Saroj Timilsina

Surgery is a "wicked" environment: feedback is delayed, noisy, and often biased. My essay on why experience doesn't always equal mastery, and how to learn when the feedback loops are broken. leezhaomd.org/post/the-wicke… #MedTwitter #Surgery #MedEd

#EPeeps #TALES2026 talesymposium.com March 21, 2026. FREE and VIRTUAL

Gap phenomenon caught in real life! #ECG #EPeeps

Very excited to share our latest publication! As so often happens, this case came on New Year’s Day of my first year as an attending while covering the system. I couldn’t have done it without an incredible team of supporting staff and fellows. A special shout-out to Dr. @MiguelValderrabano for listening to me work through this case and for his thoughtful advice! Excellent work, Dr. @s_timilsina! @JACCJournals #EPPeeps #SVT #WIC #WomenInEP #Ablation #AlcoholAblation #VOM Accessory Pathway Ablation via Vein of Marshall Ethanol Infusion: A Ca... sciencedirect.com/science/articl…

Grateful to @FergieLosiniec1 for mentorship and for the opportunity to learn through this case. @mhshospital

🧠 Learning point: When endocardial lesions are ineffective and activation appears broad, Vein of Marshall anatomy may be contributing. VOM mapping and ethanol infusion can be considered in select cases. kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…

Refractory orthodromic AVRT despite extensive endocardial RF can raise concern for an epicardial substrate. Sharing a case of a left free-wall accessory pathway involving the vein of Marshall, successfully treated with ethanol infusion. #JACCEP #EPeeps #Cardiotwitter

@FergieLosiniec1 @mhshospital @Mapbastian @JC_EPMaps @mike_lean @joel_chic 👏👏👏

Starting the year with a recap on a recent challenging VT case at @mhshospital @Mapbastian @JC_EPMaps @mike_lean @joel_chic A 3rd time redo in a non-ischemic VT patient. Success in these cases requires the use of advanced techniques - however, advanced techniques do not mean unsafe procedures.   Some specific workflow highlights that led to a successful bipolar case without complications and 0 clinical VT on follow-up: - Meticulous mapping was performed to fully understand each VT before delivering energy. - Reentrant VTs are inherently 3D in nature, often revealing only a portion of the channel in the chamber mapped (in this case, only the exit for each VT). - Entrainment at the presumed VT exit confirmed what the map suggested. - Remote entrainment from the RV was helpful to confirm diastolic signals on mapping catheter were within circuit. #AblateVT #EPpeeps #WIC #WomenInEP

@FergieLosiniec1 @mhshospital @CoxTatum @JNJMedTech 🔥🔥🔥🔥

ICE guided Watchman is a game changer and Nuvision really takes any doubt out of it. Lucky to be the first one to use this technology at @mhshospital thanks to Katrina Kraus, RDCS, RVT Salvatore Costanzo, MBA @CoxTatum and @JNJMedTech ! Looking forward to many more. #ICEonly #WIC #WomenInEP #Watchman #LAAO

@AyeshaJalalMD @MWHCConnection @havistin @harshi_md @RameshDaggubati @Lakshmi14524052 @AbiWattsMD @PinjSameena Congratulations!

The feeling is finally sinking in! 🎉 Thrilled to be joining as a🫀fellow @MWHCConnection Alhamdulillah! Immensely grateful for all the support and guidance in this journey! 🫶🏻 @havistin @harshi_md @RameshDaggubati @s_timilsina @Lakshmi14524052 @AbiWattsMD #Match2026 #CardioX

Honored to be the lead Cardiac Electrophysiologist for the Cardiac Lead Extraction & Lead Management Program at Memorial Healthcare System. Lead extractions are often needed for patients with infection, malfunctioning, or recalled leads—and having this advanced service at Memorial, one of the region’s largest cardiovascular hospitals, means patients can now receive this critical care close to home. Grateful for the support of our leadership and cardiothoracic surgery colleagues, and proud of our team for their excellent and seamless execution. Excited for what’s ahead for our patients. @mhshospital @inheartmedical

Have a lot to learn from this man. Personally and professionally. Congratulations to @SpursOfficial. Swimming against the flow is difficult but still doable 💪💪

@SinaiBmoreIMRes As always @SharpsStephanie @rav7ks and @AshaThomas10 thank you for your mentorship and guidance, long it may continue :)

#Graduation for @SinaiBmoreIMRes residents was a joyous event that celebrated their achievements. You have all made this program a great place to be ! #brightfuture #Internalmedicine #IMProud #Graduation for @SinaiBmoreIMRes #Class2023 residents/prelims.

@SinaiBmoreIMRes Congratulations to the graduating class!! Wishing you all exciting and fulfilling careers ahead! Big congratulations to @ahlaanwasahlan and @NasirAlhamdan as well- everyone is appreciative of the hard work you two put up!!

@SamiAlasfar @JohnsHopkinsSPH @hopkinsneph @KidneydrChirag Congratulations Dr Alasfar @SamiAlasfar !! A true inspiration, keep doing what you do best :)

Mixed emotions as I graduate from #MPH program @JohnsHopkinsSPH feeling grateful for the knowledge gained & with that comes greater responsibility to make an impact in people lives Thx @hopkinsneph @KidneydrChirag for their support & to family for their unwavering encouragement!

@SinaiBmoreIMRes @SharpsStephanie @AshaThomas10 @SinaiChiefs 👏👏

We are absolutely thrilled to welcome all of you to our @SinaiBmoreIMRes family ! The future is bright ! #IMProud #Match2023 #Sinaipride @SharpsStephanie @AshaThomas10 @SinaiChiefs

@SinaiChiefs 👏👏👏

Welcome to our new class of 2023! We are happy and excited to have you! See you soon!

@SangragG @uchicagosurgery @K_Roggin @JBMatthews @GWSurgery Congratulations bro!

Beyond thrilled to join the @uchicagosurgery family!! Thank you @K_Roggin and @JBMatthews and the incredible mentors at @GWSurgery !! #Match2023 #gensurgmatch2023

Thoughts and prayers with my people back home. Stay strong Pokhara. We deserve safer roads and air travel. #planecrash #Pokhara #Nepal

Some questions to ponder #CardioTwitter #MedTwitter