Shows
The Rural American SurgeonE40: Bringing Robotics to Rural Alabama with Dr. Quince GibsonWhat happens when you bring cutting-edge robotic surgery to one of the poorest regions in America?
Host Dr. Randy Lehman welcomes Dr. Quince Gibson, a UAB-trained general surgeon serving rural Alabama's Black Belt region. Born in Jamaica and shaped by a life-changing encounter with poverty in inner-city Baltimore, Dr. Gibson made the bold decision to leave a successful business career to pursue medicine. His mission: bring quality surgical care to communities where 31% of residents live below the poverty line.
Dr. Gibson shares his remarkable journey of establishing trust in a community sk...2025-07-241h 21The Rural American SurgeonE39: Money Miniseries 2: Freedom in FrugalityBeyond the 'why' of money lies the 'how'—and it starts with a practical paradox most doctors never hear: the less you need, the richer you become.
What if the secret to true wealth isn't earning more, but spending less? In episode two of his finance miniseries, host Dr. Randy Lehman reveals why frugality is the unsung hero of wealth building. This isn't about pinching pennies or living like a monk—it's about buying back your freedom.
Dr. Lehman shares his remarkable journey from a negative $150,000 net worth in residency to positiv...2025-07-1746 minThe Rural American SurgeonE38: The Colonoscopy Chronicles with Dr. Dan MargoWhat happens when you're the only surgeon for hundreds of miles and every decision matters?
Host Dr. Randy Lehman welcomes Dr. Dan Margo, a seasoned rural surgeon from northern Minnesota, who has spent decades mastering the art of surgical practice in isolation. Dr. Margo shares hard-won insights from his years serving remote communities, including the unique challenges of being a visiting surgeon and the critical importance of collegiality in rural practice.
They dive deep into colonoscopy techniques–including abdominal pressure maneuvers and advanced lesion removal strategies–while exploring everything from Miralax prep pr...2025-07-101h 39The Rural American SurgeonE37: Money Miniseries 1: What's the Point? Why Money Means Nothing Without PurposeIntroducing a new miniseries on money—starting with the question beneath the dollars: What’s the point?
Before we talk finance, we’re digging into foundations. In this episode, Dr. Randy Lehman shares an unexpected conversation with ChatGPT about evolution, intelligent design, and the meaning of existence—revealing why, for him, the evidence points to faith over chance.
But this isn’t just about science. It’s about worldview—how what you believe about life shapes how you handle money.
Dr. Lehman pushes back on the pursuit of wealth for its...2025-07-0338 minThe Rural American SurgeonE36: Saving a Dying Hospital with Dr. Manu KaushikWhat happens when a rural hospital loses its only surgeon and faces closure?
Host Dr. Randy Lehman welcomes Dr. Manu Kaushik, who stepped in to save a dying critical access hospital in Greenville, Alabama. After 40 years of service, the hospital's longtime surgeon retired, COVID hit, and the OR shut down completely - threatening the entire community's access to care.
Dr. Kaushik shares his incredible journey of rebuilding surgical services from scratch, training staff, fixing broken equipment, and literally buying his own instruments to keep patients from having to travel hours for bas...2025-06-261h 28The Rural American SurgeonE35: Carotid Endarterectomy Mastery with Dr. Michael RoskosHow do you perform a carotid endarterectomy with confidence while ensuring patient safety in a rural setting?
Host Dr. Randy Lehman welcomes Dr. Michael Roskos, his former program director for the rural surgery track at Mayo Clinic, to dive deep into this critical procedure. They explore patient selection criteria, detailed surgical techniques, and the evolution of vascular surgery practice over the decades.
Dr. Roskos shares his experience practicing in La Crosse, Wisconsin, and his weekly surgeries in the small town of Arcadia, where he operated on patients whose families he'd known for...2025-06-1945 minThe Rural American SurgeonE34: Rural Surgery on the Cutting Edge with Dr. Greg GerrishWhat does it take to bring advanced foregut surgery to a rural hospital?
Host Dr. Randy Lehman sits down with Dr. Greg Gerrish, a third-generation surgeon practicing in South Dakota, to talk shop on the real-world challenges and wins of rural surgical care. From Barrett’s esophagus to emergency thoracotomies, Dr. Gerrish brings both technical depth and day-to-day experience to the conversation.
They cover Dr. Gerrish’s approach to laparoscopic hiatal hernia repair, his reasons for avoiding bougie-assisted intubation, and how he selects patients for LINX procedures. He also walks through a high-stakes trauma case that...2025-06-121h 13The Rural American SurgeonE33: Bariatric Breakthroughs in Rural America with Dr. Kabir MehtaWhat happens when Mayo Clinic precision meets small-town grit?
Dr. Randy Lehman sits down with Dr. Kabir Mehta, who never expected to land in Hazard, Kentucky–population 5,000–but now finds deep purpose in bringing advanced bariatric care to a region where patients used to drive hours for a specialist.
This honest doctor's lounge conversation covers the real stuff: Dr. Mehta’s surgical strategies for handling bariatric emergencies, how he earned trust in a town where everyone knows everyone, and what it takes to not just survive but thrive in rural practice.
They dig into te...2025-06-051h 11The Rural American SurgeonE32: The Art of Adaptability in Rural Surgery with Dr. P.J. ReddyWhat does it take to thrive as a rural surgeon for over four decades?
Host Dr. Randy Lehman welcomes Dr. P.J. Reddy, a most adaptable and resourceful rural surgeon who shares his journey from India to settling in Kansas, where he practiced for 41 years.
Dr. Reddy discusses his experience with colonoscopies, offers financial insight for medical students, and emphasizes the importance of a broad skill set for rural surgeons.
Tune in for an episode packed with wisdom and inspiration for every medical professional committed to excellence in rural healthcare.
0:00 Intro...2025-05-2941 minThe Rural American SurgeonE31: The Privilege of Practicing Back at Home with Dr. Gary TimmermanWhat makes rural surgery uniquely rewarding and challenging?
Host Dr. Randy Lehman welcomes one of the greats–Dr. Gary Timmerman, a distinguished surgeon from South Dakota–to share his journey and insights into rural surgical practice.
Dr. Timmerman discusses his career path, the role his faith has played throughout his many years of surgery, and offers a detailed exploration of esophagectomy techniques and feeding tube placement.
Tune in for an episode packed with wisdom and inspiration for every medical professional committed to excellence in rural healthcare.
0:00 Intro
5:57 Dr. Timmerman's Backgr...2025-05-221h 11The Rural American SurgeonE30: Innovations in Rural Surgery with Dr. Eugene ShivelyHow can rural surgeons navigate the complexities of modern surgical techniques while maintaining financial stability?
Host Dr. Randy Lehman welcomes back Dr. Eugene Shively, a retired general surgeon from Campbellsville, Kentucky, to explore this question. They discuss the critical role of rural surgery, delve into common bile duct exploration techniques, and examine the growing presence of robotic surgery in rural hospitals. Dr. Shively also brings up the debate about government-subsidized insurance and recounts a memorable case from his career.
Tune in for a compelling episode packed with practical notes and inspiring stories for every medical pr...2025-05-1556 minThe Rural American SurgeonE29: The Case That Changed MeA family emergency gave Dr. Randy Lehman an unexpected perspective—from the waiting room instead of the operating room.
In this episode, he shares the story of his grandfather’s emergency gallbladder surgery and how that experience reshaped his approach to rural surgical care.
From the weight of urgent decisions to the strain of limited resources, Dr. Lehman reflects on how these events transformed his approach to pre-op communication and deepened his commitment to compassionate, patient-centered care.
0:00 Intro
5:28 Grandpa's emergency
11:26 Resource limitations in small hospitals
18:30 Unexpected turn of e...2025-05-0939 minThe Rural American SurgeonE28: Flying My Helicopter to SurgeryFor Dr. Randy Lehman, “rushing to surgery” sometimes means taking to the skies.
In this episode, he shares how aviation became an unexpected solution to some of rural healthcare’s biggest hurdles: time, distance, and access.
From unforgettable landings to the real-world logistics of owning and flying a helicopter, Dr. Lehman gives us a front-row seat to how this unconventional approach is transforming his surgical practice in Indiana.
...and let’s be honest, flying is just plain awesome!
0:00 Introduction
1:58 Family Aviation Roots and Grandpa's Flying Legacy
12:47 Trading Long Dri...2025-04-2454 minThe Rural American SurgeonE27: Bringing Complex Procedures Back to Rural Roots with Dr. Rebekah WeverJoin host Dr. Randy Lehman as he welcomes Dr. Rebekah Wever, a passionate young rural surgeon who returned to her Appalachia, Ohio roots after training in South Dakota.
In this episode, Dr. Wever shares candid reflections on her first independent cases while delivering a masterclass on the innovative Transversus Abdominis Release (TAR) technique for complex hernia repairs. She reveals how her dedication to building healthcare resilience in her underserved Appalachian hometown means the difference between life-threatening transfers and keeping critical care local.
Whether you're a healthcare provider considering rural practice or sim...2025-04-1046 minThe Rural American SurgeonE26: Honduras Medical Missions & Gallbladder Cases with Dr. John HaeberlinAfter a week of medical missions in rural Honduras, host Dr. Randy Lehman sits down with Dr. John Haeberlin to reflect on their experience and discuss laparoscopic cholecystectomy techniques.
Dr. Haeberlin shares insights on robotics and breaks down an excellent "How I Do It" segment on a gallbladder case. Dr. Lehman also recounts a compelling case from their time in Honduras, offering a firsthand look at the challenges and decisions they faced in the field.
0:00 Introduction
1:41 Dr. Haeberlin's Background
3:26 Why Rural Surgery Is Special To You
8:10 How I...2025-04-0351 min
Behind The Knife: The Surgery PodcastBehind the Knife Rural Surgery Series: Ep. 3 - Rural Surgery Practice 2In the third episode of our rural surgery series, Dr. Cody Mullens meets with Dr. Randy Lehman, a rural general surgeon from Rensselaer, Indiana to discuss rural practice, lifestyle, resources, and tips & tricks for general surgery residents interested in pursuing rural practice.
The Rural American Surgeon Podcast and Contact: https://www.theruralamericansurgeon.com/
The North American Rural Surgery Society: https://www.northamericanrss.org/
***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, ch...2025-03-3151 minThe Rural American SurgeonE25: Rural Emergency C-Sections with Dr. Dave KermodeHost Dr. Randy Lehman sits down with Iowa rural surgeon and former Navy doctor, Dr. Dave Kermode, for a gripping deep dive into an emergency C-section case. Together, they explore the key differences between elective and emergency C-sections in a rural setting, offering valuable insights for general surgery residents. Beyond medicine, they also discuss the intersections of finance, marriage, and faith, making this an episode packed with wisdom both in and out of the operating room.
0:00 Introduction
0:48 Dr. Kermode's background
4:08 Why Rural Surgery Is Special To You
7:55 C-Sections as a...2025-03-131h 17The Rural American SurgeonE24: Sentinel Node Biopsy with Dr. Mel Johnson - Part 2Welcome back for this Part Two conversation with host Dr. Randy Lehman and distinguished breast surgeon, Dr. Mel Johnson. Listen for a technical walkthrough on sentinel lymph node biopsy, plus a very unique bonus “How I Do It” section involving surgery on a farm! Stay through the end for Dr. Johnson’s powerful encouragement for the new resident who might wonder what life looks like ahead.
00:00 Introduction
02:39 How I Do It: Sentinel Lymph Node Biopsy
05:43 Ongoing Trials in Breast Cancer Surgery
13:27 How I Do It: Patient Prep
20:54 Resourc...2025-03-0632 min
Amplifying LeadershipLogical to Emotional with guest Randy LymanHow does focusing on the emotional side help leaders and businesses thrive?In this guest episode with guest Randy Lyman, the Purpose-Driven Leader, who is a physicist and exited founder who redefined what it means to create purpose-driven success, we discuss going from a logical-based leader to an emotionally-aware leader to build teams and businesses.We uncover how strong teams can be built and organizations can grow and thrive, by using our emotional awareness which also means: listening, being vulnerable, helping others feel appreciated and that they are heard, seeking feedback and using it to...2025-03-0327 minThe Rural American SurgeonE23: Sentinel Node Biopsy with Dr. Mel Johnson - Part 1Host Dr. Randy Lehman welcomes Dr. Mel Johnson, President of the North American Rural Surgical Society and Program Director at Gundersen Lutheran in La Crosse, Wisconsin. This Part One conversation highlights breast cancer treatment, focusing on sentinel lymph node biopsy and the decision-making process for prophylactic mastectomy. Tune in for Dr. Johnson’s insights into implementing comprehensive breast cancer care in rural settings, emphasizing the importance of multidisciplinary approaches and overcoming barriers.
0:00 Introduction
1:43 Dr. Johnson's Background
8:33 Residency Program Updates
14:54 How I Do It: Sentinel Lymph Node Biopsy (Patient Prep and...2025-02-2739 minThe Rural American SurgeonE22: Technology Disruptors in Rural Medicine with Dan Leman - Part 2In this Part Two episode, host Dr. Randy Lehman returns with PA Dan Leman—who flips the script and takes on the role of interviewer! Together, they explore the balance between technological resources and human connection, the complexities of ethical decision-making, and the role of humility in a surgeon’s journey. Don’t miss this insightful conversation packed with thought-provoking perspectives and real-world experience.
0:00 Intro
5:03 Unexpected rectal cancer during surgery
11:19 Importance of humility in practice
17:41 Culture of humility among rural surgeons
22:37 Critical access dollars and healthcare policy
2...2025-02-1335 minThe Rural American SurgeonE21: Technology Disruptors in Rural Medicine with Dan Leman - Part 1Host Dr. Randy Lehman welcomes Dan Leman, a Physician Assistant with a notable background in telehealth innovation. Together, they explore the transformative role of telehealth technology in rural healthcare, highlighting Dan's pioneering work in developing remote medical solutions for underserved communities. The conversation also delves into the financial hurdles faced by healthcare startups and the profound experiences gained from international medical missions.
0:00 Intro
1:30 Dan Leman's Background
5:47 Telehealth Technology
12:25 Inventing Medical Technology
17:17 Surgical experience in Haiti
Resources mentioned:
PAACS
BMDMI
2025-02-0133 minThe Rural American SurgeonE20: Mohs Surgery and Skin Grafts with Dr. Konstantin GrigoryanHost Dr. Randy Lehman welcomes Dr. Konstantin Grigoryan, dermatologist and Mohs surgeon, to uncover his unique journey toward becoming a surgeon and explore the intricacies of skin cancer management. With skin cancer being a prevalent challenge in rural surgery settings, Dr. Grigoryan highlights the precision and benefits of the Mohs technique. Whether you're a surgeon seeking to refine your understanding of this specialized approach or simply interested in the art and science of dermatologic surgery, this episode offers valuable insights and practical takeaways.
0:00 Intro
1:37 Dr. Grigoryan’s Background
5:51 How I Do It...2025-01-2349 minThe Rural American SurgeonE19: General Surgery in the Last Frontier with Dr. Shannon GulleyHost Dr. Randy Lehman welcomes Dr. Shannon Gulley, a seasoned general surgeon with 20 years in practice, including the last decade operating in Alaska. She shares practical insights on personal finances as well as codes and modifiers, with an overall emphasis on maximizing your efforts and your income as a surgeon. With experience both as an employed surgeon and a practice owner, Dr. Gulley shares her thoughts on the two and dives into thyroidectomy and anterior spine exposure in a bonus “How I Do It” segment.
0:00 Intro
6:15 Dr. Gulley’s Background
21:31 How I Do It...2025-01-1745 min
Edify UnfilteredThe Queen of the LingnanIf you live in Edmonton, chances are you know Amy Quon of The Lingnan and Chicken for Lunch. She’s also been named one of Edify’s 6 Who Inspire 2025. Amy joins Trudy and Steve to talk about the Lingnan’s history in the city and the place it has in the lives of Edmontonians. 6 Who Inspire honours community organizers, business owners, philanthropists and mentors who make Edmonton a great city to live in, and have done so for years, or even decades. It’s Edify’s way of celebrating the Edmontonians who are leading the way, ex...2025-01-1534 minThe Rural American SurgeonE18: Evolution of the North American Rural Surgical SocietyLooking ahead to the upcoming NARSS conference on January 17-18 in Denver, Dr. Randy Lehman explores the pivotal role of the North American Rural Surgical Society in supporting rural surgeons. He delves into the society's rich history and traces its evolution from the Northern Plains Vascular Society to its current form. He shares his personal experiences at the annual NARSS conference, highlighting its significance as a hub for practical learning and networking and how it has impacted his rural practice for the better.
0:00 Intro
0:51 North American Rural Surgical Society
6:01 Upcoming conference d...2025-01-1008 minThe Rural American SurgeonE17: Robotic Ventral Hernia Repair with Dr. Jeremy StollerHost Dr. Randy Lehman welcomes Dr. Jeremy "Bud" Stoller, a distinguished rural surgeon from Van Wert, Ohio. Known for his expertise in hernia repair and his commitment to rural healthcare, Dr. Stoller shares his journey from training at The Ohio State University and the University of Toledo to practicing in his hometown. Dr. Stoller details his approach to ventral hernia repair and his excitement for utilizing robotics in his small-town hospital setting.
0:00 Intro
5:10 Dr. Stoller’s Background
12:29 How I Do It: Ventral Hernia Repair
37:02 Financial Corner
39:01 Classic Rur...2025-01-0243 minThe Rural American SurgeonE16: Big Impact in Small Town Family Medicine with Dr. Tod StillsonHost Dr. Randy Lehman and Dr. Tod Stillson have a heartwarming conversation about the importance of transparency and trust when it comes to small town healthcare–especially in family medicine when you have the opportunity to serve families through many stages of life. In addition to discussing the impact of closing obstetrics units in rural hospitals, Dr. Stillson shares insights on achieving financial independence and introduces his “Employment Lite” model, which combines the benefits of traditional employment with private practice. This episode might just save a rural surgeon a few hundreds of thousands of dollars over the years!
...2024-12-2646 minThe Rural American SurgeonE15: Rural Surgery Research with Dr. Dorothy HughesAs part of this new miniseries, "The Children of Rural Surgeons," host Dr. Randy Lehman welcomes Dr. Dorothy Hughes, daughter of esteemed rural surgeon, Dr. Tyler Hughes. Their conversation delves into her experiences growing up with a small-town surgeon for a father and how that impacted her upbringing. And ultimately, how Dr. Dorothy Hughes came full circle to rural surgery from an academic perspective, including some of the compelling research she's done in this field.
0:00 Intro
1:10 Dr. Dorothy Hughes’ Background
5:55 Growing Up as the Child of a Rural Surgeon
15:37 How...2024-12-1927 minThe Rural American SurgeonE14: "My Dad's a Rural Surgeon!" with Charlotte LehmanIn this heartfelt episode, Dr. Randy Lehman is joined by two very special guests, his daughter Charlotte and a surprise appearance by his wife, Brittaney. Together they reflect on the demanding days of residency in Minnesota, and how the transition to rural practice in Indiana has impacted their family life and balance.
Charlotte describes her dad’s work as candidly and charmingly as only an 8-year-old can (“lots of gross surgeries!”) and reflects on how much more she gets to see her dad now compared to the days of residency. This fun and lighthearted episode not onl...2024-12-1209 minThe Rural American SurgeonE13: GI Bleeds in Rural Canada with Dr. Emily MiticExplore surgical care in rural Canada through the perspective of host Dr. Randy Lehman as he sits down with Canadian general surgeon, Dr. Emily Mitic. Dr. Mitic is dedicated to serving rural Alberta, practicing in a small city uniquely positioned between two major urban centers, which means her hospital serves a greater population of about 425,000 people. Tune in for a detailed walkthrough of Dr. Mitic’s approach to GI bleeds, a discussion of some distinctions between American and Canadian healthcare, and a lively rural surgery anecdote!
[00:00] Introduction
[00:55] Dr. Mitic’s Background
[07:42] How I Do I...2024-12-0543 minThe Rural American SurgeonE12: From Residency to Rural with Dr. Ben MundellHost Dr. Randy Lehman sits down with Dr. Ben Mundell, a newly minted general surgeon carving out his path in the Eastern Sierras of California. Together they discuss what it takes to thrive as a rural surgeon, especially in those crucial early months out of residency. Tune in for practical advice, invaluable insights, and must-know resources for making a successful transition from residency to rural practice.
0:00 - Introduction
4:16 - Challenges Facing Rural Hospitals
09:00 - Dr. Lehman's Early Career Insights
13:00 - Handling Complex Cases in Rural Practice
18:40 - Expanding Surgical Scope in R...2024-11-2745 minThe Rural American SurgeonE11: The Value of Surgical Mentorship with Dr. Eugene ShivelyHost Dr. Randy Lehman sits down with friend, mentor, and "godfather" of rural surgery, Dr. Eugene Shively to discuss his impressive 46-year career. From the comfort of Dr. Shively's 200-year-old cabin (listen for the full story!), the two discuss the evolution of surgical techniques, Dr. Shively's approach to common bile duct exploration, and invaluable advice for residents who plan to pursue a career in rural surgery.
[0:00] Introduction
[0:48] Dr. Shively’s Background
[10:25] How I Do It: Common Bile Duct Exploration
[25:50] Financial Corner
[31:51] Classic Rural Surgery
[39:13] Resources for...2024-11-211h 08The Rural American SurgeonE10: Purpose, Practicing, and Publishing with Dr. Michael SarapIn part two of their conversation, Dr. Randy Lehman welcomes back Dr. Michael Sarap to dive deeper into his 37 years as a rural surgeon. Building on their earlier insights into financial strategies for young surgeons, Dr. Sarap shares intense and captivating stories from rural practice. Listeners will come away inspired and equipped with resources for building a strong network of specialist colleagues. With a wealth of experience and a deep passion for small-town healthcare, Dr. Sarap makes this episode a must-listen for any provider dedicated to rural communities.
[00:00] Introduction
[01:05] Financial Corner
[10:55] Happiness and...2024-11-1542 minThe Rural American SurgeonE09: Laparoscopic Surgery Insights with Dr. Michael SarapIn this episode, host Dr. Randy Lehman sits down with Dr. Michael Sarap, a seasoned rural surgeon with 37 years of experience. Dr. Sarap shares the rewards and challenges of his career, offering invaluable insights into building a successful rural surgery practice. From mastering advanced endoscopic techniques to performing complex procedures like laparoscopic common bile duct exploration, join us for an engaging discussion that underscores the impact of dedicated rural surgeons in their communities.
[0:00] Intro
[0:48] Dr. Sarap's background
[5:48] Building a rural surgery practice
[33:44] How I Do It: Laparoscopic Common Bile Duct Exploration
2024-11-141h 00The Rural American SurgeonE08: Rural Robotic Revolution with Dr. John RobertsonIn this episode, host Dr. Randy Lehman sits down with Dr. John Robertson, who started his medical career in the big city before transitioning to rural surgery. Dr. Robertson delves into his “modified plug and patch” technique for inguinal hernia repair and his embrace of robotics in the OR, offering valuable insights for both urban and rural practitioners.
[00:00] Introduction
[00:50] Dr. Robertson’s background
[07:07] Collaboration and community in rural practice
[17:00] How I Do It: Open inguinal hernia
[30:12] How I Do It: Robotic surgery techniques
[34:56] Financial Corner
[36:14] Classic...2024-10-3150 minThe Rural American SurgeonE07: Managing Complex Wound Care with Dr. Stephanie HellerIn this episode, Dr. Randy Lehman reunites with his former program director at Mayo Clinic, the accomplished and beloved Dr. Stephanie Heller. Together they discuss Dr. Heller's wealth of experience, from navigating career transitions to mastering complex procedures like skin grafting and managing fistulas. Listen for insights on optimizing wound care, tackling challenging cases, and thriving in acute care surgery.
[00:00] Introduction
[1:18] Dr. Heller’s background
[06:37] Dr. Heller’s surgical group
[13:55] Importance of rural surgery and training
[25:29] How I Do It: Wound care and skin grafting
[48:43] How I Do It...2024-10-241h 03
Normalize It ForwardEmbracing Life’s Challenges Through Self-Care With Randy SpellingSelf-care is not selfish. It’s essential. In this episode, life coach Randy Spelling joins Marc Lehman for a candid conversation about self-care and mental health. They dive deep into how self-care is more than just indulgent moments; it encompasses setting boundaries and finding simple joys like a refreshing walk to clear the mind. They discuss the challenges faced by today’s youth, including rising anxiety levels and the impact of digital communication on real-life interactions. Tune in for insights that inspire a healthier, more fulfilling life!Click Here to learn more about U Are Heard2024-10-2229 minThe Rural American SurgeonE06: PAs and the Power of Collaborative CareJoin us in a special location as your host, Dr. Randy Lehman, sits down with Wisconsin PA Jerry Fushianes to discuss how Physician Assistants and Nurse Practitioners strengthen rural practices. Discover more about the Associate Provider model, where PAs are trained to duplicate physician services across specialties, acting as a conduit between doctors and patients to provide comprehensive care and support for rural surgeons.
[00:00] Introduction
[01:43] Jerry’s background
[08:00] How Dr. Lehman’s rural practice began
[12:50] Advantages of working with a PA
[20:50] The role of advanced practice providers in rura...2024-10-1759 minThe Rural American SurgeonE05: Mastering the Right Colectomy with Dr. Chris HuirasIn this episode, host Dr. Randy Lehman is joined by Dr. Chris Huiras, a general surgeon who has dedicated over 30 years to providing care at Mayo Clinic as well as in rural Wisconsin. In addition to some great stories, Dr. Huiras shares a detailed overview of how he performs a right colectomy. Listen as Dr. Huiras' passion shines through, not just for surgery, but for the rural communities he's been able to serve along the way.
[00:00] Introduction
[01:03] Dr. Huiras’ background
[05:49] The spectrum of rural surgery
[10:44] How I Do It: Rig...2024-10-1039 minThe Rural American SurgeonE04: Training the Next Generation of Surgeons with Dr. David FarleyIn this episode, host Dr. Randy Lehman sits down with former Mayo Clinic program director Dr. David Farley, who offers expertise as a seasoned and respected mentor to hundreds of surgeons. From his rural Wisconsin upbringing to his 31 years of training residents, Dr. Farley shares insights on mastering techniques like TEP inguinal hernia repair and fostering a culture of continuous learning and improvement.
[00:27] Dr. Farley’s background
[06:06] How I Do It: TEP inguinal hernia repair
[17:11] How I Do It: TEP bilateral hernia repair
[31:18] Financial Corner
[41:38] The importance of training and...2024-10-061h 09The Rural American SurgeonE03: Navigating Global Rural Surgery with Dr. Lauren SmithsonIn this episode, Dr. Lauren Smithson, the Chair of the Advisory Council for Rural Surgery, shares her journey from the Caribbean to the UK to rural Canada, providing valuable insights to those eager to pursue a career in rural surgery. Host Dr. Randy Lehman and Dr. Smithson discuss her wide-ranging scope of work, from complex breast cancer operations to unique trauma cases, and her involvement in advocacy for rural medicine.
[00:58] Dr. Smithson’s background
[05:07] St. Anthony’s resources
[16:51] Rural biopsies and mastectomies
[34:10] Skin-sparing mastectomy technique
[40:59] Financial corner and D...2024-09-2658 minThe Rural American SurgeonE02: Trailblazing Rural Surgery with Dr. Tyler HughesFew understand the wonders and challenges of rural surgery as acutely as the respected Dr. Tyler Hughes. In this episode, host Dr. Randy Lehman sits down with Dr. Hughes to discuss insights and anecdotes from his remarkable career. From being named the first Rural Practitioner of the Year to his instrumental involvement in the American College of Surgeons, Dr. Hughes has invaluable wisdom to share from his exceptional journey.
[00:00] Introduction
[02:41] Dr. Hughes’ transition from operating to teaching
[09:42] Importance of rural surgery
[14:44] Challenges and solutions in rural surgery
[23:05] Dr. Hughes’ deta...2024-09-191h 07The Rural American SurgeonE01: Life in Rural SurgeryIn this introductory episode, Dr. Randy Lehman highlights the unique challenges and rewarding moments that come with practicing surgery in rural America. Tune in and join the community, where each week we'll discuss topics pertinent to the healthcare providers of America’s heartland.
Key Topics:
[0:00] Intro
[3:58] Upcoming segments and episodes
[7:44] Rural lifestyle and unique cases
2024-09-1312 min
Tabletop Tune UpGM Interview - RandyIn this episode Mark and Ben interview a GM who's been an important influence on their games and growth as GMs. Meet Randy, whose homebrewed world began drawn with colored pencils on letter-sized paper inspired decades of gameplay with several local groups. We'll ask Randy about Kiras, about how he weaves character stories and player inputs into his world, and some of his mapping ideas. We hope you'll learn a few new tricks from his work ethic and attention to detail, just as we once did.2024-09-1137 minThe Rural American SurgeonThe Rural American Surgeon TrailerThis is your sneak peek into the world of rural surgery, where we celebrate the profound connections and unique experiences that define this vital field. In the upcoming episodes, we'll feature intimate conversations with leading rural surgeons, breaking down surgical techniques, and shedding light on the challenges faced by those practicing in isolated areas. You'll gain insights into overcoming professional isolation and fostering a supportive community, along with a financial corner featuring practical advice for achieving financial independence in your surgical career. Whether you're a seasoned professional, a resident, or just curious about rural healthcare, this podcast aims to...2024-08-1603 min
Read Me a Poem“The Cucumber ” by Nâzim HikmetAmanda Holmes reads Nâzim Hikmet’s poem “The Cucumber,” translated from the Turkish by Randy Blasing and Mutlu Konuk. Have a suggestion for a poem by a (dead) writer? Email us: podcast@theamericanscholar.org. If we select your entry, you’ll win a copy of a poetry collection edited by David Lehman.This episode was produced by Stephanie Bastek and features the song “Canvasback” by Chad Crouch. Hosted on Acast. See acast.com/privacy for more information.2024-08-1303 min
The Indy Investor SpeakeasyNavigating Indianapolis Real Estate Markets with Steve LehmanWelcome to "The Indy Investor Speakeasy," the go-to podcast for the scoop on the Indianapolis real estate market and beyond. Your hosts, Brooks, Nick, and Randy, invite you into their cozy corner. You can find us on YouTube, Instagram, Spotify and anywhere you get your podcasts.
In this episode of The Indy Investor Speakeasy podcast, hosts discuss Indianapolis real estate neighborhoods with seasoned investor Steve Lehman. Steve shares his extensive knowledge from over 20 years in the market, covering trends from booming to stagnant neighborhoods. He highlights the importance of understanding market cycles, identifying opportunities, and the value of third-party...2024-06-261h 03
The Erik Cabral ShowE317: Dr. Randy Lehman on Entrepreneurship, Faith, and Rural HealthcareIs pursuing your passion worth the challenges it may bring? This week, Erik Cabral sits down with Dr. Randy Lehman, a general surgeon who has dedicated his career to rural healthcare through his business, Liberty Clinic.
After years of training, he returned home hoping to open a practice. But reimbursement cuts squeezed margins, and within two years his clinic was losing money fast. Most would quit, but not Randy – he found a way to partner with the local hospital, turning everything around. Now his clinic thrives.
Tune in to hear Randy's story of perseverance facing adver...2024-06-1747 min
Behind the Seams Baseball PodcastMy 100th Podcast and 9 "Ah-Ha" Moments Along the Way!This week marks my 100th episode of the “Behind The Seams Podcast”. It’s been, not only an incredible journey but also, an incredible learning experience. This week I’ll celebrate by going through 9 of my “Ah-Ha” moments with 9 coaches from the following star-studded cast.Randy Sullivan – Back leg mechanicsScott Brown - Common characteristics of elite playersMike Boyle - Unilateral versus bilateral trainingMike McFerran - Using data with youth playersBrandon McDaniel - Understanding the Infrasternal angleGraeme Lehman - Adjusting mechanics based on architectureAlan Jaeger - Improving your mental gameRobin Lund - Finding the leaks in mechanicsSean McGrath - Making front leg...2024-06-0150 min
Forged in OhioCaged Thunder 26 Live Pro Weigh-In ShowForged in Ohio's second-ever live show took place at the Caged Thunder 26 pro weigh-ins! The show features six of the eight pro fighters competing at Caged Thunder 26 on Saturday, April 6th from the Chapparell's Center in Akron, Ohio. This includes Brogan Endres who is set to fight Tyler "The Outlaw" Collins in the main event. Also, Hunter Watt, Melvin Harris, Shane Lehman, KO Butler, and J'Marr Moore join the show. All that and more on Forged in Ohio's live Caged Thunder 26 pro weigh-in show!Hunter Watt (2:23-4:51)Brogan Endres (4:51-7:54)KO B...2024-04-0641 min
The Gentle Art of Crushing It!EP 139: Hicham Hajhamou - Experience from 25 years on Wall StreetHicham Hajhamou is the former head of OTC Rates and FX Trading at quantitative hedge fund AQR Capital Management. Hicham has 25 years’ experience in financial markets, managing teams in a fast paced environment. He started his career at Lehman Brothers and held several senior trading positions at other Investment Banks.
He is a global macro, inflation and market structure specialist.
Mr. Hajhamou has a long history investing in Capital Markets, Private Placements, Crypto, Real Estate and Alternative assets. He has participated and helped raise money over the years for various real assets syndications (STR, Multifamily, Stora...2023-11-0239 min
Living Hope Sermon AudioGod Is Powerful
Full Service Video
Call to Worship
Psalm 95:1-7
Corporate Confession of Faith
The Apostles' CreedHeidelberg Catechism 1
Scripture Reading
Job 26
Message
God Is Powerful
Songs
"Praise to the Lord, the Almighty"
by Catherine Winkworth, Joachim Neander
CCLI
"Come, Thou Almighty King"
by Charles Wesley, Felice de Giardini
CCLI
"Jude Doxology"
by Randy Butler, Terry Butler
CCLI
"Christ the Sure and Steady Anchor"
by Matthew Papa, Matthew Boswell2023-10-2937 min
Christian Fellowship Community PodcastRandy Lehman - From Independence to Dependence to Interdependence: My JourneyRandy Lehman, Founding Partner of Summit Financial Group, shares how his upbringing, trials, and Christian community have brought him from independence to dependence to interdependence. Randy shares about a diagnosis in 2008 that changed his family forever, but only strengthened their faith in God. He explains how his dependence on Christ is helping bring him to a place of interdependence in Christian community.
Listeners of the Christian Fellowship Community presentations and any recordings thereof acknowledge that these productions are exclusively owned by CFC, and such viewers and/or CFC members agree to only use same for h...2023-09-1530 min
Working Drummer410 - Bobby Sanabria: His MULTIVERSE Big Band, Inspiring the Next Generation, New Record - VOX HUMANABobby Sanabria is an eight time Grammy-nominee as a leader. Known as a drummer, percussionist, composer, arranger, conductor, documentary film producer, educator, activist, and bandleader, his versatility as both a drummer and percussionist, from small group to big band, has become legendary. A native son of the South Bronx born to Puerto Rican parents, he has performed and recorded with every major figure in the world of Latin jazz and salsa, from the founder of the Afro-Cuban/Latin jazz movement Mario Bauzá, to Tito Puente, Mongo Santamaría, Dizzy Gillespie, Chico O’Farrill, Ray Barretto, Candido, to Larry Harlow, Rube...2023-03-161h 13
Rx Investor PodcastBest Practices to Achieve Financial Independence QUICKLY, with Dr. Randy LehmanMeet Dr. Randy Lehman. At 33 years old, Dr. Lehman is already enjoying true financial freedom with his family. In this episode, he will share the best practices that helped him succeed as a doctor and real estate investor and gain financial independence quickly. Dr. Lehman details the hyper-efficient habits that help him juggle medical practice and investing in real estate and dives deep into his minimalist lifestyle and how he tracks his net worth. We’ll also hear about ways to invest in real estate and Dr. Lehman’s mindset on leveraging to achieve finan...2022-10-1846 min
Lions, Towers & ShieldsCookie Full of ArsenicBurt Lancaster plays a newspaper columnist who is based on Walter Winchell. Winchell was a powerful, vindictive dude, and Lancaster is deliciously evil here, going after the man his sister loves, because he can. Tony Curtis co-stars as a man doing Lancaster’s bidding to advance his own career. The film is based on Ernest Lehman’s novel, and the screenplay was co-written by Clifford Odets. The script is a strong point, as are Lancaster and Curtis’s performances. Enjoy the great jazz score, and get lost in the sleazy world of press agents and corrupt columnists.
Sweet...2022-08-1155 min
Fifty Key Stage Musicals: The PodcastTHE FANTASTICKSTHE FANTASTICKSCOMPOSER: Harvey SchmidtLYRICIST: Tom JonesBOOK: Tom JonesSOURCE: Edmond Rostand’s play Les Romanesques (1894)DIRECTOR: Word BakerPRINCIPLE CAST: Rita Gardner (Luisa), Kenneth Nelson (Matt), Jerry Orbach (El Gallo)OPENING DATE: May 3, 1960CLOSING DATE: January 13, 2002PERFORMANCES: 17,162SYNOPSIS: Matt and Luisa are two star struck lovers separated by a wall their feuding fathers erected. They escape the confines of their homes and struggle to form a relationship ba...2022-04-2852 min
Silver Screen and Television DreamsS1E26: LOKI; Episode 2 Review; Guest Starring MattWelcome back to Silver Screen and Television Dreams!
Matt and I discuss Episode 2 of Loki! We talk a bit about the discussion between Mobious and Loki on the authority and power of the time keepers and how that relates to real life. Also, who is this mysterious girl “Loki” or Randy as she wants to be called? Could she be a timekeeper, maybe a Loki admirer? What about his daughter? So many questions, and we cannot wait to find out the answers.
Have Fun and remember who you are!
*This podcast is a production of Ryit Media and is hosted by G...2021-06-1852 min
The Indy InvestorEpisode 104: Indy Neighborhood Series: East of the DowntownBrian & Randy are joined by Dave Short & Steve Lehman to discuss real estate investing and the neighborhoods from east of Indy’s downtown out to Irvington.2021-03-2935 min
The Lost Ogle Show67. TLO Week In Review - Kruger's Retirement, Teddy's Lehman's tweet, and OU Football w/ Jason KerseyIt's an OU sports edition of The Lost Ogle Week in Reviewcast! TLO's founder and editor Patrick Riley and The Athletic's Jason Kersey talk all about the week that was in OU sports, including: – The end of the Lon Kruger era and where it ranks – The future of OU Basketball – Teddy Lehman's tweet that criticized Colby Daniels breaking of the story – OU Spring Football (Players to watch) – Chandler Morris saga – Nebraska's stupid decision to try and move the game As always, you can subscribe to The Lost Ogl...2021-03-2652 min
Ruídos Podcast#040 - Mestres dos Ruídos III: Chick Corea com Beba Zanettini e Lucas LongaresiO RUÍDOS dessa semana presta homenagem a um dos grandes nomes do jazz de todos os tempos: Chick Corea. E para esse papo, Flávio e Tody contam com a companhia pra lá de especial do pianista e compositor Beba Zanettini e do músico Lucas Longaresi para uma celebração da carreira desse verdadeiro mestre das teclas! Passeie conosco por alguns álbuns importantes do artista, relembre momentos especiais de privilegiados que puderam vê-lo ao vivo e aprenda as lições que ele deixou como legado!SITE: https://ruidospodcast.com.brEMAIL: ruidospodcast@gmail.com2021-03-1229 min
The Oklahoma Breakdown with Ikard and LehmanKeys to the Big 12 Championship Game, OU-Iowa State Preview with Randy Peterson + OU's 2021 National Signing DayGabe Ikard and Teddy Lehman give you the keys to the game in the Big 12 Championship Game (6:40). They preview OU-Iowa State with Randy Peterson (18:01). No one has covered Iowa State football longer than Randy so he brings a unique perspective . In the “National College Football Roundup,” the guys preview the rest of the Power Five conference championship games (45:22). Gabe and Teddy give you their “Winners/Losers of the Week” (1:09:07). They “Wet the Beak” with the AAC Championship Game between Tulsa and Cincinnati (1:26:34). To finish up, with Wednesday being National Signing Day, the guys break down OU’s 2021 recruiting class in “Keepin’ It...2020-12-171h 52
Total Movie RecallTMR 049 – Thriller & An American Werewolf in London This week on Total Movie Recall, our bodies go through some changes that we don’t know how to deal with as we take in a John Landis double feature with Thriller & An American Werewolf in London. We really just need somebody to talk to about it. What’s that, Dad? You’re busy? Okay, I’ll just go on the internet and learn some deeply ingrained, problematic attitudes about Michael Jackson, Nazi monsters and Van Morrison tantric sex cults. d. John Landis Special Effects: Rick Baker The Making of Thriller (1983) Starring...2020-11-301h 55
Spine & NerveTo repeat or not to repeat? A discussion on epidural steroid injections.In this episode of the Spine & Nerve podcast, Dr. Brian Joves and Dr. Nicolas Karvelas discuss the age old question... whether or not to pursue a repeat epidural steroid injection (ESI) for the possibility of cumulative effect.
Historically there was a time when it was fairly common practice to order a pre-determined series of ESIs. Over time, based on analysis of the research performed, and based on clinical experience, taking a more nuanced approach has proven to be the recommendation of most pain societies.
Listen as the doctors discuss some of the available literature, as well as their clinical experience re...2020-06-2916 min
WZBD AudioHitzer Fireplace & Outdoor Patio High School Sports Weekly 1/23/19Bob Adams & Randy Fudge talk high school sports, and were joined this week by South Adams Swimmers Curtis Sprunger, Kamden Yoder, and Ashley LeFever, along with head coach Andy Lehman2019-02-0757 min
The Checkout - Show PodcastRandy Ingram, Oran Etkin, and Steve LehmanIngram performs "Sky/Lift," Etkin's "Gathering Light," and Lehman's "Mise en Abime."2014-08-2059 min
Canary Cry RadioCCR 037: NumbersBasil and Gonz take a look at what we often take for granted; numbers. Numbers are everywhere. They are the foundation for all things. The guys take a look at numbers through philosophical, esoteric, and Biblical lenses.LINKSNUMBERS AND PROBABILITIESDr. Dave Lehman (http://smashedmedia.us/bruce/category/hamp/)Dr. William Lane Craig on Numbers as objects:[youtube=https://www.youtube.com/watch?v=_A_v3H5qJ60] VORTEX MATHEMATICS TEDx talk with Randy Powell:2012-11-241h 35