Leah B. Gilliam, MD
@drgruralmd.bsky.social
Family doc. Farm wife. Mama. Mostly complaining about the stupidity of our healthcare system. She/her #medsky
Despite COVID which sidelined my household the week of Thanksgiving and actual brain surgery, I have successfully completed my Christmas shopping.
a man in a white tank top is standing in front of a sign that says ' candy ' on it
Alt: Jackie Chan in a white tank top, standing in front of a sign that says ' candy ', flexing.
media.tenor.com
December 23, 2025 at 10:22 PM
Despite COVID which sidelined my household the week of Thanksgiving and actual brain surgery, I have successfully completed my Christmas shopping.
Large corporations who buy healthcare agencies like home health and hospice organizations don’t seem to understand that referral patterns are about relationships. Who do I trust is going to give my patients the best care? Who is going to be available when there is a problem to help me get it fixed?
December 22, 2025 at 10:32 PM
Large corporations who buy healthcare agencies like home health and hospice organizations don’t seem to understand that referral patterns are about relationships. Who do I trust is going to give my patients the best care? Who is going to be available when there is a problem to help me get it fixed?
Reposted by Leah B. Gilliam, MD
In Georgia, the state has made "catastrophic" cuts at DHS, citing an $85 million deficit.
A provider described one result: a mom who relapsed last week. "Visits with her child were keeping her sober, but transportation services had been cut."
Georgia is sitting on a $14.6 *billion* budget surplus.
A provider described one result: a mom who relapsed last week. "Visits with her child were keeping her sober, but transportation services had been cut."
Georgia is sitting on a $14.6 *billion* budget surplus.
Department of Human Services cuts services to families to deal with deficit
As Georgia's Department of Human Services struggles with a massive deficit, Commissioner Candice Broce pleaded with state lawmakers for more funding.
www.ajc.com
December 22, 2025 at 2:33 PM
In Georgia, the state has made "catastrophic" cuts at DHS, citing an $85 million deficit.
A provider described one result: a mom who relapsed last week. "Visits with her child were keeping her sober, but transportation services had been cut."
Georgia is sitting on a $14.6 *billion* budget surplus.
A provider described one result: a mom who relapsed last week. "Visits with her child were keeping her sober, but transportation services had been cut."
Georgia is sitting on a $14.6 *billion* budget surplus.
When you’ve had a laparoscopy and the bowels are moving sluggishly but your child is an aggressive snuggler… 😬
December 22, 2025 at 2:41 AM
When you’ve had a laparoscopy and the bowels are moving sluggishly but your child is an aggressive snuggler… 😬
Nurse corncob is here to ensure im healing well.
December 21, 2025 at 2:54 PM
Nurse corncob is here to ensure im healing well.
Reposted by Leah B. Gilliam, MD
RFK Jr. should have paid more attention to the comics in 1968.
December 20, 2025 at 12:43 AM
RFK Jr. should have paid more attention to the comics in 1968.
I woke in the middle of the night last night on a couple of occasions to ads recruiting for ICE and honestly, that can’t be good for anyone’s health. It just made me mad.
December 20, 2025 at 2:34 AM
I woke in the middle of the night last night on a couple of occasions to ads recruiting for ICE and honestly, that can’t be good for anyone’s health. It just made me mad.
I think I was missed.
December 19, 2025 at 11:44 PM
I think I was missed.
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.)
(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.)
December 19, 2025 at 5:28 PM
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.)
(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.)
Yall. My hospitals breakfast this morning… was incredible. Shout out to Baptist Memphis’s kitchen. That French toast bread pudding was incredible.
December 19, 2025 at 2:37 PM
Yall. My hospitals breakfast this morning… was incredible. Shout out to Baptist Memphis’s kitchen. That French toast bread pudding was incredible.
It takes a mom to look forward to brain surgery because it’s the only way you’ll get a moment’s peace. 😂🫠
December 18, 2025 at 4:06 AM
It takes a mom to look forward to brain surgery because it’s the only way you’ll get a moment’s peace. 😂🫠
My child woke up at 9 am, wandered into the living room and asked me how old he was. I’ve never slept so deeply that I forgot my age but I’d like to give it a try.
December 14, 2025 at 3:05 PM
My child woke up at 9 am, wandered into the living room and asked me how old he was. I’ve never slept so deeply that I forgot my age but I’d like to give it a try.
The most validating thing I’ve seen on the internet maybe ever.
*makes text unread to respond later*
*immediately*
“ooh I have a new text”
*immediately*
“ooh I have a new text”
December 13, 2025 at 11:21 PM
The most validating thing I’ve seen on the internet maybe ever.
It’s so weird to be at a meeting with non-doctors who aren’t on their laptops during lectures…
December 11, 2025 at 8:53 PM
It’s so weird to be at a meeting with non-doctors who aren’t on their laptops during lectures…
So I need to note this. While my day was nuts and I’m tired and cranky, my phlebotomy students were awesome today. My office is on the Christmas parade route so friends and family always gather there to watch.
December 10, 2025 at 5:08 AM
So I need to note this. While my day was nuts and I’m tired and cranky, my phlebotomy students were awesome today. My office is on the Christmas parade route so friends and family always gather there to watch.
Running a small practice is not for the faint of heart. My MA is out this morning. She can’t help it. My part time employee is sick. So in the last two hours, I’ve seen three patients for visits, had three more for blood draws. Had come in for a urine specimen.
December 9, 2025 at 3:58 PM
Running a small practice is not for the faint of heart. My MA is out this morning. She can’t help it. My part time employee is sick. So in the last two hours, I’ve seen three patients for visits, had three more for blood draws. Had come in for a urine specimen.
Reposted by Leah B. Gilliam, MD
The USPS posting a NINE BILLION DOLLAR LOSS!!! sounds terrible. Certainly worse than if you said "USPS costs thirty dollars per person per year" even though that means the same thing and more accurately describes a government service
December 5, 2025 at 1:31 PM
The USPS posting a NINE BILLION DOLLAR LOSS!!! sounds terrible. Certainly worse than if you said "USPS costs thirty dollars per person per year" even though that means the same thing and more accurately describes a government service
Unless it’s white chocolate peppermint bark, I have no need for peppermint in anything I eat. Not a cookie. Not coffee. Thank you for your prompt attention to this matter.
December 5, 2025 at 2:18 PM
Unless it’s white chocolate peppermint bark, I have no need for peppermint in anything I eat. Not a cookie. Not coffee. Thank you for your prompt attention to this matter.
Snuggling my kid and rubbing his back as he’s drifting off to sleep.
Me: I love you more than all the stars in all the skies, sweet boy.
Him: Get your hand off me.
Ah parenthood.
Me: I love you more than all the stars in all the skies, sweet boy.
Him: Get your hand off me.
Ah parenthood.
December 5, 2025 at 3:31 AM
Snuggling my kid and rubbing his back as he’s drifting off to sleep.
Me: I love you more than all the stars in all the skies, sweet boy.
Him: Get your hand off me.
Ah parenthood.
Me: I love you more than all the stars in all the skies, sweet boy.
Him: Get your hand off me.
Ah parenthood.
Reposted by Leah B. Gilliam, MD
If you know me from The Worse Place, you’ve heard this one a lot. If you’re new here (welcome!), I’ll give you a Dr. Whyte axiom: If you scratch an antivaxer, you’ll find a bigot.
Current ACIP Member Evelyn Griffin, MD blaming illegal immigration for patients having hepatitis B. This is racist.
The ACIP does not have any standing to affect domestic immigration policy or procedures.
The ACIP does not have any standing to affect domestic immigration policy or procedures.
December 4, 2025 at 8:53 PM
If you know me from The Worse Place, you’ve heard this one a lot. If you’re new here (welcome!), I’ll give you a Dr. Whyte axiom: If you scratch an antivaxer, you’ll find a bigot.
Omg TOE CRAMPS ARE THE WORST.
December 3, 2025 at 11:52 PM
Omg TOE CRAMPS ARE THE WORST.
We can all agree that it’s annoying for one store to send FOUR advertising emails in ONE day, right?
December 3, 2025 at 9:35 PM
We can all agree that it’s annoying for one store to send FOUR advertising emails in ONE day, right?
Reposted by Leah B. Gilliam, MD
How about we worry less, as a society, about whether individuals might be cheating to get a disability accommodation or some help buying food, and more about whether extremely wealthy people and corporations are paying their fair share of taxes?
December 2, 2025 at 9:42 PM
How about we worry less, as a society, about whether individuals might be cheating to get a disability accommodation or some help buying food, and more about whether extremely wealthy people and corporations are paying their fair share of taxes?
Medical and specifically genetics peeps - if anyone is doing research on the genetic basis of ADHD or Chiari malformation, I’d love to be put in contact with them. Message me if you know someone?
December 2, 2025 at 8:01 PM
Medical and specifically genetics peeps - if anyone is doing research on the genetic basis of ADHD or Chiari malformation, I’d love to be put in contact with them. Message me if you know someone?
So in what year is Stranger Things season 5 supposed to take place? I’m completely thrown off by the “American Tail: Fievel Goes West” poster in Holly Wheeler’s room. That definitely wasn’t released until the 90s.
November 30, 2025 at 7:34 PM
So in what year is Stranger Things season 5 supposed to take place? I’m completely thrown off by the “American Tail: Fievel Goes West” poster in Holly Wheeler’s room. That definitely wasn’t released until the 90s.