تورم دستش به نظر بیشتر آنژیو ادم بود تا بخواد آرتریت و سینوییت و این جور چیزا باشه
❤4

Channel
@Dr_z_sh_medicine
On this record: Topic · Growth · Engagement · What this channel posts · Reactions · Posts · Citations · Cite this entry
4,722subscribers
+65 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
| Telegram ID | -1001427908097 |
|---|---|
| Type | Channel |
| Username | @Dr_z_sh_medicine |
| Created | Between 1 April 2019 and 30 September 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 18 September 2026 |
| Measurements held | 15 |
| Confirmed unchanged | 1 time, most recently 18 September 2026 |
| On Telegram | t.me/Dr_z_sh_medicine |
Health & wellness — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 13 September 2026 and assigned it the closest of 31 fixed categories, at 88% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 18 Sept 2026, 14:39 | 4,722 | -4 |
| 13 Sept 2026, 20:58 | 4,726 | +1 |
| 10 Sept 2026, 06:01 | 4,725 | +31 |
| 4 Sept 2026, 15:17 | 4,694 | -4 |
| 31 Aug 2026, 16:13 | 4,698 | -1 |
| 29 Aug 2026, 00:04 | 4,699 | +3 |
| 25 Aug 2026, 19:42 | 4,696 | +20 |
| 22 Aug 2026, 16:16 | 4,676 | +8 |
| 19 Aug 2026, 16:14 | 4,668 | +15 |
| 16 Aug 2026, 22:18 | 4,653 | -1 |
| 13 Aug 2026, 13:08 | 4,654 | -1 |
| 10 Aug 2026, 10:58 | 4,655 | -6 |
| 7 Aug 2026, 19:37 | 4,661 | +4 |
| 7 Aug 2026, 08:15 | 4,657 | no change |
| 7 Aug 2026, 08:03 | 4,657 | first reading |
39 posts held, back to 4 August 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 7 pages of Telegram’s post history, 20 posts per page.
Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 39 posts for this entry, the most recent from 11 August 2026. An engagement rate over an empty window would be a number about nothing.
Measured directly from 5 videos with a duration reading, out of the posts we hold for this channel — not this channel’s whole posting history, only the sample this register has actually read. An exact reading to the second, taken from the post itself rather than from Telegram’s own rounded chrome, so it carries no ≈ mark.
250 reactions across 37 posts, in 8 distinct kinds. The most used accounts for 83.6% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 209 | 83.6% | |
| 💔 | 16 | 6.40% | |
| 🔥 | 12 | 4.80% | |
| 👍 | 5 | 2.00% | |
| 🥱 | 4 | 1.60% | |
| 🤣 | 2 | 0.8% | |
| 👎 | 1 | 0.4% | |
| 😁 | 1 | 0.4% |
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 37 of the 39 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 250 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 39 most recent posts we hold, published 4 August 2026 to 11 August 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
تورم دستش به نظر بیشتر آنژیو ادم بود تا بخواد آرتریت و سینوییت و این جور چیزا باشه
❤4
یادمه استاجر نورو بودم و هر وقت یه روتیشن شهدا بودم هر وقت تایم اضافه میوردم میرفتم اورژانس پیش داخلیا اون زمان یادمه یه بار اورژانس بی نهایت شلوغ بود و هعی استادم LP و تپ آسیت و پلور و هعی پشت سر هم بیمار میدید اون زمان با خودم میگفتم وای چه خفن وای چه قشنگ و یعنی میشه یه روز منم بیام داخلی و ... این روزا که به خودم تو اورژانس نگاه میکنم دقیقا که نه ولی تقریبا همونه . هر بار برگشتنی از اورژانس له و خسته و داغون م…
❤18🔥1
یه مریضم داشتیم خانم جوان ۳۸ ساله با سابقه کنسر معده که درمان شده بود و حالا تنگی نفس پیشرونده کاهش صدای یه طرفه و با افیوژن ریه مسیو ، دیروز که تو اورژانس توراکوسنتزش کردیم همش گریه میکرد ، بهش میگفتم انقدر که تو گریه میکنی درد نداره ها ولی دردش از این بود که نکنه متاستاز باشه که خب با این اوصاف و این آنالیز ....
💔16
نمیدونم این یافته که احتمالا هم بیشتر سنگ باشه یه یافته اتفاقی و noise هست و یا به تابلو الان مریض ربط داره 🤷♀ اولش فکر کردم خیلی ربط داره ولی الان فکر میکنم اونقدرام ربط نداشته باشه
❤5
حالا برای این که قضاوتتون درست باشه و تمام چیزی که ما داریم رو شما هم داشته باشید نمیدونم این دانسیته های گاز تو کیسه صفراش که به صورت اتفاقی تو کات های پایین سی تی ریه میبینید این وسط چی میگه سونوگرافی صرفا سنگ خوندتشون و حالا MRCP خواستم ببینم چیه ولی LFT و Alkp نرماله ESRبیمار ۷ هس و پروتویینوری هم نداره پ.ن: من دوست که داشتم کرم باشه🪱 که اون کهیر هم به خاطر واکنش به انگل باشه ولی حتی ایوزینوفیلی هم نداشت 😂
❤4
والا من تشخیص خاصی ندارم براش این جا گذاشتم که شما نظر بدید 😬 تو بیمارستانمون هم C1 esteraseو inhibitor اینا کیت هاش تموم شده بود چک نمیشه چون زندانی هم بود نمیتونستم بفرستم بیرون لذا فعلا ایده ای کلا ندارم 🙄
❤1🥱1
خلاصه ما هم گذاشتیم به حساب عفونت و با یه کوآموکسی کلا مرخصش کردیم که البته بیمار کوآموکسی کلا رو تهیه نکرد و نخورده بود امروز دوباره اومده بود ! بعد سه روز ادم دور چشم کاااامل خوب شده بود خود به خود این بار با کهیر جنرالیزه و کهیر های دردناک! و درد شکم و تورم دست و انگشتان 😐 الان چیه؟! اون موقع چی بود؟
❤1
دو سه روز پیش یه بیمار از زندان اومده بود با ادم پری اوربیتال به این شکل ! خب یه درد گوش و یه سردردی هم ذکر میکرد ولی سی تی سینوس و مغز که انجام شد یافته مهمی نداشت تشخیص افتراقی هاتون چیه و به چی فکر میکنید؟
❤2
رده میلویید افزایش پیدا کرده و عملا رده اریتروییدی چیزی نمیبینید و M/Eبه این خاطر زیاد شده بیشتر به نفع همون pure red cell aplasia شاید
❤3
جواب بون مارو این بیمار چی میبینید ؟ و چه تشخیصی را تایید میکنه؟
❤5
واقعا به آرتریت سپتیک با اون WBC 15هزار نمیخوره خیلی ولی درس خوندن با مریض یه چیز دیگس حالا هر چه قدر تو کتابخونه الگوریتم اپروچ به ارتریت و انالیز سینویال رو بخونید تا دو تا مریض نبینید و تپ نکنید و منتظر آنالیز و اسمیر نباشید نکوبید برید دور بیمارستان که ببینید کریستال داره یا نه و هعی تو این الگوریتم بالا پایین نرید و تشخیص هاتون رو آزمون و خطا نکنید این الگوریتم تو ذهنتون حک نمیشه
🔥11❤7👎1
و الگوریتم آپ تو دیت 🤓
❤4
Showing the 12 most recent of 39 posts we hold for @Dr_z_sh_medicine. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 18 September 2026 — this entry's latest reading, not the date you are reading this.
“طبِ داخلی | دکتر زهرا شهبازی” (@Dr_z_sh_medicine), 4,722 subscribers as measured 18 September 2026. Telegram Register, tgregister.com/channel/Dr_z_sh_medicine.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.