A preoperative evaluation is advised for all children and adolescents having elective surgery with anesthesia. The evaluation assesses medical and psychosocial factors that may affect surgery timing and identifies underlying conditions that may require evaluation or management before surgery. The evaluation also classifies the patient's American Society of Anesthesiologists' risk category. The history component of the evaluation should include a review of the patient's medical, behavioral, and social history; previous complications with surgery or anesthesia; a medication review; and a tobacco use history. The physical examination should involve the identification of airway anomalies that could interfere with intubation and the evaluation of cardiac, respiratory, neurologic, and fluid status.

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago

https://pasteboard.co/oOjE6dF0FRaM.jpg

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago

rate telehealth visits favorably; participants self-selected into telehealth visits, which may have contributed to overly favorable results.

A 2016 cross-sectional study surveyed adults (N=1,734) presenting to 11 immediate care clinics in 2014 to evaluate their satisfaction after an urgent care video telehealth visit.³ Participants were included if they had symptoms suitable for telehealth algorithms (pharyngitis, sinusitis, otitis media, otitis extea, upper respiratory infections, bronchitis, allergic rhinitis, influenza, conjunctivitis, or urinary tract infections), no previous exposure to telehealth, and agreed to a video telehealth visit with an offsite nurse practitioner or physician assistant when the onsite provider was busy. Of the participants, most (70%) were female; several (41%) had no primary care physician. Primary outcomes included whether patients preferred telehealth visits compared to 

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago

A 2016 cross-sectional study surveyed adults (N=1,734) presenting to 11 immediate care clinics in 2014 to evaluate their satisfaction after an urgent care video telehealth visit.³ Participants were included if they had symptoms suitable for telehealth algorithms (pharyngitis, sinusitis, otitis media, otitis extea, upper respiratory infections, bronchitis, allergic rhinitis, influenza, conjunctivitis, or urinary tract infections), no previous exposure to telehealth, and agreed to a video telehealth visit with an offsite nurse practitioner or physician assistant when the onsite provider was busy. Of the participants, most (70%) were female; several (41%) had no primary care physician. Primary outcomes included whether patients preferred telehealth visits compared to traditional face-to-face visits (rated as “better”, “just as good”, “worse”, or “not sure”), whether patients liked telehealth visits compared to traditional face-to-face visits (rated as “better, “just as good”, or various other neutral or inferior responses), how patients rated satisfaction on a 5-point Likert scale ranging from 1 (“very dissatisfied”) to 5 (“very satisfied”) for overall understanding of telehealth, ease of seeing diagnostic images on the monitor, ease of seeing and hearing the remote practitioner, the practitioner’s capability, quality of care, utility of the treatment and educational materials received, convenience of the visit, and overall satisfaction, and how patients rated likelihood to use telehealth again and likelihood of recommending it to someone else (rated 

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago

1. Fibromyalgia
   1. Fibromyalgia is a complex, chronic, non inflammatory musculoskeletal nerve pain, often accompanied by multiple other symptoms including fatigue, cognitive disturbance, headache, and stiffness. The etiology of Fibromyalgia is unclear. This condition is often diagnosed by clinicians after ruling out other common musculoskeletal inflammatory causes. Treatment of Fibromyalgia is achieved through pharmacological and non pharmacological options.

1. Eczema
   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

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago

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 tu 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.

At 20 years old, I was admitted to medical school. I was sitting in a big class surrounded by older, mature individuals holding multiple professional degrees. It was intimating and scary to see I am not a typical medical student and on top of that, my English at the time was not to the level I could comprehend many of common medical terms. Literally, I had to spent twice as much time and effort at home after classes ended releaing materials presented in that day and to look up the terms used in a dictionary at home every evening.

Ryan Gorji MD
Dr Ryan Gorji
Ryan Gorji Chicago

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago

This question always brings tears to my eyes - it makes me appreciate the jouey 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

#Ryan_Gorji_MD
#Dr_Ryan_Gorji
#Ryan_Gorji_Chicago