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Channel
Internal Medicine
@internalmedcines
On this record: Topic · Growth · Engagement · Posts · Polls · Citations · Telegram's recommendations · Cite this entry
18,813subscribers
-145 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 10,000–31,623.
Register entry
| Telegram ID | -1001132926806 |
|---|---|
| Type | Channel |
| Username | @internalmedcines |
| Created | Between 1 June 2017 and 30 September 2020 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 10 September 2026 |
| Measurements held | 29 |
| Confirmed unchanged | 1 time, most recently 10 September 2026 |
| On Telegram | t.me/internalmedcines |
Topic
Education — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 10 September 2026 and assigned it the closest of 31 fixed categories, at 100% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 10 Sept 2026, 06:17 | 18,813 | -16 |
| 6 Sept 2026, 20:36 | 18,829 | -6 |
| 4 Sept 2026, 08:16 | 18,835 | -12 |
| 2 Sept 2026, 17:54 | 18,847 | -6 |
| 1 Sept 2026, 18:18 | 18,853 | -2 |
| 31 Aug 2026, 20:48 | 18,855 | -3 |
| 30 Aug 2026, 20:13 | 18,858 | -7 |
| 29 Aug 2026, 19:05 | 18,865 | -1 |
| 28 Aug 2026, 22:14 | 18,866 | -8 |
| 27 Aug 2026, 19:04 | 18,874 | -1 |
| 26 Aug 2026, 22:13 | 18,875 | -3 |
| 25 Aug 2026, 22:27 | 18,878 | -6 |
| 24 Aug 2026, 19:57 | 18,884 | -5 |
| 23 Aug 2026, 08:13 | 18,889 | -1 |
| 21 Aug 2026, 17:05 | 18,890 | -12 |
| 20 Aug 2026, 13:57 | 18,902 | +1 |
| 19 Aug 2026, 15:28 | 18,901 | -1 |
| 18 Aug 2026, 17:16 | 18,902 | -7 |
| 17 Aug 2026, 14:17 | 18,909 | -2 |
| 16 Aug 2026, 06:47 | 18,911 | first reading |
Engagement
21 posts held, back to 25 April 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 58 pages of Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 3.18%
- avg views ÷ 18,813 subscribers
- Avg views / post
- 599
- 1 post measured
- Reaction rate
- —
- this channel exposes no reaction counts
- Posts in window
- 1
- of 21 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 28 August 2026 |
|---|---|
| Posts held | 21 (25 April 2023 – 28 August 2026) |
| Views total | 599 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 3 Sept 2026, 02:11 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
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Educational objective: Surgical resection is recommended for solitary brain metastasis in patients with good performance status and stable extracranial disease. patients with multiple brain metastases, whole brain radiation therapy is typically used.
Which of the following is the most appropriate next step in the management of this patient?
- A . Brachytherapy9%
- B. Combination chemotherapy17%
- C. Palliative pain therapy and seizure prophylaxis29%
- D. Surgical resection of the mass35%
- E. Whole brain radiation therapy10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
https://t.me/studentdoctor
A 65-year-old man is brought to the emergency department after having a seizure. Past medical history is significant for non-small cell lung carcinoma diagnosed 2 years ago and treated surgically. He continues to work as a college professor and usually walks 1-2 miles daily. MRI of the brain shows a solitary cortical mass (2 cm x 3.5 cm) in the right hemisphere at the grey-white matter junction that is most consisten…
Educational objective: Phenytoin is an antiepileptic drug with known teratogenic effects (eg, fetal hydantoin syndrome). Women of childbearing age who have a low risk of seizure recurrence may safely discontinue phenytoin if considering becoming pregnant; however, the medication should be slowly tapered as rapid withdrawal may result in seizure recurrence.
Which of the tollowinq is the best next step in management of this patient?
- A. Discontinue phenytoin now14%
- B. Increase phenytoin dose7%
- C. Repeat MRI of the brain9%
- D. Slowly taper and discontinue phenytoin60%
- E . Switch to valproic acid10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 29-year-old woman comes to the clinic for routine follow-up. Five years ago, she experienced an unprovoked generalized tonic-clonic seizure. At that time, phenytoin was prescribed, and the patient has been on a stable dose since. She has not experienced seizure recurrence. MRI of the brain performed following the initial episode was normal. She has no other medical problems and is a lifetime nonsmoker. The patient'…
Educational objective: Patients with an intracranial mass often have headache associated with nausea and vomiting andfor focal neurologic deficits. Symptoms are often worse at night and with body positioning that increases intracranial pressure. An MRI of the brain is usually diagnostic .
Which of the following is the most likely cause of his current condition?
- A. Brain tumor25%
- B. Diabetic polyneuropathy19%
- C. Hemiplegic migraine9%
- D. Lacunar infarction19%
- E. Neuroglycopenia5%
- F. Normal-pressure hydrocephalus8%
- G. Parkinson disease9%
- H. Tabes dorsalis2%
- I. Vitamin B12 deficiency4%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 65-year-old man comes to the ·office due to unsteady gait and frequent falls over the past 2 months. His left side feels "weak," which makes it difficult to maintain balance when walking or standing. He has also had headaches and nausea, which are worse in the mornings before he has had coffee. The patient has a history of hypertension and type 2 diabetes mellitus, and he had a myocardial infarction 5 years ago. He…
Showing the 12 most recent of 21 posts we hold for @internalmedcines. 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 next step in the management of this patient?
- A . Brachytherapy9%
- B. Combination chemotherapy17%
- C. Palliative pain therapy and seizure prophylaxis29%
- D. Surgical resection of the mass35%
- E. Whole brain radiation therapy10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the tollowinq is the best next step in management of this patient?
- A. Discontinue phenytoin now14%
- B. Increase phenytoin dose7%
- C. Repeat MRI of the brain9%
- D. Slowly taper and discontinue phenytoin60%
- E . Switch to valproic acid10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the most likely cause of his current condition?
- A. Brain tumor25%
- B. Diabetic polyneuropathy19%
- C. Hemiplegic migraine9%
- D. Lacunar infarction19%
- E. Neuroglycopenia5%
- F. Normal-pressure hydrocephalus8%
- G. Parkinson disease9%
- H. Tabes dorsalis2%
- I. Vitamin B12 deficiency4%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the best next step in management of this patient?
- A. Close observation only9%
- B. Increase pyridostigmine dose20%
- C. Intravenous atropine24%
- D. Therapeutic plasma exchange42%
- E. Thymectomy5%
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 in this patient?
- A. Alzheimer disease24%
- B. Dementia with Lewy bodies40%
- C . Major depressive disorder7%
- D. Normal-pressure hydrocephalus7%
- E. Parkinson disease21%
Shares as published, totalling 99%. 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 21 most recent posts we hold, published 25 April 2023 to 28 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.
Appears in Telegram’s recommendations for other channels
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.
@U_SMLE · 69,692
Telegram ranks this channel #17 of 72 here — alongside 71 others — read 26 August 2026
This channel appears in 1 seed channel's Telegram-generated recommendation list in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
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 10 September 2026 — this entry's latest reading, not the date you are reading this.
“Internal Medicine” (@internalmedcines), 18,813 subscribers as measured 10 September 2026. Telegram Register, tgregister.com/channel/internalmedcines.
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.