Leah B. Gilliam, MD
@drgruralmd.bsky.social
Family doc. Farm wife. Mama. Mostly complaining about the stupidity of our healthcare system. She/her #medsky
My face when a life insurance company calls the office number while our roads are covered in ice and I’m the only person in the office to ask when we’ll be sending medical records on a patient: 😑😐. Not today.
January 28, 2026 at 9:19 PM
My face when a life insurance company calls the office number while our roads are covered in ice and I’m the only person in the office to ask when we’ll be sending medical records on a patient: 😑😐. Not today.
Why did I just see someone in a local FB group explaining to a guy with a MAGA hat on in his pic what quesabirria is? We don’t do that. We just let them live in ignorance because they DONT DESERVE DELICIOUS MEXICAN FOOD.
January 28, 2026 at 7:02 PM
Why did I just see someone in a local FB group explaining to a guy with a MAGA hat on in his pic what quesabirria is? We don’t do that. We just let them live in ignorance because they DONT DESERVE DELICIOUS MEXICAN FOOD.
The kids are gonna save us all. Just tried to talk with mine. “hey bud, You know there are people whose skin doesn’t look like ours, right?” “Yeah mom. Some of them are Black. And sometimes people aren’t nice to people with a Black skin and if we see people being unkind, we should tell em to stop.”
January 28, 2026 at 3:50 AM
The kids are gonna save us all. Just tried to talk with mine. “hey bud, You know there are people whose skin doesn’t look like ours, right?” “Yeah mom. Some of them are Black. And sometimes people aren’t nice to people with a Black skin and if we see people being unkind, we should tell em to stop.”
Getting real tired of the MAGAs responding to literally ANY criticism of the orange one with “But Obama!” OBAMA LEFT OFFICE NINE YEARS AGO. Anything this guy is doing is his to own.
January 26, 2026 at 3:54 AM
Getting real tired of the MAGAs responding to literally ANY criticism of the orange one with “But Obama!” OBAMA LEFT OFFICE NINE YEARS AGO. Anything this guy is doing is his to own.
I’m not usually one for TV reboots, but dear God could I use a new West Wing series. I want to believe in a president again. I won’t be doing that in real life for a while so having the opportunity to do that on TV.
January 26, 2026 at 3:08 AM
I’m not usually one for TV reboots, but dear God could I use a new West Wing series. I want to believe in a president again. I won’t be doing that in real life for a while so having the opportunity to do that on TV.
I wouldn’t trade my child for a thing on earth but it would be nice to have a morning coffee at home without being farted on by a four year old who thinks it’s hilarious. 🤦🏻♀️
January 25, 2026 at 2:26 PM
I wouldn’t trade my child for a thing on earth but it would be nice to have a morning coffee at home without being farted on by a four year old who thinks it’s hilarious. 🤦🏻♀️
So I’m reading terms and conditions from tech companies now and… has this always been there? It’s somewhat concerning to me that Apple is willing to just turn off your phone use, limiting your contact with family, friends, business tools you may use on your phone, and information available online…
January 24, 2026 at 4:14 PM
So I’m reading terms and conditions from tech companies now and… has this always been there? It’s somewhat concerning to me that Apple is willing to just turn off your phone use, limiting your contact with family, friends, business tools you may use on your phone, and information available online…
My child tells me he’s going to let my grandchildren be monster truck drivers when they grow up and ABSOLUTELY NOT. I don’t mean to judge the way my four year old chooses to hypothetically parent forty years in the future, but sometimes a grandma has to put her foot down.
January 21, 2026 at 1:06 AM
My child tells me he’s going to let my grandchildren be monster truck drivers when they grow up and ABSOLUTELY NOT. I don’t mean to judge the way my four year old chooses to hypothetically parent forty years in the future, but sometimes a grandma has to put her foot down.
Whose idea was hold music anyway?
January 15, 2026 at 8:10 PM
Whose idea was hold music anyway?
It’s always a good day when you wake up to a fraud alert on your credit card. 😭
January 15, 2026 at 12:27 PM
It’s always a good day when you wake up to a fraud alert on your credit card. 😭
I try not to judge RFK for his addiction history because many addicts go on to do great things. But I really have a hard time not judging someone with a history of addiction who cuts funding that could help other people through the same. Every day convinces me more that this man is trash.
Last night with no warning, RFK Jr. cancelled up to $2 billion in funding for mental health and substance abuse research and programs administered through SAMHSA.
He and his minions did so because “they no longer believe the defunded programs align with the Trump administration's priorities”.
He and his minions did so because “they no longer believe the defunded programs align with the Trump administration's priorities”.
Trump administration sends letter wiping out addiction, mental health grants
The Trump administration sent hundreds of letters Tuesday terminating federal grants supporting mental health and drug addiction services.
www.npr.org
January 15, 2026 at 1:43 AM
I try not to judge RFK for his addiction history because many addicts go on to do great things. But I really have a hard time not judging someone with a history of addiction who cuts funding that could help other people through the same. Every day convinces me more that this man is trash.
The guy in the White House giving a middle finger to a factory worker is literally the least offensive thing about that man. We’re snatching teenage citizens off their job sites because they have brown skin. Why are we wasting time talking about his middle finger?
January 14, 2026 at 11:01 PM
The guy in the White House giving a middle finger to a factory worker is literally the least offensive thing about that man. We’re snatching teenage citizens off their job sites because they have brown skin. Why are we wasting time talking about his middle finger?
Reposted by Leah B. Gilliam, MD
“I wish it need not have happened in my time," said Frodo. "So do I," said Gandalf, "and so do all who live to see such times. But that is not for them to decide. All we have to decide is what to do with the time that is given us.”
January 14, 2026 at 12:13 AM
“I wish it need not have happened in my time," said Frodo. "So do I," said Gandalf, "and so do all who live to see such times. But that is not for them to decide. All we have to decide is what to do with the time that is given us.”
Anyone else hoping they can get their kid in the bed early tonight so they can stay up irresponsibly late watching season 2 of the Pitt?
January 14, 2026 at 1:16 AM
Anyone else hoping they can get their kid in the bed early tonight so they can stay up irresponsibly late watching season 2 of the Pitt?
Phone trees are ableist.
January 13, 2026 at 5:47 PM
Phone trees are ableist.
When a life insurance agency asks that the records request they sent be “expedited”:
Neither I nor my staff will prioritize your administrative needs over actual patient care.
Neither I nor my staff will prioritize your administrative needs over actual patient care.
an elderly woman wearing glasses and a blue jacket says nope
ALT: an elderly woman wearing glasses and a blue jacket says nope
media.tenor.com
January 13, 2026 at 4:43 PM
When a life insurance agency asks that the records request they sent be “expedited”:
Neither I nor my staff will prioritize your administrative needs over actual patient care.
Neither I nor my staff will prioritize your administrative needs over actual patient care.
I find it annoying that I search for “turmeric” in the grocery app and get a dozen listings for supplements. I JUST WANT DELICIOUS FOOD WITHOUT THE SNAKE OIL, OK?!?
January 13, 2026 at 1:19 AM
I find it annoying that I search for “turmeric” in the grocery app and get a dozen listings for supplements. I JUST WANT DELICIOUS FOOD WITHOUT THE SNAKE OIL, OK?!?
Reposted by Leah B. Gilliam, MD
Video message from Federal Reserve Chair Jerome H. Powell:
www.youtube.com/watch?v=KckG...
www.federalreserve.gov/newsevents/s...
www.youtube.com/watch?v=KckG...
www.federalreserve.gov/newsevents/s...
Statement by Federal Reserve Chair Jerome H. Powell
YouTube video by Federal Reserve
www.youtube.com
January 12, 2026 at 12:35 AM
Video message from Federal Reserve Chair Jerome H. Powell:
www.youtube.com/watch?v=KckG...
www.federalreserve.gov/newsevents/s...
www.youtube.com/watch?v=KckG...
www.federalreserve.gov/newsevents/s...
Seeing reports that postal workers were sent a letter this week encouraging them to carry their “essential worker” documentation so that they can bypass restrictions in emergencies - “epidemics, hurricanes, civil unrest, etc”. It’s not hurricane season. I don’t like this.
January 10, 2026 at 10:31 AM
Seeing reports that postal workers were sent a letter this week encouraging them to carry their “essential worker” documentation so that they can bypass restrictions in emergencies - “epidemics, hurricanes, civil unrest, etc”. It’s not hurricane season. I don’t like this.
Reposted by Leah B. Gilliam, MD
interesting! here's a video i took yesterday of federal agents ramming community members with their car
January 8, 2026 at 7:41 PM
interesting! here's a video i took yesterday of federal agents ramming community members with their car
If I’m really mad at people I love, I get petty. Like, say something mean to me and I will NOT send you the hilarious TikTok that I KNOW you’d love because you suck and don’t deserve that joy! So there!
January 7, 2026 at 4:57 PM
If I’m really mad at people I love, I get petty. Like, say something mean to me and I will NOT send you the hilarious TikTok that I KNOW you’d love because you suck and don’t deserve that joy! So there!
Reposted by Leah B. Gilliam, MD
@rningscissors.bsky.social I think "That's the cat's pajamas" is a little outré. "That's the cow's pajamas" is so much more apt.
ALT: YouTube vid from The Husky Family showing two Highland cows getting ready for bed by spreading straw, getting jammies put on, and watching a movie.
ALT: YouTube vid from The Husky Family showing two Highland cows getting ready for bed by spreading straw, getting jammies put on, and watching a movie.
My Cow’s Bedtime Routine
YouTube video by The Husky Fam
youtube.com
January 7, 2026 at 1:46 AM
@rningscissors.bsky.social I think "That's the cat's pajamas" is a little outré. "That's the cow's pajamas" is so much more apt.
ALT: YouTube vid from The Husky Family showing two Highland cows getting ready for bed by spreading straw, getting jammies put on, and watching a movie.
ALT: YouTube vid from The Husky Family showing two Highland cows getting ready for bed by spreading straw, getting jammies put on, and watching a movie.
Reposted by Leah B. Gilliam, MD
This guy here is dead 👇
January 5, 2026 at 7:15 PM
This guy here is dead 👇
Podengo Pequeno is the best dog breed name and I won’t be hearing arguments to the contrary.
January 3, 2026 at 2:22 AM
Podengo Pequeno is the best dog breed name and I won’t be hearing arguments to the contrary.
I had to change the side I part my hair on because brain surgery (Gen Z can sit quietly here. My head is not built for a center part.) and I do not like it because apparently I’ve been hiding most of my grays on the right side and I was unaware just how many there were.
January 2, 2026 at 2:31 PM
I had to change the side I part my hair on because brain surgery (Gen Z can sit quietly here. My head is not built for a center part.) and I do not like it because apparently I’ve been hiding most of my grays on the right side and I was unaware just how many there were.