Riordan Ledgerwood, MD (they/he)'s Avatar

Riordan Ledgerwood, MD (they/he)

@ledgemd.bsky.social

UofL Peds Endo Fellow โ€˜28 | Prior Army Pediatric Hospitalist/Army Veteran | Proudly Trans masc | Military Trans Ban Survivor x2 | Twice Banned Yet Still I Stand | ๐Ÿณ๏ธโ€โšง๏ธ๐Ÿณ๏ธโ€๐ŸŒˆ #MedSky

5,501 Followers  |  1,233 Following  |  470 Posts  |  Joined: 06.07.2023  |  1.7564

Latest posts by ledgemd.bsky.social on Bluesky


Preview
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...

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...

04.02.2026 21:12 โ€” ๐Ÿ‘ 10    ๐Ÿ” 4    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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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...

30.01.2026 00:56 โ€” ๐Ÿ‘ 3720    ๐Ÿ” 1549    ๐Ÿ’ฌ 400    ๐Ÿ“Œ 843

๐Ÿšจ 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" ๐Ÿณ๏ธโ€โšง๏ธ๐Ÿงฌ

Please signal boost?

28.01.2026 21:03 โ€” ๐Ÿ‘ 309    ๐Ÿ” 253    ๐Ÿ’ฌ 15    ๐Ÿ“Œ 19
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Trump DOJ lied to D.C. federal appeals court about trans military ban, lawyers say in stunning filing โ€œWe hope the court recognizes that they were hearing a number of misrepresentations and that they will carefully read the record in this case,โ€ attorney Shannon Minter told The Advocate.

Trump DOJ lied to D.C. federal appeals court about trans military ban, lawyers say in stunning filing

www.advocate.com/new...

#transgender #trans #LGBTQ #LGBTQIA

29.01.2026 11:59 โ€” ๐Ÿ‘ 18    ๐Ÿ” 7    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Dark teal graphic with the title "COMMENTING GUIDE: Opposing Two Trump Regime Rules Banning Gender-Affirming Care, Deadline 2/17/26" in white serif font. Below in smaller teal text: "by Matthew Cortland โ€” 01/26/2026". A simplified scales of justice icon appears on the right side. The bottom features a gradient banner in teal, gold, and coral with the text "SHOULDN'T NEED TO BE A LAWYER" and "PATREON.COM/MATTBC" flanking a black Patreon logo. A faint line graph decoration appears in the lower left.

Dark teal graphic with the title "COMMENTING GUIDE: Opposing Two Trump Regime Rules Banning Gender-Affirming Care, Deadline 2/17/26" in white serif font. Below in smaller teal text: "by Matthew Cortland โ€” 01/26/2026". A simplified scales of justice icon appears on the right side. The bottom features a gradient banner in teal, gold, and coral with the text "SHOULDN'T NEED TO BE A LAWYER" and "PATREON.COM/MATTBC" flanking a black Patreon logo. A faint line graph decoration appears in the lower left.

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

๐Ÿ”— www.patreon.com/posts/149210... ๐Ÿ”—

27.01.2026 02:40 โ€” ๐Ÿ‘ 294    ๐Ÿ” 210    ๐Ÿ’ฌ 4    ๐Ÿ“Œ 22

Donโ€™t trust liars.

You know what your eyes see.

You can feel what is right in your gut.

Donโ€™t listen to the falsehoods.

Donโ€™t trust liars.

26.01.2026 12:56 โ€” ๐Ÿ‘ 7    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
From Pharmacists to Therapists, Florida Could Prosecute โ€œAiding And Abettingโ€ Trans Youth Care If New Bill Passes These bills can be weaponized against providers or schools based on โ€œsuspicion, politics, or grievances from ideological extremists.โ€

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.

22.01.2026 20:10 โ€” ๐Ÿ‘ 454    ๐Ÿ” 175    ๐Ÿ’ฌ 8    ๐Ÿ“Œ 8

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

19.01.2026 13:57 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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

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

18.01.2026 19:59 โ€” ๐Ÿ‘ 439    ๐Ÿ” 126    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 4
A picture of a tan dog peeking her head from under a table with a gray table cloth. Sheโ€™s staring up at the camera and wondering why the camera person isnโ€™t petting her that very moment. Her name is Bear.

A picture of a tan dog peeking her head from under a table with a gray table cloth. Sheโ€™s staring up at the camera and wondering why the camera person isnโ€™t petting her that very moment. Her name is Bear.

The Velcro dog making her presence known.

17.01.2026 00:53 โ€” ๐Ÿ‘ 18    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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

09.01.2026 18:23 โ€” ๐Ÿ‘ 11    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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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 Trumpโ€™s ban.

โ€œI shouldnโ€™t have to be thanked for being here. First off, we shouldnโ€™t be here. This shouldnโ€™t be happening.โ€

Full remarks:

08.01.2026 23:39 โ€” ๐Ÿ‘ 3530    ๐Ÿ” 906    ๐Ÿ’ฌ 25    ๐Ÿ“Œ 68
A screenshot of the text:

โ€œLet me offer some straight talk:

Pediatricians strive to do all they can to ensure kids do not die.

The fewer childhood vaccines RFK Jr. is recommending means more children will be much more likely to die.

If you cannot trust the people who actively save the lives of children on a daily basis, how is it you trust a person without a medical degree who does not care if your child dies or not?

Pediatricians have seen that pain and suffering first hand.
RFK Jr. has not.

Who do you trust your kidsโ€™ lives to?โ€

A screenshot of the text: โ€œLet me offer some straight talk: Pediatricians strive to do all they can to ensure kids do not die. The fewer childhood vaccines RFK Jr. is recommending means more children will be much more likely to die. If you cannot trust the people who actively save the lives of children on a daily basis, how is it you trust a person without a medical degree who does not care if your child dies or not? Pediatricians have seen that pain and suffering first hand. RFK Jr. has not. Who do you trust your kidsโ€™ lives to?โ€

06.01.2026 22:22 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
A picture of a smiling white masculine person with circular glasses who is wearing a Santa hat. They are also wearing a green t-shirt with the words, โ€œTwice Banned Yet Still I Standโ€. There is a pit bull mix young dog sitting and looking at the camera with a look which suggests theyโ€™re not sure whatโ€™s going on. Their name is Bear. There appears to be a Christmas tree in the background.

A picture of a smiling white masculine person with circular glasses who is wearing a Santa hat. They are also wearing a green t-shirt with the words, โ€œTwice Banned Yet Still I Standโ€. There is a pit bull mix young dog sitting and looking at the camera with a look which suggests theyโ€™re not sure whatโ€™s going on. Their name is Bear. There appears to be a Christmas tree in the background.

Happy Holidays from us to you!

25.12.2025 18:03 โ€” ๐Ÿ‘ 21    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
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 โ€œGender Affirming Care Saves Livesโ€.

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 โ€œGender Affirming Care Saves Livesโ€.

Merry Christmas Eve from Peds Endo clinic!

24.12.2025 15:07 โ€” ๐Ÿ‘ 16    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Censorship of the media for revealing truths of the current regime is classic fascism.

Stand Up For Freedom
Fight Fascism.

23.12.2025 11:59 โ€” ๐Ÿ‘ 11    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Full CECOT Interview from CBS Canada
YouTube video by Qasim Rashid Full CECOT Interview from CBS Canada

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...

23.12.2025 05:18 โ€” ๐Ÿ‘ 393    ๐Ÿ” 236    ๐Ÿ’ฌ 12    ๐Ÿ“Œ 15
The front of a holiday card with the text "Happy Holidays!" There is also a picture of a tan dog laying adorably on someone's arm. Their name is Bear, the Monster Incarnate. There is also a picture of a white masculine looking person with a patchy bear, using a stethoscope to listen to a stuffed lion. Their shirt says "Proud Veteran".

The front of a holiday card with the text "Happy Holidays!" There is also a picture of a tan dog laying adorably on someone's arm. Their name is Bear, the Monster Incarnate. There is also a picture of a white masculine looking person with a patchy bear, using a stethoscope to listen to a stuffed lion. Their shirt says "Proud Veteran".

The back of a Holiday Card. The heading is "Another Year...". The text is "2025 has been an incredibly life changing year for me. 
I got banned a second time for being trans in the military, 
legally changed my name,  had a chapter in a book of trans military members, left the Army, and started a fellowship in 
pediatric endocrinology back home in Louisville, KY. 
I also fulfilled a dream and adopted a dog, 
a monster named BeAR and got my fourth tattoo. 
This past month has been challenging with my Dad in and out of the hospital, and a car accident this past week, showing me the ups and downs of life. However, as I think about next year, I have the hope and foundations for a bright 2026, 
and a velcro dog who is always demanding of pets.

Wishing you all warmth, kindness, and Care,
Riordan."

The back of a Holiday Card. The heading is "Another Year...". The text is "2025 has been an incredibly life changing year for me. I got banned a second time for being trans in the military, legally changed my name, had a chapter in a book of trans military members, left the Army, and started a fellowship in pediatric endocrinology back home in Louisville, KY. I also fulfilled a dream and adopted a dog, a monster named BeAR and got my fourth tattoo. This past month has been challenging with my Dad in and out of the hospital, and a car accident this past week, showing me the ups and downs of life. However, as I think about next year, I have the hope and foundations for a bright 2026, and a velcro dog who is always demanding of pets. Wishing you all warmth, kindness, and Care, Riordan."

This year's Holiday card

21.12.2025 18:46 โ€” ๐Ÿ‘ 8    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Thank you!

11.11.2025 17:37 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
A picture of a white masculine person with short brown hair and glasses with a stethoscope listening to the โ€œheartโ€ of a stuffed lion. The person is wearing a t-shirt which has the text โ€œProud Veteranโ€ with stars of the colors of the Progress Pride flag. The person also has a beard which looks scruffy but itโ€™s a work in progress.

A picture of a white masculine person with short brown hair and glasses with a stethoscope listening to the โ€œheartโ€ of a stuffed lion. The person is wearing a t-shirt which has the text โ€œProud Veteranโ€ with stars of the colors of the Progress Pride flag. The person also has a beard which looks scruffy but itโ€™s a work in progress.

11.11.2025 14:29 โ€” ๐Ÿ‘ 15    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0
A picture of a white masculine person with circle shaped glasses. They are wearing a white and red stripped long sleeve shirt, red and white beanie, blue jeans, and brown shoes. They are holding up a sign which says โ€œWhereโ€™s Endo?โ€ and has a doodle of the person from the โ€œWhereโ€™s Waldo?โ€ books. Upon further reflection, it seems like the person is dressed up as Waldo. Happy Halloween!

A picture of a white masculine person with circle shaped glasses. They are wearing a white and red stripped long sleeve shirt, red and white beanie, blue jeans, and brown shoes. They are holding up a sign which says โ€œWhereโ€™s Endo?โ€ and has a doodle of the person from the โ€œWhereโ€™s Waldo?โ€ books. Upon further reflection, it seems like the person is dressed up as Waldo. Happy Halloween!

Happy Halloween! ๐ŸŽƒ

31.10.2025 20:06 โ€” ๐Ÿ‘ 15    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

If this is in effect by the time Iโ€™m done with fellowship, I donโ€™t think Iโ€™ll stay in America. There is a lack of Pediatric Endocrinologists in the country, but this is not the country I chose to serve 11 years for in the Army. I have some difficult decisions to make.

31.10.2025 10:34 โ€” ๐Ÿ‘ 12    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

If you support him
even still now
You donโ€™t support me
You havenโ€™t supported me
And I donโ€™t need friends
who donโ€™t
support me

Life is too short
Life is too challenging
To suffer hate from those
I would stand for
Who would only let me
fall

23.10.2025 10:38 โ€” ๐Ÿ‘ 10    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
A picture of a light brown pit mix dog turning away from the camera. She is wearing a rainbow colored bandana.

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

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

15.10.2025 13:54 โ€” ๐Ÿ‘ 69    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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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.

Americaโ€™s children deserve better than this.

11.10.2025 16:51 โ€” ๐Ÿ‘ 5395    ๐Ÿ” 2610    ๐Ÿ’ฌ 260    ๐Ÿ“Œ 519
A close up a toy heart with the text โ€œsnuggle puppyโ€. It looks like it has been through the wringer with lots of teeth marks. Itโ€™s no wonder why the dog is named Bear.

A close up a toy heart with the text โ€œsnuggle puppyโ€. It looks like it has been through the wringer with lots of teeth marks. Itโ€™s no wonder why the dog is named Bear.

What my dog thinks about 2025

11.10.2025 21:46 โ€” ๐Ÿ‘ 5    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Attorney for woman shot by Border Patrol claims officer said 'Do something b-----' before shooting Body-camera video appears to contradict the government's claim that Marimar Martinez, 30, drove toward officers before one of them opened fire at her late Saturday morning in Brighton Park, her attorney claimed. A judge ordered Martinez and a co-defendant released pending trial.

Body-camera video appears to contradict the governmentโ€™s claim that Marimar Martinez, 30, drove toward officers before one of them opened fire at her late Saturday morning in Brighton Park, her attorney claimed.
trib.al/9Sxu9IN

06.10.2025 21:58 โ€” ๐Ÿ‘ 16082    ๐Ÿ” 7556    ๐Ÿ’ฌ 819    ๐Ÿ“Œ 1079
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Trans health care "skeptics" lost a key allyโ€”now they're having a meltdown The godfather of evidence-based medicine on rejecting anti-trans "misuse" of his work.

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/)

23.09.2025 17:11 โ€” ๐Ÿ‘ 506    ๐Ÿ” 167    ๐Ÿ’ฌ 5    ๐Ÿ“Œ 20

We are at least 4-5 stanzas deep in the โ€œfirst they came forโ€ฆโ€ poem and there are still not enough people speaking out

23.04.2025 15:35 โ€” ๐Ÿ‘ 3493    ๐Ÿ” 775    ๐Ÿ’ฌ 58    ๐Ÿ“Œ 34

Name is in the Alt Text!

17.09.2025 23:43 โ€” ๐Ÿ‘ 11    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

@ledgemd is following 20 prominent accounts