The Rural American Surgeon

Money Miniseries 8: When The Dream Doesn’t Go As Planned…


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What happens when the plan…doesn’t pan out?


In the final episode of the Money Miniseries, Dr. Randy Lehman shares a behind-the-scenes look at launching Liberty Clinic, the independent rural practice he built from the ground up (and nearly had to shut down). 


The episode covers the financial, emotional, and leadership challenges that come with going first in a rural environment. It’s about the limits of planning, the gift of margin, and the kind of resilience that only develops after setbacks.


0:00 Intro
1:11 Pharmacy School Rejection & Pivot
5:49 Discovering Rural Surgery
13:36 The Town With Too Many Surgeons…
18:22 Buying My Childhood Clinic (And Meeting My Wife)
25:04 Liberty Clinic: Vision, Reality, and $30K Losses
28:58 The Surrender Prayer
36:41 Termination
44:44 A Lesson in Difficult Partnerships
48:39 Why Financial Margin Matters
54:53 Final Reflections on Resilience

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The Rural American SurgeonBy Randy Lehman