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Leah B. Gilliam, MD @drgruralmd.bsky.social · 4h

I kinda doubt they took sixth grade science.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 4h

“To make the proof”. That’s exactly what they’re trying to do, but that’s not how science works. 🤦🏻‍♀️

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 10h

It’s giving veterinary Ron Swanson

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 10h

There’s always logic. It’s just not often good.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 11h

No. They’re not. It’s just the logic involved that kills me. If you’re sending your big, strong military into a city, why do they need the protection of a governor you want people to think isn’t capable of keeping his state safe?

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 12h

Threatening to jail the governor of a state for failing to protect the people he sent to protect the state against the wishes of that state’s leadership. If they need Pritzker’s protection, doesn’t that suggest he’s capable of protecting his own state?

Governor JB Pritzker @govpritzker.illinois.gov · 1d

I will not back down.

Trump is now calling for the arrest of elected representatives checking his power.

What else is left on the path to full-blown authoritarianism?

Donald Trump Truth Social Post: Chicago Mayor should be in jail for failing to protect Ice Officers! Governor Pritzker also.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 12h

The pool of insured people will likely e smaller and sicker and that will drive the cost up for everyone.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 12h

I don’t know that I think this will only affect those getting subsidies. It’s going to lower the number of people who have the ability to pay for premiums. Many somewhat healthy individuals will lose coverage. People with health issues will be more likely to see the value in continuing to pay.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

The company says they can get it covered. It is becoming more common, but not necessarily recommended. But people pitch the panel to patients and it sounds like a fantastic idea to them. They’re just not advised well with respect to what the tests can and can’t tell you.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

And the answer there is just no.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

Exactly. This is why I say “broad” testing. There may be disease-specific indications for testing. There will be patients who haven’t responded to the usual treatment who would benefit. But this company wants their rep to come to my office and pitch their panel to every patient while they wait.

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Reposted by Leah B. Gilliam, MD

David Shiffman, Ph.D. 🦈 @whysharksmatter.bsky.social · 2d

Shark fact:

Most "great" white sharks are actually mediocre. They're just extremely confident.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

I promise i tried to be nice to the rep that was just trying to sell me on these tests, but i don’t think i was perceived that way. 😬

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

Exactly. The day will come. It isn’t today.

Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

I’ve seen patients who had the tests who were told things like “Prozac is a bad choice for you” who actually proved to respond better to that than anything.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

You can, I think. The issue is this. Available tests only tell you how your body metabolizes the drugs. It doesn’t tell you how the drugs actually affect the body.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

Broad pharmacogenomic testing sounds like a really good idea but adds little to clinical care. Convince me I’m wrong.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 2d

Have you become acquainted with Poppy Cooks? She’s phenomenal and I feel it’s likely that the two of you worship at the same altar.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 6d

This is so incredibly illegal. I’m so sorry it’s happening to you.

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Reposted by Leah B. Gilliam, MD

Monica Maalouf, MD @maaloufmd.bsky.social · 6d

My husband was detained by ICE today

Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away

I have had zero contact or updates since

#SOS
@duckworth.senate.gov @durbin.senate.gov

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 6d

If you’re recommending primary care follow up on age appropriate cancer screenings in a 90 year old patient, you really are just clicking unnecessary boxes. Calm down, yall. 😂

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 7d

Today, he discovered mooning. That future is hard to see at the moment. 😂

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 8d

Relatable.

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Reposted by Leah B. Gilliam, MD

nicedrewishfella.bsky.social @nicedrewishfella.bsky.social · 8d

Every day I both marvel and regret how smart reading to my 7 year old son has made him.

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Leah B. Gilliam, MD @drgruralmd.bsky.social · 8d

Aww. You are married! 😂