iiinova — where your digital self keeps evolving

Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 16/09/2026

Future Pediatric Endocrinologist coming June 2028!

A picture of the OP. They are a white masculine looking person with circular glasses. They are smiling at the camera. They are wearing a blue checked dress shirt with the sleeves rolled up and a solid maroon tie. They have short brown hair and a brown chin beard. The background is a gradient of light purple to yellow color.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 12/09/2026

I was 14. I was living on Long Island in Setauket, NY. My memory of that day is disjointed.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 11/09/2026

Sept 11th, 2001 was a big reason I decided to join the military as a doctor. I wanted to do more for my country, be a part of something bigger than me. 25 years later I have completed 11 years of service, won awards for teaching, and been banned twice for being trans in the military.

A picture of the Original Poster. They are a white masculine person with short brown hair and circular glasses. They are pointing up to two faculty teaching awards. They are also wearing a t-shirt form HRC which says “Proud Veteran”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 06/09/2026

Trump’s America is not the one I chose to serve, but I will keep fighting and standing up for the America I did.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 29/08/2026

Living my best life being unabashedly me. Queer, trans, and happy.

A picture of the OP. They are a white masculine looking person with short brown hair and circular rimmed glasses. They have a brown beard on their chin. They are smiling at the camera against a brick background. They are wearing a black t-shirt with a rainbow icon which states, “Austin EMS Association”.

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Reposted by Riordan Ledgerwood, MD (they/he)

The House of Pod @kavehmd.bsky.social · 28/07/2026

This episode is getting people’s attention and I can’t tell if it’s because people are interested in testosterone or The Odyssey

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Reposted by Riordan Ledgerwood, MD (they/he)

The House of Pod @kavehmd.bsky.social · 28/07/2026

Pete’s War on Low T! Chatting with @ledgemd.bsky.social & Myke Cole about the new mandatory annual testosterone screening for service members over 30. What low T really means, risks/benefits of treatment and if the Odyssey was a good movie. Links: tinyurl.com/yv52ttk3

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Reposted by Riordan Ledgerwood, MD (they/he)

Patrick Hickey, MD @pwhickey.bsky.social · 16/07/2026

Well said. And the comment about the burden of interpreting and managing these test results at scale getting shifted to the clinicians least prepared for the nuance required is 🎯

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 16/07/2026

Re: Hegseth to screen for low testosterone in all military men >30 from an ex-military doc This is an astonishing level of utter hypocrisy of allowing HRT to cis men, with far less backing medical literature to even support screening asymptomatic cis men for low T levels vs trans HRT.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 15/07/2026

So we were concerned for costs for trans military members which make up a small percentage of the military, but we don’t care about this? Get ready for a country shortage of T and waving away of being non-deployable for having an “unstable hormone condition” or “using an injectable medication”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 10/07/2026

They are a huge soccer fan. Heia Norge! 🇳🇴

A tan pit bull mix dog looks at the person holding the camera expectantly. Bear, the dog, is hoping the person puts down the camera and throws the small soccer ball in front of them.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 03/07/2026

Let’s talk. It’s now 1am in the morning and I’m up contemplating how this man effectively has turned many in the country against trans people.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 29/06/2026

First year of fellowship effectively down, so I’m making some new academic year resolutions and goals. -Go to at least one conference (looking at PES and/or Creating Change: let me know of others which you reccomend) -Network and continue to make connections in the world of LGBTQ+ Health 1/1

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 23/06/2026

What does it mean to be Trans in America in June 2026? I live for today and plan for tomorrow. I review where I can not be me, in the land of the Free. Then review again because what was yesterday is no longer. I feel Pride, but the volume has been lowered. I don’t know if it was me. Or him.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 22/06/2026

Finishing up year 1 of my Pediatric Endocrine program. In reflection of the past year, I have to go back a bit.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 19/06/2026

5 years today since graduating residency at Walter Reed National Military Medical Center. To graduate from a military residency is something I never thought would no longer be possible for trans people. A snapshot of history past and present.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 10/06/2026

When you bring in or allow speakers who do not practice evidence based medicine, push back should be expected. Handing out an article from an ADA journal outside a speaker’s talk at ADA is the absolute mildest form of push back. Yet still they brought in the cops. Editorial and Petition below.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 05/06/2026

Happy Pride everyone! 🏳️‍⚧️🏳️‍🌈🏳️‍⚧️

A picture of a white masculine person with short brown hair and circular silver glasses. They have a short brown beard on their chin and have a stethoscope around their neck. They are wearing a t-shirt with the words in rainbow text, “Care Had No Labels”. The person is standing next to a wall display with rainbow signs which say, “Love is Love”, “Everyone is welcome here”, and “Love always wins.” The person feels there is not enough rainbows in this picture.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 01/05/2026

Deeply disappointed in PAS, a conference I was looking for to presenting my education curriculum about gender affirming care at next year.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 30/04/2026

Does anyone have a good contact email for PAS or should I go old school and send a letter?

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 30/04/2026

I’ve been thinking about the recent controversy at PAS over the gender affirming care panel they hosted and trying to think about the best way to respond. Has anyone sent a letter or email to an organization and felt it may any difference?

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 31/03/2026

This year, I am out and open for all who can't due to the risk of losing jobs, housing, friends and families, and their lives. I will continue to work to make this state, this country, this world a better and safer place for trans people. I will be a voice. I will be me.

A picture of the poster. They are a white masculine looking person with short brown hair and a beard on their chin. They are wearing circular rimmed glasses and have a stethoscope around their neck. They are holding up a trans flag. In the background is a whiteboard with the words “Happy Trans Awareness Day!!!” There is also what looks like ivy bordering the whiteboard which is different and the poster cannot really explain why it’s there. It just is.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 30/03/2026

To my fellow Peds Endo colleagues, a sure fire way to not recruit me is to somehow send me mail with my dead name despite me never using that name in fellowship and never to my office address.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 20/03/2026

If you ever see someone posting, “This post is from an actual human being”, trust me, it is not actually from a human being.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 10/03/2026

They requested to be posted…or petted…hmm…better do both to be safe.

A picture of a tan pit bull mix dog, laying on a blanket, looking at the camera. Their eyes make it seem like they want something. Their name is Bear. There is a progress pride flag in the far background.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 25/02/2026

I joke about moving to Canada when I’m done with fellowship, but in the back of my mind, I know it may not end up being a joke. I bet Canada would appreciate a Pediatric Endocrinologist who just happens to be trans.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 04/02/2026

If you've ever wanted a summary of all the research that exists on transgender service in the US military, here it is. Healthcare costs, readiness impact, demographic characteristics, unit cohesion, perceptions of open trans service by others and more. Article: www.tandfonline.com/eprint/QV4WN...

tandfonline.com

Transgender service in the U.S. military: A scoping review

U.S. policies on transgender military service have changed five times over nine years, amid litigation and public debate, affecting service members diagnosed with Gender Dysphoria or who have recei...

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Reposted by Riordan Ledgerwood, MD (they/he)

Brad Heath @bradheath.bsky.social · 30/01/2026

President Trump has filed a lawsuit against the IRS, in which he demands that the IRS, which he as president controls, pay him $10 billion. storage.courtlistener.com/recap/gov.us...

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Reposted by Riordan Ledgerwood, MD (they/he)

Dr. Jey McCreight 🏳️‍⚧️🧬 @jeymccreight.bsky.social · 28/01/2026

🚨 Requesting help: I am looking for an agent who can facilitate more speaking gigs, podcast appearances, and interviews with journalists I want to more widely share my story and expertise as a trans geneticist who understands the reality and complexity of "biological sex" 🏳️‍⚧️🧬 Please signal boost?

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Reposted by Riordan Ledgerwood, MD (they/he)

Matthew Cortland (they) @matthewcort.land · 27/01/2026

CTA Defend Trans Kids: If you're a clinician, a parent, a trans adult, or just someone who cares, I wrote a guide on how to submit effective comments opposing the federal ban on gender-affirming care for minors. Deadline 2/17/26 🔗 www.patreon.com/posts/149210... 🔗

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 26/01/2026

Don’t trust liars. You know what your eyes see. You can feel what is right in your gut. Don’t listen to the falsehoods. Don’t trust liars.

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Reposted by Riordan Ledgerwood, MD (they/he)

Erin Reed @erininthemorning.com · 22/01/2026

1. A terrible new bill targeting trans youth has passed committees in Florida. It would potentially allow health care practitioners, including therapists, to be charged with "aiding and abetting" transgender youth to transition, local orgs say. Subscribe to support our journalism.

erininthemorning.com

From Pharmacists to Therapists, Florida Could Prosecute “Aiding And Abetting” Trans Youth Care If New Bill Passes

These bills can be weaponized against providers or schools based on “suspicion, politics, or grievances from ideological extremists.”

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 19/01/2026

Celebrate the legacy of Dr. Martin Luther King Jr. with action to support the oppressed and stand for justice and equality.

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Reposted by Riordan Ledgerwood, MD (they/he)

Shematologist, MD @shematologist.medsky.social · 18/01/2026

The rage you are feeling comes from the same place inside your heart as the love.
This is why you refuse to accept a world where cruelty reigns, and the fire consumes all.
You have known hope and joy and kindness like you have known water.
And justice is a river that demands you do not give up on it.

Nikita Gill

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 09/01/2026

They laugh at a woman’s death then attend church on Sunday and think they are morally better than those who mourn.

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Reposted by Riordan Ledgerwood, MD (they/he)

Charlotte Clymer @charlotteclymer.bsky.social · 08/01/2026

This afternoon, retired Army general Stanley McChrystal spoke at the retirement ceremony hosted by HRC for six trans service members who were forced out under Trump’s ban. “I shouldn’t have to be thanked for being here. First off, we shouldn’t be here. This shouldn’t be happening.” Full remarks:

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 24/12/2025

Merry Christmas Eve from Peds Endo clinic!

A picture of a white masculine person with circular glasses who is smiling at the camera slightly. They are also wearing a Santa hat. Additionally they are wearing a rainbow lanyard with the words “Gender Affirming Care Saves Lives”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 23/12/2025

Censorship of the media for revealing truths of the current regime is classic fascism. Stand Up For Freedom Fight Fascism.

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Reposted by Riordan Ledgerwood, MD (they/he)

Qasim Rashid, Esq. @qasimrashid.com · 23/12/2025

Here is the full CECOT torture prison segment that CBS tried to kill to appease Trump. Please spread it far and wide. YouTube: youtu.be/F81WnOyDXD4?... Substack: open.substack.com/pub/qasimras...

youtu.be

Full CECOT Interview from CBS Canada

YouTube video by Qasim Rashid

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