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Conrad Fischer engagement report

@SeeFisch - 104K followers on X

Measured over 24 original posts from a 30-day window, last computed on October 14, 2026.

Engagement

Middle of its size range
Per follower
0.021%
of 104K followers
Per impression
0.618%
3.6K views on a typical post
Reach
3.42%
of its followers see a post
Typical post
22
interactions (median)
Saved
0.14%
5 bookmarks on a typical post
Posting rate
1.6/day
active 17% of days
Peak time
11:00 UTC
Saturday

A typical post picks up 22 interactions against 104K followers, an engagement rate of 0.021%. Measured over 24 original posts, its engagement rate beats 26% of 21,185 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 3.6K times each, and 0.618% of those impressions turn into an interaction. That is about 3.42% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.6 posts a day over the last 30 days, though only 17% of days saw any activity at all. Most posts go out around 11:00 UTC, and Saturday is the busiest day of the week. Of the 24 posts sampled, 42% carry an image or video and 33% link out. The account's strongest tracked post pulled 7.6K interactions, about 343x its own typical post. Recurring topics include #accfits, #circhf, #medicareforallnow.

Measured over 24 original posts from a 30-day window, last computed on October 14, 2026. Recurring tags: #accfits, #circhf, #medicareforallnow.

Compared with accounts its own size

Conrad Fischer's engagement rate beats 26% of the tracked X accounts closest to it in follower count (21,185 accounts, accounts of similar size (decile 7 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.

On engagement per impression rather than per follower it beats 28% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.

Where this sits in the catalog

At 0.021%, Conrad Fischer sits above the 10th percentile of the 213,004 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.025%.

p100.004%
p250.025%
p50 (median)0.147%
p750.698%
p902.61%
p9982.8%
Engagement rate as a share of followers, across the 213,004 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 22,390 times apart and a linear axis would flatten everything below the median into a single point.
Show the percentile table
Engagement rate percentiles
PercentileEngagement rate
10th percentile0.004%
25th percentile0.025%
50th percentile0.147%
75th percentile0.698%
90th percentile2.61%
99th percentile82.8%

This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built

Posting timing

This account posts most often around 11:00 UTC, and Saturday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.

Engagement by hour posted, UTCTwenty-four bars, one per UTC hour. Each bar shows how posts published in that hour compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest hour: 11:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 111%Busiest hour: 11:00 UTC
Show engagement by hour posted, utc as a table
Engagement by hour posted, UTC
Hour (UTC)Vs author medianPosts
00:00 UTC-1%89K
01:00 UTC-2%90K
02:00 UTC-3%88K
03:00 UTC-4%94K
04:00 UTC-5%76K
05:00 UTC-4%75K
06:00 UTC-5%86K
07:00 UTC-5%93K
08:00 UTC-4%108K
09:00 UTC-4%124K
10:00 UTC-3%129K
11:00 UTC-3%141K
12:00 UTC-3%154K
13:00 UTC-3%167K
14:00 UTC-4%173K
15:00 UTC-2%176K
16:00 UTC-3%171K
17:00 UTC-3%159K
18:00 UTC-2%149K
19:00 UTC-2%141K
20:00 UTC-1%131K
21:00 UTC0%116K
22:00 UTC-2%100K
23:00 UTC-1%90K
Engagement by day of weekSeven bars, one per weekday, Sunday first. Each bar shows how posts published on that day compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest day: Saturday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 111%Busiest day: Saturday
Show engagement by day of week as a table
Engagement by day of week
DayVs author medianPosts
Sunday+5%393K
Monday+1%483K
Tuesday-2%520K
Wednesday-3%472K
Thursday-2%430K
Friday-3%447K
Saturday+2%393K
See what moves engagement across the whole catalogWhat counts as a good engagement rate at this size

Formats this account uses

Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.

This account's posting mix compared with catalog-wide effects
FormatThis accountCatalog effect95% intervalAccounts behind it
Image or video42% of posts+111%+108% to +115%34K
Outbound link33% of posts-41%-42% to -40%32K
Typical length-no effect-2% to -1%42K
  • 42% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
  • 33% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
  • Its average post runs 258 characters, which falls in the 180 - 280 characters band. Across the catalog, posts of 180 to 280 characters match the same accounts' other posts almost exactly.

These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.

Best tweets

  • Oct 10, 2026343x their median

    🔥 “What did HIS health care book say? Did you read it? He doesn’t have one. I actually write my ideas down… he takes money from Blue Cross Blue Shield.” Dr. @AbdulElSayed eviscerates Mike Rogers on health care, and expertly makes the case for #MedicareForAllNOW https://t.co/h3oc0w9o8Z

    5.7K1.7K13951879K viewsView on X
  • Oct 8, 2026109x their median

    The New York Fed has now put a number on what any first-year economics student could have told you for free. According to its researchers, tariffs added nearly three percentage points to goods inflation by early this year, and without them the price of everyday goods would actually have been drifting gently downward. The entire rise, in other words, was homemade. This is not a malfunction, because it is precisely how a tariff works. It is a tax collected at the border from the American importer, who then passes it along to the American shopper, which means the trillions supposedly pouring in from abroad are in fact pouring out of Ohio. That a president can stand at a podium and claim foreigners are paying may be the single dumbest thing the world has ever been asked to believe. Elect economic illiterates to run a perfectly healthy economy, and this is the bill that eventually lands on the kitchen table.

    1.6K676515630K viewsView on X
  • Oct 10, 202616x their median

    The Department of War plans to livestream an execution by firing squad. The list of countries that execute people in public includes Iran, North Korea and Taliban-run Afghanistan. It’s not a list America should want to join https://t.co/IKmwGH5mL4

    20469741268K viewsView on X
  • Oct 8, 20265.5x their median

    Game changer; the first robotic automatic blood draw equipment has been approved by FDA. This allows for blood draws. Infrared and ultrasound even puts the Band-Aid on.

    10514216.5K viewsView on X
  • Oct 10, 20265.0x their median

    The new pancreatic cancer drug DARAXONRASIB *$480,000 annually *Prolongs life by several months *Does not increase overall long-term survival *Shuts down active RAS(ON) proteins (including KRAS, HRAS, and NRAS variants)

    96103113K viewsView on X
  • Oct 11, 20262.3x their median

    Rezafungin is a once a week echinocandin . It's like taking Micafungin twice a day for a week. With a single dose

    437013.9K viewsView on X
  • Oct 11, 20261.9x their median

    IgA nephropathy is the MOST common cause of glomerulonephropathy in the United States. *ACE or ARB *Steroids if big protein (a gram a day) *Fish oil worthless *SPARSENTAN: dual endothelin angiotensin receptor antagonist https://t.co/8xDszHfGqb

    384002.9K viewsView on X
  • Oct 11, 20261.6x their median

    Sparsentan •Inhibitors angiotensin and endothelin receptors •2023 approval •IgA nephropathy and…. •Focal Segmental glomerulosclerosis (FSGS) •Reduces proteinuria •Decreases progression

    287103.7K viewsView on X
  • Oct 9, 2026

    📢Join us for this years @CircHF Educational webinar series for current & past AHFTC fellows🫀 📌9 live virtual sessions 📌New topic each session 📅Start Date: November 18, 2026 #CircHF #ACCFITs @DrNancySweitzer @dor_lotan @ilanrichter @MguelMartilloMD @EladBoaz @guglielmogallo1 @mdandamudi25 @LeivaOrly @KannuBansalMD @JINALGADA5

    215123.4K viewsView on X
  • Oct 9, 2026

    Retatrutide the triple agent does produce a 25% weight loss but it is not an approved drug and USMLE there's not test medication that have not been approved

    235104.3K viewsView on X

Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.

Recurring topics

#accfits#circhf#medicareforallnow

The most frequent hashtags in the sampled posts. They describe what this account writes about; they are not a performance signal, and the catalog-wide breakdown on the hub shows how little hashtag count moves.

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Reading these numbers

A typical post picks up 22 interactions against 104K followers, an engagement rate of 0.021%. Measured over 24 original posts, its engagement rate beats 26% of 21,185 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 3.6K times each, and 0.618% of those impressions turn into an interaction. That is about 3.42% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.6 posts a day over the last 30 days, though only 17% of days saw any activity at all. Most posts go out around 11:00 UTC, and Saturday is the busiest day of the week. Of the 24 posts sampled, 42% carry an image or video and 33% link out. The account's strongest tracked post pulled 7.6K interactions, about 343x its own typical post. Recurring topics include #accfits, #circhf, #medicareforallnow.

What is Conrad Fischer's engagement rate on X?
Conrad Fischer (@SeeFisch) has an engagement rate of 0.021%, based on the median interactions across 24 original posts from the last 30 days against 104,090 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.021%, Conrad Fischer sits above the 10th percentile of the 213,004 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
Does @SeeFisch have real engagement?
Its engagement rate beats 26% of the tracked X accounts closest to it in follower count (21,185 accounts), which puts it in the middle of its size range group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
When does @SeeFisch post?
Most posts go out around 11:00 UTC, and Saturday is its busiest day, at roughly 1.6 posts per day across the measured window.

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