🎧 How to Access Deep Dive in Step 1 and Step 2 🥳: 1️⃣ Open Previous Tests or Create a New Test 2️⃣ Tap the Mind Map icon 🧠 3️⃣ Inside the Mind Map, tap the Explainer icon 💡 4️⃣ Select Deep Dive Explainer 🎙 — approximately 6-10 minutes 🚀 Learn the reasoning step by step with a natural, podcast-style explanation. 👇👇👇👇👇👇 usmle.medicospira.com Telegram channel 👇 👇 👇 👇 👇 👇 👇 👇 Medicospira channel

Channel
Dr.Conard Fischer Videos
@DrConardFischer
On this record: Growth · Engagement · Posts · Polls · Citations · Cite this entry
8,419subscribers
-10 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
Register entry
| Telegram ID | -1001408220341 |
|---|---|
| Type | Channel |
| Username | @DrConardFischer |
| Created | Between 1 April 2019 and 31 October 2021— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 13 August 2026 |
| Measurements held | 5 |
| Confirmed unchanged | 1 time, most recently 13 August 2026 |
| On Telegram | t.me/DrConardFischer |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 13 Aug 2026, 11:27 | 8,419 | -5 |
| 10 Aug 2026, 20:51 | 8,424 | -4 |
| 7 Aug 2026, 14:27 | 8,428 | -1 |
| 6 Aug 2026, 14:30 | 8,429 | no change |
| 6 Aug 2026, 14:28 | 8,429 | first reading |
Engagement
22 posts held, back to 29 March 2023 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 13 pagesof Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 0.137%
- avg views ÷ 8,419 subscribers
- Avg views / post
- 11.5
- 2 posts measured
- Reaction rate
- —
- this channel exposes no reaction counts
- Posts in window
- 2
- of 22 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views— note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.
| Window | Rolling 30 days · latest post in window 8 August 2026 |
|---|---|
| Posts held | 22 (29 March 2023 – 8 August 2026) |
| Views total | 23 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 12 Aug 2026, 16:24 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
Recent posts
🎤 Half of the USMLE exam is repeated . 🔵 Recalls aren’t just a study tool… They’re the game-changer you've been looking for. 🔴 In the end, it's not the risks we take that we regret — It’s the chances we *didn’t*. 🌹 Happy learning to you all! ☎️ For access and membership: 📲 Contact: @usmle_recall Join now https://t.me/USMLERECALLS2021/2637
👨💻☄️BREAKING NEWS! 🆕🤩 NBME success stories are BACK on the channel 🥳😀 All our students study smarter, not harder — and the results speak for themselves! For weeks, many kept asking: “When will the success stories return?⁉️🤔 Today, the wait is over — and we’re bringing you real victories from real students.👍 😶Every post you’ll see isn’t luck… it’s proof that with smarter studying, focus, and the right guidance, …
🏪 😇😇🥰🥰 🥰😇🥰🥰🥰😇 NOV 😅😇😅😇 You don't need more resources. You need the Right ones. We built MCAT Way to be the end of the search.. 🧠 From Day 1 to White Coat. 🔓 ⬇️⬇️⬇️⬇️⬇️⬇️⬇️ https://t.me/addlist/4YUjzWlMtTQ1ZGZh …
🎉NBME Qbank Surprise! 🤩🤩 NBME CMS Qbank Mode is here 💥 All CMS Subjects with Forms: ( Internal Medicine, Pediatrics, Psychiatry, Surgery, Family Medicine etc….) in one Qbank 🚀 Join now & boost your SHELF prep! ⬇️⬇️⬇️⬇️⬇️⬇️⬇️ 🔗 [Sgin up Free account] join NBMEWAY telegarm channel: @NBMECMS
🎉NBME Qbank Surprise! 🤩🤩 NBME Step 1 Qbank Mode is here 💥 4000+ NBME Qs • Smart filters • AI tools • Deep analytics 🚀 Join now & boost your Step 1 prep! ⬇️⬇️⬇️⬇️⬇️⬇️⬇️ 🔗 [Sgin up Free account] join NBMEWAY telegarm channel: @NBMECMS
Educational objective: Mild to moderate cancer-related pain can usually be managed with nonopioid analgesics. However, if initial interventions are not effective, intermittent doses of short-acting opioids should be offered. If the pain requires frequent dosing or if bedtime dosing does not provide relief through the night, a long-acting opioid may be added.
Which of the following is the most appropriate immediate next step in this patient's pain management?
- A. Heating pad8%
- B. Local glucocorticoid injection13%
- C. Short-acting opioid35%
- D. Substitution of ibuprofen with naproxen16%
- E . Systemic glucocorticoid11%
- F. Topical capsaicin4%
- G. Transdermal fentanyl patch13%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 71-year-old man comes to the ·office due to worsening low back pain. The patient is having significant pain with movement that is limiting his activity, as well as nocturnal pain that is disrupting his sleep. He has had no lower extremity weakness or numbness and no bladder or bowel dysfunction. He is taking ibuprofen 3-4 times a day, and it is not controlling his pain. The patient has a history of prostate cancer …
Which of the following is the most likely diagnosis?
- A . Anterior cerebral artery occlusion8%
- B. Chemotherapy-induced peripheral neuropathy56%
- C. Diabetic peripheral neuropathy25%
- D. Spinal cord compression8%
- E. Tabes dorsalis from syphilis3%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 58-year-old woman comes to the physician due to difficulty walking. Over the last several weeks she has also experienced bilateral foot numbness and tingling. She was diagnosed with advanced Hodgkin lymphoma 2 months ago and is currently undergoing chemotherapy containing bleomycin, doxorubicin, and vincristine. Her other medical problems include type 2 diabetes and hypertension. Physical examination shows bilatera…
🔰♦️USMLE Step 1 resources to aid success.😍👌 👌 Save this list for a rainy day 😉
Showing the 12 most recent of 22 posts we hold for @DrConardFischer. 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.
Polls
The 5 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.
Which of the following is the most appropriate immediate next step in this patient's pain management?
- A. Heating pad8%
- B. Local glucocorticoid injection13%
- C. Short-acting opioid35%
- D. Substitution of ibuprofen with naproxen16%
- E . Systemic glucocorticoid11%
- F. Topical capsaicin4%
- G. Transdermal fentanyl patch13%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the most likely diagnosis?
- A . Anterior cerebral artery occlusion8%
- B. Chemotherapy-induced peripheral neuropathy56%
- C. Diabetic peripheral neuropathy25%
- D. Spinal cord compression8%
- E. Tabes dorsalis from syphilis3%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
This patient's condition is most likely due to which of the following etiologies?
- A. Nerve compression18%
- B. Nerve inflammation16%
- C.Nerve ischemia41%
- D.Lacunar stroke19%
- E. Muscle infiltration7%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Which of the following hypothalamic nuclei is most likely responsible for this delayed improvement in his symptoms?
- A.Anterior7%
- B.Lateral6%
- C.Posterior12%
- D. Suprachiasmatic56%
- E. Supraoptic11%
- F. Ventromedial9%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
A branch of which of the following arteries is most likely severed in this patient?
- A.Facial8%
- B. Maxillary27%
- C.Middle cerebral47%
- D.Occipital5%
- E. Ophthalmic3%
- F. Sphenopalatine10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Percentages only — there are no per-option vote counts here, because Telegram publishes none.The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.
The shares need not add up to 100.Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.
Read from the 22 most recent posts we hold, published 29 March 2023 to 8 August 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.
Forward network
Republishes
Channels on the register whose posts this channel has forwarded.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Names
Channels on the register whose handles appear in this channel's posts.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Cite this entry
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 13 August 2026 — this entry's latest reading, not the date you are reading this.
“Dr.Conard Fischer Videos” (@DrConardFischer), 8,419 subscribers as measured 13 August 2026. Telegram Register, tgregister.com/channel/DrConardFischer.
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.