Leah B. Gilliam, MD's Avatar

Leah B. Gilliam, MD

@drgruralmd.bsky.social

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

6,113 Followers  |  716 Following  |  3,093 Posts  |  Joined: 16.06.2023
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Posts by Leah B. Gilliam, MD (@drgruralmd.bsky.social)

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

04.03.2026 21:41 β€” 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 β€” 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 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I blame DOGE.

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

That’s a crime against humanity.

03.03.2026 19:58 β€” 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 β€” 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 β€” 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 β€” 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 β€” πŸ‘ 4331    πŸ” 1222    πŸ’¬ 97    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 β€” 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 β€” 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 β€” πŸ‘ 5    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 β€” 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 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Oh I don’t doubt that at all.

26.02.2026 00:47 β€” 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 β€” 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 β€” 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 β€” 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 β€” 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 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Maybe but im told that this is not the case.

24.02.2026 23:36 β€” 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 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Yes. Because why is healthcare urgent?

23.02.2026 17:55 β€” 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 β€” 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 β€” πŸ‘ 26    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I feel this.

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

β€œIt’s a great day at Cohere Health!” they say when they answer the phone for the line to schedule a peer-to-peer because the patient’s scan was denied.

20.02.2026 14:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Do not EVER talk to me about value based care as it relates to partnerships with insurance companies.

20.02.2026 02:44 β€” πŸ‘ 13    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

I spent an hour and twenty minutes on the phone today trying to convince BlueCross to cover a CTA so a patient I suspected to have a pulmonary embolism might avoid a costly ED cost. They wouldn’t cover it because in my rural community, a d-dimer is a send out test.

20.02.2026 02:44 β€” πŸ‘ 10    πŸ” 1    πŸ’¬ 2    πŸ“Œ 2

You and my kid. He’s learning to read and he gets super excited when he can sound out β€œpoop”.

19.02.2026 21:56 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0