Dr Ihab Suliman engagement report
@IhabFathiSulima - 116K followers on X
Measured over 18 original posts from a 30-day window, last computed on October 9, 2026.
Engagement
A typical post picks up 19 interactions against 116K followers, an engagement rate of 0.017%. Measured over 18 original posts, its engagement rate beats 25% of 21,874 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 2.9K times each, and 0.645% of those impressions turn into an interaction. That is about 2.55% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.9 posts a day over the last 30 days, though only 7% of days saw any activity at all. Most posts go out around 05:00 UTC, and Friday is the busiest day of the week. Of the 18 posts sampled, 100% carry an image or video. The account's strongest tracked post pulled 680 interactions, about 36x its own typical post. Recurring topics include #medicaleducation, #medtwitter, #oncology.
Measured over 18 original posts from a 30-day window, last computed on October 9, 2026. Recurring tags: #medicaleducation, #medtwitter, #oncology.
Compared with accounts its own size
Dr Ihab Suliman's engagement rate beats 25% of the tracked X accounts closest to it in follower count (21,874 accounts, accounts of similar size (decile 8 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 30% 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 0.017%, Dr Ihab Suliman sits above the 10th percentile of the 219,146 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.025%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.025% |
| 50th percentile | 0.149% |
| 75th percentile | 0.706% |
| 90th percentile | 2.63% |
| 99th percentile | 82.4% |
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 05:00 UTC, and Friday 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.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 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 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
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.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 100% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 0% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | -3% | -3% to -2% | 54K |
- 100% 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.
- 0% 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 134 characters, which falls in the 80 - 180 characters band. Across the catalog, posts of 80 to 180 characters run 3% below the same accounts' other posts.
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 9, 202636x their median
🚨 The ovarian cyst was opened—and inside were hair and a tooth! A 24-year-old woman presents with intermittent pelvic pain and abdominal fullness. Ultrasound reveals a complex right ovarian mass containing cystic and echogenic components. During surgery, the excised lesion reveals greasy yellow material, a tuft of hair, and a tooth-like structure. ❓ What is the most likely diagnosis, and which acute complication should be suspected if she develops sudden severe pelvic pain with vomiting?
- Oct 9, 202620x their median
A surgeon opens the neck—and freezes. The thyroid gland is jet black. 🖤 The patient has been taking a common antibiotic for years. What is the drug—and what caused this dramatic pigmentation? https://t.co/ohAJkT47hi
- Oct 9, 20261.8x their median
What is happening? https://t.co/PKm6Se7oup
- Oct 9, 20261.6x their median
What was the Cause? https://t.co/lkXVmIBGmp
- Oct 9, 20261.6x their median
🚨 The pain pointed to the gallbladder—but the surgeon found something unexpected. A 25-year-old woman presents with sharp right upper abdominal pain, worsening with deep inspiration. Gallbladder ultrasound is normal, and liver enzymes are within reference limits. Persistent unexplained pain leads to laparoscopy, revealing delicate, string-like adhesions between the liver capsule and abdominal wall. ❓ What is the most likely diagnosis, and which underlying infection should be investigated?
- Oct 9, 20261.6x their median
Starting my duty. Please Have A Very Nice Day. https://t.co/oLgfFObMQv
- Oct 9, 2026
What type of neuropathy? https://t.co/fSiJd73nZq
- Oct 9, 2026
What is happening? https://t.co/MCtlFu6cLC
- Oct 9, 2026
حملة بصيرة في جامعة القصيم، عقول جبارة و قلوب أجمل . https://t.co/r1Y84FTA5L
- Oct 9, 2026
حملة بصيرة في جامعة القصيم، عقول جبارة و قلوب أجمل . https://t.co/gkhCnkwUQS
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
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 19 interactions against 116K followers, an engagement rate of 0.017%. Measured over 18 original posts, its engagement rate beats 25% of 21,874 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 2.9K times each, and 0.645% of those impressions turn into an interaction. That is about 2.55% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.9 posts a day over the last 30 days, though only 7% of days saw any activity at all. Most posts go out around 05:00 UTC, and Friday is the busiest day of the week. Of the 18 posts sampled, 100% carry an image or video. The account's strongest tracked post pulled 680 interactions, about 36x its own typical post. Recurring topics include #medicaleducation, #medtwitter, #oncology.
- What is Dr Ihab Suliman's engagement rate on X?
- Dr Ihab Suliman (@IhabFathiSulima) has an engagement rate of 0.017%, based on the median interactions across 18 original posts from the last 30 days against 115,580 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.017%, Dr Ihab Suliman sits above the 10th percentile of the 219,146 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 @IhabFathiSulima have real engagement?
- Its engagement rate beats 25% of the tracked X accounts closest to it in follower count (21,874 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 @IhabFathiSulima post?
- Most posts go out around 05:00 UTC, and Friday is its busiest day, at roughly 1.93 posts per day across the measured window.