Leah B. Gilliam, MD's Avatar

Leah B. Gilliam, MD

@drgruralmd

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

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Latest posts by Leah B. Gilliam, MD @drgruralmd

There is no need to EVER comment on anyone’s reproductive choices. I’m sorry it happened to you.

12.03.2026 01:00 👍 4 🔁 0 💬 0 📌 0

I was dealing with infertility when my mom said “you don’t need to have kids.” She didn’t know. I hadn’t told her. She thought I wanted to be childless and was trying to support that. I didn’t. I just didn’t want the pressure of people always checking in to see how it was going. It crushed me.

12.03.2026 01:00 👍 2 🔁 0 💬 1 📌 0

Idk. And i understand why smaller physician practices sometimes do this, but if you’re going to do it, you HAVE to make sure you bill first and that money will actually be owed to you. I had to put it on a credit card. I don’t have that kind of cash sitting around.

11.03.2026 12:22 👍 1 🔁 0 💬 1 📌 0

When the hospital that made you pay thousands of $$$$ up front before your brain surgery, then didn’t bill first for their services (meaning that you owed the surgeon that money, not them) and wouldn’t refund that money for six weeks sends you a letter requesting a donation…

… it’s gonna be a no.

11.03.2026 12:14 👍 15 🔁 0 💬 3 📌 0

Macrobid for everyone! Jk. We don’t treat ASB around here.

10.03.2026 14:38 👍 1 🔁 0 💬 0 📌 0

Many*

08.03.2026 01:46 👍 7 🔁 0 💬 0 📌 0

This is exactly how so may men think.

08.03.2026 01:45 👍 13 🔁 0 💬 2 📌 0

No. Diet Pepsi is not ok.

07.03.2026 05:09 👍 7 🔁 0 💬 0 📌 0

Medical school. Residency is graduate medical education.

07.03.2026 02:17 👍 6 🔁 0 💬 0 📌 0
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I wish this quote wasn’t still so relevant

06.03.2026 13:43 👍 1045 🔁 420 💬 12 📌 20

Idk what the moon is doing but imma need it to stop. I need a break from the madness.

05.03.2026 14:59 👍 9 🔁 0 💬 1 📌 0

If he can speak to those people, he stands a chance in Texas.

04.03.2026 21:41 👍 0 🔁 0 💬 0 📌 0

I get it, but that plays very well in Texas. I don’t think from anything I’ve seen he’s one to hold those of other faiths or none as less than. I feel like he’s often speaking to religious people to show them specifically that the things that are happening aren’t compatible with Christian values.

04.03.2026 21:41 👍 0 🔁 0 💬 1 📌 0

My heart hurts for Jasmine Crockett. She’s an amazing woman who would have done an incredible job.

04.03.2026 14:21 👍 6 🔁 0 💬 0 📌 0

I blame DOGE.

03.03.2026 19:58 👍 0 🔁 0 💬 0 📌 0

That’s a crime against humanity.

03.03.2026 19:58 👍 2 🔁 0 💬 0 📌 0

My family calls these taco beds, thanks to my nieces. They are life.

03.03.2026 12:47 👍 3 🔁 0 💬 0 📌 0

A Korean po boy is the product of a country I’m proud to be from. That’s America. Not this crap our government is doing.

02.03.2026 00:54 👍 2 🔁 0 💬 0 📌 0
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I have an absurd number of pets. One dog. Two cats. Fifteen chickens. Four goldfish. One horse. Cows. I don’t know how many. Some aren’t pets. At least two are.

Anyway. Meet Speedy. She’s new. She has a snail friend. I think my kid has named that one Snaily. Also added a cory to the new 55G tank.

02.03.2026 00:52 👍 9 🔁 0 💬 0 📌 0
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There is no amount of money in the world that would lead me to fight a Vietnamese refugee that grew up in Louisiana

(Also I really want to try a Korean style Po’ Boy)

27.02.2026 13:31 👍 4336 🔁 1222 💬 98 📌 233

Without. I can’t think of another time that I’ve been able to just sit without feeling like I should get up and do something else. I had to sit. Sitting was the most important thing at that moment so I was free to enjoy it.

26.02.2026 17:20 👍 1 🔁 0 💬 0 📌 0

Ours too. Occasionally they’d get the ones that were hexagon-shaped. That was always a good day.

26.02.2026 16:15 👍 2 🔁 0 💬 0 📌 0

Again I say, if I were a bird, I would be a wren.

26.02.2026 16:13 👍 6 🔁 0 💬 0 📌 0

What does it say about my life that getting my teeth cleaned this morning has been one of the most relaxed moments of the last month?

26.02.2026 16:11 👍 11 🔁 1 💬 3 📌 0

I didn’t get the impression that they were making light of it, just that it was a huge case. They were already aware and they’d add my report to the running tally. Less of a case to crack. They already knew a lot about this one.

26.02.2026 01:16 👍 1 🔁 0 💬 0 📌 0

Oh I don’t doubt that at all.

26.02.2026 00:47 👍 3 🔁 0 💬 0 📌 0

When I called to report it, the folks at Medicare weren’t surprised. They immediately told me they were aware of the company and that it wasn’t anything I needed to be concerned about personally beyond filing the report.

26.02.2026 00:46 👍 2 🔁 0 💬 1 📌 0

I live in a red state but the company that’s been billing these claims is based in Colorado. That may be the game. Idk.

26.02.2026 00:44 👍 2 🔁 0 💬 1 📌 0

There actually have been huge issues with DME fraud lately. I’ve had a half dozen people who were never my patients get EOBs from a DME company for urinary catheters I didn’t order. Medicare had been successfully billed in each case to the tune of $12k. I wonder if that’s the motivation?

26.02.2026 00:25 👍 6 🔁 0 💬 2 📌 0

He’s gonna lie. They’re gonna clap. It’s just going to make me angry.

25.02.2026 02:38 👍 1 🔁 0 💬 0 📌 0