Leah B. Gilliam, MD

@drgruralmd.bsky.social

6142 Followers 725 Following

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

Screenshot of a Facebook post reading “Parents what do you use to detox your kids” followed by the chin-scratching, thinking emoji
A screenshot from the Cheeto’s presidential library site: Frequently Asked Questions What are the guidelines for donations to the Foundation? Is my donation secure? Is my donation tax-deductible? Will I receive a receipt? How do I change or cancel my monthly or recurring donation? What is your refund policy? Where do I go if I have a question about my donation?
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;”
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.
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.
Sweet kitty lies in her mom’s lap on a gray and white blanket and enjoys some head scritches.
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.
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.
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.
Sagittal section of an MRI brain. On the back of the neck is a large dark space full of fluid, consistent with a pseudomeningocele.
Picture of a foot propped up. The second and third toes are cramped, forcing them painfully downward.
A browned double crust pie with slits in the crust revealing the apples within.
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.
A toddler in a green tyrannosaurus costume stands in a dusty chicken coop.
A fire truck sits in front of a hotel entrance.
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.
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.
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.
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.
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.
A picture of a bottle of Vick’s PainQuil
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.
Four young black and white Serama chickens in a cardboard box.
Notification from an investing app that reads: TGT earnings tomorrow TGT will announce earnings tomorrow during pre-market hours
A closeup of a torbie cat sleeping soundly in her mom’s lap
A red brick home with a lovely sage green front gate and door. There are boxy hedges in front.
A modest midcentury brick home with a messy front flower bed. It’s welcoming - with a large “welcome” sign propped by the front door. There are potted flowers on the porch. There are large oak trees behind. The grass in front is a bit patchy.
Text from phone number +63 968 632 6938 that reads “Final Notice: Enforcement will begin after May 17st As of today, your tolls are still unpaid. If you still don\'t pay your tolls tomorrow, you will face the following consequences: The DMV will suspend your vehicle You will face legal action and damage to your credit You may be considered an illegal driver Please pay before enforcement     Pay Now: https://tndmv.gov-exd.win/pay (Reply Y and re-open this message to click the link, or copy it to your browser.)”
A torbie cat snuggles into the bed with her owner
A woman with brown hair pulled into a messy bun wears a gray shirt. She is buckled into the passenger seat of a car.
OP, a white woman with brown hair in a messy bun, wears a blue hospital gown in bed.
A beautiful crusty loaf of fresh baked bread.
A tabby cat lies on her back, belly exposed on a carpeted floor.
A 3 month Tesla stock chart indicating its precipitous decline in value. Currently $237.97. Down $174 or 42.29% in the last three months.
A small Mille fleur hen eats seeds from a hand. Her feathers are a lovely mix of tan, white and black.
A western meadowlark takes flight from a strand of barbed wire fencing, its bright yellow chest on display and wings extended.
A young Red Pyle Old English Game Bantam sits on a fence post while his girlfriend looks on from a lower rail. They’re both white. He has some rust colored feathers around his head and neck. In the background are rolling green hills and a treeline in the distance.
A black, fluffy hen sits in a nesting box and glares at her photographer. If looks could kill, hers would.
A tabby cat plays in a nest of packaging
Close up of a corner of our deck box. Label reads “East Oak Designed in New York”
A screenshot of a suggestion from Facebook with a picture of RFK. It reads “You can follow Robert F. Kennedy, Jr and others to see their updates.”
A torbie cat hides in a white bathtub, peeking out over the edge between the shower curtain and liner.
Letter reading the following: “The denial was based on our criteria for Ubrelvy Tab 100mg. Per your health plan’s criteria, this drug is covered if you meet the following: (1) Your doctor tells us that this treatment is working for your condition (for example: reduction in pain, fear of light, fear of sounds, nausea). The information provided does not show that you need the criteria listed above. Please speak with your doctor about your options. Reviewed by: R. Ph. We based this decision on clinical guidelines for Ubrelvy Tab 100mg. You can obtain a free copy of these guidelines by writing: Optum Rx c/o Prior Authorization Guidelines PO Box 2975 Mission, KS 66201”
A torbie cat looks over the edge of the bathtub into the water with somewhat of a concerned expression. There are a couple of kid’s bath toys in the water and a bottle of conditioner on the side of the tub.
A picture of a computer screen. There is a finger in the top left corner blocking the patient’s identification for privacy purposes. In the top right corner it indicates that the physician is trying to get authorization for pantoprazole 40mg DR tabs. The question reads “ The patient’s drug benefit plan provides coverage for other drugs, which may be considered for treating your patient. Can your patient be treated with the formulary drug? Available formulary alternatives: esomeprazole delayed release, lansoprazole delayed release capsule, omeprazole delayed release, pantoprazole delayed release tablet (note: if yes, provide your patient with a new prescription for the formulary product.)” There are check boxes for yes and no.
A grouchy tabby cat in a cat carrier.
A tortoiseshell cat is held in a woman’s arm.
A gorgeous tortoiseshell cat is held in a woman’s arm
A white bowl filled with what white people might call a taco salad. There’s salsa verde, sour cream, and shredded cheese visible. In the background is a table with a toolbox and various other types of clutter.