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Leah B. Gilliam, MD

@drgruralmd.bsky.social
6.2K followers 725 following 3.3K posts

Family doc. Farm wife. Mama. Mostly complaining about the stupidity of our healthcare system. She/her #medsky

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 20h
AI doesn’t fix the fact that my patients don’t have a car that can make it far enough to get their colonoscopy. AI doesn’t fix that I have multiple adult patients who can’t read. AI doesn’t fix poverty or hold the check for a patient’s meds for a week until their paycheck gets deposited.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/09/2026
I love that my adult patients get excited about getting a fish-shaped nebulizer. Everyone deserves to be happy.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 23/09/2026
If you love me, you’ll go vote in the Fat Bear Week polls and support 901. She’s a strong, independent woman and I love her.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/09/2026
Patient’s insurance requires them to use CVS Caremark. I see patient last week. BP elevated. I send rx to increase valsartan from 160 mg to 320 mg. CVS Caremark sends me a notice that they’re out of refills for the 160 mg dose and that this may affect their compliance. Yes. I suppose it will. 🫠
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 09/09/2026
I don’t know who needs to hear this (yes, I do) but please screen men for OSA before starting testosterone replacement. Untreated OSA is a contraindication to treatment. TYSVM for your attention to this matter.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/08/2026
If you’re going to take issue with the use of “y’all”, I’m going need to you stop using the word “don’t”. Both are contractures. It’s not “folksy”. It’s a legitimate word.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/08/2026
Notice from patient’s insurance: this patient is late to refill their Rybelsus. Yes. Because that medication is no longer produced. And the replacement prescription for Ozempic tablets was filled three weeks before this notice was sent. The insurer paid for them. Super helpful.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/08/2026
My husband just asked me to cut his fishing line. For a second I panicked. Would it be too long? Too short? #medschooltrauma
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 20/08/2026
I might send one patient to the ER per week. I sent two before 10 am today and I don’t like it.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 18/08/2026
Corona Radiata would make a lovely name.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 24/07/2026
I’ve never wanted to see it more.
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Reposted by Leah B. Gilliam, MD
Sandy Horne @sandyhorne.bsky.social · 21/07/2026
Happy Wrensday Wednesday! Here's one from my archives. A superb fairywren portrait. This is the common type of fairywren where I live. #wrensday
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/07/2026
My receptionist brought me back a T-shirt from Seattle Pride. Ignore my face. It’s been a rough couple of weeks.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/07/2026
Imma leave this here for the curious. www.jacc.org/doi/epdf/10....
jacc.org
Long-Term Cardiovascular Risk Associated With Treatment of Attention-Deficit/Hyperactivity Disorder in Adults
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 05/07/2026
The time remaining on the front of my washing machine is a complete and utter fabrication.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 04/07/2026
Ok. The little pop-it things that pop loudly when you throw them on the ground… I’m the only one at this cookout who has ever snapped them with their fingers to make them pop. Tell me someone else here has done this.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 30/06/2026
I have words for the physician extender who I just heard say that hospice was for people who are “checked out” or “not feeling mentally strong”.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 30/06/2026
Is there an excess of tragedy going on in the lives of people I know right now? Yes. Am I in the middle of it all because I’m the doctor and it’s my job to explain it all and help make plans and support them all? Yes. Is that completely overwhelming? Of course.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 27/06/2026
Suturing a laceration can be meditative.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/06/2026
I love the Memphis medical community. I currently have multiple close family members facing similar awful medical diagnoses. One in Memphis. One in Nashville. Things in Nashville take FOREVER. In Memphis? We get a bad test result yesterday.
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Reposted by Leah B. Gilliam, MD
Amy G Dala, MD @amygdalamd.bsky.social · 17/06/2026
Hey I may not do your stupid modules, or publish enough, or close all those charts, or volunteer to teach at the medical school, but I always try to drop everything and go the extra mile for *actual* patient care
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 14/06/2026
If you were in *that* group chat in the old place, know that we are resurrecting. For some reason it won’t let me add everyone. Message me.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/06/2026
My dog got sprayed by a skunk last night. Despite having showered this morning, I smell like a skunk today since I had to bathe her. Embarrassed, I warned the tech doing my mammogram and she agreed. While I appreciate honesty in general, this is the one time when I’m begging you to lie to me.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 08/06/2026
United healthcare denied a CTA with runoff BLE on a patient of mine because she hadn’t completed a walking program first. She is wheelchair-dependent.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 03/06/2026
I got my nails done today and TBH, you can’t tell me a damn thing right now.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 03/06/2026
Yoda is already flesh-colored. Flesh comes in multiple colors.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 30/05/2026
When this cat snuggles up with sixteen bags of Cheetos it’s cute, but when I do it, it’s disordered eating? Not fair.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 27/05/2026
Don’t like big pharma funding medical research? Great! Me either! But shut up about it if you’re not willing to vote for people who will publicly fund that research. We don’t make advances in healthcare with bake sales and raffles.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 23/05/2026
My four year old remains unconvinced that he shouldn’t put some of his Hot Wheels stickers on Pickles, the bitey cat, because “she’s one of the monsters that attacks Hot Wheels City.”
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/05/2026
I am so tired of having “insured” patients who can’t afford healthcare. What are we insuring exactly if they still can’t get what they need?
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/05/2026
He’s not a Perry County man. He’s a Henderson County man arrested by Perry County officers for a comment in a Perry County facebook group. I know this because we’re Facebook friends and he lives a couple houses down from where I grew up. This is very much a true story.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 07/05/2026
“Primordial prevention of dyslipidemia” is not a phrase i expected to see in the new cholesterol guidelines. 😂
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 02/05/2026
My child has agreed to try green beans tonight because green is his favorite color. If this works, I will be milking that.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 29/04/2026
This is what I want for my son.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 29/04/2026
Post in a local facebook group. Please applaud as I have chosen not to waste my time by replying that when he was in utero, I made him a liver, a pair of lungs, and a pair of kidneys.
Screenshot of a Facebook post reading “Parents what do you use to detox your kids” followed by the chin-scratching, thinking emoji
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/04/2026
Honestly who buys brand name lighter fluid for the grill? That’s some bougie 💩.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 26/04/2026
Seeing Six in Memphis today and a woman walks up to the bar near where we’re waiting for seating to open “Is Joe here today?” “He’s working the downstairs bar today.” “Oh! I’m used to seeing him here!” And yall, I have new goals of being on a first name basis with the staff at the Orpheum.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/04/2026
I spent eight years of my life in weekly voice lessons only for my four year old to tell me to stop singing because he’s the only singer around here.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/04/2026
My husband made a deal with me that if I mowed the yard while he did his farm work that we could do a family library/antique mall trip this afternoon. He went to get the mower and is currently mowing.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/04/2026
Just rented a free streaming movie to watch with my kiddo tonight USING MY LIBRARY CARD through the hoopla app. Libraries are just my favorite.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 23/04/2026
I dont know who needs to hear this (yes I do) but please don’t give people the 3rd degree about whether they’re taking their ADHD meds bc “most people have high BP when they’re taking those.” They *can* cause high BP but the goal is normotension. If BP is high, we either change the med or treat it.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/04/2026
I should not have clicked the link but I had to and OMG. WHY ARE THE FAQs ABOUT A LIBRARY ALL ABOUT MONEY?!? Surely there are other questions. (Note: this question is purely rhetorical. I know why. It’s the guy whose name is going on the front door.)
A screenshot from the Cheeto’s presidential library site: 

Frequently Asked Questions
What are the guidelines for donations to the Foundation?
Is my donation secure?
Is my donation tax-deductible?
Will I receive a receipt?
How do I change or cancel my monthly or recurring donation?
What is your refund policy?
Where do I go if I have a question about my donation?
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 12/04/2026
I know “love languages” are BS, but mine is risotto and I don’t care if you’re judging me for it.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/04/2026
Twice my husband and I have taken a beach vacation in April. Twice we have been stricken with GI illnesses. I have survived this time, but I may never be able to eat burrata again.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 07/04/2026
I hope I’m not the only one somewhat surprised to hear it, but the word “gruntled” does, in fact, exist.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 04/04/2026
“I don’t know what personal space is, but it sounds good,” says my toddler who has accurately assessed the situation and has never once given his mother even a micron of space.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 01/04/2026
What books might one find in the Trump Presidential Library? I’ll personally be surprised if it’s anything other than a bookstore that sells books “by” him and in praise of him.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 31/03/2026
News story covering California law requiring folic acid be added to mass. Guy in the comments asks if it’s the mentholated form. This is why we can’t have nice things.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 29/03/2026
Rob Schneider can sit right down. Yesterday.
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Leah B. Gilliam, MD @drgruralmd.bsky.social · 27/03/2026
Can someone explain to me why Medicare requires that an individual need to use a wheelchair in the home for it to be covered? Are we really saying that it’s not worthwhile to allow people to leave the house?
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