Leah B. Gilliam, MD
LightNews LightNews
banner
drgruralmd.bsky.social
Leah B. Gilliam, MD
@drgruralmd.bsky.social
6.1K followers 710 following 3K posts
Family doc. Farm wife. Mama. Mostly complaining about the stupidity of our healthcare system. She/her #medsky
Posts Replies Media Videos
drgruralmd.bsky.social
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…
A screenshot of Apple’s most recent terms and conditions. Highlighted are two segments “immediately terminate or suspend all or a portion of your Account and/or access to the Service. Cause for such termination shall include:” and “(c) a request and/or order from law enforcement, a judicial body, or other government agency;”
January 24, 2026 at 4:14 PM
drgruralmd.bsky.social
I like football, but tbh, I’m watching the Westminster agility dog competition and I think I’m enjoying it more. I don’t have to worry about picking a team without a phobic dbag. THEYRE DOGS. I LIKE DOGS.

Also, yay for New Year’s as a 40 yo with a 4 yo. We’re partying hard over here.
Someone offscreen holds a flute of prosecco. Only the hand is visible. In the background is a Christmas tree and a television. On screen is a border collie eagerly awaiting its chance to run the agility course.
January 2, 2026 at 2:53 AM
drgruralmd.bsky.social
This was me. Third trimester. Seeing patients with a virus known to increase the risk of maternal death and stillbirth while the public pretended it was a hoax. I hoped every day that my choice to become a doctor wouldn’t kill my child. So that’s one example, I guess.
A female doctor with brown hair tied in a low bun stands profile in front of a mirror, taking a selfie while wearing gloves, a plastic face shield, an N96 mask, and an isolation gown. Her hand rests on her pregnant belly.
January 1, 2026 at 1:40 AM
drgruralmd.bsky.social
Nurse corncob is here to ensure im healing well.
Sweet kitty lies in her mom’s lap on a gray and white blanket and enjoys some head scritches.
December 21, 2025 at 2:54 PM
drgruralmd.bsky.social
I think I was missed.
A person who cannot be seen lies under a grey and white patterned blanket. To her left is a tan long-haired dachshund. On her legs lies a black and tan tabby cat. On her abdomen sleeps a torbie cat. She is warm.
December 19, 2025 at 11:44 PM
drgruralmd.bsky.social
It needs work but it makes me smile.
A white pine is adorned in a menagerie of ornaments collected over a lifetime. There are handprints and rubber ducks. There are matching birds in winter hats and scarves. There are crocheted bells and stars and sparkling red balls. The lights are colorful and the floor is littered with baubles the cat has knocked off the tree.
December 19, 2025 at 9:46 PM
drgruralmd.bsky.social
VP shunt chic and busting out of the hospital.

(Excuse the bonnet. It’s just the practical choice. No appropriation intended, but this is the kind of hat I could find that would cover my incisions without putting pressure on the new devices in my head.)
A white woman wears a pink and black bonnet with a navy vest and red shirt. No it doesn’t match. No, we don’t care. She gives a “thumbs up”. There is medical equipment in the background and betadine staining on her neck and chest.
December 19, 2025 at 5:28 PM
drgruralmd.bsky.social
My last MRI…
Sagittal section of an MRI brain. On the back of the neck is a large dark space full of fluid, consistent with a pseudomeningocele.
December 4, 2025 at 1:55 AM
drgruralmd.bsky.social
Look. Just look. MY FEET SHOULD NOT DO THIS.

(but don’t look too closely and please ignore the toenail polish completely.)
Picture of a foot propped up. The second and third toes are cramped, forcing them painfully downward.
December 3, 2025 at 11:58 PM
drgruralmd.bsky.social
This was mine. My first. So good.
A browned double crust pie with slits in the crust revealing the apples within.
November 28, 2025 at 2:24 AM
drgruralmd.bsky.social
Less than 48 hours notice and we managed a decent spread in spite of the ‘Rona.
A Thanksgiving meal - turkey breast, yeast rolls, canned cranberry sauce, deviled eggs, macaroni and cheese (with penne subbed for macaroni), sweet potato casserole with candied pecan topping, cheesy potato casserole with corn flake topping, and cornbread dressing.
November 28, 2025 at 2:14 AM
drgruralmd.bsky.social
Currently stuck in the chicken coop with a T. rex because the wind blew the door shut behind us while we were gathering eggs.
A toddler in a green tyrannosaurus costume stands in a dusty chicken coop.
November 1, 2025 at 9:33 PM
drgruralmd.bsky.social
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.
A fire truck sits in front of a hotel entrance.
October 24, 2025 at 5:20 AM
drgruralmd.bsky.social
One of my new hens is laying blue eggs. That makes me smile.
Three eggs sit on a wooden porch rail. The leftmost is a pale blue. The rightmost is tan. The one in center is large and bright white.
October 18, 2025 at 12:07 PM
drgruralmd.bsky.social
Points to the editor who decided to have the spinosaurus depicted as eating a modern largemouth bass.
A picture of a children’s book on dinosaurs. In the center of the page is a spinosaurus with a large mouth bass in its mouth. At the bottom of the page is a feathered microtaptor.
September 5, 2025 at 2:55 AM
drgruralmd.bsky.social
I played volleyball this weekend. My almost 40 year old body says that was a bad idea.
A picture of the side of my wrist with a 1.5 inch bruise at the base of my thumb - in the location where a volleyball would strike.
August 19, 2025 at 10:27 PM
drgruralmd.bsky.social
Concur.
August 11, 2025 at 7:44 PM
drgruralmd.bsky.social
My girl went to the hair salon today. You don’t have to tell me. I already know she’s a pretty girl.
A tan-colored long-haired dachshund whose hair has been trimmed neatly sits on a boat. In the background is a lake over which sets a beautifully painted sunset sky.
July 3, 2025 at 3:43 AM
drgruralmd.bsky.social
When asked to play dinosaurs and allowed to choose my character, I will always choose the purple polka-dotted pachycephalosaurus.
A woman’s hand holds a purple plastic dinosaur with black spots. It has a domed head, stands on its back feet, and has small arms. On the hand is a small gold ring. In the background is a carpeted floor with a dog bed and lots of dog toys.
June 22, 2025 at 7:20 PM
drgruralmd.bsky.social
Cherry-flavored liquid acetaminophen. What could go wrong?
A picture of a bottle of Vick’s PainQuil
May 27, 2025 at 1:51 AM
drgruralmd.bsky.social
So I explained that he doesn’t have to wear a dress to get married and showed him pictures from my wedding where his dad wore jeans. At this point he informs me he doesn’t like my wedding dress and I am irrationally offended.
Black and white photo. A couple on their wedding day stand nose to nose in a field. She wears a white ballgown with a silver waistband and holds a bouquet of flowers. He wears jeans, a dark coat, and a collared shirt.
May 25, 2025 at 1:34 PM
drgruralmd.bsky.social
Couldn’t add them to the order, but… found these locally.
Four young black and white Serama chickens in a cardboard box.
May 23, 2025 at 11:54 PM
drgruralmd.bsky.social
This should be interesting…
Notification from an investing app that reads: TGT earnings tomorrow TGT will announce earnings tomorrow during pre-market hours
May 21, 2025 at 2:38 AM
drgruralmd.bsky.social
I had hoped to be back to work today. I am not. I was optimistic in hoping for that in the first place, but I’m frustrated anyway. Coping with the help of cat snuggles from Corncob.
A closeup of a torbie cat sleeping soundly in her mom’s lap
May 19, 2025 at 9:09 PM
drgruralmd.bsky.social
This color. Talk me out of it.
A red brick home with a lovely sage green front gate and door. There are boxy hedges in front.
May 17, 2025 at 8:08 PM