Riordan Ledgerwood, MD (they/he)
@ledgemd.bsky.social
5.5K followers 1.2K following 450 posts
UofL Peds Endo Fellow ‘28 | Prior Army Pediatric Hospitalist/Army Veteran | Proudly Trans masc | Military Trans Ban Survivor x2 | Twice Banned Yet Still I Stand | 🏳️‍⚧️🏳️‍🌈 #MedSky
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Reposted by Riordan Ledgerwood, MD (they/he)
sarapartridge.bsky.social
There are reports that the *entire* office of special education at the US Dept of Education has been cut. These hardworking folks ensure kids with disabilities get equal access to a quality education.

America’s children deserve better than this.
Reposted by Riordan Ledgerwood, MD (they/he)
hencarnell.bsky.social
For years, medical professionals and transgender advocates have been saying the "Society for Evidence-based Gender Medicine" was not following the principles of evidenced-based medicine.

Now the "godfather" of evidence-based medicine is leveraging the same claim against them. (1/)
Trans health care "skeptics" lost a key ally—now they're having a meltdown
The godfather of evidence-based medicine on rejecting anti-trans "misuse" of his work.
www.motherjones.com
Reposted by Riordan Ledgerwood, MD (they/he)
ryanmarino.bsky.social
We are at least 4-5 stanzas deep in the “first they came for…” poem and there are still not enough people speaking out
ledgemd.bsky.social
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.
Reposted by Riordan Ledgerwood, MD (they/he)
arghavansallesmd.medsky.social
Did you know Texas A&M fired a professor for talking about gender in her class? So much for academic freedom.

(Rest of the video is on TT)
Reposted by Riordan Ledgerwood, MD (they/he)
sundaedivine.bsky.social
Nothing says ‘making America great again’ like bleeding out in a Walmart parking lot because the county hospital shut down.
Map of rural hospitals in danger of closing.
Reposted by Riordan Ledgerwood, MD (they/he)
jael.bsky.social
alert: potential ban on federally-funded hospitals providing any trans health care is in the house hhs funding bill
ericmgarcia.bsky.social
NEWS: House Appropriations Committee Republicans released their spending bill for Labor, Health and Human Services, Education, and Related Agencies. The legislation would prohibit taxpayer dollars for any type of gender-affirming care for transgender people. This would include programs like Medicaid
SEC. 243. None of the funds made available by this Act may be used to implement, administer, or enforce Executive Order 13988, entitled ‘‘Preventing and Combating Discrimination on the Basis of Gender Identity or Sexual Orientation’’, published by the Executive Office of the President on January 25, 2021 (86 Fed. Reg. 7023).

SEC. 244. None of the funds made available by this Act may be used for any social, psychological, behavioral,or medical intervention performed for the purposes of in16 tentionally changing the body of an individual (including
by disrupting the body’s development, inhibiting its natural functions, or modifying its appearance) to no longer correspond to the individual’s biological sex.
ledgemd.bsky.social
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.
ledgemd.bsky.social
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.
A picture of 7 words posted on a wall.  They are:

·              Loyalty

·              Duty

·              Respect

·              Selfless service

·              Honor

·              Integrity

·              Personal Courage
ledgemd.bsky.social
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.
ledgemd.bsky.social
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”.
ledgemd.bsky.social
An extremely powerful poem about the doublespeak trans troops are facing as they’re being forced out.

A snippet:

“They’ll tell you they’re your family
And that you won’t be forgotten
And take your name off the roster”
ledgemd.bsky.social
When I reflect on these times

I will remember those who stepped forward towards me

And I will remember those who stepped back
Reposted by Riordan Ledgerwood, MD (they/he)
troytassier.bsky.social
The AB mom…”was saddened & horrified when she learned her daughter had measles, but also "frustrated and annoyed" at those choosing not to vaccinate their kids.

She called on people to … "protect the ones that can't protect themselves".

“My four-month-old shouldn't have gotten measles in 2025”
How Canada became the centre of a measles outbreak in North America
Confirmed cases of measles in Canada are nearly three times higher than in the US, despite Canada's far smaller population.
www.bbc.com
Reposted by Riordan Ledgerwood, MD (they/he)
kirstimiller30.bsky.social
For those non binary people who desire it, access to GAHT and GAS have been shown to decrease depression, self-harm, suicidality & gender dysphoria, and improve quality of life (Hembree et al., Nolan et al., Olson-Kennedy & Warus, Pullen Sansfaçon et al.

www.tandfonline.com/doi/full/10....
Met and unmet need for medical gender affirmation in the Australian non-binary community
Background: There is a widely held assumption that non-binary people do not, or rarely, pursue gender-affirming hormone therapy (GAHT) or gender-affirming surgery (GAS), however, little is known ab...
www.tandfonline.com
ledgemd.bsky.social
Alright! I am Kentucky official!

Let’s go!!!
A close up of a drivers license. The text is “Sex: M”.
ledgemd.bsky.social
Deeply, deeply disappointed by this as a Peds Endo fellow who wants to do trans care.

Actions like these narrow educational opportunities as well as cause suffering for trans adolescents receiving care and their supportive families.
ledgemd.bsky.social
Because that’s the only way they can justify the discrimination even though it’s not true.
ledgemd.bsky.social
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.
ledgemd.bsky.social
Week two of Peds Endo fellowship and loving life (been a loooong minute since I could say this).