HOLY SHIT ITS A caduceus which has many different meanings. Last time I checked Pelosi isn't part of the medical community so it would have to be:
>As a symbolic object, it represents Hermes (or the Roman Mercury), and by extension trades, occupations, or undertakings associated with the god
And Mercury is:
>is a major god in Roman religion and mythology, being one of the 12 Dii Consentes within the ancient Roman pantheon. He is the god of financial gain, commerce, eloquence, messages, communication (including divination), travelers, boundaries, luck, trickery and thieves; he also serves as the guide of souls to the underworld
HOLY SHIT