What do you do when the gallbladder just won’t behave—and the duct isn't clear?

In Part 2 of our conversation, Dr. Randy Lehman and Dr. Seung Gwon get deep into advanced gallbladder surgery, rural surgical reality, and the wisdom behind bailout decisions. From fenestrated cholecystectomies to lost stones, lost nights of sleep, and lost support staff, Dr. Gwon outlines the tactical and mental tools rural surgeons need to stay sharp and stay sane.

Then they head into the financial corner, discussing disability insurance, budgeting philosophies, and how new surgeons can avoid lifestyle creep. Dr. Gwon closes with a memorable hernia case and two essential resources every rural surgeon should know about.

If Part 1 was about building a career, Part 2 is about protecting it.

0:00 Introduction
0:41 How I Do It: Acute Gallbladder Surgery (Continued)
25:21 Financial Corner
30:40 Classic Rural Surgery Story
36:05 Can You Reinforce an Open Repair with Laparoscopy?
37:02 Resources for the Busy Rural Surgeon

Resources Mentioned:

International Hernia Collaboration (Facebook Group)

Women in Rural Surgery (Facebook Group)

American Hernia Society

ACS Video Library
SAGES Video Library