Leah B. Gilliam, MD
@drgruralmd.bsky.social
Family doc. Farm wife. Mama. Mostly complaining about the stupidity of our healthcare system. She/her #medsky
This guy is from my town. We’re Facebook friends. Charges were filed in a nearby county, not here. But it’s alarming to see this happen. Thankfully, charges have been dropped and he’s at home, but we do not live in an era where speech is uniformly free.
www.nytimes.com/2025/11/26/o...
www.nytimes.com/2025/11/26/o...
Opinion | Nobody Should Go to Jail for a Harmless Meme
www.nytimes.com
November 26, 2025 at 4:53 PM
This guy is from my town. We’re Facebook friends. Charges were filed in a nearby county, not here. But it’s alarming to see this happen. Thankfully, charges have been dropped and he’s at home, but we do not live in an era where speech is uniformly free.
www.nytimes.com/2025/11/26/o...
www.nytimes.com/2025/11/26/o...
So when these celebs on Dancing With the Stars get all emotional and start crying, I don’t believe them. AITA or is it just all their Botox?
November 26, 2025 at 4:51 AM
So when these celebs on Dancing With the Stars get all emotional and start crying, I don’t believe them. AITA or is it just all their Botox?
My husband asked me to try to get out of work a few minutes early today. I think I need a divorce because after all these years this man does not know what happens to a clinic schedule when someone says something like that. Might as well have used the q word!
November 21, 2025 at 12:07 AM
My husband asked me to try to get out of work a few minutes early today. I think I need a divorce because after all these years this man does not know what happens to a clinic schedule when someone says something like that. Might as well have used the q word!
I’m a lot more worried about things like adequate air traffic control when I fly than what other passengers on the plane are wearing. I can’t think of a single time when I’ve cared what someone on a plane was wearing.
November 20, 2025 at 4:29 PM
I’m a lot more worried about things like adequate air traffic control when I fly than what other passengers on the plane are wearing. I can’t think of a single time when I’ve cared what someone on a plane was wearing.
I just had a survey sent to me that I strongly suspect was sent by the re-election campaign for one of our state legislators that was asking how I felt about the direction of the modern Republican Party and specifically how I felt about this Republican individual’s re-election.
November 11, 2025 at 10:43 PM
I just had a survey sent to me that I strongly suspect was sent by the re-election campaign for one of our state legislators that was asking how I felt about the direction of the modern Republican Party and specifically how I felt about this Republican individual’s re-election.
I’m happy for LGBTQ families today who get to breathe a little easier knowing that at least in this moment, the legality of your family isn’t in question. It never should be.
November 10, 2025 at 4:53 PM
I’m happy for LGBTQ families today who get to breathe a little easier knowing that at least in this moment, the legality of your family isn’t in question. It never should be.
I had a medical examiner case to work and I deserve a decent coffee for the drive home, but there’s no such thing at this time of night in a small town. 😒 Rude.
November 6, 2025 at 6:02 AM
I had a medical examiner case to work and I deserve a decent coffee for the drive home, but there’s no such thing at this time of night in a small town. 😒 Rude.
Not my 40 year old 🫏 singing “Colors of the Wind” at the top of my lungs as my child watched Pocahontas for the first time.
November 5, 2025 at 2:22 AM
Not my 40 year old 🫏 singing “Colors of the Wind” at the top of my lungs as my child watched Pocahontas for the first time.
Currently stuck in the chicken coop with a T. rex because the wind blew the door shut behind us while we were gathering eggs.
November 1, 2025 at 9:33 PM
Currently stuck in the chicken coop with a T. rex because the wind blew the door shut behind us while we were gathering eggs.
There’s a post about ADHD Awareness Month on my feed this morning. Hilariously perfect since that ended at midnight. 😂
November 1, 2025 at 12:37 PM
There’s a post about ADHD Awareness Month on my feed this morning. Hilariously perfect since that ended at midnight. 😂
I really need an option for “It’s pseudoscience BS” on Facebook when I block an ad and they want to know why.
November 1, 2025 at 12:10 PM
I really need an option for “It’s pseudoscience BS” on Facebook when I block an ad and they want to know why.
The teller in the drive thru window at my bank has on scrubs, a stethoscope around her neck, and syringes in her pocket. It took me longer than it should have to realize this was probably a Halloween costume. 🤦🏻♀️
October 31, 2025 at 9:04 PM
The teller in the drive thru window at my bank has on scrubs, a stethoscope around her neck, and syringes in her pocket. It took me longer than it should have to realize this was probably a Halloween costume. 🤦🏻♀️
Patient with OSA. Hasn’t been using CPAP. Knows they need to use CPAP. Wants to try a different mask style. DME company says Medicare won’t let them give him a mask or supplies until they get a note from me saying he’s using and benefitting from CPAP. 🤦🏻♀️ I can’t with this today.
October 30, 2025 at 3:49 PM
Patient with OSA. Hasn’t been using CPAP. Knows they need to use CPAP. Wants to try a different mask style. DME company says Medicare won’t let them give him a mask or supplies until they get a note from me saying he’s using and benefitting from CPAP. 🤦🏻♀️ I can’t with this today.
I am convinced that there is some law of parenthood that says that if you begin to get caught up on laundry, multiple members of the household must be stricken with a GI bug.
October 30, 2025 at 12:38 PM
I am convinced that there is some law of parenthood that says that if you begin to get caught up on laundry, multiple members of the household must be stricken with a GI bug.
I’ve watched copious amounts of TV in the last 48 hours as I am recovering from the worst gastroenteritis I’ve had in years and my most profound observation is this: its really sad that drug commercials have to tell you not to take things you’re allergic to.
October 29, 2025 at 3:48 PM
I’ve watched copious amounts of TV in the last 48 hours as I am recovering from the worst gastroenteritis I’ve had in years and my most profound observation is this: its really sad that drug commercials have to tell you not to take things you’re allergic to.
People I don’t understand - physicians who come to conferences and are just sitting. And listening. And nothing else. How are you not behind on anything?!?
October 24, 2025 at 4:04 PM
People I don’t understand - physicians who come to conferences and are just sitting. And listening. And nothing else. How are you not behind on anything?!?
If you tell a patient to eliminate processed food, artificial sweeteners and flavors, cheese and milk all at once. There is approximately 0% chance that it will actually happen.
*Evidence to support this statement? Trust me, bro.
*Evidence to support this statement? Trust me, bro.
October 24, 2025 at 2:44 PM
If you tell a patient to eliminate processed food, artificial sweeteners and flavors, cheese and milk all at once. There is approximately 0% chance that it will actually happen.
*Evidence to support this statement? Trust me, bro.
*Evidence to support this statement? Trust me, bro.
Spending time with colleagues braless in my jammies because the conference hotel fire alarm has been going off for the last 20 minutes… 0/10. Do not recommend.
October 24, 2025 at 5:20 AM
Spending time with colleagues braless in my jammies because the conference hotel fire alarm has been going off for the last 20 minutes… 0/10. Do not recommend.
5 am. I’m walking out the door to my car to leave for a conference. First solo trip since my kid was born four years ago. But as I’m picking up the suitcase, I hear the scream. MOOMMMMMMMM!!!! I threw up in my bed!!! Welp. Guess we won’t be making that conference after all…😭
October 22, 2025 at 10:28 AM
5 am. I’m walking out the door to my car to leave for a conference. First solo trip since my kid was born four years ago. But as I’m picking up the suitcase, I hear the scream. MOOMMMMMMMM!!!! I threw up in my bed!!! Welp. Guess we won’t be making that conference after all…😭
Never ever trust Meta AI. I just saw it suggest asking how someone enjoyed Christmas… under a post where someone had shared that individual’s obituary.
October 22, 2025 at 12:00 AM
Never ever trust Meta AI. I just saw it suggest asking how someone enjoyed Christmas… under a post where someone had shared that individual’s obituary.
One of my new hens is laying blue eggs. That makes me smile.
October 18, 2025 at 12:07 PM
One of my new hens is laying blue eggs. That makes me smile.
There may be truth to this. I’m probably done having kids. A part of me will still want more, but they’re expensive, my student loan payments are about to skyrocket, and should I get pregnant and have complications, my doctors might get to gather and debate whether I’m close enough to death save.
Dr Oz: "Turns out that about 1/3 families don't have the number of babies they desire. They're under-babied. So this president committed to address that during the campaign and he's delivering on that today."
October 16, 2025 at 10:58 PM
There may be truth to this. I’m probably done having kids. A part of me will still want more, but they’re expensive, my student loan payments are about to skyrocket, and should I get pregnant and have complications, my doctors might get to gather and debate whether I’m close enough to death save.
Look at me, agreeing with MTG again.
October 16, 2025 at 7:08 PM
Look at me, agreeing with MTG again.
I just want to point out a couple of things. 1) the messaging from these Young Republican groups is neither all that surprising nor in any way acceptable. 2) those of you who have been living in northern, more urban locales judging the South for our racism should note that these folks weren’t ours.
October 15, 2025 at 10:22 PM
I just want to point out a couple of things. 1) the messaging from these Young Republican groups is neither all that surprising nor in any way acceptable. 2) those of you who have been living in northern, more urban locales judging the South for our racism should note that these folks weren’t ours.
Compliments from a three year old: “I love you more than poop. And more than butts too. That’s important to me.”
It’s the highest compliment one can receive from a child in this developmental stage.
It’s the highest compliment one can receive from a child in this developmental stage.
October 15, 2025 at 3:18 AM
Compliments from a three year old: “I love you more than poop. And more than butts too. That’s important to me.”
It’s the highest compliment one can receive from a child in this developmental stage.
It’s the highest compliment one can receive from a child in this developmental stage.