelencia y atención basada en valor: el futuro del cuidado vascular
27:55 El “hotline” de cuatro pasos: una guía práctica para equipos multidisciplinarios
💡¿Quién debería escuchar este episodio?
Profesionales de la salud interesados en la atención integral del pie diabético, cirujanos vasculares, podólogos, líderes de programas hospitalarios y médicos que buscan implementar modelos colaborativos para reducir amputaciones y mejorar resultados clínicos.
Sobre Dr. Armstrong
Dr. David G. Armstrong, DPM, PhD ha publicado más de 720 artículos científicos revisados por pares y más de 120 libros o capítulos de libro. Es Director del Center to Stream Healthcare in Place (C2SHiP), un centro financiado por la National Science Foundation (NSF) que busca integrar tecnología, dispositivos médicos y wearables para maximizar los días activos y libres de hospitalización.
Reconocido mundialmente como pionero en la prevención de amputaciones, el Dr. Armstrong es fundador y presidente de la American Limb Preservation Society (ALPS) y cofundador de la International Diabetic Foot Conference (DF-Con), el simposio más grande del mundo dedicado al pie diabético.
📲 Instagram: @d.g.armstrong
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Dr. Chris LeSar, MD, FACS, RVT is a Vascular and Endovascular Surgeon who built one of the most efficient, patient-centered vascular practices in the U.S. In this week's episode of the Life of Flow Podcast, he shares how he left academic medicine to create the Vascular Institute of Chattanooga, a model focused on rapid access, team efficiency, and amputation prevention.
From growing pains and business structure to device innovation and trans-tibial access, Dr. LeSar gives an unfiltered look at how surgical independence can redefine patient care and outcomes.
🎧 This episode is a masterclass in surgical innovation, how curiosity and conviction drive better care, faster access, and real change in the vascular field.
03:41 Early life, academic background, and what led him from physics to medicine
05:40 Why he left academic medicine to build his own outpatient vascular practice
07:18 Scaling challenges and the importance of front-desk efficiency and referral coordination
10:59 Balancing growth, referrals, and relationship management in private practice
12:33 Device procurement freedom: choosing tools that actually work
13:47 Introducing the Revolution device and how it simplifies workflow
19:15 Technical insights on tibial access and embolization management
24:23 Why 80% of his PAD work now starts with tibial access
27:16 The “aha moment”: seeing the Veryan Revolution device’s active aspiration in action
💡 Who Should Listen
Vascular and endovascular surgeons, interventional specialists, and MedTech professionals interested in private practice innovation, efficiency, and real-world device application.
About Chris LeSar, MD, FACS, RVT
Dr. Chris LeSar is a Vascular/Endovascular Surgeon certified by the American Board of Surgery (ABS) and a Fellow of the American College of Surgeons (FACS).
Dr. LeSar is an experienced vascular surgeon working in the Chattanooga region for the last 19 years, specializing in vascular and minimally invasive endovascular techniques in both the inpatient and outpatient office setting. In 2015, Dr. LeSar founded the Vascular Institute of Chattanooga, a Regional Amputation Prevention Center, and brings his intricate knowledge of advanced techniques for the treatment of carotid, mesenteric, renal, venous, and peripheral vascular disease to the center.
He received his medical degree and completed his general surgery residency at the University of Toledo College of Medicine and his vascular fellowship training at Eastern Virginia Medical School. He is an Assistant Professor of Surgery at Lincoln Memorial University, a member of the Society for Vascular Surgery (SVS), and a founding member of the Outpatient Endovascular Interventional Society (OEIS).
Connect with Dr. LeSar
💼 LinkedIn: Chris LeSar, MD., FACS
About Veryan
Veryan was founded in 2005 as the result of a technology spin out from Imperial College, London, based on the pioneering work by Professor Colin Caro (Emeritus Professor of Physiological Mechanics, Dept. of Bioengineering Imperial College) on the link between vessel geometry, blood flow mechanics and vascular disease.
Veryan used its understanding of swirling flow and its expertise in research and development to design, develop, and patent the highly innovative three-dimensional (3D), nitinol (nickel-titanium alloy) BioMimics 3D Vascular Stent System.
Learn more about Veryan
🌐 Website: veryanmed.com
💼 LinkedIn: Veryan Medical
🐦 X: @VeryanMed1
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En esta segunda parte seguimos explorando uno de los temas más desafiantes en la cirugía vascular: la arterialización tibial y las decisiones técnicas dentro del quirófano.
Retomamos la conversación donde la dejamos en el episodio anterior y compartimos, paso a paso, cómo abordamos el procedimiento: desde la elección del acceso y la preparación del paciente, hasta las maniobras intraoperatorias, el manejo de las válvulas y la colocación de stents.
También hablamos de lo que no siempre se cuenta: los errores que enseñan, los detalles técnicos que cambian el resultado y la importancia de entender cuándo intervenir y cuándo conservar.
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, refleja una charla real entre colegas sobre técnica, criterio y aprendizaje constante dentro de la cirugía endovascular.
English Version of the Episode 👉 youtube.com/watch?v=wQjHxJBcj0E
01:17 Retomamos desde la Parte 1 y definimos el foco técnico de esta sesión
02:03 Cómo preparamos el caso y elegimos el acceso venoso y arterial
03:21 Acceso plantar lateral y consideraciones anatómicas clave
05:15 Bloqueos, temperatura y trucos de preparación preoperatoria
06:22 La técnica “Bust” paso a paso para cruzar arteria–vena
08:08 El error que nos recordó por qué la orientación importa
11:09 Alternativas con catéter trilobulado y re-entry devices
14:25 Qué hacer cuando una válvula retenida compromete el flujo
17:26 Stents, postdilatación y cómo preservar la vena
19:03 Cómo manejamos el flujo ideal para evitar robos y fallas tempranas
💡¿Quién debería escuchar este episodio?
Cirujanos vasculares, intervencionistas y profesionales que busquen profundizar en los aspectos técnicos y en la toma de decisiones detrás de la arterialización tibial y el manejo de flujo venoso en extremidades críticas.
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From earning $3.50 an hour in Argentina to managing 80+ Airbnb listings across the U.S., this week we sit down with Federico Zimerman. His story is one of persistence, curiosity, and sharp business instinct.
Federico breaks down what it takes to run a profitable short-term rental business, why design, pricing, and guest experience matter more than location, and how mastering revenue management turned his side hustle into a thriving operation.
🎧 This episode offers a grounded look at the business behind Airbnbs, and the mindset shift required to build real independence through smart systems, not luck.
03:49 Federico’s early life and how Argentina’s economic instability shaped his drive
06:48 Working for American Airlines and discovering the power of global exposure
09:41 Traveling the world on a local salary, first class flights and hostel nights
12:26 The books that pushed him toward entrepreneurship
13:50 Losing his father during COVID and finding new purpose through Airbnb
14:46 Managing 500 listings remotely and learning revenue management
20:21 Moving to the U.S. and scaling short-term rental operations
24:00 Lucas’s first Airbnb experience and the myth of “passive income”
28:47 The real demands of running Airbnbs, cleaners, guests, and maintenance
30:46 Federico’s advice on scaling with consistency and professional standards
💡 Who Should Listen
Entrepreneurs, Airbnb hosts, and investors looking to grow sustainable short-term rental businesses through systems, pricing strategy, and service.
About Federico
Born and raised in Argentina, worked in the airline industry for 10 years and started working as a Virtual Assistant from Argentina managing Airbnbs. Got a greencard, move to America (texas first, then NY) and grew a company with 84 active listings, another company doing revenue management, started my RE portfolio and own an Inn with a Bar and Restaurant in Upstate NY.
Connect with Federico
💼 LinkedIn: Federico Zimerman
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In this week's episode, we sit down with Dr. William “Billy” E. Cohn, Chief Medical Officer of BiVACOR Inc. and Executive Director of the Center for Device Innovation at the Texas Medical Center.
From his early fascination with the first artificial heart at age eight to working alongside icons like Dr. Michael DeBakey and Dr. Denton Cooley, Dr. Cohn shares an intimate look at how curiosity, risk-taking, and persistence have defined his life’s work.
The conversation moves from stories inside the Texas Heart Institute to reflections on creativity, collaboration, and how passion fuels innovation, whether in the operating room or at Burning Man. Dr. Cohn also dives into how artificial intelligence is transforming medicine, what it means for the next generation of physicians, and why the future will always need people driven by purpose.
🎧 This episode is a masterclass in the mindset behind medical invention. How creativity, courage, and genuine curiosity drive breakthroughs that change patient care.
03:40 The origins of the world’s first artificial heart and the rivalry between DeBakey and Cooley
08:47 The surgery that made history: how the Leota, Cooley heart was implanted into a human for the first time
10:42 A childhood moment that sparked a lifelong fascination with heart surgery
14:45 Family influences: his father’s creativity, his mother’s determination, and his brother’s brilliance in AI
17:36 Building massive kinetic sculptures at Burning Man and the parallels with medical innovation
23:12 What Burning Man taught him about leadership, passion, and team building
27:44 Lessons from DeBakey and Cooley on authenticity, vision, and inspiration
35:20 The rise of AI in medicine and why it will redefine, not replace, doctors
38:24 From the Industrial Revolution to quantum computing: how exponential change will reshape humanity
💡 Who Should Listen
Physicians, MedTech innovators, and anyone fascinated by how engineering, creativity, and medicine intersect to shape the future of healthcare.
About William E. Cohn, MD, PhD (H)
Dr. Cohn is the Chief Medical Officer of BiVACOR Inc. and the Executive Director of the Center of Device Innovation at the Texas Medical Center (TMC). He is also a tenured professor of surgery at Baylor College of Medicine and an adjunct professor of Bioengineering at Rice University and the University of Houston.
Prior to joining BiVACOR Inc., he served as a Vice President at Johnson & Johnson MedTech, Executive Director for the Johnson & Johnson Center of Device Innovation at TMC, and Director of the renowned Cullen Cardiovascular Research Laboratory at the Texas Heart Institute.
Dr. Cohn has been deeply involved in developing the continuous-flow, totally implantable, artificial heart. In 2011, Dr. Cohn and Dr. O. H. Frazier successfully implanted the first pulseless total heart replacement device in a human patient. The device had been developed at The Texas Heart Institute.
Dr. Cohn has published extensively and has more than 220 US patents or patents pending for his medical device innovations that have been foundational for nine venture-backed startups.
Connect with Dr. Cohn, MD, PhD (H)
💼 LinkedIn: William Cohn
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En este episodio de Life of Flow Podcast, conversamos con el Dr. Jorge Martínez Trabal, cirujano vascular, profesor y líder médico en Puerto Rico, sobre su recorrido personal y profesional desde sus inicios en Mayagüez hasta su actual labor impulsando una profunda transformación en el sistema de salud de la isla.
Jorge comparte cómo superó el cierre de su programa de residencia, su decisión de continuar su formación en Estados Unidos y su regreso a Puerto Rico con una misión: reabrir programas de cirugía, formar nuevas generaciones de médicos y enfrentar una crisis sanitaria que ha provocado la emigración masiva de profesionales de la salud.
A través de su experiencia, reflexionamos sobre los desafíos del modelo de salud en Puerto Rico, el papel de las aseguradoras, la falta de residencias médicas y las propuestas que plantea en su libro, desde la creación de centros de excelencia hasta la necesidad de una educación médica más sólida y accesible.
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, captura una conversación honesta sobre liderazgo médico, educación y los retos del sistema de salud en Puerto Rico.
English Version of the Episode 👉 youtube.com/watch?v=Nv2Bu23uoDI
04:13 Infancia en Mayagüez y los primeros pasos hacia la medicina
07:15 El cierre de los programas de cirugía y su decisión de emigrar
14:22 Su objetivo de regresar a Puerto Rico para reabrir una residencia quirúrgica
17:50 La reforma del sistema de salud en los años noventa y sus consecuencias
19:25 La pérdida de médicos en la isla y la falta de plazas de residencia
23:14 Los obstáculos para regresar y ejercer medicina en Puerto Rico
25:20 La complejidad del modelo de seguros y los “caciques” hospitalarios
39:50 Educación y acceso a la atención: los ejes de su propuesta
41:10 El modelo de Centros de Excelencia y cómo podrían transformar el sistema
47:33 Su visión de futuro, la influencia política y el legado que busca dejar
51:37 El proceso de escribir su libro y las lecciones aprendidas en el camino
💡¿Quién debería escuchar este episodio?
Profesionales de la salud, cirujanos, estudiantes de medicina, líderes del sector sanitario y quienes estén interesados en la gestión médica, la reforma del sistema de salud y la formación de nuevos especialistas en Puerto Rico.
Sobre Dr. Martínez T.
Egresado de la Universidad Autónoma de Guadalajara (UAG) y destacado cirujano vascular en Puerto Rico, el Dr. Jorge Luis Martínez Trabal es creador del procedimiento Trombectomía Venosa Híbrida, una técnica innovadora para el tratamiento de coágulos sanguíneos en las piernas, por la cual recibió el Servier Traveling Award del American Venous Forum.
Actualmente es Director de la Residencia de Cirugía en Ponce, Presidente del Grupo Médico de Cirujanos Vasculares de Puerto Rico, Presidente de la Facultad Médica del Hospital Episcopal San Lucas de Ponce, y Profesor en la Universidad de Ponce.
Su visión y liderazgo han sido clave en la reconstrucción de la formación quirúrgica en la isla y en la promoción de un modelo de atención médica más equitativo y sostenible.
💼 LinkedIn: Martinez Trabal Jorge
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Recorded live in Chicago during the Amputation Prevention Series, this week's conversation with Dr. Mahmood Razavi, Interventional Radiologist and Director of Clinical Trials and Research at St. Joseph Vascular Institute, dives deep into the realities of innovation in medicine.
Drawing from his early days at UCLA and Stanford alongside pioneers like Thomas J. Fogarty, MD and Michael D. Dake, MD, Dr. Razavi shares how his journey from academia to entrepreneurship shaped his view of what truly drives progress in the field.
From why patents sometimes matter more than papers, to how equity builds stronger teams than consulting fees ever could, this episode captures the candid, hard-earned lessons behind a lifetime of creating, advising, and mentoring in MedTech.
🎧 This episode is a masterclass in the mindset behind medical innovation, bridging the gap between clinical expertise, entrepreneurship, and the lessons learned from decades of creating real-world solutions.
03:00 How a “boring” start in radiology led to discovering interventional work
07:39 The Stanford moment that changed everything: seeing a thoracic endograft for the first time
08:40 “We don’t publish, we file patents first”: shifting from academia to innovation
10:19 Consulting versus creating: the real ROI of doing your own thing
12:59 Predicting the future: R&D, patents, and NIH as 5-, 10-, and 20-year indicators
15:26 Lessons from experience: why young physicians shouldn’t sell their ideas cheap
18:31 The value of equity and how to build real commitment in startups
24:43 Finding the right collaborators and learning from the wrong ones
33:00 Final advice: mentorship, asking questions, and learning by proximity
💡 Who Should Listen
This episode is for interventional radiologists, vascular specialists, MedTech founders, early-career physicians, and clinical innovators seeking unfiltered insight into the intersection of medicine, business, and invention.
About Mahmood Razavi, MD
Dr. Mahmood Razavi joined the staff of St. Joseph Vascular Institute in August 2005 and currently serves as the Director of Clinical Trials and Research Center. He specializes in image-guided therapy for cancer and endovascular treatment of vascular disease, including carotid artery stent replacement.
Before moving to Southern California, he was Associate Professor of Interventional Radiology and Director of the Fellowship Program at Stanford University Medical Center, where he also served as Acting Chief of Interventional Radiology.
A graduate of the University of Southern California, Dr. Razavi completed his Radiology residency and Chief Residency at UCLA, followed by dual fellowships in Medical Imaging (UCLA) and Cardiovascular Interventional Radiology (Stanford University Hospital). He later joined the UCLA faculty before returning to Stanford’s Vascular Center, where he remained until 2005.
He has authored or co-authored over 250 scientific publications, abstracts, and book chapters, delivered more than 120 invited lectures worldwide, and serves as Editor of Techniques in Vascular & Interventional Radiology. In addition to his academic and clinical work, Dr. Razavi is co-founder of three medical device companies and sits on multiple scientific advisory boards, continuing to shape the future of minimally invasive image-guided therapies.
Connect with Mahmood Razavi, MD
💼 LinkedIn: Mahmood Razavi
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En este episodio solo de Life of Flow Podcast, hablamos sobre uno de los temas que más debate genera hoy en la cirugía vascular: la arterialización profunda venosa en pacientes con isquemia crítica de extremidades (CLTI).
Partimos de un caso real de un paciente de edad avanzada sin opción quirúrgica convencional y conversamos sobre qué nos lleva a decidir entre un enfoque endovascular, abierto o híbrido. Compartimos cómo planificamos cada procedimiento, por qué el mapeo venoso del pie es clave y qué hemos aprendido de los errores, las complicaciones y la experiencia acumulada.
También abrimos una reflexión más humana: ¿qué pasa cuando el resultado técnico no garantiza calidad de vida? ¿Cuándo es correcto seguir intentando y cuándo hay que aceptar otra realidad?
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, captura una conversación honesta sobre la evolución técnica y ética del tratamiento de la CLTI.
English Version of the Episode 👉 youtube.com/watch?v=0ihslaLijd4
05:47 Un caso real de CLTI y el dilema de la amputación mayor
07:59 Evaluación diagnóstica y hallazgos angiográficos
09:42 Reconstrucción compleja vs arterialización primaria
12:18 Por qué la permeabilidad y la complejidad influyen en el enfoque
14:08 Mapeo venoso del pie: cómo y por qué lo realizamos
15:32 La planificación quirúrgica y la analogía con aneurismas
17:04 Los “cinco destinos” del CLTI según nuestra experiencia
18:34 Decisiones técnicas entre arterialización abierta o endovascular
25:52 Resultados en pacientes con enfermedad renal terminal (PROMISE II)
29:24 Consideraciones éticas y calidad de vida: ¿hasta dónde insistir?
💡¿Quién debería escuchar este episodio?
Cirujanos vasculares, cardiólogos intervencionistas, tecnólogos vasculares y profesionales interesados en arterialización venosa, CLTI, planificación quirúrgica y los dilemas éticos que enfrentamos en el salvamento de extremidades.
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On this week’s episode of the Life of Flow Podcast, we sit down with Daniel A.F. van den Heuvel, MD, live from Chicago at the Amputation Prevention Series, to explore the evolving role of Deep Venous Arterialization (DVA) in the fight against CLTI.
From the very first cases to today’s next-gen technology, Dr. van den Heuvel shares what Europe has learned in the absence of the LimFlow kit, how physicians adapted with off-the-shelf techniques, and what renewed availability and access to LimFlow in Europe means for patients who were once considered “no-option.”
🎧 For specialists, this episode is a masterclass in both the art and science of limb salvage, shedding light on what still fails, what works, and what’s coming next for global CLTI management.
05:04 How foot X-rays reveal more about limb loss risk than angiograms
07:13 Why medial artery calcification is now seen as a major amputation predictor
10:12 Should DVA remain for “no-option” patients or be used earlier?
14:34 The ischemic hit dilemma and the need for predictive models
16:07 Balancing flow to avoid the “DVA storm” and catastrophic ischemia
20:15 Why post-DVA pain should never be considered “normal”
26:46 Shifting patient consent: from toe loss expectations to toe preservation
27:50 Do DVAs really work? Biological change and wound healing after occlusion
35:30 Europe’s “DIY era” and what the LimFlow relaunch means for access
48:17 The future of DVA: earlier adoption, better tools, and deeper biology
💡 Who Should Listen
This episode is for vascular surgeons, interventional radiologists, podiatrists, wound-care specialists, and all clinicians managing patients with chronic limb-threatening ischemia (CLTI). It’s also relevant for industry leaders, researchers, and healthcare professionals interested in how innovations like Deep Venous Arterialization (DVA) and LimFlow’s relaunch in Europe are reshaping global limb salvage.
About Daniel A.F. van den Heuvel, MD
Daniel A.F. van den Heuvel, MD, is an interventional radiologist at St. Antonius Hospital in the Netherlands, where he specializes in advanced vascular interventions with a focus on chronic limb-threatening ischemia (CLTI) and pulmonary artery vascular disease. After completing medical school at the University of Amsterdam, he chose interventional radiology over surgery, drawn by its potential to combine hands-on skill with patient-centered care. Since finishing his fellowship in 2011, he has built extensive expertise in endovascular revascularization and transcatheter arterialization of the deep veins (TADV/DVA).
As Program Director of the IR residency at St. Antonius, Dr. van den Heuvel also trains the next generation of interventional radiologists, emphasizing not only technical mastery but also the soft skills required to care for patients in multidisciplinary teams.
His current work explores unmet needs in CLTI, from improving long-term patency of below-the-ankle interventions to advancing the role of DVA in “no-option” patients. Beyond limb salvage, he maintains a special research interest in pulmonary arteriovenous malformations (PAVM) and balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension (CTEPH).
Connect with Daniel A.F. van den Heuvel, MD
💼 LinkedIn: Daniel van den Heuvel
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En este episodio de Life of Flow Podcast, conversamos con Scott Nelson, director ejecutivo de FastWave Medical y fundador del reconocido podcast Medsider.
Scott comparte cómo pasó de vender dispositivos en línea a construir una empresa que alcanzó más de 20 millones de dólares en ingresos, todo sin recurrir a publicidad paga.
A lo largo de la charla, profundiza en su filosofía de probar ideas antes de invertir, el papel de los influencers en la industria de la salud y cómo los médicos pueden usar su credibilidad para influir de manera positiva. También explica cómo su curiosidad lo llevó a crear Medsider en 2009, y cómo ese proyecto se convirtió en una red de valor para su trabajo actual en tecnología médica.
Finalmente, detalla el origen de FastWave, la oportunidad legal que permitió su fundación, y el rol de los médicos como inversionistas y colaboradores en startups de salud.
❗️Este episodio, grabado originalmente en inglés y ahora doblado al español, ofrece una conversación directa sobre innovación, emprendimiento y liderazgo en el mundo de la tecnología médica.
English Version of the Episode 👉 www.youtube.com/watch?v=3lpP3LI5i3U
03:16 “Tienes que hacer muchos tiros”: su filosofía sobre el éxito en startups
04:16 El poder de los influencers en salud y bienestar para escalar un negocio
09:12 Cómo la comunicación médica cambió del podio a los podcasts
13:34 El nacimiento de Medsider y la curiosidad como motor de innovación
17:18 Cómo el podcast fortaleció su red profesional y su rol como CEO
19:38 El origen de FastWave Medical y su relación con Big Sky Biomedical
21:27 La decisión de la USPTO que abrió una oportunidad única en IVL
26:00 Médicos como inversores: colaboración y transparencia en startups
28:25 La idea del “crowdfunding médico” para apoyar nuevas tecnologías
30:11 FastWave y el desarrollo de catéteres para aplicaciones periféricas y coronarias
32:18 Limitaciones actuales de IVL y la búsqueda de nuevas soluciones técnicas
36:47 Cómo los avances en imágenes podrían redefinir la precisión en IVL
37:36 Cierre del episodio y mención a Medsider y FastWave Medical
💡¿Quién debería escuchar este episodio?
Médicos vasculares, cardiólogos intervencionistas, ingenieros biomédicos, emprendedores del sector salud y profesionales interesados en innovación, propiedad intelectual y desarrollo de dispositivos médicos.
Sobre Scott Nelson
Scott Nelson es el CEO y cofundador de FastWave Medical, empresa dedicada al desarrollo de sistemas de litotricia intravascular de nueva generación. Antes, cofundó Joovv, una compañía de terapia de luz roja que alcanzó más de 20 M USD en ventas directas. También es creador y anfitrión de Medsider, el podcast de referencia en el sector de dispositivos médicos, donde entrevista a líderes y fundadores de startups de tecnología sanitaria.
🎙️ medsider.com
💼 LinkedIn: Scott Nelson
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Dr. Leigh Erin Connealy, M.D., built one of the largest integrative medical clinics in North America by questioning why conventional training left patients without answers. In this week's episode of the Life of Flow Podcast, she explains how her own health story shaped her path, why most doctors are never taught how to heal, and what she sees daily in patients who turn to her clinic after years of frustration.
She shares why lab tests like vitamin D, CRP, and HbA1C should be routine, how insulin and nutrition drive chronic disease, and why 50% of healing is often determined by what a doctor tells the patient. Dr. Connealy also addresses post-COVID realities, from clotting and spike protein testing to the rise of “turbo cancers,” and why she believes the system keeps people sick instead of creating health.
🎧 If you’ve ever wondered why so many patients feel let down by conventional medicine, what doctors aren’t taught in medical school, or how words, labs, and lifestyle can change the course of disease, this episode is for you.
02:12 Early life and the impact of DES exposure during her mother’s pregnancy
10:28 Opening her first practice in Beverly Hills in the 1980s
13:30 Moving to Orange County and founding the Center for New Medicine
17:50 Why “standard of care” fails patients and how integrative care fills the gaps
22:09 The most common complaint patients have about doctors
26:54 The epidemic of chronic disease and the cost of healthcare in the U.S.
30:40 Lifestyle as medicine: exercise, sleep, hydration, nutrition, insulin balance
37:12 “Your words are like medicine”: how mindset and language impact healing
49:21 Rarely seeing heart attacks and new cancers in her patient population
55:40 Post-COVID observations: clotting, spike protein testing, and “turbo cancers”
💡 Who Should Listen
Physicians and healthcare leaders curious about integrative models of care, patients who feel underserved by conventional medicine, and anyone interested in how lifestyle, lab testing, and mindset influence long-term health.
About Dr. Leigh Erin Connealy
Dr. Leigh Erin Connealy is a world-renowned medical doctor and leading functional integrative physician treating and healing patients from across the globe. She utilizes the best of all sciences, including conventional, functional, homeopathic, Eastern, and modern medicine.
Dr. Connealy began practicing medicine in 1986. In 1992, she founded the Center for New Medicine and Cancer Center for Healing in Irvine, California, where she serves as Medical Director. The combined clinics have become the largest integrative medical clinic in North America, having been visited by over 75,000 patients.
She is also the best-selling author of The Cancer Revolution and Be Perfectly Healthy, a frequent contributor to What Doctors Don’t Tell You (WDDTY), Townsend Letter, and other respected platforms, sharing insights on cancer prevention, detoxification, and regenerative therapies.
With over 100 national and international speaking engagements, dozens of published articles, multiple clinical studies, and appearances across major podcasts and health summits, Dr. Connealy is a trusted voice in the future of medicine. She has mentored hundreds of MDs, DOs, NDs, and PAs, and remains committed to advancing practitioner education in integrative oncology.
Connect with Dr. Connealy
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💼 LinkedIn: Leigh Erin Connealy, MD
👍 Facebook: Leigh Erin Connealy, MD
🎧 YouTube: @LeighErinConnealyMD
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