Education — 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 17 September 2026 and assigned it the closest of 31 fixed categories, at 53% 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.
Growth
10 measurements spanning 37 days, net +6. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 1,611–1,626 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
16 Sept 2026, 03:20
1,621
-3
12 Sept 2026, 04:21
1,624
+3
7 Sept 2026, 18:38
1,621
+2
30 Aug 2026, 11:56
1,619
+1
27 Aug 2026, 05:34
1,618
+2
24 Aug 2026, 15:09
1,616
+1
20 Aug 2026, 18:14
1,615
+1
17 Aug 2026, 09:55
1,614
+1
10 Aug 2026, 15:15
1,613
-2
9 Aug 2026, 22:16
1,615
first reading
Engagement
18 posts held, back to 7 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 1 page 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 18 posts for this entry, the most recent from 9 August 2026. An engagement rate over an empty window would be a number about nothing.
Reaction mix
61 reactions across 17 posts, in 3 distinct kinds. The most used accounts for 95.1% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
58
95.1%
💘
2
3.28%
👍
1
1.64%
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 17 of the 18 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 61 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 18 most recent posts we hold, published 7 August 2026 to 9 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.
هل ما زال مصطلح (Hypertensive Urgency) مستخدمًا؟ 🤔💊 في السنوات الأخيرة بدأت كثير من الإرشادات الحديثة، ومنها بيانات جمعية القلب الأمريكية (AHA)، بالابتعاد عن استخدام مصطلح (Hypertensive Urgency)، واستبداله بمصطلحات أكثر دقة مثل:
مصطلح (Severe Asymptomatic Hypertension) و مصطلح Severe Hypertension Without Acute Target-Organ Damage)
أي: ارتفاع شديد في ضغط الدم دون وجود إصابة حادة في الأعضاء المستهدفة.
طيب ليش غيروا…
✅ الـ Atropine مهم في حالتين مشهورين جداً في الطب:
🔷 الأولى: Bradycardia الشديدة
يعني لما ينزل معدل نبضات القلب عن المعدل الطبيعي بشكل خطير، وهنا Atropine يعتبر أول خط علاج.
وسبب استخدامه إنه Anticholinergic drug يعني يسوي block لمستقبلات Muscarinic receptors اللي يأثر عليها العصب الحائر Vagus nerve.
فطبيعياً الـ Vagus nerve يفرز Acetylcholine اللي يثبط عمل القلب ويبطئ النبض عن طريق تأثيره على SA node و AV node.
فلم…
🟣Causes of Pseudoclubbing:
① Abscess of the terminal pulp space
② Hyperparathyroidism
③ Chronic paronychia
④ Chronic renal failure / Renal osteodystrophy
⑤ Subungual hematoma
⑥ Sarcoidosis
⑦ Scleroderma
⑧ Acromegaly
⑨ Thyrotoxicosis
⑩ Psoriatic arthritis
⑪ Hypertrophic osteoarthropathy
⑫ Trauma / Repeated mechanical injury
⑬ Congenital or familial nail abnormalities
🔑 Key point: In pseudoclubbing, the nail changes …
Showing the 12 most recent of 18 posts we hold for @Medical1122019. 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.
Forward network
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.
Appears in Telegram’s recommendations for other channels
The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.
Powerpoint😍 @powerpoint4tutors · 27,038 Telegram ranks this channel #65 of 83 here — alongside 82 others — read 14 September 2026
This channel appears in 1 seed channel's Telegram-generated recommendation list in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
Cite this entry
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 16 September 2026 — this
entry's latest reading, not the date you are reading this.
“Ⓜ️edical Clinical Ňotes 🩺✍️” (@Medical1122019), 1,621 subscribers as measured 16 September 2026. Telegram Register, tgregister.com/channel/Medical1122019.
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.
