Leah B. Gilliam, MD's Avatar

Leah B. Gilliam, MD

@drgruralmd

Family doc. Farm wife. Mama. Mostly complaining about the stupidity of our healthcare system. She/her #medsky

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Latest posts by Leah B. Gilliam, MD @drgruralmd

No. Diet Pepsi is not ok.

07.03.2026 05:09 πŸ‘ 6 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Medical school. Residency is graduate medical education.

07.03.2026 02:17 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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I wish this quote wasn’t still so relevant

06.03.2026 13:43 πŸ‘ 980 πŸ” 393 πŸ’¬ 11 πŸ“Œ 18

Idk what the moon is doing but imma need it to stop. I need a break from the madness.

05.03.2026 14:59 πŸ‘ 9 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

If he can speak to those people, he stands a chance in Texas.

04.03.2026 21:41 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I get it, but that plays very well in Texas. I don’t think from anything I’ve seen he’s one to hold those of other faiths or none as less than. I feel like he’s often speaking to religious people to show them specifically that the things that are happening aren’t compatible with Christian values.

04.03.2026 21:41 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

My heart hurts for Jasmine Crockett. She’s an amazing woman who would have done an incredible job.

04.03.2026 14:21 πŸ‘ 6 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I blame DOGE.

03.03.2026 19:58 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

That’s a crime against humanity.

03.03.2026 19:58 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

My family calls these taco beds, thanks to my nieces. They are life.

03.03.2026 12:47 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

A Korean po boy is the product of a country I’m proud to be from. That’s America. Not this crap our government is doing.

02.03.2026 00:54 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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I have an absurd number of pets. One dog. Two cats. Fifteen chickens. Four goldfish. One horse. Cows. I don’t know how many. Some aren’t pets. At least two are.

Anyway. Meet Speedy. She’s new. She has a snail friend. I think my kid has named that one Snaily. Also added a cory to the new 55G tank.

02.03.2026 00:52 πŸ‘ 9 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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There is no amount of money in the world that would lead me to fight a Vietnamese refugee that grew up in Louisiana

(Also I really want to try a Korean style Po’ Boy)

27.02.2026 13:31 πŸ‘ 4331 πŸ” 1221 πŸ’¬ 98 πŸ“Œ 233

Without. I can’t think of another time that I’ve been able to just sit without feeling like I should get up and do something else. I had to sit. Sitting was the most important thing at that moment so I was free to enjoy it.

26.02.2026 17:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Ours too. Occasionally they’d get the ones that were hexagon-shaped. That was always a good day.

26.02.2026 16:15 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Again I say, if I were a bird, I would be a wren.

26.02.2026 16:13 πŸ‘ 6 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

What does it say about my life that getting my teeth cleaned this morning has been one of the most relaxed moments of the last month?

26.02.2026 16:11 πŸ‘ 11 πŸ” 1 πŸ’¬ 3 πŸ“Œ 0

I didn’t get the impression that they were making light of it, just that it was a huge case. They were already aware and they’d add my report to the running tally. Less of a case to crack. They already knew a lot about this one.

26.02.2026 01:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Oh I don’t doubt that at all.

26.02.2026 00:47 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

When I called to report it, the folks at Medicare weren’t surprised. They immediately told me they were aware of the company and that it wasn’t anything I needed to be concerned about personally beyond filing the report.

26.02.2026 00:46 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I live in a red state but the company that’s been billing these claims is based in Colorado. That may be the game. Idk.

26.02.2026 00:44 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

There actually have been huge issues with DME fraud lately. I’ve had a half dozen people who were never my patients get EOBs from a DME company for urinary catheters I didn’t order. Medicare had been successfully billed in each case to the tune of $12k. I wonder if that’s the motivation?

26.02.2026 00:25 πŸ‘ 6 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

He’s gonna lie. They’re gonna clap. It’s just going to make me angry.

25.02.2026 02:38 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Ok so I’m not watching this circus and I’m NOT saying anything about ACB’s character but I actually think she really detests him. And I think that’s hilarious.

25.02.2026 02:25 πŸ‘ 6 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Maybe but im told that this is not the case.

24.02.2026 23:36 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

So what I’ve been told is that insurance reimbursement for cavities is considerably worse than almost anything else dentists do, so they’d generally rather not fill a cavity unless it’s necessary because it’s more profitable to use those appointment slots for cosmetic work or cleanings.

24.02.2026 23:24 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Yes. Because why is healthcare urgent?

23.02.2026 17:55 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

My MA is on hold with an insurance company. I kid you not, her estimated wait time is 597 minutes.

23.02.2026 17:17 πŸ‘ 8 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

My FREE goldfish will be moving into her FOURTH home in the next few days. She and her pals have lived more than two years and are officially being upgraded to a 55 gallon tank. We had to go buy furniture large enough to hold the tank, proving again that there is no such thing as a free pet.

23.02.2026 02:20 πŸ‘ 26 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I feel this.

21.02.2026 16:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0