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Volar proximal interphalangeal joint dislocations require reduction and splinting in full extension for four to six weeks. Distal interphalangeal joint dislocations require reduction and splinting in full extension (for volar dislocations) or 15 to 30 degrees of flexion (for dorsal dislocations) for two to three weeks. Dorsal metacarpophalangeal joint dislocations are managed with reduction and splitting, but referral to an orthopedic specialist is required if the dislocation is not easily reduced. Volar metacarpophalangeal dislocations are rare and warrant referral.

Ryan Gorji MD
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Ryan Gorji Chicago

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Clinical Recommendations

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Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

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A 2018 cross-sectional study surveyed adults (N=764) who completed video telehealth visits at an urban academic hospital system in Philadelphia during 2015 to 2016 to evaluate their satisfaction after a non-urgent video telehealth visit.² Participants had concerns suitable for telehealth (as determined by the provider), agreed to download an electronic application, and remotely attend a scheduled video telehealth visit with a physician or advanced nurse practitioner in one of various specialties; 32 of 3018 visits were in family medicine. A few of the participants (15%) had prior experience with video telehealth visits[PS1]  (other baseline characteristics were not provided). Primary outcomes included participant ratings of telehealth visits compared to face-to-face visits based on level of care and impact on ability to receive care where and when needed[PS2] . Secondary outcomes

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

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1. Eczema is a chronic, itchy, inflammatory skin condition with periodic lifelong flare ups. This condition can simultaneously be accompanied with asthma and allergic rhinitis. A 2007 U.S. population-based survey suggested an estimated 17.8 million persons are living with atopic dermatitis, and most cases have not been diagnosed. Skin moisturizers and topical anti-inflammatory are some options to relieve symptoms. (Hanifin JM, Reed ML; Eczema Prevalence and Impact Working Group. A population-based survey of eczema prevalence in the United States. Dermatitis. 2007;18(2):82–91.)

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

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I decided to work on myself by making a plan to overcome everything that’s holding me back. I started undergraduate studies right away. I looked at studying a way to hide the emotional difficulties I am experiencing and an investment towards my future in which I didn’t know how will turn out at the time.

I started reading self help books - so many of them! I thought I need to master art of relating to everyone and become a “people person” to make more friends. This was essential for me to grow my circle of friends.

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

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This question always brings tears to my eyes - it makes me appreciate the journey and take a step back from everyday hustle and momentum. I was just 17 years old when I decided to move to the United States from Iran - to pursue my American dream.

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

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#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago