The Rural American Surgeon podcast

6:47

Was she the victim of foul play, an accident, or did she choose to disappear? In this episode of The Vanished, we retrace Diana’s last known movements, strange witness accounts, and the lingering mystery that has never been solved or.. was never meant to be solved.

The Rural American Surgeon

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Welcome to ”The Rural American Surgeon,” a podcast series dedicated to providing insights, resources, and a community for the surgeons of rural America. Your host, Randy Lehman, is an established authority on the multifaceted aspects of rural surgery—from the unique professional benefits and challenges, rural surgical training paradigms, current reimbursement landscape, and how to create triple win opportunities for sustainable rural surgery in partnerships with hospitals and rural communities. This podcast is designed for both rural general surgeons and rural surgical specialists who are seeking not just advice and guidance on practicing in rural areas, but also inspiration to foster valuable partnerships across our great land. Each episode is a deep dive into topics such as mastery of rural surgery, the rural lifestyle, fighting professional isolation, building a system to ensure surgical services are offered at a high level, using scarce resources wisely, achieving personal financial freedom, accessing a wealth of outside surgical resources, and inspiration at a high level of why what we do is important.

24 епізодів

#Science #Randy Lehman

The Rural American Surgeon

updated 5 днів тому

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24 епізодів

#Science #Randy Lehman

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1
E23: Sentinel Node Biopsy with Dr. Mel Johnson - Part 1 39:55

5 днів тому39:55

39:55

Host 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 Anecdotes) 25:40 How I Do It: Sentinel Lymph Node Biopsy (Technical Details) 34:33 Overcoming Obstacles in Rural…

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E22: Technology Disruptors in Rural Medicine with Dan Leman - Part 2 35:33

19 днів тому35:33

35:33

In 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 29:26 Investing in rural communities Resources mentioned: UpToDate Rural American Surgeon Facebook page Critical Access Hospital program…

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E21: Technology Disruptors in Rural Medicine with Dan Leman - Part 1 33:21

4 weeks тому33:21

33:21

Host 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 When Helping Hurts book…

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E20: Mohs Surgery and Skin Grafts with Dr. Konstantin Grigoryan 49:49

6 weeks тому49:49

49:49

Host 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: Mohs Surgery 17:09 How I Do It: Skin Grafts 34:12 Financial Corner 35:20 Classic Rural Surgery Stories 45:23 Resources for the Busy Rural Surgeon 45:58 How I Do It: Benign Skin Cyst Resources mentioned: DermNet NZ…

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E19: General Surgery in the Last Frontier with Dr. Shannon Gulley 45:48

7 weeks тому45:48

45:48

Host 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: FNA and Thyroidectomy 36:41 Financial Corner 38:18 Classic Rural Surgery Anecdotes 39:45 Resources for the Busy Rural Surgeon 40:30 How I Do It: Anterior Spine Exposure Resources mentioned: American College of Surgeons American Society of Breast Surgeons Mayo Clinic QuickBooks…

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E18: Evolution of the North American Rural Surgical Society 8:17

8 weeks тому8:17

8:17

Looking 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 details Resources Mentioned: North American Rural Surgical Society (NARSS)…

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E17: Robotic Ventral Hernia Repair with Dr. Jeremy Stoller 43:37

9 weeks тому43:37

43:37

Host 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 Rural Surgery Anecdotes 43:06 Resources for the Busy Rural Surgeon Resources Mentioned: International Hernia Collaboration SurgeOn app General Surgery News American College of Surgeons (ACS) forums…

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E16: Big Impact in Small Town Family Medicine with Dr. Tod Stillson 46:28

10 weeks тому46:28

46:28

Host 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! 0:00 Intro 3:43 Dr. Stillson’s Background 7:51 Rural Maternity Unit Closures 9:12 Financial Corner 31:45 Resources for the Busy Rural Surgeon 36:17 Classic Rural Surgery Anecdotes 41:28 Resources for the Busy Rural Surgeon Resources mentioned in this episode: Doctor Incorporated book Donor Advised Funds SimpliMD…

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E15: Rural Surgery Research with Dr. Dorothy Hughes 27:45

11 weeks тому27:45

27:45

As 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 I Do It: Rural Surgery Research 19:43 Financial Corner 23:01 Classic Rural Surgery Anecdotes 25:01 Resources for the Busy Rural Surgeon Resources Mentioned: Trailblazing Rural Surgery with Dr. Tyler Hughes North American Rural Surgical Society Selected Readings in General Surgery Dr. Dorothy Hughes’ Google Scholar account…

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E14: "My Dad's a Rural Surgeon!" with Charlotte Lehman 9:53

12 weeks тому9:53

9:53

In 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 only provides insights into the professional life of a rural surgeon with small children, but also underscores the personal aspects of being present with family throughout a demanding career.…

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E13: GI Bleeds in Rural Canada with Dr. Emily Mitic 43:58

13 weeks тому43:58

43:58

Explore 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 It: GI Bleed [30:43] Financial Corner: Canadian Healthcare [37:57] Classic Rural Surgery [42:12] Resources for the Busy Rural Surgeon Resources Mentioned: Huber Ag Equipment American College of Colorectal Surgeons Guidelines…

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E12: From Residency to Rural with Dr. Ben Mundell 45:30

14 weeks тому45:30

45:30

Host 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 Rural Hospitals 26:30 - How I Do It: Laparoscopic Inguinal Hernia Repair 44:00 - Resources for the Busy Rural Surgeon Resources Mentioned: UpToDate North American Rural Surgical Society…

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E11: The Value of Surgical Mentorship with Dr. Eugene Shively 1:08:11

15 weeks тому1:08:11

1:08:11

Host 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 the Busy Rural Surgeon [45:45] How I Do It: Perianal Procedures [59:08] Importance of Having a Mentor Resources Mentioned: Podcast: Single Payer Health Care…

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E10: Purpose, Practicing, and Publishing with Dr. Michael Sarap 42:18

16 weeks тому42:18

42:18

In 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 greater purpose [15:15] Classic rural surgery anecdotes [25:24] Resources for the busy rural surgeon [31:23] Publishing papers while practicing Resources Mentioned: Book: Man's Search for Meaning Book: Ikigai Article: Ripples: One Trauma Case, Three Generations of Lives Saved North American Rural Surgical Society ACS Chapters…

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E09: Laparoscopic Surgery Insights with Dr. Michael Sarap 1:00:04

16 weeks тому1:00:04