Channel
@medicalstudent26064
On this record: Growth · Engagement · Reactions · Posts · Telegram's recommendations · Cite this entry
4,076subscribers
-9 since we began measuring on 20 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
| Telegram ID | -1001636741803 |
|---|---|
| Type | Channel |
| Username | @medicalstudent26064 |
| Created | Between 1 December 2021 and 30 April 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 20 August 2026 |
| Last confirmed live | 7 September 2026 |
| Measurements held | 6 |
| Confirmed unchanged | 1 time, most recently 7 September 2026 |
| On Telegram | t.me/medicalstudent26064 |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 7 Sept 2026, 02:37 | 4,076 | +3 |
| 2 Sept 2026, 01:35 | 4,073 | -4 |
| 30 Aug 2026, 10:13 | 4,077 | -2 |
| 25 Aug 2026, 00:36 | 4,079 | -6 |
| 21 Aug 2026, 01:44 | 4,085 | no change |
| 20 Aug 2026, 18:45 | 4,085 | first reading |
19 posts held, back to 29 September 2025 — 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 19 posts for this entry, the most recent from 11 January 2026. An engagement rate over an empty window would be a number about nothing.
146 reactions across 17 posts, in 6 distinct kinds. The most used accounts for 56.8% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 83 | 56.8% | |
| 👍 | 51 | 34.9% | |
| 🔥 | 6 | 4.11% | |
| ❤🔥 | 3 | 2.05% | |
| 👏 | 2 | 1.37% | |
| 🤔 | 1 | 0.685% |
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 19 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 146 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 19 most recent posts we hold, published 29 September 2025 to 11 January 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.
• Improve bone mineral metabolism • Recommended when serum bicarbonate < 22 mEq/L اخر حاجة يا عزيزي ان البيكارب مش بيتاخد shot لانه في معظم الحالات. والجرعةبتتحسب بكذا طريقة بس دي احسن . Formula-based (Base Deficit): HCO₃⁻ needed (mEq) = 0.5 × body weight (kg) × base deficit Then give half of that dose IV over 1–2 hours, reassess ABG Example: 70 kg patient, HCO₃⁻ = 12 → deficit = 12 0.5 × 70 × 12 = 42…
❤6
Signed شيـDrماء
• Mechanism: Alkalinization of plasma (↑ pH > 7.45) stabilizes myocardium and reduces TCA binding to sodium channels. • Use: IV boluses of 1–2 mEq/kg NaHCO₃; repeat to maintain QRS < 100 ms. • Guideline-based indication (ACLS). ⸻ 𝟜. 𝕋𝕠𝕩𝕚𝕔 𝔸𝕝𝕔𝕠𝕙𝕠𝕝 𝕀𝕟𝕘𝕖𝕤𝕥𝕚𝕠𝕟 (𝕄𝕖𝕥𝕙𝕒𝕟𝕠𝕝, 𝔼𝕥𝕙𝕪𝕝𝕖𝕟𝕖 𝔾𝕝𝕪𝕔𝕠𝕝) • Use: NaHCO₃ treats associated high AG acidosis by buffering formic/glycolic acids. • Adjunct to: fomepizole or dialys…
❤3
Signed شيـDrماء
What’s the meaning of strong acids 2. Sᴛʀᴏɴɢ Aᴄɪᴅs (ᴠs. Wᴇᴀᴋ Aᴄɪᴅs) Definition • A strong acid is one that completely dissociates in aqueous solution, releasing all its H⁺ ions. In the context of metabolic acidosis, “strong acids” are often organic or exogenous acids: • Lactic acid → from anaerobic metabolism or sepsis. • Ketoacids → from uncontrolled diabetes (DKA) or starvation. • Toxic alcohol met…
Signed شيـDrماء
موضوع مهم جدا عن استخدام الصوديوم بيكربونات نقلا عن دكتور محمد عامر مساء الفل 🥲😅. عمرك قبل كده كنت واقف في arrest ولقيت حد كاريزما كده وانت شغال جه قالك علق ٢٠٠ بيكارب بعذ اذنك. او مثلاً عمرك كنت واقف مثلاً في الطوارئ ومعاك حالة metabolic acidosis من غير سبب واضح ولقيت حد برده كاريزما جاي كده قالك اديله ٢٠٠ بيكارب شوت بعد اذنك. او بتمر في الرعاية وعيان shocked وفيه lactic acidosis ولقيت نفس الشخص الكاريزما جاي ي…
❤2
Signed شيـDrماء
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❤1
Signed شيـDrماء
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❤2
Signed شيـDrماء
كل فترة بيجيلى فكرة اللى هو انا نفسى اوى اشتغل فى مجال فيه شرح بس بعيد عن السوشيال لان حورات الفيديوهات دى كبيرة وانا بزهق بس بجد الرغبة دى جوايا جامد ونفسى فى يوم الاقى فرصة اطلع فيه شغفى فعلا
❤10
Signed شيـDrماء
تسلميلى جدا بجد🥰❤️❤️❤️ مش هقدر ابعت pdf علشان صاحب الكتاب رافض ومش مسامح
❤4
Signed شيـDrماء
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❤9
Signed شيـDrماء
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❤5
Signed شيـDrماء
السلام عليكم ورحمة الله وبركاته هنبدأ اول حاجة فى كتاب جايد وهى طورائ الباطنة واول حاجة acute coronary syndrome مسجلتش من زمان حاسة انى ناسية كنت بعمل ده ازاى😂😂
❤13
Signed شيـDrماء
حاضر بس الصراحة مش هقدر ابدأ بالاطفال علشان ده مش تخصصى طبيعى هبدأ بالباطنة الاول
❤14
Signed شيـDrماء
Showing the 12 most recent of 19 posts we hold for @medicalstudent26064. 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 2 seed channels' Telegram-generated recommendation lists 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 7 September 2026 — this entry's latest reading, not the date you are reading this.
“غيمة طبية☁️✨” (@medicalstudent26064), 4,076 subscribers as measured 7 September 2026. Telegram Register, tgregister.com/channel/medicalstudent26064.
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.