Leah B. Gilliam, MD @drgruralmd.bsky.social · 20hAI 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. 156
Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/09/2026I love that my adult patients get excited about getting a fish-shaped nebulizer. Everyone deserves to be happy. 3263
Leah B. Gilliam, MD @drgruralmd.bsky.social · 23/09/2026If 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. 0110
Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/09/2026Patient’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. 🫠 150
Leah B. Gilliam, MD @drgruralmd.bsky.social · 09/09/2026I 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. 150
Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/08/2026If 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. 180
Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/08/2026Notice 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. 2100
Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/08/2026My husband just asked me to cut his fishing line. For a second I panicked. Would it be too long? Too short? #medschooltrauma 040
Leah B. Gilliam, MD @drgruralmd.bsky.social · 20/08/2026I might send one patient to the ER per week. I sent two before 10 am today and I don’t like it. 090
Reposted by Leah B. Gilliam, MDSandy Horne @sandyhorne.bsky.social · 21/07/2026Happy Wrensday Wednesday! Here's one from my archives. A superb fairywren portrait. This is the common type of fairywren where I live. #wrensday 719327
Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/07/2026My receptionist brought me back a T-shirt from Seattle Pride. Ignore my face. It’s been a rough couple of weeks. 2110
Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/07/2026Imma leave this here for the curious. www.jacc.org/doi/epdf/10....jacc.orgLong-Term Cardiovascular Risk Associated With Treatment of Attention-Deficit/Hyperactivity Disorder in Adults 250
Leah B. Gilliam, MD @drgruralmd.bsky.social · 05/07/2026The time remaining on the front of my washing machine is a complete and utter fabrication. 170
Leah B. Gilliam, MD @drgruralmd.bsky.social · 04/07/2026Ok. 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. 320
Leah B. Gilliam, MD @drgruralmd.bsky.social · 30/06/2026I 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”. 520
Leah B. Gilliam, MD @drgruralmd.bsky.social · 30/06/2026Is 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. 2401
Leah B. Gilliam, MD @drgruralmd.bsky.social · 27/06/2026Suturing a laceration can be meditative. 0112
Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/06/2026I 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. 130
Reposted by Leah B. Gilliam, MDAmy G Dala, MD @amygdalamd.bsky.social · 17/06/2026Hey 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 1275
Leah B. Gilliam, MD @drgruralmd.bsky.social · 14/06/2026If 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. 021
Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/06/2026My 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. 360
Leah B. Gilliam, MD @drgruralmd.bsky.social · 08/06/2026United 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. 3151
Leah B. Gilliam, MD @drgruralmd.bsky.social · 03/06/2026I got my nails done today and TBH, you can’t tell me a damn thing right now. 240
Leah B. Gilliam, MD @drgruralmd.bsky.social · 03/06/2026Yoda is already flesh-colored. Flesh comes in multiple colors. 060
Leah B. Gilliam, MD @drgruralmd.bsky.social · 30/05/2026When this cat snuggles up with sixteen bags of Cheetos it’s cute, but when I do it, it’s disordered eating? Not fair. 0110
Leah B. Gilliam, MD @drgruralmd.bsky.social · 27/05/2026Don’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. 1123
Leah B. Gilliam, MD @drgruralmd.bsky.social · 23/05/2026My 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.” 5150
Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/05/2026I 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? 1120
Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/05/2026He’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. 140
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. 😂 130
Leah B. Gilliam, MD @drgruralmd.bsky.social · 02/05/2026My child has agreed to try green beans tonight because green is his favorite color. If this works, I will be milking that. 1150
Leah B. Gilliam, MD @drgruralmd.bsky.social · 29/04/2026Post 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. 4204
Leah B. Gilliam, MD @drgruralmd.bsky.social · 28/04/2026Honestly who buys brand name lighter fluid for the grill? That’s some bougie 💩. 120
Leah B. Gilliam, MD @drgruralmd.bsky.social · 26/04/2026Seeing 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. 030
Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/04/2026I 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. 080
Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/04/2026My 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. 160
Leah B. Gilliam, MD @drgruralmd.bsky.social · 25/04/2026Just rented a free streaming movie to watch with my kiddo tonight USING MY LIBRARY CARD through the hoopla app. Libraries are just my favorite. 2231
Leah B. Gilliam, MD @drgruralmd.bsky.social · 23/04/2026I 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. 050
Leah B. Gilliam, MD @drgruralmd.bsky.social · 21/04/2026I 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.) 010
Leah B. Gilliam, MD @drgruralmd.bsky.social · 12/04/2026I know “love languages” are BS, but mine is risotto and I don’t care if you’re judging me for it. 180
Leah B. Gilliam, MD @drgruralmd.bsky.social · 10/04/2026Twice 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. 150
Leah B. Gilliam, MD @drgruralmd.bsky.social · 07/04/2026I hope I’m not the only one somewhat surprised to hear it, but the word “gruntled” does, in fact, exist. 250
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. 070
Leah B. Gilliam, MD @drgruralmd.bsky.social · 01/04/2026What 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. 470
Leah B. Gilliam, MD @drgruralmd.bsky.social · 31/03/2026News 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. 020
Leah B. Gilliam, MD @drgruralmd.bsky.social · 29/03/2026Rob Schneider can sit right down. Yesterday. 060
Leah B. Gilliam, MD @drgruralmd.bsky.social · 27/03/2026Can 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? 191