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.

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 · 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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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 · 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 · 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 · 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 · 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 · 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 · 15/10/2025

Bear was a good pup at the vet so they gifted her a bandana to match the pride patches on her harness.

A picture of a light brown pit mix dog turning away from the camera. She is wearing a rainbow colored bandana.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 18/09/2025

Got a friend this past weekend. My first dog and my gift to myself for finally getting out of the Army.

A picture of a happy dog, a pitbull mix with a wagging tail. Her name is Bear.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 05/09/2025

Finally looking like an actually adult now 4 years into T.

A formal picture of a white masculine person with black rimmed glasses and short brown hair and some facial hair on their chin. He is wearing a patterned blue dress shirt with a solid maroon tie. He is slightly smiling at the camera.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 23/08/2025

In Residency on night shifts sometimes I would stand in the quiet of “The President’s Hospital”, reflecting on the U.S. Army values. I joined the Army because I believed in those values and I still do. I left the Army, in part, because I saw leaders who could not uphold those values.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 20/08/2025

Last day in uniform. Officially done with the Army.

A side by side comparison of the poster’s first time in uniform and their last.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 07/08/2025

Six months apart. Not supported vs Supported. Miserable vs Happy. Still Trans.

A picture of an androgynous white person with black rimmed glasses. They are looking at the camera, their lips turned down. They have a stethoscope around their neck and are wearing a shirt which says “Twice Banned Yet Still I Stand”.

A picture of an androgynous white person with circular glasses. They are smiling at the camera. They are wearing a blue shirt which says “Diversity Equity Inclusion”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 25/07/2025

Alright! I am Kentucky official! Let’s go!!!

A close up of a drivers license. The text is “Sex: M”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 19/07/2025

Now on the annual medical survey. This pic will be a sign in the future of the awful discrimination of trans people in the military. Tell the truth and get kicked out for being yourself. Lie and get saddled with guilt and fear for being found out, simply because you wish to continue your service.

A screenshot of the screen of a laptop. The screen shows a question from the annual military medical survey. It says, “Are you currently being evaluated for, have a current diagnosis of, or exhibit symptoms consistent with gender dysphoria?” Then below it offers the options of “Yes” and “No”. In the corner it has the date of July 16th, 2025.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 07/07/2025

First day of Peds Endo fellowship! I was met with balloons in my new office and a pipe cleaner crown. I missed silliness of Pediatrics. Here’s to a new chapter!

A picture of a white masculine looking person with brown hair and silver circular glasses. They are wearing a brown polo and a pipe cleaner crown with the words, “Fellow of the Week”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 17/06/2025

I finally replaced the cursed baby of my nightmares.

A picture of a small trophy with a golden plastic baby whose face looks like it’s split into two

A picture of a normal looking trophy with a three star trophy topper

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 13/06/2025

Going to Kentucky from New York was the best thing to ever happen to me and now I get the chance to repay this in service to the youth of Kentucky.

A picture of a Lego scene of a street during Pride with lots of references to LGBTQ+ Pride.

A close up of a Lego scene with a focus on a Lego person in a military uniform holding a trans flag in their hand.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 09/06/2025

In case you wanted to know what other physicians feel about giving help to a trans military physician.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 03/06/2025

In a state which is quickly legislating trans folks out of existence. In a military which decided to throw away decades, centuries even total of experience, leadership, and service simple because we’re trans. In a country which is becoming increasing more toxic.

A picture of an art piece which spells out the word Courage in periodic table elements. Of note the art piece is painted in trans colors.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 03/06/2025

In a rough time for the LGBT community, particularly trans folks, now we need Pride more than ever. I will be never be anything but myself and I am not ashamed. I am proud. Happy Pride month! 🏳️‍⚧️🏳️‍🌈🏳️‍⚧️

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 29/05/2025

Time for a new old me. Leaning into scruff, nerdiness, and as always compassion and kindness.

A selfie of the OP. They are a white androgynous person with some chin scruff wearing circular silver rimmed glasses. They are wearing a white tank top with a medical symbol with a tree with rainbow color leaves.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 29/05/2025

An “in-house” publication which I’m sure will be peer reviewed, but these are the peers.

A stock photo of carbon copy white men in the same white dress shirt and tie.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 19/05/2025

Got my Outstanding Faculty Award in the mail today. Dated the week the news of the second military trans ban came out. I was selected as one of 13 out the entire USU faculty of 6000.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 18/05/2025

The final collage. It represents 125 people (and 3 dogs) who supports trans troops. Thank you to all who contributed!

A photo collage of many people with the text “I stand with you” in reference to supporting trans troops.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 17/05/2025

Still working on the final collage (today is day 8/8 of inpatient and I am exhausted) but here’s a photo from yesterday. So if you have any last minute contributions feel free to post here. Doesn’t have to be your face! Could be your icon or another photo. Just add the text “I Stand With You.”

A picture of three people smiling at the camera. The two people on the outside are holding a sign which says “I Stand With You”. The person in the middle is wearing a shirt which says “Twice Banned Yet Still I Stand”. This is a reference to the military trans ban.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 10/05/2025

I will not be ashamed. I will not cower. I will stand up for others. I know what is right. This is not right. This is animus. History will remember this time. What do you want it to say about you?

A collage of six pictures of the OP who is a white androgynous person with black rimmed glasses. They are wearing a different t-shirt in each picture which stands up for trans military members, how healthcare should do be at the whims of politics, and their identity as a trans doctor.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 06/05/2025

Bringing this pic back cause the ban is back. Perhaps the protest beard will make a comeback as well.

A picture of a white androgynous person with black rimmed glasses stares solemnly at the camera. They have a scruffy chin beard. They are also wearing a t-shirt with the text, “Twice Banned Yet Still I Stand”.

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Riordan Ledgerwood, MD (they/he) @ledgemd.bsky.social · 12/04/2025

At least this I can put up in a future office. Not sure what I’m gonna do about the golden plastic baby thing.

A picture of a drawing of a hospital. Below this there is a plaque. It reads, “MAJ Riordan Ledgerwood, MD; July 2021-May 2025; Residency and Medical School Faculty Staff Pediatrician; Carl R. Darnall Army Medical Center; Fort Cavazos, Texas; Thank you for serving as a leader, teacher, and pediatrician.” Reflected in the glass of this, is the Pediatrician in question wearing scrubs and a black vest.

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