Channel
@clinicalnote
On this record: Growth · Engagement · Reactions · Posts · Telegram's recommendations · Cite this entry
3,910subscribers
-1 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
| Telegram ID | -1001436423643 |
|---|---|
| Type | Channel |
| Username | @clinicalnote |
| Created | 3 May 2019 — measured — cross-checked against a third-party dataset (TGDataset) |
| First recorded | 6 August 2026 |
| Last confirmed live | 29 August 2026 |
| Measurements held | 9 |
| Confirmed unchanged | 1 time, most recently 29 August 2026 |
| On Telegram | t.me/clinicalnote |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 29 Aug 2026, 03:54 | 3,910 | +1 |
| 26 Aug 2026, 02:06 | 3,909 | -5 |
| 22 Aug 2026, 19:04 | 3,914 | +4 |
| 19 Aug 2026, 05:52 | 3,910 | -1 |
| 16 Aug 2026, 14:18 | 3,911 | +2 |
| 12 Aug 2026, 13:28 | 3,909 | +1 |
| 9 Aug 2026, 21:52 | 3,908 | -3 |
| 6 Aug 2026, 09:01 | 3,911 | no change |
| 6 Aug 2026, 08:56 | 3,911 | first reading |
20 posts held, back to 6 January 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 4 pagesof 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 20 posts for this entry, the most recent from 22 July 2026. An engagement rate over an empty window would be a number about nothing.
29 reactions across 9 posts, in 2 distinct kinds. The most used accounts for 86.2% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 25 | 86.2% | |
| 👍 | 4 | 13.8% |
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 11 of the 20 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 29reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 20 most recent posts we hold, published 6 January 2026 to 22 July 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.
💉 INSULIN REQUIREMENT CALCULATION — QUICK CLINICAL GUIDE 📌 Correct insulin calculation helps achieve good glycemic control while reducing the risk of hypoglycemia and hyperglycemia. ⚠️ Insulin requirement varies according to: ✅ Body weight ✅ Type of diabetes ✅ Infection/stress/steroid use ✅ Renal function ✅ Diet & activity level ━━━━━━━━━━━━━━━━━━━━ 🩺 STEP 1 — CALCULATE TOTAL DAILY DOSE (TDD) ✅ Common Starting F…
❤7
Signed Doctor
For infants whose mothers are HBsAg-positive, hepatitis B immune globulin (HBIG) and hepatitis B vaccine should be given with in 12hrs after birth https://t.me/clinicalnote
👍1
Signed Doctor
Screening with endovaginal ultrasound for a short cervix and treating those with a cervical length of <2 cm with daily vaginal progesterone is an option for all pregnant women to reduce the rate of premature birth https://t.me/clinicalnote
👍1
Signed Doctor
Posted without readable text
Breastfeeding jaundice = inadequate milk intake → dehydration and increased enterohepatic circulation (first week). Breast milk jaundice = thriving infant with persistent unconjugated jaundice after the first week. https://t.me/clinicalnote
Signed Doctor
Pulse oximetry should be applied to the right hand (preductal site) during neonatal resuscitation. https://t.me/clinicalnote
Signed Doctor
The three most important initial steps after birth are warmth, airway positioning, and effective ventilation. https://t.me/clinicalnote
Signed Doctor
Todd's paralysis is a neurological condition experienced by individuals with epilepsy, in which a seizure is followed by a brief period of temporary paralysis. https://t.me/clinicalnote
Signed Doctor
Bag and mask ventilation is contraindicated in newborn resuscitation with clinical suspicion of tracheoesophageal fistula, diaphragmatic hernia, and lung malformation. These conditions can interfere with effective ventilation using a bag and mask. https://t.me/clinicalnote
Signed Doctor
Treatment of acute symptomatic neonatal or infant hypoglycemia includes IV administration of 2 mL/kg of 10% dextrose in water (D10W), followed by a continuous infusion of glucose at 6-8 mg/kg/min, adjusting the rate to maintain blood glucose levels in the normal range. If hypoglycemic seizures are present, some recommend a 4 mL/kg bolus of D10W. Treatment of asymptomatic hypoglycemia in at-risk infants usually inc…
Signed Doctor
Kawasaki disease is a form of vasculitis that affects children < 5 years of age. The disease starts with fever of ≥ 5 days, conjunctivitis, erythema of the lips and orla mucosa, nonspecific erythematous exanthem, swelling and erythema of the hands and feet, and cervical lymphadenopathy. Children with Kawasaki disease are at risk of developing coronary artery aneurysms. https://t.me/clinicalnote
❤3
Signed Doctor
Scarlet fever (scarlatina) follows a streptococcal infection and is characterized by a fine red papular exanthem on the trunk and extremities and redness of the palms and soles with eventual desquamation
Signed Doctor
Showing the 12 most recent of 20 posts we hold for @clinicalnote. 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.
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.
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.
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 29 August 2026 — this entry's latest reading, not the date you are reading this.
“Medical notes” (@clinicalnote), 3,910 subscribers as measured 29 August 2026. Telegram Register, tgregister.com/channel/clinicalnote.
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.