In this engaging episode of The Life of Flow Podcast, we welcome Dr. Constantino Peña, Section Head of Interventional Radiology at the Miami Cardiac and Vascular Institute. Dr. Peña shares insights into his extensive work in Latin America, the collaborative spirit in advancing vascular care, and his involvement in transformative conferences like the ISET meeting.



The conversation spans from reminiscing about pivotal moments in vascular care to discussing the evolution of medical education, the integration of cutting-edge technologies, and the challenges of democratizing healthcare tools globally. Dr. Peña’s stories of ingenuity and perseverance highlight the creativity required to overcome resource limitations, making this episode both inspiring and educational.

Key Topics Discussed:

• The Latin American Impact:
• The profound influence of Latin American collaborations on global vascular care.
• How regional expertise is shaping global practices.
• Transforming Medical Conferences:
• The legacy and future of the ISET meeting.
• The importance of live case demonstrations and interactive learning.
• Innovation in Challenging Environments:
• Stories of resourceful medical practices in underserved regions.
• Local development of medical devices in Brazil and Mexico.
• Future Frontiers:
• The role of AI in education and patient care.
• Decentralizing healthcare systems and creating integrated networks for accessible care.

Takeaways from Dr. Peña:

• Collaboration and innovation are key to advancing medical care, even in resource-limited settings.
• Conferences and meetings should adapt to modern learning styles, focusing on nuanced discussions and cutting-edge technologies.
• A vision for a decentralized, accessible healthcare model that integrates hospitals, outpatient centers, and communities.

In this compelling episode of The Life of Flow Podcast, host Miguel is joined by Shon Chakrabarti MD MPH, CMO of Limflow, Michael Siah, Director of Limb Salvage at UT Southwestern Medical Center, and Lucas. Together, they explore the groundbreaking acquisition of Limflow by Inari and its potential to revolutionize the treatment landscape for CLTI patients. Through dynamic discussion and candid reflections, the group unpacks the clinical, technical, and business implications of this strategic merger, highlighting its impact on patient outcomes, institutional approaches, and the future of endovascular therapies.Key Topics Covered:

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

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

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

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

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

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

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

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

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

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

Memorable Quotes:

• “Inari and Limflow are united by a commitment to tackling large unmet patient needs with purpose-built solutions.” – Shon Chakrabarti
• “Even when DBA patency declines, patients often end up better off than when they started—this is a game changer.” – Miguel

Connect with Us:

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

Guests:

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

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

In this episode of The Life of Flow Podcast, hosts Miguel and Lucas sit down with Jillian Acosta, a registered dietitian and founder of the Root Cause Method. Jillian shares her unique approach to nutrition, which integrates trauma-informed care, emotional healing, and innovative modalities like psychedelics. The conversation covers the intersection of diet, emotional well-being, and systemic challenges in healthcare. Topics include the emotional triggers behind eating habits, the complexities of food addiction, and how Jillian uses ketamine therapy to guide clients through transformative journeys.

What You’ll Learn in This Episode:

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

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

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

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

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

6. Cultural and Systemic Factors: Exploring how food standards in the U.S. differ from other countries and the impact of lobbying and capitalism on public health.

Memorable Quotes:

• “It’s not about the food. There’s no string cheese addiction; it’s an unwillingness to feel discomfort.” – Jillian Acosta

• “We must heal in relationships, as we were wounded in relationships.” – Jillian Acosta

“The one thing getting someone through their day—their coping mechanism—we tell them to take it away. That’s why we fail.” – Lucas